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Determinan Perilaku Tes IVA di Puskesmas Sawangan Kota Depok Tahun 2022 Dewi, Indah Rahma; Hadiwiardjo, Yanti Harjono; Saleh, Arman Yurisaldi; Purwaningastuti, Diana Agustini
Perilaku dan Promosi Kesehatan : Indonesian Journal of Health Promotion and Behavior Vol. 5, No. 2
Publisher : UI Scholars Hub

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Abstract

Background. WHO in 2020 states that the fourth most common cancer is cervical cancer and GLOBOCAN in 2018 states that it is the second most common cancer in Indonesia. VIA is one of the programs for cervical cancer early detection implemented in Indonesia, however the coverage relatively low. Aim. Identification determinant of VIA behavior among 30-50 years old women in Puskesmas Sawangan, Depok. Method. Analytical observational study with a cross-sectional design. The sample was women aged 30-50 years at Puskesmas Sawangan. The data collected with consecutive sampling technique. The research instrument is a questionnaire. Data analysis used are Chi-square and logistic regression. Result. Majority of respondents were unemployed, multiparous, had good knowledge, negative attitudes, poor information access, did not have family support, and had not been tested for VIA. There is a significant relationship between parity (p-value = 0.005) and information access (p-value = 0.001) with VIA behavior and no significant relationship between knowledge, attitude, work and family support with VIA behavior (p-value > 0.05). Multivariate tests showed that parity was the dominant factor associated with VIA behavior (OR =9.106). Conclusion. Parity and information access are related to VIA behavior, while knowledge, attitudes, employment, and family support are not related to VIA behavior.
Perbandingan Penanda Inflamasi dan Elastisitas Vaskular antara Mahasiswa Kedokteran Prehipertensi dan Normotensi di Jakarta Wibowo, Naufal Rafi Kusuma; Bustamam, Nurfitri; Bahar, Meiskha; Purwaningastuti, Diana Agustini
Jurnal Kedokteran Meditek Vol 31 No 2 (2025): MARCH
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v31i2.3539

Abstract

Introduction: An unhealthy lifestyle among medical students maycontribute to inflammation, reduced vascular elasticity, andincreased blood pressure. However, cardiovascular risk in theseyoung adults remains less explored compared to hypertensivepatients. Purpose: This study compares inflammatory markers andvascular elasticity in prehypertensive and normotensive medicalstudents. Methods: A case-control study utilizing simple randomsampling was conducted in the medical student population, included54 prehypertensive or normotensive subjects with no history ofhematological disorders, autoimmune diseases, cancer, diabetesmellitus, or cardiovascular medication use. Vascular elasticity,blood pressure, and inflammatory markers were assessed using anaccelerated photoplethysmograph, a digital sphygmomanometer,and a hematology analyzer. Results: A total of 25 subjects (46.3 %)had suboptimal vascular elasticity, 30 (55.6%) had a highneutrophil-to-lymphocyte ratio (NLR), and 40 (74.1%) exhibited alow-risk platelet-to-lymphocyte ratio (PLR). The Chi-square testrevealed a significant difference in NLR between prehypertensiveand normotensive students (p = 0.000; OR = 7.0; CI = 2.3–20.7),while no significant difference was observed in PLR (p = 0.525).Vascular elasticity also differed significantly between groups (p =0.000; OR = 5.2; CI = 2.0-13.2). Conclusion: Prehypertensivesubjects had higher NLR, and those with suboptimal vascularelasticity had higher prehypertension risk. These findings highlightthe need for cardiovascular risk assessment in young adults.