Determining Behavioral to Uptake and Its Predictors toward Cervical Cancer Screening among Women: A Case-Control Multistage Study

Abstract

Cervical cancer is a primary cause of mortality cancer among Indonesian women. Notwithstanding these threats, cervical cancer screening services have low uptake. Additionally, there was a lack of case-control study with multistage regarding positively behavioral and its determinants for cervical cancer screening. This study was to ascertain the behavioral to uptake and its predictors toward cervical cancer screening. A case-control study was done in the Kediri with sample size was 410 using multistage random sampling (ratio 1:1) from nine community health service. Data were obtained through questionnaires and assessed using Chi-square, Independent t-test, and multiple logistic regression with adjusted odds ratio (AOR). The behavioral to conduct cervical cancer screening was associated with knowledge (AOR= 1.61), husband support (AOR= 1.38), social support (AOR= 5.03), external motivation (AOR= 1.24), internal motivation (AOR= 1.37), perceived susceptibility (AOR= 1.49), perceived barrier (AOR= 0.74), perceived benefit (AOR= 0.73), perceived severity (AOR= 1.36), self-efficacy (AOR= 1.30), perceived threat (AOR= 1.26), and intention to screening (AOR= 3.06) with p value <0.05 after adjusted covariate factors. The knowledge, husband and social support, external and internal motivation, all domains of health belief, and intention to uptake screening were found strongly associated with behavioral to uptake cervical cancer screening.