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Patricia Roulina; Pembimbing: Tris Eryando; Penguji: Besral, Lina Antono
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Hipertensi dapat menyebabkan komplikasi serius, seperti penyakit jantung, stroke, dan gagal ginjal, sehingga menjadi penyebab utama kematian dini. Prevalensi hipertensi pada orang dewasa usia 30−79 tahun di dunia mencapai 33% di tahun 2019. Hipertensi dapat terjadi pada berbagai kelompok, termasuk pekerja, yang berdampak pada produktivitas dan kesehatan jangka panjang. Identifikasi faktor risiko hipertensi penting dilakukan sebagai dasar upaya pencegahan. Penelitian ini menggunakan desain potong lintang dengan menganalisis data sekunder medical check up, pengukuran komposisi tubuh, dan data karakteristik pekerja tahun 2024. Prevalensi hipertensi pada pekerja PT X tahun 2024 sebesar 10,3%. Hasil analisis menunjukkan adanya hubungan signifikan antara usia, masa kerja, dislipidemia, komposisi tubuh, dan dimensi lemak dengan hipertensi. Risiko hipertensi meningkat pada pekerja usia 40−49 tahun (AOR: 3,22) dan ≥ 50 tahun (AOR: 4,15), masa kerja > 20 tahun (AOR: 3,83), dislipidemia (AOR: 1,55), komposisi tubuh lemak tinggi dan otot rendah (AOR: 2,15), dan dimensi lemak tinggi (AOR: 2,46). Oleh karena itu, diperlukan upaya pencegahan melalui edukasi kesehatan, pemeriksaan tekanan darah dan komposisi tubuh secara berkala, serta pengembangan program penurunan kadar lemak tubuh untuk menekan risiko hipertensi.
Hypertension can lead to serious complications such as heart disease, stroke, and kidney failure, making it a leading cause of premature death. The global prevalence of hypertension among adults aged 30–79 years reached 33% in 2019. Hypertension can affect various population groups, including workers, impacting their productivity and long-term health. Identifying hypertension risk factors is important to support targeted prevention efforts. This study used a cross-sectional design by analyzing secondary data from medical check-up, body composition measurement, and worker characteristic in 2024. The prevalence of hypertension among PT X workers in 2024 was 10.3%. The analysis showed significant associations between age, work tenure, dyslipidemia, body composition, and fat dimension with hypertension. The risk of hypertension increased among workers aged 40–49 years (AOR: 3,22) and ≥ 50 years (AOR: 4,15), with work tenure > 20 years (AOR: 3,83), dyslipidemia (AOR: 1,55), high body fat and low muscle composition (AOR: 2,15), and high fat dimension (AOR: 2,46). Therefore, preventive efforts through health education, regular blood pressure and body composition monitoring, and fat reduction programs are needed to control the risk of hypertension.
Hypertension can lead to serious complications such as heart disease, stroke, and kidney failure, making it a leading cause of premature death. The global prevalence of hypertension among adults aged 30–79 years reached 33% in 2019. Hypertension can affect various population groups, including workers, impacting their productivity and long-term health. Identifying hypertension risk factors is important to support targeted prevention efforts. This study used a cross-sectional design by analyzing secondary data from medical check-up, body composition measurement, and worker characteristic in 2024. The prevalence of hypertension among PT X workers in 2024 was 10.3%. The analysis showed significant associations between age, work tenure, dyslipidemia, body composition, and fat dimension with hypertension. The risk of hypertension increased among workers aged 40–49 years (AOR: 3,22) and ≥ 50 years (AOR: 4,15), with work tenure > 20 years (AOR: 3,83), dyslipidemia (AOR: 1,55), high body fat and low muscle composition (AOR: 2,15), and high fat dimension (AOR: 2,46). Therefore, preventive efforts through health education, regular blood pressure and body composition monitoring, and fat reduction programs are needed to control the risk of hypertension.
