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ABSTRAK Nama : Hairida Anggun Kusuma Program Studi : Pascasarjana Ilmu Kesehatan Masyarakat Judul : Faktor-faktor yang Berhubungan dengan Kejadian Lesi Prakanker Serviks di Kabupaten Kotawaringin Timur Tahun 2017 Permasalahan kanker serviks di Indonesia sangat khas yaitu banyak dan lebih dari 70% kasus ditemukan pada stadium lanjut pada saat datang ke rumah sakit. Peningkatan upaya penanganan kanker serviks, terutama dalam bidang pencegahan dan deteksi dini sangat diperlukan oleh setiap pihak yang terlibat. Penelitian kasus kontrol ini bertujuan untuk mengetahui faktor risiko yang berhubungan dengan kejadian lesi prakanker serviks. Penelitian melibatkan 102 kasus dan 306 kontrol dari cacatan medis pemeriksaan deteksi dini kanker leher rahim dan payudara tahun 2013 – 2016. Penelitian di 11 puskesmas yang telah melaksanakan pemeriksaan IVA di Kabupaten Kotawaringin Timur. Analisis data dilakukan secara univariat, bivariat dengan chi square dan multivariat dengan regresi logistik ganda untuk mengetahui faktor yang paling dominan. Sebagian besar umur responden ≤35 tahun, pendidikan dasar, tidak bekerja, tidak mempunyai riwayat kanker, usia melakukan hubungan seksual >17 tahun, punya pasangan seksual satu, tidak pernah menggunakan kontrasepsi oral >5 tahun, paritas ≥4 dan tidak pernah pap smear. Sedangkan untuk paparan asap rokok sama besar antara yang terpapar dan tidak terpapar. Hasil regresi logistik ganda menemukan terpapar asap rokok dengan (OR 1,9 95% CI 1,1 – 3), riwayat kanker keluarga (OR 2,5 95% CI 1,3-4,6), paritas ≥4 (OR 2 95% CI 0,9 – 4,4) dan jumlah pasangan seksual lebih dari 1 (OR 1,5 95% CI 0,9 – 2,8) dan faktor yang paling dominan adalah riwayat kanker keluarga. Kata kunci: Lesi prakanker serviks; paparan asap rokok; riwayat kanker keluarga.
ABSTRACT Name : Hairida Anggun Kusuma Study Program : Postgraduate Public Health Faculty Title : Factors Related to Cervical Precancerous Lesions in East Kotawaringin District 2017 The problem of cervical cancer in Indonesia is very distinctive that many and more than 70% of cases are found at an advanced stage upon arrival to the hospital. Increased efforts to treat cervical cancer, especially in the field of prevention and early detection is needed by each party involved. This case-control study aims to determine risk factors associated with the incidence of cervical precancer lesions. The study included 102 cases and 306 controls derived from medical records examining early detection of cervical and breast cancers from 2013 to 2016. The study was at 11 puskesmas who had performed VIA examination in East Kotawaringin District. Data analysis was done univariat, bivariate with chi square and multivariate with logistic regression to know the most dominant factor. Most of the respondents aged ≤35 years, primary education, unemployment, no history of cancer, age of sexual intercourse >17 years, had one sexual partner, never used oral contraceptives >5 years, parity ≥4 and never pap smear. As for exposed by smoke as large between the exposed and not exposed. The result of logistic regression showed exposed to cigarette smoke (OR 1,9 95% CI 1,1 – 3), family cancer history (OR 2,5 95% CI 1,3-4,6), parity ≥4 (OR 2 95% CI 0,9 – 4,4) dan sexual multipartner (OR 1,5 95% CI 0,9 – 2,8) and the more dominant risk factor was family history of cancer. Keywords: cervical precancerous lesions;exposed by smoke; family history of cancer
The high mortality rate in cervical cancer patients is caused by the majority of patientscoming to treatment already at an advanced stage. Cancer if found in the early stages ofmore than half can be prevented even can be cured. Early detection program of cervicalcancer one of them can be done through IVA test and if found the pre cervical cancerlesion followed by treatment of cryotherapy. There are still occurrences of losing follow-up in patients with positive IVA results, there are still women do not perform cryotherapydue to fear of action cryotherapy. A monitoring system is required to reduce the incidenceof losing follow up. System development using System Development Life Cycle (SDLC)with prototyping method. The development of this system involves the user in performingthe needs analysis, so that the system developed in accordance with the needs of the user,the system can be accessed either from the side of health personnel or patient, inputexamination results performed by health personnel, then automatically send smsreminder to patients with results IVA Positive who has been scheduled to take action ofcryotherapy, the system also provide sms reminder to health workers to contact andintervene patients who did not attend to cryptotherapy up to a certain time limit, for thepatient side, patients can see the results of screening there are also articles related toeducation about cervical cancer, this educational menu can knowledge of patients aboutcervical cancer. The development of this information system can improve monitoringcapability in the presence of sms reminder feature so as to reduce the incidence of losingfollow-up in patients with pre-cervical cancer lesions, in addition Patients facilitated inobtaining information related to cervical cancer screening and advanced treatment, thissystem can also increase knowledge patients with educational menus found in thisapplication.Key words:Cervical Cancer, Information System, Monitoring, SMS Reminder.