Factors Associated with Cervical cancer Screening among Women Aged 30 - 60 Years in Muang Samutsakorn District, Samutsakorn Province

Abstract

This Cross-analytical research aimed to determine factors associated with Cervical cancer screening among women aged 30 - 60 years in Muang Samut Sakhon District, Samut Sakhon Province. The sample consisted of 418 women aged 30 - 60 years, selected through proportional sampling, residing in service areas of sub - district health promoting hospitals under the Mueang Samut Sakhon District Health Office. Data were collected using a questionnaire validated by three experts with content validity indices of 0.91 - 1.00. The questionnaire demonstrated reliability with a Cronbach's alpha coefficient of 0.87. Descriptive statistics and multiple logistic regression were used to analyze the data and identify associated factors.

The results revealed that of the total 418 women, the mean age was 45.72 years (S.D. = 9.06), and the average monthly household income was 21,731.08 baht. 56.40% had an education level of high school or below, 71.30% were married, 56.90% worked in agriculture, as employees, or in trading. 67.70% of participants had received Cervical cancer screening in 2023. A majority (84.40%) reported having convenient access to Cervical cancer screening services, 48.80% had experience with HPV self-collected tests, and 12% had received the HPV vaccine. Factors significantly associated with cervical screening included: convenience of receiving Cervical cancer screening, previous experience with HPV self-collected tests, receiving the HPV vaccine, perception of barriers to Cervical cancer screening and self-efficacy (aOR = 8.75, 95%CI: 3.82 - 20.05, p <0.001; aOR = 12.55, 95%CI: 6.34 - 24.84, p <0.001; aOR = 3.83, 95%CI: 1.06 - 13.87, p = 0.041; aOR = 2.56, 95%CI: 1.24 - 5.32, p = 0.011; and aOR = 2.62, 95%CI: 1.36 - 5.07, p = 0.04 respectively). Health professionals should use these results to design tailored programs and projects that apply the health belief model to increase Cervical cancer screening rates among target populations.