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Abstrak :
Penduduk di Desa Citeureup memiliki risiko tinggi terpajan PM2,5 karena jaraknya dekat dengan salah satu pabrik semen besar yang beroperasi di wilayah ini. Partikel debu dapat menyebabkan gangguan kesehatan lain selain gangguan pernapasan seperti penyakit kardiovaskuler oleh karena adanya bahan kimia yang melekat dan ikut terbawa masuk ke dalam tubuh. Penyakit kardiovaskuler yang berkaitan dengan pencemaran udara diantaranya adalah hipertensi. Tujuan dari penelitian ini adalah menganalisis hubungan pajanan PM2,5 dengan hipertensi pada penduduk di Desa Citeureup, Kecamatan Citeureup, Kabupaten Bogor. Jenis penelitian ini adalah penelitian kuantitatif dengan desain penelitian cross-sectional. Sampel penelitian ini adalah penduduk yang berusia ≥ 45 tahun yang tinggal di Desa Citeureup. Penelitian ini merupakan analisis data primer. Variabel independen dalam penelitian ini adalah PM2,5, sedangkan variabel dependennya adalah hipertensi. Terdapat variabel confounding yang juga ikut dianalisis, yaitu variabel umur, jenis kelamin, IMT, kebiasaan merokok, riwayat keluarga menderita hipertensi dan riwayat penyakit lain. Analisis data dilakukan dengan cara univariat, bivariat dan multivariat dengan menggunakan software statistik yaitu SPSS. Berdasarkan analisis bivariat Chi Square, variabel independen, yaitu PM2,5 secara signifikan tidak berhubungan dengan hipertensi (p-value = 0,165). Variabel yang secara signifikan berhubungan dengan hipertensi adalah variabel IMT (p-value = 0,000) dan riwayat penyakit lain (p-value = 0,019). Berdasarkan analisis multivariat dengan regresi logistik multivariabel, variabel IMT merupakan variabel confounding hubungan PM2,5 dengan hipertensi. ......Villagers that living in Citeureup Village have a high risk of exposure to PM2,5 because they lived in area that was closed to one of the major cement factories operating in this region. The particulate matter such as PM2,5 can cause other health problems in addition to respiratory disorders such as cardiovascular disease because of their inherent chemicals and it can be carried into the body. Cardiovascular diseases related to air pollution such as hypertension. The purpose of this study is to analyze the association between exposure of PM2,5 with hypertension among villagers in Citeureup Village, Citeureup District, Bogor Regency. This type of research is quantitative research with cross-sectional study design. Sample of this study was villagers aged ≥ 45 years old who live in Citeureup Village. This study was an analysis of primary data. The independent variable was PM2,5 while the dependent variable was hypertension. There are confounding variables that were also analyzed, such as age, sex, BMI, smoking habits, family history of hypertension and history of other diseases. Data analysis was performed by univariate, bivariate and multivariate analysis that analyzes using SPSS statistical software. Based on bivariate analysis with Chi Square, independent variable, PM2,5 was significantly not associated with hypertension. Variables that were significantly associated with hypertension are body mass index (BMI) and history of other diseases. Based on multivariate analysis with multivariable logistic regression, BMI was confounding variable in association between PM2,5 with hypertension.

Abstrak :
Hipertensi merupakan salah satu Penyakit Tidak Menular PTM yang menjadimasalah kesehatan di Indonesia maupun di dunia. Hipertensi adalah tekanan darah sistolik ge;140 mmHg dan atau tekanan diastolik ge;90 mmHg. Tujuan penelitian ini adalah untukmengetahui hubungan antara aktivitas fisik dengan hipertensi di Jawa Barat tahun 2016.Desain studi yang digunakan adalah cross sectional dengan menggunakan data sekunderSurveilens Posbindu PTM di Jawa Barat tahun 2016. Dengan menggunakan jumlah minimalsampel dua populasi sebesar 238 sampel. Analisis data dilakukan dengan menggunakananalisis regresi logistik. Hasil analisis multivariat menunjukkan hubungan antara aktivitasfisik dengan hipertensi POR=0,803, 95 CI: 0,661-0.977 . Adanya interaksi antara aktivitasfisik dengan umur POR=1,284, 95 CI: 1,050-1,570 . Adanya interaksi aktivitas fisikdengan obesitas POR= 0,818,95 CI:0,690-0,970. ......Hypertension is one of the non commicable disease which became part of publichealth problem in Indonesia and in the world. Hypertension is defined as a systolic bloodpressure ge 140 mmHg and or diastolic blood pressure ge 90 mmHg. This study aims to knowsthe relation of psychical activity and hypertension in West Java in 2016. This analysis usedSurveilens Posbindu PTM data in West Java in 2016 with cross sectional study desaign. Usesample 238 respondens. The data was analizes using logistic regression. The study result ofmultivariate shows that relation between pshycal activity and hypertension POR 0,803, 95 CI 0,661 0.977 . Interaction between psychal activity with age POR 1,284, 95 CI 1,050 1,570 . Interaction between psychal activity with obesity POR 0,818,95 CI 0,690 0,970.

