AbstrakFertilitas remaja merupakan isu penting dari segi kesehatan dan sosial karena berhubungan dengan tingkat morbiditas serta mortalitas ibu dan anak. Tujuan penelitian adalah mempelajari faktor-faktor yang memengaruhi fertilitas remaja di Indonesia. Data yang digunakan adalah hasil Survei Demografi dan Kesehatan Indonesia tahun 2012 dengan unit analisis wanita usia subur yang termasuk dalam kategori usia remaja (15 -19 tahun). Jumlah sampel sebanyak 6.927 responden. Analisis dilakukan dengan metode deskriptif dan inferensial menggunakan model regresi logistik biner. Hasil analisis menunjukkan bahwa satu dari sepuluh remaja wanita tersebut pernah melahirkan dan atau sedang hamil saat survei dilakukan; sebesar 95,2% dari remaja yang sudah pernah melahirkan, memiliki satu anak sisanya sebesar 4,8% memiliki dua atau tiga anak; sebesar 11,1% dari remaja wanita yang pernah kawin, pertama kali kawin pada usia 10 -14 tahun. Secara statistik, terdapat hubungan yang signifikan antara kejadian fertilitas remaja dengan daerah tempat tinggal, pendidikan, status bekerja, serta tingkat kesejahteraan keluarga. Wanita berisiko tinggi mengalami fertilitas pada usia remaja adalah mereka yang tinggal di perdesaan, berpendidikan rendah, tidak bekerja dan berstatus ekonomi rendah. Rekomendasi berdasarkan hasil penelitian adalah akses ke tingkat pendidikan formal yang lebih tinggi bagi remaja wanita, penyediaan pelatihan usaha ekonomi kreatif terutama pada daerah perdesaan, peningkatan pengetahuan kesehatan reproduksi bagi remaja melalui pendidikan. Kata kunci: Daerah tempat tinggal, fertilitas, remaja AbstractAdolescent fertility is an important issue in terms of health and social care as it relates to the morbidity and mortality of mothers and children. This study aimed to know the factors that influence adolescent fertility in Indonesia. The data used was the result of Indonesian Demography and Health Survey in 2012 with units of analysis included women of childbearing age in the adolescent age group (15 -19 years). Total sample was 6927 respondents. The analysis was performed by descriptive and inferential methods using binary logistic regression models. The analysis showed that one from ten that women had given birth or are pregnant at the time of the survey; 95.2% of teens who have never given birth, had a child born alive, the remaining 4.8 % have two or three children born alive; 11.1% of young ever married women, first married at age 10 -14 years. There was a statistically significant relationship between the incidence of adolescent fertility by area of residence, education, work status, and family welfare. Women at high risk of fertility age teens are those who live in rural areas, less educated, not working and low economic status. Recommendations based on the results of this study are access to formal education is higher for young women, providing business training for young women the creative economy, especially in rural areas, an increase in knowledge about adolescent reproductive health through education.
Indonesia is known as a country that has the largest ethnic groups in the world with 1,128 ethnic groups as reported on the 2010 Population Census. Ethnic diversity is one of the important factors that determine the amount and distribution Keywords: Fertility, Ethnic Group, Population Census AbstrakIndonesia dikenal sebagai negara dengan jumlah suku bangsa terbesar di dunia yaitu 1.128 suku bangsa berdasarkan hasil Sensus Penduduk 2010. Keberagaman suku bangsa menjadi salah satu faktor penting yang menentukan jumlah dan persebaran penduduk di Indonesia. Tulisan ini bertujuan untuk mengkaji variasi dan pola fertilitas menurut kelompok etnis yang ada di Indonesia, dan kaitannya dengan latar belakang sosiodemografi penduduk. Dengan menggunakan data mentah Sensus Penduduk 2010 yang diperoleh dari situs IPUMS, kajian ini menghitung rata-rata jumlah anak lahir hidup yang dilahirkan wanita pernah kawin umur 15-49 tahun. Hasil analisis menunjukkan terdapat keterkaitan antara fertilitas dan keberagaman kelompok suku atau etnis yang ada di Indonesia. Dari lima belas etnis besar yang dianalisis dalam kajian ini, etnis Batak memiliki tingkat fertilitas tertinggi diikuti etnis Aceh dan etnis Banten, sedangkan wanita pernah kawin yang beretnis Madura memiliki tingkat fertilitas terendah. Tingginya fertilitas pada beberapa kelompok suku besar di Indonesia terkait dengan keinginan untuk memiliki anak yang banyak, rendahnya umur kawin pertama wanita, dan adanya anggapan bahwa mereka yang memiliki jumlah anak yang banyak memiliki nilai sosial yang lebih tinggi. Rendahnya tingkat pendidikan dan wilayah tempat tinggal di perdesaan juga berkontribusi pada tingginya fertilitas.
