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The Relationship between Age, Employment Status, Gender, Linezolid Use, and HIV Status on the Survival Duration of Short-Term Treated MDR-TB Patients Azmiardi, Akhmad; Zakki Saefurrohim, Muhamad; Henda Ardiani, Intan
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

The increasing prevalence of multidrug-resistant tuberculosis (MDR-TB) presents a major public health challenge, particularly due to its complex treatment and varied patient outcomes. Factors such as age, employment status, gender, Linezolid use, and HIV status are thought to influence survival rates among MDR-TB patients, especially those undergoing short-term treatment regimens. Objective : This study aims to evaluate the relationship between these demographic and clinical variables and the survival duration of MDR-TB patients on short-course therapy. Research Methods/ Implementation Methods : This study used a retrospective cohort design, analysing medical records of MDR-TB patients who received a short-term treatment regimen. A total 38 patients were selected in this study. This study conducted in 2021-2023 at several hospital that provide integrated management of drug resistant tuberculosis control (MTPTRO) program in central java, Indonesia. Key demographic and clinical data, including age, employment status, gender, Linezolid (Lzd) use, HIV status, and survival duration status, were collected. Survival status defined as less than one month and over than one month to death. A logistic regression analysis was performed to analyse the data using SPSS version 15. Results : Employment status and gender were significant predictors of survival, with employed patients showing a higher likelihood of extended survival (Exp(B) = 38.884, 95% CI: 2.302–656.853, p = 0.011) compared to unemployed patients. Additionally, female patients demonstrated better survival outcomes compared to male patients (Exp(B) = 0.031, 95% CI: 0.002–0.448, p = 0.011). Age showed a borderline association with survival, suggesting that older age may be linked to decreased survival, though this was not statistically significant (Exp(B) = 8.668, 95% CI: 0.983–76.397, p = 0.052). Similarly, HIV status indicated a possible association with shorter survival duration, though it did not reach significance (Exp(B) = 5.860, 95% CI: 0.810–42.384, p = 0.080). The timing of treatment initiation following diagnosis also showed a trend toward influencing survival, with earlier initiation possibly improving outcomes (Exp(B) = 8.641, 95% CI: 0.823–90.677, p = 0.072). In contrast, the use of Linezolid (Lzd) did not have a statistically significant effect on survival duration in this cohort (Exp(B) = 0.365, 95% CI: 0.028–4.750, p = 0.441). Conclusion/Lesson Learned : Employment status and gender significantly impact the survival duration of MDR-TB patients on short-term treatment, with employed and female patients showing better outcomes. Although age, HIV status, and early treatment initiation showed potential associations with survival, these factors were not statistically significant.
AGE, SEX AND OBESITY HOSPITAL'S WORKERS IN BALIKPAPAN Agustina, Elvi; Adrianto, Ratno; Azmiardi, Akhmad; Wirapuspita Wisnuwardani, Ratih
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Obesity remains a global health issue and a significant contributing factor to Non Communicate Disease (NCDs), so efforts to reduce the prevalence of obesity are very important. The impact of obesity on workers are very broad and includes aspects of physical, mental and productivity helath. The problem of study was the prevalence of obesity in RSUD dr. Kanujoso Djatiwibowo workers and its relationship with age and gender. Objective : This study aimed to determine the prevalence of obesity among workers of dr. Kanujoso Djatiwibowo hospital Balikpapan and in relationship with age and gender. Research Methods/ Implementation Methods : This research was cross sectional study conducted at Medical Check Up RSUD dr. Kanujoso Djatiwibowo Balikpapan in February 2023. A total 838 participants were selected by total sampling technique. Age and gender data were collected by medical record document and obesity data was calculated by measuring BMI and interpreted using WHO BMI Classification for Asia Pacific. The data were analyzed by Chi Square using SPSS. Results : Prevalence of obesity for workers in hospital ‘X” was 50,5%. Most was woman (51,8%) and age 41-50 years old (58,4%). There was a significant relationship between age and obesity (p value = 0,001), meanwhile gender was not statistically significant with obesity (p value = 0,353) Conclusion/Lesson Learned : More than half workers of hospital were obesity and age is statistically significant with obesity.
Validity and Reliability of Indonesian Version of Diabetes Quality of Life Brief Clinical Inventory in Patients with Type 2 Diabetes at Primary Care Azmiardi, Akhmad; Febrinasari, Ratih Puspita
MAGNA MEDIKA Berkala Ilmiah Kedokteran dan Kesehatan Vol 12, No 2 (2025): AUGUST
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.12.2.2025.124-132

