The Effect of Social Support Perception on Attitude Towards Early Diagnosis of Cervical Cancer in Orthopedically Disabled Women

Abstract

Background: One of the important factors affecting cervical cancer prevention behaviours of orthopedically disabled women is the perception of social support. Objectives: This study was conducted to examine the effect of social support perception on the attitude towards early diagnosis of cervical cancer in orthopedically disabled women. Methods: The study, which was designed to be descriptive was carried out with 105 disabled women. The study was conducted with orthopedically disabled woman who were treatmented to the physical therapy and rehabilitation unit of a training and research hospital between March-December 2022. A descriptive information form, Attitude towards Early Diagnosis of Cervical Cancer Scale, and Multidimensional Perceived Social Support Scale were used to collect data. Descriptive statistical methods (mean, standard deviation), pearson correlation for relationship analysis, and linear regression analysis for effect level analysis were used in data analysis. Results: The mean scores of Attitude towards Early Diagnosis of Cervical Cancer Scale was determined as 77.16±12.42 and the mean scores of Multidimensional Perceived Social Support Scale was 46.77±7.40. The effect of the perceived social support was found to be effective in increasing the attitude towards early diagnosis of cervical cancer (p = .001). The total perceived social support score explained 41.6% of the total variance in the dependent variable of attitude towards early diagnosis of cervical cancer. Conclusion: Orthopedically disabled women with poor perceived social support had more negative attitudes towards cervical cancer screening. Therefore, health professionals should be aware of orthopedically disabled women’s social support and attitudes towards cancer when planning information and promotion programmes to promote attendance at screening cancer.

Keywords

• Disabled Women
• Early Diagnosis
• Cervical Cancer
• Social Support

Supporting Institution

The authors received no external or intramural funding.

Ethical Statement

The present study was carried out in the context of the Declaration of Helsinki. The ethics permission was granted by the Ethics Committee for Non-Interventional Clinical Research of XXX University (date of application: 5/01/2022, date of approval: 19/02/2022 and number: 2167). Written informed agreement was provided by the study participants.

Thanks

The authors thank all the women who shared their time and experience to participate in this study.

Sosyal Destek Algısı ve Serviks Kanserinin Erken Teşhisi: Ortopedik Engelli Kadınlar Örneği

Abstract

Giriş: Ortopedik engelli kadınların serviks kanserinden korunma davranışlarını etkileyen önemli faktörlerden biri sosyal destek algısıdır. Amaç: Bu araştırma, ortopedik engelli kadınlarda sosyal destek algısının serviks kanserinin erken teşhisine yönelik tutumu üzerine etkisini incelemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı olarak tasarlanan çalışma 105 engelli kadın ile yürütülmüştür. Çalışma, Mart-Aralık 2022 tarihleri arasında bir eğitim ve araştırma hastanesinin fizik tedavi ve rehabilitasyon ünitesinde tedavi gören ortopedik engelli kadınlarla yürütülmüştür. Veri toplamak için tanımlayıcı bilgi formu, Serviks Kanseri Erken Teşhisine Yönelik Tutum Ölçeği ve Çok Boyutlu Algılanan Sosyal Destek Ölçeği kullanılmıştır. Verilerin analizinde tanımlayıcı istatistiksel yöntemler (ortalama, standart sapma), ilişki analizi için pearson korelasyon, etki düzeyi analizi için linear regresyon analizi kullanılmıştır. Bulgular: Serviks Kanserinde Erken Tanıya Yönelik Tutum Ölçeği puan ortalaması 77.16±12.42 ve Çok Boyutlu Algılanan Sosyal Destek Ölçeği puan ortalaması 46.77±7.40 olarak belirlenmiştir. Algılanan sosyal desteğin serviks kanserinin erken tanısına yönelik tutumu artırmada etkili olduğu bulunmuştur (p = .001). Toplam algılanan sosyal destek puanı, serviks kanserinin erken tanısına yönelik tutum bağımlı değişkenindeki toplam varyansın %41,6’sını açıklamaktadır. Sonuç: Algılanan sosyal desteği zayıf olan ortopedik engelli kadınların serviks kanseri taramasına yönelik tutumları daha olumsuzdur. Bu nedenle, sağlık profesyonelleri kanser taramalarına katılımı teşvik etmek için bilgilendirme ve tanıtım programları planlarken ortopedik engelli kadınların sosyal desteklerinin ve kansere yönelik tutumlarının farkında olmalıdır.

