Pub Date : 2023-08-01DOI: 10.20473/ijph.v18i2.2023.314-324
Sandip Chakraborty, Amrit Karmakar, I. Dawn, Sangita Samadder, Dipa Mondal
Introduction:Different homeostatic models for the assessment of beta cell function in patients with insulin resistance in type 2 diabetes mellitus suggest that Dipeptidyl Peptidase (DPP-4) inhibitors cause less beta cell stress. Aims: The present study aimed to compare and contrast insulin resistance in two groups of patients taking oral hypoglycemic agents, DPP-4 plus metformin and glimepiride plus metformin, on the basis of fasting and postprandial c-peptide and insulin resistance estimated by homeostatic model assessment of insulin resistance (HOMA-IR). Methods: This preliminary descriptive observational study was conducted from 2018 to 2019 in the service Laboratory of the Department of Biochemistry, in collaboration with the Endocrinology Department, Nil Ratan Sircar Medical College and Hospital, Kolkata. Serum C-peptide, serum insulin, and plasma glucose levels were measured in both fasting and post-prandial states along with glycated hemoglobin. Result: In the fasting and fed state, the secretagogue effect of glimepiride-metformin combination was significantly higher (p = 0.017) than that of the linagliptin-metformin combination. Conclusion: Patients treated with glimepiride showed high post prandial insulin levels and high post prandial glucose excursion. This finding can be explained by the probable increase in insulin resistance, which is reflected in their post-prandial C peptide level. However, in the case of linagliptin, one mechanism of decreased post-prandial glucose is believed to be the inhibition of α-cell glucagon release, thereby relieving β-cell stress
{"title":"A DESCRIPTIVE COMPARISON OF RESPONSE OF ORAL HYPOGLYCEMIC AGENTS AMONG T2DM IN A BACKDROP OF INSULIN RESISTANCE","authors":"Sandip Chakraborty, Amrit Karmakar, I. Dawn, Sangita Samadder, Dipa Mondal","doi":"10.20473/ijph.v18i2.2023.314-324","DOIUrl":"https://doi.org/10.20473/ijph.v18i2.2023.314-324","url":null,"abstract":"Introduction:Different homeostatic models for the assessment of beta cell function in patients with insulin resistance in type 2 diabetes mellitus suggest that Dipeptidyl Peptidase (DPP-4) inhibitors cause less beta cell stress. Aims: The present study aimed to compare and contrast insulin resistance in two groups of patients taking oral hypoglycemic agents, DPP-4 plus metformin and glimepiride plus metformin, on the basis of fasting and postprandial c-peptide and insulin resistance estimated by homeostatic model assessment of insulin resistance (HOMA-IR). Methods: This preliminary descriptive observational study was conducted from 2018 to 2019 in the service Laboratory of the Department of Biochemistry, in collaboration with the Endocrinology Department, Nil Ratan Sircar Medical College and Hospital, Kolkata. Serum C-peptide, serum insulin, and plasma glucose levels were measured in both fasting and post-prandial states along with glycated hemoglobin. Result: In the fasting and fed state, the secretagogue effect of glimepiride-metformin combination was significantly higher (p = 0.017) than that of the linagliptin-metformin combination. Conclusion: Patients treated with glimepiride showed high post prandial insulin levels and high post prandial glucose excursion. This finding can be explained by the probable increase in insulin resistance, which is reflected in their post-prandial C peptide level. However, in the case of linagliptin, one mechanism of decreased post-prandial glucose is believed to be the inhibition of α-cell glucagon release, thereby relieving β-cell stress","PeriodicalId":33636,"journal":{"name":"The Indonesian Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45318135","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 : 2023-08-01DOI: 10.20473/ijph.v18i2.2023.253-264
Kartini, Sri Sumarmi
Introduction: Students can achieve a high level of health and obtain good learning achievements by maintaining clean and healthy living behavior (PHBS). Aims: analyze differences in knowledge, attitudes, and practice in private and public junior high school students regarding PHBS. Methods: This research used a comparative design. The study subjects were grade IX students from a private and public junior high school in Surabaya with total sample of 185 students. The observed variables were knowledge, attitude, and practice on clean and healthy living behavior. Data were statistically analyzed using Independent T-test for the continuous data, and chi-square test applied to the categorical data. Result: showed that the average knowledge score of private and public junior high school students is still sufficient (34.5±12.3), while attitude (63.7±10.4) and practice (53.4±6.4) regarding clean and healthy living behavior (PHBS) in private and public junior high school students were categorized as positive and good. Statistical analysis revealed that there was different score for knowledge of PHBS between students in private and public junior high school (p = 0.002), but score of attitude and practice were not different between two groups, with p-value of 0.084 and 0.746, respectively. Conclusion: It concluded that knowledge on clean and healthy living seems not followed by the attitude and practice in daily living of students in state and private junior high school students.