Abstrak :
Epidemiologi Hipertensi telah mengakibatkan kematian sekitar 8 juta orang setiap tahunnya.Pola dan gaya hidup yang tidak sehat sering berkaitan denganhipertensi, sehinggamunculnya beberapa faktor risiko. Obesitas sentral adalah salah satu faktor risikohipertensi yang banyak ditemukan pada wanita usia pertengahan dibandingkanlaki-laki. Tujuan dari penelitian ini adalah mengetahui hubungan obesitas sentraldengan kejadian hipertensi pada wanita. Desain penelitian ini adalah crosssectional. Populasinya adalah seluruh wanita umur > 18 tahun yang terdaftardalam database Surveilans Posbindu PTM tahun 2015 dan memenuhi kriteriainklusi dan ekslusi. Hasil menunjukkan bahwa prevalensi hipertensi sebesar 29,1. Kasus hipertensi terjadi lebih dari separuh pada kelompok umur > 45tahun yaitu sebesar 51,71 , dengan rata-rata umur 46 tahun. Prevalensi obesitassentral dengan cutt off point 85 cm sebesar 53 sedangkan dengan cut off point80 cm sebesar 72. Pada analisis multivariat : efek obesitas sentral menjadihipertensi dipengaruhi oleh kadar aktfitas fisik setelah dikontrol umur. Efekobesitas sentral menjadi hipertensi pada seseorang yang kurang aktifitas fisikadalah 2,21 kali lebih besar dibanding tidak obesitas sentral yang cukup aktifitasfisik pada cut off point 85 cm, sedangkan efek obesitas sentral menjadi hipertensipada seseorang yang cukup aktifitas fisik adalah 1,34 kali lebih besar dibandingyang cukup aktifitas fisik.Rekomendasi dari penelitian ini adalah menjaga ukuran lingkar perut maksimal85cm, lakukan aktifitas fisik 30 menit/hari sebanyak 3 kali seminggu atau 150menit dalam seminggu, periksa kesehatan 1 kali sebulan di Posbindu PTM,Puskesmas, tempat praktek dokter ataupun bidan. ......Epidemiologi Hypertension affected mortality at least 8 millions for every years. Pattern andlife style not health related with hypertension, so there are risk factors. Incomparated, most of central obesity is one of risk factors of hypertension foundedat women on middle ages than men. Output of this research is to know aboutrelationship between central obesity with hypertension case in women. Researchdesign is crossectional. The population are all women with 18 years oldregistered in Posbindu PTM Surveilance database at 2015. Result showed thatprevalance of hypertension 29,1. Hypertension case more than half on 45years old are 51,71 with everage of ages 46 years. Prevalance of central obesitywith cut off point 85 cm is 53,30. In multivariable central obesity effectbecome hypertension influenced by physical activity after controlled by age.Central obesity affect to be hypertension with less of physical activity is 2,21 more than central obesity affect with high of physical activity on cut off point 85cm. while central obesity affect to be hypertension with high physical activity is1,34 times.The recomendation are keep of abdominal circumference size maximum 85 cm,doing the physical activity 30 minutes day with 3 times a week or 150 minutesevery week, check of blood pressure once a month in Posbindu PTM, practice ofdoctor or midwife.

