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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Korean J Women Health Nurs</journal-id>
<journal-id journal-id-type="publisher-id">KJWHN</journal-id>
<journal-title>Korean Journal of Women Health Nursing</journal-title>
<issn pub-type="ppub">1225-9543</issn>
<publisher>
<publisher-name>Korean Academy of Women's Health Nursing</publisher-name>
</publisher>
</journal-meta>

<article-meta>
<article-id pub-id-type="doi">10.4069/kjwhn.2010.16.3.255</article-id>
<article-categories>
<subj-group>
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Pap Smear Screening Participation Behavior and Related Factors in Married Immigrant Women</article-title>
</title-group>

<contrib-group>

<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>So Young</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author" corresp="yes">
<name>
<surname>Choi</surname>
<given-names>So Young</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
 
</contrib-group>

<aff id="A1"><label>1</label>Nurse, Gosung-gun Public Health Center, Korea.</aff>
<aff id="A2"><label>2</label>Associate Professor, College of Nursing, Institute of Health Science, Gyeongsang National University, Korea.</aff>

<author-notes>
<corresp>Address reprint requests to: Choi, So Young, College of Nursing, Gyeongsang National University, 92 Chilam-dong, Jinju 660-751, Korea. Tel: 82-55-751-8881, Fax: 82-55-751-8711, <email>csy4214@hanmail.net</email></corresp>
</author-notes>

<pub-date pub-type="ppub">
<month>09</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2010</year>
</pub-date>
<volume>16</volume>
<issue>3</issue>
<fpage>255</fpage>
<lpage>265</lpage>
<history>
<date date-type="received">
<day>16</day>
<month>07</month>
<year>2010</year>
</date>
<date date-type="accepted">
<day>01</day>
<month>09</month>
<year>2010</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2010 Korean Academy of Women's Health Nursing</copyright-statement>
<copyright-year>2010</copyright-year>
</permissions>

<abstract>
<sec>
<title>Purpose</title>
<p>This study's aim was to investigate participation in Pap smear screening among married immigrant women and their behavior and its related factors.</p>
</sec>
<sec>
<title>Methods</title>
<p>A survey was conducted among 165 married immigrant women in Gyeongsangnam-do from January 1 to March 20, 2010.</p>
</sec>
<sec>
<title>Results</title>
<p>Results in this study showed that 51.5&#x0025; have never participated in Pap Smear screening. Among those who have participated in the Pap Smear screening, 10.9&#x0025; had regular screening, while 37.6&#x0025; had irregular screening. Pap smear screening behavior was significantly different according to the experiences in health checkup (&#x03C7;<sup>2</sup>=34.009, <italic>p</italic>&#x003C;.001) , whether or not there was a hospital the woman regularly visited (&#x03C7;<sup>2</sup>=7.768, <italic>p</italic>=.021) and perceived barriers (F=3.214, <italic>p</italic>=.043).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>For improvement of Pap smear participation, this study proposes to develop various nursing intervention programs which can improve perceived barriers in regards to the related variables. In addition, it is necessary to come up with a strategy to advertise the participation in Pap smear screening in a systematic and continuous manner in order to raise womens' awareness and to make married immigrant women realize the importance of regular Pap smear screenings.</p>
</sec>
</abstract>

<kwd-group>
<kwd>Immigrant</kwd>
<kwd>Women</kwd>
<kwd>Pap smear</kwd>
<kwd>Participation</kwd>
<kwd>Behavior</kwd>
</kwd-group>
</article-meta>
</front>

<back>

<fn-group>
<fn fn-type="other">
  <p>This article is based on a part of master's thesis from Gyeongsang National University.</p>
</fn>
</fn-group>

    <ref-list>

  <ref id="B1">
    <label>1</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Abbey</surname>
          <given-names>A.</given-names>
        </name>
        <name>
          <surname>Abramis</surname>
          <given-names>D.J.</given-names>
        </name>
        <name>
          <surname>Caplan</surname>
          <given-names>R.D</given-names>
        </name>
      </person-group>
      <article-title>Effects of different sources of social support and social conflict on emotional well-being</article-title>
      <source>Basic and Applied Social Psychology</source>
      <year>1985</year>
      <volume>6</volume>
      <issue>2</issue>
      <fpage>111</fpage>
      <lpage>129</lpage>
    </nlm-citation>
  </ref>

