Determinants of IV A screening behavior among women of childbearing age at pasar baru community health center Tangerang City
DOI:
https://doi.org/10.35335/midwifery.v14i4.2487Keywords:
Acetate Visual Inspection, Behavior, Cervical Cancer, Community Health Center, Women of Reproductive AgeAbstract
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.
Downloads
References
Amalia, R., Dewi, V. K., Kristiana, E., & Zakiah, Z. (2025). Faktor-Faktor yang Mempengaruhi Wanita Usia Subur Dalam Melakukan Pemeriksaan IV A di Wilayah Kerja Puskesmas Binuang. World Health Digital Journal, 1(4), 235–243.
Darsiah, D., Dewi, V. K., Kristiana, E., & Laili, F. J. (2025). Faktor yang Mempengaruhi Pemeriksaan Inspeksi Visual Asam Asetat (IV A) pada Pasangan Usia Subur di Wilayah Kerja Puskesmas Baringin. Indonesian Journal of Science, 2(2), 283–292.
Fadilah, S., Hermawan, D., Aryastuti, N., Ekasari, F., & Febriani, C. A. (2023). Faktor yang Berhubungan Dengan Perilaku WUS Dalam Melakukan Tes Inspeksi Visual Asam Asetat (IV A) di Wilayah Kerja Puskesmas Brabasan Kecamatan Tanjung Raya Kabupaten Mesuji. Profesional Health Journal, 5(1), 275–300.
Green, L., & Kreuter, M. (2005). Health Program Planning: An Educational and Ecological Approach (4th ed.).
Haryono, N. E., Ladyvia, F., Khaerunisa, I., Meha, M., & Kurniawati, K. (2026). Edukasi Kesehatan Reproduksi : Upaya Peningkatan Pengetahuan dan Sikap Perempuan Terhadap Skrining Kanker Leher Rahim. Jurnal PENGMAS KESTRA (JPK), 6(1), 169–177.
Jamilah, J., Rahmayani, D., & Palimbo, A. (2022). Faktor - Faktor yang Mempengaruhi Kesiapan Wanita Usia Subur Dalam Pemeriksaan IVA Di UPT Puskesmas Pasar Sabtu. Khatulistiwa Nursing Journal (KNJ), 4(2), 64–72. https://doi.org/10.53399/knj.v4i0.paperID
Khairani, F., & Lubis, R. (2025). Faktor - Faktor yang Berhubungan Dengan Skrining Kanker Serviks IV A pada Wanita Usia Subur ( WUS ) di Puskesmas Medan Deli Tahun 2025. INNOVATIVE: Journal Of Social Science Research, 5(4), 11871–11885.
Khoirunnisa, K., & Yuliani, I. (2025). Pengaruh Pendidikan Kesehatan Tentang Kanker Serviks Terhadap Upaya Pencegahan Kanker Serviks pada Pasangan Usia Subur di Posyandu RW. 04 di Wilayah Jakarta Timur. MAHESA : Malahayati Health Student Journal, 5(1), 384–393.
Lemeshow, S., Klar, J., Lwanga, stephen K., Pramono, D., & Hosmer, D. W. (1997). Besar Sampel Dalam Penelitian Kesehatan. Gadjah Mada University Press.
Liana, Y., & Herlina, H. (2023). Factors Associated with IV A Test as Early Screening for Cervical Cancer in Women of Reproductive Age. Scientific Journal of Midwifery, 11(2), 329–337.
Madiuw, D., Nivaan, G. V., & Baumase, R. (2025). SINARA Application to Detect Cervical Cancer Risk : Development and Validity. Window of Health : Jurnal Kesehatan, 8(4), 491–501.
Maisarah, M., Friscila, I., Melviani, M., & Iswandari, N. D. (2025). Motivasi dan Sikap WUS Dengan Deteksi Dini Kanker Serviks pada Pemeriksaan IVA di Wilayah Kerja Puskesmas Tambang Ulang. Scientific Journal Od Midwifery, 11(1), 11–21.
Malindawati, D. S. (2023). Hubungan Pengetahuan Ibu dan Dukungan Suami Dengan Pemeriksaan IV A pada PUS di Wilayah Kerja Puskesmas Bermani Ulu Kabupaten Rejang Lebong. Journal Of Midwifery, 11(2), 368–372.
Martina, F., Choirunissa, R., & Kundaryanti, R. (2023). Faktor - Faktor yang Berhubungan Dengan Minat Wanita Usia Subur (WUS) Dalam Melakukan Inspeksi Visual Asam Asetat (IV A) di Puskesmas Pondok Betung Kota Tangerang Selatan. MAHESA : Malahayati Health Student Journal, 3(1), 125–141.