Abstrak :
ABSTRAK
Hipertensi merupakan salah satu penyebab kematian dini pada masyarakat, WHO melaporkan hampir satu milyar orang di dunia menderita hipertensi dan diprediksi meningkat menjadi 1,5 milyar pada tahun 2025 nanti. Kurang aktivitas fisik merupakan salah satu faktor risiko hipertensi yang dapat dimodifikasi dengan usaha dan biaya yang tidak terlalu besar. Pada tahun 2013, prevalensi hipertensi pada penduduk dewasa di Indonesia sebesar 25,8 dan proporsi kurang aktivitas fisik sebesar 26,1 . Tujuan penelitian ini adalah mengetahui prevalensi hipertensi, proporsi kurang aktivitas fisik dan hubungan aktivitas fisik dengan hipertensi pada penduduk dewasa di Indonesia berdasarkan data IFLS 5 tahun 2014. Desain yang digunakan adalah cross sectional, populasi penelitian yakni seluruh penduduk dewasa ge;18 tahun yang menjadi responden IFLS 5 tahun 2014 dengan sampel sebanyak 26.043 responden. Kriteria hipertensi menggunakan pedoman JNC-7 140/90 mmHg , penilaian aktivitas fisik berdasarkan kebiasaan melakukan kegiatan fisik minimal selama 10 menit dalam seminggu, terdiri dari aktif dan kurang aktif. Uji statistik pada analisis bivariat dan multivariat menggunakan cox regression. Hasil analisis menunjukkan prevalensi hipertensi sebesar 24,09 , proporsi kurang aktivitas fisik sebesar 35,68 , serta terdapat hubungan yang signifikan antara aktivitas fisik dengan hipertensi P value 0,000 . Penduduk yang kurang aktivitas fisik berisiko 1,15 kali mengalami hipertensi dibandingkan penduduk yang memiliki aktivitas fisik aktif PR: 1,15; 95 CI: 1,09-1,21 . Disarankan kepada masyarakat untuk melakukan kegiatan fisik ringan berupa jalan kaki minimal selama 30 menit setiap harinya dan kepada Dinas Kesehatan untuk berinovasi dalam memberikan edukasi kepada masyarakat terkait pentingnya aktivitas fisik dengan menggunakan sosial media Facebook, Twitter, Instagram dan lainnya .

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ABSTRACT
Hypertension is the leading causes for prematur death worldwide. Globally, WHO reported about nearly one billion people living with hypertension and it is estimated that this number will escalate to more than 1,5 billion by the year 2025. Insufficient physical activity is one of the modifiable risk factors for hypertension, which is not required great effort and cost. In 2013, the prevalence of hypertension among Indonesian adults was 25,8 and the proportion of insufficient physical activity was 26,1 . This study aims to know the prevalence of hypertension, the proportion of insufficient physical activity and also its relationship among the Indonesian adults based on IFLS 5 data in 2014. A cross sectional study was conducted among 26.043 respondents in IFLS 5 aged 18 years and above. The JNC 7 guidelines used to defined hypertension if systolic blood pressure ge 140 mmHg and or diastolic ge 90 mmHg , whereas physical activity measured by the habit of performing physical activity for at least 10 minutes a week. Statistical test on bivariate and multivariate analysis using cox regression. The prevalence of hypertension was 24,09 and the proportion of insufficient physical activity was 35,68 . Statistical test shown there was a significant relationship between physical activity and hypertension P value 0,000 , people with insufficient physical activity at risk 1,15 times having hypertension than those with active physical activity PR 1,15 95 CI 1,09 1,21 . Adults should do at least 30 minutes walking everyday, province district health office needs to use social media such as Facebook, Instagram, Twitter, etc, in order to promoting the benefit of physical activity.

Abstrak :
Angka Kematian Jemaah Haji Provinsi Jambi Tahun 2017/1438H sebesar 0,84 merupakanyang tertinggi di Indonesia. Sebanyak 22 dari 2609 jemaah haji Provinsi Jambi Tahun2017/1438 H meninggal saat melaksanakan ibadah haji. Riwayat Hipertensi sebelummelaksanakan ibadah haji merupakan faktor risiko kematian saat menunaikan ibadah haji.Penelitianinibertujuan mengetahui hubungan antara riwayat hipertensi sebelum menunaikanibadah haji dengan kematian jemaah haji saat melaksanakan ibadah hai di tanah suci. Desainyang digunakanadalahcross sectional potong lintang .Populasi dalam penelitian ini adalahseluruh jemaah haji Provinsi Jambi Tahun 2017/1438 H. Metode pengambilan sampel yangdigunakan adalah total populasi jemaah haji Provinsi Jambi Tahun 2017/1438 H sebanyak2615 orang. Hasil penelitian menunjukkan hipertensi berpengaruh kepada kematian jemaahhaji asal Provinsi Jambi Tahun 2017/1438 H dengan nilai Prevalence Ratio PR sebesar0,473 95 CI 0,158 ndash; 1,405 setelah di kontrol oleh variabel umur, jenis kelamin,pekerjaan, tingkat pendidikan, Diabetes Melitus, Indeks Massa Tubuh IMT Anemia,Penyakit Infeksi, Penyakit Kardiovaskular dan Penyakit Pernafasan. ......Mortality Rate Jamaah Haji Jambi Province Year 2017 1438 H by 0.84 is the highest inIndonesia. A total of 22 of the 2609 pilgrims of Jambi Province in 2017 1438 H died whileperforming the pilgrimage. Hypertension history before performing the pilgrimage is a riskfactor of death when performing the pilgrimage. This study aims to determine therelationship between history of hypertension before performing the pilgrimage with the deathof pilgrims when performing worship in the holy land. The design used is cross sectional. Thepopulation in this study is all pilgrims Jambi Province 2017 1438 H. The sampling methodused is the total population of pilgrims Jambi Province in 2017 1438 H as many as 2615people. The results showed that hypertension influenced the death of Hajj pilgrims fromJambi Province in 2017 1438 H with PR value of 0.473 95 CI 0.158 1.405 aftercontrolled by age, sex, occupation, education, diabetes Melitus, Body Mass Index IMT Anemia, Infectious Diseases, Cardiovascular Disease and Respiratory Disease.

