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Non-exposure parenting increases risk of bullying behavior in junior high school students Hasan, Surilena; Jessica, Jessica
Universa Medicina Vol 35, No 1 (2016)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2016.v35.56-64

Abstract

Background Bullying behavior is one of many behavioral and disciplinary problems among school students, which has a wide impact on youth, families, schools, and communities. Parenting and the role of parents as good educators (exposure) can prevent mental, emotional and behavioral disorders caused by bullying. The aim of this study was to determine the role of self-esteem and family factors on bullying behavior in junior high schools students.MethodsA cross-sectional study was conducted including 1324 junior high school students of Penjaringan village, North Jakarta. Respondents filled out questionnaires on demographics (age, gender, economic status, educational level), Rosenberg self-esteem questionnaire, strength and difficulties questionnaire, Olweus bullying questionnaire, Hamilton scale for depression, parenting style, and family adaptability and cohesion scales III. Simple and multivariate logistic regression tests were used to analyze the data.ResultsRespondents consisted of 53.5% females and 46.5% males, with an age range of 13-16 years. A total of 45% was involved in bullying (victims, perpetrators, and victims and perpetrators). Gender, self-esteem, family relationships, and parenting were significantly associated with bullying role (p<0.05). Multiple logistic regression analysis showed that self-esteem (odds ratio=23.89; 95% CI:7.899-12.990) and non-exposure parenting (odds ratio=39.11;95% CI: 2.455-8.210) were significantly associated with bullying behavior. ConclusionsNon-exposure parenting was the most relevant risk factor of bullying behavior. Low self-esteem increases the risk of bullying behavior. These findings suggest the need of timely bullying prevention and intervention programs that should have a special focus on families of primary high school students.
High perceived discrimination and no family support increase risk of poor quality of life in gender dysphoria Hasan, Surilena; Alviany, Yovita; Clarissa, Cerellia; Sudana, Sonia
Universa Medicina Vol 36, No 3 (2017)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2017.v36.187-196

Abstract

BackgroundFamily support and low discrimination perceptions are a factor in protecting against mental disorders and poor quality of life in male to female (MtF) gender dysphoric individuals. The aim of this study was to determine the role of family factors, peer support, self-esteem, perceived discrimination, depression, anxiety, and stress on the quality of life among MtF gender dysphoric individuals. MethodsA cross-sectional study was conducted involving 106 MtF gender dysphoric individuals of Sanggar Swara Jakarta. Respondents filled out questionnaires on demographics, WHOQL-BREF, perceived discrimination, Rosenberg self-esteem, family support, social support (SSQ6), family relations (FACES III), and depression anxiety stress scale (DASS). Simple and multivariate logistic regression tests were used to analyze the data.ResultsAmong the 106 MtF gender dysphoric individuals of Sanggar Swara Jakarta with an age range of 18-45 years, 78.3% had no family support, 64.1% no peer support, 62.3% high perception discrimination, 64.1% low self-esteem, 36% extreme family relations, 44.3% depression, 59.4% anxiety, 35.8% stress and 62.3% poor quality of life. Employment, perception of discrimination, self-esteem, family support, and anxiety were significantly associated with quality of life (p<0.05). Multiple logistic regression analysis showed that perceived discrimination (Odds Ratio=13.89; 95% CI: 5.89-11.99), and family support (Odds Ratio=29.11; 95% CI: 2.45-8.21) were significantly associated with quality of life. Conclusion High perceived discrimination and no family support increase the risk of poor quality of life in MtF gender dysphoric individuals. These findings suggest the need for prevention and intervention of stigmatization and discrimination that should have a special focus on families with MtF gender dysphoric individuals.
Bipolar disorder increases the risk of poor sleep quality among senior high school students Hasan, Surilena; Junardi, Christopher Yovan
Universa Medicina Vol 39, No 2 (2020)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2020.v39.128-134

