scholarly journals Kehamilan remaja dan kejadian stunting pada anak usia 6-23 bulan di Lombok Barat

2016 ◽  
Vol 32 (6) ◽  
pp. 209
Author(s):  
Irwansyah Irwansyah ◽  
Djauhar Ismail ◽  
Mohammad Hakimi

Teenage pregnancy and the incidence of stunting in children aged 6-23 months in West LombokPurposeThis study aimed to analyze the risk of teenage pregnancy against stunting in children aged 6-23 months.MethodsThis study was an observational study with a matched case-control design. Control and case samples were each 55 samples, with a total sample of 110. The study subjects in the case group were children aged 6-23 months who suffered stunting. Children who did not suffer stunting were the control group. Samples were selected using two stage cluster random sampling. Analysis data used McNemar and conditional logistic regression tests with level of significance p <0.05 and confidence level (CI) 95%.ResultsThe finding of this study showed there was a significant association between teenage pregnancy and the incidence of stunting among children aged 6-23 months by controlling for the variables of maternal education, birth weight, and maternal stature (OR = 2.95; 95% CI: 1.05-8.26).ConclusionTeenage pregnancy, maternal short stature, low birth weight, and low maternal education were factors most likely contributed to increases in the incidence of stunting.

Author(s):  
Sukma Elida ◽  
Siti Maisyaroh Fitri Siregar ◽  
Arfah Husna ◽  
Dian Fera ◽  
Azwar Azwar

One of the important index to reflect health status in a certain area is Infant Mortality Rate (IMR). IMR is also global soccioeconomic indicator in a population. Besides, The Statistical index indicates the quality of life, not only the quantity and number of death. It is the main health problem In Indonesia, There was 32 deaths per 1000 live births In Indonesia. The research was to analyze the influence of maternal age, parity, and education to infant mortality in West Aceh Regency. The research was quantitative with case control design, a case group was 45 mothers whose babies died when they were under one years old and a control group was 45 mothers whose babies were alive when they were under one year old. The maching was done on the babies based on their age and sex. The Data analyzed by using univariate and bivariate analysis with McNemar test, meanwhile, multivariate analysis with conditional logistic regression test at the significant level of 0.25. The Result of analysis in this research showed that maternal age and parity significanly influence of infant mortality. In the otherhand, maternal education did not significanly influence of infant mortality. The most significanly variable which influence of infant mortality was maternal age (OR=4.745). To Prevent Infant mortality from the variabel maternal age and parity, it is suggested for women to get merried at the age ≥20 years old, increases reproductive health education for female teenagers at schools and increases the conerage of using KONTAP (long term contracepcion) for women that have  more than four children. It is also suggest to provide adequate medical equipment to support the childbirth and increase the access of health facilities by optimizing village polycliclic and  It is also suggested to provide adequate medical equipment to support childbirth, increase the convenience of health facilities, and increase the access to health facilities by optimizing village polyclinics and midwives performance.


2018 ◽  
Vol 5 (2) ◽  
pp. 617
Author(s):  
Malavika P. Santappanavar ◽  
Habeeb U. Khan ◽  
Jaidev M. D. ◽  
Pavan Hegde

Background: More and more women are focusing on obtaining higher education and reaching career objectives. This has in turn, lead to delayed marriage and child birth at a later age. Advanced maternal age at birth has been found to be associated with preterm delivery, low birth weight, intrauterine fetal death and increased perinatal morbidity and mortality. The aim of our study was to know the neonatal outcome in elderly mothers and young mothers, and to compare the neonatal outcome of these two groups. Methods: Present study was a cross sectional, analytical case control study, done in babies delivered to mothers >35 years and <35 years. Information like period of gestation, birth weight, APGAR at 1 minute and 5 minutes, NICU admissions, neonatal outcome like respiratory distress, jaundice, convulsion, etc. were recorded in a proforma. Collected data was analysed using appropriate statistical tests.Results: In the present study, total sample size was 460 (230 cases and 230 controls). Incidence of preterm deliveries, Low birth weight, NICU admissions were significantly more in case group (babies born to mothers >35 years) than the control group (babies born to mothers between 19 to 35 years).Conclusions: It was observed that low birth weight, prematurity and NICU admissions were more common in babies born to elderly mothers.


