e-Journal Badan Penelitian dan Pengembangan Kesehatan / National Institute of Health Research and Development
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STUDI KASUS KESEHATAN MATERNAL SUKU MUYU DI DISTRIK MINDIPTANA, KABUPATEN BOVEN DIGOEL
No full textBackground: Maternal health problems are often closely related to local specific cultural customs. In the formulation of a policy, the local context is often overlooked in decision making that is often applied generically the same for the whole region. Objective: To describe maternal health behavior in related with local wisdom and tradition Methods: This research is a descriptive qualitative research by using ethnographic approach in the Muyu ethnic-group in Mindiptana District, Boven Digoel. In this research, researchers lived and mingled with Muyu ethnic-group for 60 days (May-June 2014). In the ethnographic research researcher is the main instrument. Result: Muyu has a strong belief related with dirty atmosphere which come from maternity and menstruation. This dirty environment could be weakening, or even could loss the power of male Muyu. Its urged community to isolate every Muyu women who will had childbirth. It’s also strongly supported with customary for noncompliance. Conclutions:, Muyu belief women should be isolated during the time of giving birth.. Iptèm is the dirty blood of women in labor.This exile is an obligation that must be run, which is reinforced with a fine if it does not comply. Muyu communities’ belief about ìptèm on labor embodied into "home delivery is not in the house" is an opportunity that must be arrested. This should be used to shift the pattern of labor "is not in the house of origin" to deliver in health facilities by health personnel.
Trigliserida sebagai Faktor Prognosis untuk Hipertensi Tidak Terkendali pada Wanita Pasca Menopause di Kota Bogor, Tahun 2014
No full textAbstractFurther analysis aimed to determine the new cut-off correlation between blood triglyceride levels withuncontrolled hypertension among 888 postmenopausal women from two-year follow up of the cohort studyin Bogor. Uncontrolled hypertension was defined as the average of systolic and diastolic are >140mmHgand >90mmHg consecutively with no underlying diseases and systolic is >130mmHg with co-morbidityat the end of 2-year follow up. The covariate variables included demography, behavior and biologicalfactors. The new triglyceride’s cut off was determined by ROC curve with 65% sensitivity and 68%specificity. Data were analyzed with multiple logistic regression. Blood triglyceride level significantlycorrelated with uncontrolled hypertension (p=0.007) after adjusted with LDL, postprandial blood sugarand sodium intake. Triglyceride levels of 108-149mg/dl resulted in OR of 1.54 (95% CI 0.95 to 2.48),150-199mg/dl showed OR of 2.04 (95% CI 1.06 to 3.93) and level of >200 indicated an OR 2.1 (95% CI1.02 to 4.30) compared to normal level (<108mg/dl). Triglyceride level of 108mg/dl is a new cut-off todetermine uncontrolled hypertension in postmenopausal women in the study area. Blood triglyceride’slevel can be used as a prognostic factor for hypertensive patients to monitor blood pressure increment.Key words: triglycerides, uncontrolled hypertension, postmenopause. AbstrakAnalisis lanjut bertujuan untuk menentukan cut off baru kadar trigliserida dan hubungan trigliserida denganhipertensi tidak terkendali pada wanita paska menopause di 5 Kelurahan Kota Bogor tahun 2014. Analisislanjut data wanita pasca menopause dengan hipertensi 888 orang, merupakan bagian dari data penelitian“Studi Kohor Faktor Risiko Penyakit Tidak Menular” selama periode pengamatan 2 tahun (2011-2013dan 2012-2014). Data dikumpulkan dengan metode wawancara, pengukuran dan pemeriksaan. Hipertensitidak terkendali jika rata-rata tekanan darah sistolik > 140 mmHg dan diastolik > 90 mmHg tanpa penyakitlain dan sistolik < 130 mmHg dengan komorbiditas penyakit pada akhir follow up 2 tahun. Trigliseridadarah merupakan hasil pemeriksaan laboratorium. Variabel kovariat meliputi faktor demografi, perilakudan biologis. Penentuan cut off trigliserida baru dengan kurva ROC dengan sensitifitas 65% dan spesifitas68%. Data dianalisis dengan uji regresi logistik ganda. Kadar trigliserida dalam darah berhubunganbermakna dengan hipertensi tidak