{"title":"AVAILABILITY OF INFRASTRUCTURE AND CLEAN AND HEALTHY LIVING BEHAVIOR IN PUBLIC AND PRIVATE JUNIOR HIGH SCHOOLS: A COMPARATIVE STUDY","authors":"Kartini, Sri Sumarmi","doi":"10.20473/ijph.v18i2.2023.253-264","DOIUrl":"https://doi.org/10.20473/ijph.v18i2.2023.253-264","url":null,"abstract":"Introduction: Students can achieve a high level of health and obtain good learning achievements by maintaining clean and healthy living behavior (PHBS). Aims: analyze differences in knowledge, attitudes, and practice in private and public junior high school students regarding PHBS. Methods: This research used a comparative design. The study subjects were grade IX students from a private and public junior high school in Surabaya with total sample of 185 students. The observed variables were knowledge, attitude, and practice on clean and healthy living behavior. Data were statistically analyzed using Independent T-test for the continuous data, and chi-square test applied to the categorical data. Result: showed that the average knowledge score of private and public junior high school students is still sufficient (34.5±12.3), while attitude (63.7±10.4) and practice (53.4±6.4) regarding clean and healthy living behavior (PHBS) in private and public junior high school students were categorized as positive and good. Statistical analysis revealed that there was different score for knowledge of PHBS between students in private and public junior high school (p = 0.002), but score of attitude and practice were not different between two groups, with p-value of 0.084 and 0.746, respectively. Conclusion: It concluded that knowledge on clean and healthy living seems not followed by the attitude and practice in daily living of students in state and private junior high school students.","PeriodicalId":33636,"journal":{"name":"The Indonesian Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43773178","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 : 2023-08-01DOI: 10.20473/ijph.v18i2.2023.302-313
S. Arini, D. Atmaka, Irpan Nurhakim, Andian Shodiq, Devy Syanindita Roshida
Introduction: Workers in oil and gas companies are one of several groups of workers who have a heavy workload, both physically and psychologically, owing to the heavy work responsibilities related to the duration of work, which is not in accordance with the standard working time specified in Indonesia. Based on research conducted in similar industries, 69% of workers in critical jobs experience both acute and chronic fatigue. If not managed properly, it will result in occupational burnout. Aims: of this research was to determine whether there is a relationship between coping style, eating habits, work stress, fatigue and occupational burnout Method: Design study of cross-sectional manner with the research respondents being permanent workers in oil and gas companies in Bojonegoro, East Java. The total sample comprised of 102 respondents. The data obtained will then be statistically processed using IBM SPSS software with multiple regression tests. Result: The level of work fatigue experienced by oil and gas company employees had a significant indirect effect on the healthy eating index through the copying mechanism variable, and the anxiety experienced by oil and gas company employees had a significant indirect effect on the healthy eating index and blood pressure, both systolic and systole, and diastole via the copying mechanism variable. Conclusion: Anxiety experienced by workers influences the healthy eating index and systolic blood pressure with coping mechanisms as an intervening variable. Work fatigue experienced by workers influences the healthy eating index, with coping mechanisms as an intervening variable.
