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Association between depression, anxiety, and stress with sleep quality in Indonesian people during the COVID-19 pandemic Argo, Teresa Mika; Kurniawan, Andree; Liem, Jean Andrina; Sugianto, Jeremy Octavian; Michael, Rafael Jonathan; Agatha, Lisa; Tanuwijaya, Nathania Victoria Stevina; Wonsono, Beverley; Rivami, Dwi Savitri
Public Health of Indonesia Vol. 7 No. 2 (2021): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v7i2.409

Background: To prevent the spread of COVID-19, authorities implemented health protocols such as quarantine, large-scale social restrictions, and lockdowns. Data on the psychological effects and sleep quality as a result of these health protocols are still limited.Objective: This study was aimed to determine the association between depression, anxiety, and stress with sleep quality during the COVID-19 pandemic in Indonesia.Methods: An online survey was used to do a cross-sectional study among students in Indonesia. Sociodemographic information, including age, gender, religion, level of education, and regions, was analyzed. Levels of depression, anxiety, and stress were measured using the DASS-21 questionnaire. Sleep quality was determined using Pittsburgh Sleeping Quality Index (PSQI) questionnaire. Chi-square was used to evaluate the variables for bivariate analysis and logistic regression for multivariate analysis.Results: A total of 913 participants from across Indonesia included to this study. Adolescent (OR=0.367, 95% CI=0.199-0.679), female (OR=1.437, 95% CI=1.095-1.886), and high school students (OR= 0.737, 95% CI=0.544-0.999) had a higher risk for having poor sleep quality. In the multivariate analysis there were significant relationship between sleep quality with depression (Adjusted OR= 1.887, 95% CI=1.330-2.679), anxiety (Adjusted OR=1.731, 95% CI=1.221-2.455), stress (Adjusted OR= 2.577, 95% CI=1.617-4.107), use of sleeping medication (Adjusted OR=9.070, 95% CI=2.062-39.896) and age (Adjusted OR= 0.414, 95% CI= 0.205-0.837).Conclusion: There was an association between depression, anxiety, stress, consumption of sleeping medication, age, and poor sleep quality during the pandemic in Indonesia.

Knowledge, Attitude and Behavior of Methodist 2 Palembang High School Student towards Clean and Healthy Lifestyle (PHBS) Christine, Theodora; Rivami, Dwi Savitri
Medicinus Vol 11, No 1 (2021): October
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i2.4937

Background: Clean and Healthy Lifestyle or namely PHBS (Perilaku Hidup Bersih dan Sehat) in Indonesia is a program from the Indonesian Ministry of Health that has been implemented since 1996. PHBS in school settings is very important to be realized in order to create a clean and healthy school environment so that the learning and teaching process can run effectively.Aims: This study aims to describe the knowledge, attitudes, and behavior of Methodist 2 High School students towards PHBS. In addition, this study also aims to see the relationship between PHBS knowledge and attitudes towards PHBS behavior in Methodist 2 Palembang High school studentsMethods: This study uses a cross-sectional study involving 216 students obtained by calculating unpaired categorical analytic samples. Samples were taken using the purposive sampling technique. Data was collected using a questionnaire distributed online via a google form. The data obtained were processed using Chi-Square through the SPSS 25.Results: There were 216 respondents who met the inclusion and exclusion criteria of this study. The sample consisting of female (n=124 (57.4%)) and male (n=92 (42.6%)) and distributed evenly from 1st grade to 3rd grade (1st grade n=65 (30.1%), 2nd grade n=75 (34.7%), 3rd grade n=76 (35.2%)). Using average value as cut-off point (12.7), most of the students of Methodist 2 Palembang high school had sufficient knowledge of PHBS (n=132 (61%), and the rest of it had insufficient knowledge of PHBS (n=84 (38,9%)). With a median value (57.6) as the cut-off point, it showed that most of the students had a sufficient PHBS attitude (n=118 (54.6%)) and the rest of it had an insufficient attitude of PHBS (n=98 (45,5%)). With an average value (13.2) as a cut-off point, most of the students had insufficient PHBS behavior (n=102 (52.8%)) and the rest of it had sufficient behavior of PHBS (n=102 (42,7%)). The results of the analysis found that there was no significant relationship between knowledge and PHBS behavior among Methodist 2 Palembang high school students (p-value = 0.744) and there was a significant relationship between PHBS attitudes towards PHBS behavior among Methodist 2 Palembang high school students (p-value = <0.001)

