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Factors Affecting Occurrence of Depression in Patients with Cervical Cancer at Dr. Moewardi Hospital Surakarta, Central Java: A Path Analysis Model Shinta, Dewi; Tamtomo, Didik Gunawan; Soemanto, RB
Journal of Epidemiology and Public Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer is in the second place among the incidence of new cases and in thethird highest death from cancer. Cancer depression and severity generally occur together with psychological problems, such as anxiety, pain and fatigue. Most studies in cancer patients have focused on morbidity or mortality more due to the risk of depression. The purpose of this study was to analyze the factors that influence depression in cervical cancer patients.Subjects and Method: A cross sectional study was conducted at Dr. Moewardi Hospital, Surakarta, Central Java, from September to October 2019. A sample of 200 cervical cancer patients was selected by simple random sampling. The dependent variable was depression. The independent variables were marital status, education, occupation, family income, peer support, family support, health personnel support, coping strategy, cancer stage, frequency of chemothe­rapy, and length of illness from diagnosis. Depression was measured by the Beck Depression Inventory-II (BDI-II) questionnaire. The other data were collected by medical record and question­naire. The data were analyzed by path analysis run on Stata 13.Results: Severe depression in cervical cancer patients was directly increased by the frequency of chemotherapy 3 times (b= 1.80; 95% CI= 0.11 to 3.49; p= 0.037), advanced stage (b= 2.50; 95% CI= 0.18 to 4.82; p= 0.035), and length of illness from diagnosis ≥11 months (b= 2.27; 95% CI= 0.57 to 3.96; p= 0.009). Severe depression was directly decreased by high coping strategy (b= -6.33; 95% CI= -8.68 to -3.98; p<0.001). Severe depression was indirectly affected by peer support, family support, support of health personnel, family income, occupation, education, and marital status.Conclusion: Severe depression in cervical cancer patients is directly increased by the frequency of chemotherapy 3 times, advanced stage, and length of illness from diagnosis ≥11 months. Severe depression is directly decreased by high coping strategy. Severe depression is indirectly affected by peer support, family support, support of health personnel, family income, occupation, education, and marital status.Keywords: depression, cervical cancer, path analysisCorrespondence: Dewi Shinta. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: shintadw94@gmail.com. Mobile: 08236495­0175Journal of Epidemiology and Public Health (2019), 4(4): 338-350https://doi.org/10.26911/jepublichealth.2019.04.04.09
The Effect of Bullying on Depression, Academic Activity, and Communication in Adolescents in Surakarta: A Multilevel Logistic Regression Sudrajad, Kiyat; Soemanto, RB; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Human interaction requires com­munication as a transmission of informa­tion, ideas, emotions, skills, and so on. Com­mu­nica­tion occurs when a source conveys a message to the recipient with a conscious in­ten­tion to influ­ence the recipient's behavior. One of the pro­blems in social communication is bully­ing. Bully­ing or harassment can be through words or through actions that aim to make the opponent's mental fall and pressure. The purpose of this study was to analyze the factors that influence bullying against depres­sion with the Health Belief Model and Social Cognitive Theory.Subjects and Method: This was a cross-sectio­nal study conducted in junior high schools in Surakarta, in December 2019. A total sample of 250 adolescents was selected by simple random sampling. The dependent variable was bullying. The inde­pen­dent variables were perceived sus­ceptibility, perceived severity, cues to action, perceived threat, perceived benefit, perceived barrier, self-efficacy, depres­sion, academic activi­ties, and communication. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regres­sion run on Stata 13.Results: Bullying increased depression (b= 3.69; 95% CI= 1.51 to 9.00; p= 0.004) and poor communication (b= 4.95; 95% CI= 2.24 to 10.89; p <0.001). Bullying decreased academic achievement (b= - 5.68; 95% CI= -12.33 to -2.62; p<0.001). School had strong contextual effect on depression with ICC= ICC= 20.91%.Conclusion: Bullying increases depression and poor communication. Bullying decreases academic achievement. School has strong con­textual effect on depression.Keywords: bullying, depression, Health Belief Model, Social Cognitive TheoryCorrespondence: Kiyat Sudrajad. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­ta­mi 36 A, Surakarta, 57126, Central Java. Ema­il­: kiyatrambo­@gmail.com. Mobile: +628­5­6­47­1­16834.Journal of Health Promotion and Behavior (2020), 05(02): 79-86https://doi.org/10.26911/thejhpb.2020.05.02.02