{"title":"EFFECT OF ANXIETY AND WORK FATIGUE ON JOB BURNOUT, DISTRESS, HEALTH EATING INDEX AND BLOOD PRESSURE THROUGH COPING MECHANISM IN OIL AND GAS COMPANY","authors":"S. Arini, D. Atmaka, Irpan Nurhakim, Andian Shodiq, Devy Syanindita Roshida","doi":"10.20473/ijph.v18i2.2023.302-313","DOIUrl":"https://doi.org/10.20473/ijph.v18i2.2023.302-313","url":null,"abstract":"Introduction: Workers in oil and gas companies are one of several groups of workers who have a heavy workload, both physically and psychologically, owing to the heavy work responsibilities related to the duration of work, which is not in accordance with the standard working time specified in Indonesia. Based on research conducted in similar industries, 69% of workers in critical jobs experience both acute and chronic fatigue. If not managed properly, it will result in occupational burnout. Aims: of this research was to determine whether there is a relationship between coping style, eating habits, work stress, fatigue and occupational burnout Method: Design study of cross-sectional manner with the research respondents being permanent workers in oil and gas companies in Bojonegoro, East Java. The total sample comprised of 102 respondents. The data obtained will then be statistically processed using IBM SPSS software with multiple regression tests. Result: The level of work fatigue experienced by oil and gas company employees had a significant indirect effect on the healthy eating index through the copying mechanism variable, and the anxiety experienced by oil and gas company employees had a significant indirect effect on the healthy eating index and blood pressure, both systolic and systole, and diastole via the copying mechanism variable. Conclusion: Anxiety experienced by workers influences the healthy eating index and systolic blood pressure with coping mechanisms as an intervening variable. Work fatigue experienced by workers influences the healthy eating index, with coping mechanisms as an intervening variable.","PeriodicalId":33636,"journal":{"name":"The Indonesian Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47779701","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 : 2023-08-01DOI: 10.20473/ijph.v18i2.2023.291-301
Mohammad Taufiq Adiansyah, A. Ramani, Ni'mal Baroya
Introduction: People living with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) face bio-psycho-socio-spiritual problems. The stigma against PLWHA exists in more than 65 countries. Indonesia occupied the highest position in the Pacific with a case rate of 62.8%. Stigma has contributed to the failure of HIV and AIDS epidemic-control programs. Aims: To determine the stigma against PLWHA in Indonesia. Method: This study used the 2017 IDHS dataset with a cross-sectional design. The study sample comprised 47.233 people. The variables studied included age, sex, marital status, educational level, economic status, employment status, mass media exposure, type of residence, knowledge about HIV and AIDS, and stigma against PLWHA. The data analysis technique was the chi-square test and logistic regression with α 0.05 (5%). Result: Factors that determined the stigma of PLWHA include age 15-19 (OR 1.611), age 20-24 (OR 1.438), age 25-29 (OR 1.131), age 30-34 (OR 0.993), male gender (OR 0.834), married status (OR 1.416), educational level less (1.247), very poor economic status (OR 1.503), poor (OR, 1.134), medium (OR 1.080), rich (OR 0.972), not working ( OR 1.065), and lack of knowledge (OR 2.588). Conclusion: person aged 15-24 years, female, single, have low education, poorest/poor, do ot have a job, and have a low level of knowledge about HIV and AIDS are very likely to be stigmatized towards PLWHA. Education related to HIV and AIDS, especially how HIV and AIDS are transmitted, still needs to be improved so that it can reach all levels in society
