Exploring Factors Influencing Cervical Cancer Screening Participation among Singaporean Women: A Social Ecological Approach
: Cervical cancer screening uptake in Singapore remains suboptimal. This study employed the Social Ecological Model (SEM) to investigate factors influencing cervical cancer screening participation among Singaporean women. : The study included 665 women, aged 25-69 years, who reported awareness of ca...
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| Veröffentlicht in: | Cancers 2024-10, Vol.16 (20), p.3475 |
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| description | : Cervical cancer screening uptake in Singapore remains suboptimal. This study employed the Social Ecological Model (SEM) to investigate factors influencing cervical cancer screening participation among Singaporean women.
: The study included 665 women, aged 25-69 years, who reported awareness of cancer screening and no personal cancer history. Data were collected through a previously described online survey. Hierarchical logistic regression analysis was conducted to identify significant factors influencing screening participation.
: Only 30% of participants reported cervical cancer screening participation. Women aged 25-29 years (OR = 0.33; 95% CI = 0.12-0.77), Malay women (OR = 0.42; 95% CI = 0.20-0.83), and unmarried women (OR = 0.30; 95% CI = 0.18-0.48) were less likely to be screened. Positive associations with screening participation were observed with good cervical cancer screening knowledge (OR = 2.90; 95% CI = 1.96-4.32), awareness of primary care providers' role in delivering screening services (OR = 1.94; 95% CI = 1.24-3.10), cancer information seeking behavior (OR = 1.59; 95% CI = 1.07-2.39), and acceptance of self-sampling options (OR = 1.81; 95% CI = 1.22-2.70).
: Our study highlights the cumulative impact of factors at various SEM levels on screening participation and underscores the necessity for more targeted and multi-pronged strategies to improve cervical cancer screening uptake in Singapore. |
| doi_str_mv | 10.3390/cancers16203475 |
| format | Article |
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: The study included 665 women, aged 25-69 years, who reported awareness of cancer screening and no personal cancer history. Data were collected through a previously described online survey. Hierarchical logistic regression analysis was conducted to identify significant factors influencing screening participation.
: Only 30% of participants reported cervical cancer screening participation. Women aged 25-29 years (OR = 0.33; 95% CI = 0.12-0.77), Malay women (OR = 0.42; 95% CI = 0.20-0.83), and unmarried women (OR = 0.30; 95% CI = 0.18-0.48) were less likely to be screened. Positive associations with screening participation were observed with good cervical cancer screening knowledge (OR = 2.90; 95% CI = 1.96-4.32), awareness of primary care providers' role in delivering screening services (OR = 1.94; 95% CI = 1.24-3.10), cancer information seeking behavior (OR = 1.59; 95% CI = 1.07-2.39), and acceptance of self-sampling options (OR = 1.81; 95% CI = 1.22-2.70).
: Our study highlights the cumulative impact of factors at various SEM levels on screening participation and underscores the necessity for more targeted and multi-pronged strategies to improve cervical cancer screening uptake in Singapore.</description><identifier>ISSN: 2072-6694</identifier><identifier>EISSN: 2072-6694</identifier><identifier>DOI: 10.3390/cancers16203475</identifier><identifier>PMID: 39456569</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Age ; Cancer ; Cancer screening ; Cervical cancer ; Diagnosis ; Ethnicity ; Health aspects ; Health behavior ; Health care ; Human papillomavirus ; Knowledge ; Medical screening ; Primary care ; Public health ; Sampling ; Sociodemographics ; Socioeconomic factors ; Variables ; Women ; Womens health</subject><ispartof>Cancers, 2024-10, Vol.16 (20), p.3475</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 by the authors. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c373t-3fa08ae2f5d26767847dab15fbcc4f4535a757b863bd3b4b1fa827c6d200cdfe3</cites><orcidid>0009-0000-4943-8802</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11506352/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11506352/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39456569$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Qing</creatorcontrib><creatorcontrib>Tan, Li-Ying</creatorcontrib><title>Exploring Factors Influencing Cervical Cancer Screening Participation among Singaporean Women: A Social Ecological Approach</title><title>Cancers</title><addtitle>Cancers (Basel)</addtitle><description>: Cervical cancer screening uptake in Singapore remains suboptimal. This study employed the Social Ecological Model (SEM) to investigate factors influencing cervical cancer screening participation among Singaporean women.
: The study included 665 women, aged 25-69 years, who reported awareness of cancer screening and no personal cancer history. Data were collected through a previously described online survey. Hierarchical logistic regression analysis was conducted to identify significant factors influencing screening participation.
: Only 30% of participants reported cervical cancer screening participation. Women aged 25-29 years (OR = 0.33; 95% CI = 0.12-0.77), Malay women (OR = 0.42; 95% CI = 0.20-0.83), and unmarried women (OR = 0.30; 95% CI = 0.18-0.48) were less likely to be screened. Positive associations with screening participation were observed with good cervical cancer screening knowledge (OR = 2.90; 95% CI = 1.96-4.32), awareness of primary care providers' role in delivering screening services (OR = 1.94; 95% CI = 1.24-3.10), cancer information seeking behavior (OR = 1.59; 95% CI = 1.07-2.39), and acceptance of self-sampling options (OR = 1.81; 95% CI = 1.22-2.70).
