The relationship between knowledge and attitudes toward early detection of cervical cancer among female students at Universitas Pendidikan Indonesia
Keywords:
Attitude Cervical cancer Early detection Female students Knowledge
Abstract
Cervical cancer is one of the cancers with high incidence and
mortality rates in Indonesia. Early detection is a crucial strategy to
reduce cervical cancer-related mortality. Adequate knowledge
regarding cervical cancer and its early detection plays an important
role in shaping positive attitudes toward undergoing screening.
However, awareness and participation in early detection among late
adolescents, particularly female university students, remain low.
This study aimed to analyze the relationship between knowledge
and attitudes toward early detection of cervical cancer among
female students at Universitas Pendidikan Indonesia. A quantitative
study with a cross-sectional design was conducted in November
2024. The study involved 100 female students aged 18–24 years
from Universitas Pendidikan Indonesia. Data were analyzed using
the chi-square test. The results showed that 50% of respondents
had good knowledge and 50% had poor knowledge regarding
cervical cancer detection, while 79% demonstrated a positive
attitude and 21% demonstrated a negative attitude toward early
detection. No significant relationship was found between
knowledge and attitudes toward early detection of cervical cancer
(p = 0.624; p > 0.05). It can be concluded that knowledge was not
associated with attitudes toward early detection of cervical cancer
among female students at Universitas Pendidikan Indonesia.
References
Ambarwulan, P., Puspitasari, R. T., Afandi,
A. N., Khairunnisa, N. Z. A., Haryanti,
N. T. M., Putri, R. A. P., Anggraeni, A.
F., Putri, A. N. I. S., Salam, M. I. R.,
Hisan, H. A., Majid, M. H., &
Sulistyarini,
A.
(2024).
Pengetahuan dan Sikap tentang
Kanker Serviks dan Vaksinasi HPV
pada
Mahasiswi
Universitas
Kampus C
Airlangga.
Jurnal
Farmasi Komunitas, 11(2), 128
133.
https://doi.org/10.20473/jfk.v11i
2.55442
Aynalem, B. Y., Anteneh, K. T., & Enyew, M.
M. (2025). Knowledge, Attitudes,
and Associated Factors of Cervical
Cancer Screening Among Women
in Debre Markos Town, Northwest
Ethiopia: A Cross-Sectional Study.
Scientific Reports, 15(1), 1–11.
https://doi.org/10.1038/s41598
025-18296-0
Aziz, H. R. A., Mohamed, N. A., & Elsehrawy,
M. G. (2024). Knowledge, Attitude,
and Practice on Cervical Cancer
Prevention
among
Female
University Students in Al Kharj,
Saudi Arabia. SAGE Open Nursing,
10,
23779608241279152.
https://doi.org/10.1177/2377960
8241279152
Bhalerao, V., Gotarkar, S., & Muneshwar, K.
(2024). The Impact of HPV
Vaccination on Cervical Cancer in
Adolescent Females: A Narrative
Review. Journal of Family Medicine
and Primary Care, 13(11), 4775
4782.
https://doi.org/10.4103/jfmpc.jfm
pc_235_24
Bønløkke, S., Blaakær, J., Steiniche, T., &
Iachina, M. (2024). Social Factors
and Age Play a Significant Role in
Cervical Cancer and Advanced
Stage Disease Among Danish
Women. BMC Cancer, 24(1), 1–15.
https://doi.org/10.1186/s12885
024-11994-4
Djordjevic, S., Boricic, K., Radovanovic, S.,
Simic Vukomanovic, I., Mihaljevic,
O.,
&
Jovanovic, V. (2024).
Demographic and Socioeconomic
Factors Associated with Cervical
Cancer Screening Among Women
in Serbia. Frontiers in Public Health,
11,
1–10.
https://doi.org/10.3389/fpubh.20
23.1275354
Easwaran, V., Shorog, E. M., Alshahrani, A.
A., Mohammad, A. A. S., Sadiq, M. M.
J., Alavudeen, S. S., Khan, N. A.,
Akhtar, M. S., Almeleebia, T. M., &
Alshahrani,
S.
Knowledge,
M.
Attitudes,
Practices
(2023).
and
Related to Cervical
Cancer Prevention and Screening
among Female Pharmacy Students
at a Public University in a Southern
Region of Saudi Arabia. Healthcare,
11(20),
1–11.
https://doi.org/10.3390/healthca
re11202798
Field, A. P. (2024). Discovering Statistics
Using IBM SPSS Statistics (6th ed.).
