Intention and Health Beliefs to Undergo Cervical Cancer Screening among Indonesian Women

  • 蘇 滿麗

Student thesis: Master's Thesis

Abstract

ABSTRACT Background: Cervical cancer is not only the highest prevalence cancer in women but also a leading mortality in women around the world including Indonesia Pap smear test is one of the effective screening in reducing the incidence and mortality of cervical cancer cases Pap smear test has been freely provided to Indonesian women since 2014 It is needed to understand the intention and health beliefs regarding cervical cancer screening among Indonesian women Purposes: The purpose of this study was to identify the relationships among demographic factors health characteristics health beliefs and the intention to undergo cervical cancer screening among Indonesian women Methods: This study was a cross-sectional design The participants were married women and able to communicate using Indonesian language regardless their literacy Health Belief Model Scale for Cervical Cancer and Pap Smear Test (CCPST) was used to measure the health beliefs among Indonesian women This instrument contained five domains: susceptibility to cervical cancer perceived severity of cervical cancer benefits of Pap smear tests barriers to Pap smear test and health motivation The intention of cervical cancer screening was measured using one 11-point Likert scale A median score was used to be a cut-off point to discriminate low and high intention Results: A total of 850 women participated in this study The mean age of the women were 38 8 years (SD = 10 4) Ninety-two percent of the women were married 27 8% never heard about cervical cancer and 33 4% never heard about Pap smear test There were still 82 7% women who have never gotten Pap smear test The median of 7 was regarded as a cut-off point for discriminating high and low intention 61 2% (n=520) of the women reported to have a high intention and 38 8% reported to have a low intention of cervical cancer screening The mean score of the overall health beliefs was 3 16 (SD = 0 44) with the lowest score in perceived susceptibility (mean = 2 23; SD = 0 87) and the highest score in health motivation (mean = 4 23; SD = 0 60) Forward stepwise logistic regression was used to identify the predictive factors of intention to undergo cervical cancer screening Final logistic regression model of the intention to undergo cervical cancer screening included nine variables: high level of education (OR: 1 86 95% CI: 1 31 – 2 62) low level of income (OR: 0 43 95% CI: 0 30 – 0 61) heard about cervical cancer (OR: 2 24 95% CI: 1 55 – 3 25) never doing Pap smear test (OR: 0 45 95% CI: 0 28 – 0 72) family history of cervical cancer (OR: 4 34 95% CI: 1 50 – 12 55) perceived severity (OR: 1 06 95% CI: 1 03 – 1 10) perceived benefits (OR: 1 03 95% CI: 1 00 – 1 06) perceived barriers (OR: 0 98 95% CI: 0 96 – 1 00) and health motivation (OR: 1 02 95% CI: 1 02 – 1 23) The model explained 24 9% (Nagelkerke R2) of the variance of intention to undergo cervical cancer screening Conclusions: The findings of this study indicate that a high intention of cervical cancer screening exists among Indonesian women Strategies to increase the intention to undergo cervical cancer screening should be introduced to those women who are in low income who are divorced and widowed less experience of the Pap smear deficit awareness of cervical cancer and Pap smear Health professionals in Indonesia should be responsible for the provision of education about Pap smear test and cervical cancer to improve women’s motivation and benefits regarding Pap smear
Date of Award2017 Feb 14
Original languageEnglish
SupervisorYu-Yun Hsu (Supervisor)

Cite this

Intention and Health Beliefs to Undergo Cervical Cancer Screening among Indonesian Women
滿麗, 蘇. (Author). 2017 Feb 14

Student thesis: Master's Thesis