Pub Date : 2023-12-12DOI: 10.26553/jikm.2023.14.2.281-292
Shelvy Roza, Ayulia Fardila Sari
The existence of a policy on the use of telemedicine in health facilities is applied almost all over the world. In Indonesia, Padang is one city of the achievements in that the use of telemedicine services remains low, even after the implementation of regulations on telemedicine services. This study aimed to determine the perceived convenience and benefits of using telemedicine services among National Health Insurance participants through the Technology Acceptance Model (TAM). This study was a cross-sectional survey. The sample of this study consisted of 100 National Health Insurance respondents registered at a first-level healthcare facility. The samples were collected using consecutive sampling and online questionnaire sheets carried out for three months in 2021. The analysis includes univariate, bivariate, and multivariate analysis. The results showed that 55% of respondents had a high level of accessibility in getting health services by using telemedicine, 54% of respondents had a good experience related to telemedicine officer services, 94% of respondents had perceptions of illness exist positive, 89% of respondents said that they had a perception of ease in using telemedicine services, and 80% of respondents had a perceived the benefits of telemedicine services. The utilization of telemedicine was affected by accessibility (p=0.000), staff service (p=0.000), perceived ease of use (p=0.022), and perceived benefit (p=0.001). The multivariate analysis indicated that the officer service was the most influencing the use of telemedicine services (OR=3.669). Healthcare facilities should improve their service quality and apply a more accessible and more valuable service for patients as end users.
{"title":"Perception and Usage of Telemedicine Among National Health Insurance Participants in Padang City","authors":"Shelvy Roza, Ayulia Fardila Sari","doi":"10.26553/jikm.2023.14.2.281-292","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.2.281-292","url":null,"abstract":"The existence of a policy on the use of telemedicine in health facilities is applied almost all over the world. In Indonesia, Padang is one city of the achievements in that the use of telemedicine services remains low, even after the implementation of regulations on telemedicine services. This study aimed to determine the perceived convenience and benefits of using telemedicine services among National Health Insurance participants through the Technology Acceptance Model (TAM). This study was a cross-sectional survey. The sample of this study consisted of 100 National Health Insurance respondents registered at a first-level healthcare facility. The samples were collected using consecutive sampling and online questionnaire sheets carried out for three months in 2021. The analysis includes univariate, bivariate, and multivariate analysis. The results showed that 55% of respondents had a high level of accessibility in getting health services by using telemedicine, 54% of respondents had a good experience related to telemedicine officer services, 94% of respondents had perceptions of illness exist positive, 89% of respondents said that they had a perception of ease in using telemedicine services, and 80% of respondents had a perceived the benefits of telemedicine services. The utilization of telemedicine was affected by accessibility (p=0.000), staff service (p=0.000), perceived ease of use (p=0.022), and perceived benefit (p=0.001). The multivariate analysis indicated that the officer service was the most influencing the use of telemedicine services (OR=3.669). Healthcare facilities should improve their service quality and apply a more accessible and more valuable service for patients as end users.","PeriodicalId":32237,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139009194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-28DOI: 10.26553/jikm.2023.14.2.263-280
Dessy Widiaristy, Elvi Sunarsih, Rostika Flora, Y. Windusari, M. Zulkarnain, S. Suheryanto
Pulmonary disorders in 2018 entered the 5th rank as a disease that causes death. Dust and gas are air pollutants that have a high level of toxicity in the environment when entering and accumulating in human respiratory organs for a long time can cause lung function disorders. The purpose of this study was to determine the factors for impaired function in workers in Indonesia. This study used the literature review method with Google Scholar, PubMed, and BioMed Central databases. Search for articles according to topics published from 2017 to 2022 with a working population and research locations in Indonesia. The results of the study obtained a total of 4648 articles, after screening 30 articles were obtained for analysis. From the research it was found that dust exposure and gas exposure were the types of pollutants that caused lung function disorders. The factors that can be modified are setting the length of exposure so that it can affect the working period per year, nutritional status, exercise, smoking habits and the use of Personal Protective Equipment (PPE). Age and gender variables are risk factors that cannot be modified. The longer a person works, the greater the potential hazards that accumulate into the body, especially workers who are in a dusty environment. Therefore, efforts are needed to manage exposure to air pollution in the work environment and routinely conduct medical check-ups for workers, exercise regularly, use PPE, eliminate smoking habits to minimize the occurrence of lung function disorders.