Abstrak :
Hipertensi tidak terkontrol merupakan salah satu masalah kesehatan yang penting karena berkaitan dengan kesakitan ataupun kematian akibat penyakit kardiocerebrovaskular. Salah satu penyebab terjadinya hipertensi tidak terkontrol adalah peningkatan berat badan/IMT. Penelitian longitudinal mengenai pengaruh peningkatan IMT terhadap kejadian hipertensi tidak terkontrol masih terbatas. Penelitian ini bertujuan untuk mendapatkan gambaran dan trend prevalensi hipertensi tidak terkontrol selama 6 tahun, dan pengaruh peningkatan IMT terhadap kejadian hipertensi tidak terkontrol. Menggunakan desain longitudinal pada data Studi Kohor Faktor Risiko Tidak Menular tahun 2011-2018. Populasi adalah kelompok usia 25-65 tahun yang telah mengalami hipertensi pada awal penelitian, kemudian dipantau setiap tahun selama 6 tahun. Sampel berjumlah 924 pada awal penelitian, dengan respond rate 75% – 88%. Analisis data menggunakan GEE. Hasil penelitian didapatkan bahwa dalam periode pemantauan selama 6 tahun, prevalensi hipertensi tidak terkontrol pada orang dewasa di Kota Bogor adalah sebesar 62,7% pada tahun pertama 67,6% pada tahun kedua, 64,2% pada tahun ketiga, 63,3% pada tahun keempat, 71% pada tahun kelima, dan 73,6% pada tahun keenam. Terjadi kecenderungan peningkatan kejadian hipertensi tidak terkontrol pada beberapa tahun terakhir pemantauan. Dari hasil analisis GEE pada semua kelompok subjek, risiko terjadinya hipertensi tidak terkontrol sebesar 1.163 kali (OR 1.163; 95% CI: 0.970-1.394) pada subjek yang mengalami peningkatan IMT ≥ 1 kg/m2 dalam satu tahun dibandingkan subjek yang tidak mengalami peningkatan IMT, setelah dikontrol oleh umur, status merokok dan tahun pemantauan. Sedangkan pada kelompok dengan status gizi normal dan berlebih yang kemudian mengalami peningkatan IMT ≥ 1 kg/m2 dalam satu tahun, memiliki risiko lebih besar untuk mengalami hipertensi tidak terkontrol, dengan OR 1,513 (95% CI: 1.020-2.244) dan OR 1,968 (95% CI: 0,963 –3.754) dibandingkan dengan kelompok yang sama yang tidak mengalami peningkatan IMT. Dari hasil penelitian ini diharapkan dapat menjadi masukan bagi program pengendalian hipertensi di Indonesia.

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Uncontrolled hypertension is an important health problem because it is associated with morbidity and mortality due to cardiocerebrovascular disease. One of the causes of uncontrolled hypertension is an increase in body weight/BMI. Longitudinal studies regarding the effect of increasing BMI on the incidence of uncontrolled hypertension are still limited. This study aims to obtain an overview and trend of prevalence of uncontrolled hypertension for 6 years, and the effect of increasing BMI on the incidence of uncontrolled hypertension. Using longitudinal data on the Cohort Study of NCD Risk Factors in 2011 - 2018. The population was the age group 25-65 years who have experienced hypertension at the start of the study, then monitored every year for 6 years. The sample amounted to 924 at the beginning of the study, with a respond rate of 75%-88%. Analysis data with GEE. The results showed that in the 6-year monitoring period, the prevalence of uncontrolled hypertension on adults in Bogor City was 62.7% in the first year; 67.6% in the second year, 64.2% in the third year, 63.3% in the fourth year, 71% in the fifth year, and 73.6% in the sixth year. There was a trend that the incidence of uncontrolled hypertension increased in the last few years of monitoring. From the results of GEE analysis in all groups of subjects, the risk of uncontrolled hypertension was 1.163 times (OR 1.163; 95% CI: 0.970-1.394) in subjects who experienced an increase in BMI ≥ 1 kg/m2 in one year compared to subjects who did not experience an increase in BMI, after being controlled by age, smoking status and year of monitoring. Whereas in the group with normal and overweight who then experienced an increase in BMI ≥ 1 kg/m2 in one year, had a greater risk of developing uncontrolled hypertension, with OR 1.513 (95% CI: 1.020-2.244) and OR 1,968 (95 % CI: 0,963 –3.754) compared to the same group that did not experience an increase in BMI. The results of this study are expected to be an input for hypertension control programs in Indonesia.