2017 ◽  
Vol 33 (3) ◽  
pp. 131
Author(s):  
Rany Ekawati ◽  
Yanri Subronto ◽  
Mohammad Hakimi

Purpose: This research aimed to determine factors associated with HIV testing behavior among pregnant women at the public health center Bandarharjo Semarang.Methods: This research was a descriptive analytic observational study with a matched case control design. Samples were pregnant women at the health center in Bandarharjo Semarang who have been offered an HIV test totaling 90 samples. Samples in the control group were matched according to trimester age of pregnancy to the case group with ratio of 1:1. Samples were enlisted by consecutive sampling. The research instrument used was a questionnaire. The data analysis consisted of univariable, bivariable comparisons using the McNemar test, and multivariable using conditional logistic regression tests.Results: No significant correlations were found, but practical information about HIV (OR 2.35; CI95% 0.801-6.9) and stigma (OR 2.16; CI95% 0.722-6.479) were related to HIV testing behavior.Conclusion: Practical information about HIV and stigma are correlated to HIV testing behavior.


2018 ◽  
Vol 58 (3) ◽  
pp. 123-7 ◽  
Author(s):  
Endang Dewi Lestari ◽  
Faraissa Hasanah ◽  
Novianti Adi Nugroho

Background Indonesia is ranked fifth in the world for the problem of stunting. Stunting in children under the age of five requires special attention, due to its inhibiting effect on children’s physical and mental development. Stunting is caused by several factors, one of which is breastfeeding. Stunting has been associated with several factors, one of which is non-exclusive breastfeeding. Objective To determine the correlations between non-exclusive breastfeeding and low birth weight to stunting in children aged 2-5 years. Methods This case-control study was conducted in October to November 2016 in multiple integrated health service clinics (posyandu) in Sangkrah, Surakarta, Central Java, Indonesia. Subjects were children aged 24-59 months who visited the posyandu and were included by purposive sampling. Children classified as stunted were allocated to the case group, whereas the children classified with normal nutritional status were allocated to the control group. Parents filled questionnaires on history of exclusive breastfeeding, child’s birth weight, maternal education, and family socio-economic status. Results Of the 60 subjects, the control group had 30 normal children and the case group had 30 stunted children. Multivariate analysis by logistical regression test revealed statistically significant correlations between stunting and non-exclusive breastfeeding (adjusted OR for exclusive breastfeeding 0.234; 95%CI 0.061 to 0.894), as well as low birth weight (adjusted OR 10.510; 95%CI 1.180 to 93.572) This value implies that exclusive breastfeeding is a protecting factor against stunting, which means exclusive breastfeeding is able to decrease the prevalence of stunting in children under the age of five. Conclusion In children aged 2-5 years, the histories of non-exclusive breastfeeding and low birth weights are significantly correlated sith stunting.    


2016 ◽  
Vol 32 (1) ◽  
pp. 25
Author(s):  
Edy Marjuang Purba ◽  
Theodola Baning Rahayujati ◽  
Mohammad Hakimi

Teenage pregnancy and low birth weight infants in GunungkidulPurposeThis study aimed to determine any association between teenage pregnancy and low birth weight in Gunungkidul district.MethodThe study used a retrospective cohort design. Samples were 394 people consisting of 197 people in the case group and 197 people in the control group. Case group subjects were teenage pregnant women (<20 years), while control group subjects were adult pregnant women (≥20 years) and both groups delivered a live birth. Case group were taken from all health centers that had complete record and control group were taken using systematic random sampling.ResultsTeenage pregnancy increases the risk of low birth weight babies. Related external factors consist of chronic energy deficiency, anemia and antenatal care visits, while the level of education and hypertension were not related.ConclusionMothers suffering from less chronic energy and anemia increase the risk of giving birth to low birth weight babies, especially in teenage mothers.


2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Sri Evi New Yearsi Pangadongan ◽  
Agustina Rahyu ◽  
Selvy Pasulu

Bronchial Asthma generally starts from childhood which is condition where respiration channel experiences constriction because of hyperactivity with some specific stimulation which cause inflammation. Some risk factors are smoking exposure of cigarette smoke, weather changes, mite on house dirt, pet and history of family sickness. The purpose of this research is to know Relation of mite on house dirt, exposure of cigarette smoke  and history of family sickness with bronchial asthma incident to child 5 – 10  years old on working area of Puskesmas Lempake Samarinda City in 2016. Method which used was analytic survey with Case Control approaching. The total sample was 36 children which consisted of 18 case group and 18 control group with matching by using age and gender which submitted with Purposive Sampling technique. Data Analysis used Chi Square with wrong degree α = 0,005. The result showed that there was relation of mite of house dirt (p = 0,006), history of family sickness (p = 0,001) and no relation with exposure of cigarette smoke (p = 0,370) with bronchial asthma incident to child 5 – 10 years old on working area of Puskesmas Lempake Samarinda City in 2016.


