scholarly journals HUBUNGAN PENGGUNAAN KONTRASEPSI HORMONAL DENGAN OBESITAS PADA WANITA USIA SUBUR (WUS) DI PUSKESMAS WAWONASA KECAMATAN SINGKIL MANADO

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

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.


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


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.


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.


2021 ◽  
Vol 1 (1) ◽  
pp. 42-52
Author(s):  
Febrianti Prasmono Putri ◽  
Septa Katmawanti ◽  
Erianto Fanani

Breast milk is the first need for a newborn baby. Infants aged 0 to 6 months who are breastfed without any other food define exclusive breastfeeding. Exclusive breastfeeding can be influenced by several factors, one of which is contraception. Inappropriate use of contraception can affect exclusive breastfeeding. This study aimed to determine the correlation between contraceptive use and exclusive breastfeeding in Indonesia in 2017. The research design in this study was descriptive-analytic with a cross-sectional approach. This study examines the population of WUS (Women of Childbearing Age) who are married and have their last child aged 0-6 months with a total sample of 1891 people, with a sampling technique using total sampling. The data was taken from the results of the 2017 Indonesian Health Demographic Survey (IDHS). The data analysis of this study used the Chi-Square Statistical Test. The results of data analysis showed that 53% of WUS (Women of Childbearing Age) used contraception, and 47% of WUS (Women of Childbearing Age) did not use contraception. Meanwhile, 46% of WUS (Women of Childbearing Age) gave exclusive breastfeeding, and 54% of WUS (Women of Childbearing Age) did not give exclusive breastfeeding. The Chi-Square test results showed a p-value of 0.000 (p<0.05), which means there is a correlation between contraceptive use and exclusive breastfeeding in Indonesia.


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.


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.


Author(s):  
Yusrawati Yusrawati ◽  
Delmi Sulastri ◽  
Desmawati Desmawati

Objective: This study aimed to investigate the correlation between nutritional status and estradiol level with telomere length in premenopausal women with and without hormonal contraceptive history. Methods: This cross-sectional study was conducted in Padang city to 115 premenopausal Minangkabau ethnic 40–54 years old. Height examined using stature meter, waist circumference (WC) using measuring tape, and body weight using body scale were performed by trained people. Blood sample analysis was performed using O’Callaghan and Fenech’s technique to measure telomere length. Estradiol level was measured by enzyme-linked immunosorbent assay technique. Results: This research indicated that an average telomere length was 552.96±422.57 bp, body mass index (BMI) was 26.12±4.84, WC was 85.66±10.28 cm, and estradiol level was 148.24±54.03 pg/ml. The proportion of subjects who have hormonal contraceptives history was 65.2% with the most method of contraceptive used injection (75%). There were no correlations between BMI, WC, and estradiol level with telomere length (p>0.005). However, there was a positive significant correlation between estradiol levels and telomere length in women with no history of hormonal contraceptive use (p=0.025). Conclusion: A history of hormonal contraceptive used influences the correlation between estradiol levels and telomere length in premenopausal women. 


2014 ◽  
Vol 8 (08) ◽  
pp. 1006-1012 ◽  
Author(s):  
Eziyi Iche Kalu ◽  
Chiedozie Kingsley Ojide ◽  
Adeola Fowotade ◽  
Victor Ugochukwu Nwadike

Introduction: The burden of HSV-2 infection, the cause of most cases of genital herpes in Nigeria, varies from region to region; and so are the associated factors. This infection is known to be responsible for several negative pregnancy outcomes. There is currently no documented data on sexual behavioral factors associated with the occurrence of HSV-2 infection or seroprevalence among pregnant women in Nigeria. This study aimed at identifying the sexual behavioral correlates of HSV-2 seroprevalence among pregnant women in Benin City, Nigeria. Methodology: The cross-sectional study design was adopted and the study took place between November 2011 and June 2012. Four hundred and ten consenting ante-natal clinic patients in two major tertiary hospitals in Benin City were consecutively and prospectively included. Data sources were represented by questionnaires, the patient’s case records and laboratory investigations. Each patient’s serum was analyzed for HSV-2 antibody detection. Data analysis was performed using SPSS version 16. Results: Four hundred and ten patients were enrolled with average age 30.6 years. Seroprevalence of HSV-2 antibody was 47.3%. Sexual behavioral factors that were significantly associated with HSV-2 seroprevalence included early exposure to sexual intercourse, number of sex partners, involvement in polygamous marriages, involvement of husband in extra-marital affairs and hormonal contraceptive use. Conclusion: The prevalence of HSV-2 among pregnant women in Benin City is high.  Public health campaigns aimed at: delaying onset of sexual activity; encouraging monogamous relationships; and emphasizing that hormonal contraceptives do not protect from STI’s, are recommended.


