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Determinants of Stunting in Toddlers in the Tetaf Health Center Working Area, Kuatnana District, South Central Timor Regency (TTs) Betti, Dentriani Elisma; Adu, Apris A; Manurung, Imelda FE
Journal of Public Health for Tropical and Coastal Region Vol 7, No 2 (2024): 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.v7i2.22716

AbstractIntroduction: Stunting is a condition in which a person's height is less than normal at a similar age and sex. The presence of stunting indicates prolonged (chronic) malnutrition. The cause of stunting is low nutrient intake in the first of 1,000 days of life, which is from the fetus until two years old. This study aimed to analyze the determinants of stunting in toddlers in the working area of Tetaf Health Center, Kuatnana District, South Central Timor Regency (TTS).Methods: This study was an analytical survey with a case-control design. The number of samples was 134 people who were divided into 67 case groups and 67 control groups. Data analysis technique using chi-square statistical test.Results: The results showed that there was a significant association of maternal knowledge (p-value = 0.000, OR = 7.744), maternal parenting (p-value = 0.000, OR = 6.384), history of anemia in pregnant women in the third trimester (p-value = 0.000, OR = 7.744), birth weight (p-value = 0.000, OR = 5.608), basic immunization status (p-value = 0.000, OR = 7.939), nutritional status of toddlers (p-value = 0.000, OR = 3.913), and Residential Environmental Sanitation (p value = 0.000, OR = 5.443) with stunting incidence among toddlers in the Tetaf Health Center Working Area, Kuatnana District, South Central Timor District.Conclusion: Based on the results of the study, it is recommended for prospective parents/families of toddlers to prepare themselves before marriage and during pregnancy, bring pregnant women who are about to give birth to health centers or health facilities, expand their knowledge to be able to prepare sufficient nutrition so that they can reduce the risk of stunting in toddlers.

Organoleptic Differences of Biscuits Made From Yellow Pumpkin Flour as a Substitution of Wheat Flour Ege, Kanisius; Adu, Apris A; Aspatria, Utma
Journal of Public Health for Tropical and Coastal Region Vol 6, No 3 (2023): 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.v6i3.19526

Introduction: Wheat flour is made from wheat which is a sub-tropical plant that can be grown easily in tropical environment like Indonesia. In response to this, efforts need to be made to find substitutes for wheat flour through increasing local food acceptability to reduce import dependence of wheat. This study aimed to analyze and determine the organoleptic differences of biscuits made from yellow pumpkin flour. Methods: This type of research is experimental with a completely random design consisting of 6 treatments, namely P1 (0% yellow pumpkin flour : 100% wheat flour), P2 (10% yellow pumpkin flour : 90% wheat flour), P3 (20% yellow pumpkin flour : 80% wheat flour), P4 (30% yellow pumpkin flour : 70% wheat flour), P5 (40% yellow pumpkin flour : 60% wheat flour) and P6 (50% yellow pumpkin flour : 50% wheat flour). Data were analyzed using the Kruskal Wallis test with a significance level of 1% and Mann Whitney test. Results: The results showed that the organoleptic value of biscuits with the highest acceptability from the color aspect was at P2 (3,72), aromatic smell at P2 (3,68), taste at P1 (3,76), and texture at P1 (3,52). Conclusion: This study may conclude the potential use of yellow pumpkin flour mixture when preparing wheat-base biscuits. Therefore, import dependency of wheat can be reduced.

Family Social Support and Psychological Well-Being in Young Offenders Selly, Yeti marika; Adu, Apris A; Wijaya, R. Pasifikus Ch.
Journal of Health and Behavioral Science Vol 5 No 1 (2023): March 2023
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/jhbs.v5i1.8295

