The Effect of Community Health Center on Visual Acetic Acid Uptake in Pati, Central Java

Authors

  • Retno Wulan Masters Program in Public Health, Universitas Sebelas Maret
  • Pawito Pawito Faculty of Social and Political Sciences, Universitas Sebelas Maret
  • Bhisma Murti Masters Program in Public Health, Universitas Sebelas Maret

Abstract

Background: Cervical cancer is included in the category of malignant tumors that arise in the cervix of women. The incidence of cervical cancer is high due to lack of awareness to make efforts to examine early detection of cervical cancer by using the visual inspection acetic acid (VIA) method. The purpose of this study was to analyze the effect of community health center on the use of VIA.

Subjects dan Method: This was an analytic observational study with a cross sectional design. was The study was conducted at 29 community health centers in Pati, Central Java. A sample of 232 women was selected by simple random sampling. The dependent variable was VIA uptake. The independent variable were perceived susceptibility, perceived seriousness, cues to action, perceived threat, perceived benefit, perceived barrier, self-efficacy, economic status, and social capital. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13.

Result: Community health center had a contextual effect on VIA uptake with intra-class correlation (ICC)= 16.91%. VIA uptake increased with high perceived susceptibility (b= 3.21; 95% CI= 0.22 to 6.19; p = 0.035), high perceived seriousness (b= 4.68; 95% CI= 1.06 to 8.29; p= 0.011), high perceived threat (b= 4.03; 95% CI= 0.61 to 7.45; p= 0.021), high perceived barrier (b= 2.48; 95% CI= 0.06 to 4.91; p= 0.044), high perceived benefit (b= 2.50; 95% CI= 0.10 to 4.91; p= 0.041), and high economic status (b= 11.22; 95% CI= 3.64 to 18.81; p= 0.004). VIA uptake decreased with low cues to action (b= -0.92; 95% CI= -3.08 to 1.24; p= 0.405), low self-efficacy (b= -0.32; 95% CI= -2.45 to 1.80; p= 0.765), and low social capital (b= 0.79; 95% CI= 3.64 to 18.81; p= 0.562).

Conclusion: Community health center had a contextual effect on VIA uptake. VIA uptake increases with high perceived susceptibility, high perceived seriousness, high perceived threat, high perceived barrier, high perceived benefit, and high economic status. VIA uptake decreases with low cues to action, low self-efficacy, and low social capital.

Keywords: Community Community health center, Acetic Acid Visual Inspection.

Correspondence: Retno Wulan. Masters Program of Public Health, Universitas Sebelas Maret, JL. Ir.Sutami 36A, Surakarta, Central Jawa, Indonesia. E-mail: wuland.cimmutzz12@gmail.com. Mobile: 0857­4096­9271.

Journal of Health Promotion and Behavior (2019), 4(3): 189-197
https://doi.org/10.26911/thejhpb.2019.04.03.04

References

Central Java Province Health Office. (2017). Profil kesehatan provinsi jawa tengah 2017. https://doi.org/10.5606/totbid.dergisi.2012.10

Ebu NI, Mupepi SC, Siakwa MP, Sampselle CM (2016). Knowledge, practice, and barriers toward cervical cancer screening in Elmina, Southern Ghana. Int J Womens Health. 24(7):31-9. doi: 10.2147/IJWH.S71797.

Fitriani Y, Mudigdo A, Adriani RB (2018). Health belief model on the determinants of human papilloma virus vaccination in women of reproductive age in Surakarta, Central Java. J Health Promot Behav, 03(01): 16–26. https://doi.org/10.26911/thejhpb.2018.03.01.02.

Idowu A, Olowookere SA, Fagbemi AT, Ogunlaja OA (2016). Determinants of cervical cancer screening uptake among women in Ilorin, North Central Nigeria: A Community-Based Study. Journal of Cancer Epidemiology. Retrieved from: https://doi.org/10.1155/2016/6469240.

Jia Y, Li S, Yang R, Zhou H, Xiang Q, Hu T, Feng L (2013). Knowledge about cervical cancer and barriers of screening program among women in Wufeng Country, a High-Incidence Region of Cervical Cancer in China. PLoS ONE, 8(7): 2–8. https://doi.org/10.1371/journal.pone.0067005.

Karimy M, Azarpira H, Araban M (2017). Using health belief model constructs to examine differences in adherence to pap test recommendations among Iranian Women. Asian Pacific Journal of Cancer Prevention: APJCP, 18(5): 1389–1394. https://doi.org/10.22034/APJCP.2017.18.5.1389.

