scholarly journals KEJADIAN KANKER PAYUDARA (STUDI RETROSPEKTIF) DI LAMPUNG, INDONESIA

2019 ◽  
Vol 13 (2) ◽  
pp. 172-183
Author(s):  
Nurhayati Nurhayati ◽  
Zaenal Arifin ◽  
Hardono Hardono

ABSTRACT: THE INCIDENCE OF BREAST CANCER IN LAMPUNG INDONESIA: A RETROSPECTIVE COHORT ANALYSISBackground: Cancer is the second leading cause of death in the world, the highest type of cancer in women in the world is breast cancer with an incidence of 38 per 100,000 women. In Indonesia by 2012 the incidence of breast cancer in Indonesia is 40 per 100,000 women. The incidence of breast cancer in the city of Bandar Lampung is 80 per 100,000 population.Purpose : Knowing risk factors incidence of breast cancer in the Foundation of Cancer Indonesia in Bandar Lampung 2017.Methods: The quantitative and observational research with case control design. The population of this study were all patients who had done counseling and examination by Cancer counseling institute of Indonesia during the period of research as much as 691 respondent, with the required number of samples 126 rspondent. Bivariate analysis was done with chi square (X2), while multivariate analysis using multiple linear logistic regression .Results: The risk factors such as menarche (p-value = 0.002), parity (p-value = 0,018), breastfeeding (p-value = 0,000) and duration of contraceptive use (p-value = 0, 02), while factors unrelated to breast cancer were family history (p-value = 0.112) and age (value = 0.357).Conclusion: The most influential variable on the incidence of breast cancer is the variable duration of contraceptive use. For health workers need to do counseling about breast cancer risk factors. Women of childbearing age should use non-hormonal family planning, when using a type of hormonal contraception need to be consult with local health workers and avoid births that are too frequent.Keywords: Factor Analysis, Breast Cancer, Breast Cancer History, Age of Menarche, Age, Parity, Breastfeeding Status, Hormonal Contraception.Pendahuluan : Kanker adalah penyebab kematian nomor dua di dunia, jenis kanker tertinggi pada wanita di dunia adalah kanker payudara dengan insidensi 38 per 100.000 wanita. Di Indonesia pada tahun 2012, insiden kanker payudara di Indonesia adalah 40 per 100.000 wanita. Angka kejadian kanker payudara di kota Bandar Lampung adalah 80 per 100.000 penduduk.Tujuan: Diketahui faktor-faktor risiko kejadian kanker payudara di Yayasan Kanker Indonesia di Bandar Lampung 2017.Metode: Jenis penelitian yang akan digunakan peneliti adalah kuantitatif. Desain penelitian yang digunakan adalah penelitian observasional dengan desain case control. Populasi penelitian ini adalah semua pasien yang telah melakukan konseling dan pemeriksaan oleh lembaga konseling kanker Indonesia selama periode penelitian sebanyak 691 orang, dengan jumlah sampel yang dibutuhkan 126 orang. Analisis bivariat dilakukan dengan chi square (X2), sedangkan analisis multivariat menggunakan regresi logistik linier berganda.Hasil: faktor risiko kanker payudara seperti menarche (p-value = 0,002), paritas (p-value = 0,018), menyusui (p-value = 0,000) dan durasi penggunaan kontrasepsi (p-value = 0, 02), sedangkan faktor-faktor yang tidak berhubungan dengan kanker payudara adalah riwayat keluarga (p-value = 0,112) dan usia (nilai = 0,357).Simpulan: Variabel yang paling berpengaruh pada kejadian kanker payudara adalah variabel lamanya penggunaan kontrasepsi. Untuk tenaga kesehatan perlu melakukan penyuluhan tentang faktor risiko kanker payudara. Untuk WUS, sebaiknya menggunakan KB non hormonal, jika terpaksa menggunakan jenis kontrasepsi hormonal sebaiknya dikonsultasikan terlebih dahulu dengan petugas kesehatan setempat dan hindari kelahiran yang terlalu rapat.

