Pub Date : 2024-03-27DOI: 10.26553/jikm.2023.14.3.381-392
Siska Yuni Fitria, Suhartini, Ristya Widi, Endah Yani
Throughout the world, almost every day, 800 mothers die due to complications of pregnancy and childbirth, and more than 5 million babies die every year. One factor that can increase the risk of maternal and infant death is Chronic Energy Deficiency (CED) during pregnancy. This research aimed to analyse the determinants of CED factors in pregnant women with modifications to Lawrence Green's and Snehandu B. Kar's theories. This research used an analytical survey with a cross-sectional approach. In August–September 2023, there were 97 cases and 97 controls. The sampling technique was purposive sampling—bivariate analysis used chi-square and multivariate with a logistic regression test. The statistical analysis showed that education, gravida, parity, pregnancy interval, and husband's support have a significant relationship with CED (p<0.05). Meanwhile, age, knowledge, occupation, Antenatal care (ANC) examination, intention to become pregnant, independence in making health decisions, the role of health workers, family and health cadre support, transportation facilities, and ease of obtaining health information were not significant relationships to CED (p>0.05). Multivariate statistical analysis showed primigravida was the most dominant factor (p<0.05). The factors of education, gravida, parity, pregnancy interval, and husband's support were significant relationships with CED in pregnant women. The most dominant factor causing CED is primigravida. We recommend providing optimal FE tablets and educating adolescents about the importance of adolescent nutrition and integrated services in the school environment.
{"title":"Analysis of Determinant Factors of Chronic Energy Deficiency (CED) in Pregnant Women With Modification of Lawrence Green and Snehandu B. Kar’s Theories","authors":"Siska Yuni Fitria, Suhartini, Ristya Widi, Endah Yani","doi":"10.26553/jikm.2023.14.3.381-392","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.3.381-392","url":null,"abstract":"Throughout the world, almost every day, 800 mothers die due to complications of pregnancy and childbirth, and more than 5 million babies die every year. One factor that can increase the risk of maternal and infant death is Chronic Energy Deficiency (CED) during pregnancy. This research aimed to analyse the determinants of CED factors in pregnant women with modifications to Lawrence Green's and Snehandu B. Kar's theories. This research used an analytical survey with a cross-sectional approach. In August–September 2023, there were 97 cases and 97 controls. The sampling technique was purposive sampling—bivariate analysis used chi-square and multivariate with a logistic regression test. The statistical analysis showed that education, gravida, parity, pregnancy interval, and husband's support have a significant relationship with CED (p<0.05). Meanwhile, age, knowledge, occupation, Antenatal care (ANC) examination, intention to become pregnant, independence in making health decisions, the role of health workers, family and health cadre support, transportation facilities, and ease of obtaining health information were not significant relationships to CED (p>0.05). Multivariate statistical analysis showed primigravida was the most dominant factor (p<0.05). The factors of education, gravida, parity, pregnancy interval, and husband's support were significant relationships with CED in pregnant women. The most dominant factor causing CED is primigravida. We recommend providing optimal FE tablets and educating adolescents about the importance of adolescent nutrition and integrated services in the school environment.","PeriodicalId":509256,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374605","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 : 2024-03-27DOI: 10.26553/jikm.2023.14.3.393-407
Agus Sugiharto
Micro, Small, and Medium Enterprises (MSMEs) Cuanki Bakti Mulia is a company engaged in the food industry that produces cuanki in Indonesia. It is at high risk due to the severity and possibility of accidents causing severe injuries. This study aims to identify hazards, assess risks, and control at MSMEs Cuanki Bakti Mulia, Kasemen District, Serang City. The method used is Hazard Identification Risk Assessment and Control (HIRAC). The object of study is the work of MSMEs Cuanki Bakti Mulia, namely all potentially hazardous activities. Data from the company, interviews, direct surveys of production equipment, and machines in the production process were collected for this study. The results of the study showed that many risks were identified. The process of making and rolling meatball dough, and fried dumpling dough had a high risk rating compared to others. In dough making, ingredients in flour that come into direct touch with the breath might irritate the nasal and mouth mucosa and create respiratory problems. In dough rolling, hands are exposed to vibration for a long time, and noise causes hearing loss. Several protection and prevention measures have been taken, mainly to protect workers from workplace accidents and maintain the hygiene of the food produced. The proposed hazard controls are replacing firewood with gas stoves when frying to make tofu and fried dumplings, setting restrictions on workers' working hours, and ensuring adequate rest by reducing working hours. The company needs to provide and equip with Personal Protective Equipment (PPE).
