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LBW is brith weight less than 2500 grams (up to 2499 grams). LBW can cause prenatal death and pain, and increase the risk of causing non-communicable diseases. The proportion of LBW in Indonesia from the 2007 IDHS period, 2012, 2017 was stable and there was no different from 2007 to 2017. Unwanted pregnancies became one of the risk factors for LBW. Unwanted pregnancy is a pregnancy that occurs outside of planning. Because a husband or wife partner cannot use contraception, there is no access to family planning services which causes pregnancy, while the physical or psychological condition of the partner is not ready and rejects the pregnancy. The proportion of unwanted pregnancies in the 2007, 2012, 2017 IDHS period is stable.
The incidence of low birth weight (LBW) is a health problem that can not be ignored because it contributes greatly to neonatal mortality and is sensitive to long-term risks to infant health. One of the maternal factors that can lead to a high-risk pregnancy for LBW is the pregnancy intentions. This study aims to determine the association between pregnancy intentions and LBW based on secondary data from Indonesia Demographic And Health Survey 2012. The design of this study was cross sectional with 8922 samples of mothers aged 15-49 years married, had given birth within 5 years (before Indonesia Demographic And Health Survey 2012 data collection), single birth and live birth conditions. The result of the study obtained the proportion of LBW at 6.2%. Based on multivariate analysis of logistic regression, after all categories were controlled by ANC age and frequency variable, pregnancy category was then mistimed at 1,055 times for LBW. The unwanted pregnancy category was modified by a history of complications, for the unwanted category and had a history of complications having a greater risk (1,158 times) of delivering LBW, for unwanted pregnancy and no history of complications having a smaller risk (0.590 times) Compared with respondents with intended pregnancies and no history of complications (references). However, the final outcome for both categories of pregnancy intentions showed a statistically insignificant. Keywords: Pregnancy Intention, Low Birth Weight (LBW), Indonesia Demographic and Health Survey 2012.
Kata kunci: BBLR; kehamilan remaja
Low Birth Weight (LBW) in Indonesia has the prevalence of 7,3 % according to IDHS 2012. Some research showed that more LBW occurences happened to mother aged 15-19 at the time of birth. This study aims to prove the association between adolescent pregnancy and low birth weight after controlling all the confounding variables. The method used for this study is case-control (1:1) by analyzing IDHS 2012. The selected cases are 871 with 871 controls. Covariate variables are education, parity, complication during pregnancy, complication at birth, months of pregnancy at first antenatal visit and number of antenatal visit. The result of the study is that there is a significant association between adolescent pregnancy after controlling all confounding variables which are education, complication during pregnancy and months of pregnancy at first antenatal visit and number of antenatal visit (OR: 2,65; p value= 0,013; 95% CI: 1,232-5,712).
Key words: LBW; adolescent pregnancy
Introduction. Indonesia is a country that still many health services located inperipheral areas with minimal facilities and rarely have experts to predict the weightof the baby at birth.Methods. This study using cross sectional study design. The inclusion criteriamaternal last child, a baby was born alive, and a single baby, obtained a sample of23.689.Results. Variables are a risk factor for LBW is gestational age (POR 2,01), age(POR 1,28), parity (POR 1,56), maternal height (POR 1,48) and complications(POR 1,46). ROC analysis obtained an area under the curve to identify the LBW of0,602. Value cut-off point for scoring 4 prediction and sensitivity of 59,8%.Conclusion. Gestational age, age, parity, height, and complications are risk factorsand can be used to predict the baby to be born at risk of LBW.Keywords: birth weight babies, sensitivity, predictive.
