Lampiran 1
DAFTAR PERTANYAAN PENELITIAN
DETERMINAN KANKER LEHER RAHIM PADA PENDERITA YANG
DATANG BEROBAT DI RSUP H. ADAM MALIK MEDAN
Identitas Responden
Umur responden
:
Pendidikan
:
I.
Riwayat Perkawinan
1.
Bila ibu sudah menikah ini adalah adalah pernikahan
a.
Pertama
b.
Kedua
c.
>2 kali
2.
Usia ibu saat pertama kali menikah
a.
< 20 tahun
b.
20-30 tahun
c.
> 30 tahun
3.
Pada usia berapa ibu pertama kali melakukan hubungan seksual
a.
< 15-20 tahun
b.
21-30 tahun
c.
> 30 tahun
II.
Riwayat Infeksi Kelamin
4.
Sebelum dan sesudah melakukan hubungan seksual apakah ibu membersihkan
alat kelamin
a.
Tidak pernah
b.
Kadang-kadang
c.
Selalu
5.
Pernahkan ibu menderita gatal-gatal pada alat kelamin
a.
Kadang-kadang
b.
Selalu
6.
Rasa gatal-gatal yang ibu alami pada daerah
a.
Disekitar kulit dekat paha
b.
Alat kemaluan bagian luar
c.
Alat kemaluan bagian dalam
7.
Pernahkah ibu mengalami keputihan
a.
Selalu
b.
Kadang-kadang
c.
Tidak pernah
8.
Bila pernah, sudah berapa lama ibu mengalami keputihan
a.
< 1 tahun
b.
1-5 tahun
c.
> 5 tahun
9.
Apakah keputihan tersebut berbau
a.
Berbau
b.
Sedikit berbau
c.
Tidak berbau
10.
Apakah ibu pernah menderita penyakit pada daerah kelamin
a.
Pernah sekali
b.
Selalu
c.
Tidak pernah
11.
Bila pernah, sudah berapa lama menderita penyakit tersebut
a.
< 1 tahun
b.
1-2 tahun
c.
> 2 tahun
III.
Paritas
12.
Berapa jumlah persalinan yang pernah ibu dialami.
a.
< 5 kali
b.
> 5 kali
c.
Belum pernah
IV.
Riwayat Pemakaian Kontrasepsi
13.
Pernahkan ibu menggunakan alat kontrasepsi
a.
Selalu (>5 tahun)
14.
Bila pernah, jenis kontrasepsi apa yang ibu gunakan
a.
Pil
b.
Suntik
c.
IUD
15.
Keluhan yang ibu rasakan sewaktu menggunakan alat kontrasepi
a.
Perdarahan
b.
Keputihan
c.
Tidak ada
V.
Merokok
16.
Apakah ibu pernah merokok
a.
Selalu
b.
Kadang-kadang
c.
Tidak pernah
17.
Bila ya, sudah berapa lama ibu merokok
a.
<1 tahun
b.
1-5 tahun
c.
>5 tahun
18.
Jumlah rokok yang ibu konsumsi perhari
a.
<1 bungkus
Lampiran 2
Hasil Uji Validitas dan Reliabelitas Instrumen Penelitian
Reliability
Scale: ALL VARIABLES
Case Processing Summary
N %
Cases Valid 20 100.0
Excludeda 0 .0
Total 20 100.0
a. Listwise deletion based on all variables in the procedure.