Abstrak :
Hipertensi merupakan masalah kesehatan masyarakat, karena prevalensi yang tinggi dan merupakan salah satu faktor utama penyebab kematian yang disebabkan oleh penyakit jantung dan pembuluh darah. Banyak studi yang membuktikan bahwa hipertensi berkaitan dengan pola hidup, yang seharusnya dapat dicegah. Penelitian ini bertujuan untuk mengetahui peranan dari faktor komposisional (tingkat individu) serta determinan lingkungan (tingkat rumah tangga dan tingkat kabupaten/kota) terhadap kejadian hipertensi di Jawa Bali. Penelitian potong lintang dengan pendekatan analisis multilevel dilakukan untuk mengestimasi efek kontekstual, sehingga dapat menentukan skala prioritas implikasi program intervensi terhadap kejadian hipertensi. Dikarenakan adanya keterbatasan data dari Riskesdas 2007, Susenas 2007, Pendataan Sosial Ekonomi 2007 dan Podes 2008, analisis ini hanya meliputi 200.603 penduduk dengan kelompok umur 15-60 tahun dari 83.693 rumah tangga di 134 kabupaten/kota pada 7 Provinsi di wilayah Jawa Bali. Prevalensi hipertensi di Jawa Bali adalah 26,4% (95% CI: 26,2-26,6). Tampak ada perbedaan peranan di tingkat individu (84,9%), tingkat rumah tangga (6,4%) dan tingkat kabupaten/kota (8,7%). Pada tingkat individu, ada 3 variabel yang berperan cukup besar terhadap kejadian hipertensi di wilayah Jawa Bali yaitu IMT ≥ 25 Kg/m2 (OR: 2,02) dengan kontribusi 4,3%, obesitas abdominal (OR: 1,45) dengan kontribusi 2,4% dan tingkat pendidikan < SLTP (OR: 1,38) dengan kontribusi 1,6%. Apabila ketiga faktor risiko tersebut ditiadakan, maka dapat menurunkan prevalensi hipertensi di Jawa Bali dari 26,4% menjadi 18,1%. Pada tingkat rumah tangga, variabel yang berperan terhadap kejadian hipertensi adalah < 9 m2/orang (IOR: 1,56 - 1,74), 1,56 - 1,74) (IOR: 1,51-1,80). Sedangkan pada 1,00 - 1,62). Penelitian ini merekomendasikan program intervensi, terutama ditujukan untuk menurunkan berat badan dengan mempertahankan berat badan ideal dan meniadakan obesitas sentral, serta meningkatkan kerjasama lintas sektor non kesehatan dalam menangani masalah hipertensi. ......Hypertension is a public health problem, due to its high prevalence and also one of the main factors causing the deaths by heart and blood vessel disease. Many studies showed that hypertension is associated with lifestyle behavior that could have been prevented. The purpose of this study is to determine the role of compositional factors (individual level) and environmental determinants (the household level and at the district/city level), with the incidence of hypertension in Java Bali region. Cross-sectional study with a multilevel analysis is used to estimate the effects of contextual, so it can determine the implications priority intervention program on the incidence of hypertension. Because of limited data available from Riskesdas 2007, Susenas 2007, Social Economic Survey 2007, Podes and 2008, this analysis only covers 200.603 population with 15-60 years age group from 83.693 households at 134 districts / cities at 7 provinces in Java Bali region. The prevalence of hypertension in Java Bali region is 26.4% (95% CI: 26.2 to 26.6). It appears that there are differences in the role at the individual level (84.9%), household level (6.4%) and district/city level (8.7%). At the individual level, there are three main factors that contribute: BMI ≥ 25 kg/m2 (OR: 2.02) for 4.3%, abdominal obesity (OR: 1.45) for 2.4% and level of education < junior (OR: 1.38) for 1.6% on the incidence of hypertension in Java Bali region. If all three risk factors are exempted, it can decrease the prevalence of hypertension in Java Bali region, from 26.4% to 18.1%. Variable that contributes at the household level are the density of occupancy <9 m2/person (IOR: 1.56 - 1.74), expenditure per capita (IOR: 1.56 - 1.74), and the lack of support in sports activities (IOR: 1.51 - 1.80) on the incidence of hypertension. Meanwhile, at the district/ city level variable that contributes is from regions with high HDI score (IOR: 1.00 - 1.62). This study recommends intervention programs, primarily intended for weight loss by maintaining ideal body weight and eliminate central obesity also to increase cooperation across non-health sector in addressing the problem of hypertension.