SAGE Publications.
Globocan.
(2022).
Cancer
Today.
https://gco.iarc.who.int/media/gl
obocan/factsheets/populations/3
60-indonesia-fact-sheet.pdf
Gutusa, F., & Roets, L. (2023). Early
cervical cancer screening: The
influence of culture and religion.
African Journal of Primary Health
Care & Family Medicine, 15(1), 1–6.
https://doi.org/10.4102/phcfm.v1
5i1.3776Jodjana, M. S., Windiani, I. G. A. T., Adnyana,
I. G. A. N. S., Pratiwi, N. L. S., &
Soetjiningsih. (2023). Knowledge
Regarding Cervical Cancer and HPV
Vaccination in Adolescent Girls.
Intisari Sains Medis, 14(1), 421
424.
https://doi.org/10.15562/ism.v14
i1.1668
Kementerian
Kesehatan
Republik
Indonesia. (2024). Rencana Kanker
Nasional 2024–2034. Kementerian
Kesehatan Republik Indonesia.
https://www.iccp
portal.org/sites/default/files/plan
s/Rencana_Kanker_Nasional_2024-2034.pdf
Kong, L., Xiao, X., Wan, R., Zhao, S., & Wang,
W. (2025). Immediate Risk and 5
Year Cumulative Risk of High
Grade Cervical Lesions in High-Risk
HPV-Positive Patients with Minor
Cytological
Abnormalities:
A
Retrospective Single-Center Study
in China. BMC Cancer, 25(1), 1–9.
https://doi.org/10.1186/s12885
025-14972-6
Kurniasih, R., & Hartato, A. (2023).
Seorang Wanita 78tahun P8A0
Suspect Ca Serviks. Jurnal Ilmiah
Multidisiplin, 1(2), 75–81.
Leekuan, P., Kane, R., Sukwong, P., &
Kulnitichai,
W.
Understanding
Sexual
(2022).
and
Reproductive Health from the
Perspective of Late Adolescents in
Northern
Thailand:
Phenomenological
A
Study.
Reproductive Health, 19(1), 1–17.
https://doi.org/10.1186/s12978
022-01528-1
Li, J. (2024). Relationships Among Health
Related
Social
Media
Use,
Knowledge, Worry, and Cervical
Cancer Screening: A Cross
Sectional Study of US Females.
Patient Education and Counseling,
124,
1–24.
https://doi.org/https://doi.org/1
0.1016/j.pec.2024.108283.
Liu, Y., Guo, J., Zhu, G., Zhang, B., & Feng, X.
L. (2022). Changes in Rate and
Socioeconomic
Inequality
Cervical
of
Cancer Screening in
Northeastern China from 2013 to
2018. Frontiers in Medicine, 9, 1–9.
https://doi.org/10.3389/fmed.20
22.913361
Mainarni, E. (2016). Pengetahuan dan
Sikap
Wus
Kanker
Tentangdeteksidini
Leher
Wilayahkerjapustu
Rahim
di
Kelurahan
Timbangankota Padangsidimpuan
Tahun 2016. STIKes Aufa Royhan.
Marzvanyan, A., & Alhawaj, A. F. (2023).
Physiology, Sensory Receptors (1st
ed.).
StatPearls
Publishing.
https://www.ncbi.nlm.nih.gov/bo
oks/NBK539861/
Obannaya, S., Ekpenyong, B. N., & Esu, E. B.
(2026). Knowledge, Attitude and
Practice
of
Cervical
Cancer
Screening Among Female Public
Health Students in the University of
Calabar, Calabar, Nigeria. Discover
Public
Health,
23(1),
1–10.
https://doi.org/10.1186/s12982
026-01468-2
Osowiecka, K., Yahuza, S., Szwiec, M.,
Gwara,
A.,
Kasprzycka,
K.,
Godawska, M., Olejniczak, D.,
Nowacka, A., Nowakowski, J. J.,
Nawrocki, S., & Rucinska, M.
(2021). Students’ Knowledge about
Cervical Cancer Prevention in
Poland. Medicina, 57(10), 1–11.
https://doi.org/10.3390/medicina
57101045
Paratiwi, A. (2021). Faktor Risiko yang
Berhubungan dengan Kejadian
Kanker Payudara Wanita di RSUD
Dr. Achmad Mochtar Bukittinggi.
