PERCEIVED BARRIERS OF CERVICAL CANCER SCREENING AMONG MARRIED WOMEN IN MINGGIR, GODEAN, GAMPING SUB-DISTRICTS, SLEMAN DISTRICT YOGYAKARTA

Yusi Riwayatul Afsah

doi:10.18196/ijnp.1264

Abstract

Abstract Coverage of cervical cancer screening in Indonesia has only reached 5% and cervical cancer in Indonesia is still relatively high. The aimed of this cross-sectional study were to explore perceived barriers of cervical cancer screening and regular screening history among 384 married women in Sleman, Yogyakarta. Data were collected using modified questionnaire items from Champion Health Beliefs Model Scale. Results showed that only 13.8% of respondent have regular screening. Most of respondent in both group Regular and Non-regular/Never had screening perceived that they preferred a female doctor to conduct a screening. Significant association was found between perceived barriers for screening and women’s regular screening history (p-value =0.000). Important barriers reported from this study were male physicians, time-consuming for screening procedure, and embarrassment. Effort to increase screening need to focus on women who have high perceived barriers so that cervical cancer screening’s promotion can be achieved.

Highlights

Cervical cancer ranks the second most frequent cancer in women in Indonesia after breast cancer (WHO/ICO, 2010)
Each day there are 41 new cases of cervical cancer culminating in 20 women dying daily in Indonesia; or it could be roughly estimated that every hour a woman dies from cervical cancer in the country and the highest prevalence of women die from this disease is in Yogyakarta with approximately 100/100,000 (Agustina, 2014; Yuliatin, 2010)
Of the 384 married women who participated in this study, around 19.3% of participants showed that they have cancer screening (CCS) experience at least once at any time in life

Summary

Introduction

Cervical cancer ranks the second most frequent cancer in women in Indonesia after breast cancer (WHO/ICO, 2010). According to WHO/ICO (Institute Catala d’Oncologia) (2010), Indonesia has a population of 227,345,000 with an at risk population of developing cervical cancer (15 years and older) at around 79.14 million. Current estimates indicate that every year around 13,762 Indonesian women will be diagnosed with cervical cancer and 7493 will subsequently die from the disease. Each day there are 41 new cases of cervical cancer culminating in 20 women dying daily in Indonesia; or it could be roughly estimated that every hour a woman dies from cervical cancer in the country and the highest prevalence of women die from this disease is in Yogyakarta with approximately 100/100,000 (Agustina, 2014; Yuliatin, 2010). Indonesian government has set a minimum target of reaching 80% cervical cancer screening (CCS) coverage among Indonesian women in line with the WHO recommendation of targeting population at risk of cervical cancer (Kemenkes, 2013). Coverage of cervical cancer screening in Indonesia has only reached 5% and cervical cancer in Indonesia is still relatively high (Aziz, 2012)

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Discussion

Conclusion