Application of Health Belief Model on the Predictors of Screening for Cervical Cancer in Surakarta, Central Java

Gabriela Advitri Febriani1), Setyo Sri Rahardjo2), Bhisma Murti1)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Medicine, Universitas Sebelas Maret



Background: Research on Indonesian women that examine factors associated with uptaking regular Pap or Visual Inspection Acetic Acid (VIA) tests is lacking. The purpose of this study was to use the health belief model (HBM) as a frame­work to examine predictors of Pap or VIA testing.

Subjects and Method: An analytic cross-sectional study has been conducted at Per­mata Harapan Clinic and Budi Sehat Laboratory Clinic, Surakarta, Central Java. The data were collected from February to March 2018. A sample of 200 wo­men was selected by random sampling, consisting of 74 women undertaking screening and 126 women not undertaking screening. The dependent variable was use of screening for cervical cancer. The independent variables were per­ceived susceptibility, seriousness, benefit, barrier, education, income, and social sup­port. Data on screening were taken from medical record. Other variables were measured by questionnaire. The data were analyzed by path analysis.

Results: Perceived susceptibility (b= 2.20; 95% CI= 1.38 to 3.02; p<0.001), serious­ness (b= 1.24; 95% CI= 0.18 to 2.30; p= 0.022), and benefit (b= 1.24; 95% CI= 0.17 to 2.30; p= 0.023) were positive predictors of screening. Perceived barrier (b= -1.03; 95% CI= -1.83 to -0.23; p=0.012) was a negative predictor of scre­e­ning. Education, income, and social support were significant and indirect pre­dic­tors of screening.

Conclusion: Perceived susceptibility, seriousness, and benefit are positive predictors of screening. Perceived barrier is a negative predictor of screening. Educa­tion, income, and social support are significant and indirect predictors of scre­e­ning. Health belief model can be used to predict uptake of screening for cervical can­cer.

Keywords: health belief model, screening, cervical cancer

Correspondence: Gabriela Advitri Febriani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: Mobile: 085743809055.


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