Health Literacy and Intention to Undergo Cervical Cancer Screening among Married Women in Bangladesh: The Roles of Perceived Benefits and Social Support

Authors

  • Md Amjad Hossain Chowdhury Community health behavior and Education, Georgia Southern University, Bangladesh Author https://orcid.org/0009-0002-9633-2247
  • Sujan Ahmed Dept of School of Social Work, Excelsia University College, Bangladesh Author https://orcid.org/0009-0004-8076-4840
  • Samia Akter Bristy Dept of Pharmacy, Independent University, Bangladesh, Bangladesh Author
  • Mehedee Hasan Masters of Pharmaceuticals Science, State University of Bangladesh, Bangladesh Author
  • Israt Jahan Dipty Masters of Research Pharmaceuticals Science, University of Cyberjaya, Malaysia Author
  • Md. Majedul Islam Pharmaceuticals Science, North South University, Bangladesh Author
  • Syeda Sumaiya Pharmaceuticals Science, North South University, Bangladesh Author

DOI:

https://doi.org/10.54536/ajmhc.v1i2.8699

Keywords:

Bangladesh Cervical Cancer Screening, Health Literacy, Married Women, Perceived Benefits, Screening Intention, Social Support

Abstract

The availability of screening services is not the only factor that determines whether women access screening-they must also be able to comprehend information about cervical cancer screening services, see the advantages, ask for support, and turn comprehension and incentives into intention to access services. The present study aimed to investigate the association of screening intention with health literacy of, perceived benefits of, and social support towards cervical cancer screening among married women in Bangladesh. The design of the study was quantitative survey and the 720 valid questionnaires collected were analyzed using the PLS-SEM approach. Measurement model revealed acceptable indicator reliability, internal consistency and convergent validity, while also achieving acceptable discriminant validity. The structural model accounted for 37.6% variance of perceived benefits, and 56.9% variance of the screening intention. The effect of health literacy was significant about perceived benefits (β = 0.528) and screening intention (β = 0.348). Social support had a positive impact on perceived benefits (β = 0.315) and screening intention (β = 0.224). The perceived benefit was also significantly positively associated with screening intention (β = 0.428). Further, the relationship between health literacy and screening intention also was significantly mediated by perceived benefits (indirect β = 0.226). The findings indicate that interventions targeting the continuation of stronger information regarding the benefit of screening, to better understand screening, and to increase support from their social environment may improve screening intentions among married women, when screening is professionally recommended and clinically indicated.

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References

Abubakari, A., Gross, J., & Adusei‐Poku, E. (2026). Understanding Cervical Cancer Screening Intentions Through the Lens of Care‐Seeking Behavior: A Cross‐Sectional Study Among Islamic Women in Ghana. Health Science Reports, 9(2), e71827. https://doi.org/10.1002/hsr2.71827

Abubakari, A., Gross, J., Kwaku, I. D., & Boateng, I. K. (2025). Factors Influencing Cervical Cancer Screening: A Cross‐Sectional Study Among Ethnically Diverse Women in the Kumasi Metropolis of Ghana. Health Science Reports, 8(2), e70433. https://doi.org/10.1002/hsr2.70433

Alam, Z., Ann Dean, J., & Janda, M. (2022). Cervical screening uptake: A cross-sectional study of self-reported screening attitudes, behaviours and barriers to participation among South Asian immigrant women living in Australia. Women’s Health, 18, 17455057221096240. https://doi.org/10.1177/17455057221096240

Baharum, N. N., Ariffin, F., Isa, M. R., & Tin, S. T. (2020). Health Literacy, Knowledge on Cervical Cancer and Pap Smear and Its Influence on Pre-Marital Malay Muslim Women Attitude towards Pap Smear. Asian Pacific Journal of Cancer Prevention, 21(7), 2021–2028. https://doi.org/10.31557/APJCP.2020.21.7.2021

Bando, E. F., Mohamed Saifulaman Mohamed Said, Tukimin Bin Sansuwito, & Jipri Suyanto. (2025). A Systematic Literature Review: The Effect of Health Education Concepts of Cervical Cancer in Community Based. Public Health of Indonesia, 11(2), 81–90. https://doi.org/10.36685/phi.v11i2.957