2021 ◽  
Vol 1 (1) ◽  
pp. 12-27
Author(s):  
Ratna Frenty Nurkhalim

HIV / AIDS is an infectious disease caused by infection with the Human Immunodeficiency Virus (HIV) which attacks the immune system. (RI Ministry of Health, 2017). The high case of HIV / AIDS in women is feared to have an impact on the increase in cases of HIV / AIDS in children who get from perinatal transmission or transmission of infections that occur during pregnancy or childbirth. Another contributing factor is the lack of knowledge and awareness about HIV / AIDS that has threatened ordinary people including women of childbearing age. This study aims to determine the level of knowledge of women of childbearing age about HIV / AIDS in the Gurah Health Center area of ​​Kediri Regency. The method used was cross-sectional by distributing questionnaires to a group of women of childbearing age with a total sample of 98 respondents. With variables including the characteristics of respondents and knowledge of HIV / AIDS. Based on the research results obtained for the most age at the end of adulthood (35.7%), the most education was high school / vocational school (62.2%), IRT work (65.3%), electronic media information sources (41.8%). While knowledge of HIV / AIDS was sufficient as much as 43.9%, knowledge about transmission is low (49.9%), knowledge of prevention about limiting sexual relations (70.4%), condom use (55.1%), knowledge of signs and symptoms of people appear healthy (73.5%) , knowledge of characteristics affected by HIV / AIDS (59.2%), knowledge of prevention of HIV / AIDS testing (54.1%), and place of testing services (53.1%). The conclusion that can be taken was the level of knowledge of women of childbearing age about HIV / AIDS was in the sufficient category and was expected to be further improved so that it becomes a high level by conducting counseling by health workers in the Puskesmas and other agencies.   HIV/AIDS merupakan penyakit menular yang disebabkan oleh infeksi Human Immunodeficiency Virus (HIV) yang menyerang sistem kekebalan tubuh. (Kemenkes RI, 2017). Tingginya kasus HIV/AIDS pada perempuan dikhawatirkan akan ikut berdampak pada peningkatan kasus HIV/AIDS pada anak-anak yang didapat dari penularan melalui perinatal atau penularan infeksi yang terjadi pada saat kehamilan atau persalinan. Faktor penyebab lainnya adalah kurangnya pengetahuan dan kesadaran tentang HIV/AIDS yang telah mengancam kalangan orang biasa termasuk wanita usia subur. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan wanita usia subur tentang HIV/AIDS di wilayah Puskesmas Gurah Kabupaten Kediri. Metode yang digunakan adalah cross-sectional dengan menyebarkan kuesioner ke kelompok wanita usia subur dengan jumlah sampel sebanyak 98 responden. Dengan variabel meliputi karakteristik responden dan pengetahuan HIV/AIDS. Berdasarkan penelitian diperoleh hasil untuk usia terbanyak pada dewasa akhir (35.7%), pendidikan terbanyak yaitu SMA/SMK (62.2%), pekerjaan IRT (65.3%), sumber informasi media elektronik ( 41.8%). Sedangkan pengetahuan HIV/AIDS yaitu cukup sebanyak 43.9%, pengetahuan mengenai penularan yaitu rendah (49.9%), pengetahuan pencegahan tentang membatasi hubungan seksual (70.4%), pemakaian kondom (55.1%), pengetahuan tanda dan gejala orang tampak sehat (73.5%), pengetahuan ciri terkena HIV/AIDS (59.2%), pengetahuan penanggulangan adanya tes HIV/AIDS (54.1%), dan tempat pelayanan tes (53.1%). Simpulan yang dapat diambil adalah tingkat pengetahuan wanita usia subur tentang HIV/AIDS berada pada kategori cukup dan diharapkan dapat lebih ditingkatkan sehingga menjadi tingkatan yang tinggi dengan dilakukan penyuluhan oleh tenaga kesehatan yang ada di Puskesmas maupun instansi lainnya.


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