2021 ◽  
Vol 10 (1) ◽  
pp. 65-71
Author(s):  
Dwi Putri Sulistiya Ningsih ◽  
Ida Rahmawati

Background: Fishermen are a high risk group for developing pterygium. The high frequency of exposure to UV, wind, dust and sand when working makes the prevalence of pterygium among fishermen quite high. The city of Bengkulu, which is geographically located on the west coast of Sumatra Island which is directly facing the Indonesian Ocean, makes the majority of its population work as fishermen. Objectives: This study aims to determine the relationship between duration of being a fisherman, distance to health facilities and smoking with pterygium disease in a group of fishermen in, Bengkulu. Methods: Analytical observational research with case control design. The sample of 120 fishermen consisted of 40 cases and 80 controls, because researchers used a case-control ratio of 1:2. Sampling using purposive sampling method. The dependent variable was pterygium disease. Independent variables of duration as a fisherman, distance of health facilities and smoking. The research instrument uses a structured questionnaire that has been tested for validity and reliability with Alpha Cronbach value (0.996) > r table. Data were analyzed by Chi Square. Results: Based on the research results, it was found that there was a significant relationship with duration as a fisherman (≥ 21 years) (OR = 3.980; 95%CI = 1.404-11.284; p = 0.006) with pterygium disease. There is no relationship between smoking (OR = 1.246; 95%CI = 0.559-2.778; p = 0.590) with pterygium disease. There is a significant relationship between the distance of health facilities (OR = 5.133; 95%CI = 2.249-11.715; p = 0.000) with pterygium disease. Conclusion: The length of time working as a fisherman increases the risk of developing pterygium disease as the frequency of exposure to UV, dust, wind and sand increases. It is necessary to use personal protective equipment to reduce the risk of exposure and education from health workers so that the public can take good preventive measures.   Keywords: Duration as a fisherman, distance health facilities, smoking, pterygium.


2020 ◽  
Vol 11 (SPL2) ◽  
pp. 165-170
Author(s):  
Aadhyyanth R Allu ◽  
Jayaganesh ◽  
Senthil Kumar A C

Breast cancer is a very common malignancy diagnosed in India and is the most common cancer in women in India. The morbidity and mortality burden of malignancy in India ranks one of the highest in the world. India has a network of cancer registries, a process which has expanded since the 1960s and has new initiatives such as cancer atlas and online software programmes. The  burden  of  breast  cancer  is on  the  rise  in  both  developed  and  developing  countries. The objectives were to identify and study the risk factors for breast cancer among women attending Saveetha Medical College and Hospital, Chennai and to study the association between risk factors and breast cancer. The case control study was conducted on 110 cases and 110 controls. A semi-structured questionnaire was used to collect information. Statistical Analysis was done using MS Excel 2007 and Chi Square test was also used. Of the parameters studied, residence, family history, parity, duration of breast feeding and oral contraceptive use were found to be associated with breast cancer and were statistically significant (p<0.05). The findings suggest that positive family history, nulliparity, duration of breast feeding and OCP use may have an impact on breast cancer in Indian women. Hence screening and creation of awareness may help in decreasing mortality.