Knowledge, Attitude and Behavior of Methodist 2 Palembang High School Student towards Clean and Healthy Lifestyle (PHBS) Christine, Theodora; Rivami, Dwi Savitri
Medicinus Vol 11, No 2 (2022): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.6974

Background: Clean and Healthy Lifestyle or namely PHBS (Perilaku Hidup Bersih dan Sehat) in Indonesia is a program from the Indonesian Ministry of Health that has been implemented since 1996. PHBS in school settings is very important to be realized in order to create a clean and healthy school environment so that the learning and teaching process can run effectively.Aims: This study aims to describe the knowledge, attitudes and behavior of Methodist 2 High School students towards PHBS. In addition, this study also aims to see the relationship between PHBS knowledge and attitudes towards PHBS behavior in Methodist 2 Palembang High school studentsMethods: This study uses a cross-sectional study involving 216 students obtained by calculating unpaired categorical analytic samples. Samples were taken using purposive sampling technique. Data was collected using a questionnaire distributed online via google form. The data obtained were processed using Chi Square through the SPSS 25.Result: There were 216 respondents who met the inclusion and exclusion criteria of this study. The sample consisting of female (n=124 (57.4%)) and male (n=92 (42.6%)) and distributed evenly from 1st grade to 3rd grade (1st grade n=65 (30.1%), 2nd grade n=75 (34.7%), 3rd grade n=76 (35.2%)). Using average value as cut off point (12.7), most of the students of Methodist 2 Palembang high school had a sufficient knowledge of PHBS (n=132 (61%) and the rest of it had insufficient knowledge of PHBS (n=84 (38,9%)). With median value (57.6) as the cut-off point, it showed that most of the students had a sufficient PHBS attitude (n=118 (54.6%)) and the rest of it had insufficient attitude of PHBS (n=98 (45,5%)). With average value (13.2) as cut off point, most of the students had insufficient PHBS behavior (n=102 (52.8%)) and the rest of it had sufficient behavior of PHBS (n=102 (42,7%)). The results of the analysis found that there was no significant relationship between knowledge and PHBS behavior among Methodist 2 Palembang high school students (p value = 0.744) and there was a significant relationship between PHBS attitudes towards PHBS behavior among Methodist 2 Palembang high school students (p value = <0.001).

Relationship Between Breast Milk Feeding and COVID-19 Incidence in Children Aged 0-2 Years at Siloam Hospital Kelapa Dua During The Pandemic Setiawan, Jovanicha P.; Rivami, Dwi Savitri
Medicinus Vol 13, No 3 (2024): June
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v13i3.8884

Background: The COVID-19 pandemic has claimed more than 6 million lives worldwide, and children are not spared from its danger. Breast milk is known to protect babies from various kinds of infections. Until now there are few data regarding the relationship between breastfeeding and the incidence of COVID-19 in children aged 0-2 years in Indonesia. This study aims to further examine the relationship between breastfeeding and the incidence of COVID-19 in children aged 0-2 years. Siloam Hospitals Kelapa Dua (SHKD) was chosen as a location because it was one of the referral hospitals for treating COVID-19 for pediatric patients in Tangerang that can be accessed by the researcher.Methods: This study was conducted using a cross-sectional study method on a sample of children aged 0-2 years from the medical record database of Siloam Hospitals Kelapa Dua for the period 2020 to 2022.Result: Upon calculation, it was found that the p-value is 0,154 (p>0,05). From 61 sample, 37,7% of the samples were breastfed and 44,3% was COVID-19 positive.Conclusions: No significant relationship was found between breastfeeding and COVID-19 infection among children aged 0-2 years old in SHKD.

The Relationship between High Fiber Diet and Severity of Premenstrual Syndrome Symptoms in Medical Students of Pelita Harapan University Kelvin, Ignatius; Rivami, Dwi Savitri
Medicinus Vol 11, No 2 (2022): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.6971

Introduction: 47.8% of women worldwide experience symptoms of premenstrual syndrome and 20% of women experience symptoms that are severe enough to interfere with daily activities. This occurs during the last 14 days of the menstrual cycle or luteal phase, and it is caused by hormonal fluctuations.Aim: This study is going to be conducted to determine the relationship between high fiber diet and the severity of premenstrual syndrome in adolescents.Method: This study used a comparative analytic categorical study with two unpaired categories with a cross-sectional study design. The research sample is female students at the Faculty of Medicine, University of Pelita Harapan who met the inclusion criteria of at least 74 samples by judgmental sampling. Data were collected using a questionnaire in the form of a Premenstrual Symptom Scale, Esitimated Food Record and Perceived Stress Scale with the the chi-square method, and data analysis using SPSS 24.0.Results: There were 85 samples that matched the inclusion and exclusion criteria of this study. The majority of the sample came from the 2018 class (64.7%), 20 years old (61.2%), experiencing moderate stress (61.2%), and have normal body mass index (72.9%). Researcher found a p value of 0.309 (p> 0.05), which means that there is no significant relationship between a high-fiber diet and the severity of premenstrual syndrome symptoms.

