A community-based intervention in middle schools to improve HPV vaccination and cervical cancer screening in Japan.

Q1 Medicine
Asia Pacific Family Medicine Pub Date : 2014-11-18 eCollection Date: 2014-01-01 DOI:10.1186/s12930-014-0013-0
Tomoko Ito, Remi Takenoshita, Keiichiro Narumoto, Melissa Plegue, Ananda Sen, Benjamin Franklin Crabtree, Michael Derwin Fetters
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引用次数: 7

Abstract

Aim: Japan has low rates of cervical cancer screening and Human papilloma virus (HPV) vaccination. This research examines the effectiveness of a family medicine resident-led, intervention in increasing knowledge about HPV and cervical cancer in middle school-girls and increasing knowledge and intention to have cervical cancer screening in their mothers.

Methods: We utilized a pre-test/post-test intervention design in three rural middle schools with 7(th) grade middle school-girls and their mothers. A school-based activity educated girls about HPV and cervical cancer. A home-based activity utilized a homework assignment for girls and their mothers. Pre/post intervention surveys were completed by the girls and their mothers. Major outcomes included changes in knowledge among girls and mothers and barriers to be screened for cervical cancer among mothers.

Results: Sixty-five students and sixty-three mothers completed the study. Two out five mothers were not in compliance with current screening recommendations. Identified barriers included: embarrassment (79%), poor access (56%), fear of having cancer (52%), and cervical cancer screening being an unknown procedure (46%). Forty-four percent of mothers deemed their daughters to be at risk for cervical cancer. Trusted sources of information included: doctors (97%), newspapers/television (89%), government (79%), the Internet (78%), and friends (62%). Student knowledge scores (7-point scale) improved significantly from pre- to post-intervention (4.8 vs. 5.9, p < 0.001). Knowledge scores (14-point scale) among mothers also significantly improved (11.7 vs. 12.0, p = 0.024).

Conclusions: These data suggest a community-based intervention on a sensitive topic by family medicine residents can be implemented in middle schools, can improve school-girls' knowledge about HPV and cervical cancer, and can reach their mothers. Additional research could examine whether those intending to be screened receive screening and how to reach women who still resist screening.

Abstract Image

Abstract Image

日本在中学开展以社区为基础的干预,以改善HPV疫苗接种和宫颈癌筛查。
目的:日本的宫颈癌筛查和人乳头瘤病毒(HPV)疫苗接种率很低。本研究考察了一项家庭医学住院医师主导的干预措施在提高中学女生对HPV和宫颈癌的认识以及提高其母亲对宫颈癌筛查的认识和意愿方面的有效性。方法:采用测前/测后干预设计,对3所农村中学7年级女生及其母亲进行调查。一项以学校为基础的活动,教育女孩了解HPV和宫颈癌。一项以家庭为基础的活动为女孩和她们的母亲布置了家庭作业。干预前/干预后的调查由女孩及其母亲完成。主要成果包括女孩和母亲的知识变化以及母亲接受宫颈癌筛查的障碍。结果:65名学生和63名母亲完成了这项研究。五分之二的母亲没有遵守目前的筛查建议。确定的障碍包括:尴尬(79%)、难以获得(56%)、害怕患癌症(52%)和宫颈癌筛查是一项未知的程序(46%)。44%的母亲认为她们的女儿有患宫颈癌的风险。可信赖的信息来源包括:医生(97%)、报纸/电视(89%)、政府(79%)、互联网(78%)和朋友(62%)。学生知识得分(7分制)从干预前到干预后显著提高(4.8比5.9,p)。结论:这些数据表明家庭医学住院医师对敏感话题的社区干预可以在中学实施,可以提高女学生对HPV和宫颈癌的知识,并且可以到达她们的母亲。进一步的研究可能会检查那些打算接受筛查的人是否接受了筛查,以及如何接触到仍然拒绝接受筛查的女性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Asia Pacific Family Medicine
Asia Pacific Family Medicine Medicine-Family Practice
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