Ditemukan 24381 dokumen yang sesuai dengan query :: Simpan CSV
Prediabetes is a global public health issue. Prevalence of prediabetes isincreasing worldwide. Generally, it is high among adults and as a high risk statefor DM. Obesity has essential role in pathophysiology of prediabetes. This studyaimed to explore whether both of general obesity and abdominal obesity related toprediabetes on age group 20-65 years in Bogor tengah sub-district by familyhistory of DM, sex, age, smoking, hypertension, physical activity and stress. Thisstudy used the cross sectional design study with Cox Regression to multivariableanalysis. Data for this analysis were collected during the baseline stage of cohortstudy of risk factors of non-communicable disease in 2011-2012. There were3244 respondents from Bogor tengah were taken by random sample technique..The result indicated that obesity to prediabetes adjusted by age; general obesityalone PR 1,58 (95% CI: 1,17-2,15), abdominal obesity alone PR 1,45 (95% CI;1,19-1,87), general obesity and abdominal obesity jointly PR 1,92 (95% CI;1,62-2,28). Therefore, general obesity and abdominal obesity jointly contributedmost to the increase prevalence of prediabetes. Awareness raising and screeningof prediabetes of those at high risk group by assessing obesity by BMI and waistcircumference joinlty are essential to be considered as part of efforts for haltingthe epidemic of prediabetes in community.Keyword : general obesity, abdominal obesity, prediabetes.
Coronary Heart Disease (CHD) is one of the leading causes of death globally with a mortality rate of nearly 17.5 million annually. Smoking accounts for 33% and hypertension accounts for 31% of all deaths from cardiovascular disease. Smoking and hypertension are major risk factors for CHD, which are a serious problem that needs to be addressed in Indonesia and the world. The purpose of this study was to determine the greater risk of smoking and hypertension with the incidence of coronary heart disease in Indonesia. The study used a retrospective cohort design. The data used are secondary data from the Indonesian Family Life Survey (IFLS-4 and IFLS-5 data for 2007-2014) with a total sample of 19,486 population respondents aged ≥18 years. Data analysis with cox regression and the amount of risk is expressed in risk ratio (RR) with a confidence interval (CI) of 95%. Data analysis using data processing software. The results of multivariate analysis after being controlled by sex and DM history showed that smoking individually was not related to CHD in Indonesia in 2007-2014 with a value (RR 1.08; 95% CI = 0.70- 1.67). Hypertension individually increases CHD risk (RR 1.19; 95% CI = 0.92-1.53). Smoking and hypertension together increase the risk of CHD compared to people who don't smoke and don't have hypertension in Indonesia in 2007-2014 (RR 1.66; 95% CI = 1.11-2.48) meaning that respondents who smoke and hypertension are at risk of experiencing CHD 1.66 times (95% CI; 1.11-2.48) compared to nonsmokers and those without hypertension.
Labor complications are a primary cause of maternal mortality in Indonesia and are influenced by various factors. Maternal age is a known risk factor, yet the specific factors for each age group require distinct analysis to inform targeted interventions. This study aims to determine the overview and risk factors for labor complications based on maternal age groups in Indonesia. This study utilized a cross-sectional design, analyzing secondary data from the 2023 Indonesian Health Survey (SKI). The sample consisted of 70,681 mothers who met the inclusion criteria. Data were analyzed using descriptive statistics and the Chi-Square test. The study found differences in the proportion of childbirth complications in Indonesia across young (15.1%), ideal (16.9%), and older (19.2%) age groups, as well as differences in factors associated with complications in each age group. The most dominant types of childbirth complications in young and ideal age groups were prolonged labor and premature rupture of membranes, while breech presentation was more common in older age groups. Factors consistently associated with childbirth complications across all three maternal age groups were education level, area of residence, parity, pregnancy planning, history of pregnancy complications, birth attendant, place of delivery, and source of delivery financing. Factors specific to the ideal and older age groups were partner's education level, birth spacing, and history of Antenatal Care (ANC) visits. Factors that were only significantly associated with specific age groups included husband or family support, which only affected the ideal age group, and maternal employment status, which only affected the older age group. Early detection and differentiated risk management tailored to each age group are necessary. targeting specific risk factors, both clinical (e.g., prolonged labor in young age, hypertension in older age) and sociodemographic.
