Faculty of Public Health Journal Universitas Indonesia
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Measuring the Success of PeduliLindungi Application Use for Supporting COVID-19 Prevention: A Case Study among College Students in Jakarta, Indonesia
The Indonesian Government has launched PeduliLindungi (PL) mobile apps as a COVID-19 preventive tool. This study aimed to describe the PL utilization and determine the factors influencing its successful use among college students. This study used a cross-sectional design and a total population sampling at a university in the Special Capital Region of Jakarta, Indonesia. The Delone and Mclean Information System Success Model was adopted to measure the use of the apps. The Spearman’s rank correlation test was performed to determine the relationship between two variables. Furthermore, 354 respondents participated in this study. The respondents used the apps mostly to display the vaccination certificate and check in/out from public facilities. The overall user satisfaction value towards the application was 3.83+0.76. The system quality (r= 0.621, p-value<0.001) and information quality (r= 0.626, p-value<0.001) were associated with the user satisfaction while the user satisfaction (r= 0.471, p-value<0.001), was correlated to the perceived benefit. In brief, perceived benefit was positively correlated with the user’s satisfaction, whereas user satisfaction was positively correlated with self-efficacy, system quality, and information quality
SARS-CoV-2 Antibody Seroprevalence in Jakarta, Indonesia
The SARS-CoV-2 transmission dynamics in low- and middle-income countries remain poorly understood. This study aimed to estimate the SARS-CoV-2 antibodies seroprevalence in Jakarta, Indonesia, and to increase knowledge of SARS-CoV-2 transmission in urban settings. A population-based serosurvey among individuals aged one year or older was conducted in Jakarta. Employing a multistage sampling design, samples were stratified by district, slum, and non-slum residency, sex, and age group. Blood samples were tested for IgG against three different SARS-CoV-2 antigens. Seroprevalence was estimated after applying sample weights and adjusting for cluster characteristics. In March 2021, this study collected 4,919 respondents. The weighted estimate of seroprevalence was 44.5% (95% CI = 42.5-46.5). Seroprevalence was highest among adults aged 30-49 years, with higher seroprevalence in women and the overweight/obese group. Respondents residing in slum areas were 1.3-fold more likely to be seropositive than non-slum residents. It was estimated that4,717,000 of Jakarta's 10.6 million residents had prior SARS-CoV-2 infection. This suggests that approximately 10 infections were undiagnosed/underreported for every reported case. About one year after the first COVID-19 case was confirmed, close to half of Jakarta's residents have been infected by SARS-CoV-2
PROBABILITAS RISIKO TERKENA PENYAKIT JANTUNG DAN TB BERDASARKAN FAKTOR SOSIO-EKONOMI DAN DEMOGRAFI
Penelitian ini bertujuan untuk menguji pengaruh status sosio-ekonomi dan demografi terhadap probabilitas status kesehatan yang direpresentasikan oleh penyakit jantung dan tuberculosis (TB). Penelitian ini menggunakan data dari Survei Aspek Kehidupan Rumah Tangga Indonesia (SAKERTI), sebuah survei longitudinal yang masih berlangsung di indonesia. Terdapat beberapa variabel bebas dalam penelitian ini seperti jumlah konsumsi rokok, status gizi dan juga tekanan darah, dengan efek marginal sebagai ukuran hubungan. Dalam penelitian ini terdapat dua variabel dependen yaitu penyakit jantung dan TB dengan variabel independen yang sama, hal ini dilakukan untuk mengukur dan membandingkan seberapa besar pengaruh variabel independen terhadap kedua model variabel dependen. Jumlah observasi dalam penelitian ini adalah 8.895 individu. Studi ini menemukan bahwa faktor sosial ekonomi seperti jenjang pendidikan memiliki pengaruh positif signifikan terhadap risiko individu terkena penyakit jantung dan TB. Individu yang dikategorikan miskin tidak signifikan memengaruhi probabilitas seseorang risiko terkena penyakit jantung sebesar 0,13 persen dan TB sebesar 0,33 persen. Berbagai faktor lain seperti status gizi dan tekanan darah juga memiliki pengaruh terhadap risiko terkena penyakit jantung dan TB
