METODE PATH ANALYSIS: HUBUNGAN FAKTOR INTERNAL DAN EKSTERNAL REMAJA PUTRI DENGAN PERILAKU PENCEGAHAN KANKER SERVIKS

Abstract   Background: Cancer is the leading cause of death in women. Cervical cancer ranks second after breast cancer, which is most often found in Indonesian women. Efforts to prevent cervical cancer in adolescents are still lacking, one of which is due to limited knowledge. Objective: This study aimed to analyze the relationship between internal and external factors of adolescents and the behavior of cervical cancer prevention. Methods: This study was an observational analytic study with a cross-sectional design. It was conducted in the Midwifery Study Program Unitri, Malang and the Faculty of Nursing, Universitas Citra Bangsa Kupang, East Nusa Tenggara. The dependent variable was cervical cancer prevention. The independent variables were the age of first sexual intercourse, parental support, peer-education, culture, attitudes, and knowledge. Results: The behavior of cervical cancer prevention was directly affected by knowledge (b=0.16; SE=0.07; p=0.019), attitude (b=0.23; SE=0.07; p=<0.001), parental support (b=0.12; SE=0.05; p=0.027), and culture (b= 0.15; SE=0.06; p=0.020). Knowledge was affected by peer-education (b=0.19; SE=0.07; p=0.008). Attitudes were affected by age of first sexual intercourse (b=-0.12; SE=0.06; p=0.053). Conclusion: Knowledge, attitude, parental support, and culture directly affected the behavior of cervical cancer prevention.   Keywords: behavior, cervical cancer prevention, adolescent girls     Abstrak   Latar belakang: Kanker merupakan penyebab kematian terbanyak pada perempuan. Kanker serviks menempati urutan kedua setelah kanker payudara yang paling banyak dijumpai pada perempuan Indonesia. Upaya pencegahan kanker serviks pada remaja putri masih kurang salah satunya disebabkan oleh pengetahuan yang masih terbatas. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan faktor internal dan eksternal remaja putri dengan perilaku pencegahan kanker serviks. Metode: Penelitian ini merupakan penelitian analitik observasional dengan desain studi cross-sectional. Penelitian ini dilaksanakan di Prodi Kebidanan Universitas Tribhuwana Tunggadewi Malang dan Fakultas Keperawatan Universitas Citra Bangsa Kupang Nusa Tenggara Timur. Variabel dependen yaitu perilaku pencegahan kanker serviks. Variabel independen yaitu usia pertama kali berhubungan seksual, dukungan orang tua, dukungan teman sebaya, budaya, sikap, dan pengetahuan. Hasil: Perilaku pencegahan kanker serviks dipengaruhi secara langsung oleh pengetahuan (b=0,16; SE=0,07; p=0,019), sikap (b=0,23; SE=0,07; p=<0,001), dukungan orang tua (b=0,12; SE=0,05; p=0,027), dan budaya (b=0,15; SE=0,06; p=0,020). Pengetahuan dipengaruhi oleh dukungan teman sebaya (b=0,19; SE=0,07; p=0,008). Sikap dipengaruhi oleh usia berhubungan seksual pertama kali (b=-0,12; SE=0,06; p=0,053). Kesimpulan: Penge­tahuan, sikap, dukungan orang tua, dan budaya mempengaruhi perilaku pencegahan kanker serviks secara langsung.   Kata kunci: pencegahan kanker serviks, perilaku, remaja putri