terkendali pada p=0,007 setelah mengendalikan faktor kolesterol LDL,gula darah postpandrial dan asupan natrium. Kadar trigliserida 108-149 mg/dl menunjukkan OR 1,54(95% CI 0,95 – 2,48), kadar 150-199 mg/dl memperlihatkan OR 2,04 (95% CI 1,06 – 3,93) dan kadar≥200 menunjukkan OR 2,1 (95% CI 1,02 – 4,30) dibandingkan dengan kadar normal (<108 mg/dl).Kadar trigliserida 108 mg/dl merupakan cut off baru untuk menentukan hipertensi tidak terkendali padawanita paska menopause. Kadar trigliserida dapat dimanfaatkan sebagai faktor prognosis bagi penderitahipertensi untuk pemantauan peningkatan tekanan darah.Kata kunci: trigliserida, hipertensi tidak terkendali, paska menopaus
Determinan Gejala Mental Emosional Pelajar SMP-SMA di Indonesia Tahun 2015
No full textAbstractMental emotional disorders are not expected to develop into a more serious if prompt treatment is done.Early adolescence is a time of psychological change. An analysis of secondary data from the GlobalSchool-Based Student Health Survey (GSHS) 2015 was conducted to investigate the determinants ofmental emotional symptom state among adolescent students. Mental emotional symptom is measuredfrom the available data, that the symptoms experienced by students in the form of a lonely, worried,or want to commit suicides. Multivariate analysis was done by logistic regression. Analysis wasperformed on the complete data for all relevant variables of 8.477 samples. The results showed thatthe factors are age≥ = 16 years and students who experience abuse either from friends or a form ofcondescension by parents at risk of > 2 times who developed mental emotional disorders. The roleof parents and friends are very important in influencing the emotional mental students. Necessaryassistance, both by parents and schools through a peer group of students with productive activitiescan overcome the problemsKeywords: mental emotional symptoms, students, GSHS, 2015 AbstrakGangguan mental emosional diharapkan tidak berkembang menjadi lebih serius jika dilakukanpengobatan sedini mungkin. Masa remaja awal adalah masa perubahan psikologis. Tujuan penelitianuntuk mengetahui determinan gejala mental emosional pelajar dari data sekunder dengan GlobalSchool-Based Student Health Survey (GSHS) tahun 2015. Sampel penelitian adalah pelajar. Gejalamental emosional diukur dari data yang tersedia, yaitu gejala yang dialami: kesepian, khawatir, atauingin bunuh diri. Analisis berupa multivariat regresi logistik ganda model prediksi dari semua variabelyang relevan dari 8.477 sampel. Hasil penelitian menunjukkan faktor usia16 tahun ke atas sertapelajar yang mengalami pelecehan baik dari teman ataupun berupa sikap merendahkan oleh orangtuamempunyai risiko >2 kali mengalami gejala mental emosional. Peran orangtua dan pertemanansangat penting dalam mempengaruhi mental emosional pelajar. Diperlukan pendampingan, baik olehorang tua dan sekolah serta dikembangkan peer group pelajar yang berisi kegiatan produktif akandapat mengatasi masalahnya.Kata kunci: gejala mental emosional, pelajar, GSHS, 2015
PARTISIPASI MASYARAKAT DALAM PENGENDALIAN DEMAMBERDARAH DENGUE (DBD) DI KELURAHAN BATURAJA LAMA DAN SEKAR JAYA, KECAMATAN BATURAJA TIMUR, KABUPATEN OGAN KOMERING ULU (OKU), PROVINSI SUMATERA SELATAN
No full textABSTRACT Ogan Komering Ulu (OKU) District is one of dengue endemic areas in South Sumatera Province. One of the effort to prevent the occurrence of DHF transmission is by controlling mosquito vectors at the larval level. The use of insecticides in the control of DHF vectors, in addition to causing resistance, can also adversely affect the environmental health. Currently, DBD vector control in OKU District is done biologically (biological control), that is by using larvae-eating fish. This study was conducted to determine the level of community participation in the control of dengue vectors using larvae-eating fish. The research location was in Baturaja Lama and Sekarjaya village. The population was all households in both urban villages. The number of samples was determined by reference to the WHO provisions on the minimum standard of DBD entomology survey sample that is 100 houses, the number of household samples that were obtained was 217 chosen by purposive method. The result of index calculation of larvae showed the number of HI in