{"title":"Hazard Identification Risk Assessment and Risk Control Measures in Micro, Small, and Medium Enterprises Cuanki in Kasemen District, Serang City","authors":"Agus Sugiharto","doi":"10.26553/jikm.2023.14.3.393-407","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.3.393-407","url":null,"abstract":"Micro, Small, and Medium Enterprises (MSMEs) Cuanki Bakti Mulia is a company engaged in the food industry that produces cuanki in Indonesia. It is at high risk due to the severity and possibility of accidents causing severe injuries. This study aims to identify hazards, assess risks, and control at MSMEs Cuanki Bakti Mulia, Kasemen District, Serang City. The method used is Hazard Identification Risk Assessment and Control (HIRAC). The object of study is the work of MSMEs Cuanki Bakti Mulia, namely all potentially hazardous activities. Data from the company, interviews, direct surveys of production equipment, and machines in the production process were collected for this study. The results of the study showed that many risks were identified. The process of making and rolling meatball dough, and fried dumpling dough had a high risk rating compared to others. In dough making, ingredients in flour that come into direct touch with the breath might irritate the nasal and mouth mucosa and create respiratory problems. In dough rolling, hands are exposed to vibration for a long time, and noise causes hearing loss. Several protection and prevention measures have been taken, mainly to protect workers from workplace accidents and maintain the hygiene of the food produced. The proposed hazard controls are replacing firewood with gas stoves when frying to make tofu and fried dumplings, setting restrictions on workers' working hours, and ensuring adequate rest by reducing working hours. The company needs to provide and equip with Personal Protective Equipment (PPE).","PeriodicalId":509256,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140373650","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 : 2024-03-25DOI: 10.26553/jikm.2023.14.3.349-361
Rifda Amalia Choirunnisa, Ede Surya Darmawan
As one of the strategies to prevent and reduce the spread of COVID-19 since January 2021, the Indonesian Government has implemented a COVID-19 vaccination program. When this research was carried out in the first semester of 2022, the achievement of COVID-19 vaccination target was not yet reach the expected target due to many people were afraid and refused to be vaccinated. The research aims to determine the acceptance and practice of COVID-19 vaccination in rural communities located in Banyumas Regency, Central Java in 2022. This was a cross-sectional study based on electronic survey data distributed to residents (aged ≥ 15 years) of Tunjung Village, Jatilawang Sub-district between May 27, 1 - June 10, 2022. The study sample size was 211 respondents using the quota sampling technique. We used the Health Belief Model (HBM) as the theoretical framework. The research results show that the majority (69%) of respondents stated that they received the COVID-19 vaccination and around 79.6% of those who received it had received the COVID-19 vaccination. Chi-square statistical analysis shows that the variables gender, education, knowledge about COVID-19, knowledge about COVID-19 vaccination, perceived severity of COVID-19, perceived benefits of COVID-19 vaccination, and perceived self-efficacy towards COVID-19 vaccination are related. significantly impact acceptance of COVID-19 vaccination. Perception of self-efficacy towards COVID-19 vaccination is the strongest driving factor for acceptance (POR: 5.45). In the multivariate test, the most dominant variable influencing vaccine acceptance was the variable perception of self-efficacy towards vaccination after controlling for the knowledge variable. A significant relationship was obtained between receipt of COVID-19 vaccination and COVID-19 vaccination practices. It was concluded that acceptance of COVID-19 vaccination is closely related to the level of knowledge and attitudes towards COVID-19 and COVID-19 vaccination, and the higher acceptance encourages the practice of carrying out COVID-19 vaccination. It is recommended that to increase acceptance and practice of Covid vaccination it is necessary to increase the population's knowledge regarding COVID-19 and the COVID-19 vaccine by increasing education and promotion of the COVID-19 vaccination program through electronic media, especially television and social media.
