Background
Cervical cancer remains a significant public health concern, being the second most common
cancer among women worldwide. The Pap smear test is a reliable, cost-effective screening
method for early detection, yet its uptake is often limited by inadequate knowledge, cultural
barriers, and systemic issues. The study by Mousavi, Shojaei, and Aryan (2018),
titled "Knowledge, Attitudes, and Practice Related to Pap Smear Test among Iranian
Women", provides critical insights into these challenges, which are relevant to the proposed
research at Near East Hospital, "Knowledge of Attitude and Behaviour in Women with Pap
Smear."
Summary
The cross-sectional study conducted in winter 2018 involved 334 outpatient Iranian women
in northwest Tehran. Data were collected through interviews using a questionnaire covering
demographic characteristics (10 questions), knowledge (10 questions), attitudes (5 questions),
and practices (2 questions) related to Pap smear tests. The mean age of participants was 36.59
± 15.409 years. Key findings include:
Practice: 52.4% of women had undergone a Pap smear test, but only 24.3% did so
regularly.
Knowledge: Among those who had a Pap smear, knowledge was low in 28.6%,
moderate in 55.4%, and high in 16.0%. For those who had not, knowledge was low in
41.5%, moderate in 49.7%, and high in 8.8%.
Attitudes: Among women who had a Pap smear, attitudes were undesirable in 4.2%,
moderate in 15%, and desirable in 80.8%. For those who had not, attitudes were
undesirable in 15.5%, moderate in 56.7%, and desirable in 27.8%.
Barriers: The primary reasons for not undergoing a Pap smear were lack of
accessibility (for those who had the test) and spousal disapproval (for those who had
not).
Influencing Factors: Significant factors for performing a Pap smear included age
(odds ratio [OR] > 1.081), education level (OR > 0.265), insurance coverage (OR >
2.241), knowledge (OR > 1.224), and attitude (OR > 1.245). For regular Pap smear
screening, education level (OR > 0.483) and knowledge (OR > 1.221) were key
determinants.
The study concluded that knowledge and practice were inadequate, emphasizing the need for
health providers to educate and encourage women to undergo regular Pap smears while
addressing barriers like accessibility and spousal disapproval