<![CDATA[Background: Cervical cancer is caused by Human Papillomavirus (HPV) infection and is one of the deadliest types of cancer, as it is often detected at an advanced stage. Early detection through VIA testing has been proven effective in reducing the incidence of cervical cancer. The Indonesian government aims for more than 80% of women aged 30–50 years to undergo VIA testing. However, the coverage of this test remains low, particularly at the Lembang Community Health Center, where it only reaches 3.5%. This low participation is influenced by various factors. This study aims to analyze the factors influencing women's participation in VIA testing in the Lembang Community Health Center's service area. Method: This study used a cross-sectional approach. The study was conducted in the working area of the Lembang Community Health Center in 2024. The sample consisted of married women aged 20–50 years who met the inclusion and exclusion criteria. A total of 133 respondents were selected using proportionate stratified random sampling. Data were collected using questionnaires and analyzed using univariate, bivariate (chi-square), and multivariate (logistic regression) tests. Result: The results showed a significant relationship between knowledge and WRA participation in VIA testing (p = 0.000), attitude (p = 0.009), support from health workers (p = 0.001), access to information (p = 0.002), intention (p = 0.007), personal autonomy (p = 0.015), and cadre support (p = 0.025). Meanwhile, spousal support did not show a significant relationship with WRA participation in VIA testing (p = 0.662). The most influential factor was knowledge with an odds ratio (OR) value of 10.864. Conclusion: Therefore, it is recommended to conduct health promotion and education for WRA and their husbands so that both understand the importance of VIA testing for early detection of cervical cancer.]]>