S-12111
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Yudha Joniyan Syahputra; Pembimbing: Sutanto Priyo Hastono; Penguji: Popy Yuniar, Ely Setyawati
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Latar belakang: Diare masih menjadi permasalahan Kesehatan secara global maupun nasional. Di Indonesia, Jawa Barat memiliki persentase kejadian diare pada balita sebesar 11%. Angka ini tertinggi ke-5 secara nasional dan paling tinggi di pulau Jawa. Berbagai intervensi sudah dilakukan guna mengurangi angka diare pada balita. Namun, masih tingginya kejadian diare pada balita di Jawa Barat membuat penelitian ini diperlukan untuk mengidentifikasi determinan kejadian diare pada balita di Jawa Barat. Metode: Penelitian ini menggunakan data SKI 2023 dengan total sampel sebanyak 913 balita. Desain studi yang digunakan yaitu cross-sectional. Data dianalisis berdasarkan complex sample secara univariat, bivariat dengan uji chi-square, dan multivariat dengan uji regresi logistic berganda. Hasil: Faktor yang berhubungan signifikan dengan kejadian diare pada balita di Jawa Barat adalah drainase limbah (p-value 0,004; OR 2,188; CI 1,283-3,733) dan fasilitas cuci tangan (p-value 0,044; OR 1,808; CI 1,017-3,213), sedangkan untuk sumber air minum dan pengolahan air minum menjadi variabel confounding. Kesimpulan: Upaya optimalisasi sanitasi di masyarakat masih perlu ditingkatkan, di samping itu upaya pencegahan masih perlu dimasifkan untuk meningkatkan keberhasilan penurunan prevalensi kejadian diare pada balita di Jawa Barat.
Background: Diarrhea remains a significant health problem globally and nationally. In Indonesia, West Java has a diarrhea prevalence of 11% among under-five children. This figure is the 5th highest nationally and the highest on Java Island. Various interventions have been implemented to reduce diarrhea rates in under-five children. However, the persistently high incidence of diarrhea in under-five children in West Java necessitates this research to identify the determinants of diarrhea incidence in under-five children in West Java. Methods: This study utilized SKI 2023 data with a total sample of 913 under-five children. A cross-sectional study design was employed. Data were analyzed using complex sample analysis, including univariate, bivariate with chi-square test, and multivariate with multiple logistic regression. Results: Factors significantly associated with diarrhea incidence in under-five children in West Java were wastewater drainage (p-value 0.004; OR 2.188; CI 1.283-3.733) and handwashing facilities (p-value 0.044; OR 1.808; CI 1.017-3.213), while drinking water source and drinking water treatment were identified as confounding variables. Conclusion: Efforts to optimize community sanitation still need to be improved. Furthermore, prevention efforts need to be intensified to enhance the successful reduction of diarrhea prevalence in under-five children in West Java.
Background: Diarrhea remains a significant health problem globally and nationally. In Indonesia, West Java has a diarrhea prevalence of 11% among under-five children. This figure is the 5th highest nationally and the highest on Java Island. Various interventions have been implemented to reduce diarrhea rates in under-five children. However, the persistently high incidence of diarrhea in under-five children in West Java necessitates this research to identify the determinants of diarrhea incidence in under-five children in West Java. Methods: This study utilized SKI 2023 data with a total sample of 913 under-five children. A cross-sectional study design was employed. Data were analyzed using complex sample analysis, including univariate, bivariate with chi-square test, and multivariate with multiple logistic regression. Results: Factors significantly associated with diarrhea incidence in under-five children in West Java were wastewater drainage (p-value 0.004; OR 2.188; CI 1.283-3.733) and handwashing facilities (p-value 0.044; OR 1.808; CI 1.017-3.213), while drinking water source and drinking water treatment were identified as confounding variables. Conclusion: Efforts to optimize community sanitation still need to be improved. Furthermore, prevention efforts need to be intensified to enhance the successful reduction of diarrhea prevalence in under-five children in West Java.