Baturaja Lama village was 42,1% and Sekar Jaya village was 48,2%. CI figures in the Baturaja Lama village was 19.2% and Sekar Jaya village was 16.2%. BI figures in Baturaja Lama village was 51.4% and Sekar Jaya village was 75.5%. Fishing behavior showed significant correlation to larva existence, but the percentage of households maintaining fish in the two sub-districts was low, less than 10%. It is necessary to increase the community's knowledge about the benefits and potential development of larvae-eating fish species in the effort of controlling DHF. Keywords: OKU District, DHF, larvae-eating fish, community participation ABSTRAK Kabupaten Ogan Komering Ulu (OKU) merupakan salah satu wilayah endemis DBD di Provinsi Sumatera Selatan. Salah satu upaya untuk mencegah terjadinya penularan DBD adalah dengan melakukan pengendalian vektor nyamuk pada tingkat larva. Penggunaan insektisida dalam pengendalian vektor DBD, selain dapat menimbulkan resistensi, juga dapat berdampak buruk terhadap kesehatan lingkungan. Saat ini pengendalian vektor DBD di Kabupaten OKU, dilakukan secara hayati (biological control), yaitu dengan menggunakan ikan pemakan larva. Penelitian ini dilakukan untuk mengetahui tingkat partisipasi masyarakat dalam pengendalian vektor DBD menggunakan ikan pemakan larva. Lokasi penelitian berada di Kelurahan Baturaja Lama dan Kelurahan Sekarjaya. Populasi adalah seluruh rumah tangga di kedua kelurahan tersebut. Jumlah sampel ditentukan dengan mengacu pada ketentuan WHO mengenai standar minimal sampel survei entomologi DBD yaitu 100 rumah. Jumlah sampel rumah tangga yang berhasil didapatkan sebanyak 217 yang dipilih dengan cara purposive. Hasil perhitungan indeks jentik menunjukkan angka HI di Kelurahan Baturaja Lama sebesar 42,1% dan di Kelurahan Sekar Jaya sebesar 48,2%. Angka CI di Kelurahan Baturaja Lama sebesar 19,2% dan Sekar Jaya sebesar 16,2%. Angka BI di Kelurahan Baturaja Lama sebesar 51,4% dan Sekar Jaya sebesar 75,5%. Analisis statistik terhadap perilaku memelihara ikan menunjukkan hubungan bermakna terhadap keberadaan jentik, namun persentase jumlah rumah tangga yang memelihara ikan pada kedua kelurahan masih tergolong rendah yakni kurang dari 10%. Perlu dilakukan peningkatan pengetahuan masyarakat mengenai manfaat dan pengembangan potensi jenis ikan pemakan jentik dalam upaya pengendalian DBD. Kata kunci: Kabupaten OKU, DBD, ikan pemakan larva, partisipasi masyaraka
HUBUNGAN SARAPAN DAN SOSIAL BUDAYA DENGAN STATUS GIZI ANAK SD PULAU SEMAU KABUPATEN KUPANG (RELATIONSHIP BREAKFAST AND SOCIO-CULTURAL WITH NUTRITIONAL STATUS OF CHILDREN ELEMENTARY SCHOOL IN SEMAU ISLAND KUPANG REGENCY)
No full textNutritional problems in students are the low energy intake at breakfast. East Nusa Tenggara Province the highest prevalence of under weight of 7,8 pencent in children aged 5-12 years. The study purposes were analyzed the breakfast energy contribution and nutrition socio-cultural to the nutritional status of elementary school students in remote areas of Semau Island. This was observational analytic study used cross sectional design. The subjects were fifth grade of elementary school students in Semau Island Kupang Regency. Subject was taken used random clusters about 112 children. Data were analyzed with chi square test and ordinal regression multivariates. There is relationship of breakfast energy contribution and nutritional status (p = 0.043), there is not relationship of breakfast protein contribution and nutritional status (p=0.918), there is not relationship of eating habits to the nutritional status (p=0.405) there is not relationship of eating refrain and nutritional status (p=0.903), there is not relationship of appetite and nutritional status (p=0,614), there is not relationship of nutrition knowledge and nutritional status (p=0.417), there is not relationship of tribes to the nutritional status (p=0.522). Kupang for district health office, the need to conduct feeding breakfast to be a form of primary school students in Semau Island of Kupang Regency. Masalah gizi pada anak sekolah adalah rendahnya asupan energi pada sarapan pagi. Sarapan pagi anak sekolah sangatlah penting kerena dapat meningkatkan konsentrasi belajar dan stamina. Provinsi Nusa Tenggara Timur adalah daerah dengan prevalensi kurus ( IMT/U) tertinggi (7,8 %) pada anak usia 5-12 tahun. Tujuan penelitian ini untuk menganalisis sumbangan energi sarapan pagi dan sosial budaya gizi dengan status gizi anak SD di daerah terpencil di Pulau Semau. Penelitian ini adalah observasional analitik dengan rancangan potong lintang. Subjek penelitian adalah anak kelas 5 SD di Pulau Semau Kabupaten Kupang. Subjek di ambil dengan menggunakan proporsional random sampling sebanyak 112 anak. Data diperoleh melalui wawancara, pengisian kuesioner dan pengukuran antropometri. Data dianalisis dengan uji chi square dan multivariate regresi ordinal. Hasil menunjukkan ada hubungan sumbangan energi sarapan pagi dan status gizi (p=0,043). Tidak ada hubungan antara asupan protein (p=0,918), kebiasaan makan (p=0,405), pantangan makan (p=0,903), selera makan (p=0,614), pengetahuan gizi (p=0,417), dan suku (0,552) dengan status gizi. Bagi Dinas Kesehatan Kabupaten Kupang perlu mengadakan program pemberian makanan tambahan berupa sarapan pagi bagi anak sekolah dasar di Pulau Semau
Hubungan Gangguan Mental Emosional dengan Hipertensi pada Penduduk Indonesia
No full textHypertension is often associated with psychological stress for its sufferer. The aims of this analysiswere to undertake how many people with mental emotional disorder have hypertension and to assessassociation between mental emotional disorder with hypertension besides other characteristics. Thedata were taken from National Basic Health Research 2013.The samples were 651.200 people 18 yearsold and above.The samples were identified have hypertension by measurement using digital bloodpressure monitor or consume anti hypertension medicine routinely. Stress or mental emotional disorderwas assessed by self-reporting questionnaire (SRQ). Samples were categorized have mental emotionaldisorder if they answered “yes” for ≥ six questions of SRQ. The data were analyzed using SPSS version 21with complex sample method. The association among variables was assessed by bivariate, multivariatewith significance p < 0.05.The percentage of mental emotional people who had hypertension was 34.4%.The main factors associated with hypertension were age ≥ 65 years old (ORadj7,58;95%CI7,29-7,87),35-64years old (ORadj 3,06;95%CI2,98-3,15) divorced (ORadj1,85;95%CI 1,77 1,95), unemployed(ORadj1,22 ;95%CI1,18-1,26), mental emotional (ORadj 1.10; 95% CI 1,06-1,15) .In this study, mentalemotional disorder had weak association with hypertension. Intervention program for hypertensioncontrol is better directed to old people and people with divorced status of marriage.Keywords: hypertension, mental emotional disorders, National Basic Health Research 2013. AbstrakHipertensi banyak dihubungkan dengan stres psikologis yang dialami penderitanya. Tujuan analisis ini adalah untuk mengetahui berapa banyak penduduk yang mengalami gangguan mental emosional dengan hipertensi serta berapa besar hubungan antara gangguan mental emosional dengan hipertensi diantara faktor sosiodemografi lainnya. Sampel diperoleh dari data Riset Kesehatan Dasar(Riskesdas) 2013. Sampel berumur ≥ 18 tahun keatas sebanyak 651.200 orang. Hipertensi dinilai dengan pengukuran tekanan darah menggunakan tensimeter digital dan pengakuan mengonsumsi obat antihipertensi secara rutin. Stres atau gangguan mental emosional (GME) dinilai dengan kuesioner self reporting questionnaire yang terdiri dari 20 butir pertanyaan. Apabila menjawab “ya” minimal 6 butir pertanyaan, responden dinyatakan mengalami GME. Data dianalisis dengan program SPSS versi 21 dengan metode complex sample. Hubungan variabel dinilai dengan analisis bivariat dan multivariat dengan kemaknaan p< 0,05. Persentase penduduk dengan ganguan mental emosional yang mengalami hipertensi 34,4%. Faktor –faktor terbesar yang berhubungan dengan hipertensi adalah umur ≥ 65 tahun (ORsuaian 7,58;95%CI 7,29-7,87),umur 35-–64 tahun (ORsuaian3,06;95%CI 2,98-3,15) status bercerai (ORsuaian1,85 ;95% CI 1,77-1,95), tidak bekerja (ORsuaian1,22 ;95%CI1,18–1,26), gangguan mental emosional (ORsuaian1,10; 95% CI 1,06–1,15). Gangguan mental emosional memiliki hubungan yang tidak terlalu besar terhadap hipertensi pada penelitian ini. Intervensi program hipertensi akan lebih baik ditujukan untuk orang berusia lanjut dan status perkawinan bercerai.Kata kunci: hipertensi, gangguan mental emosional, Riskesdas 201