Pendahuluan. Kelahiran bayi prematur di Indonesia masih cukup tinggi (14,2%), bila dibandingkan dengan negara-negara lainnya yang termasuk kedalam negara berpenghasilan sedang seperti Cina, Chili, Amerika Latin, Uruguay dan Brazil. Dampak yang ditimbulkan akibat persalinan prematur ini sangat besar seperti peningkatan mortalitas dan morbiditas bayi serta gangguan tumbuh kembang yang nantinya akan berdampak panjang pada kelangsungan hidup bayi. Salah satu penyebab terjadinya prematur adalah anemia pada ibu hamil. Meskipun pada beberapa penelitian anemia telah terbukti meningkatkan risiko terjadinya persalinan prematur, namun masih perlu dilakukan penelitian lain pada populasi yang berbeda, yaitu populasi perkotaan (rural) disalah satu rumah sakit di Jakarta Pusat (RSIA Budi Kemuliaan). Tujuan Penelitian. Mengetahui seberapa besar pengaruh anemia ibu hamil pada trimester III dengan kejadian persalinan prematur di RSIA Budi Kemuliaan Jakarta periode Januari - April 2010 setelah di kontrol dengan variabel karakteristik ibu, Status Sosio Ekonomi, kondisi kehamilan dan persalinan saat ini, dan riwayat obstetri yang pernah dialami ibu. Metode Penelitian. Desain penelitian yang digunakan adalah kasus kontrol dengan penggunaan data sekunder rekam medik. Populasi penelitian pada kelompok kasus yaitu semua ibu yang melahirkan < 37 minggu di RSIA Budi Kemuliaan dan populasi kontrol adalah semua ibu yang melahirkan aterm (cukup bulan) > 37-42 minggu di RSIA Budi Kemuliaan Jakarta. Sampel penelitian diambil dari persalinan pada periode waktu Januari – April 2010. Metode analisis yang digunakan adalah regresi logistik. Hasil Penelitian. Pada analisis bivariat hubungan anemia prematur diperoleh OR 4,38 (95% CI: 2,24 – 7,85) sebelum dikontrol dengan variabel kovariat. Setelah dilakukan analisis multivariat didapatkan model akhir hubungan anemia ibu hamil dan prematur dan faktor lainnya yang berpengaruh yaitu pendidikan, jarak kehamilan, cara melahirkan dan komplikasi kehamilan didapatkan OR 5.79 (95% CI: 3,03 – 11,08). Kesimpulan. Hubungan anemia ibu hamil dan terjadinya prematur didapatkan OR 5.79 (95% CI: 3,03 – 11,08), artinya ibu hamil yang menderita anemia berisiko 5,79 kali untuk melahirkan prematur dibandingkan dengan ibu hamil yang tidak anemia setelah dikontrol oleh variabel pendidikan, jarak melahirkan, cara melahirkan dan komplikasi kehamilan Kata kunci: prematur, anemia.
Introduction. Premature in Indonesia if compare to the other developmental countries such as China, Chile, America Latin, Uruguay and Brazil is still high (14,2%). The effect of premature is extremely huge, for example it’s increasing the baby mortality and the morbidity rate as well as interfering the growth and developmental process from childhood to adulthood and the future. One of the causal factors of prematurity is anemia during pregnancy. Eventough the relationship between premature and anemia in pregnancy is well-noted in some previous researchs, the author believe that it still needs to be done on other settings like urban population at Rumah Sakit Ibu dan Anak Budi Kemuliaan Jakarta Pusat. Objective. To obtain the magnitude of the risk prematur caused by anemia during pregnancy at Third Trisemeters at RSIA Budi Kemuliaan Jakarta period January-April 2010 after contolled by variabel maternal characteristics, social economic status, condition of current pregnancy and delivery, and obstetrical history. Method. This case control research used data from medical record. The case population is whole mothers whom delivered < 37 weeks of gestation, while control population is whole mothers whom delivered aterm > 3742 weeks at RSIA Budi Kemuliaan Jakarta. Sampel was taken from period January to April 2010 and the data was analized with logistic regression. Result. On bivariat analisys found OR 4,38 (95% CI: 2,24 – 7,85. Fitted model on multivariate analysis after controlling variables education, length of pregnancy, mode of delivery and complication OR 5.79 (95% CI: 3,03 – 11,08). Conclusion. The effect of anemia in pregnancy to premature found OR 5.79 (95% CI: 3,03 – 11,08), which implies the mother whom anemia during pregnancy having risk 5,79 times to have premature baby than mother whom are not anemia during pregnancy after controlled by variable education, length of pregnancy, mode of delivery, and complication in pregnancy. xi Key words: prematur, anemia.
