本文關鍵詞： 進城務工女性 宮頸癌篩查 接受性 服務利用 結構方程模型　出處：《河北大學》2017年碩士論文　論文類型：學位論文

【摘要】：【研究目的】調查保定市進城務工女性宮頸癌篩查接受性及服務利用情況,利用結構方程模型探索篩查的接受性及服務利用影響因素,分析影響因素之間的關系,為制定有效的干預措施提供依據,促進進城務工女性宮頸癌篩查工作的開展,降低其宮頸癌的發(fā)病率和死亡率。【研究方法】(1)自行設計問卷,問卷由研究對象的一般情況、宮頸癌篩查態(tài)度、篩查相關知識、篩查的方法認知、篩查支持感知、自我效能、促進接受性因素感知、宮頸癌篩查接受性和服務利用組成,共44個條目。(2)采用分層—整群抽樣的方法,對21歲以上、在保定市務工六個月以上女性進行宮頸癌篩查服務利用情況的調查。(3)對問卷中的變量進行信度與效度分析,優(yōu)化問卷變量。(4)采用AMOS建立初始結構方程模型分析進城務工女性宮頸癌篩查接受性及服務利用的影響因素。通過模型設定,識別,評價,修正,建立保定市進城務工女性宮頸癌篩查接受性及服務利用的結構方程模型,根據模型結果進行合理解釋。【研究結果】(1)問卷變量的信度和效度分析,通過內部一致性的Cronbach`s Alpha系數(shù)和KMO樣本測度和Bartlett`s球體檢驗,問卷總體Cronbach`s Alpha=0.8520.7,KMO=0.8100.7且Bartlett`s檢驗P值0.001,問卷信度和效度好。(2)構建的保定市進城務工女性宮頸癌篩查接受性及服務利用模型具有良好的適配度,宮頸癌篩查服務利用影響因素:宮頸癌篩查接受性(影響較大?=-0.104),說明宮頸癌篩查接受性越好,服務利用越好。文化程度(?=-0.122),職業(yè)(?=0.099),人均月收入(?=-0.119),篩查支持感知(?=-0.122);影響接受性因素有:宮頸癌篩查態(tài)度(?=0.128),宮頸癌篩查相關知識(?=0.569),自我效能(?=-0.135),年齡(?=-0.109),促進接受性因素感知(?=-0.470)。(3)宮頸癌篩查接受性的影響因素中,促進接受性因素感知對于免費、快捷、省時、具備轉接咨詢、擁有專業(yè)女性醫(yī)生的篩查,女性是否更愿意參與?(影響最大?=0.470);自我效能,丈夫和家人、朋友覺得自己不用做篩查是否還會去做篩查,醫(yī)生建議自己去做篩查是否會去?(影響較大?=-0.135);宮頸癌篩查態(tài)度,是否支持女性宮頸癌篩查,是否認為定期進行篩查是對自己健康負責,是否會鼓勵周圍人去做篩查,錯過篩查是否感到遺憾,做篩查是否會感到不好意思,是否覺得篩查會耽誤時間?(影響較大?=0.128),宮頸癌篩查相關知識,認為宮頸癌篩查能及早發(fā)現(xiàn)宮頸癌(影響較大?=0.569);年齡(影響較大?=-0.109)。宮頸癌篩查服務利用影響因素,篩查支持感知,社區(qū)或公司是否組織過篩查,是否支持朋友和家人參與、是否覺得篩查正規(guī)、安全?(?=0.275);文化程度(影響較大?=-0.122)職業(yè)(影響顯著?=0.099)人均月收入(影響較大?=-0.119)。(4)宮頸癌篩查態(tài)度(F2),自我效能(F6),促進接受性因素感知(F7)通過對宮頸癌篩查接受性的直接影響而間接影響宮頸癌篩查服務利用,宮頸癌篩查相關知識(F3)通過宮頸癌篩查態(tài)度(F2)影響宮頸癌篩查接受性及服務利用。【研究結論】(1)問卷變量信度和效度較好,變量的設置能很好的體現(xiàn)研究目的,所收集的數(shù)據能夠很好的適配于建立進城務工女性宮頸癌篩查接受性及服務利用的結構方程模型。(2)建立結構方程模型研究宮頸癌篩查接受性及服務利用方法科學有效,針對變量進行改進和應對,允許潛變量由多個顯變量指標組成,建立變量間的交互關系并對此進行驗證,為解決宮頸癌篩查在進城務工女性中接受性較好,服務利用很差的情況提供準確根據。(3)影響進城務工女性宮頸癌篩查接受性及服務利用的因素包括年齡,文化水平,職業(yè),人均月收入,潛變量宮頸癌篩查態(tài)度,篩查支持感知,自我效能,促進接受性因素感知。(4)應針對年輕女性、文化程度低、給被人打工、人均月收入少、篩查態(tài)度不積極,支持感知,接受性感知能力差。自我效能低的進城務工女性進行宮頸癌篩查健康知識的宣傳教育,為其提供便利的篩查服務,以提高其生活質量,降低女性宮頸癌的患病率。
[Abstract]:[Objective] Baoding city survey of female migrant workers received cervical cancer screening and utilization of services, structural equation model to explore the influencing factors of the acceptance of screening and service utilization, analysis of the relationship between the influencing factors, provide a basis for effective intervention measures to promote migrant women cervical cancer screening work, reduce the the morbidity and mortality of cervical cancer. [Methods] (1) questionnaire, questionnaire by the general situation of the research object, screening of cervical cancer screening knowledge, attitude, cognitive screening method, screening support perception, self-efficacy, perception factors promoting the acceptance of cervical cancer screening, accept the use and service. A total of 44 items. (2) by stratified - cluster sampling method, over the age of 21, was the use of adjustable cervical cancer screening service in women more than six months in Baoding city workers Check. (3) analyze the reliability and validity of the questionnaire in the questionnaire variables, optimization variables. (4) using AMOS to establish the initial structural equation model analysis of cervical cancer screening of female migrant workers to accept the influence factors and service utilization. By amending the model set, recognition, evaluation, and the establishment of Baoding city migrant women cervical cancer screening and accept services by using the structural equation model, a reasonable explanation according to the results of the model. [results] (1) the reliability and validity analysis of the questionnaire variables, through the test of Cronbach`s Alpha coefficient and KMO sample measure and Bartlett`s sphere, the internal consistency of the questionnaire, the overall Cronbach`s Alpha=0.8520.7, KMO=0.8100.7 and Bartlett`s test P value 0.001, questionnaire good reliability and validity. (2) the construction of the Baoding city migrant women cervical cancer screening and acceptance of service