The Relationship between the Duration of Online Learning during the COVID-19 Pandemic and Symptoms of Depression in Medical Students of Pelita Harapan University: A Cross Sectional Study Purnomo, Alexander Erick; Rivami, Dwi Savitri
Medicinus Vol 11, No 1 (2021): October
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i2.4705

Introduction: The COVID-19 outbreak that started in Wuhan, China in December 2019 has become a global pandemic. The existence of the COVID-19 pandemic has led to a change in the university learning system into online learning. Online learning that occurs during the COVID-19 pandemic can have an indirect impact on the mental health of students, one of which is depression. Depression that occurs in online learning can be affected by the duration of online learning.Aim: This study is conducted to determine the relationship between online learning during the COVID-19 pandemic and symptoms of depression in medical students of Pelita Harapan University.Method: This study used a cross-sectional study to be conducted on 161 students of the Faculty of Medicine, University of Pelita Harapan. Sampling will use the purposive sampling method. Collecting data using a questionnaire about the duration of online learning and using the Patient Health Questionnaire-9 (PHQ-9) for depression symptoms. The results of this study were analyzed using chi-square analysis with data processing using SPSS 26.Results: There were 161 samples that matched the inclusion and exclusion criteria of this study. The majority of the sample was female (52.8%), came from the 2018 class (46.0%), 20 years old (50.3%), residing outside the Greater Jakarta area (57.8%), doing more online learning than 6 hours (57.8%) and experienced mild depression (53.4%). The results showed that there was no significant relationship between the duration of online learning and symptoms of depression (OR 1.273; 95%CI (0.669-2.421); p = 0.565).Conclusion: There was no significant relationship between the duration of online learning and symptoms of depression. Further studies with large samples and randomized sampling are required to minimize biases in future studies.

Association Between Breakfast and Dysmenorrhea in Female College Students at Faculty of Medicine, Pelita Harapan University Agnes, Agnes; Rivami, Dwi Savitri
Medicinus Vol 13, No 2 (2024): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v13i2.8106

Background: Breakfast is an activity of eating and drinking that usually takes place after waking up until 9 A.M. and can fulfill 20-25% of daily nutritional needs. Unsupervised skipping breakfast can affect women's ovarian and uterus dysfunction. Dysmenorrhea is one of the diseases that can reduce productivity and quality of life in women. Previous studies have found a high incidence of dysmenorrhea in female college students who didn't have breakfast. Currently, there isn't much data regarding the association between breakfast and dysmenorrhea in female college students in Indonesia.Aim: The aim of this study is to discover the association between breakfast and dysmenorrhea in female college students of Faculty of Medicine at Pelita Harapan University.Methodology: This study is an unpaired analytical comparative categoric design study with a cross-sectional method. Data was collected from 60 college students of Faculty of Medicine at Pelita Harapan University using breakfast questionnaire, WaLLID score for dysmenorrhea, IPAQ-SF and PSS-10 were used to control the confounding variables. The data was analyzed using SPSS 23.Results: Among 60 samples were collected, the majority of female college students didn't have breakfast habit by 55%. There are 76.7% of female students who suffer dysmenorrhea, 91.7% have moderate and severe stress levels, 85% have high physical activity, and 70% of female college students have normal nutritional status. The results of the analysis showed that the p value > 0.05 for the association between breakfast with dysmenorrhea.Conclusion: There is no significant association between breakfast and dysmenorrhea.

