A risk factor for cervical precancerous lesions at the health center Karanganyar regency
ABSTRACT: Background : Precancerous cervical lesions is sign of cervical cancer. The development of precancerous cervical lesionsis difficult to detect, so it is recommended every woman conduct examination by using visual inspection with acetic acid (VIA) because it is inexpensive and effective. The number of cervical cancer screening Health Department of Karanganyar Regency in 2014 was 3,285 people and 345 people positive for precancerous cervical lesions. The figure is very less considering the achievement of the target number is 120,244 people with target every years 19,239 people. Objective: To identify risk factors associated with the occurence of precancerous cervical lesions at Health Centres of Karanganyar Regency. Methods: Analytical research with case control design. The number of sample were 40 women positive IVA and the control sample were 40 women with negative IVA. Samples were taken with concecutive sampling technique in Juny- August 2015 at Health Centres of Karanganyar Regency. Data analysis used chisquare and logistic regression. Results: Results of chi-square analysis found there is significant relationship between age, age when they have first intercourse, number of partners, social and economic parity (p<0.05). Results of logistic regression test found significant risk factor is number of partners OR=5,026 (CI 95% 1,265-19,973). . Conclusion: Number of partners > 1 is the most dominant risk factors that contribute to the incidence of precancerous cervical lesions. So it is advisable to PHC health workers to identify and provide advice to mothers at risk of precancerous lesions of the cervix for examination IVA
