Amaç: Araştırma, Türkiye'de yaşayan Suriyeli mülteci kadınlara insan papilloma virüs farkındalığına ilişkin çevrim içi eğitimin etkinliğini değerlendirmek amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma, tek grup ön-test ve son-test modeline dayalı yarı deneysel tasarımdadır. Türkiye'nin güneyinde bir ilde yaşayan Suriyeli mülteci kadınlar (n=126) ile çevrim içi olarak gerçekleştirilmiştir. Google Form üzerinden Şubat-Haziran 2023 tarihleri aralığında, kişisel bilgi formu ve Human Papilloma Virüsü (HPV) Bilgi Ölçeği ile çevrim içi toplanmıştır. Bulgular: Araştırmada yer alan kadınların yaş ortalaması 39,46±7,29, %57,9'u çalışmamakta, %53,2'si ortaöğretim mezunu, %70,6'sı multipar olup; %98,4'ü HPV aşısı, %90,5'i pap smear testi yaptırmadıklarını ve %90,5'i ise HPV eğitimi almadıklarını belirtmiştir. Kadınların eğitim öncesine göre eğitim sonrası HPV bilgi (χ2 =236,13; p<0,001), HPV tarama (χ2 =222,947; p<0,001), HPV aşı bilgisi (χ2 =42,004; p<0,001), HPV aşılama program bilgisi (χ2 =109,596; p<0,001) ve HPV toplam (χ2 =201,54; p<0,001) puanları arasında anlamlı fark elde edilmiştir. Buna göre eğitimden hemen sonra ile eğitimden bir ay sonraki HPV bilgi, HPV tarama, HPV aşı bilgisi, HPV aşılama program bilgisi ve HPV toplam puan ortalamaları eğitimden önceki puan ortalamalarından daha yüksek elde edilmiştir. Sonuç: Mevcut çalışmada; HPV farkındalığı, verilen eğitim sonrasında olumlu yönde artmış, eğitimden bir ay sonra ise bu artış bir miktar azalmakla birlikte eğitim öncesine göre daha yüksek bulunmuştur.
Anahtar Kelimeler: İnsan papilloma virüs; mülteci; kadın; çevrim içi eğitim
Objective: The research was conducted to evaluate the effectiveness of online training on human papilloma virus awareness for Syrian refugee women living in Türkiye. Material and Methods: The research has a quasi-experimental design based on a single group pre-test and posttest model. It was conducted online with Syrian refugee women (n=126) living in a province in southern Türkiye. It was collected online via Google Form between February and June 2023, using a personal information form and the Human Papilloma Virus (HPV) Information Scale. Results: The average age of the women in the study was 39.46±7.29, 57.9% were not working, 53.2% were secondary school graduates, 70.6% were multiparous; 98.4% stated that they had not received the HPV vaccine, 90.5% had not had a pap smear test, and 90.5% had not received HPV training. A significant difference was found between women's HPV knowledge (χ2 =236.13; p<0.001), HPV screening (χ2 =222.947; p<0.001), HPV vaccination knowledge (χ2 =42.004; p<0.001), HPV vaccination program knowledge (χ2 =109.596; p<0.001) and HPV total scores (χ2=201.54; p<0.001) after the training compared to before the training. Accordingly, HPV knowledge, HPV screening, HPV vaccine knowledge, HPV vaccination program knowledge and HPV total score averages immediately after the training and one month after the training were higher than the mean scores before the training. Conclusion: In the current study, HPV awareness increased positively after the training, and although this increase decreased slightly one month after the training, it was found to be higher than before the training.
