scholarly journals Hubungan antara Penggunaan Kontrasepsi Hormonal dengan Kejadian Hipertensi pada Wanita Usia Subur di Indonesia (Analisis Data Indonesian Family Life Survey 5)

2021 ◽  
Vol 16 (4) ◽  
pp. 240
Author(s):  
Theni Yuniarti ◽  
Amrina Rosyada

Background: The incidence of hypertension in women is 36.9%, allegedly related to hormonal changes triggered by the use of hormonal contraceptives. This study aims to analyze the relationship between the use of hormonal contraception on the incidence of hypertension in women of childbearing age. Methods: This cross-sectional study used IFLS 2014 data and involved 7,097 participants who were selected using multistage random sampling technique. The research variables included age, education, work status, physical activity, stress, use and length of time being a hormonal family planning acceptor, work status, blood pressure and obesity. Data analysis was carried out descriptively and analytically using logistic regression. Results: The incidence of hypertension reached 27.2%, and the multivariate analysis showed the significant correlation with age and duration of hormonal contraceptive use (p=0.000; PR=2.809; 95%-CI=2.516-3.136 and p=0.000; PR=1.002; 95% -CI=1.001-1.003). Conclusion: The incidence of hypertension in hormonal contraceptive users is related to age and period of use. Hormonal family planning acceptors need to regularly control blood pressure with age to monitor the incidence of hypertension.

bionature ◽  
2019 ◽  
Vol 20 (2) ◽  
pp. 123
Author(s):  
Amiruddin Amiruddin ◽  
Agriansyah A Agriansyah A ◽  
Risna Risna

Abstract. Based on initial observations on hormonal contraceptive KB acceptors in the working area of the Jati Raya Health Center in Kendari City, many acceptors experience menstrual disorders. This study aims to determine the relationship between duration of use and the type of hormonal contraception used with menstrual disorders inactive family planning acceptors in the working area of Jati Raya Health Center, Kendari City. This type of research is an association with the Cross-Sectional Study design. The population in this study was 153 acceptors. The sample was determined by purposive sampling of 138 respondents using a questionnaire. The results showed respondents with a duration of use <6 months (45.7%), 6 months - 1 year (31.2%), and> 1 year (23.2%), the type of hormonal contraception used is; injections (80.4%), pills (13.8%) and implants (5.8%), menstrual disorders before using hormonal contraceptives namely; normal (39.1%) and mild disorders (60.9%) and after using hormonal contraception, mild disorders (15.9%), moderate (39.1%) and severe (44.9%). The results of data analysis with the chi-square test concluded that the length of hormonal contraceptive use was significantly related to menstrual disorders in active KB acceptors in the working area of the Jati Raya Health Center in Kendari City and the type of hormonal contraception used was significantly related to menstrual disorders in active KB acceptors in the Puskesmas work area. Jati Raya Kendari City (p <0.05). Keywords: old, hormonal contraception, menstrual disorders, family planning acceptors.


