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Journal : Journal of Health Promotion and Behavior

Health Belief Model on the Determinants of Human Papilloma Virus Vaccination in Women of Reproductive Age in Surakarta, Central Java Fitriani, Yulia; Mudigdo, Ambar; Andriani, Rita Benya
Journal of Health Promotion and Behavior Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer is a type of cancer that develops in a woman's cervix. Cervical cancer is caused by a human papillomavirus (HPV). Cervical cancer ranked fourth against most women's cancer. The incidence of cervical cancer was estimated at 528,000 (7.9%) cases worldwide causing 266,000 deaths in 2012. The HPV vaccine can protect women from HPV infection, thus lowering the risk of cervical cancer. This study aimed to analyze the determinants of HPV vaccination in women of reproductive age in Permata Harapan Oncology Clinic, Surakarta, Central Java, using Health Belief Model.Subjects and Method: This was an analytic observational study with a case-control design. This study was conducted at Permata Harapan Oncology Clinic, Surakarta, from January to February 2018. A total study of 200 study subjects was selected by fixed disease sampling. The dependent variable was HPV vaccination. The independent variables were knowledge, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, family income, and family support. The data were collected by questionnaire and analyzed by a multiple logistic regression.Results: HPV vaccination increased with better knowledge (OR=7.97; 95% CI= 1.50 to 42.38; p= 0.015), perceived seriousness (OR=22.81; 95% CI= 6.06 to 85.86; p<0.001), perceived susceptibility (OR=4.03; 95% CI= 1.25 to 13.09; p=0.020), , perceived benefit (OR­=6.57; 95% CI= 1.88 to 22.98; p=0.003), family income (OR=5.32; 95% CI= 1.57 to 18.07; p=0.007), and family support (OR=6.86; 95% CI= 1.55 to 30.36; p= 0.011). HPV vaccination decreased with perceived barrier (OR=0.14; 95% CI= 0.04 to 0.51; p=0.003).Conclusion: HPV vaccination increases with better knowledge perceived seriousness, perceived susceptibility, perceived benefit, family income, and family support, but decreases with perceived barrier.Keywords: HPV vaccination, knowledge, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, family income, family supportCorrespondence: Yulia Fitriani. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: yuliafitriani38@gmail.com. Mobile: 085655708946.Journal of Health Promotion and Behavior (2018), 3(1): 16-26https://doi.org/10.26911/thejhpb.2018.03.01.02 
Co-Authors Agustina Alfauzain Ambar Mudigdo Amilda Andriani, Rita Benya Asmadi Alsa Azzahra, Rumaisha Br Manurung, Anastasya Cucu Sukmana, Cucu Damayanti, Ester Claudya Dewi Puspita Sari Dian Novita Djumrianty, Desloehal Dwi Arianto, Dwi Erik Saut H Hutahaean, Erik Saut H Fadhila, Washi Fadillah, Zalfa Eka Nurul Fata Nidaul Khasanah Fatullah, Naufal Fauzan, Efran Febrieta, Ditta Febrietta, Ditta Gina , Fathana Gina, Fathana Handam Dewi, Siti Hermawan, Liza Gardyanie Iklila Aulia, Akza Indradewa, Rhian Ismail, M. Tarmizi Ismail, Tarmizi Johannes Bastira Ginting Kartini, Apriani Dwi Khairul Amri Marlina Sari Marsa Saisan, Desfa Gempata Merida, Sarita Candra Mira Sekar Arumi Monica, Inez Muhamad Uyun Muhammad Fajar, Fahmi Mutamam, Mohamad Hadi Ali Nike Kamarubiani Nugraha, Andreas Corsini Widya Nugraha, Susiana Nuraini, Vivi Meida Nurfitriani, Aisyah Nurhaliza, Danya Nurika Utada, Nabila Perdhana , Timorora Sandha Permatasari, Wahyuning Tyas Pertiwi, Yuarini Wahyu Pratama, Hirda Ronggo Pratiwi, Anggraini Wulan Purnomo Purnomo Purnomo, Desri Naya Dewi Putra, Deni Maisa Putri, Nabila Amelia Putri, Thania Alfathya Reizky Maharani Royda S, Buenita Sabillah, Lintang Asri Sarasati, Budi Sari, Elen Nofita Sari, Wina Diana Setyo Ferry Wibowo Shaumagita, Yolanda Rasya Simanullang, Andry Sormin, Nurhidayati Sukiani, Sukiani Thamrin, Djuni Usep Suhud Uswatun Hasanah Virdiananda, Fattah Azhimi Virlyana, Adinda Wahyu Pertiwi, Yuarini Wijaya, Catherine Putri Yistiani, Ajeng Yulia Anita Yulia Fitriani Zakiah, Ajeng Fitri