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PENGARUH KEGIATAN PENYULUHAN DALAM PELAYANAN KESEHATAN PEDULI REMAJA (PKPR) TERHADAP PENGETAHUAN DAN SIKAP REMAJA TENTANG SEKS PRANIKAH DI SMAN 1 LUBUK DALAM KABUPATEN SIAK SRI INDRAPURA TAHUN 2013 Nuzulia Rahayu; Yusniwarti Yusad; Ria Masniari Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Teenager are a large population of the world population. Adolescent health is largely determined by their behavior. Premarital sex is one of the warning teen issues today. Lack of knowledge and misinformation to be one of the causes of premarital sex among adolescent. PKPR is one of the activities undertaken by government to address youth issues. This research aimed to see the effect of the counseling in PKPR on knowledge and attitudes teens about premarital sex. This study adopted a quasi experiment method with the approach pretest-posttest one group with sampling techniques using simple random sampling. The data analyzed by t-test and wilcoxon. The result showed an increase in knowledge and attitudes about premarital sex teens toward better after counseling activities . The test result obtained on the effect of counseling activities for adolescent knowledge and attitudes about premarital sex with p value = 0,001 < α= 0,05. It is expected that the health center care of performing routine PKPR activities such as counseling at school for at least sixth month and the school is expected to adding the productive health education in the subject. Key word: Counseling, PKPR, Knowledge, Attitudes, Teenagers, Premarital Sex

FAKTOR YANG BERHUBUNGAN DENGAN KELANGSUNGAN HIDUP BAYI YANG DIRAWAT DI RUMAH SAKIT UMUM DAERAH KABUPATEN LABUHAN BATU UTARA TAHUN 2012 Anastasya Desi O Napitupulu; Yusniwarti Yusad; Abdul Jalil Amri Arma
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 3 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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The fourth purpose of the Millennium Development Goals (MDGs) is to reduce child mortality where the target is to reduce under 5 years old mortality, Indonesia continues to improve child health as indicated by the decline in under 5 years old mortality, infant and neonatal. This study aims to analyze the relationship between the survival of infants with maternal factors (age, parity, spacing births) and infant factors (age, breast feeding, illness, nutrition and immunization status). This was an observational study using secondary data (medical records) from January 1 to December 31, 2012 in babies admitted to RSUD Kabupaten Labuhan Batu Utara. Data were analyzed by Chi Square test with α = 0,05. The results showed that the number of infant deaths in RSUD Kabupaten Labuhan Batu Utara as 17 infants in which the factors associated with infant survival is a parity (p = 0, 015) and nutrition (p = 0,001). It is expected that the parties and the relevant agencies in order to improve the counseling to mothers whose babies were cared for and improving health care in particular maternal and child health services to prevent and reduce infant mortality. Keywords: Survival of infant thread, maternal factors, infant factors

FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF PADA BAYI (0-6 BULAN) DI KELURAHAN BANTAN KECAMATAN MEDAN TEMBUNG TAHUN 2013 Yesica Siallagan; Erna Mutiara; Yusniwarti Yusad
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 3 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Exclusive breasfeeding means that an infant receives only breastmilk with no additional foods or liquids, not even water for the infant of 0-6 months. Based on data of National Institute of Health Research & Development in 2010 only 15,3% infants in Indonesia got exclusive breastfeeding whereas the expected target was 80%. Data from Health Profile of Medan Municipality Health Office in August 2011 there were 174 (4,08%) infants got exclusive breastfeeding. This low coverage gave rise to remaind health problems in the babies that it can bring impact on the quality of human resources in the future. The purpose of this study was to know factors associated with exclusive breastfeeding to the baby of 0-6 months old the Bantan Village, Medan Tembung Sub District in 2013. The design of this study was cross-sectional. The population in this study were all mothers with babies of 7-12 months old the Bantan Village, Medan Tembung Sub District amounted 181 mothers. The technique of sampling was purposive sampling and 100 of them were selected to be sample. Data were collected by interview using questionnaires. Data analysis included univariate and bivariate by using chi-square test. The results of this study showed that 100 respondents, from data analisis stases of included univariate and bivariat only four respondent (4,0%) gave exclusive breastfeeding. It was found there was relationship between knowledge (p = 0,023), education level (p = 0,018) and the factor of tradition/habit (p = 0,002) with exclusive breastfeeding. Medan Municipality Health office is expected to increase knowledge of the mother through health workers at Mandala Health Center by giving extention or counseling about exclusive breasfeeding and the impact of the other foods and drinks given to infants before the age of 6 months. Key words : Exclusive breastfeeding knowledge, education and tradition/habit

FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN ANTENATAL CARE (ANC) DI WILAYAH KERJA PUSKESMAS KECAMATAN LAWE SUMUR KABUPATEN ACEH TENGGARA TAHUN 2013 Alas Sriwahyu; Yusniwarti Yusad; Erna Mutiara
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 6 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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ABSTRACT Antenatal Care (ANC) is a health service by skilled health personel to a women during her pregnancy, based on standard antenatal care stated in midwifery standard services (Standar Pelayanan Kebidanan = SPK). Based on data from the Ministry of Health Republic of Indonesia in 2012, the coverage of 1st visit of pregnant women in Indonesia was 95.71% and 4th visit was 88.27%. Report of health center of Lawe Sumur subdistrict in 2012, it was found that the coverage of 1st visit was 90.2% and 4th visit was 82%. This research aimed to know the factors related to the utilization of the ANC in the working area of health center of Lawe Sumur Subdistrict, Aceh Tenggara District in 2013. The research design was Cross Sectional study. The population is all of post partum mothers from January to March 2013 living in the working area of health center of Lawe Sumur Subdistrict, as many as 84 mothers and all of them were selected as samples. Data were collected by interview using questionnaires. Data analysis was done by univariate and bivariat analysis used Chi-Square test. The results showed that out of 84 mothers, only 26 mothers (31.0%) utilized the ANC. It’s found there was relationship between knowledge (p=0.001), parity (p=0.005), health personel’s support (p=0.001), trust (p=0.001), the family/husband’s support (p=0.001) and the utilization of ANC. It is expected to Lawe Sumur Subdistrict Health Center to increase extention about the benefit and the purpose of ANC examination, the importance of arranging pregnancy interval, the kind of ANC service which can be given by health center, to change postpartum mother’s perspective and make them believe, by increasing the experience of health center personel, taking training and involving traditional birth attendants and community leaders. Target of information providing is extended to the family or husband because their support have real influence on the utilization of ANC. Keywords : Antenatal Care, Knowledge, Health Personel Support, Trust, and Support Families/Husbands

HUBUNGAN JENIS DAN LAMA PENGGUNAAN ALAT KONTRASEPSI HORMONAL TERHADAP GANGGUAN MENSTRUASI PADA IBU PUS DI KELURAHAN BINJAI KECAMATAN MEDAN DENAI KOTA MEDAN TAHUN 2014 Febria Octasari; Sori Muda Sarumpaet; Yusniwarti Yusad
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2014): Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Prevention of maternal morbidity and mortality is the main reason for family planning programs. The survey showed that 62% of married women aged 15-49 years using a family planning method, most of them using modern contraceptive methods were 58% and 4% using the traditional method of contraception. The purpose of this research is to analyze association between the type and duration of use of hormonal contraceptives on menstrual disorders in Kelurahan Binjai Kecamatan Medan Denai 2014. Analytic study was observational, using cross-sectional design with 210 person as samples. The sampling technique was simple random sampling. The result of this research is the type of hormonal contraception that many in demand by the respondent is kind of 3-month injectable contraceptive with a percentage of 35,7%. The results of the bivariate analysis showed the type of hormone contraceptive associated with menstrual disorders (RP=3,07; 95% CI: 2,25-4,19) longer menstrual disorders (RP=2,52; 95% CI: 1,85-3,42) disruption of the menstrual cycle (RP=2,88; 95% CI: 2,13-3,89) spotting (RP=3,85; 95% CI: 2,24-6,60). Duration of use of menstrual disorders associated with long periods (RP=1,53; 95% CI: 1,17-2,03) and disruption of the menstrual cycle (RP=1,49; 95% CI: 1,17-1,91). Acceptor is expected to choose the right contraception and ask health worker about various contraceptives before choosing contraceptives.