THE RELATIONS OF STRUCTURATION IN THE BPJS HEALTH PROGRAM AND THE CHANGING OF HEALTH BEHAVIOR Soemanto, RB; Gutama, TA
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The BPJS Health Program supports the improvement of public health.This study aimed to understand the relations of structuration of the BPJS Health Program and changing of health behavior in Surakarta IndonesiaSubjects and Method: A qualitative study was carried out byphenomenological ap­p­roach.The BPJS participants'program wereprimary informants. The key informants were doctors, nurses, midwives, and other services officers of the community health center (Puskesmas), hospital, andHealth BPJSoffice. The supported informants consisting of the Health Office ser­vices, the Population, and Civil Registration Offices, the Communication and Infor­mation Services, the Social Services of the Local Government of Surakarta Municipality.Depth interviews and the focus group discussion (FGD) technique were applied to gather data. Data analysis technique using interpretative phenomenology, and theory of struc­tu­ra­tion from Anthony Giddens for explaining the data.Results: Interactionalpractices in the health service processes produce attitudes, awareness of health services provided.It improves the healthy behavior of the BPJS participants. Rules and regulations of the health center and referenced hospitals accepted and followed by the participant. Doctors and other health care providers work professionally to accommodate patients? needs. The participants reproduce duality structure and roles in the health services delivery processes. The participants as agentsdevelop structuration; whereagents respond to agency of structure of the health services, and vice versa. Patients and health services providershave mutually reinforced roles and benefits. In the course of space and time, the actions of the participants are recurring.Conclusion: Collaboration was developed between the BPJS Office with Puskesmas and hospi­tals. It brings closer to social relations between pa­tients and health care providers. It was cons­truc­ted due to understanding and obe­di­ence of the participants to the rules, in the forms of procedural rules and doc­tors? medicalization.Keywords: Relations, Structuration, BPJS Health Program, Health Behavior, ChangeCorrespondence: RB. Soemanto. Department of Sociology, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Soemanto_rb@yahoo.com, rbsoemanto@gmail.com.Journal of Health Policy and Management (2020), 5(2): 121-126https://doi.org/10.26911/thejhpm.2020.05.02.04
ANALISIS PERSPEKTIF GENDER DALAM POLA PERILAKU PURNA MIGRAN PEREMPUAN DI SRAGEN Rahmawati, Ratih; Demartoto, Argyo; Soemanto, RB
Jurnal Analisa Sosiologi Vol 6, No 2 (2017)
Publisher : UNIVERSITAS SEBELAS MARET (UNS)

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Abstract

Woman’s migrant retirement identical as an unskilled labor, minimal in knowledge and skill, therefore they only rely on remittance to fulfilthe necessities of life. But after empowerment conducted to do poductive activities we can see there’s transformation on behaviour pattern that woman’s migrant retirement perceive. On one side they have income so that they can increase family welfare, but on the other hand woman’s migrant retirement feel the effect of the empowerment that being held.The aim of this research is to know the behaviour pattern of woman’s migrant retirement at Sragen City, Indonesia which analyze by gender perspective theory. This research using qualitative methods with case study approach, in-depth and holistic data processing through observation, interview and documentation.The result of this study show that, woman’s migrant retirement kept their family welfare the same as the time before they were migrant workers. The strategy that woman’s migrant retirement do is to harness their income to be bussines financier and form a social networking that include poductive activities that can increase the income.Such activities are done as a collective group which include goat livestock, catering, vegetable’s base food production, and craft. Woman’s migrant retirement have a bussines group