{"title":"DETERMINANTS OF STIGMA ON PEOPLE LIVING WITH HIV AND AIDS IN INDONESIA (EVIDENCE FROM 2017 IDHS DATA)","authors":"Mohammad Taufiq Adiansyah, A. Ramani, Ni'mal Baroya","doi":"10.20473/ijph.v18i2.2023.291-301","DOIUrl":"https://doi.org/10.20473/ijph.v18i2.2023.291-301","url":null,"abstract":"Introduction: People living with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) face bio-psycho-socio-spiritual problems. The stigma against PLWHA exists in more than 65 countries. Indonesia occupied the highest position in the Pacific with a case rate of 62.8%. Stigma has contributed to the failure of HIV and AIDS epidemic-control programs. Aims: To determine the stigma against PLWHA in Indonesia. Method: This study used the 2017 IDHS dataset with a cross-sectional design. The study sample comprised 47.233 people. The variables studied included age, sex, marital status, educational level, economic status, employment status, mass media exposure, type of residence, knowledge about HIV and AIDS, and stigma against PLWHA. The data analysis technique was the chi-square test and logistic regression with α 0.05 (5%). Result: Factors that determined the stigma of PLWHA include age 15-19 (OR 1.611), age 20-24 (OR 1.438), age 25-29 (OR 1.131), age 30-34 (OR 0.993), male gender (OR 0.834), married status (OR 1.416), educational level less (1.247), very poor economic status (OR 1.503), poor (OR, 1.134), medium (OR 1.080), rich (OR 0.972), not working ( OR 1.065), and lack of knowledge (OR 2.588). Conclusion: person aged 15-24 years, female, single, have low education, poorest/poor, do ot have a job, and have a low level of knowledge about HIV and AIDS are very likely to be stigmatized towards PLWHA. Education related to HIV and AIDS, especially how HIV and AIDS are transmitted, still needs to be improved so that it can reach all levels in society","PeriodicalId":33636,"journal":{"name":"The Indonesian Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42829242","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 : 2023-08-01DOI: 10.20473/ijph.v18i2.2023.179-193
Daichi Suzuki, W. Wariki, I. Octawijaya, A. Umboh, E. Ota
Introduction: A study conducted in 31 countries described that over 60% of women and children are exposed to SHS outside. Aims: was to explore the association of secondhand smoke (SHS) exposure on maternal and perinatal outcomes in highland settings in Indonesia. Methods: The retrospective cross-sectional survey was used a random sampling method with 52-items of the questionnaire included information of women and infants. This study conducted with the community health center and all seven public health centers in Tomohon city, North Sulawesi, Indonesia, from May to October 2017. The participants were women who had given birth and were exposed to SHS during pregnancy. Their health condition was measured before and after pregnancy, the gestational week at birth, birth weight and height, and perinatal health conditions of the infants. Result: Among 234 women who completed the questionnaire and were included in the analysis. The 97% of household active smokers had a chance to smoke outside the house. Also, approximately 70% of women (162/234) reported exposure to SHS from active household smokers during pregnancy. Maternal secondhand smoke (SHS) exposure during pregnancy was significantly associated with the risk of reduction of birth weight (p = 0.02). Moreover, infants’ birth weight of mothers exposed to SHS outside the house was significantly less than those exposed to SHS only inside (p = 0.03). Conclusion: Further research is required to focus on public smoke-free strategies to protect women and children’s health from SHS in Indonesia.
