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"Penelitian ini bertujuan untuk menguji hubungan tingkat pendidikan pasien dengan kanker payudara stadium dini di instalasi rawat inap Rumah Sakit Ciptomangunkusumo Jakarta tahun 2012 dengan menggunakan desain studi cross sectional. Teknik pengumpulan data dilakukan dengan menggunakan data rekam medik Rumah Sakit Ciptomangunkusumo. Hasil penelitian menunjukkan tingkat pendidikan pasien memiliki hubungan dengan stadium dini kanker payudara (OR 2,25) dan risiko meningkat (7,69) setelah dikontrol oleh status pekerjaan, penggunaan alat kontrasepsi hormonal, serta keikutsertaan jaminan kesehatan.

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The purpose of this research is to examine association between patient’s educational level with early diagnosis of breast cancer at inpatient care of Ciptomangunkusumo’s Hospital year 2012. This research applied cross sectional design. Data were collected from secondary sources, using medical record data. The result of the research shows that patient’s educational level associated with early diagnosis (OR=2,25) and that risk will be higher if it controlled with employment status, hormonal contraceptive use, and participation of health insurance. (OR=7,69)"

"[ABSTRAKNyeri pada anak kanker berdampak jangka panjang dan jangka pendek. Sebagianbesar orang tua tidak mengetahui cara mengkaji nyeri pada anak dan belummenggunakan skala nyeri yang sesuai dengan usia anak untuk mengukur nyeri.Pendidikan kesehatan tentang manajemen nyeri yang diberikan kepada pasienbelum terstruktur sehingga informasi yang diberikan tidak optimal. Penelitian inibertujuan untuk mengidentifikasi dampak intervensi edukasi terhadappengetahuan, sikap dan keterampilan orang tua dalam mengelola nyeri pada anakdengan kanker. Desain penelitian ini menggunakan kuasi eksperimen dengan onegrup pre test post test. Sampel berjumlah 29 orang di RSAB Harapan kita danRSPAD Gatot Soebroto yang diambil secara consecutive sampling. Analisis datamenggunakan McNemar dan Uji Chi Square. Hasil penelitian menunjukkanadanya perbedaan yang signifikan dalam aspek pengetahuan, sikap danketerampilan orang tua dalam mengelola nyeri pada anak sebelum dan sesudahpendidikan kesehatan (pengetahuan, p=0,001; Sikap, p=0,001 dan keterampilan,p<0,001). Karakteristik orang tua yang berhubungan dengan pengetahuan dansikap adalah pengalaman manajemen nyeri. Rekomendasi dari penelitian iniadalah pendidikan kesehatan tentang mengelola nyeri pada anak sebaiknyadilakukan secara intensif.hr>ABSTRACTPain in children suffers from cancer gives effect in short term and long term. Mostparents do not know how to assess pain in children. They have not used a painscale based on children age to measure pain. Health education pain managementhas not been structured for patients so the given information is not optimal. Thisstudy aims to identify the impact of education intervention to the parent?sknowledge, attitudes, and skills in managing pain of children suffers fromcancer.This study used a quasi-experimental with one group pretest-posttest. Thesample was 29 people in RSAB Harapan Kita and Gatot Subroto Army Hospital,taken by consecutive sampling. The data was analyzed by McNemar and ChiSquare. The results showed a significant difference in the aspect of knowledge,attitudes and skills of parent in the pain management of children before and afterhealth education (knowledge, p = 0.001; Attitudes, p = 0.001 and skill, p < 0.001).Characteristics of parents associated with the knowledge and attitudes who havechildren suffers from cancer is pain management experience. Recommendationfor this study is the health education about pain management should be carried outintensively.;Pain in children suffers from cancer gives effect in short term and long term. Mostparents do not know how to assess pain in children. They have not used a painscale based on children age to measure pain. Health education pain managementhas not been structured for patients so the given information is not optimal. Thisstudy aims to identify the impact of education intervention to the parent?sknowledge, attitudes, and skills in managing pain of children suffers fromcancer.This study used a