Knowledge, Attitude, and Practice Regarding Cervical Cancer among Rural Community Women in Northeast Thailand

  • Mongsawaeng, Cholticha ;
  • Kokorn, Nawaporn ;
  • Kujapun, Jirawoot ;
  • Norkaew, Jun ;
  • Kootanavanichpong, Nusorn ;
  • Chavenkun, Wasugree ;
  • Ponphimai, Sukanya ;
  • Kaewpitoon, Soraya J ;
  • Tongtawee, Taweesak ;
  • Padchasuwan, Natnapa ;
  • Pengsaa, Prasit ;
  • Kompor, Pontip ;
  • Kaewpitoon, Natthawut
  • Published : 2016.02.05


Background: Cervical cancer is the second most common malignancy among women worldwide, and women of reproductive age in Thailand. However, information on the behavior regarding cervical cancer in rural community Thailand is sparse. Objective: To assess the knowledge, attitude, and practice regarding cervical cancer (CC) among rural community women in Nakhon Ratchasima, Thailand, using predesigned structured questionnaires. Materials and Methods: A cross-sectional survey was conducted in 8 villages of Non Sung district, Nakhon Ratchasima province, Thailand, during January to April 2015. Bloom's taxonomy was used as a framework for the study. 265 women aged between 30-60 years old were selected by simple random sampling. All participants completed predesigned questionnaires with 4 parts: demographic data, knowledge, attitude, and practice regarding cervical cancer. Descriptive statistics were used for analysis in this study. Results: The majority of participants were in the age group of 41-50 years old (42.6%) with senior secondary school level of education (32.1%), marriage status (85.0%), agricultural employment (59.6%), and family income between 6,000-10,000 baht per month (54.3%). Some 63.4% and 68.7% participants had high knowledge and moderate level of attitudes regarding CC, while 41.1%, 48.7%, and 10.2% had neem regularly, irregularly or never screened for CC, respectively. The main reasons for not screening were were shyness (44.4%) and no time (55.6%). Vaginal discharge and itching were the common signs and symptoms of participants who were screened at a health promotion hospital of sub-district. Conclusions: CC is still a health problem in the rural community. Therefore, health education is required, particularly for those who have never undergone screening.


Knowledge;attitude;practice;cervical cancer;rural communities;North-East Thailand


  1. Arbyn M, Anttila A, Jordan J, et al (2010). European guidelines for quality assurance in cervical cancer screening; 2ndsummary document. Ann Oncol, 21, 448-58.
  2. Best JW (1997). Research in education. 3rd ed. eglewood cliff: Prentce Hall, Inc.
  3. Bloom BS (1971). Handbook on formative and summative of student learning. New York: Mc Graw-Hill Book Company.
  4. Brisson J, Morin C, Fortier M, et al (1994). Risk factors for cervical intraepithelial neoplasia: differences between lowand high-grade lesions. Am J Epidemiol, 140, 700-10.
  5. Canavan TP, Doshi NR (2000). Cervical cancer. Am Fam Physician, 61, 1369-76.
  6. Everett T, Bryant A, Griffin MF, et al (2011). Interventions targeted at women to encourage the uptake of cervical screening. Cochrane Database Systematic Rev, 5, 2834.
  7. Health promotion hospital of Lum Khao sub-district (2014). Annual report of outpatient 2014. Health promotion hospital of Lum Khao sub-district, District Public Health of Non Sung, Provincial Public health of Nakhon Ratchasima, Ministry of Public Health, Thailand.
  8. Hong WK, Bast RC, Hait WN, et al (2009). Holland frei cancer medicine. 8th ed. New York: McGraw-Hill Med, 1299.
  9. Krejcie RV, Morgan DW (1970). Determining sample size for research activities. Edu Psy Measure, 30, 607-10.
  10. Kumar V, Abbas AK, Fausto N, et al (2007). Robbins Basic Pathology. 8th ed. Saunders Elsevier, 718-21.
  11. Marks MA, Gupta S, Liaw KL, et al (2015). Prevalence and correlates of HPV among women attending family-planning clinics in Thailand. BMC Infect Dis, 15, 159.
  12. Moreno V, Bosch FX, Munoz N, et al (2002). Effect of oral contraceptives on risk of cervical cancer in women with human papillomavirus infection: the IARC multicentric case-control study. Lancet, 359, 1085-92.
  13. Stewart BW, Wild CP (2014). World Cancer Report 2014. The international agency for research on cancer, world health organization, WHO press. 630.
  14. Vaccarella S, Lortet-Tieulent J, Plummer M, et al (2013). Worldwide trends in cervical cancer incidence: impact of screening against changes in disease risk factors. Eur J Cancer, 49, 3262-73.
  15. World Health Organization (2014). Comprehensive cervical cancer control; A guide to essential practice - 2nd. WHO Press, 364 pages.


Supported by : Vongchavalitkul University