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Hypertension is one of diseases caused world health problems. The prevalence of hypertension is predicted will be increase. Hypertension in Indonesia are dominated by the female population. One of the risk factors caused hypertension is the use of hormonal contraception. This study aims to determine the association between the last birth hormonal contraception and the prevalence of hypertension. The research design was cross-sectional from January to June 2023 used the 2018 Riskesdas data. The exposed group was 45,178 respondents who used hormonal contraception and the unexposed group was 30,845 who did not use hormonal contraception. The results showed that there was a significant association between the use of hormonal contraception and the prevalence of hypertension after controlling for age and body mass index with AdjPR 1.10 (95% CI 1.06–1.12). This study also assessed the association between types of hormonal contraception including 3-month injection contraception with AdjPR value of 1.08 (95% CI 1.05-1.12); 1-month injectable contraception with AdjPR value of 0.99 (95% CI 0.93-1.05), implant contraceptive AdjPR 0.90 (95% CI 0.84-0.96), and contraceptive pill AdjPR 1.30 (95% CI 1.23-1.35). This is expected to illustrate the importance of choosing the right contraception to prevent the hypertension
Background: Maternal mortality can be prevented by delivering in a health care facility. Women who are not involved in decision making are barriers to using health facilities. Pregnant women often cannot determine the place of delivery because the decision is determined by their husband, parents-in-law or other family members. The delays of decision- making at the family level results in delays in getting help at health facilities. Objective: To determine the relationship between women's participation in household decision making with the selection of place of delivery based on analysis of the 2017 Indonesian Demographic Health Survey data. Methods: Designs study was sross-sectional and data was obtained from the Indonesia Demographic Health Survey 2017. Sample was women of childbearing age 15-49 years who had given birth to the last child in 2012-2017 with complete data, total 14,310 respondents. Data were analyzed using Cox regression and the effect was expressed by prevalence ratio (PR) with a 95% confidence interval (CI). Results: The proportion of women giving birth in non-health facilities was 26.5%, and 30.7% of women were not involved in in household decision making. After controlling residence and economic status, women who did not participate in household decision making had a risk of 1,633 (1,531-1,741) times to give birth in non-health facilities compared to women who participated in household decision making. Conclusion: Women who did not participate in household decision making were significantly related to deliveries in non-health facilities. Therefore, the government needs to promote women's reproductive, gender equality, and conduct a study of regions that still birth in dukun.
Kata kunci : Keluarga Berencana, Metode Kontrasepsi, Wanita Usia Subur
The use of contraception is a strategy to delay pregnancy and to do birth control,with the possibility of reducing fertility of ovum by spermatozoa. However,coverage of the use of contraceptive in Papua is still far from the target set. Thisstudy aims to determine the distribution of contraceptive use based on WUS 15-49years predisposing factors and enabling factors in Papua Province in 2012. Thisresearch used cross sectional design method with secondary data analysis ofDemographic Health Survey of Indonesia 2012. This study sample were womenage is 15-49 years, listed as respondents in the data IDHS 2012, and meet theinclusion and exclusion criteria. The results showed that the distribution ofcontraceptive use on WUS 15-49 years in Papua province was 14.6 percent. Theresults of analysis showed there is a significant relationship between thedistribution of contraceptive use on WUS with age >35 years (PR: 7.823; 95% CI3.210 to 19.067), higher education (PR: 4.751; 95% CI 2.884 to 7.827),employment status (PR: 0.435; 95% CI 0.318 to 0.595), number of parity 3-4children (PR: 3.254; 95% CI 2.286 to 4.633), urban residence (PR: 2.694; 95% CI1.960 to 3.703), middle income (PR: 2.666; 95% CI 1.798 to 3.953), higherknowledge (PR: 3.970; 95% CI 2.863 to 5.507), and have been exposed to familyplanning information (PR: 3,091; 95% CI 2.255 to 4.236) with a p value <0.005.Therefore, an increase in the effort required of health promotion, intensivecounseling and dissemination of information by health professionals about thebenefits of the importance of contraceptive use on WUS, providing qualitycontraceptive services in obtaining the tools/methods of family planning.
