Relationship between reasons for not undergoing cervical cancer screening and the intention to undergo screening in the future among nursing university students in Japan

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  • Fukuyama Mai
    Master's Course in Practical Midwifery, Graduate School of Health Sciences, Tokushima University, Tokushima, Japan
  • Fujisawa Yuna
    Master's Course in Practical Midwifery, Graduate School of Health Sciences, Tokushima University, Tokushima, Japan
  • Sakamoto Aina
    Department of Nursing, Kagawa University Hospital, Kagawa, Japan
  • Sato Hiroko
    Department of Midwifery, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan
  • Takebayashi Keiko
    Department of Midwifery, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan

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  • 女子看護大学生における子宮頸がん検診未受診理由と今後の受診意向との関連

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<p>　Objective : The aim of this study was to clarify the relationship between reasons for not undergoing cervical cancer screening and the intention to undergo screening in the future among female nursing university students.</p><p>Methods : A questionnaire survey was conducted for female nursing students enrolled at a university in Japan. The survey was conducted using Microsoft Forms in September and October in 2023. This study was approved by the Ethics Committee of Tokushima University Hospital.</p><p>Results : Data from 233 students were analyzed. Knowledge regarding cervical cancer and screening was significantly higher among 2nd, 3rd, and 4th-year students compared with 1st-year students （p = 0.001, p < 0.001, and p < 0.001, respectively）. Among the 233 students, 148 were aged 20 years or older, and of these, 18.2% had a history of cervical cancer screening. The screening rate was 22.6% among students in the 3rd year and above. Among students without a history of screening, those who did not intend to undergo screening in the future had significantly higher 'concerned about bleeding' （p = 0.04） and 'it does not concern me as a young person' （p = 0.02） responses than those who intended to undergo screening in the future.</p><p>Conclusions : To promote cervical cancer screening, it is important to raise awareness with a focus on preconception care, enabling individuals to recognize their future risk of cervical cancer. Furthermore, expanding the content of current informational leaflets to include more details about bleeding and its management could help alleviate concerns. Continuous outreach through smartphones targeting both young women and their mothers, as well as further improvements to the screening provision system to improve accessibility, are necessary to ensure greater participation.</p>

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