Factors Influencing Pap Smear Screening Uptake among Women Visiting Outpatient Clinics in Johor
https://doi.org/10.51866/oa.35
- Author:
Suzane Shiyun Chin
1
;
Nor Adlina Jamonek@Jamhuri
2
;
Norhayati Hussin
3
;
Nizatul Laili binti Md Zubir
4
;
Jih Ren Tan
5
;
Stanley Chun Wai Chan
6
Author Information
1. MD (UI), FRACGP (Australia) Klinik Kesihatan Bakri, Muar, Johor Malaysia.
2. MBBS (UM) Klinik Kesihatan Taman Sri Orkid Skudai, Johor Bahru, Johor Malaysia
3. MD (UKM) Poliklinik Afiat, Johor Bahru, Johor Malaysia
4. MBChB (Glasgow) Klinik Kesihatan Parit Yaani Batu Pahat, Johor, Malaysia
5. MBBS (MAHE) Policlinic Chu, Kulai, Johor Malaysia
6. MD (Canada), MPH (USA) Department of Family Medicine International Medical University Seremban, Negeri Sembilan Malaysia
- Publication Type:Journal Article
- Keywords:
Pap smear;
Papanicolaou;
cervical cancer;
knowledge;
cancer screening
- MeSH:
Papanicolaou Test;
Uterine Cervical Neoplasms;
Knowledge;
Early Detection of Cancer
- From:Malaysian Family Physician
2022;17(2):46-55
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Despite the benefits of cervical cancer screening, Pap smear uptake remains variable in Malaysia, with Johor previously reported as the state with the lowest uptake. This study aims to fill the gap in epidemiological knowledge and assess factors affecting the uptake of Pap smear screening among women in Johor.
Methods: A cross-sectional study was conducted in several government and private clinics across Johor, including Pagoh, Muar, Batu Pahat, Kulai, and Johor Bahru districts. Data was collected from 452 women using self-administered questionnaires, and logistic regression was performed to determine factors associated with Pap smear uptake.
Results: Findings showed that 48.5% of the women reported having undergone Pap smear screening in the previous 3 years, and 40.0% and 51.3% of respondents accurately answered questions on symptoms and risk factors of cervical cancer, respectively. Increasing age (ORadj 2.322, 95% CI 1.708–3.158), being married (ORadj 4.860, 95% CI 1.100–21.476), parity of ≥5 (ORadj 8.381, 95% CI 1.326–52.958), young age at first pregnancy (ORadj 0.932, 95% CI 0.877–0.991), knowledge of cervical cancer symptoms (ORadj 1.745, 95% CI 1.065–2.857), support from family (ORadj 3.620, 95% CI 2.081–6.298), and contraception use (ORadj 2.220, 95% CI 1.314–3.750) were significantly associated with increased Pap smear uptake among women visiting outpatient clinics in Johor.
Conclusion: Pap smear uptake remains suboptimal in Johor, and broad-based awareness campaigns tailored towards improving knowledge of cervical cancer with family involvement are crucial to improving uptake among women in Johor.
- Full text:2025082009570387721v17n2-Oa-Factors-influencing-pap-smear.pdf
