Journal of Epidemiology and Public Health (JEPH)
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Sanitation-Related Behavior, Container Index, and Their Associations with Dengue Hemorrhagic Fever Incidence in Karanganyar, Central Java
Get PDFBackground: Dengue Hemorrhagic Fever (DHF) causes not only epidemic but also social and economic impacts. Environmental sanitation, water reservoirs, and community behavior can influence the incidence of DHF. This study aimed to examine sanitation-related behavior, container index, and their associations with dengue hemorrhagic fever incidence.Subjects and Method: This was an analytic observational field study using case control design. The study was conducted in sub-districts with the highest and lowest DHF cases in Karanganyar, Central Java, from May to July, 2017. A total sample of 120 study subjects was selected for this study using fixed disease sampling, including 40 people with DHF and 80 people without DHF. The dependent variable was DHF. The independent variables were age, education level, family income, container index, and sanitation behavior. The data were measured by a set of questionnaire and examined using path analysis.Results: Sanitation behavior (b=1.50; 95% CI= 0.57 to 2.42, p=0.001) and Container Index (b=0.90; 95% CI= 0.03 to 1.84; p=0.057) were directly and positively associated with DHF incidence. Container Index was associated with sanitation behavior (b=2.09, 95% CI = 1.21 to 2.97, p<0.001). Age (b=-0.76, 95% CI = -1.60 to 0.08, p=0.074), education level (b=-1.02, 95% CI = -1.87 to -0.17, p=0.019), and family income (b=-0.70, 95% CI= -1.60 to 0.19, p=0.122) were associated with sanitation behavior.Conclusion: DHF incidence is directly and positively associated with sanitation behavior, and container index. DHF incidence is indirectly associated with age, education level, and family income.Keywords: dengue haemorhagic fever, sanitation, container index, behavior, path analysisCorrespondence: Nunik Maya Hastuti. School of Health Science Mitra Husada, Karanganyar, Central Java. Email: [email protected]. Mobile: +6285647279291.Journal of Epidemiology and Public Health (2017), 2(2): 174-185https://doi.org/10.26911/jepublichealth.2017.02.02.0
The Effectiveness of Mosquito Breeding Site Eradication and Role of Wiggler Controller toward Countermeasure Effort of Dengue Hemorrhagic Fever in Klaten, Central Java
Get PDFBackground: Countermeasure of Dengue Hemorrhagic Fever (DHF) is more prioritizing in preventive activities such as implementing mosquito breeding site eradication or PSN through 3M plus by involving the society and facilitating the establishment of wiggler controllers or Jumantik. Role of wiggler controllers is very important especially in initial vigilance system moreover in the outbreaks of DHF because of their function in monitoring the wigglers’ position and hampering the initial development of DHF transmitter vector. The activeness of wiggler controllers in monitoring their environment is expected to decrease the number of DHF cases. This study was aimed to investigate analyzing the effectiveness of mosquito breeding site eradication and the roles of wiggler controllers or Jumantik in prevention and countermeasure efforts of DHF.Subject and Methods: This was a qualitative study with case design. This was conducted in Juwiring, Ngawen, North Klaten community health center in Klaten, Central Java were selected by Purposive Sampling. The data was collected with observation, document analysis, and in-depth interview. The data validity included a triangulation, methodological triangulation, and theory triangulation. The data was analyzed with data collection, data reduction, data presentation, and drawing the conclusion were included in the data analysis of this research.Results: Several obstacle factors were people’s behavior which was not routinely doing the eradication of mosquito breeding site or PSN, lack of knowledge about PSN, lack of health workers especially in PSN program and the role of public figure was not maximum yet. Those could be seen from the outcome of PSN program which was divided by the output of PSN. Morbidity rate of DHF and mortality rate of DHF in Klaten District were still high and did not achieve the national target yet. Then, people’s knowledge about PSN program was quite good, people’s behavior was also good especially to the implementation of PSN program although some of them behaved poorly, their reliance and trust were good especially to the implementation of PSN program, then, there were no contradictions between society values and PSN Program. Health facilities and infrastructures were adequate to perform individual health effort in promotive, preventive, curative, or rehabilitative which were done by the government, regency government, or the society especially to encourage the implementation of PSN program. Amount of health officers for the implementation of PSN Program was not ideal yet, especially