Abstract

BackgroundPatients with bipolar disorder commonly experience sleeping problems. On the other hand, sleep disturbances have been suggested as one of the symptoms that indicate the development of bipolar disorder. Considering the detrimental effect of bipolar disorder, especially in young people, this study aimed to determine the relationship between sleep quality and risk of bipolar disorder in senior high school students. MethodsA cross-sectional study was conducted involving 725 senior high school students. The instruments used were a demographic questionnaire, Young Mania Rating Scale (YMRS), MINI International Neuropsychiatric Interview (MINI ICD-10), Hypomania/Mania Symptom Checklist (HCL-32), and Pittsburgh Sleep Quality Index (PSQI). Univariate and bivariate (simple logistic regression) analyses were performed to evaluate the relation between sleep quality and the risk of bipolar disorder.ResultsAround 28% of subjects were at risk of bipolar disorder, of which 96.6% were prone to type I, and the rest were type II. Most of the participants with bipolar disorder (64%) had poor sleep quality. The percentage of participants with type I bipolar disorder that had poor sleep quality was higher than that of type II (65.3% and 28.6%, respectively). There was a significant relationship between bipolar disorder and sleep quality (OR = 2.2; 95% CI=1.581-3.087; p=0.000). ConclusionsOur study demonstrated that in senior high school students, bipolar disorder increased the risk of poor sleep quality. Assessment of sleep disturbances routinely in psychiatric interviews may improve sleep quality. Keywords: Bipolar disorder, sleep quality, senior high school student
Relationship among Sexual Knowledge, Sexual Attitudes, and Sexual Behavior of Junior High School Students in West Jakarta Djohan, Putra Brillian; Tjhay, Francisca; Hasan, Surilena; Widjaja, Nelly Tina
Jurnal Kedokteran Brawijaya Vol 31, No 3 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.03.12

Abstract

Lack of sexual knowledge and increasing negative sexual attitudes in Indonesia could lead to risky sexual behavior. This problem increases teenage pregnancy, sexually transmitted infections, and abortion among adolescents. This study aimed to determine the relationship between sexual knowledge and sexual attitudes towards sexual behavior among junior high school students in West Jakarta. This study was cross-sectional, conducted on 544 junior high school students in West Jakarta. Measuring instruments used were characteristic questionnaires, sexual knowledge questionnaires, sexual attitude questionnaires, and sexual behavior questionnaires. Data analysis was performed using bivariate (chi-square). This study shows 79.2% of the respondents had low sexual knowledge, 45.6% respondents had negative sexual behavior, and 48.2% respondents had risky sexual behavior. This study finds that most male respondents had low sexual knowledge (80.8%), low sexual attitude (56.8%), and “less-safe” risky sexual behavior (60.0%), while “not-safe” risky sexual behavior (2.7%) was found higher in female respondents. Bivariate analysis shows a significant relationship between sexual knowledge (p=0.006; 95% OR=1.763 |95% CI=1.151-2.698) and sexual attitude (p=<0.001; OR=2.852 | 95% CI=2.012-4.043) towards sexual behavior. In conclusion, low sexual knowledge and negative sexual attitudes increase the risk of risky sexual behavior.
Pengaruh Stressor Psikososial, Depresi, dan Demensia terhadap Insomnia pada Lanjut Usia di Panti Sosial Tresna Werdha Budi Mulia II Jakarta -, Surilena; W, Hendry; M, Elita; Simon, Sumanto; Joewana, Satya
Cermin Dunia Kedokteran Vol 43, No 5 (2016): Infeksi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (127.964 KB) | DOI: 10.55175/cdk.v43i5.52

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Pendahuluan: Depresi, demensia, dan insomnia adalah problem klinis dan kesehatan umum yang sering dijumpai pada lanjut usia (lansia) yang dapat menimbulkan penderitaan bermakna, mengeksaserbasi morbiditas dan disabilitas. Gangguan tersebut dipengaruhi oleh faktor biologis dan stressor psikososial. Tujuan: Mengidentifikasi pengaruh stressor psikososial, depresi, dan demensia terhadap kejadian insomnia pada lansia di Panti Sosial Tresna Werdha Budi Mulia II Jakarta. Metode: Penelitian cross-sectional pada 103 lansia secara random sampling di Panti Sosial Tresna Werdha Budi Mulia II, Jakarta, bulan Juli-Desember 2014. Pengumpulan data dengan wawancara dan kuesioner demografi, penyakit fisik kronis, stressor psikososial, Geriatric Depression Scale 15 (GDS15), Mini Mental State Examination (MMSE), dan Insomnia Severity Index (ISI). Analisis dengan analisis univariat dan multivariat Stepwise Logistic Regression. Hasil: Sejumlah 103 lansia dengan rerata usia 70,8 tahun, dan sebanyak 52,4%-nya perempuan. Sebagian besar (57,3%) dengan penyakit fisik kronis seperti hipertensi, diabetes melitus, artritis rematoid, dengan stressor psikososial tinggi (43,7% ), depresi (45,6%), demensia (83,5%), dan insomnia (42,7%). Pada analisis regresi logistik multivariat, faktor signifikan yang berperan terhadap insomnia pada lansia adalah depresi, penyakit fisik kronis, dan stressor psikososial (p<0.05); paling dominan adalah depresi (p= 0,000; OR 16,18). Simpulan: Depresi memiliki pengaruh paling bermakna terhadap terjadinya insomnia pada lansia.
Kepatuhan ODHA Pengguna Napza Suntik tanpa atau dengan Ko-infeksi TB/ Hepatitis Virus dalam Terapi Antiretroviral dan Metadon -, Surilena; -, Minawati; -, Rensa; -, Isadora; Suryani, Eva; Hartono, Teguh Sarry
Cermin Dunia Kedokteran Vol 42, No 7 (2015): Stem Cell
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (159.453 KB) | DOI: 10.55175/cdk.v42i7.984

