No abstract

Adolescents are more likely to adopt risky health behaviors, such as smoking, alcohol use, and sexual activity. This study examined the links betweensmoking, alcohol use, and risky dating behavior and analyzed how these factors influenced risky dating and other behaviors. It is expected that this studywould be used as a foundation for developing appropriate integrated intervention for multiple risk behaviors among youths. This study was an explanatory research study with a cross-sectional approach. It involved 160 youths aged 15-24 years randomly selected from purposive villages. Participants completedself-administrated questionnaires with an enumerator present. Data were analyzed using univariate, chi-square, and multiple logistic regression. Smoking behavior, leisure activity, and self-efficacy were predictors of risky dating behavior. The self-efficacy variable also influenced multiple risk behaviors. A strong association was found between smoking, risky dating behavior, and alcohol use. One-third of the participants had dated and smoked recently, but only 10% ofthem had experienced high-risk dating activity, including petting and intercourse. Only 5% had experienced alcohol use (in particular, traditional alcohol), andno one admitted being involved with drug abuse.

Latar belakang: Partisipasi pria dalam penggunaan vasektomi di Kabupaten Ngawi masih rendah dari tahun 2016 hingga 2018, dengan angka (0,2%), (0%), (0,3%). Dalam penggunaan kontrasepsi, tidak jarang wanita mengalami ketidakcocokkan pada jenis kontrasepsi tertentu. Pria dapat berbagi peranan dengan menggunakan kontrasepsi pria, salah satunya adalah vasektomi. Penelitian ini bertujuan mengidentifikasi pengguna vasektomi dan mengetahui faktor yang berhubungan dengan penggunaan vasektomi di Desa Karanganyar Kabupaten Ngawi.Metode: Penelitian kuantitatif dengan desain ­cross sectional dan dilakukan wawancara mendalam pada pengguna vasektomi untuk memperoleh kelengkapan data. Populasi 241 pria Pasangan Usia Subur di Desa Karanganyar dengan sampel 78 responden yang diperoleh dengan simple random sampling menggunakan rumus analitik kategorik tidak berpasangan. Variabel bebas pada penelitian ini adalah tingkat pendidikan, pendapatan, jumlah anak, pengetahuan, sikap, keyakinan, ketersediaan informasi, sikap dan perilaku istri, sikap dan perilaku kader KB, serta sikap dan perilaku Petugas Lapangan Keluarga Berencana (PLKB). Untuk variabel terikat yaitu penggunaan. Uji bivariat menggunakan Uji Chi Square.Hasil: Hasil penelitian menunjukkan bahwa ada hubungan ketersediaan informasi (p value = 0,000), sikap dan perilaku istri (p value = 0,002), Kader KB (p value = 0,001) dan Petugas Lapangan Keluarga Berencana (p value = 0,003) dengan penggunaan vasektomi. Rendahnya penggunaan vasektomi disebabkan karena adanya nilai budaya setempat mengenai peran istri dalam pengambilan keputusan yang masih terbatas, pengetahuan istri yang kurang tentang penggunaan kontrasepsi pria, dan kepercayaan terhadap kontrasepsi pria. Padahal dukungan istri menjadi motivasi untuk membangkitkan minat pria memilih kontrasepsi yang lebih baik untuk diri sendiri dan keluarga. Selain itu dukungan Petugas KB yang berperan dalam pemberian informasi dan proses pemilihan kontrasepsi pria yang masih rendah membuat partisipasi pria dalam penggunaan vasektomi juga rendah.  Simpulan: Untuk mendukung program pengarusutamaan gender dalam penggunaan kontrasepsi pada pria dapat ditingkatkan melalui dukungan dari istri sebagai partner kehidupan seksual, serta Kader dan Petugas Lapangan Keluarga Berencana sebagai petugas yang dapat memberikan motivasi melalui kegiatan konseling kepada pria.Kata kunci: Keluarga berencana, kontrasepsi pria, vasektomi, pengarusutamaan gender ABSTRACT Title: Analysis of Factors Related to the Use of Vasectomy in Karanganyar Village Ngawi District East JavaBackground: The participation of men in using vasectomy in Ngawi District is still low from 2016 to 2018 with a rate of (0,2%), (0%), (0,3%). In the use of contraception, it is not uncommon for women to experience an incompatibility with the type of contraception used. Men can share roles by using male contraception, one of which is vasectomy. This study aims to identify vasectomy users and determine the factors associated with the use of vasectomy in Karanganyar Village, Ngawi District.Method: Research is a quantitative study with a cross sectional design and in depth interviews were conducted with vasectomy users to obtain complete data. The population 241 men of childbearing age with a sample of 78 respondents by simple random sampling using unpaired categorical analytic formulas. The independent variables in this study consisted of education level, income, number of children, knowledge, attitudes, and behavior of family planning cadres, attitudes and behavior of family planning field officers. And the dependent variables in this study is the use of vasectomy.  The test used in the Chi Square Test.Result: The result indicated that there is a relationship the availability of information (p value = 0,000), an attitude and behavior of the wife (p value = 0,002), Family Planning cadres (p value = 0,001), family planning field officers (p value = 0,003) related with the use of vasectomy. The low use of vasectomy is also due to local cultural values regarding the role of wives in making decisions are still limited, the wife’s insufficient knowledge and trust in male contraception. Wife’s support is the motivation to arouse men’s interest in choosing better contraceptives for themselves and their families. Support from family planning officers to give information and the process of selecting contraceptives is still low, making men’s participation in the use of vasectomy also low.Conclusion: To Support mission of gender mainstreaming in contraceptive use in men can be increased throught the support of their wives as sexual partners, as well as Family Planning Cadres and Family Planning Officers as officers who can motivate men to carry out counseling activities.Keywords: Family planning, male contraception, vasectomy, mainstreaming mission