Keywords: Human papilloma virus; refugee; women; online education
- World Health Organization-WHO. Updates recommendations on HPV vaccination schedule. 2022a. (access date: 12.09.2023 20:35)
- Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-49. [Crossref] [PubMed]
- World Health Organization-WHO. Cancer elimination initiative. 2022b. (Access date: 12.09.2023 23:20) [Link]
- Topkara FN, Dağlı E. Examination of the relationship between parents' attitudes and beliefs about human papillomavirus vaccine and health literacy. Mid Blac Sea J Health Sci. 2023;9(2):325-40. [Crossref]
- World Health Organization [Internet]. ©2023 WHO [Cited: September 12, 2023]. WHO Cervical cancer elimination initiative: fromcall to action to global movement. Available from [Link]
- World Health Organization-WHO. Human papillomavirus and cancer. 2023b. (access date: 12.09.2023 23:50) [Link]
- Aydın-Kartal Y, Yazıcı S, Solt A, Dutucu N, Günaydın S, Citil ET, Arık E. Evaluation of the Pap smear test status of women and affecting factors. Int J Caring Sciences. 2018;11(2):1231-8. [Link]
- Szymonowicz KA, Chen J. Biological and clinical aspects of HPV-related cancers. Cancer Biol Med. 2020;17(4):864-78. [Crossref] [PubMed] [PMC]
- Holt HK, Zhang X, Hu SY, Zhao FH, Smith JS, Qiao YL. Inequalities in cervical cancer screening uptake between chinese migrant women and local women: a cross-sectional study. Cancer Control. 2021;28:1073274820985792. [Crossref] [PubMed] [PMC]
- Yağmur Y, Aytekin S. Mülteci kadınların üreme sağlığı sorunları ve çözüm önerileri [Refugee women's reproductive health issues and suggested solutions]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2018;11(1):56-60. [Link]
- Önal A, Keklik B. Mülteci ve sığınmacıların sağlık hizmetlerine erişimde yaşadığı sorunlar: Isparta ilinde bir uygulama [A study on the problems encountered by refugees and asylum-seekers in their access to healthcare services in isparta province]. Süleyman Demirel Üniversitesi Vizyoner Dergisi. 2016;7(15):132-48. [Crossref]
- Dağ H, Dönmez S, Sezer H, Şendağ F, Sevil Ü, Saruhan A. İki farklı öğretim tekniğinin hemşirelik öğrencilerinin HPV ile ilgili bilgi düzeylerine etkisinin incelenmesi [The effects of two different teaching techniques on the knowledge level of nursing students about HPV]. Gaziantep Med J. 2015;21(2):90-8. [Crossref]
- Dönmez A, Karaca-Saydam B. HPV pozitif kadınlara serviks kanserini önlemeye yönelik verilen planlı eğitimin sağlıklı yaşam biçimi davranışlarına etkisi [The effect of planned training aiming to prevent cervical cancer in women with hpv positive on healty lifestyle behaviors]. Ebelik ve Sağlık Bilimleri Dergisi. 2019;2(3):81-7. [Link]
- Kim M, Lee H, Kiang P, Aronowitz T, Sheldon LK, Shi L, et al. A Storytelling Intervention in a Mobile, Web-Based Platform: A Pilot Randomized Controlled Trial to Evaluate the Preliminary Effectiveness to Promote Human Papillomavirus Vaccination in Korean American College Women. Health Educ Behav. 2020;47(2):258-63. [Crossref] [PubMed] [PMC]
- Eittah HFA, Aljohani KAS, Aljohani MSE. Enhancing the knowledge of cervical cancer screening among female nursing students: an interventional educational program. Sudan J Med Sci. 2020;15(4):431-9. [Link]
- Waller J, Ostini R, Marlow LA, McCaffery K, Zimet G. Validation of a measure of knowledge about human papillomavirus (HPV) using item response theory and classical test theory. Prev Med. 2013;56(1):35-40. [Crossref] [PubMed]
- Demir Bozkurt F, Özdemir S. Validity and reliability of a Turkish version of the human papillomavirus knowledge scale: a methodological study. J Turk Ger Gynecol Assoc. 2023;24:177-86. [Crossref] [PubMed] [PMC]