Lembaga Pemasyarakatan merupakan tempat bagi individu yang melakukan tindak pidana untuk dibina dan dibimbing sebagai bentuk dari konsekuensi atas perilaku mereka, yang kemudian dikenal sebagai anak didik pemasyarakatan. Penelitian ini bertujuan untuk melihat hubungan dukungan sosial keluarga dengan kesejahteraan psikologis pada anak didik pemasyarakatan di lembaga pembinaan khusus anak klas 1 kupang. Metode yang digunakan dalam penelitian ini yaitu kuantitatif korelasional. Subjek penelitian ini yaitu 30 anak didik yang sedang menjalani masa pembinaan di Lembaga Pembinaan Khusus Anak Klas 1 Kupang. Pengambilan sampel menggunakan teknik total sampling. Metode pengumpulan data menggunakan skala dukungan sosial keluarga yang terdiri dari 37 aitem dan skala kesejahteraan psikologis yang terdiri dari 25 aitem dengan model skala likert. Analisis data menggunakan analisis korelasi Pearson Product Moment menggunakan bantuan program SPSS. Hasil penelitian adalah terdapat hubungan yang signifikan antara dukungan sosial keluarga dengan kesejahteraan psikologis pada anak didik pemasyarakatan di lembaga pembinaan khusus anak klas 1 kupang dengan koefisien r=0,413 dan p = 0,002 < 0,05 yang berarti bahwa semakin tinggi dukungan sosial keluarga semakin tinggi pula kesejahteraan psikologis dan sebaliknya semakin rendah dukungan sosial keluarga maka semakin rendah kesejahteraan psikologis pada anak didik pemasyarakatan di Lembaga Pembinaan Khusus Anak Klas 1 Kupang sehingga hipotesis H1 diterima. Hasil analisis data diperoleh sumbangan dukungan sosial keluarga terhadap kesejahteraan psikologis sebesar 17,1% sedangkan 82,9% dipengaruhi oleh faktor lain yang tidak diteliti dalam penelitian ini.

Preference of Skincare Product Usage Among Students of Public Health Faculty of Nusa Cendana University Badur, Anjelina Kurniati; Adu, Apris A; Wijaya, R. Pasifikus Ch; Junias, Marylin Susanti
Journal of Health and Behavioral Science Vol 6 No 1 (2024): March (2024)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/jhbs.v6i1.16251

Skincare product preference is an individual's interest in seeing and choosing certain skincare products that are the primary, most desirable, and are a priority choice. This study aims to determine the description of skincare product preferences and the impact of product use psychologically on students of the Faculty of Public Health, Nusa Cendana University Kupang. The type of research used is the mixed method. The research participants used the purposive sampling technique of 300 students of the Faculty of Public Health, Nusa Cendana University Kupang. The descriptive analysis results show that skincare products with the highest number of preferences are face wash (73.3%). The thematic analysis results indicate that students choose skincare products that can protect the skin, help solve skin problems, and brighten the skin. Psychologically, the use of skincare products makes students feel more confident.

The Effect of Pornography Exposure in Social Media to Premarital Sexual Behaviour Towards Teenagers at SMA Negeri 1 Central Kupang Dimu, Yohana; Adu, Apris A; Riwu, Rut Rosina
Lontar : Journal of Community Health Vol 5 No 3 (2023): September 2023
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v5i3.6649

Premarital sexual behavior is sexual behavior that is carried out without going through an official marriage process according to the law or religion and beliefs of each. Based on the initial survey results, college students have had premarital sex up to the stage of kissing, touching sensitive parts/areas, and petting to the point of pregnancy. This research determines the effect of exposure to pornography on social media on premarital sex behavior in adolescents at SMA Negeri 1 Central Kupang. This research is an analytical study, and the design approach is cross-sectional. The sample size was 186 students in classes X and XI. The sampling technique is the probability sampling technique, with the type used being proportionate stratified random sampling. The results showed that from 186 respondents, 139 people had been exposed to pornography on social media, and from 139 respondents who were exposed to pornography, 89 people had light sex, and 50 had heavy sex. The results of the statistical analysis test showed that there was a significant effect between exposure to pornography on social media and premarital sexual behavior in adolescents at SMA Negeri 1 Kupang Tengah, with a p-value of 0.001 (p <0.05). Based on the results of the study, it is hoped that schools and parents can provide education to teenagers to be more selective in using social media and provide sex education as early as possible so that they can know about sex and the impact of having sex at an early age so that teenagers can limit themselves more in behavior, especially premarital sex behavior.

Risk Factors for the Incidence of ARI in Toddlers in Maubeli Village Kefamenanu City District North Central Timor Regency in 2022 Metkono, Anjelina; Adu, Apris A; Landi, Soleman
Timorese Journal of Public Health Vol 6 No 1 (2024): Timorese Journal of Public Health
Publisher : Faculty of Public Health, Nusa Cendana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/tjph.v6i1.8123

