Women’s Knowledge of Cervical Cancer Risk Factors, Screening, and Reasons for Non-Participation in Cervical Cancer Screening Programs

DOI

10.2991/978-94-6463-774-8_18How to use a DOI?

Keywords

Cervical cancer; Cervical cancer screening; Reason for not participating; Risk factors; Women’s knowledge

Abstract

Cervical cancer remains a significant public health challenge in Indonesia, marked by persistent low participation in screening programs, with an attendance rate of 10.7% against the government’s 80% target. This study investigated the association between women’s knowledge of cervical cancer risk factors and screening practices and their reasons for non-participation in screening initiatives. A correlational analytical design with a cross-sectional approach was employed. Data were collected via questionnaire from 132 participants recruited through non-probability convenience sampling and analyzed using chi-square tests. Most participants were aged 20–39 years, had a high school education, had 3–4 children, and did not use contraceptives. While knowledge levels regarding cervical cancer risk factors were generally adequate, awareness of screening protocols was moderate. Primary reasons for non-participation included low motivation, fear of screening procedures (e.g., Pap smear or IVA test), and embarrassment. Chi-square analysis revealed no significant association between women’s knowledge of cervical cancer risk factors or screening and their reasons for avoiding screening programs at the Puskesmas. The findings suggest that low screening uptake is driven not by insufficient knowledge but by psychosocial and emotional barriers, emphasizing the need for interventions addressing motivation, fear reduction, and culturally sensitive healthcare access.

Copyright

© 2025 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Nurlelasari Harahap
AU  - Agung Setiyadi
AU  - Tri Mustikowati
AU  - Indra Gilang Pamungkas
PY  - 2025
DA  - 2025/06/26
TI  - Women’s Knowledge of Cervical Cancer Risk Factors, Screening, and Reasons for Non-Participation in Cervical Cancer Screening Programs
BT  - Proceedings of the 2nd World Conference on Health and Social Sciences (WCHSS 2024)
PB  - Atlantis Press
SP  - 184
EP  - 195
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-774-8_18
DO  - 10.2991/978-94-6463-774-8_18
ID  - Harahap2025
ER  -