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ABSTRAK Nama : Lia Hapsari Andayani NPM : 1506784984 Program Studi : Epidemiologi Komunitas Judul : Determinan Kejadian Penyakit Periodontal Pada Masa Kehamilan di Indonesia Tahun 2013 (Analisis Data Riskesdas 2013) Perubahan hormonal yang terjadi pada seorang wanita pada masa kehamilan dapat mempengaruhi kesehatan jaringan periodontal. Peningkatan kadar estrogen dan progesteron mengubah komposisi bakteri, permeabilitas pembuluh darah, dan kondisi fisiologi jaringan periodontal, sehingga wanita hamil rentan mengalami penyakit periodontal. Penyakit periodontal dapat menyebabkan tanggalnya gigi, komplikasi kehamilan, dan peningkatan risiko penyakit sistemik. Penelitian ini bertujuan untuk mengetahui hubungan faktor sosial demografi, faktor kehamilan, faktor perilaku kesehatan gigi dan mulut, serta faktor lokal terhadap kejadian penyakit periodontal pada masa kehamilan di Indonesia tahun 2013. Desain penelitian yang digunakan adalah potong lintang. Sebanyak 1733 wanita hamil diambil sebagai sampel dari data Riskesdas tahun 2013. Uji statistik menggunakan regresi logistik ganda. Prevalensi penyakit periodontal pada masa kehamilan di Indonesia sebesar 4,4%. Faktor lokal yang mempengaruhi terjadinya penyakit periodontal pada masa kehamilan adalah karang gigi (POR 4,297; 95%CI : 2,047 – 9,023) dan gigi berjejal (POR 2,126 ; 95%CI :1,232 – 3,669). Faktor perilaku kesehatan gigi dan mulut yang mempengaruhi terjadinya penyakit periodontal pada masa kehamilan adalah frekuensi menyikat gigi (POR 2,543; 95%CI : 1,041 – 6,210). Tenaga medis harus berkerja sama dan merumuskan kebijakan mengenai perawatan kesehatan gigi dan mulut selama masa kehamilan. Penyuluhan tentang konsep menyikat gigi yang baik, serta keamanan tindakan pembersihan karang gigi selama masa kehamilan sangat diperlukan. Kata kunci : penyakit periodontal, kehamilan, karang gigi
ABSTRACT Name : Lia Hapsari Andayani Student Num : 1506784984 Program : Epidemiology Tittle : Determinants For Peridontal Disease in Pregnancy in Indonesia 2013 (Riskesdas 2013 Data Analysis) Hormonal changes that occur in a woman during pregnancy can affect the health of periodontal tissue. Elevated levels of estrogen and progesterone alter bacterial composition, permeability of blood vessels, and periodontal tissue’s condition so that pregnant women are susceptible to periodontal disease. Periodontal disease may cause tooth loss, adverse pregnancy outcomes, and increased risk of systemic disease. This study aims to determine the relationship of socio-demographic, pregnancy, oral health behavior and local factors with periodontal disease during pregnancy in Indonesia in 2013. This is a cross-sectional study involved 1733 pregnant women that was retrieved from Riskesdas 2013 data. Statistical test using multiple logistic regression. Periodontal disease was present in 4,4% pregnant women. Local factors that affect the occurrence of periodontal disease during pregnancy are calculus (POR 4,297; 95%CI : 2,047 – 9,023) and tooth crowding (POR 2,126 ; 95%CI :1,232 – 3,669). Dental and oral health behavior factor that affect the occurrence of periodontal disease during pregnancy is toothbrushing frequency (POR 2,543; 95%CI : 1,041 – 6,210). It is necessary to build good cooperation between medical professionals and dentists to provide oral health service during ante natal care. Introducing the right toothbrushing concept and the safety of calculus removal during pregnancy is recomended. Keyword : periodontal disease, pregnancy, calculus
Unintended pregnancy is a global health problem because it is a cause of maternal and infant mortality as well as a trigger for stress and depression in mothers. In addition, unintended pregnancy will disrupt the marital relationship and can affect the socio-economic conditions of a country. The number of unintended pregnancies worldwide is still high, occurring in 1 in 4 pregnancies. In Indonesia, the prevalence of unintended pregnancies is 15% of the total pregnancies. As far as is known, studies discussing the determinants of unintended pregnancies in Indonesia are still limited. Therefore, this study aims to explore the determinants of unintended pregnancies in Indonesia using data from the 2017 IDHS. The cross-sectional research design includes the entire 2017 IDHS sample totaling 15,316 respondents. The results showed that the prevalence of unintended pregnancies in women with live births in the last 3 – 5 years was around 16%. The highest proportion of unintended pregnancies in Indonesia occurred at 36-49 years old, with diploma/graduate degree, employed, richest, lived in a city, unmarried, grand multiparas, had complications during pregnancy and parturition, had high contraceptive knowledge, and did not know each other's preferences. In the bivariate analysis, age, economic status, place of residence, marital status, parity, complication pregnancy, fertility preference, and contraceptive knowledge were statistically significant with unintended pregnancies. Multivariate analysis showed determinants of unintended pregnancy, including age, education level, type of residence, parity, and fertility preference. Preventing unintended pregnancies can be done through individual or pair family planning counseling, increasing postpartum and male contraception, starting sex education in the family, and avoiding risky sexual relations.
Dental and oral health disorders have a fairly high rate in Indonesia, becoming a risk factor for non-communicable diseases that can increase morbidity and mortality rates in Indonesia. Indonesia is one of the countries with an abundant productive age population, so dental and oral health disorders that can affect productivity need to be addressed. This study aims to determine the proportion and determinants that influence the incidence of dental and oral health disorders in productive age people in Indonesia based on the results of the 2023 SKI. This study was a cross-sectional study design using data from the 2018 Indonesian Health Survey. A total of 486,994 subjects met the inclusion and exclusion criteria. The results of the multivariate analysis of the prediction model with cox regression showed that age, male gender, low education, frequent consumption of sweet foods, frequent consumption of sweet drinks, smoking, consumption of alcoholic beverages, and frequency of toothbrushing
Kata kunci : HIV, Penasun, sharing needle, pasangan seks, kondom, IMS.
HIV infection cases keep increasing and have been inestmated infecting 36.7 million people in the world and 2 million among them are children below 15 years old. The high prevallence rate of HI among IDUs indiacted IDU is important HIV key population in Indonesia. The aim of this study was to know determinant affecting HIV infection among IDUs in Indonesia in year 2015 by using secondary data of IBBS (STBP) among IDUs in 6 big cities done by Ministry of Health (Kemkes RI). In IBBS/STBP study about 1231 IDUs were interviewed and taken their blood samples. In study we used multivariate analysis using Cox regrssion analiysis and found that the HIV prevalence rate was 28.8%. About 55,2% have shared needles, 90,7% have used already used needles, 35% have been following methadone substitution therapy. From this study we also found that having IDUs sex partner increased risk to get HIV infection for about 2,22 times as compared those did not have (95% CI of PR: 1,152- 4,281, p-value=0,017), Self perception that ones being at risk of HIV increased risk to get HIV infection 1,68 times (95% CI 1,176-2,406, nilai p=0,004), sharing needle increased risk to get infected by HIV 1,90 times (95% CI 0,68-5,35), status of Sifilis infection and STI (sexual transmitted infection) both increased risk 1,2 times and condom use had protective effect and showed signficant association (p-value=0,006). HIV control programs in Indonesia were expected to be more focus on intervention toward key population of IDUs in areas of education to increase knowledge of HIV, therapy and behavior intervention.
Kata kunci : HIV, IDUs, sharing needle, sex partners, condom, STI.
