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Int. J. Environ. Res. Public Health 2017, 14(9), 967;

Assessing Knowledge and Attitudes towards Cervical Cancer Screening among Rural Women in Eastern China

School of Health Care Management, Shandong University, Jinan 250012, China
Key Laboratory of Health Economics and Policy Research, NHFPC (Shandong University), Jinan 250012, China
Institute for Choice, Business School, University of South Australia, Adelaide 5000, Australia
Flinders Centre for Innovation in Cancer, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia
Author to whom correspondence should be addressed.
Received: 7 July 2017 / Revised: 23 August 2017 / Accepted: 23 August 2017 / Published: 27 August 2017
(This article belongs to the Section Global Health)
Full-Text   |   PDF [303 KB, uploaded 27 August 2017]


There is a heavy burden of cervical cancer in China. Although the Chinese government provides free cervical cancer screening for rural women aged 35 to 59 years, the screening rate remains low even in the more developed regions of eastern China. This study aimed to assess knowledge and attitudes about cervical cancer and its screening among rural women aged 30 to 65 years in eastern China. A cross-sectional study was conducted in four counties of Jining Prefecture in Shandong Province during August 2015. In total, 420 rural women were randomly recruited. Each woman participated in a face-to-face interview in which a questionnaire was administered by a trained interviewer. A total of 405 rural women (mean age 49 years old) were included in the final study. Among them, 210 (51.9%) participants had high knowledge levels. An overwhelming majority, 389 (96.0%) expressed positive attitudes, whilst only 258 (63.7%) had undergone screening for cervical cancer. Related knowledge was higher amongst the screened group relative to the unscreened group. Age, education and income were significantly associated with a higher knowledge level. Education was the only significant factor associated with a positive attitude. In addition, women who were older, or who had received a formal education were more likely to participate in cervical cancer screening. The knowledge of cervical cancer among rural women in eastern China was found to be poor, and the screening uptake was not high albeit a free cervical cancer screening program was provided. Government led initiatives to improve public awareness, knowledge, and participation in cervical cancer screening programs would likely be highly beneficial in reducing cervical cancer incidence and mortality for rural women. View Full-Text
Keywords: cervical cancer; knowledge; attitude; China cervical cancer; knowledge; attitude; China
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Liu, T.; Li, S.; Ratcliffe, J.; Chen, G. Assessing Knowledge and Attitudes towards Cervical Cancer Screening among Rural Women in Eastern China. Int. J. Environ. Res. Public Health 2017, 14, 967.

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