HUBUNGAN USIA IBU, PARITAS, OBESITAS, DAN PENGGUNAAN KONTRASEPSI HORMONAL DENGAN KEJADIAN MIOMA UTERI DI RSU VINA ESTETICA TAHUN 2023

Abstract

The incidence of uterine myoma in Indonesia ranks second after cervical cancer, the incidence of uterine myoma in Indonesia was found to be 2.39% - 11.70%. Uterine myoma is a benign tumor cell that originates from the smooth muscle cells of the myometrium. The etiology of uterine myoma is still unclear, it is thought to be caused by multifactors, namely age, parity, obesity, genetics, and the hormones estrogen and progesterone. Objective : To determine the relationship between maternal age, parity, obesity, and use of hormonal contraception with the incidence of uterine myoma. Methods : This type of research is analytical research with design cross sectional. The population of this study was 52 gynecological patients at Vina Estetica General Hospital for the period March – August 2023. Data analysis techniques consisted of univariate, bivariate and multivariate. Data analysis using Test Chi-square and statistical tests Logistic Regression. Results : There is a relationship between maternal age and the incidence of uterine myoma and value p value  = 0.001. There is a relationship between parity and uterine myoma and value p value = 0.027. There is a relationship between obesity and uterine myoma and value p value = 0.006. There is a relationship between the use of hormonal contraception and uterine myoma with value p value = 0.012. In the multivariate results, the factor most associated with uterine myoma was age with an OR of 8.572. Conclusion : The results of the study found a relationship between maternal age, parity, obesity, and the use of hormonal contraception and the incidence of uterine myoma  p value <0.05. The most related factor is the mother's age.