Abstrak :
Hipertensi merupakan salah satu penyakit kardiovaskular yang paling umum dan banyak disandang masyarakat. Data dari World Health Organization (WHO), diperkirakan pada tahun 2025 setiap tahunnya 9,4 juta orang akan meninggal akibat hipertensi dan komplikasinya. Penelitian ini bertujuan untuk mengetahui faktor-faktor apa saja yang berhubungan dengan kejadian hipertensi pada penduduk Indonesia. Penelitian ini merupakan analisis lanjut Indonesian Family Life Survey 5 / SAKERTI 2014. Metodologi penelitian yang digunakan dalam penelitian ini adalah cross-sectional dengan uji bivariat. Secara statistik, terdapat hubungan yang signifikan (p-value < 0,05) antara kejadian hipertensi dengan usia, wilayah tinggal, tingkat pendidikan, aktivitas fisik, merokok, obesitas, dan depresi. Upaya yang dilakukan untuk mengendalikan hipertensi dapat melalui kerjasama lintas sektor, seperti penguatan UKBM (Usaha Kesehatan Bersumberdaya Masyarakat) yang memadai di area urban serta rural untuk menjaga pola hidup sehat. Kegiatan difokuskan kepada upaya surveilans berbasis masyarakat, meningkatkan screening/deteksi dini dengan menjangkau masyarakat melalui pemanfaatan kader dan tokoh-tokoh masyarakat. ......Hypertension is one of the most common cardiovascular diseases. World Health Organization (WHO) estimated that in 2025 every year 9.4 million people will die from hypertension and its complications. This study aims to determine factors are associated with the incidence of hypertension in the Indonesian population. This research is a further analysis of the 2014 Indonesian Family Life Survey IFLS 5/SAKERTI 2014. The research methodology used in this study was cross-sectional with a bivariate test. Statistically, there is a significant relationship p-value <0.05 between the incidence of hypertension and age, area of ​​residence, level of education, physical activity, smoking, obesity, and depression. Efforts made to control hypertension can be through cross sectoral collaboration, such as strengthening adequate UKBM (Usaha Kesehatan Bersum berdaya Masyarakat) in urban and rural areas to maintain a healthy lifestyle. The activity focused on community based surveillance efforts, improving screening/early detection by reaching out to the community through the use of cadres and community leaders.

Abstrak :
ABSTRAK
Hipertensi merupakan kelainan yang umum dijumpai pada kehamilan. Sekitar 70% wanita hamil mengalami gestational hypertension dan preeklampsia. Disfungsi endotel pada preeklampsia menyebabkan permukaan endotel yang nontrombogenik menjadi trombogenik sehingga dapat terjadi aktivasi koagulasi. Preeklampsia meningkatkan keadaan hiperkoagulabel yang sudah ada pada kehamilan normal. Gestational hypertension pada wanita hamil adalah hipertensi yang tidak memenuhi kriteria preeklampsia. Hampir setengah dari pasien dengan gestational hypertension akan berkembang menjadi preeklampsia. Fibrin monomer merupakan petanda aktivasi koagulasi yang digunakan pada keadaan pretrombotik oleh karena terbentuk terlebih dahulu pada keadaan hiperkoagulabel daripada D-dimer yang terbentuk setelah fibrinolisis. Tujuan penelitian adalah mendapatkan gambaran fibrin monomer pada gestational hypertension dan preeklampsia. Penelitian ini adalah penelitian potong lintang pada 30 wanita hamil gestational hypertension dan 30 wanita hamil preeklampsia yang dilakukan pada Oktober sampai November 2015. Pemeriksaan FM menggunakan reagen STA-Liatest memakai koagulometer STA Compact Analyzer. Kadar fibrin monomer pada gestational hypertension didapatkan mean 4,61 µg/mL dengan standar deviasi 0,86 µg/mL. Kadar fibrin monomer pada preeklampsia didapatkan median 10,5 µg/mL dengan mean 11.99 µg/mL dan rentang 6,12 ? 23,26 µg/mL. Didapatkan perbedaan bermakna kadar fibrin monomer pada gestational hypertension dan preeklampsia dengan nilai p<0,001. ABSTRACT
Hypertension is a common disorder in pregnancy. Approximately 70% of pregnant women is gestational hypertension and preeclampsia. Endothelial dysfunction in preeclampsia causes the endothelial surface of the nonthrombogenic be thrombogenic so it can activated coagulation. Preeclampsia increase hypercoagulability state in normal pregnancy. Gestational hypertension is a hypertension in pregnancy who do not meet the criteria of preeclampsia. Nearly half of patients with gestational hypertension develop into preeclampsia. Fibrin monomers are used for coagulation activation marker on the prethrombotic state therefore formed before on hypercoagulability state hiperkoagulabel than D-dimer formed after fibrinolysis. The objective of this study is to gain description of fibrin monomer levels and it was a cross-sectional study 30 pregnant women with gestational hypertension and 30 pregnant women with preeclampsia. The study was conducted in October and November 2015. Examination of fibrin monomer using the reagent STA-Liatest and analyzer STA Compact. Mean of fibrin monomer in gestational hypertension was 4.61 µg/mL with standard deviation was 0.86 µg/mL. Median of fibrin monomer in preeclampsia was 10.5 µg / mL with range was 6.12 to 23.26 µg/mL. Fibrin monomer levels found significant differences in gestational hypertension and preeclampsia with p <0.001. ;Hypertension is a common disorder in pregnancy. Approximately 70% of pregnant women is gestational hypertension and