  <ref id="B2">
    <label>2</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Chen</surname>
          <given-names>G.</given-names>
        </name>
        <name>
          <surname>Gully</surname>
          <given-names>S.M.</given-names>
        </name>
        <name>
          <surname>Eden</surname>
          <given-names>D</given-names>
        </name>
      </person-group>
      <article-title>Validation of a new general self-efficacy scale</article-title>
      <source>Organizational Research Methods</source>
      <year>2001</year>
      <volume>4</volume>
      <issue>1</issue>
      <fpage>62</fpage>
      <lpage>83</lpage>
    </nlm-citation>
  </ref>

  <ref id="B3">
    <label>3</label>
    <nlm-citation citation-type="thesis">
          <person-group person-group-type="author">
            <name>
              <surname>Choe</surname>
              <given-names>S.A</given-names>
            </name>
          </person-group>
          <source>Factors influencing continuous pap smear participation in women employed in a general hospital</source>
          <year>2001</year>
          <publisher-loc>Seoul</publisher-loc>
          <publisher-name>Yonsei University</publisher-name>
          <comment>Unpublished masters' thesis</comment>
          </nlm-citation>
      </ref>

  <ref id="B4">
    <label>4</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Cohen</surname>
          <given-names>J</given-names>
        </name>
      </person-group>
      <article-title>A power primer</article-title>
      <source>Psychological Bulletin</source>
      <year>1992</year>
      <volume>112</volume>
      <fpage>155</fpage>
      <lpage>159</lpage>
    </nlm-citation>
  </ref>

  <ref id="B5">
    <label>5</label>
    <nlm-citation citation-type="thesis">
          <person-group person-group-type="author">
            <name>
              <surname>Han</surname>
              <given-names>D.S</given-names>
            </name>
          </person-group>
          <source>A study on cervical cancer screening among married women</source>
          <year>2002</year>
          <publisher-loc>Seoul</publisher-loc>
          <publisher-name>Seoul University</publisher-name>
          <comment>Unpublished masters' thesis</comment>
          </nlm-citation>
      </ref>

  <ref id="B6">
    <label>6</label>
    <nlm-citation citation-type="book">
      <collab>Health Insurance Review &#x0026; Assessment Service</collab>
      <source>2008 Health insurance review and evaluation statistical yearbook (Issue Brief No. 11-B550928-000001-10)</source>
      <year>2008</year>
      <publisher-loc>Seoul</publisher-loc>
      <publisher-name>National Health insurance Corporation</publisher-name>
    </nlm-citation>
  </ref>

  <ref id="B7">
    <label>7</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Hiatt</surname>
          <given-names>R.A.</given-names>
        </name>
        <name>
          <surname>Pasick</surname>
          <given-names>R.J.</given-names>
        </name>
        <name>
          <surname>Stewart</surname>
          <given-names>S.</given-names>
        </name>
        <name>
          <surname>Bloom</surname>
          <given-names>J.</given-names>
        </name>
        <name>
          <surname>Davis</surname>
          <given-names>P.</given-names>
        </name>
        <name>
          <surname>Gardiner</surname>
          <given-names>P.</given-names>
        </name>
        <etal/>
      </person-group>
      <article-title>Community-based cancer screening for underserved women: Design and baseline findings from the Breast and Cervical Cancer Intervention Study</article-title>
      <source>Preventive Medicine</source>
      <year>2001</year>
      <volume>33</volume>
      <issue>3</issue>
      <fpage>190</fpage>
      <lpage>203</lpage>
    </nlm-citation>
  </ref>

  <ref id="B8">
    <label>8</label>
    <nlm-citation citation-type="book">
      <person-group person-group-type="author">
        <name>
          <surname>Jeong</surname>
          <given-names>H.W</given-names>
        </name>
      </person-group>
      <source>A survey on health management in a multi-cultural family</source>
      <year>2008</year>
      <publisher-loc>Seoul</publisher-loc>
      <publisher-name>Bakmunsa Publishing</publisher-name>
    </nlm-citation>
  </ref>

