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All Journal JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE HIGIENE: Jurnal Kesehatan Lingkungan Proceeding - Sari Mutiara Indonesia International Conference on Health Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Prima Medika Sains Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Jurnal EduHealth Brilliance: Research of Artificial Intelligence SmartComp Jurnal ABDIMAS MUTIARA Jurnal Penelitian Manajemen (JPEMA)
Hidayat, Wisnu
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Smoking Behavior of Adolescent Determining in SMP Negeri 1 Simpang Empat 2018 Siregar, Mutiah Saleha; Hidayat, Wisnu; Tarigan, Frida Lina
Proceeding - Sari Mutiara Indonesia International Conference on Health Vol 1 No 1 (2018): Sari Mutiara Indonesia International Conference on Health
Publisher : Sari Mutiara Indonesia University Press

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Abstract

Background:Indonesia ranks fifth in the highest number of cigarette consuming countries and ranks third in the country with the highest number of smokers in the world. There is an increase in the number of smokers from age group under 15 years and the highest increase is in the age group 10-14 years. Objectives: This study aimed to determine the factors associated with smoking behavior among male students in SMP Negeri 1 Simpang Empat Asahan in 2018.Metode:This research is an analytic survey with cross sectional study design. Number of sample 128 respondents using total sampling. Data analysis was done using univariate analysis, bivariate with chi square test and multivariate with multiple logistic regression. Results: The result of the research showed that there was the correlation of knowledge (p=0.031<α=0.05), attitude(p=0.001<α=0.05), affordability of access (p=0.015<α=0.05), ad exposure (p=0.00<α= 0.05), parents’role (p=0.002<α0.050), peer role (p=0.001<α=0.05), school’s role (p=0.033<α=0.05). The variable which the most dominant correlation was ad exposure (p=0.003;OR=11.806 95% CI 2.345-47.541). Conclusion:It can be concluded that the ad exposure highly influences the development of smoking behavior in adolescents on the grounds they smoke to be more acceptable to people especially peers and to look more manly.
The Effect of Health Education on Audio Visual with Visual on Early Detection of Cervical Cancer Through IVA Examination of Knowledge and Mother's Attitude at Hinai Kiri Puskesmas Kecamatan Secanggang Kabupaten Langkat in 2018 Nilawati, Srinur; Hidayat, Wisnu; Brahmana, Netti Etalia Br.
Proceeding - Sari Mutiara Indonesia International Conference on Health Vol 1 No 1 (2018): Sari Mutiara Indonesia International Conference on Health
Publisher : Sari Mutiara Indonesia University Press

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Abstract

Cervical cancer is a malignant disease in cervix; it ranks the second as the cause of death in women throughout the world after breast cancer. The coverage of its early detection, using IVA method in Indonesia is 8.1% so that the case is found when it has already been in advanced stage. IVA (Visual Inspection with Acetic Acid) is a simple alternative method which is aimed to detect cervical cancer early as possible. The objective of the research was to find out the influence of audiovisual media health education with visual media about cervical cancer early detection through IVA screening on women’s knowledge and attitude at Hinai Kiri Puskesmas. The research used quasi experimental method with without control group design. The samples were 24 married women who were 30-50 years old, taken by using purposive sampling technique. The data were analyzed by using bivariate analysis with paired t-test statistic test. The result of paired t-test showed that p-value = 0.000 (p<0.05) in the respondents’ knowledge and attitude with the increase in the mean-score of the knowledge with audiovisual media was -16.75, visual media was -13.42, and the mean-score of attitude with audiovisual media was -18.83, visual media was -20..34. There was the influence of health education of audiovisual media with visual media on the respondents’ knowledge and attitude toward cervical cancer early detection through IVA screening. It is recommended that health education technique be developed to increase people’s awareness of cervical cancer, and cervical cancer screening facility be provided by using affordable IVA method.
Determinants of the Participation of Long-Term Contraceptive Method Users on Fertiled Aged Couples at Kampung KB Kelurahan Rengas Pulau Medan Marelan in 2018 Tampubolon, Emelia A.; Hidayat, Wisnu; Tarigan, Frida Lina
Proceeding - Sari Mutiara Indonesia International Conference on Health Vol 1 No 1 (2018): Sari Mutiara Indonesia International Conference on Health
Publisher : Sari Mutiara Indonesia University Press

