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Muhammad Aulia Rahman; Pembimbing: Martya Rahmaniati Makful; Penguji: Sudijanto Kamso, Sutanto Priyo Hastono, Mugi Wahidin, Najmi Komariyah
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Ibadah haji merupakan ibadah yang dilaksanakan oleh umat Islam di seluruh dunia pada waktu dan tempat yang telah ditentukan. Pada tahun 2023, sebanyak 1.845.045 orang dari berbagai negara mengikuti ibadah ini dan Jemaah haji dari Indonesia sendiri berjumlah 211.386 orang. Sebagian besar aktivitas dalam ibadah haji bersifat fisik dan ditambah dengan stresor eksternal seperti cuaca panas dan terik matahari, sehingga faktor kesehatan menjadi sangat penting untuk kelancaran ibadah haji. Kriteria kesehatan jemaah haji ditentukan berdasarkan istithaah kesehatan. Pada tahun 2023, terdapat peningkatan signifikan dalam angka kematian jemaah haji dibandingkan tahun-tahun sebelumnya, yaitu mencapai 798 orang, dengan 42% di antaranya disebabkan oleh penyakit kardiovaskular atau berjumlah 336 jiwa. Oleh karena itu, penelitian potong-lintang dilakukan dengan menggunakan data sekunder dari Sistem Komputerisasi Haji Terpadu Bidang Kesehatan (SISKOHATKES) untuk mengetahui pengaruh faktor risiko terhadap kematian jemaah haji Indonesia akibat penyakit kardiovaskular. Hasil uji analisis regresi logistik berganda menunjukkan bahwa usia, Jenis kelamin, indeks massa tubuh, status hipertensi, status diabetes melitus secara signifikan mempengaruhi kematian jemaah haji akibat penyakit kardiovaskular, sedangkan status merokok dan pendidikan tidak memiliki pengaruh yang signifikan.
Hajj is a pilgrimage carried out by Muslims worldwide at a specified time and place. In 2023, a total of 1,845,045 people from various countries participated in this pilgrimage, including 211,386 pilgrims from Indonesia. Most of the activities during Hajj are physical, coupled with external stressors such as hot weather and intense sunlight, making health a critical factor for the smooth conduct of the pilgrimage. The health criteria for pilgrims are determined based on health feasibility (istithaah kesehatan). In 2023, there was a significant increase in the mortality rate of pilgrims compared to previous years, reaching 798 people, with 42% of these deaths (336 individuals) caused by cardiovascular diseases. Therefore, a cross-sectional study was conducted using secondary data from the Integrated Hajj Health Computerization System (SISKOHATKES) to determine the influence of risk factors on the mortality of Indonesian Hajj pilgrims due to cardiovascular diseases. The results of the multiple logistic regression analysis showed that age, gender, body mass index, hypertension status, and diabetes mellitus status significantly affected the mortality of pilgrims due to cardiovascular diseases, while smoking status and education level did not have a significant influence.
T-7103
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Minawati; Pembimbing: Indang Trihandini; Penguji: Wahyu Septiono, Iqbal Ridzi Fahdri Elyazar
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Malnutrisi menjadi masalah kesehatan dunia, termasuk di Indonesia. Malnutrisi berkontribusi menyebabkan hilangnya kesempatan hidup sehat. Penelitian ini bertujuan untuk mengetahui gambaran beban masalah gizi dan potensi hilangnya kesempatan hidup sehat pada balita terkait masalah gizi di Indonesia pada level provinsi. Studi ini menggunakan metode analisis sistematik review Global Burden of Disease (GBD) 2021 untuk menganalisis beban penyakit akibat masalah kekurangan gizi. Indikator masalah gizi yang dianalisis yaitu berat badan lahir rendah (BBLR) dan kelahiran prematur, kegagalan pertumbuhan balita, defisiensi zat besi, dan defisiensi vitamin A. Wilayah prioritas ditentukan berdasarkan besaran DALYs dan tren periode 1990-2021. Tren DALYs dianalisis menggunakan uji Mann Kendall, besaran potensi hilangnya kesempatan hidup sehat dengan mengidentifikasi faktor risiko atribusi. Maluku, Maluku Utara, Gorontalo, Sulawesi Tenggara, Sulawesi Barat, dan NTT, menjadi wilayah prioritas. BBLR dan kelahiran prematur menjadi faktor risiko utama, dan gangguan neonatal menjadi penyebab utama. Seluruh indikator masalah kekurangan gizi menunjukkan tren penurunan yang signifikan. BBLR dan kelahiran prematur berpotensi menyebabkan hilangnya kesempatan hidup sehat akibat gangguan neonatal sebesar 2.974.493,1. Kegagalan pertumbuhan balita menyebabkan hilangnya kesempatan hidup sehat akibat diare sebesar 558.743,0 dan infeksi saluran pernafasan 449.285,6. Menyelesaikan BBLR dan kelahiran prematur serta kegagalan pertumbuhan anak menjadi prioritas untuk menurunkan beban penyakit pada balita.
