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Kata kunci: Suplemen besi. Tablet Tambah Darah, BBLR
Based on Riskesdas 2018, the proportion of LBW in Indonesia is 6.3% with the highest number of cases in West Java Province. Iron deficiency in pregnant women can cause restricted fetal growth, prematur birth or LBW. This study aims to look at the relationship between compliance with iron supplement consumption during pregnancy with LBW after controlling for all confounding variables. The method used in this study is case control with a ratio of 1: 3. The research sample is derived from secondary data used from the 2018 Basic Health Research in West Java Province. The number of cases for this study were 180 samples and 540 controls. The covariate variables in this study were maternal age during pregnancy, education level, work status, area of residence, history of hypertension, complications, smoking status, passive smoking status and gestational age at delivery. The relationship of variables was assessed by bivariate and multivariate analysis. The results showed no significant relationship (p> 0.05) with a 1.268 times greater chance of risk for mothers who consumed less iron supplements than 90 tablets to deliver LBW babies (OR = 1.268 95% CI 0.87-1.847) after covariate controlled variable.
Key words: Iron Supplementation, Low Birth Weight
Keputihan adalah masalah kesehatan reproduksi yang umum terjadi pada remaja putri, yang dapat memengaruhi kualitas hidup dan aktivitas belajar mereka. Pengetahuan dan perilaku perawatan organ genitalia wanita berperan penting dalam mencegah keputihan abnormal. Penelitian ini bertujuan untuk menganalisis hubungan pengetahuan dan perilaku perawatan organ genitalia terhadap kejadian keputihan pada siswi remaja putri di Madrasah Tsanawiyah Al Falah Cibinong, Jawa Barat. Penelitian ini menggunakan desain cross-sectional dengan pengumpulan data melalui kuesioner yang diisi oleh 375 siswi. Analisis statistik dilakukan untuk mengidentifikasi hubungan antara pengetahuan, perilaku perawatan, dan kejadian keputihan. Prevalensi kejadian keputihan pada remaja putri di Madrasah Tsanawiyah Al Falah Cibinong adalah 69,87%, dengan 76% diantaranya tidak terpapar informasi terkait merawat organ reproduksi, 86,49% memiliki pengetahuan kurang terkait keputihan, serta 80,33% memiliki perilaku genital hygiene kurang. Rata-rata usia responden adalah 13 tahun, dengan usia terendah adalah 10 tahun (1,33%) dan usia tertinggi yaitu 16 tahun (3,73%). Mayoritas responden remaja putri pertama kali mengalami menstruasi pada usia 11 tahun. Sumber informasi utama responden berasal dari orangtua (17,33%), dan guru (16%). Remaja putri dengan pengetahuan keputihan yang kurang memiliki risiko 1,38 lebih besar (PR= 1,38; 95% CI 1,0599-1,7966) untuk mengalami kejadian keputihan dibandingkan dengan remaja putri dengan pengetahuan cukup dan baik. Pengetahuan merupakan variabel yang paling berhubungan terhadap kejadian keputihan di Madrasah Tsanawiyah Al Falah Cibinong, Jawa Barat.
Leucorrhea is a common reproductive health issue among adolescent girls that can affect their quality of life and learning activities. Knowledge and behavior regarding the care of female genitalia play a crucial role in preventing abnormal leucorrhea. This study aims to analyze the correlation between knowledge and behavior regarding genital care on the incidence of leucorrhea among female adolescents at Madrasah Tsanawiyah Al Falah Cibinong, West Java. This research employs a cross-sectional design, collecting data through questionnaires filled out by 375 students. Statistical analysis was conducted to identify the relationship between knowledge, care behaviors, and the occurrence of leucorrhea. The prevalence of vaginal discharge in adolescent girls at Madrasah Tsanawiyah Al Falah Cibinong was 69.87%, with 76% of them not exposed to information related to caring for reproductive organs, 86.49% had poor knowledge about vaginal discharge, and 80.33% had poor genital hygiene behavior. The average age of respondents was 13 years, with the lowest age being 10 years (1.33%) and the highest age being 16 years (3.73%). The majority of adolescent girls experienced their first menstruation at the age of 11. The main source of information for respondents came from parents (17.33%), and teachers (16%). Adolescent girls with poor knowledge of vaginal discharge had a 1.38 greater risk (PR= 1.38; 95% CI 1.0599-1.7966) of experiencing vaginal discharge compared to adolescent girls with sufficient and good knowledge. Knowledge is the variable most related to the incidence of vaginal discharge in Madrasah Tsanawiyah Al Falah Cibinong, West Java.
Based on the results of Basic Health Research (Riskesdas) in Indonesia, the prevalence of central obesity continues to increase, namely 18.8% in 2007, 26.6% in 2013, and 31.0% in 2018. Central obesity in Indonesia is mostly found in women and aged ≥45 years. One of the factors that can influence the occurrence of central obesity is emotional mental disorders. Emotional mental disorders are a response to stressful or stressful events that affect the brain's work in carrying out physical activity, smoking status, and a person's eating behavior. This study aims to determine the relationship between emotional mental disorders and central obesity in women aged ≥45 years in Indonesia using 2018 Riskesdas data with a cross-sectional study design. The results of the analysis showed that the prevalence of central obesity in women aged ≥45 years in Indonesia was 54.5% and mental-emotional disorders were 13.3%. Results after multivariate analysis using cox-regression showed that emotional mental disorders had a relationship with central obesity controlled by physical activity, smoking status, and emotional mental disorders which interacted with physical activity, smoking, and consumption of risky foods (Pvalue=0.047; 95CI 0.93 -1.00). The need to consider emotional mental disorders in preventing and controlling the incidence of central obesity in Indonesia.