Profile and Factors Associated with Depression, Anxiety, and Stress in Indonesian People During COVID-19 Pandemic Argo, Teresa Mika; Kurniawan, Andree; Liem, Jean Andrina; Sugianto, Jeremy Octavian; Michael, Rafael Jonathan; Tanuwijaya, Nathania Victoria Stevina; Agatha, Lisa; Wonsono, Beverley; Rivami, Dwi Savitri
Medicinus Vol 10, No 2 (2021): February : 2021
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v8i3.3770

Background : As a result of the COVID-19 pandemic, Indonesia implemented various policies to break the chain of transmission of COVID-19, starting from large-scale social restrictions, quarantines, and even lockdowns. Without exception, schools were also closed. These conditions affect people psychologically, including levels of depression, anxiety, and stress in students. The aim of this study is to determine profile and factors associated with depression, anxiety, and stress in Indonesian people during the COVID-19 pandemic.Methods : A cross-sectional study among students in Indonesia was conducted to determine depression, anxiety, and stress levels in adolescents based on their sociodemographic characters. The DASS-21 questionnaire was distributed online.Results : A total of 913 people participated from all provinces in Indonesia. Depression, anxiety, and stress were found in 43.5%, 43.3%, 25.2%, respectively. The severity of depression was significantly associated with age (p<0.001), gender(p=0.003), and region(p=0.039). Adults (25-55) are 4.6 times odds more likely to have depression than adolescent during pandemic (OR=4.641, 95% CI=2.053-10.491). The severity of anxiety was significantly associated with age (p=0.002), gender(p<0.001), education (p=0.004) and region(p=0.004). The severity of stress was significantly associated with gender (p<0.001) and education (p=0.018).Conclusion : Depression, anxiety and stress quite common found in Indonesian during COVID-19 pandemic. Several sociodemographic factors were associated with depression, anxiety and stress among Indonesia

Relationship Between Breast Milk Feeding and COVID-19 Incidence in Children Aged 0-2 Years at Siloam Hospital Kelapa Dua During The Pandemic Setiawan, Jovanicha P.; Rivami, Dwi Savitri
Medicinus Vol. 13 No. 3 (2024): June
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v13i3.8884

Background: The COVID-19 pandemic has claimed more than 6 million lives worldwide, and children are not spared from its danger. Breast milk is known to protect babies from various kinds of infections. Until now there are few data regarding the relationship between breastfeeding and the incidence of COVID-19 in children aged 0-2 years in Indonesia. This study aims to further examine the relationship between breastfeeding and the incidence of COVID-19 in children aged 0-2 years. Siloam Hospitals Kelapa Dua (SHKD) was chosen as a location because it was one of the referral hospitals for treating COVID-19 for pediatric patients in Tangerang that can be accessed by the researcher.Methods: This study was conducted using a cross-sectional study method on a sample of children aged 0-2 years from the medical record database of Siloam Hospitals Kelapa Dua for the period 2020 to 2022.Result: Upon calculation, it was found that the p-value is 0,154 (p>0,05). From 61 sample, 37,7% of the samples were breastfed and 44,3% was COVID-19 positive.Conclusions: No significant relationship was found between breastfeeding and COVID-19 infection among children aged 0-2 years old in SHKD.

Relationship Between the Level of Knowledge and Attitude Towards Maternal Behavior of Stunting Prevention at Bojong Nangka Community Health Center in Tangerang District Tanara, Arron; Rivami, Dwi Savitri
Medicinus Vol. 14 No. 1 (2024): October
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v14i1.9229

Background: Stunting is one of the major health problems in Indonesia. In 2022, the prevalence of stunting in Indonesia was 21.6%, and there were still 9,200 cases of stunting in Tangerang District alone. Stunting prevention can be done since pregnancy. It is estimated that stunting prevention behaviors among pregnant women is related to their knowledge and attitudes. Puskesmas Bojong Nangka was a community health center in Tangerang that treated stunting but has no data on this matter. Methods: This study used a cross-sectional study design. Data on the level of knowledge, attitudes, and behaviors in stunting prevention was collected using questionnaires and further was analyzed using the Chi-square test. Result: From 96 respondents, it was found that the majority (63.5%) had a good level of knowledge on stunting prevention. Most respondents also had a good attitude towards stunting prevention (83.3%). There were 72 respondents (75%) who had recommended stunting prevention behaviors. Bivariate analysis showed that there was a significant relationship between knowledge level and stunting prevention behaviors (P value < 0.001; OR 7.29; 95% CI 2.6 – 20.39) but there was no significant relationship between attitudes and stunting prevention behaviors (P value = 1; OR 1; 95% CI 0.29 – 3.45). Conclusions: There was a significant relationship between the level of knowledge towards stunting prevention behaviors among pregnant women at Bojong Nangka Community Health Center, Tangerang District.

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