Background: In 2013 the prevalence of cervical cancer in West Sumatra was 0.9 per 1000 population. This data exceeds the Indonesian prevalence of 0.8 per 1000 population. Lack of public knowledge regarding early detection of cervical cancer is the cause of the high prevalence of cervical cancer. This study aims to determine the factors associated with the participation of women of childbearing age in the early detection of VIA method cervical cancer in Padang City Health Center in 2018.Method: This study was a cross sectional design, conducted from February to October 2018. The population was women who visited the Alai Health Center and Pegambiran Health Center with a total sample were 110 respondents. The sampling method uses consecutive sampling method. Data collection by interview using a questionnaire. Data were analyzed by Chi-square statistical test and logistic regression with 95% confidence degree.Result: The results showed that 60% of respondents had never done the early detection of VIA cervical cancer method. Statistical test results show there was a significant relationship between the level of knowledge (p = 0,000), attitude (p = 0,041), access to information (p = 0,000) and husband's support (p = 0,000) with the early detection of VIA cervical cancer method. The results of multivariate analysis showed that the most dominant variables affected the participation of women in early detection of cervical cancer, namely husband's support (p = 0,000) and POR = 46,693.
AbstrakKasus KTD pada remaja Kabupaten Pati yang berusia < 17 tahun sebanyak 43,8%, yang berdampak pada pernikahan di usia dini semakin meningkat. Penelitian ini bertujuan untuk mendeskripsikan respon orang tua dan remaja SMP yang mengalami KTD, serta dampak pernikahan di usia dini. Metode penelitian ini adalah kualitatif dengan desain studi kasus. Pengambilan sampel dengan cara purposive dan pengumpulan data menggunakan indepth interview. Informan utama adalah remaja yang mengalami KTD 5 orang. Informan triangulasi orang tua informan 5 orang. Hasil penelitian menunjukan fenomena pernikahan dini membuat orang tua dan remaja tidak takut mengalami kehamilan tidak diinginkan, akibatnya masyarakat yang dahulu menganggap hubungan seks pranikah perilaku yang melanggar norma, sekarang cenderung lebih bisa diterima oleh masyarakat. Orang tua dan remaja yang tinggal didaerah rural memberikan respon untuk menyelesaikan permasalah KTD dengan menikahkan informan. Sedangkan yang tinggal didaerah urban, meminta informan untuk melakukan aborsi, tetapi setelah gagal akhirnya informan dinikahkan. Pernikahan menjadi solusi KTD yang dialami remaja karena masyarakat permisif terhadap pernikahan diusia dini dan budaya dimasyarakat yang menganggap jika kewajiban perempuan hanya disektor domestik, sehingga kodrat perempuan adalah menjadi ibu urmah tangga. Disarankan memberikan informasi kepada remaja dan orang tua tentang dampak pernikahan dini. Pemerintah khususnya DKK Pati bisa lebih memberikan pelayanan kesehatan yang ramah remaja sejak tingkat SMP.Kata kunci : KTD, pernikahan dini, remaja SMPAbstractIn Pati District KTD cases in adolescents aged <17 years as much as 43.8%, which affects the marriage at an early age is increasing. This research aims to describe the response of parents and teens junior who experience unwanted pregnancy, and the effects of marriage at an early age. This research method was qualitative case study design. With a purposive sampling and data collection using in-depth interviews. The main informants were adolescent who experienced unwanted pregnancy 5 people. Informants triangulation parents 5 people. The results showed the phenomenon of early marriage makes parents and teens are not afraid of an unwanted pregnancy, as a result people who previously regarded premarital sex behavior that violates norms, are now more likely to be accepted by society. Parents and teenagers who live rural areas provide a response to resolve the problem by marrying unwanted pregnancy informant. While living urban areas, asking informants to have an abortion, but after failing informant eventually wed. Marriage was a solution unwanted pregnancy experienced by adolescents because of the permissive society towards marriage early age and culture in the community who think if the domestic sector only female duties, so that the nature of women is to be a housewife. Suggested provide information to adolescents and parents about the effects of early marriage. The government particularly Health Provider can further provide youth- friendly health services since the junior level.Keywords: unwanted pregnancy, early marriage, adolescents of junior high school
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