Factors Affecting the incidence of VIA positive at Halmahera Health Care Center in 2018-2019

Sintia Aprianti, Yunita Dyah Santik
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Abstract

Abstract Background : VIA is a simple test with moderate sensitivity and specificity for early cervical lesions screening. The purpose of this study was to determine the relationship between risk factors and the incidence of positive IVA at Halmahera Health Center in 2018-2019.Methods : This type of research is an observational analytic with a case control design. Using purposive sampling technique, the minimum sample size is 68, consisting of 34 cases and 34 controls. Using a questionnaire instrument with interview data collection techniques. Data were analyzed using univariate and bivariate tests using the Chi-Square test with SPSS software.Results : The factors associated with the incidence of positive IVA at Halmahera Health Center were personal hygiene in genital areas (p=0.001, OR = 5.5), history of parity (p= 0.001, OR= 5.9 ) symptoms of vaginal diseases (p=0.003, OR=5.9), and duration of use of hormonal contraceptives (p=0.001, OR=5.25).Conclusion: factors associated with the incidence of positive IVA at Halmahera Public Health Center are personal hygiene of genital area, history of parity, history of genital disease symptoms, and duration of hormonal contraception use.Keywords: Factors, Visual Examination of Acetic Acid, Incidence.
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影响2018-2019年哈马赫拉卫生保健中心VIA阳性发生率的因素
背景:VIA是一种简单、灵敏度和特异性中等的宫颈早期病变筛查方法。本研究的目的是确定危险因素与2018-2019年Halmahera卫生中心IVA阳性发生率之间的关系。方法:本研究采用病例对照设计的观察性分析。采用有目的抽样技术,最小样本量为68例,包括34例病例和34例对照。使用问卷调查工具和访谈数据收集技术。数据分析采用单因素和双因素检验,采用SPSS软件进行卡方检验。结果:与Halmahera保健中心IVA阳性发生率相关的因素为生殖区域个人卫生(p=0.001, OR= 5.5)、胎次史(p=0.001, OR=5.9)、阴道疾病症状(p=0.003, OR=5.9)和使用激素避孕药的持续时间(p=0.001, OR=5.25)。结论:与Halmahera公共卫生中心IVA阳性发生率相关的因素是生殖器区域的个人卫生、胎次史、生殖器疾病症状史和使用激素避孕药的持续时间。关键词:影响因素,醋酸目测,发病率。
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