  <ref id="B9">
    <label>9</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Jeong</surname>
          <given-names>I.S.</given-names>
        </name>
        <name>
          <surname>Ju</surname>
          <given-names>H.O.</given-names>
        </name>
        <name>
          <surname>Bae</surname>
          <given-names>E.S</given-names>
        </name>
      </person-group>
      <article-title>Related factors to screening or repeat screening for cervical and breast cancer</article-title>
      <source>Korean Journal of Women Health Nursing</source>
      <year>2004</year>
      <volume>10</volume>
      <issue>2</issue>
      <fpage>150</fpage>
      <lpage>161</lpage>
    </nlm-citation>
  </ref>

  <ref id="B10">
    <label>10</label>
    <nlm-citation citation-type="thesis">
          <person-group person-group-type="author">
            <name>
              <surname>Jeong</surname>
              <given-names>N.O</given-names>
            </name>
          </person-group>
          <source>A prediction model of health-promotion behavior in married immigrant women</source>
          <year>2008</year>
          <publisher-loc>Jeonju</publisher-loc>
          <publisher-name>Chonbuk University</publisher-name>
          <comment>Unpublished masters' thesis</comment>
          </nlm-citation>
      </ref>

  <ref id="B11">
    <label>11</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Jun</surname>
          <given-names>B.J</given-names>
        </name>
      </person-group>
      <article-title>Self esteem: A test of its measurability</article-title>
      <source>Yonsei Nonchong</source>
      <year>1974</year>
      <volume>11</volume>
      <fpage>107</fpage>
      <lpage>129</lpage>
    </nlm-citation>
  </ref>

  <ref id="B12">
    <label>12</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Kim</surname>
          <given-names>J.H</given-names>
        </name>
      </person-group>
      <article-title>Barrier factors to pap smear screening test utilization in Korean</article-title>
      <source>Korean Association of Health and Sociology</source>
      <year>1998</year>
      <volume>4</volume>
      <fpage>55</fpage>
      <lpage>73</lpage>
    </nlm-citation>
  </ref>

  <ref id="B13">
    <label>13</label>
    <nlm-citation citation-type="web">
      <person-group person-group-type="author">
        <name>
          <surname>Kim</surname>
          <given-names>J.M</given-names>
        </name>
      </person-group>
        <source>The multi-cultural family health management program</source>
        <year>2009</year>
        <access-date>Retrieved July 14, 2010</access-date>
        <comment>
        <ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://iksantoday.com/News/article.html">http://iksantoday.com/News/article.html</ext-link></comment>
        </nlm-citation>
      </ref>

  <ref id="B14">
    <label>14</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Kim</surname>
          <given-names>M.J.</given-names>
        </name>
        <name>
          <surname>Kim</surname>
          <given-names>T.I.</given-names>
        </name>
        <name>
          <surname>Kwon</surname>
          <given-names>Y.J</given-names>
        </name>
      </person-group>
      <article-title>A study on health promotion behavior and contraception in married immigrant women</article-title>
      <source>Korean Journal of Women Health Nursing</source>
      <year>2008</year>
      <volume>14</volume>
      <issue>4</issue>
      <fpage>323</fpage>
      <lpage>332</lpage>
    </nlm-citation>
  </ref>

  <ref id="B15">
    <label>15</label>
    <nlm-citation citation-type="thesis">
          <person-group person-group-type="author">
            <name>
              <surname>Kim</surname>
              <given-names>S.H</given-names>
            </name>
          </person-group>
          <source>Study on characteristics and related factors of female cancers' screening and repeat screening</source>
          <year>2004</year>
          <publisher-loc>Busan</publisher-loc>
          <publisher-name>Pusan University</publisher-name>
          <comment>Unpublished masters' thesis</comment>
          </nlm-citation>
      </ref>

  <ref id="B16">
    <label>16</label>
    <nlm-citation citation-type="thesis">
          <person-group person-group-type="author">
            <name>
              <surname>Kim</surname>
              <given-names>Y.S</given-names>
            </name>
          </person-group>
          <source>The effects of life meaning discovery group counseling on the life meaning of the middle-age women, social support, and self-efficacy</source>
          <year>2009</year>
          <publisher-loc>Busan</publisher-loc>
          <publisher-name>Kyungsung University</publisher-name>
          <comment>Unpublished masters' thesis</comment>
          </nlm-citation>
      </ref>

