Is Pap Test Awareness Critical to Pap Test Uptake in Women Living in Rural Vietnam?

Asian Pac J Cancer Prev. 2021 Mar 1;22(3):903-908. doi: 10.31557/APJCP.2021.22.3.903.

Abstract

Introduction: Cervical cancer is the second leading cause of cancer death among Vietnamese females. By detecting precancerous cells, Pap test screening plays a critical role in the fight against cervical cancer. The present study aims to investigate health-related factors associated with receipt of Pap test among Vietnamese females living in rural Vietnam, particularly examining the correlation between awareness level of the Pap test and the receiving of Pap test.

Methods: Anderson's Behavioral Model of Health Services Use was utilized as the present study's theoretical framework. A self-administrated questionnaire was completed among 193 females residing in Quantri City, Vietnam.

Results: Only 15.5% (N=30) of participants in our sample have had a Pap test. Pap test awareness (OR = 18.38, p <.001) was a strong predictor of Pap test receipt. Participants who had heard about Pap test were 18.38 times more likely to take a Pap test compared to those who had no prior knowledge. Besides the awareness, variables including employment (OR = .18, p <.05), and health insurance coverage (OR = 10.75, p <.05) were significantly associated with Pap test uptake.

Conclusion: Findings from the present study suggests interventions should be provided through public health efforts to enhance awareness of Pap test by aiming at increasing primary prevention of cervical cancer, especially among Vietnamese women living in rural areas, in order to reduce cancer health disparities.

Keywords: Andersen Behavioral Model; Pap test; Vietnamese women; awareness; cervical cancer screening.

MeSH terms

  • Adult
  • Early Detection of Cancer / statistics & numerical data*
  • Employment / statistics & numerical data
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Insurance Coverage / statistics & numerical data
  • Insurance, Health / statistics & numerical data
  • Middle Aged
  • Papanicolaou Test / statistics & numerical data*
  • Rural Population
  • Surveys and Questionnaires
  • Uterine Cervical Neoplasms / diagnosis
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervical Neoplasms / prevention & control*
  • Vaginal Smears
  • Vietnam
  • Young Adult