Malnutrition is a global health issue, including Indonesia. Malnutrition potentially causes loss of healthy life. This research aims to identify priority areas with a burden of disease and provide descriptions, trends and potential lost of healthy life attributed to risk factors related to malnutrition. This study used Global Burden of Disease (GBD) 2021 systematic analysis method. Indicators that analyzed were low birth weight (LBW) and preterm birth, child growth failure (CGF), iron and vitamin A deficiency. Priority areas are determined by rate of DALYs and trend since 1990-2021. Trends were analyzed with Mann Kendall test, potential lost of healthy life is done by identifying attributable risk factors. Maluku, North Maluku, Gorontalo, Southeast Sulawesi, West Sulawesi and NTT were selected as priority areas. LBW and preterm birth are the leading risk factors, and neonatal disorders are the leading cause. All indicators of malnutrition show significant downward trend. LBW and preterm birth was potentially caused loss a healthy life due to neonatal disorders by 2,974,493.1. CGF was potentially caused loss a healthy life due to diarrhea by 558,743.0 and respiratory infections by 449,285.6. Resolving LBW and preterm birth and CGF, should be prioritized to reduce the burden of disease among under five.
T-7001
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Eva Dwiyanti Lestari; Pembimbing: Milla Herdayati; Penguji: Rico Kurniawan, Rizky Hasby, Usep Solehudin
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Latar Belakang: Prevalensi HIV pada waria di Indonesia meningkat signifikan (28,9% pada 2023). Penelitian ini menganalisis perbedaan determinan penggunaan kondom secara konsisten antara waria yang membeli dan menjual seks. Metode: Analisis sekunder data Survei Terpadu Biologis dan Perilaku (STBP) 2023 dengan desain cross-sectional pada 2.103 responden waria menggunakan regresi logistik. Hasil: Penggunaan kondom secara konsisten lebih tinggi pada waria penjual seks (38,3%) dibanding pembeli seks (12,3%). Pada pembeli seks, determinan utama adalah usia <42 tahun dan kemudahan akses kondom (AOR=6,65). Pada penjual seks, faktor yang berpengaruh adalah pendidikan, tinggal dengan pasangan seks, paparan informasi HIV, riwayat IMS, tidak konsumsi alkohol sebelum seks, dan keikutsertaan program HIV. Kesimpulan: Terdapat perbedaan determinan perilaku antara kedua kelompok. Intervensi harus fokus pada perluasan akses kondom fisik bagi pembeli seks dan penguatan program edukasi serta komunitas bagi penjual seks.
Background: HIV prevalence among transgender women (Waria) in Indonesia has risen sharply to 28.9% in 2023. This study analyzes the differing determinants of consistent condom use between those who buy and sell sex. Methods: A secondary analysis of the 2023 Integrated Biological and Behavioral Survey (IBBS) was conducted using a cross-sectional design and logistic regression on 2,103 respondents. Results: Consistent condom use was higher among sellers (38.3%) than buyers (12.3%). For sex buyers, key determinants were age <42 years and ease of condom access (AOR=6.65). For sex sellers, significant factors included education, living with a partner, HIV information exposure, STI history, avoiding alcohol before sex, and HIV program participation. Conclusion: Behavior determinants differ between the two groups. Interventions should prioritize expanding physical condom access for buyers and strengthening educational and community-based programs for sellers.