Author(s):  
Ika Avrilina Haryono ◽  
Adriana Palimbo ◽  
Difa Okti Al Kautsar

ABSTRAKLatar Belakang : Kanker payudara merupakan salah satu penyebab kematian utama pada wanita di dunia. Sejauh ini, kanker payudara paling sering diderita oleh wanita dengan perkiraan 43,3% juta kasus kanker baru yang didiagnosis pada tahun 2012. Angka kejadian kanker payudara bervariasi secara global dimana terjadi peningkatan insiden di negara berkembang tetapi cenderung menurun dinegara maju, dengan kasus pada negara berkembang (883.000 kasus) negara maju (794.000 kasus). Tujuan: Menganalisis faktor resiko yang berhubungan dengan kejadian kanker payudara meliputi faktor umur, umur pertama menstruasi, menopause, umur pertama kali menikah, riwayat penggunaan kontrasepsi hormonal, riwayat pemberian ASI, da riwayat kanker payudara pada keluarga.Metode: Penelitian ini adalah penelitian kuantitatif menggunakan metode survey analitik dengan rancangan cross sectional. Populasi dalam penelitian ini berjumlah 760 orang dengan sampel 88 orang. Teknik pengumpulan data primer, teknik analisa data yang digunakan adalah uji chi square dan uji regresi berganda.Hasil: Hasil Uji Chi Square menunjukan bahwa terdapat hubungan signifikan antara umur (p=0.000) dan penggunaan kontrasepsi hormonal (p=0.002) dengan hasil uji regresi berganda (p-value0.05) menunjukan bahwa tidak ada pengaruh faktor risiko terhadap kejadian kanker payudara.Simpulan: Ada hubungan antara umur dan riwayat penggunaan kontrasepsi hormonal dengan kejadian kanker payudara. Tidak ada pengaruh faktor resiko terhadap kejadian kanker payudara. Kata Kunci: kanker payudara, riwayat penggunaan kontrasepsi hormonal, umur Risk Factors Related to Breast Cancer IncidenceIn the Edelweis Room of Ulin Hospital Banjarmasin AbstractBackground: Breast cancer is one of the leading causes of death in women in the world. So far, breast cancer most often affects women with an estimated 43.3% of new cancer cases diagnosed in 2012. The incidence of breast cancer varies globally where there is an increase in incidents in developing countries but tends to decrease in developed countries, with cases in the country developing (883,000 cases) developed countries (794,000 cases).Objective: Analyzing risk factors associated with breast cancer events include age, age at first menstruation, menopause, age at first marriage, history of use of hormonal contraception, history of breastfeeding, and history of breast cancer in the family.Method: This study is a quantitative study using analytical survey method with cross sectional design. The population in this study amounted to 760 people with a sample of 88 people. Primary data collection techniques, data analysis techniques used are chi square test and multiple regression test.Results: Chi Square test results showed that there was a significant relationship between age (p = 0,000) and hormonal contraceptive use (p = 0.002) with the results of multiple regression tests (p-value 0.05) indicating that there was no effect of risk factors on breast cancer incidence.Conclusion: There is a relationship between age and history of hormonal contraceptive use with the incidence of breast cancer. There is no effect of risk factors on the incidence of breast cancer. Keywords: breast cancer, history of hormonal contraceptive use, age


2019 ◽  
Vol 1 (1) ◽  
pp. 1-7
Author(s):  
Maria T. E. Koba ◽  
Frans G. Mado ◽  
Yoseph Kenjam

Family planning aims at reducing maternal mortality rates and reducing population growth rate with the main target of couples of childbearing age. One of the family planning options offered is long-term reversible contraceptive method (MKJP). The purpose of this study was to determine the factors associated with interest in using MKJP in the work area of Camplong health center, Fatuleu sub-district, Kupang regency in 2018. The research was quantitive study with cross-sectional approach. The sample of 77 people was selected using simple random sampling. The instrument uses was a questionnaire. Data analysis techniques consisted of descriptive and bivariate analysis (chi-square test) with α= 0,05. The study indicated that knowledge (p-value= 0,09) and the role of health workers (p-value =0,001) were associated with the use of the MKJP while attitude (p-value = 0,765) and husband support (p-value = 0,131) had no relationship with MKJP. Health center needs to regularly provide information to the community about the advantages of MKJP especially for couples of childbearing age who have already had more than three children.