ABSTRAK Nama : Stevy Elisabeth Dame Simamora Program Studi : Epidemiologi Judul : Pengaruh Paparan Asap Rokok Dari Suami Pada Wanita Usia 15-57 Tahun Dengan Kejadian Bayi Berat Lahir Rendah Di Indonesia (Analisis Data Lanjutan IFLS V Tahun 2014) Pembimbing : DR. dr. Sudarto Ronoatmodjo S.K.M., M.Sc Di Indonesia berdasarkan hasil riskesdas tahun 2013 menunjukkan angka nasional BBLR yaitu sekitar 10,2%. Berdasarkan survei yang dilakukan oleh Global Adult Tobacco Survey (GATS) tahun 2011 diperoleh hasil bahwa 67% laki-laki di Indonesia merokok. (1) Sementara itu pada tahun 2011-2015 prevalensi perokok pasif yang terpapar asap rokok di rumah sekitar 78.4%, lebih dari separuh perokok pasif adalah kelompok rentan seperti perempuan dan balita. (2). Penelitian ini bertujuan untuk menegetahui hubungan paparan asap rokok dari suami pada wanita usia 15-57 tahun dengan kejadian BBLR. Penelitian ini bertujuan untuk menegetahui hubungan paparan asap rokok dari suami pada wanita usia 15-57 tahun dengan kejadian BBLR. Penelitian ini menganalisis data IFLS V tahun 2014.Jumlah wanita usia 15-57 tahun yang menjadi responden IFLS V sebanyak 2.721 orang. Sebanyak 1.599 orang menjadi total sampel karena telah memenuhi syarat kriteria inklusi yaitu wanita usia 15 – 57 tahun dengan anak kelahiran terakhir yang lahir hidup dalam kurun waktu 2007-2015, Pernah melahirkan. Sedangkan kriteria ekslusi yaitu : data tentang riwayat merokok suamidan variabel kovariat tidak lengkap, dan ibu merupakan perokok aktif. Proporsi ibu usia 15-57 tahun yang terpapar asap rokok dari suami adalah 73,5 % . Proporsi bayi dengan berat lahir rendah yang dilahirkan oleh ibu yang terpapar asap rokok dari suami pada penelitian ini adalah 7,74 %, dan proporsi bblr pada ibu yang tidak terpapar asap rokok dari suami yaitu 6,86%. Terdapat hubungan yang tidak bermakna antara merokok pasif pada ibu usia 15-57 tahun dengan kejadian BBLR dengan 1,096 (CI 95% 0,721-1,66) setelah dikontrol oleh variabel riwayat kunjungan ANC. Pengaruh paparan asap rokok terhadap kejadian BBLR setelah dikontrol oleh variabel riwayat kunjungan ANC tidak bermakna. Meskipun faktor yang mempengaruhi BBLR sangat banyak dan kompleks, namun hal ini dapat dicegah sejak dini. Salah satunya melalui melindungi masyarakat dari paparan asap rokok melalui upaya pencegahan dan promosi kesehatan. Kata Kunci : bblr,merokok pasif, IFLS
ABSTRACT Name : Stevy Elisabeth Dame Simamora Study Program : Epidemiology Title : The Effect of Cigarette Smoke Exposure From Husbands In Women Aged 15-57 Years With Low Birth Weight In Indonesia (Advanced Data Analysis of IFLS V 2014) Counsellor : DR. dr. Sudarto Ronoatmodjo S.K.M., M.Sc In Indonesia based on the results of Riskesdas (Basic Health Research) in 2013 shows the national rate of LWB is about 10.2%. Based on a survey conducted by Global Adult Tobacco Survey (GATS) in 2011, it was found that 67% of men in Indonesia smoke. (1) Meanwhile in 2011-2015 the prevalence of passive smokers exposed to cigarette smoke at home is about 78.4%, more than half of passive smokers are vulnerable groups such as women and toddlers. (2). Objective: This study to see the effect of exposure to husbands cigarette smoke with the LWB. Method: This study analyzed IFLS V data in 2014. A total of 1,599 people into the total sample because it has fulfilled the inclusion criteria, namely women aged 15 - 57 years with the last born birth of children in the period 2007-2015, Ever give birth. While the exclusion criteria are: data about husbans smoking history and covariate variable is incomplete, and mother is active smoker. Results: 73.5% of husbands were smokers. The proportion of infants with low birth weight born to mothers exposed to cigarette smoke from husbands in this study was 7.74%, and the proportion of bblr in mothers not exposed to cigarette smoke from husbands was 6.86%. There was no significant relationship between passive smoking in women aged 15-57 years with LWB incidence with 1.096 (95% CI 0.721-1.66) after controlled by antenatal care (ANC) visit variables. Conclusion: The effect of exposure to husbands smoke with the LWB after controlled by antenatal care (ANC) visit history variable is not significant. Although the factors that affect LBW are very numerous and complex, but this can be prevented early on. One of them through protecting people from exposure to cigarette smoke through prevention efforts and health promotion. Key words : LWB, passive smoker, IFLS
