Perbedaan Faktor Infeksi Servix HPV 16/18 Dengan Pemeriksaan PCR Pada Ibu Rumah Tangga dan Penjaja Seksual Komersial di Surabaya
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Human Papilloma Virus (HPV), especially type 16/18 which is able to alter mucous cell to be malignant cell is considered as one of major factors in developing of carcinoma cervix. Several researchers have tried to identify the dominant factors of sexual behavior in relation to development of carcinoma cervix. But the results of correlation between some sexual behavior factors and prevalence of carcinoma cervix have not been consistent yet. The purpose of the research is to identify the dominant factors in relation to carcinoma cervix by utilizing HPV 16/18 as an indicator This research was observation study and the data were collected crossectionally. The population was women who have married more than 15 years (for housewives) or have been experienced in sexual intercourse before (for sexual commercial workers). 150 women were selected as samples. PCR (Polymerize Chain Reaction) examination was used for HPV DNA 16/18 identification. The data were collected by using questionnaire. The logistic regressions were used for data analyzes. The results of this study showed that the prevalence of HPV 16/18 infection among housewives and sexual commercial worker were 30,7% and 34,7% respectively. And the risk of housewives suffering from HPV 16/18 infection was 1.7 times higher than that for sexual commercial workers. The results of housewife logistic regression shows that there are negative relationship between HPV 16/18 infection and the age (β = - 1,194 and p <0,05) and personal genital hygiene (β = -0,618 and p <0,05). On the other hand, for the sexual commercial workers, it shows that there are relationship between HPV 16/18 infection and the duration of sexual intercourse (less than 5 years) (β = 5,759 and p < 0,05). It is suggested to increase the personal genital hygiene, especially among housewives, and knowledge and attitude relating to HPV 16/18 infection, particularly among sexual commercial workers.