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Abstract

The increase in population in Indonesia has caused population problems in which people use Non-MKJP (Non-Long Term Contraceptive Method), compared with MKJP. The negative impact of low coverage of MKJP users is the increase in population which brings about low provision in manpower. The objective of the research was to find out some factors which influenced of MKJP users’ participation in PUS (productive-aged couples) at Kampung KB, Kelurahan Rengas Pulau, Medan Marelan, in 2018. The research used observational analytic method with cross sectional dresign. The population was 365 KB (Family Planning) acceptors at Kampung KB, Kelurahan Rengas Pulau, and 78 of them were used as the samples. The result of multiple logistic regression analysis at p-value=0.25 showed that there was the influence of knowledge (p=0.018, PR=5.987), parity (p=0.001, PR=0.058), husbands’ or families’ support (p=0.001, PR=21.061), culture (p=0.005, PR=0.041), the distance of health facility (p=0.010, PR=0.089) on MKJP users’ participation in PUS. However, there was no influence of health care providers (p=0.054, PR=4.507) on MKJP users’ participation in PUS. The variable which had the most dominant influence of husbands’ or families’ support which had the opportunity of 21.061 time more than that of the other variables in MKJP users’ participation in PUS. It is recommended that the health care providers support the use of MKJP so that PUS can understand the benefit of using contraception.
Case Study of Stunting Toddlers in Paluh Manis Village, Kecamatan Gebang Kabupaten Langkat Jamilah, Jamilah; Hidayat, Wisnu; Tarigan, Frida Lina
Proceeding - Sari Mutiara Indonesia International Conference on Health Vol 1 No 1 (2018): Sari Mutiara Indonesia International Conference on Health
Publisher : Sari Mutiara Indonesia University Press

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Abstract

Objective: The purpose of the study was to determine and analyze the factors that cause stunting in children under five (a case study of stunting toddlers in Paluh Manis Village, Gebang District, Langkat District, 2018). Background: Stunting is a failure to grow in toddlers (infants under five years) due to chronic malnutrition so that the child is too short for his age. Factors that cause stunting in children under five include family and household factors, factors of inadequate supplementary feeding, inappropriate breastfeeding practice factors and clinical and subclinical infection factors. Methods: Qualitative research designed with phenomenological study designed by taking 9 informants. Data collection used interview guidelines and the researchers as data collectors conducted from January to July 2018. Results: The results showed that the causes of stunting in toddlers (case study of stunting toddlers in Paluh Manis Village, Gebang District, Langkat District, 2018) were economic factors and factors lack of knowledge. Conclusion: Researchers suggest that local governments should be active in programs to deal with stunting toddlers such as supplementary feeding programs and counseling to stunting mothers of toddlers with home visits and adding nutrition health workers to help with stunting prevention.
The Determinant of the Public Empowerment Toward the Prevention of Dangue Fever (DBD) in Uteun Geulinggang Village of North Aceh District Rizauddin, Meurah M Lingga; Hidayat, Wisnu; Sembiring, Rinawati
Proceeding - Sari Mutiara Indonesia International Conference on Health Vol 1 No 1 (2018): Sari Mutiara Indonesia International Conference on Health
Publisher : Sari Mutiara Indonesia University Press

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Abstract

Dengue hemorrhagic fever is a disease caused by dengue virus transmitted to humans by the bite of aedes aegypti mosquito. The province of Aceh has 21 regencies/ cities. Based on data from The Basic Health Research (Riskesdas) 2013 in Aceh province, down to date, DHF is a vector borne disease that is a priority in the program of controlling infectious diseases, both in Indonesia and in the world. In the past 12 months, clinical DHF can be detected in almost all districts/ cities in the province of Aceh (range of prevalence from 0.0 to 4.5%) (Riskesdas, 2013). This study aimed to determine the effect of community empowerment determinants on the prevention of dengue fever in the village of Uteun Geulinggang, North Aceh District to prevent the dengue fever. This study is an analytical study using Cross Sectional Analytical design with 57 heads of the family used as samples and the object of this study. The data was analyzed by using Bivariate and Univariate analysis. The results showed that there was no influence of public knowledge (p = 0.223), there was an influence of community attitudes (p = 0.003), there was an influence of information access (p = 0.000). It is recommended that health education can always guide the citizens and conduct health promotion to provide information about health to encourage people to live a healthier life and free from Aedes aegypti mosquitoes invasion so that there will be no more dengue hemorrhagic fever.
PENGARUH SIMULASI TARIAN DANGDUT KREATIF DAN ROLE PLAY TERHADAP PENGETAHUAN DAN SIKAP IBU TENTANG DAMPAK NEGATIF PENGGUNAAN GADGET DI DESA TINGGI RAJA KABUPATEN ASAHAN TAHUN 2019 Usman, Rachmatina Amelia; Tarigan, Frida Lina; Hidayat, Wisnu
Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Vol 4, No 1 (2020): Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmstkik.v4i1.5912

