Background/Objectives: Cervical cancer screening uptake in Singapore remains suboptimal. This study employed the Social Ecological Model (SEM) to investigate factors influencing cervical cancer screening participation among Singaporean women.Methods: The study included 665 women, aged 25–69 years, who reported awareness of cancer screening and no personal cancer history. Data were collected through a previously described online survey. Hierarchical logistic regression analysis was conducted to identify significant factors influencing screening participation.Results: Only 30% of participants reported cervical cancer screening participation. Women aged 25–29 years (OR = 0.33; 95% CI = 0.12–0.77), Malay women (OR = 0.42; 95% CI = 0.20–0.83), and unmarried women (OR = 0.30; 95% CI = 0.18–0.48) were less likely to be screened. Positive associations with screening participation were observed with good cervical cancer screening knowledge (OR = 2.90; 95% CI = 1.96–4.32), awareness of primary care providers’ role in delivering screening services (OR = 1.94; 95% CI = 1.24–3.10), cancer information seeking behavior (OR = 1.59; 95% CI = 1.07–2.39), and acceptance of self-sampling options (OR = 1.81; 95% CI = 1.22–2.70).Conclusions: Our study highlights the cumulative impact of factors at various SEM levels on screening participation and underscores the necessity for more targeted and multi-pronged strategies to improve cervical cancer screening uptake in Singapore.
背景/目的：新加坡的宫颈癌筛查参与率仍不理想。本研究采用社会生态模型（SEM）探讨影响新加坡女性参与宫颈癌筛查的因素。 方法：研究纳入665名25-69岁、知晓癌症筛查且无个人癌症史的女性。数据通过一项已描述的在线调查收集，采用分层逻辑回归分析识别影响筛查参与的关键因素。 结果：仅30%的参与者报告曾参与宫颈癌筛查。25-29岁女性（OR = 0.33；95% CI = 0.12–0.77）、马来族女性（OR = 0.42；95% CI = 0.20–0.83）及未婚女性（OR = 0.30；95% CI = 0.18–0.48）的筛查可能性较低。而良好的宫颈癌筛查知识（OR = 2.90；95% CI = 1.96–4.32）、知晓基层医疗提供者在筛查服务中的角色（OR = 1.94；95% CI = 1.24–3.10）、癌症信息寻求行为（OR = 1.59；95% CI = 1.07–2.39）以及对自采样方式的接受度（OR = 1.81；95% CI = 1.22–2.70）与筛查参与呈正相关。 结论：本研究揭示了社会生态模型各层面因素对筛查参与的累积影响，强调需采取更具针对性、多元化的策略以提升新加坡宫颈癌筛查覆盖率。
肿瘤(癌症)患者之家