RELATIONSHIP OF SELF-EFFICACY TO THE KNOWLEDGE OF WOMEN OF CHILDBEARING AGE IN EARLY DETECTION OF CERVICAL CANCER

Introduction: Cervical cancer, is well known in the world, and this disease is a malignant disease that attacks the reproductive organs of a woman that can no longer be tolerated and about which all women should be aware. Therefore, female self-efficacy is crucial for women of childbearing age to advance knowledge and particularly maximize the reproductive health of these women. Aim: Search for data and results from this study, the author wants to determine the significance and the possible correlation between the effectiveness of women of childbearing age and their knowledge of the performance of cervical cancer screening using the VIA method, so that cervical cancer will not be affected. Method: In this quantitative study, researchers used a correlational descriptive design where the approach used was cross-sectional. In this study, researchers used a sample of 97 respondents in the consultation area of the Harapan Raya Community Health Center in Riau Pekanbaru Province. Sampling is carried out by researchers with the greatest care, following predetermined inclusion criteria and using targeted sampling techniques. Likewise, data analysis is carried out using the chi-square test method. Results: Demographic data from this study indicate that 53.6% of respondents were young adults. The majority of 43.3% of respondents have a college degree and the highest data, mothers are only housewives, accounting for 82.5% of respondents. Through the process of univariate analysis, it


INTRODUCTION
Cervical cancer is the main cancer that attacks a woman's reproductive organs, particularly the cervix (Ahmad, M, 2020 The percentage of women between the ages of 30 and 50 who had cervical cancer screening using the VIA method in 2020 was only 8.3%, according to data from Indonesia's health profile.But by 2021, this number had significantly dropped to 6.83 percent.Furthermore, it was discovered that only 7.97 percent of women in the Riau Province of childbearing age who used the VIA screening method for cancer detection had undergone screening (Kartikasari, S.P, 2017).organize and perform an action that is very necessary to achieve the desired performance.Selfefficacy is very important in efforts to check cervical cancer screening and reduce the morbidity and number of cervical cancer deaths among women in Indonesia.Therefore, a woman's efforts in the early detection of cervical cancer are very important.Decision-making (self-efficacy) is strongly influenced from within oneself or even from outside or the environment in which the woman lives (Rusdiana, 2016).
The researcher concluded that based on the above description, it is desirable to research "whether there is a relationship between self-efficacy and knowledge of a woman of childbearing age in performing cervical cancer screening using the VIA method." Purpose of the study To find out and identify, whether there is a relationship between self-efficacy and knowledge in women of childbearing age in conducting early detection of cervical cancer using the VIA method, which is very important.

PARTICIPANTS & METHODS
In this quantitative research, a correlational descriptive design was employed, utilizing a cross-sectional study approach.The researchers selected a sample of 97 respondents from the  From the results of the study, table 1, has identified the majority data of 53.6% of participants with the age between 26 and 35 years who fall into the category of early adulthood.In Table 2, it has been identified, that the presence of participants is the majority of 43.3%, already have a high school education level.

Relationship of participants' self-efficacy with knowledge of women of childbearing age in Early Detection of Cervical Cancer
Researchers obtained statistical test results using Person Chi-Square with a p-value of 0.002.This result identified a significant relationship between self-efficacy and knowledge in women of childbearing age when conducting an early detection examination of cervical cancer using the VIA method.
The results of the data analysis also indicated that out of 29 participants, in the low knowledge category, 20 people already had low self-efficacy as well, and 9 participants, had been identified in the high category.
In the results, that is, out of 54 participants already know in the medium category, 38 participants already have self-efficacy in the low category, and 16 in the high category.In addition, of the 14 respondents who already know the high category, 3 people have self-efficacy in the low category, and 11 with the high category as well.Education is one of the key factors that motivate people to participate more and be more motivated to improve their health.As long as someone is enrolled in school, information is readily accessible.More information will make it simpler for someone to understand their health, which might then affect how they behave.

UNIVARIATE ANALYSIS
If more information is available, then a person has the opportunity to learn about health more broadly and this can greatly influence behavior.But in fact, someone who has higher education does not necessarily have good behavior in health measures, so this can complicate actions in preventing cervical cancer Notoadmodjo (2018).

