Kesmas: National Public Health Journal
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King Bhumibol Adulyadej’s Sufficiency Economy Philosophy and Post-Traumatic Stress Disorder among Higher-Education Students from the Armed Conflict Region of Thailand
Full text linkThis cross-sectional survey assessed the association between post-traumatic stress disorder symptoms and perceived self-sufficiency, reflecting the Sufficiency Economy Philosophy (SEP), conceived by H.M. King Bhumibol Adulyadej (King Rama IX). It was conducted among university students on one campus located within the area affected by the Southern Thailand insurgency and another campus located in a nearby province outside of the restive area. All self-administered questionnaires consisted of questions related to personal information, the Thai version of the PTSD checklist, and a questionnaire aimed at measuring the perceived self-sufficiency according to H.M. King Bhumibol Adulyadej’s SEP. The study found that most university students in the restive area affected by the Southern Thailand insurgency perceived to live sufficiently according to H.M. King Bhumibol Adulyadej’s SEP. The rate of perceived self-sufficiency was also higher than reported by the students from the other campus in a nearby province. Moreover, self-sufficiency exhibited a significant inverse association with PTSD symptoms
How Risky People of Getting COVID-19 based on Their Daily Activities?
Full text linkIn Indonesia at the end of 2020, COVID-19 cases were increasing and predicted to continue, as it had not yet passed the peak of the pandemic curve. The government had implemented mobility restrictions to reduce exposure to COVID-19. This study aimed to identify the risk of people getting COVID-19 based on their daily activities. Using a cross-sectional design, this study took 315 respondents under non-probability sampling from September to October 2020. Thedata were analyzed using the Chi-square test with α 0.05. This study showed that the risk percentage of people infected with COVID-19 based on their daily activities was 15.56% at low-risk, 63.81% at moderate-low risk, 17.14% at moderate risk, and 3.9% at moderate-high risk. Factors that were significantly related to the risk of getting COVID-19 in terms of daily activities were sex, attitude, and COVID-19 preventive behavior. In brief, the risk of getting COVID-19 could be assessed from daily activities carried out during the pandemic's peak
Are We Passing on Violence to the Next Generation?: Gender Norms and Gender-based Violence Attitudes among Early Adolescents in Indonesia
Full text linkIntensification of gender norms during puberty affects adolescents’ perceptions and behavior related to violence. This study examined the association between gender norms and gender-based violence (GBV) among early adolescents considering socio-ecological variables using cross-sectional data from 3,618 Indonesian Global Early Adolescent Study pupils. Chi square tests with simple and multiple logistic regression analyses examined how different factors' levels predict GBV. Among boys, GBV attitudes were found high (53%). Furthermore, they also had high heteronormative expectations, threatened feelings, experiences of violence, porn access, and 5+ adverse childhood experiences (ACEs). Logistic regression results revealed that adolescent boys having one or two scores of gender norms at the above-median are 1.3 times more likely to commit GBV and even 2.2 times higher if all were above median [AOR (CI) = 1.3(1.1-1.6); 2.2 (1.7 2.8)], respectively. Boys, having 5+ ACEs, and stronger endorsement on heteronormative relationships were also more likely to commit GBV [AOR (CI) = 1.5 (1.3-1.7); 1.5 (1.2-1.9); 1.5 (1.3-1.7)], respectively. This research concluded that unequal gender norms intensified during puberty strongly correlate to attitudes towards GBV among early adolescents. Strengthening the individual aspects by providing a more conducive environment, such as comprehensive sexual education at school, is essential to prevent GBV
Mental Fatigue and Its Associated Factors among Coal Mining Workers after One Year of the COVID-19 Pandemic in Indonesia
Full text linkMental fatigue among coal mining operators was related to driving activities that require high concentration. This study aimed to determine factors that contributed to mental fatigue among coal mine operators in Indonesia, specifically in Kalimantan and Sumatra, after a one-year COVID-19 pandemic. This cross-sectional study was conducted among 480 operators from two companies and seven sites. A self-administrated questionnaire in the Google Form was used to measure mental fatigue, the non-work-related factors (age, education, marital status, residence, and stress level), and work-related factors (working periods, shift pattern, type of shift, and work area in mining). The data analyzed using Chi-square and binomial logistic regression showed that the prevalence of mental fatigue was 32.3%. Operators with moderate stress and working in the pit area demonstrated a significant association with mental fatigue (p-va lue<0.001). Multivariable analysis showed that medium stress (AOR = 2.11; 95% CI = 1.41-3.15) and working in the pit (AOR = 2.27; 95% CI: 1.45-3.57) had a positive association with mental fatigue. Thus, the pit condition and stress levels were the dominant factors influencing mental fatigue and became points to manage mental fatigue in coal mining operators in Kalimantan and Sumatra