Abstract

Background:  Type 2 diabetes (T2DM) has a significant impact on patients' quality of life (QoL), including physical, psychological, social, and economic aspects. However, a culturally and linguistically adapted Diabetes Quality of Life Brief Clinical Inventory (DQoL-BCI) for Indonesian patients remains limited. A validated Indonesian version of this instrument is necessary to ensure accurate assessment and effective interventions for diabetes management.Objective: This study aimed to assess the validity and reliability of the Indonesian version of the Diabetes Quality of Life Brief Clinical Inventory (DQoL-BCI) among patients with T2DM in primary care.Methods: A cross-sectional study was conducted among 30 T2DM patients at a primary health care center in Singkawang City, West Borneo, Indonesia. Data were collected through interviews. The DQoL-BCI, a 15-item questionnaire, was used to measure QoL, with responses rated on a 5-point Likert scale. Construct validity and internal consistency were assessed using Pearson’s r and Cronbach’s alpha.Results: All items showed Pearson’s r values greater than 0.361, indicating an adequate correlation with the overall scale and thus validating the items. The highest Pearson’s r values were for satisfaction with the time to determine sugar levels (0.688) and sex life (0.680). The Cronbach’s alpha coefficient for all items was 0.887, exceeding the minimum requirement of 0.70, demonstrating excellent internal consistency.Conclusion: The Indonesian version of the DQoL-BCI is a valid and reliable instrument for measuring the QoL in individuals with T2DM in primary care settings.
The The Relationship Between Age, Employment Status, Gender, Linezolid Use, and Hiv Status on The Survival Duration of Short-Term Treated MDR-TB Patients Azmiardi, Akhmad; Zakki Saefurrohim, Muhamad; Henda Ardiani, Intan
Panakeia Journal of Epidemiology Vol. 1 No. 1 (2024): PANAKEIA
Publisher : Universitas Mulawarman

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Abstract

This study evaluated the association of demographic and clinical factors with the survival of drug-resistant TB (MDR-TB) patients undergoing short-term treatment. Using a retrospective cohort design, data were collected from the medical records of 38 MDR-TB patients who received short-term therapy in 2021-2023 at a Central Java hospital. The variables analyzed included age, employment status, gender, Linezolid (Lzd) use, HIV status, and treatment initiation time. The results of logistic regression analysis showed that employment status and gender significantly influenced survival. Patients who were employed had a higher chance of survival than patients who were not employed (Exp(B) = 38.884; p = 0.011). Female patients showed better outcomes than males (Exp(B) = 0.031; p = 0.011). Age showed a weak association with survival, with older age tending to decrease survival although not significantly (p = 0.052). HIV status and timing of early treatment initiation also showed potential to affect survival, but were not significant (p > 0.05). Lzd use showed no significant effect on survival (p = 0.441). This study concludes that occupation and gender are important predictors of survival in MDR-TB patients, while other factors require further research.
Geo-Spatial Exploration of Tuberculosis in Samarinda Ulu Sub-District, Samarinda City, East Kalimantan Muh. Amri Arfandi; Muhammad Zakki Saefurrohim; Akhmad Azmiardi; Siswanto; Siti Lutfiyah Ulfa
Panakeia Journal of Epidemiology Vol. 1 No. 1 (2024): PANAKEIA
Publisher : Universitas Mulawarman

