Cervical cancer screening among reproductive-aged women: a crossectional survey in Tabanan Regency

Abstract

Background and purpose: Cervical and breast cancers are the most common malignancies among women in Indonesia. The prevalence of cervical cancer in Bali was 0.6% in 2013. Screening coverage for cervical cancer in Tabanan district varies from 37% to 67%. This study aims to determine factors associated to cervical cancer screening uptake among reproductive-aged women.Methods: A cross-sectional survey was conducted at Baturiti Subdistrict, Tabanan Regency, Bali Province. This study involved 188 reproductive-aged women. Samples were randomly selected from all reproductive-aged women from two villages of Baturiti and Angseri. Data were collected using home interviews by a standardised questionnaire. Multivariate analysis was conducted using poisson regression model to determine factors associated to cervical cancer screening uptake.Results: This study showed that the proportion of cervical cancer screening was 38.83%. Variables associated to the uptake of cervical cancer screening were comprehensive knowledge about cervical cancer (APR=10.16; 95%CI: 4.33-24.76), insurance holder (APR=2.95; 95%CI: 1.38-6.64) and aged of ≥40 years (APR=1.26; 95%CI: 1.01-1.59). Education level, employment status and perceived benefits were not associated with the screening uptake among reproductive-aged women.Conclusions: Level of knowledge about cervical cancer, insurance ownership and aged over 40 years increase the cervical screening uptake among reproductive-aged women.

Utilization of cervical cancer screening program and its predictors in the universal health coverage era in Badung District, Bali

“…This insignificant result is consistent with the study conducted by Aprianti (2017). 17, 21 Although none of the women in our study had low level of knowledge, nevertheless, there are women with high knowledge levels who did not utilize cervical cancer screening program. Despite relatively good knowledge on cervical cancer screening program, it seems that it has not translated into supportive perception which lead to positive action toward utilization of cancer screening program among reproductive age women.…”