Abstrak: Pendahuluan: Data menurut Kemenkes RI didapatkan cakupan hasil kegiatan program deteksi dini dari tahun 2007 sampai 2014 baru sekitar 904.099 perempuan (2,45%) yang telah melakukan deteksi dini kanker serviks. Tujuan: Penelitian bertujuan untuk mengetahui hubungan pengetahuan dengan perilaku deteksi dini kanker serviks pada wanita di Kelurahan Kebon Kalapa Kota Bogor. Metode: Analisis data sekunder dari Survei data studi kohor faktor risiko penyakit tidak menular tahun 2011 dengan desain cross-sectional. Sampel penelitian yaitu semua wanita usia 25-65 tahun yang mengikuti survei sebanyak 1226 wanita. Analisis menggunakan regresi logistik. Hasil: wanita yang pernah melakukan deteksi dini kanker serviks di Kelurahan Kebon Kalapa Kota Bogor hanya 6,3% saja dan ada hubungan antara pengetahuan dengan perilaku deteksi dini kanker serviks. Wanita yang pengetahuannya baik tentang kanker serviks berpeluang 2,0 kali untuk melakukan deteksi dini dibandingkan dengan wanita yang pengetahuannya kurang baik (0R 2,0 , 95% CI: 1,2-3,3). Kesimpulan: wanita yang pengetahuannya baik menegenai kanker serviks lebih berpeluang untuk melakukan deteksi dini kanker serviks setelah dikontrol dengan variabel confounding pendidikan. Kata kunci: kanker serviks, deteksi dini kanker serviks, pengetahuan Background: Data obtained by the ministry of health RI, there were only 904.099 women who had cervical cancer screening (2,45%) from year 2007-2014. Objective: This study aimed to analyze the relationship between knowledge with early detection of cervical cancer behavior on woman in Kelurahan Kebon Kalapa Kota Bogor. Methods: An analysis of secondary data from data of kohor study of noncommunicable disease risk factors 2011 with cross sectional design study. A sample of 1226 women qualified into criteria were women aged 25-65 years who participate at the survey. Analysis using logistic regression. Results: The results showed only 6,3% of women in Kelurahan Kebon Kalapa Kota Bogor did screening for cervical cancer and there was a relationship between knowledge with early detection of cervical cancer behavior. Women with good knowledge of cervical cancer were 2,0 more likely to do cervical cancer screening (OR 2,0, 95% CI: 1,2-3,3). Conclusion: Women with good knowledge of cervical cancer were more likely to do cervical cancer screening after being controlled by education as a confounding variable. Keyword: Cervical Cancer, Early Detection of Cervical Cancer, Knowledge

Abstrak: Changes in screening guidelines that imply suppression of procedures once recommended are always controversial because of the perception that benefits are being curtailed. Prior to 2012, cervical cancer screening guidelines issued by US-based expert bodies differed in several decision areas, making clinicians essentially cherry-pick among recommendations. To some extent, this approach to screening practices also served to shield clinicians from litigation. It implied starting screening earlier, doing it more frequently, and stopping later in life than necessary. This state of affairs changed in 2012, when the most influential professional groups updated their cervical screening guidelines, and recommendations became essentially unified. All groups recommended that women older than 65 years of age discontinue cervical cancer screening on the basis of evidence that screening benefits in this age group were minor and far outweighed by harms. The guidelines are very specific about the exceptions, which ensure acceptable safety. It is expected that the new guidelines will permit less wasteful cervical screening, while fostering the opportunity to direct resources towards ensuring adequate coverage of high-risk women.

Abstrak: Kanker serviks merupakan salah satu jenis kanker yang menjadi masalah kesehatan utama baik di dunia maupun di Indonesia. Salah satu upaya pencegahannya dengan melakukan skrining kanker serviks. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan perilaku wanita dalam melakukan skrining kanker serviks. Desain penelitian menggunakan studi cross sectional dengan jumlah sampel sebesar 128 responden. Hasil penelitian menunjukkan sebanyak 20,3% responden pernah melakukan skrining kanker serviks. Faktor paling dominan yang berhubungan dengan perilaku skrining kanker serviks adalah keterpaparan informasi dengan nilai p-value 0,0001 dan Odds Ratio sebesar 14,350. Penelitian ini merekomendasikan perlu ditingkatkan upaya penyampaian informasi tentang kanker serviks melalui berbagai media komunikasi.
Kata kunci : faktor, perilaku, skrining kanker serviks

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Cervical cancer is one of cancer diseases which ranks as a major health problem both in the world and in Indonesia. One of the efforts to prevent the disease is by undertaking cervical cancer screening. This study aims to determine the factors associated the women behavior in performing cervical cancer screening. Using cross sectional study, 128 respondents were asked to complete self-administered questionnaires. The results showed that 20.3% of respondents have had cervical cancer screening and exposure information was the most associating factor for women to undertake the screening (p-value of 0.0001 and odds ratio of 14.350). This study recommends increasing efforts in delivering information about cervical cancer through a variety of communication media.
Key words: factors, behavior, cervical cancer screening

