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Padjadjaran of Nursing Journal

Original

Vol. 9 No. 3 (2021): Jurnal Keperawatan Padjadjaran

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

DOI
https://doi.org/10.24198/jkp.v9i3.1691
Submitted
August 21, 2021
Published
2021-12-24

Abstract

Background: 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 multistage case-control studies regarding positive behavior and its determinants for cervical cancer screening. Purpose: This study was to ascertain the uptake behavior and its predictors toward cervical cancer screening. Methods: A case-control study was conducted in Kediri with a sample size of 410 using multistage random sampling (ratio 1:1) from nine community health services and data were collected between June 11 to September 18, 2019. Data were obtained through questionnaires and assessed using Chi-square, Independent t-test, and multiple logistic regression with adjusted odds ratio (AOR). Results: Behavior of cervical cancer screening was related to 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 adjusting covariate factors. Conclusion: Knowledge, husband and social support, external and internal motivation, all domains of health belief, and intention to uptake screening were found to be strongly associated with behavior to uptake cervical cancer screening.

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References

  1. Abamecha, F., Tena, A., & Kiros, G. (2019). Psychographic predictors of intention to use cervical cancer screening services among women attending maternal and child health services in Southern Ethiopia: The theory of planned behavior (TPB) perspective. BMC Public Health, 19(1), 1-9. https://doi.org/10.1186/s12889-019-6745-x
  2. Afsah, Y., Astuti, Y., Azizah, S., & Muflihin, B. (2019). Javanese women’s perception of husband’s support in women reproductive health. Advances in in Health and Sciences Research, 15, 192-196. https://doi.org/10.2991/icosihsn-19.2019.42
  3. Aguinis, H., & Harden, E. E. (2010). Sample size rules of thumb: Evaluating three common practices. In C. E. Lance & R. J. Vandenberg (Eds.), Statistical and methodological myths and urban legends: Doctrine, verity and fable in the organizational and social sciences (pp. 267-360). Routledge/Taylor & Francis Group
  4. Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  5. Ampofo, A. G., Adumatta, A. D., Owusu, E., & Awuviry-Newton, K. (2020). A cross-sectional study of barriers to cervical cancer screening uptake in Ghana: An application of the health belief model. PloS One, 15(4), e0231459-e0231475. https://doi.org/10.1371/journal.pone.0231459
  6. Arbyn, M., Weiderpass, E., Bruni, L., de Sanjosé, S., Saraiya, M., Ferlay, J., & Bray, F. (2020). Estimates of incidence and mortality of cervical cancer in 2018: A worldwide analysis. The Lancet Global Health, 8(2), e191-e203. https://doi.org/10.1016/S2214-109X(19)30482-6
  7. Babazadeh, T., Ghaffari-Fam, S., Oliaei, S., Sarbazi, E., Shirdel, A., Mostafa-Gharabaghi, P., & Azizi, H. (2019). Predictors of Pap smear screening behavior among rural women in Tabriz, Iran: An application of health belief model. International Journal of Cancer Management, 12(5). e87246-e87254. https://doi.org/10.5812/ijcm.87246
  8. Bai, Y., Liu, Q., Chen, X., Gao, Y., Gong, H., Tan, X., . . . Xiang, Q. (2018). Protection motivation theory in predicting intention to receive cervical cancer screening in rural Chinese women. Psycho-oncology, 27(2), 442-449. https://doi.org/10.1002/pon.4510
  9. Bayu, H., Berhe, Y., Mulat, A., & Alemu, A. (2016). Cervical cancer screening service uptake and associated factors among age eligible women in Mekelle Zone, Northern Ethiopia, 2015: a community based study using health belief model. PloS One, 11(3), e0149908-e0149921. https://doi.org/10.1371/journal.pone.0149908
  10. Beilock, S. L., Feltz, D. L., & Pivarnik, J. M. (2001). Training patterns of athletes during pregnancy and postpartum. Research Quarterly for Exercise and Sport, 72(1), 39-46. https://doi.org/10.1080/02701367.2001.10608930
  11. Champion, V. L., & Skinner, C. S. (2008). The health belief model. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (pp. 45-65). Jossey-Bass.