Assessment of Characteristics and Conditions before the End of Lockdown
Full text linkAfter months of blockades and restriction, the decision of the best time to end the lockdown after the first wave of the COVID-19 pandemic is the big question for health rectors. This study aimed to evaluate the characteristics and conditions for ending the blockade after the first wave of COVID-19. Data on the variables of interest were subjected to linear and non-linear regression studies to determine the curve that best explains the data. The coefficient of determination, the standard deviation of y in x, and the observed curve of the confidence interval were estimated. Regression which was estimated subsequently revealed the trend curve. The study found that all dependent variables tend to decrease over time in a quadratic fashion, except for the variable for new cases. In general, the R2 and mean absolute percentage error (MAPE) estimates were satisfactory: gradual and cautious steps should be taken before ending the lockdown. The results suggested that a surveillance of crucial indicators (e.g., incidence, prevalence, and PCR test positivity) should be maintained before lockdown is terminated. Moreover, the findings indicated that long-term preparations should be made to contain future waves of new cases
Attitudes Concerning Sexual Behavior towards Risky Sexual Behavior of Sexual Transmitted Infections among Male Adolescents in Indonesia
Full text linkThere has been an increase of sexually transmitted infections (STIs) such as HIV/AIDS worldwide, especially in Indonesia. Several studies on adolescent behavior, especially the male as the main predictor, reported increased in STIs’ cases due to risky sexual behavior. This study aimed to show the relationship between attitudes, sexual behavior, and the risks of STIs among male adolescents in Indonesia based on the Indonesia Demographic and Health Survey (IDHS) data in 2017. This cross-sectional study involved 10,547 male adolescents using the total sampling method according to the inclusion and exclusion criteria. Data were analyzed using a complex sample logistic regression test. This study was found that the proportion of risky sexual behavior of STIs was10% of which 29.8% agreeable attitude male adolescents. Agreeable attitude male adolescents were found able to improve the risk of engaging in risky sexual behaviors of STIs (p-value = 0.018; prevalence odd ratio (POR) = 1.135). The male adolescents who had an agreeable attitude towards sexual behavior could improve the risk of having risky sexual behavior of STIs 1,135 times; however, the attitude variable was not necessarily a major risk factor for the risky sexual behavior of STIs. Knowledge and education were not related to the risky sexual behavior of STIs
Characteristics of Cognitive Status in Sub-Population of Sub-Acute Stage of Ischemic Stroke Patients in West Nusa Tenggara, Indonesia
Full text linkCognitive decline is a significant complication that affects most stroke survivors. Early detection of cognitive decline in ischemic stroke patients and identification of risk factors improves their clinical outcomes. This study aimed to determine the characteristics of cognitive status in the sub-acute phase of ischemic stroke. A cross-sectional study was conducted on 89 sub-acute ischemic stroke patients in three hospitals in West Nusa Tenggara recruited consecutively from August 2019 to April 2020. The data collected were demographic and clinical characteristics, cognitive status, and functional outcome. The association between clinical and demographic characteristics and cognitive decline was analyzed using logistic regression. In addition, the relationship between cognitive status and functional outcomes of these patients was examined using the chi-square test. This study revealed that the prevalence of cognitive decline in these subjects was 71.9%. Multiple logistic regression showed that age was the only characteristic associated with cognitive decline in the subjects (OR = 5.12,95% CI = 1.08-24.28). Furthermore, the frequency of cognitive decline in these subjects was significantly associated with functional outcomes (p-value =0.014). Thus, there was a high prevalence of cognitive decline in sub-acute ischemic stroke patients associated with increasing age and poor functional outcomes