PENGARUH PENGETAHUAN DAN MOTIVASI TERHADAP SIKAP REMAJA PUTRI YANG MELAKUKAN PEMERIKSAAN PAYUDARA SENDIRI (SADARI) SEBAGAI UPAYA DETEKSI DINI KANKER PAYUDARA DI SMA NEGERI 1 MARBAU KABUPATEN LABUHANBATU UTARA TAHUN 2014 Rosiah Hasibuan; Heru Santosa; Yusniwarti Yusad
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2014): Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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AbstractBreast cancer is a malignant tumor which grows in the breast tissue. Nowadays, many patients were found suffered breast cancer at an early age even in fourteen years old has suffered this disease. One of the early detection methods of breast cancer is breast self-examination (BSE). BSE is the most effective and efficient way to find breast cancer at an early stage.This study is aimed to examine the effect of knowledge and motivation to the attitude of girls who do breast self-examination (BSE) as an efforet early detection of breast cancer in SMA 1 Marbau of Labuhanbatu Utara district. The populations in this study were all girls who do the BSE in SMA 1 Marbau with a total sample of 122 respondents. The analysis was used is path analysisThe results showed that the normality test of data, all data were normal distribution and conformance test which used Amos software resulted Goodness of Fit models which fulfill the criteria of fit model. In the hypothesis test resulted that the knowledge obtained significantly influence to the motivations of girls who do BSE with probability value 0,012<0,05 and the motivations significantly influence the attitudes of girls who do BSE with probability value 0,002<0,05 as well as a significant influent between the knowledge toward the girls’ attitudes who do BSE with probability value 0,002<0,05. Furthermore, the results showed that there was the influence of knowledge on the girls’ attitudes through girls’ motivations who do BSE in SMA Negeri 1 Marbau.As a suggestion to reader, the researcher recommend to the school to collaborate with the public health center that would organize counseling activities of the BSE to students so that they can do BSE routinely and regularly.Keywords: Knowledge, Motivation, Attitude, Breast self-examination (BSE), Early detection of Breast cancer

FAKTOR-FAKTOR YANG MEMENGARUHI PERILAKU MEROKOK SISWA/SISWI SEKOLAH MENENGAH KEJURUAN YAYASAN PENDIDIKAN INDONESIA MEMBANGUN NAMORAMBE TAHUN 2014 anovy yuwinda harahap; Yusniwarti Yusad; Maya Fitria
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2014): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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ABSTRACT Based on data the World Health Organization (WHO) explain that one of the 10 deaths in adults are caused by smoking. Indonesia is the 3rd highests number of smoker in the world.Adolescent victims of exploitation largest cigarette industry. Adolescence identical as a free human. Therefore teenagers always do all the desired activities. Many teenagers who like to do things like smoking prohibited. The research aims to determine the factors that influence smoking behavior of students. Type of research is descriptive analytic survey design Cross Sectional Study. Population in the research were 63 students and all of sample. Result of data analysis using chi-square and of the 8 existing variables obtained 6 related variables is sex ρ=0,0001 , knowledge ρ=0,009, age ρ=0,099, attitude ρ=0,008, advertising ρ=0,009 and peer group ρ=0,0001.Based on multivariate analysis of the variables that most influence is variable peer group on smoking behavior with logistic regression test value of Ex (B)=41,600, and of 63 students there are 25 who smoke, 24 sex male and 4 female. Expected to cooperate with the school to parent to provide information about the factors that influencesmoking behavior, especially peer group factor (enviroment) that play a role in influencing students behavior and for adolescents should be more careful in getting along in daily life so as not to be affected by adverse behavior. Key word : Smoking behavior, Peer group, sex

PENGARUH AKSES SITUS PORNO DAN TEMAN SEBAYA TERHADAP PERILAKU SEKSUAL REMAJA DI SMA YAYASAN PERGURUAN KESATRIA MEDAN TAHUN 2014 uci kirana; Yusniwarti Yusad; Erna Mutiara
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2014): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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ABSRACT Teenagers is a potency in the continuing development of a nation. The existence of the various development efforts carried out, caused changes in the life of teenagers. This happens due to an imbalance in the development efforts made against teenagers, giving rise to problems for the construction it self. One of the effects of the imbalance in development is the occurrence of a fundamental change in the attitudes and sexual behaviour among teenagers. Many of the factors that led to a change in attitude and sexual behavior among teenagers, among others, the influence of access porn sites and peers. This research aimed to know the influence of access porn sites and peer group on teenagers sexual behavior in SMA Yayasan Perguruan Kesatria Medan. Type of this research is a descriptive analytic survey with cross sectional approach. The population of this research were all of students at SMA Yayasan Perguruan Kesatria Medan who have been dating, by using totally 107 students were being sample. This study uses multivariate analysis. The results of this research showed that teenagers sexual behavior in the severe category numbered 32 students (29.9%). Variables related to teenagers sexual behavior is an access porn sites (p = 0.042) and adaptation to the peer group (p = 0.034). The results of research using multiple logistic regression test shows that the most influential variables on teenagers sexual behavior is adaptation with peer group, with the regression coefficient β= 1.324. Based on research result suggested to the schools and parents to provide appropriate information and guidance to teenagers about sex education and reproductive health. To teenagers should be more wise in using the internet as a medium to increase knowledge in order to be more useful. Keywords: Free Porn Sites, Peer group, Teenagers Sexual Behavior