Abstract

Gadgets have a very important role in communication technology because they make human life easier, more comfortable and change one's mindset and even change attitudes and human character. The purpose of this study was to analyze the influence of creative dangdut dance simulation and role play on the knowledge and attitudes of mothers about the negative impact of using Gadgets in Tinggi Raja Village Asahan District in 2019. This study was a quasi experimental study. The population in this study were mothers who had toddlers in Desa Tinggi Raja Asahan District as many as 153 people. The sample size uses the Lemeshow formula and from the calculation the number of samples is 44 so that the research sample is divided into two namely the creative dangdut dance group of 22 respondents and for the role play group of 22 respondents. Data analysis methods used in this study consisted of univariate, bivariate analysis. The results obtained: there is an influence of creative dangdut dance simulation on knowledge (p = 0.001) and attitude (p = 0,000) about the negative impact of using Gadgets, there is an influence of role play on knowledge (p = 0,000) and attitude (p = 0,000) about the impact negative use of Gadgets, the role play method is more effective in influencing knowledge (p = 0.001) and attitudes (p = 0.035) about the negative impact of Gadget use. Based on the research results obtained, it is suggested that mothers can provide Gadgets to their children for learning activities with supervision and restrictions on the duration of use so that children are not addicted and do not experience health problems. ABSTRAKGadget memiliki peranan teknologi komunikasi yang sangat penting karena  membuat hidup manusia menjadi semakin mudah, nyaman dan perubahan pola pikir seseorang bahkan perubahan sikap dan karakter manusia. Tujuan penelitian ini adalah untuk menganalisis pengaruh simulasi tarian dangdut kreatif dan role play terhadap pengetahuan dan sikap ibu tentang dampak negatif penggunaan Gadget di Desa Tinggi Raja Kabupaten Asahan tahun 2019. Penelitian ini merupakan penelitian eksperimen quasi. Populasi dalam penelitian ini adalah ibu-ibu yang memiliki balita di Desa Tinggi Raja Kabupaten Asahan sebanyak 153 orang. Besar sampel menggunakan rumus Lemeshow dan dari perhitungan diperoleh jumlah sampel sebanyak 44 sehingga sampel penelitian dibagi ke dalam dua yaitu kelompok tarian dangdut kreatif sebanyak 22 responden dan untuk kelompok role play sebanyak 22 responden. Metode analisa data yang digunakan dalam penelitian ini terdiri dari analisa univariat, bivariat. Hasil penelitian diperoleh: ada pengaruh simulasi tarian dangdut kreatif terhadap pengetahuan (p = 0,001) dan sikap (p = 0,000) tentang dampak negatif penggunaan Gadget, ada pengaruh role play terhadap pengetahuan (p = 0,000) dan sikap (p = 0,000) tentang dampak negatif penggunaan Gadget, metode role play lebih efektif berpengaruh terhadap pengetahuan (p=0,001) dan sikap (p=0,035) tentang dampak negatif penggunaan Gadget. Berdasarkan hasil penelitian yang diperoleh disarankan ibu-ibu dapat memberikan Gadget kepada anaknya untuk aktivitas pembelajaran dengan pengawasan dan pembatasan lamanya pemakaian agar anak-anak tidak kecanduan dan tidak mengalami gangguan kesehatan.
STUDI FENOMENOLOGI: DINAMIKA KESEHATAN KORBAN BULLYING REMAJA DI SMPN 2 KECAMATAN DATUK BANDAR TIMUR KOTA TANJUNGBALAI Umamy, Farida; Hidayat, Wisnu; Sitorus, Mido Ester
Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Vol 3, No 2 (2019): Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmstkik.v3i2.5111