Keywords: Family Planning, Methods of Contraception, Women of Reproductive Age
ABSTRAK Nama : Mira Sri Gumilar Program Studi : Epidemiologi Judul : Hubungan Merokok Dengan Risiko Kehamilan Ektopik Pada Wanita Usia 15-49 Tahun Di Indonesia Tahun 2012 Pembimbing : Prof. Dr. dr. Nasrin Kodim, MPH Angka Kematian Ibu (AKI) merupakan indikator utama kesehatan ibu. Pada tahun 2015, angka kematian ibu mengalami penurunan menjadi sebesar 305 per 100.000 kelahiran hidup, namun angka ini masih belum memenuhi target MDGs. Apabila dibandingkan secara global, AKI di Indonesia masih berada di atas AKI Global. Tiga penyebab terbesar kematian ibu di Indonesia disebabkan oleh perdarahan, hipertensi, dan infeksi. Perdarahan dan komplikasi kehamilan pada masa kehamilan bisa terjadi pada awal kehamilan dan akhir kehamilan. Perdarahan dan komplikasi kehamilan pada masa awal kehamilan dapat disebabkan oleh aborsi dan kehamilan ektopik. Berdasarkan beberapa penelitian, salah satu faktor risiko kehamilan ektopik yaitu merokok. Prevalensi perokok wanita di Indonesia setiap tahun mengalami peningkatan terutama pada tahun 2010 prevalensi perokok wanita adalah sebesar 4% dan menduduki urutan ke 17 di dunia. Tujuan penelitian ini adalah diketahuinya besaran masalah kehamilan ektopik di Indonesia, mengetahui sebaran variabel kehamilan ektopik dan merokok berdasarkan provinsi, dan diketahuinya hubungan antara merokok dengan terjadinya kehamilan ektopik di Indonesia. Penelitian ini menggunakan desain penelitian cross sectional. Variabel dependen pada penelitian ini adalah kejadian kehamilan ektopik dan variabel independen utamanya adalah merokok, sedangkan variabel kovariat terdiri dari status pendidikan, metode penggunaan kontrasepsi, jumlah paritas ibu, riwayat menderita Penyakit Menular Seksual (PMS), status urban dan perokok pasif. Sumber data dalam penelitian ini adalah data (Survei Demografi dan Kesehatan Indonesia) SDKI tahun 2012. Kriteria responden pada penelitian ini adalah responden wanita yang diwawancarai dengan kuisioner wanita SDKI 2012. Jumlah responden yang dianalisis adalah sebesar 32.269 wanita yang eligibel. Analisis yang dilakukan terdiri dari analisis univariat, bivariat dan multivariat. Penelitian ini menunjukan prevalensi kehamilan ektopik di Indonesia adalah sebesar 0,56% dan prevalensi merokok sebesar 3,31%. Analisis bivariat menunjukan responden yang merokok memiliki risiko 2,64 kali untuk mengalami kehamilan ektopik dibandingkan dengan yang tidak merokok. Setelah dikontrol dengan variabel pendidikan, metode penggunaan kontrasepsi, riwayat menderita penyakit menular seksual (PMS), dan status urban, responden yang merokok memiliki risiko 3,28 kali untuk mengalami kehamilan ektopik. Hasil penelitian ini menunjukan bahwa merokok memiliki hubungan dengan risiko terjadinya kehamilan ektopik. Kata kunci: Kehamilan ektopik, Merokok, Indonesia
ABSTRACT Name : Mira Sri Gumilar Study Program : Epidemiology Title : The Association Between Smoking and Ectopic Pregnancy Risk in Women Aged 15-49 Years in Indonesia 2012 Counsellorr : Prof. Dr. dr. Nasrin Kodim, MPH Maternal mortality rate is a primary indicator for maternal health. In 2015, maternal mortality rate has decreased to 305 for 100.000 live birth, nevertheless this rate does not meet with the MDGs target. Indonesia’s maternal mortality rate is still above from global rate. In Indonesia, there are Three cases that caused maternal death, bleeding, hypertension, and infection. Bleeding can be occurred in early pregnancy or in the end of pregnancy. Bleeding in early pregnancy can be caused by abortion and ectopic pregnancy. Some research showed that one of the risk factor of ectopic pregnancy was smoking. Prevalence of female smoker in Indonesia is 4% in 2010 and increasing in every year. Indonesia has 17 th in rank of prevalence female smoker in the world. This study aim to know about prevalence ectopic pregnancy in Indonesia that can showing the problem about ectopic pregnancy, to know the distribution of ectopic pregnancy and female smoker by province in Indonesia, and to know about the association between smoking and ectopic pregnancy. This study is cross sectional study with ectopic pregnancy as a dependent variable and smoking as main independent variable. Covariate variables for this study are education, contraception method, parity, history of sexually transmitted diseases, urban status and passive smoker. This study use Indonesia Demographic And Health Survey (IDHS) 2012. Responden’s criteria was women that to be interviewed with women questionnaire IDHS 2012. Thera are 32.269 woman who is elgible to include in this study. This study does three step analysis, univariate, bivariate, and multivariate analysis. The result shows that prevalence of ectopic pregnancy in Indonesia is 0,56% and prevalence of women smoking in Indonesia is 3,31%. From bivariate analysis shows that female smoker had 2,64 fold to experience ectopic pregnancy compared with non smoker female. After controlled by education, contraception method, history of sexually transmitted diseases, and responden’s residence, female smoker has 3,28 fold to experience ectopic pregnancy comparing with non smoker female. This study has showed that smoking has a relationship with ectopic pregnancy. Key words:Ectopic Pregnancy, Smoking, Indonesian