2014 ◽  
Vol 1 (2) ◽  
Author(s):  
Mulyana Hasan

ABSTRACT Obesity is caused by several factors, one of them is the use of contraception in particular the use of hormonal contraceptives that its use can cause various side effects such as changes in body weight-acceptor. The research aims to determine the relation of hormonal contraceptive use with obesity in women of childbearing age (WUS) of public health insurance participants in the Wawonasa clinic. This study is an Observational Analytics with cross-sectional and conducted in Wawonasa clinic Singkil district Manado with data collection in the form of identity, body weight, height, and direct interviews with the respondents. The total sample of 77 respondents. The respondents who use hormonal contraception are 49 respondents while the respondents who did not use contraception are 28 respondents. The respondents who use hormonal contraception and were obese are 22 respondents. Conclusion: The type of contraception most widely used by women of childbearing age at Puskesmas Wawonasa is hormonal contraceptives and there is no relationship between the use of contraception with obesity in women of childbearing age at Wawonasa clinic. Keywords: hormonal contraceptives, obesity, women of childbearing age ABSTRAK Obesitas disebabkan oleh beberapa faktor, salah satunya penggunaan kontrasepsi khususnya kontrasepsi hormonal yang penggunaannya dapat menimbulkan berbagai efek samping seperti perubahan berat-badan akseptor. Penelitian bertujuan untuk mengetahui hubungan penggunaan kontrasepsi dengan obesitas pada wanita usia subur (WUS) peserta jamkesmas di Puskesmas Wawonasa. Penelitian ini bersifat Observasional Analitik dengan pendekatan cross-sectional dan dilakukan di Puskesmas Wawonasa Kecamatan Singkil Manado dengan pengambilan data berupa identitas, berat badan, tinggi badan, dan wawancara langsung terhadap responden. Jumlah sampel sebanyak 77 responden. Jumlah responden yang menggunakan kontrasepsi hormonal sebanyak 49 responden sedangkan yang tidak menggunakan kontrasepsi berjumlah 28 responden. Jumlah responden yang menggunakan kontrasepsi hormonal dan mengalami obesitas sebanyak 22 responden. Kesimpulan: Jenis kontrasepsi yang paling banyak digunakan oleh wanita usia subur Puskesmas Wawonasa adalah kontrasepsi hormonal dan tidak terdapat hubungan antara penggunaan kontrasepsi dengan obesitas pada wanita usia subur puskesmas Wawonasa. Kata kunci: kontrasepsi hormonal, obesitas, wanita usia subur


2018 ◽  
Vol 9 (1) ◽  
pp. 130-138
Author(s):  
Wiwik - Norlita ◽  
Isnaniar - ◽  
Elfika - Shafitri

Hormonal contraceptives such as injectable contraceptives can cause changes in blood pressure. The purpose of this study was to determine the relationship between the use of injectable contraceptives and blood pressure in injectable family planning acceptors at Puskesmas Harapan Raya Pekanbaru. The type of research used is Cross Sectional with accidental sampling sampling technique where the sample in this study were mothers who were found visiting a family planning clinic at Puskesmas Harapan Raya Pekanbaru which amounted to 32 respondents. The results of the study were carried out on July 13-28, 2018, with chi-square statistical tests obtained with normal blood pressure of 25 respondents, hypertension of 7 respondents, and the relationship between types of injectable birth control used with blood pressure (p-value> 0.05) with p value = 0.084. Conclusion there is no significant relationship between the use of injectable contraceptives and blood pressure in injectable family planning acceptors at Puskesmas Harapan Raya Pekanbaru.