2017 ◽  
Vol 4 (3) ◽  
pp. 420
Author(s):  
Ufiyah Hakimah

Cervical cancer became the second highest cause of the women’s death in Indonesia. So, it needs prevention through the pap smear action. But, visits to perform pap smears action increased year continued to show a reduction. This research was conducted to analyze the relationship between age of marriage and parity with women in the act of doing pap smears action in Wisnuwardhana Surabaya Cancer Foundation. This research uses an analytic observational research with case control research design. The amount of the sample was 96 women of childbearing age couples were divided into 2 groups: group of cases and controls with a ratio of 1:1. This research uses Systematic Random Sampling technique and univariate then bivariate data analysis technique with chi-square test, with significance level α <0,05. Based on the results of the chi-square test showed that there is a relationship between the age of marriage (p = 0,025; OR = 2,783), parity (p = 0,014; OR = 3,08) with the actions of the woman perform pap smears in Wisnuwardhana Surabaya Cancer Foundation. It can be concluded that women of childbearing age couples who have married aged > 20 years and have two children or more / multiparas have the opportunity to take action pap smears. It is advisable to health workers to provide information that focuses on risk factors for cervical cancer, so early detection of cervical cancer can be done, especially for those who have risk factors for cervical cancer.Keywords: age of marriage, parity, pap smear action


Author(s):  
Helfi Nolia Tanbunan ◽  
Risnawaty Tanjung ◽  
Nurmala Hayati Sihombing ◽  
Jernita Sinaga

Tuberculosis (TB) is a direct infectious disease caused by TB (mycobactic tuberculosis) germs. The disease is still in the attention of the world and until now, there are no one neither country free from TB. Deli Serdang regency is an regency with the highest Tuberculosis case discovery in North Sumatra Province. This study was observational research with the design of study control cases, in order to determine the characteristics of the patient and the risk factor for the tuberculosis incident. The number of samples is 45 cases and 45 controls. The characteristic association and risk factors with the incidence of tuberculosis were analyzed in univariat and bivariat, Analysis is carried out using cross-con 2x2 to calculate the value of prevalen ratios and confidence values (CI). Statistical test used for analysis is chi square at the trust rate 95% (? = 5%). The results of the lighting study are obtained from the value of OR 0.348, CI 0.144 - 0.840 and p-value 0,031. Residence density obtained from the OR 0.35 CI 0.142 - 0.700 p-value 0.020 and Venting obtained from the OR 0,348 CI 0,144 – 0,840 p-value 0.031. Lighting, venting, and residence density have a relation with the incident TB in Kabanjahe District, while the variables with no relation are temperature, moisture and house floor condition.


2020 ◽  
Vol 1 (2) ◽  
pp. 99-104
Author(s):  
Sri Restu Tempali

Fibroadenoma is the most benign breast neoplasm. These tumors grow in young women with the highest frequency in young women 21-25 years, with a prevalence of more than 9% of the female population affected by fibroadenoma. Breast cancer still has a high likelihood of being cured when it comes to early or early. Early detection of breast cancer is an examination program to recognize breast cancer while still small, and before cancer has a chance to spread. One of the early detection efforts is clinical breast examination (SADANIS) which is carried out at least once every 3 years or if abnormalities are found in the process of self-breast examination (BSE) and carried out by trained health workers. The purpose of the study was to determine the relationship between knowledge and early detection of breast cancer risk in young women through the SADANIS examination. Observational research method with a cross-sectional approach. The sample is a student of SMK 1 Palu and a student of AKBID Cendrawasih Palu. The results showed that there was a significant relationship between knowledge about the SADANIS examination and the practice of SADANIS examination in young women so there is a strong relationship between young women's knowledge BSE in early detection of breast cancer as evidenced by the p-value 0.007<α (0.05). The conclusion is that the knowledge of young women about sadanis examination is still low.