2018年肺部疾病作为致死疾病进入第5位。粉尘和气体是空气污染物，在环境中具有较高的毒性，当进入人体呼吸器官并长期积累时，会导致肺功能紊乱。本研究的目的是确定印度尼西亚工人肺功能受损的因素。本研究使用谷歌学术、PubMed 和 BioMed Central 数据库的文献综述方法。根据主题搜索2017年至2022年发表的文章，研究对象为印度尼西亚的工作人群和研究地点。研究结果共获得 4648 篇文章，经过筛选后获得 30 篇文章进行分析。通过研究发现，粉尘暴露和气体暴露是导致肺功能紊乱的污染物类型。可以改变的因素有：设定接触时间的长短，从而影响每年的工作时间、营养状况、运动、吸烟习惯和个人防护设备（PPE）的使用。年龄和性别变量是无法改变的风险因素。一个人的工作时间越长，积累到体内的潜在危害就越大，尤其是在粉尘环境中工作的工人。因此，需要努力控制工作环境中的空气污染暴露，定期为工人进行体检，经常锻炼身体，使用个人防护设备，消除吸烟习惯，以尽量减少肺功能紊乱的发生。
{"title":"Risk Factors Affecting Pulmonary Disorders of Workers In Indonesia: Literature Review 2017-2022","authors":"Dessy Widiaristy, Elvi Sunarsih, Rostika Flora, Y. Windusari, M. Zulkarnain, S. Suheryanto","doi":"10.26553/jikm.2023.14.2.263-280","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.2.263-280","url":null,"abstract":"Pulmonary disorders in 2018 entered the 5th rank as a disease that causes death. Dust and gas are air pollutants that have a high level of toxicity in the environment when entering and accumulating in human respiratory organs for a long time can cause lung function disorders. The purpose of this study was to determine the factors for impaired function in workers in Indonesia. This study used the literature review method with Google Scholar, PubMed, and BioMed Central databases. Search for articles according to topics published from 2017 to 2022 with a working population and research locations in Indonesia. The results of the study obtained a total of 4648 articles, after screening 30 articles were obtained for analysis. From the research it was found that dust exposure and gas exposure were the types of pollutants that caused lung function disorders. The factors that can be modified are setting the length of exposure so that it can affect the working period per year, nutritional status, exercise, smoking habits and the use of Personal Protective Equipment (PPE). Age and gender variables are risk factors that cannot be modified. The longer a person works, the greater the potential hazards that accumulate into the body, especially workers who are in a dusty environment. Therefore, efforts are needed to manage exposure to air pollution in the work environment and routinely conduct medical check-ups for workers, exercise regularly, use PPE, eliminate smoking habits to minimize the occurrence of lung function disorders.","PeriodicalId":32237,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":"98 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139216251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-20DOI: 10.26553/jikm.2023.14.2.253-262
Solin Pratama, Yeni Yeni
According to WHO, one in three people in the world suffers from hypertension. Riskesdas results showed that the prevalence of hypertension in Indonesia has increased to 34.1% in 2018. In Ogan Ilir Regency, there had been an increase in cases of hypertension during the Covid-19 pandemic. One important factor was physical activity. The purpose of this study aimed to determine the relationship between physical activity and the incidence of hypertension in workers. The design of this research was a quantitative study with a cross-sectional study design. The population was all workers aged over 25 years in Ogan Ilir district. The sample in this study were workers aged 25 years and lived in Indralaya, namely 100 respondents. The sampling technique was purposive sampling. Data analysis used the chi square test and multiple logistic regression risk factor models. The results of the bivariate analysis showed a relationship between physical activity variables, age, consumption of salty foods, consumption of fatty foods, central obesity, sleep quality, and stress variable with hypertension (p-value <0.05). The results of the multivariate analysis showed a significant relationship between physical activity and hypertension after controlling for the consumption of fatty foods, central obesity and sleep quality (PR 2 4.29; 95% CI: 4.68 – 125.98). Lack of physical activity was a risk factor for hypertension in workers. It was important to prevent hypertension by getting used to moderate-intensity physical activity for at least 30 minutes a day such as cleaning the house, walking, and exercising.
