Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

CERVICAL SCREENING UPTAKE AND ITS PREDICTORS AMONG THE RURAL WOMEN OF MALAYSIA

Author

Gan D 1 , Dahlui M 1,2

Institution

1 Centre of Population Health, University Malaya, Faculty of Medicine, University of Malaya.
2 Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya.

Abstract

Objectives: To assess the cervical screening practices among rural women and examine factors associated with the practice.

Methods: A cross-sectional survey was conducted in five rural districts in Perak, Malaysia. One thousand households were selected through multistage random sampling and women aged 20- 64 years old were interviewed by trained enumerators using structured questionnaires. Binomial logistic regression was used to identify predictors of cervical screening through univariate and multivariate analysis.

Results: There were 959 respondents with only 48.9% who had done Pap smear at least once in the past 3 years. Women of age group of 40-49 years old (OR=3.027, 95% CI: 1.546-5.925, p<0.005) was found to be significantly more likely to attend cervical cancer screening as compared to 20-29 years. Other significant predictors were women with children, able to identify cervical cancer symptoms, received information from health personnel or campaigns regarding cervical cancer, were practicing family planning and had encouragement from husbands.

Conclusion: Efforts to boost the uptake of Pap smear screening among the rural population should be targeted towards the predictors of positive uptake.