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Authors
Advisor(s)
Abstract(s)
Enquadramento: O aumento da incidência e prevalência de doenças
oncológicas, nomeadamente o CCU, faz com que se considere que este seja um
problema de saúde pública mundial envolvendo recursos na área da prevenção.
Objetivos: Identificar os factores que influenciam as crenças em saúde
relacionadas com o CCU; Determinar a influência das variáveis sociodemográficas nas
crenças em saúde sobre o CCU; Determinar as variáveis de contexto ginecológico e
sexual que influenciam as crenças em saúde relativasao CCU e analisar a relação entre
as variáveis de contexto sociopsicológico e de saúde e as crenças em saúde relativas ao
CCU.
Metodologia: É um estudo quantitativo, não experimental, descritivocorrelacional
e transversal. A recolha de dados foi realizada através de um questionário,
o qual permitiu realizar a caracterizaçãosociodemográfica, ginecológica/sexual,
psicológica de saúde e conhecimento sobre CCU. Utilizámos ainda escalas Crenças em
Saúde (Patrão, I. 2000), LocusControl Saúde, Valor Saúde, Satisfação com Suporte
Social (Pais-Ribeiro, 1999) e Questionário do Estado de Saúde SF8 (Pais-Ribeiro,
2005). A amostra é não probabilística por conveniência, constituída por 946
participantes da região centro de Portugal.
Resultados:Verificamos que as crenças em saúde cancro colo do útero são, na
dimensão benefícios, influenciadas pelas variáveis idade adulta, zona urbana, não usam
métodos contracetivos e existência de familiares com CCU. A dimensão gravidade é
influenciada pelas variáveis, zona rural, mulheres que vão periodicamente a consulta de
planeamento familiar, uso de métodos contracetivos e existência de familiares com
CCU. A dimensão obstáculos é influenciada pelas variáveis zona rural, uso de métodos
contracetivos, existência de familiares com CCU e já ter iniciado na sua atividade
sexual. A dimensão vulnerabilidade é influenciada pelas variáveis zona rural, usode
métodos contracetivos, existência de familiares com CCU e ocorrência prévia de
problemas do foro ginecológico. O total das crenças é influenciado pela zona rural, uso
de métodos contracetivos, existência de familiares com CCUe ocorrência prévia de
problemas do foro ginecológico. No locus control acaso, é preditor da vulnerabilidade,
obstáculos, gravidade e fator global. O locus controlo externo é preditor da gravidade,
benefícios e obstáculos. O locus controlo interno é preditor da vulnerabilidade e
benefícios. O estado de saúde na componente mental é preditor em todas as dimensões e
fator global. A componente física é preditora na vulnerabilidade, gravidade, obstáculos
e total crenças. No suporte social, a satisfação com os amigos é preditora da gravidade e
obstáculos. A satisfação com a família é preditorada vulnerabilidade, obstáculos e fator
global. A actividade social é preditora da vulnerabilidade.
Conclusões: Desenvolver competências nos profissionais de saúde que
permitam ampliar as ações de cidadania em saúde, capacitando desta forma os cidadãos,
de modo que se tornem mais autónomos e responsáveis em relação à sua saúde,
encorajando medidas de promoção da saúde e de prevenção da doença.
