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All Journal Indonesian Journal of Medicine Journal of Maternal and Child Health Jurnal Pengabdian Masyarakat Bumi Raflesia Jurnal Pengabdian Masyarakat Bangsa
Veibiani, Nindita Arum
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Meta Analysis: Correlations between Age at Menarche, Parity, and Hormonal Contraceptive Use with Breast Cancer in Women of Reproductive Age Hidayati, Khairani Nur; Purnama, Hanif Wildan; Nugrahani, Anna; Murti, Bhisma; Veibiani, Nindita Arum
Journal of Maternal and Child Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.03.05

Abstract

Background: Breast cancer is the most common cancer and the leading cause of cancer death in women worldwide. The implementation of the program in reducing the incidence of breast cancer is focused on prevention based on evidence of risk factors. This study aims to estimate factors that influence the incidence of breast cancer in women of productive age. Subjects and Method: This study used systematic review and meta-analysis using PICO. Population: Women of productive age. Interventions: menstruation at ≥13years, parity (multipara) and using hormonal contraceptives. Comparison: menstruation at <13years, parity (nullipara) and not using hormonal contraceptives. Result: breast cancer. The articles used in this study came from 2 databases, namely Google Scholar and BMC. The keywords of the article were "menarche" AND "parity" AND "risk factor" AND "breast cancer". The articles included in this study were full paper articles, used case control study designs, publication year ranged from 2014-2023, and measure of association was in Adjusted Odds Ratio. Articles were analyzed using the Review Manager 5.4 application. Results: Thirteen case-control studies indicated that women who menstruated at ≥13 years old lowered the likelihood of breast cancer by 0.69 times (aOR=0.69; CI 95%= 0.57 to 0.84; p= 0.001). Eleven case-control studies indicated that multiparous parity lowered the likelihood of breast cancer by 0.49 times (aOR=0.49; CI 95%= 0.34 to 0.72; p= 0.001). Eleven case-control studies indicated that using contraception increased the likelihood of breast cancer by 1.47 times (aOR=1.47; CI 95%= 1.12 to 1.93; p= 0.006). Conclusion: Menstruation age <13 years old, parity (nullipara) and use of hormonal contraceptives are predictors in breast cancer cases in women of productive age.
The Social Face of Stigma: A Meta-Analysis of Gender, Support, and Living Environment in HIV/AIDS Perception Utami, Indri Nur; Dewi, Rachael Saraswaty; Amalia, Rizky Nur Aprilianti; Murti, Bhisma; Veibiani, Nindita Arum
Indonesian Journal of Medicine Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2025.10.2.845

Abstract

Background: The stigma of society towards ODHA itself is influenced by various factors, where there are three factors that can be used as a benchmark, namely gender, place of residence, and social support. This study aims to estimate the magnitude of the influence of gender, social support and housing on the perception of stigma in people with HIV/AIDS, based on the results of a number of previous primary studies. Subject and Method: This study is a meta-analysis and systematic review study, with PICO, Population: ODHA patients (People with HIV/AIDS), Intervention: Women, low social support and village dwelling, Comparison: men, high social support and urban dwelling, Ooucome: HIV/AIDS stigma. Primary study searches used electronic databases: PUBMED, BMC, Scopus and Scient Direct published from 2012 to 2022. The keywords used are "people living with HIV" AND "gender" AND "social support" AND "residence" AND "perceived stigma HIV, cross-sectional"". There are 9 English fulltext arithmetic with effect size using adjusted odds ratio from 2012 to 2022. Articles selected with PRISMA Flow and analyzed using RevMan 5.3. Result: This meta-analysis was conducted on 9 primary studies from India and Ethiopia with a sample = 14,191 HIV/AIDS patients. This study showed that the risk of stigma perception increased with female sex (aOR=1.35, CI 95%=0.75 to 2.46; p=0.320; I²=91%) and rural housing (aOR=1.49; CI 95%=0.89 to 2.47; p=0.130), but it is not statistically significant. The risk of stigma perception decreased with high social support (aOR=0.53; CI 95%=0.32 to 0.90; p=0.020), and the results are statistically significant. Conclusion: The risk of stigma perception increases with female gender, rural housing and high social support.
Edukasi Aplikasi Sehat IndonesiaKu (ASIK) Sebagai Upaya Peningkatan Kapasitas Kader Posyandu Bina Bhakti, Kota Surakarta Nurkalis, Undari; Amir, Nikmah Ayu Ramadhani; Ismail, Aem; Veibiani, Nindita Arum
Jurnal Pengabdian Masyarakat Bangsa Vol. 3 No. 5 (2025): Juli
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v3i5.2660

