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http://dx.doi.org/10.7314/APJCP.2013.14.12.7693

Perceived Susceptibility, and Cervical Cancer Screening Benefits and Barriers in Malaysian Women Visiting Outpatient Clinics  

Baskaran, Pryma (Department of Nursing Sience, Faculty of Medicine, University of Malaya)
Subramanian, Pathmawathi (Department of Nursing Sience, Faculty of Medicine, University of Malaya)
Rahman, Rasnah Abdul (Department of Nursing Sience, Faculty of Medicine, University of Malaya)
Ping, Wong Li (Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya)
Taib, Nur Aishah Mohd (Department of Surgery, University of Malaya)
Rosli, Roshaslina (Department of Medicine, Faculty of Medicine, University of Malaya)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.14, no.12, 2013 , pp. 7693-7699 More about this Journal
Abstract
Aims: A main reason for increasing incidence of cervical cancer worldwide is the lack of regular cervical cancer screening. Coverage and uptake remain major challenges and it is crucial to determine the perceived susceptibility to cervical cancer, as well as the benefits of, and barriers to, cervical cancer screening among women. Materials and Methods: A cross-sectional survey was conducted among 369 women attending an outpatient centre in Malaysia and data were collected by administering a self-report questionnaire. Results: The majority of the participants (265, 71.8%) showed good level of perception of their susceptibility to cervical cancer. Almost all responded positively to four statements about the perceived benefits of cervical cancer screening (agree, 23.1% or strongly agree, 52.5%), whereas negative responses were received from most of the participants (agree, 29.9%or strongly agree, 14.6 %) about the eleven statements on perceived barriers. Significant associations were observed between age and perceived susceptibility($x^2$=9.030, p=0.029); between employment status (p<0.001) as well as ethnicity and perceived benefits (p<0.05 [P=0.003]); and between education and perceived barriers to cervical cancer screening (p<0.001). Conclusions: Perceived susceptibility, including knowledge levels and personal risk assessment, should be emphasized through education and awareness campaigns to improve uptake of cervical cancer screening in Malaysia.
Keywords
Cervical cancer; susceptibility; screening; benefits; barriers; Malaysia;
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1 Tejeda S, Darnell JS, Cho YI, et al (2013). Patient Barriers to Follow-Up Care for Breast and Cervical Cancer Abnormalities. J Women Hlth.
2 Unuigbe IE, Ogbeide O (1999). Sexual behaviour and perception of AIDS among adolescent girls in Benin city, Nigeria. Afr J Reprod Hlth, 3, 39-44.   DOI
3 Uysal, A, Birsel, A (2009). Knowledge about cervical cancer risk factors and pap testing behaviour among Turkish women. Asian Pac J Cancer Prev, 10, 345-50.
4 Vellozzi, C, Romans, M, Rothenberg, R (1996). Delivering Breast and Cervical Cancer Screening Services to Understand Women: Part 1, Literature Review and Telephone Survey. Women's Health Issues, 6, 65-73.   DOI   ScienceOn
5 Wellensiek N, Moodley M, Moodley J, Nkwanyana N (2002). Knowledge of cervical cancer screening and use of cervical screening facilities among women from various socioeconomic backgrounds in Durban, Kwazulu Natal, South Africa. Int J Gynecol Cancer, 12, 376-82.   DOI   ScienceOn
6 Wong, LP, Wong, YL, Low, WY, et al (2009). Knowledge and awareness of cervical cancer and screening among Malaysian women who have neverhad a Pap smear: a qualitative study. Sing Med J, 50, 49-53.
7 Harlan L, Bernstein A, Kessler L (1991). Cervical cancer screening: who is not screenedand why. A J Pub Hlth, 8, 885 -90.
8 Lee J, Seow A, Ling SL, Peng LH (2002). Improving adherence to regular pap smear screening among Asian women: a population based study in Singapore. Hlth Educ Behav, 29, 207-18.   DOI   ScienceOn
9 Jun KJ, Choi KS, Jung KW, et al (2009). Effectiveness of an organized cervical cancer screening program in Korea: results from a cohort study. Int J Cancer, 124, 188-93.   DOI   ScienceOn
10 Kaku M, Mathew A, Rajan B (2008). Impact of socio-economic factors in delayed reporting and late-stage presentation among patients with cervix cancer in a major cancer hospital in South India. Asian Pac J Cancer Prev, 9, 589-94.