Author(s):  
Nurul Hidayah ◽  
Desi Lestia Dwisalmarini

Latar Belakang: Program Keluarga Berencana digunakan sebagai salah satu cara untuk menekan pertumbuhan jumlah penduduk. Banjarmasin adalah pengguna kontrasepsi suntik terbanyak. Studi pendahuluan yang saya dilakukan di BPM yaitu dari 10 akseptor kontrasepsi suntik 6 akseptor yang mengalami kenaikan berat badan yaitu 4 pengguna KB suntik 3 bulan dengan lama pemakaian 1,5 tahun dan 2 pengguna akseptor suntik 1 bulan dengan lama pemakaian 2 tahun.Tujuan: Menganalisis kenaikan berat badan pada akseptor KB suntik.Metode: Non eksperimental dengan pendekatan Cross Sectional. Populasi penelitian adalah akseptor kontrasepsi suntik yang menggunakan Cyclofem dan suntik DMPA (Depo Medroxyprogesterone Acetat) di BPM Hj. M dari bulan oktober sampai bulan Desember 2015 berjumlah 188 orang. Jumlah sampel  65 peserta KB Suntik. Teknik sampling menggunakan Purposive Sampling. Pengumpulan data menggunakan angket. Analisis dengan Uji T tidak Berpasangan (P=0,05).Hasil: Menganalisis kenaikan berat badan pada akseptor KB suntik yaitu rata-rata suntik 1 bulan 1,3 dan suntik 3 bulan 3,8 dengan nilai p 0,001 hasil penelitian ini menunjukan adanya perbedaan kenaikan berat badan suntik 1 bulan dan suntik 3 bulan.Simpulan: Ada perbedaan pengguna kontrasepsi hormonal suntikan dengan kenaikan berat badan.  Dalam penelitian ini dapat disimpulkan bahwa pengguna KB suntik 3 bulan lebih besar mengalami kenaikan berat badan dibandingkan suntik 1 bulan. Kata Kunci: Berat Badan, Kontrasepsi Hormonal SuntikanAbstract :Background: The Family Planning Program is used as a way to reduce population growth. Banjarmasin is the most injectable contraceptive user. The preliminary study I conducted at BPM was from 10 injectable contraceptive acceptors 6 acceptors who gained weight, namely 4 users of 3-month injection contraception with 1.5 years of usage duration and 2 users of 1-month injection acceptors with 2 years of usage duration.Objective: To analyze weight gain in injection KB acceptors.Method: Non experimental with Cross Sectional approach. The study population was injection contraceptive acceptors who used Cyclofem and injected DMPA (Medroxyprogesterone Acetat Depo) at BPM Hj. M from October to December 2015 amounted to 188 people. The total sample is 65 injecting family planning participants. The sampling technique uses Purposive Sampling. Data collection uses questionnaires. Analysis with the No Paired T Test (P = 0.05).Results: Analyzing the increase in body weight in injectable family planning acceptors, namely 1 month 1.3 injection and 3.8 months injection with 3.8 p values 0.001. The results of this study showed a difference in 1 month injection and 3 month injections.Conclusion: There are differences in injectable hormonal contraceptive users with weight gain. In this study it can be concluded that injecting family planning users 3 months bigger experience weight gain compared to 1 month injection.Keywords: Weight Loss, Hormonal Contraception Injections


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Rohmi Handayani ◽  
Siti Yulaikah

Abstract: Blood Pressure, BMI, and Injectable DMPA Injectable Combination. Hormonal contraception is a type of contraception most widely used by women,especially in developed countries because of this effectiveness in preventing pregnancy. Hormonal contraceptives are currently available can be pills, injections or implants. Although effective in preventing pregnancy on the other hand can cause various side effects include is weight gain and increased blood pressure in the acceptor.The purpose of this reasearch is to determine differences in blood pressure rise acceptor combination hormonal injections and blood pressure acceptor DMPA injections and to determine differences in body mass index increase acceptors injectable hormonal combination with a body mass index in injectable DMPA acceptors.Type of this reasearch is an analytic survey with cross sectional study design. The population in this study are all injectable acceptor in the Klaten area totaling 95 512 acceptors. The sample size is 500 samples taken which comprises a group acceptor and acceptor combined injectable DMPA injections. The sampling technique used in this research is purposive sampling. Analysis of data using non-parametric test with Mann Whitney test.There was no significant difference between the increase in systolic blood pressure acceptor and acceptor combined injectable DMPA injections, P = 0.338. There was no significant difference between the increase in diastolic blood pressure acceptor and acceptor combined injectable DMPA injections, P = 0,917.there was significant difference between the increase in BMI acceptor and acceptor combined injectable DMPA injections, P = 0.000.There was no significant difference between the increase in blood pressure and acceptor acceptor combined injectable DMPA injections. There is a significant difference between the increase in BMI acceptor and acceptor combined injectable DMPA injections.