S-12090
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Nindya Rimalivia; Pembimbing: Sudijanto Kamso; Penguji: Martya Rahmaniati Makful, Selamat Riyadi
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Penyakit tidak menular menjadi tantangan serius dalam kesehatan global, terutama di tengah era globalisasi yang mendorong perubahan gaya hidup masyarakat ke arah yang kurang sehat. Salah satu penyakit tidak menular yang menyebabkan tingginya angka kematian adalah penyakit kardiovaskular dengan hipertensi merupakan faktor risiko utamanya. Hipertensi seringkali tidak bergejala, namun dapat menyebabkan komplikasi berat seperti stroke dan penyakit jantung. Berdasarkan data SKI tahun 2023, proporsi hipertensi di Provinsi Jawa Barat mencapai 34,4% tertinggi ketiga di Indonesia dan melebihi proporsi nasional dengan persentase 30,8%. Kondisi ini menjadi perhatian khusus mengingat Jawa Barat merupakan provinsi dengan jumlah penduduk terbesar sehingga perubahan kecil sekalipun dalam angka kejadian dapat berdampak signifikan terhadap beban nasional. Selain itu, hipertensi tidak lagi hanya menjadi permasalahan kesehatan lanjut usia, tetapi juga semakin banyak ditemukan pada penduduk usia produktif yang dapat berdampak pada menurunnya produktivitas tenaga kerja dan meningkatkan beban ketergantungan di masa tua. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan hipertensi pada penduduk usia produktif di Jawa Barat. Sumber data penelitian ini adalah SKI 2023 dengan desain studi potong lintang (cross sectional) dengan total sampel yang memenuhi kriteria sebanyak 27.452 penduduk usia produktif. Hasil penelitian ini menunjukkan bahwa proporsi hipertensi pada penduduk usia produktif di Jawa Barat sebanyak 23,5%. Adapun faktor-faktor yang berhubungan dengan hipertensi meliputi usia, pendidikan, tempat tinggal, konsumsi makanan berlemak, berkolesterol, dan gorengan, diabetes mellitus, serta obesitas sentral. Didapatkan juga faktor yang paling dominan terhadap hipertensi adalah obesitas sentral (AOR = 2,733; 95% CI: 2,530–2,952). Berdasarkan hasil penelitian ini, masyarakat disarankan untuk memperhatikan lingkar pinggang agar tetap dalam batas normal sebagai upaya mencegah obesitas sentral. Sementara itu, masyarakat dengan obesitas sentral disarankan untuk rutin memeriksakan tekanan darah dan menerapkan pola hidup sehat untuk mencegah komplikasi lebih lanjut.
Non-communicable diseases have become a serious global health challenge, especially in the era of globalization that encourages lifestyle changes toward less healthy behaviors. One of the leading NCDs contributing to high mortality is cardiovascular disease, with hypertension being its primary risk factor. Hypertension often presents without symptoms but can lead to severe complications such as stroke and heart disease. According to the 2023 SKI data, the prevalence of hypertension in West Java Province reached 34.4%, the third highest in Indonesia and exceeding the national average of 30.8%. This issue is particularly concerning given that West Java is the most populous province in the country, where even minor changes in incidence can have a significant impact on the national burden. Moreover, hypertension is no longer confined to older adults, it is increasingly affecting individuals of productive age, which may reduce workforce productivity and increase dependency in later years. This study aimed to identify factors associated with hypertension among the productive-age population in West Java. The data source was the 2023 SKI, using a cross-sectional study design with a total sample of 27.452 individuals who met the inclusion criteria. The results showed that the prevalence of hypertension among the productive-age population in West Java was 23.5%. Factors associated with hypertension included age, education level, place of residence, consumption of fatty, high-cholesterol, and fried foods, diabetes mellitus, and central obesity. Central obesity was identified as the most dominant factor associated with hypertension (AOR = 2.733; 95% CI: 2.530–2.952). Based on these findings, greater attention should be given to maintaining waist circumference within a normal range to prevent central obesity. Individuals with central obesity are encouraged to have regular blood pressure checks and adopt healthier habits to reduce the risk of further complications.
S-11941
Depok : FKM-UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Salsabilla Tiara; Pembimbiing: Rico Kurniawan; Penguji: Besral, Ananda
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Latar belakang: Obesitas sentral adalah penumpukan lemak di daerah abdomen yang dapat meningkatkan berbagai risiko penyakit tidak menular lainnya. Prevalensi obesitas sentral di Indonesia juga meningkat setiap tahunnya. Tujuan: Penelitian ini bertujuan untuk melihat hubungan antara faktor sosiodemografi, faktor perilaku, faktor gangguan mental emosional, dan faktor riwayat penyakit dengan kejadian obesitas sentral pada usia dewasa di Indonesia pada tahun 2023. Metode: Penelitian ini merupakan penelitian kuantitatif menggunakan data sekunder SKI 2023. Penelitian ini menggunakan desain cross-sectional dan analisis regresi logistik berganda. Besar sampel yang didapatkan sebesar 455.036 dengan rincian sampel perempuan sebesar 253.055 dan sampel laki-laki sebesar 202.251. Hasil: Hasil penelitian menunjukan bahwa prevalensi obesitas sentral pada perempuan mencapai (65,4%), sementara pada laki-laki mencapai (25,1%). Penelitian ini menunjukan bahwa riwayat penyakit berhubungan signifikan dan menjadi faktor dominan terhadap kejadian obesitas sentral pada seluruh populasi (AOR Perempuan: 1,96; AOR Laki-laki: 2,37). Kesimpulan: Tingginya angka obesitas sentral pada penduduk usia dewasa mengindikasikan perlunya upaya pencegahan yang serius, terutama dalam meningkatkan kesadaran masyarakat untuk mengatur pola hidup sehat yang lebih baik. Upaya ini dapat dilakukan melalui promosi kesehatan dan kolaborasi antar pihak.