c. Occupation
According to research, 80.5% of respondents were housewives, making up the bulk of respondents' job status.Most of the participants were homemakers.Here, the mother is in charge of raising the children at home while the breadwinner has the duty of a lukewarm.The spouse worked primarily as a farmer, handyman, merchant, and worker.Although the majority of participants were housewives with more spare time to utilize the VIA method for cervical cancer screening, the available data was still quite limited.
In Apriliano YB, Utami, S. & Arneliwati's (2022) research, it has been identified that the majority of respondents are not working, as many as 58% of respondents.And working mothers, housewives have more time to take care of their health.Housewives can spend their time, maintaining and monitoring the health of their bodies, especially in the earliest possible examination of the occurrence of malignancy in the cervix of women with early detection of cervical cancer using the VIA method, because early detection is very important to improve the health and quality of life of women of childbearing age.
In the research, Wulandari A, Wahyuningsih S, & Yunita F (2018), identified the majority of respondents, namely housewives, namely 74.7% of respondents.Mothers who earn their daily income outside the home have more contact with many friends and information, so they also have a high opportunity to get information about the importance of early detection of 11 cervical cancer using the VIA method, which is easily available and efficient.more quickly and accurately, when compared to mothers who are not working.

Description of Cervical Cancer Knowledge Level
According to the findings, of the 97 respondents surveyed, the majority had a moderate level of knowledge (55.7%), indicating that most had enough understanding of cervical cancer as well.According to research by Septianingrum (2017), 47.4% of respondents have adequate knowledge about cervical cancer, and women of childbearing age who have had information about the disease through a VIA examination typically have a greater understanding of both its risks and advantages.
In Susanti's research (2018), that the level of knowledge of 64.9% of respondents, already have sufficient knowledge about cervical cancer, therefore having low knowledge and attitudes about cervical cancer does not support early detection of cervical cancer so mothers can easily get cervical cancer at an advanced stage and difficult to cure, because of ignorance and not caring for the reproductive organs.A woman who has good knowledge and understanding of cervical cancer usually will make efforts for cervical cancer prevention, to maintain healthy conditions in her life, With the amount of information obtained by a woman, about cervical cancer, it is hoped that the better the mother's knowledge for early detection of cervical cancer (Widyastuti et al., 2022).

Cancer
The results showed that 62.9% of respondents already had low self-efficacy and 37.1% of respondents had high self-efficacy.According to the data, the majority of respondents had low self-efficacy in cervical cancer screening.Meanwhile, the majority of women of childbearing age said they lacked confidence in cervical cancer screening using the VIA method.That is, the mother believes that she does not need to undergo cervical cancer screening before she has threatening signs and symptoms of cervical cancer.
A substantial fraction of women in their reproductive years-94.5% of the respondents-show low self-efficacy, according to Angrosowani's 2019 study.This suggests that most of these women as insecure and think that they should be checked out by male healthcare professionals or physicians for reproductive health concerns.This belief stems from the fact that active women in their reproductive years are less likely than women in other age groups to participate in early cervical cancer screening.
Zuliyanti, (2018) found excellent research results, namely that women of childbearing age who already have high self-efficacy, have ventured also to find means to maintain their reproductive organs, by conducting detection checks as early as possible, to determine the presence of cervical cancer using methods at the nearest community health center.VIA, at least once after marriage self-efficacy refers to confidence and analyzing the ability of women to be able to carry out tasks aimed at maintaining their reproductive organs.Self-efficacy can also influence a woman's decision to undergo early detection of cervical cancer ( A woman with strong self-efficacy can handle challenging activities and views them as challenges to be overcome rather than threats to be avoided.High self-efficacy women think they can influence their environment and themselves through their efforts (Shohifatul in Anggraeni S, 2019).According to Utami & Hidayati's research from 2022, most women of childbearing age are uncomfortable performing early detection exams for cervical cancer because they don't have enough information or support from family members.They also feel ashamed, nervous, or even afraid to use the VIA method for examination.
According to Safitri's study conducted in 2019, it was found that there exists a correlation between the knowledge level and motivation of women in their childbearing years when it comes to undergoing VIA examinations in the Working Area of the Pabelan community health center.The research revealed that women who possess a high level of knowledge (61.2%) are more inclined to be motivated to undergo cervical cancer examinations using the VIA method.On the other hand, Anggraeni's research in 2019 highlights the impact of knowledge and spousal support on the self-efficacy of women in their childbearing years when it comes to conducting VIA examinations.
Relationship of Self-Efficacy to The Knowledge of Women of Childbearing Age in Early Detection of Cervical Cancer ___________________________________________________________________________ Rev. Gest.Soc.Ambient.| Miami | v.18.n.6 | p.1-16 | e06920 | 2024.5 According to the findings of the study, "The Relationship of Knowledge Level about Cervical Cancer with Examination Settings using the VIA Method in Women of Childbearing Age at Panaguan Pamekasan Health Center," women who are childbearing age are more likely to have low knowledge when it comes to examination settings using the VIA method (Darriwen, M. A, 2022).It can be challenging for women who don't know much about cervical cancer to understand the significance of VIA screening for the disease.But this is the biggest obstacle preventing women from taking the VIA exam.Women who are well-informed and intelligent about cervical cancer will undoubtedly be highly conscious of the disease and motivated to improve their health.The issue of cervical cancer and screening among women of childbearing age remains a significant problem and impacts their behavior toward such screening.Insufficient awareness of cervical cancer affects the willingness of women in this age group to undergo VIA screening, highlighting the importance of education and awareness campaigns.Conversely, women who are well-informed about cervical cancer tend to demonstrate higher self-efficacy and awareness, leading to increased participation in VIA examinations (Orangó et al., 2016).Puskesmas Harapan Raya has the lowest rate of VIA examinations among women of childbearing age compared to other community health centers in Pekanbaru.According to Alhani (2003) in Wulandari et al (2022), self-efficacy is a belief in individuals' ability to work guidance area of the Harapan Raya community health center in Pekanbaru province.The sample was chosen based on the researchers' inclusion criteria, using purposive sampling techniques.To analyze the data, the researchers employed chi-square test analysis.Ethical Approval Number obtained: 5373/UN19.5.1.1.10/EP/2023.