2020 ◽  
Vol 10 (2) ◽  
pp. 101-110
Author(s):  
Yusri Kartika ◽  
Sudarto Ronoatmodjo

Abstract Background: Prevalence of obesity in adult females in Indonesia is 32,9% in 2013. Hormonal contraceptives (pills, injections and implants) are widely used by reproductive-age women in Indonesia, and the prevalence is 45%. Objective: The aim of this study is to identify whether reproductive-age women who use hormonal contraceptives are at risk of developing obesity compared to WUS who do not use hormonal contraceptives. Method: The design of this study is a cross sectional study using secondary data (5th Indonesia Family Life Survey, and the sample is reproductive-age women (15-49 years old) consisting of 6045 respondents. The variables of this study are obesity, hormonal contraceptive use, age, education, occupation, and duration of contraceptive use. Data were analysed by using Cox Regression. Result: The results of bivariate analysis showed that hormonal contaceptive use, age, education, occupation, and duration of contraceptive use were associated with obesity among reproductive-age womenand statistically significant (P-Value <0,05). Multivariate analysis showed that hormonal contraceptive use did not increase the risk of obesity among reproductive-age women in Indonesia (PR 0.939; CI 95% 0.869 - 1.013). Conclusion: The use of hormonal contraception did not increase the risk of obesity among reproductive-age women. Key words: Hormonal Contraception; Obesity; Reproductive Age-Women Abstrak Latar belakang : Prevalensi obesitas pada perempuan dewasa di Indonesia sebesar 32,9 persen pada tahun 2013. Kontrasepsi hormonal (pil, suntikan dan implan) merupakan jenis kontrasepsi yang paling banyak digunakan oleh wanita usia subur (WUS) di Indonesia, dengan prevalensi sebesar 45%. Tujuan : untuk mengetahui apakah wanita usia subur (WUS) yang menggunakan kontrasepsi hormonal berisiko mengalami obesitas dibandingkan WUS yang tidak menggunakan kontrasepsi hormonal.  Metode : Desain penelitian ini adalah studi cross- sectional dengan menggunakan data sekunder IFLS 5 tahun 2014. Sampel adalah WUS (15-49 tahun) sebanyak 6.045 responden. Variabel dalam penilitian ini adalah obesitas pada WUS, penggunaan kontrasepsi hormonal, umur, pendidikan, pekerjaan, serta lama penggunaan kontrasepsi. Analisis data yang digunakan adalah Cox Regression. Hasil : Hasil analisis bivariat menunjukkan bahwa variabel penggunaan kontrasepsi hormonal, umur, pendidikan dan status pekerjaan, serta  lama penggunaan kontrasepsi berhubungan dengan obesitas pada WUS (p-value <0,05). Analisis multivariat menunjukkan bahwa penggunaan kontrasepsi hormonal tidak meningkatkan risiko obesitas secara bermakna pada WUS di Indonesia (PR 0,939; CI 95% 0,869 – 1,013). Kesimpulan: Penggunaan kontrasepsi hormonal tidak meningkatkan risiko WUS untuk mengalami obesitas.   Kata kunci: Kontrasepsi Hormonal; Obesitas; Wanita Usia Subur


2020 ◽  
Vol 20 (2) ◽  
pp. 410
Author(s):  
M Dody Izhar

Overweight is one of the nutritional problems in Indonesia that will affect the quality of health. Increased prevalence of obesity is identified as being more at risk in the group of women as they age. As for other determinants including the use of contraception, food intake that is not in accordance with needs, lack of activity and family history. This study aims to determine and identify preventive measures against risk factors that may be a determining factor for overweight in women of childbearing age. This study was an observational study using a cross sectional design. Sampling using a multistage random sampling technique with a sample size of 276 respondents in the Simpang Kawat Puskesmas Work Area in Jambi City in 2019, the study was conducted in August 2018-July 2019. Data were analyzed using the chi square test (α = 0.05). The results showed that the prevalence of obesity in women of childbearing age was 35.5%, poor diet (50.4%), heavy physical activity (81.9%), no family history of obesity (80.4%) and use hormonal contraception (60.9%). Based on comparative analysis, it is known that a significant factor with overweight is eating variable (p value = 0.019), while other factors are declared insignificant namely physical activity; both mild activity (p value = 0.596) and moderate (p value = 0.216), family history (p value = 0.126) and use of contraception; both hormonal (p value = 0.485) and non hormonal (p value = 0.505). The conclusion of this study is the determinant of the incidence of overweight in women of childbearing age caused by poor diet and is not influenced by physical activity, family history and use of contraception.


