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KMID : 1143220210640020216
Obstetrics & Gynecology Science
2021 Volume.64 No. 2 p.216 ~ p.225
Knowledge, attitude, practice, and self-efficacy of women regarding cervical cancer screening
Ghalavandi Shahnaz

Heidarnia Alireza
Zarei Fatemeh
Beiranvand Reza
Abstract
Objective: Iran has a low incidence of cervical cancer (CC). The country is introducing an organized screening system, including human papillomavirus screening. Studies show a high dropout rate among eligible women in continuing testing.

Methods: This descriptive-analytic study was part of the first phase of a clinical trial conducted on a random sample of 400 women aged 18-49 in Andimeshk City, Khuzestan Province, in 2020. The data collection tool consisted of a man-made questionnaire that included domains of demographic characteristics, knowledge, attitude, practice, and self-efficacy in the Pap smear test. The data were analyzed with Stata-16 using linear and logistic regression models.

Results: The mean knowledge, attitude, and self-efficacy scores were 6.80¡¾2.33, 34.99¡¾4.32, and 28.67¡¾7.34, respectively. In the multiple models, every unit increase in the knowledge or attitude scores raised the mean self-efficacy score by 1.04 and 0.48, respectively (P<0.001). Every unit increase in the knowledge and self-efficacy scores increased the chance of performing Pap smear 1.61 and 1.41 times, respectively (P<0.001).

Conclusion: Given the association of women¡¯s knowledge and self-efficacy with practice in performing the Pap smear, it seems that an effective program promoting women¡¯s health behavior regarding CC screening would include applied education to raise community awareness and improve women¡¯s attitudes, self-efficacy, and practice.
KEYWORD
Knowledge, Attitude, Self efficacy, Papanicolaou test
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