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IJHSR. 2014; 4(5): 228-234


Understanding the Screening Behavior in Mothers and Adolescent Daughter's Human Papillomavirus Vaccine Uptake - The Transtheoretical Model.

Chi-Chang Chang.

Abstract
Objective: Little has been done to understand the HPV vaccine acceptance to participants with regard to Pap screening. The objective of this study was to determine the practice and barriers of the screening behavior in mothers with adolescent daughter's HPV vaccine uptake.
Methodology: Transtheoretical model was used to ascertain the associations between stages of change and multiple linear regression was performed to compare means of self-efficacy, perceived benefits and barriers among stages.
Results: Between June and September 2013, a total of 176 (75.6%) questionnaires were returned. Most of samples aware that NHI provided free Pap tests for women aged 30 years older (93.2%). For women who do not have adolescent daughter's HPV uptake, due to the costs of vaccine (68.6%). The chi-square test showed that 69.3% of married women were in maintenance, there were more 2.9% have HPV uptake. In additions, there were 89.2% who intend to their daughters have HPV uptake in the future. Multiple comparisons revealed that samples had lowest self-efficacy in the precontemplation stage. Another had highest perceived benefits and lowest perceived barriers in relapse stage. Self-efficacy was significantly higher for women in maintenance and relapse.
Conclusion: The finding suggests that increasing situation-specific confidence (e.g., by informing women that the procedure is not painful) may lead precontemplation and preparation to arrive at the intention to engage in regular cervical screening. Also, increasing self-efficacy can promote Pap testing. Finally, Transtheoretical model has been applied successfully to cervical screening, the findings may be generalizable to this study population.

Key words: Human Papillomavirus Vaccine, Pap screening, Transtheoretical model



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