preeclampsia. Endothelial dysfunction in preeclampsia causes the endothelial surface of the nonthrombogenic be thrombogenic so it can activated coagulation. Preeclampsia increase hypercoagulability state in normal pregnancy. Gestational hypertension is a hypertension in pregnancy who do not meet the criteria of preeclampsia. Nearly half of patients with gestational hypertension develop into preeclampsia. Fibrin monomers are used for coagulation activation marker on the prethrombotic state therefore formed before on hypercoagulability state hiperkoagulabel than D-dimer formed after fibrinolysis. The objective of this study is to gain description of fibrin monomer levels and it was a cross-sectional study 30 pregnant women with gestational hypertension and 30 pregnant women with preeclampsia. The study was conducted in October and November 2015. Examination of fibrin monomer using the reagent STA-Liatest and analyzer STA Compact. Mean of fibrin monomer in gestational hypertension was 4.61 µg/mL with standard deviation was 0.86 µg/mL. Median of fibrin monomer in preeclampsia was 10.5 µg / mL with range was 6.12 to 23.26 µg/mL. Fibrin monomer levels found significant differences in gestational hypertension and preeclampsia with p <0.001. ;Hypertension is a common disorder in pregnancy. Approximately 70% of pregnant women is gestational hypertension and preeclampsia. Endothelial dysfunction in preeclampsia causes the endothelial surface of the nonthrombogenic be thrombogenic so it can activated coagulation. Preeclampsia increase hypercoagulability state in normal pregnancy. Gestational hypertension is a hypertension in pregnancy who do not meet the criteria of preeclampsia. Nearly half of patients with gestational hypertension develop into preeclampsia. Fibrin monomers are used for coagulation activation marker on the prethrombotic state therefore formed before on hypercoagulability state hiperkoagulabel than D-dimer formed after fibrinolysis. The objective of this study is to gain description of fibrin monomer levels and it was a cross-sectional study 30 pregnant women with gestational hypertension and 30 pregnant women with preeclampsia. The study was conducted in October and November 2015. Examination of fibrin monomer using the reagent STA-Liatest and analyzer STA Compact. Mean of fibrin monomer in gestational hypertension was 4.61 µg/mL with standard deviation was 0.86 µg/mL. Median of fibrin monomer in preeclampsia was 10.5 µg / mL with range was 6.12 to 23.26 µg/mL. Fibrin monomer levels found significant differences in gestational hypertension and preeclampsia with p <0.001. ;Hypertension is a common disorder in pregnancy. Approximately 70% of pregnant women is gestational hypertension and preeclampsia. Endothelial dysfunction in preeclampsia causes the endothelial surface of the nonthrombogenic be thrombogenic so it can activated coagulation. Preeclampsia increase hypercoagulability state in normal pregnancy. Gestational hypertension is a hypertension in pregnancy who do not meet the criteria of preeclampsia. Nearly half of patients with gestational hypertension develop into preeclampsia. Fibrin monomers are used for coagulation activation marker on the prethrombotic state therefore formed before on hypercoagulability state hiperkoagulabel than D-dimer formed after fibrinolysis. The objective of this study is to gain description of fibrin monomer levels and it was a cross-sectional study 30 pregnant women with gestational hypertension and 30 pregnant women with preeclampsia. The study was conducted in October and November 2015. Examination of fibrin monomer using the reagent STA-Liatest and analyzer STA Compact. Mean of fibrin monomer in gestational hypertension was 4.61 µg/mL with standard deviation was 0.86 µg/mL. Median of fibrin monomer in preeclampsia was 10.5 µg / mL with range was 6.12 to 23.26 µg/mL. Fibrin monomer levels found significant differences in gestational hypertension and preeclampsia with p <0.001. ;Hypertension is a common disorder in pregnancy. Approximately 70% of pregnant women is gestational hypertension and preeclampsia. Endothelial dysfunction in preeclampsia causes the endothelial surface of the nonthrombogenic be thrombogenic so it can activated coagulation. Preeclampsia increase hypercoagulability state in normal pregnancy. Gestational hypertension is a hypertension in pregnancy who do not meet the criteria of preeclampsia. Nearly half of patients with gestational hypertension develop into preeclampsia. Fibrin monomers are used for coagulation activation marker on the prethrombotic state therefore formed before on hypercoagulability state hiperkoagulabel than D-dimer formed after fibrinolysis. The objective of this study is to gain description of fibrin monomer levels and it was a cross-sectional study 30 pregnant women with gestational hypertension and 30 pregnant women with preeclampsia. The study was conducted in October and November 2015. Examination of fibrin monomer using the reagent STA-Liatest and analyzer STA Compact. Mean of fibrin monomer in gestational hypertension was 4.61 µg/mL with standard deviation was 0.86 µg/mL. Median of fibrin monomer in preeclampsia was 10.5 µg / mL with range was 6.12 to 23.26 µg/mL. Fibrin monomer levels found significant differences in gestational hypertension and preeclampsia with p <0.001.