that ensure of equality right of bussines so that lifesyle change took place on woman’s migrant retirement. At this empowerment process woman’s migrant retirement did not experience marginalization and did not suffered form violation. But they undergone double burden because majority of them were housewife that has obligation to take care their husband and child. Woman’s migrant retirement.Keywords: Gender Analysis, Behaviour Pattern, Woman’s Migrant Retirement.AbstrakPurna migran perempuan identik dengan tenaga yang kurang terampil, minim pengetahuan dan keahlian sehingga hanya mengandalkan remitan untuk memenuhi kebutuhan hidup.Namun setelah diadakan pemberdayaan dengan melaksankaan kegiatan produktifterdapat transformasi pola perilaku yang dirasakan oleh purna migran perempuan. Disatu sisi mereka memiliki pendapatan sehingga dapat meningkatkan kesejahteraan keluarga, namun disisi lain purna migran perempuan merasakan dampak-dampak dari diadakannya pemberdayaan tersebut. Penelitian ini bertujuan untuk  mengetahuipola perilaku purna migran perempuan di Sragen Indonesia yang dianalisis dengan teori perspektif gender. Penelitian kualitatif dengan pendekatan studi kasus ini mengolah data secara mendalam dan menyeluruh melalui observasi, wawancara dan dokumentasi.Hasil penelitian menunjukkan bahwa purna migran perempuan menjaga kesejahteraan keluarga seperti ketika menjadi migran.Strategi yang dilakukan purna migran perempuan adalah memanfaatkan pendapatan secara optimal dijadikan modal usaha dan membentuk suatu jaringan sosial yang didalamnya berisi kegiatan produktif yang dapat menambah penghasilan.Kegiatan yang dilakukan secara berkelompok seperti ternak kambing, catering makanan, produksi makanan olahan dari sayur-sayuran, serta produksi kerajinan tangan. Purna migran perempuan yang memiliki kelompok usaha telah memiliki hak-hak yang setara dalam memiliki pekerjaan sehingga perubahan gaya hidup terjadi dalam diri purna migran perempuan. Pada proses pemberdayaan purna migran perempuan tidak mengalami marginalisasi serta tidak mengalami tindakan kekerasan. Namun mereka mengalami beban ganda sebab mayoritas dari mereka ibu rumah tangga yang memiliki kewajiban untuk mengurus suami dan anak. Purna migran perempuan tidak mengalami stereotype atau pelabelan ketika melaksanakan kegiatan produktif.Kata Kunci: Analisis Gender, Pola Perilaku, Purna Migran Perempuan.
Effects of Social Support, Functional Status, and Depression on the Quality of Life of Stroke Patients: A Meta-Analysis Wahyudi, Anwar; Tamtomo, Didik Gunawan; Soemanto, RB
Journal of Health Promotion and Behavior Vol 5, No 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stroke patients have physical, social, and psychological disorders. It inhibits their daily activities, thus affecting the quality of life. This study aimed to analyze the effect of social support, functional status, and depress­ion on the quality of life of stroke patients.Subjects and Method: This study was a meta-analysis study. The data were obtained from Clinical Key, DOAJ, PubMed, Science Direct, Proquest, Scopus, and Google Scholar. The keywords were "social support" AND "functional status" AND "depression" AND "quality of life "AND" stroke". The articles were published from January 1991 to September 2020. The articles studied were full-text-articles with a cross-sectional and cohort study design. The articles were collected using the PRISMA diagram and analyzed using the RevMan 5.3 program.Results: This study obtained 12 articles consisted of 2,015 selected stroke patients. The result of the meta-analysis showed that social support had a significant positive effect on the quality of life of stroke patients (b= 0.03; 95% CI= 0.02 to 0.05; p= 0.0001), functional status had a significant positive effect on the quality of life of stroke patients (b= 0.63; 95% CI= 0.52 to 1.08; p=0.0001), and depression had a significant negative effect on the quality of life of stroke patients (b= -0.18; 95%CI= -0.26 to -0.10; p=0.0001).Conclusion: Social support and functional status improve the quality of life of stroke patients. Depression reduces the quality of life of stroke patients.Keywords: social support, functional status, depression, quality of life, strokeCorrespondence: Anwar Wahyudi. Masters Program in Public Health, Universitas Sebelas Maret, JL. Ir Sutami 36A, Surakarta 57126, Central Java. Email: arwanwahyudi851@gmail.com. Mobile: +62813106121049.Journal of Health Promotion and Behavior (2020), 05(04): 284-295https://doi.org/10.26911/thejhpb.2020.05.04.06. 
