Table 1: socio demographic characteristics
n               %
      Age                                 < 25                     6              17%
                                          25-29                   21              60%
                                          >=30                     8              30%
                                          Mean (SD)          28.5 (6)
      Residence                           Jazan                   29             82.9%
                                          Outside Jazan            6             17.1%
      Marital status                      Single                  23             65.7%
                                          Married                 11             31.4%
                                          Divorced                 1             2.9%
      Women Education level               University              21             60.0%
                                          postgraduate             9             25.7%
                                          secondary                5             14.3%
      husband educational level           University               9             25.7%
                                          postgraduate             3             8.6%
                                          secondary                2             5.7%
                                          NA                      21             60.0%
      Working status                      Yes                     21             60.0%
                                          No work                 14             40.0%
      No. Of pregnancy                    0                       25             71.4%
                                          1-3                      7             20.0%
                                          4-6                      2             5.7%
                                          >6                       1             2.9%
      Contraceptive usage                 No                      29             82.9%
                                          yes                      6             17.1%
      Family history of cervical          No                      33             94.3%
      cancer                              Yes                      2             5.7%
      Source of information about cervical cancer
                                                          Frequency          Percent
Did you hear about No                                                   3              8.6%
cervical cancer        yes                                              32          91.4%
Source of              Family \ friends                                 4                11.4
information about
cervical cancer        Books and Research papers                        6                17.1
                       Nurse                                            1                 2.9
                       Family physician/GP                              4                11.4
                   Obgyn doctor                                            1                 2.9
                   social media                                            19               54.3
                   Total                                                   35              100.0
  Knowledge, attitude and practice about cervical cancer
                                                          No           don’t know                      yes
                                                 n             %       n        %            n               %
Does smoking increase the likelihood of              0         0.0%        17   48.6%            18          51.4%
developing cervical cancer?
Does infection with the human papillomavirus         2         5.7%        15   42.9%            18          51.4%
(HPV) cause cervical cancer?
Does HIV increase the likelihood of                  4         11.4%       12   34.3%            19          54.3%
developing cervical cancer?
Does prolonged usage of contraceptive pills          6         17.1%       17   48.6%            12          34.3%
increase the likelihood of developing cervical
cancer?
Does Positive family history of disease cause        3         8.6%        10   28.6%            22          62.9%
cervical cancer?
Does early marriage increase the likelihood of       14        40.0%       17   48.6%              4         11.4%
developing cervical cancer?
Does direct contact to cancer patients               25        71.4%        9   25.7%              1         2.9%
increase the likelihood of developing cervical
cancer?
Does infection with sexually transmitted             2         5.7%         5   14.3%            28          80.0%
diseases increase the likelihood of developing
cervical cancer?
Do you know anyone has cervical cancer?              32        91.4%        0       0.0%           3         8.6%
Do you think cervical cancer can be treated?         2         5.7%         2       5.7%         31          88.6%
    Knowledge,attitude and practice about pap smear
                                                                   n        %
Did you hear about the Pap      · No                                    6   17.6%
smear test                      · Yes                                  28   82.4%
What are your sources of        Family/friends                          3    8.8%
information?                    Books and research papers               6   17.6%
                                Family doctor/general                   5   14.7%
                                practitioner
                                Gynecologist/obstetrician               7   20.6%
                                Social media/internet                  13   38.2%
When is it recommended to       After the age of 30                     5   14.7%
start early screening for       Only when symptoms appear               4   11.8%
cervical cancer?                At the age of 21                       20   58.8%
                                I don’t know                            5   14.7%
How frequent he Pap smear       Every 3–5 years                        18   52.9%
test is?                        Every year                              7   20.6%
                                I don’t know                            8   23.5%
                                Once in a lifetime                      1    2.9%
Did Pap smear test can identify · I don’t know                          3    8.8%
early asymptomatic cervical     · Yes                                  31   91.2%
cancer lesions?
 Early detection of cervical    · No                                    1    2.9%
cancer has good effect on       · I don’t know                          4   11.8%
outcomes of treatment?          · Yes                                  29   85.3%
Did you ever had a Pap smear · No                                      32   94.1%
test before?                    · Yes                                   2    5.9%
If you didn’t go for a Pap      · No                                    8   23.5%
smear before, would you agree · Yes                                    26   76.5%
to do it?
