Original Articles

Knowledge, Attitudes and Practice about Pap Smear among Women Reffering to A Public Hospital

Abstract

Objective: The Pap smear is a reliable, inexpensive and effective screening test for cervical cancer; the second most common cancer among women worldwide. We aimed to determine women’s knowledge, attitudes and practice towards Pap smear and barriers for the screening in a public hospital.
Materials and methods: This study, was carried out on 350  outpatient married women reffering for a visit at the clinics of the Alzahra educational hospital, Rasht- Iran, 2011. A questionnaire including demographic characteristics (24 questions), knowledge (14 questions), attitudes (11 statments) and practice (10 questions) towards Pap smear was completed by interview with the women. The data were analyzed using SPSS ver.13.
Results: Mean age of participants was 32 (SD 12) years. Of the respondents, only 44.3% were aware of the Pap smear and 27.1% had had it at least once in their life. The most common  reason for having the test was physicians’ or other health workers’ advise and for not having the test was no recommendation by health providers and lack of knowledge about Pap smear. Embarrassing, fear of the test result or economic problems mentioned by only 12 (4.2%) as the main barrier. Mean (±SD) knowledge score of the women who had heard about the Pap smear was 59.4 (24.3) and attitudes score of all participants was 48.5 (11.6) from possible range score of 0-100. Women with a history of Pap smear had had higher awareness and attitudes score.
Conclusion: The knowledge and practice of the women was inadequate and need to be promoted. Considering the main reason mentioned by the participants for not having the test, all health providers should educate and encourage women to do regular Pap smear.

Castellsagué X, Sanjosé SD,Aguado T, Louie KS, Bruni L, Muñoz J, et al. HPV and cervical cancer in the world. 2007 Report. WHO/ICO Information Centre on HPV and Cervical Cancer (HPV Information Centre).Vaccine 2007;25:C1– 230.

Forouzanfar MH, Foreman KJ, Delossantos AM, Lozano R, Lopez AD, Murray CJL, et al. Breast and cervical cancer in 187 countries between 1980 and 2010: a systematic analysis. Lancet 2011;378:1461-84.

Ferlay J, Shin HR, Bray F,Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBO CAN 2008. Int J Cancer 2010;127:2893-917.

Bidus MA, Elkas JC. cervical and vaginal cancer. In: Berek JS, editor. Berek & Novaks Gynecology. 14th ed. Philadelphia : Lippincott Williams & Wilkins, 2007 : 1403-4

WHO. Comprehensive cervical cancer control : a guide to essential practic. 2006; Available from: http://whqlibdoc.who.int/publications/2006/924154700 6_eng.pdf.

Giuntoli RL, Bristow RE. Cervical cancer. In: Gibbs RS, Karlan BY, Haney AF, Nygaard I, editors. Danfoth´s Obstetrics and Gynecology. 10th ed. Philadelphia : Lippincott Williams & Wilkins, 2008: 971.

Miller D, Riddell L, Franks AS, Ceballos K, Ehlen T, Kan L, et al. Screening for cancer of the cervix-an office manual for health professionals. British Columbia cancer agency .2010. Available from: http://www.bccdc.ca/NR/rdonlyres/C1DA3929-65BE- 4A2A-9784 DCE728605ED4/49037/CCSPmanual_web_jan2011.pdf

Basu P, Sarkar S, Mukherjee S, Ghoshal M, Mittal S,Biswas S, et al .Women’s perceptions and socialbarriers determine compliance to cervical screening:Results from a population based study in India. Cancer Detect Prev 2006;30:369-74.

Fylan F.Screening for cervical cancer: a review of women’s attitudes, knowledge ,and behaviour. British Journal of General Practice 1998;48:1509-14.

Sung JFC,Blumenthal DS, Coates RJ, Alema-Mensah E. Knowledge, beliefs, attitudes, and cancer screening among inner-city African American women. J Natl Med Assoc 1997;89:405-11.