Latar belakang: ASI adalah makanan terbaik bagi bayi usia 0-6 bulan. Ibu usia remaja diketahui memiliki angka cakupan ASI eksklusif yang rendah. Capaian ASI eksklusif di Kecamatan Genuk pada tahun 2018 hanya sebesar 39,61%, sehingga masih di bawah target nasional yaitu 50%. Penelitian ini bertujuan untuk mengetahui faktor apa saja yang berhubungan dengan pemberian ASI eksklusif pada ibu usia remaja di wilayah kerja Puskesmas Genuk.Metode: Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah ibu usia remaja (15-21 tahun) yang memiliki bayi usia 6-12 bulan. Teknik pengambilan sampel menggunakan simple random sampling. Penghitungan sampel menggunakan Rumus Slovin didapatkan sebanyak 60 responden. Pengumpulan data menggunakan google form yang disebarkan melalui pesan singkat Whatsapp ibu usia remaja dan kuesioner dibagikan secara langsung kepada ibu usia remaja.Hasil: Analisis menunjukkan sebanyak 36,7% responden telah memberikan ASI eksklusif. Terdapat hubungan antara keikutsertaan kelas ibu hamil (p-value = 0,010), keikutsertaan kelas ibu balita (p-value = 0,002), persepsi (p-value = 0,000), motivasi (p-value = 0,000), pengetahuan (p-value = 0,002), sikap (p-value = 0,000), dan dukungan suami (p-value= 0,005) terhadap perilaku pemberian ASI eksklusif pada ibu usia remaja.Simpulan: Hasil uji chi square dan fisher exact menunjukkan bahwa ada hubungan antara keikutsertaan kelas ibu hamil, keikutsertaan kelas ibu balita, persepsi, motivasi, pengetahuan, sikap, dan dukungan suami. Tidak ada hubungan antara usia, pendidikan, status pekerjaan, pendapatan keluarga, paritas, status kehamilan, dukungan keluarga, dukungan petugas kesehatan, dan akses informasi.Kata kunci: Ibu Usia Remaja, Menyusui, ASI Eksklusif ABSTRACTTitle: Determinants of Exclusive Breastfeeding Behavior in Adolescent Mothers in the Work Area of the Genuk Public Health Center, Semarang CityBackground: Breast milk is the best food for babies aged 0-6 months. Adolescent mothers are known to have low rates of exclusive breastfeeding. The achievement of exclusive breastfeeding in Genuk sub-district in 2018 was only 39.61%, so it is still below the national target of 50%. This study aims to determine what factors are associated with exclusive breastfeeding for adolescent mothers in the work area of the Genuk Health Center.Method: This study used a quantitative method with a cross-sectional approach. The population in this study were mothers of adolescence (15-21 years) who had babies aged 6-12 months. The sampling technique used simple random sampling. The sample count using the Slovin formula obtained as many as 60 respondents. Data collection using google form which is distributed via WhatsApp short messages for teenage mothers and questionnaires distributed directly to teenage mothers.Result: The analysis showed that 36.7% of respondents had exclusively breastfed. There is a relationship between class participation of pregnant women (p-value = 0.010), class participation of mothers under five (p-value = 0.002), perception (p-value = 0,000), motivation (p-value = 0,000), knowledge (p-value = 0.002), attitude (p-value = 0.000), and husband's support (p-value = 0.005) on the behavior of exclusive breastfeeding in adolescent mothers.Conclusion: Chi square and fisher exact test results show that there is a relationship between class participation of pregnant women, class participation of mothers under five, perceptions, motivation, knowledge, attitudes, and husband's support. There is no relationship between age, education, employment status, family income, parity, pregnancy status, family support, support from health workers, and access to information.Keywords: Adolescent Mothers, Exclusive Breastfeeding, Breastfeeding

Background:  Anemia prevalence among pregnant women in Central Java 2016 was 40.1% and 27.9% among fertile women aged 15-44 years. Anemia among pregnant mothers usually caused by ferrum defficiency due to low nutritional intakes during youth. The provision and processing of food at the family level that carried out mostly by mother were also the factors which related to nutrional problems at family level.Objectives: This study aims to identify mothers’ knowledge, attitudes, and practices in providing nutritional food for their family,  pregnant women and children under five years old.  Methods: An explanonatory research with cross-sectional survey has been conducted among mothersin Karanganyar Gunung and Karangayu Semarang. The mothers were selected using systematic random sampling with inclusion criteria were either pregnant or having children under five and willing to participate in this study. Of 200 mothers had participated in this survey.  Data were collected by enumerator using  structure questionnaires which have been validated before. Univariate, Chi-Square and logistic regression tests have been employed to analyze the data.Results: Nearly half of mothers have been categorized as poor practices in providing healthy food for their families (47%). More than half (56%) have good knowledge, but only 45.5% have positive attitudes towards providing healthy food. Mothers’ age (p = 0.048; OR = 0.547), education level (p = 0.042; OR = 0.580) and attitudes of providing healthy food (p = 0.001; OR= 3.138) were the influencing factors on providing healthy food. Conclusion: Mothers with positive attitudes have more likely to provide a healthy food for their families three times higher than those who have negative attitudes. Whilst, mothers who have aged ≥30 years were more likely to have protection (OR < 1) to provide healthy food than those who have aged <30 years. Likewise, mothers who have high education level were more likely to have protection to provide healthy food compare to those who have low education level.