Mupenzi, C., Manirafasha, E. N., & Gbadamosi, M. A. (2025). Factors Associated with Cervical Cancer Screening Among Women at Selected District Hospital, Rwanda. Rwanda Journal of Medicine and Health Sciences, 8(2), 208–220.
Nareswari, F. A. P., Susanti, A. I., & Gondodiputro, S. (2025). Perilaku Wanita Usia Subur Dalam Deteksi Dini Kanker Serviks Berdasarkan Health Belief Model. Journal of Midwifery Care, 6(01), 64–73.
Nuranna, L. (2022). See and Treat : Cervical Cancer Prevention Strategy in Indonesia with VIA- DoVIA Screening and Prompt Treatment. InaJCC : The Indonesian Journal of Cancer Control, 2(3), 32–38.
Putri, S. I., Devi, H. M., & Fransiska, R. D. (2025). Associated Factors of Cervical Cancer Screening Intention Among Reproductive Aged Women : A Cross Sectional Study. Pediomaternal Nursing Journal, 11(2), 90–98.
Rahayu, D., Hipni, R., Kirana, R., & Zakiah, Z. (2023). Hubungan Dukungan Sosial dan Sikap Wanita PUS Dengan Deteksi Dini Kanker Serviks Metode IVA di Wilayah Kerja Puskesmas Martapura 2 Kabupaten Banjar. Jurnal Kebidanan Bestari, 7(2), 87–93.
Rizani, A. (2021). Faktor-Faktor yang Berhubungan Dengan Pemeriksaan IV A (Inspeksi Visual Asam Asetat) pada PUS (Pasangan Usia Subur) di Wilayah Kerja Puskesmas Mataraman Tahun 2020. Jurnal Skala Kesehatan Politeknik Kesehatan Banjarmasin, 12(2), 115–125.
Siregar, R., & Puspitarani, Y. (2025). Faktor-faktor yang Berhubungan Dengan Perilaku Wanita Usia Subur Dalam Melakukan Pemeriksaan IVA Tes di Desa Sukamanah Wilayah Kerja Puskesmas Sukatani. Universitas Medika Suherman.
Sumarni, S., & Hasanah, L. (2020). Hubungan Paritas dan Menikah Usia Dini Dengan Hasil Pemeriksaan Inspeksi Visual Asam Asetat (IV A). Journal Of Health Science (Jurnal Ilmu Kesehatan), 5(2), 86–91.
Timang, R., Risnawati, R., Wahyuni, R., & Raudah, S. (2026). Faktor-Faktor yang Berhubungan Dengan Pemeriksaan IV A (Inspeksi Visual Dengan Asam Asetat) pada Wanita Usia Subur di Desa Setulang Kabupaten Malinau. Jurnal Berita Kesehatan : Jurnal Kesehatan, 19(01), 57–64.
Wantini, N. A., & Indrayani, N. (2019). Deteksi Dini Kanker Serviks Dengan Inspeksi Visual Asam Asetat (IV A). Jurnal Ners Dan Kebidanan, 6(1), 27–34. https://doi.org/10.26699/jnk.v6i1.ART.p027
Wewengkang, J. C., Ashrianti, F., Suyudi, M. A. R., Perwira, M. S. P., Sriwijayati, N., & Atika, A. (2024). Analisis Faktor yang Memengaruhi Deteksi Dini Kanker Serviks Metode Inspeksi Visual Asam Asetat (IV A) pada Wanita Usia Subur Tahun 2023. Syntax Literate: Jurnal Ilmiah Indonesia, 9(12), 7881–7896.
Winata, I. G. S., Paramitha, P. P., & Yusrika, M. U. (2023). Correlation Between Knowledge , Attitude , and Partner Support Towards Visual Inspection with Acetic Acid Test Among Women in Denpasar City, Indonesia. Asian Pacific Journal of Cancer Prevention, 24, 3543–3547. https://doi.org/10.31557/APJCP.2023.24.10.3543
Zailani, M. I., Putri, E. A., & Raharjo, W. (2018). Hubungan Antara Usia Perkawinan Dengan Hasil Pemeriksaan Inspeksi Visual Asam Asetat (IV A) di Wilayah Kerja Puskesmas Tanjung Sekayam Kecamatan Kapuas Kabupaten Sanggau. Jurnal Cerebellum, 6(4), 100–106. https://doi.org/10.26418/jc.v6i4.47801
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Apriliana Kartini Soraya, Dewi Purnamawati, Nurfadhilah Nurfadhilah, Siti Riptifah Tri Handari
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
