The study aimed to evaluate the effectiveness of a cervical cancer prevention education program for rural Korean immigrant women. A total of 46 Korean immigrant women who had not been screened in the past three years participated. The experimental group participated in the intervention program once a week for four weeks and completed a post-program survey in week 12. Compared to the control group, significant increases were detected in level of knowledge of cervical cancer prevention (p = .001), behavioral attitude toward cervical cancer prevention (p = .029) and behavioral intention regarding cervical cancer prevention (p = .005) in the experimental group. Pap screening rate of the experimental group was significantly increased (p = .029), but the rate of change in the selection of primary care providers was not significant. The results suggest the need for a multilevel approach to address cultural and systemic barriers to Korean immigrant women in promotion of cervical cancer prevention behavior.
ChawlaN.BreenN.LiuB.LeeR.Kagawa-SingerM. (2015). Asian American women in California: A pooled analysis of predictors for breast and cervical cancer screening. American Journal of Public Health, 105, e98–e109. https://doi.org/10.2105/AJPH.2014.302250
8.
FangC. Y.MaG. X.HandorfE. A.FengZ.TanY.RheeJ.MillerS. M.KimC.KohH. S. (2017). Addressing multilevel barriers to cervical cancer screening in Korean American women: A randomized trial of a community-based intervention. Cancer, 123(6), 1018–1026. http://doi.org/10.1002/cncr.30391
9.
FernandezM. E.HoorG. A.LieshouthS.RodriguezS. A.BeidasR. S.ParcelG.RuiterR. A.MarkhamC. M.KokG. (2019). Implementation mapping: Using intervention mapping to develop implementation strategies. Frontiers in Public Health, 7, 158. https://doi.org/10.3389/fpubh.2019.00158
HanH. R.SongY.KimM.HedlinH. K.KimK.Ben LeeH.RoterD (2017). Breast and cervical cancer screening literacy among Korean American women: A community health worker-led Intervention. American Journal of Public Health, 107(1), 159–165.
12.
JungK. I.ParkJ. S. (2004). The effect of audiovisual information with videotape on knowledge, attitude and practice of Pap smear of cervical cancer. Journal of the Korean Society of Maternal and Child Health, 8(2), 211–223.
13.
KimJ.HurJ. (2012). Perception and use of ethnic online communities as a health information source among Korean immigrants in the United States. Health Communication Research, 6(1), 43–91.
14.
KimJ. H.ParkM. K. (2010). Effects of preventive sexual education of HPV on HPV knowledge, cervical cancer preventive behaviors, and sexual autonomy in female university students. The Journal of Korean Academic Society of Nursing Education, 16(2), 257–264.
15.
KimK.KimB.ChoiE.SongY.HanH. R. (2015). Knowledge, perceptions, and decision making about human papillomavirus vaccination among Korean American women: A focus group study. Women’s Health Issues, 25, 112–119. https://doi.org/10.1016.j.whi.2014.11.005
16.
KimK.KimS.GalloJ. J.NolanM. T.HanH. R. (2017). Decision making about Pap test use among Korean immigrant women: A qualitative study. Health Expectations, 20, 685–695. https://doi.org/10.1111/hex.12507
17.
KooS. (2015). Development and evaluation of an educational program to prevent cervical cancer among Vietnamese married immigrant women [Unpublished doctoral dissertation]. Daejeon University.
18.
LeeE. E.EunY.LeeS. Y.NandyK. (2012). Age-related differences in health beliefs regarding cervical cancer screening among Korean American women. Journal of Transcultural Nursing, 23, 237–245. https://doi.org/10.1177/1043659612441015
19.
LeeE. E.Tripp-ReimerT.MillerA. M.SadlerG. R.LeeS. Y. (2007). Korean American women’s beliefs about breast and cervical cancer and associated symbolic meanings. Oncology Nursing Forum, 34(3), 713–720. https://doi.org/10.1188/07.ONE.713-720
20.
LeeH. Y.KoopmeinersJ. S.RheeT. G.RaveisV. H.AhluwaliaJ. S. (2015). Mobile phone text messaging intervention for cervical cancer screening: Changes in knowledge and behavior pre-post intervention. Obstetrical & Gynecological Survey,70(1), 26–27. https://doi.org/10.1097/OGX.0000000000000142
21.
LeeH. Y.RohS.VangS.JinS. W. (2011). The contribution of culture to Korean American women’s cervical cancer screening behavior: The critical role of prevention orientation. Ethnicity & Disease, 21(4), 399–405.
22.
LeeK. (1999). Predicting cervix cancer screening behavior using the theory of planned behavior [Unpublished doctoral dissertation]. Seoul National University.
23.
MaryB.D’ SaJ. L. (2014). Evaluation of an educational program on cervical cancer for rural women in Mangalore, Southern India. Asian Pacific Journal of Cancer Prevention, 15, 6603–6608. https://doi.org/10.7314/APJCP.2014.15.16.6603
24.
MoH. (2012). Effects of a peer educational program to promote cervical cancer prevention behaviors among female college students [Unpublished doctoral dissertation]. Chosun University.
ThompsonC. A.GomezS. L.ChanA.ChanJ. K.McClellanS. R.ChungS.OlsonC.NimbalV.PalaniappanL. P. (2014). Patient and provider characteristics associated with colorectal, breast, and cervical cancer screening among Asian Americans. Cancer Epidemiology, Biomarkers & Prevention, 23, 2208–2217. https://doi.org/10.1158/1055-9965
27.
TorreL. A.BrayF.SiegelR. L.FerlayJ.Lortet-TieulentJ.JemalA. (2015). Global Cancer Statistics, 2012. CA: A Cancer Journal for Clinicians, 65, 87–108. https://doi.org/10.3322/caac.21262
28.
TungW. C.LuM. G.GrannerM.SohnJ. (2017). Assessing perceived benefits/barriers and self-efficacy for cervical cancer screening among Korean American women. Health Care for Women International, 38, 945–955. https://doi.org/10.1080/07399332.2017.1326495
ValdezA.NapolesA. M.StewartS. L.GarzaA. (2018). A randomized controlled trial of a cervical cancer education intervention for Latinas delivered through interactive, multimedia kiosks. Journal of Cancer Education, 33, 222–230. https://doi.org/10.1007/s13187-016-1102-6
ZhaoN.HuhJ.MurphyS. T.ChatterjeeJ. S.Baezconde-GarbanatiL. (2014). Self-construal as a predictor of Korean American women’s intention to vaccinate daughters against human papillomavirus. Asian American Journal of Psychology, 5, 96–105. https://doi.org/10.1037/a0036097