quasi-experimental with one group pretest-posttest. Thesample was 29 people in RSAB Harapan Kita and Gatot Subroto Army Hospital,taken by consecutive sampling. The data was analyzed by McNemar and ChiSquare. The results showed a significant difference in the aspect of knowledge,attitudes and skills of parent in the pain management of children before and afterhealth education (knowledge, p = 0.001; Attitudes, p = 0.001 and skill, p < 0.001).Characteristics of parents associated with the knowledge and attitudes who havechildren suffers from cancer is pain management experience. Recommendationfor this study is the health education about pain management should be carried outintensively.;Pain in children suffers from cancer gives effect in short term and long term. Mostparents do not know how to assess pain in children. They have not used a painscale based on children age to measure pain. Health education pain managementhas not been structured for patients so the given information is not optimal. Thisstudy aims to identify the impact of education intervention to the parent?sknowledge, attitudes, and skills in managing pain of children suffers fromcancer.This study used a quasi-experimental with one group pretest-posttest. Thesample was 29 people in RSAB Harapan Kita and Gatot Subroto Army Hospital,taken by consecutive sampling. The data was analyzed by McNemar and ChiSquare. The results showed a significant difference in the aspect of knowledge,attitudes and skills of parent in the pain management of children before and afterhealth education (knowledge, p = 0.001; Attitudes, p = 0.001 and skill, p < 0.001).Characteristics of parents associated with the knowledge and attitudes who havechildren suffers from cancer is pain management experience. Recommendationfor this study is the health education about pain management should be carried outintensively.;Pain in children suffers from cancer gives effect in short term and long term. Mostparents do not know how to assess pain in children. They have not used a painscale based on children age to measure pain. Health education pain managementhas not been structured for patients so the given information is not optimal. Thisstudy aims to identify the impact of education intervention to the parent?sknowledge, attitudes, and skills in managing pain of children suffers fromcancer.This study used a quasi-experimental with one group pretest-posttest. Thesample was 29 people in RSAB Harapan Kita and Gatot Subroto Army Hospital,taken by consecutive sampling. The data was analyzed by McNemar and ChiSquare. The results showed a significant difference in the aspect of knowledge,attitudes and skills of parent in the pain management of children before and afterhealth education (knowledge, p = 0.001; Attitudes, p = 0.001 and skill, p < 0.001).Characteristics of parents associated with the knowledge and attitudes who havechildren suffers from cancer is pain management experience. Recommendationfor this study is the health education about pain management should be carried outintensively., Pain in children suffers from cancer gives effect in short term and long term. Mostparents do not know how to assess pain in children. They have not used a painscale based on children age to measure pain. Health education pain managementhas not been structured for patients so the given information is not optimal. Thisstudy aims to identify the impact of education intervention to the parent’sknowledge, attitudes, and skills in managing pain of children suffers fromcancer.This study used a quasi-experimental with one group pretest-posttest. Thesample was 29 people in RSAB Harapan Kita and Gatot Subroto Army Hospital,taken by consecutive sampling. The data was analyzed by McNemar and ChiSquare. The results showed a significant difference in the aspect of knowledge,attitudes and skills of parent in the pain management of children before and afterhealth education (knowledge, p = 0.001; Attitudes, p = 0.001 and skill, p < 0.001).Characteristics of parents associated with the knowledge and attitudes who havechildren suffers from cancer is pain management experience. Recommendationfor this study is the health education about pain management should be carried outintensively.]"

