Islam Negeri Syarif Hidayatullah University Jakarta
OBJECTIVES This study is to prove the existence of a significant relationship between student absenteeism ,students attend activities at school ,on campus with primary dysmenorrhoea symptoms experienced during menstruation INTRODUCTION The use of a logistic regression model has grown rapidly along with the advancement of medical science and technology . This paper discusses the use of a logistic regression model to predict the occurrence of endometriosis among students. Dysmenorrhoea is the pain that is felt in the lower abdomen during menstruation 20% of students/student experiencing the unfortunate disease endometriosis and can not be the school/college. 10% of women experienced pain serious career caused by dysmenorrhoea and should not work. 52% of students in Yogyakarta is unable to perform daily activities well for experiencing menstruation. DESIGN AND METHOD Using logistic regression model The study was done in Permata Hati Malang Hospital. About 123 students were randomly selected in this study. The factors that observed are menarche, menstruation, period around menstruation, blood loss volume and levels of CA 125.
DISCUSS By using the method of logistic regression with retrospective testing removal criteria ratio, linear regression models logistic is given as follows: (x) =
x 1 = long of period, x 2 = production rate dan x 3 = age of menarche.
3 2 1 077 , 1 132 , 1 916 , 0 099 , 0 exp 1 1 x x x Characteristics Dysmenorrea n = 71 Not Dysmenorrhea n = 52 chi-square value Menarche Age Min Standard deviation 11-12 13 14-16
12,86 1,23 32 24 15
12,98 1,20 23 11 18
0,770 The prevalence of Normal menstrual 58 44 0,400 Abnormal 13 7
30 days > 30 days
57 9
35 14
0,048 Menstrual period 6 days > 6 hari
42 28
26 24
0,383 Production rate Much Less
48 22
46 6
0,010 RESULT The test showed that the measurement model CA 125 levels in endometriosis is suitable (Chi squar test value is 2.847 with p-value = 0.416). the contributors to dismenorhea are menstruation long periode, menstrual spending levels and the onset of menarche the ratio was achieved (odds) found that the risk of students having dysmenorrhoea is (i) 2.5 times higher for those whose menstrual period is longer (ii) 3.7 times higher multiple for those who have the spending levels of the menstrual a bit and (iii) three times higher for those who get menarche more than 13 years.
CA 125 (pg/ml) Threshold (cut off values) 3700 Sensitivity 90.00 Specificity 60.00 Positive predictive value (PPV) 69.23 Negative predictive value (NPV) 85.71 Accuracy 75.00
Conclusions This s There were significant levels of CA 125 in the student who suffers dismenorhea. this study also found that the risk to get dysmenorrhoea increased if the student have menstrual long period over than 35 days little spending levels of blood menstruation and menarche onset more than 13 years old. We, indeed, recommend further studies to probe more markers on a larger number of patients to verify and add to our results. REFERENCES Alkaf F ( 2006 ).Terapi Pilihan Endometriosis. Yogyakarta BP 19 : 9- 11 Cox, D.R. (2008). The Analysis Of Binary Data. London: Methuen and Co. Hosmer, D.W. dan Lemeshow, S. (2000). Applied Logistic Regression, Second Edition. John Wiley & Sons. Ng, T.R., Tan, T.C. dan Wansaicheong, G.K., (2009). A Prevalence Study Of Dysmenorrhoea In Female Residents Aged 15-54 Years In Clementi Town, Singapore, Annals Acad. Med. Singapore, 21(3): 323-327. Samsul H ( 2007 ). Terapi alternative Endometriosis.SBY,13 : 4- 5 Sardjana ( 1998 ) . Prevalensi Endometriosis pelajar dan mahasiswi di Malang.PIT 2000,22: 23- 27