Path Analysis on the Determinants of Visual Inspection Acetic Acid Test Using Theory Planned Behavior in Central Java

Siti Kholifah1), Uki Retno Budihastuti2), Bhisma Murti1)


1)Masters Program in Public Heath, Universitas Sebelas Maret

2)Department of Obstetrics and Gynecology, Dr. Moewardi Hospital



Background: Cervical cancer is the second most common malignancy in women worldwide. Cervical cancer is caused by sexually acquired infection with certain types of Human Papilloma Virus (HPV). This study aimed to examine the determinants of the use of visual acetyc acid (VIA) tests using Theory of Planned Behavior (TPB) and path analysis model.

Subjects and Method: This was a cross sectional study carried out at 25 community health centers (puskesmas) in Karanganyar and Surakarta, Central Java, January to March. A sample of 225 women of reproductive age was selected by random sampling.

The dependent variable was the use of VIA test. The independent variables were intention, self efficacy, imitation, belief, distance to health center, and spare time to at- tend health facility. The data were collected by questionnaire and analyzed by path analyzed.

Results: The use of VIA test was directly affected by intention (b= 1.58; 95%CI= 0.89 to  2.25; p<0.001), imitation (b= 1.30; 95%CI= 0.59 to 2.01; p<0.001),  distance to health center (b= 1.38; 95%CI= 0.62 to 2.13; p<0.001), self efficacy (b= 1.05; 95%CI=0.38 to 1.73; p= 0.002), health belief (b= 1.57; 95%CI= 0.84 to 2.29; p<0.001), and spare time to attend health facility (b= 0.86; 95%CI= 0.18 to 1.54; p= 0.012). It was in-directly affected by attitude, outcome expectation, knowledge, and employment.

Conclusion: The use of VIA test is directly affected by intention, imitation, distance to health center, self efficacy, health belief, and spare time to attend health facility. It is indirectly affected by attitude, outcome expectation, knowledge, and employment.

Keywords: visual inspection acetic acid, path analysis, Theory of Planned Behavior

Correspondence: Siti  Kholifah.  Masters  Program  in  Public  Heath,  Universitas  Sebelas  Maret,  Jl.  Ir. Sutami 36 A, Surakarta 57126, Central Java. Email:  Mobile: 081575644051.


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