Hubungan Antara Infeksi Menular Seksual dengan Kanker Reproduksi pada Wanita Usia Subur
DOI:
https://doi.org/10.32528/tijhs.v17i1.3499Keywords:
sexually transmitted infections, reproductive cancer, Human Papillomavirus, cervical cancer, cancer screeningAbstract
Kanker reproduksi pada wanita merupakan masalah kesehatan masyarakat yang signifikan,
dengan infeksi menular seksual (IMS) sebagai faktor risiko utama. Hubungan antara Infeksi
Menular Seksual (IMS) dan kanker reproduksi melalui Human Papilloma Virus (HPV) telah
banyak diteliti, namun penelitian pada populasi tertentu masih memerlukan penelitian lebih
lanjut. Tujuan: Menganalisis hubungan antara riwayat infeksi menular seksual dengan
kejadian kanker reproduksi pada wanita. Penelitian cross-sectional dilakukan pada 82
penderita kanker reproduksi di RSUD AWS Samarinda periode Januari-Juni 2024. Teknik
purposive sampling dalam penelitian ini menggunakan kriteria inklusi penderita kanker
payudara atau reproduksi yang dikonfirmasi histopatologi dan berusia ≥18 tahun. Data
dikumpulkan melalui wawancara terstruktur menggunakan kuesioner tervalidasi (Cronbach's
alpha 0,85). Analisis menggunakan uji Chi-square dengan tingkat signifikansi α = 0,05.
Mayoritas responden berusia 46-55 tahun (40,2%) dengan pendidikan SMA (40,2%).
Sebanyak 46 responden (56,1%) mengalami kanker reproduksi dan 36 responden (43,9%)
kanker payudara. Riwayat IMS ditemukan pada 17 responden (20,7%), dengan 14 orang
(82,4%) mengalami kanker reproduksi. Analisis menunjukkan hubungan signifikan antara
riwayat IMS dengan jenis kanker (p-value = 0,014; OR = 0,208; 95% CI: 0,054-0,792), yang
menunjukkan bahwa riwayat IMS lebih sering ditemukan pada penderita kanker reproduksi
dibandingkan dengan kanker payudara. Terdapat hubungan signifikan antara riwayat infeksi
menular seksual (IMS) dengan jenis kanker pada penderita kanker reproduksi. Mayoritas
responden dengan riwayat IMS mengalami kanker reproduksi, mengkonfirmasi hubungan
etiologis yang kuat. Temuan ini memperkuat pentingnya program skrining kanker serviks,
edukasi kesehatan reproduksi, dan vaksinasi HPV
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