Understanding the Relationship Between Sexual Assault and Cervical Screening Uptake

IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Katherine Madden, Jane Vosper, M. Evangeli, S. Gibson
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引用次数: 2

Abstract

Abstract. Background: Cervical screening helps prevent cervical cancer ( NHS, 2019 ). Women who have experienced sexual assault have lower cervical screening attendance, however, no theory-driven research explores reasons for this. The Health Action Process Approach (HAPA) explains intention and ongoing attendance to health-promoting behaviors. Aims: The HAPA was used to identify and explore how sexual assault impacts cervical screening uptake. Method: An online study of 247 women aged 21–63 explored whether HAPA variables (task, maintenance, and recovery self-efficacy, outcome expectancies, risk perception, action, and coping planning), trauma variables (nature and age of abuse, and level of post-traumatic stress disorder symptoms [PTSD]), and other potentially confounding factors related to cervical screening uptake in women who have experienced sexual assault. Regression and mediation analyses were conducted to explore predictive variables of intention and attendance. Results: Self-efficacy beliefs predicted both intention and attendance of cervical screening. Task self-efficacy predicted intention and mediated relationships between HAPA variables and intention. Maintenance self-efficacy predicted attendance and mediated relationships between HAPA variables and attendance. Trauma variables did not predict more variance in intention or attendance over HAPA variables. Limitations: The cross-sectional nature of the study means causality was not established. Conclusion: Self-efficacy develops an understanding of cervical screening in women with experience of sexual assault, over and above the trauma variables of type of assault and PTSD symptoms. Focusing on self-efficacy to improve cervical screening uptake in women who have experienced sexual assault is considered for clinical implications.
了解性侵犯与子宫颈普查的关系
摘要背景:宫颈筛查有助于预防宫颈癌(NHS, 2019)。然而,经历过性侵犯的妇女参加子宫颈检查的人数较低,没有理论驱动的研究探讨其原因。健康行动过程方法(HAPA)解释了健康促进行为的意图和持续参与。目的:HAPA被用来识别和探讨性侵犯如何影响子宫颈筛查的吸收。方法:对247名年龄在21-63岁之间的女性进行在线研究,探讨HAPA变量(任务、维持和恢复自我效能、结果预期、风险感知、行动和应对计划)、创伤变量(虐待性质和年龄、创伤后应激障碍症状水平[PTSD])和其他潜在的混杂因素是否与遭受过性侵犯的女性接受子宫颈筛查有关。采用回归分析和中介分析探讨意向和出勤的预测变量。结果:自我效能感能预测子宫颈筛查的意愿和出勤率。任务自我效能感预测意向,并介导HAPA变量与意向之间的关系。维持自我效能预测出勤,并介导HAPA变量与出勤之间的关系。与HAPA变量相比,创伤变量对意向或出席率的预测差异并不大。局限性:研究的横断面性质意味着没有建立因果关系。结论:自我效能感在经历过性侵犯的女性中发展了对子宫颈筛查的理解,超过了性侵犯类型和创伤后应激障碍症状的创伤变量。关注自我效能,以提高宫颈筛查的妇女谁经历过性侵犯被认为是临床意义。
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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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
29
期刊介绍: Die "Zeitschrift für Gesundheitspsychologie" wurde gegründet, um dem raschen Anwachsen gesundheitspsychologischer Forschung sowie deren Relevanz für verschiedene Anwendungsfelder gerecht zu werden. Gesundheitspsychologie versteht sich als wissenschaftlicher Beitrag der Psychologie zur Förderung und Erhaltung von Gesundheit, zur Verhütung und Behandlung von Krankheiten, zur Bestimmung von Risikoverhaltensweisen, zur Diagnose und Ursachenbestimmung von gesundheitlichen Störungen sowie zur Verbessung des Systems gesundheitlicher Vorsorge.
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