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International Journal of Behavioral Medicine

, Volume 15, Issue 4, pp 289–292 | Cite as

Cervical cancer screening attitudes and beliefs of malaysian women who have never had a pap smear: A qualitative study

  • L. P. WongEmail author
  • Y. L. Wong
  • W. Y. Low
  • E. M. Khoo
  • R. Shuib
Article

Abstract

Background: Attitudes toward cervical cancer and participation in early detection and screening services are well known to be profoundly affected by cultural beliefs and norms.Purpose: This study explored the attitudes and sociocultural beliefs on cervical cancer screening among Malaysian women.Method: In this qualitative study, in-depth interviews were conducted with 20 Malaysian women, ages 21 to 56 years, who have never had a Papanicolaou (Pap) smear.Results: Respondents generally showed a lack of knowledge about cervical cancer screening using Pap smear, and the need for early detection for cervical cancer. Many believed the Pap smear was a diagnostic test for cervical cancer, and since they had no symptoms, they did not go for Pap screening. Other main reasons for not doing the screening included lack of awareness of Pap smear indications and benefits, perceived low susceptibility to cervical cancer, and embarrassment. Other reasons for not being screened were related to fear of pain, misconceptions about cervical cancer, fatalistic attitude, and undervaluation of own health needs versus those of the family.Conclusion: Women need tobe educated about the benefits of cervical cancer screening. Health education, counseling, outreach programs, and community-based interventions are needed to improve the uptake of Pap smear in Malaysia.

Key words

cervical cancer screening attitudes beliefs Malaysian qualitative study 

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References

  1. Dabash, R., Vajpayee, J., Jacob, M., Dzuba, I., Lal, N., Bradley, J., et al. (2005). A strategic assessment of cervical cancer prevention and treatment services in 3 districts of Uttar Pradesh, India.Reproductive Health, 2, 11.PubMedCrossRefGoogle Scholar
  2. Holroyd, E., Twinn, S., & Adab, P. (2004). Social-cultural influences on Chinese women’s attendance for cervical screening.Journal Advance Nursing, 46, 42–52.CrossRefGoogle Scholar
  3. Islam, N., Kwon, S. C., Senie, R., & Kathuria, N. (2006). Breast and cervical cancer screening among South Asian women in New York City.Journal of Immigrant and Minority Health, 8, 211–221.PubMedCrossRefGoogle Scholar
  4. Jirojwong, S., Thassri, J., & Skolnik M. (1994) Perception of illness and the use of health care givers among cervical cancer patients at Songkla Nagarind Hospital. A study in southern Thailand.Cancer Nursing, 17, 395–402.PubMedCrossRefGoogle Scholar
  5. Lim, G. C. C. (2003). Cancer in Malaysia-There is a light at the end of the tunnel.Malaysia Medical Association. Retrieved July 28, 2007, from http://www.mma.org.my/mjm/2003.htmGoogle Scholar
  6. Maaita, M., & Barakat, M. (2002). Jordanian women’s attitudes towards cervical screening and cervical cancer.Journal of Obstetrics and Gynaecology, 2, 421–422.CrossRefGoogle Scholar
  7. Mattila, M. L., Rautava, P., Sillanpaa, M., & Paunio, P. (2000). Caries in five-year-old children associated with family-related factor.Journal of Dental Research, 79, 879–881.Google Scholar
  8. Ministry of Health Malaysia (MOH). 1998. Annual reports of Ministry of Health, 1998.Google Scholar
  9. Nguyen, T., McPhee, S., Nguyen, T., Lam, T., & Mock, J. (2000). Predictors of cervical pap smear screening awareness, intention, and receipt among Vietnamese-American women.American Journal of Preventive Medicine, 23, 207–214.CrossRefGoogle Scholar
  10. Nor Hayati, O. (2003). Cancer of the cervix—From bleak past to bright future: A review, with an emphasis on cancer of the cervix in Malaysia.Malaysian Journal of Medical Sciences, 10, 13–26.Google Scholar
  11. Nor Hayati, O., & Ayob, M. C. (1997). Pap smear study: The squeal. Is there a need to change the sampling tool.Malaysian Journal of Pathology, 19, 77 (Abstract).Google Scholar
  12. Scambler, G. (2004). Health and illness behavior. In Scambler, G. (Ed.),Sociology as applied to medicine (pp. 37–48). London: Saunders.Google Scholar
  13. Shanker, S., Selvin, E., & Alberg, A. J. (2002). Perceptions of cancer in an African-American community: A focus group report.Ethnicity & Disease, 12, 276–283.Google Scholar
  14. Straugham, P. T., & Seow, A. (1998). Fatalism reconceptualized: A concept to predict health screening behavior.Journal of Gender, Culture, and Health, 3, 85–100.CrossRefGoogle Scholar
  15. Suls, J. M., & Goodkin, F. (1994). Medical gossip and rumor: Their role in the lay referral system. In R. F. Goodman & B. Ben-Ze’ev (Eds.),Good gossip (pp. 85–99). Lawrence, Kansas: University of Kansas Press.Google Scholar
  16. Tang, T., Solomon, L., Yeah, C., & Worden, J. (1999). The role of cultural variables in breast self-examination and cervical cancer screening behavior in young Asian women living in the United States.Journal of Behavioral Medicine, 22, 419–436.PubMedCrossRefGoogle Scholar
  17. Yi, J. K. (1994). Factors associated with cervical cancer screening behavior among Vietnamese women.Journal of Community Health, 19, 189–199.PubMedCrossRefGoogle Scholar

Copyright information

© International Society of Behavioral Medicine 2008

Authors and Affiliations

  • L. P. Wong
    • 1
    Email author
  • Y. L. Wong
  • W. Y. Low
    • 1
  • E. M. Khoo
    • 2
  • R. Shuib
    • 3
  1. 1.Health Research Development UnitUniversity of MalayaKuala LumpurMalaysia
  2. 2.Department of Primary Care MedicineUniversity of MalayaKuala LumpurMalaysia
  3. 3.Women’s Development Research CentreUniversity Sains MalaysiaPulau PenangMalaysia

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