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Spatial Analysis of Diarrhea Incidences, Environmental Influences, and Behavioral Factors in An Ecological Study Adria, Baby Putri; Wulandari, Ririn Arminsih; Kurniasari, Fitri
Media Kesehatan Masyarakat Indonesia Vol. 19 No. 4: DECEMBER 2023
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v19i4.28644

Abstract

Diarrhea is a global health problem that causes morbidity and death in all age groups. Among the cities in Indonesia, Depok has the second-highest incidence of diarrhea outbreaks. Although previous studies have shown the correlation between diarrhea and environmental and behavioral factors, the spatial analysis of these factors is still very limited. Therefore, in this study, we investigated the spatial analysis of the association between diarrhea incidence and environmental and behavioral factors using an ecological study. The secondary data from the Depok City Health Office were used in the analysis. Our results showed a significant relationship between proper drinking water coverage (p = 0.00; r = -0.289) and healthy latrine coverage (p = 0.02; r = -0.233) with the incidence of diarrhea. Meanwhile, household coverage of Clean and Healthy Behavior (Perilaku Hidup Bersih dan Sehat (PHBS)) and population density showed no significant association. Spatial analysis maps also revealed the distribution pattern of diarrhea in Depok City from 2013 to 2021, tending to be more common in areas with low coverage of adequate drinking water. The findings from this study will contribute to optimizing diarrhea control and prevention programs. 
Systematic Review of the Relationship between Hygiene Practice and the Incidence of Ascaris lumbricoides Infection in Southeast Asian Children Alodia, Anastasia Rouli; Wulandari, Ririn Arminsih
Preventia : The Indonesian Journal of Public Health Vol 8, No 2 (2023)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um044v8i22023p47-59

Abstract

Soil-Transmitted Helminth (STH) infection is one of the Neglected Tropical Diseases (NTDs) that affects around 1.5 billion people worldwide, including regions like Southeast Asia. The most common species infecting humans is Ascaris lumbricoides. Preschool-age and school-age children are particularly vulnerable to STH infection due to their living environments in areas where STH is prevalent. Infection of STH, especially Ascaris lumbricoides, can hinder physical and cognitive development and, in severe cases, cause obstruction of the small intestine. Various factors, such as hygiene practices, can influence the transmission of Ascaris lumbricoides infection in children. This study aims to explore the association between hygiene practices and the occurrence of Ascaris lumbricoides infection in children. A systematic review was carried out, and articles were searched in four databases: PubMed, EMBASE, Scopus, and ProQuest. Subsequently, the articles were selected based on specific criteria. Five articles were identified during the search. These articles revealed a significant association between handwashing habits, toilet usage, and washing fruits before consumption with the occurrence of Ascaris lumbricoides infection. On the other hand, there was no significant association found between washing vegetables before consumption and trimming nails and the occurrence of Ascaris lumbricoides infection in children.
Studi Ekologi Hubungan Kejadian Demam Berdarah Dengue (DBD) dengan Faktor Iklim di Kota Administrasi Jakarta Pusat, Indonesia Tahun 1999-2018 Fajar Nugraha; Budi Haryanto; Ririn Arminsih Wulandari; Tiffany Tiara Pakasi
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 03 (2021): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v10i03.923