Abstract Background: The increase in incidence and prevalence of cancer diseases, in particular cervical cancer, makes it a worldwide public health problem involving resources in terms of prevention. Objectives: To identify factors that influence health beliefs related to cervical cancer; To determine the influence of sociodemographic variables on health beliefs about cervical cancer; To determine the gynecological and sexual context variables that influence health beliefs regarding cervical cancer and to analyze the relationship between sociopsychology and health context variables and health beliefs regarding cervical cancer. Metarial and methods: This is a quantitative, non-experimental, descriptivecorrelational and cross-sectional study. Data collection was performed through a questionnaire, which allowed sociodemographic, gynecological/sexual, psychological characterization of health and knowledge about cervical cancer. We also used Health Belief Scales (Patrão, I. 2000), Locus Control Saúde, Health Value, Satisfaction with Social Support (Pais-Ribeiro, 1999) and State Health Questionnaire SF8 (Pais-Ribeiro, 2005). The sample is non-probabilistic for convenience, consisting of 946 participants from the central region of Portugal. Results: We found that beliefs in cervical cancer health are, in the dimension benefits, influenced by the variables adulthood, urban zone, non-use of contraceptive methods and existence of relatives with cervical cancer. The severity dimension is influenced by the variables rural area, women who periodically consult family planning, use of contraceptive methods and existence of relatives with cervical cancer. The obstacle dimension is influenced by the rural zone variables, use of contraceptive methods, existence of relatives with cervical cancer and have already started in their sexual activity. The vulnerability dimension is influenced by the rural zone variables, use of contraceptive methods, existence of relatives with cervical cancer and prior incidence of gynecological problems. The total beliefs are influenced by the countryside, use of contraceptive methods, existence of relatives with cervical cancer and prior incidence ofgynecological problems. In the control locus of chance, it is a predictor of vulnerability, obstacles, gravity and global factor. The external control locus is a predictor of gravity, benefits and obstacles. The locus of internal control is a predictor of vulnerability and benefits. The state of mental health is a predictor in all dimensions and global factor. The physical component is a predictor of vulnerability, severity, obstacles and total beliefs. As far as social support is concerned, satisfaction with friends is a predictor of gravity and obstacles. Satisfaction with family is predictive of vulnerability, obstacles and overall factor. Social activity is a predictor of vulnerability. Conclusions: To develop competencies in health professionals that allow for the expansion of health-relatedcitizenship actions, thus enabling citizens to become moreautonomous and responsible in relation to their health, encouraging health promotion and prevention measures.
Abstract Background: The increase in incidence and prevalence of cancer diseases, in particular cervical cancer, makes it a worldwide public health problem involving resources in terms of prevention. Objectives: To identify factors that influence health beliefs related to cervical cancer; To determine the influence of sociodemographic variables on health beliefs about cervical cancer; To determine the gynecological and sexual context variables that influence health beliefs regarding cervical cancer and to analyze the relationship between sociopsychology and health context variables and health beliefs regarding cervical cancer. Metarial and methods: This is a quantitative, non-experimental, descriptivecorrelational and cross-sectional study. Data collection was performed through a questionnaire, which allowed sociodemographic, gynecological/sexual, psychological characterization of health and knowledge about cervical cancer. We also used Health Belief Scales (Patrão, I. 2000), Locus Control Saúde, Health Value, Satisfaction with Social Support (Pais-Ribeiro, 1999) and State Health Questionnaire SF8 (Pais-Ribeiro, 2005). The sample is non-probabilistic for convenience, consisting of 946 participants from the central region of Portugal. Results: We found that beliefs in cervical cancer health are, in the dimension benefits, influenced by the variables adulthood, urban zone, non-use of contraceptive methods and existence of relatives with cervical cancer. The severity dimension is influenced by the variables rural area, women who periodically consult family planning, use of contraceptive methods and existence of relatives with cervical cancer. The obstacle dimension is influenced by the rural zone variables, use of contraceptive methods, existence of relatives with cervical cancer and have already started in their sexual activity. The vulnerability dimension is influenced by the rural zone variables, use of contraceptive methods, existence of relatives with cervical cancer and prior incidence of gynecological problems. The total beliefs are influenced by the countryside, use of contraceptive methods, existence of relatives with cervical cancer and prior incidence ofgynecological problems. In the control locus of chance, it is a predictor of vulnerability, obstacles, gravity and global factor. The external control locus is a predictor of gravity, benefits and obstacles. The locus of internal control is a predictor of vulnerability and benefits. The state of mental health is a predictor in all dimensions and global factor. The physical component is a predictor of vulnerability, severity, obstacles and total beliefs. As far as social support is concerned, satisfaction with friends is a predictor of gravity and obstacles. Satisfaction with family is predictive of vulnerability, obstacles and overall factor. Social activity is a predictor of vulnerability. Conclusions: To develop competencies in health professionals that allow for the expansion of health-relatedcitizenship actions, thus enabling citizens to become moreautonomous and responsible in relation to their health, encouraging health promotion and prevention measures.
Description
Keywords
Cancro do colo do útero Crenças em saúde Suporte social Apoio social Conhecimentos, atitudes e prática em saúde Cultura Neoplasias do colo do útero Culture Health knowledge, attitudes, practice Social support Uterine cervical neoplasms