Effect of Bullying on the Risk of Anxiety and Social Interaction Disorder among Senior High School in Yogyakarta Privetera, Hainas Sani; Soemanto, RB; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 5, No 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.493 KB)

Abstract

Background: Bullying is a widespread pheno­menon among young people and is used to describe interpersonal relationships charac­te­rized by an imbalance of power. The Indone­sian Child Protection Commission noted that there were 161 cases of bullying in 2018. Ado­lescents who are involved in bullying expe­ri­ence risks such as psychiatric symptoms, alco­hol and drug abuse and even suicide. This study aims to analyze the effects of bullying on self-concept and social disorders in high school students in Sleman Yogyakarta.Subjects and Method: This study used a cross sectional study design. This study was conducted in Sleman Regency in August 2019. The sample was taken by using stratified ran­dom sampling with a total of 200 senior high school students. The independent variables include parental education, social environment, anxiety level, self-concept, and social interac­tion disorders. The dependent variable was bullying behavior. Data were collected using a questionnaire. Data were analyzed by using multilevel multiple logistic regression with stata 13.Results: Low family education (b= 3.11; 95% CI= 0.83 to 3.67; p= 0.002), social environ­ment in the city (b=3.15; 95% CI= 0.71 to 3.09; p= 0.002), have social media (b=4.13; 95% CI= 1.46 to 3.83; p= 0.000), have a level of anxiety (b= 2.92; 95% CI= 0.62 to 3.17; p= 0.005), negative self-concept (b=2.83; 95% CI= 0.62 to 3.40; p= 0.005), social interaction disorder (b= 3.23; 95% CI= 0.87 to 3.55; p= 0.001) increased the likelihood of experiencing bullying in adolescents. Variations at the school level indicated that there was a contextual influence on bullying behavior (ICC= 13.18%).Conclusion: There is a statistically significant influence of parental education, social environ­ment, social media, anxiety levels, self-concept, and social interaction disorders on bullying behavior in adolescents. Variations at the level of school show that there is a contextual influ­ence on bullying behavior in adolescents.Keywords: bullying, adolescents, multi­level analysisCorrespondence: Hainas Sani Privetera. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: sariprivitera@gmail.com. Mobile: +628­2328848001.Journal of Health Promotion and Behavior (2020), 05(04): 306-316https://doi.org/10.26911/thejhpb.2020.05.04.08. 
Effect of Acupuncture Therapy on Pain Reduction in Dysmenorrhea Patients: A Meta-Analysis Novitasari, Elisa; Soemanto, RB; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 5 No. 6 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Dysmenorrhea is a common com
The Effect of Bullying on Depression, Academic Activity, and Communication in Adolescents in Surakarta: A Multilevel Logistic Regression Sudrajad, Kiyat; Soemanto, RB; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Human interaction requires com­munication as a transmission of informa­tion, ideas, emotions, skills, and so on. Com­mu­nica­tion occurs when a source conveys a message to the recipient with a conscious in­ten­tion to influ­ence the recipient's behavior. One of the pro­blems in social communication is bully­ing. Bully­ing or harassment can be through words or through actions that aim to make the opponent's mental fall and pressure. The purpose of this study was to analyze the factors that influence bullying against depres­sion with the Health Belief Model and Social Cognitive Theory.Subjects and Method: This was a cross-sectio­nal study conducted in junior high schools in Surakarta, in December 2019. A total sample of 250 adolescents was selected by simple random sampling. The dependent variable was bullying. The inde­pen­dent variables were perceived sus­ceptibility, perceived severity, cues to action, perceived threat, perceived benefit, perceived barrier, self-efficacy, depres­sion, academic activi­ties, and communication. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regres­sion run on Stata 13.Results: Bullying increased depression (b= 3.69; 95% CI= 1.51 to 9.00; p= 0.004) and poor communication (b= 4.95; 95% CI= 2.24 to 10.89; p <0.001). Bullying decreased academic achievement (b= - 5.68; 95% CI= -12.33 to -2.62; p<0.001). School had strong contextual effect on depression with ICC= ICC= 20.91%.Conclusion: Bullying increases depression and poor communication. Bullying decreases academic achievement. School has strong con­textual effect on depression.Keywords: bullying, depression, Health Belief Model, Social Cognitive TheoryCorrespondence: Kiyat Sudrajad. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­ta­mi 36 A, Surakarta, 57126, Central Java. Ema­il­: kiyatrambo­@gmail.com. Mobile: +628­5­6­47­1­16834.Journal of Health Promotion and Behavior (2020), 05(02): 79-86https://doi.org/10.26911/thejhpb.2020.05.02.02