"Latar belakang: Kanker payudara merupakan kanker terbanyak dengan insiden 40,3 per 100.000 perempuan dan angka mortalitas sebesar 16,6 per 100.000 perempuan di Indonesia. Pada stadium awal I-II, penentuan terapi operatif mastektomi seringkali membutuhkan pemeriksaan potong beku intraoperatif untuk menilai keganasan, namun sering tidak tersedia di banyak rumah sakit. Tripel diagnostik pemeriksaan fisik, ultrasonografi dan fine needle aspiration biopsy merupakan metode diagnostik preoperatif yang juga dinilai akurat dan mudah dilakukan. Studi ini menilai kesesuaian tripel diagnostik dengan histopatologis khususnya pada benjolan yang curiga ganas di RSCM dan RSUPP selama Februari 2016-Agustus 2017. Metode: Subjek dengan benjolan payudara curiga ganas pada stadium awal yang memenuhi kriteria inklusi di RSCM dan RSUPP dilakukan tripel diagnostik preoperatif, kemudian dilakukan pemeriksaan potong beku intraoperatif dan histopatologi pasca operasi. Menggunakan desain studi diagnostik statistik, dilakukan analisis kesesuaian tripel diagnostik maupun potong beku dibandingkan dengan histopatologi yaitu sensitivitas, spesifisitas, nilai prediksi positif NPP, nilai prediksi negatif NPN dan akurasi. Hasil Didapatkan 33 subjek kanker payudara stadium awal prevalensi 4,3 dengan rerata umur 49,6 tahun dengan kelompok umur terbanyak di atas 40 tahun 78,8. Sekitar 63,6 subjek memiliki ukuran tumor 2-5 cm dan jenis histopatologi terbanyak berupa karsinoma invasif 84,8. Dibandingkan hasil histopatologi: a Potong beku memiliki sensitivitas 96,8, spesifisitas 100, NPP 100, NPN 66,7, dan akurasi 97,0 ; dan b Tripel diagnostik mempunyai sensitivitas 77,4, spesifisitas 100, nilai prediksi positif tinggi 100, nilai prediksi negatif 22,2 dan akurasi 78,8 p = 0,016. Kesimpulan: Tripel diagnostik merupakan metode diagnostik yang cukup akurat pada kanker payudara stadium awal sehingga dapat digunakan sebagai metode diagnostik alternatif di fasilitas pelayanan tipe C dan D di Indonesia di saat potong beku tidak tersedia.

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Background: Breast cancer is the most common cancer with incidence rate 40.3 per 100.000 women and mortality rate 16.6 per 100.000 women in Indonesia. In early stage, decision for operative therapy mastectomy requires intraoperative frozen section to assess its malignancy, which is often unavailable in many hospitals. Triple diagnostic physical examination, breast ultrasonography and fine needle aspiration biopsy is an accurate and easily performed preoperative diagnostic method. This study assesses the suitability of triple diagnostic with histopathology results in suspicious malignant breast lumps at Ciptomangunkusumo and Persahabatan hospital during February 2016 August 2017.

Method: Subjects with supicious malignant breast lump that met the inclusion criteria underwent preoperative triple diagnostic, intraoperative frozen section and postoperative histopathology examination. With statistic diagnostic study design, the suitability of triple diagnostic and frozen section were assesed in comparation to histologic examination sensitivity, specificity, positive predictive value PPV, negative predictive value NPV and accuracy.

Result: 33 subjects with early stage breast cancer were obtained prevalence 4.3 with average mean of age of 49.6 years, were above 40 years 78.8. Around 63.6 had tumor size between 2 5 cm, and most histopathologic types were those with invasive carcinoma 84.8. When compared to histopathologic result a Frozen section has 96.8 sensitivity, 100 specificity, 100 PPV, 66.7 NPV and 97.0 accuracy and b Triple diagnostic has 77.4 sensitivity, 100 specificity, high PPV 100, 22.2 NPV and 78.8 accuracy. p 0.016.