Abstract

This study aims to obtain in-depth information about the form of bullying, the factor of bullying in victims. As well as this study also aims to determine the impact on the dynamics of bullying victims' health. This type of research is qualitative research. The informants of this study consisted of 2 students at SMPN 2 Tanjungbalai. Data collection methods used are in-depth interviews and observations according to the guidelines that have been made. The analysis conducted is data collection, transcribing records. To measure the validity of the data of this study, researchers used source triangulation, namely informant friends, parents and counseling guidance teachers. The results of this study indicate that the form of bullying experienced by informants is a form of physical, verbal and psychological bullying. Informant A experiences physical and verbal bullying, while N experiences verbal and psychological bullying. Factors that cause informants to be bullied because they are physically small, timid, have difficulty adjusting to the school environment and are considered less attractive in their teenage friends. Bullying has an impact on the dynamics of the victim's health that is a change in attitude, feeling sad and inferior, lacking focus in learning, bruising and feeling dizzy, lazy to socialize in the school environment and changes in spiritual life. The researcher suggests that the school has a program to accompany victims of bullying so that they can develop themselves as a positive impact so that victims are able to accept themselves. AbstrakPenelitian ini bertujuan untuk memperoleh informasi mendalam mengenai bentuk bullying, faktor terjadinya bullying pada korban. Serta penelitian ini juga bertujuan mengetahui dampak terhadap dinamika kesehatan korban bullying. Jenis penelitian ini adalah penelitian kualitatif. Informan penelitian ini terdiri dari 2 siswa SMPN 2 Tanjungbalai. Metode pengumpulan data yang digunakan adalah wawancara mendalam dan observasi sesuai pedoman yang telah dibuat. Analisis yang dilakukan adalah pengumpulan data, mentranskip catatan. Untuk mengukur keabsahan data penelitian ini, peneliti menggunakan triangulasi sumber yaitu teman informan, orang tua dan guru bimbingan konseling. Hasil penelitian ini menunjukkan bahwa bentuk bullying yang dialami informan yaitu bentuk bullying fisik, verbal dan psikologis. Informan A mengalami bullying fisik dan verbal, sedangkan N mengalami bullying verbal dan psikologis. Faktor – faktor yang menyebabkan informan dibully karena fisik yang kecil, penakut, susah menyesuaikan diri dilingkungan sekolah dan dianggap kurang menarik dilingkungan teman-teman usia remaja. Bullying memiliki dampak terhadap dinamika kesehatan korban yaitu perubahan sikap, merasa sedih dan rendah diri, kurang fokus dalam belajar, memar dan merasa pusing, malas bersosialisasi dilingkungan sekolah serta perubahan kehidupan spritual. Peneliti menyarankan sekolah memiliki program untuk mendampingi korban bullying agar dapat mengembangkan diri sebagai dampak yang positif sehingga korban mampu menerima diri sendiri.
FAKTOR RISIKO UMUR, GRAVIDA, STATUS GIZI DAN KEHAMILAN GANDA DENGAN KEJADIAN HIPEREMESIS GRAVIDARUM (STUDI KASUS KONTROL DI RSUD ACEH TAMIANG) Purwanti, Mailinda; Brahmana, Netty Etalia; Hidayat, Wisnu
Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Vol 3, No 2 (2019): Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmstkik.v3i2.5106