Abstract

Era digital mendorong integrasi data kesehatan berkualitas, namun banyak tantangan yang dihadapi meskipun penting untuk pengambilan keputusan oleh pembuat kebijakan, analis, dan evaluator. Manajemen informasi krusial untuk meningkatkan kualitas layanan kesehatan, dengan sistem informasi kesehatan (SIK) yang mengintegrasikan data, informasi, prosedur, dan SDM untuk mendukung pembangunan kesehatan. Pemanfaatan SIK, seperti Aplikasi Sehat IndonesiaKu (ASIK), menghemat waktu dan meningkatkan akurasi data kesehatan. ASIK, aplikasi terpusat untuk pencatatan dan pemantauan pelayanan kesehatan luar gedung, digunakan oleh tenaga kesehatan primer, termasuk kader Posyandu, untuk mencatat imunisasi, kesehatan bayi dan balita, remaja, usia sekolah, ibu hamil, serta skrining PTM. Kegiatan pengabdiaan bertujuan meningkatkan kemampuan kader Posyandu Bina Bhakti dalam mengelola dan melaporkan data kesehatan melalui edukasi ASIK, mendukung integrasi data dan pelayanan kesehatan yang lebih baik. Metode yang digunakan adalah penyuluhan kepada 12 kader Posyandu Bina Bhakti di Kecamatan Banjarsari, Kota Surakarta, meliputi tahap persiapan (koordinasi, survei, perjanjian) dan pelaksanaan edukasi ASIK (pendaftaran, login, implementasi). Pengukuran pengetahuan dilakukan melalui pre-test dan post-test. Hasil menunjukkan peningkatan pengetahuan yang signifikan, dengan kategori "Baik Sekali" naik dari 50% menjadi 58% setelah edukasi, menegaskan efektivitas intervensi dalam meningkatkan pemahaman kader. Peningkatan pengetahuan ini berkorelasi langsung dengan potensi pemanfaatan ASIK yang optimal, meningkatkan kualitas data kesehatan komunitas.
Factors Influencing Events Dysfunction Cognitive Post Operation on Patient Elderly: Systematic Review Kusuma, Ratna; Veibiani, Nindita Arum
Indonesian Journal of Medicine Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2025.10.3.871

