Despite health care providers perceiving cervical cancer as a "solved problem" (CDC, 2010), areas in the United States have an increased rate of cervical cancer compared to the rest of the U.S. This includes the geographic area of Appalachia (Yabroff, et al., 2005). The purpose of this study was to develop and statistically test a researcher-developed survey to determine the cervical cancer behaviors, beliefs, and knowledge of Appalachian women. The research questions were: What is the reliability and validity of the Appalachian Cervical Cancer Knowledge, Beliefs and Behaviors Instrument? What are the knowledge, behaviors, and beliefs regarding cervical cancer in Appalachian women? Do Appalachian women's cervical cancer knowledge, beliefs, and behaviors differ by age, education, income, and length of residence? Do Appalachian women's cervical cancer behaviors of Pap in 3 years and HPV vaccine receipt differ by cervical cancer knowledge and beliefs? Does cervical cancer knowledge, beliefs predict cervical cancer health protective behaviors (Pap smears, HPV vaccination) in Appalachian women?
To answer the research questions the researcher constructed and tested an instrument. Exploratory Factor Analysis and Cronbach's alpha was conducted to provide construct validity and reliability. The second phase utilized a descriptive correlational design to answer the research questions posed by the researcher. Descriptive statistics, MANOVA, Chi square testing and multiple regression techniques were used to answer the research questions.
The results included: 83% reported Pap smears, but only 31% got the HPV vaccine. Additionally, persistent inaccurate knowledge and beliefs were revealed for this sample of Appalachian women.
|School:||New Mexico State University|
|School Location:||United States -- New Mexico|
|Source:||DAI-B 74/07(E), Dissertation Abstracts International|
|Keywords:||Appalachia, Cancer knowledge, Cervical cancer, Health beliefs|
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