10 participants,
the bulk of participants already had a university degree.This research is in line with Purwanti's (2020) findings, which show that 50%25 of the participants in this survey had completed high school.The study's participation revealed that a significant number of people are still unfamiliar with the VIA exam.As a result, it has a significant impact on one's educational background and ignorance of the VIA technique of cervical cancer screening.According to Hanifah & Sulistyorini's research, (2019), an individual's level of education is correlated with his level of knowledge, which can affect how he makes decisions.

Table 1
Distribution of Participants Characteristics by Age

Table 2
Distribution of Participants based on Education

Table 3
Distribution of Participants' Characteristics based on Employment Status

Table 3 ,
researchers have identified the results, the majority of 82.5% of participants have employment status as a housewife.It has been identified that there is a Level of Self-Efficacy in Knowledge in Women of Childbearing Age who carry out Early Detection of Cervical Cancer examination with the VIA method.a. Identified Self-Efficacy in Women of Childbearing Age in Early Detection examination Cervical Cancer by VIA method

Table 4 Researchers
have illustrated, that the description of Self-Efficacy in Women of Childbearing Age, in conducting Early Detection of Cervical Cancer examination.The researcher explained, from Table 4 of the study results, identified the majority of participants already had low self-efficacy, namely 62.9% of participants b.The level of knowledge of participants, namely in women of childbearing age, in conducting Early Detection of Cervical Cancer Examination

Table 5
Shows the results of the dissertation of Knowledge of Women at Childbearing Age in conducting Early Detection of Cervical Cancer ExaminationRelationship of Self-Efficacy to The Knowledge of Women of Childbearing Age in Early Detection of Cervical CancerResearchers have obtained results, that based on Table5, it was identified that 55.7% of participants already have a moderate or sufficient level of knowledge.

1 Relationship of Self-efficacy to Knowledge of Women of Childbearing Age in Early Detection of Cervical Cancer
Winarti & Laili (2019)19), 2018).However, there are still many women of childbearing age who lack awareness and knowledge about cervical cancer and cervical cancer prevention.Early prevention of cervical cancer is still not widely known among women of childbearing age, and ultimately, there are still many mothers who are unsure whether cervical cancer screening can prevent cervical cancer(Kartikasari, 2017).Information affects how one forms beliefs, how one behaves, and how women of reproductive age feel about their ability to identify cervical cancer early on.Women of reproductive age have better levels of confidence and self-efficacy in cervical cancer screening about their understanding of the disease(Umriaty & Ningrum, 2019).This is the result of research done byZuliyanti (2018).The desire of a woman of reproductive age to have a cervical cancer screening is positively correlated with her level of self-efficacy.A lack of knowledge about cervical cancer can negatively impact women's self-efficacy in cervical cancer screening.Research byWinarti & Laili (2019)points to the influence of selfefficacy on cervical cancer screening.In the results of the study, 296 respondents (72.3%) were women of childbearing age who already had high self-efficacy in cervical cancer screening and 114 respondents (27.8%) had lower self-efficacy among women of childbearing age lack of knowledge and confidence in the early prevention of cervical cancer using the VIA method.
(Pratiwi, 2021)ly determining one's steps.VIA examination is an easy method for early detection of cervical cancer (Andrea, 2021).VIA method examination to identify cervical cancer can be handled as early as possible(Pratiwi, 2021).Relationship of Self-Efficacy to The Knowledge of Women of Childbearing Age in Early Detection of Cervical Cancer ___________________________________________________________________________ Rev. Gest.Soc.Ambient.| Miami | v.18.n.6 | p.1-16 | e06920 | 2024.13 Knowledge of women of childbearing age may influence cervical cancer screening behavior (Rochwati S,