Background: Central obesity is the accumulation of fat in the abdominal region that can increase the risk of various other non-communicable diseases. The prevalence of central obesity in Indonesia is also increasing every year. Objective: This study aims to see the relationship between sociodemographic factors, behavioral factors, mental emotional disorder factors, and disease history factors with the incidence of central obesity in adults in Indonesia in 2023. Methods: This study is a quantitative study using secondary data from SKI 2023. This study used a cross-sectional design and multiple logistic regression analysis. The sample size obtained was 455,036 with details of the female sample of 253,055 and the male sample of 202,251. Results: The results showed that the prevalence of central obesity in women reached (65.4%), while in men it reached (25.1%). This study showed that a history of disease was significantly associated and was the dominant factor in the incidence of central obesity in the entire population. (Female AOR: 1.96; Male AOR: 2.37). Conclusion: The high rate of central obesity in the adult population indicates the need for serious prevention efforts, especially in increasing public awareness to organize a better healthy lifestyle. This effort can be done through health promotion and collaboration between parties.
S-11988
Depok : FKM-UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Uswatun Khasanah; Pembimbing: Artha Prabawa; Penguji: Popy Yuniar, Julie Rostina
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Masa neonatal yakni 28 hari pertama kehidupan merupakan periode paling kritis bagi kelangsungan hidup bayi karena tingginya risiko untuk mengalami kematian pada fase ini. Berdasarkan laporan SKI 2023, Indonesia berada di posisi ketiga untuk AKN tertinggi di Asia Tenggara yakni 9,3 kematian per 1.000 kelahiran hidup. Data terkini mengungkapkan peningkatan yang cukup signifikan, dimana kasus kematian neonatal melonjak dari 20.882 pada tahun 2022 menjadi 29.954 pada tahun 2023. Penelitian ini bertujuan untuk mendapatkan faktor-faktor apa saja yang berhubungan dengan kematian neonatal pada peserta BPJS Kesehatan Tahun 2015-2022. Metode penelitian menggunakan desain cross sectional dengan menganalisis data sampel BPJS Kesehatan tahun 2015-2022, mencakup bayi baru lahir (0-28 hari) yang melakukan kunjungan ke Fasilitas Kesehatan Rujukan Tingkat Lanjut (FKRTL). Hasil penelitian menunjukkan bahwa faktor sosioekonomi (status ekonomi dan tempat tinggal) dan faktor neonatus (jenis kelamin, usia saat kunjungan dan berat badan lahir) memiliki hubungan yang signifikan (p-value: 0,000) terhadap kematian neonatal. Dengan hasil berat badan lahir rendah memiliki risiko 4,1 kali lebih berisiko untuk mengalami kematian neonatal (OR: 4,1 95% CI: 3,74-4,55), kemudian neonatus yang melakukan kunjungan di usia 0-7 hari 3,4 kali berisiko mengalami kematian neonatal (OR: 3,4 95% CI: 2,64-4,43), neonatus perempuan memiliki risiko 0,8 kali lebih rendah untuk mengalami kematian neonatal (OR: 0,8 95% CI: 0,74-0,88), dan untuk neonatus yang berada di luar pulau jawa memiliki risiko 1,3 kali lebih berisiko untuk mengalami kematian neonatal (OR: 1,31, 95% CI: 1,21-1,43) serta neonatus dengan status ekonomi kurang memiliki risiko 1,8 kali lebih untuk mengalami kematian neonatal (OR: 1,89, 95% CI: 1,79-2,06).