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Latar Belakang: Jumlah pengguna NAPZA suntik (penasun) terinfeksi HIV/AIDS (ODHA/orang dengan HIV AIDS) yang menjalani terapi antiretroviral (ART/antiretroviral therapy) dan metadon bersamaan makin meningkat. ODHA penasun di Indonesia rentan terko-infeksi oleh penyakit tuberkulosis (TB) dan hepatitis virus. Kombinasi konsumsi ARV, metadon, obat-obat untuk ko-infeksi, dan NAPZA secara bersamaan berefek negatif pada kepatuhan optimal ODHA pada ART. Tujuan: Memberi gambaran kepatuhan ODHA penasun yang menjalani ART dan metadon, dengan/tanpa ko-infeksi TB/hepatitis virus. Metode: Sejumlah 34 ODHA penasun yang menjalani terapi ARV di kios Atma Jaya dan puskesmas Tambora, pada Oktober - Desember 2012, mengikuti studi potong lintang ini. Responden mengisi kuesioner data demografis, status infeksi hepatitis virus dan TB, terapi ARV dan metadon, serta kepatuhan ART (self-report). Hasil: Grup 1 terdiri dari 20 ODHA penasun (58,8%) sedang/pernah terko-infeksi TB/hepatitis virus (9 orang terko-infeksi hanya TB dan sudah selesai terapi TB, 6 orang sedang dalam pengobatan TB, dan 5 orang terinfeksi virus hepatitis saja). Grup 2 terdiri dari 14 ODHA penasun (41,2%) tanpa koinfeksi TB dan hepatitis virus. Kepatuhan ART optimal dicapai oleh 9 orang (45%) pada grup 1, yaitu: 6 dari 9 (66,7%) responden yang selesai berobat TB, 1 dari 6 (16,7%) responden yang sedang berobat TB, dan 2 dari 5 (40%) responden yang menderita hepatitis virus. Di grup 2 terdapat 6 orang (42,9%) yang mencapai kepatuhan ART optimal. Simpulan: ART optimal dicapai < 50% total responden. Pada responden yang terko-infeksi; ART optimal dicapai oleh 66,7% responden yang telah menyelesaikan terapi TB, 16,7% responden yang belum menyelesaikan terapi TB, dan 40% responden yang menderita hepatitis virus.Background: People living with HIV/AIDS (PLWHA) who are intravenous drug users (IVDU) are increasing in number, and mostly are on both antiretroviral therapy (ART) and methadone maintenance therapy (MMT). In Indonesia, PLWHA and IVDU are more easily infected with tuberculosis (TB) and/or viral hepatitis. Co-infections and drug interaction may negatively affect their adherence to ART. Goal: To observe ART adherence among IVDU who were on MMT with PLWHA with/without co-infections (TB and/or viral hepatitis). Method: Thirty-four PLWHA who were IVDU from kios Atma Jaya and Tambora public primary health care participated in this cross-sectional study from October to December 2012. They filled out questionnaires on demographic data, previous viral hepatitis and TB infection, ART & MMT data, and adherence to ART by self report. Results: Group 1: 20 (58.8%) respondents were/had been co infected with TB/viral hepatitis (9 respondents had finished TB treatment, 6 respondents were on TB treatment, 5 respondents had untreated viral hepatitis only). Group 2: 14 (41.2%) respondents had never been co-infected with TB/ viral hepatitis. We found that nine respondents in group 1 (45%) and six respondents in group 2 (42,9%) adhered optimally to ART. Six (66,7%) respondents who had finished TB treatment, one respondent (16,7%) who were on TB drugs, and two respondents (40%) who had untreated viral hepatitis, adhered optimally to ART. Conclusions: Less than 50% respondents adhered optimally to ART. Respondents who had optimal ART adherence among those who had finished TB treatment, who were on TB drugs, and who had untreated viral hepatitis were 66.7%, 16.7%, and 40%.
Perilaku Bullying (Perundungan) pada Anak dan Remaja -, Surilena
Cermin Dunia Kedokteran Vol 43, No 1 (2016): Neurologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1307.697 KB) | DOI: 10.55175/cdk.v43i1.9