Abstract

Demam Berdarah Dengue (DBD) merupakan vector-borne disease dengan tingkat prevalensi tertinggi di dunia. Jumlah kasus DBD telah meningkat di sejumlah negara dalam 10 tahun terakhir. Tujuan dari penelitian ini adalah untuk mengetahui hubungan faktor iklim dengan kejadian DBD di Kota Administrasi Jakarta Pusat dalam periode 20 tahun, dari Januari 1999-Desember 2018. Penelitian ini menggunakan data sekunder dari Direktorat Pencegahan dan Pengendalian Penyakit Tular Vektor dan Zoonosis (P2PTVZ) Kementerian Kesehatan Republik Indonesia dan Badan Meteorologi, Klimatologi dan Geofisika (BMKG). Penelitian ini menggunakan disain studi ekologi dan dianalisis bivariat dengan uji korelasi Spearman. Hasil analisis bivariat menunjukkan bahwa variabel curah hujan (Pv=0,0001; r=0,448) dengan lag 2 bulan, suhu udara (Pv=0,0001; r=-0,27) dengan lag 1 bulan, dan kelembaban relatif (Pv=0,0001; r=0,329) dengan lag 2 bulan, secara signifikan berhubungan positif dengan kasus DBD. Kasus DBD secara signifikan dipengaruhi curah hujan, suhu udara, dan kelembaban relatif dengan lag bulan tertentu, oleh karena itu upaya pencegahan dan mitigasi epidemi DBD di Kota Administrasi Jakarta Pusat dapat dilakukan sejak bulan Januari dalam rangka mengantisipasi puncak kasus DBD di periode bulan Maret-April.
Analisis Biaya Manfaat dan Dampak Kesehatan Lingkungan TPS3R: Studi Kasus Mutiara Bogor Raya Apri Yulda; Zakianis Zakianis; Ririn Arminsih
Buletin Keslingmas Vol 43, No 3 (2024): BULETIN KESLINGMAS VOL. 43 NO.3 TAHUN 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/keslingmas.v43i3.11755

Abstract

Tempat Pengolahan Sampah 3R (TPS3R) merupakan salah satu solusi dalam pengelolaan sampah yang berkelanjutan, namun implementasinya sering kali menghadapi berbagai kendala. Salah satu hambatannya adalah minimnya minat masyarakat dan pengembang kawasan untuk berpartisipasi karena biaya yang dianggap tinggi dan kurangnya pemahaman akan manfaatnya, baik dari segi ekonomi maupun lingkungan. Penelitian ini bertujuan untuk mengevaluasi nilai manfaat bersih (net value) serta kelayakan ekonomi (BCR) dari pengelolaan sampah di TPS3R dibandingkan dengan Tempat Pembuangan Sampah Sementara (TPS). Penelitian ini menggunakan metode kuantitatif deskriptif dengan studi kasus di TPS3R Mutiara Bogor Raya dan TPS di Katulampa. Metode analisis yang digunakan adalah Cost Benefit Analysis (CBA). Hasil penelitian menunjukkan bahwa total biaya pengoperasian TPS3R adalah Rp549.980.813, dengan total manfaat sebesar Rp728.616.000, menghasilkan net value sebesar Rp178.635.187 dan BCR1 (1,32), menunjukkan kelayakan ekonomi serta manfaat lingkungan, termasuk pengurangan emisi gas rumah kaca dan peningkatan kualitas udara. Sementara itu, TPS memiliki total biaya Rp285.208.500, dengan total manfaat sebesar Rp179.040.000, menghasilkan net value negatif sebesar Rp-106.168.500 dan BCR (0,62), yang menunjukkan ketidaklayakan ekonomi dan dampak negatif terhadap kesehatan lingkungan akibat metode "kumpul angkut buang" yang tidak ramah lingkungan. Kesimpulannya, TPS3R lebih menguntungkan secara ekonomi dan lebih mendukung kesehatan lingkungan dibandingkan dengan TPS.
PEMETAAN KERAWANAN DIARE PADA BALITA DI PROVINSI JAWA BARAT BERDASARKAN PROFIL KESEHATAN JAWA BARAT TAHUN 2023 Ganiawati, Ganiawati; Wulandari, Ririn Arminsih
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.45423

