Factors Predicting Cervical Cancer Screening Behavior of Bangkok Metropolis Women
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Abstract
This cross-sectional descriptive study aimed to identify the factors influencing cervical cancer screening behaviors among women residing in the Bangkok metropolitan area, using the PRECEDE-PROCEED model as the conceptual framework. A total of 424 participants were recruited from six administrative districts of Bangkok. Data were collected through a self-administered questionnaire that assessed predisposing, enabling, and reinforcing factors. Instruments used in this study included the Perceived Susceptibility of the Cervical Cancer Questionnaire, the Perceived Severity of the Cervical Cancer Questionnaire, the Perceived Benefits of the Cervical Cancer Questionnaire, the Access to Cervical Cancer Screening Services Questionnaire, the Perceived Policy on Cervical Cancer Screening Questionnaire, and the Social Support Questionnaire. All instruments were validated by 3 experts and the Cronbach’s alpha coefficients were 0.73, 0.78, 0.75, 0.69, 0.69, and 0.87, respectively. Descriptive statistics, the chi-square test, and binary logistic regression were employed for data analysis.
The results showed that most of the participants demonstrated inappropriate screening cervical screening behaviors, accounting for 54.48percent. Significant predictors of cervical cancer screening behaviors included education level, perceived benefits of cervical cancer screening, accessibility to cervical cancer screening services, and social support.
Public health professionals, including physicians and nurses, who are tasked with advocating for cervical cancer screening, should consider these factors when designing initiatives to raise awareness about the benefits of screening. Additionally, campaigns should aim to engage family members-such as husbands, children, and siblings-in encouraging and supporting women to participate in screening. Furthermore, the government should play a critical role in endorsing policies and improve women's access to cervical cancer screening services
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References
World Health Organization. Cancer Today. [Internet]. [cited 2022 Dec 2]. Available from: https://gco.iarc.fr/today/onlineanalysismultibars?v=2020&mode=cancer&mode_population=countries&population.
World Health Organization. Cervical cancer. [Internet]. [cited 2022 Dec 2]. Available from: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer.
National Cancer Institute. Cancer in Thailand Vol.X, 2016-2018. [Internet]. [cited 2022 Jan 25]. Available from: https://www.nci.go.th/e_book/cit_x/index.html. (in Thai).
Ministry of Public Health. Public health statistics A.D. 2021. [Internet]. [cited 2022 May 5]. Available from: https://spd.moph.go.th/wp-content/uploads/2022/11/Hstatistic64.pdf. (in Thai).
Srisomboon J, Supakrapongkul, Srisomboon J, Kietpeerakul C, editors. Gynecologic oncology. Bangkok: Pimdee; 2011. p. 124-30. (in Thai).
National Cancer Institute. Definition of service plan indicators for cancer 2018-2022. [Internet]. [cited 2023 Apr 8]. Available from: http://tcb.nci.go.th/CWEB/cwebBase.do?mode=initialApplication. (in Thai).
Ministry of Public Health. KPI template 2023. [Internet].[cited 2023 May 5]. Available from: https://nci.go.th/th/screening01.html. (in Thai).
Ministry of Public Health. Thailand health profile 2016-2017. [Internet]. [cited 2023 April 10]. Available from: https://spd.moph.go.th/thai-public-health-report. (in Thai).
Official Statistics Registration Systems. Population by age. [Internet]. [cited 2023 Apr 1]. Available from: https://stat.bora.dopa.go.th/stat/statnew/statMONTH/statmonth/#/view. (in Thai).
National Health Security Office. NHSO annual report 2021. [Internet]. [cited 2023 Apr 31]. Available from: https://www.nhso.go.th/th/aboutus-th/reports-annual/2024-11-21-06-39-
/27-2564/file. (in Thai).
Sirithammanukul W. Reasons for service utilization and health belief in cervical cancer prevention among females undergoing the cervical prevention and surveillance project of Chulabhorn hospital. TRC Nurs J 2017;10(1):126-44. (in Thai).
