Abstract:
This study aimed to examine the uptake of cervical cancer screening and to determine if knowledge of cervical cancer, perceived threat of cervical cancer, perceived benefits of cervical cancer screening, perceived barriers to cervical cancer screening, and self-efficacy about the uptake of cervical cancer screening could predict the uptake of cervical cancer screening among women in Wenzhou, China. A simple random sampling technique was used to recruit 240 individuals, who came to check up on their health at two Physical Examination Centers of one hospital in Wenzhou, China. Research instruments included the demographic data questionnaire, the Chinese version of the cervical cancer prevention knowledge questionnaire with the KR 20 of .76, the Chinese version of the cervical cancer screening belief scale including perceived threat, perceived benefit, perceived barrier, and the Chinese version of the cervical cancer screening self-efficacy scale, with Cronbachs alpha values of .86, .72, .91, and .96 respectively. Descriptive statistics and binary logistic regression were used to analyze the data. Results revealed that 63.3% of the participants had been screened for cervical cancer. The logistic regression model including all five independent variables explained approximately 27.2% of the variance in cervical cancer screening (Nagelkerke R2 = .272). Perceived barriers (Odds Ratio [OR] = 0.885, 95% Confidence Interval [CI]: 0.807-0.971, p <.05) and self-efficacy (OR = 1.060, 95% CI: 1.038-1.083, p < .001) were the strongest contributors to this prediction. The results indicate that perceived barriers and self-efficacy are significant factors influencing the decision to undergo cervical cancer screening. These findings can be applied to develop strategies promoting cervical cancer screening among women in the future.