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Knowledge, Perceptions, and Practices in Cervical Cancer Screening Among Female Nurses and Midwives

Journal of Creativity Student · Vol. 8 No. 1 (2025) · pp. 77–84

DOI
10.15294/jcs.v8i1.25088
ISSN
2502-1958, 2962-603X
Published
2025-07-28
Publisher
Universitas Negeri Semarang
Language
eng

Abstract

Background: Cervical cancer is the fourth most common cancer among women worldwide, with persistent high-risk human papillomavirus (HPV) infection (types 16 and 18) accounting for approximately 70% of cases. Despite the availability of HPV vaccination and screening programs, Indonesia has a low screening coverage rate (12%). Female nurses and midwives play a crucial role in cervical cancer prevention, yet their knowledge, perceptions, and screening practices remain underexplored. Objective: This study aims to assess the knowledge, perceptions, and screening practices of female nurses and midwives in Jepara District, Indonesia, and identify key barriers to participation in screening programs. Methods: A descriptive study was conducted at RSUD Dr. Rehatta, Jepara, involving 74 registered female nurses and midwives. Data were collected using a validated self-administered questionnaire, and descriptive analysis was performed using SPSS version 20. Results: The majority of respondents were aged 20–30 years (37.1%) and over 40 years (37.1%), with 87.1% married. While 98.6% were aware of cervical cancer and 89.2% identified HPV as its primary cause, only 35.3% knew the recommended screening frequency. Although 94.7% recognized cervical cancer as preventable, only 40.0% perceived themselves at risk, and merely 32.0% had undergone screening. The primary barriers included fear of diagnosis (74.7%), embarrassment (56.0%), and misconceptions regarding the necessity of screening in the absence of symptoms (54.7%). Conclusion: Despite high awareness of cervical cancer, screening participation remains low due to psychological, social, and cultural barriers. Structured education, mandatory training, and targeted awareness programs are essential to improving screening uptake among healthcare professionals.

Keywords

Collaboration network of the authors

40 authors · 90 co-authorship links · showing the 40 most connected

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  • State University of Semarang
  • Diponegoro University
  • Affiliation unknown
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
Show as table
Co-authorOrganisationJoint articles
Oktia Woro Kasmini HandayaniAffiliation unknown5
Intan ZainafreeAffiliation unknown5
Nur SiyamAffiliation unknown4
Dina Nur Anggraini NingrumAffiliation unknown4
Mahalul AzamAffiliation unknown3
Evi WidowatiAffiliation unknown3
Ari YuniastutiState University of Semarang3
Yuni WijayantiAffiliation unknown3
Wandah WibawantoAffiliation unknown2
Natalia Desy PutriningtyasAffiliation unknown2
Margareta RahayuningsihAffiliation unknown2
Russiska RussiskaAffiliation unknown2
Hanif Pandu SuhitoAffiliation unknown2
Sri Ratna RahayuAffiliation unknown2
Casmuti CasmutiAffiliation unknown2
Eko FaridaAffiliation unknown2
Selvia Mayka SyahputriAffiliation unknown1
Karima Jafina Azka AnjaliAffiliation unknown1
Agus RiyantoDiponegoro University1
Devita Uzlah SibaraniAffiliation unknown1
Ika UtamiAffiliation unknown1
Tri Septa AnggrainiAffiliation unknown1
Arum SiwiendrayantiState University of Semarang1
Siti Ainun NadhirohAffiliation unknown1
Eka Radiyani OktaviaAffiliation unknown1
Fatehah Rahma AgustinAffiliation unknown1
Nandito Mapian MagaiAffiliation unknown1
Sigit Ambar WidyawatiAffiliation unknown1
Ni'mal MunaAffiliation unknown1
Mirnawati MirnawatiAffiliation unknown1
Nurfitriani NurfitrianiAffiliation unknown1
Febriana Maya ZulfiariniAffiliation unknown1
Merlinda Permata SariAffiliation unknown1
Tika MaelaniAffiliation unknown1
Karnowo HasanAffiliation unknown1
Tri WahyuniAffiliation unknown1
Susi NuryantiAffiliation unknown1
Habibah Yulia RestiAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/journals/jcs/oai, first harvested 6 Nov 2026, last seen 6 Nov 2026.
Original metadata (oai_dc) 
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	<dc:title xml:lang="en">Knowledge, Perceptions, and Practices in Cervical Cancer Screening Among Female Nurses and Midwives</dc:title>
	<dc:creator xml:lang="en">Paripurna, Yoga</dc:creator>
	<dc:creator xml:lang="en">Cahyati, Widya Hary </dc:creator>
	<dc:subject xml:lang="en">Cervical cancer, screening, female nurses, midwives</dc:subject>
	<dc:description xml:lang="en">Background: Cervical cancer is the fourth most common cancer among women worldwide, with persistent high-risk human papillomavirus (HPV) infection (types 16 and 18) accounting for approximately 70% of cases. Despite the availability of HPV vaccination and screening programs, Indonesia has a low screening coverage rate (12%). Female nurses and midwives play a crucial role in cervical cancer prevention, yet their knowledge, perceptions, and screening practices remain underexplored. Objective: This study aims to assess the knowledge, perceptions, and screening practices of female nurses and midwives in Jepara District, Indonesia, and identify key barriers to participation in screening programs. Methods: A descriptive study was conducted at RSUD Dr. Rehatta, Jepara, involving 74 registered female nurses and midwives. Data were collected using a validated self-administered questionnaire, and descriptive analysis was performed using SPSS version 20. Results: The majority of respondents were aged 20–30 years (37.1%) and over 40 years (37.1%), with 87.1% married. While 98.6% were aware of cervical cancer and 89.2% identified HPV as its primary cause, only 35.3% knew the recommended screening frequency. Although 94.7% recognized cervical cancer as preventable, only 40.0% perceived themselves at risk, and merely 32.0% had undergone screening. The primary barriers included fear of diagnosis (74.7%), embarrassment (56.0%), and misconceptions regarding the necessity of screening in the absence of symptoms (54.7%). Conclusion: Despite high awareness of cervical cancer, screening participation remains low due to psychological, social, and cultural barriers. Structured education, mandatory training, and targeted awareness programs are essential to improving screening uptake among healthcare professionals.</dc:description>
	<dc:publisher xml:lang="en">Universitas Negeri Semarang</dc:publisher>
	<dc:date>2025-07-28</dc:date>
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	<dc:identifier>https://journal.unnes.ac.id/journals/jcs/article/view/25088</dc:identifier>
	<dc:identifier>10.15294/jcs.v8i1.25088</dc:identifier>
	<dc:source xml:lang="en">Journal of Creativity Student; Vol. 8 No. 1 (2025); 77-84</dc:source>
	<dc:source>2502-1958</dc:source>
	<dc:source>2962-603X</dc:source>
	<dc:source>10.15294/jcs.v8i1</dc:source>
	<dc:language>eng</dc:language>
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