Acute Respiratory Infection (ARI) is a type of disease that attacks the respiratory tract and usually attacks children under five because their immune system is still strong. According to some experts, the cause of this is because toddlers have weak immune systems so they are susceptible to disease. In 2021, there will be 2,212 cases of ARI in toddlers in TTU. The Sasi Health Center is the highest contributor to ARI cases in toddlers in TTU with a total of 578 cases. Data from the Sasi Health Center reported that the Maubeli Village is one of several other villages that contribute to the incidence of ARI in toddlers with a total of 108 cases. This study aims to identify factors associated with the incidence of Acute Respiratory Infections (ARI) in children under five in Maubeli Village, Kefamenanu City District, TTU Regency. This quantitative study with a cross-sectional approach involved 82 children under five as samples, selected through simple random sampling. Data analysis using the chi-square test showed that maternal knowledge (p=0.008), type of cooking fuel (p=0.017), and waste-burning behavior (p=0.030) had significant associations with ARI incidence. Meanwhile, immunization status, kitchen location, and family smoking behavior did not show significant associations. This study recommends improving maternal knowledge about ARI prevention, such as avoiding taking children to the kitchen while cooking, not using firewood as cooking fuel, and refraining from burning waste in residential areas.

Spatial Analysis of Determinants of Hypertension Incidence in Kota Lama Subdistrict, Kupang, Indonesia Lenda, Dominggus Agustinus Isak; Weraman, Pius; Syamruth, Yendris Krisno; Adu, Apris A; Roga, Anderias Umbu
Journal of Epidemiology and Public Health Vol. 10 No. 2 (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.2025.10.02.07

Background: Cardiovascular diseases such as hypertension, heart attack, and stroke are chronic non-communicable diseases influenced by genetic, physiological, environmental, and behavioral factors. Geographic Information Systems (GIS) can be utilized for spatial analysis to identify risk factors, distribution patterns, and determinants of diseases, including hypertension. This study aims to examine the determinants of hypertension using a spatial analysis approach in Kota Lama Subdistrict, Kupang City.Subjects and Method: This study employed an ecological study design using an observational analytic method with a cross-sectional approach. The population consisted of residents aged ≥18 years in Kota Lama Subdistrict. A total of 400 individuals diagnosed with hypertension were selected using simple random sampling. The variables examined were age, overweight, lack of physical activity, high-salt diet, alcohol consumption, medication adherence, economic level, and distance to health facilities. Instruments used included a sphygmomanometer, microtoise, weight scale, and questionnaire. Spatial analysis was conducted using the GeoDa application with Regression, Bivariate Local Moran’s Index, Multivariate Local Geary, and Spatial Empirical Bayes tests.Results: The results showed significant associations and clustered spatial autocorrelation with low-to-high relative risk (RR) observed in the subdistricts of LLBK, Bonipoi, Solor, Fatubesi, Oeba, Nefonaek, and Pasir Panjang for the variables: age (p=0.001, I=0.70), overweight (p<0.001, I=0.64), lack of physical activity (p=0.00, I=0.63), high-salt diet (p=0.00, I=0.63), and alcohol consumption (p<0.001, I=0.69). There were no significant associations for variables such as irregular medication intake, economic level, and distance to health facilities, with p-values of 1.000 > α (0.050).Conclusion: Age, overweight, physical inactivity, high-salt diet, and alcohol consumption are significant determinants and show positive clustered spatial autocorrelation with hypertension. It is recommended that individuals over 40 years of age regularly monitor their blood pressure, maintain a healthy diet, engage in sufficient physical activity, and for those with hypertension, adhere to regular medication intake.

Spatial Autocorrelation of Population Density, HIV/AIDS, and Diabetes Mellitus with Pulmonary Tuberculosis in Kupang, East Nusa Tenggara, Indonesia Lengari, Maria; Weraman, Pius; Syamruth, Yendris K; Ruliati, Luh Putu; Adu, Apris A
Indonesian Journal of Medicine Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2025.10.2.825