{"title":"Physical Activities of Working Communities During the COVID-19 Pandemic With Hypertension Incidence in Indralaya District","authors":"Solin Pratama, Yeni Yeni","doi":"10.26553/jikm.2023.14.2.253-262","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.2.253-262","url":null,"abstract":"According to WHO, one in three people in the world suffers from hypertension. Riskesdas results showed that the prevalence of hypertension in Indonesia has increased to 34.1% in 2018. In Ogan Ilir Regency, there had been an increase in cases of hypertension during the Covid-19 pandemic. One important factor was physical activity. The purpose of this study aimed to determine the relationship between physical activity and the incidence of hypertension in workers. The design of this research was a quantitative study with a cross-sectional study design. The population was all workers aged over 25 years in Ogan Ilir district. The sample in this study were workers aged 25 years and lived in Indralaya, namely 100 respondents. The sampling technique was purposive sampling. Data analysis used the chi square test and multiple logistic regression risk factor models. The results of the bivariate analysis showed a relationship between physical activity variables, age, consumption of salty foods, consumption of fatty foods, central obesity, sleep quality, and stress variable with hypertension (p-value <0.05). The results of the multivariate analysis showed a significant relationship between physical activity and hypertension after controlling for the consumption of fatty foods, central obesity and sleep quality (PR 2 4.29; 95% CI: 4.68 – 125.98). Lack of physical activity was a risk factor for hypertension in workers. It was important to prevent hypertension by getting used to moderate-intensity physical activity for at least 30 minutes a day such as cleaning the house, walking, and exercising.","PeriodicalId":32237,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hypertension is a global health problem that can occur in adolescents. According to Riskesdas 2018, the national prevalence of hypertension is 34.1%. In Banten Province, it stands at 29.4%, and in South Tangerang City, it’s 27.5%. This study was aimed to determine the association between age, sex, vitamin D intake, fat intake, and sun exposure with the incidence of hypertension among adolescents at SMPN 21 South Tangerang and the dominant factor among these variables that is a risk factor of hypertension. This study used a cross-sectional design with a sample of 102 respondents taken using a stratified random sampling technique. Data were collected through blood pressure measurements, the Sun Exposure Questionnaire (SEQ), and the Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). Association analysis was conducted using the chi-square test and Fisher's exact test, showing that there was an association between sun exposure (<0.05; OR = 7.902) with the incidence of hypertension, and there were no association between age (p = 0.556), sex (p = 0.386), vitamin D intake (p = 0.760), and fat intake (p = 1.000) with the incidence of hypertension among adolescents at SMPN 21 South Tangerang. The result of multivariate analysis using the regression logistic test showed that sun exposure was the most correlated factor of hypertension among adolescents at SMPN 21 South Tangerang (p = <0.05; OR = 7.949). Respondents should have more sun exposure to prevent hypertension.