for Epidemiology officers and Health Promotion officers. Public and government supports were quite good in the implementation of PSN Program. Attitude and behavior of public figures, religious leaders, and also health officers were quite good. Although some of public figures did not give their full support. Government policy in encouraging the implementation of PSN Program itself was quite good. That was proven by publishing Region Regulation No. 03 of 2010 and Regent Regulation No. 05 of 2013 about prevention and disease control from animal sources, but its implementations were not maximum and binding yet. The role of wiggler controllers in decreasing the rate of DHF cases could be optimized by specific commitment from the policy makers, started from the highest to the lowest in order to build better initial vigilance system. Operational fund for the wiggler controllers (Jumantik) in Klaten District was not ideal yet, so, commonly they spent their own money for the operational fund when they did their job.Conclusion: The effectiveness of PSN Program in Klaten District to overcome DHF was effective enough. The role of predisposition factor toward mosquito breeding site eradication or PSN in order to overcome DHF in Klaten District was became the booster of the implementation of mosquito breeding site eradication program (PSN). Enabling Factors are enormously important in implementing the PSN Program in the public. The encourage factor on PSN program was not maximum yet, especially in the implementation of Region Regulations and Regent Regulations particularly about Prevention and Disease Control from Animal Source. The roles of wiggler controllers in the countermeasure of DHF in Klaten District was very important especially for the initial vigilance of DHF because its functions were used to monitor their existences and also hamper the initial development of DHF transmitter vectorKey words: mosquito breeding site eradication, DHF, the role of wiggler controllersCorrespondence : Riska Chandra Pradana. Dr. R Soeprapto Cepu Hospital. Email: [email protected] of Epidemiology and Public Health (2016), 1(1): 37-48https://doi.org/10.26911/jepublichealth.2016.01.01.0
Association between the Socioeconomic Factors, Healthy Home, and Healthy Behavior among Parents of Toddler with Acute Respiratory Infection in Kediri, Indonesia
No full textBackground: Acute Respiratory Infection or ARI is the most deaths occurred in toddler. Many factors lead to a high incidence of this disease among socioeconomic, healthy home and healthy behavior of parents. This study was aimed to determine the association between socioeconomic and healthy homehealthy home with healthy behavior in parents of toddler with acute respiratory infections.Subject and Methods: This was a case study conducted in Kediri, East Java, Indonesia. A total of 100 toddlers consisted of 20 toddlers and parents with ARI and 80 toddlers with parents without ARI. The dependent variable was parents of toddlers with acute respiratory infection. The independent variables included socioeconomic and healthy home with healthy behavior. The data were collected by pre-tested questionnaire, and analyzed using a multiple logistic regression model.Results: Theresults obtained by the education (OR = 9.1; 95%CI = 0.8 to 98.4; p = 0.001), family income (OR = 1.3; 95% CI = 0.1 to 14.2; p = 0.000), housing components (OR = 4.0, 95%CI = 0.5 to 27.7; p = 0.005), sanitation (OR = 6.9; 95% CI = 1.1 to 41.9; p = 0.001), healthy behavior (OR = 8.9; 95% CI = 1.6 to 48.7 ; p = 0.003).Conclusion: The results of this study concluded that education, family income, housing components, sanitation and behavior of the occupants had a statistically significant relationship to healthy behaviors parents of toddlers with ARI.Keywords: education, family income, housing components, sanitation, healthy behavior, and healthy behavior parents of toddler patients with Acute Respiratory Infections (ARI).Correspondence: Tiyan Anggraini. School of Health Sciences, Kadiri University, Kediri, Indonesia. Email: [email protected] of Epidemiology and Public Health (2016), 1(1): 66-74https://doi.org/10.26911/jepublichealth.2016.01.01.08
The Association Between Maternal Education, Family Income, House Sanitation, and the Incidence of Acute Respiratory Tract Infection in Children Under Five
