Diah Yunitawati
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Demographic Characteristics as Predictors of Medicine and Health Services Access Difficulties and Economic Problems during Covid 19 in Java, Indonesia Cati Martiyana; Leny Latifah; Yusi Dwi Nurcahyani; Diah Yunitawati; Marizka Khairunnisa1
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16822

Abstract

Background. The very rapid spread of COVID-19 infection, causing large-scale social restriction in manyparts of the world. A lot of businesses and working places closed. Health services and medicine were in highdemand. Objective. This study aims to determine the demographic characteristics that predict medicineand health services access difficulties and economic problems. Method. This was cross-sectional researchconducted in Java, Indonesia. The research sample was 1,385 individuals aged 15 years and over who livedin Java and had filled out a survey via a google form. Data analysis using multivariate logistic regression.Results. The risk of difficulty accessing medicine and health services and economic difficulties was higherfor males, had income < 3 million per month, and do not have health insurance. Conclusion. Male, hadlow income, and do not have health insurance are at higher risk for having difficulty accessing medicines/health services and experiencing economic difficulties. Meanwhile, respondents under 25 years of age havea higher risk of experiencing difficulties in accessing medicines and health services. The government needsto implement a strategy to reduce health and economic problems due to COVID-19 and pay attention toindividuals under 25 years of age to access health services/medicines.
Stigma and Mental Health during COVID-19 New Normal Transition in Indonesia Leny Latifah; Yusi Dwi Nurcahyani; Diah Yunitawati; Marizka Khairunnisa; Cati Martiyana
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16940

Abstract

Background: Social isolation and economic catastrophic became the main characters of the current pandemic.Historically, the strongest stigmas related to diseases were characterized as highly transmittable, potentiallylethal, and without remedy. All represented COVID-19 during the early transition into the new normal. Weaimed to analyzed stigma and economic stressors concerning mental health. Method: We conducted a crosssectionalonline survey of 1375 participants in Java, Indonesia. Mental health status evaluated with DASS-21. The presence of social and self-stigma related to Covid-19 assessed with a questionnaire developed basedon seven domains of public stigma. Demographics and other psychosocial stressors were assessed withan online questionnaire. Descriptive analyses and logistic regression had carried out. Result: A very highpercentage of perceived and anticipated self-stigma and social stigma revealed. Controlling demographicsfactors, clear self-stigma increased the risk for depression (2.323 (1.241-4.346), p<0.05), anxiety (2.134(1.205-3.777), p<0.05) and stress 3.931 (1.779-8.685), P<0.001). Clear social stigma increased the risk foranxiety (2.000 (1.066-3.756), p<0.05) but not on depression and stress.Conclusion: Ensuring basic needsfulfilment and eliminating stigma is critical for supporting mental health in the Covid-19 pandemic. Furtherresearch into the stigma-related risks is necessary because it represents an important need for interventionin public health.