{"title":"HEALTH EFFECTS OF SECONDHANDSMOKE DURING PREGNANCY ON MATERNAL AND PERINATAL OUTCOMES IN TOMOHON CITY, NORTH SULAWESI, INDONESIA","authors":"Daichi Suzuki, W. Wariki, I. Octawijaya, A. Umboh, E. Ota","doi":"10.20473/ijph.v18i2.2023.179-193","DOIUrl":"https://doi.org/10.20473/ijph.v18i2.2023.179-193","url":null,"abstract":"Introduction: A study conducted in 31 countries described that over 60% of women and children are exposed to SHS outside. Aims: was to explore the association of secondhand smoke (SHS) exposure on maternal and perinatal outcomes in highland settings in Indonesia. Methods: The retrospective cross-sectional survey was used a random sampling method with 52-items of the questionnaire included information of women and infants. This study conducted with the community health center and all seven public health centers in Tomohon city, North Sulawesi, Indonesia, from May to October 2017. The participants were women who had given birth and were exposed to SHS during pregnancy. Their health condition was measured before and after pregnancy, the gestational week at birth, birth weight and height, and perinatal health conditions of the infants. Result: Among 234 women who completed the questionnaire and were included in the analysis. The 97% of household active smokers had a chance to smoke outside the house. Also, approximately 70% of women (162/234) reported exposure to SHS from active household smokers during pregnancy. Maternal secondhand smoke (SHS) exposure during pregnancy was significantly associated with the risk of reduction of birth weight (p = 0.02). Moreover, infants’ birth weight of mothers exposed to SHS outside the house was significantly less than those exposed to SHS only inside (p = 0.03). Conclusion: Further research is required to focus on public smoke-free strategies to protect women and children’s health from SHS in Indonesia.","PeriodicalId":33636,"journal":{"name":"The Indonesian Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42965669","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 : 2023-08-01DOI: 10.20473/ijph.v18i2.2023.353-365
Tia Eka Novianti, Qonita Rachmah, M. Adriani
Introduction : Colorectal cancer is a malignant tumor that grows in the colon tissue. In the Asian region, in 2018, cases and deaths from colorectal cancer are highest in East Asia (there were 736,573 cases and 325,128 of them died) and Southeast Asia (there were 95,223 cases and 52,475 of them died). Aims: Several studies have been conducted regarding the effect of a low-fiber diet and an increased risk of colorectal cancer, but it still shows mixed results. Methods: This study is an unobstrutive study with a systematic review and meta-analysis method. Data sources came from 14 primary studies with a case-control study design that met the inclusion criteria. Data analysis was performed using CMA software trial version 3.0 with a confidence level of α = 5%. Research with low-fiber diet variables shows heterogeneous variations in results so that the chosen model is random effect model. Result: The analysis states that there was a significant relationship between a low-fiber diet (CI: 0.421–0.867) and an increased risk of colorectal cancer due to the role of soluble and insoluble fiber. Lack of intake of soluble fiber can decrease insulin action and blood sugar control or the production of short-chain fatty acids, whereas insufficient intake of insoluble fiber can increase the potential for interactions between mutagens and colonic mucosa. Conclusion: The results of the study are expected to be an input for a proper diet so that there is no increase in cases of colorectal cancer.
{"title":"THE EFFECT OF LOW-FIBER DIETS ON COLORECTAL CANCER INCIDENCE IN SOUTHEAST AND EAST ASIA: SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"Tia Eka Novianti, Qonita Rachmah, M. Adriani","doi":"10.20473/ijph.v18i2.2023.353-365","DOIUrl":"https://doi.org/10.20473/ijph.v18i2.2023.353-365","url":null,"abstract":"Introduction : Colorectal cancer is a malignant tumor that grows in the colon tissue. In the Asian region, in 2018, cases and deaths from colorectal cancer are highest in East Asia (there were 736,573 cases and 325,128 of them died) and Southeast Asia (there were 95,223 cases and 52,475 of them died). Aims: Several studies have been conducted regarding the effect of a low-fiber diet and an increased risk of colorectal cancer, but it still shows mixed results. Methods: This study is an unobstrutive study with a systematic review and meta-analysis method. Data sources came from 14 primary studies with a case-control study design that met the inclusion criteria. Data analysis was performed using CMA software trial version 3.0 with a confidence level of α = 5%. Research with low-fiber diet variables shows heterogeneous variations in results so that the chosen model is random effect model. Result: The analysis states that there was a significant relationship between a low-fiber diet (CI: 0.421–0.867) and an increased risk of colorectal cancer due to the role of soluble and insoluble fiber. Lack of intake of soluble fiber can decrease insulin action and blood sugar control or the production of short-chain fatty acids, whereas insufficient intake of insoluble fiber can increase the potential for interactions between mutagens and colonic mucosa. Conclusion: The results of the study are expected to be an input for a proper diet so that there is no increase in cases of colorectal cancer.","PeriodicalId":33636,"journal":{"name":"The Indonesian Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47569519","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 : 2023-08-01DOI: 10.20473/ijph.v18i2.2023.265-275