BACKGROUND Basic knowledge of sexual and reproductive health is important to be introduced during the premarital period, to reduce high-risk sexual behavior among adolescents, as well as to increase the correct attitude in their future marriage. This study explored the knowledge of HIV/AIDS, sexually transmitted diseases (STDs) and anemia among unmarried adolescents. METHODS This was a cross-sectional analytical study on secondary data from the Indonesian Demographic and Health Population Survey 2017, initially conducted by the National Population and Family Planning Board (BKKBN). Knowledge of HIV/AIDS, STDs and anemia among unmarried adolescents aged 15-24 years in West Java Province and Jakarta, the capital city of Indonesia, was compared and analyzed using the chi-square test. RESULTS In total, 5,389 weighted data were retrieved. In general, adolescents in Jakarta had better knowledge of all diseases compared to those in West Java (p<0.001). Knowledge of anemia and STDs was poor compared to that of HIV/AIDS which was moderate to good (p<0.001). Interestingly, although the adolescents had a middle-low wealth index (43%), the majority (>90%) had their own mobile phone with almost daily internet access, however most of their information sources on health education were from their school period. CONCLUSION Premarital education in schools is imperative to enhance the knowledge of STDs and anemia. Moreover, poor knowledge of anemia is a challenge for introducing the topic of thalassemia major, an inherited autosomal recessive type of anemia due to hemoglobinopathy. Since Indonesia is harboring 6-10% of thalassemia carriers, integrative premarital education is needed for better family planning.
Background: Despite decreased fertility rate, East Kalimantan Province still facing unmet needs. Moreover, almost all contraceptive use in East Kalimantan depends on short-acting contraceptive methods. Only a few studies have ever been conducted on women's autonomy in relation to Long-Acting Permanent Contraception Methods (LAPMs) choices. It is, therefore, essential to find the associated factors affecting LAPMs uptake. This study aimed to analyze the influence of sociodemographic, knowledge, women's autonomy and fertility on LAPMs uptake at the household level. Methods: The data derived from the Indonesian Demographic and Health Survey (IDHS) 2017 of East Kalimantan Province. As much as 570 women of childbearing age (10–49 years) with marital status who still using contraception in any method was included as samples. Results: Factors correlate with the uptake of LAPMs in the bivariate analysis were age, insurance ownership, family planning knowledge and women's autonomy (p value<0.05). While in the multivariate analysis only women autonomy and insurance ownership were related to the uptake of LAPMs. Conclusion: This finding provides evidence for including women empowerment programs in the family planning program. Keywords: Family planning, women autonomy, long acting contraceptive methods
The Total Fertility Rate (TFR) of Bengkulu Province is still at 2.31, meaning that there are still Women of Reproductive Age who have children >2. This condition affects the non-fulfillment of basic family needs. The purpose of this study was to determine the factors causing fertility based on demographic, social, and economic factors in Women of Reproductive Age in Bengkulu Province. This study is a study that uses secondary data from the Indonesian Demographic Health Survey (IDHS) in 2017. The population in this study is 49,250 households nationally. The number of households that were successfully interviewed in Bengkulu Province was 850. Ever married women aged 15-49 years were 809 people. Furthermore, the weighted sample was 364 people, from the weighted sample 274 samples met the criteria. The data analysis used in this study consisted of 3 types of data analysis, that is univariate analysis, bivariate and multivariate analysis. The results showed that there was a relationship between demographic factors, namely maternal age (p = 0.000), and husband's age (p = 0.000) with Women of Reproductive Age fertility. There is a relationship between socioeconomic factors, that is maternal education (0.026) with Women of Reproductive Age fertility in Bengkulu Province. The dominant factor causing fertility was age at marriage (p = 0.019 and OR = 1.911).
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