RNSurveyInternational journal of community based nursing and midwifery2019

The Relationship between Health Locus of Control and Iranian Women's Beliefs toward Pap Smear Screening.

Marzieh Saei Ghare Naz, Tayebeh Darooneh, Farzaneh Rashidi Fakari and 3 others

PMID 30643832

WHAT IT FOUND

Married Iranian women who believed their health was controlled by their own actions or by health professionals showed more positive Pap smear beliefs.

Screening education could address these control beliefs.

Key findings

0150.8% of participants had never had a Pap smear test.

02Higher internal health locus of control and higher powerful others health locus of control were significantly positively correlated with total Pap smear belief scores.

03Internal, powerful others, and chance health locus of control scores were predictors of total Pap smear belief scores.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

It included only married Iranian women who could read and write and attended these healthcare centres, so it may not apply to unmarried women, women who do not attend, or other populations. The design measured beliefs at one time point, so it cannot show that health locus of control causes Pap smear beliefs or screening behaviour. The outcome was belief measured by questionnaire, not the effect of a screening intervention. The authors state that results are not generalisable to the whole society because participants were women attending healthcare centres for services.

The easy way to misread this

Do not conclude that changing health locus of control will increase Pap smear screening. This study measured beliefs in married Iranian women at healthcare centres and did not test an intervention or follow screening behaviour over time.

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