Hubungan Indeks Massa Tubuh (IMT), Kadar Hemoglobin dan Paparan Asap Rokok dengan Kejadian Dismenore


Author (s)

(1) * Greiny Arisani   (Prodi DIII Kebidanan Jurusan Kebidanan Politeknik Kesehatan Kementerian Kesehatan Palangka Raya)  
(*) Corresponding Author


Adolescence is a transition period from childhood to adulthood which is characterized by the acceleration of physical, mental, emotional and social development. Reproductive health is an important problem for adolescents. The earliest change in adolescents is to start menstruating which can cause dysmenorrhea. Dysmenorrhea affects learning activities and indirectly affects the quality of life of adolescents. There are several risk factors that are considered to have a relationship with dysmenorrhea including body mass index (BMI), hemoglobin levels and exposure to cigarette smoke. This study aims to determine the relationship of body mass index (BMI), hemoglobin levels and exposure to cigarette smoke with the occurrence of dysmenorrhea. This study was an observational analytic study with astudy design Cross Sectional. The sample in this study were female students of the Midwifery Department of Health at the Palangka Raya Ministry of Health. The research instruments were in the form of questionnaires s. Data analysis was done by Chi Square and Logistic Regression. The statistical test results showed a significant relationship between Body Mass Index (BMI), Hemoglobin Levels and Cigarette Smoke Exposure with Occurrence of Dysmenorrhea (p <0.05). The results of the logistic regression analysis obtained a determination coefficient value of 0.461 so that it can be concluded that the variable body mass index (BMI), hemoglobin level and exposure to cigarette smoke had a contribution of 46.1% to the incidence of dysmenorrhea and 53.9% influenced by other factors. Body Mass Index (BMI) OR = 14,920, Hemoglobin Level (Hb <12 gram / dl) OR = 5,897 and cigarette smoke exposure OR = 3,289 is a risk factor for dysmenorrhea in adolescents.



Dysmenorrhea; Body Mass Index (BMI); Hemoglobin Level; Cigarette Smoke Exposure

Full Text: PDF


Altunyurt S, Gol M, Sezer O, Demir N .2005. Primary Dysmenorrhea and Uterin Blood Flow : A color Doppler Study. Izmir, Turkey : Departement of Obstetrics and Gynecology Dokuz Eylul University Faculty of Medicine. Available from :

Amini. 2010. Pengaruh Perokok Pasif terhadap Kejadian Dismenore Primer. Fakultas Kedokteran Universitas Sebelas Maret : Surakarta.

American College of Obstetricians and Gynecologists (ACOG). 2015. Dysmenorrhea : Painful Period. Available from :

Alhamra. A. 2011. Hubungan antara Anemia Disemnore Primer pada Mahasiswa Fakultas Kedokteran Program Studi Pendidikan Dokter Universitas Andalas. Fakultas Kedokteran Andalas : Sumatra Barat.

Andriyani R, Safitri E. 2016. Hubungan antara Anemia, Status Gizi dan Faktor Psikologis (Stress) dengan Kejadian Dsmenore Volume 7 No.4. Jurnal Penelitian Kesehatan Suara Forikes

Bano. 2012. Anemia and its Impact on Dysmenorrhea and Age at Menarche. Journal of Pharmacy and Biological Sciences.

Calis. KA. 2013. Dysmenorrhoe. Virginia : Virginia Commonwealth University. Available from : [Accesed : 17 Februari 2017].

Chen. C, Cho.S, Damokosh Al, Chen D, Li. G, Wang X et al. 2000. Prospective Study of Exposure to Enviromental Tobacco Smoke and Dysmenorrhoe. Environt Health Perspect.

Cholifah. 2013. Hubungan Anemia, Status Gizi, Olahraga dan Pengatahuan dengan Kejadian Dismenore Pada Remaja Putri. Fakultas Ilmu Kedokteran : Universitas Muhammadiyah Sidoarjo.

Dawood. M. Y. 2006. Primary dysmenorrhoae : advances in pathogenesis and management volume 108. Clinical Expert Series : American College of Obstretricians and Gynecologists.

Depkes. 2011. Pedoman Praktis Mempertahankan Berat Badan Normal berdasarkan Indeks Massa Tubuh dengan Gizi Seimbang. Direktorat Gizi Masyarakat : Jakarta.

French. L. 2009. Dysmenorrhea volume 71. American Family Physician Academic Research Library Michigan State University College of Human Medicine. 2009.

Fleisher GR, Ludwig S. 2010. Textbook of Pediatric Emergency Medicine Ed.6. USA : Lippincot William and Wilkins.

Harel. 2006. Dysmenorrhoae in adolescent and young adults : etiology and management. North American Society for Pediatric and Adolescent Gynecology : Published Elsevier.

Hornsby PP, Wilcox AJ, Weinberg CR. 1998. Cigarette smoking and disturbance of menstrual function. Epidemiology

Junizar. G, Sulianingsih, Widya. K.D. 2009. Pengobatan dismenore secara akupuntur. Cermin Dunia Kedokteran No. 133.

Joseph, Sebastian TE. 2013. Prevalence of Primary Dysmenorrhoe and Its Association with The Quality of Life Among Medical Students in USM. Malaysia : Universiti Sains Malaysia

Kaur, K.. 2014. Obesity and Dysmenorrhea in young girls: Is there any link?. Human Biology Review.

Laila. NN. 2011. Buku Pintar Menstruasi. Yogyakarta : Buku Biru.

Madhubala C, Jyoti K. 2012. Relation Between Dysmenorrhoe and Body Mass Index in Adolescent with Rural Vs Urban Variation. India : The Journal of Obstetrics and Gynecologist.

Manuaba, 2010. Kapita Selekta Penatalaksanaan Rutin Obstetri dan Gynekologi. Jakarta : EGC.

Miceli F . 2005. Effect of Nicotine on Human Luteal Cells in vitro: a Possible Role on Reproductive Outcome for Smoking Women.

Neistein LS. 2007. Adolescent Health Care : A Practical Guide Ed.5. Philadelphia : Lippiccot Williams and Wilkins.

Nohara M, Momoeda M, Kubota T dan Nakabayashi M. 2011, Menstrual Cycle and Menstrual Pain Problem and Related Risk Factor among Japanese Female Workers. Japanese : Ind Health.

Proverawati. A, Misaroh.S.2009. Menarceh : menstruasi pertama penuh makna. Yogyakarta : Nuha Medika.

Article View

Abstract views : 66 times | PDF files viewed : 92 times

Dimensions, PlumX, and Google Scholar Metrics



  • There are currently no refbacks.

Copyright (c) 2019 Greiny Arisani

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.