scholarly journals GAMBARAN HEALTH BELIEF MODEL WUS DALAM DETEKSI DINI KANKER LEHER RAHIM MENGGUNAKAN PEMERIKSAAN IVA DIPUSKESMAS BAREGBEG 2021

2021 ◽  
Vol 3 (2) ◽  
pp. 67
Author(s):  
Siti Rohmah ◽  
Sandra Tiara Anggraeni

Kanker leher rahim merupakan keganasan yang terjalin pada leher rahim merupakan bagian terendah dari rahim yang menonjol ke puncak liang vagina, kanker leher rahim dapat dideteksi dini dengan menggunakan metode pemeriksaan IVA. Masalah yang utama yaitu rendahnya peminat pemeriksaan IVA. Health Belief menjadi penyebab yang mengakibatkan peminat rendah, karena health belief yang kurang. Penelitian ini bertujuan untuk menggambarkan health belief WUS di wilayah kerja PUSKESMAS Baregbeg dalam deteksi dini kanker leher rahim menggunakan metode pemeriksaan IVA. Metode penelitian ini deskriptif. Teknik sampling menggunakan non probality sampling (consecutive sampling) dengan jumlah responden 126 WUS. Hasil penelitian 46 (36,5%) WUS dengan health belief baik, dan 80 (63,5%) dengan health belief kurang. Diharapkan bagi penyelenggara program IVA untuk meningkatkan penyuluhan dan penyebaran informasi terkait adanya program gratis pemeriksaan IVA untuk meningkatkan kesadaran WUS dan meningkatkan kunjungan program skrining deteksi dini kanker leher rahim menggunakan metode pemeriksaan IVA.Cervical cancer is a malignancy that is entwined in the cervix, which is the lowest part of the uterus that protrudes to the top of the vaginal canal. Moreover, cervical cancer can be early detected by using the IVA examination method. Furthermore, the main problem is the low interest in conducting the IVA examination. In addition, Health Belief is recognized as the cause of low interest. In the meantime, this study aims to describe the health beliefs of WUS in the working area of Baregbeg Public health center in early detection of cervical cancer using the IVA examination method. On the other hand, the study carried out a descriptive method. The sampling technique used non-probability sampling (consecutive sampling) with 126 WUS respondents. The results of the study 46 (36.5%) WUS indicated the good awareness of healt beliefs and 80 (63.5%) indicated the unawareness of health beliefs. Regarding the result, it is hoped that the organizers of the IVA program will conduct counseling and inform more information related to the free IVA examination program to increase awareness of WUS and increase visits to the screening program for early detection of cervical cancer using the IVA examination method.

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Yhenti Widjayanti

Cervical cancer is the most causa of deaths for women. Acetic Acid Visual Inspection Examination (IVA) is an effort to detect cervical cancer early. Conduct early detection is closely related to the perception of health beliefs (health belief). This study aimed to analyze the effect of perceived health beliefs on the behavior of women during childbearing age in conducting IVA examinations. The design of this study was observational analytic with a cross-sectional approach. The subjects of this study were 123 women who collected by simple random sampling. The variables of this study were the perception of health beliefs and behavior towards the IVA examination as early detection of cervical cancer. Data were collected by a questionnaire. The results showed that 57.7% of subjects had negative health belief perceptions, 60.2% had negative attitudes and 61.8% of subjects had never done an IVA examination. The results of the linear regression statistical test showed between the perception of health beliefs with attitudes obtained p-value = 0.00, the correlation value (R) = 0.951, the coefficient of determination = 0.904, between the perception of health beliefs with the act of conducting an IVA examination obtained p = 0.00, Correlation value (R) = 0.851 coefficient of determination = 0.724, It meant that there is an effect of perception of health beliefs on behavior (attitude & action) on IVA examination as early detection of cervical cancer. The implication in nursing is the need for collaboration between health cadres and the Public Health Center to increase socialization about IVA to women of childbearing age and family.


2020 ◽  
Vol 16 (3) ◽  
pp. 229-235
Author(s):  
Alireza Didarloo ◽  
Leila Mokhtary ◽  
Hamid-Reza Khalkhali ◽  
Soheila Ahangarzadeh-Rezaei

Background: Breast cancer is the most prevalent type of cancer among women that is fatal if not diagnosed and treated in due time. Health beliefs play an important role in people's willingness to engage in health-promoting behaviors. Objective: The aim of the study was to examine the effects of the health belief model (HBM)-based training intervention on women’s health beliefs towards breast cancer screening behaviors. Methods: The study of educational intervention was conducted on women referred to healthcare centers. The sample was selected by convenient sampling and randomly assigned to control and intervention groups of 50 subjects. The intervention group received the theory-based training intervention, but the control group received only the routine care. Champion’s Health Belief Model Scale (CHBMS) was used for collecting the study data. Data analysis was performed using independent t-test, paired t-test, Chi-squared test, and correlation coefficient in SPSS software version 16.00. Results: The mean age of the subjects for control and intervention groups was 39.06±9.78, 38.32±8.27, respectively. Overall, 38%, 12% and 13%of the subjects reported breast selfexamination behavior, mammography and clinical breast examinations, respectively. Before the intervention program, the overall mean score of health beliefs in groups of control and intervention was 160.82±23.28, and 159.14±20.61, respectively. After educational intervention, the overall mean score of beliefs in the intervention group changed from 159.14±20.61 to 195.26±24.42, and it was statistically significant (p<0.001). In the control group, after the intervention, no significant changes were observed in the mean score of total health beliefs and were not statistically significant (p>0.05). Among the variables of the HBM, women's perceived self-efficacy toward breast selfexamination experienced the most positive change after an educational intervention. Conclusion: Our results indicated that HBM-based training significantly improved women’s beliefs toward breast cancer screening behaviors. It is suggested that trainers in the healthcare system use these educational approaches to promote people’s beliefs toward breast cancer and its screening methods.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Sumarmi Sumarmi ◽  
Yu-Yun Hsu ◽  
Ya-Min Cheng ◽  
Shu-Hsin Lee

