Yusuf Brilliant dan Sardjana Atmadja

Medical Faculty Health and Science
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:
 π(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


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