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Abstract

This research investigates the spatial distribution of tuberculosis (TB) cases in Samarinda Ulu, a sub-district with the second-highest percentage of detected TB cases in Samarinda City. Despite the availability of geographic analysis tools, no prior studies have focused on this area. The study uses a descriptive-analytical, cross-sectional approach, utilizing secondary data from the TB03-SO form for 2023. The total sample includes 323 TB cases, with Google Maps used to locate case coordinates based on respondents’ addresses. Spatial analysis was conducted using QGIS software with overlay, buffer, and nearest neighbor analysis techniques. Results shows that TB cases in Samarinda Ulu are distributed in a clustered pattern (NNI<1), with clusters forming primarily in densely populated areas. The spatial analysis results also indicate that the majority of TB cases spread through close contact with index cases. Teluk Lerong Ilir Village emerges as a TB "hotspot," with the highest concentration of cases. This study suggests strengthening spatial-based TB surveillance and intensifying control efforts, such as enhancing early detection and promoting community-based health education programs in highly populated areas. This would allow health institutions to better target high-risk regions and improve TB prevention and control strategies.
METAANALISIS COST-EFFECTIVE TELEMEDICINE DALAM MENANGANI MASALAH KESEHATAN JIWA: MEMENUHI TEKNOLOGI YANG BELUM TERCAPAI SETELAH PANDEMI COVID-19 Tri Atmojo, Joko; Pradana, Anggie; Kuntari, Saras; Noerlita Ningrum, Andriani; Tri Handayani, Rina; Widiyanto, Aris; Rejo, Rejo; Setyorini, Catur; Rahma Widyaningrum, Nova; Zamani, Ahmad; Nurhayati, Isnani; Dewi Lieskusumastuti, Anita; Puspitasary, Kiki; Nur Fauziah, Ani; Yuniarti, Tri; Sayekti Heni Sunaryanti, Sri; Iswahyuni, Sri; Ihdina Fityatal Hasanah, Yesi; Sabngatun, Sabngatun; Nurrochim, Nurrochim; Daryanto, Daryanto; Hanifah, Lilik; Maesaroh, Siti; Novitasari, Meliana; Indarto, Indarto; Karmadi, Karmadi; Nur Rokhmatun, Puji; Syauqi Mubarok, Ahmad; Anasulfalah, Hakim; Suparti, Sri; Rohmi, Rohmi; Febri Susanti, Rinandita; Hidayati, Anisa; Joko Yulianto, Dwi; Verasita, Prissy; Azmiardi, Akhmad; Rasyid Ridha, Achmad; Irawati, Dina; Triwibowo, Joko; Sindi Wardani, Galuh; Aditya, Mifta; Reza Kurnia, Febria; Eri Pramuja, Wanda; Ardia Pramesti, Risa; Setiawan Manurung, Budi; Puji Lestari, Apriliani; Auraldi Nansurya, Alga; Ernawati, Heni; Tri Darmayanti, Aquartuti; Ismail, Aem; Hanif, Ihsan; Maratul Munawar, Siti; Aqsyari, Rizki; Yuli Ayuningrum, Ika; Mirsanti, Faradilla
Avicenna : Journal of Health Research Vol 6, No 2 (2023): OKTOBER
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/avicenna.v6i2.949

Abstract

Edukasi manajemen kesehatan mental selama pandemi covid-19 AZMIARDI, AKHMAD; Sartika, Iik; Rahardjo, Budi; Aulia, Hanifah Dina
Ruang Cendekia : Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 3 (2022): Ruang Cendekia : Jurnal Pengabdian Kepada Masyarakat
Publisher : ARKA INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55904/ruangcendekia.v1i2.93

Abstract

Covid-19 is a disease caused by the SARS-CoV-2 virus and is currently a worldwide pandemic. Pandemic conditions like this have an impact not only on physical health, but can also affect mental health. People feel fear and concern about personal safety. Pandemic conditions like this also have adverse consequences such as layoffs and unemployment which can lead to mental health problems such as stress. Objective: This community service aimed to increase knowledge and skills in maintaining mental health, especially during the Covid-19 pandemic.This community service activity is carried out in 3 stages, namely socialization and mental health education to members of the Village Health Forum (FKD), program formation and the third is program implementation for ±3 months. There was an increase in participants' knowledge after socialization and education and it was statistically significant (p<0.001). The formation of the "Gotong Royong" program which was carried out by FKD members to the community. This activity increases public knowledge about mental health during the Covid-19 pandemic and is expected to prevent the adverse effects of the Covid-19 pandemic. Suggestions for Puskesmas and FKD can carry out these activities regularly.
Description of Knowledge, Behavior, and Environment With the Incidence of Acute Respiratory Infection (ARI) in Children Under Five Years at Puskesmas Trauma Center Shinta, Amara Wahyu Febrianshinta; Akhmad Azmiardi; Sylvia Gusrina
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/0dbsn988