Kambarwati Nur Marwah Shofi, N. K. Putri
Introduction: Women dominate Indonesia's health system but there is no clear evidence how this is represented equally in the decision-making process. Globally, the healthcare system is challenged by gender segregation of health managerial position. Aims: This study is to explain the findings regarding patterns of male or female dominance in the particular division of the district health office. Methods: This study was an original research discussing gender segregation of male and female dominance as health managers in district health office. We listed the characteristics of health managers in two provinces with different kinship system. These characteristics were then compared with several gender segregation patterns i.e. work area; position requirement; dominant task coordination; workplace; emergency possibility; budget; percentage of the female manager based on matriarchy and patriarchy background. Result: Female managers of a matriarchal background dominate in General Secretariat (63.4%). Public Health and Community Empowerment (62.5%) and Healthcare Services (80%). A significant portion of men of a patriarchy background shows that men are dominating in two divisions, Disease Prevention and Control (57.8%) and Health Services (55.3%). The study proved the existence of the dominance of one gender in a specific job. This indicated the existence of gender segregation in the healthcare system. Conclusion: Female managers tend to be placed in domestic organization affairs while the male managers are generally responsible for interorganizational affairs, including jobs with high emergency responses.
{"title":"GENDER SEGREGATION OF HEALTH MANAGERS IN DISTRICT HEALTH OFFICERS IN INDONESIA","authors":"Kambarwati Nur Marwah Shofi, N. K. Putri","doi":"10.20473/ijph.v18i2.2023.265-275","DOIUrl":"https://doi.org/10.20473/ijph.v18i2.2023.265-275","url":null,"abstract":"\u0000Introduction: Women dominate Indonesia's health system but there is no clear evidence how this is represented equally in the decision-making process. Globally, the healthcare system is challenged by gender segregation of health managerial position. Aims: This study is to explain the findings regarding patterns of male or female dominance in the particular division of the district health office. Methods: This study was an original research discussing gender segregation of male and female dominance as health managers in district health office. We listed the characteristics of health managers in two provinces with different kinship system. These characteristics were then compared with several gender segregation patterns i.e. work area; position requirement; dominant task coordination; workplace; emergency possibility; budget; percentage of the female manager based on matriarchy and patriarchy background. Result: Female managers of a matriarchal background dominate in General Secretariat (63.4%). Public Health and Community Empowerment (62.5%) and Healthcare Services (80%). A significant portion of men of a patriarchy background shows that men are dominating in two divisions, Disease Prevention and Control (57.8%) and Health Services (55.3%). The study proved the existence of the dominance of one gender in a specific job. This indicated the existence of gender segregation in the healthcare system. Conclusion: Female managers tend to be placed in domestic organization affairs while the male managers are generally responsible for interorganizational affairs, including jobs with high emergency responses.\u0000","PeriodicalId":33636,"journal":{"name":"The Indonesian Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45600363","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 : 2023-08-01DOI: 10.20473/ijph.v18i2.2023.230-241
Felisita Maritza Abidanovanty, A. Suryawan, H. Hendarto
Introduction: Low birth weight (LBW) is the baby's condition with a birth weight of <2500 grams. Babies with LBW tend to have the body not strong as normal babies, so growth or development disorders are often obtained. The condition ensues because the immaturity of some organs will affect the growth and development. Monitoring growth and development through the growth chart and the Denver II. Age 0-24 represents a critical period so that the time is right for the early detection of disorders. Aims: Determine growth according to W/A, H/A, W/H, and HC/A and development according to personal-social, fine motor, language, and gross motor. LBW infants aged 0-24 months Dr. Soetomo General Hospital Surabaya. Methods: Quantitative research using descriptive-analytic study and retrospective approach with a cross-sectional method. The sample was 81 babies who used a total population sampling technique with the medical record. Data processing used univariate and bivariate analysis chi-square. Results: The development dominated by delays measured using 4 domain (personal-social(59.3%), fine motor skills(61.7%), language(66.7%), and gross motor skills(85.2%)). Growth dominated by normal and above based on H/A(60.5%), W/H(55.6%), and H/A(50.6%); except W/A dominated below normal (55.6%). There was no relation between LBW with growth and development based on all domains, except personal-social domains. Conclusion: This study may prove that not all babies with LBW have growth disorder seen from all domains and the development dominate by delay on all domains. There is no relation between LBW with all domains of growth and development except personal-social.
