Factors Affecting the Uptake of Non Communicable Disease Screening Service: A Multiple Logistic Regression in Kapuas Hulu, West Kalimantan

Riza Firdaus, Yulia Lanti Retno Dewi, Bhisma Murti

Abstract

Background: A non-communicable disease is the leading cause of mortality in the world. It is also a serious threat to health in low- and middle-income countries. Prevention efforts can be carried out through early detection and monitoring the risk factors of non-communicable disease. This study aimed to determine the factors affecting the uptake of non-communicable disease screening at integrated guidance post in Kapuas Hulu, West Kalimantan.

Subjects and Method: This was a cross sectional study. This study was conducted in Kapuas Hulu, West Kalimantan from August to October 2019. There were 200 people as the sample of the study. They were selected by fixed disease sampling. The dependent variable was the uptake of non-communicable disease screening. The independent variables were subjective norm, health information exposure, family support, cadre support, healthy behavior, health status, attitude, intention, and type of integrated guidance post. The data were collected by using questionnaires. They were analyzed by a multiple logistic regression with Stata 13.

Results: The uptake of non-communicable disease screening increased with subjective norm that supported (OR=2.86; 95%CI=1.16 to 7.01; p=0.022), lots of health information exposure (OR= 2.64; 95%CI=1.08 to 6.46; p=0.033), strong family support (OR=3.06; 95%CI=1.28 to 7.33; p= 0.012), strong cadre support (OR=2.75; 95%CI=1.15 to 6.54; p=0.022), positive healthy behavior (OR= 2.82; 95%CI=1.20 to 6.60; p=0.017), health status of having non-communicable disease  (OR= 3.47; 95% CI=1.15 to 10.48; p=0.027), positive attitude (OR=2.80; 95%CI=1.16 to 6.74; p= 0.021), strong intention (OR=3.25; 95%CI=1.37 to 7.71; p=0.007) and primary integrated guidance post (OR=4.62; 95%CI=1.85 to 11.52; p=0.001 ).

Conclusion: The uptake of non-communicable disease screening is affected by subjective norm, health information exposure, family support, cadre support, healthy behaviour, health status, attitude, intention, and type of integrated guidance post.

Keywords: the uptake of screening, non-communicable disease, integrated guidance post.

Correspondence:
Riza Firdaus. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutarmi 36 A, Surakarta 57126, Central Java. Email: rizafirdaus88@yahoo.co.id. Mobile: +628565056311

Journal of Epidemiology and Public Health (2019), 4(4): 373-385
https://doi.org/10.26911/jepublichealth.2019.04.04.12

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References

Agide FD, Sadeghi R, Garmaroudi G, Tigabu BM (2018). A systematic review of health promotion interventions to increase breast cancer screening uptake: from the last 12 years, Eur J Public Health, 28(6): 1149–1155. doi: 10.1093/eurpub/ck x231.


Ajzen I (1991). The theory of planned behavior, Organizational Behavior and Human Decision Processes, 50(2): 179–211. doi.org/10.1016/0749-5978(91)90020-T.


Ajzen I (2019). Theory of planned behavior, professor of psychology (Emeritus) University of Massachusetts Amherst. Retrieved from http://people.umass.edu/aizen/ tpb.html.


Andersen R, Newman JF (2005). Societal and individual determinants of medical care uptake in the United States, The Milbank Quarterly, 83(4): 1–28. doi: 10.1111/j.14680009.2005.00428.x.


Atika Z, Salimo H, Dewi YLR (2018). Multilevel analysis on the determinants of exclusive breast-feeding at Gunung Anyar Community Health Center, Surabaya, Indonesia, Matern Child Health J, 3(3): 176–183. doi.org/10.26911/thejmch.2018.03.03.02.


Baghirov R, Ahching J, Bollars C (2019). Achieving UHC in Samoa through revitalizing PHC dan reinvigorating the role of village women, Health Syst Reform. Taylor Francis, 5(1): 78–82. doi: 10.1080/23288604.2 018.1539062.