Get PDFBackground: It was estimated that the incidence of Acute Respiratory Tract Infection (ARTI), including pneumonia, was 10-20% in children under five in Indonesia. Therefore ARTI in children under five is a public health important that calls for control and prevention. The purpose of this study was to determine the association between maternal education, family income, house sanitation, and the incidence of ARTI in children under five.Subjects and Method: This was an analytic observational study with case control design. This study was conducted in Wonogiri 1 and Kismantoro Health Centers, Wonogiri, Central Java, from September to October, 2016. A total sample of 200 children under five were selected for this study by fixed disease sampling, consisting of 100 children with ARTI and 100 children without ARTI. The dependent variable was pneumonia. The independent variables were maternal education, family income, house component, and house sanitation. The data were collected by a set of questionnaire, checklist, and medical record at the health centers. The data were analyzed by multiple logistic regression.Results: Maternal education ≥senior high school (OR=0.09; 95% CI= 0.03 to 0.22; p<0.001), house component meeting the required standard (OR=0.27; 95% CI= 0.13 to 0.57; p<0.001), and good house sanitation (OR=0.15; 95% CI= 0.06 to 0.38; p<0.001) were associated with decreased risk of pneumonia in children under five, and they were statistically significant. The association between family income and the risk of pneumonia was not statistically significant (OR=0.87; 95% CI= 0.42 to 1.79; p=0.703).Conclusion: Maternal education ≥senior high school, house component meeting the required standard, and good house sanitation are associated with decreased risk of pneumonia in children under five.Keywords: maternal education, family income, house sanitation, pneumonia, children under five Correspondence: Anita Sri Sulistyo. District Health Office Wonogiri, Central Java. Email: [email protected] of Epidemiology and Public Health (2016), 1(3): 195-202https://doi.org/10.26911/jepublichealth.2016.01.03.06
Effect of Socio-demographic Factors on the Consistency of Condom Use among Female Sex Workers in Tulungagung District, East Java
Get PDFBackground: Sexually Transmitted Infection (STI) is common among female sex workers (FSW). STI can be cured by correct diagnosis and prompt treatment. Correct treatment depends on the specific causal infection agent, as well as host and environmental factors. This study aimed to examine the effect of socio-demographic factors on the consistency of condom use among female sex workers in Tulungagung district, East Java.Subjects and Method: This was an analytic and observational study using cohort design. It was conducted at Ngujang and Gunung Bolo prostitution areas, Tulungagung, East Java, from November to December 2017. A total sample of 90 female sex workers was selected for this study. The dependent variable was consistency of condom use. The independent variables were age, marital status, education, urban-rural residence, exposure to information from health personnel. The data were collected by a set of questionnaire and diary. The data were analyzed by chi square and logistic regression model.Results: Bivariate analysis with chi square test showed that female sex workers working at Ngujang prostitution area (OR= 11.7; 95% CI=11.7-95.9; p= <0.001), widow (OR= 1.28; 95% CI= 1.12-1.45; p=0.012), education level lower than senior high school (OR= 1.30; 95% CI= 1.13-1.49; p= 0.005), were more likely to use condom consistently than those working at Gunung Bolo, married/ single, education level senior high school or higher, respectively. Female sex workers aged ≥35 years old (OR= 0.77; 95% CI= 0.68-0.89; p= 0.006), rural origin (OR=-0.65; 95% CI= 0.2-2.12; p= 0.474), receiving health information from health personnel (OR= 0.79; 95% CI= 0.70- 0.90; p= 0.017), were less likely to use condom consistently than aged <35 years old, urban origin, not receiving information from health personnel.Conclusion: Female sex workers working at Ngujang prostitution area, widow, education level less than high school, were more likely to use condom consistently than at Gunung Bolo, married/single, education level senior high school/higher, respectively. Keywords: sexually transmitted infection, consistent use of condom, socio-demographic factorsCorrespondence: Ainun Hanifa. Diploma III Program in Midwifery, Tulungagung University. Email: [email protected] of Epidemiology and Public Health (2016), 1(2): 133-139https://doi.org/10.26911/jepublichealth.2016.01.02.0
Multilevel Analysis on the Social Determinants of Cervical Cancer in Yogyakarta
Get PDFBackground: There are 527.600 new cases of invasive cervical cancer. Cervical cancer is caused by infection with the Human Papilloma Virus (HPV) 16 and 18 study was conducted in the city of Yogyakarta. This study aimed to analyze the social determinants on cervical cancer by multilevel analysis in Yogyakarta.Subjects and Methods: This was an observational analytic study with case control design. This was conducted on March 31 to May 4, 2016. A total of 120 samples were selected by fixed disease sampling with a ratio 1:3. The data collected was using a questionnaire and analyzed with Logistic Regression.Results: The risk of cervical cancer with a positive effect on family income (OR = 3.45 95% CI = 0.26 to 45.45 p = 0.346), age of first sexual intercourse (OR = 8.54 95% CI = 1.17 to 62.41 p = 0.034), number of sexual partners (OR = 14.60 95% CI = 2.93-72.66 p = 0.001), oral