{"title":"Acceptance and Practice to COVID-19 Vaccination Among Rural Population in Indonesia","authors":"Rifda Amalia Choirunnisa, Ede Surya Darmawan","doi":"10.26553/jikm.2023.14.3.349-361","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.3.349-361","url":null,"abstract":"As one of the strategies to prevent and reduce the spread of COVID-19 since January 2021, the Indonesian Government has implemented a COVID-19 vaccination program. When this research was carried out in the first semester of 2022, the achievement of COVID-19 vaccination target was not yet reach the expected target due to many people were afraid and refused to be vaccinated. The research aims to determine the acceptance and practice of COVID-19 vaccination in rural communities located in Banyumas Regency, Central Java in 2022. This was a cross-sectional study based on electronic survey data distributed to residents (aged ≥ 15 years) of Tunjung Village, Jatilawang Sub-district between May 27, 1 - June 10, 2022. The study sample size was 211 respondents using the quota sampling technique. We used the Health Belief Model (HBM) as the theoretical framework. The research results show that the majority (69%) of respondents stated that they received the COVID-19 vaccination and around 79.6% of those who received it had received the COVID-19 vaccination. Chi-square statistical analysis shows that the variables gender, education, knowledge about COVID-19, knowledge about COVID-19 vaccination, perceived severity of COVID-19, perceived benefits of COVID-19 vaccination, and perceived self-efficacy towards COVID-19 vaccination are related. significantly impact acceptance of COVID-19 vaccination. Perception of self-efficacy towards COVID-19 vaccination is the strongest driving factor for acceptance (POR: 5.45). In the multivariate test, the most dominant variable influencing vaccine acceptance was the variable perception of self-efficacy towards vaccination after controlling for the knowledge variable. A significant relationship was obtained between receipt of COVID-19 vaccination and COVID-19 vaccination practices. It was concluded that acceptance of COVID-19 vaccination is closely related to the level of knowledge and attitudes towards COVID-19 and COVID-19 vaccination, and the higher acceptance encourages the practice of carrying out COVID-19 vaccination. It is recommended that to increase acceptance and practice of Covid vaccination it is necessary to increase the population's knowledge regarding COVID-19 and the COVID-19 vaccine by increasing education and promotion of the COVID-19 vaccination program through electronic media, especially television and social media.","PeriodicalId":509256,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140383258","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 : 2024-03-25DOI: 10.26553/jikm.2023.14.3.362-380
Nadia Regita Ayu Cahyani, H. E. Wardani, Lucky Radita Alma
Pneumonia cases in West Java Province 2018 were ranked first as the province with the highest number of cases in Indonesia with a prevalence of 58.80%. About 7-13% of severe pneumonia patients with an increased risk of death in children require intensive care. This study aims to determine the relationship between host and environmental factors on the severity of pneumonia in children under five years. The research method used cross-sectional study design approach. Data analysis techniques used chi-square, fisher's exact, and multiple logistic regression tests. The population in this study was 2,338 children under five years aged 12-59 months in West Java Province for the 2018 period, while the sample consisted of 132 respondents who met the inclusion criteria and were recorded in RISKESDAS 2018. The results showed that there was a significant relationship between host factors and the severity of pneumonia, namely prematurity (aOR= 2.446; 95% CI=1.113-5.376), while environmental factors that have a significant relationship on the severity of pneumonia, namely the habit of opening windows (aOR= 2.963; 95% CI=1.342-6.544). There is no relationship between Low Birth Weight (LBW), home ventilation conditions and lighting intensity. The most dominant factor in the severity of pneumonia is that the habit of opening windows does not meet the risk of 2.9 times higher severity of pneumonia in children under five years. This study concludes a relationship between prematurity and the habit of opening windows on the severity of pneumonia.
