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Multilevel Analysis on the Bio-psychosocial and Environment Factors Affecting the Risk of Pneumonia in Infants Astri Yunita; Bhisma Murti; Yulia Lanti Retno Dewi
Journal of Epidemiology and Public Health Vol. 1 No. 1 (2016)
Publisher : Masters Program in Public Health

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Background: Pneumonia is an illness of the maincauses of pain and death in toddler in the world. The incidence of pneumonia in Indonesia has increased, from 2007 about 2.1% and in 2013 about2.7%. Pneumonia in toddler in Indonesia is an issue that is important to do the actions of prevention and control of pneumonia. This study was aimed to investigate the factors biopsychosocial to the risk of pneumonia in toddlers.Subjects and Method: This was an analytical observational study with case control design, carried out on 2 August to 16 September 2016. A total of 140 subjects in Banjarnegara, Central Java, were selected by fixed disease sampling. The dependent was pneumonia in infants. The independent variables were exposure to CO, H2S, family income, maternal education, household smoke exposure, sanitary home, chain-smoking family activity, anxiety. The data was collected by using a questionnaire, check list and recording and analyzed by using Logistic regression.Results: There was influence of exposure of CO (OR= 1.46; 95% CI= 0.17 to 21; p= 0.970), H2S (OR= 0.53; 95% CI= 0.98 to 2.92; p= 0.412), family income (OR= 1.90; 95% CI= 0.78 to 4.65; p= 0.365), maternal education (OR= 1.75; 95% CI= 0.72 to 4.25; p= 0.474), household smoke exposure (OR= 5.63; 95% CI= 2.27 to 13.95; p= 0.001), home sanitation (OR= 6.23; 95% CI= 2.61 to 14.84; p=0.001), smoking activity (OR= 3.19; 95% CI= 1.33 to 7.66; p= 0.020) and the incidence of pneumonia toddlers. There was the influence of anxiety to pneumonia in toddler (OR= 16; 96% CI= 6.87 to 37.75; p< 0.001). There was the influence of contextual conditions to pneumonia in toddler (ICC = 36.97%; role of thumb 5 to 8% likelihood ratio p= 0.008; 95% CI= 0.45 to 8.17).Conclusion: There is the influence of exposure to CO, H2S, family income, maternal education, household smoke exposure, home sanitation, smoking activity. There is the influence of anxiety of pneumonia in toddler. The condition has influence contextual variations toddler pneumonia incident, so it is noteworthy.Keywords: bio-psychosocial, environmental factor, pneumonia toddlersCorrespondence: Astri Yunita. Masters Program in Public Health, SebelasMaret University, Surakarta. Email: astriyunita07@yahoo.co.id. Mobile: +6285641797995Journal of Epidemiology and Public Health (2016), 1(1): 1-10https://doi.org/10.26911/jepublichealth.2016.01.01.01

The Effect of Dietary Intake and Social Economic Factors on the Risk of Stunting in Primary School Children in Surakarta, Central Java Agustina Dwi Utami; Dono Indarto; Yulia Lanti Retno Dewi
Journal of Epidemiology and Public Health Vol. 2 No. 1 (2017)
Publisher : Masters Program in Public Health

