Kesmas: National Public Health Journal
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Health Risk Behaviors: Smoking, Alcohol, Drugs, and Dating among Youths in Rural Central Java
Get PDFAdolescents are more likely to adopt risky health behaviors, such as smoking, alcohol use, and sexual activity. This study examined the links betweensmoking, alcohol use, and risky dating behavior and analyzed how these factors influenced risky dating and other behaviors. It is expected that this studywould be used as a foundation for developing appropriate integrated intervention for multiple risk behaviors among youths. This study was an explanatory research study with a cross-sectional approach. It involved 160 youths aged 15-24 years randomly selected from purposive villages. Participants completedself-administrated questionnaires with an enumerator present. Data were analyzed using univariate, chi-square, and multiple logistic regression. Smoking behavior, leisure activity, and self-efficacy were predictors of risky dating behavior. The self-efficacy variable also influenced multiple risk behaviors. A strong association was found between smoking, risky dating behavior, and alcohol use. One-third of the participants had dated and smoked recently, but only 10% ofthem had experienced high-risk dating activity, including petting and intercourse. Only 5% had experienced alcohol use (in particular, traditional alcohol), andno one admitted being involved with drug abuse
Obesity Indicators and C-Reactive Protein in Indonesian Adults (More than Equal to 40 Years Old): The Indonesian Family Life Survey 5
Get PDFC-reactive protein (CRP) is the best clinical marker for systemic inflammation. Obesity is associated with increased CRP levels. Systemic inflammation is present before morbidity occurs. Research reveals that the identification of obesity indicators and CRP levels is limited among Indonesians. The present study investigated the associations between obesity indicators (body mass index [BMI], waist circumference [WC], waist-to-hip ratio [WHR], waist-to-height ratio [WHtR]) and CRP levels among Indonesian adults. This cross-sectional study based on Indonesian Family Life Survey-5 2014–2015 was conducted among 3,386 adults (≥ 40 years) living in 13 provinces in Indonesia during the study period. All data were collected in 2014. Multiple logistic regression was used to estimate the odds ratio (ORs) and 95% confidence interval (95% CIs) for hs-CRP levels on obesity indicators by using underweight (BMI) and normal (WC, WHR, and WHtR) as references. Our multivariable logistic regression analysis indicated that respondents with increased WHR (OR: 1.278, 95% CI: 1.005–1.625, p-value < 0.001) were more likely to have high-risk hs-CRP levels than those with normal WHR. Compared with respondents with normal WHtR, those with increased WHtR were found associated with high-risk hs-CRP levels (OR: 1.980, 95% CI: 1.544–2.541, p-value < 0.001). Therefore, WHR and WHtR can predict central obesity, which is associated with hs-CRP levels
Effects of Son Preference on Contraceptive Use in Bangladesh
Get PDFSon preference resulting from traditional beliefs, social customs and economic benefits including support of aging parents is widespread not only in Bangladesh but also in many Asian and African countries, which are believed for low levels of contraceptive use. To carry out the research task effectively and efficiently, the research work extracted 16,858 currently married women aged 15-49 out of 17,863 ever-married women from a nationally representative 2014 Bangladesh Demographic and Health Survey Data (BDHS, 2014) set. Levels of contraceptive prevalence rate of the respondents having only daughters is found only 48.4, which is remarkably lower than the national average (62.4) because of son preference. The analysis reveals that son preference is variant regarding of place of residence and socioeconomic background. Son preference is stronger among illiterate, nonworking women and women above 40 years of age. Moreover, Muslim women have a strong son preference than their Non-Muslim counterparts. The desire for sons can be reduced by making daughters and sons equally dear to parents and also in society
Effect Of Condom Utilization On Sexuall Transmitted Infection Among Female Sex Workers, In Tulungagung District, East Java, Indonesia
No full textOne effective strategy for preventing sexually transmitted infection (STI) incidence and providing protection for female sex workers (FSWs) from their sexual partners is correct and consistent condom use behavior. This study examined the effect of condom use on STI among FSWs in Tulungagung District, East Java. This analytic and observational study using a cohort prospective design was conducted at Ngujang ex- prostitution area and Gunung Bolo prostitution area, Tulungagung District, from November to January 2017. The total sample selected was 90 FSWs. Data was collected through a set of questionnaires and tracking condom use in a diary. Data were analyzed by using Pearson’s chi-square, t-test and logistic regression models at a significance of 0.05. Bivariate analysis with chi-square test showed that STI was affected by period of condom use, ratio of number of condom used to number of times the FSW had sex, condom use, age, number of customers, skill in using condoms, tarifts for sexual services, and length of working as an FSW. Results of multivariate logistic regression showed an influence in ratio of condom use to having sex, number of condoms, and number of customers. In conclusion, the incidence of STI is influenced by the ratio of condom use to having sex, number of condoms used, and number of customers in Tulungagung District.