Reliability Statistics
Cronbach's Alpha
Cronbach's Alpha Based on Standardized
Items N of Items
.956 .957 18
Item Statistics
Mean Std. Deviation N
Pernikahan Ibu .65 .489 20
Usia 1menikah .65 .489 20
Usia sex1 .70 .470 20
Membersihakan alat kelamin .70 .470 20
Gatal-gatal pd kelamin .70 .470 20
Daerah gatal .70 .470 20
Keputihan .70 .470 20
Lama Keputihan .50 .513 20
Keputihan berbau .35 .489 20
Penyakit kelamin .60 .503 20
Lama penyakit kelamin .70 .470 20
Jumlah Persalinan .65 .489 20
Kontrasepsi .70 .470 20
Jenis Kontrasepsi .70 .470 20
Keluhan memakai kontrasepsi .70 .470 20
Merokok .70 .470 20
Lama merokok .70 .470 20
Item-Total Statistics
Scale Mean if Item Deleted
Scale Variance if Item Deleted
Corrected Item-Total Correlation
Squared Multiple Correlation
Cronbach's Alpha if Item
Deleted
Pernikahan Ibu 10.95 37.629 .818 . .952
Usia 1menikah 10.95 37.734 .799 . .952
Usia sex1 10.90 37.568 .866 . .951
Membersihakan alat kelamin
10.90 37.568 .866 . .951
Gatal-gatal pd kelamin 10.90 39.463 .524 . .956
Daerah gatal 10.90 37.253 .924 . .950
Keputihan 10.90 37.253 .924 . .950
Lama Keputihan 11.10 38.937 .559 . .956
Keputihan berbau 11.25 41.145 .222 . .961
Penyakit kelamin 11.00 41.053 .229 . .961
Lama penyakit kelamin 10.90 37.253 .924 . .950
Jumlah Persalinan 10.95 37.734 .799 . .952
Kontrasepsi 10.90 37.568 .866 . .951
Jenis Kontrasepsi 10.90 37.568 .866 . .951
Keluhan memakai kontrasepsi
10.90 39.463 .524 . .956
Merokok 10.90 37.253 .924 . .950
Lama merokok 10.90 37.253 .924 . .950
Lampiran 3
Master Data Uji Validitas dan Reliabelitas Intrumen Penelitian Determinan Kanker Leher Rahim Pada Penderita Yang
Datang Berobat di RSUP H. Adam Malik Medan
Lampiran 4
Master Data Penelitian Determinan Kanker Leher Rahim Pada Penderita Yang
Datang Berobat di RSUP H. Adam Malik Medan
Lampiran 5
Hasil Uji Univariat, Bivariat, dan Multivariat data Penelitian
Umur * Ca.Cervix Crosstabulation
Count
Ca.Cervix
Total Kasus Kontrol
Umur >= 40 tahun 34 34 68
< 40 tahun 7 7 14
Total 41 41 82
Pendidikan * Ca.Cervix Crosstabulation
Count
Ca.Cervix
Total Kasus Kontrol
Pendidikan SMP Kebawah 22 15 37
SMA Keatas 19 26 45
Total 41 41 82
Usia pertama kali kawin * Ca.Cervix Crosstabulation
Count
Ca.Cervix
Total Kasus Kontrol
Usia pertama kali kawin < 20 tahun 31 21 52
>= 20 tahun 10 20 30
Paritas * Ca.Cervix Crosstabulation
Count
Ca.Cervix
Total Kasus Kontrol
Paritas >3 26 15 41
<= 3 15 26 41
Total 41 41 82
Riwayat Infeksi kelamin * Ca.Cervix Crosstabulation
Count
Ca.Cervix
Total Kasus Kontrol
Riwayat Infeksi kelamin Pernah 36 26 62
Tidak Pernah 5 15 20
Total 41 41 82
Jumlah perkawinan * Ca.Cervix Crosstabulation
Count
Ca.Cervix
Total Kasus Kontrol
Jumlah perkawinan > 1 kali 3 1 4
1 kali 38 40 78
Riwayat Pemakaian Kontrasepsi * Ca.Cervix Crosstabulation
Count
Ca.Cervix
Total Kasus Kontrol
Riwayat Pemakaian
Kontrasepsi
Pernah 32 21 53
Tidak Pernah 9 20 29
Total 41 41 82
Riwayat merokok * Ca.Cervix Crosstabulation
Count
Ca.Cervix
Total Kasus Kontrol
Riwayat merokok Pernah 7 4 11
Tidak Pernah 34 37 71
Crosstabs
Usia pertama kali kawin * Ca.Cervix
Crosstab
Ca.Cervix
Total Kasus Kontrol
Usia pertama kali kawin < 20 tahun Count 31 21 52
Expected Count 26.0 26.0 52.0
% within Usia pertama
kali kawin
59.6% 40.4% 100.0%
% within Ca.Cervix 75.6% 51.2% 63.4%
% of Total 37.8% 25.6% 63.4%
>= 20 tahun Count 10 20 30
Expected Count 15.0 15.0 30.0
% within Usia pertama
kali kawin
33.3% 66.7% 100.0%
% within Ca.Cervix 24.4% 48.8% 36.6%
% of Total 12.2% 24.4% 36.6%
Total Count 41 41 82
Expected Count 41.0 41.0 82.0
% within Usia pertama
kali kawin
50.0% 50.0% 100.0%
% within Ca.Cervix 100.0% 100.0% 100.0%
Chi-Square Tests
Value df
Asymp. Sig.