{"title":"The Relationship Between Human Host and Environmental Factors on the Severity of Pneumonia Among Under-Five Children in West Java Province","authors":"Nadia Regita Ayu Cahyani, H. E. Wardani, Lucky Radita Alma","doi":"10.26553/jikm.2023.14.3.362-380","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.3.362-380","url":null,"abstract":"Pneumonia cases in West Java Province 2018 were ranked first as the province with the highest number of cases in Indonesia with a prevalence of 58.80%. About 7-13% of severe pneumonia patients with an increased risk of death in children require intensive care. This study aims to determine the relationship between host and environmental factors on the severity of pneumonia in children under five years. The research method used cross-sectional study design approach. Data analysis techniques used chi-square, fisher's exact, and multiple logistic regression tests. The population in this study was 2,338 children under five years aged 12-59 months in West Java Province for the 2018 period, while the sample consisted of 132 respondents who met the inclusion criteria and were recorded in RISKESDAS 2018. The results showed that there was a significant relationship between host factors and the severity of pneumonia, namely prematurity (aOR= 2.446; 95% CI=1.113-5.376), while environmental factors that have a significant relationship on the severity of pneumonia, namely the habit of opening windows (aOR= 2.963; 95% CI=1.342-6.544). There is no relationship between Low Birth Weight (LBW), home ventilation conditions and lighting intensity. The most dominant factor in the severity of pneumonia is that the habit of opening windows does not meet the risk of 2.9 times higher severity of pneumonia in children under five years. This study concludes a relationship between prematurity and the habit of opening windows on the severity of pneumonia.","PeriodicalId":509256,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140384878","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 : 2024-03-21DOI: 10.26553/jikm.2023.14.3.332-348
Demsa Simbolon, Nur Mahdiyah Merly Yanti, Lisma Ningsih
The coverage of exclusive breastfeeding for infants in Indonesia still needs to be higher compared to the national target (80%). Low coverage of exclusive breastfeeding is a risk factor for various nutritional problems in toddlers. The causes of failure of exclusive breastfeeding are multifactorial, including risky pregnancy. This study aims to determine the association of risky pregnancies with the failure of exclusive breastfeeding using national data from the 2017 Indonesian Health Demographic Survey (IDHS) with a cross-sectional design. The study sample that met the criteria was 6,689 mothers with children aged 6-23 months. The independent variable is risky pregnancy (parity, pregnancy spacing, age during pregnancy), and the dependent variable is the failure of exclusive breastfeeding. Data analysis using multivariate logistic regression. The results found that only 26.2% of exclusive breastfeeding practices. Risky pregnancy is associated with the failure of exclusive breastfeeding. Mothers with too much parity risked 1,195 times, mothers with primiparous parity risked 1,716 times, too close birth spacing risked 1,210 times, and too young mothers were 1,267 times more likely not to exclusively breastfeed than mothers who had normal pregnancies after controlling for the area of residence. It is necessary to improve health promotion programs to the public regarding the importance of offering exclusive breastfeeding to infants and improving fertility characteristics.
{"title":"History of Risky Pregnancies and Failure of Exclusive Breastfeeding in Indonesia","authors":"Demsa Simbolon, Nur Mahdiyah Merly Yanti, Lisma Ningsih","doi":"10.26553/jikm.2023.14.3.332-348","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.3.332-348","url":null,"abstract":"The coverage of exclusive breastfeeding for infants in Indonesia still needs to be higher compared to the national target (80%). Low coverage of exclusive breastfeeding is a risk factor for various nutritional problems in toddlers. The causes of failure of exclusive breastfeeding are multifactorial, including risky pregnancy. This study aims to determine the association of risky pregnancies with the failure of exclusive breastfeeding using national data from the 2017 Indonesian Health Demographic Survey (IDHS) with a cross-sectional design. The study sample that met the criteria was 6,689 mothers with children aged 6-23 months. The independent variable is risky pregnancy (parity, pregnancy spacing, age during pregnancy), and the dependent variable is the failure of exclusive breastfeeding. Data analysis using multivariate logistic regression. The results found that only 26.2% of exclusive breastfeeding practices. Risky pregnancy is associated with the failure of exclusive breastfeeding. Mothers with too much parity risked 1,195 times, mothers with primiparous parity risked 1,716 times, too close birth spacing risked 1,210 times, and too young mothers were 1,267 times more likely not to exclusively breastfeed than mothers who had normal pregnancies after controlling for the area of residence. It is necessary to improve health promotion programs to the public regarding the importance of offering exclusive breastfeeding to infants and improving fertility characteristics.","PeriodicalId":509256,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387717","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 : 2024-03-06DOI: 10.33221/jikm.v13i02.2709
