Background and Objective: Cervical cancer screening behavior is more prevalent among individuals with a strong grasp of electronic health literacy. This study aimed to determine the relationship between electronic health literacy and attitudes toward early diagnosis of cervical cancer in women.
Materials and Methods: This descriptive and correlational study was conducted with 300 participants between 25 February and 05 May 2024. The study included participants who applied to a hospital in Siirt province of Turkey through purposive sampling. Data were collected using a descriptive information form, the E-Health Literacy Scale and the Cervical Cancer Early Detection Attitude Scale. Descriptive statistics, compare tests, Pearson correlation analysis, and linear regression were conducted for the analysis.
Results: The mean age of the participants was 28.91±4.98 years, and 42.3% had a high school education or higher. The mean total score of the Cervical Cancer Early Detection Attitude Scale was 100.36±9.38, and the mean total score of the E-Health Literacy Scale was 38.26±10.05, which is at a moderate level. A positive and moderately significant correlation exists between the E-Health Literacy Scale and the Cervical Cancer Early Detection Attitude Scale (r=0.313, p<0.05). The attitudes towards early diagnosis of cervical cancer were higher in those who had pap smear test, whose family/friends were diagnosed with cervical cancer, and those who received education on cervical cancer and wanted education. These variables were significant predictors explaining 17.8% of the total variance of attitude towards early diagnosis of cervical cancer.
Conclusion: Electronic health literacy and cervical cancer-related characteristics positively influence attitudes toward early diagnosis of cervical cancer. This study highlights the importance of considering women's eHealth literacy in interventions to improve cervical cancer early detection behaviours. |
- Khani Jeihooni A, Khaleghi A A, Piñeiro B, Afzali Harsini P, Rakhshani, T. The Association between Health Literacy and Theory of Planned Behavior with Performance of Cancer Screening Tests among Rural Patients: Cross-Sectional Study. Current Psychology. 2023; 42:1201-https://doi.org/10.1007/s12144-021-01358-7
- Rossman AH, Reid HW, Pieters MM, Mizelle C, Von Isenburg M, Ramanujam N, et al. Digital Health Strategies for Cervical Cancer Control in Low-And Middle-İncome Countries: Systematic Review of Current Implementations and Gaps in Research. Journal of Medical Internet Research. 2021; 23(5): e23350.https://doi.org/10.2196/23350 PMid:34042592 PMCid:PMC8193495
- Özmen D. Scale study on attitudes towards early diagnosis of cervix cancer with health belief model approach (Thesis MSc Nursing). Ege University Institute of Health Sciences; 2004.
- Eun Tj, Perkins RB. Screening for Cervical Cancer. Medical Clinics of North America. 2020; 104(6): 1063-78.https://doi.org/10.1016/j.mcna.2020.08.006 PMid:33099451 PMCid:PMC8881993
- Bhochhibhoya S, Dobbs PD, Maness SB. (2021). Interventions Using Mhealth Strategies to Improve Screening Rates of Cervical Cancer: A Scoping Review. Preventive Medicine. 2021; 143:106387. https://doi.org/10.1016/j.ypmed.2020.106387 PMid:33383069
- Bitar H, Alismail S. Exploring Enablers and Inhibitors of Ehealth Educational Tools: the Needs of Women Searching for HPV and Cervical Cancer Information. Digital Health. 2022; 8:20552076221130189.https://doi.org/10.1177/20552076221130189PMid:36238757 PMCid:PMC9551326
- Lee HY, Lee MH, Sharratt M, Lee S, Blaes A. Development of A Mobile Health Intervention to Promote Papanicolaou Tests and Human Papillomavirus Vaccination in an Underserved Immigrant Population: A Culturally Targeted and Individually Tailored Text Messaging Approach. Jmır Mhealth and Uhealth. 2019; 7(6):https://doi.org/10.2196/13256 PMid:31199340 PMCid:PMC6592403
- Yiğitbaş Ç, Bulut A, Bulut A, Semerci M. Knowledge and Attitudes about Cancer Screening Tests of Adults Applying to Bingöl State Hospital. Turkish Journal of Gynecologic Oncology. 2016; 19(2): 29-38. Available at: URL: https://dergipark.org.tr/en/pub/trsgo/issue/36060/404915.
