Volume 2, Issue 4 (Autumn 2016 -- 2016)                   JCCNC 2016, 2(4): 239-248 | Back to browse issues page

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Haji Rasul V, Cheraghi M A, Behboodi Moghadam Z. Exploring the Impact of Individual Factors in Taking Cervical Cancer Screening: A Content Analysis. JCCNC. 2016; 2 (4) :239-248
URL: http://jccnc.iums.ac.ir/article-1-114-en.html

1- Department of Nursing, Shaqlawa Technical Institute, Erbil Polytechnic University, Erbil, Iraq.
2- PhD Department of Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
3- Department of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:   (386 Views)

Background: Cervical cancer remains the leading cause of cancer death among women in developing country. In Iraqi Kurdistan Region, few women undergo screening and the incidence of cervical cancer is on the increase as is the case in most developing countries. The purpose of this study was to explore women’s individual factors affecting the performance of the cervical cancer screening in Kurdistan Region, Iraq.
Methods: The present study adopted a qualitative design based on conventional content analysis approach. Purposive sampling was used to select 22 women who had either had a Pap-Smear or refused to have one. Semi structured in depth interviews were conducted with each individual to collect data. Data were collected from August 7, 2015 to July 22, 2016. The criteria for including samples for this study were aS follows: 1) Married Kurdish women who are living in Kurdistan Region, Iraq, 2) Willingness to participate in the study, and 3) Not undergone cervical cancer screening. Non Iraqi Kurdish women were excluded. Each interview lasted for 42-70 minutes on average. In order to analyze the collected data, the obtained purified codes were compared and simultaneously clustered and classified under certain themes using their similarities and differences.
Results: Seven main themes including age, educational level, having multiple full-pregnancies, existence of signs and symptoms of cervical cancer, psychological factors, poverty, and marital status emerged during the data analysis. 
Conclusion: The findings of this study indicated that individual factors can prevent women from cervical cancer screening in Kurdistan Region, Iraq. Understanding these factors may lead to the development of effective programs and policies to improve cervical cancer screening uptake by Kurdish women.

Full-Text [PDF 440 kb]   (139 Downloads)    
Type of Study: Research | Subject: General
Received: 2016/04/11 | Accepted: 2016/07/16 | Published: 2016/10/1

