Exposing women oyster seekers to estuary water over the pap smear in Krueng Tibang river, Alue Naga, Banda Aceh

In Aceh, oyster hunting is mostly carried out by women, by sitting or squatting inside the estuary water. The job is carried out every day for many years, with an average duration of two until three hours/day. During this activity, the female genital organ is an open cavity which is an entry point of substances into the body. The residential drainage channels in Banda Aceh City, consists of Alue Naga and Krueng Tibang Rivers Furthermore, the water quality of the Krueng Cut river is in class III, and it contains coliform bacteria, fecal coliform, and streptococcus fecal bacteria. However, the oysters extracted contain lead, cadmium, and zinc, which are above the safety level. The purpose of this study was to determine the effect of age, and duration of work using vaginal douches on pap smear result test in woman oyster seekers. The research subjects comprised of 60 respondents, which was obtained by purposive random sampling. The result showed that 75% of the respondents in abnormal category (PAP II), had pap smear results. A total of 39 respondents (65%) were in the reproductive age, with 35 (58.3%) of them having worked for more than five years, while 25 (41.7%) did not utilize the vaginal douching after work. Furthermore, it influences the age of Pap smear results (p-value=0.00), the length of work affecting the pap smear result test (p-value=0.00), and the vaginal douching that influences the pap smear results (p-value=0.001). Logistic regression analysis showed that the most influential variable on Pap smear results was the length of work (p-value=0.005) and vaginal douching utilized (p-value=0.002), with its results not affecting by age.