HUBUNGAN PAPARAN ASAP ROKOK DARI SUAMI PADA WANITA USIA 15-57 TAHUN DENGAN KEJADIAN BAYI BERAT LAHIR RENDAH DI INDONESIA (ANALISIS DATA LANJUTAN IFLS-5 TAHUN 2014)
Abstract
AbstractBackground: The results of Riskesdas (Basic Health Research) showed that the national proportion of low birth weight (LBW) in Indonesia was 10.2 percent in 2013 and 6.2 percent in 2018. Survey conducted by Global Adult Tobacco Survey in 2011 found that 67 percent of men in Indonesia smoke. Meanwhile in 2011-2015, the prevalence of second-hand smoking exposure at home was 78.4 percent and more than half of second-hand smoking are vulnerable groups such as women and under-five children.
Objective: The aim of this study was to examine the association of husband’s cigarette smoking exposure to LBW among mothers aged 15-57.
Method: This study used secondary data from 5th Indonesia Family Life Survey (IFLS-5) in 2014 with cross-sectional design. The sample of this study was 1.599 women aged 15-57. Multivariate analysis was conducted using cox regression and backward elimination procedure model methods.
Results: This study showed that 73.5 percent of husbands were cigarette smokers and the proportion of LBW was 7.5 percent. The exposure of husband’s cigarette smoking didn’t increase the risk of LBW after controlling for antenatal care visit variable (PR 1,096; 95% CI 0.721-1.66).
Conclusion: Despite of statistical insignificance, the proportion of LBW among mothers who exposed with husband’s cigarette smoking is slightly higher than mothers with non-smoker’s husbands.
Keywords: IFLS, low birth weight, second-hand smoking
Abstrak
Latar belakang: Di Indonesia berdasarkan data Riset Kesehatan Dasar (Riskesdas), kejadian bayi berat lahir rendah (BBLR) pada tahun 2013 yaitu 10,2 persen dan pada tahun 2018 sebesar 6,2 persen. Survei yang dilakukan oleh Global Adult Tobacco Survey tahun 2011 diperoleh hasil bahwa 67 persen laki-laki di Indonesia merokok. Sementara itu pada tahun 2011-2015 prevalensi perokok pasif yang terpapar asap rokok di rumah sekitar 78.4 persen, lebih dari separuh perokok pasif adalah kelompok rentan seperti perempuan dan balita.
Tujuan: Untuk mengetahui hubungan paparan asap rokok dari suami pada wanita usia 15-57 tahun dengan kejadian BBLR.
Metode: Penelitian ini menggunakan desain studi cross- sectional dengan data sekunder 5th Indonesia Family Life Survey (IFLS-5) tahun 2014. Sampel adalah 1.599 wanita 15-57 tahun. Analisis data mulitvariat menggunakan cox regression dan metode backward elimination procedures model.
Hasil: Sebanyak 73,5 persen suami adalah perokok aktif dan proporsi bayi dengan berat lahir rendah sebesar 7,5 persen. Paparan asap rokok suami tidak meningkatkan risiko kejadian BBLR setelah dikontrol variabel kunjungan pemeriksaan kehamilan (PR 1,096; 95% CI 0,721-1,66).
Kesimpulan: Proporsi kejadian BBLR pada ibu yang mempunyai suami perokok aktif sedikit lebih tinggi dari pada ibu yang mempunyai suami tidak merokok, meskipun menunjukkan perbedaan yang tidak bermakna.
Kata kunci: IFLS, BBLR, merokok pasif
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