This study was conducted to provide basic knowledge for prevention and early discovery of cervical cancer by understanding the knowledge and attitude of cervical cancer in married immigrant women so that they can improve their knowledge and have a positive attitude toward the disease. This study targets 223 married immigrant women who came from the Philippines, Vietnam, and Cambodia and have lived in a city of which name starts with J, C and G in south Kyung-sang province more than 3 years. The approval of Institutional Review Board of ex G University was gained before collecting data to prevent the subjects(GIRB-G12-X-0030). Collecting data was done from January 1, 2013 to March 15, 2013. To measure the knowledge of cervical cancer, Knowledge Measurement Tool of Cervical Cancer by Kim and Park(2009), Knowledge Tool of Cervical Cancer by Lee (2010) which was polished and added on Knowledge Measurement Tool of Human Papilloma Virus by Kim and Ann(2007) and Attitude Measurement Tool which is invented by Jeong(2004) were applied as a study tool after being translated and reverse translated into Philippines, Vietnamese, and Cambodian language. The results have been analyzed using the PSAW 18.0 window program.
The following results have been obtained:
1. 53.6% of the subjects answer correctly on the questions that measure the knowledge of cervical cancer and the average score of the knowledge of cervical cancer is 11.53±2.55. The subcategories of the survey are the knowledge of cervical cancer, the knowledge of human papilloma virus and the knowledge of human papilloma virus vaccine and the average score of each part is 5 out of 10, 4.5 out of 10, 1.9 out of 3 respectively.
2. The average score of the attitude of cervical cancer is 3.67±0.57(the range of the score:1∼5). Among the subcategories of the survey, the average score of the attitude toward treatment of the cervical cancer is 3.99±0.88 which is the highest score and followed by the attitude toward prevention of the cervical cancer 3.99±0.98, the attitude toward early discovery of the cervical cancer 3.80±0.88, the attitude toward seriousness of cervical cancer 3.41±0.73 and the attitude toward understandings and procedures of the cervical cancer and pap smear screening 3.14±1.12.
3. The knowledge of the cervical cancer depending on general characteristics of the subjects has shown relevant differences regaring age(F=3.493, p=.009), original nationality(F=3.617, p=.028), and the age of their spouse(F=3.044, p=.018). Also the attitude of the cervical cancer has shown relevant differences regarding age(F=2.481, p=.045), original nationality(F=5.902, p=.003), occupation(t=-2,933, p=.004), and the type of the medical social security(F=4.607 p=.011).
4. The knowledge of the cervical cancer depending on health characteristics of the subjects has shown relevant differences whether they have exercised(t=2.097, p=.037) while the attitude of the cervical cancer has shown relevant differences whether they have an experience of cancer screening(t=2.386, p=.018) and what type of the pap screening inspection they have(F=5.753, p=.004).
As a result, the subjects of this study have lower level of knowledge while they have comparatively positive attitude of the cervical cancer. The average score of the knowledge of the cervical cancer is 11.53 ranging from 5 to 17 and 11 questions out of 23 have less than 50% of correct answer rate. The attitude of the cervical cancer scores from 2 to 5 and the average score is 3.67. On the basis of this result, it is needed to provide fundamental knowledge of nursing intervention and specific plans to increase cervical cancer screening behaviors for married immigrant women to prevent the disease themselves.
Key words : married immigrant women, the knowledge of the cervical cancer, the attitude of the cervical cancer.
Ⅰ. 서론1. 연구의 필요성 12. 연구의 목적 33. 용어의 정의 3Ⅱ. 문헌고찰1. 여성 결혼이민자의 건강관리 실태 52. 자궁경부암 지식 73. 자궁경부암 태도 12Ⅲ. 연구 방법1. 연구 설계 152. 연구 대상 153. 연구 도구 151) 여성결혼이민자 일반적 특성 및 건강관련 특성 152) 자궁경부암 지식 163) 자궁경부암 태도 164. 자료수집 절차 175. 연구의 윤리적 고려 176. 자료 분석 방법 177. 연구의 제한점 18Ⅳ. 연구 결과1. 대상자의 일반적 특성 및 건강관련 특성 191) 대상자의 일반적 특성 192) 대상자의 건강관련 특성 222. 대상자의 자궁경부암 지식 및 문항별 정답률 241) 대상자의 자궁경부암 지식 242) 대상자의 자궁경부암의 문항별 정답률 253. 자궁경부암 태도 274. 대상자의 일반적 특성에 따른 자궁경부암 지식 및 태도 차이 281) 일반적 특성에 따른 자궁경부암 지식의 차이 282) 일반적 특성에 따른 자궁경부암 태도의 차이 285. 대상자의 건강관련 특성에 따른 자궁경부암 지식 및 태도 차이 311) 건강관련특성에 따른 자궁경부암 지식의 차이 312) 건강관련특성에 따른 자궁경부암 태도의 차이 31Ⅴ. 논의 331. 대상자의 자궁경부암 지식과 태도 332. 대상자의 일반적 특성 및 건강관련특성에 따른 자궁경부암 지식 353. 대상자의 일반적 특성 및 건강관련특성에 따른 자궁경부암 태도 36Ⅵ. 결론 및 제언 39참고문헌 42부록부록-1 연구자 참여 동의서 47부록-2 일반적 특성 및 건강관련 특성 설문지 48부록-3 자궁경부암 관련 지식 설문지 51부록-4 자궁경부암 태도 설문지 52