Pengaruh Pemakaian Kontrasepsi KB Suntik terhadap Peningkatan Tekanan Darah di Wilayah Puskesmas Geneng Kabupaten Ngawi
Abstract
Increased blood pressure in women with hormonal imbalance occurs due to the secretion of angiotensinogen from the liver under endocrine control. This study aimed to determine the blood pressure profile, demographics of contraceptive users, and factors that influence increased blood pressure in the Geneng Community Health Center area, Ngawi Regency. The study design used a retrospective cohort. The sampling technique was purposive sampling adjusted to the inclusion and exclusion criteria. Data analysis was carried out using univariate tests, bivariate tests and multivariate analysis with regression to analyze the effect of injectable contraceptive use on blood pressure. The results of this study indicated that age had the most significant influence on increased blood pressure with 3-month injectable contraceptives using progestin and combination contraceptives with p values of 0.046 <0.05 (3-month progestin contraceptive) and 0.01 <0.05 (3-month combination contraceptive), respectively. The potential for hypertension in the use of 3-month progestin injectable contraceptives was 2,891 times and 3-month combination contraceptive injections was 5,204 times. Other factors such as BMI, number of children, occupation, and education did not significantly influence the incidence of hypertension. There was no significant association between injectable contraceptive use and increased blood pressure with a p-value of 0.365.
Keywords:
contraception; injectable contraception; blood pressure
References
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[15] Sari, AN dan Sulistyorini, E. (2017). Analisis Faktor Yang Mempengaruhi Pemilihan Metode Kontrasepsi Jangka Panjang Di Puskesmas Kartasura. 48–57.
[16] Syukaisih. (2015). Faktor-Faktor yang Berhubungan dengan Pemilihan Kontrasepsi di Puskesmas Rambah Samo Kabupaten Rokan Hulu. 3(1), 34–40
[17] Prasida, D. (2023). Faktor-Faktor Yang Mempengaruhi Pemilihan Alat Kontrasepsi. 4(2), 809–813.
[18] Romauli, S., Wijayanti, I., Wardhani, Y., & Pasang, N. (2024). Pengalaman Akseptor KB dalam Menggunakan KB Suntik 3 bulan di Puskesmas. Jurnal Keperawatan Florence Nightingale, 7(1), 88–102. https://doi.org/10.52774/jkfn.v7i1.150
[19] Arfini, L., Octaria, Y. C., Fauziyah, A., & Sufyan, D. L. (2024). OPEN Hubungan Jenis Kontrasepsi dengan Status Gizi dan Asupan Makronutrien pada Wanita Usia Subur di Kecamatan Tebet Associations between the Type of Contraceptive Use with Nutritional Status and Macronutrient Intake among Women in Reproductive-Age in Teb. 8(2), 171–179. https://doi.org/10.20473/amnt.v8i2.2024.171-179
[20] Bhuva, K., Kraschnewski, J. L., & Lehman, E. B. (2019). Does Body Mass Index or Weight Perception Affect. 95(1), 59–64. https://doi.org/10.1016/j.contraception.2016.09.003.Does
[21] Putri, A. M., Sefrina, L. R., & Elvandari, M. (2025). Hubungan Riwayat Keluaga, Jenis Pekerjaan, dan Tingkat Stress Terhadap Kejadian Hipertensi Di Dusun Kebonkalapa , Kutapohaci. Jurnal Riset Rumpun Ilmu Kesehatan, 4(April).
[22] Ardiansyah, & Fachri, M. (2020). Hubungan Penggunaan Kontrasepsi Suntik Tiga Bulanan selama Satu Tahun dengan Peningkatan Tekanan Darah. Jurnal Fakultas Kesehatan Masyarakat, 11(1), 56–62.