Keywords

• Engelli Kadınlar
• Erken Tanı
• Serviks Kanseri
• Sosyal Destek

References

1. Adegboyega, A., Aleshire, M., Dignan, M., & Hatcher, J. (2019). Spousal support and knowledge related to cervical cancer screening: are Sub-Saharan African immigrant men interested? Health Care Women Int, 40(6):665–81. doi: 10.1080/07399332.2019.1615914
2. Adegboyega, A., & Hatcher, J. (2017.) Factors influencing pap screening use among African immigrant women. J Transcult Nurs, 28(5):479–87. doi: 10.1177/1043659616661612
3. Ahmed, A. H., Yakout, S. M., & Tosson, M. M. (2022). Health belief model-based educational program about cervical cancer prevention on women knowledge and beliefs. ASNJ, 10(30):51-60. doi: 0.21608/asnj.2022.127397.1343
4. Bakan, A.B., Aslan, G., & Yıldız, M. (2021). Determination of breast cancer fatalism in women and the investigation of the relationship between women’s cervical cancer and pap smear test health beliefs with religious orientation and fatalism. J Relig Health, 60(3):1856–76. doi: 10.1007/s10943-020-01108-2
5. Choi, J.Y., Yeob, K.E., Hong, S.H., Kim, S.Y., Jeong, E, Shin, D.W.,…& Kawachi, I. (2021). Disparities in the diagnosis, treatment, and survival rate of cervical cancer among women with and without disabilities. Cancer Control, 19(28):107327482110552. doi: 10.1177/10732748211055268
6. Durmaz, S., Ozvurmaz, S., Adana, F., & Kurt, F. (2021). Cross-sectional evaluation of relation between women’s attitudes towards the diagnosis of cervical cancer and regular gynecological examination. J Adnan Menderes University Health Sci Fac, 5(1):26–36. doi: 10.46237/amusbfd.727999
7. Duru, G., & Topatan, S. (2023). A barrier to participation in cervical cancer screenings: fatalism. Women Health, 63(6):436–44. doi: 10.1080/03630242.2023.2223698
8. Edwards, D.J., Sakellariou, D., & Anstey, S. (2020). Barriers to, and facilitators of, access to cancer services and experiences of cancer care for adults with a physical disability: A mixed methods systematic review. Disabil Health J, 13(1):100844. doi:10.1016/j.dhjo.2019.100844