Abstrak: Kanker serviks adalah satu jenis keganasan atau neoplasma yang lokasinya terletak didaerah serviks, daerah leher rahim atau mulut rahim, Di Indonesia kanker serviks merupakan kanker terbanyak kedua setela kanker payudara. Salah satu cara untuk deteksi dini kanker serviks adalah dengan metode IVA. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan perilaku WUS dalam deteksi dini kanker serviks dengan metode IVA dengan variabel independen umur, pendidikan, pekerjaan, Pengetahuan, Sikap, informasi ketersediaan sarana dan prasarana, keterpaparan informasi tentang kanker serviks, dukungan suami/keluarga, dan dukungan petugas kesehatanan. Penelitian ini menggunakan desain studi cross sectional. Penelitian ini menggunakan data Primer yaitu melalui wawancara langsung dengan WUS di Puskesmas Kecamatan Pasar Minggu Jakarta Selatan, lalu dianalisis dengan analisis univariat, bivariat dan multivariat. Hasil penelitian menunjukkan bahwa semua variabel independen berhubungan dengan perilaku WUS dalam deteksi dini kanker serviks kecuali variabel umur dengan (p value= 0,495OR= 1,490 CI 95%= 0,615-3,613). Uji regresi logistik menunjukkan bahwa , pendidikan, Pengetahuan, keterpaparan informasi tentang kanker serviks, dukungan suami/keluarga, dan dukungan petugas kesehatanan sebagai confounder setelah di lakuakan analisis multivariat. Kata kunci: Kanker Serviks, IVA, Deteksi Dini Cervical cancer is a type of malignancy or neoplasm located in the cervical area, the area of the cervix or cervix, In Indonesia cervical cancer is the second most cancer after breast cancer. One way to early detection of cervical cancer is by IVA method. This study aims to determine the factors associated with the behavior of WUS in early detection of cervical cancer with IVA method, with independent variables are age, education, occupation, knowledge, attitude, availability information of facilities and infrastructure, exposure information about cervical cancer, support of husband/family, and Support of health workers. This study uses cross-sectional study design. This research uses Primary data that is through direct interview with WUS in Pasar Minggu districts community Health centers, South Jakarta, then analyzed with univariate, bivariate and multivariate analysis. The results showed that all independent variables were associated with WUS behavior in early detection of cervical cancer except age variable with (p value= 0,495OR = 1,490 CI 95% = 0,615- 3,613). Logistic regression analysis showed that education, knowledge, exposure of information about cervical cancer, husband/family support, and support personnel as a confounder after multivariate analysis. Keywords : Cervical Cancer, IVA, Early detection

Abstrak: Kanker serviks merupakan penyakit kanker dengan pervalensi tertinggi kedua padaperempuan di Indonesia. Deteksi dini kanker serviks metode IVA merupakan programpreventif prioritas pemerintah Indonesia dalam pengendalian kanker serviks, namuncakupan pemeriksaannya masih rendah. Penelitian ini bertujuan untuk mengetahuideterminan perilaku deteksi dini kanker serviks dengan metode IVA pada WUS usia 30-50 tahun. Penelitian ini menggunakan desain cross-sectional, data dikumpulkan melaluiwawancara menggunakan kuesioner kepada 180 WUS dan dianalisis menggunakan ujichi-square dan regresi logistik ganda. Hasil penelitian menunjukkan 22,8% WUSmelakukan deteksi dini metode IVA. Penelitian ini membuktikan pengetahuan,keterpaparan informasi dan dukungan tenaga kesehatan berhubungan dengan perilakudeteksi dini kanker serviks metode IVA, sementara pendidikan, akses kepelayanankesehatan dan dukungan suami sebagai konfonding pada hubungan tersebut.Keterpaparan informasi merupakan faktor dominan, WUS yang terpapar informasimengenai kanker serviks berpeluang 13,8 kali lebih tinggi untuk melakukan deteksi dinikanker serviks metode IVA dibandingkan WUS yang tidak terpapar informasi setelahdikontrol pendidikan, akses kepelayanan skrining dan dukungan suami (p=0,013,OR:13, 869, 95% CI:1,723-111,650). Sedangkan pekerjaa dan asuransi kesehatan tidakberhubungan dengan perilaku deteksi dini kanker serviks metode IVA. Instansi terkaitperlu melakukan upaya intervensi komunikasi informasi dan edukasi berupa penyuluhandan penyebaran media promosi terkait kanker serviks dan tes IVA untuk meningkatkanjumlah WUS yang terpapar informasi
Kata kunci : kanker serviks, keterpaparan informasi, metode IVA

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Cervical cancer is cancer with the highest prevalence in Indonesia women. Earlydetection of cervical cancer VIAmethod is the government's priority preventive programin controlling cervical cancer, but the coverage of the examination is still low. Thisstudy aimed to determine the determinants of the behavior of early detection of cervicalcancer with VIA method in women of childbearing age of 30 - 50 years. This study usedcross-sectional design, data was collected through interviews using questionnaires to180 samples and analyzed using chi-square test and multiple logistic regressiontest. The results showed 22.8% of childbearing age women perform early detection ofcervical cancer VIA method. These finding revealed that knowledge, informationexposure and support of health care related to early detection of cervicalcancer VIA method, while education, access to health care and husband support asconfounding. Information exposure is a dominant factor, childbearing age womenexposed to information about cervical cancer had 13.8 times chance to early detectionof cervical cancer VIA method than unexposed information after being controlled byeducation, screening service access and husbands support (p = 0,013, OR: 13, 869,95% CI: 1,723-111,650). Meanwhile, work and health insurance are not related to thebehavior of early detection of cervical cancer VIA method. Relevant institutions need tomake efforts communication, information and education in the form socialization anddissemination of promotion media related to cervical cancer and VIA test to increasethe number of childbearing age women exposed information.
Keywords: cervical cancer, information exposure, VIA method.