PENGGUNAAN KONTRASEPSI HORMONAL DAN OBESITAS PADA WANITA USIA SUBUR DI INDONESIA: ANALISIS DATA IFLS 5 TAHUN 2014

Yusri Kartika, S. Ronoatmodjo
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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 women and 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
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印尼育龄妇女激素避孕和肥胖:2014年5日IFLS数据分析
背景:2013年印度尼西亚成年女性肥胖率为32.9%。印度尼西亚育龄妇女广泛使用激素避孕药(药丸、注射和植入物),患病率为45%。目的:本研究的目的是确定使用激素避孕药的育龄妇女与不使用激素避孕药的育龄妇女相比是否有发生肥胖的风险。方法:本研究采用二次数据(第五次印度尼西亚家庭生活调查)的横断面研究设计,样本为育龄妇女(15-49岁),共6045人。本研究的变量为肥胖、激素避孕药使用、年龄、教育程度、职业和避孕药使用时间。数据采用Cox回归分析。结果:双变量分析结果显示,育龄妇女使用激素避孕药、年龄、受教育程度、职业、使用避孕药持续时间与肥胖相关,且具有统计学意义(p值< 0.05)。多变量分析显示,使用激素避孕药不会增加印度尼西亚育龄妇女肥胖的风险(PR = 0.939;Ci 95% 0.869 1.013)。结论:使用激素避孕不会增加育龄妇女肥胖的风险
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