Page 52 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
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14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
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INTRODUCTION: Dual/polyusers of tobacco products are more prone to develop smoking-
related illnesses and are less likely to quit. Identification of the first tobacco product used by
a dual/polyuser, as well as the types of tobacco products used by dual/polyusers, is a critical
step in developing policy to address the issues.
METHODS: The data was obtained from the Malaysian Tobacco and E-Cigarette Survey,which
used cross-sectional study design and multi-stage cluster sampling to select a representative
sample of Malaysian school-aged adolescents aged 11–19 years.
RESULTS: The prevalence of dual/polyusers of tobacco products was determined to be 6.5
percent in the study. 62.5 percent of dual/polyusers used E-cigarette first before switching to
other tobacco products like cigarettes or sisha. Sisha was used first by only one dual-polyuser.
More than half of dual/polyusers used both cigarettes and traditional cigarettes, and nearly
one in four dual/polyusers used all three tobacco products, according to the study.
DISCUSSION/CONCLUSION: According to the findings, more proactive strategies should be
developed in the future to lower the incidence of dual/polyusers among Malaysian school-
aged adolescents.

ID 20 WOMEN’S MOTIVATION TOWARDS PAP SMEAR SCREENING: A CROSS-SECTIONAL
STUDY BASED ON PROTECTION MOTIVATION THEORY

Rodziah Romli, Emma Mirza Wati Mohamad, Rahana Abd Rahman, Chew Kah Teik, Syahnaz Mohd Hashim &
Azmawati Mohammed Nawi
Universiti Kebangsaan Malaysia

INTRODUCTION: Cervical cancer (CC) remains a reproductive health burden. Pap smear (PS)
screening can detect CC early but is underutilized despite the availability of free subsidize.
Motivational factors may play a role in ensuring women undergo PS screening. This study
aimed to determine the women’s motivation toward PS screening based on Protection
Motivation Theory (PMT).
METHODS: The study was conducted electronically by disseminating the Google Forms via
multiple WhatsApp groups to reach 526 women aged 21–65 years. The questionnaire consists
of 24-item based on seven PMT constructs [perceived vulnerability, perceived severity, self-
efficacy, response efficacy, fear, response costs, behavioural intention]. Data was recorded
through Google Drive and analysed using IBM SPSS Statistics. Descriptive statistics were
evaluated based on frequency and percentage. The relationship between PMT constructs and
demographic factors was analysed using a one-way ANOVA and independent t-test.
RESULTS: The respondents represented by Malay (82.3%), aged 35-49 years [55.7%; mean ±
SD=40.86(9.46)], married (82.1%), degree holder (51.9%), employee (69.2%) and urban
residency (65.2%). The majority of respondents were sexually active (80.6%) and had heard
of CC screening (95.8%). More than half of respondents claimed not having CC screening in
the last three years (59.3%). There were an association between protection motivation and
marital status (p=0.027), education level (p=0.001), working status (p=0.011), income
(p=0.011), having heard of CC screening (p=0.011) and have not performed PS screening
(p<0.001).
DISCUSSION/CONCLUSION: Women’s motivation related to CC screening needs to be
addressed. Future development of health education strategy should include motivational-
focused to ensure women come forward for CC screening.

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