Fatmawati, - and Prof. Dr. dr. Sri Andarini, M.Kes, and Dr. Diadjeng Setya Wardani, S.Si.T., M.Kes (2023) Analisis faktor yang berhubungan dengan pernikahan usia dini terhadap komplikasi kehamilan di Wilayah Kabupaten Tulungagung,. Magister thesis, Universitas Brawijaya.
Abstract
Pernikahan, dini (early married) adalah akad nikah yang dilangsungkan pada usia dibawah kesesuaian aturan yang berlaku. Pernikahan dini dipengaruhi oleh berbagai faktor yaitu faktor predisposisi (pengetahuan, sikap, pendidikan, jenis kelamin;:persepsi/nilai-nilai, tradisi/budayalkepercayaan,, . tingkat. sosial ekonomi), faktor . pemungkin- (sarana dan prasarana, mutu informasi, pergaulan bebas, undang-undang dan peraturan-peraturan), faktor penguat ‘(sikap dan-perilaku petugas’kesehatan; guru, orang' tua, teman'sebaya). Melakukan pernikahan:-usia. dini, sama 'halnya .dengan | menikah tanpa kesiapan yang maksimal baik mental, psikis, bahkan materinya. Pernikahan usia dini dapat mengakibatkan dampak pada kesehatan reproduksi‘wanita; karena organ reproduksinya belum ‘matangdan kuat untuk hamil ‘dan melahirkan., Komplikasi kehamilan dapat-menyebabkan terjadinya kegawatdaruratan obstetrik yang dapat. mengakibatkan kematian Ibu _dan _bayi. Risiko kebidanan hamil dibawah usia 19 tahun berisiko ‘pada kehamilannya ' yang “dapat mengakibatkan terjadinya perdarahan, keguguran, hamil anggur dan-kelahiran prematur: Jawa Timur. menempati daerah urutan ketiga tertinggi dengan kasus pernikahan. usia dini berjumlah 10,85%. Kabupaten Tulungagung merupakan salah satu Kabupaten yang setiap tahunnya mengalami kenaikan jumlah pernikahan dini pada perempuan mulai tahun 2020 sampai-tahun, 2022:-Daerah yang paling tinggi angka kejadian ipernikahan usia dini terdapat pada tiga kecamatan yaitu kecamatan Kalidawir, Sendang dan Pagerwojo. Pada tahun 2020 sebanyak 115, tahun 2021 berjumiah 120 dan pada tahun-2022 mengalami penurunan namun masih terbilang tinggi yaitu sebanyak 89 kasus pernikahan usia dini: Penelitian ini melihat faktor apa saja_yang mempengaruhi pemikahan usia dini dan faktor “yang “ paling “berpengaruh yang 'menyebabkan remaja di daerah Kabupaten Tulungagung memutuskan ' untuk ‘menikah ‘usia ‘dini.Penelitian”ini- juga: melihat’ dampak pernikahan usia dini dengan kejadian komplikasi kehamilan di daerah tersebut. Penelitian ini adalah penelitian observasional -analitik dengan pendekatan case control, dilaksanakan pada bulan April sampai Mei' 2023 di tiga kecamatan yang ada di wilayah ;Kabupaten: Tulungagung. Sampel yang-digunakan-ada. 2. kelompok-yaitu-pada kelompok kasus ibu yang menikah <19 tahun sebanyak 96 responden dan pada kelompok kontrol-ibu yang tidak' menikah'usia dini sebanyak’192 responden dengan total'sampel 288 responden: Teknik pengambilan sampel dilakukandengan teknik purposive sampling. Setiap perempuan yang memenuhi kriteria diberikan kuesioner untuk mendapatkan data. Penelitian dilakukan secara langsung oleh peneliti. ‘Analisis data dilakukan dengan uji multivariat menggunakan regresi -logistik ‘berganda: wntuk: menganalisis faktor: ‘apa 'yang paling berpengaruh dengan pernikahan usia dini; dan untuk menganalisis dampak dari pernikahan dini'hanya sampai di uji bivariat. Penelitian 'ini membuktikan 'bahwa budaya ' masyarakat adalah faktor yang ‘paling mempengaruhi keputusan perempuan di'wilayah Kabupaten, Tulungagung untuk menikah usia dini (OR=7,742;95%CI=4,218 hingga14,210) dan untuk komplikasi kehamilan ada hubungan 'yang 'bermakna ‘antara“ pernikahan usia 'dini-'dengan-komplikasi' kehamilan (OR=2,413;95%CI=1,413 hingga 4,121;p=0,001). Kesimpulan dalam_penelitian ini adalah dari beberapa faktor yang- diteliti budaya masyarakat merupakan-faktor yang paling berpengaruh dengan kejadian pernikahan usia dini diikuti oleh: mutu informasi dan status pekerjaan, orang tua<di wilayah Kabupaten Tulungagung serta ada-hubungan antara pernikahan usia dini dengan. kompliksi kehamilan di daerah tersebut.
