Path analysis on the Determinants of Pap Smear Utilization for Cervical Cancer Early Detection in Women of Reproductive Age

Wardhani, Gesit Kusuma; Mudigdo, Ambar; Qadrijati, Isna

doi:10.26911/thejhpb.2017.02.04.08

Cited by 4 publications

(19 citation statements)

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“…Women who are aware of CC screening and its benefits are more likely to access CC screening whereas women who lack awareness are less likely to. Low-risk perception and education status were also relevant, as women with higher education are more aware of how to independently access reliable information on CC [ 23 , 38 , 40 , 47 , 50–52 , 55 , 57 , 58 , 61–63 ]. The significance of education, knowledge and awareness of CC and related screening services is a frequently observed demand-side barrier and facilitator across research on CC screening in LMICs including in Southeast Asia, which affirms the findings of our review [ 12 , 66 ].…”

Section: Discussionmentioning

confidence: 99%

“…Two included articles discussed supply-side facilitators [ 39 , 44 ], 19 articles discussed demand-side facilitators [ 34–36 , 43 , 45 , 46 , 48–50 , 52 , 54–58 , 60–63 ], and eleven discussed demand and supply-side facilitators [ 22 , 23 , 33 , 37 , 38 , 40–42 , 47 , 51 , 53 ]. Table 2 provides an overview of the identified themes within the included literature.…”

Section: Facilitators Of CC Uptake and Deliverymentioning

confidence: 99%

“…In a study in Central Java (n = 80), women whose husbands supported them to access CC screening were three times more likely to access CC screening services than women who did not have their husband’s permission [ 35 ]. Five articles described family support as an important facilitator to encourage women to attend CC screening [ 22 , 38 , 45 , 53 , 55 ]. Family support included the support of other relatives in terms of encouragement and tangible support to access information and services related to CC screening [ 22 , 38 , 45 , 53 , 55 ].…”

Section: Facilitators Of CC Uptake and Deliverymentioning

confidence: 99%

“…Five articles described family support as an important facilitator to encourage women to attend CC screening [ 22 , 38 , 45 , 53 , 55 ]. Family support included the support of other relatives in terms of encouragement and tangible support to access information and services related to CC screening [ 22 , 38 , 45 , 53 , 55 ]. However, while family support was observed across multiple studies as important, husband support was established as being of critical importance in terms of influencing women’s CC screening uptake [ 55 ].…”

Section: Facilitators Of CC Uptake and Deliverymentioning

confidence: 99%

See 3 more Smart Citations

Facilitators and barriers for the delivery and uptake of cervical cancer screening in Indonesia: a scoping review

Robbers

Bennett

Spagnoletti

et al. 2021

Global Health Action

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Background Cervical cancer (CC) is the second most common female cancer. In Indonesia, national CC screening coverage is low at 12%, highlighting the need to investigate facilitators and barriers to screening. Objective This review synthesises research on facilitators and barriers to the delivery and uptake of CC screening; analyses them in terms of supply- and demand-side factors and their interconnectedness; and proposes recommendations for further research. Methods Medline Ovid, CINAHL, Global Health, Neliti, SINTA and Google Scholar were searched, applying a search string with keywords relevant to screening, CC and Indonesia. In total 34 records were included, all were publications on CC screening in Indonesia (2000-2020) in English or Indonesian. Records were analysed to identify findings relevant to the categories of barriers and facilitators, supply-and demand-side factors. Results Demand-side facilitators identified included: husband, family or social/peer support (14 studies); information availability, knowledge and awareness (12 studies); positive attitudes and strong perception of screening benefit and the seriousness of CC (12 studies); higher education and socioeconomic status (11 studies); having health insurance; and short distance to screening services (4 studies). Evidence on supply-side was limited. Supply-side facilitators included counselling and support (6 studies), and ease of access (6 studies). Demand-side barriers identified focused on: lack of knowledge/awareness and lack of confidence in screening (14 studies); fear, fatalism and shame (10 studies); time and transportation constraints (8 studies); and lack of husband approval and support (6 studies). Supply-side barriers included: lack of skilled screening providers (3 studies); lack of advocacy and health promotion (3 studies); resource constraints (3 studies); and lack of supervision and support for health care providers (3 studies). Conclusions Facilitators and barriers were mirrored in the supply- and demand-side findings. The geographical scope and population diversity of existing research is limited and further supply-side research is urgently needed.