Identifying Factors of Stigma Among Patients with Confirmed Coronavirus Disease (COVID-19) in Indonesia
Latar Belakang. Pandemi COVID-19 telah muncul sebagai bencana dan menjadi krisis kesehatan global bagi umat manusia. Pandemi tidak hanya dihantui oleh tragedi dengan angka kematian nasional sekitar 5% penderita, tetapi juga distigmatisasi oleh masyarakat.Tujuan. Penelitian ini bertujuan untuk mengkaji faktor stigma terkait pandemi COVID-19 dan dampaknya pada pasien konfirmasi COVID-19 di Indonesia.Metode. Studi kasus ini dilakukan pada tahun 2020 dengan mengumpulkan informasi dari sumber primer yang meliputi wawancara secara virtual dengan 4 penyintas COVID-19 di Indonesia.Hasil. Hasil penelitian menunjukkan bahwa faktor stigma terdiri dari tiga faktor yaitu penyakit masih baru dan banyak informasi yang belum diketahui; kita sering takut akan hal yang tidak diketahui; dan ketakutan akan hal yang tidak diketahui dapat dengan mudah dikaitkan dengan 'orang lain'.Kesimpulan. Pada awal pandemi COVID-19, masyarakat di Indonesia belum memahami secara jelas tentang wabah COVID-19, termasuk penularannya, penanganannya, dan cara pencegahannya. Kesalahpahaman ini dapat menyebabkan stigmatisasi dan kemungkinan memperpanjang pandemi dan lamanya pembatasan sosial berskala besar. ABSTRACT Background. The COVID-19 pandemic has emerged as a disaster and is a global health crisis for human beings. The pandemic is not only haunted by tragedies of national fatality rate was about 5% of the sufferers, but also stigmatized by the community.Aim. This study aims to assess the factors of the stigma associated with the COVID-19 pandemic and its impact among patients with confirmed COVID-19 in Indonesia.Method. This case study was conducted in 2020 by collecting information from primary sources that include interviews virtually with 4 COVID-19 survivors in Indonesia. Result. The result of this study shows that factors of stigma consist of three factors which consist of the disease is new and much information remains unknown; we are often afraid of the unknown; and the fear of the unknown can easily be associated with ‘others’.Conclusion. In the beginning of the COVID-19 pandemic, people in Indonesia did not clearly understand the COVID-19 epidemic, including its transmission, management, and how to avoid it. This misunderstanding can lead to stigmatization and possibly extend the pandemic and the length of large-scale social restrictions
TELEMEDICINE PAYMENT SYSTEM BASED ON QUALITY: A SCOPING REVIEW
Telemedicine has been proven to improve access to care. However, it is still not sure how a payment system can accommodate high-quality telemedicine services. This paper aims to study the available payment system to accommodate telemedicine with a focus on health services quality. We conducted a scoping review of the telemedicine payment system and telemedicine quality through the PubMed and CINAHL databases including primary research, literature reviews, and expert opinion, aside from policy documents. The number of records identified through the database was 286. In addition, 195 were screened after removing duplicates, and 28 papers were included in the review after meeting the inclusion criteria. From a close look, it is concluded that, in its vast options of care, telemedicine practice can be tailored to payment systems that can be accommodated to quality. According to our review, the type of payment model used to fund telemedicine services could either bolster or hinder quality improvement, depending on the setting. Furthermore, concerns such as lack of standard reimbursement policy and privacy concerns need to be mitigated early to accommodate the integration of telemedicine into the existing payment system
Gambaran Pengetahuan, Sikap, dan Praktik Pencegahan COVID-19 pada Penderita Hipertensi
