Abstract
Background:Papanicolaou test is widely used to screening cervical cancer but low attend rate. There is one mountainous area found high participation rate. Objective:This study aimed to determine the factors associated with successful Pap test among Lahu hill tribe women. Materials and Methods:The quantitative cross-sectional study was used in this study. Data were collected from 650 Lahu hill tribe women by simple random sampling. The interview forms with reliability coefficient and validity of 0.78 and 0.91 were administered to participants. The data were analyzed by using descriptive statistics and Chi-square test. Results:The 96.15% of the Lahu hill tribe women had taken Pap test and 74.31% obtained the screening more than once. The contraceptive use and frequency of Pap test obtaining significantly associated with cervical cancer screening (p<0.001). The participants showed good level of knowledge in cervical cancer and the screening test (64.31% and 76.46% respectively). Most of participants received the cervical cancer disease information (87.17%) and screening information (66.92%) from health care professionals, which may influence on well cervical screening co-operation. Conclusions:The suitable health promotion model should provide to promote knowledge, attitude and motivate continuous cooperation in cervical cancer screening among hill tribe women.
Highlights
Cervical cancer is one of preventable and treatable forms of cancer
The cervical cancer screening in study setting According to strategic plan to reduce health risk factors of the Ministry of Public Health, Thailand, the Pap test outreach service was provided for all Lahu hill tribe women every year by health care professional
The high rate of Pap test screening was found among Lahu hill tribe women in one sub-district where locate in remote area of Chiang Rai province
Summary
Cervical cancer is one of preventable and treatable forms of cancer. Human papillomavirus (HPV) vaccination, early detection, and early stage management are the effective cervical cancer prevention. Cervical cancer remains the third leading causes of cancer-associated mortalities among women (Bray et al, 2018; Sung et al, 2021). In Thailand, cervical cancer has remained in the top three prevalence rate among female cancers for several years. HPV information center reported that the estimate cervical cancer incidence rate for year 2018 is about 8,622 cases which is the 2nd leading cause of female cancer. Results: The 96.15% of the Lahu hill tribe women had taken Pap test and 74.31% obtained the screening more than once. Conclusions: The suitable health promotion model should provide to promote knowledge, attitude and motivate continuous cooperation in cervical cancer screening among hill tribe women
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