Chaowawanit W, Tangjitgamol S, Kantathavorn N, Phoolcharoen N, Kittisiam T, Khunnarong J, et al. Knowledge, attitudes and behavior of Bangkok metropolitan women regarding cervical cancer screening. Asian Pac J Cancer Prev 2016;17(3):945-52.
Green L, Kreuter M. Health program planning: an educational and ecological approach. 4th New York: McGraw Hill; 2005.
Sripiboonbat J, Moopayak K, Priyatruk P, Ruangiratain S. Factors related to the use of cervical cancer screening services by women living in catchments area of primary care units. J Nurs Sci 2011;29(2 Suppl 1):82-92. (in Thai).
Juntawong N, Tridech P, Siri S, Tridech C. Factors related to receiving cervical cancer screening services among women aged 30-60 years in Muang district, Pathumthanis. JPNC 2017;28(1):63-79. (in Thai).
Likert R. A technique for the measurement of attitudes. New York: Archives of Psychology; 1932.
Best JW. Research in Education. New Jersey: Prentice hall Inc; 1977.
Wicheanpoon O, Jariya W. Factors affecting the utilization behaviors of cervical cancer screening services for women aged 30-60 years in Saklek district, Pichit province. Research and Development Health System Journal 2020;13(2):250-8. (in Thai).
Sorotkulangkoon P, Thato R. Factors predicting cervical cancers screening among police officer wives in Bangkok. JOPN 2019;11(2):407-20. (in Thai).
House JS. Work stress and social support. California: Addison-Wesley Pulishing; 1981.
Pilot DF, Beck CT. Nursing research generating and assessing evidence for nursing practice. Philadelphia: Lippincott Williams & Wilkins; 2004.
De Vellis RF. Scale development: theory and applications. 2nd ed. Thousand Oaks: Sage Publications; 2003.
Kaneko N. Factors associated with cervical cancer screening among young unmarried Japanese women. BMC Women’s Health 2018;18(1):132-8.
Chaiwarin B. Factors affected attending cervical cancer screening of Tai Lue women in Sridonchai subdistrict, Chiang Khong district, Chiangrai province. [Master’s Thesis, Faculty of Public Health]. Phayao University; 2020. (in Thai)
Sareh N, Leeya Y, Tansakul K. Factors related to cervical cancer screening of women in Ruso district Narathiwat province. [Master’s Thesis, Faculty of Public Health]. Hatyai University;2017. (in Thai).
Wangwonsin A, Jaruk M. Factors Effected to Cervical Cancer Screening Among Risk Group of Women in Nakhon Chum, Nakhon Thai District, Phitsanulok Province. Boromarajonani College of Nursing, Uttaradit Journal 2021;13(1):100-13. (in Thai).
National Health Security Office. National Health Security System development report, budget 2021. [Internet]. [cited 2023 Mar 20]. Available from: http://www.nhso.go.th/ operating_results/50. (in Thai).
Phiromsid N, Kunsiripunyo J, Tansiri P, Loungpantao K. Factors affected the decision making for cervical cancer s creening among women at Suphanburi province. Journal of Health and Nursing Research 2019;35(2):95-108. (in Thai).
Kengganpanich M, Ngamdum S, Kengganpanich T. Factors predicting cervical cancer screening behavior among women in Ratchaburi province. J Public Health 2013;43(2):175-87. (in Thai).
Gan DE, Dahlui M. Cervical screening uptake and its predictors among rural women in Malaysia. Singapore Med J 2013;54(3):163-8.
Thongthammachat N. Life in the contemporary condition of urban society. Veridian E-Journal Silpakorn University 2016;9(1):1669-87
Pittayapinune T, Changsan R, Wilaiprasong S. Factors affected the decision for cervical cancer screening among women in Singhanakhon district, Songkhla province. Thaksin J 2016;19(2):89-97. (in Thai).
Thepsiripan S. Factors affecting the behaviors of female personal for pap smear services in Bangkok Metropolitan Administration General Hospital. [Master’s Thesis, Faculty of Science]. Kasetsart University; 2012. (in Thai).