{"title":"Low Sun Exposure as a Dominant Risk Factor of Hypertension Among Adolescents in SMPN 21 South Tangerang","authors":"Novita Harumsari, Firlia Ayu Arini, Aimmatul Fauziyah, Utami Wahyuningsih","doi":"10.26553/jikm.2023.14.2.223-238","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.2.223-238","url":null,"abstract":"Hypertension is a global health problem that can occur in adolescents. According to Riskesdas 2018, the national prevalence of hypertension is 34.1%. In Banten Province, it stands at 29.4%, and in South Tangerang City, it’s 27.5%. This study was aimed to determine the association between age, sex, vitamin D intake, fat intake, and sun exposure with the incidence of hypertension among adolescents at SMPN 21 South Tangerang and the dominant factor among these variables that is a risk factor of hypertension. This study used a cross-sectional design with a sample of 102 respondents taken using a stratified random sampling technique. Data were collected through blood pressure measurements, the Sun Exposure Questionnaire (SEQ), and the Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). Association analysis was conducted using the chi-square test and Fisher's exact test, showing that there was an association between sun exposure (<0.05; OR = 7.902) with the incidence of hypertension, and there were no association between age (p = 0.556), sex (p = 0.386), vitamin D intake (p = 0.760), and fat intake (p = 1.000) with the incidence of hypertension among adolescents at SMPN 21 South Tangerang. The result of multivariate analysis using the regression logistic test showed that sun exposure was the most correlated factor of hypertension among adolescents at SMPN 21 South Tangerang (p = <0.05; OR = 7.949). Respondents should have more sun exposure to prevent hypertension.","PeriodicalId":32237,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136310952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-20DOI: 10.26553/jikm.2023.14.2.239-252
None Vitriyani Tri Purwaningsih, Ririn Nopiah
Child health is important, as it contributes to the child’s future. Indonesia was ranked second after India as a country with the highest tuberculosis (TB) cases. Well-educated parents must care for their children and maintain their health. At the same time, provinces in Eastern Indonesia have the lowest percentage of non-smoking areas (KTR) implementation. In this study, we analyzed the level of morbidity that focuses on respiratory disease, namely coughing and breathlessness in children. In addition, this study also analyzed the education and parents’ smoking behavior focused in Eastern Indonesia. The study analyzes child morbidity according to several affecting factors. Data used were cross-section data collected from secondary data from Indonesia Family Life Survey East (IFLS-East) in 2012. By applying the logistic regression analysis by logit and probit analysis, we figured out that parents’ education, children’s age, health service availability, and domicile area significantly influenced child morbidity. Fathers’ education played a crucial role, as the higher their education, the lower their children’s morbidity. Besides, we also found out that parents’ smoking habits, child immunization status, sex, and health insurance ownership did not significantly influence child morbidity. Fulfillment of educational aspects is required to the maximum until reaching adulthood, especially for unmarried individuals. Apart from that, parents of smokers and non-smokers need to be educated effectively on the dangers of smoking in order to create a healthy environment and the importance of tobacco or cigarette control policies in the Eastern part of Indonesia.
{"title":"Child Morbidity in Eastern Indonesia: Does Education and Smoking Behavior of Parents Influence it?","authors":"None Vitriyani Tri Purwaningsih, Ririn Nopiah","doi":"10.26553/jikm.2023.14.2.239-252","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.2.239-252","url":null,"abstract":"Child health is important, as it contributes to the child’s future. Indonesia was ranked second after India as a country with the highest tuberculosis (TB) cases. Well-educated parents must care for their children and maintain their health. At the same time, provinces in Eastern Indonesia have the lowest percentage of non-smoking areas (KTR) implementation. In this study, we analyzed the level of morbidity that focuses on respiratory disease, namely coughing and breathlessness in children. In addition, this study also analyzed the education and parents’ smoking behavior focused in Eastern Indonesia. The study analyzes child morbidity according to several affecting factors. Data used were cross-section data collected from secondary data from Indonesia Family Life Survey East (IFLS-East) in 2012. By applying the logistic regression analysis by logit and probit analysis, we figured out that parents’ education, children’s age, health service availability, and domicile area significantly influenced child morbidity. Fathers’ education played a crucial role, as the higher their education, the lower their children’s morbidity. Besides, we also found out that parents’ smoking habits, child immunization status, sex, and health insurance ownership did not significantly influence child morbidity. Fulfillment of educational aspects is required to the maximum until reaching adulthood, especially for unmarried individuals. Apart from that, parents of smokers and non-smokers need to be educated effectively on the dangers of smoking in order to create a healthy environment and the importance of tobacco or cigarette control policies in the Eastern part of Indonesia.","PeriodicalId":32237,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136310948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-13DOI: 10.26553/jikm.2023.14.2.210-222
Chamy Rahmatiqa, Denos Imam Fratama, Lili Permata Sari
The coverage of complete basic immunization is still low in the working area of Mentawai Regency, which is 59.8%. The national target achievement is 95%, indicating a gap of 35.2%. The aim of this research was to identify the factors influencing the completion of basic immunization. The research method used is analytical research with a cross-sectional study approach. The sample in this research consists of children aged more than 9 months until 5 years, totaling 132 respondents. The respondents were selected using simple random sampling. The analysis includes univariate, bivariate, and multivariate analyses. The findings revealed that more than half of the respondents did not complete their basic immunization (63.2%), and more than half of them had a low level of knowledge (60%). Support from father was also lacking for more than half of the respondents (63.3%), and there were concerns about inadequate sociocultural factors (57.8%). There was a significant relationship between family support, sociocultural factors, and knowledge level with the completeness of basic immunization (P<0.001). The multivariate analysis indicated that having low father support resulted in a 7.3 times higher likelihood of incomplete immunization compared to having high father support. Therefore, the suggestion for this study is to improve not only the knowledge level of mothers but also to increase the knowledge of fathers, so that they can provide full support for their child's health.
