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Determinants Of Family Behavior In Tuberculosis Prevention: A Cross-Sectional Study In Baturraden II Health Center, Indonesia Nafisah, Lu'lu; Lestari, Widya; Hariyadi, Bambang
Journal of Public Health for Tropical and Coastal Region Vol 8, No 1 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i1.25647

Abstract

Introduction: Tuberculosis (TB) remains a major global health challenge until now. Indonesia’s ranking is among the top three high-burden countries. Banyumas Regency reported 3,042 cases in 2021, the highest in Central Java. Families play a critical role in TB prevention, yet their involvement remains suboptimal. This study explores factors influencing family behavior in TB prevention within the Baturraden II Community Health Center area to strengthen prevention strategies.Method: This quantitative study employed a cross-sectional approach. A total sampling technique was used to include all 56 families with TB cases in the Baturraden II Community Health Center working area. Data collection was conducted through interviews using structured questionnaires. Data analysis was done through Chi-Square tests and logistic regressions.Results: The bivariate analysis revealed that knowledge (p=0.001), attitudes (p=0.022), and access to information (p=0.025) were significantly related to TB prevention behavior. The multivariate analysis further indicated that knowledge (p=0.003), attitudes (p=0.010), and access to information (p=0.021) significantly associated to family behavior in preventing tuberculosis. Knowledge emerged as the strongest factor, with an odds ratio (OR) of 10.2, indicating that respondents with low knowledge were 10.2 times more likely to fail in adopting preventive behavior.Conclusion: Family with low knowledge about TB were at a higher risk of not practicing TB prevention in Baturraden II primary healthcare center working area. Enhancing knowledge and promoting appropriate preventive practices are essential strategies for increasing preventive family behavior
Factors Influencing Men’s Willingness to Undergo Vasectomy in Indonesia Based on the Ecological Model: A Literature Review Ramadhan, Ja'far Fauzan; Nashita, Ghania; Poermeilani, Annisa Fidela; Sistiarani, Colti; Nafisah, Lu'lu
Jurnal Dunia Kesmas Vol 14, No 3 (2025): Volume 14 Nomor 3
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v14i3.20793

Abstract

The high population growth rate in Indonesia necessitates more inclusive birth control strategies, including enhanced male participation in Family Planning (FP) programs. Vasectomy represents a safe and effective long-term contraceptive method; however, its adoption rate remains low. This literature review aims to identify and analyze the factors influencing men's willingness to undergo vasectomy in Indonesia, using the Social Ecological Model of Public Health as a guiding framework. A systematic review was conducted on articles published in both Indonesian and English between 2019-2025. Articles were retrieved from Google Scholar. Based on the inclusion criteria, 12 publications employing quantitative, qualitative, and mixed-methods approaches were analyzed. The findings indicate that male participation in vasectomy is influenced by factors across multiple levels: individual (knowledge, attitudes, perceptions), interpersonal (spousal support), community (social stigma, cultural norms), and policy (access to information and healthcare services). Spousal support and perceptions of masculinity emerged as significant determinants. These findings underscore the importance of multilevel, gender-responsive intervention strategies in designing contextually relevant male FP programs.
Faktor Yang Berpengaruh Terhadap Pola Asuh Pada Balita Nafiah, Fitri Kholishatun; Nafisah, Lu'lu; Sistiarani, Colti
Jurnal Kebidanan Malakbi Vol 6 No 2 (2025): Agustus 2025
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v6i2.1457

