Background and Objectives: Cervical cancer is one of the most common cancers in women worldwide and although pap smear is considered as an effective screening program, the level of using screening is low. The purpose of this study is pap smear test structures for measuring health belief model and factors affecting women in urban centers covered Zarandieh.Methods: This was a cross-sectional study (descriptive-analytical) which included 265 Urban Women's in Zarandieh. Data collection instrument was a questionnaire included demographic variables and knowledge and health belief model questions. Data was analyzed using chi-square tests, Descriptive statistics, independent samples t-test, at the significance level of p<0.05.Results: Significant differences were detected between those tested and not tested in mean of score knowledge and all the variables HBM (sensitivity, benefits, barriers, threat and intensity perceived), )p<0.001). The HBM constructs, age, level of study and knowledge accounted for 30.8% of the variance observed for Pap test. Perceived susceptibility and benefit were the most important predicting factors.Conclusion: These findings can be used to guide the development of more effective educational programs and increase the amount of women’s participation in Pap smear