The neonatal period, the first 28 days of life, is the most critical phase for infant survival due to the high risk of mortality. According to SKI 2023, Indonesia ranks third for the highest neonatal mortality rate in Southeast Asia at 9.3 deaths per 1,000 live births. Recent data shows a significant increase, with neonatal deaths rising from 20,882 cases in 2022 to 29,954 in 2023. This study aims to identify factors associated with neonatal mortality among BPJS Kesehatan participants from 2015-2022. Using a cross-sectional design, we analyzed BPJS Kesehatan data of newborns (0-28 days) visiting Advanced-Level Health Facilities (FKRTL). Results show that socioeconomic factors (economic status and residence) and neonatal factors (sex, age at visit, and birth weight) significantly correlate with neonatal mortality (p-value: 0,000). With low birth weight having a 4.1 times higher risk of experiencing neonatal death (OR: 4,1 95% CI: 3,74-4,55), then neonates who have visits at 0-7 days old have a 3.4 times higher risk of experiencing neonatal death (OR: 3,4 95% CI: 2,64-4,43), female neonates have a 0.8 times lower risk of experiencing neonatal death (OR: 0,8 95% CI: 0,74-0,88), and neonates who are outside of Java Island have a 1,3 times higher risk of experiencing neonatal death (OR: 1,31, 95% CI: 1,21-1,43) as well as neonates with poor economic status having a 1,8 times higher risk of experiencing neonatal death (OR: 1,89, 95% CI: 1,79-2,06).
The neonatal period, the first 28 days of life, is the most critical phase for infant survival due to the high risk of mortality. According to SKI 2023, Indonesia ranks third for the highest neonatal mortality rate in Southeast Asia at 9.3 deaths per 1,000 live births. Recent data shows a significant increase, with neonatal deaths rising from 20,882 cases in 2022 to 29,954 in 2023. This study aims to identify factors associated with neonatal mortality among BPJS Kesehatan participants from 2015-2022. Using a cross-sectional design, we analyzed BPJS Kesehatan data of newborns (0-28 days) visiting Advanced-Level Health Facilities (FKRTL). Results show that socioeconomic factors (economic status and residence) and neonatal factors (sex, age at visit, and birth weight) significantly correlate with neonatal mortality (p-value: 0,000). With low birth weight having a 4.1 times higher risk of experiencing neonatal death (OR: 4,1 95% CI: 3,74-4,55), then neonates who have visits at 0-7 days old have a 3.4 times higher risk of experiencing neonatal death (OR: 3,4 95% CI: 2,64-4,43), female neonates have a 0.8 times lower risk of experiencing neonatal death (OR: 0,8 95% CI: 0,74-0,88), and neonates who are outside of Java Island have a 1,3 times higher risk of experiencing neonatal death (OR: 1,31, 95% CI: 1,21-1,43) as well as neonates with poor economic status having a 1,8 times higher risk of experiencing neonatal death (OR: 1,89, 95% CI: 1,79-2,06).
S-12085
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Laila Salsabila; Pembimbing: Sabarinah; Penguji: Popy Yuniar, Teti Tejayanti
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Kelahiran prematur merupakan penyebab kematian neonatal ketiga terbanyak di Indonesia. Kelahiran prematur dapat meningkatkan morbiditas dan mortalitas neonatal/bayi sehingga dapat berdampak pada indikator kesehatan Indonesia. Penelitian ini bertujuan untuk mengidentifikasi determinan kelahiran prematur di wilayah perkotaan dan perdesaan Indonesia. Data berasal dari Survei Kesehatan Indonesia 2023 dengan menggunakan desain studi potong lintang. Sampel penelitian ini adalah perempuan umur 10-54 tahun yang pernah kawin, mempunyai pengalaman reproduksi dalam kurun waktu lima tahun terakhir untuk anak terakhir dengan total sampel 32.288 responden. Penelitian ini menggunakan uji Chi Square dan regresi logistik ganda dalam analisisnya. Hasil penelitian ini menunjukkan bahwa determinan kelahiran prematur di wilayah perkotaan dan pedesaan yaitu, kunjungan ANC, kehamilan kembar, hipertensi, dan perdarahan antepartum. Usia, ibu, ketuban pecah dini, dan metode persalinan hanya berhubungan di wilayah perkotaan, sedangkan plasenta previa hanya berhubungan di wilayah perdesaan. Kehamilan kembar menjadi variabel yang berhubungan paling dominan dengan kelahiran prematur di wilayah perkotaan dan perdesaan Indonesia
Preterm birth is the third leading cause of neonatal mortality in Indonesia. It significantly contributes to neonatal morbidity and mortality, thereby affecting the overall health indicators of the country. This study aims to identify the determinants of preterm birth in urban and rural areas of Indonesia. The data were obtained from the 2023 Indonesian Health Survey using a cross-sectional study design. The study sample consisted of 32,288 ever-married women aged 10–54 years who had given birth in the last five years. Data were analyzed using chi-square tests and multivariable logistic regression. The results showed that antenatal care (ANC) visits, multiple pregnancies, hypertension, and antepartum hemorrhage were significant determinants of preterm birth in both urban and rural areas. Maternal age, premature rupture of membranes, and mode of delivery were only associated with preterm birth in urban areas, while placenta previa was only significant in rural areas. Multiple pregnancies were the most dominant factor associated with preterm birth in both settings.
