FACTORS ASSOCIATED WITH CERVICAL CANCER SCREENINGAMONGWOMEN AGED 30-60 YEARS IN A SUB–DISTRICT OF MUANG DISTRICT, KANLASIN PROVINCE. ปัจจัยที่มีความสัมพันธ์กับการตรวจคัดกรองมะเร็งปากมดลูกของสตรีอายุ 30-60 ปี ในตำบลหนึ่งของอำเภอเมือง จังหวัดกาฬสินธุ์

Abstract

            Cervical cancer is one of the leading global health problems as it was responsible for many woman deaths. Treatment in the early stage of cancer found to be effective leading to the reduction of mortality rate. Therefore the cervical cancer screening is essential. This analytical cross-sectional study aimed to study the factors associated with the attending of cervical cancer screeningamong314 women aged 30-60 years in a sub-district of Muang district, Kalasin province. There were two groups of study subjects; 157 women who attended for cervical cancer and 157 women who did not. The data were collected usingthe questionnaires. The association between factors and the attending of cervical cancer screeningwas performed using multiple logistic regression statistics. The results shown that the factors significantly associated with the attending of cervical cancer screening were age³ 44 years (OR_adj= 2.15, 95 % CI 1.273-3.640, p-value = 0.004), group of housewife, farmer and market woman (OR_adj= 5.09, 95 % CI 2.515-10.317, p-value < 0.001),  no congenital disease, (OR_adj= 4.54, 95 % CI 1.710-12.092, p-value = 0.002), lowperceived severity of cervical cancer (OR_adj= 0.39,95 % CI0.231-0.667, p-value = 0.001) and high perceived efficacy of cervical cancer screening (OR_adj= 2.28, 95 % CI 1.361-3.832, p-value = 0.002)

            This study suggests that the knowledge should be provided to woman aged <44 years as this group attended the cervical cancer screening less than the women aged ³44 years. In addition the knowledge of the risk and severity of cervical cancer should be addressed. As the time limitation among working women, cervical cancer screening should be conducted at their workplace orthe service hours should be extended.

            Keywords : Cervical Cancer ,Behavior,Cervical Cancer Screening