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All Journal JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Berkala Epidemiologi
Yuniar Wardani
Faculty of Public Health, Universitas Ahmad Dahlan
Immunology & microbiology Public Health

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Secondhand Smoke as an Indirect Cause of Stunting: A Study at Nipah Health Center in North Lombok Yuniar Wardani; Irin Azzahra Nugraheni; Baiq Qatrunnada Hariyanti
Jurnal Promosi Kesehatan Indonesia Vol 20 No 4: October 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.4.271-277

Abstract

Background: Stunting is a growth and development disorder in children resulting from poor nutrition, repeated infections, and inadequate psychosocial stimulation. Children affected by stunting are more vulnerable to various diseases. Long-term consequences include impaired cognitive and motor development, along with increased healthcare costs. Exposure to secondhand smoke, whether direct or indirect, is believed to contribute to stunting. This study aimed to investigate secondhand smoke exposure as an indirect cause of stunting.Method: This study used a cross-sectional approach with a sample of 99 children under five years old residing in the Nipah Health Center area, Malaka Village, North Lombok. The sample was taken using stratified proportional random sampling. Descriptive statistics and Chi-square tests were employed to analyze the data and test the research hypothesis.Result The prevalence of stunting was 38.38%. Although none of the mothers reported smoking during pregnancy, 98.98% of them were exposed to cigarette smoke from their husbands, family members, or neighbors. Exposure occurred multiple times in both home and public environments, typically lasting less than 15 minutes. The statistical analysis showed no significant association between secondhand smoke exposure and stunting. Despite the lack of a statistically significant relationship, exposure to secondhand smoke remains a public health concern. Preventive measures should be prioritized. Health promoters are encouraged to intensify anti-smoking campaigns. Smoking cessation counseling should be delivered door-to-door, particularly targeting households with pregnant women and toddlers. Educational materials such as flyers, short messages, and inspirational stories disseminated via social media platforms like WhatsApp can serve as effective health promotion tools.
DETERMINANTS OF TUBERCULOSIS AMONG WORKER POPULATIONS AT RESPIRA PULMONARY HOSPITAL YOGYAKARTA: Determinan Kejadian Tuberkulosis Pada Kelompok Pekerja: Studi Cross-Sectional di RS Paru Respira Yogyakarta Liena Sofiana; Putri Sartika Dewi; Ardyawati Wira Oktaviana; Erni Gustina; Yuniar Wardani; Ahmad Ahid Mudayana
Jurnal Berkala Epidemiologi Vol. 14 No. 3 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I32026.285-293

Abstract

Background: Tuberculosis (TB) remains a major global health concern, with an estimated 10.8 million cases and 1.25 million TB-related deaths worldwide in 2023. Indonesia ranks second globally, with approximately 1.09 million cases. Workers are a high-risk population due to occupational exposure, crowding, and lifestyle factors. Respira Pulmonary Hospital is a regional referral center with a high proportion of TB cases among workers. Purpose: To analyze factors associated with TB incidence among workers seeking treatment at Respira Pulmonary Hospital, focusing on job category, knowledge level, and smoking habits. Methods: A cross-sectional study was conducted among 79 workers selected using accidental sampling. TB incidence was the dependent variable, while occupational exposure category, knowledge level, and smoking habits were independent variables. Data were collected using a structured questionnaire and analyzed using chi-square and logistic regression tests. Results: Job category was not significantly associated with TB incidence (p = 0.13), nor were smoking habits (p = 0.06). However, knowledge level was significantly associated with TB incidence (p = 0.00) and was the dominant influencing factor in multivariate analysis. Conclusion: Knowledge level was significantly associated with TB incidence among workers and was the dominant associated factor, whereas occupational exposure category and smoking habits were not significantly associated. Workplace-based TB education and health promotion should be strengthened, particularly among informal sector workers, to support TB prevention and control.
Co-Authors Ahmad Ahid Mudayana Ardyawati Wira Oktaviana Baiq Qatrunnada Hariyanti Erni Gustina Irin Azzahra Nugraheni Liena Sofiana Putri Sartika Dewi