{"title":"Factors Influencing the Coverage of Complete Basic Immunization in Toddlers","authors":"Chamy Rahmatiqa, Denos Imam Fratama, Lili Permata Sari","doi":"10.26553/jikm.2023.14.2.210-222","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.2.210-222","url":null,"abstract":"The coverage of complete basic immunization is still low in the working area of Mentawai Regency, which is 59.8%. The national target achievement is 95%, indicating a gap of 35.2%. The aim of this research was to identify the factors influencing the completion of basic immunization. The research method used is analytical research with a cross-sectional study approach. The sample in this research consists of children aged more than 9 months until 5 years, totaling 132 respondents. The respondents were selected using simple random sampling. The analysis includes univariate, bivariate, and multivariate analyses. The findings revealed that more than half of the respondents did not complete their basic immunization (63.2%), and more than half of them had a low level of knowledge (60%). Support from father was also lacking for more than half of the respondents (63.3%), and there were concerns about inadequate sociocultural factors (57.8%). There was a significant relationship between family support, sociocultural factors, and knowledge level with the completeness of basic immunization (P<0.001). The multivariate analysis indicated that having low father support resulted in a 7.3 times higher likelihood of incomplete immunization compared to having high father support. Therefore, the suggestion for this study is to improve not only the knowledge level of mothers but also to increase the knowledge of fathers, so that they can provide full support for their child's health.","PeriodicalId":32237,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135785099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Toddlers are one of the vulnerable groups experiencing stunting nutritional problems. Households with good food security can prevent toddlers from nutritional problems such as stunting. The purpose of this study was to analyze the relationship between food security and the incidence of stunting in toddlers in Palembang City, especially in the Seberang Ulu 1 area. The cross-sectional study designs with a sample of 200 toddlers aged 6-59 months in Seberang Ulu I District who were taken by purposive sampling. Data were analyzed of bivariate used the Chi-Square Test (crude) and multiple logistic regression analysis was used as a multivariate analysis (adjusted). The incidence of stunting under five occurs more in households with food insecure conditions, high food expenditure, low income and low maternal education. There was a relationship between household food security and the incidence of stunting (p<0.05) and there was no relationship between food expenditure, family income and mother's education with the incidence of stunting in toddlers in Seberang Ulu I District (p>0.05). Multivariate analysis showed that toddlers in households in food insecure conditions had a 1.7 times higher risk of experiencing stunting than toddlers in households in food secure conditions after controlling for family income. Food insecurity is a risk factor for stunting in toddlers. Based on the results of this study, it is suggested that the government provide guidance to increase family income through improving entrepreneurship skills for families in Seberang Ulu 1 to prevent stunting.