Bennett JE, Stevens GA, Mathers CD, Bonita R, Rehm J, Kruk ME, Riley LM, et al. (2018). NCD Countdown 2030: Worldwide trends in non-communicable disease mortality dan progress towards Sustainable Development Goal target 3.4. Lancet, 392: 1072–1088. doi: 10.1016/S01406736(18)31992-5.


Benziger CP, Roth GA, Moran AE (2016). The global burden of disease study dan the preventable burden of NCD. Glob Heart. World Heart Federation (Geneva), 11(4): 393–397. doi: 10.1016/j. gheart.2016.10.024.


Borges MC, Santos LP, Zago AM, Silva BGC, Silva SG, Mola CL (2016). Socioeconomic development of cities dan risk factors for non-communicable diseases: A comparative study across Brazilian state capitals. J Public Health (Oxf), 38(4): 653–659. doi: 10.1093/pubmed/fdv202.


Carey RN, Elzaemey S (2019). Lifestyle and occupational factors associated with participation in colorectal cancer screening among men and women in Australia, Prev Med. Elsevier, 126: 105 777. doi: 10.1016/j.ypmed.2019.1057 77.


Chan DNS, So WKW (2019). The impact of community-based multimedia intervention on the new and repeated cervical cancer screening participation among South Asian women, Public Health, 178: 1–4. doi: 10.1016/j.puhe.2019.08.015.


Collins T, Mikkelsen B, Axelrod S (2019). Interact, engage or partner? Working with the private sector for the prevention dan control of non-communicable diseases, Cardiovasc Diagn Ther, 9(2): 158–164. doi: 10.21037/cdt.2018.08.04.


Crossbarnet C, Colligan EM, Mcneely J, Strawbridge LM, Lloyd JT (2019). Facilitators and barriers to optimal preventive service use among providers and older patients, Geriatr Nurs. Elsevier Inc., 40: 72–77. doi: 10.1016/j.gerinurse.2018.06.017.


Dinas Kesehatan Kabupaten Kapuas Hulu (2018). Laporan kerja instansi pemerintah Dinas Kesehatan Kapuas Hulu 2018. Putussibau: Dinas Kesehatan Kabupaten Kapuas Hulu. Retrieved from https://dinkes.kapuashulukab.go.id.


Duffy SW, Myles JP, Maroni R, Mohammad A (2016). Rapid review of evaluation of interventions to improve participation in cancer screening services, J Med Screen, 1–19. doi: 10.1177/096914 1316664757.


Fisher JD, Fisher WA (1992). Changing AIDS-risk behavior. Psychol Bull, 111(3): 455–474. doi: 10.1037/0033-2909.111.3.455.


Fitriani Y, Tamtomo D, Sulaeman ES (2016). Path analysis on the determinants of the use of integrated health post dan the application of Theory of Planned Behavior, J Health Promot Behav, 1(4): 228–237. doi: 10.26911/thejhpb.2016.01.04.02.


Gale NK, Kenyon S, Macarthur C, Jolly K, Hope L (2018). Synthetic social support: Theorizing lay health worker interventions, Soc Sci Med. Elsevier, 196: 96–105. doi: 10.1016/j.socscimed.2017.11.012.


Gangane N, Ng N, Sebastián MS (2015). Women’s knowledge, attitudes, and practices about Breast Cancer in a rural district of Central India, Asian Pac J Cancer Prev, 16(16): 6863–6870. doi: 10.7314/APJCP.2015.16.16.6863.


George AS, Mehra V, Scott K, Sriram V (2015). Community participation in health systems research: A systematic review assessing the state of research, the nature of interventions involved and the features of engagement with communities, PLoS One, 10(10): 1–25. doi: 10.1371/journal.pone.014 1091.


Green LW, Kreuter MW (1992). CDC’s planned approach to community health as an application of PRECEED dan an inspiration for PROCEED, Am J Health Educ, 23(3): 140–147. doi: 10.1080/10556699.1992.10616277.


Haryani N, Subiyanto AA, Suryani N (2016). Effect of health education on health behavior in patients with Hypertension, J Health Promot Behav, 1(1): 9–18. doi: 10.26911/thejhpb.2016.01.01.02.