[23] Iswandari, N. D., Hasanah, S. N., & Mulia, U. S. (2023). Faktor - Faktor Yang Mempengaruhi Hipertensi Wanita Menopause Di Puskesmas Terminal. Midwifery and Complementary Care, 2(2), 72–84. https://doi.org/10.33859/mcc.v2i2.628
[24] Cheng, W., Du, Y., Zhang, Q., Wang, X., He, C., He, J., Jing, F., Ren, H., Guo, M., Tian, J., & Xu, Z. (2022). Age-related changes in the risk of high blood pressure. Frontiers in Cardiovascular Medicine, 9(September), 1–10. https://doi.org/10.3389/fcvm.2022.939103
[25] Mills, K., Joshua, D., Tanika, N., Jennifer, E., Patricia, M., Reynold, K., & Chen, J. (2017). Global Disparities of hypertension. Physiology & Behavior, 176(3), 139–148. https://doi.org/10.1161/CIRCULATIONAHA.115.018912.Global
[2] Kemenkes. (2023). PROFIL KESEHATAN INDONESIA 2023. Kementerian Kesehatan Republik Indonesia.
[3] Widyaningsih, A., & Isfaizah, I. (2020). Faktor – faktor yang Berhubungan dengan Kejadian Hipertensi Pada Akseptor KB Suntik. Indonesian Journal of Midwifery (IJM), 3(1), 23–30. https://doi.org/10.35473/ijm.v3i1.345
[4] Fadillah, M. N. (2024). Use of 3-Month Injectable Contraception and Its Relationship with Weight Gain and Hypertension. SIMFISIS: Jurnal Kebidanan Indonesia, 3(3), 668–675. https://doi.org/10.53801/sjki.v3i3.212
[5] Cahyo, A. B. (2019). Pengaruh penggunaan kb suntik terhadap peningkatan tekanan darah akseptor kb suntik di puskesmas induk kebonsari kabupaten madiun pada januari–februari 2018. Jurnal Kebidanan Dan Kesehatan, 7(1), 4–14.
[6] Sujono, T. A., Milawati, A., & Hakim, A. R. (2013). Pengaruh Pemakaian Kontrasepsi terhadap Peningkatan Tekanan Darah Wanita di Puskesmas Wonogiri Effect of Contraceptive Agents to Women Blood Pressure in Wonogiri Community Health Centers. Jurnal Farmasi Klinik Indonesia, 2(2), 61–70.
[7] Isfandari, S., Siahaan, S., Pangaribuan, L., & Lolong, D. B. (2016). Kontribusi Penggunaan Kontrasepsi Hormonal terhadap Perbedaan Prevalensi Hipertensi Perempuan dan Lelaki di Indonesia : Perspektif Jender Riskesdas 2013. Buletin Penelitian Kesehatan, 44(1), 33–40. https://doi.org/10.22435/bpk.v44i1.4947.33-40
[8] Harahap, R. N. (2023). Effect Of Depo Medroxy Progesterone Acetat (DMPA) Injection Contraceptive Use On Blood Pressure In Regions Work Puskesmas Padang Door Tapanuli Selatan District Year 2022 Keywords. Jurnal Eduhealth, 14(02), 2023. http://ejournal.seaninstitute.or.id/index.php/healt
[9] Shiferaw, M., Kassahun, W., & Zawdie, B. (2021). Anthropometric indices, blood pressure, and lipid profile status among women using progestin-only contraceptives: comparative cross-sectional study. BMC Women’s Health, 21(1), 1–9. https://doi.org/10.1186/s12905-021-01178-8
[10] Ekwanda. (2020). Perbedaan Karakteristik Akseptor Alat Kontrasepsi Jangka Panjang Dibandingkan Jangka Pendek di Puskesmas Mulyorejo, Surabaya, Jawa Timur. Skripsi, 8(75), 147–154. https://doi.org/10.1016/j.jnc.2020.125798%0Ahttps://doi.org/10.1016/j.smr.2020.02.002%0Ahttp://www.ncbi.nlm.nih.gov/pubmed/810049%0Ahttp://doi.wiley.com/10.1002/anie.197505391%0Ahttp://www.sciencedirect.com/science/article/pii/B9780857090409500205%0Ahttp:
[11] Zerihun, M. F., Malik, T., Ferede, Y. M., Bekele, T., & Yeshaw, Y. (2019). Changes in body weight and blood pressure among women using Depo-Provera injection in Northwest Ethiopia. BMC Research Notes, 12(1), 1–5. https://doi.org/10.1186/s13104-019-4555-y
[12] Sukmawati. (2018). hubungan penggunaan kontrasepsi suntik dan pil KB terhadap kejadian hipertensi pada wanita usia subur di wilayah kerja Puskesmas Ciputat tahun 2018. Nucleic Acids Research, 6(1), 1–7. http://dx.doi.org/10.1016/j.gde.2016.09.008%0Ahttp://dx.doi.org/10.1007/s00412-015-0543-8%0Ahttp://dx.doi.org/10.1038/nature08473%0Ahttp://dx.doi.org/10.1016/j.jmb.2009.01.007%0Ahttp://dx.doi.org/10.1016/j.jmb.2012.10.008%0Ahttp://dx.doi.org/10.1038/s4159
[13] Rosyada, Y. dan. (2021). Hubungan antara penggunaan kontrasepsi hormonal dengan kejadian hipertensi pada wanita usia subur di Indonesia. Jurnal Kesehatan Masyarakat, 16(2), 2004.
