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Faktor Perilaku dan Gaya Hidup yang Mempengaruhi Status Prediabetes Pasien Puskesmas Pati II Ninik Trisnawati Sukenty; Zahroh Shaluhiyah; Antono Suryoputro
Jurnal Promosi Kesehatan Indonesia Volume 13, No. 2, Agustus 2018
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background: Prediabetes status describes as the condition of blood glucose level above normal but insufficient to be diagnosed as diabetes. The stage of prediabetes is a critical condition of blood glucose level, but could reverse to be normal again if healthy lifestyle is routinely performed. In USA one of three people diagnosed with prediabetes. But most people did not realize that they had prediabetes history. The increasing number of prediabetes occurs due to the absence of typical symptoms. If prediabetes detected earlier, the rate of diabetes mellitus could be prevented. This study aims to examine some behaviors that affect the prediabetes status of patients in Pati II health center. Method: This is an explanatory research with cross sectional approach. Samples were rucruited using inclusion criteria such as aged 40–59 years, not diagnosed as diabetes, abdominal circumference more than 90 for men and 80 for women. There were 117 respondents involved in this study. Results: This research showed that the number of respondents with prediabetes status was 39.3%. Respondents with blood glucose level ranged more than 200 mg/dl were 6%. The variables that influence the prediabetes status of the respondents were Body Mass Index with OR 3.591 (p value 0.011), diet pattern with OR 2.435 (p value 0.044), and smoking habit or passive smoking with OR 2.493 (p value 0.046). This study recommends to prevent the prediabetes to be diabetes, needed the socialization of healthy lifestyle to the community and early detection of prediabetes. Early prevention includes changes to people healthy lifestyles such as maintaining healthy body weight, doing physical activity routinely, healthy eating patterns, avoiding cigarette smoke and smoking habits.Keywords: prediabetes, BMI, diet, smoking

Stigma Masyarakat Terhadap ODHA Di Kota Kupang Provinsi NTT Konstantinus Hati; Zahroh Shaluhiyah; Antono Suryoputro
Jurnal Promosi Kesehatan Indonesia Volume 12, No. 1, Januari 2017
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Menurut UNAIDS 2006 jumlah ODHA di dunia mencapai 39,4 juta, dewasa 37,2 juta, dan anak-anak <15 tahun 2,3 juta. Survey jaringan kerja ASIA-PASIFIK 2006 bahwa ODHA mengalami stigma dan diskriminasi dalam masyarakat sebesar 5-95%. Survey BPS 2009 bahwa ODHA mengalami stigma dan diskriminasi dalam masyarakat sebesar 50-80%. Di NTT sejak tahun 1997-2013, menurut KPA NTT ODHA yang meninggal 443 orang dan yang ditolak keluarga ada 8 orang. Penelitian ini bertujuan mengetahui faktor-faktor yang berpengaruh terhadap stigma yang diberikan masyarakat terhadap ODHA di Kota kupang. Metode: deskriptif survey analitik research pendekatan kuantitatif dengan rancangan cross secsional. Melakukan wawancara terhadap 382 Kepala Keluarga. Analisis data menggunakan uji univariat, bivariat dan multivariate. Hasil menunjukan terdapat 56,0% stigma rendah dan 44.0 % stigma tinggi terhadap ODHA. Variabel yang berpengaruh terhadap stigma masyarakat terhadap ODHA yaitu Pengetahuan, persepsi tentang HIV-AIDS dan sikap KK, sikap keluarga besar, sikap tetangga, sikap tenaga kesehatan dan sikap tokoh masyarakat terhadap ODHA dengan tingkat probabilitas memberikan stigma terhadap ODHA sebesar 81.72%.According to UNAIDS 2006 that PLWHA in the world reached 39.4 million, 37.2 million adults and children <15 years 2.3 million. ASIA-PACIFIC network survey in 2006 that PLWHA experience stigma and discrimination in the family, community and in health care by 5-95%. BPS Research in 2009 that PLWHA experience stigma and discrimination within the family, community, neighbors, workplaces and health care by 50-80%. NTT since 1997-2013, according to NTT KPA PLWHA who have died and 443 people were rejected by the family of 8 people. The aim of this study was to know about factors that influence a given society stigma against PLWHA in Kupang City. The method of this research is Analitic survey descriptive quantitative approach with cross secsional design. Conducted interviews with 382 head of familys. Analysis of test data using univariate, bivariate and multivariate. The results shows that here are 56,0% low stigma and 44.0% high stigma to PLWHA. The variables to determinant on the community stigma to PLWHA are Knowledge, perceptions about HIV/AIDS, the head of family attitudes, the big family attitude, the neighbor attitude, the attitude of health professionals, attitude of community leaders among PLHIV with a probability level of stigma towards PLWHA by providing 81.72%.