Abstract

Acute respiratory infections (ARI) remain one of the leading causes of illness in children under five years of age, especially in developing countries such as Indonesia. However, few studies have examined how parents' knowledge, behavior, and environmental factors together influence the occurrence of ARI. This study used a quantitative descriptive design with a cross-sectional approach, conducted at the Puskesmas Trauma Center in Samarinda from June to July 2025. Thirty-one parents of children under five years of age diagnosed with ARI were selected through accidental sampling and interviewed using a structured questionnaire. The results showed that most respondents had good knowledge about ARI prevention, but their preventive behaviors were inconsistent, such as exposure to secondhand smoke and the use of masks. Environmental risks such as household waste burning and indoor air pollution were still commonly found. These findings indicate that having good knowledge alone is not sufficient to reduce ARI cases without behavioral changes and support from the environment. This study highlights the importance of integrated public health education and environmental interventions to effectively prevent ARI in children under five years of age.
Non-Communicable Disease Risk Factors Across Age Groups in Urban Indonesia: A WHO STEPS-Based Study Muh. Amri Arfandi; Saefurrohim, Muhamad Zakki; Azka, Arlina; Pakki, Irfansyah Baharuddin; Siswanto, Siswanto; Risva, Risva; Azmiardi, Akhmad
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/2h9dbt57

Abstract

Non-communicable diseases (NCDs) are a major public health concern, with risk factors increasingly observed among younger populations. To describe and compare behavioral and biological NCD risk factors among adolescents (15–19 years), young adults (20–24 years), and adults (25–59 years) in Samarinda, Indonesia. A cross-sectional study was conducted among 242 respondents using the WHO STEPS questionnaire, covering behavioral factors (tobacco, alcohol, physical activity, diet) and biological factors (BMI, blood pressure, blood glucose, cholesterol). Smoking was highest among young adults (22.2%) versus adolescents (9.3%) and adults (17.7%). Adolescents reported relatively higher alcohol use (12.4%). Young adults showed more sedentary behavior (40%). Fruit consumption was inadequate across all groups. Overweight/obesity prevalence increased with age: adolescents (19.4%), young adults (24.4%), adults (54.4%). Adults showed higher hypertension (44.1%) and high cholesterol (35.3%). Behavioral risks emerge during adolescence, while biological risks accumulate with age. Early prevention targeting youth through community-based education and health monitoring is essential.
Factors Influencing Compliance with Iron Supplementation Among Female Adolescents in Senior High Schools, Samarinda City, 2025 Indriani, Dilla C; Ramadhani, Reza W; Nurlela, Siti; Irirwanas, Intannia D; Zakki Saefurrohim, Muhamad; Azmiardi, Akhmad; Pakki, Irfansyah Baharuddin; Siswanto, Siswanto; Arfandi, Muh. Amri; Risva, Risva
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/kzn7n063