utilization model has a good fit, cervical cancer screening service Service use factors: cervical cancer screening acceptance (impact? =-0.104), that cervical cancer screening accepted better, service utilization better. Cultural degree (? =-0.122), occupation (? =0.099), the per capita monthly income (? =-0.119), perceived support screening (? = -0.122); under the influence of factors attitude: cervical cancer screening (? =0.128), cervical cancer screening knowledge (? =0.569), self-efficacy (? =-0.135), age (? =-0.109), to promote the acceptance of perception (? =-0.470). (3) cervical cancer screening acceptance factors, promote the acceptance of the factors of perceived for free. Fast, time-saving, with transfer consultation, screening with professional women doctors, women are more willing to participate? (most? =0.470); self efficacy, husband and family, friends do not feel whether screening will go to do screening, doctors recommend themselves to do screening would go? (influence? =-0.135); Palace Cervical cancer screening attitude, whether to support the screening of cervical cancer in women, whether that is responsible for their own health screening regularly, would encourage people around to do screening, screening miss if I feel sorry, do screening would feel feel shy, feel that screening will delay the time? (influence? =0.128), cervical cancer screening the knowledge that cervical cancer screening can detect cervical cancer (affected? =0.569); age (influence? =-0.109). Cervical cancer screening service utilization factors, perceived screening support, community or company is organized screening, whether to support the family and friends to participate, whether that regular screening, safety? (=0.275?) (; cultural degree affected? (=-0.122) occupation have significant effect? =0.099) per capita monthly income (affected? =-0.119). (4) cervical cancer screening approach (F2), self efficacy (F6), to promote the acceptance of perception (F7) by Screening of cervical cancer received direct impact and indirect impact of cervical cancer screening service use, cervical cancer screening knowledge (F3) by cervical cancer screening attitude (F2) effect of cervical cancer screening and acceptance of service utilization. [conclusions] (1) the reliability and validity of the questionnaire variables better, a set of variables can reflect the objective good research, the collected data can be well adapted to the establishment of cervical cancer screening of female migrant workers to accept the structural equation and service utilization model. (2) establish a structural equation model of cervical cancer screening service acceptance and use scientific and effective methods, and improve response variables, latent variables allowed by a number of significant variables, establish the interactive relationship between variables and to verify, in order to solve the problem of cervical cancer screening in women migrant workers receive good service, with poor conditions to provide accurate According to (3). The effect of cervical cancer screening of female migrant workers accept factors including age, sex and service utilization of cultural level, occupation, income per month, latent variable screening of cervical cancer screening support perception, attitude, self-efficacy, promote the acceptance of the factors of perceived. (4) should be for young women, low degree of culture to be working, the per capita monthly income is little, not actively support screening attitude perception, accept the perception ability. Low self-efficacy of female migrant workers for cervical cancer screening and health education, to provide convenience for the screening service, to improve their quality of life, reduce the incidence of cervical cancer in women.

【學位授予單位】：河北大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R737.33

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