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Menopause merupakan menstruasi yang berhenti secara permanen yangdisebabkan kehilangan fungsi folikel sel-sel telur. Wanita yang memasukimenopause mengalami penurunan hormon estrogen yang menggangguaktivitas sehari-hari, bahkan menurunkan kualitas hidup. Penggunaan kon-trasepsi pil berhubungan dengan penundaan usia dan keluhan menopause.Penelitian ini bertujuan mengetahui hubungan antara penggunaan kon-trasepsi pil terhadap usia menopause. Penelitian ini menggunakan desainpotong lintang. Populasi adalah wanita menopause di Pos PembinaanTerpadu (Posbindu) Kota Depok. Sampel pada penelitian adalah wanitamenopause yang berusia 45 _ 60 tahun. Teknik pengambilan sampel se-cara purposive sampling subjek dengan besar sampel 407 orang. Analisismultivariat pada penelitian ini menggunakan cox proportional hazard model.Hasil analisis multivariat menunjukkan tidak ada hubungan antara lamapenggunaan kontrasepsi pil terhadap usia menopause baik sebelum mau-pun sesudah dikontrol variabel kovariat, yaitu tingkat pendidikan. Namundemikian, masih diperlukan penelitian lain dengan menggunakan desainpenelitian kohort prospektif untuk dapat melihat hubungan temporal antaralama penggunaan kontrasepsi pil terhadap usia menopause.Menopause is marked with the permanent cessation of menstruation due tothe loss of follicles. Earlier menopause will be likely to increase the riskfactors relating to declined estrogen level, such as osteoporosis that canlead to early death. A woman entering menopause period often experiencesdeclined estrogen hormone that causes her to have complaints or distur-bances that hinder her daily activities and even reduce her quality of life.However, the use of oral contraceptive poses a correlation with the post-poning of menopause age and complaints. The primary aim of this studywas to examine the relation of oral contraceptive use and age atmenopause. This was an observational study with cross-sectional studydesign. Population in this study was all menopausal women in integratedtraining post (Posbindu), Depok. The sample was menopausal womenamong 45 _ 60 years old. Sample was 407 menopausal women takenpurposive sampling. The data was analysed by cox?s proportional hazardanalysed. The longer use of oral contraceptive was not associated with ageat menopause before and after adjusted for confounding variable (educa-tion). However, another similar studies was still needed with prospectivekohort study design to know temporality causal of longer use of oralcontraceptive and age at menopause. |
