Examining the cervical screening behaviour of women aged 50 or above and its predicting factors: A population-based survey

Carmen W. H. CHAN, Kai Chow CHOI, Rosa Sze Man WONG, Ka Ming CHOW, Winnie K. W. SO, Doris Y. P. LEUNG, Wendy W. T. LAM, William GOGGINS

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21 Citations (Scopus)

Abstract

Under-screening may increase the risk of cervical cancer in middle-aged women. This study aimed to investigate cervical cancer screening behaviour and its predictors among women aged 50 years or above. A population-based sample of 959 women was recruited by telephone from domestic households in Hong Kong, using random methods, and a structured questionnaire developed to survey participants. Multivariable logistic regressions were performed to examine the factors independently associated with cervical screening behaviour. Nearly half the sample (48%) had never had a cervical smear test. Multivariable analyses showed that age, educational level, marital status, family history of cancer, smoking status, use of complementary therapy, recommendation from health professionals, and believing that regular visits to a doctor or a Chinese herbalist were good for their health were predictors of cervical screening behaviour. Misconceptions concerned with menopause may reduce women’s perceived susceptibility to cervical cancer, especially if they are 50 or above, and exert a negative effect on their screening behaviour. Healthcare professionals should actively approach these high-risk groups-older unmarried women, smokers, those less educated and who are generally not much concerned with their health. Copyright © 2016 by the authors; licensee MDPI, Basel, Switzerland.

Original languageEnglish
Article number1195
JournalInternational Journal of Environmental Research and Public Health
Volume13
Issue number12
DOIs
Publication statusPublished - Dec 2016

Citation

Chan, C. W. H., Choi, K. C., Wong, R. S., Chow, K. M., So, W. K. W., Leung, D. Y. P., Lam, W. W. T., & Goggins, W. (2016). Examining the cervical screening behaviour of women aged 50 or above and its predicting factors: A population-based survey. International Journal of Environmental Research and Public Health, 13(12), Article 1195. https://doi.org/10.3390/ijerph13121195

Keywords

  • Cervical cancer
  • Screening behaviour
  • Protection motivation theory
  • Chinese women
  • Population-based study
  • Menopause

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