Abstract

Hyperemesis gravidarum is nausea, vomiting that occurs until 20 weeks' gestation, vomiting is so severe that everything that is eaten and drunk is vomited so that it affects general circumstances and daily work, weight loss, dehydration and acetone in the urine not due to diseases such as appendicitis, pielitis, and so on. This study aims to determine the risk factors for age, gravida, nutritional status and multiple pregnancy against the incidence of hyperemesis gravidarum (case control study in Aceh Tamiang District Hospital 2018). This research was conducted in January 2018-December 2018. The type of research used was analytic observational research with a case-control approach. The population in this study were all pregnant women with a diagnosis of hyperemesis gravidarum treated in the obstetric room of Aceh Tamiang Regional Hospital since January-December 2018 obtained from the hospital's medical record data of 94 people. The sample in this study was divided into two, namely 94 case samples and 94 control samples. Based on statistical tests, the results show that there is a relationship between age and hyperemesis gravidarum with ρ value = 0,000. Value of p = 0,000 which is smaller than a = 0.05, there is a relationship between gravida factor and the occurrence of hyperemesis gravidarum with ρ value = 0,000. Value p = 0,000 which is smaller than a = 0.05, there is a relationship between nutritional status factors and the incidence of hyperemesis gravidarum with ρ value = 0.001. P value = 0.001 which is smaller than a = 0.05 and there is no relationship between multiple pregnancy factors and hyperemesis gravidarum with a value of value = 0.274. Value of p = 0.274 which is greater than a = 0.05 in Aceh Tamiang District Hospital. The researcher suggests that this research can be information in providing maximum services in health facilities and sources of broadening insight for education.  AbstrakHiperemesis gravidarum adalah mual muntah yang terjadi sampai umur kehamilan 20 minggu, muntah begitu hebat dimana segala apa yang dimakan dan diminum dimuntahkan sehingga mempengaruhi keadaaan umum dan pekerjaan sehari-hari, berat badan menurun, dehidrasi dan terdapat aseton dalam urin bukan karena penyakit seperti appendisitis, pielitis, dan sebagainya.Penelitian ini bertujuan untuk mengetahui faktor risiko umur, gravida, status gizi dah kehamilan ganda terhadap kejadian hiperemesis gravidarum (studi kasus control di RSUD Aceh Tamiang Tahun 2018). Penelitian ini di laksanakan bulan Januari 2018-Desember 2018. Jenis penelitian yang digunakan adalah penelitian observasi analitik dengan pendekatan case-control. Populasi dalam penelitian ini adalah seluruh ibu hamil dengan diagnosa hiperemesis gravidarum yang di rawat di ruang kebidanan RSUD Aceh Tamiang sejak januari-desember 2018 yang diperoleh dari data rekam medik rumah sakit tersebut sebanyak 94 orang. Sampel dalam penelitian ini terbagi 2 yaitu sampel kasus sebanyak 94 orang dan sampel kontrol sebanyak 94 orang. Berdasarkan uji statistik diperoleh hasil ada hubungan faktor umur dengan kejadian hiperemesis gravidarum dengan nilai ρ value = 0,000. Nilai p= 0,000 yang lebih kecil dari a= 0,05, Ada hubungan faktor gravida dengan kejadian hiperemesis gravidarum dengan nilai ρ value = 0,000. Nilai p= 0,000 yang lebih kecil dari a= 0,05, Ada hubungan faktor status gizi dengan kejadian hiperemesis gravidarum dengan nilai ρ value = 0,001. Nilai p= 0,001 yang lebih kecil dari a= 0,05 dan Tidak ada hubungan faktor kehamilan ganda dengan hiperemesis gravidarum dengan nilaiρ value = 0,274. Nilai p= 0,274 yang lebih besar dari a= 0,05 Di RSUD Aceh Tamiang. Peneliti menyarankan agar penelitian ini dapat menjadi informasi dalam pemberian pelayanan yang maksimal dalam fasilitas kesehatan dan sumber memperluas wawasan bagi pendidikan.
PENGARUH PENGGUNAAN MEDIA SOSIAL WHATSAPP DAN BOOKLET TERHADAP PENGETAHUAN DAN SIKAP SISWA TENTANG ROKOK DI SMA NEGERI 13 MEDAN Gafi, Aldo Al; Hidayat, Wisnu; Tarigan, Frida Lina
Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Vol 3, No 2 (2019): Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmstkik.v3i2.5656

Abstract

Smoking is one of the public health problems in Indonesia by remembering that smoking is one of the main risk factors of several chronic diseases that can lead to death. Smoking among adolescents is caused by curiosity or trying out new experiences, trying to eliminate boredom, wanting to be considered more male and want to be accepted in the group. The purpose of this study was to analyze the effect of the use of whatsapp social media and booklets on knowledge about cigarettes and student attitudes at SMA Negeri 13 Medan. This research is a quasi experimental study. The study population was all students of SMAN 13 Medan class 11 in 2018/2019 with 128 male students and the sample was 21 male students for the social media group WA) and 21 male students for the booklet group. Data analysis methods used in this study consisted of univariate and bivariate analyzes. The results were obtained as follows: 1) The use of whatsapp social media affected the knowledge of cigarettes and student attitudes, 2) The use of booklet media influenced the knowledge of cigarettes and student attitudes. From the research results obtained, suggestions are given that students can increase their knowledge through a number of ways including finding information through internet media or books relating to smoking and smoking as well as the dangers posed by smoking so that they can understand it and change attitudes towards more and produce good behavior, also. AbstrakMerokok merupakan salah satu masalah kesehatan masyarakat di Indonesia dengan mengingat bahwa merokok merupakan salah satu faktor risiko utama dari beberapa penyakit kronis yang dapat mengakibatkan kematian.Merokok dikalangan remaja disebabkan oleh rasa ingin tahu atau mencoba-coba pengalaman baru, mencoba menghilangkan kejenuhan, ingin dianggap lebih jantan dan ingin diterima dikelompoknya. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh penggunaan media sosial whatsapp dan booklet terhadap pengetahuan tentang rokok dan sikap siswa di SMA Negeri 13 Medan. Penelitian ini merupakan penelitian eksperimen semu. Populasi penelitian adalah seluruh siswa SMAN 13 Medan kelas 11 tahun ajaran 2018/2019 sebanyak 128 orang laki-laki dan sampel diperoleh sebanyak 21 siswa laki-laki untuk kelompok media sosial WA) dan 21 siswa laki-laki untuk kelompok booklet. Metode analisa data yang digunakan dalam penelitian ini terdiri dari analisa univariat dan bivariat. Hasil penelitian diperoleh sebagai berikut: 1) Penggunaan media sosial whatsapp berpengaruh terhadap pengetahuan tentang rokok dan sikap siswa, 2) Penggunaan media booklet berpengaruh terhadap pengetahuan tentang rokok dan sikap siswa. Dari hasil penelitian yang diperoleh disampaikan saran yaitu siswa dapat menambah pengetahuannya melalui beberapa cara diantaranya dengan mencari informasi melalui media internet atau buku yang berkaitan dengan rokok dan merokok serta bahaya yang ditimbulkan akibat merokok sehingga dapat memahaminya dan merubah sikap kearah yang lebih dan menghasilkan perilaku yang baik pula.
The habit of indiscriminate spitting in betel chewing Barus, Aguslina Wati Kristina; Hidayat, Wisnu; Bangun, Henny Arwina
Jurnal Prima Medika Sains Vol. 5 No. 2 (2023): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i2.4315