Effects of Social Support, Functional Status, and Depression on the Quality of Life of Stroke Patients: A Meta-Analysis Wahyudi, Anwar; Tamtomo, Didik Gunawan; Soemanto, RB
Journal of Health Promotion and Behavior Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stroke patients have physical, social, and psychological disorders. It inhibits their daily activities, thus affecting the quality of life. This study aimed to analyze the effect of social support, functional status, and depress­ion on the quality of life of stroke patients.Subjects and Method: This study was a meta-analysis study. The data were obtained from Clinical Key, DOAJ, PubMed, Science Direct, Proquest, Scopus, and Google Scholar. The keywords were "social support" AND "functional status" AND "depression" AND "quality of life "AND" stroke". The articles were published from January 1991 to September 2020. The articles studied were full-text-articles with a cross-sectional and cohort study design. The articles were collected using the PRISMA diagram and analyzed using the RevMan 5.3 program.Results: This study obtained 12 articles consisted of 2,015 selected stroke patients. The result of the meta-analysis showed that social support had a significant positive effect on the quality of life of stroke patients (b= 0.03; 95% CI= 0.02 to 0.05; p= 0.0001), functional status had a significant positive effect on the quality of life of stroke patients (b= 0.63; 95% CI= 0.52 to 1.08; p=0.0001), and depression had a significant negative effect on the quality of life of stroke patients (b= -0.18; 95%CI= -0.26 to -0.10; p=0.0001).Conclusion: Social support and functional status improve the quality of life of stroke patients. Depression reduces the quality of life of stroke patients.Keywords: social support, functional status, depression, quality of life, strokeCorrespondence: Anwar Wahyudi. Masters Program in Public Health, Universitas Sebelas Maret, JL. Ir Sutami 36A, Surakarta 57126, Central Java. Email: arwanwahyudi851@gmail.com. Mobile: +62813106121049.Journal of Health Promotion and Behavior (2020), 05(04): 284-295https://doi.org/10.26911/thejhpb.2020.05.04.06. 
Effect of Bullying on the Risk of Anxiety and Social Interaction Disorder among Senior High School in Yogyakarta Privetera, Hainas Sani; Soemanto, RB; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Bullying is a widespread pheno­menon among young people and is used to describe interpersonal relationships charac­te­rized by an imbalance of power. The Indone­sian Child Protection Commission noted that there were 161 cases of bullying in 2018. Ado­lescents who are involved in bullying expe­ri­ence risks such as psychiatric symptoms, alco­hol and drug abuse and even suicide. This study aims to analyze the effects of bullying on self-concept and social disorders in high school students in Sleman Yogyakarta.Subjects and Method: This study used a cross sectional study design. This study was conducted in Sleman Regency in August 2019. The sample was taken by using stratified ran­dom sampling with a total of 200 senior high school students. The independent variables include parental education, social environment, anxiety level, self-concept, and social interac­tion disorders. The dependent variable was bullying behavior. Data were collected using a questionnaire. Data were analyzed by using multilevel multiple logistic regression with stata 13.Results: Low family education (b= 3.11; 95% CI= 0.83 to 3.67; p= 0.002), social environ­ment in the city (b=3.15; 95% CI= 0.71 to 3.09; p= 0.002), have social media (b=4.13; 95% CI= 1.46 to 3.83; p= 0.000), have a level of anxiety (b= 2.92; 95% CI= 0.62 to 3.17; p= 0.005), negative self-concept (b=2.83; 95% CI= 0.62 to 3.40; p= 0.005), social interaction disorder (b= 3.23; 95% CI= 0.87 to 3.55; p= 0.001) increased the likelihood of experiencing bullying in adolescents. Variations at the school level indicated that there was a contextual influence on bullying behavior (ICC= 13.18%).Conclusion: There is a statistically significant influence of parental education, social environ­ment, social media, anxiety levels, self-concept, and social interaction disorders on bullying behavior in adolescents. Variations at the level of school show that there is a contextual influ­ence on bullying behavior in adolescents.Keywords: bullying, adolescents, multi­level analysisCorrespondence: Hainas Sani Privetera. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: sariprivitera@gmail.com. Mobile: +628­2328848001.Journal of Health Promotion and Behavior (2020), 05(04): 306-316https://doi.org/10.26911/thejhpb.2020.05.04.08.