Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
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Korelasi antara Skor Osteoporosis Self Assessment Tool for Asians dengan Skor FRAX® pada Wanita Usia Lanjut
Full text linkBackground: Osteoporosis and osteoporotic fractures are an important public health concern in the elderly, especially in post-menopausal women. Screening for osteoporosis might help to detect those at risk for fractures to be promptly managed. WHO has developed a tool to screen risk for osteoporosis, i.e. the Osteoporosis Self-assessment Tool (OST) that has also been validated for Asians (OSTA). WHO has also developed FRAX® to predict 10-years risk of hip fracture or other osteoporotic a fracture. Method: This study was intended to assess the correlation between OSTA and FRAX®. This cross-sectional study was performed in October-December 2013 in all public health centers (Puskesmas) in Yogyakarta, Indonesia. We invited all women aged 56 years or above visiting the outpatient clinic of the Puskesmas during the study period. Overall, 540 elderly women completed the anthropometric measurements and questionnaires of FRAX®. Results: OSTA scores showed that more than 40% were at high risk for osteoporosis. This study observed high and significant correlations between OSTA and FRAX® for hip fracture, i.e. Spearman correlation of 0,914; p<0,001 and for other osteoporotic fractures, i.e. Spearman correlation of 0,769; p<0,001. Conclusion: We concluded that OSTA and FRAX® were highly correlated and both can be used to screen women for osteoporosis and risk for fractures, respectively
Healthy Media Promotion, Knowledge Towards Clean and Healthy Life Behavior among Students
Full text linkBackground: The clean and healthy life behavior (CHLB) needs to be implemented since the elementary school age where the main target is elementary school students. This is based on the problem that most diseases often occur in school-age children (ages 6-10 years) including diarrhea, acute respiratory infections, helminthiasis and other environmental-based and behavioral-based diseases. This study is aimed to determine the relationship between media exposure and knowledge with CHLB in elementary students. Method: This research was conducted in all elementary schools located in Kramatwatu Serang-Banten in the months of February-July of 2018, with the sample of the research being fifth-grade students with as many as 150 people taken by using the simple random sampling method. Result: The results showed that 68% of respondents had a good, clean and healthy life behavior. A total of 94.7% of respondents stated that they were exposed to clean and healthy life behavior by media information, and 68.7% of them had a good level of knowledge. The relationship test showed that there was no significant relationship between media exposure and knowledge with CHLB. Conclusion: The knowledge of elementary school students was good due to the teacher and health promotion media
Impact of Health Education on Knowledge and Awareness of Multidrug-Resistant Tuberculosis in Banyumas Regency, Indonesia
Full text linkBackground: The increased case of multidrug-resistant tuberculosis (MDR-TB) in the community required more prevention efforts to reduce the cases. Lack of knowledge and awareness in the community could be one of the causes of this problem. The study aimed  are to analyse the effectiveness of health education to increase knowledge and awareness of people to MDR-TB. Methods: A quasi-experiment study with one-group pretest-and posttest design was used in this study. 32 respondents were included in this study with exclusion and inclusion criteria. Intervention carried out in the form of counselling to respondent for 1.5 hours with additional methods such as leaflets, modules and posters. Results: This study showen that health education could improve knowledge (5.45%) and awareness (3.59%) of participants about MDR-TB. Based on bivariate analysis, it is showed that there were no significant differences in knowledge of respondents pre and post-intervention however, there were significant differences in awareness of respondent. Conclusion: This study recommended the implementation of health education more intensively to the community about MDR-TB. The application of various media in health education was also important to improve transfer knowledge to the community. Improvement of knowledge and awareness of people about MDR-TB was a crucial aspect to conduct effective prevention effort of this disease. Keywords: tuberculosis; multi-drug; resistan
Hubungan Dukungan Guru, Ayah, Ibu, dan Teman Sebaya dengan Perilaku Hidup Bersih dan Sehat
Full text linkBackground: Helathy life behavior is very important among students to gain good achievment. The research aimed to determine relationships between teachers, fathers, mothers support and peer supports with clean and healthy life behavior among students. Method: This was analytic observational research with cross sectional approach. There were 74 respondents participate din this study. Sample was taken by purposive sampling technique. Chi square test and  logistic regression test were employed to analize the data. Results: The factors that establish relations with health and clean life behaviors were teacher’s support (p value 0.047); father’s support (p value 0.002); mother’s support (p value 0.107) and friends support (p value 0.007). Mutivariate test resulted that the most factor that very influential was fathers support. Conclusion: There were relationships between teacher’s support, father’s support, and friend’s support with health and clean life behaviors of students. Father’s support was the most influental factor.Â