Preterm birth is the third leading cause of neonatal mortality in Indonesia. It significantly contributes to neonatal morbidity and mortality, thereby affecting the overall health indicators of the country. This study aims to identify the determinants of preterm birth in urban and rural areas of Indonesia. The data were obtained from the 2023 Indonesian Health Survey using a cross-sectional study design. The study sample consisted of 32,288 ever-married women aged 10–54 years who had given birth in the last five years. Data were analyzed using chi-square tests and multivariable logistic regression. The results showed that antenatal care (ANC) visits, multiple pregnancies, hypertension, and antepartum hemorrhage were significant determinants of preterm birth in both urban and rural areas. Maternal age, premature rupture of membranes, and mode of delivery were only associated with preterm birth in urban areas, while placenta previa was only significant in rural areas. Multiple pregnancies were the most dominant factor associated with preterm birth in both settings.
S-12016
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Fajrin Syahrina; Pembimbing: Sutanto Priyo Hastono; Penguji: Martya Rahmaniati Makful, Rahmadewi
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Inisiasi menyusui dini (IMD) merupakan salah satu upaya untuk menurunkan angka kematan neonatal dan mengoptimalkan pemberian ASI eksklusif. Pelaksanaan IMD erat kaitanya dengan metode persalinan yang dilakukan ibu yaitu persalinan pervaginam atau persalinan caesar. Penelitian ini menggunakan data SDKI 2017 dengan desain studi cross sectional untuk mengetahui determinan IMD pada wanita yang melahirkan secara operasi caesar. Analisis data pada penelitian ini menggunakan chi-square dan regresi logistik. Hasil penelitian ini menunjukkan bahwa paritas (AOR: 1,49, 95% CI: 1,03-2,16), kunjungan ANC (AOR: 2,96, 95% CI: 1,07-8,20), dan skin-to-skin contact (AOR: 3,50, 95% CI: 2,41-5,08) berhubungan dengan perilaku inisiasi menyusui dini pada wanita usia subur yang melahirkan secara operasi caesar. Oleh karena itu perlu adanya regulasi untuk mengatur pelaksanaan IMD pada semua jenis persalinan baik pervaginam maupun caesar. Selain itu peningkatan edukasi IMD pada kunjungan ANC serta sosialisasi persalinan pervaginam perlu ditingkatkan kembali.
Early initiation of breastfeeding (EIBF) is an effort to reduce neonatal mortality and optimize exclusive breastfeeding. The implementation of EIBF is closely related to the method of delivery performed by the mother, namely vaginal delivery or cesarean delivery. This study used data from the 2017 IDHS with a cross-sectional study design to determine the determinants of EIBF in women of childbearing age who deliver by caesarean section. Data analysis in this study used chi-square and logistic regression. The results of this study indicated that parity (AOR: 1.49, 95% CI: 1.03-2.16), ANC visits (AOR: 2.96, 95% CI: 1.07-8.20), and skin -to-skin contact (AOR: 3.50, 95% CI: 2.41-5.08) is associated with early breastfeeding initiation behavior in women of childbearing age who deliver by cesarean section. Therefore it is necessary to have regulations to regulate the implementation of EIBF in all types of deliveries, both vaginal and cesarean delivery. In addition, increased EIBF education at ANC visits and socialization of vaginal births need to be increased again.