- Babaoğlu A, Büyüközmen E, Can F. Awareness of Cancer Screening Tests in The Community in Izmir and Factors Affecting Individuals' Participation in Cancer Screening Tests. Western Black Sea Medical Journal. 2021; 5(2):173-81. https://doi.org/10.29058/mjwbs.853692
- Liu PL. Linking Digital Health Divide to HPV Awareness, HPV Knowledge, and Cervical Cancer Screening among Women in the United States: A Trend Analysis from 2008 to 2017. Health Care for Women International. 2022; 43(12):1401-14.https://doi.org/10.1080/07399332.2021.1931223 PMid:34197278
- Bazaz M, Shahry P, Latifi SM, Araban M. Cervical Cancer Literacy in Women of Reproductive Age and Its Related Factors. Journal of Cancer Education. 2019; 34(1): 82-9. https://doi.org/10.1007/s13187-017-1270-z PMid:28799072
- Kiracılar EÇ, Koçak DY. The effects of Health Literacy on Early Diagnosis Behaviors of Breast and Cervical Cancer in Women Aged 18-65. Journal of Contemporary Medicine. 2023; 13(3): 410-417. https://doi.org/10.16899/jcm.1210914
- Muturi N. eHealth Literacy and The Motivators for HPV Prevention Among Young Adults in Kenya. Communication Research Reports. 2020; 37(3), 74-86. https://doi.org/10.1080/08824096.2020.1763942
- Kılınç İşleyen E, Korkmaz Aslan G, Kartal A. Knowledge and Perceptions About Cervical Cancer and Human Papillomavirus, and Relationship with E-health Literacy, and Affecting Factors Among Female University Students. Journal of Adolescent and Young Adult Oncology. 2024. https://doi.org/10.1089/jayao.2023.0173 PMid:38394226
- Baransel ES, Barut S. Use of Spiritually Framed Information Messages to Improve Cancer Screening. The Journal for Nurse Practitioners. 2023; 19(10): 104796. https://doi.org/10.1016/j.nurpra.2023.104796
- Zhang D, Advani S, Waller J, Cupertino AP, Hurtado-de-Mendoza A, Chicaiza A, et al. Mobile Technologies and Cervical Cancer Screening in Low-And Middle-İncome Countries: A Systematic Review. JCO Global Oncology. 2020; 6:617-27. https://doi.org/10.1200/JGO.19.00201 PMid:32302236 PMCid:PMC7193780
- Shinta AD, Salleh MAM, Ali MNS. Analysis of the Moderating Effect of Media Literacy on Cervical Cancer Preventive Behaviours. Jurnal Komunikasi: Malaysian Journal of Communication. 2019; 35(1): 156-70. https://doi.org/10.17576/JKMJC-2019-3501-11
- Saçıkara Z, Koçoğlu-tanyer D. Kırsal Bölgede Yaşayan Kadınlarin Serviks ve Meme Kanseri Taramalarına Katılım ve Bilgi Durumları. STED. 2021; 30(1):43-52. https://doi.org/10.17942/sted.652657
- Adhikari GP. Calculating the Sample Size in Quantitative Studies. Scholars' Journal. 2021; 4:14-29. https://doi.org/10.3126/scholars.v4i1.42458
- Chiang CH, Yang SC, Hsu WC. Development and Validation of the Ehealth Literacy Scale and Investigation of the Relationships between E-Health Literacy and Healthy Behavior among Undergraduate Students in Taiwan. Formosa J Ment Health. 2015; 28(3): 389-420. https://doi.org/10.2196%2F24144.
- Şenyurt Ş. Turkish Validity and Reliability Study of E-Health Literacy Scale (Thesis MSc Nursing). Pamukkale University, Institute of Health Sciences; 2022.
- Polit DF, Beck CT, Owen SV. Is the CVI an Acceptable Indicator of Content Validity? Appraisal and Recommendations. Res Nurs Health. 2007; 30: 459-67.https://doi.org/10.1002/nur.20199 PMid:17654487
- Huck SW, editor. Reading statistics and research. Boston: Pearson Press; 2012.
- Yeşildağ B, Yılmaz A. The Relationship Between Women's Attitudes Towards Early Diagnosis of Cervical Cancer and Health Literacy Levels. International Journal of Health Services Research and Policy. 2022; 8(3):198-206. https://doi.org/10.33457/ijhsrp.1340761
- Gözüyeşil, E, Arıöz Düzgün, A, Ünal Aslan, KS. Evaluation of the Women's Attitudes Towards Prevention and Early Diagnosis of the Cervical Cancer. STED. 2019; 28(4):229-238. https://doi.org/10.17942/sted.444170
- Algabr GA, AlSaud L, Ismail AAS. Knowledge, Attitudes and Practices Toward Cervical Cancer and Screening Among Sexually Active Saudi Females Visiting A Primary Care Center in Saudi Arabia. Journal of Family Medicine and Primary Care. 2022; 11(10): 6121-6126. https://doi.org/10.4103/jfmpc.jfmpc_141_22 PMid:36618148 PMCid:PMC9810906
- Tosun Guleroglu F. The Effect of Women's Health Literacy Status on their Attitudes and Behaviors Towards the Pap Smear Test: A Series in Turkey. Journal of Health Literacy. 2023, 8(2): 63-73. https://doi.org/10.22038/JHL.2023.69429.1374.
- Simmons RA, Cosgrove SC, Romney MC, Plumb JD, Brawer RO, Gonzalez ET, et al. Health Literacy: Cancer Prevention Strategies for Early Adults. Am J Prev Med. 2017; 53(3): 73-7. https://doi.org/10.1016/j.amepre.2017.03.016 PMid:28818249
- Ibrahim HA, Nahari MH, Al-Thubaity DD, Alshahrani MA, Elgzar WT, El Sayed HA, Sayed, SH. Saudi Women Health Beliefs and Associated Factors Regarding Cervical Cancer Prevention at Najran City: A Theory-based Study. African Journal of Reproductive Health, 2022; 26(7), 43-51.
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