2019 ◽  
Vol 8 (1) ◽  
pp. 54-57
Author(s):  
Eva Santi Hutasoit ◽  
Yessi Azwar

Hypertension is a condition when blood pressure in blood vessels increases chronically (Suiraoka, 2012). The risk of increasing this blood pressure is related to race, family history of hypertension, obesity, diet / food intake, smoking and the length of time the combination hormonal contraceptive is used. Family acceptors who use hormonal contraception over a period of time often complain of health problems, one of the health problems that are often experienced by hormonal contraceptive acceptors is hypertension or high blood pressure. Hormonal contraception can cause high blood pressure (hypertension) in approximately 4-5% of women who have normal blood pressure before taking the drug, and can increase blood pressure in 9-16% of women who have suffered hypertension before. The type of research used in this study is quantitative, with analytic research design and with a cross sectional approach, namely research conducted simultaneously. The number of samples is 54 mothers who are KB KBtor. From the results of the study, it was found that respondents who used hormonal contraception experienced an increase in blood pressure by 37 people (84.1%), while those who did not experience a rise in blood pressure were 7 people (15.9%). Respondents who did not use hormonal contraception experienced an increase in blood pressure by 5 people (50.0%), while those who did not experience an increase in blood pressure were 5 people (50.0%). From the Chi-square test results obtained a value of 0,045 (Pvalue 0,045 <α 0,05) and OR 5,286. This shows that Ha is accepted which means that there is a relationship between the use of hormonal contraception and an increase in blood pressure. OR = 5,286 showed that the use of hormonal contraception 5 times was associated with increased blood pressure.


2020 ◽  
Vol 9 (2) ◽  
pp. 964-969
Author(s):  
Asyaul Wasiah

Obesity is caused by several factors, one of them is the use of contraception in particular the use of hormonal contraceptives that its use can cause various side effects such as changes in body weight-acceptor. The research aims to determine the relation of hormonal contraception use with obesity in women of childbearing age (WUS) of public health insurance participants in the Lamongan clinic. This study is an Observational Analytics with cross-sectional. The total sample of 77 respondents. The respondents who use hormonal contraception are 49 respondents while the respondents who did not use contraception are 28 respondents. The respondents who use hormonal contraception and were obese are 22 respondents. Conclusion: The type of contraception most widely used by women of childbearing age is hormonal contraceptives and there is no relationship between the use of contraception with obesity in women of childbearing age at Lamongan clinic.


2021 ◽  
Vol 2 (4) ◽  
pp. 214-218
Author(s):  
Destri Safhira Siahaan ◽  
Adek Amansyah ◽  
Irza Haicha Pratama

The change in the pattern and timing of menopause is an exciting and exploratory phenomenon that requires more detailed research to be carried out using hormonal contraception. This study was aimed to explore the relationship between hormonal contraceptive use and menopausal age. This study used a cross-sectional design. The study was conducted at Royal Prima General Hospital Medan from May to August 2021. A total of 68 research subjects participated in this study with the following inclusion criteria: menopausal women, aged 50-60 years, using hormonal contraceptives (pills, injections, implants), able to remember history previous contraceptive use. This study uses primary data obtained directly from guided interviews with respondents. Participants were dominated by ≥ 55 years old women with 57 people (83.81%), 62 Muslims (91.2%), menarche age >13 years as many as 28 people (41.2%). The number of children 2-4 were 32 people (47.1%) with an average menopause age of 51.93 and the smallest for 1 was 8 people (11.8%) with an average menopause age of 50.37. There were 49 users of hormonal contraception (72.1%) and 48 people (70.6%). In conclusion, we found that the use of hormonal contraceptives is significantly related to menopausal age.


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