Bawuah, A., Wang, V. Q., Adeleye, K., Ameyaw, E. K., & Yaya, S. (2025). Mass Media Exposure and Cervical Cancer Screening in Rural Sub‐Saharan Africa: A Multi‐Country Cross‐Sectional Analysis. Health Science Reports, 8(4), e70663. https://doi.org/10.1002/hsr2.70663

Chen, Y. (2023). Methodology. In Y. Chen, Surface Plasmon Resonance Imaging (Vol. 95, pp. 91–164). Springer Nature Singapore. https://doi.org/10.1007/978-981-99-3118-7_4

De Fouw, M., Stroeken, Y., Niwagaba, B., Musheshe, M., Tusiime, J., Sadayo, I., Reis, R., Peters, A. A. W., & Beltman, J. J. (2023). Involving men in cervical cancer prevention; a qualitative enquiry into male perspectives on screening and HPV vaccination in Mid-Western Uganda. PLOS ONE, 18(1), e0280052. https://doi.org/10.1371/journal.pone.0280052

Dr. Bhavanam Amarnath Reddy, Dr. Aayesha Sagir Khan, Dr. Mohammed Wamique Hisam, & Dr. Somnath Arote. (2023). Research Methodology. https://doi.org/10.5281/ZENODO.8177256

Earley, E. J. (2023). Methodology. https://doi.org/10.17605/OSF.IO/FN4J2

Garcia lurgain, J. (2025). An ecological exploration of the barriers and facilitators to cervical cancer screening and HPV self-sampling acceptability amongst Moroccan and Pakistani women in Spain [London School of Hygiene & Tropical Medicine]. https://doi.org/10.17037/PUBS.04675279

Gemeda, E. Y., Kare, B. B., Negera, D. G., Bona, L. G., Derese, B. D., Akale, N. B., Kebede, K. M., Koboto, D. D., & Tekle, A. G. (2020). Prevalence and Predictor of Cervical Cancer Screening Service Uptake Among Women Aged 25 Years and Above in Sidama Zone, Southern Ethiopia, Using Health Belief Model. Cancer Control, 27(1), 1073274820954460. https://doi.org/10.1177/1073274820954460

Harsch, S., Weber, L. S., Kassaman, D., Kailemia, P. N., & Oria, V. O. (2025). Cancer health literacy in Kenya—A scoping review on evidence, concept and a situational analysis of interventions. Frontiers in Public Health, 13, 1527400. https://doi.org/10.3389/fpubh.2025.1527400

Harun, S. N. F., Azlan, A. A., Mohd Hassan, N. Z. A., & Mohamad, E. M. W. (2026). Health belief model and cervical cancer screening intention among lower socioeconomic women in Malaysia: A pilot study. Frontiers in Public Health, 14, 1843558. https://doi.org/10.3389/fpubh.2026.1843558

Hernandez, S., Ahuja, A., Kakkad, N., Nignang, C. T., Cote, M., Schoenberger, M., Sison, R., Munkaila, A., Anemana, G., Baatiema, L., Hollond, C., Malechi, H., Brault, M. A., Moucheraud, C., & Simono Charadan, A. M. (2026). “My Wife’s Healthcare Is my Healthcare”: A Qualitative Study Exploring Family-Centered Strategies to Enhance Cervical Cancer Prevention in Northern Ghana. Cancer Control, 33, 10732748261448259. https://doi.org/10.1177/10732748261448259

Islam, T., Khan, Md. A. S., Hawlader, M. D. H., Meem, N.-E.-S., Eva, F. N., Monisha, U. K., Hossain, M. A., & Nabi, M. H. (2025). Awareness about cervical cancer and its socio-economic determinants among adults in Bangladesh: Results from a nationwide cross-sectional study. PLOS One, 20(6), e0325712. https://doi.org/10.1371/journal.pone.0325712

Jatho, A., Everd Bikaitwoha, M., & Mugume Mugisha, N. (2020). Socio-culturally mediated factors and lower level of education are the main influencers of functional cervical cancer literacy among women in Mayuge, Eastern Uganda. Ecancermedicalscience, 14. https://doi.org/10.3332/ecancer.2020.1004