Jurnal
Kesehatan
Masyarakat
Mulawarman (JKMM), 3(2), 93
104.
https://doi.org/10.30872/jkmm.v
3i2.6488Petersen, Z., Jaca, A., Ginindza, T. G.,
Maseko, G., Takatshana, S., Ndlovu,
P., Zondi, N., Zungu, N., Varghese, C.,
Hunting, G., Parham, G., Simelela, P.,
& Moyo, S. (2022). Barriers to
Uptake
of
Cervical
Cancer
Screening Services in Low-and
Middle-Income
Countries:
A
Systematic Review. BMC Women’s
Health,
22(1),
1–20.
https://doi.org/10.1186/s12905
022-02043-y
Rodríguez, J. C. G., Valdez, A. C., & Marina,
V. M. (2024). Cervical Cancer
Prevention by Vaccination: Review.
Frontiers in Oncology, 14, 1–16.
https://doi.org/10.3389/fonc.202
4.1386167
Winarto, H., Dorothea, M., Winarno, A. S.,
Ibrahim, N. A. A., Putri, Y. M.,
Purbadi, S., Kusuma, F., Utami, T.
W., & Nuryanto, K. H. (2022).
Knowledge, Attitude, and Practice
on Cervical Cancer and HPV
Vaccination
among
Medical
Students in Jakarta, Indonesia: A
Cross-Sectional Study. Macedonian
Journal of Medical Sciences, 10(E),
1221–1226.
https://doi.org/10.3889/oamjms.
2022.8939
Yang, D., Zhang, J., Cui, X., Ma, J., Wang, C., &
Piao, H. (2022). Risk Factors
Associated
with
Human
Papillomavirus Infection, Cervical
Cancer, and Precancerous Lesions
in
Large-Scale
Screening.
Population
Frontiers
Microbiology,
13,
in
1–13.
https://doi.org/10.3389/fmicb.20
22.914516
Zainunhisham, Z. S. B. (2026). Early Sexual
Intercourse
and
Human
Papillomavirus as Risk Factors of
Cervical
Intraepithelial
Neoplasiand]. Special Journal of the
Medical Academy and Other Life
Sciences,
4(1),
1–2.https://doi.org/https://doi.org/1
0.58676/sjmas.v4i1.150
Zhou, X., Wu, M., Zhou, Y., Su, F., He, Y.,
Ding, J., & Xie, L. (2025).
Knowledge, Attitudes, Behaviors,
and Information Needs of Women
Vaccinated with the HPV Vaccine
Regarding
Cervical
Prevention:
Cancer
A Cross-Sectional
Study. Frontiers in Public Health, 13,
1–12.
https://doi.org/10.3389/fpubh.20
25.1493589
A. N., Khairunnisa, N. Z. A., Haryanti,
N. T. M., Putri, R. A. P., Anggraeni, A.
F., Putri, A. N. I. S., Salam, M. I. R.,
Hisan, H. A., Majid, M. H., &
Sulistyarini,
A.
(2024).
Pengetahuan dan Sikap tentang
Kanker Serviks dan Vaksinasi HPV
pada
Mahasiswi
Universitas
Kampus C
Airlangga.
Jurnal
Farmasi Komunitas, 11(2), 128
133.
https://doi.org/10.20473/jfk.v11i
2.55442
Aynalem, B. Y., Anteneh, K. T., & Enyew, M.
M. (2025). Knowledge, Attitudes,
and Associated Factors of Cervical
Cancer Screening Among Women
in Debre Markos Town, Northwest
Ethiopia: A Cross-Sectional Study.
Scientific Reports, 15(1), 1–11.
https://doi.org/10.1038/s41598
025-18296-0
Aziz, H. R. A., Mohamed, N. A., & Elsehrawy,
M. G. (2024). Knowledge, Attitude,
and Practice on Cervical Cancer
Prevention
among
Female
University Students in Al Kharj,
Saudi Arabia. SAGE Open Nursing,
10,
23779608241279152.
https://doi.org/10.1177/2377960
8241279152
Bhalerao, V., Gotarkar, S., & Muneshwar, K.