  <ref id="B17">
    <label>17</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Luella</surname>
          <given-names>K.</given-names>
        </name>
        <name>
          <surname>Kenneth</surname>
          <given-names>L.N.</given-names>
        </name>
        <name>
          <surname>Jessica</surname>
          <given-names>L.T</given-names>
        </name>
      </person-group>
      <article-title>Contending with the abnormal pap test</article-title>
      <source>Patient Care</source>
      <year>1999</year>
      <volume>15</volume>
      <fpage>41</fpage>
      <lpage>64</lpage>
    </nlm-citation>
  </ref>

  <ref id="B18">
    <label>18</label>
    <nlm-citation citation-type="book">
      <collab>Ministry of Health and Welfare</collab>
      <source>Marriage-based immigrants and their families in Korea: Current status and policy measures (Issue Brief No. 11-1060100-000155-01)</source>
      <year>2006</year>
      <month>12</month>
      <publisher-loc>Seoul</publisher-loc>
      <publisher-name>Ministry of Gender Equality &#x0026; Family</publisher-name>
    </nlm-citation>
  </ref>

  <ref id="B19">
    <label>19</label>
    <nlm-citation citation-type="thesis">
          <person-group person-group-type="author">
            <name>
              <surname>Moon</surname>
              <given-names>J.S</given-names>
            </name>
          </person-group>
          <source>A study of instrument development for health belief of Korean adults</source>
          <year>1990</year>
          <publisher-loc>Seoul</publisher-loc>
          <publisher-name>Yonsei University</publisher-name>
          <comment>Unpublished doctoral dissertation</comment>
          </nlm-citation>
      </ref>

  <ref id="B20">
    <label>20</label>
    <nlm-citation citation-type="web">
      <article-title>Cervical cancer related statistics</article-title>
        <source>National Cancer Center</source>
        <year>2010</year>
        <access-date>Retrieved une 17, 2010</access-date>
        <comment>from
        <ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://www.ncc.re.kr/cms/cancer">http://www.ncc.re.kr/cms/cancer</ext-link></comment>
        </nlm-citation>
      </ref>

  <ref id="B21">
    <label>21</label>
    <nlm-citation citation-type="thesis">
          <person-group person-group-type="author">
            <name>
              <surname>Oh</surname>
              <given-names>E.J</given-names>
            </name>
          </person-group>
          <source>The related factors of prevention screening behavior about cervical cancer in married women</source>
          <year>2006</year>
          <publisher-loc>Busan</publisher-loc>
          <publisher-name>Kosin University</publisher-name>
          <comment>Unpublished masters' thesis</comment>
          </nlm-citation>
      </ref>

  <ref id="B22">
    <label>22</label>
    <nlm-citation citation-type="thesis">
          <person-group person-group-type="author">
            <name>
              <surname>Oh</surname>
              <given-names>H.A</given-names>
            </name>
          </person-group>
          <source>The relationships among the health promoting behavior, pain, self-esteem, family support and self-efficacy in patients with chronic arthritis</source>
          <year>2007</year>
          <publisher-loc>Daejeon</publisher-loc>
          <publisher-name>Chungnam University</publisher-name>
          <comment>Unpublished masters' thesis</comment>
          </nlm-citation>
      </ref>

  <ref id="B23">
    <label>23</label>
    <nlm-citation citation-type="thesis">
          <person-group person-group-type="author">
            <name>
              <surname>Park</surname>
              <given-names>S.M</given-names>
            </name>
          </person-group>
          <source>Factors related to continuous participation in the pap smear screening among Korean women: Using a structural model</source>
          <year>1999</year>
          <publisher-loc>Seoul</publisher-loc>
          <publisher-name>Yonsei University</publisher-name>
          <comment>Unpublished doctoral dissertation</comment>
          </nlm-citation>
      </ref>