Abstract

Diare menjadi penyebab kematian ketiga di dunia pada balita dengan jumlah kematian 443.832 anak pertahun.  Berdasarkan Riskesdas tahun 2018, prevalensi diare di Indonesia sebesar 12,3%. Sementara, di Jawa Barat, penderita diare balita yang dilayani pada tahun 2023 hanya mencakup 34,56%. Sebagai penyakit endemis di Jawa Barat, kejadian diare di provinsi ini berpotensi menjadi Kejadian Luar Biasa (KLB) yang sering disertai dengan kematian. Tujuan penelitian ini yaitu menggambarkan distribusi kasus diare pada balita di Provinsi Jawa Barat dan menentukan wilayah kerawanan kasus diare pada balita, persentase keluarga dengan sanitasi layak, presentase keluarga melakukan Cuci Tangan Pakai Sabun (CTPS), presentase keluarga melakukan pengelolaan sampah rumah tangga dan presentase keluarga melakukan pengelolaan limbah cair rumah tangga. Studi ekologi deskriptif kuantitatif ini menggunakan data sekunder yang mewakili variabel-variabel di atas yang berasal dari Profil Kesehatan Provinsi Jawa Barat 2023. Peta wilayah Provinsi Jawa Barat didapatkan dari Badan Informasi Geospasial. Penelitian ini menggunakan unit administratif kota/kabupaten di Provinsi Jawa Barat Tahun 2023 dengan aplikasi Sistem Informasi Geografis (SIG) Quantum GIS teknik skoring. Penelitian ini menunjukkan tingkat kerawanan diare pada balita dari 27 kabupaten/kota di Jawa barat memiliki enam wilayah kerawanan sangat tinggi kasus diare balita yakni Kabupaten Cianjur, Kabupaten Bandung, Kabupaten Purwakarta, Kabupaten Tasikmalaya, Kabupaten Indramayu dan Kota Bogor. Wilayah yang memiliki kerawanan kasus diare sangat tinggi secara umum adalah wilayah dengan presentase keluarga melakukan Cuci Tangan Pakai Sabun (CTPS), presentase keluarga yang melakukan pengolahan sampah rumah tangga dan presentase keluarga yang melakukan pengelolaan limbah cair dengan tingkat rendah dan sangat rendah.
Prevalence of Low Back Pain Among Office Workers During the COVID-19 Pandemic in Various Countries: A Systematic Review Intan, Yosephine Roma; Wulandari, Ririn Arminsih; Yuniar, Popy
Kesmas Vol. 20, No. 1
Publisher : UI Scholars Hub

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Abstract

The COVID-19 pandemic has led to the implementation of work from home policies in almost all parts of the world. This policy has increased the onset of musculoskeletal disorders in workers, such as low back pain (LBP). This study aimed to examine the prevalence of LBP among office workers during the COVID-19 pandemic after implementing WFH policies. This study was performed using data from various countries to determine the relationship between LBP and several risk factors, specifically age, sex, physical activity, ergonomic factors, as well as work environment factors such as temperature, humidity, lighting, noise, and work duration. A systematic review was conducted using sub-population studies published from 2020 to 2022. The data was obtained from six electronic databases: ProQuest, ScienceDirect, Embase, Scopus, Ebsco Medline, and Cambridge Core. The prevalence of LBP in office workers was associated with age, ergonomics, and environmental factors: air temperature, humidity, and lighting. There was no specific relationship between sex, physical activity, and working duration when working from home during the COVID-19 pandemic.
Analysis of Climate and Environmental Risk Factors on Dengue Hemorrhagic Fever Incidence in Bogor District Wulandari, Ririn Arminsih; Rahmawati, Tria; Asyary, Al; Nugraha, Fajar
Kesmas Vol. 18, No. 3
Publisher : UI Scholars Hub

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Abstract

Dengue Hemorrhagic Fever (DHF) is transmitted through the bites of Aedes aegypti and Aedes albopictus mosquitoes and is still becoming endemic in Bogor District. This quantitative correlation study with an ecological approach aimed to analyze how DHF incidence is influenced by climate factors, population density, Larvae Free Rate (LFR), and the area altitude factor. Secondary data were obtained from the Bogor Regency Health Office; the Central Bureau of Statistics of Bogor District; and the Meteorology, Climatology, and Geophysics Agency. In this study, the spatial analysis method was also used, but only on the area altitude factor. The study’s results showed a significant relationship between climate factors, such as air humidity at a Time Lag of 0 months (r=0.394) and the altitude factor (r=-0.350), and DHF incidence in the Bogor District from 2017 to 2022. Spatial data shows that in districts with lower altitudes, such as Cibinong, Cileungsi, and Gunung Putri, DHF incidence tends to be higher. The Bogor District Health Office, together with the community, may enhance efforts to prevent and control DHF, especially during seasonal transitions and in areas with lower altitudes. Cross-sector collaboration with the Meteorology, Climatology, and Geophysics Agency is also necessary to remain vigilant during climate fluctuations.
Workers’ Characteristics of Hearing Loss at Soekarno-Hatta International Airport, Indonesia Timanta, Andrew Ebeneizer; Haryanto, Budi; Wulandari, Ririn Arminsih
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

