ABSTRAKKanker serviks menjadi penyebab kematian wanita tertinggi kedua di Indonesia. Perlu upaya pencegahannya melalui tindakan pap smear. Namun, kunjungan untuk melakukan pap smear semakin lama semakin menunjukkan penurunan. Penelitian ini dilakukan untuk menganalisis hubungan antara usia menikah dan paritas dengan tindakan wanita dalam melakukan pemeriksaan Pap Smear di Yayasan Kanker Wisnuwardhana Surabaya. Penelitian ini menggunakan jenis penelitian observasional analitik dengan desain penelitian Case Control. Sampel berjumlah 96 wanita pasangan usia subur yang terbagi dalam 2 kelompok yaitu kelompok kasus dan kontrol dengan perbandingan 1:1. Penelitian ini menggunakan teknik Systematic Random Sampling dan menggunakan teknik analisis data univariat dan bivariat dengan uji chi-square, dengan derajat kemaknaan α < 0,05. Berdasarkan hasil uji chi-square didapatkan bahwa ada hubungan antara usia menikah (p = 0,025; OR = 2,783), paritas (p = 0,014; OR = 3,08) dengan tindakan wanita dalam melakukan pemeriksaan Pap Smear di Yayasan Kanker Wisnuwardhana Surabaya. Disimpulkan bahwa wanita pasangan usia subur yang mempunyai usia menikah > 20 tahun dan mempunyai dua anak atau lebih/multipara mempunyai peluang untuk melakukan tindakan pemeriksaan Pap Smear. Petugas kesehatan disarankan untuk memberikan informasi yang menitikberatkan pada faktor risiko kanker serviks, sehingga deteksi dini kanker serviks dapat dilakukan, terutama bagi mereka yang mempunyai faktor risiko kanker serviks. (p = 0.025; OR = 2.783), parity (p = 0.014; OR = 3.08)

Cervical cancer became the second highest cause of the women’s death in Indonesia. So, it needs prevention through the pap smear action. But, visits to perform pap smears action increased year continued to show a reduction. This research was conducted to analyze the relationship between age of marriage and parity with women in the act of doing pap smears action in Wisnuwardhana Surabaya Cancer Foundation. This research uses an analytic observational research with case control research design. The amount of the sample was 96 women of childbearing age couples were divided into 2 groups: group of cases and controls with a ratio of 1:1. This research uses Systematic Random Sampling technique and univariate then bivariate data analysis technique with chi-square test, with significance level α <0,05. Based on the results of the chi-square test showed that there is a relationship between the age of marriage (p = 0,025; OR = 2,783), parity (p = 0,014; OR = 3,08) with the actions of the woman perform pap smears in Wisnuwardhana Surabaya Cancer Foundation. It can be concluded that women of childbearing age couples who have married aged > 20 years and have two children or more / multiparas have the opportunity to take action pap smears. It is advisable to health workers to provide information that focuses on risk factors for cervical cancer, so early detection of cervical cancer can be done, especially for those who have risk factors for cervical cancer.Keywords: age of marriage, parity, pap smear action