The Influence of Occupation, Socio-Economics, History of Sexually Transmitted Diseases and Health Insurance Participation on Visual Inspection with Acetic Acid Visits in Ponorogo Regency

Riska Permana Sari, Mahalul Azam, Eunike Raffy Rustiana


Cervical cancer is a type of cancer that affects women of reproductive age. The incidence of cervical cancer in the world is in the second position which is a major problem of women's health, in developing countries especially in Indonesia. Health workers have been intensively taking preventive measures to reduce the high prevalence of cervical cancer in Indonesia. Precautions can be taken by action the early detection method is simple, namely visual inspection with acetic acid (VIA). This study aims to analyze the factors that influence the efforts of women of childbearing age to carry out early detection of cervical cancer using the visual inspection with acetic acid method. This research is a quantitative study with a case control study approach. A sample of 150 respondents consisting of 50 case samples and 100 control samples were obtained by using a 2-stage sampling technique, namely cluster random sampling and proportionated random sampling. Data analysis used chi square test and logistic regression. The results showed that the p value of occupation (p = 0.047), socio-economics (p = 0.138), history of sexually transmitted diseases (p = 0.318), health insurance participation (p = 0.007). The conclusion of this study is that there is an influence between occupation and health insurance participation against visual inspection with acetic acid visits.


VIA, Visits, Cervical Cancer, Health Insurance, History of Sexually Transmitted Diseases

Full Text:



Arifa, S. I, Azam. M, & Handayani, O. W. K. (2017). Faktor Yang Berhubungan Dengan Kejadian Penyakit Ginjal Kronik Pada Penderita Hipertensi Di Indonesia.â€Media Kesehatan Masyarakat Indonesia, 13(4): 319.

Badan Pusat Statistik. 2018. Badan Pusat Statistik Proyeksi Penduduk Indonesia 2015-2045: Hasil SUPAS 2015.

Gatumo, Murithi, Susan Gacheri, Abdul Rauf Sayed, and Andrew Scheibe. 2018. “Women’s Knowledge and Attitudes Related to Cervical Cancer and Cervical Cancer Screening in Isiolo and Tharaka Nithi Counties, Kenya: A Cross-Sectional Study.†BMC Cancer 18(1): 1–9.

Junainah, N. 2017. “Keikutsertaan Sosiali- Sasi Dan Tingkat Ekonomi Terhadap Keikutsertaan Inspeksi Visual Asam Asetat.†Higeia Journal of Public Health Research and Development.

Kemenkes RI. 2019. Profil Kesehatan Indonesia 2018 [Indonesia Health Profile 2018].

Meytri, Ayun, Sutopo Patria Jati. 2017. “Analisis Implementasi Program Deteksi Dini Kanker Serviks Melalui Metode Inspeksi Visual Asam Asetat (Iva) Di Puskesmas Kota Semarang.†Jurnal Kesehatan Masyarakat (e-Journal) 5(4): 85–94.

Ningrum, Roswati Dani, and Dyah Fajarsari. 2013. “Faktor-Faktor Yang Mempengaruhi Motivasi Ibumengikuti Deteksi Dini Kanker Serviks Melalui Metode Inspeksi Visual Asam Asetat (IVA) Di Kabupaten Banyumas Tahun 2012.†jurnal ilmiah kebidanan 10(9): 1–14.

Nonik Ayu Wartini, Novi Indrayani. 2019. “Deteksi Dini Kanker Serviks Dengan Inspeksi Visual Asam Asetat (IVA).†Jurnal Ners dan Kebidanan 6(1): 27–34.

Nordianti, Mursita Eka. 2018. “Determinan Kunjungan Inspeksi Visual Asam Asetat Di Puskesmas Kota Semarang.†Higeia Journal of Public Health Research and Development 2(1): 33–44.

Ns. Sri Wahyuni, M.Kep., Sp.Kep.Mat. 2013. “Faktor-Faktor Yang Mempengaruhi Perilaku Deteksi Dini Kanker Serviks Di Kecamatan Ngampel Kabupaten Kendal Jawa Tengah.†Jurnal Keperawatan Maternitas 1(1): 55–60.

Orang’O, Elkanah Omenge et al. 2016. “Factors Associated with Uptake of Visual Inspection with Acetic Acid (VIA) for Cervical Cancer Screening in Western Kenya.†PLoS ONE 11(6): 1–12.

WHO. 2016. “UN Joint Global Programme on Cervical Cancer Prevention and Control.†: 1–4.


  • There are currently no refbacks.

View My Stats