Duration of Hormonal Contraception and Risk of Cervical Cancer
Get PDFThe use of long hormonal contraceptives can disrupt the balance of estrogen in the body, resulting in abnormal cell changes. This study aimed to determine a correlation between the duration of hormonal contraception and risk of cervical cancer. This study used a case-control design. The population were patients who had examined at a cancer installation and obstetrics-gynecology polyclinic Dr. Sardjito Hospital in 2018. Case samples were 95 women have cervical cancer diagnosis and control were 95 women with a negative pap smear. Sampling with random sampling. Dependent variable cervical cancer and independent variable the duration of hormonal contraception are obtained from medical records. Cervical cancer is assessed by doctor’s diagnosis. Data analysis used logistic regression. Results showed that 44.7% of samples used long-term hormonal contraception (over 5 years). Length of use of hormonal contraception had a significant correlation with the incidence of cervical cancer (p-value < 0.01). Hormonal contraceptive use more than 5 years have a risk 4.2 times (95% CI 1.01-5.69) of cervical cancer than using less than 5 years after being controlled with the first marriage age and parit
Hematological Indices of Pesticide Exposure Rice Farmers in Southern Thailand
Get PDFThe most common pesticides used in rice farming are organophosphates and carbamates. These pesticides inhibit acetylcholinesterase (AChE) activity, resulting in excessive levels of acetylcholine accumulation and disrupted neurotransmission. This study compared AChE activity and hematological parameters between pesticide-using rice farmers, non-pesticide using rice farmers, and non-agricultural occupational groups (non-farmers). Pesticide residues that accumulated in rice and the water and soil of the study area were also determined. AChE activity of all participants showed 10 from 87 samples (11.49%) as borderline depressed, with 50% of these being pesticide-using farmers. Most of the hematological parameters were normal in all samples. However, platelet numbers of pesticide self-spraying rice farmers were significantly lower than non-self-spraying rice farmers. The results suggested that the use of pesticides during rice farming affected AChE activity and some hematological cells. In addition, pesticide residues in soil, water and rice in rice fields using pesticides were higher than in non-pesticide use areas. Results confirmed that the exposure rates of farmers using pesticides were at higher risk than farmers who did not use pesticide
Relationship Model for Occupational Safety and Health Climate to Prevent Needlestick Injuries for Nurses
Get PDFThe risk of accidents and disease transmission when working at hospitals is quite high, especially in Indonesia. This study aimed to analyze the relationship model between the Occupational Safety and Health (OSH) climate and behavior intention in OSH performance to prevent needlestick injuries (NSI) based on a theory of planned behavior. A mixed approach using qualitative and quantitative methods was applied. Data were obtained from Structural Equation Model questionnaires, observation, and documentation, and interviews were analyzed qualitatively. The population was 1,042 nurses at Dr. Sardjito General Hospital in Yogyakarta. The sample consisted of 289 respondents determined by purposive random sampling with an accuracy level of 5%. The OSH climate consisted of attitude, norm, and perceived behavioral control effect on safety intention. An indirect OSH climate can influence safety performance, but it must be followed by intention. Intention directly affects safety performance in the form of behavior to implement NSI prevention procedures. Attitudes toward risk, attitudes toward leader commitment as role models, group norms, and beliefs in the ability to perform safety and health procedures determine the safety climate that leads to the intention for safe and healthy behavior in OSH performance
Prediction Models for Descreasing Visual Acuity in Wig Makers
No full textOne of the occupational diseases that can arise for workers with high accuracy is a decrease in their visual acuity. Therefore, it is necessary to study the risk factors of decreasing visual acuity in workers with high accuracy, such as in wig makers. This study aimed to examine the correlation between age, working period, lighting intensity, fatigue, and nutritional status with visual acuity, and to observe the main risk factors that can be used as a reference for predicting decreasing visual acuity. This study was an observational study that used a cross-sectional design. The population number for this study was 185 wig makers.A total of 85 samples were selected using simple random sampling. The study was carried out in January to March 2016 on wig makers in Purbalingga. The results showed that variables most closely associated with visual acuity were working period (p-value = 0.000 0.05) and nutritional status (p-value = 0.562 > 0.05)