11 Leyva M, Byrd T, Tarwater P (2006). Attitudes towards cervical cancer screening:A study of beliefs among women in Mexico. Californian J Hlth Promotion, 4, 13-24.
12 Lim GCC, Halimah Y (Eds.). (2004). Second Report of the National Cancer Registry. Cancer Incidence in Malaysia 2003. Kuala Lumpur: National Cancer Registry.
13 Lindau ST, Tomori C, Lyons T, et al (2002). The association of health literacy with cervical cancer prevention knowledge and health behaviors in a multiethnic cohort of women. Am J Obstet Gynecol, 186, 938-43.   DOI   ScienceOn
14 Lovell S, Kearns RA, Friesen W (2007). Sociocultural barriers to cervical screening in South Auckland, New Zealand. Social Science Med, 65.
15 Maaita M, Brakat M (2002). Jordanian women's attitudes towards cervical cancer screening and cervical cancer. J Obstet Gynecol, 22, 421-2.   DOI
16 Maxwell CJ, Bancej CM, Snider J, et al (2001). Factors important in promoting cervical cancer screening among canadian women: findings from the 1996-97 national population health survey (NPHS). Cancer J Public Hlth, 92, 127-33.
17 Glanz K, Rimer B, Lewis F. (2002). Health Behaviour and Health Education; Theory, Research and Practice. San Francisco: Wiley & Sons.
18 Mc Farland MD (2003). Cervical cancer and Pap smear screening in Botswana: knowledge and perception. Intern Nurs Review, 50, 167-75.   DOI   ScienceOn
19 Mohd RN. (2008). Current status and future direction of cervical cancer prevention program in Malaysia. Kuala Lumpur: National Cancer Registery.
20 Ganguly I (1995). Promoting the health of women of non-English speaking backgrounds in Australia. World Hlth Forum, 16, 157-63.
21 Aniebue PN, Aniebue UU (2010). Awareness and practice of cervical cancer screening among female undergraduate students in a Nigerian university. J Cancer Educ, 25, 106-8.   DOI   ScienceOn
22 Atar GS, Gurel H, Topcuoglu A (2009). Investigation of rate and determinants of pap-test in women attending for a gynecological examination. J Gynecol Obst, 19, 62-6.
23 Ayinde OA, Omigbodun AO, Ilesanmi AO (2004). Awareness of cervical cancer, papanicolaou's smear and its utilisation among female undergraduates in Ibadan. Afr J Reprod Hlth, 8, 68-80.   DOI
24 Barron C, Houfek J (2001). Ethnic influences on body awareness trait anxiety,perceived risk, and breast and gynecologic cancer screening practices. Oncol Nurs Forum, 28, 727-73.
25 Bener A, Denic S, Alwash R (2001). Screening for cervical cancer among Arab women (brief communication). Int J Gynecol Obstet, 74, 305-7.   DOI   ScienceOn
26 Bessler P, Aung M, Jolly P (2007). Factors affecting uptake of cervical cancerscreening among clinic attendees in Trelawny, Jamaica. J Moffitt Cancer Centre, 14, 396-404.
27 Chiu LF (Ed) (2004). Woman-To-Woman 2nd edition Promoting cervical screening amongst minority ethnic women in primary care. Sheffield: NHS Cancer Screening Programmes.
28 Boonpongmanee C, Jittanoon P (2007). Predictors of Papanicolaou testing in working women in Bangkok, Thailand. Cancer Nurs, 30, 384-9.   DOI   ScienceOn
29 Burak L, Meyer M (1997). Using the health belief model to examine and predict college women's cervical cancer screening beliefs and behavior. Hlth Care Women Intern, 18, 251-65.   DOI   ScienceOn
30 Byles IE, Sanson-Fisher RW, Redman S, et al (1994). Effectiveness of three community based strategies to promote screening for cervical cancer. J Med Screening, 1, 150-8.   DOI
31 Devesa S, Silverman D, Young J, et al (1997). Cancer incidence and mortality: trends among whites in the United States. J National Cancer Inst, 79, 701-70.
