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BACKGROUND: Cervical cancer is one of the main reproductive health problems, and it is a cause of death to women in the world, especially in developing countries like Indonesia. Inspection visual of acetic acid (IVA) is an inexpensive and effective initial examination to detect cervical cancer. AIM: The aim of the study was to find out the correlation of the locus of control and the behavior of early detection of cervical cancer by the IVA method. METHODS: The research design was a cross-sectional study. The sample of the study was 393 respondents. The sampling technique was multi-stage random sampling, conducted at nine community health centers (Puskesmas) in Kediri City. The instruments used in the study were a questionnaire that had been tested for its validity and reliability for locus of control, and observation sheets for the early detection of cervical cancer by the IVA method. The data analysis technique used is the Spearman rho test with a value of α = 0.05. RESULTS: Spearman rho test results obtained a significance value of 0.000 lower than that of α = 0.05, meaning there was a significant correlation between the locus of control variable and behavior of early detection of cervical cancer by IVA method. CONCLUSION: The conclusion was that there was a significant correlation between the locus of control variable and the early detection behavior of cervical cancer by the IVA method. The higher the internal locus of control in a woman, the better the behavior of early detection of cervical cancer by the IVA method.

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AbstractWater pollution by heavy metals due to discharge from gold mining activity has threatened the aquatic environment and human health of the community around Kao Bay. This report review explores the level of mercury and arsenic in the fish and the health risk of fish consumption within the community around Kao Bay. Fish from 10 spots in the bay were analyzed for mercury and arsenic using Atomic Absorption Spectrophotometry. Community members around Kao Bay were interviewed for details of their fish consumption. Daily intake of metals and health risk level were also calculated. All of the fish caught contained mercury (mean of 0.2110 ug/g) and arsenic (mean of 0.422 ug/g). This heavy metal concentration exceeds the allowable level for food standard. The human health risk assessment showed that the fish caught from Kao Bay were not safe for human consumption (RQ>1). The hazard risk quotient based on cancer and non-cancer was more than one. As many as 49 of 52 people living around Kao Bay have a risk from mercury and arsenic exposure via fish consumption. The magnitude of HQ and ECR values for most fish indicates that it is not safe for consumption.