幼儿是遭受营养不良问题的弱势群体之一。拥有良好粮食保障的家庭可以防止幼儿出现营养问题，如发育迟缓。本研究的目的是分析巨港市，特别是西别朗乌鲁1地区的粮食安全与幼儿发育迟缓发生率之间的关系。本研究采用有目的抽样的方法，对200名年龄在6-59个月的儿童进行了横断面研究。双因素分析采用卡方检验(粗)，多因素分析采用多元逻辑回归分析(校正)。在粮食不安全、粮食支出高、收入低和产妇教育程度低的家庭中，五岁以下发育迟缓的发生率更高。家庭粮食安全与发育迟缓发生率之间存在相关关系(p>0.05)，而食物支出、家庭收入和母亲受教育程度与雪别朗乌鲁一区幼儿发育迟缓发生率之间无相关关系(p>0.05)。多变量分析表明，在控制了家庭收入后，粮食不安全家庭的幼儿发生发育迟缓的风险比粮食安全家庭的幼儿高1.7倍。粮食不安全是幼儿发育迟缓的一个风险因素。基于本研究的结果，建议政府提供指导，通过提高Seberang Ulu 1地区家庭的创业技能来增加家庭收入，以防止发育迟缓。
{"title":"The Correlation Between the Household Food Security and the Incidence of Stunting in Toddlers 6-59 Months in Seberang Ulu I Palembang","authors":"None Indah purnama sari, Windi Indah Fajar Ningsih, Desri Maulina Sari","doi":"10.26553/jikm.2023.14.2.198-209","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.2.198-209","url":null,"abstract":"Toddlers are one of the vulnerable groups experiencing stunting nutritional problems. Households with good food security can prevent toddlers from nutritional problems such as stunting. The purpose of this study was to analyze the relationship between food security and the incidence of stunting in toddlers in Palembang City, especially in the Seberang Ulu 1 area. The cross-sectional study designs with a sample of 200 toddlers aged 6-59 months in Seberang Ulu I District who were taken by purposive sampling. Data were analyzed of bivariate used the Chi-Square Test (crude) and multiple logistic regression analysis was used as a multivariate analysis (adjusted). The incidence of stunting under five occurs more in households with food insecure conditions, high food expenditure, low income and low maternal education. There was a relationship between household food security and the incidence of stunting (p<0.05) and there was no relationship between food expenditure, family income and mother's education with the incidence of stunting in toddlers in Seberang Ulu I District (p>0.05). Multivariate analysis showed that toddlers in households in food insecure conditions had a 1.7 times higher risk of experiencing stunting than toddlers in households in food secure conditions after controlling for family income. Food insecurity is a risk factor for stunting in toddlers. Based on the results of this study, it is suggested that the government provide guidance to increase family income through improving entrepreneurship skills for families in Seberang Ulu 1 to prevent stunting.","PeriodicalId":32237,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135887478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-09DOI: 10.26553/jikm.2023.14.2.185-197
Irma Surya Kusuma, Syahrizal Syarif
Prediabetes and Undiagnosed Diabetes Mellitus (UDDM) are associated with an increased risk of diabetes complications and other cardiovascular diseases. Early detection of both health problems is expected to reduce the burden of non-communicable diseases in the future. The purpose of this study is to investigate predictors of prediabetes and UDDM based on HbA1c levels among population ≥ 15 years old in Indonesia. This cross-sectional study involved 6,065 respondents of Indonesian Family Life Survey 5 (IFLS 5) who met the inclusion and exclusion criteria. Data associated with sociodemographic characteristics, lifestyle risk factors, hypertension, and obesity were obtained. Prediabetes was defined as HbA1c between 5.7-6.4%, while diabetes was defined as HbA1c ≥ 6.5%. Multinomial logistic regression analysis was performed to estimate adjusted Odds Ratio (aOR). The results showed that predictors of prediabetes were age, gender, marital status, and obesity, while predictors of UDDM were age, hypertension, and obesity. Identification of risk factors and early detection of prediabetes and UDDM is important, so that appropriate intervention can be given immediately to prevent complications.