Association between Self-Reported Fatigue and Sarcopenia Measures among Elderly in Selangor, Malaysia
Full text linkThe association between fatigue and sarcopenia is not well understood, therefore, this study aimed to compare the sarcopenia measures among elderly with mild and severe fatigue and to determine whether fatigue severity is associated with sarcopenia measures. This was a cross-sectional study conducted on201 elderly (age = 68.45±6.30 years). The elderly was classified into either mild or severe fatigue based on the Fatigue Severity Scale (FSS), meanwhile, sarcopenia measures include SARC-F score, muscle mass (ASM/height2), calf circumference (CC), upper (handgrip) and lower limb muscle strength, as well as physical performance (gait speed). Data were analyzed using independent t-tests and logistic regression. The results showed that elderly with severe fatigue were significantly older, with lower muscle strength, and slower gait speed (all p-value <0.05). After adjusting for age, fatigue severity remained significantly associated with SARC-F score (OR = 1.583, 95% CI = 1.262-1.986, p-value = 0.001) and CC (OR = 1.103, 95% CI = 1.014-1.200, p-value = 0.022). Moreover,when the SARC-F score was removed from the regression model, fatigue severity was significantly associated with CC (OR = 1.088, 95% CI = 1.006-1.178, p-value = 0.036) and gait speed (OR = 0.011, 95% CI = 0.001-0.168, p-value = 0.001). Based on the results, fatigue severity is associated with SARC-F score, CC, and gait speed, therefore, interventions targeted at sarcopenia measures is recommended to optimize physical endurance in the elderly
Empowering Health Cadres to Support Drug-Resistant Tuberculosis (DR-TB) Patient to Enroll in Treatment
Full text linkTuberculosis (TB) remains a big challenge globally, while the involvement of health cadres’ constitutes one of the key strategies for the TB program in Indonesia. These roles were further expanded to providing support to DR-TB patients. This study was a qualitative study, conducted in 2015 to explore the various factors which influence the performance of health cadres’ in supporting DR-TB patients to enroll in treatment. A total of 39 informants consisting of 24 health cadres, three nurses, four DR-TB patients, and three family members, two peer support, a head of primary health care, and two TB staffs from the District Health Office were recruited for this study. Meanwhile, a refresher training for health cadres was conducted regarding knowledge on TB, community support, effective communication, as well as patient tracing. There was no significant difference in the pre and post-test results; however the health cadres showed great capability in communicating and assessing the condition of patients. In addition, the health cadres assisted in carrying out patient tracing process, an important initial step to better understand patients' overall condition and identify problems faced while seeking treatment. Health cadres need to work with various parties such as family members, close relative to the patient, peer support groups, and nurses to encourage patients to enroll in treatment
The COVID-19 Pandemic: Role of Coping Humor and Internal Health Locus of Control on Social Dysfunction and Anxiety & Depression
Full text linkThe concerns about the impact of social distancing on mental health have been widely discussed. This study aimed to know the predictive effect of coping humor and Internal Health Locus of Control (Internal HLoC) on social dysfunction and anxiety & depression during the implementation of the COVID-19 social distancing agenda. This study was also intended to assess the effect of humor content on coping humor. A quantitative approach was used as the method ofthe study with 243 online-recruited participants, and a PLS-SEM analysis was applied to find out the predictive effect in this study. The results and conclusions showed that anxiety & depression predict social dysfunction (β = 0.584, t-value = 11.93, f2 = 0.563). It was found that coping humor was able to directly increase the Internal HLoC (β = 0.187, t-value = 2.60, f2 = 0.036) and indirectly decrease social dysfunction (β = -0.144, t-value = 2.85) and anxiety & depression (β = -0.070, t-value = 2.42). Humor content unrelated to the issue of COVID-19 directly increase the coping-humor level (β = 0.266, t-value = 4.13,f2= 0.076), and indirectly increase Internal HLoC (β = 0.050, t-value = 2.07), and decrease anxiety & depression level (β = -0.046, t-value = 2.20). On theother hand, Internal HLoC directly decrease levels of social dysfunction (β = -0.233, t-value = 4.126, f2 = 0.089) and anxiety & depression (β = -0.373, t-value= 7.84, f2 = 0.161)