2020 ◽  
Vol 7 (2) ◽  
pp. 247-255
Author(s):  
Maria Magdalena Setyaningsih ◽  
Emy Sutiyarsih

Kehamilan remaja adalah kehamilan yang terjadi pada remaja berusia kurang dari 20 tahunan. Kehamilan remaja memberikan banyak kerugian bagi kesehatan, mental dan psikologis, kesejahteraan ekonomi dan peluang karier, kemiskinan dan prospek kehidupan masa depan remaja. Tujuan penelitian mengidentifikasi faktor determinan yang melatarbelakangi terjadinya kehamilan remaja. Jenis penelitian adalah penelitian analitik kategorik jenis survei kuantitatif dengan desain case control. Populasi semua perempuan yang bertempat tinggal di wilayah dusun Wonosari, Sukosari, dan Krajan Pandansari dan pernah/sedang hamil pertama kali pada usia kurang dari 20 tahun. Teknik pengambilan sampel cluster random sampling besar sampel 73. Berdasarkan hasil model akhir analisis multivariat, diketahui bahwa variabel pendidikan, riwayat kehamilan remaja pada keluarga dan usia menikah merupakan variabel yang berhubungan dengan kejadian kehamilan remaja setelah dikontrol oleh variabel akses informasi, responden berpendidikan rendah memiliki peluang 20,8 kali lebih tinggi, responden yang memiliki riwayat kehamilan remaja pada keluarga memiliki peluang 14,9 kali lebih tinggi, responden yang menikah pada usia <20 tahun memiliki peluang 12,1 kali lebih tinggi, responden dengan pemahaman yang kurang baik terkait penggunaan kondom memiliki peluang 5,9 kali lebih tinggi untuk terjadi kehamilan remaja. Oleh karena itu perlu dibangun karakter buiding, sosial karakter suport untuk para ibu remaja dan keluarga sehingga terbangun interaksi yang baik dalam keluarga yang dilandasi dengan pendidikan dan pemahaman yang baik tentang Pendidikan seksualitas. Teen pregnancy is a pregnancy that occurs in adolescents aged less than 20 years old. Teen pregnancy provides many disadvantages for health, mental, psychological, economic well-being, career opportunities, poverty, and the future life. The aim of the study was to identify the determinants underlying teen pregnancy incidence. This study was a quantitative study with categorical analytic method. The study design used a case control with two comparison groups. The groups were control group and case group. The population in this study was all women who lived in the Wonosari, Sukosari, and Krajan Pandansari district and had or were pregnant for the first time at the age of less than 20 years old. Seventy three respondents were recruited using cluster sampling technique. The case group consists of women who were or had pregnant for the first time at the age of less than 20 years old and their children are currently aged ≤ 1 years old. The control group consists of women who were pregnant for the first time at the age of > 20 years old. The data was collected using a questionnaire. The findings showed that education, history of teen pregnancy in family and the age of marriage were related to the incidence of teen pregnancy after being controlled by information access. Low-educated respondents had 20.8 times higher chance of experiencing teen pregnancy; respondents with a history of teen pregnancy in the family had 4.9 times higher chance of experiencing teen pregnancy; respondents who were married at the age of < 20 years old had 12.1 times higher chance of experiencing teen pregnancy; respondents with poor understanding of condom use had 5.9 times higher chance of teenage pregnancy. In conclusion, the findings suggest to build good interactions in the family based on education and a good understanding of sex education.


2017 ◽  
Vol 19 (2) ◽  
pp. 95
Author(s):  
Hetriana Leksananingsih ◽  
Slamet Iskandar ◽  
Tri Siswati