T-7492
Depok : FKM-UI, 2026
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Tyra Septi Diana; Pembimbing: Sutanto Priyo Hastono; Penguji: Sudijanto Kamso, Popy Yuniar, Misti, Ananda
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Diabetes melitus tipe 2 meningkat pada usia 15-24 tahun akibat perubahan gaya hidup, pola makan yang cepat berkembang. Hal ini disebabkan oleh peningkatan glukosa darah akibat kurangnya produksi insulin oleh pankreas (International Diabetes Federation, 2023). Usia 15-24 tahun dengan diabetes tipe 2 memiliki risiko komplikasi yang lebih tinggi dan mempengaruhi kesehatan di usia dewasa. Penelitian ini bertujuan untuk mengetahui faktor risiko yang berhubungan dengan diabetes melitus tipe 2 pada kelompok usia 15-24 tahun usia 15-24 tahun di Provinsi DKI Jakarta. Metode: Penelitian ini menggunakan desain cross-sectional menggunakan data SIPTM pada penduduk usia 15-24 tahun di Dinas Kesehatan Provinsi DKI Jakarta tahun 2022. Hasil: Prevalensi diabetes melitus pada usia 15-24 tahun di Provinsi DKI Jakarta tahun 2022 sebesar 2,0%. Faktor risiko yang paling dominan terhadap kejadian diabetes melitus tipe 2 pada kelompok usia 15-24 tahun adalah riwayat keluarga DM (AOR = 8,171). Faktor-faktor terhadap kejadian diabetes melitus tipe 2 pada kelompok usia 15-24 tahun adalah hipertensi (AOR=5,227), konsumsi gula berlebih (AOR=1,342), merokok (AOR=1,327), indeks massa tubuh (AOR= 1,303), obesitas sentral (AOR=1,204), dan konsumsi buah dan sayur (AOR=0,854). Saran: Merencanakan program untuk meningkatkan dukungan keluarga dalam menerapkan pola hidup sehat sejak dini. Perlu memperdetail pertanyaan kuesioner pada variabel konsumsi buah dan sayur, konsumsi gula garam lemak berlebih dan aktivitas fisik. Penelitian dengan analisis lanjut diperlukan dalam penelitian ini.
Type 2 diabetes mellitus increases at the age of 15-24 years due to fast-growing changes in lifestyle and diet. This is caused by an increase in blood glucose due to a lack of insulin production by the pancreas (International Diabetes Federation, 2023). Ages 15-24 with type 2 diabetes have a higher risk of complications and affect health in adulthood. This study aims to determine the risk factors related to type 2 diabetes mellitus in the age group of 15-24 years and 15-24 years in DKI Jakarta Province. Methods: This study used a cross-sectional design using SIPTM data in the population aged 15-24 years at the DKI Jakarta Provincial Health Office in 2022. Results: The prevalence of diabetes mellitus at the age of 15-24 years in DKI Jakarta Province in 2022 was 2.0%. The most dominant risk factor for the incidence of type 2 diabetes mellitus in the age group of 15-24 years was a family history of DM (AOR = 8.171). Results: The prevalence of diabetes mellitus at the age of 15-24 years in DKI Jakarta Province in 2022 was 2.0%. The most dominant risk factor for the incidence of type 2 diabetes mellitus in the age group of 15-24 years was a family history of DM (AOR = 8.171). The factors for the incidence of type 2 diabetes mellitus in the age group of 15-24 years were hypertension (AOR=5.227), excess sugar consumption (AOR=1.342), smoking (AOR=1.327), body mass index (AOR=1.303), central obesity (AOR=1.204), and fruit and vegetable consumption (AOR=0.854). Suggestion: Plan a program to increase family support in implementing a healthy lifestyle from an early age. It is necessary to detail the questionnaire questions on the variables of fruit and vegetable consumption, sugar consumption, salt, excess fat and physical activity. Research with further analysis is needed in this study.
T-6979
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Dini Kurniawati; Pembimbing: Sutanto Priyo Hastono; Penguji: Ahmad Syafiq, Christa Dewi, Siti Masitoh
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Obesitas merupakan masalah kesehatan global dengan prevalensi yang terus meningkat, termasuk di Indonesia. Pada anak dan remaja, obesitas dipengaruhi oleh berbagai faktor, seperti genetik, lingkungan, pola makan, dan status sosial ekonomi. Namun, penelitian yang secara khusus mengkaji obesitas pada kelompok usia ini masih terbatas. Penelitian ini bertujuan untuk mengetahui prevalensi dan determinan obesitas pada anak dan remaja di Indonesia menggunakan data Survei Kesehatan Indonesia (SKI) 2023. Desain penelitian ini adalah potong lintang, dengan sampel terdiri dari 115.053 anggota rumah tangga berusia 5–19 tahun yang memenuhi kriteria inklusi dan eksklusi. Hasil menunjukkan prevalensi obesitas sebesar 7,9% (95% CI 7,6–8,1). Faktor-faktor yang secara signifikan berhubungan dengan peningkatan risiko obesitas meliputi: jenis kelamin laki-laki [AOR 1,56; 95% CI 1,451–1,678], pendidikan ibu tinggi [AOR 1,197; 95% CI 1,106–1,296], ibu bekerja [AOR 1,14; 95% CI 1,063–1,223], tinggal di perkotaan [AOR 1,27; 95% CI 1,176–1,370], status ekonomi teratas [AOR 1,791; 95% CI 1,548–2,032], aktivitas fisik rendah [AOR 1,534; 95% CI 1,230–1,913], konsumsi makanan olahan lebih dari satu kali sehari [AOR 1,27; 95% CI 1,009–1,242], serta konsumsi buah dan sayur minimal satu porsi per hari [AOR 1,142; 95% CI 1,060–1,227]. Temuan ini menunjukkan bahwa intervensi promosi kesehatan yang menargetkan faktor-faktor tersebut penting untuk mencegah dan mengendalikan obesitas pada anak dan remaja di Indonesia.