Do you think screening for      · I don’t know                          2    5.9%
cervical cancer is necessary؟   · Yes                                  32   94.1%
    Knowledge, attitude and practice about Human papilloma virus
                                                                     Count       Table N %
Did you hear about the human             No                                  8       23.5%
papillomavirus (HPV)?                    Yes                             26          76.5%
What are your sources of information?    Books and research                  9       26.5%
                                         papers
                                         Nurse                               2        5.9%
                                         Family doctor/general               3        8.8%
                                         practitioner
                                         Gynecologist/obstetrician           1        2.9%
                                         Social media                        1        2.9%
                                         Social media/internet           18          52.9%
Do you think the HPV vaccine is useful   · No                                1        2.9%
in the prevention of cervical cancer?    · I don’t know                      7       20.6%
                                         · Yes                           26          76.5%
At what age is the HPV vaccine           · 9–14 years                    16          47.1%
recommended?                             · After 18 years                    5       14.7%
                                         · After 30 years                    4       11.8%
                                         · I don’t know                      9       26.5%
Do you agree to provide your daughter    No                                  7       20.6%
the HPV vaccine at school age?           Yes                             27          79.4%
If you were properly informed about the No                                   3        8.8%
Pap smear test, would you do it?        Yes                              31          91.2%
        Barriers and obstacles
If you refuse to do a Pap smear test,      Maybe painful              16   47.1%
what do you think are the reasons*         I feel embarrassed.        12   35.3%
                                           I am healthy; no need.      5   14.7%
                                           husband would not agree.    1    2.9%
                                           may cause complications.    4   11.8%
                                           Not social unacceptable.    2    5.9%
                                        Others                        11    2.9%
If you agree to do a Pap smear test,    Family doctor                  1    2.9%
who would you prefer to do it?          Private doctor                 2    5.9%
                                        Gynecologist                  29   85.3%
                                        Nurse                          2    5.9%
If you agree to do a Pap smear test,    female                        34   100.0%
what is the preferred health provider
gender?
If you agree to do a Pap smear test,       Gynecology clinic in a     20   58.8%
where is the preferred place ?             hospital
                                           Private clinic              5   14.7%
                                         Women's clinic in a health    9   26.5%
                                        center
        *more than one answer is allowed
        Reliability analysis
                   Cronbach's Alpha of the
                                                        Reliability Statistics
                                                        Cronbach's
                                                           Alpha           N of Items
                   KAP about cervical cancer                       0.545                9
                   KAP about Pap smear test                        0.642                6
                   KAP about HPV                                   0.636                3
                   Total scale                                      0.78             18
                   Table
                                                                                            Corrected      Cronbach's
                                                  Scale Mean if     Scale Variance if       Item-Total     Alpha if Item
                                                  Item Deleted        Item Deleted          Correlation      Deleted
Does smoking increase the likelihood of                11.5588                  11.345              .336             .757
developing cervical cancer?
Does infection with the human                          11.5588                  10.981              .450             .747
papillomavirus (HPV) cause cervical
cancer?
Does HIV increase the likelihood of                    11.5294                  12.075              .120             .775
developing cervical cancer?
Does prolonged usage of contraceptive                  11.7353                  12.746             -.067             .789
pills increase the likelihood of developing
cervical cancer?
Does Positive family history of disease cause          11.4412                  10.981              .477             .745
cervical cancer?
Does early marriageincrease the likelihood             11.6765                  11.801              .204             .768
of developing cervical cancer?
Does direct contact with cancer patients               11.3529                  11.084              .491             .745
increase the likelihood of developing
cervical cancer?
Does infection with sexually transmitted               11.2647                  11.413              .454             .749
diseases increase the likelihood of
developing cervical cancer?
Do you think cervical cancer can be                    11.2059                  12.411              .101             .771
treated?
                                                KAP about Pap smear
When is it recommended to start early                  11.5000                  11.227              .380             .753
screening for cervical cancer?
How frequent the Pap smear test is?                    11.5588                  10.678              .548             .738
Did Pap smear test can identify early                  11.1765                  11.483              .607             .745
asymptomatic cervical cancer lesions?
early detection of cervical cancer has a               11.2353                  11.216   .583   .742
good effect on outcomes of treatment?
Did you ever had a Pap smear test?                     11.3235                  12.286   .092   .774
If you didn’t go for a Pap smear before,               11.1471                  12.069   .376   .758
would you agree to do ir?
                                       KAP about Human papilloma virus
Do you think the HPV vaccine is useful in              11.3235                  11.013   .543   .741
the prevention of cervical cancer?
At what age is the HPV vaccine                         11.6176                  10.668   .552   .738
recommended?
If you were properly informed about the                11.2941                  12.032   .193   .767
Pap smear test, would you do it?
Total scale                                            12.0882                  12.750
                                      Scale Statistics
                       Mean      Variance      Std. Deviation    N of Items
                       12.0882        12.750          3.57065            18
                 Correlation oft items with total score
                                                                   totalscore
                  k1              r                                       .459**
                                  P value                                     .006
                  k2              r                                       .560**
                                  P value                                     .001
k3    r          .258
      P value    .141
k4    r          .069
      P value    .698
k5    r         .578**
      P value    .000
k6    r          .336
      P value    .052
k7    r         .584**
      P value    .000
k8    r         .538**
      P value    .001
k9    r          .191
      P value    .280
k11   r         .497**
      P value    .003
k12   r         .643**
      P value    .000
k13   r         .656**
      P value    .000
k14   r         .648**
      P value    .000
k15   r          .211
      P value    .231
k16   r         .433*
      P value    .011
k17   r         .625**
      P value    .000
k18   r         .646**
      P value    .000
k19   r          .302
      P value    .082