Path Analysis on the Determinants of Pap Smear Uptake in Women of Reproductive Age in Tegal, Central Java

Armadhani, Riska; Mudigdo, Ambar; Budihastuti, Uki Retno

doi:10.26911/thejmch.2019.04.02.03

Cited by 3 publications

(16 citation statements)

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“…While knowledge of CC is important, a positive attitude, motivation and perception of benefit of screening and seriousness of CC was another common demand-side facilitator, conversely lack of confidence in screening outcome or quality was a common demand-side barrier [ 22 , 23 , 31 , 33 , 34 , 36 , 40 , 48 , 51 , 55 , 57–59 , 62 ]. Lack of confidence can be a consequence of negative prior experiences of screening, unavailability of quality services and a lack of trust in HCPs [ 31 , 57 , 59 , 73 ].…”

Section: Discussionmentioning

confidence: 99%

“…This type of support was commonly characterised as any emotional or tangible support such as active encouragement to seek CC screening, assistance to attend services or to access information or to provide an open and positive communication about the topic. Fourteen publications discussed the positive impact of such support on women’s CC screening uptake and were conducted in West, Central and East Java [ 22 , 23 , 35–38 , 40 , 45 , 49 , 53 , 55–57 , 62 ]. Husband support was stated as a significant facilitator for increasing CC screening uptake in multiple studies across West, Central and East Java (n = 6) [ 22 , 35–37 , 49 , 55 ].…”

Section: Facilitators Of CC Uptake and Deliverymentioning

confidence: 99%

“…Social or peer support was discussed in eight articles and was defined as the provision of information, encouragement and support with respect to learning about CC screening and seeking services provided by friends or community members [ 22 , 23 , 36–38 , 56 , 57 , 62 ]. A study in Central Java (n = 100) described how advice and support of a close friend can encourage women to attend outreach screening events [ 36 ].…”

Section: Facilitators Of CC Uptake and Deliverymentioning

confidence: 99%

“…Fourteen studies set identified women’s lack of knowledge and awareness, and lack of confidence in screening as crucial barriers to their uptake [ 22 , 23 , 31 , 33 , 34 , 36 , 40 , 48 , 51 , 55 , 57–59 , 62 ]. Twelve out of 14 studies focused on women’s lack of understanding or awareness of either CC prevention and/or where CC screening is available [ 22 , 23 , 31 , 33 , 34 , 36 , 40 , 48 , 50 , 51 , 58 , 59 ].…”

Section: Barriers To 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: Barriers To CC Uptake and Deliverymentioning

confidence: 99%

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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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“…[ 16 ] A previous study reported that strong self-efficacy has increased women's involvement in cervical cancer screening by 4.3 times, which indicates that women with high self-efficacy should prepare their own for early cervical cancer detection. [ 17 18 ] Understanding the process that connects husband support and self-efficacy with the use of VIA screening tests may provide valuable information to establish and change interventions. However, to the best of our knowledge, few studies have studied an indirect association between husband support, self-efficacy, and use of VIA screening test.…”

Section: Introductionmentioning

confidence: 99%

Husband Support Mediates the Association between Self-Efficacy and Cervical Cancer Screening among Women in the Rural Area of Indonesia

Juwitasari

Harini

Rosyad

2021

Asia-Pacific Journal of Oncology Nursing

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Indonesian Self-Risk Assessment for Cervical Cancer (SiNara): Instrument Development and Validation

Madiuw

Hermayanti

Solehati

2021

Nurs. Med. J. Nursing

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Background: Women’s ignorance of cervical cancer risk factors has caused low participation in the screening of the disease. Women can independently assess cervical cancer risk factors in themselves through a risk assessment instrument. However, no instruments were found that assessed cervical cancer risk based on the characteristics of Indonesian women.Purpose: This study aimed to develop and validate an Indonesian self-risk instrument for cervical cancer.Methods: The instrument was developed based on scale development following the guidelines by DeVellis (2017). A cross-sectional study was implemented to validate the instrument. A total of 20 women were involved in the pre-testing, and as many as 200 women were included in the instrument testing. Based on the scale development guidelines, data collection was initiated with a literature review to determine the instrument construct and item pool. A total of 29 articles were used in the formulation of the item pool and resulted in 38 items for validity and reliability testing. Content validity ratio (CVR) and content validity index (CVI) were used to test the content validity of the instrument, which was reviewed by three experts. Exploratory factor analysis (EFA) with principal component analysis (PCA) method and Kuder-Richardson 20 (KR-20) were used to evaluate construct validity and internal consistency reliability, respectively.Results: A total of 26 items met the content validity and 21 items met the construct validity evaluation, with five items being removed because they had a loading factor value of <0.4. After the validity were evaluated, the instrument was reduced from 38 items to 21 items. The internal consistency reliability with Kuder-Richardson 20 (KR-20) was 0.807.Conclusion: The Indonesian self-risk assessment for cervical cancer (SiNara) instrument is of good validity and reliability. However, it needs to be tested in other settings using larger samples to measure its psychometric properties as well as its applicability and acceptability.

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Path Analysis on the Determinants of Pap Smear Uptake in Women of Reproductive Age in Tegal, Central Java

Cited by 3 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

Husband Support Mediates the Association between Self-Efficacy and Cervical Cancer Screening among Women in the Rural Area of Indonesia

Indonesian Self-Risk Assessment for Cervical Cancer (SiNara): Instrument Development and Validation

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