Obesity is a global health problem with a steadily increasing prevalence, including in Indonesia. Among children and adolescents, obesity is influenced by various factors such as genetics, environment, dietary patterns, and socioeconomic status. However, research specifically focusing on obesity within this age group remains limited. This study aims to examine the prevalence and determinants of obesity among children and adolescents in Indonesia using data from the 2023 Indonesia Health Survey (SKI). A cross-sectional study design was employed, with a total sample of 115,053 household members aged 5–19 years who met the inclusion and exclusion criteria. The results showed an obesity prevalence of 7.9% (95% CI: 7.6–8.1). Factors significantly associated with increased obesity risk included: male gender [AOR 1.56; 95% CI: 1.451–1.678], higher maternal education [AOR 1.197; 95% CI: 1.106–1.296], working mothers [AOR 1.14; 95% CI: 1.063–1.223], urban residence [AOR 1.27; 95% CI: 1.176–1.370], highest socioeconomic status [AOR 1.791; 95% CI: 1.548–2.032], low physical activity [AOR 1.534; 95% CI: 1.230–1.913], consumption of processed food more than once a day [AOR 1.27; 95% CI: 1.009–1.242], and fruit and vegetable intake of at least one portion per day [AOR 1.142; 95% CI: 1.060–1.227]. These findings underscore the importance of targeted health promotion interventions addressing these factors to prevent and control obesity among children and adolescents in Indonesia.
T-7372
Depok : FKM-UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Helmi Safitri; Pembimbing: Kemal N. Siregar; Penguji: Tris Eryando, Milla Herdayati, Rahmadewi, Dian Kristiani Irawaty
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Penelitian ini membahas begaimana pengaruh pemberian payanan KB terhadap unmet need pada wanita menikah usia 15-49 tahun di Indonesia. Penelitian ini merupakan analisis lanjutan SDKI 2017 dengan menggunakan desain penelitian potongl lintang pada wanita menikah atau tinggal bersama usia 15-49 tahun sebanyak 35.681 wanita yang dianalisis menggunakan uji chi square dan regresi logistik ganda. Hasil penelitian menunjukkan bahwa pemberian layanan KB yang kurang terakses memiliki kejadian unmet need (11,5%) lebih tinggi dibandingkan dengan pemberian layanan KB yang terakses (6,9%). Kurang teraksesnya pemberian layanan KB dalam memberikan informasi tentang KB kepada wanita menikah usia 15-49 tahun memiliki peluang 2,269 lebih tinggi untuk mengalami unmet need setelah di kontrol oleh variabel status pekerjaan, wilayah tempat tinggal dan jumlah anak hidup (IK 95%= 1,948-2,642). Oleh karena itu, perlu dilakukan peningkatan pemberian layanan KB dalam pemberian informasi KB agar masyarakat sebagai klien dapat dengan mudah mengakses informasi mengenani KB terutama bagi wanita yang bekerja, tinggal diperkotaan dan memiliki beberapa anak, sehingga dapat meningkatkan pengetahuan dan kesadaran untuk menggunakan KB dengan pilihan KB yang sesuai dengan kebutuhan.
