Awareness of Cervical Cancer and Pap Smear Testing Among Omani Women

  • Nasar, Alwahaibi (Department of Allied Health Sciences, College of Medicine and Health Sciences, Sultan Qaboos University) ;
  • Waad, Alsalami (Department of Allied Health Sciences, College of Medicine and Health Sciences, Sultan Qaboos University) ;
  • Atheer, Alzaabi (Department of Allied Health Sciences, College of Medicine and Health Sciences, Sultan Qaboos University) ;
  • Nasra, Alramadhani (Department of Allied Health Sciences, College of Medicine and Health Sciences, Sultan Qaboos University)
  • Published : 2016.11.01


Background: In developed countries, awareness of cervical cancer screening is well documented. In contrast, in Oman as a developing country, public responses regarding cervical screening are unclear. This study aimed to assess the level of awareness about cervical cancer and Papanicolau (Pap) smear testing and to establish any correlations between knowledge and demographic factors among Omani women. Methods: In this cross-sectional survey, participants were divided into three groups: patients who attended the Outpatient Gynecology Department in Sultan Qaboos University Hospital (SQUH), Oman, female staff from SQUH, College of Medicine and College of Nursing at Sultan Qaboos University (SQU) and graduating female students at SQU. Data collection was through interview-based and online self-administered questionnaires. Cumulative scoring was used for data analysis. Results: There were 204 outpatients, 133 staff and 157 students. Outpatients (79.4%), staff (97.7%) and students (75.2%) had heard of cervical cancer. Nevertheless, their specific knowledge, regarding signs and symptoms, risk factors and Pap smear, was low at 38.7%, 35.3% and 7.6% among outpatients, staff and students, respectively. Some 39.9% of the married outpatients had adequate overall knowledge as compared to none of the single women. Educational level was found to be significantly associated with outpatient knowledge with the highest awareness levels among postgraduates and medical university graduates (61.5%). Conclusion: Specific knowledge of cervical cancer, its risk factors and cervical Pap smear is generally poor among Omani women. This lack of knowledge may be one of the contributing factors for the high incidence of cervical cancer in Oman relative to that in developed countries.


  1. Al-Meer FM, Aseel MT, Al khalaf J, Al-Kuwari MG, Imail FS (2011). Knowledge, attitude and practices regarding cervical cancer and screening among women visiting primary health care in Qatar. East Mediterr Health J, 17, 855-61.
  2. Al Sairafi M, Mohamed F (2009). Knowledge, attitudes, and practice related to cervical cancer screening among Kuwaiti women. Med Princ Pract, 18, 35-42.
  3. Al-Shaikh GK, Almussaed EM, Fayed AA, et al (2014). Knowledge of Saudi female university students regarding cervical cancer and acceptance of the human papilloma virus vaccine. Saudi Med J, 35, 1223-30.
  4. Amarin ZO, Badria LF, Obeidat BR (2014). Attitudes and beliefs about cervical smear testing in ever-married Jordanian women. East Mediterr Health J, 14, 389-39.
  5. Antic L, Djikanovic B, Antic D, Aleksopulos H, Trajkovic G (2014). Differences in the level of knowledge on cervical cancer among health care students, midwives and patients in Serbia. Asian Pac J Cancer Prev, 15, 3011-5.
  6. Dhendup T, Tshering P (2014). Cervical cancer knowledge and screening behaviors among female university graduates of year 2012 attending national graduate orientation program, Bhutan. BMC Women's Health, 14, 44.
  7. Goedken J, Sharling L, Kress C, et al (2015). Knowledge, attitudes, and practices regarding cervical cancer and screening among Ethiopian health care workers. Int J Wom Health, 7, 765-72.
  8. Guan P, Howell-Jones R, Li N, et al (2012). Human papillomavirus types in 115,789 HPV-positive women: A meta-analysis from cervical infection to cancer. Int J Cancer, 131, 2349-59.
  9. Oman Cancer Registry (2010). Cancer incidence in Oman report of 2010, ministry of health, Sultanate of Oman.
  10. Ortashi O, Raheel H, Shalal M, Osman N (2013). Awareness and knowledge about human papillomavirus infection and vaccination among women in UAE. Asian Pac J Cancer Prev, 14, 6077-80.
  11. Abudukadeer A, Azam S, Mutailipu A, et al (2015). Knowledge and attitude of Uyghur women in Xinjiang province of China related to the prevention and early detection of cervical cancer. World J Surg Oncol, 13, 110.
  12. Al-Darwish A, Al-Naim A, Al-Mulhim K, et al (2014). Knowledge about cervical cancer early warning signs and symptoms, risk factors and vaccination among students at a medical school in Al-Ahsa, Kingdom of Saudi Arabia. Asian Pac J Cancer Prev, 15, 2529-32.
  13. Siegel RL, Miller KD, Jemal A (2016). Cancer statistics, 2016. CA Cancer J Clin, 66, 7-30.
  14. Strohl A, Mendoza G, Ghant M, et al (2015). Barriers to prevention: knowledge of HPV, cervical cancer, and HPV vaccinations among African American women. Am J Obstet Gynecol, 212, 1-65.
  15. Tran L, Tran L, Bui T, et al (2015). Risk factors for high-risk and multi-type human papillomavirus infections among women in Ho Chi Minh City, Vietnam: a cross-sectional study. BMC Women's Health, 15, 80-5.
  16. Who int (2015). WHO I Human papillomavirus (HPV) and cervical cancer. [online] Available at: [Accessed 1 Apr. 2016].
  17. Yanikkerem E, Goker A, Piro N, Dikayak S, Koyuncu FM (2013). Knowledge about cervical cancer, pap test and barriers towards cervical screening of women in Turkey. J Canc Educ, 28, 375-83.