Factors Affecting the Use of Visual Inspection Acetic Acid Test: Multilevel Analysis on the Contextual Effect of Health Center

Authors

  • Siti Kholifah Masters Program in Public Heath, Universitas Sebelas Maret
  • Uki Retno Budihastuti Department of Obstetrics and Gynecology, Dr. Moewardi Hospital
  • Bhisma Murti Masters Program in Public Heath, Universitas Sebelas Maret

Abstract

Background: Cervical cancer is one of the deadliest diseases that are a major cause of female mor­bidity and mortality in developing countries. This study aimed to determine the effect of health cen­ters on the use of visual inspection acetic acid (VIA) tests using social cognitive theory.

Subjects and Method: This was an analytic observational study with a cross sectional design, conducted at 25 community health centers (Puskesmas) in Surakarta and Karanganyar, Central Ja­va, Indonesia. A sample of 225 married women at reproductive age was selected by random sam­pling. The dependent variable was the use of VIA test. The independent variables at level 1 were intention, self-efficacy, attitude, outcome expectation, imitation, type of contraceptive method, dis­tan­ce to health service, belief, and time to attend health services. Puskesmas was independent va­ri­able at level 2. The data were collected by questionnaire and analyzed by a multilevel logistic regre­s­sion.

Results: The use of VIA tests was positively affected by intention (b= 1.25; 95% CI= 0.30 to -2.13; p= 0.010), attitude (b= 1.25; 95% CI = 0.30 to -2.13; p= 0.010), outcome expectation (b= 0.86; 95% CI= -0.89 to -0.19; p= 0.076), imitation (b= 1.58; 95% CI= 0.62 to 2.54; p= 0.001), intra ute­ri­ne device (b= 1.55; 95% CI= 0.65 to 2.45; p= 0.001), distance (b= 1.39; 95% CI= 0.44 to 2.34; p = 0.004), self-efficacy (b= 1.11; 95% CI= 0.26 to 1.97; p= 0.011), trust in health service (b= 1.84; 95% CI= 0.87 to 2.81; p <0.001), and spare time to attend health center (b = 0.76; 95% CI = -0.11 to 1.64; p= 0.090). Puskesmas accreditation status had contextual effect on the use of VIA tests with ICC= 30.68%.

Conclusion: The use of VIA tests was positively affected by intention, attitude, outcome expec­ta­tion, imitation, intrauterine device, distance, self-efficacy, trust in health service, and spare time to attend health center. Puskesmas accreditation status had contextual effect on the use of VIA tests.

Keywords: visual inspection acetic acid, social cognitive theory, multilevel analysis

Correspondence: Siti Kholifah. Masters Program in Public Heath, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: olifkholifah53@gmail.com. Mobile: 081575644051.

Journal of Health Promotion and Behavior (2019), 4(1): 1-11
https://doi.org/10.26911/thejhpb.2019.04.01.01

References

Abiodun OA, Abiodun O, Sotunsa O, Oluwole F (2014). Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria. BMC Public Health. 14(814): 1471-2458. Google Scholar 

Ajenifuja KO, Gage JC, Adepiti AC, Went-zensen N, Eklund C, Reilly M, Schiff-man M (2013). Acetic Acid ( VIA ) for Cervical Screening in Rural Nigeria. International Journal of Gynecological Cancers. 23(3): 507–512. doi: 10.1097/IGC.0b013e318280f395 PubMed 

Alfaro KM, Gage JC, Rosenbaum, AJ, Ditzian LR, Maza M, Scarinci IC, Cremer ML (2015). Factors affecting attendance to cervical cancer screening a-mong women in the Paracentral Region of El Salvador: A nested study within the CAPE HPV screening program Chronic Disease Epidemiology. BMC Public Health. 15(1): 1–8. Crossref  Google Scholar 

American Cancer Association (2016). About cervical cancer. Website

Azwar (2013). Sikap manusia teori dan pengukurannya. Edisi 2. Yogyakarta: Pustaka Pelajar.