Sri Indriyani, Kusharisupeni Kusharisupeni, Asyifa Robiatul Adawiyah
Anemia merupakan masalah kesehatan berkaitan dengan gizi yang banyak dijumpai pada usia remaja. Remaja putri mengalami menstruasi yang terjadi setiap bulan sehingga remaja putri beresiko mengalami anemia sepuluh kali lebih besar dibandingkan remaja putra. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan ibu, pengetahuan tentang gizi seimbang, IMT, LILA dan asupan suplemen zat besi dengan anemia pada remaja putri kelas X di wilayah Puskesmas Sukawali Kabupaten Tangerang tahun 2023. Pendekatan penelitian yang digunakan penelitian kuantitatif dengan rancang penelitian cross sectional. Populasi dalam penelitian ini adalah seluruh siswi kelas X di 5 (lima) sekolah yang ada di wilayah Puskesmas Sukawali tahun 2023 berjumlah 113 responden yang seluruhnya dijadikan sampel penelitian. Analisis data menggunakan regresi logistik. Hasil analisis dengan uji regresi logistik disimpulkan bahwa variabel dominan adalah asupan suplemen zat besi (OR = 56,639). Variabel asupan suplemen zat besi dan pengetahuan gizi seimbang mempunyai hubungan dengan kejadian anemia setelah dikontrol oleh pendidikan ibu (OR = 3,216), LILA (OR = 2,249), dan IMT/U (OR = 0,673). Variabel pendidikan ibu, LILA, dan IMT/U merupakan variabel confounding yang mempengaruhi hubungan variabel pengetahuan gizi seimbang dan asupan suplemen zat besi dengan kejadian anemia. Anemia pada remaja putri ditentukan oleh banyak faktor sehingga diperlukan peran orang tua, sekolah dan pihak Puskesmas Sukawali dalam pencegahan anemia.
{"title":"Determinan Anemia pada Remaja Putri","authors":"Sri Indriyani, Kusharisupeni Kusharisupeni, Asyifa Robiatul Adawiyah","doi":"10.33221/jikm.v13i02.2709","DOIUrl":"https://doi.org/10.33221/jikm.v13i02.2709","url":null,"abstract":"Anemia merupakan masalah kesehatan berkaitan dengan gizi yang banyak dijumpai pada usia remaja. Remaja putri mengalami menstruasi yang terjadi setiap bulan sehingga remaja putri beresiko mengalami anemia sepuluh kali lebih besar dibandingkan remaja putra. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan ibu, pengetahuan tentang gizi seimbang, IMT, LILA dan asupan suplemen zat besi dengan anemia pada remaja putri kelas X di wilayah Puskesmas Sukawali Kabupaten Tangerang tahun 2023. Pendekatan penelitian yang digunakan penelitian kuantitatif dengan rancang penelitian cross sectional. Populasi dalam penelitian ini adalah seluruh siswi kelas X di 5 (lima) sekolah yang ada di wilayah Puskesmas Sukawali tahun 2023 berjumlah 113 responden yang seluruhnya dijadikan sampel penelitian. Analisis data menggunakan regresi logistik. Hasil analisis dengan uji regresi logistik disimpulkan bahwa variabel dominan adalah asupan suplemen zat besi (OR = 56,639). Variabel asupan suplemen zat besi dan pengetahuan gizi seimbang mempunyai hubungan dengan kejadian anemia setelah dikontrol oleh pendidikan ibu (OR = 3,216), LILA (OR = 2,249), dan IMT/U (OR = 0,673). Variabel pendidikan ibu, LILA, dan IMT/U merupakan variabel confounding yang mempengaruhi hubungan variabel pengetahuan gizi seimbang dan asupan suplemen zat besi dengan kejadian anemia. Anemia pada remaja putri ditentukan oleh banyak faktor sehingga diperlukan peran orang tua, sekolah dan pihak Puskesmas Sukawali dalam pencegahan anemia.","PeriodicalId":509256,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140262688","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 : 2024-03-06DOI: 10.33221/jikm.v13i02.2649
Henny Hanna, Tatik Nuryanti
Perkembangan ilmu pengetahuan dan teknologi (IPTEK) saat ini berlangsung sangat pesat dan semakin canggih. Salah satu teknologi yang berkembang pesat penggunaannya sebagai alat komunikasi adalah gadget. Penggunaan gadget yang tidak terkontrol dapat berpengaruh terhadap tumbuh kembang anak. Penelitian ini bertujuan mengetahui hubungan gangguan perkembangan anak akibat penggunaan gadget di Klinik Tumbuh Kembang RSIA Bunda Aliyah. Penelitian ini dirancang sebagai penelitian Observasional deskriptif dengan metode kualitatif dan kuantitatif melalui survei cross sectional. Populasi pada penelitian ini adalah semua pasien di Klinik Rehab Medik RSIA Bunda Aliyah Jakarta Timur dengan jumlah sampel 180 responden. Uji statistik yang digunakan untuk penelitian ini adalah analisis deskriptif dan korelasi regresi. Hasil analisis bivariat menunjukkan bahwa penggunaan gadget berhubungan signifikan dengangangguan perkembangan perilaku fokus (nilai p = 0,004), gangguan bicara (nilai p = -0,001), gangguan sosialisasi (nilai p = 0,005), gangguan komunikasi (nilai p = 0,036), dan gangguan belajar (nilai p = -0,027). Sedangkan variabel tantrum (nilai p = 0,058) menunjukan tidak ada hubungan yang signifikan antara durasi penggunaan gadget terhadap tantrum pada anak. Hasil analisis multivariat menunjukkan bahwa variabel yang memiliki hubungan yang bermakna dengan durasi penggunaan gadget adalah gangguan fokus (nilai p = 0,001), gangguan bicara (nilai p = 0,017) dan gangguan sosialisasi (nilai p = 0,001). Variabel yang paling dominan adalah gangguan sosialisasi dengan nilai Exp (B) 3,374 artinya anak yang penggunaan gadget dengan durasi yang lama maka memiliki peluang yang lebih tinggi untuk mengalami gangguan sosialisasi.
