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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.
Environmental Risk Factors and Hookworm Infection  among Schoolchildren in Rural Areas of Indonesia Sedionoto, Blego; Azmiardi, Akhmad; Anamnart, Witthaya
Journal of Epidemiology and Public Health Vol. 10 No. 4 (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.2025.10.04.02

Abstract

Background: The prevalence of hookworm infection is a serious public health concern globally. Java Island and Kalimantan Island have differential environmental risk factors of hookworm infection, espe­cial­ly in rural areas of Indonesia, which have high-risk environmental factors for the prevalence of hook­worm infection. This study aimed to investigate the infection rates and correlation between environmental risk factors and the prevalence of hookworm infection. Subjects and Method: This was a cross-sectional study conducted among 226 school children from rural East Java province, Central Java Province, and East Kalimantan Province, Indonesia. A simple random sampling method was applied to select participants from each school area. This study used two diagnostic methods: Kato Katz and Koga agar plate culture/KAP culture for diagnosing hookworm infections. Environmental variables examined included soil texture, organic carbon content, clay content, soil pH, rainfall volume, number of rainy days, humidity, temperature, elevation, vegetation type, and pet infection status. Pearson's chi-square analysis was used to study the correlation between environmental factors and hookworm infection. Results: Hookworm, Strongyloides sp, and Ascaris sp infections were found in this study; 137 (60.63%), 25 (11.1%), and 124 (9.84%), respectively. Environmental risk factors such as rainy season, quality of soil, and infection with hookworm in pets have a significant correlation (p<0.050) with hookworm infection among schoolchildren in a rural area in Indonesia. Conclusion: The prevalence of hookworm infection correlates with environmental factors, and the findings in this research could contribute to decreasing the prevalence of hookworm infection, espe­cially among schoolchildren in rural areas.
Influence of Diabetes Mellitus on the Incident of Stroke: Meta-Analysis Mubarok, Ahmad Syauqi; Kurniawan, Hendra Dwi; Verasita, Prissy; Azmiardi, Akhmad; Puspitasary, Kiky
Indonesian Journal of Global Health Research Vol 5 No 4 (2023): 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.v5i4.2461

Abstract

Blood vessel disorders can occur due to the narrowing and hardening of the artery walls, which is called atherosclerotic plaque. Stroke is a serious health problem because of the high mortality and morbidity rates and its impact can cause chronic disability and occurs not only in elderly people but also in young people. This study aims to estimate and analyze the effect of diabetes mellitus on the incidence of stroke. This research is a systematic review and meta-analysis research using the PRISMA diagram. Article searches were carried out based on the PICO Model eligibility criteria. P= DM patient; I= Diabetes mellitus; C= Normal blood sugar; O= Stroke. The articles used come from Google Scholar. With keywords including "Diabetes mellitus" AND "Normal blood sugar" AND "Stroke" AND "adjusted Odds Ratio". Articles were analyzed using the PRISMA diagram and the Review Manager 5.3 application. 5 articles (2016-2022) with a randomized controlled trial study design will be used as a source for meta-analysis of the effect of diabetes mellitus on the incidence of stroke. Shows that people with diabetes mellitus increase the likelihood of stroke. Patients suffering from diabetes mellitus increase the likelihood of stroke by 2.41 times compared to those with normal blood sugar. (aOR= 2.41; 95% CI= 1.71 to 3.39; p=0.0001), and statistically significant. The forest plot also shows high heterogeneity of effect estimates between studies (I2 = 73%). The funnel plot shows that there is publication bias which tends to exaggerate the true effect (overestimate). Meta-analysis of 5 studies cross-sectional concluded that people with diabetes mellitus increase the likelihood of stroke.
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