2017 ◽  
Vol 4 (3) ◽  
pp. 420
Author(s):  
Ufiyah Hakimah

Cervical cancer became the second highest cause of the women’s death in Indonesia. So, it needs prevention through the pap smear action. But, visits to perform pap smears action increased year continued to show a reduction. This research was conducted to analyze the relationship between age of marriage and parity with women in the act of doing pap smears action in Wisnuwardhana Surabaya Cancer Foundation. This research uses an analytic observational research with case control research design. The amount of the sample was 96 women of childbearing age couples were divided into 2 groups: group of cases and controls with a ratio of 1:1. This research uses Systematic Random Sampling technique and univariate then bivariate data analysis technique with chi-square test, with significance level α <0,05. Based on the results of the chi-square test showed that there is a relationship between the age of marriage (p = 0,025; OR = 2,783), parity (p = 0,014; OR = 3,08) with the actions of the woman perform pap smears in Wisnuwardhana Surabaya Cancer Foundation. It can be concluded that women of childbearing age couples who have married aged > 20 years and have two children or more / multiparas have the opportunity to take action pap smears. It is advisable to health workers to provide information that focuses on risk factors for cervical cancer, so early detection of cervical cancer can be done, especially for those who have risk factors for cervical cancer.Keywords: age of marriage, parity, pap smear action


2019 ◽  
Vol 18 (1) ◽  
pp. 1
Author(s):  
Nofi Yigibalom ◽  
Sulistiyani Sulistiyani ◽  
Nurjazuli Nurjazuli

Latar Belakang: Tuberkulosis (TB) paru masih merupakan masalah kesehatan yang  menyebabkan kematian pada jutaan orang setiap tahun. Kabupaten Jayawijaya pada 2016 yang diperiksa dahak sebanyak 301 kasus dengan BTA positifnya 64 kasus bila kondisi ini terus meningkat dan berlanjut setiap tahunnya, maka Kabupaten Jayawijaya akan kehilangan manusia yang produktif. Penelitian ini bertujuan menganalisis hubungan antara kebiasaan tinggal di rumah etnis dan membuang dahak  sembarang dengan kejadian TB paru di Kabupaten Jayawijaya.Metode: Jenis penelitian ini adalah penelitian stu dyobservasional analitik dengan pendekatan case control. Subjek penelitian adalah 100 responden, yang terdiri dari 50 kasus terdiagnosis TB paru BTA positif dan 50 kontrol yang terdiagnosis BTA negatif. Pengumpulan data: wawancara, observasi langsung dan pengukuran. Analisis statistik dilakukan  menggunakan uji Chi square dengan nilai p <0,05.Hasil: Hasil Analisis univariat pencahayaan alami dalam  menunjukkan rumah rata-rata kasus 23,95 lux  dan  kontrol 24,20 lux, kelembaban rumah rata-rata 52,38 %,  kontrol 51,59%,, suhu  rumah rata-rata  kasus 27,490C,kontrol 27,260C. Analisis bivariat menunjukkan ada hubungan kebiasaan tinggal dirumah etnis honai dengan OR = 2,667 dan kebiasaan membuang dahak sembarang dengan OR = 4,750.Simpulan: Kebiasaan membuang dahak sembarang, dan kebiasaan tinggal di rumah etnis merupakan faktor risiko kejadian TB paru. Maka perlu adanya sosialisasi terkait faktor risiko kejadian TB terhadap penderita dan  masyarakat umum, serta perlu adanya perbaikan lingkungan fisik rumah dan sanitasi rumah. ABSTRACTTitle: Risk Factors For Habitual Living in Ethnic House and  Sputum Spit the  Pulmonary  TB Jayawijaya District, PapuaBackground : Tuberculosis of the lung is still a health problem that causes death to millions of people every year. Jayawijaya in 2016 examined 301 sputum smear positive cases with 64 cases if this condition continues to increase and continues each year, then the Jayawijaya Regency will lose a productive human being. This study aims to analyze the relationship between ethnic home stay habits and throw sputum arbitrarily with the incidence of pulmonary TB in Jayawijaya District.Methods : This research is an observational analytic study with case control approach. The subjects were 100 respondents, consisting of 50 cases diagnosed with positive smear pulmonary tuberculosis and 50 controls diagnosed with smear negative. Data collection: interviews, direct observation and measurement. Statistical analysis was performed using Chi square test with p value < 0,05. Results: The results of the univariate analysis showed that natural lighting in the house the average cases of 23,95 lux and control 24,20 lux, the average humidity of the house was 52,38%, control 51,59% ,, the average house temperature was 27,490C, control 27,26 0C. Bivariate analysis showed that there was an association of habitual residence of ethnic homes honai with OR = 2,667 and spiraling habit of spitting with OR = 4,750Conclusion: The habit of sputtering any sputum, and the habit of living in ethnic homes is a risk factor for pulmonary TB incidence. So the need for socialization related risk factors for TB incidence of patients and the general public, and the need for improvement of the physical environment of home and sanitation.