{"title":"GROWTH AND DEVELOPMENT ON INFANTS AGED 0-24 MONTHS WITH A HISTORY OF LOW BIRTH WEIGHT (LBW) IN DR. SOETOMO GENERAL HOSPITAL SURABAYA","authors":"Felisita Maritza Abidanovanty, A. Suryawan, H. Hendarto","doi":"10.20473/ijph.v18i2.2023.230-241","DOIUrl":"https://doi.org/10.20473/ijph.v18i2.2023.230-241","url":null,"abstract":"Introduction: Low birth weight (LBW) is the baby's condition with a birth weight of <2500 grams. Babies with LBW tend to have the body not strong as normal babies, so growth or development disorders are often obtained. The condition ensues because the immaturity of some organs will affect the growth and development. Monitoring growth and development through the growth chart and the Denver II. Age 0-24 represents a critical period so that the time is right for the early detection of disorders. Aims: Determine growth according to W/A, H/A, W/H, and HC/A and development according to personal-social, fine motor, language, and gross motor. LBW infants aged 0-24 months Dr. Soetomo General Hospital Surabaya. Methods: Quantitative research using descriptive-analytic study and retrospective approach with a cross-sectional method. The sample was 81 babies who used a total population sampling technique with the medical record. Data processing used univariate and bivariate analysis chi-square. Results: The development dominated by delays measured using 4 domain (personal-social(59.3%), fine motor skills(61.7%), language(66.7%), and gross motor skills(85.2%)). Growth dominated by normal and above based on H/A(60.5%), W/H(55.6%), and H/A(50.6%); except W/A dominated below normal (55.6%). There was no relation between LBW with growth and development based on all domains, except personal-social domains. Conclusion: This study may prove that not all babies with LBW have growth disorder seen from all domains and the development dominate by delay on all domains. There is no relation between LBW with all domains of growth and development except personal-social.","PeriodicalId":33636,"journal":{"name":"The Indonesian Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47637121","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 : 2023-08-01DOI: 10.20473/ijph.v18i2.2023.242-252
Haerawati Idris, N. Afni
Introduction: The increasing number of the elderly is worrying. It is a concern in public health issues. The elderly have higher susceptibility to chronic diseases. Aims: To identify the factors affecting inpatient care utilization among the elderly population in Indonesia. Methods: Data from the 2014 Indonesian Family Life Survey were used, representing 83% of the Indonesian population. Additionally, Andersen’s theory of healthcare service utilization model was applied. This study applied a cross-sectional design. The sample consisted of 5,325 respondents 60 years in age or older. The chi-square test and multivariate analysis using a multiple logistic regression test were used to analyze the data. Result: This study found 222 of its respondents utilized inpatient care (4.2%). The characteristics that had a significant correlation with the utilization of inpatient care were women, middle-school education, high education, Sumatera region, urban area, health insurance ownership, low economy status, middle economy status, high economy status, very high economy status, sick perception, smoking habit and obesity. Conclusion: The most dominant predictor was the high economy status. The health-insured elderly are able to receive inpatient care without bearing the financial burden. The government should provide health insurance for the elderly in Indonesia.