English Abstract
Early marriage (early married) is a marriage contract that is held at an-age below the suitability of the applicable rules. Early marriage is influenced 'by various factors such‘as predisposing 'factors '(knowledge, attitudes; education, | \gender, | ‘perceptions/values, traditions/culture/beliefs, socioeconomic level), enabling factors. (facilities and.infrastructure, information quality, promiscuity, laws and regulations ), reinforcing factors (attitudes and behavior of health workers; teachers, parents, peers). Getting'married at an early age is' the same |as-getting married without.maximum readiness, both mentally, ipsychologically, and even materially. Early marriage can have an impact on women's reproductive health, because their reproductive organs are immature-and 'strong for pregnancy-and childbirth. Pregnahcy complications can cause obstetric.emergencies which-can result in the death of the mother and baby.Obstetric risks for pregnant women under the age of 19 years old are at'risk for their pregnancies which can result in bleeding, miscarriage, molar pregnancies and premature births. East Java ranks; third highest with-10.85% 0f early; marriage cases. Tulungagung Regency is one of the regencies that experiences an increase in the number of early marriages to-women ‘every year from 2020 to 2022. The areas with the highest incidence of early marriage are found in-three sub-districts, there are Kalidawir, Sendang and Pagerwojo sub-districts. In 2020 there were 115, 2021 there were 120 and 2022 it has decreased but still relatively high, that 89 cases of early marriage: This study looks at-what factors influence. early marriage: and the most influential factors that cause adolescents in the Tulungagung Regency area to decide to marry at an early age. This study also looks atthe impact of early marriage on the incidence of pregnancy complications in:the:area. This_research_is-an_analytic. observational . study, with a case control approach, conducted from April to May 2023'in three sub-districts in the Tulungagung Regency area. There were 2 groups of samples' used, namely iin the case! group-of mothers who'were married <19 years as. many.as 96 respondents and in the control group-of mothers who, did not'marry at an early age as many as 192 respondents with a total sample ‘of 288 respondents.- The sampling ‘technique was carried out by purposive 'sampling technique. Each woman who met the criteria, was given a questionnaire, to obtain-data. The research was carried out directly by the researcher. Data analysis was carried out using a multivariat test'using multiple logistic regression to analyze what factors had the mostinfluence on early marriage; and to analyze the impact of early marriage only to the bivariat test. This study proves.that community culture is the factor that most influences women's decision in Tulungagung Regency to marry at an early age (OR=7.742; 95%Cl=4.218 to 14.210) 'and:for-pregnancy complications there is a significant relationship between: early marriage and pregnancy: complications (OR=2.413; 95%CI=11.413 to.4,121; p=0.001). The conclusion in this study is that of several factors studied, community culture is the most influential-factor ‘with 'the incidence “of early marriage ‘followed' 'by the ‘quality of information and-the, employment status of parents: in the Tulungagung Regency -area and there is a relationship between early marriage and pregnancy complications.in the area. Suggestions for local governments to be able to coordinate 'with related agencies in order (tobe able for improve facilities both schools and infrastructure -such' as: road construction in rural areas so that youth can improve their standard of living and can improve their education to a higher fevel. The health office and puskesmas can provide KIE to carry out' ANC routinely and improve health promotion-as well as'provide information.about the impact of early marriage by being more active in carrying out the Adolescent Care Health
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | 0423060047 |
| Subjects: | 600 Technology (Applied sciences) > 618 Gynecology, obstetrics, pediatrics, geriatrics > 618.2 Obstetrics |
| Divisions: | S2/S3 > Magister Kebidanan, Fakultas Kedokteran |
| Depositing User: | Endang Susworini |
| Date Deposited: | 27 Nov 2023 01:16 |
| Last Modified: | 27 Nov 2023 01:16 |
| URI: | http://repository.ub.ac.id/id/eprint/204639 |
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