Abstract

Betel nut consumption is a customary practice in Simalungun society and is frequently observed during typical and routine events. Nevertheless, there persists a group of individuals who are inclined towards crude expectoration behavior, depositing residual betel within various locations, including public domains such as markets. The focus of this investigation is to conduct an in-depth inquiry into the antecedents of such indiscriminate spitting tendencies exhibited among traders of betel nuts within the Saribudolok Traditional Market, located within the jurisdiction of the Simalungun Regency. This qualitative investigation utilized a phenomenological strategy. Seven informants were interviewed. These include betel nut sellers, visitors or purchasers, healthcare practitioners, and market managers. Observations were also made by the researchers throughout the data collection process. The triangulation technique was employed to verify all the data collected through the interviews and observations. Additionally, the researcher utilized a matrix to categorize the data based on the research objectives and questions.  The data analysis followed the Miles and Huberman model, revealing that the practice of carelessly spitting betel residue among traders who consume betel is due to inadequate knowledge of healthy and hygienic living habits as well as unawareness of the dangers associated with spitting betel residue. The lack of education provided by health workers on the hazards of careless spitting and the consequent risk of disease transmission also contributes to this behavior.
Co-Authors Adisah, Adisah Bancin, Lenny Lestryani Br Bangun, Henny Arwina Barus, Aguslina Wati Kristina Brahmana, Netti Etalia Br. Brahmana, Netty Etalia Diana, Erna Emelia Apriani Tampubolon Ester J. Sitorus, Mido Etalia Brahmana, Netti Fakhruddin Fakhruddin Farida Umamy Frida Lina Tarigan, Frida Lina Gafi, Aldo Al Gammanr, Dzulfikri Gammanr Givy Devira Ramady Jamilah Jamilah Johansen Johansen JOICE SONYA GANI PANJAITAN Kahayati, Dewi Kartika, Mahrona Lestari, Ninik Sri Lina Tarigan, Frida Lukman Hakim Manurung, Jasmen Manurung, Kesaktian Marbun, Serepina Masdalina Pane MYRNAWATI, MYRNAWATI Nababan, Donal Nurhayani nurhayani Prima Astuti Handayani Purnama Ria Sihombing, Esther Purwanti, Mailinda Rizauddin, Meurah M Lingga Rusmiati Rusmiati Sapnita, Sapnita Sembiring, Rinawati Sembiring, Rinawati SILITONGA, EVAWANI Silitonga, Evawani M Silitonga, Evawani Martalena Silitongga, Evawani Simarmata, Rawaty Sinaga, Janno Sinaga, Lia Rosa Veronika Sinaga, Taruli Rohana Sipayung, Jeni Susanto Siregar, Mutiah Saleha Sitorus, Mido Ester Sri Lestari, Ninik Srinur Nilawati Sujana, Ahmad Susanto Sipayung, Jenni Sutrisno, Gono Toni Wandra Usman, Rachmatina Amelia Vierto Widjaya, Lindawati Zendrato, Nonitehe