This study was conducted to assess the extent of the effect of family planning services delivery on unmet needs in married women aged 15-49 years in Indonesia. Unmet need is a phenomenon in the area of population that requires serious and immediate handling because it can hamper the increase in CPR and decrease TFR, population growth rate, MMR, and IMR. The provision of family planning services delivery is important in meeting one's needs for using family planning by selecting the right family planning tool according to their needs, to overcome unmet need. This study is an advanced analysis of the 2017 IDHS by using a cross-sectional study design of married or living women aged 15-49 as many as 35,681 women analyzed using the chi-square test and multiple logistic regression, with unmet need as the dependent variable and KB service delivery as a variable independent, as well as several confounding variables. The results showed that the provision of family planning services delivery that were less accessible by respondents had a risk of 2.269 to experience unmet needs compared to those accessed (95% CI = 1.948- 2,642). Therefore, it is necessary to increase the provision of family planning services in providing family planning information so that clients can easily access information about family planning, especially for women who work, live in urban areas and have several children, to increase knowledge and awareness to use family planning according to needs.
T-5891
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Elfys Ferdynan; Pembimbing: Besral; Penguji: Martya Rahmaniati Makful, Milla Herdayati, Eva Sulistiowati, Budi Setyawati
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Minimum Dietary Diversity (MDD) merupakan indikator penting kualitas pemberian makanan pendamping ASI (MP-ASI) yang mencerminkan kucukupan keragaman konsumsi pangan anak usia 6–23 bulan. Capaian MDD di Indonesia masih rendah, sementara determinannya belum banyak dianalisis dengan mempertimbangkan pengaruh faktor individu dan konteks wilayah secara simultan. Penelitian ini menggunakan desain potong lintang dengan data Survei Status Gizi Indonesia (SSGI) 2024 yang melibatkan 70.561 anak usia 6–23 bulan dari 412 kabupaten/kota. Analisis dilakukan menggunakan regresi logistik multilevel dua tingkat untuk mengidentifikasi determinan MDD pada tingkat individu dan kabupaten/kota. Hasil penelitian menunjukkan sebanyak 48,3% anak memenuhi MDD. Faktor tingkat individu yang berhubungan dengan pemenuhan MDD meliputi usia anak, usia ibu, pendidikan ibu, status pekerjaan ibu, status sosial ekonomi rumah tangga, jumlah anggota rumah tangga, dan pemanfaatan layanan kesehatan anak. Sekitar 13,0% variasi pemenuhan MDD dijelaskan oleh perbedaan antar kabupaten/kota. Pada tingkat wilayah, indikator ketahanan pangan yang mencerminkan dimensi ketersediaan, keterjangkauan, dan pemanfaatan pangan berhubungan signifikan dengan pemenuhan MDD. Temuan ini menegaskan bahwa pemenuhan MDD pada anak usia 6–23 bulan di Indonesia dipengaruhi oleh faktor individu serta faktor kontekstual wilayah. Peningkatan capaian MDD memerlukan penguatan intervensi gizi spesifik dan sensitif melalui pendekatan multisektor yang mempertimbangkan karakteristik wilayah.
Minimum Dietary Diversity (MDD) is a key indicator of the quality of complementary feeding practices that reflects the adequacy of dietary diversity among children aged 6–23 months. The achievement of MDD in Indonesia remains low, while its determinants have rarely been examined by simultaneously considering individual- and area-level contextual factors. This study employed a cross-sectional design using data from the 2024 Indonesian Nutritional Status Survey (Survei Status Gizi Indonesia/SSGI), involving 70,561 children aged 6–23 months from 412 districts/municipalities. Data were analyzed using a two-level multilevel logistic regression model to identify the determinants of MDD at the individual and district/municipality levels. The results showed that 48.3% of children met the MDD criteria. At the individual level, MDD was significantly associated with the child's age, maternal age, maternal education, maternal employment status, household socioeconomic status, household size, and utilization of child health services. Approximately 13.0% of the variation in MDD was attributable to differences between districts/municipalities. At the area level, food security indicators representing the dimensions of food availability, food accessibility, and food utilization were significantly associated with MDD. These findings indicate that MDD among Indonesian children aged 6–23 months is influenced by both individual characteristics and area-level contextual factors. Improving MDD requires strengthening nutrition-specific and nutrition-sensitive interventions through a multisectoral approach that takes regional characteristics into account.
