Burden of Cervical Cancer in Indonesia: Findings From the Global Burden of Disease Study 1990–2017

Abstract

Cervical cancer is the second commonest cancer among females in Indonesia. The Global Burden of Disease 2017 study provides the comprehensive estimates of all diseases, including cervical cancer. This study was aimed to give overview of burden of cervical cancer at national and provincial level in Indonesia from 1990 to 2017. This was descriptive study using the GBD 2017 results for cervical cancer incidence, prevalence, deaths, disability-adjusted life-years (DALYs), and risk factors. Cervical cancer incidence in Indonesia rose slightly (17%) from 7.4 to 8.7 per 100,000 women. Prevalence rate rose 20.8% in the same period, from 43.3 to 52.4 per 100,000. Meanwhile, death rate was almost same from, 3.3 and 3.7 per 100.000 respectively. DALYs of cervical cancer increased significantly from 211,616 to 303,308. At provincial level, in 2017 the highest prevalence rate and incidence rate were in North Maluku and West Papua. The lowest were in the North Kalimantan and North Sumatera. Incidence rate and death rate of cervical cancer rose from age of 30-34 and peaked at 95+. Meanwhile, prevalence rate and DALYs rate started at age of 25-29 and steadily high at age of 44. Risk factors contributed to cervical cancer were unsafe sex and tobacco.