Hubungan Penggunaan Kontrasepsi Hormonal Dengan Kejadian Hipertensi Pada Wanita Usia Reproduktif (15-49 Tahun) Di Wilayah Kerja Puskesmas Teladan Kota Medan Tahun 2019

Abstract

Background: The prevalence of hypertension in Indonesia continues to increase, especially in women. The incidence rate reached 28.8% higher than the incidence of hypertension in men which is 22.8%. There are factors that make women more at risk of hypertension than men. Namely the use of hormonal contraception in women whose users reach 47.54%. Purpose: to analysis Correlational hormonal contraceptive use and hypertension. Methods: This research is an observational survey research, case-control design. Held in the Work Area of the Medan City Primary Health Center. Conducted from March-June 2019. The population were all women of productive age (15-49 years) totaling 572 people. The size of the case sample was 35 people and 35 controls. Case samples were taken by means of consecutive sampling, control samples were taken by convenient sampling. Data analysis was performed univariately and bivariately using the Chi Square statistical test (?2) with a significance level of 0.05. Results: In the hypertension group, 77.1% used hormonal contraception and 22.9% did not use hormonal contraception. Whereas in the non hypertensive group 62.9% did not use hormonal contraception only 37.1% used hormonal contraception. There is a relationship between hormonal contraceptive use and hypertension in women of reproductive age. A value (OR = 5.7; 95% CI 2,008-16,244) means that women of reproductive age are at risk of experiencing hypertension 5.7 times greater if women of reproductive age use hormonal contraception than those who do not use hormonal contraception. Conclusion: Women of reproductive age are at risk of developing hypertension when using hormonal contraception. Therefore, it is recommended that women of reproductive age prefer non-hormonal contraception or natural contraception. If using hormonal contraception to keep monitoring blood pressure regularly at least 3 months after using hormonal contraception and immediately stop using hormonal contraception if there is a hypertension Keyword: Hormonal contraception; Hypertension; Women at Reproductive age

Description of Knowledge and Age of Couples of Reproductive Age Using Long-Term Contraception Methods in Kunden Hamlet, Sendangsari Village

“…Berdasarkan data distribusi frekuensi responden yang berusia < 20 tahun menggunakan metode kontrasepsi jangka panjang (MKJP) hanya 2 orang (28,6%), yang berusia 20-35 tahun berjumlah 4 responden (57,1%) dan yang berusia > 35 tahun hanya berjumlah 1 responden (14,3%). Hasil penelitian ini sejalan dengan penelitian yang dilakukan oleh Rahmawati (2021) yang menyatakan bahwa akseptor KB yang berusia < 35 tahun lebih memilih menggunakan metode kontrasepsi jangka panjang (MKJP) (Mariana & Bernadeta, 2019). Usia merupakan salah satu faktor yang berpengaruh terhadap penggunaan alat kontrasepsi, ibu pasangan usia subur yang berumur tua mempunyai peluang lebih kecil untuk menggunakan alat kontrasepsi bila dibandingkan ibu yang berumur muda.…”

Gambaran Tingkat Pengetahuan Upaya Pencegahan Kekambuhan Hipertensi pada Lansia di Puskesmas Nanggalo Tahun 2023

“…2 Penelitian Fitri et al (2018), juga menunjukkan hasil yang sama bahwa lansia hipertensi terbanyak berjenis kelamin perempuan yaitu 73,3%. 14 Dari hasil penelitian menunjukkan bahwa berdasarkan jenis kelamin yang banyak menderita hipertensi adalah perempuan sebanyak 75 (65,8%). Hasil penelitian ini sejalan dengan penelitian (Gunawan, 2020) dimana perbandingan antara pria dan wanita, ternyata wanita lebih banyak menderita hipertensi.…”

Study of the Prevalence of Hypertension in Women of Reproductive Age (15-49 Years) in the Working Area of the Sungai Tering Community Health Center, East Tanjung Jabung Regency, 2022

“…Women of childbearing age who experience chronic hypertension before their pregnancy are at risk of causing pre-eclampsiaeclampsia (PE-E) and bleeding. (Situmorang, 2018) Based on Riskesdas data for 2018, the prevalence of hypertension in Indonesia was 34.11%. The prevalence of hypertension in Indonesia tends to be high in women.…”