Determinan Kejadian Kanker pada Wanita di Indonesia

Abstract

Cancer is one of the non-communicable diseases with the largest health burden among women in Indonesia. This study aims to analyze the determinants of cancer incidence among women in Indonesia. A quantitative study with a cross-sectional design using secondary data from the 2023 Indonesian Health Survey (Survei Kesehatan Indonesia / SKI). The sample consisted of 337,689 women aged ≥15 years. Data analysis was performed using the chi-square test and multiple logistic regression. The prevalence of cancer incidence among women was 0.2%. The majority of respondents were aged 15–44 years (61.5%), had low educational attainment (60.4%), engaged in sufficient physical activity (73.4%), frequently consumed risk-associated foods (59.3%), were non-obese (86.0%), non-smokers (98.2%), non-stressed (97.5%), unemployed (59.1%), and belonged to the high socioeconomic quintile (45.0%). The final multivariate analysis model demonstrated that the determinants of cancer incidence were age 15–44 years (Adj PR = 0.219; 95% CI: 0.107–0.448; p = 0.000), low educational level (Adj PR = 0.549; 95% CI: 0.425–0.710; p = 0.000), low socioeconomic status (Adj PR = 0.564; 95% CI: 0.421–0.754; p = 0.000), and mental health/stress (Adj PR = 2.926; 95% CI: 1.947–4.397; p = 0.000). Mental health (stress) emerged as the most dominant determinant. Stress, age, education, and socioeconomic status are determinants of cancer incidence among women in Indonesia, with stress being the most dominant factor. The integration of mental health screening into women's healthcare services needs to be strengthened.