T-7576
Depok : FKM-UI, 2026
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Regina Tambunan; Pembimbing: Kemal Nazaruddin Siregar; Penguji: Martya Rahmaniati Makful, Tris Eryando, Budi Kurniawan, Tiopan Sipahutar
Abstrak:
Tesis ini membahas pengaruh karakteristik demografi, persepsi kerentanan terkait pengetahuan sistem reproduksi, kerentanan terkait prilaku pacaran dan pengalaman seksual, kerentanan terkait perkawinan dan keinginan mempunyai anak dengan umur ideal kawin pertama pada remaja (15-24 tahun) di Indonesia. Penelitian ini merupakan penelitian analitik deskriptif dengan menggunakan metode penelitian kuantitatif. Rancangan penelitian dilakukan secara potong lintang atau cross sectional. Variabel penelitian akan diukur dan dikumpulkan dalam satu waktu. Penelitian ini menggunakan data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) Tahun 2017 Remaja. Data umur ideal kawin pertama akan dianalisis secara univariat, bivariat dengan uji Regresi Linear dan Anova, dan multivariat dengan menggunakan analisis jalur (path analysis) dengan menggunakan aplikasi SPSS 25. Hasil penelitian diketahui rata-rata umur ideal kawin pertama remaja perempuan usia 15-24 tahun adalah 23 tahun walaupun diketahui 1,1% remaja masih memiliki umur ideal kawin pertama pada umur ≤ 18 tahun. Selain itu, hubungan antara umur ideal kawin pertama kali dengan umur remaja, umur pada saat pertama kali menstruasi, umur ideal memiliki anak pertama kali, jumlah anak ideal memiliki hubungan yang significant secara statistik. Sedangkan hubungan umur ideal kawin pertama dengan umur pertama kali pacaran dan umur pertama kali melakukan hubungan seksual tidak memiliki hubungan yang significant secara statistik. Umur remaja merupakan variable independent langsung yang mempengaruhi umur ideal kawin pertama dimana secara langsung umur remaja memiliki pengaruh 7,8% terhadap umur ideal kawin pertama remaja. Jika variabel umur melalui umur pertama kali menstruasi akan memiliki pengaruh 0,68% terhadap umur ideal kawin pertama, begitu juga pengaruh variabel umur melalui umur ideal memiliki anak pertama kali akan memberikan pengauhi 0,74% terhadap umur ideal kawin pertama. Sehingga variabel umur remaja memiliki pengaruh yang paling besar jika langsung atau tidak melewati variabel antara terhadap umur ideal kawin pertama kali
The focus of this study is the influence of demographic characteristics, perceive susceptibility related to knowledge of the reproductive system, perceive suceptibility related to dating behavior and sexual experience, perceive suceptibility related to marriage and the desire to have children with the ideal age of first marriage in adolescents (15-24 years old) in Indonesia. This study is a descriptive analytical research using quantitative research methods. The research design is used a cross-sectional appoach. The research variables will be measured and collected at one time. This study uses secondary data from the 2017 Indonesian Health Demographic Survey (IHDS) for Adolescents. The data of the ideal age of the first marriage will be analyzed univariately, bivariate with Linear Regression and Anova tests, and multivariate with path analysis using the SPSS 25 application. The results of the study show that the average ideal age of first marriage for adolescent girls aged 15-24 years is 23 years old, although it is known that 1.1% of adolescents still have an ideal age for first marriage at the age of ≤ 18 years. In addition, the relationship between the age at the time of menstruation, the ideal age of having children for the first time, and the ideal number of children with the ideal age of first marriage of adolescence had a statistically significant relationship. Meanwhile, the relationship between the age of first dating, the age of first sexual intercourse and the ideal age of first marriage does not have a statistically significant relationship. Adolescent age is a direct independent variable that affects the ideal age of first marriage where adolescent age directly has an influence of 7.8% on the ideal age of first marriage of adolescents. If the age variable through the age of first menstruation will have an effect of 0.68% on the ideal age of first marriage, as well as the influence of the age variable through the ideal age of having a child for the first time will give caregivers 0.74% to the ideal age of first marriage. So that the adolescent age variable has the greatest influence if it directly or does not pass the intermediate variable on the ideal age of first marriage.