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Background: It is estimated there are 156 million of children or as much as (23%) all over the world who endure stunting. Stunting prevalence in Indonesia reaches 29%, the figure is the highest among South East Asia countries. Whereas stunting can cause the escalating mortality and morbidity rate on children, delayed mental development, and reduced intellectual capacity. The study aimed to elaborate the effect of nutrient intake and socioeconomic factor toward stunting incidence among primary school students.Subjects and Method: The study used analytic observational study with cross sectional design. The location of the study was in the city of Surakarta in February up to March 2017. There was a total of 145 subjects of the study. The sampling technique used was multi stage random sampling. Independent variables of the study were protein intake, energy intake, maternal education, maternal occupational status and family income. Dependent variable was stunting. The study used questionnaires and body height measurement for data collection. The data processing used was path analysis.Results: Statistical result showed that Stunting Incidence was affected by energy intake (b=0.02,p<0.001), protein intake (b=0.02; p<0.001), maternal education (b=0.23; p=0.187), family income (b=0.01; p=0.051). Energy intake was affected by maternal education (b=9.56; p=0.77) and family income (b=1.81; p=0.0.05). Protein intake was affected by maternal education (b=1.75; p=0.051), maternal occupational status (b=-2.30; p=0.33) and family income (b=0.12; p=0.11).Conclusion: Height per age was affected by energy intake, protein intake, maternal education and family income. Energy intake was affected by maternal education and family income. Protein intake was affected by maternal education, maternal occupational status, and family income.Key words : Primary school students, Nutrient Intake, StuntingCorrespondence: Agustina Dwi Utami. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: agustinadwiutami@gmail.com. Mobile: +6282312719036.Journal of Epidemiology and Public Health (2017), 2(1): 1-10https://doi.org/10.26911/jepublichealth.2017.02.01.01

The Effect of Self Help Group on Knowledge and Attitude in Decision Making Among Household Head of Patients with Depression in Yogyakarta Endang Tri Sulistyowati; Bhisma Murti; Yulia Lanti Retno Dewi
Journal of Health Promotion and Behavior Vol. 1 No. 4 (2016)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Treatment of patients with mental health problem at home and hospital has been so variable and unsatisfactory. An often assumed causal factor of this problem is lack of knowledge among household heads of patients with mental health problem. This study aimed to determine the effect of self help group on knowledge and attitude in decision making among household heads of patients with depression in Yogyakarta.Subjects and Method: This was an analytic experimental study with RCT (Randomized Control Trial). This study was conducted at Jetis, Sleman, Yogyakarta. Study subjects included household heads and 60 patients with depression. The dependent variables were knowldege and attitude in decision making. The independent variable was self health group. The data were collected by use of a set of questionnaire. The data were analyzed by logistic regression.Results: There was positive relationship between engaged in self help group and knowledge (OR= 1.46, 95% CI= 1.33-14.02, p= 0.015) among household heads of patients with depression. There was positive relationship between being engaged in self help group and attitude, but it was statistically non-significant (OR= 1.46, 95% CI= 0.74-25.41, p= 0.105).Conclusion: Self help group has positive significant effect on household head’s knowledge, as well as attitude in decision making among household heads.Keywords: self help group, knowledge, attitudeCorrespondence: Endang Tri Sulistyowati. Health Academy of Karya Husada, Yogyakarta. Email: endangts80@gmail.com.Journal of Health Promotion and Behaviour (2016), 1(4): 223-227https://doi.org/10.26911/thejhpb.2016.01.04.01

PRECEDE-PROCEED Theory Regarding Socio-Cultural Aspects that Influence the Treatment of Healthy Reproduction Organs among Senior High School Female Students in Surakarta Santy Irene Putri; RB Soemanto; Yulia Lanti Retno Dewi
Journal of Health Promotion and Behavior Vol. 2 No. 1 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: The group that has been vulnerable to the abandonment of reproductive health rights in Indonesia is adolescents. The lack of adolescents’ awareness toward their behaviors in maintaining genital organs cleanliness is due to socio-cultural limitations might cause negative impact toward their reproductive health. This study aimed at analyzing the socio-cultural aspects that influenced the behaviors in treating healthy reproductive organs among female senior high school students in the City of Surakarta.Subjects and Method: This was a mixed-method study with quantitative and qualitative approach. This study was conducted in State Senior High School 1, Al-Islam 1 Senior High School and Regina Pacis Senior High School; all of these senior high schools were located in the City of Surakarta, from February to March 2017. A total of 120 subjects were selected by stratified random sampling. In addition, the sample also included 5 mothers and fathers who had been selected by purposive sampling. The dependent variable was the behaviors in treating reproductive organs. The independent variables were knowledge toward reproduction organ health, family support, toilet/ bathroom availability, clean water availability, culture and information exposure. The dependent and independent variables were collected by a set of questionnaire and analyzed by path analysis. The qualitative data were collected by in-depth interview and analyzed by Miles Huberman method.Results: The behaviors in treating reproductive organ were influenced by good knowledge (b= 0.21; SE= 0.09; p= 0.020), high information exposure (b= 0.20; SE= 0.07; p= 0.005), positive culture (b= 0.15; SE= 0.07; p= 0.039), toilet/ bathroom availability (b= 0.21; SE= 0.07; p= 0.026), clean water availability (b= 0.14; SE= 0.08; p= 0.073) and strong family support (b= 0.16; SE= 0.08; p= 0.041). Then, the knowledge of reproductive health was influenced by high information exposure (b= 0.31; SE= 0.07; p<0.001) and positive culture (b= 0.16; SE= 0.07; p= 0.016).Conclusions: The behaviors in treating reproductive organs are influenced by good knowledge, high information exposure, positive culture, toilet availability, clean water availability and strong family support. The knowledge of reproductive health are influenced by high information exposure and positive culture.Keyword: precede-proceed, path analysis, socio-culture, reproductive healthCorrespondence: Santy Irene Putri. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: santyireneputri@yahoo.co.id. Mobile: +6285785836884.Journal of Health Promotion and Behavior (2017), 2(1): 27-40https://doi.org/10.26911/thejhpb.2017.02.01.03