Burdette AM, Gordon JH, Hill TD (2014). Social determinants of HPV vaccination delay rationales: Evidence from the 2011 National Immunization Survey-Teen. Preventive Medicine Reports. 1(2014): 21–26. doi: 10.1016/j.pmedr.2014.09.003  Crossref Google Scholar 

Chang HK, Myong JP, Byun SW, Lee SJ, Lee YS, Lee HN, Park TC (2017). Factors associated with participation in cervical cancer screening among young Koreans: A nationwide cross-sectional study. BMJ Open. 7(4): 1-3. doi: 10.1136/bmjopen-2016-013868  Crossref  PubMed Google Scholar 

Emmanuel OG (2016). Reliability of visual inspection after acetic acid staining in screening for cervical pre-malignant lesion among female subjects in a rural tertiary hospital in Nigeria. Cancer Research Journal. 4(1): 1. doi: 10.11648/j.crj.20160401.11 Crossref  Google Scholar 

Fauza M, Aprianti, Azrimaidaliza (2018). Faktor yang berhubungan dengan de-teksi dini kanker serviks metode IVA di Puskesmas Kota Padang. Jurnal Promosi Kesehatan Indonesia. 14(1): 68. doi: 10.14710/jpki.14.1.68-80 

Crossref  Google Scholar 

Ferlay J, Soerjomataram I, Dikshit R, Eser, S, Mathers C, Rebelo M, Bray F (2015). Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012, 386. doi: 10.1002/ijc.29210 Crossref  PubMed  Google Scholar 

Higgins LM, Dirksing KN, Ding L, Morrow CD, Widdice LA, Kahn JA (2016). Adolescents’ intention and self-efficacy to follow Pap testing recommendations after receiving the HPV vaccine. Human Vaccines and Immunotherapeutics. 12(6): 1498–1503. doi:10.1080/21645515.2016.1150395  Crossref  PubMed Google Scholar 

Keulen HM, Pot M, Ruiter RAC, Eekhout I, Mollema L, Paulussen TWGM (2017). Motivational and contextual determinants of HPV-vaccination uptake: a longitudinal study among mothers of girls invited for the HPV-vaccination. Preventive Medicine. 100(2017): 41–49. doi: 10.1016/j.ypmed.2017.04.005  Crossref  PubMed Google Scholar 

Khalili FA, Salehi PH, Shahnazi M, Yaghoubi S, Gahremani NP (2015). Cervical cancer screening in women referred to healthcare centers in Tabriz, Iran. Nigerian Medical Journal. 56(1): 28. doi: 10.4103/0300-1652.149167  Crossref  PubMed  Google Scholar 

Leno DWA, Diallo FD, Delamou A, Komano FD, Magassouba M, Niamy D, Keita N (2018). Integration of Family planning counseling to mass screening campaign for cervical cancer: Experience from Guinea. Obstetrics and Gynecology International. 2018(1): 1–6. doi: 10.1155/2018/3712948   Crossref  PubMed Google Scholar 

Lubis Z, Muda S, Rasmaliah (2016). Analisa hubungan faktor predisposisi pendukung dan penguat dengan keikutsertaan ibu pasangan usia subur untuk tes-IVA di wilayah kerja Puskesmas Helvetia Kecamatan Me-dan Helvetia Tahun 2016. 169–176. Google Scholar 

MacLaughlin KL, Angstman KB, Flynn PM, Schmit JR, Weaver AL, Shuster LT (2011). Predictors of patient comfort and adherence with less frequent cervical cancer screening. Quality in Primary Care. 19(6): 355–363. PubMed Google Scholar 

Ministry of Health (2017). Profile kesehatan Indonesia 2017. Website

Murti B (2018). Teori Promosi Kesehatan dan Perilaku Kesehatan.