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The focus of this study is the influence of demographic characteristics, perceive susceptibility related to knowledge of the reproductive system, perceive suceptibility related to dating behavior and sexual experience, perceive suceptibility related to marriage and the desire to have children with the ideal age of first marriage in adolescents (15-24 years old) in Indonesia. This study is a descriptive analytical research using quantitative research methods. The research design is used a cross-sectional appoach. The research variables will be measured and collected at one time. This study uses secondary data from the 2017 Indonesian Health Demographic Survey (IHDS) for Adolescents. The data of the ideal age of the first marriage will be analyzed univariately, bivariate with Linear Regression and Anova tests, and multivariate with path analysis using the SPSS 25 application. The results of the study show that the average ideal age of first marriage for adolescent girls aged 15-24 years is 23 years old, although it is known that 1.1% of adolescents still have an ideal age for first marriage at the age of ≤ 18 years. In addition, the relationship between the age at the time of menstruation, the ideal age of having children for the first time, and the ideal number of children with the ideal age of first marriage of adolescence had a statistically significant relationship. Meanwhile, the relationship between the age of first dating, the age of first sexual intercourse and the ideal age of first marriage does not have a statistically significant relationship. Adolescent age is a direct independent variable that affects the ideal age of first marriage where adolescent age directly has an influence of 7.8% on the ideal age of first marriage of adolescents. If the age variable through the age of first menstruation will have an effect of 0.68% on the ideal age of first marriage, as well as the influence of the age variable through the ideal age of having a child for the first time will give caregivers 0.74% to the ideal age of first marriage. So that the adolescent age variable has the greatest influence if it directly or does not pass the intermediate variable on the ideal age of first marriage.
T-7120
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Nungky Permina Sari; Pembimbing: Indang Trihandini; Penguji: Iwan Ariawan, Sri Drisna Dewi, Usep Solehudin
Abstrak:
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Pemerintah Indonesia telah menyusun kebijakan nasional eliminasi penularan HIV, sifilis, dan hepatitis B dari ibu ke anak sejak tahun 2017 melalui pemeriksaan triple eliminasi yang diintegrasikan dalam pelayanan antenatal care (ANC). Meskipun kebijakan telah tersedia, implementasinya masih menunjukkan variasi antarprovinsi, termasuk di Pulau Jawa dan Bali. Proporsi pemeriksaan triple eliminasi lengkap di Pulau Jawa dan Bali sebesar 76,10%, dengan proporsi tertinggi di Bali (92,23%) dan terendah di Jawa Barat (59,70%). Sebelum memperhitungkan faktor individu dan kontekstual kabupaten/kota, 16,38% variasi pemeriksaan triple eliminasi lengkap dapat dijelaskan oleh perbedaan antarkabupaten/kota. Hasil analisis multilevel menunjukkan bahwa pendidikan ibu (AOR=1,402; 95% CI: 1,167–1,685; p=0,000), kepemilikan Jaminan Kesehatan Nasional (AOR=1,357; 95%CI: 1,113–1,656; p=0,002), partisipasi dalam kelas ibu hamil (AOR=1,397; 95%CI: 1,169–1,670; p=0,000), dan kunjungan ANC sesuai standar (AOR=1,650; 95%CI: 1,395–1,951; p=0,000) berhubungan dengan odds yang lebih tinggi untuk memperoleh pemeriksaan triple eliminasi lengkap. Sebaliknya, peningkatan usia ibu (AOR=0,980;95%CI: 0,965–0,996; p=0,016) dan ANC rutin di praktik bidan mandiri/klinik bersalin (AOR=0,727; 95% CI: 0,576–0,917; p=0,007) berhubungan dengan odds yang lebih rendah. Rasio bidan, rasio ATLM, rasio puskesmas per 1.000 ibu hamil, dan rasio kapasitas fiskal kabupaten/kota tidak berhubungan dengan odds pemeriksaan triple eliminasi lengkap. Temuan penelitian ini menunjukkan bahwa faktor individu lebih berperan terhadap peluang ibu hamil memperoleh pemeriksaan triple eliminasi lengkap. Namun, setelah memperhitungkan seluruh variabel dalam model, masih terdapat 13,61% variasi antarkabupaten/kota yang belum dapat dijelaskan oleh faktor-faktor kontekstual kabupaten/kota yang dianalisis dalam penelitian ini.
