Abstract

Background: Cervical cancer is the second leading cause of death after breast cancer in women in developing countries. In 2017, there were 2,8% cases of patients with cervical cancer in Indonesia and 0,8% cases in Central Sulawesi. The medical record data of Anutapura Hospital of Palu shows that the incidence of cervical cancer in 2016-2017 was still the biggest disease that occurred in the obstetrics and gynecology department with a total of 36 cases. Objectives: The objectives of this study were to determine the risk of first marriage age, parity, use of oral contraceptives, education level, smoking and use of sanitary napkins at childbearing age on the incidence of cervical cancer in Anutapura Hospital of Palu. Research Patient and Method: This research used quantitative method with case control approach. There were 62 people taken as the case sample and 62 people as the control with age matching. The sampling was conducted using total sampling method. The data used were secondary data in the form of yearly medical record and primary data in the form of interviews and questionnaires. Results: The data analysis conducted using the Odd Ratio test on the results of research showed the followings; the first marriage age (OR=4,115 and CI=1,944-8,709), parity (OR=3,091 and CI=1,485-6,436), the use of oral contraceptives (OR=3,566 and CI=1,658-7,670), education level (OR=4,875 and CI=2,263-10,503), smoking (OR=4,242 and CI=2,229-14,446), and use of sanitary napkins (OR=5,559 and CI=2,571-12,021). Conclusions: First marriage age, risk of parity, use of oral contraception, education level, smoking and use of sanitary napkins are the risk factors for cervical cancer.

Highlights

  • Cervical cancer is one type of cancer that often attacks women

  • The World Health Organization (WHO) states that, every year, thousands of women die from cervical cancer

  • Some factors become the risk factors or indirect effect of the growth of Human Papilloma Virus (HPV), so that the cervical precancerous lesions occur, including sexual activity factors which include the age of first sexual intercourse, multiparity, poor genital hygiene, and smoking [3, 4].The prevention of cervical cancer can be done by minimizing the existing risk factors by living a healthy lifestyle, taking an early detection by taking Papanikolaou Test or pap smears for sexually active women

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Summary

Introduction

Cervical cancer is one type of cancer that often attacks women. The World Health Organization (WHO) states that, every year, thousands of women die from cervical cancer. The medical record data of Anutapura Hospital of Palu shows that the incidence of cervical cancer in 2016-2017 was still the biggest disease that occurred in the obstetrics and gynecology department with a total of 36 cases. Objectives: The objectives of this study were to determine the risk of first marriage age, parity, use of oral contraceptives, education level, smoking and use of sanitary napkins at childbearing age on the incidence of cervical cancer in Anutapura Hospital of Palu. Results: The data analysis conducted using the Odd Ratio test on the results of research showed the followings; the first marriage age (OR=4,115 and CI=1,944-8,709), parity (OR=3,091 and CI=1,485-6,436), the use of oral contraceptives (OR=3,566 and CI=1,658-7,670), education level (OR=4,875 and CI=2,263-10,503), smoking (OR=4,242 and CI=2,22914,446), and use of sanitary napkins (OR=5,559 and CI=2,571-12,021). Conclusions: First marriage age, risk of parity, use of oral contraception, education level, smoking and use of sanitary napkins are the risk factors for cervical cancer

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