{"title":"Hubungan Gadget terhadap Gangguan Perkembangan pada Anak","authors":"Henny Hanna, Tatik Nuryanti","doi":"10.33221/jikm.v13i02.2649","DOIUrl":"https://doi.org/10.33221/jikm.v13i02.2649","url":null,"abstract":"Perkembangan ilmu pengetahuan dan teknologi (IPTEK) saat ini berlangsung sangat pesat dan semakin canggih. Salah satu teknologi yang berkembang pesat penggunaannya sebagai alat komunikasi adalah gadget. Penggunaan gadget yang tidak terkontrol dapat berpengaruh terhadap tumbuh kembang anak. Penelitian ini bertujuan mengetahui hubungan gangguan perkembangan anak akibat penggunaan gadget di Klinik Tumbuh Kembang RSIA Bunda Aliyah. Penelitian ini dirancang sebagai penelitian Observasional deskriptif dengan metode kualitatif dan kuantitatif melalui survei cross sectional. Populasi pada penelitian ini adalah semua pasien di Klinik Rehab Medik RSIA Bunda Aliyah Jakarta Timur dengan jumlah sampel 180 responden. Uji statistik yang digunakan untuk penelitian ini adalah analisis deskriptif dan korelasi regresi. Hasil analisis bivariat menunjukkan bahwa penggunaan gadget berhubungan signifikan dengangangguan perkembangan perilaku fokus (nilai p = 0,004), gangguan bicara (nilai p = -0,001), gangguan sosialisasi (nilai p = 0,005), gangguan komunikasi (nilai p = 0,036), dan gangguan belajar (nilai p = -0,027). Sedangkan variabel tantrum (nilai p = 0,058) menunjukan tidak ada hubungan yang signifikan antara durasi penggunaan gadget terhadap tantrum pada anak. Hasil analisis multivariat menunjukkan bahwa variabel yang memiliki hubungan yang bermakna dengan durasi penggunaan gadget adalah gangguan fokus (nilai p = 0,001), gangguan bicara (nilai p = 0,017) dan gangguan sosialisasi (nilai p = 0,001). Variabel yang paling dominan adalah gangguan sosialisasi dengan nilai Exp (B) 3,374 artinya anak yang penggunaan gadget dengan durasi yang lama maka memiliki peluang yang lebih tinggi untuk mengalami gangguan sosialisasi.","PeriodicalId":509256,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260946","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 : 2024-03-06DOI: 10.33221/jikm.v13i02.3012
N. Nina, Istiana Kusumastuti, Ratu Alfiah
Anak obesitas memiliki risiko 10,25 kali lebih besar mempunyai kadar gula darah tinggi dibandingkan anak dengan status gizi normal, diketahui rata-rata konsumsi gula pada anak usai 5-12 tahun adalah 16,85 gula/orang/hari yang didapatkan dari asupan seperti gula pasir, gula merah, selai, permen, sirup, coklat, jelly/gelatin, madu dan pemanis. Penelitian ini menggunakan eksperimen semu yang bertujuan untuk mengetahui efektivitas media edukasi “Tangga Manis” terhadap perilaku pencegahan diabetes melitus Tipe 2 pada anak usia sekolah di wilayah kerja Puskesmas Kecamatan Tapos dengan pendekatan rancangan desain one group pretest-posttest design dengan sampel penelitian berjumlah 30 orang anak di wilayah kerja Puskesmas Kecamatan Tapos-Depok. Berdasarkan hasil penelitian diketahui bahwa nilai mean selisih antara mean pretest dengan mean posttest pada output pertama yaitu 38.0000-61.3333 = -23.33333 selisih perbedaan tersebut antara -27.04587 sampai dengan -19.62079, dengan nilai signifikansi pada ouput ke 3 sebesar 0,000, maka dapat disimpulkan bahwa terdapat perbedaan antara hasil pretest anak anak sebelum dan sesudah diberikan pendidikan kesehatan menggunakan media edukasi “Tangga Manis”. Media edukasi “Tangga Manis” dapat menjadi alternatif alat bantu sederhana dan dapat diterima untuk edukasi perilaku pencegahan DM tipe 2 dimana komputer atau alat pengajaran berteknologi tinggi lainnya belum tersedia.