Jannah N, Tamtomo D, Soemanto RB (2018). Factors associated with healthy preventive behavior among the elderly in Lamongan, East Java, J Health Promot Behav, 3(4): 223–229. doi: 10.26911/thejhpb.2018.03.04.01.


Jarvis JD, Kataria I, Murgor M, Mbau M (2016). Community health workers: An underappreciated asset to tackle NCD, Glob Heart. World Heart Federation (Geneva), 11(4): 455–457. doi: 10.1016/j.gheart.2016.10.004.


Jayanna K, Swaroop N, Kar A, Ramanaik S, Pati MK, Pujar A, Rai P, et al (2019). Designing a comprehensive Non-Communicable Diseases (NCD) programme for hypertension dan diabetes at primary health care level: Evidence dan experience from urban Karnataka,South India, BMC Public Health. BioMed Central Ltd, 19(1): 1–12. doi: 10.1186/s12889-019-6735-z.


Jeong J, Lee Y, Kwon SH, Myong J (2019). Factors associated with general health screening participation among married immigrant women in Korea, Int J Environ Res Public Health, 16(20): 1–9. doi: 10.3390/ijerph16203971.


Hann KEJ, Freeman M, Fraser L, Waller J, Sanderson SC, Rahman B, Sida L, Gessler S, Lanceley A (2017). Awareness, knowledge, perceptions, and attitudes towards genetic testing for cancer risk among ethnic minority groups: A systematic review, BMC Pediatrics. BMC Public Health, 17(503): 1–30. doi: 10.1186/s12889017-4375-8.


Ke C, Gupta R, Xavier D, Prabhakaran D, Masthur P, Kalkonde YV, Kolpak P, et al. (2019). Divergent trends in ischaemic heart disease dan stroke mortality in India from 2000 to 2015: a nationally representative mortality study, Lancet Glob Health, 6(8): e914–e923. doi: 10.1016/S2214109X(18)30242-0


Kementerian Kesehatan RI (2018). Laporan nasional RISKESDAS 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan. Retrieved from https://www.litbang.kemkes. go.id


Leinonen MK, Campbell S, Klungsøyr O, Lönnberg S, Hansen BT, Nygard M (2017). Personal and provider level factors influence participation to cervical cancer screening: A retrospective register-based study of 1.3 million women in Norway, Prev Med. The Authors, 94: 31–39. doi: 10.1016/j.ypmed.2016.11.018.


Leung DYP, Chow KM, Lo SWS, So WKW, Chan CWH (2016). Contributing fac-tors to colorectal cancer screening among chinese people: A review of quantitative studies, Int J Environ Res Public Health, 13(506): 1–21. doi: 10.3390/ijerph 13050 506.


Ma D, Sakai H, Wakabayashi C, Kwon JS, Lee Y, Liu S, Wan Q, et al (2017). The prevalence dan risk factor control associated with noncommunicable diseases in China, Japan, and Korea, J Epidemiol. Elsevier Ltd, 27(12): 568–573. doi: 10.1016/j.je. 2016.12.019.


Mahajan M, Naik N, Jain K, Patira N, Prasad S, Mogri S, Muwonge R, et al (2019). Study of knowledge, attitudes, and practices toward risk factors and early detection of noncommunicable diseases among rural women in India, J Glob Oncol, 5: 1–10. doi: 10.1200/JGO.18.00181.


Murphy MM, Unwin N, Samuels TA, Hassel TA, Bishop L, Guell C (2018). Evaluating policy responses to non-communicable diseases in seven Caribbean countries: challenges to addressing unhealthy diets dan physical inactivity, Rev Panam Salud Publica, 42(ei74):1–8. doi: 10.26633/RPSP.2018.174.


Negi PC, Chauhan R, Rana V, Vidyasagar, Lal K (2016). Epidemiological study of non-communicable diseases (NCD) risk factors in tribal district of Kinnaur, HP: A cross-sectional study, Indian Heart J. Cardiological Society of India, 68(5): 655–662. doi: 10.1016/j.ihj.2016.03.002.


Noguchi R, Shen J (2019). Factors affecting participation in health checkups: Evidence from Japanese survey data, Health Policy. Elsevier Ireland Ltd, 123: 360–366. doi: 10.1016/j.healthpol.2018.10.013.


