Cues to Action to Utilization of Cervical Cancer Screening Services among Women of Reproductive age in Kediri, East Java, Indonesia

Abstract

Cervical cancer is currently ranked among the top among the various types of cancer that causes death
in women in the world. The majority of women diagnosed with cervical cancer do not perform screening
tests or do not follow up after being found abnormal results. The purpose of this study was to determine
the correlation between cues to action or trigger and the implementation of early detection of cervical
cancer using Visual Inspection with Acetic Acid (VIA) method in Kediri, Indonesia. This study used a casecontrol
design. The sampling technique was a multi-stage random sampling method. The sample was 410
respondents. The data were analyzed using logistic regression. The results showed that the trigger affects
the implementation of early detection of cervical cancer using the VIA method. Based on the results, the
Odds Ratio (OR) cues to action or trigger values were: 1) Information from high television was obtained
OR value: 2.7; 2) Recommendation from high physician was obtained OR: 2,3; 3) Recommendation from
midwife was obtained OR: 2.6; 4) The recommendation from a friend was obtained OR: 2.5; 5) Having ever
seen high cervical cancer patients was obtained OR: 1.6; 6) Having ever read a book or a high leaflet was
obtained OR: 1.8. It showed that the higher cues to action or trigger were given to the women, the higher
the probability of women to perform the early detection of cervical cancer using the VIA method. Based
on the results, the appropriate cues to action or trigger need to be selected to improve the behavior of early
detection of cervical cancer VIA method in women.