S-11417
Depok : FKM-UI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Wilujeng Fajriyatil Fitri; Pembimbing: Besral; Penguji: Martya Rahmaniati Makful, Zakiah
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Berat badan lahir rendah berkontribusi terhadap morbiditas dan mortalitas neonatal, menjadikannya indikator penting kesehatan ibu dan anak. Data Riskesdas 2018 dan SKI 2023 menunjukkan prevalensi BBLR di Indonesia belum mengalami penurunan signifikan, dengan variasi antarwilayah, sehingga perlu penelitian tentang determinan BBLR berdasarkan regional. Penelitian ini menggunakan desain cross-sectional dengan data sekunder SKI 2023, dianalisis berdasarkan lima regional Indonesia menggunakan uji chi-square dan regresi logistik. Hasil menunjukkan variasi proporsi BBLR antarregional, dengan Sulawesi tertinggi dan Sumatera terendah. Di Sumatera, faktor terkait BBLR adalah anemia, plasenta previa, kehamilan kembar, kelahiran prematur, dan interaksi kehamilan kembar dengan komplikasi. Di Jawa-Bali, faktor yang berhubungan adalah paritas, komplikasi kehamilan, kehamilan kembar, jenis kelamin, kelahiran prematur, dan kelahiran prematur yang berinteraksi dengan kehamilan kembar. Di Kalimantan, faktor terkait adalah usia ibu, paritas, komplikasi, serta interaksi kehamilan kembar dengan jenis kelamin dan kelahiran prematur. Di Sulawesi, faktor yang berhubungan adalah status ekonomi, pendidikan ibu, paritas, konsumsi tablet tambah darah, komplikasi, plasenta previa, kehamilan kembar, jenis kelamin, dan kelahiran prematur. Di Papua, Maluku, Nusa Tenggara, faktor terkait adalah status ekonomi, paritas, komplikasi, dan interaksi kehamilan kembar dengan kelahiran prematur. Diperlukan intervensi berbasis wilayah untuk meningkatkan pelayanan kesehatan ibu hamil, terutama di Sulawesi, dengan fokus pada faktor risiko utama seperti kehamilan kembar, kelahiran prematur, dan anemia.
Low Birth Weight (LBW) contributes to neonatal morbidity and mortality, making it an important indicator of maternal and child health. The 2018 Riskesdas data and the 2023 SKI reveal that the LBW prevalence in Indonesia has not significantly decreased, with regional variations, indicating the need for research on the regional determinants of LBW. This cross-sectional study uses secondary data from SKI 2023, analyzed across five regions in Indonesia using chi-square tests and logistic regression. The results show regional variations in LBW proportions, with Sulawesi having the highest and Sumatra the lowest prevalence. In Sumatra, factors associated with LBW include anemia, placenta previa, multiple pregnancies, prematurity, and interactions between multiple pregnancies and complications. In Java-Bali, factors associated with LBW include parity, pregnancy complications, multiple pregnancies, gender, prematurity, and the interaction between prematurity and multiple pregnancies. Kalimantan's related factors are maternal age, parity, complications, and interactions between multiple pregnancies, gender, and prematurity. In Sulawesi, factors related to LBW include maternal socioeconomic status, education, parity, iron supplement consumption, complications, placenta previa, multiple pregnancies, gender, and prematurity. Papua, Maluku, and Nusa Tenggara show associations with socioeconomic status, parity, complications, and interactions between multiple pregnancies and prematurity. Regional-based interventions are needed to improve maternal health services, especially in Sulawesi, with a focus on key risk factors such as multiple pregnancies, prematurity, and anemia.
S-11951
Depok : FKM-UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Alvian Sanjaya; Pembimbing: Iwan Ariawan; Penguji: Martya Rahmaniati Makful, Atmiroseva
Abstrak:
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Periode neonatal (0-28 hari) merupakan waktu yang rentan bagi kelangsungan hidup seorang anak setelah dilahirkan. AKN menurut SDKI 2017 masih berada pada angka 15 kematian per 1000 kelahiran hidup, pada tahun 2021 sebanyak 73,1% kematian balita terjadi pada periode ini serta Indonesia menjadi penyumbang terbesar kematian neonatal di wilayah Asia Timur dan Pasifik. Tujuan penelitian ini untuk mengetahui faktor-faktor apa saja yang mempengaruhi kematian neonatal di Indonesia pada tahun 2021. Menggunakan desain studi cross sectional dengan memanfaatkan data sampel BPJS Kesehatan tahun 2015-2021 dengan sampel bayi lahir hidup usia 0-28 hari yang melakukan kunjungan ke FKRTL di tahun 2021 sebanyak 8.672 anak. Hasil penelitian ini adalah faktor sosioekonomi (status ekonomi dan tempat tinggal) tidak memiliki hubungan dengan kematian neonatal. Dari tiga faktor neonatus (jenis kelamin, usia, dan berat badan lahir) hanya berat badan lahir saja yang memiliki hubungan secara statistik dengan kematian neonatal. Neonatus dengan berat badan lahir rendah lebih berisiko hampir 6 kali lebih besar (OR: 5,868 95% CI: 1,36-25,32) untuk mengalami kematian neonatal dibandingkan dengan neonatus dengan berat badan lahir normal. Komplikasi karena BBLR juga menjadi faktor penyebab utama kematian neonatal dalam penelitian ini. Sehingga, berat badan lahir rendah menjadi faktor utama dalam kematian neonatal pada peserta BPJS Kesehatan di Indonesia tahun 2021.