Nordianti ME (2018). Determinan kunjungan inspeksi visual asam asetat di Puskesmas Kota Semarang. Higeia Journal of Public Health Research and Development. 2(1): 33–44. Google Scholar 

Nwobodo H, Ba-Break M (2016). Analysis of the determinants of low cervical cancer screening uptake among Nigerian women. Journal of Public Health in Africa. 6(2): 12–19. doi: 10.4081/jphia.2015.484 Crossref  PubMed  Google Scholar 

Radito A (2014). Analisis pengaruh kualitas pelayanan dan fasilitas kesehatan terhadap kepuasan pasien Puskesmas. Ilmu Manajemen. 11(2): 1–26. doi: 10.21831/jim.v11i2.11753   Crossref Google Scholar 

Ranabhat S, Tiwari M, Dhungana G, Shrestha R (2014). Association of knowledge, attitude and demographic variables with cervical pap smear practice in Nepal. Asian Pacific Journal of Cancer Prevention. 15(20): 8905–89-10. doi: 10.7314/APJCP.2014.15.20.8905 Crossref  Google Scholar 

Sahr LA, Kusumaningrum TAI (2018). Persepsi dan perilaku wanita usia subur dalam melakukan tes inspeksi visual asam asetat. Jurnal Promosi Kesehatan Indonesia. 13(2): 114. doi: 10.14710/jpki.13.2.114-128 

Crossref  Google Scholar 

Saptowati D, Mudigdo A, Murti B (2018). Biopsychosocial determinants of Visual Inspection Acetic-acid test uptake in Sragen, Central Java. Journal of Maternal and Child Health. 03(03): 197–206. doi: 10.26911/thejmch.2018.03.03.04 Crossref  Google Scholar 

Sidabutar S, Martini S, Wahyuni CU (2017). Analysis of factors affecting women of childbearing age to screen using Visual Inspection with Acetic Acid. Osong Public Health and Research Perspectives. 8(1): 61–64. doi: 10.24171/j.phrp.2017.8.1.08 Crossref  PubMed  Google Scholar 

Sundari, Setiawati E (2018). Pengetahuan dan dukungan sosial mempengaruhi perilaku deteksi dini kanker serviks metode IVA. Indonesian Journal of Midwivery. 1(1):6–11. Google Scholar 

Ulfiana E (2013). Analisis faktor yang mempengaruhi niat wanita pasangan usia subur untuk papsmear di wilayah Kelurahan Kedungmundu Wilayah Puskesmas Kedungmundu Kota Semarang. Jurnal Kebidanan. 2(4): 51–60. doi: 10.31983/jkb.v2i4.100 Google Scholar 

WHO (2017). Prevention of cervical cancer through screening using Visual Inspection with Acetic Acid (VIA) and treatment with cryotherapy. Geneva, Switzerland: the WHO Document Production Services. Website

Wongwatcharanukul L, Promthet S, Bradshaw P, Jirapornkul C, Tungsrithong N (2014). Factors affecting cervical cancer screening uptake by Hmong hill tribe women in Thailand. Asian Pacific Journal of Cancer Prevention: APJCP, 15(8): 3753–3756. doi:10.7314/APJCP.2014.15.8.3753  Crossref  PubMed Google Scholar 

Wulandari A (2018). Faktor-faktor yang berhubungan dengan perilaku pemeriksaan Inspeksi Visual Asam Asetat (IVA) pada Wanita Usia Subur (WUS) di Puskesmas Sukmajaya Tahun 2016. Jurnal Kesehatan. 2 (1): 93–101. Google Scholar 

Downloads

Published

2019-01-16

How to Cite

Kholifah, S., Budihastuti, U. R., & Murti, B. (2019). Factors Affecting the Use of Visual Inspection Acetic Acid Test: Multilevel Analysis on the Contextual Effect of Health Center. Journal of Health Promotion and Behavior, 4(1), 1–11. Retrieved from https://www.thejhpb.com/index.php/thejhpb/article/view/182

Issue

Section

Articles

Most read articles by the same author(s)

1 2 3 4 5 6 7 8 9 10 > >>