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This thesis discussed the role of individual and community factors on the use of LongTerm Contraceptive Method (MKJP) in women of reproductive age couple by region inIndonesia in 2017. The study design follows the advanced analysis design of RPJMNBKKBN survey data that was cross-sectional design. The sample of research onRPJMN survey was women of reproductive age couple. Data were analyzed byMultilevel Logistic Regression analysis. The results showed that the proportion ofwomen of reproductive age couple using the longest method of contraception washighest in the area of Indonesia Java Bali was 27.2%. Multilevel analysis results showedthat there are variations between provinces of MKJP used in women of reproductive agecouple in the area of Indonesia Java Bali and Outside Java Bali I of 1.4 and 1.3 in thearea of Outside Java Bali II. It was recommended to BKKBN to implement MKJPusage program that takes into account the area aspect and can not be uniformed for allprovinces in Indonesia.Key words:Contraception, Women, Individuals, Community.
Kata kunci: Hipertensi, wanita, obesitas
Hypertension is an important public health challenge because it has a strong effect with cardiovascular disease and premature death. The number of hypertension increases from year to year. At the same risk factors, women are more susceptible to hypertension. Many factor that influence of hypertension, one of them is obesity. This study aims to determine the effect of obesity to hypertension in adult women (21-40 years old) in Indonesia, 2014. This study uses secondary data of Indonesian Family Life Survey (IFLS 5, 2014) with cross sectional study design. The number of samples is 6,861 people. The results of this study indicate that 6,861 of women aged 21-40 years old are 11.98% (95%CI: 10,76-12,01) hypertension, 24.78% (95%CI: 23,6-25,37) obesity. The results of multivariate analysis, there is no covariate variable that becomes confounding variable in influence of obesity to hypertension in this research, odds ratio influence obesity to hypertension is 3,29. This means that women with obesity have risk 3,29 to be hypertension. Health Office needs to improve the early detection program of hypertension, especially in obese women with aged 21-40 years olds. The society must apply a healthy lifestyle by maintaining food intake.
Key words: Hypertension,women, obesity
Latar Belakang: Intra Uterine Device (IUD) atau alat kontrasepsi dalam rahim merupakan salah satu metode kontrasepsi jangka panjang. Penggunaan IUD di Indonesia masih tergolong sedikit dan hanya 8.35%. Berdasarkan dari rencana strategis BKKBN, target penggunaan MKJP sebesar 28.39% pada tahun 2024. Salah satu fokus strategi dengan komunikasi, informasi, edukasi (KIE) serta konseling KB. Tenaga kesehatan berperan dalam pelayanan program KB sikap dan perilaku terhadap perencanaan keluarga yang lebih baik, serta menjadi role model
Penelitian ini bertujuan untuk mengidentifikasi determinan yang mempengaruhi penggunaan IUD di kalangan tenaga kesehatan.
Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional, melibatkan 110 responden tenaga kesehatan wanita berusia 20-49 tahun yang bekerja di Jakarta, dan merupakan pengguna KB aktif IUD. Analisis data dilakukan secara univariat dan bivariat menggunakan uji chi-square.
Kesimpulan: Hasil penelitian menunjukkan bahwa 75% responden tenaga kesehatan merupakan pengguna baru IUD. Hasil menunjukkan terdapat hubungan signifikan antara usia (p < 0.001), paritas (p = 0.002), sikap (p = 0.031), efek samping penggunaan IUD (p = 0.041), dan dukungan pasangan (p = 0.045) dengan penggunaan IUD. Namun, tidak ditemukan hubungan signifikan antara jenis IUD (p = 0.326) dan biaya KB (p = 0.364) dengan penggunaan IUD pada tenaga kesehatan. Penelitian ini menyimpulkan bahwa faktor usia, paritas, sikap, dukungan pasangan, dan efek samping berpengaruh terhadap penggunaan IUD di kalangan tenaga kesehatan.