[14] Susanti, E. T., & Arthaty, R. N. (2022). Gambaran Faktor yang Mempengaruhi Pemilihan Kontrasepsi Suntik pada Akseptor KB. 8(1), 41–49.
[15] Sari, AN dan Sulistyorini, E. (2017). Analisis Faktor Yang Mempengaruhi Pemilihan Metode Kontrasepsi Jangka Panjang Di Puskesmas Kartasura. 48–57.
[16] Syukaisih. (2015). Faktor-Faktor yang Berhubungan dengan Pemilihan Kontrasepsi di Puskesmas Rambah Samo Kabupaten Rokan Hulu. 3(1), 34–40
[17] Prasida, D. (2023). Faktor-Faktor Yang Mempengaruhi Pemilihan Alat Kontrasepsi. 4(2), 809–813.
[18] Romauli, S., Wijayanti, I., Wardhani, Y., & Pasang, N. (2024). Pengalaman Akseptor KB dalam Menggunakan KB Suntik 3 bulan di Puskesmas. Jurnal Keperawatan Florence Nightingale, 7(1), 88–102. https://doi.org/10.52774/jkfn.v7i1.150
[19] Arfini, L., Octaria, Y. C., Fauziyah, A., & Sufyan, D. L. (2024). OPEN Hubungan Jenis Kontrasepsi dengan Status Gizi dan Asupan Makronutrien pada Wanita Usia Subur di Kecamatan Tebet Associations between the Type of Contraceptive Use with Nutritional Status and Macronutrient Intake among Women in Reproductive-Age in Teb. 8(2), 171–179. https://doi.org/10.20473/amnt.v8i2.2024.171-179
[20] Bhuva, K., Kraschnewski, J. L., & Lehman, E. B. (2019). Does Body Mass Index or Weight Perception Affect. 95(1), 59–64. https://doi.org/10.1016/j.contraception.2016.09.003.Does
[21] Putri, A. M., Sefrina, L. R., & Elvandari, M. (2025). Hubungan Riwayat Keluaga, Jenis Pekerjaan, dan Tingkat Stress Terhadap Kejadian Hipertensi Di Dusun Kebonkalapa , Kutapohaci. Jurnal Riset Rumpun Ilmu Kesehatan, 4(April).
[22] Ardiansyah, & Fachri, M. (2020). Hubungan Penggunaan Kontrasepsi Suntik Tiga Bulanan selama Satu Tahun dengan Peningkatan Tekanan Darah. Jurnal Fakultas Kesehatan Masyarakat, 11(1), 56–62.
[23] Iswandari, N. D., Hasanah, S. N., & Mulia, U. S. (2023). Faktor - Faktor Yang Mempengaruhi Hipertensi Wanita Menopause Di Puskesmas Terminal. Midwifery and Complementary Care, 2(2), 72–84. https://doi.org/10.33859/mcc.v2i2.628
[24] Cheng, W., Du, Y., Zhang, Q., Wang, X., He, C., He, J., Jing, F., Ren, H., Guo, M., Tian, J., & Xu, Z. (2022). Age-related changes in the risk of high blood pressure. Frontiers in Cardiovascular Medicine, 9(September), 1–10. https://doi.org/10.3389/fcvm.2022.939103
[25] Mills, K., Joshua, D., Tanika, N., Jennifer, E., Patricia, M., Reynold, K., & Chen, J. (2017). Global Disparities of hypertension. Physiology & Behavior, 176(3), 139–148. https://doi.org/10.1161/CIRCULATIONAHA.115.018912.Global
Published
2026-05-31
Section
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