FAKTOR RISIKO TERJADINYA KANKER SERVIKS PADA WANITA USIA SUBUR DI RSUD UNDATA PROVINSI SULAWESI TENGAH

ABSTRACT

ELIS PRAWATI. NIM P10224021. Risk Factors Of Cervical Cancer Among Women Of Reproductive Age At Undata General Hospital Province Central Sulawesi

Under the supervision Rosmala Nur and Ratna Devi

Background: Based on medical record data from Undata Regional General Hospital (RSUD Undata) Palu, there were 120 cases of cervical cancer (Ca cervix) receiving examination and medical treatment throughout 2023. This figure indicates a high number of cervical cancer cases handled at the referral hospital, showing that the disease remains a significant health problem in Central Sulawesi. Objective: To analyze the risk factors for cervical cancer among women of reproductive age at RSUD Undata, Central Sulawesi Province, in 2024. Method: This study employed a quantitative approach with a cross-sectional design and was conducted at RSUD Undata Palu. The sample consisted of 69 respondents selected through proportionate stratified random sampling. Data were analyzed using univariate (frequency distribution) and multivariate (multiple linear regression) analyses. Results: The hypothesis test results showed that the variables influencing the risk of cervical cancer were number of marriages (p=0.009), age at first pregnancy (p=0.035), number of children (p=0.000), smoking history (p=0.016), and clinical symptoms (p=0.018). Meanwhile, variables such as age (p=0.727), body weight (p=0.850), ethnicity (p=0.103), menarche (p=0.786), and occupational history (p=0.596) had no significant effect. A higher number of children contributed to increased risk due to repeated cervical trauma and hormonal changes during pregnancy, which may facilitate persistent viral infection. Conclusion: The study revealed that the number of children, clinical symptoms, number of marriages, and smoking history had significant and dominant effects on cervical cancer risk, whereas variables such as age and body weight had no direct effect. Overall, the regression model explained 43% of the variation in cervical cancer risk among women of reproductive age at RSUD Undata, Central Sulawesi Province. Recommendation: Cervical cancer prevention efforts should involve healthcare workers, the community, and the government through education, routine screening, and HPV vaccination. Future studies are recommended to expand the sample size and risk factors to strengthen causal evidence.

Keywords: Risk; Cervical Cancer; Women of Reproductive Age (WRA)