2017 ◽  
Vol 13 (1) ◽  
pp. 47
Author(s):  
Muhammad Fathir Naman Harris ◽  
Farida Heriyani ◽  
Lisda Hayatie

Abstract: Diarrhea is a contagious disease which still become public health main issue in the world includes Indonesia. South Borneo is in the twentieth province with most frequent diarrhea incident. Kelayan Timur is the second most frequent diarrhea incident public health center in Banjarmasin. One of the risk factors for diarrhea is milk bottle hygiene. This research aimed to understand the correlation between milk bottle hygiene and diarrhea incident in Kelayan Timur Public Health Center. This was analytic observational research with case control study. The data analyzed using a chi square test and prevalence odds ratio. There were 66 samples with 33 samples of case group which showed 21 samples (63,63%) of poor milk bottle hygiene and 12 samples (36,36%) of good milk bottle hygiene meanwhile in control group, there were 11 samples (33,33%) of poor milk bottle hygiene and 22 sample (66,66%) of good milk bottle hygiene. Analysis result shows p value=0,014 and OR=3,5 which means there is significant relation of milk bottle hygiene and diarrhea incident in Kelayan Timur Public Health Center. Infants with poor hygiene milk bottle have 3,5 times higher risk to suffer from diarrhea than infants with good hygiene. Keywords: milk bottle hygiene, diarrhea, Kelayan Timur Public Health Center Abstrak: Diare adalah penyakit infeksi menular yang masih menjadi masalah utama kesehatan masyarakat di seluruh dunia termasuk Indonesia. Kalimantan Selatan menduduki urutan kedua puluh dari semua provinsi yang tercatat sebagai daerah penyumbang diare terbanyak. Kelayan Timur adalah puskesmas dengan kejadian diare terbanyak kedua di Banjarmasin. Salah satu dari faktor risiko diare adalah higienitas botol susu. Penelitian ini bertujuan untuk mengetahui hubungan higienitas botol susu dengan kejadian diare di wilayah Puskesmas Kelayan Timur. Penelitian bersifat observasional analitik dengan pendekatan case control. Analisis data menggunakan uji Chi-square dan prevalence odds ratio.Sampel yang diambil sebanyak 66 sampel, dimana 33 sampel yang diambil sebagai kelompok kasus menunjukkan 21 sampel (63,63%) dengan higienitas botol susu yang buruk dan 12 sampel (36,36%) dengan higienitas botol susu yang baik, sedangkan pada kelompok kontrol terdapat 11 sampel (33,33%)  dengan higienitas botol susu yang buruk dan 22 sampel (66,66%)  dengan higienitas botol susu yang baik. Hasil analisis mendapatkan nilai p=0,014 dan OR=3,5 sehingga dapat disimpulkan bahwa terdapat hubungan bermakna antara higienitas botol susu dengan kejadian diare di wilayah Puskesmas Kelayan Timur. Balita dengan higienitas botol susu yang buruk berisiko 3,5 kali lebih besar untuk menderita diare dibanding dengan higienitas botol susu yang baik. Kata-kata kunci:higienitas botol susu, diare, Puskesmas Kelayan Timur


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