Korean J Adult Nurs.  2013 Dec;25(6):736-746.

Effects of a Peer Cervical Cancer Prevention Education Program on Korean Female College Students' Knowledge, Attitude, Self-efficacy, and Intention

Affiliations
  • 1Chosun Nursing College, Gwangju, Korea.
  • 2Department of Nursing, Chosun University, Gwangju, Korea. jinsun@chosun.ac.kr

Abstract

PURPOSE
The purpose of this study was to evaluate the effectiveness of a peer cervical cancer prevention education program on Korean female college students' knowledge, attitude, self-efficacy, and intention.
METHODS
A quasi-experimental pretest-posttest design with a non-equivalent control group was used. The participants were 58 female college students in a metropolitan city in Korea. The sample consisted of an intervention group (n=28) that participated in a peer education program and a control group (n=30). Data were measured using self-administered questionnaires at two time points: prior to the intervention and after the intervention.
RESULTS
Compared to the control group, the experimental group reported significantly positive changes for knowledge, attitude, self-efficacy, and intent to practice cervical cancer prevention behaviors.
CONCLUSION
The findings of this study indicated that a peer education program developed for Korean female college students was a useful and effective intervention strategy to promote cervical cancer prevention behaviors in Korean sociocultural contexts.


MeSH Terms

Education*
Female*
Health Behavior
Health Education
Humans
Intention*
Korea
Peer Group
Uterine Cervical Neoplasms*
Surveys and Questionnaires

