Rahim Ağzı Kanseri Taraması İnanç Ölçeği’nin (Rakti Ölçeği) Türkçe’ye Uyarlanması ve Ankara’da Bir Üniversitenin 30 Yaş ve Üzeri Kadın İdari Personelinin Ulusal Rahim Ağzı Kanseri Tarama Programına Katılımı ve İlişkili Faktörlerin Değerlendirilmesi

Abstract

Gürel Z. Pap Smear Belief Questionnaire to Turkish and Participation of 30 Years and Older Female Administrative Personnel of a University in Ankara to the National Cervical Cancer Screening Program and evaluation of related factors, Hacettepe University Faculty of Medicine Department of Public Health Specialty thesis, Ankara, 2020. In this study; It was aimed to determine the validity and reliability of the Pap Smear Belief Questionnaire (PSBQ) and to investigate the cervical cancer screening status and the factors affecting screening behaviors of female administrative staff at the age of 30 or older at Hacettepe University. This study was conducted in two stages. The first stage of this study was methodological and the second stage was cross-sectional. For the first stage of the study, the data were collected online and under observation from 629 people who were working at Hacettepe University or various provincial and district health directorates. After the the results of the validity and reliability analysis, it was concluded that the PSBQ is not a valid and reliable measurement tool that evaluates attitudes and beliefs towards gynecological examination and cervical cancer screening for administrative personnel aged 30 and older. For the second phase of the study, the data were collected under observation with the participation of 330 personnel from Hacettepe University. In the second phase; status of cervical cancer screening and the factors affecting screening behaviors were investigated. 96.4% of the participants heard the pap smear test, 57.9% of them heard the HPV test. 76.1% of the participants had a screening test for cervical cancer. In this study, It was found that the rate of getting screening test done was higher in those who are currently married and those who have been married before, those who are of advanced age, those who are still using family planning methods and those who have gone through menopause. It was found that the participants did not have enough knowledge about cervical cancer, especially its risk factors, and screening. As a result of the multiple linear regression analysis, it was determined that the status of knowing the HPV test and the number of pregnancies significantly and positively predicted the knowledge score of cervical cancer and screening. In addition, it was found that some attitudes and behaviors of the participants regarding gynecological examination affect their positive health behaviors (such as having regular gynecological contraception and screening tests). The findings of the study emphasize the necessity of comprehensive interventions, including in-service trainings, in order to increase the knowledge level about cervical cancer and screening, and to develop them with positive health behaviors among them.