The Risk Factors for the Incidence of Cervical Cancer in Anutapura Hospital of Palu in the Period of 2015-2018
2019
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.
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