The willingness for cervical cancer screening among sexually active women in Indonesia: Lesson learned from two districts.

Abstract

To determine the factors that affect women's willingness at childbearing age to detect/screen for cervical cancer. A cross-sectional study was carried out on sexually active women, aged 30-50years residing in Banyumas and Gunung Kidul Districts, Indonesia. There were 600 respondents. This study focused on the impact of knowledge, access to health information, and support of their husband on the willingness to undergo early detection of cervical cancer. This study revealed that there was a statistically significant difference (P=0.000) between the women who were willing and unwilling to do the screening in terms of higher knowledge (64.67% and 36.21%), obtained access to the information (80.43% and 54.74%), and supported by their husband (63.59% and 29.31%). This study also discovered that the willingness to be screened was significantly affected by spousal support (odds ratio [OR] 4.19, 95% confidence interval [CI] 2.81-6.27). Other factors, such as education level (OR 2.94, 95% CI 1.20-6.63), knowledge (OR 2.29, 95% CI 1.52-3.44), and access to information (OR 2.08, 95% CI 1.34-3.24), were also important drivers. To improve the coverage of cervical screening, several aspects could be treated, including education, knowledge, access to information, and spousal support.