Yusi Riwayatul Afsah




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.



cervical cancer screening, perceived barriers, women.

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Abotchie, P.N., & Shokar, N.K. (2009). Cervical Cancer Screening Among College Students in Ghana: Knowledge and Health Beliefs. Int J Gynecol Cancer, 19(3), 412–416.

Agustina, D. (2014). Daerah Istimewa Yogyakarta (DIY) Paling Banyak Kasus Kanker Serviks, Yogyakarta, Indonesia. Retrieved January 10, 2015, from

Amarin, Z.O., Badria, L.F., & Obeidat, B.R. (2008). Attitudes and beliefs about cervical smear testing in ever-married Jordanian women. Eastern Mediterranean Health Journal, 14, No. 2. Department of Obsgyn, Jordan University of Science and Technology, Irbid, Jordan.

Awodele, O., et al. (2011). A Study on Cervical Cancer Screening Amongst Nurses in Lagos University Teaching Hospital, Lagos, Nigeria. J.Cancer Education, 26, 497–504. Retrieved November 03, 2014, from http: //

Aziz, F. (2012). Sexual Intercourse is a Risk Factor of Cervical Cancer. Media Indonesia (p.5).

Brotto, L.A., et al. (2008). Reproductive health practices among Indian, Indo-Canadian, Canadian East Asian, and Euro-CanadianWomen: the role of acculturation. J Obstet Gynaecol Can, 30, 229-38

Byrd, T.L., Peterson, S.K., Chavez, R., & Heckert, A. (2004). Cervical Cancer Screening Beliefs Among Young Hispanic Women. Prev. Med, 38, 192–197.

Cerigo, H., Coutlée, F., Franco, E.L., & Brassard, P. (2013). Factors Associated with Cervical Cancer Screening Uptake Among Inuit Women in Nunavik, Quebec, Canada. BMC Public Health, 13, 438. Retrieved November 02, 2014, from

Chang, H. K., et al (2017). Factors associated with participation in cervical cancer screening among young Koreans: a nationwide cross-sectional study. BMJ Open. 2017; 7(4), 1-9.

Dang, J., Lee, J., & Tran, J.H. (2010). Knowledge, Attitudes, and Beliefs Regarding Breast and Cervical Cancer Screening among Cambodian, Laotian, Thai, and Tongan Women. J Canc Educ 25:595–601. USA.

Esin M.N., Bulduk S., & Ardic A. (2011). Beliefs About Cervical Cancer Screening Among Turkish Married Women. J Canc Educ (2011) 26:510–515. Springer. Turkey.

Fallowfield, L., et al. (2010). Awareness of ovarian cancer risk factors, beliefs and attitudes towards screening: baseline survey of 21 715 women participating in the UK Collaborative Trial of Ovarian Cancer Screening. British Journal of Cancer 103, 454 – 461. UK.

Hawkins, N.A., Benard, V.B., Greek, A., Roland, K.B., Manninen, D., & Saraiya, M. (2013). Patient knowledge and beliefs as barriers to extending cervical cancer 2 screening intervals in Federally Qualified Health Centers. Preventive Medicine. YPMED-03718; Page No: 5; 4C: USA.

Hsu, Y., Cheng, Y., Hsu K., Fetzer, S.J., & Chou, C. (2011). Knowledge and Beliefs about Cervical Cancer and Human Papillomavirus among Taiwanese Undergraduate Women. Oncology Nursing Forum. Vol. 38. US.

Lee-Lin, E.E., et al. (2007). Korean American Women’s beliefs about breast and cervical cancer. Oncol Nursing Forum, 34, 713-20.

Leyva, M., Byrd, T., & Tarwater, P. (2006). Attitudes Towards Cervical Cancer Screening: A Study of Beliefs Among Women In Mexico. Californian Journal of Health Promotion, 4(2), 13-24.

McFarland, D.M. (2009). Beliefs about the causes of cervical cancer in Botswana: implications for nursing. Int Nursing Review, 56, 426-32.

Ministry of Health Republic of Indonesia. (2013). JKN Menjamin Deteksi Dini Kanker Leher Rahim dan Payudara. Jakarta. Retrieved March 1, 2014, from

Olumide, A., Olatunbosun, F., & Oluwatosin, O. (2014). Knowledge, perception and predictors of uptake of cervical screening among rural Nigerian women. Journal of Public Health and Epidemiology, 6(3), 119-124. Retrieved October 25, 2014, from

Paskett, E.D., Tatum, C., Rushing, J., et al. (2004). Racial differences in knowledge, attitudes, and cancer screening practices among a tri racial rural population. Cancer, 101, 2650-9.

Rasjidi. (2012). Kanker serviks dan penanganannya. Yogyakarta. Nuha Medika.

Reis, N. et al. (2012). Knowledge, Behavior and Beliefs Related to Cervical Cancer and Screening among Turkish Women. Asian Pacific J Cancer Prev, 13, 1463-1470.

Roy, B., Tricia, & Tang, T.S. (2008). Cervical Cancer Screening in Kolkata, India: Beliefs and Predictors of Cervical Cancer Screening among Women Attending a Women’s Health Clinic in Kolkata, India. Journal of Cancer Education. Retrieved November 20, 2013, from

Sawaya, et al. (2009). Ending cervical cancer screening: attitudes and beliefs from ethnically diverse older women. Am J Obstet Gynecol 2009; 200:40.e1-40.e7. UK.

Wong, L., Wong, Y.L., Low, W.Y., Khoo, E.K., & Shuib, R. (2008). Cervical Cancer Screening Attitudes and Beliefs of Malaysian Women who have Never had a Pap smear: A Qualitative Study. International Journal of Behavioral Medicine, 15: 289–292. France.

World Health Organization. (2013). Screening for Cervical Cancer. Diakses 24 Januari 2014,

Yuliatin, S. (2010). Cegah dan Tangkal Ca. Serviks. Surabaya: Java Pustaka Group.


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