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Experiences Of Cervical Cancer Screening Performed By Health Visitors In Hungary

2016; Elsevier BV; Volume: 19; Issue: 3 Linguagem: Inglês

10.1016/j.jval.2016.03.659

1524-4733

Balogh György, L Tóth, I Boncz, R Vajda, A. Pakai, Z. Kívés,

Health and Wellbeing Research

The aim of our study was to explore the knowledge and attitudes connected to cervical screening, Pap-smear test performed by health visitors, and to learn the participation data of screening by health visitors. Quantitative, cross-sectional studies were conducted using self-edited questionnaire (socio-demoraphic data, knowledge, screening attitude) among women aged 25-65 with the domicile of Nagykanizsa (n=232). The other study was carried out among women in other five villages in Zala County who took part in cervical screening performed by district nurses (n=58). The retrospective analysis was carried out in the settlements participating in the Health Visitors’ Cervical Cancer Screening Program within the National Screening System from September 2013 to September 2015 based on fixed data. Descriptive statistics, χ2-test, ANOVA, and Kruskal-Wallis test, Mann-Whitney test, regression and factor analyses were used with 95% probability level (p<0.05). We used SPSS version 22.0 program. Health awareness means a significantly higher level of motivation for single people (p=0.013) and those preferring healthy lifestyle (p=0.003). Screening that is carried out by health visitors is supported by people aged 45-65 (p=0.016) and persons with primary education (p=0.030). Women who were screened in the past three years believe the circumstances inappropriate (p=0.001). The knowledge level of only 43 persons was appropriate.43 regional health visitors carried out cervical cancer screening for public health purposes in 130 settlements, Zala County. 59.77% of women with call-in letter were connected with the health visitor 16.74% (1101 persons) attended screening. It accounts for 10% with respect on the total patients to be screened. Strengthening the motivating factors, increasing the awareness level of cervical cancer and its screening play a significant role in the attainment of appropriate screening. It can be concluded that health visitors can address the rarely screened women, and the Health Visitors’ Screening Program was successful.