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After giving birth many women do not realize when they will return to the fertility period, and at the same time women decide on the fertile period after menstruation occurs. The Indonesian trend for the period of the return of the first menstruation post partum in 2007 was 3.1 months, in 2012 it was 2.4 months, and in 2017 it became 3 months. Return of menstruation too early can be obtained unwanted (KTD), the distance to get the next one is also short can cause various health problems. One of the factors influencing the return of postpartum menstruation is the status of residence. This study aims to study the relationship of residence status with the time of the return of first menstruation after childbirth based on the 2017 IDHS. The design of this study was a retrospective cohort with 3464 study participants. The results of multivariate analysis using Cox Regression, obtained significant differences earlier to increase the return of first menstruation after childbirth among women who lived in urban areas compared to women who lived dirural. Women who live in urban areas will be 1,141 times faster to return to menstruation after women who live in rural areas.
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.
ABSTRAK Nama : Asma Ul Husna Program Studi : Magister Epidemiologi Judul : Hubungan StatusTempat Tinggal Dengan Prehipertensi (Analisis Data Indonesian Family Life Survey 5 Tahun 2014) Pembimbing : Dr. dr. Krisnawati Bantas, M.Kes Latar Belakang : Prehipertensi adalah istilah yang dipilih untuk mengelompokkan seseorang dengan risiko tinggi untuk terkena hipertensi. Orang dengan prehipertensi akan mengalami resiko terjadinya peningkatan tekanan darah menjadi hipertensi, dimana orang yang tekanan darahnya berkisar antara 130–139/80-89 mmHg memiliki 2x risiko menjadi hipertensi dan mengalami penyakit cardiovascular daripada orang yang tekanan darahnya lebih rendah. Saat ini belum diketahuinya angka prevalensi prehipertensi di Indonesia dan bagaimana hubungan status tempat tinggal dengan prehipertensi di Indonesia. Tujuan : Untuk mengetahui prevalensi prehipertensi di Indonesia Tahun 2014 dan untuk mengetahui hubungan status tempat tinggal dengan prehipertensi di Indonesia Tahun 2014. Metode : Penelitian ini menggunakan desain cross sectional dengan jumlah sampel 22.012 orang. Data penelitian ini merupakan data sekunder yang didapatkan dari Indonesian Family Life Surveys (IFLS) 5 tahun 2014. Analisis data dilakukan dengan regresi logistik. Hasil : Prevalens kejadian prehipertensi di Indonesia pada tahun 2014 didapatkan sebesar 48,6%. Berdasarkan analisis Multivariat menunjukkan hasil bahwa ada perbedaan yang signifikan untuk terjadinya prehipertensi dengan nilai p < 0,05. Besar asosiasi berdasarkan nilai POR adalah sebesar 1,39 dengan 95% (CI 1,32 – 1,48). Ditemukan adanya interaksi antara variabel umur, status gizi dan kesulitan tidur dengan status tempat tinggal terhadap terjadinya prehipertensi. Kata kunci : Status Tempat Tinggal, Prehipertensi, IFLS 5 Tahun 2014
ABSTRACT Name : Asma Ul Husna Study Program : Magister of Epidemiology Title : Relationship Status of Residence with Prehypertension (Data Analysis Indonesian Family Life Survey 5 Year 2014) Counsellor : Dr. dr. Krisnawati Bantas, M.Kes Background: Prehypertension is a term chosen to group people at high risk for hypertension. People with prehypertension will have an increased risk of blood pressure to hypertension, where people whose blood pressure ranges from 130-139 / 80-89 mmHg have 2x the risk of becoming hypertensive and having cardiovascular disease than people with lower blood pressure. Currently, the prevalence of prehypertension in Indonesia is not known and how the relationship of residence status with prehypertension in Indonesia. Objective: To know prevalence of prehypertension in Indonesia Year 2014 and to know relation of residence status with prehypertension in Indonesia Year 2014. Method: This research use cross sectional design with sample number 22,012 people. This research data is secondary data obtained from Indonesian Family Life Surveys (IFLS) 5 year 2014. Data analysis is done by logistic regression. Results: Prevalence of prehypertension occurrence in Indonesia in 2014 was 48,6%. Multivariate analysis showed that there was significant difference for prehypertension with p <0,05. Associations based on POR values are 1.39 with 95% (CI 1,32 – 1,48). There was an interaction between age variables, nutritional status and difficulty sleeping with residence status against prehypertension occurrence. Keywords: Status of Residence, Prehypertension, IFLS 5 Year 2014