  <ref id="B24">
    <label>24</label>
    <nlm-citation citation-type="book">
      <person-group person-group-type="author">
        <name>
          <surname>Rogenberg</surname>
          <given-names>M</given-names>
        </name>
      </person-group>
      <source>Society and the adolescent self image</source>
      <year>1965</year>
      <publisher-loc>Princeton. NJ</publisher-loc>
      <publisher-name>Princeton University Press</publisher-name>
    </nlm-citation>
  </ref>

  <ref id="B25">
    <label>25</label>
    <nlm-citation citation-type="thesis">
          <person-group person-group-type="author">
            <name>
              <surname>Song</surname>
              <given-names>K.S</given-names>
            </name>
          </person-group>
          <source>The influence of self-esteem and social support on social adjustment of married immigrant women</source>
          <year>2010</year>
          <publisher-loc>Gwangju</publisher-loc>
          <publisher-name>Honam University</publisher-name>
          <comment>Unpublished masters' thesis</comment>
          </nlm-citation>
      </ref>

  <ref id="B26">
    <label>26</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Suinn</surname>
          <given-names>R.M.</given-names>
        </name>
        <name>
          <surname>Khoo</surname>
          <given-names>G.</given-names>
        </name>
        <name>
          <surname>Ahuna</surname>
          <given-names>C</given-names>
        </name>
      </person-group>
      <article-title>The Suinn-Lew Asian Self-identity Acculturation Scale: Cross-cultural information</article-title>
      <source>Journal of Multicultural Counseling and Development</source>
      <year>1995</year>
      <volume>23</volume>
      <fpage>139</fpage>
      <lpage>148</lpage>
    </nlm-citation>
  </ref>

  <ref id="B27">
    <label>27</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Tung</surname>
          <given-names>W.C.</given-names>
        </name>
        <name>
          <surname>Nguyen</surname>
          <given-names>D.H.</given-names>
        </name>
        <name>
          <surname>Tran</surname>
          <given-names>D.N</given-names>
        </name>
      </person-group>
      <article-title>Applying the transtheoretical model to cervical cancer screening in Vietnamese American</article-title>
      <source>International Nursing Review</source>
      <year>2008</year>
      <volume>55</volume>
      <fpage>73</fpage>
      <lpage>80</lpage>
    </nlm-citation>
  </ref>

  <ref id="B28">
    <label>28</label>
    <nlm-citation citation-type="thesis">
          <person-group person-group-type="author">
            <name>
              <surname>Woo</surname>
              <given-names>H.Y</given-names>
            </name>
          </person-group>
          <source>A study on correlated and contextual factors of gastric and colorectal cancer screening</source>
          <year>2008</year>
          <publisher-loc>Seoul</publisher-loc>
          <publisher-name>Hanyang University</publisher-name>
          <comment>Unpublished masters' thesis</comment>
          </nlm-citation>
      </ref>

    </ref-list>

</back>

<floats-wrap>

<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption>
  <p>Pap Smear Screening Participation (N=165)</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjwhn-16-255-i001" alt-version="no"></graphic>
</table-wrap>

<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption>
  <p>Differences in Pap Smear Screening Participation according to General Characteristics (N=165)</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjwhn-16-255-i002" alt-version="no"></graphic>
<table-wrap-foot>
<fn>
  <p><sup>&#x2020;</sup>Fisher's exact.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption>
  <p>Differences in Pap Smear Screening Participation according to Health related Characteristics (N=165)</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjwhn-16-255-i003" alt-version="no"></graphic>
<table-wrap-foot>
<fn>
  <p><sup>&#x2020;</sup>Fisher's exact.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption>
  <p>Mean and Standard Deviation of Measured Variables (N=165)</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjwhn-16-255-i004" alt-version="no"></graphic>
</table-wrap>

<table-wrap position="float" id="T5">
<label>Table 5</label>
<caption>
  <p>Differences in Pap Smear Screening Participation according to Self Esteem, Perceived Benefit, Perceived Barrier, Self Efficacy, Social Support and Acculturation (N=165)</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjwhn-16-255-i005" alt-version="no"></graphic>
<table-wrap-foot>
<fn>
  <p>a&#x003E;b, Duncan's multiple range test.</p>
</fn>
</table-wrap-foot>
</table-wrap>

</floats-wrap>
</article>