Examining the cervical screening behaviour of women aged 50 or above and its predicting factors: A population-based survey

C.W.H. Chan, K.C. Choi, R.S. Wong, K.M. Chow, W.K.W. So, Yin Ping Leung, W.W.T. Lam, W. Goggins

Research output: Journal article publicationJournal articleAcademic researchpeer-review

20 Citations (Scopus)


© 2016 by the authors; licensee MDPI, Basel, Switzerland.Under-screening may increase the risk of cervical cancer in middle-aged women. This study aimed to investigate cervical cancer screening behaviour and its predictors among women aged 50 years or above. A population-based sample of 959 women was recruited by telephone from domestic households in Hong Kong, using random methods, and a structured questionnaire developed to survey participants. Multivariable logistic regressions were performed to examine the factors independently associated with cervical screening behaviour. Nearly half the sample (48%) had never had a cervical smear test. Multivariable analyses showed that age, educational level, marital status, family history of cancer, smoking status, use of complementary therapy, recommendation from health professionals, and believing that regular visits to a doctor or a Chinese herbalist were good for their health were predictors of cervical screening behaviour. Misconceptions concerned with menopause may reduce women's perceived susceptibility to cervical cancer, especially if they are 50 or above, and exert a negative effect on their screening behaviour. Healthcare professionals should actively approach these high-risk groups-older unmarried women, smokers, those less educated and who are generally not much concerned with their health.
Original languageEnglish
Article number1195
JournalInternational Journal of Environmental Research and Public Health
Issue number12
Publication statusPublished - 2 Dec 2016
Externally publishedYes


  • Cervical cancer
  • Chinese women
  • Menopause
  • Population-based study
  • Protection motivation theory
  • Screening behaviour

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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