Wilcox LS, Mosher WD.Factors associated with obtaining health screening among women of reproductive age. Public Health Rep 1993;108:76-86.

Whiteheada D, Russell G. How effective are health education programmes—resistance, reactance, rationalityandrisk? Recommendations for effective practice. Int J Nurs Stud 2004;41:163-72.

Soltanahmadi Z,Abbaszadeh A,Tirgari B.A Survey on the rate and causes of women’s participation or nonparticipation in breast and cervical cancers screening programs. [Article in Persian] The Iranian Journal of Obstetrics, Gynecology and Infertility 2010;13:37-46.

Jalalvandi M, Khodadoostan M.Married women and Pap smear, what they know? what they know? how they do? [Article in Persian]. Iran Journal of Nursing 2005;18:139-44.

Ramezani Tehrani F,Mohammad K,Rahgozar M, Naghavi M. Kenowlege and practice of Iranian women toward cervical cancer. [Article in Persian]. J Reprod Infertility 2001;2:50-7.

Baghyani moghaddam M. Survey on knowledge,attitude and practice of 15-49 years age group married women related to pap smear test in Yazd city in 2001.[Article in Persian]. J Mazandaran Univ Med Sci 2003;13:79-85.

Cheek J, Fuller J, Gilchrist S,Maddock A,Ballantyne A. Vietnamese women and Pap smears: issues in promotion. Aust N Z J Public Health 1999;23:72-6.

Nguyen TT, McPhee SJ,Nguyen T, Lam T, Mock J.Predictors of cervical Pap smear screening awareness, intention, and receipt among Vietnamese-American women. Am J Prev Med 2002;23(3):207-14.

Idestrom M, Milsom I, Andersson-Ellstrom A.Knowledge and attitudes about the Pap-smear screening program: a population-based study of women aged 20– 59 years. Acta Obstet Gynecol Scand 2002;81:962-7.

Wong LP, Wong YL,Low WY,Khoo EM,Shuib R.Cervical cancer screening attitudes and beliefs of Malaysian women who have never had a Pap smear: a qualitative study. Int J Behav Med 2008;15:289-92.

Islam N, Kwon SC, Senie R, Kathuria N.Breast and cervical cancer screening among south Asian women in New York city. Journal of Immigrant and Minority Health 2006;8:211-21.

22. Seow A, Wong ML, Smith WC, Lee HP.Beliefsand attitudes as determinants of cervical cancer screening: a community-based study in Singapore. Prev Med 1995;24:134-41.

Nakalevu Susana M:« The knowledge,attitude, practice and behavior of women towards cervical cancer and Pap smear screening », Postgraduate, Fiji School of Medicine, 39 ,2009. Available from: http://www.pacifichealthvoices.org/files/Knowledge,% 20Attitude__to%20Cervical%20Ca.

Coughlin S, Breslau E, Thompson T, Benard V.Physician recommendation for Papanicolaou testing among US women. Cancer Epidemiol Biomarkers Prev 2005; 14:1143-8.

Bakheit NM, Haroon AIB.The knowledge,attitude and practice of pap smear among local school teachers in the Sharjah district. Middle East Journal of Family Medicine 2004; 4.

Taylor VM, Jackson JC, Tu S-P,Yasui Y,Schwartz SM, Kuniyuki A, et al. Cervical cancer screening among Chinese Americans. Cancer Detect Prev 2002;26:139-45.

Karimi H, Sam S.Effect of breast self-examination (BSE) education on increasing women’s knowledge and practice.[Article in Persian] J Babol Univ Med Sci 2005;27:61-8.

Files
IssueVol 6, No 4 (December 2012) QRcode
SectionOriginal Articles
Keywords
Pap Smear Knowledge Attitudes Practice Barriers

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Rezaie-Chamani S, Mohammad-Alizadeh-Charandabi S, Kamalifard M. Knowledge, Attitudes and Practice about Pap Smear among Women Reffering to A Public Hospital. J Family Reprod Health. 2012;6(4):177-182.