1. Ali K. S., 2010. Molecular and immunological study of human Papilloma virus infections among patient with different cervical lesions in Kurdistan region-Iraq (PhD thesis). Kurdistan: Hawler Medical University.
2. Al-Naggar, R. A., & Isa, Z. M., 2010. Perception and opinion of medical students about pap-smear test: A qualitative study. Asian Pacific Journal of Cancer Prevention, 11(2), pp. 435-40. PMID: 20843130 [PMID]
3. Anon, 2016. Kurdistan at a glance, the Kurdistan Region in Brief, Kurdistan Regional government [Internet], viewed 11 Feb 2016, http://www.gov.krd
4. Ashing-Giwa, K. & Rosales, M., 2013. Evaluation of therapeutic care delay among Latina and European-American cervical cancer survivors. Gynecologic oncology, 128(2), pp. 160-5. doi: 10.1016/j.ygyno.2012.11.015 [DOI:10.1016/j.ygyno.2012.11.015]
5. Benard, V. B., et al., 2014. Vital signs: Cervical cancer incidence, mortality, and screening—United States, 2007–2012. Morbidity and Mortality Weekly Report, 63(44), pp. 1004-9. PMID: 25375072 [PMID]
6. Bessler, P., Aung, M., & Jolly, P., 2007. Factors affecting uptake of cervical cancer screening among clinic attendees in Trelawny, Jamaica. Cancer Control, 14(4), pp. 396-404. PMID: 17914340 [DOI:10.1177/107327480701400410] [PMID]
7. Beydag, K. D., 2011. Knowledge and applications of the midwives and nurses at an educational hospital on the early diagnosis of cervix cancer. Asian Pacific Journal of Cancer Prevention, 12(2), pp. 481-5. PMID:21545217 [PMID]
8. Byrd, T. L., Chavez, R., & Wilson, K. M., 2007. Barriers and facilitators of cervical cancer screening among Hispanic women. Ethnicity and Disease, 17(1), pp. 129-34. PMID: 17274222 [PMID]
9. Christie, L. M., 2013. Factors influencing the impact of primary and secondary prevention strategies for cervical cancer among Queensland women (PhD Thesis). Brisbane: Queensland University of Technology.
10. Cronje, H. S., & Beyer, E., 2007. Screening for cervical cancer in an African setting. International Journal of Gynecology & Obstetrics, 98(2), pp. 168-71. doi: 10.1016/j.ijgo.2007.05.005 [DOI:10.1016/j.ijgo.2007.05.005]
11. Elo, S., & Kyngäs, H., 2008. The qualitative content analysis process. Journal of Advanced Nursing, 62(1), pp. 107-15. doi: 10.1111/j.1365-2648.2007.04569.x [DOI:10.1111/j.1365-2648.2007.04569.x]
12. Fort, V. K., et al., 2011. Barriers to cervical cancer screening in Mulanje, Malawi: A qualitative study. Patient Prefer Adherence, 5, pp. 125-31. doi: 10.2147/PPA.S17317 [DOI:10.2147/PPA.S17317]
13. Everett, T., et al., 2011. Interventions targeted at women to encourage the uptake of cervical screening. The Cochrane Library, 5. doi: 10.1002/14651858.CD002834.pub2 [DOI:10.1002/14651858.CD002834.pub2]
14. Gakidou, E., Nordhagen, S., & Obermeyer, Z., 2008. Coverage of cervical cancer screening in 57 countries: Low average levels and large inequalities. PLoS Medicine, 5(6), p. 132. doi: 10.1371/journal.pmed.0050132 [DOI:10.1371/journal.pmed.0050132]
15. Gbrich, C., 2007. Qualitative data analysis: An introduction. London: Saga Publications.
16. Graneheim, U., & Lundman, B., 2004. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), pp. 105–112. doi: 10.1016/j.nedt.2003.10.001. [DOI:10.1016/j.nedt.2003.10.001]
17. Guilfoyle, S., Franco, R., & Gorin, S. S., 2007. Exploring older women's approaches to cervical cancer screening. Health Care for Women International, 28(10), pp. 930-50. doi: 10.1080/07399330701615358 [DOI:10.1080/07399330701615358]
18. Hoque, M., Hoque, E., & Kader, S. B., 2008. Evaluation of cervical cancer screening program at a rural community of South Africa. East African Journal of Public Health, 5(2), pp. 111-6. PMID: 19024420 [PMID]
19. Hounsgaard, L., et al., 2013. Women's perspectives on illness when being screened for cervical cancer. International Journal of Circumpolar Health, 72(1), p. 21089. doi: 10.3402/ijch.v72i0.21089 [DOI:10.3402/ijch.v72i0.21089]
20. Leach, C. R., & Schoenberg, N. E., 2007. The vicious cycle of inadequate early detection: A complementary study on barriers to cervical cancer screening among middle-aged and older women. Preventing Chronic Disease, 4(4), p. 95. PMCID: PMC2099293
21. Lee, E. E., Fogg, L., & Menon, U., 2008. Knowledge and beliefs related to cervical cancer and screening among Korean American women. Western Journal of Nursing Research, 30(8), pp. 960–74. doi: 10.1177/0193945908319250. [DOI:10.1177/0193945908319250]
22. Lincon Y. S., & Guba E. G., 1985. Naturalistic inquiry. California: Sage Publications.
23. Maar, M., et al., 2013. A qualitative study of provider perspectives of structural barriers to cervical cancer screening among first nations women. Women's Health Issues, 23(5), pp. 319-25. doi: 10.1016/j.whi.2013.06.005. [DOI:10.1016/j.whi.2013.06.005]
24. Marlow, L. A. V., Waller, J., & Wardle, J., 2015. Barriers to cervical cancer screening among ethnic minority women: A qualitative study. Journal of Family Planning and Reproductive Health Care, 41(4), pp. 248–54. doi: 10.1136/jfprhc-2014-101082. [DOI:10.1136/jfprhc-2014-101082]
25. Menard, J., et al., 2010. Barriers to cervical cancer screening among Haitian immigrant women in Little Haiti, Miami. Journal of Cancer Education, 25(4), pp. 602–8. doi: 10.1007/s13187-010-0089-7. [DOI:10.1007/s13187-010-0089-7]
26. Morema, E. N. et al., 2014. Determinants of cervical screening services uptake among 18–49 year old women seeking services at the Jaramogi Oginga Odinga teaching and referral hospital, Kisumu, Kenya. BMC Health Services Research, 14(1). pp. 335. doi: 10.1186/1472-6963-14-335. [DOI:10.1186/1472-6963-14-335]
27. Mupepi, S. C., Sampselle, C. M. & Johnson, T. R. B., 2011. Knowledge, attitudes, and demographic factors influencing cervical cancer screening behavior of Zimbabwean women. Journal of Women's Health, 20(6), pp. 943–52. doi: 10.1089/jwh.2010.2062. [DOI:10.1089/jwh.2010.2062]
28. Murugl, N. A., 2014. Determination of cervical cancer screening uptake among women in Embu country, Kenya (MSc. Dissertation). Nairobi: University of Nairobi.
29. Nene, B., et al., 2007. Determinants of women s participation in cervical cancer screening trial, Maharashtra, India. Bulletin of the World Health Organization, 85(4), pp. 264-72. doi: 10.2471/blt.06.031195 [DOI:10.2471/BLT.06.031195]
30. Ngugi, C. W. et al., 2012. Factors affecting uptake of cervical cancer early detection measures among women in Thika, Kenya. Health Care for Women International, 33(7), pp. 595–613. doi: 10.1080/07399332.2011.646367. [DOI:10.1080/07399332.2011.646367]
31. Sibiya, M. N., & Grainger, L., 2007. An assessment of the implementation of the provincial cervical screening programme in selected primary health care clinics in the Ilembe region, KwaZulu-Natal. Curationis, 30(1). doi: 10.4102/curationis.v30i1.1050. [DOI:10.4102/curationis.v30i1.1050]
32. Speziale, H. S., Streubert, H. J., & Carpenter, D. R., 2011. Qualitative research in nursing: Advancing the humanistic imperative. Philadelphia: Lippincott Williams & Wilkins
33. Waller, J., et al., 2009. Barriers to cervical cancer screening attendance in England: A population-based survey. Journal of Medical Screening, 16(4), pp. 199–204. doi: 10.1258/jms.2009.009073. [DOI:10.1258/jms.2009.009073]
34. Wong, L. P., et al., 2009. Knowledge and awareness of cervical cancer and screening among Malaysian women who have never had a pap-smear: A qualitative study. Singapore Medical Journal, 50(1), pp. 49-53. PMID: 19224084 [PMID]
35. World Health Organization, 2013. Early detection of cancer [Internet]. Available from http://www.who.int/cancer/detection/en/
36. World Health Organization, 2015. Human papillomavirus (HPV) and cervical cancer [Internet]. Available from http://www.who.int/mediacentre/factsheets/fs380/en/

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