Abstract

Salah satu aksi kekerasan yang sering dijumpai pada anak dan remaja adalah perilaku bullying. Prevalensinya meningkat dari tahun ke tahun, namun di Indonesia belum ada data pasti. Dampak perilaku bullying sering tidak disadari baik oleh korban, pelaku, guru, maupun orang tua karena lebih bersifat psikis dan emosional, efeknya tidak dapat langsung terlihat, prosesnya berlangsung lama dan perlahan. Perlu deteksi dini agar dapat segera dicegah, dievaluasi lebih lanjut dampaknya, serta dapat diintervensi sedini mungkin.
HUBUNGAN ADIKSI ONLINE GAME DENGAN MOTIVASI BELAJAR PADA SISWA SEKOLAH MENENGAH PERTAMA DI JAKARTA UTARA Gladys Jane Octavia; Surilena Surilena; Erfen Gustiawan
Bahasa Indonesia Vol 19 No 2 (2020): Damianus : Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v19i2.1243

Abstract

Introduction: Online game addiction is a disorder with uncontrolable behavioral when playing online games. The academic achievement may decrease and has been negatively affected due to lack of learning motivation. The purpose of this study was to explore the relation between online game addiction and learning motivation among junior high school students in north Jakarta.Methods: A cross-sectional study was conducted in 1,474 junior high school students by filling in the questionnaire, consisting of the Indonesian Online Game Addiction Questionnaire (IOGAQ) and the Motivation Learning Strategy Questionnaire (MSLQ). The inclusion criteria were all junior high school (SMP) class I to class III in Kelurahan Penjaringan, North Jakarta. The exclusion criteria were students who did not signed the consent form. Bivariate test and multivariate logistic regression test were performed to analyze data.Results: From 1,474 respondents, most of them (52.5%) were aged 14 years old and girls (37.8%). The addiction to online game was more prevalent in boys (90.1%) and girls (79.1%), mostly (87.3%) in grade 1 junior high school. The respondents with online game addiction often played online games ≥4 days/week (95%), with the duration of playing online games on school days (95.5%) or holidays (94.2%) was >4hours/day. The types of online games played was role playing games (85.8%) using a portable tool (94,8%). The learning motivation was low (86.3%). Interestingly, bivariate analysis showed no significant relationship between online game addiction and learning motivation (p≥0.05).Conclusion: There is no significant relation between online game addiction and learning motivation. However, online game addiction need to be closely monitored as this may impact the learning motivation.
HUBUNGAN POLA ASUH DENGAN MASALAH PERILAKU DAN EMOSI PADA SISWA SD DI KECAMATAN PENJARINGAN JAKARTA UTARA Anindita Agung Pradnya Savitri; Surilena Surilena; Erfen Gustiawan
Bahasa Indonesia Vol 21 No 1 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i1.1919

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Background: Parenting is defined as an act of giving education, guidance, patronage, and supervision by the parents to their children. Different methods of parenting may result in distinctive character developments as well as determining the children's behaviour and emotional demeanour. Objective: To determine the relationship between parenting towards behavioral and emotional problems among primary school student in Penjaringan, North Jakarta. Methods: This study was a cross-sectional study of 512 primary school students in Penjaringan, North Jakarta. Measuring instruments used were Strength and Difficulties Questionnaire (SDQ) dan Parenting Questionnaire Children’s Point of View. Both instruments were filled directly by students. Data analysis was performed descriptively and bivariate (chi-square). Result: There were 32% respondents with behavioral and emotional problems, among them 38.5% conduct problems; 34.2% peer problems; 25% emotional symptoms. This study finds that 66.2% respondents with Exposure parenting, among them 51.8% with type B parenting (authoritarian), 7.6% with type D parenting (Inconsistent), and 6.8% type C parenting (Permissive). Bivariate analysis found that there is significant relationship between parenting towards behavioral and emotional problems (p<0.05; 95%CI = 0.448 – 0.970; OR = 0.659). Conclusion: There is association between parenting towards behavioral and emotional problems among primary school students. Keywords: Parenting, behavioral and emotional disorder, children, elementary school
FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU SEKSUAL SISWA SMP DI JAKARTA BARAT Fransisca Theresia; Francisca Tjhay; Surilena Surilena; Nelly Tina Widjaja
Jurnal Kesehatan Reproduksi Vol 11 No 2 (2020): JURNAL KESEHATAN REPRODUKSI VOLUME 11 NOMOR 2 TAHUN 2020
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/kespro.v11i2.3142.101-113

