Development of a cervical cancer screening awareness programe for women in their 20s to protect their future.

2023 Fiscal Year Final Research Report

• Project/Area Number: 17K12581
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Community health nursing
• Research Institution: Ehime Prefectural University of Health Science
• Principal Investigator: Nakagoshi Rika 愛媛県立医療技術大学, 保健科学部, 教授 (70551000)
• Co-Investigator(Kenkyū-buntansha): 岡崎 愉加 岡山県立大学, 保健福祉学部, 准教授 (50224001)
• Project Period (FY): 2017-04-01 – 2024-03-31
• Keywords: 子宮頸がん / 子宮頸がん検診受診行動 / 行動変容モデル / HAPA / 20－30歳代

Outline of Final Research Achievements

The purpose of this study was to develop a program to increase cervical cancer screening behavior by women in their 20s and 30s. Based on behavior change theory, the goal was to bridge the gap between screening intention and actual screening behavior, focusing on the Health Action Process Approach (HAPA) model, which predicts a variety of health behaviors. However, it remains to be determined whether HAPA is a model that can predict cervical cancer screening behavior. Therefore, a longitudinal observational study was performed to statistically validate HAPA as a model that can predict cervical cancer screening behavior. Specifically, it was found that interventions based on the HAPA model were effective for women who had not been screened.

Free Research Field

母性看護学

Academic Significance and Societal Importance of the Research Achievements

子宮頸がんの好発年齢である20～30歳代は、妊娠、出産、子育てといった女性のライフイベントと重なっていることから、重大な健康問題である。HAPAモデルが検診受診行動を予測できることが検証できたため、HAPAに基づく介入を行うことで、20～30歳代の子宮頸がん検診受診率の向上が期待できる。特に、検診を受けていない女性に対し、HAPAプロセスに基づく介入が効果的であると予測されたため、我々は、HAPAのMotivation Phaseに基づいた啓発リーフレットとWEB教材を制作し、５自治体に配布し、２自治体で検診受診率の向上を認めた。今後もHAPAに基づいた介入効果を検証していく予定である。