ABSTRAK
Kanker serviks merupakan masalah kesehatan masyarakat yang penting pada wanita di seluruh dunia. Penyakit kanker serviks merupakan penyakit kanker dengan prevalensi tertinggi di Indonesia sebesar 0,8% atau sekitar 98.692 penduduk Data Dinkes Banyuwangi (2013) menunjukkan penderita kanker serviks mencapai 80-100 penderita per tahunnya, sedangkan tahun 2014 hanya terdapat 74 wanita usia subur yang melakukan pemeriksaan skrining. Jumlah wanita usia subur di Wilayah Puskesmas Tegaldlimo kurang lebih 9.042 orang. Kesadaran perempuan Indonesia untuk melakukan skrining masih sangat rendah. Cakupan deteksi dini di Indonesia kurang dari lima persen sehingga banyak kasus kanker serviks ditemukan sudah pada stadium lanjut. Tujuan dari penelitian ini untuk menunjukkan hubungan persepsi kerentanan individu, keseriusan penyakit, manfaat dan hambatan dengan penggunaan skrining IVA pada wanita usia subur.
Jenis penelitian ini adalah penelitian deskriptif analitik observasional dengan rancangan cross sectional. Teknik pengambilan sampel menggunakan purposive sampling. Besar sampel sebanyak 140 wanita usia subur di wilayah Puskesmas Tegaldlimo. Alat pengumpulan data menggunakan angket. Analisis data menggunakan Chi Square dan regresi logistik ganda.
Hasil menunjukkan bahwa (1) terdapat hubungan positif persepsi kerentanan terhadap penggunaan skrining IVA (OR= 5,17; CI=95%; 1,64 hingga 16,32; p = 0,005); (2) persepsi keseriusan penyakit dengan penggunaan skrining IVA (OR= 4,21; CI=95%; 1,44 hingga 12,30; p =  0,009); (3) persepsi manfaat dengan penggunaan skrining IVA (OR= 5,37; CI=95%; 1,59 hingga 18,11; p = 0,007); (4) terdapat hubungan negatif persepsi hambatan dengan penggunaan skrining IVA (OR= 0,21; CI=95%; 0,07 hingga 0,65 p = 0,007); (5) terdapat hubungan persepsi kerentanan individu, keseriusan penyakit, manfaat dan hambatan dengan penggunaan skrining IVA.
Kesimpulan: persepsi kerentanan individu, keseriusan penyakit, manfaat berhubungan positif, sedangan hambatan berhubungan negatif dengan penggunaan skrining IVA pada wanita usia subur
Kata Kunci: persepsi kerentanan, persepsi keseriusan, manfaat, hambatan, skrining IVA.
ABSTRACT
.Cervical cancer is an important public health problem among women over the world. The prevalence of cancer in Indonesia is 1.4 per 1000 population. Cervical cancer is the cancer with the highest prevalence in Indonesia of 0.8% or approximately 98 692 people The data of Banyuwangi Health Department in 2013 cervical cancer patients reaches 80-100 patients per year, in 2014 there were only 74 reproductive women who perform screening test, while the total of reproductive women at Tegaldlimo Public Health Center approximately 9.042 people. Indonesian women's awareness of screening is extremely low. The coverage of early detection in Indonesia is less than five percent; so many cases of cervical cancer are already found at advanced stage. The purpose of this research was to determine the correlation among individual perception, susceptibility, seriousness of the disease, benefits, and obstacle with the use of VIA screening in reproductive age women.
This research study was descriptive analytic observational with cross sectional design. The sampling technic used purposive sampling.  The total sample was 140 of reproductive women at Tegaldlimo Public Health Center. Questionnaires ware used for collecting the data. Data analysis used Chi Square and multiple logistic regression.
The research results show that (1) positive correlation among susceptibility perception to the willingness for using VIA screening (OR = 5,17; CI = 95%; 1.64 to 16,32; p = 0.005); (2) the seriousness perception of the disease to the willingness for using VIA screening (OR = 4.21; CI = 95%; 1.4 up to 12,30; p = 0,009); (3) the benefits perception to the willingness for using VIA screening (OR = 5,37; CI = 95%; are 1.59 to 18,11; p = 0.007); (4) there was negative correlation to the obstacles perception of the willingnes (OR = 0.21; CI = 95%; 0.07 to 0.65 p = 0.007); (5) The correlation among individual, susceptibility perception, seriousness of the disease, benefits and those barriers with willingness of using VIA  Screening.
Individual susceptibility perception, seriousness of the disease, benefit, and obstacle are negatively associated with VIA screening in reproductive women.
Keywords: susceptibility perception, seriousness, benefit, obstacle, VIA screening.