(2024). The Impact of HPV
Vaccination on Cervical Cancer in
Adolescent Females: A Narrative
Review. Journal of Family Medicine
and Primary Care, 13(11), 4775
4782.
https://doi.org/10.4103/jfmpc.jfm
pc_235_24
Bønløkke, S., Blaakær, J., Steiniche, T., &
Iachina, M. (2024). Social Factors
and Age Play a Significant Role in
Cervical Cancer and Advanced
Stage Disease Among Danish
Women. BMC Cancer, 24(1), 1–15.
https://doi.org/10.1186/s12885
024-11994-4
Djordjevic, S., Boricic, K., Radovanovic, S.,
Simic Vukomanovic, I., Mihaljevic,
O.,
&
Jovanovic, V. (2024).
Demographic and Socioeconomic
Factors Associated with Cervical
Cancer Screening Among Women
in Serbia. Frontiers in Public Health,
11,
1–10.
https://doi.org/10.3389/fpubh.20
23.1275354
Easwaran, V., Shorog, E. M., Alshahrani, A.
A., Mohammad, A. A. S., Sadiq, M. M.
J., Alavudeen, S. S., Khan, N. A.,
Akhtar, M. S., Almeleebia, T. M., &
Alshahrani,
S.
Knowledge,
M.
Attitudes,
Practices
(2023).
and
Related to Cervical
Cancer Prevention and Screening
among Female Pharmacy Students
at a Public University in a Southern
Region of Saudi Arabia. Healthcare,
11(20),
1–11.
https://doi.org/10.3390/healthca
re11202798
Field, A. P. (2024). Discovering Statistics
Using IBM SPSS Statistics (6th ed.).
SAGE Publications.
Globocan.
(2022).
Cancer
Today.
https://gco.iarc.who.int/media/gl
obocan/factsheets/populations/3
60-indonesia-fact-sheet.pdf
Gutusa, F., & Roets, L. (2023). Early
cervical cancer screening: The
influence of culture and religion.
African Journal of Primary Health
Care & Family Medicine, 15(1), 1–6.
https://doi.org/10.4102/phcfm.v1
5i1.3776Jodjana, M. S., Windiani, I. G. A. T., Adnyana,
I. G. A. N. S., Pratiwi, N. L. S., &
Soetjiningsih. (2023). Knowledge
Regarding Cervical Cancer and HPV
Vaccination in Adolescent Girls.
Intisari Sains Medis, 14(1), 421
424.
https://doi.org/10.15562/ism.v14
i1.1668
Kementerian
Kesehatan
Republik
Indonesia. (2024). Rencana Kanker
Nasional 2024–2034. Kementerian
Kesehatan Republik Indonesia.
https://www.iccp
portal.org/sites/default/files/plan
s/Rencana_Kanker_Nasional_2024-2034.pdf
Kong, L., Xiao, X., Wan, R., Zhao, S., & Wang,
W. (2025). Immediate Risk and 5
Year Cumulative Risk of High
Grade Cervical Lesions in High-Risk
HPV-Positive Patients with Minor
Cytological
Abnormalities:
A
Retrospective Single-Center Study
in China. BMC Cancer, 25(1), 1–9.
https://doi.org/10.1186/s12885
025-14972-6
Kurniasih, R., & Hartato, A. (2023).
Seorang Wanita 78tahun P8A0
Suspect Ca Serviks. Jurnal Ilmiah
Multidisiplin, 1(2), 75–81.
Leekuan, P., Kane, R., Sukwong, P., &
Kulnitichai,
W.
Understanding
Sexual
(2022).
and
Reproductive Health from the
Perspective of Late Adolescents in
Northern
Thailand:
Phenomenological
A
Study.
Reproductive Health, 19(1), 1–17.
https://doi.org/10.1186/s12978
022-01528-1
Li, J. (2024). Relationships Among Health
Related
Social
Media
Use,
Knowledge, Worry, and Cervical
Cancer Screening: A Cross
Sectional Study of US Females.
Patient Education and Counseling,
124,
1–24.
https://doi.org/https://doi.org/1
0.1016/j.pec.2024.108283.
Liu, Y., Guo, J., Zhu, G., Zhang, B., & Feng, X.