Latar Belakang. Kota Depok menjadi kota dengan jumlah kasus konfirmasi COVID-19 (49.567 kasus) dan kematian kumulatif (920 kematian) tertinggi di Jawa Barat pada 30 Mei 2021. Para penderita hipertensi harus lebih disiplin menjalankan praktik pencegahan COVID-19 karena memiliki kemungkinan untuk mengalami perkembangan penyakit COVID-19 yang parah.Tujuan. Tujuan dari penelitian adalah mendeskripsikan gambaran pengetahuan, sikap, dan praktik pencegahan COVID-19 pada penderita hipertensi di Kota Depok Tahun 2021. Metode. Penelitian ini menggunakan desain studi cross-sectional pada penderita hipertensi di Kota Depok, Jawa Barat bulan Agustus-September 2021. Pengumpulan data secara online menggunakan google form.Hasil. Hasil penelitian ini didapatkan bahwa rata-rata skor untuk tiap variabel dalam skala 100 adalah pengetahuan sebesar 85,2, sikap sebesar 77,7, dan praktik pencegahan COVID-19 sebesar 82,4. Separuh dari responden memiliki pengetahuan baik (52,5%), sikap positif (63,9%), dan praktik pencegahan baik (58,5%). Hasil analisis hubungan untuk pengetahuan dan praktik pencegahan COVID-19 memperoleh p-value sebesar 0,681 serta sikap dengan praktik pencegahan COVID-19 mendapatkan p-value 0,011.Kesimpulan. Tidak adanya hubungan bermakna antara pengetahuan dengan praktik pencegahan COVID-19. Terdapat hubungan bermakna antara sikap dengan praktik pencegahan COVID-19. ABSTRACTBackground. Depok City is the highest city with the number of confirmed COVID-19 (49.567 cases) and cumulative deaths (920 deaths) in West Java on 30 Mei 2021. Hypertension patients must be more disciplined in COVID-19 prevention because they are more likely to experience severe COVID-19 disease development. Objective. This study aims to describe the knowledge, attitude, and practice of COVID-19 prevention among hypertension patients in Depok City. Method. This study used a cross-sectional study of hypertension patients in Depok City, West Java, from August to September 2021. Data collected used an online survey (google form). Results. The results showed the mean knowledge score on a scale of 100 was 85,2, the attitude was 77,7, and practice was 82,4. Half of the respondents had good knowledge (52,5%), a positive attitude (63,9%), and good practice (58,5%). The results of the relationship analysis for knowledge and practice of COVID-19 prevention obtained a p-value of 0.681, and attitudes toward COVID-19 prevention practices obtained a p-value of 0.011.Conclusion. There is no significant relationship between knowledge and COVID-19 prevention practices. There is a significant relationship between attitudes and COVID-19 prevention practices
Faktor-Faktor yang Mempengaruhi Perilaku Penanganan Stunting
Angka kejadian stunting di Indonesia khususnya di Depok masih cukup tinggi. Kejadian stunting bisa ditangani sedini mungkin agar meminimalisir dampak buruk bagi perkembangan anak kedepannya. Berdasarkan hasil analisis pada 21 ibu yang memiliki baduta stunting di 13 RW di Kelurahan Cimpaeun menunjukkan bahwa pengetahuan ibu terkait stunting masih tergolong kurang. Tujuan kegiatan ini ini adalah untuk meningkatkan pengetahuan dan sikap ibu sehingga perilaku kesehatan penanganan stunting dapat diterapkan dalam kehidupan sehari-hari dengan melakukan intervensi berupa penyuluhan dan media berupa poster, leaflet, dan video, serta penggunaan aplikasi dengan memberdayakan kader untuk memantau tumbuh kembang anak. Sasaran kegiatan ini adalah 21 ibu yang memiliki Baduta stunting di 13 RW dan 13 kader posyandu di wilayah kerja Puskesmas Cimpaeun. Tidak ada hubungan yang signifikan antara pengetahuan, sikap, pendidikan, pekerjaan, status ekonomi, dukungan keluarga dan dukungan tenaga kesehatan dengan perilaku penanganan stunting. Setelah dilakukan intervensi, terjadi peningkatan pada tingkat pengetahuan dan sikap responden. Kegiatan ini memiliki keterbatasan yaitu jumlah responden yang sedikit dan kurang berpartisipasi secara aktif. Dengan meningkatnya pengetahuan dan sikap orangtua mengenai penanganan stunting serta pemberdayaan kader setempat, diharapkan terjadi penurunan angka stunting di Kelurahan Cimpaeun. Kata kunci: Baduta, Pengetahuan, Perilaku, Sikap, Stuntin