Conclusion: Triple diagnostic is a relatively accurate diagnostic method in early stage breast cancer, hence, can be used as an alternative diagnostic method at type C and D heatlhcare facilities in Indonesia whenever frozen section is unavailable. "

"Tesis ini bertujuan Untuk mengetahui pengaruh merokok pada kesintasan penderita kanker serviks stadium lanjut di Rumah Sakit Umum Ciptomangunkusumo. Penelitian ini bersifat kohort retrospektif. Hasil penelitian didapatkan tingkat merokok oleh pasien dan atau suami pasien tidak signifikan secara statistik sebagai faktor prognosis terhadap pasien kanker serviks stadium lanjut di RSCM. Kesintasan 5 tahun pasien kanker serviks stadium lanjut dalam studi kami adalah 22 bulan (4-58 bulan) dengan persentase kesintasan 22,6%. Dengan analisis multivariat didapatkan bahwa hanya ukuran tumor dan stadium kanker bermakna secara statistik terhadap kesintasan.

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This thesis aims to determine the effect of smoking on the survival rate of advanced stage cervical cancer patients in the Ciptomangunkusumo General Hospital. This study is a retrospective cohort. The results showed that smoking levels by the patient or the patient's husband was not statistically significant as a prognostic factor for patients with advanced cervical cancer in RSCM. 5-year survival of patients with advanced cervical cancer in our study was 22 months (4-58 months) with a percentage of 22.6% survival rate. By multivariate analysis. it was only tumor size and stage of the cancer that statistically significant to the survival rate."

"Kanker payudara merupakan salah sam jenis kanker yang teroapat pada wanita dan masih merupakan masalah kesehatan pada wanita, karena selain merupakan salah satu penyakit keganasan kedua terbanyak juga sering menyebabkan kematian. Di Indonesia kanker payudara adalah kanker nomor dua tersering. dan di Rurmah Sakit Kanker Dharmais merupakan angka kunjungan tertinggi setiap tahunnya. Salah satu faktor protektif yang berperan menurunkan risiko kanker payudara pada wenita adalah menyusui. Tujuan penelitian ini adalah untuk rnengeta.hui hubungan antara menyusui dengan kanker payudara pada pasien Rumnh Sakit Kanker Dharmais Jakarta yang berkunjung pada periode bulan Mei - Juli 2007. Penelitian ini menggunakan disain kasus kontrol dengan sampel peneiitian wanita melahirkan semua kelompok umur yang menderita kanker dan berkunjung ke poliklinik onkologi Rumah Sakit Kanker Dhannais Jakarta periode bulan Mei - Juli 2007. lumlah sampe1266 orang terdiri dari 127 orang kasus penderita kanker payudara dan 139 orang kontrol penderita kanker lainnya. Data yang dikumpulkan adalah data primer yang diperoleh melalui wawancara o1eh perawat yang telah diberikan penjelasan mengenai daftar pertanyaa-pertanyaan da1am kuesioner. Data diuji dengan unconditional logistic regressiQu dengan program Stata versi 7,0. Hasil penelitian diperoleh : proporsi responden yang menyusui selama >6 bulan sebesar 75,19 0/0, sisanya 24,81% menyusui selama 0 - 6 bulan; karakteristik responden rata-rata berumur 46,5 tahun, usia m£l1larche 13,5 tahun dan usia saat paritas pertama 25 tahun. Rata-rata jUn1Iah paritas adalah 2,5 kali dan rata~rata jumlah anak yang disusui adalah 2/6 anak. Rata~rata lama menyusui tiap anak adalah 12.04 bulan dan rata~rata lama menyusui sepanjang hidup adalah 32,62 bulan. Disimpulkan terdapat hubungan dosis respon antara lama menyusui dengan risiko kanker payudara yaitu sema"kin lama menyusui sernakin kecil risiko untuk menderita kanker payudara. Hasil penelitian juga menunjukkan efek protektif lama menyusui tiap anak selaroa>6 bulan terhadap penurunan risiko kanker payudara setelah dikontrol dengan variabel umur, riwayat kanker payudara pada keluarga, usia saat menarche, jumlah paritas dan usia saat paritas pertama dengan (OR Adjusted 0,43; 95% CI : O.24~OJ80;). Efek protektif ini lebih kuat pada wanita postmenopause dibandingkan wanita premenopausal pada responden yang menyusui tiap anaknya selama >6 bulan (OR Adjusted ~ 0,14; 95% CI ; 0,03 ... 0,62) setelah dikendalikan dengan variabel umur, usia saat menopause. jumlah paritas dan usia saat paritas pertama. Disarankan pada wanita yang pemah melahirkan untuk menyusui tiap anaknya >6 bulan untuk menurunkan risiko terkena kanker payudara.