{"title":"Predictors of Prediabetes and Undiagnosed Diabetes Mellitus Based on HbA1c Levels in Indonesia","authors":"Irma Surya Kusuma, Syahrizal Syarif","doi":"10.26553/jikm.2023.14.2.185-197","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.2.185-197","url":null,"abstract":"Prediabetes and Undiagnosed Diabetes Mellitus (UDDM) are associated with an increased risk of diabetes complications and other cardiovascular diseases. Early detection of both health problems is expected to reduce the burden of non-communicable diseases in the future. The purpose of this study is to investigate predictors of prediabetes and UDDM based on HbA1c levels among population ≥ 15 years old in Indonesia. This cross-sectional study involved 6,065 respondents of Indonesian Family Life Survey 5 (IFLS 5) who met the inclusion and exclusion criteria. Data associated with sociodemographic characteristics, lifestyle risk factors, hypertension, and obesity were obtained. Prediabetes was defined as HbA1c between 5.7-6.4%, while diabetes was defined as HbA1c ≥ 6.5%. Multinomial logistic regression analysis was performed to estimate adjusted Odds Ratio (aOR). The results showed that predictors of prediabetes were age, gender, marital status, and obesity, while predictors of UDDM were age, hypertension, and obesity. Identification of risk factors and early detection of prediabetes and UDDM is important, so that appropriate intervention can be given immediately to prevent complications.","PeriodicalId":32237,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135745279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stroke is the second leading cause of death and the third leading cause of disability. World Health Organization in 2021 found that around 70% of disability and 87% of deaths due to stroke occur in low- and middle-income countries. One of Indonesia’s efforts to minimize disability in post-stroke patients is medical rehabilitation. In an effort to maintain the patients’ motivation to adhere to medical rehabilitation, hospitals employ the hospital health promotion program. The purpose of this study is to analyze the effect of the hospital health promotion program on stroke patients' motivation for medical rehabilitation. This quantitative analytic study with a cross-sectional approach was conducted at Haji Adam Malik Central General Hospital and Medan Haji General Hospital. The research population was 124 post-stroke patients (48 patients from Haji Adam Malik Central General Hospital and 76 patients from Medan Haji General Hospital) and all of them were used as samples (total sampling). Data collection was conducted using a valid and reliable questionnaire (validity and reliability test carried out). Analysis was carried out using frequency distribution, chi-square, and double-log regression analysis. This study found that 90 out of 124 participants had high motivation for medical rehabilitation, while the rest had low motivation. The results showed that the hospital health promotion program had a significant effect on the motivation of stroke patients for medical rehabilitation, namely empowerment (OR=2.842), atmosphere building (OR=2.937), advocacy (OR=3.028), and partnerships (OR=2.738). Advocacy has the most impact on the patient’s motivation with OR=3.028. It can be concluded that hospital health promotion program has a positive influence on stroke patients’ motivation to undergo medical rehabilitation. Hence, implementation of similar health promotion program on other hospitals are highly encouraged to influence stroke patients’ motivation for medical rehabilitation.
{"title":"Hospital Health Promotion Program Influence on Stroke Patients’ Motivation for Medical Rehabilitation","authors":"Agnes Zendrato, Arni Marlinda Zai, Chrismis Ginting, Santy Deasy Siregar","doi":"10.26553/jikm.2023.14.2.174-184","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.2.174-184","url":null,"abstract":"Stroke is the second leading cause of death and the third leading cause of disability. World Health Organization in 2021 found that around 70% of disability and 87% of deaths due to stroke occur in low- and middle-income countries. One of Indonesia’s efforts to minimize disability in post-stroke patients is medical rehabilitation. In an effort to maintain the patients’ motivation to adhere to medical rehabilitation, hospitals employ the hospital health promotion program. The purpose of this study is to analyze the effect of the hospital health promotion program on stroke patients' motivation for medical rehabilitation. This quantitative analytic study with a cross-sectional approach was conducted at Haji Adam Malik Central General Hospital and Medan Haji General Hospital. The research population was 124 post-stroke patients (48 patients from Haji Adam Malik Central General Hospital and 76 patients from Medan Haji General Hospital) and all of them were used as samples (total sampling). Data collection was conducted using a valid and reliable questionnaire (validity and reliability test