Kasting ML, Wilson S, Zollinger TW, Dixon BE, Stupiansky NW, Zimet GD (2017). Differences in cervical cancer screening knowledge, practices, and beliefs: An examination of survey responses. Preventive Medicine Reports: 169–174. Retrieved from: https://doi.org/10.1016/j.pmedr.2016.12.013

Kementerian Kesehatan RI (2018). Hasil Utama Riskesdas Tahun 2018. Hlm. 51. Retreived from: http://www.depkes.go.id.

Kholifah S, Budihastuti UR, Murti B (2019). Factors affecting the use of visual inspection acetic acid test: multilevel analysis on the contextual effect of community health center. J Health Promot Behav, 4(1): 1–11. https://doi.org/10.26911/thejhpb.2019.04.01.01.

MacLaughlin KL, Angstman KB, Flynn PM, Schmit JR, Weaver AL, Shuster LT (2011). Predictors of patient comfort and adherence with less frequent cervical cancer screening. Quality in Primary Care. 19(6): 355–363. doi:10.13140/RG.2.1.2605.6800.

Ma GX, Gao W, Fang CY, Tan Y, Feng Z, Ge S, Nguyen JA (2013). Health beliefs associated with cervical cancer screening among Vietnamese Americans. Journal of Women's Health, 22(3): 276-288. https://doi.org/10.1089/jwh.2012.3587

Marlow L, Waller J, Wardle J (2015). Barriers to cervical cancer screening among ethnic minority women: a qualitative study. The Journal of Family Planning and Reproductive Health Care/Faculty of Family Planning Reproductive Health Care, Royal College

of Obstetricians Gynaecologists, 41(4): 248–254. https://doi.org/10.1136/jfprhc2014101082.

Murti B (2016). Prinsip dan metode riset epidemiologi. Program studi ilmu kesehatan masyarakat program pascasarjana Universitas Sebelas Maret: Yuma Pustaka.

Murti B (2018). Teori Promosi dan perilaku kesehatan. Surakarta: Master Program of Public Health.

Saptowati D, Mudigdo A, Murti B (2018). Biopsychosocial determinants of visual inspection acetic-acid test uptake in Sragen, Central Java. J Matern Child Health, 03(03): 197–206. https://doi.org/10.26911/thejmch.2018.03.03.04

Saraswati M, Ayun S, Sutopo P (2017). Analaisis Implementasi Program Deteksi Dini Kanker Serviks Melalui Metode Inspeksi Visual Asam Asetat (IVA) di Puskesmas Kota Semarang. JKM, 05(04):85-94. Retreived from: https//ejournal3.undip.ac.id/index.php/jkm/article/view/18320

Sulistyo SA, Tamtomo D, Sulaeman ES (2019). Accreditation status and other factors affecting patient satisfaction in hospital. J Health Policy Manage, 4(3): 139–149. https://doi.org/10.26911/thejhpm.2019.04.03.01.

Sunarta E, Sulaeman E, Budihastuti U (2019). Path analysis on the determinants of visual inspection acetic acid utilization on early detection of cervical cancer: application of health belief model theory. J Health Promot Behav, 04(01): 32–42. https://doi.org/10.26911/thejhpb.2019.04.01.04.

Wakhidah MS, Budihastuti UR, Dewi YLR (2017). The influence of personal factor, husband’s support, health workers and peers toward the use of iva screening among women of reproductive age in the Regency of Karanganyar. J Health Promot Behav, 2(2):

–137. https://doi.org/10.26911/thejhpb.2017.02.02.03.

WHO (2018). Human Papillovirus and cervical cancer. Retrieved from https://www.who.int/en/news-room/fact-sheets/detail/human-papillomavirus-(hpv)-and-cervical-cancer.

Wilson AR, Hashibe M, Bodson J, Gren LH, Taylor BA, Greenwood J, et al. (2016). Factors related to HPV vaccine uptake and 3-dose completion among women in a low vaccination region of the USA: An observational study. BMC Women’s Health. BMC Women’s Health, 16(1): 1–9. doi: 10.1186/s12-905-016-0323-5.

Wulandari YA, Suryani N, Pamungkasari EP (2016). Health belief model: Health preventive behavior of sexually transmitted infection in female sex workers in Surakarta. J Health Promot Behav, 01(02): 70–78. https://doi.org/10.26911/thejhpb.2016.01.02.02.

Downloads

How to Cite

Wulan, R., Pawito, P., & Murti, B. (2019). The Effect of Community Health Center on Visual Acetic Acid Uptake in Pati, Central Java. Journal of Health Promotion and Behavior, 4(3), 189–197. Retrieved from https://thejhpb.com/index.php/thejhpb/article/view/214

Issue

Section

Articles

Most read articles by the same author(s)

<< < 1 2 3 4 5 6 7 8 9 > >>