(2-sided)
Exact Sig.
(2-sided)
Exact Sig.
(1-sided)
Pearson Chi-Square 5.256a 1 .022
Continuity Correctionb 4.258 1 .039
Likelihood Ratio 5.333 1 .021
Fisher's Exact Test .038 .019
Linear-by-Linear Association 5.192 1 .023
N of Valid Cases 82
a. 0 cells (.0%) have expected count less than 5. The minimum expected count is 15.00.
b. Computed only for a 2x2 table
Risk Estimate
Value
95% Confidence Interval
Lower Upper
Odds Ratio for Usia pertama
kali kawin (< 20 tahun / >= 20
tahun)
2.952 1.154 7.556
For cohort Ca.Cervix = Kasus 1.788 1.028 3.110
For cohort Ca.Cervix = Kontrol .606 .400 .918
Paritas * Ca.Cervix
Crosstab
Ca.Cervix
Total Kasus Kontrol
Paritas >3 Count 26 15 41
Expected Count 20.5 20.5 41.0
% within Paritas 63.4% 36.6% 100.0%
% within Ca.Cervix 63.4% 36.6% 50.0%
% of Total 31.7% 18.3% 50.0%
<= 3 Count 15 26 41
Expected Count 20.5 20.5 41.0
% within Paritas 36.6% 63.4% 100.0%
% within Ca.Cervix 36.6% 63.4% 50.0%
% of Total 18.3% 31.7% 50.0%
Total Count 41 41 82
Expected Count 41.0 41.0 82.0
% within Paritas 50.0% 50.0% 100.0%
% within Ca.Cervix 100.0% 100.0% 100.0%
Chi-Square Tests
Value df
Asymp. Sig.
(2-sided)
Exact Sig.
(2-sided)
Exact Sig.
(1-sided)
Pearson Chi-Square 5.902a 1 .015
Continuity Correctionb 4.878 1 .027
Likelihood Ratio 5.975 1 .015
Fisher's Exact Test .027 .013
Linear-by-Linear Association 5.830 1 .016
N of Valid Cases 82
a. 0 cells (.0%) have expected count less than 5. The minimum expected count is 20.50.
b. Computed only for a 2x2 table
Risk Estimate
Value
95% Confidence Interval
Lower Upper
Odds Ratio for Paritas (>3 / <=
3)
3.004 1.223 7.380
For cohort Ca.Cervix = Kasus 1.733 1.088 2.760
For cohort Ca.Cervix = Kontrol .577 .362 .919
Riwayat Infeksi kelamin * Ca.Cervix
Crosstab
Ca.Cervix
Total Kasus Kontrol
Riwayat Infeksi
kelamin
Pernah Count 36 26 62
Expected Count 31.0 31.0 62.0
% within Riwayat Infeksi
kelamin
58.1% 41.9% 100.0%
% within Ca.Cervix 87.8% 63.4% 75.6%
% of Total 43.9% 31.7% 75.6%
Tidak
Pernah
Count 5 15 20
Expected Count 10.0 10.0 20.0
% within Riwayat Infeksi
kelamin
25.0% 75.0% 100.0%
% within Ca.Cervix 12.2% 36.6% 24.4%
% of Total 6.1% 18.3% 24.4%
Total Count 41 41 82
Expected Count 41.0 41.0 82.0
% within Riwayat Infeksi
kelamin
50.0% 50.0% 100.0%
% within Ca.Cervix 100.0% 100.0% 100.0%
Chi-Square Tests
Value Df
Asymp. Sig.