PERSEPSI IBU HAMIL MENGENAI PERAN BIDAN DALAM MEMBERIKAN PENDIDIKAN KESEHATAN TENTANG ABORTUS IMMINENS DI KLINIK BERSALIN ELVINA TANJUNG SARI MEDAN TAHUN 2014 Dina Mariana Sembiring; Asfriyati .; Yusniwarti Yusad
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2014): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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ABSTRAK Abortus Iminens adalah terjadinya perdarahan bercak yang menunjukan ancaman terhadap kelangsungan suatu kehamilan. Dalam kondisi seperti ini kehamilan masih mungkin berlanjut atau dipertahankan, ditandai dengan perdarahan bercak hingga sedang, serviks tertutup (karena pada saat pemeriksaan dalam belum ada pembukaan), uterus sesuai usia gestasi, kram perut bawah, nyeri memilin karena kontraksi tidak ada atau sedikit sekali, tidak ditemukan kelainan pada serviks. Penelitian ini bersifat deskriptif dengan jenis penelitian kuantitatif. Populasi adalah semua Ibu hamil dengan usia kehamilan trimester I sampai trimester II yang telah memeriksakan kehamilannya minimal dua kali di Klinik Bersalin Elvina Tanjung Sari Medan dan jumlah sampel sebagai responden sebanyak 65 orang. Hasil penelitian persepsi ibu hamil mengenai peran bidan dalam memberikan pendidikan kesehatan tentang abortus imminens menunjukkan bahwa mayoritas responden mempunyai persepsi dalam kategori kurang yaitu sebanyak 28 orang (43,1%), sedangkan persepsi ibu hamil mengenai peran bidan dalam memberikan pendidikan kesehatan secara umum menunjukkan bahwa mayoritas responden mempunyai persepsi kategori baik yaitu sebanyak 36 orang (55,4%). Disarankan kepada setiap ibu hamil agar memperhatikan kesehatannya dengan melakukan pemeriksaan kehamilan setiap bulannya untuk mengenal sedini mungkin keluhan pada kehamilan atau untuk mendeteksi secara dini komplikasi dalam kehamilan dan diharapkan kepada petugas kesehatan di Klinik Bersalin Elvina Tanjung Sari Medan perlu meningkatkan pelayanan kesehatan terutama dalam memberikan pendidikan kesehatan tentang abortus imminens dan dalam kasus abortus imminens perlu kiranya dipantau lebih ketat sehingga tidak terjadi komplikasi lebih lanjut. Kata Kunci : Persepsi, Pendidikan Kesehatan, Abortus Imminens

ANALISIS FAKTOR YANG MEMENGARUHI IBU PASANGAN USIA SUBUR (PUS) YANG TIDAK MELAKUKAN PEMERIKSAAN PAP SMEAR UNTUK DETEKSI DINI KANKER SERVIKS DI RUMAH SAKIT UMUM HAJI MEDAN TAHUN 2014 darmaisuri harahap; Erna Mutiara; Yusniwarti Yusad
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2014): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Cervical cancer is a kind of dangerous tumor that found in cervical area which can cause death to women in Indonesia. In the Medan Hajj General Hospital from October to December of 2013 there were 722 mothers of productive-age couples who visited to do health check at the obstetrics poly, only 4 (0.5%) mothers performed pap smears check. This research aimed to reduce variables that influenced mothers of productive-age couples who did not do the pap smear check as the cervical cancer early detection at Medan Hajj General Hospital period October- December 2013. Data were analyzed by using exploratory factor analysis. Mothers of productive-age couples who did not do pap smear check were the population of this research and were being sample numbered 80 mothers. Data were collected by interviewing using questionnaire. The result of data analysis showed that out of 8 variables (knowledge, attitude, culture, economic, education, husband's support, trust and fear) after being analyzed it formed two (2) factors namely factor 1 (knowledge, education, attitude economic and trust) as internal factors and factor 2 (culture, husband's support, and fear) as external factors. It is suggested for future studies that will use factor analysis method should increase the number of variables which will be reduced/summarized. Key word : productive-age couples, cervical cancer, factor analysis, Pap Smear

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