Praktik Dokter Dalam Pemberian Pelayanan Kesehatan Pada Pasien HIV dan AIDS di Rumah Sakit Rujukan di Kota Semarang Miralda Septri Dewi; Zahroh Shaluhiyah; Antono Suryoputro
Jurnal Promosi Kesehatan Indonesia Volume 12, No. 2, Agustus 2017
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background: Semarang City had a highest cases of HIV and AIDS in Central Java. In order to provide health care service for People with HIV and AIDS (PLWHA), three from the five designated hospitals were actively providing Care, Support and Treatment (CST) as a referral hospital for PLWHA in Semarang City. HIV-related discrimination is one of the barrier in the response to HIV and AIDS that influenced PLWHA to seek HIV treatment and lost of HIV treatment because they were afraid of getting stigma and discrimination in health care facilities. Some research have indicated that there were stigma and discrimination by health workers, including doctors. This study aims to find out doctors practices in providing health care to patients with HIV and AIDS in a referral hospital in Semarang City.Method: This study used qualitative methods. The data collecting used indepth interview. The data was collected from 13 doctors as a primary informants and triangulation with 3 HIV team leader.Results: The results showed that the majority of doctors practice was good, they did not discriminate when providing care or treatment to patients with HIV and AIDS. However, there were still a some doctors who discriminate when providing care for patients with HIV and AIDS such as the use of Personal Protective Equipment (PPE) was more strictly when dealing with patients of PLWHA like using double gloves. Most doctors have a good knowledge and positive attitudes towards HIV and AIDS. However, there were some doctors who has less understanding of HIV and AIDS.Keywords : doctor practice, HIV and AIDS patients, hospitals

Dukungan Pihak Lain Terhadap Praktik Mucikari dalam Upaya Penggunaan Kondom 100% pada WPS di Resosialisasi Argorejo Semarang Tanjung Anitasari I.K; Zahroh Shaluhiyah; Antono Suryoputro
Jurnal Promosi Kesehatan Indonesia Volume 12, No. 1, Januari 2017
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Resosialisasi Argorejo merupakan resosialisasi terbesar di Kota Semarang, dan menjadi Resosialisasi percontohan di Indonesia. Terdapat program kondom 100% pada WPS di Resosialisasi Argorejo untuk mengendalikan penularan HIV melalui hubungan seksual tidak aman mengingat konsistensi penggunaan kondom 1 minggu terakhir pada WPS di Kota Semarang pada tahun 2013 adalah sebesar 55%. Berdasarkan hasil evaluasi KPA Kota Semarang, peran mucikari dalam program kondom 100% pada WPS masih kurang. Penelitian ini bertujuan untuk mengetahui faktor yang berpengaruh terhadap praktik mucikari dalam upaya penggunaan kondom 100% pada WPS di Resosialisasi Argorejo Semarang. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Besar sampel adalah 144 orang yang diambil menggunakan total sampling. Analisa data secara univariat, bivariat dengan chi-square, dan multivariat dengan regresi logistik. Hasil penelitian menunjukkan 50,7% mucikari melakukan praktik baik dalam mengupayakan penggunaan kondom 100% pada WPS. Faktor yang paling dominan berpengaruh terhadap praktik mucikari adalah dukungan LSM. Faktor yang menunjukkan ada hubungan yang bermakna dengan praktik mucikari adalah tingkat pendidikan, dukungan teman, dukungan petugas kesehatan, dan dukungan LSM. Dari penelitian ini, maka dapat disimpulkan bahwa dukungan dari pihak LSM dapat meningkatkan praktik mucikari dalam upaya penggunaan kondom 100% pada WPS selain faktor tingkat pendidikan, dan masa kerja mucikari.Argorejo resocialization was the biggest resocialization in Semarang and as a model resocialization in Indonesia. Programme of 100% condom is being used to prevent HIV by means of the unsafe sexual transaction, and it considered of condom use by female sex workers in Semarang was only 55 %. Based on KPA Semarang evaluation, pimps practice of the 100% condom use programme was still less.Knowing the factors that influence pimps practice of 100% condom use by the FSW at Argorejo resocialization was the aims in this research. Quantitative method with cross sectional approach was used in this study. Pimps in this research as many as 144 pimps, and have been become the sample of the research with total sampling technique. Data has been analyzed by univariate, chi-square (bivariate), and logistic regression (multivariate analysis).The result showed that 50,7% pimps practices were good. NGO support was the main variable that has considerable influence on the pimps practice. Variables which correlated toward pimps practice were education, support (friend, health provider, NGO). From this research, can be conclude that support from NGO can increase pimp’s practice besides.

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