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Pub Date : 2024-03-06DOI: 10.33221/jikm.v13i02.2742
Onna Nurul Fitria Diah Ambar Rahayu
Kondisi rumah tidak memenuhi syarat rumah sehat dapat menimbulkan berbagai penyakit. Tuberkulosis adalah salah satu penyakit yang dapat disebabkan faktor lingkungan rumah. Kecamatan Pabean Cantian Surabaya adalah wilayah yang memiliki penemuan kasus baru tertinggi di Surabaya. Tujuan penelitian ini adalah untuk mengetahui Mycobacterium tuberculosis udara, kepadatan hunian dan kualitas fisik rumah apakah memiliki faktor risiko terjadinya tuberkulosis paru pada penderita TB di Kecamata Pabean Cantian. Kualitas fisik rumah yang dinilai meliputi jenis lantai, pencahayaan dan kelembapan ruang kamar tidur penderita. Penelitian menggunakan analisa kuantitatif deskriptif dengan rancangan case kontrol study perbandingan 1:2. Kelompok kasus adalah penderita TB paru BTA positif pengobatan 2-5 bulan sebanyak 4 responden dan kelompok kontrol adalah penderita TB BTA negative pengobatan 2-5 bulan sebanyak 8 responden. Pengumpulan data dengan instrumen lembar observasi, pengambilan sampel udara menggunakan alat MASS untuk mengetahui bakteri Mycobacterium tuberculosis di udara ruang kamar ridur, thermohygrometer, lux meter dan meteran. Hasil penelitian menunjukkan Mycobacterium tuberculosis udara ruang (OR = 1,8), kepadatan hunian ruang (OR = 1,8), pencahayaan (OR = 1,8), kelembapan (OR = 1,8) dan jenis lantai (OR = 2,3) merupakan faktor risiko terjadinya TB paru. Seluruh variabel bebas menjadi faktor risiko terjadinya TB paru, dimana jenis lantai yang tidak memenuhi syarat menjadi faktor risiko tertinggi terjadinya TB paru. Sehingga perlu adanya peningkatan kesadaran pentingnya lingkungan rumah yang memenuhi syarat kesehatan.