Jun, J. S., & Lee, K. H. (2026). Protective and Risk Factors and Gastric Cancer Knowledge Among Korean Immigrant Adults in Midlife and Older in the U.S. Journal of Evidence-Based Social Work, 23(5), 828–844. https://doi.org/10.1080/26408066.2025.2565247

Khalednejad, M., Salehi, L., Pashang, S., Moghimbeigi, A., & Nameghi, A. N. M. (2023). Perspectives of Married Women Related to Cervical Cancer ScreeningTest: A Theory-Based Qualitative Study in Iran. Current Women s Health Reviews, 19(1), e040322201708. https://doi.org/10.2174/1573404818666220304104128

Kıran, Ş., Sevim, F., Ürek, D., & Şenol, O. (2024). Factors affecting cancer screening perception in Turkish women: The role of health literacy. Health Promotion International, 39(3), daae053. https://doi.org/10.1093/heapro/daae053

Marques, P., Gama, A., Santos, M., Heleno, B., Vermandere, H., & Dias, S. (2021). Understanding Cervical Cancer Screening Barriers among Migrant Women: A Qualitative Study with Healthcare and Community Workers in Portugal. International Journal of Environmental Research and Public Health, 18(14), 7248. https://doi.org/10.3390/ijerph18147248

Moura, M., & Neves, R. (2025). Methodology. In M. Moura & R. Neves, Using Fundamental Analysis and an Ensemble of Classifier Models Along with a Risk-Off Filter to Select Outperforming Companies (pp. 27–52). Springer Nature Switzerland. https://doi.org/10.1007/978-3-031-62061-4_3

Ozturk, N. Y., Hossain, S. Z., Mackey, M., Adam, S., & Brennan, P. (2024). HPV and Cervical Cancer Awareness and Screening Practices among Migrant Women: A Narrative Review. Healthcare, 12(7), 709. https://doi.org/10.3390/healthcare12070709

Ripon, R. K., Hossain, M. J., Prasad, N. G., Thakkar, N., Ottoho, E., Gokhale, S., Munot, S., Volquez, M., Manghani, P., Paulino‐Ramírez, R., Cruz, M., Saunik, S., Majumdar, P., & Meda‐Monzon, E. (2026). Cervical Cancer, HPV, and HPV Vaccine Knowledge and Willingness to be Vaccinated Among Adolescent Girls in Dhaka, Bangladesh: A Cross‐Sectional Study. Health Science Reports, 9(2), e71843. https://doi.org/10.1002/hsr2.71843

Tseng, K. W., Mohabbat, H., Adachi, A., Calaguas, A., Kaur, A., Salem, N., & Goliaei, Z. (2025). Reproductive Health Literacy and Knowledge Among Female Refugees: A Scoping Review of Measurement Methodologies and Effect on Health Behavior. International Journal of Environmental Research and Public Health, 22(7), 1121. https://doi.org/10.3390/ijerph22071121

Uddin, J. (2026). Cultural Norms and Maternal Health Behavior: Social Influences on Cesarean Section Intentions in Bangladesh. Howard Journal of Communications, 1–20. https://doi.org/10.1080/10646175.2026.2725649

Villalona, S., Sanchez, J., Mangkalard, P., & Best, A. L. (2025). Understanding Disclosure Decisions and Communication About HPV-Related Cancer: A Qualitative Exploration of Stigma and Social Support. Healthcare, 13(9), 966. https://doi.org/10.3390/healthcare13090966

Zhang, M., Sit, J. W. H., Chan, D. N. S., Akingbade, O., & Chan, C. W. H. (2022). Educational Interventions to Promote Cervical Cancer Screening among Rural Populations: A Systematic Review. International Journal of Environmental Research and Public Health, 19(11), 6874. https://doi.org/10.3390/ijerph19116874

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Published

2026-10-26

How to Cite

Chowdhury, M. A. H. ., Ahmed, S. ., Bristy, S. A. ., Hasan, M. ., Dipty, I. J. ., Islam, M. M. ., & Sumaiya, S. . (2026). Health Literacy and Intention to Undergo Cervical Cancer Screening among Married Women in Bangladesh: The Roles of Perceived Benefits and Social Support. American Journal of Medicine and Health Care, 1(2), 112-122. https://doi.org/10.54536/ajmhc.v1i2.8699

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