Muscle Dysmorphia in Fitness Center Members: Its Affecting Factors and Impacts
Muscle dysmorphia (MD) has several impacts on the decline in social and health functions. This study aimed to determine the correlation between MD with eating behaviors and exercise loading among fitness center members and analyze the factors affecting it. This study used a cross-sectional design with 100 subjects chosen by a consecutive sampling method at three fitness centers in Semarang City. The subjects were all male members of an active fitness center between 17 and 45 years. The data of MD were obtained using the Drive Muscular Scale (DMS), while eating behavior data were obtained using the Eating Attitude Test-40 (EAT-40) and the training load data, including the duration and frequency of weight training data. Social influence data, self-esteem data, and perfectionism data were obtained using a questionnaire. The findings revealed that 61% of the subjects experienced MD, 80% experienced impaired eating behavior, and 80% consumed supplements. There was a correlation between the occurrence of MD with eating behavior with PR = 2.56 and consumption of supplements with PR = 2.56. The most influential factor on MD was a social influence
Treatment Adherence and Incidence of Coronary Heart Disease in Type 2 Diabetes Mellitus Patients
Previous studies showed that uncontrolled blood sugar and long-term use of several types of antidiabetic could increase the risk of coronary heart disease (CHD). This study aimed to compare the incidence of CHD in type 2 diabetes mellitus (T2DM) patients showing treatment adherence and non-adherence behavior over four years. This was a retrospective cohort study with data sets obtained from the Bogor Cohort Study of Non-Communicable Disease Risk Factors. All study subjects were not diagnosed with CHD at the beginning of the study. The sample was divided into two groups; one had adhered to treatment from health centers and followed the treatment instructions (adherent group), while the other had not followed the treatment instructions (non-adherent group). Of 5,690 subjects, 276 were eligible for this study (84 in the adherent and 192 in the non-adherent group). The incidence of CHD in the non-adherent group was 2.3% higher than in the adherent group (p-value = 0.564) and had a 1.7 times greater risk of developing CHD, but not statistically significant (adjusted HR = 1.739; 95% CI = 0.673-4.490). The non-adherent T2DM patients had a greater risk of developing CHD than adherent T2DM patients
Zoom Fatigue during the COVID-19 Pandemic: Is it Real?
The coronavirus disease 2019 (COVID-19) pandemic has caused drastic changes to social lives moreover the activities done outside, such as work and school. The policy of large-scale social restrictions (LSRR)/Pembatasan Sosial Berskala Besar (PSBB), which makes people stay at home, also plays an important role in changing the face-to-face activity online. As a solution to the major change, people use video conferencing to keep in touch and still feel like doing "offline" activities. The increasing use of video conferencing has raised concerns about the resulting fatigue, termed "Zoom fatigue." This study aimed to describe Zoom fatigue during the COVID-19 pandemic and the factors contributing to it. This study used a cross-sectional design with 376 participants. Data were gathered by completing a 45-item online questionnaire, which was analyzed using univariate, bivariate (Chi-square), and multivariate (binomial logistic regression) analyses. It was found that 68.6% of respondents experienced Zoom fatigue at a moderate to a high level. Respondents complained of se - veral symptoms related to activity, motivation, and physical weakness after using the video platform. In brief, Zoom fatigue is real, and the frequency of video platform use is related to the incidence of Zoom fatigue