Determinan Keterlambatan Diagnosis Kanker Leher Rahim di Rumah Sakit Umum Vina Estetica Tahun 2025

Abstract

Cervical cancer remains one of the leading causes of cancer-related deaths among women in Indonesia, with an average mortality rate of 13.9 per 100,000 population in 2022, according to GLOBOCAN data. Delayed diagnosis is a critical factor that influences the severity and prognosis of the disease. This study aims to identify and analyze the determinant factors contributing to delayed diagnosis of cervical cancer at Vina Estetica General Hospital, Medan. A cross-sectional study design with a quantitative approach was employed, involving 58 respondents selected from a population of 81 cervical cancer patients. Data were analyzed using Modified Poisson Regression with Robust Standard Error to identify factors associated with diagnostic delays. The analysis revealed that advanced age significantly increased the risk of delayed diagnosis (PR = 1.65; 95% CI: 1.00–2.70; p = 0.0489). Higher educational attainment was found to be protective against delayed diagnosis (PR = 0.45; 95% CI: 0.26–0.78; p = 0.0044), suggesting that individuals with greater education are more likely to seek timely diagnostic services. Poor health-seeking behavior significantly elevated the risk of delay (PR = 2.30; 95% CI: 1.22–4.35; p = 0.0101), as did low levels of family support (PR = 1.72; 95% CI: 1.13–2.64; p = 0.0123). In conclusion, age, health-related behaviors, and family support were found to be significant determinants of delayed cervical cancer diagnosis. These findings underscore the need to promote preventive health behaviors and encourage active family involvement in medical decision-making. Furthermore, educational outreach regarding the availability of free or subsidized cervical cancer screening services should be intensified to address perceived financial barriers.