L. (2022). Changes in Rate and
Socioeconomic
Inequality
Cervical
of
Cancer Screening in
Northeastern China from 2013 to
2018. Frontiers in Medicine, 9, 1–9.
https://doi.org/10.3389/fmed.20
22.913361
Mainarni, E. (2016). Pengetahuan dan
Sikap
Wus
Kanker
Tentangdeteksidini
Leher
Wilayahkerjapustu
Rahim
di
Kelurahan
Timbangankota Padangsidimpuan
Tahun 2016. STIKes Aufa Royhan.
Marzvanyan, A., & Alhawaj, A. F. (2023).
Physiology, Sensory Receptors (1st
ed.).
StatPearls
Publishing.
https://www.ncbi.nlm.nih.gov/bo
oks/NBK539861/
Obannaya, S., Ekpenyong, B. N., & Esu, E. B.
(2026). Knowledge, Attitude and
Practice
of
Cervical
Cancer
Screening Among Female Public
Health Students in the University of
Calabar, Calabar, Nigeria. Discover
Public
Health,
23(1),
1–10.
https://doi.org/10.1186/s12982
026-01468-2
Osowiecka, K., Yahuza, S., Szwiec, M.,
Gwara,
A.,
Kasprzycka,
K.,
Godawska, M., Olejniczak, D.,
Nowacka, A., Nowakowski, J. J.,
Nawrocki, S., & Rucinska, M.
(2021). Students’ Knowledge about
Cervical Cancer Prevention in
Poland. Medicina, 57(10), 1–11.
https://doi.org/10.3390/medicina
57101045
Paratiwi, A. (2021). Faktor Risiko yang
Berhubungan dengan Kejadian
Kanker Payudara Wanita di RSUD
Dr. Achmad Mochtar Bukittinggi.
Jurnal
Kesehatan
Masyarakat
Mulawarman (JKMM), 3(2), 93
104.
https://doi.org/10.30872/jkmm.v
3i2.6488Petersen, Z., Jaca, A., Ginindza, T. G.,
Maseko, G., Takatshana, S., Ndlovu,
P., Zondi, N., Zungu, N., Varghese, C.,
Hunting, G., Parham, G., Simelela, P.,
& Moyo, S. (2022). Barriers to
Uptake
of
Cervical
Cancer
Screening Services in Low-and
Middle-Income
Countries:
A
Systematic Review. BMC Women’s
Health,
22(1),
1–20.
https://doi.org/10.1186/s12905
022-02043-y
Rodríguez, J. C. G., Valdez, A. C., & Marina,
V. M. (2024). Cervical Cancer
Prevention by Vaccination: Review.
Frontiers in Oncology, 14, 1–16.
https://doi.org/10.3389/fonc.202
4.1386167
Winarto, H., Dorothea, M., Winarno, A. S.,
Ibrahim, N. A. A., Putri, Y. M.,
Purbadi, S., Kusuma, F., Utami, T.
W., & Nuryanto, K. H. (2022).
Knowledge, Attitude, and Practice
on Cervical Cancer and HPV
Vaccination
among
Medical
Students in Jakarta, Indonesia: A
Cross-Sectional Study. Macedonian
Journal of Medical Sciences, 10(E),
1221–1226.
https://doi.org/10.3889/oamjms.
2022.8939
Yang, D., Zhang, J., Cui, X., Ma, J., Wang, C., &
Piao, H. (2022). Risk Factors
Associated
with
Human
Papillomavirus Infection, Cervical
Cancer, and Precancerous Lesions
in
Large-Scale
Screening.
Population
Frontiers
Microbiology,
13,
in
1–13.
https://doi.org/10.3389/fmicb.20
22.914516
Zainunhisham, Z. S. B. (2026). Early Sexual
Intercourse
and
Human
Papillomavirus as Risk Factors of
Cervical
Intraepithelial
Neoplasiand]. Special Journal of the
Medical Academy and Other Life
Sciences,
4(1),
1–2.https://doi.org/https://doi.org/1
0.58676/sjmas.v4i1.150
Zhou, X., Wu, M., Zhou, Y., Su, F., He, Y.,
Ding, J., & Xie, L. (2025).
Knowledge, Attitudes, Behaviors,
and Information Needs of Women
Vaccinated with the HPV Vaccine
Regarding
Cervical
Prevention:
Cancer
A Cross-Sectional
Study. Frontiers in Public Health, 13,
1–12.
https://doi.org/10.3389/fpubh.20
25.1493589
Published
2026-07-20
Section
Articles
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