Petkeviciene J, Ivanauskiene R, Klumbiene J (2018). Sociodemographic and lifestyle determinants of non-attendance for cervical cancer screening in Lithuania, 2006-2014, Public Health. Elsevier Ltd, 156: 79–86. doi: 10.1016/j.puhe.2017.12.014.


Presiden Republik Indonesia (2015). Peraturan Presiden Republik Indonesia Nomor 131 Tahun 2015 Tentang Penetapan Daerah Tertinggal Tahun 2015-2019. Jakarta: Sekretariat Kabinaet RI. Retrieved from https://peraturan.bpk.go.id.


Richard A, Rohrmann S, Schmid SM, Tirri FB, Huang DJ, Güth U, Eichholzer M (2015). Lifestyle and health-related predictors of cervical cancer screening attendance in a Swiss populationbased study, Cancer Epidemiol. Elsevier Ltd, 39(6): 870–876. doi: 10.1016/j.canep.2015.09.009.


Riley L, Guthold R, Cowan M, Savin S, Bhatti L, Amstrong T, Bonita R (2016). The World Health Organization STEP wise approach to noncommunicable disease risk-factor surveillance: Methods, challenges, dan opportunities, Am J Public Health, 106(1): 74–78. doi: 10.2105/AJPH.2015.302962.


Sari DWR, Savitri M (2018). Faktor-faktor yang berhhubungan dengan pemanfaatan posbindu penyakit tidak menular (ptm) di wilayah kerja puskesmas kecamatan setiabudi kota Jakarta selatan tahun 2018, Jurnal Kebijakan Kesehatan Indonesia, 07(02): 49–56. Retrieved from https://journal.ugm.ac.id/jkki/article/view/36849.


Turnbull E, Priaulx J, Kok IMCMD, Lansdorp-vogelaar I, Anttila A, Sarkeala T, Senore C, et al (2018). Results of a health systems approach to identify barriers to populationbased cervical and colorectal cancer screening programmes in six European countries, Health Policy. Elsevier Ireland Ltd, 122(11): 1206–1211. doi: 10.1016/j.healthpol.2018.08.005


Wagner AL, Xia L, Ghosh A, Datta S, Pandey P, Santra S, Chattopadhyay S, et al (2018). Using community health workers to refer pregnant women dan young children to health care facilities in rural West Bengal, India: A prospective cohort study, PLoS One, 13(6): 1–10. doi: 10.1371/journal.pone.0199607.


Wagner CV, Hirst Y, Waller J, Ghanouni A, Mcgregor LM, Kerrison RS, Verstraete W, et al (2019). The impact of descriptive norms on motivation to participate in cancer screening-Evidence from online experiments, Patient Educ Couns. Elsevier Ireland Ltd, 102(9): 1621–1628. doi: 10.1016/j.pec.2019.04.001.


WHO (2018). World Health Statistics 2018: Monitoring health for the Sdgs, Sustainable Development Goals. Geneva: World Health Organization. Retrieved from https://www.who.int/gho/publications/world_health_statistics/2018/en/


WHO (2019). Noncommunicable diseases dan their risk factors, World Health Organization. Retrieved from https://www. who.int/ncds/en/.


Yang JS, Mamudu HM, John R (2018). Incorporating a structural approach to reducing the burden of non-communicable diseases, Global Health. BioMed Central Ltd, 14(1): 1–10. doi: 10.1186/s12992-018-0380-7.


Yerramilli P, Dugee O, Enkhtuya P, Knaul FM, Demaio AR (2015). Exploring knowledge, attitudes, dan practices related to Breast dan Cervical Cancers in Mongolia: A national population - based survey, Oncologist, 20(11): 1266–1273. doi: 10.1634/theoncologist.2015-0119.


Zhang Q, Northridge ME, Jin Z, Metcalf SS (2018). Modeling accessibility of screening and treatment facilities for older adults using transportation networks, Appl Geogr. Elsevier Ltd, 93: 64–75. doi: 10.1016/j.apgeog.2018.02.013.



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