The Indonesian government has implemented a national policy to eliminate mother-to-child transmission of HIV, syphilis, and hepatitis B since 2017 through triple elimination screening integrated into antenatal care (ANC) services. Despite the existence of this policy, its implementation continues to vary across provinces, including those in Java and Bali. The proportion of pregnant women who received complete triple elimination screening in Java and Bali was 76.10%, with the highest proportion in Bali (92.23%) and the lowest in West Java (59.70%). Before accounting for individual- and district/city-level contextual factors, 16.38% of the variation in complete triple elimination screening was attributable to differences between districts/cities. Multilevel analysis showed that maternal education (AOR=1.402; 95% CI: 1.167–1.685; p<0.001), National Health Insurance (JKN) membership (AOR=1.357; 95% CI: 1.113–1.656; p=0.002), participation in pregnancy classes (AOR=1.397; 95% CI: 1.169–1.670; p<0.001), and receiving ANC according to the recommended standard (AOR=1.650; 95% CI: 1.395–1.951; p<0.001) were associated with higher odds of receiving complete triple elimination screening. In contrast, increasing maternal age (AOR=0.980; 95% CI: 0.965–0.996; p=0.016) and routinely receiving ANC at independent midwifery practices or maternity clinics (AOR=0.727; 95% CI: 0.576–0.917; p=0.007) were associated with lower odds of receiving complete triple elimination screening. The ratios of midwives, medical laboratory technologists, primary health centers per 1,000 pregnant women, and district/city fiscal capacity were not associated with the odds of receiving complete triple elimination screening. These findings indicate that individual-level factors play a greater role in determining pregnant women's likelihood of receiving complete triple elimination screening. However, after accounting for all variables in the model, 13.61% of the variation between districts/cities remained unexplained, suggesting the presence of other district/city-level contextual factors that were not included in this study.
T-7652
Depok : FKM-UI, 2026
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Lami Trisetiawati; Pembimbing: Besral; Penguji: Poppy Yuniar, Adhy Nugroho
Abstrak:
Tujuan: Penelitian ini bertujuan untuk mengetahui besarnya risiko strokeberulang pada pasien paska stroke pertama di RS Pusat Otak Nasional dan faktorrisikonya.Metode: Desain penelitian ini adalah cohort retrospektif. Sampel dalam penelitianini adalah semua pasien stroke serangan pertama yang menjalani pelayanan rawatinap pada tahun 2014 dan memiliki catatan rekam medik yang lengkap. Analisisdata mengunakan regresi cox multivariat.Hasil: Hasil penelitian menunjukkan bahwa pada bulan ≤ 15,umur ≥ 60 tahunmemiliki risiko lebih besar untuk terjadinya stroke berulang ; pada bulan < 15,overweight memiliki risiko lebih tinggi untuk terjadinya stroke berulang; padabulan ≤ 15, obesitas memiliki risiko lebih tinggi untuk terjadinya stroke berulang;pada bulan ≤ 30, pre hipertensi memiliki risiko lebih tinggi untuk terjadinya strokeberulang ; pada bulan ≤ 15, hipertensi grade 1 dan 2 memiliki risiko yang lebihtinggi untuk terjadinya stroke berulang, ; kontrol yang tidak teratur memilikirisiko 8,71 kali lebih tinggi untuk terjadinya stroke berulang.Kata kunci : analisis survival, stroke berulang, stroke.
Objective: This study aims to determine the risk of recurrent strokein patientswith post-stroke first in the brain center of the national hospitaland the risk factorsthat influence.Methods: This study was a retrospective cohort. The sample in this study is thefirst to attack all stroke patients who underwent inpatient services in 2014 and hada complete medical record. Analysis of data using multivariate cox regression.Results: The results showed that in ≤ 15, ≥ 60 years of age have a greater risk forrecurrent stroke; in <15 overweight have a higher risk for recurrent stroke; in ≤15, obesity have a higher risk for recurrent stroke; in ≤ 30, pre-hypertension are athigher risk forrecurrent stroke; in ≤ 15, hypertension grade 1 and 2 have a higherrisk for the recurrent stroke; control irregular had 8.71 times higher risk forrecurrent strokeKey words : Survival analysis, reccurrent stroke, stroke.
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Objective: This study aims to determine the risk of recurrent strokein patientswith post-stroke first in the brain center of the national hospitaland the risk factorsthat influence.Methods: This study was a retrospective cohort. The sample in this study is thefirst to attack all stroke patients who underwent inpatient services in 2014 and hada complete medical record. Analysis of data using multivariate cox regression.Results: The results showed that in ≤ 15, ≥ 60 years of age have a greater risk forrecurrent stroke; in <15 overweight have a higher risk for recurrent stroke; in ≤15, obesity have a higher risk for recurrent stroke; in ≤ 30, pre-hypertension are athigher risk forrecurrent stroke; in ≤ 15, hypertension grade 1 and 2 have a higherrisk for the recurrent stroke; control irregular had 8.71 times higher risk forrecurrent strokeKey words : Survival analysis, reccurrent stroke, stroke.
S-9310
Depok : FKM-UI, 2017
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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