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.
Meningitis Vaccination Compliance Among Umrah Pilgrims In Indonesia: A Narrative Review Nozomi, Alwan Zakki; Pakki, Irfansyah Baharuddin; Azmiardi, Akhmad
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Umrah pilgrimage involves large gatherings of people from around the world, posing a high risk of disease transmission, especially meningococcal meningitis. Therefore, meningitis vaccination is mandatory as an absolute requirement for departure to prevent outbreaks. Although vaccination is mandatory, challenges related to the timeliness and compliance of vaccination at Port Health Offices (KKP) remain a crucial issue in Indonesia. This narrative review aims to synthesize and describe the meningitis vaccination compliance among Umrah pilgrims in Indonesia Objective : summarize, analyze, and interpret research results related to meningitis vaccination compliance among Umrah pilgrims Research Methods/ Implementation Methods : This review uses a narrative review method by analyzing 14 journal articles obtained from accredited journals from 2020 to 2025. The criteria for these articles are articles with independent variables focusing on factors related to vaccination compliance with vaccination compliance outcomes, articles with analytical observational designs. Selected articles were analyzed descriptively and narratively Results : results of the analysis show that the factors of knowledge and attitude of pilgrims are related to punctuality and vaccination compliance. In addition, support from the Umrah Travel Organizer (PPIU) or travel agent is also a predictor of compliance Conclusion/Lesson Learned : Compliance with meningitis vaccination among Umrah pilgrims is influenced by internal factors (knowledge and attitude) and external factors (travel support and PPIU support). The main recommendations are to strengthen education focused on the timing of vaccine administration and to improve effective coordination/socialization between KKP and PPIU to bridge the policy implementation gap
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 Ardiansyah, Andika Nicholas Iqbal Arfandi, Muh Amri Arfandi, Muh. Amri Arifah Chofsoh, Salma Arlina Azka Asrianti, Tanti Atmojo, Joko Tri Aulia, Hanifah Dina Auraldi Nansurya, Alga Ayu Anulus Aziz, Rusna Azizah Baiq Santi Rengganis Bakhtiar, Rahmat Baruni, Amandha 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 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 Herliani, Resda Hidayati, Anisa Husna, Gusti Nurul Ihdina Fityatal Hasanah, Yesi Iik Sartika Ika Yuli Ayuningrum Indah Wulandari, Dwi Indarto Indarto Insany, Vicca Yulia Intan Kurnia, Intan Irfansyah Baharuddin Pakki Iriyani, Iriyani Ismail, Aem Iswahyuni, Sri Joko Triwibowo, Joko Joko Yulianto, Dwi K., Iriyani Karmadi, Karmadi Khansa Azizah, Fara Kuntari, Saras Kurniasih, Hefi Lestari, Ida Ayu Indira Dwika M Taufik Maharani, Siti Malikha Zalzabila Maratul Munawar, Siti Miranda Juandrina, Shella Mirsanti, Faradilla Mirshanti, Farahdila Mochamad Makin, Mochamad Mubarok, Ahmad Syauqi Muh. Amri Arfandi Muhammad Zakki Saefurrohim Ningrum, Vallina Laurensia Indika Noerlita Ningrum, Andriani Noorhayaty, Noorhayaty Novitasari, Meliana Nozomi, Alwan Zakki Nuning Nuning Nur Fauziah, Ani Nur Rokhmatun, Puji Nurhayati, Isnani Nurrochim, Nurrochim Pakki, Irfan Baharuddin Pamowa, Agustina Simanangi Permata Fitrianisa, Salsayabila Pradana Putri, Anggie Pradana, Anggie Prasetya, Hanung Puji Lestari, Apriliani Puspitasary, Kiki Puspitasary, Kiky Rahayu, Anisa Rahma Widyaningrum, Nova Rasyid Ridha, Achmad Ratih Puspita Febrinasari Ratih Wirapuspita Wisnuwardani Rejo, Rejo Reza Kurnia, Febria Risva Risva Riyan Ningsih 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 Sigit, Ratih Fianni Silitonga, Hesty Erika Sindi Wardani, Galuh Siswanto Siti Lutfiyah Ulfa Siti Maesaroh SITI MARIA ULFA Solly Aryza Sri Suparti Suci Susilastuti , Mustika Suciyati Suciyati, Suciyati Sudiro Sudiro Sumardiyono Sumardiyono Suryono Suryono Syauqi Mubarok, Ahmad Syawalia, Zheditya Ayu Titik Haryanti Tri Atmojo, Joko Tri Darmayanti, Aquartuti Tri Handayani, Rina Tri Yuniarti, Tri Utami, Dian Margi Verasita, Prissy Verry Asfirizal Wardani, Nunuk Kusuma Widiyanto, Aris Wirapuspita Wisnuwardani, Ratih Yadi, Yadi Zainafree , Intan Zakki Saefurrohim, Muhamad