Reference

Albarracin D.., Johnson B. T.., Fishbein M.., Muellerleile P. A.2001. Theories of reasoned action and planned behavior as models of condom use: A meta-analysis. Psychological Bulletin. 127:142–161.
Article
Al-Naggar R. A.., Low W. Y.., Isa Z. M.2010. Knowledge and barriers towards cervical cancer screening among young women in Malaysia. Asian Pacific Journal of Cancer Prevention. 11:867–873.
American Cancer Society. 2012. New screening guidelines for cervical cancer. Retrieved from. http://www.cancer.org/cancer/news/new-screening-guidelines-for-cervical-cancer.
Brewer N. T.., Fazekas K. I.2007. Predictors of HPV vaccine acceptability: A theory-informed, systematic review. Preventive Medicine. 45(2-3):107–114. http://dx.doi.org/10.1016/j.ypmed.2007.05.013.
Article
Centers for Disease Control and Prevention. 2013. Sexually transmitted diseases: Genital HPV infection-Fact sheet. Retrieved from. http://www.cdc.gov/hpv/whatishpv.html.
Chapman E.., Venkat P.., Ko E.., Orezzoli J. P.., Carmen M. D.., Garner E. I. O.2010. Use of multimedia as an educational tool to improve human papillomavirus vaccine acceptability: A pilot study. Gynecologic Oncology. 118(2):103–107. http://dx.doi.org/10.1016/j.ygyno.2010.04.010.
Davey-Rothwell M. A.., Tobin K.., Yang C.., Sun C. J.., Latkin C. A.2011. Results of a randomized controlled trial of a peer mentor HIV/STI prevention intervention for women over an 18 month follow-up. AIDS and Behavior. 15(8):1654–1663. http://dx.doi.org/10.1007/s10461-011-9943-9.
Ferrara M.., Langiano E.., De Vito E.2012. A school based community randomized trial of the effect of peer health education on primary prevention knowledge, attitude and behaviors towards HPV among adolescents. Italian Journal of Public Health. 9(1):20–32.
French S. E.., Holland K. J.2013. Condom negotiation strategies as a mediator of the relationship between self-efficacy and condom use. Journal of Sex Research. 50(1):48–59. http://dx.doi.org/10.1080/00224499.2011.626907.
Article
Han K. H.2011. The impact of health belief components on the effectiveness of women's cancer prevention campaigns: A cross-national examination towards Korean and Japanese women. Korean Journal of Advertizing and Public Relations. 13(2):377–412.
Head S. K.., Crosby R. A.., Moore G. R.2009. Pap smear knowledge among young women following the introduction of the HPV vaccine. Journal of Pediatric and Adolescent Gynecology. 22(4):251–256. http://dx.doi.org/10.1016/j.jpag.2008.10.005.
Article
Hsu Y. Y.., Fetzer S. J.., Hsu K. F.., Chang Y. Y.., Haung C. P.., Chou C. Y.2009. Intention to obtain human papillomavirus vaccination among Taiwanese undergraduate women. Sexually Transmitted Diseases. 36(11):686–692. http://dx.doi.org/10.1097/OLQ.0b013e3181ad28d3.
Article
Kang H. S.., Moneyham L.2010. Attitudes toward and intention to receive the human papilloma virus (HPV) vaccination and intention to use condoms among female Korean college students. Vaccine. 28(3):811–816. http://dx.doi.org/10.1016/j.vaccine.2009.10.052.
Article
Kang H. Y.., Kim J. S.2011. Knowledge, attitudes of human papillomavirus vaccine, and intention to obtain vaccine among Korean female undergraduate students. Women & Health. 51(8):759–776. http://dx.doi.org/10.1080/03630242.2011.627091.
Article
Kaponda C. P. N.., Norr K. F.., Crittenden K. S.., Norr J. L.., Mccreary L. L.., Kachinwe S. I.2011. Outcomes of an HIV prevention peer group intervention for rural adults in Malawi. Health Education & Behavior. 38(2):159–170. http://dx.doi.org/10.1177/1090198110378588.
Article
Kim C. J.., Park T. C.., Park J. S.2010. Efficacy of human papillomavirus vaccines including cross protection: A review of recent evidence. Korean Journal of Obstetrics & Gynecology. 53(2):103–118.
Kim C. R.., Free C.2008. Recent evaluation of the peer-led approach in adolescent sexual health education: A systematic review. International Family Planning Perspectives. 34(2):89–96. http://dx.doi.org/10.1363/4014408.
Kim H. W.2009. Effects of prevention education of human papillomavirus linked to cervix cancer for unmarried female university students. Journal of Korean Academic Society of Nursing. 39(4):490–498. http://dx.doi.org/10.4040/jkan.2009.39.4.490.
Kim H. W.., Ahn H. Y.2007. Study on the knowledge of human papillomavirus in female university students. Korean Journal of Women Health Nursing. 13:13–20.
Kim J. H.., Park M. K.2009. Study on the knowledge of cervical cancer and human papillomavirus and preventive behavior intention of female university students. Journal of Korean Academic Socity of Nursing Education. 115:225–231. http://dx.doi.org/10.5977/JKASNE.2009.15.2.225.
Article
Korean Red Cross. 2007. An adolescent peer group sexual education. Retrieved from. www.redcross.or.kr.
Kwan T. T.., Chan K. K.., Yip A. M. W.., Tam K. F.., Cheung A. N. Y.., Young P. M., et al. 2008. Barriers and facilitators to human papillomavirus vaccination among Chinese adolescent girls in Hong Kong: A qualitative-quantitative study. Sexually Transmitted Infection. 84(3):227–232. http://dx.doi.org/10.1136/sti.2007.029363.