{"title":"INPATIENT CARE UTILIZATION AMONG ELDERLY IN INDONESIA: A CROSS-SECTIONAL STUDY FROM INDONESIA FAMILY LIFE SURVEY","authors":"Haerawati Idris, N. Afni","doi":"10.20473/ijph.v18i2.2023.242-252","DOIUrl":"https://doi.org/10.20473/ijph.v18i2.2023.242-252","url":null,"abstract":"Introduction: The increasing number of the elderly is worrying. It is a concern in public health issues. The elderly have higher susceptibility to chronic diseases. Aims: To identify the factors affecting inpatient care utilization among the elderly population in Indonesia. Methods: Data from the 2014 Indonesian Family Life Survey were used, representing 83% of the Indonesian population. Additionally, Andersen’s theory of healthcare service utilization model was applied. This study applied a cross-sectional design. The sample consisted of 5,325 respondents 60 years in age or older. The chi-square test and multivariate analysis using a multiple logistic regression test were used to analyze the data. Result: This study found 222 of its respondents utilized inpatient care (4.2%). The characteristics that had a significant correlation with the utilization of inpatient care were women, middle-school education, high education, Sumatera region, urban area, health insurance ownership, low economy status, middle economy status, high economy status, very high economy status, sick perception, smoking habit and obesity. Conclusion: The most dominant predictor was the high economy status. The health-insured elderly are able to receive inpatient care without bearing the financial burden. The government should provide health insurance for the elderly in Indonesia.","PeriodicalId":33636,"journal":{"name":"The Indonesian Journal of Public Health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41422345","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 : 2023-03-15DOI: 10.20473/ijph.v18i1.2023.34-46
Maria Gayatri
Introduction: Meeting the demands of reproductive health among women poses persistent issues, particularly for impoverished and rural women who face impediments to healthcare services. The goal of this study was to explore the factors that influence contraceptive use among poor women in Indonesian rural areas. Methods: This study is a further analysis of Indonesia Demographic and Health Survey 2017. The respondents were 10,199 poor women who lived in rural areas in Indonesia. This quantitative study is analyzed by using logistic regression adjusted for complex sample. Results: The prevalence of modern contraceptive use among respondents was 63.1% consisting of 4.4% traditional users and 58.7% modern contraceptive users. The occupation of the husband and the wish to have no more children were both linked to the usage of contraceptive methods among impoverished women in rural areas. Young women (aged 15-34) with a high parity (three and more), who had secondary education or less, who went to the health facilities, and who lived in Java-Bali were more likely to utilize contraceptive methods. Conclusion: Despite the numerous hurdles to reproductive healthcare, it is critical to focus on methods to improve contraceptive use among poor women in rural areas.
{"title":"DETERMINANTS OF CONTRACEPTIVE USE IN RURAL POOR AREAS: EVIDENCE FROM INDONESIA","authors":"Maria Gayatri","doi":"10.20473/ijph.v18i1.2023.34-46","DOIUrl":"https://doi.org/10.20473/ijph.v18i1.2023.34-46","url":null,"abstract":"Introduction: Meeting the demands of reproductive health among women poses persistent issues, particularly for impoverished and rural women who face impediments to healthcare services. The goal of this study was to explore the factors that influence contraceptive use among poor women in Indonesian rural areas. Methods: This study is a further analysis of Indonesia Demographic and Health Survey 2017. The respondents were 10,199 poor women who lived in rural areas in Indonesia. This quantitative study is analyzed by using logistic regression adjusted for complex sample. Results: The prevalence of modern contraceptive use among respondents was 63.1% consisting of 4.4% traditional users and 58.7% modern contraceptive users. The occupation of the husband and the wish to have no more children were both linked to the usage of contraceptive methods among impoverished women in rural areas. Young women (aged 15-34) with a high parity (three and more), who had secondary education or less, who went to the health facilities, and who lived in Java-Bali were more likely to utilize contraceptive methods. Conclusion: Despite the numerous hurdles to reproductive healthcare, it is critical to focus on methods to improve contraceptive use among poor women in rural areas.","PeriodicalId":33636,"journal":{"name":"The Indonesian Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41894699","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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