contraceptives (OR = 1.85 95% CI = 0:37 to 9:20 p = 0452), nutritional status (OR = 5.69 95% CI = 1.36 to 23.82 p = 0.017), hygiene genitalia (OR = 9:23 95% CI = 1.76 to 48.35 p = 0.009), and an effect reversed by education (OR = 0:14 95% CI = 0:09 to 2:08, p = 0.155). ICC value of 40.68% indicating the risk of cervical cancer in women varies and a variation of 40.68% at the level of environmental sanitation home.Conclusion: There is a positive effect of family income, age of first sexual intercourse, number of sexual partners, nutritional status, hygiene genitalia, and sanitary home environment, on the risk of cervical cancer. There is an inverse effect of education on the risk of cervical cancer. The society is expected to be aware of cervical cancer.Keywords: multilevel analysis, social determinants, cervical cancer.Correspondence: Heni Elmiani Sari. School of Midwifery (AKBID) Kutai Husada, Tenggarong, Indonesia. Email: [email protected] of Epidemiology and Public Health (2016), 1(2): 100-107https://doi.org/10.26911/jepublichealth.2016.01.02.0
The Effect of Self-Efficacy, Family Support, and Socio-Economic Factors on the Quality of Life of Patients with Breast Cancer at Dr Moewardi Hospital
Get PDFBackground:Breast cancer is the highest cancer among women in the world. Patients with breast cancer experience various changes, including physical, psychological and social changes. This changes affect their quality of life. This study aimed to determine the effect of self-efficacy, family support, and socio-economic factors on health-related quality of life of patients with breast cancer.Subjects and Method: This was an analytic observational study with cross sectional design. The study was conducted at Dr Moewardi Hospital, Surakarta. A total of 63 patients with breast cancer diagnosis were selected for this study by purposive sampling. The dependent variable was health-related quality life, consisting of global health status, physical function, role function, emotional function, social function, fatigue, pain, body image, financial hardship, and future perspective. The independent variables were self-efficacy, family support, education, and family income. The data were collected by questionnaire and medical record, and then were analyzed by multiple logistic regression.Results: Average age (and standard deviation) of the breast cancer patients under study was 50.21±7.67 years. Average score of quality of life in the global health status dimension was 73.81±10.97. Multiple logistic regression analysis showed positive effect of self-efficacy (OR=3.45;95% CI=0.98 to 12.12; p=0.053), family support (OR=2.67; 95%CI=0.84 to 8.46; p=0.096), education (OR=3.99; 95%CI=1.15 to 13.79; p=0.028), and family income (OR=1.51; 95%CI=0.43 to 5.26; p=0.518) on global health status.Conclusion:Self-efficacy, family support, education, and family income have positive and significant effects on global health status.Keywords: self-efficacy, family support, social economy, quality of life, breast cancerCorrespondence: Lusiatun. Masters of Public Health, Sebelas Maret University, Surakarta. Email: [email protected]. Mobile: 085743778941Journal of Epidemiology and Public Health 2016, 1(3): 182-194https://doi.org/10.26911/jepublichealth.2016.01.03.0
Risk of Hypertension in Adolescents with Over Nutritional Status in Pangkalpinang, Indonesia
No full textBackground: Adolescents are the changes of children to be adults. Gender, family history of disease, age, sodium intake and physical activity affect the pravelence of hypertensionAdolescences are the time change from children into adults. Gender, family history of disease, body mass index or BMI according to age, sodium intake and physical activity affect the prevalence of hypertension in adulthood. Hypertension disorders in teenagers most will settle on adulthood. This study aimed to analyze risk factors of hypertension in adolescent aged 15-17 years with over nutritional status.Subject and Methods: This was an observational analytic study with cross sectional design. This was conducted in Pangkalpinang, Bangka Belitung Indonesia. A total of 120 students in grade X-XI in four high schools were selected by fixed-exposure sampling. BMI measurement used antropometri. Physical activity questionnaire used International Physical Activity Questionnaire. Sodium intake was measured with a food frequency questionnaire. Blood pressure was measured by using a sphygmomanometer. Data analysis was using a multiple linear regression.Results: Gender and nutritional status more positively associated with hypertension, (B = 5.77; p = 0.017) and (B = 4.85; p = 0.001), while sodium intake, family disease history and physical activity have a negative relationship, (B = 0.01; p = < 0.076), (B =-1.73; p = 0.481) and (B = >-0.01; p = 0.592). Multiple linear analysis obtained adjusted R2 = 0356 (35.6%).Conclusions: Young men have a higher average blood pressure than women of 5.77 mmHg. Any increase of 1 kg/m2 equivalent BMI will raise the blood pressure of 4.85 mmHg. Adolescents with more nutritional status can increase knowledge about hypertension, as well as regulate eating habits according to needs of physical growth and development.Keywords: hypertension, adolescent, gender, family history of disease, BMI, sodium intake, physical activity.Correspondence: Mirza Yusrizal. Health Department of Pangkalpinang, Bangka Belitung, Indonesia. Email: [email protected] of Epidemiology and Public Health (2016), 1(1): 27-36https://doi.org/10.26911/jepublichealth.2016.01.01.04