Maternal Knowledge, Attitude, and Practices about Traditional Food Feeding with Stunting and Wasting of Toddlers in Farmer Families
Get PDFTraditional foods are foods consumed by a certain ethnic group in a specific region. The habit of consuming traditional foods is usually inherited by the family members, including toddlers, of a respective generation. The study aimed to determine relationship of maternal knowledge, attitude, and practices in traditional food feeding with stunting and wasting of toddlers in the farmer families of the Central Bengkulu District. This study employed a cross-sectional design with a sample of mothers with children aged 12–59 months. The sample included a total of 115 farmer families. Data on nutritional knowledge, attitude, practices about traditional food, sex of children, and the number of family members were collected via interviews conducted with the mothers; stunting and wasting status data were collected via height and weight measurements. Data were analyzed bivariately using the chi-square test. Multivariate logistic regression analysis was also used in this study. It was found that there was a relationship between nutritional knowledge of traditional food and nutritional status of weight-for-age (p-value = 0.031), and there was a correlation between nutritional practices of traditional food and wasting incidence (p-value = 0.012). According to the height-for-age index, the nutritional status was related to the maternal knowledge of traditional food, whereas the maternal nutritional practice with traditional food had a significant relationship with the weight-for-age index
Occurrence of Natural Vertical Transmission of “Zika like Virus” in Aedes aegypti Mosquito in Jambi City
Get PDFZika virus can be transmitted through mosquitoes such as Aedes aegypti and Ae. albopictus. During the transition period of 2014–2015, an outbreak of dengue was reported in Jambi City, during which several sufferers were screened positive for Zika virus infection by the Eijkman Institute. It was interesting to note that all of those positive for Zika virus infection were indigenous residents and none of them had a history of international travel. This descriptive analytic study with a cross-sectional design study was conducted to present an overview of Aedes spp. Population using ovitrap and egg colonization methods and to detect the presence of Zika virus. Samples were analyzed using reverse transcription polymerase chain reaction for detection of Zika “like” virus and the mapping results were described. The Ovitrap Index was 44.74%, and examination of egg colonization collected from 40 neighborhoods revealed the presence of Zika “like” virus in samples obtained from the fourth neighborhood in Talang Bakung village. This result indicates the occurrence of natural vertical transmission of Zika “like” virus in A. aegypti mosquito in Jambi City, which potentially resulted in an outbreak.Zika virus can be transmitted through mosquitoes such as Aedes aegypti and Ae. albopictus. During the transition period of 2014–2015, an outbreak of dengue was reported in Jambi City, during which several sufferers were screened positive for Zika virus infection by the Eijkman Institute. It was interesting to note that all of those positive for Zika virus infection were indigenous residents and none of them had a history of international travel. This descriptive analytic study with a cross-sectional design study was conducted to present an overview of Aedes spp. population using ovitrap and egg colonization methods and to detect the presence of Zika virus. Samples were analyzed using reverse transcription polymerase chain reaction for detection of Zika “like” virus and the mapping results were described. The Ovitrap Index was 44.74%, and examination of egg colonization collected from 40 neighborhoods revealed the presence of Zika “like” virus in samples obtained from the fourth neighborhood in Talang Bakung village. This result indicates the occurrence of natural vertical transmission of Zika “like” virus in A. aegypti mosquito in Jambi City, which potentially resulted in an outbreak