(2-sided)
Exact Sig.
(2-sided)
Exact Sig.
(1-sided)
Pearson Chi-Square 6.613a 1 .010
Continuity Correctionb 5.356 1 .021
Likelihood Ratio 6.852 1 .009
Fisher's Exact Test .019 .010
Linear-by-Linear Association 6.532 1 .011
N of Valid Cases 82
a. 0 cells (.0%) have expected count less than 5. The minimum expected count is 10.00.
b. Computed only for a 2x2 table
Risk Estimate
Value
95% Confidence Interval
Lower Upper
Odds Ratio for Riwayat Infeksi
kelamin (Pernah / Tidak
Pernah)
4.154 1.341 12.870
For cohort Ca.Cervix = Kasus 2.323 1.056 5.107
For cohort Ca.Cervix = Kontrol .559 .380 .823
Jumlah perkawinan * Ca.Cervix
Crosstab
Ca.Cervix
Total Kasus Kontrol
Jumlah
perkawinan
> 1 kali Count 3 1 4
Expected Count 2.0 2.0 4.0
% within Jumlah perkawinan 75.0% 25.0% 100.0%
% within Ca.Cervix 7.3% 2.4% 4.9%
% of Total 3.7% 1.2% 4.9%
1 kali Count 38 40 78
Expected Count 39.0 39.0 78.0
% within Jumlah perkawinan 48.7% 51.3% 100.0%
% within Ca.Cervix 92.7% 97.6% 95.1%
% of Total 46.3% 48.8% 95.1%
Total Count 41 41 82
Expected Count 41.0 41.0 82.0
% within Jumlah perkawinan 50.0% 50.0% 100.0%
% within Ca.Cervix 100.0% 100.0% 100.0%
Chi-Square Tests
Value df
Asymp. Sig.
(2-sided)
Exact Sig.
(2-sided)
Exact Sig.
(1-sided)
Pearson Chi-Square 1.051a 1 .305
Continuity Correctionb .263 1 .608
Likelihood Ratio 1.098 1 .295
Fisher's Exact Test .616 .308
Linear-by-Linear Association 1.038 1 .308
N of Valid Cases 82
a. 2 cells (50.0%) have expected count less than 5. The minimum expected count is 2.00.
b. Computed only for a 2x2 table
Risk Estimate
Value
95% Confidence Interval
Lower Upper
Odds Ratio for Jumlah
perkawinan (> 1 kali / 1 kali)
3.158 .315 31.697
For cohort Ca.Cervix = Kasus 1.539 .837 2.833
For cohort Ca.Cervix = Kontrol .488 .088 2.698
Riwayat Pemakaian Kontrasepsi * Ca.Cervix
Crosstab
Ca.Cervix
Total Kasus Kontrol
Riwayat Pemakaian
Kontrasepsi
Pernah Count 32 21 53
Expected Count 26.5 26.5 53.0
% within Riwayat Pemakaian
Kontrasepsi
60.4% 39.6% 100.0%
% within Ca.Cervix 78.0% 51.2% 64.6%
% of Total 39.0% 25.6% 64.6%
Tidak Pernah Count 9 20 29
Expected Count 14.5 14.5 29.0
% within Riwayat Pemakaian
Kontrasepsi
31.0% 69.0% 100.0%
% within Ca.Cervix 22.0% 48.8% 35.4%
% of Total 11.0% 24.4% 35.4%
Total Count 41 41 82
Expected Count 41.0 41.0 82.0
% within Riwayat Pemakaian
Kontrasepsi
50.0% 50.0% 100.0%
% within Ca.Cervix 100.0% 100.0% 100.0%
Chi-Square Tests
Value Df
Asymp. Sig.
(2-sided)
Exact Sig.
