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Factors Associated to Pap Smear Cervical Screening Behavior among Midwives in Yogyakarta, Indonesia
Cervical cancer was caused approximately 90% of death occurred in low and middle-income
countries. Indonesia was the second country which has the most cervical cancer cases in the world.
Midwives had a important role for cervical cancer screening ang also as role model in society. Servical
cancer screening recomendation was pap smear test. This study aims to determine the factors that associated
in midwive’s pap smear behavior. This study used a quantitative cross-sectional design. Subjects were 65
midwives in primary health care in Yogyakarta City. Combination Theory used Precede and Procede and
Health Belief Model. This research analysis used univariate, bivariate and multivariate analysis. The results
showed that there were 61.5% of midwives have did implementation of pap smear. There was a relationship
between age (p=0.002), attitude (p=0.028), cost (p=0.208) and vulnerability (p=0.001) with pap smear
behavior. There was no correlation between value (p=0.724), benefit (p=0.403) and severity (p=0.813)
with pap smear behavior. Multivariate analysis showed that age was the most dominant factors affecting
pap smear behavior (p-value 0.009; PR 26.903; CI 95% 2.251-321.490). Need to improved promotive
efforts about pap smear among midwives and also women in general.
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