Pengaruh Sosial Ekonomi dan Budaya terhadap Kesehatan Reproduksi Remaja Putri yang Menikah Dini di Desa Siligason Kabupaten Simalungun Tahun 2015

Abstract

According to the annual data of the Local Administration of Siligason Village, Simalungun District, there were 36.8% of below 20 year-old teenagers who got married in 2013, 35% in 2012, and 20% in 2014. The average of them were High School graduates or under. The objective of the research was to analyze the correlation of economy and culture with health reproduction of female teenagers who performed early marriage. The research was a survey with cross sectional design. The population was 35 female teenagers who performed early marriage and had given childbirth at Siligason Village, Simalungun District, and all of them were used as the samples, taken by using total sampling technique. The data were gathered by conducting interviews and questionnaires and analyzed by using univatriate analysis, bivatriate analysis with chi square test, and multivatriate analysis with multiple logistic regression analysis at the significance level of 95%. The result of the research showed that 77.1% of the respondents had good health reproduction, and 22.9% of the respondents had bad health reproduction. There was the correlation of education, habit, and confidence with health reproduction of female teenagers who performed early marriage. The variable which had the most dominant influence was confidence at the coefficient value (β) = 24.624. The percentage correct value was 88.6% which indicated that education, habit, and confidence could explain their correlation with health reproduction of female teenagers who performed early marriage, while the remaining 11.4% was influenced by the other factors. It is recommended that the village head and local health care providers work together in providing counseling for female teenagers about the importance of knowledge of marriage viewed from the suggested age and is in line with health reproduction, education, occupation, and culture which influence it.

Menurut data tahunan pemerintah daerah Desa Siligason Kabupaten Simalungun, tercatat jumlah pernikahan remaja yang menikah di bawah usia 20 tahun pada 2013 sebanyak 36,8%, dan 35,4% di tahun 2012 dan pada awal Juni 2014 sebanyak 20% remaja telah menikah di bawah usia 20 tahun dan rata-rata menikah setelah lulus SMA ataupun sebelum lulus SMA. Tujuan penelitian ini adalah untuk menganalisis pengaruh sosial ekonomi dan budaya terhadap kesehatan reproduksi remaja putri yang menikah dini. Jenis penelitian survei terhadap pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh remaja putri yang menikah dini dan sudah pernah hamil dan melahirkan di Desa Siligason Kabupaten Simalungun sebanyak 35 orang, sampel berjumlah 35 orang terhadap teknik total sampling. Data diperoleh melalui wawancara terhadap kuesioner. Data dianalisis terhadap tahapan univariat, bivariat menggunakan uji chi-square dan multivariat menggunakan uji analisis regresi logistik berganda pada taraf kemaknaan 95% Hasil penelitian menunjukkan bahwa responden yang kesehatan reproduksinya baik sebesar 77,1% dan kesehatan reproduksinya yang kurang baik sebesar 22,9% . Ada pengaruh pendidikan, kebiasaan, kepercayaan terhadap kesehatan reproduksi remaja putri yang menikah dini.Variabel yang paling besar pengaruhnya adalah kepercayaan terhadap nilai koefisien B 24,624. Nilai percentage correct sebesar 88,6% menunjukkan pendidikan, kebiasaan, kepercayaan dapat menjelaskan pengaruhnya terhadap kesehatan reproduksi remaja putri yang menikah dini. Sedangkan sisanya sebesar 11,4% dipengaruhi oleh faktor-faktor lain. Disarankan kepada kepala desa dan tenaga kesehatan setempat kerja sama dalam rangka memberikan penyuluhan kepada remaja puteri tentang pentingnya pengetahuan mengenai pernikahan ditinjau dari usia yang disarankan dan sesuai kesehatan reproduksi, pendidikan, pekerjaan dan kebudayaan yang mempengaruhi hal tersebut.