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Abstract Background: Inappropriate sexual behavior with negative attitudes and low knowledge can reduce the quality of life of adolescents. Risky sexual behavior increases the spread of sexually transmitted diseases and abortion. Objectives: To determine factors that influence sexual behavior of junior high school students in West Jakarta. Methods: The study design was a cross-sectional study in 541 junior high school students in West Jakarta. The study sample was junior high school students in West Jakarta who attend school from June to September 2019. The research instrument used was characteristic questionnaire, sexual knowledge questionnaire, sexual attitude questionnaire, sexual behavior questionnaire, Rosernberg Self-Esteem Scale questionnaire, and child care pattern questionnaire directly filled in by respondents. Data analysis performed was univariate, bivariate, and multivariate. The dependent variable of research is sexual behavior. Results: There were 48% of respondents with risky sexual behavior and 2% with unsafe risky sexual behavior, 79% of respondents have low sexual knowledge and 46% of respondents have negative sexual attitudes. There were 35% of respondents with low self-image and 26% with exposure parenting and 12% permissive parenting. Bivariate analysis showed that there was significant relationship between sexual behaviour and age, gender, class level, sexual knowledge, and sexual attitudes (p <0.05). Multivariate analysis showed a significant relationship between age, sex, class level, sexual knowledge, sexual attitudes and sexual behaviour (p <0.05). The dominant factor influencing sexual behavior was class level. Conclusion: Low knowledge, negative sexual attitudes, low self-image and exposure care patterns increase the risk of risky sexual behavior. Factors of sexual knowledge, sexual attitudes, age, sex, and class level can help to prevent risky sexual behaviour among junior high school adolescents. Keywords: Sexual knowledge, Sexual attitude, Sexual behavior, Self-image, Parenting. Abstrak Latar Belakang: Perilaku seksual yang tidak tepat dengan sikap negatif dan pengetahuan yang rendah dapat menurunkan kualitas hidup remaja. Perilaku seksual yang berisiko mengakibatkan peningkatkan penyebaran penyakit menular seksual dan aborsi. Tujuan: Mengetahui faktor-faktor yang mempengaruhi perilaku seksual siswa SMP di Jakarta Barat. Metode: Desain penelitian ini adalah studi potong lintang pada 541 siswa SMP di Jakarta Barat. Sampel penelitian adalah siswa SMP Jakarta Barat yang bersekolah pada bulan Juni-September 2019. Instrumen penelitian yang digunakan merupakan kuesioner karakteristik, kuesioner pengetahuan seksual, kuesioner sikap seksual, kuesioner perilaku seksual, kuesioner Rosernberg Self-Esteem Scale, dan kuesioner pola asuh anak yang diisi langsung oleh responden. Analisis data yang dilakukan adalah secara univariat, bivariat, dan multivariat. Variabel dependen penelitian adalah perilaku seksual. Hasil: Empat puluh delapan persen responden memiliki perilaku seksual berisiko dan 2 persen berperilaku seksual berisiko tidak aman, 79 persen responden memiliki pengetahuan seksual rendah dan 46 persen responden memiliki sikap seksual negatif. Sebesar 35 persen responden memiliki citra diri rendah dan 26 persen memiliki tipe pola asuh exposure di antaranya 12 persen pola asuh tipe permisif. Analisis bivariat menunjukkan hubungan bermakna antara perilaku seksual dengan usia, jenis kelamin, tingkat kelas, pengetahuan seksual, dan sikap seksual (p£0,05). Analisis multivariat menunjukkan adanya hubungan bermakna antara perilaku seksual dengan usia, jenis kelamin, tingkat kelas, pengetahuan seksual dan sikap seksual (p£0,05). Faktor dominan yang mempengaruhi perilaku seksual adalah tingkat kelas. Kesimpulan: Pengetahuan rendah, sikap seksual negatif, citra diri rendah dan pola asuh exposure meningkatkan risiko terjadinya perilaku seksual berisiko. Faktor pengetahuan seksual, sikap seksual, usia, jenis kelamin, dan tingkat kelas dapat membantu mencegah perilaku seksual berisiko pada remaja SMP. Kata kunci: Pengetahuan seksual, Sikap-perilaku seksual negatif, Citra diri, Pola asuh, Remaja