Abstract

Anemia in adolescent girls is a significant health problem due to increased iron requirements during puberty. Iron supplements are an important intervention, but previous studies have shown that 58.4% of adolescent girls have low compliance rates. This study aims to analyze the relationship between knowledge and attitudes toward iron supplement consumption among high school students in Samarinda City. This study used a cross-sectional design involving 466 respondents from three secondary schools. Data were collected through an online questionnaire covering knowledge, attitude, and TTD consumption variables. Results showed that 47.2% of respondents had very good knowledge and 90.3% had a positive attitude. Bivariate analysis showed no significant relationship between knowledge and TTD consumption (OR = 1.039; 95% CI: 0.680–1.587; p = 0.860). Conversely, attitude showed a significant relationship, where students with negative attitudes were less likely to consume TTD (OR = 1.613; 95% CI: 1.052–2.471; p = 0.028). These findings indicate that attitude has a greater influence than knowledge in promoting TTD consumption behavior. Interventions to improve TTD consumption compliance should focus on fostering positive attitudes among adolescent girls.
Co-Authors -, Ardyasih - Abrori, Abrori Adi Saputro, Endri Aditya, Mifta Adrianto, Ratno Agustina, Elvi Ahmad Zamani, Ahmad Al-Ayubi, Moch Thoriq Assegaf Anasulfalah, Hakim Anjani, Aiko Nurrahma Anom Dwi Prakoso Aqsyari, Rizki Ardia Pramesti, Risa Arfandi, Muh. Amri Arifah Chofsoh, Salma Arlina Azka Aulia, Hanifah Dina Auraldi Nansurya, Alga Ayu Anulus Baehaqi Baiq Santi Rengganis Basrowi, Ray Wagiu Bekti Sayekti , Muna Bhisma Murti Budi Rahardjo Budi Rahardjo Budi Utomo Dara Fitri Andrian Daryanto Daryanto Dewi Lieskusumastuti, Anita Dewi Puspito Sari Dewi Puspito Sari Dewi Puspito Sari, Dewi Puspito Dian Margi Utami Dian setyaningsih Didik Tamtomo, Didik Dina Irawati Dodiet Aditya Setyawan Dwi Lestari Eri Pramuja, Wanda Ernawati, Heni Ester Kristian Pamurti Febri Susanti, Rinandita Gabriela Advitri Febriani Hanif, Ihsan Hanifah Dina Aulia Hanifah, Lilik Haryanti, Titik - Henda Ardiani, Intan Hendra Dwi Kurniawan, Hendra Dwi Hesty Erika Silitonga Hidayati, Anisa Iik Sartika Ika Yuli Ayuningrum Indah Wulandari, Dwi Indarto Indarto Indriani, Dilla C Intan Kurnia Irfansyah Baharuddin Pakki Irirwanas, Intannia D Ismail, Aem Iswahyuni, Sri Joko Triwibowo, Joko Joko Yulianto, Dwi Karmadi, Karmadi Khansa Azizah, Fara Kuntari, Saras M Taufik Maratul Munawar, Siti Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Miranda Juandrina, Shella Mirsanti, Faradilla Mirshanti, Farahdila Mubarok, Ahmad Syauqi Muh. Amri Arfandi Muhammad Zakki Saefurrohim Nabila Vebiana Soviadi Noerlita Ningrum, Andriani Novitasari, Meliana Nur Fauziah, Ani Nur Rokhmatun, Puji Nurhayati, Isnani Nurrochim, Nurrochim Permata Fitrianisa, Salsayabila Pradana Putri, Anggie Pradana, Anggie Prasetya, Hanung Puji Lestari, Apriliani Puspitasary, Kiki Puspitasary, Kiky Rahma Widyaningrum, Nova Ramadhani, Reza W Rasyid Ridha, Achmad Ratih Fianni Sigit Ratih Puspita Febrinasari Ratih Wirapuspita Wisnuwardani Rejo, Rejo Reza Kurnia, Febria Risva Risva Risva Rohmi, Rohmi Roma Yuliana Ruqayyah, Siti S Siswanto Sabngatun, Sabngatun Saefurrohim, Muhamad Zakki Sayekti Heni Sunaryanti, Sri Sekar Wijayanti , Nia Setiawan Manurung, Budi Setyorini, Catur Shinta, Amara Wahyu Febrianshinta Sindi Wardani, Galuh Siswanto Siti Lutfiyah Ulfa Siti Maesaroh SITI MARIA ULFA siti nurlela Solly Aryza Suci Susilastuti , Mustika Suciyati Suciyati, Suciyati Sudiro Sudiro Sumardiyono Sumardiyono Suryono Suryono Syauqi Mubarok, Ahmad Sylvia Gusrina Titik Haryanti Tri Atmojo, Joko Tri Darmayanti, Aquartuti Tri Handayani, Rina Tri Yuniarti, Tri Verasita, Prissy Verry Asfirizal Widiyanto, Aris Wirapuspita Wisnuwardani, Ratih Yesi Ihdina Fityatal Hasanah Zainafree , Intan Zakki Saefurrohim, Muhamad Zheditya Ayu Syawalia