Hubungan Usia, Jumlah Paritas, Kontrasepsi Oral, dan Tingkat Pendidikan dengan Kejadian Kanker Serviks di RSUP H Adam Malik pada Tahun 2022, 2023, 2024

Abstract

Introduction. Cervical cancer is the third most common cancer in Indonesia in 2022. Several risk factors that contribute to cervical cancer include age, parity, oral contraceptive consumption, and a person's level of education. Objectives. To determine the distribution of histopathological types of cervical cancer cases, age distribution, parity, oral contraceptive consumption, and education level in cervical cancer patients and to determine the relationship between age, parity, oral contraceptive consumption, and education level with cervical cancer cases. Methods. This study was an observational analytical study with a cross-sectional approach using a total sampling technique, and using 100 secondary data samples taken from medical record data that met the inclusion and exclusion criteria. Results and Discussion. The distribution of histopathological types of cervical cancer cases was dominated by squamous cell carcinoma (72%). Distribution of age groups diagnosed with cervical cancer is dominated by the risk group or above 35 years of age (97%), in the parity group is dominated by the multipara group (89%), in the oral contraceptive consumption group is dominated by the group that does not consume oral contraceptives (85%), and in the education level group is dominated by patients diagnosed with cervical cancer with a final education level of high school (31%). The results of statistical tests using the Fisher exact test found that there was no relationship between age and cervical cancer (p = 1,000), there was no relationship between parity and cervical cancer (p = 1,000), there was no relationship between oral contraceptive consumption and cervical cancer (p = 1,000), and there was no relationship between education level and cervical cancer (p = 0.123). Conclusion. The most dominant age group is the age group above 35 years, the most dominant parity group is the multipara group, the most dominant oral contraceptive consumption group is those who do not consume oral contraceptives, the most dominant education level group is junior high school, and there is no relationship between age, parity, oral contraceptive consumption, and education level to cervical cancer at RSUP H Adam Malik Medan.