Kata Kunci: penggunaan IUD, tenaga kesehatan
Background: Intra Uterine Device (IUD) is a long-term contraceptive method. The usage of IUD in Indonesia remains low at only 8.35%. According to the strategic plan of the National Population and Family Planning Board (BKKBN), the target for the use of Long-Acting Contraceptive Methods (MKJP) is 28.39% by 2024. One of the strategic focuses is on information, education, communication (IEC), and family planning counseling. Health workers play a crucial role in providing family planning services by improving attitudes and behaviors towards better family planning, as well as serving as role models. This study aims to identify the determinants affecting IUD usage among health workers. Method: This research is a quantitative study with a cross-sectional design, involving 110 female health worker respondents aged 20-49 years who work in Jakarta and are active IUD users. Data analysis was conducted using univariate and bivariate analyses with chi-square tests. Conclusion: The results show that 75% of health worker respondents are new IUD users. The findings reveal significant relationships between age (p < 0.001), parity (p = 0.002), attitude (p = 0.031), side effects of IUD use (p = 0.041), and partner support (p = 0.045) with the use of IUD. However, no significant relationship was found between the type of IUD (p = 0.326) and contraceptive cost (p = 0.364) with the use of IUD among health workers. This study concludes that age, parity, attitude, partner support, and side effects significantly influence IUD usage among health workers. Keywords: IUD usage, health workers
ABSTRAK Nama : Syifa Pramudita Faddila Program Studi : Ilmu Kesehatan Masyarakat Judul : Hubungan Aktivitas Fisik dan Konsumsi dengan Kejadian Overweight pada Anak Usia 10-12 Tahun Di Indonesia Tahun 2013 (Analisis Multilevel Data Riskesdas Tahun 2013) Pembimbing : dr.Iwan Ariawan, MSPH Kegiatan aktivitas fisik dan konsumsi makanan yang seimbang adalah upaya untuk menekan angka overweight pada masa anak-anak agar tidak berlanjut menjadi obesitas maupun penyakit degenaratif lainnya. Secara global, sebanyak 42 juta anak mengalami overweight pada tahun 2015 dan angka kegemukan di Indonesia sekitar 10,8% pada tahun 2013. Tujuan penelitian ini adalah untuk mengetahui hubungan aktivitas fisik dan konsumsi dengan kejadian overweight pada anak usia 10-12 tahun di Indonesia tahun 2013. Penelitian ini menggunakan data sekunder Riskesdas 2013 dengan desain studi cross sectional dimana sampel penelitian sebanyak 49.620 anak. Hasil penelitian menunjukkan 14,5% anak mengalami overweight. Hanya aktivitas fisik yang memiliki hubungan bermakna dengan kejadian overweight (p=0,014), sedangkan konsumsi makanan berisiko (p=0,518) serta buah dan sayur (p=0,693) tidak signifikan terhadap kejadian overweight. Anak yang kurang aktif berisiko 1,11 kali (95% CI= 1,02–1,21) untuk menjadi overweight dibandingkan dengan anak yang aktif. Hasil analisis multilevel menunjukkan variasi kejadian overweight antar provinsi lebih besar jika dibandingkan dengan faktor risiko pada level individu (MOR=1,37). Kejadian overweight berhubungan dengan aktivitas fisik yang dilakukan anak-anak, sedangkan konsumsi tidak memiliki hubungan yang bermakna. Dibutuhkan strategi dan sosialisasi aktivitas fisik pada anak dengan melibatkan berbagai sektor dan built environment agar anak lebih aktif untuk mengurangi kejadian overweight. Kata kunci: Overweight, Aktivitas Fisik, Konsumsi
ABSTRACT Name : Syifa Pramudita Faddila Study Program : Public Health Title : Association between Physical Activity and Consumption with Overweight among Children Aged 10-12 Years in Indonesia 2013 (Multilevel Analysis of Riskesdas 2013) Counsellor : dr.Iwan Ariawan, MSPH Physical activity and balanced food consumption is an attempt to reduce overweight in childhood so as not to continue to be obese or other degenerative diseases. Globally, 42 million children are overweight by 2015 and overweight in Indonesia is around 10.8% in 2013. The purpose of this study was to examine the association between physical activity and consumption with overweight among children aged 10-12 years in Indonesia 2013. This study uses secondary data Riskesdas 2013 with a cross sectional study design where the sample of research is 49,620 children. The results showed 14.5% of respondents had overweight. Only physical activity had significant association with overweight (p=0,014), whereas risky food consumption (p=0,518) with fruit and vegetable consumption (p=0,693) was not significant. Less active respondents were at risk 1.11 times (95% CI= 1.02-1.21) to become overweight compared with active respondents. Multilevel analysis results show that variation in overweight between provinces is greater when compared to risk factors at the individual level (MOR=1.37). Overweight are related to the physical activity of children, while consumption is unrelated. It needed strategy and promotion of physical activity in children by involving parents and built environment to make children more active to reduce overweight. Keywords: Overweight, Physical Activity, Consumption