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Section: Discussionmentioning

confidence: 99%

Section: Facilitators Of CC Uptake and Deliverymentioning

confidence: 99%

Section: Facilitators Of CC Uptake and Deliverymentioning

confidence: 99%

Section: Facilitators Of CC Uptake and Deliverymentioning

confidence: 99%

See 2 more Smart Citations

Facilitators and barriers for the delivery and uptake of cervical cancer screening in Indonesia: a scoping review

Robbers

Bennett

Spagnoletti

et al. 2021

Global Health Action

View full text Add to dashboard Cite

show abstract

“…In line with the results of Rasyid & Afni (2017), that there is a significant relationship between knowledge and IVA check behavior in the Prembun Puskesmas Area with a value of p = 0,000.33. (Wardhani et al, 2017).…”

Section: Relationship Of Knowledge With Wus Behavior To Iva Examinationmentioning

confidence: 99%

Relationship of knowledge and attitude to visual inspection of acetic acid (IVA) by women of childbearing age

Putri¹,

Fitria

Wahyuni³

et al. 2021

ijhs

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Cervical cancer is the second most common cancer in Asia and more than half of Asian women die of cervical cancer. The purpose of this research is to find out the relationship of knowledge, attitude and support of husband to IVA examination in Batu Aji health center in Batam. This research is analytical research with a cross sectional approach by using Cluster Sampling. The sample size is 100 Women of Childbearing Age. Data collection tools with questionnaires. The analytical technique used chi square test. From the results of the study Women of Childbearing Age had a low knowledge of IVA examination as many as 68 people (68%), had a negative attitude as many as 63 people (63%) and out of 100 respondents only 4 people (4 %) IVA checks. Based on chi square test with misunderstanding degree p< 0.05 it was found that there is a meaningful relationship between knowledge with IVA examination with p = 0.009 and OR 1,143, also obtained a meaningful between attitude with IVA examination with p = 1.01 and OR 1,121. To solve this problem it is expected to health workers to provide information or counseling about IVA examinations to women of childbearing age.

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Path Analysis on the Determinants of Visual Inspection Acetic Acid Utilization on Early Detection of Cervical Cancer: Application of Health Belief Model Theory

Sunarta

Sulaeman

Budihastuti³

2019

J HEALTH PROMOT BEHAV

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Background: Cervical cancer was a serious health problem for women and VIA screening provided many benefits to women, which was to detect early cervical cancer. This study aimed to determine the determinants that influence the use of VIA with the theory of Health Belief Model on women of reproductive age. Subjects and Method: This was an analytic observational study with a case-control approach, conducted in the working area of Wongsorejo Public Health Center, Banyuwangi, East Java from March to April 2019. The sampling technique used was Fixed Disease Sampling, with a ratio of 1:3. Samples from 150 women reproductive age who had not used VIA screening and 50 women who had conducted VIA screening. Independent variables were perceived susceptibility, perceived severity, perceived benefits, cues to action, self-efficacy, knowledge, attitudes, access to services and husband's support. The dependent variable was the use of VIA. Data were collected by questionnaire and analyzed by path analysis. Results: The use of VIA screening was directly affected and has a positive effect on perceived vulnerability (b= 1.45; CI 95%= 0.50 to 2.40; p= 0.003), perceived severity (b= 0.86; CI 95%= -0.16 to 1.88; p= 0.099), perceived benefit (b= 1.61; CI 95%= 0.52 to 2.68; p= 0.003), cues to action (b= 1.21; CI 95%= 0.05 to 2.37; p= 0.040), high efficacy (b= 1.26; CI 95%= 0.27 to 2.26; p= 0.012), attitude (b= 1.83; CI 95%= 0.81 up to 2.85) and husband support (b= 1.59; CI 95%= 0.63 to 2.55). The use of VIA screening was indirectly influenced by access to health services and knowledge. Conclusion:The use of VIA screening was directly influenced by perceived vulnerability, perceived severity, perceived benefits, perceived barriers, cues to act, self-efficacy, attitude and husband support. And it was indirectly influenced by access to services and knowledge.

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Path analysis on the Determinants of Pap Smear Utilization for Cervical Cancer Early Detection in Women of Reproductive Age

Cited by 4 publications

References 0 publications

Facilitators and barriers for the delivery and uptake of cervical cancer screening in Indonesia: a scoping review

Facilitators and barriers for the delivery and uptake of cervical cancer screening in Indonesia: a scoping review

Relationship of knowledge and attitude to visual inspection of acetic acid (IVA) by women of childbearing age

Path Analysis on the Determinants of Visual Inspection Acetic Acid Utilization on Early Detection of Cervical Cancer: Application of Health Belief Model Theory

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