- American College of Obstetricians and Gynecologists [Internet]. ©2024 American College of Obstetricians and Gynecologists [Cited: January 21, 2024]. Human papillomavirusVaccination. Available from [Link]
- Tobaiqy MA, Mehdar SA, Altayeb TI, Saad TM, Alqutub ST. Parental knowledge, views, and perceptions of human papilloma virus infection and vaccination-cross-sectional descriptive study. J Family Med Prim Care. 2023;12(3):556-60. [Crossref] [PubMed] [PMC]
- Pengpid S, Peltzer K, Zhang C. Uptake and correlates of cervical and breast cancer screening among women in Jordan: National results of the 2017-2018 Population and Family Health Survey. Gend. Behav. 2021;19(2):17751-8. [Crossref]
- Azhar S, Wyatt LC, Jokhakar V, Patel S, Raveis VH, Kwon SC, et al. Associations between Spiritual Health Locus of Control, Perceived Discrimination and Breast and Cervical Cancer Screening for Muslim American Women in New York City. Clin Breast Cancer. 2022;22(4):e586-e96. [Crossref] [PubMed] [PMC]
- Yeasmeen T, Kelaher M, Brotherton JML, Malloy MJ. Understanding the participation of breast screening among women born in predominantly Muslim countries living in Victoria, Australia from record-linkage data. PLoS One. 2020;15(8):e0237341. [Crossref] [PubMed] [PMC]
- Afsah YR, Kaneko N. Barriers to cervical cancer screening faced by immigrant Muslim women: a systematic scoping review. BMC Public Health. 2023;23(1):2375. [Crossref] [PubMed] [PMC]
- Hamdiui N, Stein ML, van Steenbergen J, Crutzen R, Bouman M, Khan A, et al. Evaluation of a web-based culturally sensitive educational video to facilitate informed cervical cancer screening decisions among Turkish- and moroccan-dutch women aged 30 to 60 years: randomized ıntervention study. J Med Internet Res. 2022;24(10):e35962. [Crossref] [PubMed] [PMC]
- Oleed H. Increasing cervical cancer screening rate among uninsured South asian females between ages of twenty-one and sixty-five: A quality improvement project to evaluate the effectiveness of video-assisted targetededucation in a South Florida Clinic. [Cited: January 21, 2024]. Available from [Link]
- Eghbal SB, Karimy M, Kasmaei P, Roshan ZA, Valipour R, Attari SM. Evaluating the effect of an educational program on increasing cervical cancer screening behavior among rural women in Guilan, Iran. BMC Womens Health. 2020;20(1):149. [Crossref] [PubMed] [PMC]
- Shobeiri F, Javad MT, Parsa P, Roshanaei G. Effects of Group Training Based on the Health Belief Model on Knowledge and Behavior Regarding the Pap Smear Test in Iranian Women: a Quasi-Experimental Study. Asian Pac J Cancer Prev. 2016;17(6):2871-6. [PubMed]
- Lee HY, Lee MH. Barriers to Cervical Cancer Screening and Prevention in Young Korean Immigrant Women: Implications for Intervention Development. J Transcult Nurs. 2017;28(4):353-62. [Crossref] [PubMed]
- Karimy M, Azarpira H, Araban M. Using Health Belief Model Constructs to Examine Differences in Adherence to Pap Test Recommendations among Iranian Women. Asian Pac J Cancer Prev. 2017;18(5):1389-94. [PubMed] [PMC]
- An S, Park H. Effectiveness of preventive education on cervical cancer for North Korean refugee women. J Korea Contents Ass. 2019;19(4):381-93. [Link]
- Erenoğlu R, Yaman Sözbir Ş. The effect of health education given to syrian refugee women in their own language on awareness of breast and cervical cancer, in Turkey: a randomized controlled trial. J Cancer Educ. 2020;35(2):241-7. Erratum in: J Cancer Educ. 2020 [Crossref] [PubMed]
- Power R, Ussher JM, Hawkey A, Missiakos O, Perz J, Ogunsiji O, et al. Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study. BMC Womens Health. 2022;22(1):353. [Crossref] [PubMed] [PMC]
.: Process List