Evidence map›Paper›PMID 29506486›Full record

ArticleBMC cancer2018

Determinants of cancer screening awareness and participation among Indonesian women.

Sumadi L Anwar, Gindo Tampubolon, Mieke Van Hemelrijck, Susanna H Hutajulu, Johnathan Watkins, Wahyu Wulaningsih, PILAR Research Network

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Prevalence of Cervical Cancer Screening in Asia: A Systematic Review and Meta-Analysis.Asian Pacific journal of cancer prevention : APJCP · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Barriers to and Facilitators of Cervical Cancer Screening among Women in Southeast Asia: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sumadi L AnwarDivision of Surgical Oncology Department of Surgery, Faculty of Medicine Universitas Gadjah Mada, Yogyakarta, 55281, Indonesia.
Gindo TampubolonCathie Marsh Institute for Social Research, University of Manchester, M13 9PL, Manchester, UK.
Mieke Van HemelrijckTranslational Oncology and Urology Research, King's College London, London, SE1 9RT, UK.
Susanna H HutajuluDivision of Medical Haematology and Oncology Department of Internal Medicine, Faculty of Medicine Universitas Gadjah Mada, Yogyakarta, 55281, Indonesia.
Johnathan WatkinsPILAR Research and Education, 20 Station Road, Cambridge, CB1 2JD, UK.
Wahyu WulaningsihPILAR Research and Education, 20 Station Road, Cambridge, CB1 2JD, UK. w.wulaningsih@ucl.ac.uk.ORCID 0000-0002-3822-1648
PILAR Research Network

Funding

Dynamics of Family Well Being in Indonesia After 20 YearsR01HD050764 · NICHD · RAND CORPORATION · PI STRAUSS, JOHN A · 2006 to 2018
$3.5M
Twenty Years On The Fifth Indonesia Family Survey of AgingR01AG026676 · NIA · RAND CORPORATION · PI STRAUSS, JOHN A · 2006 to 2016
$3.3M
Medical Research Council G1001375/1Medical Research Council MC_UU_12019/2Medical Research Council MC_UU_12019/2,MC_UU_12019/4Medical Research Council MC_UU_12019/4NIA NIH HHS R01 AG026676NICHD NIH HHS R01 HD050764
6 · The paper itself

Abstract

backgroundCancer screening awareness and participation may be lower in low- and middle-income countries that lack established national screening programmes compared with those that do. We evaluated potential determinants of awareness about and participation in breast and cervical cancer screening, and breast self-examination (BSE) in women using survey data from Indonesia.

methodsFrom the fifth Indonesian Family Life Survey (2014-2015), a total of 5397 women aged 40 and older without any history of cancer who responded to questionnaires concerning Pap smears, mammography, and BSE were included. Multilevel modelling was used to assess potential determinants in relation to awareness about Pap smears and mammography, and participation in Pap smears and BSE practice. Multivariable analyses were performed to identify independent predictors of cancer screening.

resultsOf the 5397 respondents, 1058 (20%) women were aware of Pap smears, of which 297 had never had the procedure. Only 251 (5%) participants were aware of mammography. A total of 605 (12%) of women reported they performed BSE. Higher education and household expenditure were consistently associated with higher odds of awareness about Pap smears and mammography (e.g. odds ratio [OR] of being aware of Pap smear and mammography: 7.82 (95% CI: 6.30-9.70) and 7.70 (6.19-9.58), respectively, for high school graduates compared to women with less educational attainment in the multivariable models), and participation in Pap smears and BSE. We also identified enabling factors linked with greater cancer screening awareness and participation, including health insurance, shorter distance to health services, and social participation.

conclusionThere are socioeconomic disparities in cancer screening awareness and participation among Indonesian women. Our findings may help inform targeted health promotion and screening for cancer in the presence of limited resources.

Indexed as

Health Knowledge, Attitudes, PracticeAdultBreast NeoplasmsBreast Self-ExaminationEarly Detection of CancerFemaleFollow-Up StudiesHumansIndonesiaMiddle AgedPatient Acceptance of Health CarePopulation SurveillancePrognosisUterine Cervical NeoplasmsVaginal SmearsBreast cancerBreast self-examinationCervical cancerPap smearsScreening

Identifiers

PMID29506486
PMCPMC5838961

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.