Abstract Purposes This study aimed to understand the influence of health beliefs, demographic factors, and health characteristics on the intention to undergo Pap smear testing among women in rural areas of Indonesia. Methods A descriptive cross-sectional study was conducted and 687 married women participated in the study. A convenience sampling was applied to recruit the participants from community health centres in a rural region in Indonesia. Self-reported data using the Health Beliefs Model Scale for Cervical Cancer and Pap Smear Test was collected to assess the health beliefs. Independent t-tests, simple logistic regressions, and a hierarchical logistic regression with 3 steps were run. Statistical significance for analysis was set at p < 0.05. Results The mean age of the participants was 42 years (SD = 8.4). Among the participants, 81% of the women had never undergone a Pap smear test, and 61% (n = 422) of the women reported a high intention of receiving a Pap smear test. Income and education Health beliefs regarding Pap smear testing were different between women who had low and high intentions to undergo Pap smear testing. Health beliefs, such as perceived benefits, severity, barriers to Pap smear testing, and health motivation for a Pap smear test were associated with the intention to undergo Pap smear testing among rural Indonesian women. Overall, the hierarchical multiple regression with 3 steps containing demographic, health characteristics, and health belief variables accounted for 31% variance of the intention to undergo Pap smear test among the Indonesian rural women. Conclusions Low screening rates of cervical cancer and high intentions to do the screening exist among rural Indonesian women. Health beliefs significantly affect the rural women’s intention of Pap smear testing in Indonesia.


Author(s):  
Yi-Ping Hsieh ◽  
Cheng-Fang Yen ◽  
Chia-Fen Wu ◽  
Peng-Wei Wang

During the COVID-19 pandemic, the number of hospital visits and attendance at scheduled appointments have dropped significantly. We used the health belief model (in three dimensions) to examine the determinants of non-attendance of scheduled appointments in outpatient clinics due to the COVID-19 pandemic. Participants in Taiwan (n = 1954) completed an online survey from 10 April 10 to 23 April 2020, which assessed how people perceived and responded to the outbreak of a fast-spreading infectious disease. We performed both univariate and multivariate logistic regression to examine the roles of cognitive, affective, and behavioral health belief constructs in nonattendance at scheduled appointments. The results indicated that individuals who perceived high confidence in coping with COVID-19 were less likely to miss or cancel their doctor’s appointments, whereas individuals who reported high anxiety and practiced more preventive health behaviors, including avoiding crowded places, washing hands more often, and wearing a mask more often, were more likely to miss or cancel their appointments due to the COVID-19 pandemic. Non-heterosexual participants had a lower rate of nonattendance at scheduled appointments compared with heterosexual ones. The study results increase our understanding of the patients’ cognitive health beliefs, psychological distress, and health behaviors when assessing adherence to medical appointments during a pandemic.


2016 ◽  
Vol 43 (1) ◽  
pp. 74-87
Author(s):  
C.M. Jolly ◽  
S. Vodouhe ◽  
B. Bayard ◽  
P.E. Jolly ◽  
J.T. Williams

ABSTRACT Aflatoxin (AF) contamination of groundnut poses a serious health and economic threat to Benin market participants. However, most farmers are unaware of the problem. A study of 182 farmers was conducted in 2002 using a Health Belief Model (HBM) to examine Benin farmers’ health beliefs, perception constructs of awareness, susceptibility, seriousness of the problem, barriers, and benefits derived from reducing AF levels. Exploratory Factor Analysis was employed to evaluate the HBM model constructs. The average age of farmers was 40.4 years with a Standard Deviation (SD) of 10.8, and farmers had an average of 18.32 years of farming experience. Approximately 93% of farmers stated that sorting of groundnuts was important or very important, while 77% thought that they were sure or definitely sure of the negative effects of AF on human health. The exploratory factor analysis revealed that two factors embodied the susceptibility, barrier and benefit constructs. The study results indicated that the reduction of AF in groundnuts was multidimensional and required policy intervention to increase awareness of the health risks, and to manipulate the factors that influenced the constructs at the farm and policy level.


1994 ◽  
Vol 20 (3) ◽  
pp. 221-227 ◽  
Author(s):  
Terri Schwab ◽  
Julie Meyer ◽  
Rosa Merrell

Adherence to the treatment regimen for patients with diabetes is of major concern to healthcare practitioners, particularly when dealing with the high-risk, low-income, Mexican-American population. Assessing the attitudes and beliefs of this group is vital for planning effective and realistic intervention strategies. Therefore, we designed a culturally sensitive instrument to measure health beliefs and attitudes of low-income Mexican Americans with diabetes. The Health Belief Model (HBM) was used as a basis for this study because it is well accepted as a predictor of health-related behaviors. However, we found that the HBM was not an effective tool for assessing the health beliefs or attitudes of this patient population even after rigorous efforts to operationalize the HBM and after conducting extensive statistical analyses. Only two of the five subscales of the traditional HBM, barriers and benefits, were reliable. Scales to measure acculturation and fatalism were added to increase the cultural sensitivity of the tool. These added components were found to be an important variable in interpreting the results for low-income Mexican-American patients.


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