Qualitative Analysis: Comparison of Growth and Development in Children with HIV/AIDS Living at Lentera Halfway House and Those Living at Home with Family in Surakarta
Get PDFBackground: Children with HIV/AIDS infection need optimal endurance to grow and develop. Optimal endurance is required to cope with threatening diseases. This study aimed to compare growth and development in children with HIV/AIDS living at Lentera halfway house and those living at home with family in Surakarta.Subjects and Method: This was a qualitative study with case study approach. The main study subjects were children with HIV/AIDS. The informants of this study included manager and care-givers at the Lentera halfway house, and parents. The informants were selected by snowball sampling. The dependent variables under study included bodyweight, CD4, fine and gross motoric development, stigma and discrimination, moral and religious development. The independent variable was place of care, i.e. halfway house or home with family. Except for bodyweight and CD4, the other remaining variables were collected by in-depth interview and observation. Bodyweight was measured by scale. CD4 was measured by chemical laboratory.Results: There was no difference in child growth living in the two places of care, with respect to bodyweight and CD4 count. The CD4 count was moderate indicating a moderate immunosuppressive state. Children with HIV/AIDS suffered stigma and discrimination more at halfway house than at home living with family. There was no difference in gross motoric development in children with HIV/AIDS living at the two places of care. Likewise, there was no difference in moral and religious development in children with HIV/AIDS living at the two places of care.Conclusion: Stigma and discrimination occur more often in children with HIV/AIDS that live at halfway house than at home with family. Bodyweight, CD4 count, gross motoric development, and moral and religious development are comparable in children with HIV/AIDS that live at halfway house and at home with family.Keywords: children with HIV/AIDS, halfway house, family, growth, developmentCorrespondence: Vita Raraningrum. School of Midwifery Rustida, Banyuwangi, East Java. Email: [email protected] of Epidemiology and Public Health (2016), 1(3): 175-181https://doi.org/10.26911/jepublichealth.2016.01.03.0
Bio-psychosocial Determinants of Quality of Life in the Elderly
No full textBackground: The quality of life of elderly people has become relevant with the demographic shift that has resulted in greying of population. In Indonesia the number of old people has been increasing rapidly. Despite longer life span, this situation poses quality of life concern. It is then of interest to study determinants of quality of life in the elderly, so that necessary measures can be taken to improve the quality of life in the elderly. This study aimed to examined bio-psichosocial factors associated with the quality of life in the elderly.Subjects and Method: This was an analytic observational study using case control design. This study was conducted in Laweyan and Banjarsari, Surakarta. A total of 141 elderly consisting of 47 elderly who lived in the nursing home and 94 elderly who lived at their own home, were selected for this study, by fixed exposure sampling. The independent variables were age, education, income, family support, residential status, and depression. The dependent variables was quality of life. The data were collected with a set of questionnaire and analyzed using path analysis model.Results: As many as 40.4% of the elderly studied had good quality of life. Higher income (b = 0.93; 95%CI = 0.06 to 1.86; p = 0.048) and education (b=0.82; 95%CI= -0.01 to 1.66; p= 0.053) is associated with better quality of life. Depression (b =-1.01; 95%CI =-1.78 to -0.23; p = 0.010) and age ≥ 60 years old (b=-0.47; 95% CI= -1.28 to 0.33; p= 0.249). Living at own home decreased depression, higher education increased income, family support increased living at home.Conclusion: Income and education increase the quality of life. Depression and older age decrease the quality of life.Key words: bio-psychosocial, quality of life, elderlyCorrespondence: Roh hastuti Prasetyaningsih. Health Polytechnics, Poltekkes Surakarta, Central JavaJournal of Epidemiology and Public Health (2016), 1(2): 108-117https://doi.org/10.26911/jepublichealth.2016.01.02.0