Article
Lee E. G.., Kim H. O.2011. Effects of HPV vaccination education on college women's knowledge, health beliefs, and intention. Journal of Korean Academic Society of Nursing. 41(5):715–723. http://dx.doi.org/10.4040/jkan.2011.41.5.715.
Lee E. J.., Park J. S.2011. Knowledge about cervical cancer, health beliefs and human papillomavirus vaccination rate in female university students. Journal of Korean Oncology Nursing. 11(1):65–73. http://dx.doi.org/10.1016/j.whi.2012.09.003.
Article
Lee H. K.2010. Predictors of condom use intention according to experience of sexual intercourse in male college students. Korean Journal of Women Health Nursing. 16(2):194–203. http://dx.doi.org/10.4069/kjwhn.2010.16.2.194.
Lopez R.., McMahan S.2007. College women's perception and knowledge of human papillomavirus (HPV) and cervical cancer. California Journal of Health Promotion. 5(3):12–25.
Article
Maddux J.., Bradley L.., Boykin A.1995. Self-efficacy and health behavior: Prevention, promotion, and detection. Maddux J., editorSelf-efficacy, adaptation, and adjustment: Theory, research, and application. p. 173–202. New York: Plenum Press.
McKeever A.2008. Female college students' self-reported behavioral change after an educational intervention to reduce behaviors associated with cervical risk. Unpublished Doctoral Dissertation, Villanova University, Pennsylvania.
Moore S. G.., Dahl D. W.., Gorn G. J.., Weinberg C. B.., Park J.., Jiang Y.2008. Condom embarrassment: Coping and consequences for condom use in three countries. AIDS Care. 20(5):553–559. http://dx.doi.org/10.1080/09540120701867214.
Article
Oh J. K.., Francesch S.., Kim B. K.., Kim J. Y.., Ju Y. H.., Hong E. K., et al. 2009. Prevalence of human papillomavirus and chlamydia trachomatis infection among women attending cervical cancer screening in Republic of Korea. European Journal of Cancer Prevention. 18(1):56–61. http://dx.doi.org/10.1097/CEJ.0b013e328305a0a6.
Pitts M. K.., Smith A.., Croy S.., Lyons A.., Ryall R.., Garland S., et al. 2009. Singaporean women's knowledge of human papillomavirus (HPV) and attitudes toward HPV vaccination. Women & Health. 49(4):334–351. http://dx.doi.org/10.1080/03630240903158420.
Article
Read D. S.., Joseph M. A.., Polishchuk V.., Suss A. L.2010. Attitudes and perceptions of the HPV vaccine in Caribbean and African-American adolescent girls and their parents. Journal of Adolescnet Gynecology. 23:242–245.
Article
Rhee J. E.., Shin J. E.., Kim M. Y.., Kim C. M.., Chung J. K.., Min S. K., et al. 2010. Prevalence of human papillomavirus infection and genotype distribution among high-risk Korean women for prospecting the strategy of vaccine development. Journal of Virology. 7(1):201–204.
Article
Rosenstock I. M.., Strecher V. J.., Becker M. H.1988. Social learning theory and the health belief model. Health Education Quarterly. 15(2):175–183.
Article
Rosenstock I. M.., Strecher V. J.., Becker M. H.1994. The health belief model and HIV risk behavior change. Diclemente R. J., Peterson J. L., editorsPreventing AIDS: Theories of methods of behavioral interventions. p. 5–24. New York, NY: Plenum Press.
Article
Saha A.., Chaudhury A. N.., Bhowmik P.., Chatterjee R.2010. Awareness of cervical cancer among female students of premier colleges in Kolkata, India. Asian Pacific Journal of Cancer Prevention. 11:1085–1090.
Sarkar N. N.2008. Barriers to condom use. European Journal of Contraception & Reproductive Health Care. 13(2):114–122. http://dx.doi.org/10.1080/13625180802011302.
Article
Shepherd J. P.., Frampton G. K.., Harris P.2011. Interventions for encouraging sexual behaviours intended to prevent cervical cancer. Cochrane Database of Systematic Reviews. , 4. Art. No.: CD001035.http://dx.doi.org/10.1002/14651858.CD001035.pub2.
Article
Sriranganathan G.., Jaworsky D.., Larkin J.., Flicker S.., Campbell L.., Flynn S., et al. 2010. Peer sexual health education: Interventions for effective programme evaluation. Health Education Journal. 71(1):62–71. http://dx.doi.org/10.1177/0017896910386266.
Statistics Korea. 2012. Annual Report on the Cause of Death Statistics. Retrieved from. http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board.
Waller J.., Bartoszek M.., Marlow L.., Wardle J.2009. Barriers to cervical cancer screening attendance in England: A population-based survey. Journal of Medical Screening. 16(4):199–204. http://dx.doi.org/10.1258/jms.2009.009073.
Article
Wong L. P.2008. Young multiethnic women's attitudes toward the HPV vaccine and HPV vaccination. International Journal of Gynecology & Obstetrics. 103(2):131–5. http://dx.doi.org/10.1016/j.ijgo.2008.07.005.
Article
Xiao Z.2012. Correlates of condom use among Chinese college students in Hunan province. AIDS Education and Prevention. 24:469–482. http://dx.doi.org/10.1521/aeap.2012.24.5.469.
Article
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