Abstrak :
Hipertensi adalah salah satu tantangan terbesar di dunia. Berdasarkan penelitian yang sudah dilakukan ditemukan kejadian hipertensi pada usia produktif atau usia dewasa. Prevalensi kasus hipertensi yang ditemukan di kabupaten Kendal mengalami peningkatan disetiap tahunnya. Berdasarkan hasil penelian yang sudah dilakukan ditemukan sebesar 61% penduduk usia dewasa produktif menderita hipertensi (Hintari & Fibriana, 2023). Pendekatan yang digunakan adalah pendekatan cross sectional. Populasi dalam penelitian ini adalah pasien usia dewasa dengan hipertensi yang tercatat di prolanis tahun 2023 di wilayah kerja puskesmas X di provinsi DKI Jakarta khususnya di Kotamadya Jakarta Timur. Jadi jumlah sampel dalam penelitian ini adalah pasien hipertensi berjumlah 101 orang dari bulan Desember 2023 – Januari 2024 di wilayah kerja puskesmas X di provinsi DKI Jakarta khususnya di Kotamadya Jakarta Timur. Teknik pengambilan sampel pada penelitian ini yaitu purposive. Waktu penelitian sudah dilaksanakan pada bulan Desember 2023- Januari 2024. Penelitian ini sudah dilaksanakan di poli prolanis hipertensi wilayah kerja puskesmas X di provinsi DKI Jakarta khususnya di Kotamadya Jakarta Timur. Berdasarkan hasil analisis ditemukan hasil uji chi-square dari hasil analisis bivariate dihasilkan bahwa secara statistik terdapat ada hubungan yang signifikan antara pengetahuan dan kepatuhan (p value 0,003). Kesimpulan yang diperoleh dari hasil penelitian ini adalah sebagian besar tingkat pengetahuan responden baik tentang hipertensi dengan kepatuhan minum obat antihipertensi masuk kedalam kategori patuh tetapi masih ditemukan responden yang tidak patuh minum obat antihipertensi dan disarankan bagi responden penderita hipertensi agar lebih patuh lagi untuk meminum obat antihipertensi sehingga hipertensi dapat terkontrol. ......Hypertension is one of the biggest challenges in the world. Based on research that has been conducted, it is found that the incidence of hypertension is in productive age or adult age. The prevalence of hypertension cases found in Kendal district has increased every year. Based on the results of research that has been done, it was found that 61% of the productive adult population suffers from hypertension (Hintari & Fibriana, 2023). The approach used is a cross sectional approach. The population in this study were adult patients with hypertension who were registered in prolanis in 2023 in the working area of X health center in DKI Jakarta province, especially in East Jakarta Municipality. So the number of samples in this study were 101 hypertensive patients from December 2023 - January 2024 in the working area of the X health center in the DKI Jakarta province, especially in the Municipality of East Jakarta. The sampling technique in this study was purposive. The research time has been carried out in December 2023-January 2024. This research has been conducted at the hypertension prolanis clinic of the X health center working area in the DKI Jakarta province, especially in the East Jakarta Municipality. Based on the results of the analysis, the results of the chi-square test from the bivariate analysis results showed that statistically there was a significant relationship between knowledge and compliance (p value 0.003). The conclusion obtained from the results of this study is that most of the respondents' knowledge level is good about hypertension with adherence to taking antihypertensive drugs into the obedient category but there are still respondents who are not obedient to taking antihypertensive drugs and it is recommended for respondents with hypertension to be more obedient to taking antihypertensive drugs so that hypertension can be controlled.