fa مراحل تغییر رفتار غربالگری پاپ‌اسمیر بر اساس مدل تغییر رفتار فرانظری در زنان تحت پوشش مراکز بهداشتی– درمانی شهر گناباد- سال 1393 General پژوهشي Research Article <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><strong>Background and Aim: </strong>In developing countries, cervical cancer is the second most common cancer in women and in Iran the third is allocated between common cancers. Therefore, regular screening for the prevention of this disease is of great value. This study done، aimed to determine Pap smear screening behavior in women, according to the Trans-theoretical Model.<br> <strong>Materials and Methods:</strong> In this cross-sectional study, selected 800 women referred to urban health centers Gonabad, with quota sampling method. The instrument was a researcher-made questionnaire including: demographic information, knowledge about cervical cancer and stages of change behavior pap smear screening of prochaska&#39;s model. The obtained data were analyzed by SPSS 16.<br> <strong>Results:</strong> Mean age&plusmn;SD of women was 36.76&plusmn;9.25 years. The results indicate that 10.3, 8.4, 5.1, 13.1, 32.6 and 30.5 % of the women studied were in the stages of Pre-contemplation, Contemplation, preparation, Action, Maintenance, and Relapse, respectively .While 54.3 percent of subjects had experienced uterine infection , only 33.2% were aware of cervical cancer and how to recognize it. The statistical analyses show that there were significant difference between Pap smear screening behavior stage of change and age, marriage age, pregnancy age, pregnancy number, delivery number, child number and education, education and uterine infection background (P<0.005).<br> <strong>Conclusion: </strong>Since over half of the women in this study did not perform Pap smear screening behavior (i.e., Pre-contemplation, Contemplation, preparation, and Relapse), it seems essential to devise appropriate educational programs based on stage of change model in order to make women aware of the significance of Pap smear screening behavior</span></span></div> Pap smear screening behavior,Cervical cancer,Transtheoretical Model,Stage of change model,Women,Gonabad 304 315 http://mcj.bums.ac.ir/browse.php?a_code=A-10-1-464&slc_lang=fa&sid=1 Maryam Ghahramani مریم قهرمانی No MSc Student, Department of Health Education, School of Health, Birjand University of Medical Sciences, Birjand, Iran داﻧﺸﺠﻮی کارشناسی ارشد آموزش بهداشت و ارﺗﻘﺎیﺳﻼﻣﺖ، دانشکده ﺑﻬﺪاﺷﺖ، دانشگاه ﻋﻠﻮم پزشکی ﺑﯿﺮﺟﻨﺪ، ﺑﯿﺮﺟﻨﺪ، ایﺮان Mitra Moodi میترا مودی Yes Mitra Moodi, Assistant professor, Social determinants of health research center, School of Health, Birjand University of Medical Sciences, Birjand, Iran. mitra_m2561@yahoo.com ﻣﯿﺘﺮا ﻣﻮدی، اﺳﺘﺎدیﺎر آﻣﻮزش ﺑﻬﺪاﺷﺖ و ارﺗﻘﺎی ﺳﻼﻣﺖ، مرکز ﺗﺤﻘﯿﻘﺎت ﻋﻮاﻣﻞ اﺟﺘﻤﺎعی موثر ﺑﺮ ﺳﻼﻣﺖ، گروه ﺑﻬﺪاﺷﺖ ﻋﻤﻮمی، دانشکده ﺑﻬﺪاﺷﺖ، دانشگاه ﻋﻠﻮم پزشکی ﺑﯿﺮﺟﻨﺪ، ﺑﯿﺮﺟﻨﺪ، ایﺮان. ﺗﻠﻔﻦ:09153624931 ﻧﻤﺎﺑﺮ:05618481132 پست الکترو نیکی: mitra_m2561@yahoo.com Ali Alami علی عالمی No Assistant professor , Department of Public Health , School of Public Health, Centre for Research on Social Determinants of Health, University of Gonabad , Gonabad , Iran اﺳﺘﺎدیﺎر،گروه ﺑﻬﺪاﺷﺖ ﻋﻤﻮمی، دانشکده ﺑﻬﺪاﺷﺖ، ﻣﺮکزﺗﺤﻘﯿﻘﺎت ﻋﻮاﻣﻞ اﺟﺘﻤعی موثر ﺑﺮ ﺳﻼﻣﺖ،دانشگاه ﻋﻠﻮم پزشکی گناباد،گناباد، ﺧﺮاﺳﺎن رﺿﻮی،ایﺮان Nargess Moasheri نرگس معاشری No Instructor, Social determinants of health research center, Department of Public Health, Facalty of Health, Birjand University of Medical Sciences, Birjand, Iran ﻣﺮبی،ﻣﺮکز ﺗﺤﻘﯿﻘﺎت ﻋﻮاﻣﻞ اﺟﺘﻤﺎعی موثر ﺑﺮ ﺳﻼﻣﺖ، گروه ﺑﻬﺪاﺷﺖ ﻋﻤﻮمی، دانشکده ﺑﻬﺪاﺷﺖ، دانشگاه ﻋﻠﻮم پزشکی ﺑﯿﺮﺟﻨﺪ،ﺑﯿﺮﺟﻨﺪ،ایﺮان