Demographic profile and pap smear cytology in female sexual workers at primary health care Bestari Medan-Petisah

Sexual workers are one of risk the cervical cancer has a long latent period. Cervical cancer is the main cancer in Southeast Asia and the second most common cancer in Indonesia. In addition, Indonesia is the second common country cause of death in women after Vietnam. The aim of this study was to evaluate demographic profile and cervical cytology in Female Sexual Workers (FWSs) at Primary Health Care Bestari, Medan-Petisah, North Sumatera. This study has recruited 70 FWSs who has worked for at least 2 years and are not pregnant. Participants fill out the questionnaires include age of participants, age at first sexual intercouse, and life styles (smoking of cigarette and consumption of alcohol). Pap smear test from cervical smear of 70 FWSs were conducted using Papanicolaou staining. The result showed most of the FWSs of sexually-active women less than 30 years old reported 54,28% and 45,72% more than 30 years old. The first sexual intercourse showed 18-20 years old as much as 54,29%, life styles of smoking and consumption alcohol was 51,4% and 10% respectively. Pap smear cytology showed 52,9% was inflammatory smear, 15,7% was A squamous Cells of Undetermined Significance (ASCUS), 11,4% was Low-grade Squamous Intra epithelial Lesions (LSIL). Most of FWSs described inflammatory smear, although a small portion had been found of ASCUS and LSIL. The chronic inflammation can develop to be carcinogenesis.