{"title":"Faktor Risiko Mycobacterium Tuberculosis, Kepadatan Hunian dan Kualitas Fisik Rumah Penderita TB Paru","authors":"Onna Nurul Fitria Diah Ambar Rahayu","doi":"10.33221/jikm.v13i02.2742","DOIUrl":"https://doi.org/10.33221/jikm.v13i02.2742","url":null,"abstract":"Kondisi rumah tidak memenuhi syarat rumah sehat dapat menimbulkan berbagai penyakit. Tuberkulosis adalah salah satu penyakit yang dapat disebabkan faktor lingkungan rumah. Kecamatan Pabean Cantian Surabaya adalah wilayah yang memiliki penemuan kasus baru tertinggi di Surabaya. Tujuan penelitian ini adalah untuk mengetahui Mycobacterium tuberculosis udara, kepadatan hunian dan kualitas fisik rumah apakah memiliki faktor risiko terjadinya tuberkulosis paru pada penderita TB di Kecamata Pabean Cantian. Kualitas fisik rumah yang dinilai meliputi jenis lantai, pencahayaan dan kelembapan ruang kamar tidur penderita. Penelitian menggunakan analisa kuantitatif deskriptif dengan rancangan case kontrol study perbandingan 1:2. Kelompok kasus adalah penderita TB paru BTA positif pengobatan 2-5 bulan sebanyak 4 responden dan kelompok kontrol adalah penderita TB BTA negative pengobatan 2-5 bulan sebanyak 8 responden. Pengumpulan data dengan instrumen lembar observasi, pengambilan sampel udara menggunakan alat MASS untuk mengetahui bakteri Mycobacterium tuberculosis di udara ruang kamar ridur, thermohygrometer, lux meter dan meteran. Hasil penelitian menunjukkan Mycobacterium tuberculosis udara ruang (OR = 1,8), kepadatan hunian ruang (OR = 1,8), pencahayaan (OR = 1,8), kelembapan (OR = 1,8) dan jenis lantai (OR = 2,3) merupakan faktor risiko terjadinya TB paru. Seluruh variabel bebas menjadi faktor risiko terjadinya TB paru, dimana jenis lantai yang tidak memenuhi syarat menjadi faktor risiko tertinggi terjadinya TB paru. Sehingga perlu adanya peningkatan kesadaran pentingnya lingkungan rumah yang memenuhi syarat kesehatan.","PeriodicalId":509256,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140261979","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 : 2024-01-18DOI: 10.26553/jikm.2023.14.3.319-322
Fenny Etrawati, Yeni Yeni, Widya Lionita, Annisa Rahmawaty, D. N. Fajarningtiyas
Sexual activity among adolescents is increasingly alarming; the results of a national survey identified about 4.5% of teenage boys and 0.7% of teenage girls have had sexual intercourse that triggers unwanted pregnancies. This study analyzed the influence of risky sexual behavior factors in adolescents on the incidence of unwanted pregnancy. This research is a secondary data analysis sourced from Indonesian Demographic and Health Survey (IDHS) data in 2017 using a cross-sectional design. The study sampled 15-24-year-olds who had sexual intercourse with as many as 1532 people. Data were analyzed univariately while bivariate analysis using Chi-Square test and multivariate analysis with logistic regression test of the risk factor model. The results showed unwanted pregnancy occurred in 8.6% of adolescents who had a history of having sexual intercourse. In addition, it will be 4.5 times greater risk of unwanted pregnancy occurred in adolescents who performed risky behaviors such as fingering and stimulating each other after being controlled by variable confounding age and age when first having sex (PR = 4.570). Therefore, equal access to reproductive health education is needed both in educational institutions and in the community as an effort to prevent unwanted pregnancy.
{"title":"Sexual Risk Behavior and its Impact on Unwanted Pregnancy Among Adolescents","authors":"Fenny Etrawati, Yeni Yeni, Widya Lionita, Annisa Rahmawaty, D. N. Fajarningtiyas","doi":"10.26553/jikm.2023.14.3.319-322","DOIUrl":"https://doi.org/10.26553/jikm.2023.14.3.319-322","url":null,"abstract":"Sexual activity among adolescents is increasingly alarming; the results of a national survey identified about 4.5% of teenage boys and 0.7% of teenage girls have had sexual intercourse that triggers unwanted pregnancies. This study analyzed the influence of risky sexual behavior factors in adolescents on the incidence of unwanted pregnancy. This research is a secondary data analysis sourced from Indonesian Demographic and Health Survey (IDHS) data in 2017 using a cross-sectional design. The study sampled 15-24-year-olds who had sexual intercourse with as many as 1532 people. Data were analyzed univariately while bivariate analysis using Chi-Square test and multivariate analysis with logistic regression test of the risk factor model. The results showed unwanted pregnancy occurred in 8.6% of adolescents who had a history of having sexual intercourse. In addition, it will be 4.5 times greater risk of unwanted pregnancy occurred in adolescents who performed risky behaviors such as fingering and stimulating each other after being controlled by variable confounding age and age when first having sex (PR = 4.570). Therefore, equal access to reproductive health education is needed both in educational institutions and in the community as an effort to prevent unwanted pregnancy.","PeriodicalId":509256,"journal":{"name":"Jurnal Ilmu Kesehatan Masyarakat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140504097","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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