Zahroh Shaluhiyah

Analisis Faktor-Faktor yang Berhubungan dengan Kejadian IMS pada Remaja di Klinik IMS Puskesmas Rijali dan Passo Kota Ambon

ABSTRACT Analysis of factors associated with the incidence of STIs adolescents in STIs Health center clinic Rijali and Passo Ambon City; Sexually transmitted infections are a serious problem in Indonesia as the disease continues to increase every year due to sexual behavior patterns among adolescents more freely. The purpose of this study was to analyze factors associated with the incidence of STIs in adolescents in STIs clinics and health centers Rijali and Passo Ambon City. This type of research is expalanatory research with cross sectional / prevalence study. The subjects of this study were teenagers who came for treatment, control and counseling at health centers and Passo Rijali with a sample size of 100 people. Data analysis was done by means of univariate, bivariate with Chi-square and multivariate logistic regression. Results of bivariate analysis of age and religiosity associated with risky sexual behavior while berisoko sexual behavior and history associated with the IMS IMS events. Results of logistic regression test showed a history of STIs are variables that most influence on the incidence of STIs in which teenagers who have a history of STIs, the possibility of risk for infection with STIs 31.4 times greater compared to teens who do not have a history of STIs Keywords : Sexually transmitted infections, adolescents

Sociocultural Context of Adolescent Pregnancy, Sexual Relationships in Indonesia, and Their Implications for Public Health Policies

Contextual reference is made to the broad sociopolitical profile of this enormous archipelago and the basic parameters of adolescent fertility, age of first intercourse, marriage patterns, contraceptive use, and levels of education. It is noted that while adolescent pregnancy outside marriage is relatively low compared with many other countries, medical authorities have long been concerned with the range of health consequences it has for young mothers. The chapter then goes on to explore youth sexual culture in more depth with reference to cultural norms and values, and recently, primarily qualitative research findings that provide a rich insight into Indonesian (particularly Javanese) youth’s experience of premarital sexual relationships and the personal interaction that regulates premarital intercourse. For instance, adolescent pregnancy is very common in Indonesia, but only considered to be a social problem by the general populace in those relatively rare instances where it takes place outside marriage. In contrast, there has long been great concern within Indonesian medical circles with a range of medical consequences associated with (such primarily marital) adolescent pregnancy and the political obstacles that prevent health practitioners from addressing the sexual and reproductive health (SRH) needs of unmarried adolescents. The final section reviews the wide range of educational and health initiatives that have been developed to address adolescent sexual and reproductive health in Indonesia. The key themes that run through this review are the highly cultural contested nature of sexual matters in Indonesia, the widening of debate and pluralization of youth sexual lifestyles attendant to social change, the recent political liberalization, and the continuing paralysis of implementation of widespread effective education and health services to enhance adolescent reproductive and sexual health.

SEKS PRANIKAH SEBAGAI PEMENUHAN HAK REPRODUKSI MAHASISWA DI KOTA SEMARANG

Latar Belakang: Hubungan seks telah diidentifikasi sebagai sumber utama penularan HIV dari pengguna narkoba suntik (penasun) untuk pasangan seksual mereka. Studi sebelumnya menunjukkan bahwa penggunaan kondom di kalangan IDU masih rendah. Tujuan: Penggunaan kondom telah diidentifikasi sebagai salah satu metode paling efektif untuk mencegah HIV dan AIDS melalui kontak seksual. Metode: Penelitian ini bertujuan untuk menganalisis faktor yang mempengaruhi penggunaan kondom di kalangan IDU penelitian explenalory dan 64 IDU dipilih menggunakan teknik accidental sampling. Hasil: menunjukkan bahwa hanya 40,6% dari penasun sering tidak menggunakan kondom selama hubungan seks pasangan mereka dalam periode enam bulan terakhir. Kesimpulan: Beberapa variabel seperti melihat hambatan dan isyarat eksternal untuk bertindak secara signifikan terkait dengan penggunaan kondom di kalangan IDU Analisis regresi logistik menunjukkan bahwa persepsi yang baik pada isyarat eksternal untuk tindakan adalah prediktor penggunaan kondom di kalangan IDU. Kata kunci: penasun, penggunaan kondom, HIV dan AIDS

Urinating after Sexual Intercourse Prevents Pregnancy: Adolescents' Misconceptions of Reproductive Health Knowledge

Background: Although ANC coverage tends to be high, the pregnant women will not always giving birth by health provider. Jati Sampurna subdistrict, where most of the pregnant women prefer deliver their baby in Bekasi city and about 14.30% giving birth by traditional birth attendant. Objective: Analyze the maternal cohort data to prove correlation between compliance of ANC with selection of birth attendant in those area, which consisted of obedience of ANC, age, parity, birth spacing, pregnancy history, with selection of birth attendant. Methode: The retrospective cohort design study was used. After deciding several criteria: inclusion and exclusion criteria, and by simple random sampling, we achieved 372 subjects which consisted of 186 subjects in exposed group, and 186 subjects in unexposed group. Data analyzed by univariate, bivariate and multivariate. Result: The study showed that two out of five variables were statistically significant correlation, those are compliance of ANC [RR=2,41(95% CI 1,45-4,01)] and pregnancy history [RR=0,22 (95% CI 0,10-0,47)] or on the other result that [RR=4,55 (95% CI 2,13 -10,00)]. Conclusion: Promotion to pregnant women about the importance obedience of ANC and the selection of safe childbirth helper were in need of improvement. The measurement of history of pregnancy should be carried out consistently in ANC package as well. Keywords: Antenatal Care (ANC), birth attendant