32 Ezechi OC, Gab-Okafor CV, Ostergren PO, Pettersson KO (2013). Willingness and acceptability of cervical cancer screening among HIV positive Nigerian women. BMC Pub Hlth, 13.
33 Ferlay J, Shin HR, Bray F, et al (2010). Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer, 127, 2893-917.   DOI   ScienceOn
34 Flyan F (1998). Screening for cervical cancer: a review of women's attitudes, knowledge and behavior. Br J Gen Pract, 48, 1509-14.
35 Gamarra CJ, Paz EPA, Griep RH (2005). Knowledge, attitudes, and practice related to Papanicolaou smear test among argentina's women. Rev Saude Publica, 39, 270-6.   DOI
36 Agurto I, Bishop A, Sanchez G, et al (2004). Perceived barriers and benefits to cervical cancer screening in Latin America. Prev Med, 39, 91-8.   DOI   ScienceOn
37 Akyuz A, Guvenc GY, Yavan T, et al (2006). Evaluation of the Pap smear test status of women and of the factors affecting this status. J Gulhane Med, 48, 25-9.
38 Al-Naggar RA, Zaleha MI (2010). Perception and opinion of medical students about Pap smear test: A qualitative study. Asian Pac J Cancer Prev, 11.
39 Abotchie PN, Shokar NK (2009). Cervical cancer screening among college students in Ghana: knowledge and health beliefs. Int J Gynecol Cancer, 19, 412-6.   DOI   ScienceOn
40 Moser K, Patnick J, Beral V (2009). Inequalities in reported use of breast and cervical screening in Great Britain: analysis of cross sectional survey data. Br Med J, 338.
41 National Health and Morbidity Survey II. (1997). Pap smear Examination.: Institute of Public Health: Ministry of Health, Malaysia.
42 Nguyen T, McPhee S, Nguyen T, et al (2002). Predictors of cervical pap smear screening awareness, intention, and receipt among Vietnamese-American women. Am J Prevent Med, 23, 207-14.   DOI   ScienceOn
43 Nygard J, Skare G, Thoresen S (2002). The cervical cancer screening programme in Norway, 1992-2000: changes in Pap smear coverage and incidence of cervical cancer. J Med Screen, 9, 86-91.   DOI   ScienceOn
44 Rajkumar R (Ed) (2012). Topics on Cervical Cancer with an Advocacy for Prevention. Rijeka, Crotia: Intech.
45 Schulmeister L, Lifsey DS (1999). Cervical cancer screening knowledge, behaviors, and beliefs of Vietnamese women. Oncol Nurs Forum, 26, 879-87.
46 Ries L, Eisner M, Kosary C, et al (2003). Surveillance Epidemiology and End Results (SEER) cancer statistics review, 1975-2000. National Cancer Institute, SEER Program. Retrieved November 22, 2011, Available at: http://seer.cancer.gov/csr/1975_2000
47 Saslow D, Runowicz CD, Solomon D, et al (2002). American Cancer Society Guideline for the Early Detection of Cervical Neoplasia and Cancer. CA: Cancer J Clinicians, 52, 342-62.   DOI   ScienceOn
48 Scarinci IC, Garcia FAR, Kobetz E, et al (2010). Cervical cancer prevention New tools and old barriers. Cancer, 116, 2531-42.
49 Stuart G, McGregor S, Duggan M, Nation J (1999). Review of the screening history Alberta women with invasive cervical cancer. Canadian Med Assct J, 156, 513-9.
50 Sung H, Kearney K, Miller M, et al (2000). Papanicolaousmear history and diagnosis of invasive cervical carcinoma among members of a large prepaid health plan. Cancer J Clinicians, 88, 2283-9.
51 Suwaratchai P (1997). Factors affecting the screening for cervical cancer in married women in Maung district, Ubonratchathani Province. Chulalongkorn Med J, 43, 617-30.
52 Suwatcharachaitiwong J (2004). Health Beliefs Concerning Cervical Cancer and Pap Smear Test Attendance Among Muslim Women [master's thesis]. Prince of Songkla University, Songkla.
53 Tan YY, Hesham R, Qodriyah HMS (2010). Knowledge and attitude of university students in health sciences on the prevention of cervical cancer. Med J Malaysia, 65, 53-9.