| Summary: | Background: Eighty-five percents of the incidence of cervical cancer
occur in developing countries. The number of patients with cervical cancer
in Dr. Sardjito General Hospital has increased every year.
Histopathological types are considered as one of the prognostic factors of
cervical cancer. The prognosis of cervical adenocarcinoma is worse than
squamous cell carcinoma. Cervical adenocarcinoma is found to be less
than the squamous cell carcinoma, but the incidence tends to increase.
Risk factors that could potentially increase the prevalence of cervical
adenocarcinoma are nuliparity and obesity.
Objective: To obtain evidence of a relationship between parity and
histopathological types of cervical carcinoma.
Methods: The study design used case-control study of quantitative
approach. The subjects were cervical carcinoma patients at Dr. Sardjito
General Hospital, registered from 1 January 2006 to 31 December 2007.
The sampling technique was done by non probability sampling with a type
of purposive sampling. The data used secondary data of the medical
records of patients with cervical cancer. The data collection used
checklists. The analysis of data was through three stages, namely
univariable analysis, bivariable analysis using chi-square and multivariable
analysis using logistic regression.
Results: The analysis showed a significant relationship between parity
and histopathological types of cervical carcinoma (OR: 2.48, 95% CI: 1.06
to 6.07). Parity of 0-4 was at higher risk of cervical adenocarcinoma, while
the parity of more than four was at risk of squamous cell carcinoma. Age,
education level, age at first marriage and Body Mass Index were not
related to the types of cervical carcinoma.
Conclusions: Parity with the cutoff point of four was associated with
histopathological types of cervical carcinoma.
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