carried out). Analysis was carried out using frequency distribution, chi-square, and double-log regression analysis. This study found that 90 out of 124 participants had high motivation for medical rehabilitation, while the rest had low motivation. The results showed that the hospital health promotion program had a significant effect on the motivation of stroke patients for medical rehabilitation, namely empowerment (OR=2.842), atmosphere building (OR=2.937), advocacy (OR=3.028), and partnerships (OR=2.738). Advocacy has the most impact on the patient’s motivation with OR=3.028. It can be concluded that hospital health promotion program has a positive influence on stroke patients’ motivation to undergo medical rehabilitation. Hence, implementation of similar health promotion program on other hospitals are highly encouraged to influence stroke patients’ motivation for medical rehabilitation.","PeriodicalId":32237,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134998278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-26DOI: 10.26553/jikm.2023.14.2.147-161
Namirah Adelliani, Najmah Najmah, Zico Ariesandi, Fenty Aprina, Yudhi Setiawan, M. Misnaniarti, Yulyana Kusuma Dewi, Adeleine Silva Vanessa, Sari Andajani
Men who engage in sexual relationships with other men (MSM) are consider a high-risk group for HIV transmission, with MSM in Indonesia accounting for 17.9% cases of HIV in 2020. This qualitative study aimed to understand better the factors determining MSMs' motivation to disclose their sexual orientation. This research employed a phenomenological approach to explore the disclosure experiences of MSM in Palembang City. In-depth interviews and observations were conducted with 11 purposively recruited MSM informants and five MSM outreach workers to ensure data triangulation. Documentation and observations of the participants were conducted during various activities at the Intan Maharani Foundation (IMF). MSM participants observed extreme caution when disclosing their sexual orientation and only chose to reveal their sexual orientation to a very limited network, such as close friends, who are MSM, and at risk of HIV transmission. The hesitation to disclosing sexual orientation may be linked to the fact that only a few MSM had ever undergone an HIV test. MSMs, if they choose to, could share their status with Field Outreach (FO) during routine health check-ups. Findings of this study call for further research on barriers that hinder MSM from openly discussing their sexual orientation. Such research can inform policy and program developers on how to improve services, promote health literacy, foster confidence and trust among MSMs, hence facilitating their access to HIV services, enabling them to disclose their HIV status confidentially, safely, and in a respectful environment.
{"title":"Non-Disclosure of Sexual Orientation of Men Having Sex With Men (MSM): A Hidden Threat of HIV Transmission in Palembang, Indonesia","authors":"Namirah Adelliani, Najmah Najmah, Zico Ariesandi, Fenty Aprina, Yudhi Setiawan, M. Misnaniarti, Yulyana Kusuma Dewi, Adeleine Silva Vanessa, Sari Andajani","doi":"10.26553/jikm.2023.14.2.147-161","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.2.147-161","url":null,"abstract":"Men who engage in sexual relationships with other men (MSM) are consider a high-risk group for HIV transmission, with MSM in Indonesia accounting for 17.9% cases of HIV in 2020. This qualitative study aimed to understand better the factors determining MSMs' motivation to disclose their sexual orientation. This research employed a phenomenological approach to explore the disclosure experiences of MSM in Palembang City. In-depth interviews and observations were conducted with 11 purposively recruited MSM informants and five MSM outreach workers to ensure data triangulation. Documentation and observations of the participants were conducted during various activities at the Intan Maharani Foundation (IMF). MSM participants observed extreme caution when disclosing their sexual orientation and only chose to reveal their sexual orientation to a very limited network, such as close friends, who are MSM, and at risk of HIV transmission. The hesitation to disclosing sexual orientation may be linked to the fact that only a few MSM had ever undergone an HIV test. MSMs, if they choose to, could share their status with Field Outreach (FO) during routine health check-ups. Findings of this study call for further research on barriers that hinder MSM from openly discussing their sexual orientation. Such research can inform policy and program developers on how to improve services, promote health literacy, foster confidence and trust among MSMs, hence facilitating their access to HIV services, enabling them to disclose their HIV status confidentially, safely, and in a respectful environment.","PeriodicalId":32237,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79014417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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