9. Eker, A., & Aslan, E. (2017). Psychosocial approach of gynecological cancer patients. J Edu Res Nurs 14(4):298-303. doi: 10.5222/HEAD.2017.298
10. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods, 39(2), 175-191. doi: 10.3758/BF03193146
11. Gözüyeşil, E., Arıöz Düzgün, A., & Ünal Aslan, K.S. (2019). Evaluation of the women’s attitudes towards prevention and early diagnosis of the cervical cancer. J Continuing Medical Education, 28(4):228–37. doi: 10.17942/sted.444170
12. Huhmann, K. (2020). Barriers and facilitators to breast and cervical cancer screening in Somali immigrant women: An integrative review. Oncol Nurs Forum, 47(2):177–86. doi: 10.1188/20.ONF.177-186
13. Hunt, X., Carew, M.T., Braathen, S.H., Swartz, L., Chiwaula, M., & Rohleder, P. (2017). The sexual and reproductive rights and benefit derived from sexual and reproductive health services of people with physical disabilities in South Africa: Beliefs of non-disabled people. Reprod Health Matters, 12;25(50):66–79. doi: 10.1080/09688080.2017.1332949
14. Kilic, A., Tastan, S., Guvenc, G., & Akyuz, A. (2019). Breast and cervical cancer screening for women with physical disabilities: A qualitative study of experiences and barriers. J Adv Nurs, 75(9):1976-86. doi: 0.1111/jan.14048
15. Mongsawaeng, C., Kokorn, N., Kujapun, J., Norkaew, J., Kootanavanichpong, N., Chavenkuni, W.,…& Kaewpitoon, N. (2016). Knowledge, attitude, and practice regarding cervical cancer among rural community women in northeast Thailand. Asian Pacific J Cancer Prev, 17(1):85–8. doi: 10.7314/apjcp.2016.17.1.85
16. Murshid, M. E., Chen, S., Rahman, M. M., Islam, M. Z., Shimpuku, Y., Era, N. R., ... & Haque, M. (2023). Reliability and validity of the multidimensional scale of perceived social support among women and adolescent girls with disabilities in selected sub-districts of Bangladesh. Cureus, 15(11): e49605. doi: 10.7759/cureus.49605
17. Özmen, D., & Özsoy, S. (2009). Sağlık inanç modeli yaklaşımı ile servikal kanserin erken tanısına yönelik tutum ölçeği geliştirilmesi. Ege Üniversitesi Hemşirelik Yüksek Okulu Derg, 25(1):51–69.
18. Papa, A., Koutelekos, I., Stefanidou, S., Chrysovitsanou, C., & Polikandrioti, M. (2021). Factors associated with perceived social support of patients with multiple sclerosis. Current Journal of Neurology, 20(2):64. doi: 10.18502/cjn.v20i2.6741
19. Prestwich, A., Kenworthy, J., & Conner, M. (2024). Health behavior change: Theories, methods and interventions (2 nd edition). London: Routledge.
20. Ramjan, L., Cotton, A., Algoso, M., & Peters, K. (2016). Barriers to breast and cervical cancer screening for women with physical disability: A review. Women Health, 56(2):141–56. doi: 10.1080/03630242.2015.1086463
21. Republic of Turkey, Ministry of Family and Social Services, General Directorate of Disabled and Elderly Services. Disability and elderly statistics bulletin, April, 2023. 2023. Available from: https://aile.gov.tr/media/135432/eyhgm_istatistik_bulteni_nisan_23.pdf. Accessed in 2023 (3 Aug).
22. Shin, D. W., Lee, J. W., Jung, J. H., Han, K., Kim, S. Y., Choi, K. S., ... & Park, J. H. (2018). Disparities in cervical cancer screening among women with disabilities: a national database study in South Korea. Journal of Clinical Oncology, 36(27): 2778-86. doi: 10.1200/JCO.2018.77.7912
23. Steuperaert, Q., & Michielsen, K. (2022). The role of healthcare professionals in providing sexuality education to young people with disabilities: A scoping review on barriers and challenges. Sex Disabil, 40(4):721-48. doi: 10.1007/s11195-022-09749-9
24. Tatar, M., & Ersin, F. (2021). Effect of social support and barrier perceptions of disabled women on early detection of breast cancer. Health Care for Women International, 42(7-9):1133-43. doi: 10.1080/07399332.2021.1894152
25. Turkish Ministry of Health. Distribution of cancer early diagnosis, screening and education centers in Turkey (Turkey Map). 2021. Available from: https://hsgm.saglik.gov.tr/tr/ketem. Accessed in 2023 (3 Aug).
26. World Health Organization. Cervical cancer. 2022. Available from: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer#:~:text=Cervical cancer is the fourth,-income countries. Accessed in 2023 (11 April).
27. World Health Organization. Disability. 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/disability-and-health#:~:text=An estimated 1.3 billion people – or 16%25 of the global,diseases and people living longer. Accessed in 2023 (13 May).
28. World Health Organization. Global strategy to accelerate the elimination of cervical cancer as a public health problem. 2020. Available from: https://www.who.int/publications/i/item/9789240014107. Accessed in 2023 (20 Jul).
29. Yeşildağ, B., & Yılmaz, A. (2023). The relationship between women’s attitudes towards early diagnosis of cervical cancer and health literacy levels. International Journal of Health Services Research and Policy, 8(3):198-206. doi: 10.33457/ijhsrp.1340761
30. Zimet, G.D., Dahlem, N.W., Zimet, S.G., & Farley, G.K. (1988). The multidimensional scale of perceived social support. J Pers Assess, 52(1):30–41. doi: 10.1207/s15327752jpa5201_2