The neonatal period (0-28 days) is a vulnerable time for the survival of a child after birth. The NMR according to the 2017 IDHS is still at 15 deaths per 1000 live births, in 2021 as many as 73.1% of under-five deaths occur in this period and Indonesia is the largest contributor to neonatal deaths in the East Asia and Pacific region. The purpose of this study was to determine what factors influence neonatal mortality in Indonesia in 2021. Using a cross sectional study design utilizing BPJS Kesehatan sample data for 2015-2021 with a sample of live born babies aged 0-28 days who made visits to FKRTL in 2021 totaling 8,672 children. The results of this study were socioeconomic factors (economic status and place of residence) had no association with neonatal mortality. Of the three neonate factors (gender, age, and birth weight) only birth weight had a statistical association with neonatal mortality. Neonates with low birth weight were almost 6 times more at risk (OR: 5.868 95% CI: 1.36-25.32) to experience neonatal death compared to neonates with normal birth weight. Complications due to LBW was also a major contributing factor to neonatal mortality in this study. Thus, low birth weight is a major factor in neonatal mortality among BPJS Kesehatan participants in Indonesia in 2021.
S-11359
Depok : FKM-UI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Nadazaira Alifia Ramadhianisa; Pembimbing: Artha Prabawa; Penguji: Rico Kurniawan, Dwita Maulida
Abstrak:
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Pada tahun 2022, diperkirakan ada sekitar 1.060.000 kasus tuberkulosis di Indonesia, menjadikan Indonesia dengan jumlah estimasi kasus TB tertinggi kedua di dunia. Kota Depok, Jawa Barat mengalami penurunan keberhasilan pengobatan sejak tahun 2019 sampai 2022. Penelitian ini merupakan penelitian kuantitatif dengan desain kohort retrospektif menggunakan data sekunder yang bersumber dari SITB Kota Depok dan bertujuan untuk mengetahui determinan keberhasilan pengobatan pada pasien dewasa TB paru sensitif obat di Kota Depok tahun 2022. Sebanyak 2259 sampel yang sesuai dengan kriteria inklusi dan eksklusi dianalisis secara univariat, bivariat, dan multivariat menggunakan SPSS Statistics 25. Diperoleh angka keberhasilan pengobatan pada pasien dewasa TB paru SO sebesar 84,2%. Variabel umur, jenis kelamin, riwayat pengobatan TB, status HIV, dan lama konversi sputum ditemukan memiliki hubungan dengan keberhasilan pengobatan. Ditemukan tiga determinan keberhasilan pengobatan, yakni variabel umur, jenis kelamin, dan riwayat pengobatan TB dengan variabel riwayat pengobatan TB memiliki pengaruh paling besar. Diperlukan adanya intervensi pada kelompok umur lansia, jenis kelamin laki-laki, riwayat pengobatan TB ulangan, positif HIV, dan lama konversi sputum lebih dari 2 bulan untuk dapat meningkatkan keberhasilan pengobatan TB.
In 2022, it is estimated that there were approximately 1,060,000 tuberculosis cases in Indonesia, making it the country with the second highest estimated TB cases in the world. Depok City, West Java, has experienced a decline in treatment success rates from 2019 to 2022. This research is a quantitative study with a retrospective cohort design using secondary data from SITB aimed at determining the factors influencing treatment success in adult patients with drug-sensitive pulmonary TB in Depok City in 2022. A total of 2,259 samples that met the inclusion and exclusion criteria were analyzed using univariate, bivariate, and multivariate methods with SPSS Statistics 25. The treatment success rate for adult patients with drug-sensitive pulmonary TB was found to be 84.2%. Variables such as age, gender, history of TB treatment, HIV status, and duration of sputum conversion were found to be associated with treatment success. Three determinants of treatment success were identified: age, gender, and history of TB treatment, with the history of TB treatment having the most significant impact. Interventions are needed for elderly age groups, males, those with a history of repeated TB treatment, HIV-positive individuals, and those with sputum conversion lasting more than 2 months to improve TB treatment success rates.
S-11703
Depok : FKM UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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