Factors Influencing the Cervical Cancer Screening uptake among Medical Lecturers at Faculty of Medicine Universitas Padjadjaran

Sri Yusnita Irda Sari, Phavithra Rathakirushnan, Edwin Armawan


Background: Cancer is the leading cause of death worldwide. In Indonesia, cervical cancer is one of the most occurring types of cancer. It is acknowledged that early screening can prevent cervical cancer. This study aimed to explore what factors influenced the screening uptake and to correlate characteristics, perceived susceptibility, and self-efficacy of Pap smear uptake among medical faculty lecturers.

Methods: This was a cross-sectional analytical study conducted among female lecturers in the Faculty of Medicine, Universitas Padjadjaran from October to November 2013. The questionnaire was used to collect data using a purposive sampling method. Data collected were tabulated into frequency and percentage and the correlation was performed using Pearson chi-square.

Results: From a total of 79 respondents who participated, only 55.7% of medical lecturers had ever taken Pap smear. Reasons for not taking Pap smear were time (77.1%) and the perception of not being at risk (22.9%). However, most of the respondents (84.8%) were willing to have a screening test for cervical cancer routinely. There was a significant correlation between age (p=0.001), level of education (p=0.003) and duration of marriage (p=0.001) with the uptake of Pap smear.

Conclusions: The factors that are influencing the uptake of screening are not having the time to take the test and the perception of not being at risk of the disease. There is a correlation between age, level of education and duration of marriage with screening uptake. Awareness of the importance of screening should also be promoted among female doctors.


Awareness; cervical cancer; pap smear; screening

Full Text:



Joy T, Sathian B, Bhattarai C, Chacko J. Awareness of cervix cancer risk factors in educated youth: a cross-sectional,questionnaire based survey in India, Nepal, and Sri Lanka. Asian Pac J Cancer Prev. 2011;12(7):1707–12.

Centers for Disease Control and Prevention. Gynecological cancers: basic information. [Cited 2019 October 9] Available from: .

Singh S, Badaya S. Factors influencing uptake of cervical cancer screening among women in India: a hospital based pilot study. J Community Med Health Educ. 2012;2(6):1–6.

Aziz MF. Gynecological cancer in Indonesia. J Gynecol Oncol. 2009; 20(1):8–10.

Saha A,Chaudhary AN, Bhowmik P, Chatterjee R. Awareness of cervical cancer among female students of premier colleges in Kolkata, India. Asian Pac J Cancer Prev. 2010;11(4):1085–90.

Makwe CC, Anorlu RI. Knowledge of and attitude toward human papillomavirus infection and vaccines among female nurses at a tertiary hospital in Nigeria. Int J Womens Health. 2011;3:313–7.

American Cancer Society. Cervical cancer. [Cited 2019 October 9] Available from: http://www.cancer.org/content/cancer/en/cancer/cervical-cancer.html.

Mahajan SM, Jadhav VS, Magane AR, Adchitre SA, Salve SB. Awareness and screening practices of cervical cancer among nursing staff working in tertiary care hospital. Int J Community Med Public Health. 2017;4(10):3590-5.

Ndejjo R, Mukama T, Musabyimana A, Musoke D. Uptake of cervical cancer ccreening and associated factors among women in Rural Uganda: A cross sectional study. PloSOne. 2016;11(2):e0149696.

Tavafian SS. Predictors of cervical cancer screening: an application of health belief model. In: Rajamanickam R, editor. Topics on servical cancer with an advocacy for prevention. 1st Ed. London: InTech Publisher; 2012. p. 1–24.

Tacken MA, Braspenning JC, Hermens RP, Spreeuwenberg PM, van der Hoogen HJ, de Bakker DH, et al. Uptake of cervical cancer screening in The Netherlands is mainly influenced by women’s beliefs about the screening and by the inviting organization. Eur J Public Health. 2007;17(2):178–85.

Albrow R, Blomberg K, Kitchener H, Brabin L, Patnick J, Tishelman C et al. Interventions to improve cervical cancer screening uptake amongst young women: A systematic review. Acta Oncol. 2014;53(4):445–51.

Ashwathy S, Quereshi MA, Kurian B, Leelamoni K. Cervical cancer screening: current knowledge & practice among women in a rural population of Kerala, India. Indian J Med Res. 2012;136(2):205–10.

Cassidy B,Schlenk EA. Uptake of human pappilomavirus vaccine: a review of literature and report of a quality assurance project. J Pediatr Health Care. 2012;26(2):92–101.

Tasic D, Lazarevic I, Knezevic A, Tasic L, Pikula A, Perisic Z et al. The impact of environmental and behavioural cofactors on the development of cervical disorders in HR-HPV-infected women in Serbia. Epidemiol Infect. 2018;146(13):1714-23.

Canadian Task Force on Preventive Health Care. Recommendations on screening for cervical cancer. CMAJ. 2013;185(1):35–45.

Waller J, Bartoszek M, Marlow L, Wardle J. Barriers to cervical cancer screening attendence in England: a population-based survey. J Med Screen. 2009;16(4):199–204.

Jelastopulu E, Karnaki P, Bartsokas C, Plotas P, Sissouras A. Screening for cervical cancer-uptake and associated factors in a representative sample in the city of Patras,West-Greece. Universal Journal of Public Health. 2013;1:7–13.

Al-Meer FM, Aseel MT, Al-Khalaf J, Al-Kuwari MG, Ismail MF. Knowledge, attitude and practices regarding cervical cancer screening among women visiting primary health care in Qatar. East Mediterr Health J. 2011;17(11):855–61.

DOI: https://doi.org/10.15850/amj.v6n4.1718

Article Metrics

Abstract view : 641 times
PDF - 333 times

 This Journal indexed by




Creative Commons License
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License


View My Stats