This study aimed to analyze the characteristics and factors of worker behavior, including age, the use of ear protection, work duration, a record of diabetes mellitus or hypertension, work rotation, and noise hazards involved in hearing loss in PT. X at Soekarno-Hatta International Airport, Indonesia. A cross-sectional study from May 2017 to June 2017 involved 73 workers in the power service area (TZ Unit) exposed to noise levels ≥85 dBA, using an audiometry test for hearing loss and Sound Level Meter for noise hazards was conducted. The Chi-square test showed a significant correlation between age (OR 8.4, 95% Cl = 1.6-44.1), work duration (OR 7.6, 95% Cl = 0.9-67.2), and the use of ear protection (OR 7.8, 95% Cl = 1.4-44.2) with hearing loss in workers in the power service area. The multivariate analysis revealed that workers exposed to a noise level of 85 dBA had a 1.7 times greater risk of hearing loss than workers exposed to a noise level of age, work duration, use of ear protection, medical history, and work rotation.
Household Food Expenditure Typology and Its Association with Child Stunting and Anemia in Indonesia Sartika, Ratu Ayu Dewi; Yusnita, Yusnita; Ningsih, Winda M; Wulandari, Ririn Arminsih; Pujonarti, Siti A; Wirawan, Fadila
Kesmas Vol. 19, No. 4
Publisher : UI Scholars Hub

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Abstract

Stunting and anemia remain the coexisting nutritional problems among Indonesian children. However, evidence of household-level food expenditure and its association with child stunting and anemia is limited. This study aimed to observe the association between household food expenditure typology and child stunting and anemia in Indonesia. Data was obtained from the 2007 and 2014 Indonesia Family Life Survey (IFLS). The household food expenditure, child nutritional status, and anemia were observed in 2007 and 2014. Latent class analysis was taken to identify the food expenditure pattern. Binary logistic regression was applied to analyze the association between household food expenditure patterns and stunting and anemia status. A total of 2,296 children from 2,158 households were included in the study. Household food expenditure was identified into (1) higher processed food, refined grain, and purchased meals; (2) higher fish, seafood, plant protein, vegetables, and beans; and (3) balanced food purchases. Households with Pattern 2 had lower odds of anemia in 12–59-month-olds than Pattern 3 (AOR 0.78, p-value = 0.03, 95% CI). Households with Pattern 2 were likely to have stunted 8–12-year-olds compared to households with Pattern 3 (AOR 1.37, p-value = 0.09, 95% CI). Household food expenditure types may affect children’s nutritional status.
Correlation study of climate variability, population density, altitude, and low birth-weight rates on the incidence of children pneumonia in Bogor Regency Ariani; Arminsih, Ririn
BKM Public Health and Community Medicine Vol 40 No 03 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i03.12337

Abstract

Purpose: This study aims to analyze the correlation between climate variability (temperature, humidity, rainfall, sunshine duration, and wind speed), population density, altitude, and low birth weight (LBW) rate on the incidence of under-five years old children with pneumonia. Methods: This research uses a combination study design based on place and time (mixed design ecological study). Results: There was no significant relationship between climate variability and lag effect of 0-2 months with the number of under-five pneumonia cases in Bogor Regency in 2018-2022, as well as the altitude variable (p=0.0619). Meanwhile, the variables of population density (r-value = 0.439) and LBW rate (r-value = 0.338) showed a positive correlation with the number of under-five pneumonia cases in Bogor Regency. Conclusion: This research shows the incidence of pneumonia among under-fives in Bogor Regency is influenced by population density and LBW rates. Ensuring access to proper sanitation, a complete basic immunization program, adequate housing, and also personal protective measures are important to reduce the spread of pneumonia.