Tesis

Hubungan Tingkat Pengetahuan, Sikap, Perilaku Deteksi Dini Kanker Serviks dan Akses Sumber Informasi Terhadap Stadium Kanker Serviks di RSUPN Cipto Mangunkusumo = The Relationship Between Knowledge Level, Attitude, Early Detection Behavior, and Access to Information Sources with Cervical Cancer Stage at RSUPN Cipto Mangunkusumo.

Latar Belakang Kasus dan kematian kanker serviks di Indonesia terus meningkat, sementara cakupan skrining masih rendah sehingga diperlukan penguatan pencegahan. Studi ini menganalisis hubungan pengetahuan, sikap, perilaku, dan akses informasi dengan stadium kanker serviks. Metode Penelitian ini merupakan studi analitik observasional dengan desain cross sectional yang menilai hubungan pengetahuan, sikap, perilaku deteksi dini, serta akses informasi dengan stadium kanker serviks pada pasien stadium awal dan lanjut. Pengumpulan data dilakukan di RSUPN Cipto Mangunkusumo selama Mei 2024–Mei 2025 menggunakan rekam medis dan kuesioner, kemudian dianalisis dengan SPSS versi 26. Hasil Mayoritas responden memiliki pengetahuan, sikap, dan perilaku yang kurang baik terkait kanker serviks. Perilaku dan akses informasi tidak berhubungan signifikan dengan stadium penyakit, sedangkan pengetahuan dan sikap memiliki hubungan yang signifikan. Temuan ini menegaskan perlunya edukasi yang lebih komprehensif, komunikasi risiko yang lebih efektif, serta program skrining yang mudah diakses untuk meningkatkan deteksi dini kanker serviks. Kesimpulan Mayoritas pasien kanker serviks di RSCM memiliki pengetahuan, sikap, dan perilaku yang kurang baik, namun hanya pengetahuan dan sikap yang terbukti berhubungan signifikan dengan stadium penyakit. Upaya peningkatan deteksi dini perlu difokuskan pada penguatan sikap positif melalui edukasi, akses skrining yang lebih merata, serta penelitian lanjutan mengenai pengaruh faktor budaya dan psikososial.
Kata Kunci: kanker serviks, skrining, pengetahuan, sikap, perilaku, akses sumber informasi


Introduction Cervical cancer incidence and mortality in Indonesia continue to rise, while screening coverage remains low, highlighting the need to strengthen prevention efforts. This study analyzes the relationship between knowledge, attitudes, early detection behavior, and access to information with cervical cancer stage. Method This analytic observational study used a cross-sectional design to assess the relationship between knowledge, attitudes, early detection behavior, and access to information with cervical cancer stage among patients diagnosed at early and advanced stages. Data were collected at RSUPN Cipto Mangunkusumo from May 2024 to May 2025 using medical records and questionnaires, and analyzed using SPSS version 26. Results Most respondents demonstrated inadequate knowledge, attitudes, and behaviors related to cervical cancer. Behaviour and access to information were not significantly associated with cancer stage, whereas knowledge and attitudes showed a more meaningful association. These findings highlight the need for more comprehensive education, improved risk communication, and more accessible screening programs to enhance early detection. Conclusion Most cervical cancer patients at RSCM had inadequate knowledge, attitudes, and early detection behaviors; however, only knowledge and attitudes were significantly associated with cancer stage. Efforts to improve early detection should focus on strengthening positive attitudes through education, expanding access to screening, and further investigating the influence of cultural and psychosocial factors.
Keywords: cervical cancer, screening, knowledge, attitude, behaviour, information sources