Factors associated with the utilization of cervical cancer screening using the HPV DNA test among women aged 30–60 years in Khon Kaen Province

Abstract

This analytical case-control study aimed to examine Factors associated with the utilization of cervical cancer screening using the HPV DNA test among women aged 30–60 years in Khon Kaen Province. The study involved 484 participants, comprising 242 cases (women who received HPV DNA testing) and 242 controls (women who did not). Data were collected through questionnaires between July 2024 and June 2025 and analyzed using multiple logistic regression. The results indicated that significant factors associated with cervical cancer screening were age 40–49 years (OR_adj = 2.78, 95% CI: 1.68–4.59; p < 0.001), age 50-60 years (OR_adj = 4.49, 95% CI: 2.71–7.17; p = 0.01), occupation as farmer/laborer/ vendor/ self-employed (OR_adj = 2.40, 95% CI: 1.35–4.26; p < 0.001), occupation as government officer/state enterprise/private employee (OR_adj = 3.20, 95% CI: 1.67–6.14; p < 0.001), and marital status, including married/cohabiting (OR_adj = 3.20, 95% CI: 1.12–3.36; p = 0.01) and widowed/divorced/separated (OR_adj = 2.49, 95% CI: 1.17–5.27; p = 0.01). Public health service organizations should develop proactive follow-up systems through village health volunteers (VHVs), provide comprehensive one-stop cervical screening services with self-sampling options, and enhance data connectivity between referral hospitals and primary care units to improve the efficiency and coverage of cervical cancer screening services.