scholarly journals Factors associated with the intention to undergo Pap smear testing in the rural areas of Indonesia: a health belief model

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Sumarmi Sumarmi ◽  
Yu-Yun Hsu ◽  
Ya-Min Cheng ◽  
Shu-Hsin Lee

Abstract Purposes This study aimed to understand the influence of health beliefs, demographic factors, and health characteristics on the intention to undergo Pap smear testing among women in rural areas of Indonesia. Methods A descriptive cross-sectional study was conducted and 687 married women participated in the study. A convenience sampling was applied to recruit the participants from community health centres in a rural region in Indonesia. Self-reported data using the Health Beliefs Model Scale for Cervical Cancer and Pap Smear Test was collected to assess the health beliefs. Independent t-tests, simple logistic regressions, and a hierarchical logistic regression with 3 steps were run. Statistical significance for analysis was set at p < 0.05. Results The mean age of the participants was 42 years (SD = 8.4). Among the participants, 81% of the women had never undergone a Pap smear test, and 61% (n = 422) of the women reported a high intention of receiving a Pap smear test. Income and education Health beliefs regarding Pap smear testing were different between women who had low and high intentions to undergo Pap smear testing. Health beliefs, such as perceived benefits, severity, barriers to Pap smear testing, and health motivation for a Pap smear test were associated with the intention to undergo Pap smear testing among rural Indonesian women. Overall, the hierarchical multiple regression with 3 steps containing demographic, health characteristics, and health belief variables accounted for 31% variance of the intention to undergo Pap smear test among the Indonesian rural women. Conclusions Low screening rates of cervical cancer and high intentions to do the screening exist among rural Indonesian women. Health beliefs significantly affect the rural women’s intention of Pap smear testing in Indonesia.

2020 ◽  
Vol 10 (2) ◽  
pp. 39-47
Author(s):  
I. Aydın Avci ◽  
M. Aydin

Purpose: It is stated that the high mortality rate of cer-vical cancer worldwide can be reduced by early diag-nosis, effective observation, and treatment pro-grams. It was aimed to evaluate the correlation be-tween cervical cancer and screening and the health be-liefs of married women living in two different ethnic groups. Materials and methods: This research was con-ducted as a comparative descriptive study. 211 Roma (Gypsies) and 202 non-Roma married women included in the study. The data was obtained in the research by the introductory survey form and the "Cervical Cancer and Pap Smear Test Health Belief Model Scale". Per-centage, mean, t-test, chi-square tests were used in the evaluation of the data. A logistic regression analysis was used. Before the start of the research was received approval by the Ethics Committee. Results: The average age of the non-Roma women who participated in the survey was found 40.3 ± 10.5 (min: 20, max: 67). Non-Roma women were found to have received a pap-smear test at a higher rate (about 4 times more) than Roma women (p˂0.001, OR=3.723, 95%, CI 2.472, 5.607). Non-Roma women were found to have a higher pap-smear test rate (3-fold higher) than Roma women and found that the differ-ence between them was statistically significant (p˂0.001, OR=2.932, 95%, CI 1.855, 4.635). Conclusions: Roma women, a disadvantaged group, were found to hear fewer pap-smear tests, have less knowledge about the test, take fewer pap smears than non-Roma women and especially they did not have the pap-smear test because they did not know it.


2018 ◽  
Vol 7 (2) ◽  
pp. 85
Author(s):  
Hoda HosseAbedelAzim Mohamedin ◽  
Yosria El-sayed Hossein

Background: Cervical cancer can be preventable or detected early especially with a series of regular screening with Pap tests.Aim of the study: The aim of this study were to evaluate the impact of counseling on cervical cancer and its screening on women knowledge, health beliefs and protective practices.Subjects and Methods: A quasi-experimental design was used. A convenient ample of 120 women were randomly divided into experimental and control groups, each group consisted of 60 women were recruited from outpatient clinic at Obstetrics and Gynecology Department at Minia General Hospital.Results It can be observed that, 86% of the women in the intervention group had good knowledge compared to only 17% of the control group and the difference is statistically significant. The mean score of perceived susceptibility and barriers in both groups was reduced but the decrease was significantly higher in the intervention group (P<0.004). The mean score of perceived severity and benefits in both groups were increased, but the increased mean score in the intervention group was higher. A highly statistical significant difference was observed between groups regarding protective practices (p = .001).Conclusion: It can be concluded that there was a highly statistical significant improvement in women knowledge was observed and the higher positive beliefs about perceived benefits of preventive health practices, susceptibility, severity, health motivation and reduced the barriers of pap smear this can influence women’s willingness to take preventive test and higher participation in regular Pap smear test in the intervention group. The most commonly barriers to screening cited in our study are lack of knowledge.Recommendations: on the light of this findings it is recommended that, women should be encouraged to take responsibility for their own health and be active participants in the screening program, More educational intervention is needed to encourage adherence to routine cancer screening with raising women’s awareness about cervical cancer, The barriers to Pap smear test are considered by the health authorities in order to overcome barriers of cervical cancer screening.  


2003 ◽  
Vol 13 (6) ◽  
pp. 827-833 ◽  
Author(s):  
P. Gichangi ◽  
B. Estambale ◽  
J. Bwayo ◽  
K. Rogo ◽  
S. Ojwang ◽  
...  

Invasive cervical cancer (ICC) is the leading cause of cancer-related death among women in developing countries. Population-based cytologic screening and early treatment does reduce morbidity and mortality associated with cervical cancer. Some of the factors related to the success of such a program include awareness about cervical cancer and its screening. The objective of this study was to assess knowledge and practice about cervical cancer and Pap smear testing among cervical cancer and noncancer patients using a structured questionnaire to obtain information. Fifty-one percent of the respondents were aware of cervical cancer while 32% knew about Pap smear testing. There were no significant differences in knowledge between cervical cancer and noncancer patients. Health care providers were the principal source of information about Pap testing (82%). Only 22% of all patients had had a Pap smear test in the past. Patients aware of cervical cancer were more likely to have had a Pap smear test in the past. The level of knowledge is low among ICC and noncancer patients. There is need to increase the level of knowledge and awareness about ICC and screening among Kenyan women to increase uptake of the currently available hospital screening facilities.


2021 ◽  
Vol 1 (69) ◽  
pp. 6
Author(s):  
Gheorghe Cruciat ◽  
Iulia Popa ◽  
Suzana Mariam Chaikh-Sulaiman

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