Behavioral Analysis of Childbearing Age Women Against IVA Screening using Health Belief Model

YUSTINA ANANTI

Abstract


Background. In Indonesia, cervical cancer is the second most common cancer that attacks women of childbearing age. The highest cancer prevalence in Indonesia is in the province of the Special Region of Yogyakarta at 4.86 per 1000 population. IVA screening (acetic acid visual inspection) is a cervical cancer prevention and control program with the aim of detecting conditions before cancer (pre-cancer) and cancer at an early stage. Since more than 50% of women diagnosed with cancer have never been screened. The purpose of this study was to explain the behavior of women of childbearing age towards IVA screening using the health belief model. Methods: This research design is an analytic survey with a cross sectional approach, has been conducted from October to December 2019. Data were collected using interview questionnaires, geographic area, occupation, IVA screening, knowledge and individual perception using the Health Belief Model for 160 female respondents of childbearing age in the Public Health Center (Puskesmas) Bantul Regency, Yogyakarta. Data analysis used descriptive statistics, chi-square logistic regression, univariate, bivariate and multivariate. Results: From 160 respondents, based on geographic area 50% were in cities and plains and 50% in coastal and hilly areas, 55.6% had had IVA screening, 66.9% were unemployed and 53.1% had good knowledge. Perceived susceptibility of being diagnosed with cervical cancer varied and multivariate. Results: From 160 respondents, based on geographic area 50% were in cities and plains and 50% in coastal and hilly areas, 55.6% had had IVA screening, 66.9% were unemployed and 53.1% had good knowledge. Perceived susceptibility of being diagnosed with cervical cancer varied and multivariate. Results: From 160 respondents, based on geographic area 50% were in cities and plains and 50% in coastal and hilly areas, 55.6% had had IVA screening, 66.9% were unemployed and 53.1% had good knowledge. Perceived susceptibility of being diagnosed with cervical cancer81.9% (= 0.011<0.05), perceived severity 82.5% (= 0.023<0.05), perceived threat 76.9% (= 0.015<0.05), perceived benefits 60.6% (= 0.023 < 0.05), perceived barriers 68.1% (= 0.030<0.05) and cues to action 56.9% (= 0.045<0.05) to IVA screening. Negelkerke Test R Square 0.186 and the influence of the independent variable on the dependent variable is perceived susceptibility = 0.028, perceived benefits = 0.043 and perceived barriers = 0.050. Conclusion: There is a relationship between the behavior of women of childbearing age on IVA screening using the health belief model, namely on perceived susceptibility, perceived severity, perceived threat, perceived benefit, perceived barriers, cues to action with R Square 0.186 and the influential variables are perceived susceptibility, perceived benefits and perceived barriers.

Keywords


childbearing age women; IVA screening; health belief model

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DOI: http://dx.doi.org/10.21927/jnki.2021.9(3).%25p

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