  12. Cohen, S., & Lichtenstein, E. (1990). Partner behaviors that support quitting smoking. Journal of Consulting and Clinical Psychology, 58(3), 304-309. https://doi.org/10.1037/0022-006X.58.3.304
  13. Daryani, S., Shojaeezadeh, D., Batebi, A., Charati, J. Y., & Naghibi, A. (2016). The effect of education based on a health belief model in women’s practice with regard to the Pap smear test. Journal of Cancer Policy, 8, 51-56. https://doi.org/10.1016/j.jcpo.2015.11.001
  14. De Peralta, A. M., Holaday, B., & McDonell, J. R. (2015). Factors affecting Hispanic women’s participation in screening for cervical cancer. Journal of Immigrant and Minority Health, 17(3), 684-695. https://doi.org/10.1007/s10903-014-9997-7
  15. DeSantis, C. E., Bray, F., Ferlay, J., Lortet-Tieulent, J., Anderson, B. O., & Jemal, A. (2015). International variation in female breast cancer incidence and mortality rates. Cancer Epidemiology and Prevention Biomarkers, 24(10), 1495-1506. https://doi.org/10.1158/1055-9965.EPI-15-0535
  16. Ebu, N. I., Mupepi, S. C., Siakwa, M. P., & Sampselle, C. M. (2015). Knowledge, practice, and barriers toward cervical cancer screening in Elmina, Southern Ghana. International Journal of Women’s Health, 7(1), 31-39. https://doi.org/10.2147/IJWH.S71797
  17. Endarti, D., Satibi, S. A. K., Farida, M. A., Rahmawanti, Y., & Andriani, T. (2018). Knowledge, perception, and acceptance of HPV vaccination and screening for cervical cancer among women in Yogyakarta Province, Indonesia. Asian Pacific Journal of Cancer Prevention: APJCP, 19(4), 1105-1111. https://doi.org/10.22034/APJCP.2018.19.4.1105
  18. Greibe Andersen, J., Shrestha, A. D., Gyawali, B., Neupane, D., & Kallestrup, P. (2020). Barriers and facilitators to cervical cancer screening uptake among women in Nepal-a qualitative study. Women & Health, 60(9), 963-974. https://doi.org/10.1080/03630242.2020.1781742
  19. Gu, C., Chan, C. W., He, G.-P., Choi, K., & Yang, S.-B. (2013). Chinese women’s motivation to receive future screening: the role of social-demographic factors, knowledge and risk perception of cervical cancer. European Journal of Oncology Nursing, 17(2), 154-161. https://doi.org/10.1016/j.ejon.2012.04.005
  20. Heaney, C. A., & Israel, B. A. (2008). Social networks and social support. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (pp. 189-210). Jossey-Bass.
  21. Hope, K. A., Moss, E., Redman, C. W., & Sherman, S. M. (2017). Psycho-social influences upon older women’s decision to attend cervical screening: A review of current evidence. Preventive Medicine, 101, 60-66. https://doi.org/10.1016/j.ypmed.2017.05.002
  22. Jaspers, L., Budiningsih, S., Wolterbeek, R., Henderson, F., & Peters, A. (2011). Parental acceptance of human papillomavirus (HPV) vaccination in Indonesia: A cross-sectional study. Vaccine, 29(44), 7785-7793. https://doi.org/10.1016/j.vaccine.2011.07.107
  23. Kassie, A. M., Abate, B. B., Kassaw, M. W., Aragie, T. G., Geleta, B. A., & Shiferaw, W. S. (2020). Impact of knowledge and attitude on the utilization rate of cervical cancer screening tests among Ethiopian women: A systematic review and meta-analysis. PloS One, 15(12), e0239927-e0239949. https://doi.org/10.1371/journal.pone.0239927
  24. Kementerian Kesehatan. (2017). Data dan Informasi Profil Kesehatan Indonesia 2016. Kementerian Kesehatan Republik Indonesia.
  25. Lee, Y.-S., Roh, S., Jun, J. S., Goins, R. T., & McKinley, C. E. (2020). Cervical cancer screening behaviors among American Indian women: Cervical cancer literacy and health belief model. Journal of Ethnic & Cultural Diversity in Social Work, 30(5), 413-429. https://doi.org/10.1080/15313204.2020.1730285
  26. Mouttapa, M., Park Tanjasiri, S., Wu Weiss, J., Sablan-Santos, L., DeGuzman Lacsamana, J., Quitugua, L., . . . Tui’one May, V. (2016). Associations between women’s perception of their husbands’/partners’ social support and pap screening in Pacific Islander communities. Asia Pacific Journal of Public Health, 28(1), 61-71. https://doi.org/10.1177/1010539515613412
  27. Muhith, A., Winarti, E., Perdana, S., Haryuni, S., Rahayu, K., & Mallongi, A. (2020). Internal locus of control as a driving factor of early detaction behavior of servical cancer by inspection visual of acetic acid method. Open Access Maced J Med Sci. 8(E): 113-116. https://doi.org/10.3889/oamjms.2020.4341