Abstract

Health development in Indonesia continues to face significant challenges due to persistent nutritional issues, particularly among children within the first 1,000 days of life. This period is widely recognized as a critical window for meeting optimal nutritional needs to support comprehensive growth and development. A key determinant of a child’s nutritional status is parental caregiving. Proper parenting practices are essential for ensuring children receive a balanced and adequate intake of nutrients tailored to their specific needs. In Demak Regency, the prevalence of underweight, stunting, and wasting remains high. Among all regional health centers, Puskesmas Demak II has recorded the most substantial increase in toddler malnutrition cases, a trend a preliminary study attributed to inadequate parenting practices. This study was designed to systematically investigate the factors influencing parenting practices among caregivers of toddlers at Puskesmas Demak II. Employing a quantitative, cross-sectional design, the research examined a population of 2,233 toddlers. A representative sample of 92 caregivers was selected using a simple random sampling method. Data analysis was conducted through a series of statistical procedures, including univariate, bivariate, and multivariate analyses, to identify significant relationships and predictive factors. The multivariate analysis revealed that three variables independently influenced parenting practices: education (OR=4.394), knowledge (OR=2.953), and attitude (OR=3.282). Of these, education was identified as the most influential variable. These findings underscore the critical need for targeted educational interventions aimed at improving parenting practices. It is therefore recommended that comprehensive education on proper parenting be delivered to key demographic groups, including adolescents, prospective brides, and current parents. Utilizing diverse communication channels such as seminars, workshops, and mass media, these educational initiatives are expected to enhance caregivers' knowledge and skills, thereby facilitating the early prevention of nutritional problems in young children.
Systematic Literature Review: Consumption Of Sugary Foods And Beverages In Children And The Increased Risk Of Type 2 Diabetes Mellitus Priyatin, Lelaning; Sandria, Hafshayu; Amiliana, Aminah; Nurazizah, Dian; Nafisah, Lu'lu; Sistiarani, Colti
VISIKES Vol. 24 No. 2 (2025): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v24i2.13042

Abstract

Type 2 diabetes mellitus (T2DM) in children is becoming an increasing global concern due to its rising prevalence, primarily caused by unhealthy dietary patterns. This study aims to systematically review scientific evidence regarding the relationship between the consumption of sugary foods and beverages and the increased risk of T2DM in children. The method used is a Systematic Literature Review of publications from 2016 to 2025, obtained from databases such as PubMed, ScienceDirect, and Google Scholar. The article selection process followed Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines and resulted in seven studies that met the inclusion and exclusion criteria. The review findings indicate that excessive consumption of sugar-sweetened beverages is strongly associated with an increased risk of T2DM. These findings highlight the importance of early intervention through nutrition education, family involvement, and stricter regulation of unhealthy food and beverage marketing to prevent the development of T2DM in children.
Nutritional Aspects in Pediatric Tuberculosis Cases Among Children Aged 0-5 Years Saraswati, Amanda Dwiayu; Nafisah, Lu'lu; Sistiarani, Colti
The Indonesian Journal of Infectious Diseases Vol. 11 No. 2 (2025): The Indonesian Journal of Infectious Diseases
Publisher : Rumah Sakit Penyakit Infeksi Prof Dr. Sulianti Saroso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32667/ijid.v11i2.370

Abstract

Background: Children aged 0-5 years are the age group at the highest risk of contracting tuberculosis. This infectious disease is closely related to nutritional aspects in children. These aspects include nutritional intake, exclusive breastfeeding, nutritional status, and history of infectious diseases. This study aims to explore the nutritional aspects of pediatric tuberculosis cases among children aged 0-5 Years. Methods: This study employed a qualitative case-study approach, involving in-depth interviews with informants and document analysis. The study included five primary informants, namely mothers of children aged 0-5 years diagnosed with tuberculosis, and three supporting informants, comprising two village midwives and one tuberculosis program officer at Sumbang I Public Health Center, Sumbang Dist. Data analysis was conducted using thematic analysis. Results: Loss of appetite and weight loss were observed in toddlers after tuberculosis infection, which gradually improved with treatment. There was a balanced distribution between good and poor nutritional status among the toddlers. Tuberculosis bacteria can infect children regardless of nutritional status if the immune system is suboptimal. Children who received exclusive breastfeeding were still susceptible to tuberculosis infection. Conclusion: Mothers fulfilled the nutritional needs of toddlers. Nutritional status and exclusive breastfeeding did not directly influence the infection.