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Menarche is defined as the beginning of menstruation, which is when a woman experiences her first menstruation. The age of menarche tends to accelerate in the last 100 years. Furthermore, the percentage of adolescents experiencing early menarche was increased. Early age of menarche can have an impact on psychosocial and physical health. This study aims to determine the factors associated with the age of menarche. This study took place in June 2022 at SMP PGRI 3 Jakarta. This study is a quantitative study using cross sectional study design. The data collection were process is conducted with anthropometric measurements using weight scales and microtoise, and self-administrered questionnaire to collect information about age of menarche, stress level, sleep quality, electronic media and internet exposure, boyfriend exposure, pocket money, parental education, and parental income. The results showed that 36.2% of respondents who had menarche experienced it at an early age. The factors associated with age of menarche are nutritional status, boyfriend exposure, parental income, and father's education as confounding variables. The factor that has the highest association with age of menarche is nutritional status. It is recommended to monitor the nutritional intake of students because nutritional status is the dominant factor that affects the age of menarche
The prevalence of anemia in pregnant women should decrease, considering the number in Indonesia has included a severe public health problem (43.2%). The cause of anemia in pregnant women is greater due to iron deficiency. Therefore, it is necessary to take iron supplementation or blood-added tablets for pregnant women to prevent the risks posed by iron deficiency anemia in pregnant women. Based on the 2017 IDHS report, it is known that the consumption of blood-added tablets according to the health recommendations of pregnant women is only 44% and this figure is still far from the 2015-2019 Strategic Plan target. This study aims to determine the factors associated with the consumption of blood-added tablets in pregnant women in Indonesia. This study is a quantitative study with a cross-sectional research design and the use of data from the 2017 Indonesian Health Demographic Survey. The analysis in this study was carried out using descriptive statistics, chi-square test and multiple logistic regression. The results showed that the proportion of pregnant women who consumed at least 90 tablets added blood was 44.1% (42.8% -45.4%). There is a significant relationship between the consumption of blood-added tablets with wealth index, area of residence, marital status, frequency of ANC visits, time of first ANC, parity, and husband's support. The most dominant factor related to the consumption of blood-added tablets is the frequency of ANC visits. Therefore, health care workers need to provide education to pregnant women to do ANC as often as possible which is part of the program of giving blood-added tablets to control their health during pregnancy to prevent the risk of iron deficiency.
Tingginya Angka Kematian Ibu (AKI) menjadi salah satu isu prioritas kesehatan di Indonesia. Penggunaan kontrasepsi modern pascasalin merupakan strategi efektif untuk menekan AKI dengan mengatur jarak kehamilan. Namun, cakupannya belum merata, dengan disparitas signifikan antarprovinsi. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan penggunaan kontrasepsi modern pascasalin di Provinsi Jawa Timur dan Sumatera Utara.
Penelitian ini menggunakan desain potong lintang (cross-sectional) dengan analisis data sekunder dari Survei Kesehatan Indonesia (SKI) 2023. Sampel terdiri dari wanita usia subur (15-49 tahun) yang telah melahirkan. Analisis data dilakukan menggunakan regresi logistik multivariabel. Hasil penelitian menunjukkan proporsi penggunaan kontrasepsi modern pascasalin di Jawa Timur (79,2%) lebih tinggi secara signifikan dibandingkan Sumatera Utara (50,5%). Faktor determinan di Sumatera Utara adalah umur, status pekerjaan, dan konseling KB. Di Jawa Timur, faktor yang berhubungan adalah daerah tempat tinggal, status ekonomi, paritas, dan konseling KB. Konseling KB pascasalin menjadi satu-satunya faktor yang berhubungan signifikan di kedua provinsi. Kesimpulannya, terdapat perbedaan determinan dalam penggunaan kontrasepsi modern pascasalin antara kedua provinsi, yang menyoroti pentingnya intervensi spesifik sesuai konteks wilayah. Penguatan layanan konseling menjadi kunci strategis untuk meningkatkan cakupan secara nasional.
The high Maternal Mortality Rate (MMR) is a priority health issue in Indonesia. The use of modern postpartum contraception is an effective strategy to reduce MMR by managing pregnancy spacing. However, its coverage is uneven, with significant disparities between provinces. This study aims to analyze the factors associated with the use of modern postpartum contraception in East Java and North Sumatra provinces. This study employed a cross-sectional design using secondary data analysis from the 2023 Indonesian Health Survey (SKI). The sample consisted of women of childbearing age (15-49 years) who had previously given birth. Data were analyzed using multivariate logistic regression. The results showed that the proportion of modern postpartum contraceptive use in East Java (79.2%) was significantly higher than in North Sumatra (50.5%). The determining factors in North Sumatra were age, employment status, and family planning counseling. In East Java, the associated factors were area of residence, economic status, parity, and family planning counseling. Counseling was the only factor significantly associated in both provinces. In conclusion, there are different determinants for the use of modern postpartum contraception between the two provinces, highlighting the importance of region-specific interventions. Strengthening counseling services is a strategic key to increasing coverage nationally.