Analisis Spatial Malaria di Ekosistem Perbukitan Menoreh: Studi Kasus Malaria Bulan Septmeber-Desember 2015
Full text linkBackground: Malaria is still becoming a public health problem in Indonesia. Menoreh Hills shows as one of the areas with endemic malaria in Java Island which has not been able to achieve the elimination target by 2015. Menoreh Hills is a cross-border administrative area, Central Java Province and Yogyakarta Special Region Province which has its own authority in financial management and budget allocation for malaria control. Furthermore, spatial analysis is very beneficial in controlling malaria, presenting geographic distribution of the disease, testing whether malaria is randomly distributed, evaluating the statistical significance of the disease cluster and showing as an early detection of outbreaks. Method: It applied an observational study with cross sectional spatial analysis design to observe the spreading, grouping pattern and the correlation between house distance to mosquito breeding and population density. The samples collected were 138 malaria cases and 138 controls. It required measurement of the coordinates to the house with GPS, identified breeding spots for mosquitoes around the house and collected the date data of malaria diagnosed in District Health Services. The location of the study covered 3 sub-districts as Malaria endemic areas namely Kaligesing, Bagelen and Kokap Sub-districs. Analysis of the data was conducted through ArcGIS, SaTScan dan Geoda softwares. Results: The malaria spreading in September-December 2015 was dominated in Kaligesing Sub-district of Purworejo Regency. Malaria cases were more common in areas with low density of population. The buffering analysis discovered that malaria patients were living near to the mosquito breeding (river, springs, and puddle). It was identified that there was 1 primary cluster and 2 secondary clusters which covered 3 districts at research location. Conclusion: The results of spatial analysis present that there is an incident of local malaria transmission in Menoreh hills. It requires an integrated malaria control program in Menoreh hills
Pencahayaan, Jarak Monitor, dan Paparan Monitor sebagai Faktor Keluhan Subjektif Computer Vision Syndrome (CVS)
Full text linkBackground: Computer Vision Syndrome (CVS) is a group of ocular problems (eyes and eyesight) complained by someone working on the computer for a long time. CVS be able to have an impact in daily activities, decreased work productivity, increased errors in work, and decreased job satisfaction. The aim of this study was to identify the factors related of CVS subjective complaints at PT Telkom Akses Jambi 2017. Method: This research was an analytic observational with cross-sectional design, the number of samples in this study using total sampling with inclusion criteria were all computer user workers amount of 41 workers. Data were analyzed by univariate and bivariate with fisher exact test. Results: The results of this study showed from 41 workers, there were 32 (78%) workers who have CVS complaints. The result of bivariate analysis by using fisher exact test showed there were significant between lighting intensity (p=0.020), monitor distance (p=0.006) and monitor exposure (p=0.000) with CVS subjective complaints and there were no significant between sex, age, years of work, length of working using computer, duration of eye rest a monitor posisition with CVS subjective complaints in computer workers in PT Telkom Akses Jambi. Conclusion: The intensity of lighting, the distance of the monitor, and the length of exposure of the monitor was significant with subjective complaints CVS in PT Telkom Akses Jambi. We suggest that the supervision of visual ergonomic computer be necessary in order to reduce the incidence of CVS in workers on a conditional basis, we also advise workers to take appropriate rest periods and stretches such as eye exercises when working
Persepsi dan Status Kesehatan Mental Penderita Diabetes Melitus Tipe II Suku Dayak
Full text linkBackground: Diabates Mellitus (DM) type II, a long-term metabolic disorder caused by high blood sugar, is one of the major health problems in the world. Central Kalimantan Province, Palangkaraya City has 3,885 cases of DM in 2012. Prevalance of DM type II patients in the Regional Public Hospital of Doris Sylvanus Palangka Raya increases from 375 cases (in 2007) to 514 cases (in 2009). DM can affect the patients physically and psychologically. Patients will respond differently to illness, influenced by previous experience and social culture. Dayak people are ethnic majority in Central Kalimantan. Study aims to describe the perception of health and mental health status of patients with type II DM in cultural context of Central Kalimantan. Method: This research was conducted using qualitative descriptive method. Data collected through in-depth interview from 10 participants. Data was analyzed with Miles and Huberman models using data reduction, data display, and conclusion drawing and verification. Results: Health perception and mental health status of people with type II DM in the cultural context of Central Kalimantan influenced by health and illness perception, emotional self-control, and thinking capability. Conculsion: Health perceived as conditions when the body capable enough to perform daily activities, in other hand illness perceived as conditions of the body unable to perform daily activities. These understanding related to participants’ experience and local culture. Paticipants’s thinking capability decrease such as difficulty remembering due to aging and DM type II. They have positive perspective toward life after getting type II DM that affected their emotional self-control