: Our study highlights the cumulative impact of factors at various SEM levels on screening participation and underscores the necessity for more targeted and multi-pronged strategies to improve cervical cancer screening uptake in Singapore.</description><subject>Age</subject><subject>Cancer</subject><subject>Cancer screening</subject><subject>Cervical cancer</subject><subject>Diagnosis</subject><subject>Ethnicity</subject><subject>Health aspects</subject><subject>Health behavior</subject><subject>Health care</subject><subject>Human papillomavirus</subject><subject>Knowledge</subject><subject>Medical screening</subject><subject>Primary care</subject><subject>Public health</subject><subject>Sampling</subject><subject>Sociodemographics</subject><subject>Socioeconomic factors</subject><subject>Variables</subject><subject>Women</subject><subject>Womens health</subject><issn>2072-6694</issn><issn>2072-6694</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkk1v1DAQhiMEolXpmRuKxIXLtnb8lXBBq9UWKlUCaUEcrcnE3rpK7GAnFYg_j9OW0lbYB1szz_uOx5qieE3JCWMNOUXwaGKisiKMK_GsOKyIqlZSNvz5g_tBcZzSFcmLMaqkelkcsIYLKWRzWPze_hz7EJ3fl2eAU4ipPPe2n43HJbYx8doh9OXmpla5w2iMXzJfIE4O3QiTC76EIeTYLidgDNGAL7-Hwfj35brcBXTZYIuhD_sbr_U4xgB4-ap4YaFP5vjuPCq-nW2_bj6tLj5_PN-sL1bIFJtWzAKpwVRWdJXM76-56qClwraI3HLBBCih2lqytmMtb6mFulIou4oQ7KxhR8WHW99xbgfTofFThF6P0Q0Qf-kATj_OeHep9-FaUyqIZKLKDu_uHGL4MZs06cElNH0P3oQ5aUYrSiRhpMno2yfoVZijz_0tFBFc1pz-o_bQG-28DbkwLqZ6XVPOakUblqmT_1B5d2ZwGLyxLscfCU5vBRhDStHY-yYp0cvM6CczkxVvHv7NPf93QtgfEHm--w</recordid><startdate>20241014</startdate><enddate>20241014</enddate><creator>Huang, Qing</creator><creator>Tan, Li-Ying</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7TO</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0009-0000-4943-8802</orcidid></search><sort><creationdate>20241014</creationdate><title>Exploring Factors Influencing Cervical Cancer Screening Participation among Singaporean Women: A Social Ecological Approach</title><author>Huang, Qing ; Tan, Li-Ying</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-3fa08ae2f5d26767847dab15fbcc4f4535a757b863bd3b4b1fa827c6d200cdfe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Age</topic><topic>Cancer</topic><topic>Cancer screening</topic><topic>Cervical cancer</topic><topic>Diagnosis</topic><topic>Ethnicity</topic><topic>Health aspects</topic><topic>Health behavior</topic><topic>Health care</topic><topic>Human papillomavirus</topic><topic>Knowledge</topic><topic>Medical screening</topic><topic>Primary care</topic><topic>Public health</topic><topic>Sampling</topic><topic>Sociodemographics</topic><topic>Socioeconomic factors</topic><topic>Variables</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Qing</creatorcontrib><creatorcontrib>Tan, Li-Ying</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancers</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Qing</au><au>Tan, Li-Ying</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploring Factors Influencing Cervical Cancer Screening Participation among Singaporean Women: A Social Ecological Approach</atitle><jtitle>Cancers</jtitle><addtitle>Cancers (Basel)</addtitle><date>2024-10-14</date><risdate>2024</risdate><volume>16</volume><issue>20</issue><spage>3475</spage><pages>3475-</pages><issn>2072-6694</issn><eissn>2072-6694</eissn><abstract>: Cervical cancer screening uptake in Singapore remains suboptimal. This study employed the Social Ecological Model (SEM) to investigate factors influencing cervical cancer screening participation among Singaporean women.
: The study included 665 women, aged 25-69 years, who reported awareness of cancer screening and no personal cancer history. Data were collected through a previously described online survey. Hierarchical logistic regression analysis was conducted to identify significant factors influencing screening participation.
: Only 30% of participants reported cervical cancer screening participation. Women aged 25-29 years (OR = 0.33; 95% CI = 0.12-0.77), Malay women (OR = 0.42; 95% CI = 0.20-0.83), and unmarried women (OR = 0.30; 95% CI = 0.18-0.48) were less likely to be screened. Positive associations with screening participation were observed with good cervical cancer screening knowledge (OR = 2.90; 95% CI = 1.96-4.32), awareness of primary care providers' role in delivering screening services (OR = 1.94; 95% CI = 1.24-3.10), cancer information seeking behavior (OR = 1.59; 95% CI = 1.07-2.39), and acceptance of self-sampling options (OR = 1.81; 95% CI = 1.22-2.70).
: Our study highlights the cumulative impact of factors at various SEM levels on screening participation and underscores the necessity for more targeted and multi-pronged strategies to improve cervical cancer screening uptake in Singapore.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>39456569</pmid><doi>10.3390/cancers16203475</doi><orcidid>https://orcid.org/0009-0000-4943-8802</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Age Cancer Cancer screening Cervical cancer Diagnosis Ethnicity Health aspects Health behavior Health care Human papillomavirus Knowledge Medical screening Primary care Public health Sampling Sociodemographics Socioeconomic factors Variables Women Womens health |
| title | Exploring Factors Influencing Cervical Cancer Screening Participation among Singaporean Women: A Social Ecological Approach |
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