Abstract Background: Cancer is the leading cause of death in women. Cervical cancer ranks second after breast cancer, which is most often found in Indonesian women. Efforts to prevent cervical cancer in adolescents are still lacking, one of which is due to limited knowledge. Objective: This study aimed to analyze the relationship between internal and external factors of adolescents and the behavior of cervical cancer prevention. Methods: This study was an observational analytic study with a cross-sectional design. It was conducted in the Midwifery Study Program Unitri, Malang and the Faculty of Nursing, Universitas Citra Bangsa Kupang, East Nusa Tenggara. The dependent variable was cervical cancer prevention. The independent variables were the age of first sexual intercourse, parental support, peer-education, culture, attitudes, and knowledge. Results: The behavior of cervical cancer prevention was directly affected by knowledge (b=0.16; SE=0.07; p=0.019), attitude (b=0.23; SE=0.07; p=<0.001), parental support (b=0.12; SE=0.05; p=0.027), and culture (b= 0.15; SE=0.06; p=0.020). Knowledge was affected by peer-education (b=0.19; SE=0.07; p=0.008). Attitudes were affected by age of first sexual intercourse (b=-0.12; SE=0.06; p=0.053). Conclusion: Knowledge, attitude, parental support, and culture directly affected the behavior of cervical cancer prevention. Keywords: behavior, cervical cancer prevention, adolescent girls Abstrak Latar belakang: Kanker merupakan penyebab kematian terbanyak pada perempuan. Kanker serviks menempati urutan kedua setelah kanker payudara yang paling banyak dijumpai pada perempuan Indonesia. Upaya pencegahan kanker serviks pada remaja putri masih kurang salah satunya disebabkan oleh pengetahuan yang masih terbatas. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan faktor internal dan eksternal remaja putri dengan perilaku pencegahan kanker serviks. Metode: Penelitian ini merupakan penelitian analitik observasional dengan desain studi cross-sectional. Penelitian ini dilaksanakan di Prodi Kebidanan Universitas Tribhuwana Tunggadewi Malang dan Fakultas Keperawatan Universitas Citra Bangsa Kupang Nusa Tenggara Timur. Variabel dependen yaitu perilaku pencegahan kanker serviks. Variabel independen yaitu usia pertama kali berhubungan seksual, dukungan orang tua, dukungan teman sebaya, budaya, sikap, dan pengetahuan. Hasil: Perilaku pencegahan kanker serviks dipengaruhi secara langsung oleh pengetahuan (b=0,16; SE=0,07; p=0,019), sikap (b=0,23; SE=0,07; p=<0,001), dukungan orang tua (b=0,12; SE=0,05; p=0,027), dan budaya (b=0,15; SE=0,06; p=0,020). Pengetahuan dipengaruhi oleh dukungan teman sebaya (b=0,19; SE=0,07; p=0,008). Sikap dipengaruhi oleh usia berhubungan seksual pertama kali (b=-0,12; SE=0,06; p=0,053). Kesimpulan: Pengetahuan, sikap, dukungan orang tua, dan budaya mempengaruhi perilaku pencegahan kanker serviks secara langsung. Kata kunci: pencegahan kanker serviks, perilaku, remaja putri
Background: Poor access to contraceptive services is a global health problem, especially in the marginal community order. Refugee camps and areas with weak community order are the groups with the lowest prevalence of contraceptive use. This study aimed to determine the factors affecting contraceptive use in East Timorese ex-refugee women. Subjects and Method: This was a crosssectional study conducted at 3 ex-refugee camps Noelbaki village, Kupang, East Nusa Tenggara, Indonesia, from April to May 2019. A total of 76 women of reproductive age were selected by fixed disease sampling. The dependent variable was contraceptive use. The independent variables were education, family income, accessibility, and social culture. The data were collected by a set of questionnaire and analyzed by a multiple logistic regression. Results: The likelihood of contraceptive use increased with high education (OR= 7.05; 95% CI= 1.16 to 42.76; p= 0.034), family income (OR= 9.36; 95% CI= 0.88 to 99.01; p= 0.063), accessible (OR= 27.53; 95% CI= 2.62 to 288.88; p=0.006), and supportive social culture (OR= 14.15; 95% CI= 2.14 to 83.63; p= 0.006). Conclusion: The likelihood of contraceptive use increases with high education, family income, accessible, and supportive social culture.
Poor family nutritional practice is one of the major leading causes of stunting in children aged 0-59 months. Good family nutrition practices are one of the primary keys to stunting prevention. It can also reduce the prevalence of stunting and the impact it has on families, which are included in the category of stunting risk families. This study aimed to investigate nutrition-aware family practices at Haliwen Health Center, Atambua-one of the border areas of the Republic of Indonesia (RI) and Democratic Republic of Timor Leste (DRTL). It is a descriptive study with a cross-sectional design that took place at the Haliwen Health Center, Belu Regency, East Nusa Tenggara Province, Indonesia, from September 1 to October 30, 2021. A total of 147 families with children aged 0-59 months, were selected by purposive sampling. Most mothers (60%) gave exclusive breastfeeding to infants aged 0-6 months. Most mothers (78%) firstly gave complementary feeding to infants at the age of 6 months, most families and children (94%) ate a variety of nutritional sources, most families (56%) used iodized salt, most infants (95%) aged 6-11 months and children 12-59 months received vitamin A supplements, most (88%) pregnant women received iron supplement at least 90 tablets during pregnancy, most postpartum women (72%) received two capsules of vitamin A supplements. 58.5% of families at the Haliwen Health Center had implemented 75% nutrition-aware family indicators. However, none of them had performed 100% nutrition-aware family indicators. Sustainable assistance needs to be improved to reach 100% nutrition-aware family and implemented in all families.
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