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Barriers to and Facilitators of Cervical Cancer Screening among Women in Southeast Asia: A Systematic Review

Author

Listed:
  • Brandon Chua

    (Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, Singapore 117549, Singapore
    Health Economics and Outcomes Research Centre of Excellence (Greater Asia), Becton, Dickinson and Company, 2 International Business Park Road, Singapore 609930, Singapore)

  • Viva Ma

    (Health Economics and Outcomes Research Centre of Excellence (Greater Asia), Becton, Dickinson and Company, 2 International Business Park Road, Singapore 609930, Singapore)

  • Caitlin Asjes

    (Government and Public Affairs, Becton, Dickinson and Company, 2 International Business Park Road, Singapore 609930, Singapore)

  • Ashley Lim

    (Department of Pharmacy, KK Women’s and Children’s Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore)

  • Mahsa Mohseni

    (Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, Singapore 117549, Singapore)

  • Hwee Lin Wee

    (Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, Singapore 117549, Singapore
    Faculty of Science, Department of Pharmacy, National University of Singapore, 18 Science Drive 4, Singapore 117543, Singapore)

Abstract

In Southeast Asia, cervical cancer is the second most common cancer in women. Low coverage for cervical cancer screening (CCS) becomes a roadblock to disease detection and treatment. Existing reviews on CCS have limited insights into the barriers and facilitators for SEA. Hence, this study aims to identify key barriers and facilitators among women living in SEA. A systematic literature review was conducted on Pubmed, Embase, PsycINFO, CINAHL, and SCOPUS. Primary qualitative and quantitative studies published in English that reported barriers and facilitators to CCS were included. The Mix Methods Appraisal Tool was used for the quality assessment of the included studies. Among the 93 included studies, pap smears (73.1%) were the most common screening modality. A majority of the studies were from Malaysia (35.5%). No studies were from Timor-Leste and the Philippines. The most common barriers were embarrassment (number of articles, n = 33), time constraints ( n = 27), and poor knowledge of screening ( n = 27). The most common facilitators were related to age ( n = 21), receiving advice from healthcare workers ( n = 17), and education status ( n = 11). Findings from this review may inform health policy makers in developing effective cervical cancer screening programs in SEA countries.

Suggested Citation

  • Brandon Chua & Viva Ma & Caitlin Asjes & Ashley Lim & Mahsa Mohseni & Hwee Lin Wee, 2021. "Barriers to and Facilitators of Cervical Cancer Screening among Women in Southeast Asia: A Systematic Review," IJERPH, MDPI, vol. 18(9), pages 1-23, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4586-:d:543781
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    References listed on IDEAS

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    1. Sukanya Chongthawonsatid, 2017. "Inequity of healthcare utilization on mammography examination and Pap smear screening in Thailand: Analysis of a population-based household survey," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-12, March.
    2. Jonah Musa & Chad J Achenbach & Linda C O’Dwyer & Charlesnika T Evans & Megan McHugh & Lifang Hou & Melissa A Simon & Robert L Murphy & Neil Jordan, 2017. "Effect of cervical cancer education and provider recommendation for screening on screening rates: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-28, September.
    3. Evangeline I. Chirayil & Claire L. Thompson & Sue Burney, 2014. "Predicting Human Papilloma Virus Vaccination and Pap Smear Screening Intentions Among Young Singaporean Women Using the Theory of Planned Behavior," SAGE Open, , vol. 4(4), pages 21582440145, October.
    4. Juanna Shea & Piyanee Klainin‐Yobas & Sandra Mackey, 2013. "Young Singaporean women's knowledge of cervical cancer and pap smear screening: a descriptive study," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(23-24), pages 3310-3319, December.
    5. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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