The Influence of Personal Factor, Husband’s support, Health Workers and Peers toward the Use of IVA Screening among Women of Reproductive Age in the Regency of Karanganyar Martini Shoim Wakhidah; Uki Retno Budi Hastuti; Yulia Lanti Retno Dewi
Journal of Health Promotion and Behavior Vol. 2 No. 2 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Cervix cancer has been one of the highest cancer cases and becomes one of the main problems in women’s health throughout the world. The percentage of Women of Reproductive Age who performs early cancer detection is an indicator of success for health development. The Regency of Karanganyar is one of the regencies in the Province of Central Java with the percentage of Women of Reproductive Age who perform Visual Inspection with Acetic Acid (IVA) is equal to 5.50%. This percentage is still far below the target that has been set which is 10.00%.Subjects and Methods: This was an analytic observational study with cross-sectional design. This study was carried out in Regency of Karanganyar. The subjects who had been involved were 150 respondents and these subjects were selected by means of fixed disease sampling. This sampling resulted in 50 cases and 100 controls. The dependent variable was behavior of using IVA screening, while the independent variables were perceived susceptibility, perceived seriousness, perceived benefits, perceived obstacles, husband’s support, health workers support, peer support, perceived threats and self-efficacy. In processing the data, the researchers implemented path analysis by means of Stata 13.Results: The results of the study showed perceived threats (b= 0.08; 95% CI= <0.01 until 0.16; p= 0.043), perceived benefits (b= 0.05; 95% CI= <-0.01 until 0.117; p= 0.091), perceived obstacles (b= -0.49; 95% CI= -0.07 until 0.11; p= 0.091), self-efficacy (b= 0.04; 95% CI= -0.13 until 0.11; p= 0.125), perceived susceptibility (b= 0.23; 95% CI= 0.11-0.34; p <0.001), perceived seriousness (b= 0.11; CI9 95%= 0.00 until 0.22; p= 0.049), husband’s support (b= 0.14; 95% CI= -0.01 until 0.29; p=0.068), health workers support (b= -0.23; 95% CI=-0.54 until 0.08; p= 0.149) and peer support (b= 0.18; 95% CI= -0.13 until 0.51; p= 0.256).Conclusion: There is a direct influence from perceived benefits, perceived obstacles, perceived threats and self-efficacy toward behavior of using IVA screening. Then, there is indirect influence from perceived susceptibility, perceived seriousness, husband’s support, health workers support and peer support toward behavior of using IVA screening.Keywords: IVA, HBM, support, path analysisCorrespondence: Martini Shoim Wakhidah. Masters Program of Public Health, Sebelas Maret University, Surakarta. Email:afkarshoim_msw@yahoo.com. Mobile: +6285235464812.Journal of Health Promotion and Behavior (2017), 2(2): 124-137https://doi.org/10.26911/thejhpb.2017.02.02.03

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