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Breast cancer is cancer found in women and poses serious health problem. it rank second as the most frequent cancer and usually fatal. In Indonesia, among other cancers. breast cancer ranks second in frequency and Dharmais Cancer Hospital has highest visit each year. One known protective factor of breast cancer is breastfeeding. The aim of this study is to understand the association between breastfeeding and breast cancer among Dharmais Cancer Hospital patients in May - July 2007 period.

The study employs case-control design with sampJes of delivered mothers at all age groups who visit oncology polyclinic Dhannais Cancer Hospital during May - July 2001 period. Total sample was 266 consisted of 127 breast cancer patients and 139 other cancer controls. Primary data were coHected through interview conducted by nurse who had been explained about the questionnaire. Data were tested using unconditional logistic regression using Stata version 1.0.

The results shows that proportion of respondents who breastfed between 0--6 months was 75.190/0, 24.81% for breasfed for >6 months; average age of respondent 'WaS 46.5 years. average menarche was 13.5 years. and average first parity age of 25 years. Average parity was 2.5 times and average number of breastfed children was 2.6 children. The average duration of breasfeeding was 12.04 months and average longlife duration of breastfeeding was 32.62 months.

It is concluded that there is a significant relationship between breastfeeding and breast cancer among those who has average breastfeeding of >6 months after controlled by age, famity cancer history. menarche age, parity, and first parity age with adjusted OR of 0.43 (95% CI : 0.24-0.80). The study also concludes that breasfeeding has stronger protective effect among postmenopausal women with adjusted OR of 0.14 (95% CI : 0,03 - 0,62) after controlled by age, menopause age, parity. and first parity age. It is suggested that every mothers should breastfeed their children at least 7 months to reduce the risk of breast cancer."

"Peningkatan angka kejadian kanker serviks tidak saja disebabkan faktor perilaku seksual, tetapi juga gaya hidup yang tidak sehat. Kurangnya pengetahuan mengenai hal ini merupakan salah satu penyebab tetap tingginya kasus kematian kanker serviks. Penelitian ini bertujuan untuk mengidentifikasi efektivitas edukasi tentang kanker serviks pada ibu rumah tangga. Data kuantatif dikumpulkan menggunakan kuisioner pre dan post test, pada kelompok kontrol waktu yang digunakan dua minggu sedangkan pada kelompok intervensi satu minggu. Rata-rata ibu rumah tangga tidak mempunyai pengetahuan yang memadai mengenai bahaya kanker serviks, baik dari cara penularan, pencegahan, tanda dan gejala, pola hidup yang berkaitan dengan pemyakit tersebut. Karena itu dalam membangun sistem edukasi kesehatan seharusnya melibatkan tenaga kesehatan sebagai pelaksana, pemerintah sebagai fasilitator dan pendukung program, media masa sebagai sarana informasi dan institusi terkait.

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Increased incidence of cervical cancer due to factors not only sexual behavior, but also an unhealthy lifestyle. Deficit of knowledge about this is one cause of mortality rate remains high case of cervical cancer. This study aims to determine the effectiveness of education about cervical cancer to housewife. Quantitative data were collected by using a questionnaire pre and post test, in the control group used a two-week period while in the intervention group one week. Average housewife does not have adequate knowledge about the dangers of cervical cancer, kind of the modes of transmission, prevention, sign and symptoms, lifestyle related-disease. Therefore, in developing health education system should involve professionals as executor, government as facilitator and supporter of program, mass media as a means of information and related institutions."