Background: Riskesdas in 2013 showed that Yogyakarta (DIY) had a prevalence of stunted new kid in school is less than the national average, which is 14.9% (MOH, 2013). Stunted or short, is a linear growth retardation has been widely used as an indicator to measure the nutritional status of individuals and community groups. Stunted can be influenced by several factors: birth weight, birth length match and genetic factors. Objective: To determine the weight, length of low birth weight and genetic factors as predictors of the occurrence of stunted on elementary school children. Methods: The study was a case control analytic. Research sites in SD Muhammadiyah Ngijon 1 Subdistrict Moyudan. The study was conducted in May and June 2015. The subjects were school children grade 1 to grade 5 the number of cases as many as 47 children and 94 control children. With the inclusion criteria of research subjects willing to become respondents, was present at the time of the study, they have a father and mother, and exclusion criteria have no data BB and PB birth, can not stand upright. The research variables are BBL, PBL, genetic factors and TB / U at this time. Data were analyzed by chi-square test and Odd Ratio (OR) calculation. Results: In case group as much as 91.5% of normal birth weight and length of 80.9% of normal birth weight, most of the height of a normal mother and father as many as 85.1%. In the control group as much as 78.7% of normal birth weight and 61.7% were born normal body length, height mostly normal mom and dad that 96.7% of women and 90.4% normal normal father. Statistical test result is no significant correlation between height mothers with stunted incidence in school children, and the results of chi-square test P = 0.026 with value Odd Ratio (OR) of 3.9 and a range of values from 1.091 to 14.214 Cl95%. Conclusion: High maternal body of mothers can be used as predictors of the occurrence of stunted school children and mothers with stunted nutritional status have 3.9 times the risk of having children with stunted nutritional status.


Author(s):  
Hung-Chih Chen ◽  
Hung-Yu Lin ◽  
Michael Chia-Yen Chou ◽  
Yu-Hsun Wang ◽  
Pui-Ying Leong ◽  
...  

The purpose of this study is to evaluate the relationship between hydroxychloroquine (HCQ) and diabetic retinopathy (DR) via the national health insurance research database (NHIRD) of Taiwan. All patients with newly diagnosed type 2 diabetes (n = 47,353) in the NHIRD (2000–2012) were enrolled in the study. The case group consists of participants with diabetic ophthalmic complications; 1:1 matching by age (±1 year old), sex, and diagnosis year of diabetes was used to provide an index date for the control group that corresponded to the case group (n = 5550). Chi-square test for categorical variables and Student’s t-test for continuous variables were used. Conditional logistic regression was performed to estimate the adjusted odds ratio (aOR) of DR. The total number of HCQ user was 99 patients (1.8%) in the case group and 93 patients (1.7%) in the control group. Patients with hypertension (aOR = 1.21, 95% CI = 1.11–1.31) and hyperlipidemia (aOR = 1.65, 95% CI = 1.52–1.79) significantly increased the risk of diabetic ophthalmic complications (p < 0.001). Conversely, the use of HCQ and the presence of rheumatoid diseases did not show any significance in increased risk of DR. HCQ prescription can improve systemic glycemic profile, but it does not decrease the risk of diabetic ophthalmic complications.


2021 ◽  
pp. bjophthalmol-2021-318789
Author(s):  
Yixiong Yuan ◽  
Wei Wang ◽  
Xianwen Shang ◽  
Ruilin Xiong ◽  
Jason Ha ◽  
...  

SynopsisIn a cohort of middle-aged and elderly Australians, we found that long-term statin use was associated with a higher risk of glaucoma onset. As to subtypes of statins, the increased risk was only found in rosuvastatin users.PurposeTo investigate the relationship between statin use and glaucoma onset in a 10-year longitudinal study.MethodsThis nested case–control study was based on data from a large-scale cohort of Australians aged over 45 years old. Medication exposure was identified by claims records from the Pharmaceutical Benefits Scheme during the follow-up period (2009–2016). The onset of glaucoma was defined as the people with at least three claims of antiglaucoma medications. Controls matched by age, gender and cardiovascular diseases were selected from participants without prescription of antiglaucoma medications. A conditional logistic regression model was used to assess the association between statin use and glaucoma onset.ResultsThe proportion of statin users was higher in the case group (40.5%) than that in the control group (38.4%). After adjusting for baseline characteristics and longitudinal claims records, statin use was not associated with glaucoma onset (OR 1.04, 95% CI 0.97 to 1.11). However, an increased risk of glaucoma onset was observed in participants with a longer duration of statin use (>3 years vs <1 year: OR 1.12, 95% CI 1.04 to 1.21). With respect to specific types of statins, participants taking rosuvastatin were more likely to suffer from glaucoma (OR 1.11, 95%CI 1.01 to 1.22). The use of other statins was not significantly associated with glaucoma onset.ConclusionsLong-term statin use was found to be associated with a higher risk of glaucoma onset in this study. Regarding specific types of statins, the increased risk of glaucoma onset was only observed in users of rosuvastatin.


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