Penyimpangan Pola Prevalensi Hipertensi di Indonesia – Penyusulan oleh Perempuan pada Usia 28 Tahun: Masukan untuk Perbaikan Pelayanan Kesehatan

Siti Isfandari

Abstract


Abstract
This policy paper intends to provide inputs for community health program development on high
blood pressure (HBP) prevention and treatment improvement. The latest two consecutive National
Health Surveys in 2010 and 2013 revealed deviant pattern of HBP among pre menopause females.
Earlier take-over of HBP prevalence is observed between females on males. Exploration on HBP
risk by age and sex was performed. The findings showed higher prevalence of HBP risk among
females. Age, obesity, emotional distress, and contraceptive use contribute to HBP occurrence.
Result of analysis was inconclusive to identify precise risk of earlier take over of high blood pressure.
It could probably due to hormonal contraceptive use and higher prevalence of risk among females.
Since there was already higher health service utilization, it is recommended that the existing non
communicable diseases (NCD) prevention and monitoring program is expanded to provide service
for young females. Among the service provided are motivation for healthy diet, physical activity,
mental health service and family planning.
Key words: NCD, hypertension, gender, health service, Indonesia

Abstrak
Artikel kebijakan ini bertujuan memberi masukan perbaikan program pencegahan dan penanganan
hipertensi di puskesmas dan masyarakat. Riskesdas 2010 dan 2013 menunjukkan fenomena
yang berbeda dengan negara lain. Prevalensi hipertensi perempuan pre menopause lebih tinggi
dibandingkan lelaki. Tujuan analisa untuk melakukan eksplorasi faktor risiko yang menyebabkan
terjadinya penyusulan prevalensi hipertensi pada usia relatif muda. Usia, indeks massa tubuh,
distress emosional , jenis kelamin dan penggunaan kontrasepsi merupakan faktor kontributor yang
dianalisa. Hasil menunjukkan usia merupakanmerupakan kontributor tertinggi terjadinya hipertensi.
Prevalensi hipertensi perempuan non pengguna kontrasepsi tidak berbeda dengan lelaki, sedangkan
pengguna kontrasepsi hormonal memiliki risiko lebih tinggi terhadap hipertensi dibanding pengguna
kontrasepsi non hormonal. Hasil analisa belum dapat secara konklusif memperoleh faktor risiko
yang menyebabkan terjadinya penyusulan dini hipertensi perempuan. Namun diduga terkait dengan
penggunaan kontrasepsi hormonal dan lebih tingginya prevalensi faktor risiko hipertensi.
Kata kunci : PTM, jender, pelayanan kesehatan, hipertensi, Indonesia


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