"Kanker Payudara merupakan salah satu penyebab kematian utama pada wanita. DKI Jakarta merupakan Provinsi yang masuk ke dalam urutan kelima yang memiliki prevalensi kanker payudara tertinggi. Penelitian ini bertujuan untuk mengetahui hubungan antara riwayat reproduksi dengan kanker payudara pada wanita di DKI Jakarta dengan menggunakan analisis lanjut data Riskesdas tahun 2013. Desain studi yang digunakan yaitu cross sectional dengan menggunakan analisis chi square. Sampel penelitian yaitu penduduk wanita berumur ≥ 30 tahun di DKI Jakarta tahun 2013 yang menjadi sampel pada Riskesdas 2013 dan memenuhi kriteria inklusi. Berdasarkan hasil penelitian didapatkan bahwa umur pertama kali melahirkan ≥ 25 tahun (PRR= 1,76; 95% CI: 0,53-5,84), jumlah paritas (PRR= 1,06; 95% CI:0,32-3,54) dan riwayat menyusui (PRR= 1,83; 95% CI: 0,23-14,17) memiliki kecenderungan risiko kanker payudara.

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Breast cancer is the most common death in woman. DKI Jakarta has the highest prevalence of breasr cancer in Indonesia. The aim of this study is to find out the association between reproductive factors and breast cancer in woman at DKI Jakarta using the analysis Riskesdas 2013 data.

The type of this study is cross sectional study with chi square analysis. Sample of this study is woman in DKI Jakarta age ≥ 30 who became sample in Riskesdas 2013.

Based on this study, the risk factors of breast cancer are age at 1st live birth ≥ 25 tahun (PRR= 1,76; 95% CI: 0,53-5,84), parity (PRR= 1,06; 95% CI:0,32-3,54), and breastfeeding status (PRR= 1,83; 95% CI: 0,23-14,17)."

"Faktor karakteristik usia, stadium kanker, jenis terapi, dan dukungan suami diprediksi telah memengaruhi timbulnya beragam permasalahan psikoseksual pada pasien kanker ginekologi dan kanker payudara. Penelitian ini dilakukan untuk mengidentifikasi adanya hubungan karakteristik usia, stadium kanker, jenis terapi, dan dukungan suami dengan masalah psikoseksual pada pasien kanker ginekologi dan kanker payudara pasca terapi. Jenis penelitian yang digunakan yaitu cross sectional dengan desain penelitian korelatif dan dengan pendekatan analitis kategorik. Sebanyak 61 responden dipilih dengan menggunakan teknik consecutive sampling. Hasil penelitian menunjukkan bahwa ada hubungan signifikan antara jenis terapi dengan masalah psikoseksual (p= 0,049; α= 0,05). Namun, hasil menunjukkan tidak ada hubungan signifikan antara usia (p= 0,368; α= 0,05), stadium kanker (p= 0,636, α= 0,05), dan dukungan suami (p=0,172, α= 0,05) dengan masalah psikoseksual. Hasil penelitian menyarankan diperlukan pembahasan/penelitian dengan studi kohort lebih lanjut mengenai hubungan faktor karakteristik dengan masalah psikoseksual.

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Characteristic factors of age, cancer stage, types of treatment, and partner support has predicted influences psychosexual problems in patients with gynecological and breast cancer. This study aims to identify the assosiation of characteristics of age, stage of cancer, types of treatment, and partner support with psychosexual problems in post treatment gynecological and breast cancer patients. Cross-sectional study was used in this study. Study sample included 61 sample as respondents wich selected by consecutive sampling technique. The results showed that there was significant assosiation between types of treatment and psychosexual problem (p= 0.049; α= 0.05). But, there was no significant assosiation between age (p= 0.368, α = 0.05), cancer stage (p= 0.636, α= 0.05), and partner support (p= 0.172, α = 0.05) with psychosexual problem. Our findings suggest a need for cohort study to discusse later about the assosiation between the characteristics and psychosexual problems."

