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Abstract

Background. Cervical cancer remains a major public health problem among women in Indonesia, with high incidence and mortality rates. Low engagement in primary prevention behaviors, particularly appropriate intimate hygiene practices, contributes to an increased risk of Human Papillomavirus (HPV) infection. Vaginal toilet is a simple, low-cost, and easily performed self-care practice; however, it is not yet well understood by women of reproductive age.

Objective. This study aimed to examine the effect of vaginal toilet health education on changes in cervical cancer preventive behaviors, including knowledge, attitudes, and practices, among women of reproductive age.

Methods. A one-group pretest–posttest design was applied. A total of 45 women of reproductive age were selected using purposive sampling. Data were collected using questionnaires to assess knowledge and attitudes and observation sheets to assess practices before and after the health education intervention. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of α = 0.05.

Results. The analysis showed significant differences in knowledge, attitude, and practice scores before and after the intervention (p < 0.05).

Conclusion. Vaginal toilet health education significantly improves cervical cancer preventive behaviors among women of reproductive age.

References

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Bahasa Abstract

Latar Belakang. Kanker serviks masih menjadi masalah kesehatan utama pada wanita di Indonesia dengan angka kejadian dan kematian yang relatif tinggi. Rendahnya perilaku pencegahan primer, khususnya dalam praktik kebersihan organ intim, berkontribusi terhadap meningkatnya risiko infeksi Human Papillomavirus (HPV). Metode toilet vaginal merupakan upaya pencegahan mandiri yang sederhana dan mudah dilakukan, namun belum dipahami secara optimal oleh wanita usia subur.

Tujuan. Penelitian ini bertujuan menganalisis pengaruh pendidikan kesehatan tentang metode toilet vaginal terhadap perubahan perilaku pencegahan kanker serviks yang meliputi pengetahuan, sikap, dan tindakan pada wanita usia subur.

Metode. Penelitian menggunakan desain one-group pretest–posttest. Sampel berjumlah 45 wanita usia subur yang dipilih dengan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner untuk menilai pengetahuan dan sikap serta lembar observasi untuk menilai tindakan sebelum dan sesudah intervensi pendidikan kesehatan. Analisis data dilakukan menggunakan uji Wilcoxon Signed Rank Test dengan tingkat signifikansi α = 0,05.

Hasil. Terdapat perbedaan yang signifikan pada skor pengetahuan, sikap, dan tindakan responden sebelum dan sesudah intervensi pendidikan kesehatan (p < 0,05).

Kesimpulan. Pendidikan kesehatan tentang metode toilet vaginal berdampak positif terhadap peningkatan perilaku pencegahan kanker serviks pada wanita usia subur.

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