(2-sided) Exact Sig. (1-sided)
Pearson Chi-Square 6.455a 1 .011
Continuity Correctionb 5.335 1 .021
Likelihood Ratio 6.578 1 .010
Fisher's Exact Test .020 .010
Linear-by-Linear Association 6.377 1 .012
N of Valid Cases 82
a. 0 cells (.0%) have expected count less than 5. The minimum expected count is 14.50.
b. Computed only for a 2x2 table
Risk Estimate
Value
95% Confidence Interval
Lower Upper
Odds Ratio for Riwayat
Pemakaian Kontrasepsi
(Pernah / Tidak Pernah)
3.386 1.296 8.845
For cohort Ca.Cervix = Kasus 1.945 1.084 3.491
For cohort Ca.Cervix = Kontrol .575 .380 .868
Riwayat merokok * Ca.Cervix
Crosstab
Ca.Cervix
Total Kasus Kontrol
Riwayat merokok Pernah Count 7 4 11
Expected Count 5.5 5.5 11.0
% within Riwayat merokok 63.6% 36.4% 100.0%
% within Ca.Cervix 17.1% 9.8% 13.4%
% of Total 8.5% 4.9% 13.4%
Tidak Pernah Count 34 37 71
Expected Count 35.5 35.5 71.0
% within Riwayat merokok 47.9% 52.1% 100.0%
% within Ca.Cervix 82.9% 90.2% 86.6%
% of Total 41.5% 45.1% 86.6%
Total Count 41 41 82
Expected Count 41.0 41.0 82.0
% within Riwayat merokok 50.0% 50.0% 100.0%
% within Ca.Cervix 100.0% 100.0% 100.0%
Chi-Square Tests
Value df
Asymp. Sig.
(2-sided)
Exact Sig.
(2-sided)
Exact Sig.
(1-sided)
Pearson Chi-Square .945a 1 .331
Continuity Correctionb .420 1 .517
Likelihood Ratio .955 1 .328
Fisher's Exact Test .519 .259
Linear-by-Linear Association .933 1 .334
N of Valid Cases 82
a. 0 cells (.0%) have expected count less than 5. The minimum expected count is 5.50.
b. Computed only for a 2x2 table
Risk Estimate
Value
95% Confidence Interval
Lower Upper
Odds Ratio for Riwayat
merokok (Pernah / Tidak
Pernah)
1.904 .512 7.085
For cohort Ca.Cervix = Kasus 1.329 .799 2.209
For cohort Ca.Cervix = Kontrol .698 .310 1.573
Logistic Regression Step 1
Variables in the Equation
B S.E. Wald df Sig. Exp(B)
95% C.I.for EXP(B)
Lower Upper
Step 1a R.Infeksi 1.345 .618 4.739 1 .029 3.838 1.143 12.880
Kontrasepsi 1.063 .539 3.881 1 .049 2.894 1.005 8.330
Paritas .907 .506 3.212 1 .073 2.477 .919 6.678
Usia1 1.088 .530 4.220 1 .040 2.969 1.051 8.388
Constant -5.932 1.537 14.896 1 .000 .003
a. Variable(s) entered on step 1: R.Infeksi, Kontrasepsi, Paritas, Usia1.
Logistic Regression Step 2
Variables not in the Equation
Score df Sig.
Step 0 Variables R.Infeksi 6.613 1 .010
Kontrasepsi 6.455 1 .011
Usia1 5.256 1 .022
Overall Statistics 15.806 3 .001
Omnibus Tests of Model Coefficients
Chi-square df Sig.
Step 1 Step 17.293 3 .001
Block 17.293 3 .001
Variables in the Equation
B S.E. Wald df Sig. Exp(B)
95% C.I.for EXP(B)
Lower Upper
Step 1a R.Infeksi 1.337 .614 4.742 1 .029 3.809 1.143 12.693
Kontrasepsi 1.169 .527 4.914 1 .027 3.217 1.145 9.040
Usia1 1.184 .520 5.193 1 .023 3.269 1.180 9.053
Constant -4.825 1.333 13.105 1 .000 .008
