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Analysis of Risk Factors for Pulmonary Function Disorders among Workers at PT X Coal Division, East Kalimantan Septiana, Lisa; Pakki, Irfansyah Baharuddin; Azmiardi, Akhmad; Adrianto, Ratno; K., Iriyani; Lestari, Ida Ayu Indira Dwika
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6146

Abstract

Pulmonary function impairment remains a critical occupational health issue among coal industry workers due to prolonged exposure to airborne pollutants. Despite the implementation of occupational health regulations, respiratory disorders continue to be prevalent, leading to decreased work capacity and increased health risks. Identifying key risk factors is essential to developing targeted preventive measures. Objective: This study aims to analyze the relationship between occupational risk factors and pulmonary function impairment among workers at PT X Coal Division, East Kalimantan. A cross-sectional study was conducted on 183 coal division workers selected through cluster random sampling. Data were obtained through structured questionnaires, spirometry tests, and workplace dust level measurements. Multivariate logistic regression analysis was used to determine the most influential factors associated with pulmonary function impairment. The analysis identified significant associations between pulmonary function impairment and a history of other diseases (p = 0.001; OR = 11.709; 95% CI: 2.901–47.257), work tenure of ≥3 years (p = 0.032; OR = 3.319; 95% CI: 1.109–9.934), heavy physical workload (p = 0.036; OR = 2.807; 95% CI: 1.071–7.361), and inadequate personal protective equipment (PPE) usage (p = 0.015; OR = 2.566; 95% CI: 1.205–5.463). Other factors such as age, body mass index (BMI), work location, dust exposure, exercise habits, and smoking were not significantly associated with pulmonary function impairment. Work-related exposures and individual health conditions play a crucial role in pulmonary function impairment among coal workers. Strengthening workplace safety measures, enforcing PPE compliance, and implementing regular health screenings are necessary to mitigate respiratory risks. Ensuring a safer work environment through targeted preventive strategies is essential for protecting workers from long-term pulmonary complications while enhancing occupational health policies in the coal industry.
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

Unwanted Pregnancy and Maternal Mental Health Based on the WHO SRQ-20: A Meta-Analysis Saefurrohim, Muhamad Zakki; Azmiardi, Akhmad; Wisnuwardani, Ratih Wirapuspita; Al-Ayubi, Moch Thoriq Assegaf; Basrowi, Ray Wagiu; Yuliana, Roma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.04

Abstract

Background: The WHO (2019) reported that approximately 10% of pregnant women and 13% of postpartum women globally experience maternal mental health disorders. Several studies have identified unintended pregnancy as a contributing factor to these disorders. This systematic review and meta-analysis aimed to analyze and estimate the association between unintended pregnancy and maternal mental health disorders (MHD), using studies that applied the WHO Self-Reporting Questionnaire-20 (SRQ-20).Subjects and Method: A systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO (CRD42025634410). Article searches were conducted up to January 15, 2025, in PubMed, ScienceDirect, Google Scholar, and Scopus using the keywords: “SRQ” AND (“mental health” OR “psychological well-being” OR “mental disorder”) AND (“unwanted pregnancy” OR “unintended pregnancy” OR “unplanned pregnancy”) AND (“mother” OR “maternal”). Inclusion criteria focused on observational studies using the WHO SRQ-20 to assess maternal mental health among women with unintended and intended pregnancies. Meta-analysis was performed using R Studio, with effect sizes reported as risk ratios (RR) or adjusted odds ratios (aOR) and 95% confidence intervals. Heterogeneity was assessed using the I² statistic, and funnel plots were generated to examine publication bias.Results: A total of 12 studies from Ethiopia, Indonesia, India, Vietnam, Brazil, and Malawi, comprising 85,862 participants, were included in this meta-analysis. A total of 12 studies with a total of 85,862 participants were analyzed in this meta-analysis. The results showed that unintended pregnancy significantly increased the risk of maternal MHD. This finding was consistent in both cohort and cross-sectional studies, with effect sizes of (RR = 1.49; CI95%= 1.03 to 2.15; p= 0.030) and (aOR= 1.83; CI95%= 1.35 to 2.47; p < 0.001), respectively.Conclusion: These findings highlight the strong association between unintended pregnancy and MHD. Limitations include high heterogeneity among studies, potential publication bias, and the predominance of observational designs, which preclude causal inferences. Despite these limitations, the results underscore the need for interventions that prioritize the overall health of pregnant women.
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

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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

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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.
Understanding Toxoplasmosis in Reproductive-Age Women: Determinants of Infection and Evidence-Based Mitigation Approaches Azka, Arlina; Soviadi, Nabila Vebiana; Saefurrohim, Muhamad Zakki; Azmiardi, Akhmad; Pakki, Irfansyah Baharuddin; Siswanto; Arfandi, Muh. Amri; 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/e53f1q84

Abstract

Toxoplasmosis remains a persistent public health concern among women of reproductive age due to the risk of congenital transmission and severe fetal outcomes. This narrative review aimed to synthesize recent evidence on infection determinants and evaluate evidence-based strategies to mitigate risks, addressing persistent gaps in awareness and intervention efficacy. A comprehensive literature search of PubMed and Google Scholar was conducted for studies published between 2016 and 2025. The findings reveal substantial geographic variation in seroprevalence, influenced by environmental conditions, cultural practices, and socioeconomic disparities. Higher infection rates were consistently reported among older, multiparous, rural, and less-educated women. Key risk factors included consumption of contaminated water, undercooked meat, and poor hygiene practices, while associations with cat ownership were inconsistent. Overall, knowledge and awareness of toxoplasmosis were low among women and healthcare providers. Although educational interventions and antenatal screening demonstrated potential benefits, their effectiveness remains insufficiently evaluated. Integrated, context-specific prevention strategies are urgently needed to reduce infection risk and prevent congenital toxoplasmosis.
Co-Authors -, Ardyasih - Abrori, Abrori Adi Saputro, Endri Aditya, Mifta Adrianto, Ratno Agustina, Elvi Ahmad Zamani, Ahmad Al-Ayubi, Moch Thoriq Assegaf Anamnart, Witthaya Anasulfalah, Hakim Anjani, Aiko Nurrahma Anom Dwi Prakoso Aqsyari, Rizki Ardia Pramesti, Risa Arfandi, Muh. Amri Arifah Chofsoh, Salma Arlina Azka Atmojo, Joko Tri Aulia, Hanifah Dina Auraldi Nansurya, Alga Ayu Anulus Baehaqi Baiq Santi Rengganis Basrowi, Ray Wagiu Bekti Sayekti , Muna Bhisma Murti Blego Sedionoto, Blego Budi Rahardjo Budi Rahardjo Budi Utomo Cahyana, Yudi Jaya 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 Ihdina Fityatal Hasanah, Yesi 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 K., Iriyani Karmadi, Karmadi Khansa Azizah, Fara Kuntari, Saras Lestari, Ida Ayu Indira Dwika 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 Mochamad Makin, Mochamad Mubarok, Ahmad Syauqi Muh. Amri Arfandi Muhammad Aidil Fitrah 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 Septiana, Lisa 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 Yadi, Yadi Zainafree , Intan Zakki Saefurrohim, Muhamad Zheditya Ayu Syawalia