Abstract

Background: : Improvements in global life expectancy have led to a significant increase in the elderly population, which in turn results in a growing number of elderly patients undergoing surgery. This condition raises the risk of postoperative complications, such as postoperative cognitive dysfunction (POCD). POCD can reduce quality of life, prolong the length of hospital stay, and increase mortality. This study aims to identify and synthesize the factors that influence the occurrence of POCD in elderly patients. Subjects and Method: This study is a Systematic review with PICO. The article used in research were obtained from several databased including Google Scolar, Scopus, and PubMed Keywords to find articles are "postoperative cognitive dysfunction," "elderly patients," and "geriatrics". This articles used are failing to directly discuss risk factors for postoperative cognitive dysfunction in elderly patients, or identified as opinion pieces, conference abstracts without full text, or narrative reviews, will be excluded. Articles were selected using PRISMA flow diagram. Results: a total 8 articles reviewed in Systematic Review showed that The incidence of POCD in the elderly shows significant variation between studies, ranging from 8.33% to 37.7% . Risk factors that have been consistently identified as having a significant influence on the incidence of POCD include advancing age, low level of education, number of comorbidities, high ASA score, long duration of anesthesia, intraoperative hypotension, history of cerebral infarction, and low oxygen saturation at induction. The use of certain anesthetic agents such as sevoflurane and midazolam has also been shown to increase the risk of POCD. Instead, use dexmedetomidine preoperative, analgesia preemptive and the combination of general anesthesia with epidural block were identified as protective factors. Conclusion: The main risk factors advanced age, education level, comorbidities, and type and duration of anesthesia.
PENDIDIKAN SEKSUAL REMAJA SMP DI SEKOLAH MENENGAH SWASTA X BANDUNGAN KABUPATEN SEMARANG Setiyadi, Noor Alis; Afriyanto, Afriyanto; Veibiani, Nindita Arum; Rachmawati, Inna; Rahmadhani, Artha Senja; Kamila, Kamila
Jurnal Pengabdian Masyarakat Bumi Rafflesia Vol. 5 No. 2 (2022): Jurnal Pengabdian Kepada Masyarakat Bumi Raflesia
Publisher : Universitas Muhammadiyah Bengkulu

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

Abstract

Sekolah menengah pertama X di Bandungan merupakan salah satu sekolah SMP yang letaknya berdekatan dengan lokalisasi Bandungan. Dekatnya dengan lokalisasi, dilansir membuat anak usia remaja yang memiliki hasrat biologis tinggi kemudian menggunakan jasa lokalisasi karena pengaruhnya yang besar. Pencegahan perilaku seksual remaja SMP dapat dilakukan dengan meningkatkan informasi  dan pengetahuan kepada siswa SMP mengenai perilaku seksual beserta dampak negatif yang bisa terjadi karena perilaku seksual tersebut. Peningkatan informasi dan pengetahuan dapat dilakukan dengan cara pemberian informasi dan penyuluhan mengenai seksualitas. Kegiatan pengabdian masyarakat ini menghasilkan solusi yaitu meningkatkan pengetahuan remaja SMP mengenai seksualitas, dengan meningkatnya pengetahuan mengenai seksual sejak dini yaitu sejak usia remaja, dan lebih bisa menahan dirinya untuk tidak berperilaku seksual berisiko. Hasil pengabdian masyarakat ini didapatkan hasil bahwa terjadi peningkatan pengetahuan mengenai seksualitas, mengenai organ reproduksi dan pengetahuan mengenai risiko dari perilaku seksual pranikah pada remaja. Tingkat pengetahuan mengenai seksualitas dan reproduksi yang dimiliki oleh siswa setelah diberikan layanan informasi menunjukkan adanya peningkatan sebesar 89.4%.
Co-Authors Afriyanto Afriyanto Amalia Choirunnisa Amalia, Rizky Nur Aprilianti Amir, Nikmah Ayu Ramadhani Anindita, Fauziah Shinta Argyo Demartoto, Argyo Bhisma Murti Dewi, Rachael Saraswaty Dhony, Ervia Fahma Dian Handayani Dianika, Bani Hidayati, Khairani Nur Indriani, Fenita Ismail, Aem Kamila, Kamila Krisnawati, Hesthi Munawaroh, Siti Mar'atul Noor Alis Setiyadi Nugrahaeni, Meita Tyas Nugrahani, Anna Nuha, Riya Ulin Nurhayati, Happy Purnama, Hanif Wildan Puspita, Wita Hana Rachmawati, Inna Rahmadhani, Artha Senja Ratna Kusuma, Ratna Sudarmono, Andang Sukandriani Utami Sumarah, Kristuti Catur Undari Nurkalis, Undari Untari, Niken Yuliani Utami, Indri Nur Wicaksono, Emirza Nur Zaen, Nurussyifa Afiana