Background: The 2023 Global Tuberculosis (TB) Report ranks Indonesia second in the world for TB cases, with approximately 1,060,000 new cases and 134,000 deaths annually—equating to 17 deaths per hour. In East Nusa Tenggara (NTT) Province, pulmonary TB cases increased from 5,361 in 2020 to 5,184 in 2021, and significantly rose to 8,035 in 2022. Kupang Regency reported the highest number of TB cases in 2022. This study aimed to analyze the impact of risk factors, including population density, HIV/AIDS, and Diabetes Mellitus, on pulmonary TB cases using spatial analysis with the GeoDa application. Subjects and Methods: This ecological study, conducted in Kupang, Indonesia, between October and November 2024, uses secondary data from 2021 to 2023 as the research sample. The study includes all recorded pulmonary TB patients from the Kupang Health Office, with 441 cases in 2021, 785 cases in 2022, and 979 cases in 2023. Results: The Local Indicator of Spatial Association (LISA) test results show a low-high spatial relationship between HIV and TB variables in the Maulafa district for 2022-2023. Additionally, the diabetes mellitus (DM) and TB variables exhibit a High-Low spatial pattern in 2021 and a Low-High pattern in 2022 within the district. Regarding population density in 2021, a clustered spatial autocorrelation was observed (p-value = 0.049 < 0.05; [I] = 0.051 > E[I] = -0.200; Mean = 0.116; SD = 0.120), with a High-Low pattern in the Kota Lama district and a Low-Low pattern in Maulafa. From 2022 to 2023, a Low-High spatial pattern was identified in the Maulafa district. Conclusion: The results of this study indicate spatial autocorrelation between population density and pulmonary TB cases in Kupang City in 2021. However, from 2022 to 2023, no spatial autocorrelation was observed, and the same pattern was found for Diabetes Mellitus and HIV/AIDS.

Seniority and Bullying Behavior in the Elderly in Nursing Homes Kosapilawan, Mickhel Fernando Radiena; Adu, Apris A; Damayanti, Yeni
Journal of Health and Behavioral Science Vol 7 No 1 (2025): Maret 2025
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/jhbs.v7i1.18817

Bullying and seniority are phenomena that can be found across various social groups and age ranges. These behaviors occur not only among children or adolescents but also in daily interactions, including among the elderly. In nursing homes, for example, bullying persists despite the physical limitations that aging brings. This study aims to explore the impact and the underlying factors that contribute to seniority and bullying behaviors among older people. A qualitative approach was used, employing the photo-elicitation technique, with two participants who met the selection criteria. The results of the study indicate that seniority and bullying behaviors among older people are influenced by early character development, particularly by authoritarian parenting styles, as well as the social conditions that create bullying victims. The consequences of these behaviors include social sanctions, such as being ostracized from interaction with other residents.

Spatial Analysis of Determinants of Hypertension Incidence in Kota Lama Subdistrict, Kupang, Indonesia Lenda, Dominggus Agustinus Isak; Weraman, Pius; Syamruth, Yendris Krisno; Adu, Apris A; Roga, Anderias Umbu
Journal of Epidemiology and Public Health Vol. 10 No. 2 (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.2025.10.02.07

Background: Cardiovascular diseases such as hypertension, heart attack, and stroke are chronic non-communicable diseases influenced by genetic, physiological, environmental, and behavioral factors. Geographic Information Systems (GIS) can be utilized for spatial analysis to identify risk factors, distribution patterns, and determinants of diseases, including hypertension. This study aims to examine the determinants of hypertension using a spatial analysis approach in Kota Lama Subdistrict, Kupang City.Subjects and Method: This study employed an ecological study design using an observational analytic method with a cross-sectional approach. The population consisted of residents aged ≥18 years in Kota Lama Subdistrict. A total of 400 individuals diagnosed with hypertension were selected using simple random sampling. The variables examined were age, overweight, lack of physical activity, high-salt diet, alcohol consumption, medication adherence, economic level, and distance to health facilities. Instruments used included a sphygmomanometer, microtoise, weight scale, and questionnaire. Spatial analysis was conducted using the GeoDa application with Regression, Bivariate Local Moran’s Index, Multivariate Local Geary, and Spatial Empirical Bayes tests.Results: The results showed significant associations and clustered spatial autocorrelation with low-to-high relative risk (RR) observed in the subdistricts of LLBK, Bonipoi, Solor, Fatubesi, Oeba, Nefonaek, and Pasir Panjang for the variables: age (p=0.001, I=0.70), overweight (p<0.001, I=0.64), lack of physical activity (p=0.00, I=0.63), high-salt diet (p=0.00, I=0.63), and alcohol consumption (p<0.001, I=0.69). There were no significant associations for variables such as irregular medication intake, economic level, and distance to health facilities, with p-values of 1.000 > α (0.050).Conclusion: Age, overweight, physical inactivity, high-salt diet, and alcohol consumption are significant determinants and show positive clustered spatial autocorrelation with hypertension. It is recommended that individuals over 40 years of age regularly monitor their blood pressure, maintain a healthy diet, engage in sufficient physical activity, and for those with hypertension, adhere to regular medication intake.

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