HUBUNGAN KARAKTERISTIK SUAMI DENGAN KEIKUTSERTAAN SUAMI MENJADI AKSEPTOR KELUARGA BERENCANA DI WILAYAH DESA KARANGDUWUR KECAMATAN PETANAHAN KABUPATEN KEBUMEN JAWA TENGAH
Full text linkBackground : Family planning program is a program intended to help couples and individualsachieve their reproductive goals. The low participation of men in family planning can have negativeimpact on women's reproductive health because of not only women are always actively involved, sowomen emancipation who demanded equality of rights between men and women becomes a reality.The purpose of this study is to determine the relationship between the characteristics of the husbandwith the participation of husbands become acceptors of family planning in the Village areaKarangduwur Petanahan Kebumen district of Central Java.Methods : This was a observasional analytic research using cross sectional research design in thisstudy were all husbands of childbearing age (EFA) in the Village Karangduwur Petanahan Kebumendistrict of Central Java. The number of samples taken in this study is 85 people. Data analysis wasperformed univariate and bivariate.Result : Result of hypothesis test showed that husband characteristic in terms of revenue associatedwith the participation of husbands in family planning as indicated by the value of Chi Square = 7.743(p = 0.005 <0.05), husband characteristic in terms of knowledge is not related to the participation ofhusbands in family planning as indicated by the value Chi Square = 0.022 (p = 0.882> 0.05), characteristic husband in terms of education is not related to the participation of husbands in family planning as indicated by the value of Chi Square = 2.292 (p = 0.130> 0.05), husband characteristic in terms of number of children associated with the participation of husbands in family planning as indicated by the value of Chi Square = 10.916 (p = 0.01<0,05). Conclusion : From four independent variables studied there was a significant correlation factors there are income, and number of children, or parity, and there was no significant correlation: education and knowledge.Keywords : Husband Participation, Family Planning Program, Acceptor
Evaluasi Penerapan Pencegahan Pasien Berisiko Jatuh di Rumah Sakit
Full text linkBackground: Patient safety in hospitals is a service of a hospital system that provides care to enable patients to be more secure. Patient safety goals are to promote specific improvements in patient safety. The reduction in risk of patients falling aimed hospitals need to evaluate the risk of patient falls and take action to reduce the risk of injury when the fall is one of the goals of patient safety. This study reveals the evaluation of the application of preventive risk patient falls in Pupuk Kaltim hospital. Method: This study was a case study, in the inpatient room, the emergency room (ER) at the Pupuk Kaltim hospital. Results: This study resulted that the initial assessment in the emergency department (ED) has not been carried out, assessments of monitoring is not maximized, still found the beds are not safe as many as 26 pieces, grade three patients did not receive anti-slippery footwear. Policies and Standart Operational Procedure (SOP) has existed since 2013. Conclusion: The initial assessment of patients the risk of falling in the ER has not been carried out, assessments have not been up monitoring of risk patients, 26 beds are not safe, three unsafe gurney, patient grade three can not be footwear. Pupuk Kaltim hospital dissemination, evaluation and monitoring of the patient's fall risk assessment, infrastructure and facilities
Hubungan Kondisi Rumah dan Kepadatan Lalat di Sekitar Tempat Pembuangan Akhir Sampah
Full text linkBackground: People who live in a poor condition of house or in a bad environment quality can attract flies to thrive and transmit disease. In the protection against disease, the house should have safe and clean facilities and being prevented from vector that has role in transmitting the disease, such as housefly. Residential area in Cipayung village, especially around final waste disposal (TPA) Cipayung, Depok with a radius of 200 meters from the landfill of final waste disposal has the potential to become perching place of housefly, because of flight range of housefly can reach around 200-1000 meters. Method: This research is done by a cross sectional study design that aims to determine relation between house condition with the density of housefly. Results: The results showed that there was no significant relation between house criteria with housefly density inside house with p-value 0.659 (OR 0.7; 95% CI: 0.136 to 3.920), however there is a significant relation between house criteria with housefly density outside house, house with unhealthy house criteria has risk 4.2 times higher houseflies density rather than house with healthy house criteria p-value 0.011, (OR 4.273; 95% CI: 1.414 -12.909). Conclusion: Housefly control can be executed through making healthy housing and environmental