背　景子宮頸癌係臺灣婦女癌症發生率第五位，抹片檢查為世界公認防治子宮頸癌的有效篩檢方法。目　的探討婦女近三年未接受抹片檢查之相關因素。方　法採橫斷式相關研究，於松山地區一家醫學中心，以方便取樣方式選擇180位已三年未接受抹片檢查的婦女為主要研究對象。結　果研究結果發現婦女抹片檢查認知平均得分偏低僅60.5分，而以「自我健康信念」與「子宮頸抹片檢查知識」檢測與「子宮頸抹片檢查意願」之相關，僅知識（r = .16, p < .05）有關，而與自我健康信念的概念無關。婦女接受抹片檢查的行為，與嚴重性認知（r = -.14, p < .05）、有效性認知（r = .24, p <.01）、障礙性認知（r = -.38, p < .05）、子宮頸抹片檢查認知（r = .29, p < .01）皆有關。邏輯斯迴歸分析（Logistic Regression Analysis）結果發現，在「參加社區巡迴抹片車子宮頸抹片檢查意願」的預測因子中，「自覺障礙性認知」為顯著預測因子（odds ratio = 0.85, 95% CI = 0.75, 0.96）。在「主動前往醫院、診所、健康服務中心或衛生所檢查抹片意願」中，以「自覺障礙性認知」（odds ratio = 0.78, 95%
CI = 0.67, 0.91）及「子宮頸抹片檢查知識」（odds ratio = 0.91, 95% CI = 0.84, 0.99）為顯著預測因子。以Receiver Operating Characteristic Curve（簡稱ROC曲線）進一步檢測，唯有「子宮頸癌有效性認知」才能同時針對「參加社區巡迴抹片車子宮頸抹片檢查意願」以及「主動前往醫院、診所、健康服務中心或衛生所檢查抹片意願」可提供較佳診斷準確性的指標。結　論結果可提供專業人員進行宣導，宜加強婦女「自覺障礙性認知」、「子宮頸癌有效性認知」及「子宮頸抹片檢查知識」，以促進婦女自我健康主動性。

Background: Cervical cancer ranks as the fifth most prevalent type of cancer in women in Taiwan. Papanicolau (Pap)smear examinations are effective at identifying cervical cancer. This research surveyed women who had not had a Pap smear for at least three years.Purpose: This study was designed to identify significant factors related to willingness to have a Pap smear in the future among women in one community.Methods: This community survey study recruited subjects conveniently selected from the cancer statistics registry of the Songshan District Health Center in Taipei city. Women with no record of receiving a Pap smear during the previous three-year period were invited to participate. Data were collected on Pap smear knowledge, health beliefs and respondent demographics using a self-report questionnaire.Results: A total of 180 women participated in this study. The study found that women had a generally low level of knowledge about Pap smears (mean score = 60.5, on a total score of 100). Subject knowledge correlated strongly with
intent to obtain a Pap smear examination through the Mobile Pap Smear Unit, a mobile clinic that regularly visits neighborhoods. Women’s intent to obtain a Pap test in the future at a hospital, local clinic, or community center was correlated to perceptions of severity of cervical cancer (r = -.14, p < .05), perceived benefits (r = .24, p < .01),
perceived barriers (r = -.38, p < .05) and Pap smear knowledge (r = .29, p < .01). Logistic regression analysis found only perceived barriers and Pap smear knowledge to be predictors of intent to obtain a Pap smear screening at a hospital or local community clinic in the future.Perceived barrier was the only predictor of intent to do the screening at a Mobile
Pap Smear Unit. A Receiver Operating Characteristic Curve analysis found that only perceived benefits can precisely identify intent to either obtain a Pap smear screening at hospital or local community clinics in the future or do the screening at Mobile Pap Smear Unit.Conclusion:
Findings suggest healthcare professionals may positively influencewomen’s intent to obtain a Pap smear by providing resources that include patient education regarding the value of the examination, testing convenience, and enhanced testing environment accessibility.