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Siti Riptifah Tri Handari
Universitas Muhammadiyah Jakarta, Indonesia

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Determinants of IV A screening behavior among women of childbearing age at pasar baru community health center Tangerang City Apriliana Kartini Soraya; Dewi Purnamawati; Nurfadhilah Nurfadhilah; Siti Riptifah Tri Handari
Science Midwifery Vol 14 No 4 (2026): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i4.2487

Abstract

Cervical cancer is the fourth leading cause of cancer-related deaths among women worldwide and ranks second among cancers affecting women in Indonesia. Participation in Visual Inspection with Acetic Acid (VIA) screening remains a public health concern. In Tangerang City and at Pasar Baru Community Health Center, VIA screening coverage has not reached the established targets. To examine factors associated with VIA screening behavior among women of reproductive age at Pasar Baru Community Health Center, Tangerang City. A cross-sectional study was conducted among 64 women of reproductive age selected using purposive sampling. Data were collected through questionnaires and interviews. Bivariate analyses were followed by multivariable logistic regression using a significance level of 0.05. Of the 64 respondents, 51 (79.7%) had undergone VIA screening, while 13 (20.3%) had not. In the bivariate analysis, age (p = 0.062) and occupation (p = 0.123) were not significantly associated with VIA screening behavior. Education (p = 1.000), parity (p = 0.333), knowledge (p = 0.717), attitude (p = 0.203), and husband’s support (p = 0.743) were also not significantly associated with screening behavior. Access to information and health worker support showed no variation among respondents, precluding meaningful assessment of their associations with screening behavior. In the multivariable logistic regression model, age (adjusted OR [aOR] = 5.760; 95% CI: 1.289–25.733; p = 0.022) and occupation (aOR = 4.339; 95% CI: 1.100–17.116; p = 0.036) were statistically significantly associated with VIA screening behavior after mutual adjustment. Given the small sample size and the wide confidence intervals, these findings should be considered preliminary and require confirmation in larger studies. Community-based educational initiatives and cross-sector collaboration may be considered to support VIA screening participation among women of reproductive age.