  28. Ogilvie, G. S., Smith, L. W., van Niekerk, D., Khurshed, F., Pedersen, H. N., Taylor, D., . . . Franco, E. L. (2016). Correlates of women’s intentions to be screened for human papillomavirus for cervical cancer screening with an extended interval. BMC Public Health, 16(1), 1-8. https://doi.org/10.1186/s12889-016-2865-8
  29. Oldertrøen Solli, K., de Boer, M., Nyheim Solbrække, K., & Thoresen, L. (2019). Male partners’ experiences of caregiving for women with cervical cancer—a qualitative study. Journal of Clinical Nursing, 28(5-6), 987-996. https://doi.org/10.1111/jocn.14688
  30. Rahayu, D. S., & Ochoa, M. (2015). Cervical cancer awareness: an information dissemination campaign in indonesia. Jurnal Keperawatan Padjadjaran, 3(1). https://doi.org/10.24198/jkp.v3i1.97
  31. Reiss, S. (2012). Intrinsic and extrinsic motivation. Teaching of Psychology, 39(2), 152-156. https://doi.org/10.1111/1467-937X.00253
  32. Rias, Y. A., Gordon, C. J., Niu, S. F., Wiratama, B. S., Chang, C. W., & Tsai, H. T. (2020). Secondhand smoke correlates with elevated neutrophil-lymphocyte ratio and has a synergistic effect with physical inactivity on increasing susceptibility to type 2 diabetes mellitus: A community-based case control study. International Journal of Environmental Research and Public Health, 17(16), 5696-5617. https://doi.org/10.3390/ijerph17165696
  33. Rias, Y. A., Kurniasari, M. D., Traynor, V., Niu, S. F., Wiratama, B. S., Chang, C. W., & Tsai, H. T. (2020). Synergistic effect of low neutrophil-lymphocyte ratio with physical activity on quality of life in type 2 diabetes mellitus: A community-based study. Biological Research for Nursing, 22(3), 378-387. https://doi.org/10.1177/1099800420924126
  34. Roncancio, A. M., Ward, K. K., Sanchez, I. A., Cano, M. A., Byrd, T. L., Vernon, S. W., . . . Fernandez, M. E. (2015). Using the theory of planned behavior to understand cervical cancer screening among Latinas. Health Education & Behavior, 42(5), 621-626. https://doi.org/10.1177/1090198115571364
  35. Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15(2), 175-183. https://doi.org/10.1177/109019818801500203
  36. Sheeran, P., & Orbell, S. (2000). Using implementation intentions to increase attendance for cervical cancer screening. Health Psychology, 19(3), 283-289. https://psycnet.apa.org/buy/2000-03769-009
  37. Spagnoletti, B. R. M., Bennett, L. R., Wahdi, A. E., Wilopo, S. A., & Keenan, C. A. (2019). A qualitative study of parental knowledge and perceptions of human papillomavirus and cervical cancer prevention in rural central Java, Indonesia: Understanding community readiness for prevention interventions. Asian Pacific Journal of Cancer Prevention: APJCP, 20(8), 2429-2434. https://doi.org/10.31557/APJCP.2019.20.8.2429
  38. Sunarta, E. A., Sulaeman, E. S., & Budihastuti, U. R. (2019). Path analysis on the determinants of visual inspection acetic acid utilization on early detection of cervical cancer: application of health belief model theory. Journal of Health Promotion and Behavior, 4(1), 32-42. https://doi.org/10.26911/thejhpb.2019.04.01.04
  39. Teskereci, G., & Kulakaç, O. (2018). Life experiences of caregivers of women with gynaecological cancer: A mixed-methods systematic review. European Journal of Cancer Care, 27(1), e12456-e12473. https://doi.org/10.1111/ecc.12456
  40. Waller, J., Ostini, R., Marlow, L. A., McCaffery, K., & Zimet, G. (2013). Validation of a measure of knowledge about human papillomavirus (HPV) using item response theory and classical test theory. Preventive Medicine, 56(1), 35-40. https://doi.org/10.1016/j.ypmed.2012.10.028
  41. Weng, Q., Jiang, J., Haji, F. M., Nondo, L. H., & Zhou, H. (2020). Women’s knowledge of and attitudes toward cervical cancer and cervical cancer screening in Zanzibar, Tanzania: a cross-sectional study. BMC Cancer, 20(1), 63-75. https://doi.org/10.1186/s12885-020-6528-x
  42. Zare, M., Ghodsbin, F., Jahanbin, I., Ariafar, A., Keshavarzi, S., & Izadi, T. (2016). The effect of health belief model-based education on knowledge and prostate cancer screening behaviors: a randomized controlled trial. International Journal of Community Based Nursing and Midwifery, 4(1), 57-68. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4709816/