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All Journal Jurnal Kesehatan Masyarakat Journal of Epidemiology and Public Health Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Qadrijati, Isna
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
Medicine & Pharmacology Public Health

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Journal : Journal of Health Promotion and Behavior

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Path analysis on the Determinants of Pap Smear Utilization for Cervical Cancer Early Detection in Women of Reproductive Age Wardhani, Gesit Kusuma; Mudigdo, Ambar; Qadrijati, Isna
Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Cervical cancer is the fourth most common malignant cancer among women after breast, colorectal, and lung cancers. Pap smear has been recognized as an effective strategy for reducing the incidence and mortality rate of cervical cancer. This study aimed to investigate the determinants of Pap smear utilization for cervical cancer early detection in women of reproductive age using path analysis model.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted in Cilongok and Ajibarang Sub-districts, Banyumas, Central Java, from January 3 to February 3, 2018. A total sample of 200 women reproductive age was selected for this study by fixed disease sampling. The dependent variable was Pap smear utilization. The independent variables were education level, attitude, perception on the quality health care, access to the health center, family support, peer support, and health personnel support.  The data were collected by questionnaire and analyzed by path analysis.Results: Pap smear utilization was positively and directly associated with education (b = 2.63; 95% CI= 1.77 to 3.48 p<0.001), perception on quality of health care (b= 1.04; 95% CI= 0.22 to 1.86; p= 0.012), attitude (b= 1.48; 95% CI= 0.51 to 2.44 p= 0.003), access to health center (b=1.02; 95% CI= 0.20 to 1.84 p= 0.015), family support (b= 1.29; 95% CI= -0.22 to 2.61; p= 0.029), and health personnel support (b= 2.02; 95% CI= 0.60 to 3.45 p= 0.005). Pap smear utilization was indirectly associated with peer support through perception on quality health care (b = 0.66; 95%= -0.01 to 1.33 p = 0.031).Conclusion: Education, perception on the quality of health care, attitude, access to the health center, family support, and health personnel support are directly associated with Pap smear utilization.Keywords: Pap smear, cervical cancer, path analysis, education, attitude, perception, family support, peer support, health personnel supportCorrespondence: Gesit Kusuma Wardhani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: gesitkusuma92@gmail.com.Journal of Health Promotion and Behavior (2017), 2(4): 359-370https://doi.org/10.26911/thejhpb.2017.02.04.08 
Biopsychosocial Determinants of Long-term Contraceptive Use in Women of Reproductive Age in Surakarta, Central Java Arifiana, Ratna; Budihastuti, Uki Retno; Qadrijati, Isna
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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Background: Family planning allows people to attain their desired number of children and determine the spacing of pregnancy. Long-term contraceptive methods are more effective, safe, with fewer contraindications than others contraceptive method. This study aimed to investigate the biopsychosocial determinants of long-term contraceptive use in women of reproductive age in Surakarta, Central Java, using a theory of planned behavior.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted in Surakarta, from January to February 2018. A sample of 210 women of reproductive age was selected for this study by fixed disease sampling. The dependent variable was long-term contraceptive use. The independent variables were age, parity, education, employment status, knowledge, attitude, subjective norm, perceived behavior control, husband support, family income, and health counseling. The data was collected by questionnaire and analyzed by path analysis.Results: Long-term contraceptive use increased with positive attitude (b=3.49; 95% CI= 1.88 to 5.11; p<0.001), supportive subjective norm (b= 2.91; 95% CI= 1.10 to 4.73; p=0.002), strong perceived behavior control (b=3.09; 95% CI= 1.29 to 4.88; p=0.001), and strong husband support (b=2.68; 95% CI= 1.04 to 4.33; p=0.001). Long-term contraceptive use was indirectly affected by knowledge, health conselling, and education level.Conclusion: Long-term contraceptive use increases with a positive attitude, supportive subjective norm, strong perceived behavior control, and strong husband support.Keywords: long-term contraceptive, the theory of planned behavior, path analysisCorrespondence: Ratna Arifiana, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: arifianaratna1301@gmail.com.Journal of Health Promotion and Behavior (2018), 3(1): 37-47https://doi.org/10.26911/thejhpb.2018.03.01.03 
Co-Authors Ambar Mudigdo Arifiana, Ratna Bhisma Murti Dewi Indriani Dewi, Lanti Retno Haris Setyawan Nikmah, Atika Nisa, Shofia Maharani Khoirun Pradani, Amalia Dinda Ayu Prasetya, Hanung Purbaningrum, Sinta Ayu Rahardjo, Setyo Sri Rita Adriani Benya Adriani Uki Retno Budihastuti Wardhani, Gesit Kusuma Widjanarti, Maria Paskanita Yeimo, Yulianda