ABSTRAK Nama : Lia Hapsari Andayani NPM : 1506784984 Program Studi : Epidemiologi Komunitas Judul : Determinan Kejadian Penyakit Periodontal Pada Masa Kehamilan di Indonesia Tahun 2013 (Analisis Data Riskesdas 2013) Perubahan hormonal yang terjadi pada seorang wanita pada masa kehamilan dapat mempengaruhi kesehatan jaringan periodontal. Peningkatan kadar estrogen dan progesteron mengubah komposisi bakteri, permeabilitas pembuluh darah, dan kondisi fisiologi jaringan periodontal, sehingga wanita hamil rentan mengalami penyakit periodontal. Penyakit periodontal dapat menyebabkan tanggalnya gigi, komplikasi kehamilan, dan peningkatan risiko penyakit sistemik. Penelitian ini bertujuan untuk mengetahui hubungan faktor sosial demografi, faktor kehamilan, faktor perilaku kesehatan gigi dan mulut, serta faktor lokal terhadap kejadian penyakit periodontal pada masa kehamilan di Indonesia tahun 2013. Desain penelitian yang digunakan adalah potong lintang. Sebanyak 1733 wanita hamil diambil sebagai sampel dari data Riskesdas tahun 2013. Uji statistik menggunakan regresi logistik ganda. Prevalensi penyakit periodontal pada masa kehamilan di Indonesia sebesar 4,4%. Faktor lokal yang mempengaruhi terjadinya penyakit periodontal pada masa kehamilan adalah karang gigi (POR 4,297; 95%CI : 2,047 – 9,023) dan gigi berjejal (POR 2,126 ; 95%CI :1,232 – 3,669). Faktor perilaku kesehatan gigi dan mulut yang mempengaruhi terjadinya penyakit periodontal pada masa kehamilan adalah frekuensi menyikat gigi (POR 2,543; 95%CI : 1,041 – 6,210). Tenaga medis harus berkerja sama dan merumuskan kebijakan mengenai perawatan kesehatan gigi dan mulut selama masa kehamilan. Penyuluhan tentang konsep menyikat gigi yang baik, serta keamanan tindakan pembersihan karang gigi selama masa kehamilan sangat diperlukan. Kata kunci : penyakit periodontal, kehamilan, karang gigi
ABSTRACT Name : Lia Hapsari Andayani Student Num : 1506784984 Program : Epidemiology Tittle : Determinants For Peridontal Disease in Pregnancy in Indonesia 2013 (Riskesdas 2013 Data Analysis) Hormonal changes that occur in a woman during pregnancy can affect the health of periodontal tissue. Elevated levels of estrogen and progesterone alter bacterial composition, permeability of blood vessels, and periodontal tissue’s condition so that pregnant women are susceptible to periodontal disease. Periodontal disease may cause tooth loss, adverse pregnancy outcomes, and increased risk of systemic disease. This study aims to determine the relationship of socio-demographic, pregnancy, oral health behavior and local factors with periodontal disease during pregnancy in Indonesia in 2013. This is a cross-sectional study involved 1733 pregnant women that was retrieved from Riskesdas 2013 data. Statistical test using multiple logistic regression. Periodontal disease was present in 4,4% pregnant women. Local factors that affect the occurrence of periodontal disease during pregnancy are calculus (POR 4,297; 95%CI : 2,047 – 9,023) and tooth crowding (POR 2,126 ; 95%CI :1,232 – 3,669). Dental and oral health behavior factor that affect the occurrence of periodontal disease during pregnancy is toothbrushing frequency (POR 2,543; 95%CI : 1,041 – 6,210). It is necessary to build good cooperation between medical professionals and dentists to provide oral health service during ante natal care. Introducing the right toothbrushing concept and the safety of calculus removal during pregnancy is recomended. Keyword : periodontal disease, pregnancy, calculus