The purpose of this study was to develop an explanatory model to predict factors related to continuous participation in the Pap smear screening among Korean women. A hypothetical model was constructed on the basis of Health Belief Model and extensive review of literature on the Pap smear screening. Exogeneous variables included in this model were knowledge, perceived sensitivity, perceived severity, negative and positive emotional responses and professional support from physicians and nurses. Endogeneous variables were threat to cervical cancer, perceived benefit of the Pap smear screening, perceived barrier, and the final outcome variable was continuous participation in the Pap smear screening. The hypothetical model was tested with an empirical study. The data was collected from 623 married women whose age range was 24 - 83 using a self-reported survey questionnaire which was developed by the researcher. It's Cronbach's alpha score ranged from .6478 to .9118. Data was collected at different locations in Seoul; a university hospital, a local health center, and apartment complexes. Data analysis was done using SPSS 7.5 WIN Program for descriptive statistics and LISREL 8.12a WIN Program for covariance structural analysis. In conclusion, threat, perceived benefit, perceived barrier, positive emotion and professional support had a significant direct effect on continuous participation in the Pap smear screening among Korean women. The
results
of this study also showed that perceived barrier had the most significant direct effect on continuous participation in the Pap smear screening while negative emotional response had the most significant direct effect on perceived barrier. It can be suggested that decreasing perceived barrier by reducing negative emotional responses may be the most effective strategies for increasing continuous participation in the Pap smear screening among married Korean women.

Citations

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• Health behaviors related to endocrine-disrupting chemicals and the associated factors of adolescent Korean girls
  SoMi Park, ChaeWeon Chung
  Women & Health.2018; 58(8): 915.     CrossRef
• Knowledge Level of Human Papillomavirus, Cervical Cancer and Vaccination Status among Mothers with Daughters in High School
  Myung-Sook Yoo
  Korean Journal of Women Health Nursing.2014; 20(1): 105.     CrossRef
• Predictors Associated with Repeated Papanicolaou Smear for Cervical Cancer Screening
  Eun-Joo Lee, Jeong-Sook Park
  Asian Oncology Nursing.2013; 13(1): 28.     CrossRef
• Pap Smear Screening Participation Behavior and Related Factors in Married Immigrant Women
  So Young Kim, So Young Choi
  Korean Journal of Women Health Nursing.2010; 16(3): 255.     CrossRef
• Identifying barriers to Papanicolaou smear screening in Korean women: Korean National Health and Nutrition Examination Survey 2005
  Su Jeong Park, Woong-Sub Park
  Journal of Gynecologic Oncology.2010; 21(2): 81.     CrossRef
• Effects of a Cognition‐Emotion 
Focused Program to Increase 
Public Participation in 
Papanicolaou Smear Screening
  SoMi Park, SoonBok Chang, ChaeWeon Chung
  Public Health Nursing.2005; 22(4): 289.     CrossRef