"Rendahnya kesadaran melakukan deteksi dini kanker payudara dan serviks adalah penyebab tingginya angka pasien kanker yang datang dengan stadium parah. Penelitian ini bertujuan untuk mendapatkan gambaran kesadaran melakukan deteksi dini kanker payudara dan kanker serviks pada perempuan usia subur. Studi survei-deskriptif kepada 400 perempuan usia subur berusia 26 sampai 50 tahun di Jakarta Timur secara online dengan menggunakan teknik convenience sampling. Alat ukur yang digunakan adalah kuesioner African Women Awareness of Cancer (AWACAN) breast and cervical cancer tool. Hasil penelitian dengan analisis univariat didapatkan pengetahuan yang baik, sikap yang positif, dan praktikyang baik dalam deteksi dini kanker payudara dan serviks. Diharapkan bahwa pemberi asuhan keperawatan melakukan program edukasi dan sosialisasi melibatkan suami, serta perempuan usia subur yang belum menikah untuk meningkatkan kesadaran melakukan praktik deteksi dini kanker payudara dan kanker serviks.

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The low awareness of early detection of breast and cervical cancer is the cause of the high number of cancer patients who come with a severe stage. This study aims to get a picture of awareness of early detection of breast cancer and cervical cancer in women of childbearing age. An online survey-descriptive study of 400 women of Fertile age aged 26 to 50 years in East Jakarta using a convenience sampling technique. The measuring instrument used was the African Women Awareness of Cancer (AWACAN) questionnaire, breast and cervical cancer tool. The results of the study with univariate analysis obtained good knowledge, positive attitudes, and good practice in early detection of breast and cervical cancer. It is hoped that nursing care providers carry out educational and socialization programs involving husbands and women of childbearing age who are not married to raise awareness of early detection practices for breast cancer and cervical cancer."

"Kanker serviks menempati urutan pertama kanker terbanyak pada wanita di RSCM. Penelitian ini dilatarbelakangi oleh rendahnya ketahanan hidup pasien kanker serviks di Indonesia. Banyak pasien kanker serviks tidak melanjutkan pemeriksaan setetelah didiagnosa kanker serviks karena keterbatasan biaya. Penelitian ini bertujuan untuk mengetahui perbedaaan ketahanan hidup lima tahun antara pasien kanker serviks jaminan pembiayaan asuransi kesehatan dengan pasien pembiayaan pribadi/non asuransi di Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo Jakarta tahun 2007-2010. Penelitian menggunakan desain studi analitik observasional dengan desain kohort retrospektif. Hasil penelitian menunjukkan terdapat perbedaan ketahanan hidup 5 tahun antara pasien kanker serviks jaminan pembiayaan asuransi dengan pasien jaminan pribadi/non asuransi (p = 0,001). Pasien kanker serviks jaminan pembiayaan pribadi/non asuransi memiliki risiko kematian 5,18 kali (CI: 1,97-13,59) dibandingkan pasien jaminan asuransi, setelah dikontrol diferensiasi sel, pendidikan, stadium kanker, dan kadar hemoglobin.

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Cancer servix is the most frequent cancer occured for female in RSCM. The low rate of 5-year survival rate cervical cancer patients caused by several factors. A lot of diagnosed patients do not return to hospital for getting proper treatment motivates by financial reasons.

This research aim to see correlation of health insurance with 5-year survival rate of cervical cancer patients at Dr. Cipto Mangunkusumo National Hospital, Jakarta year 2007-2010.

Result shows there is correlation between health insurance status and 5 year survival rate of cervical cancer patients (p value = 0,001). Patients who are not covered by insurance are 5,18 times (CI1,97-13,59) likely at death risk compare to insurance covered patients. Rate adjusted with sel differentiation, education, stadium of cancer, and hemoglobin rate as confounding variables."