Roma Yuliana
Departemen Biostatistika, Fakultas Kesehatan Masyarakat, Universitas Indonesia

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Distribusi spasial Covid-19 di DKI Jakarta, Indonesia (Januari 2021 - Oktober 2021) Arianty Siahaan; Budi Utomo; Roma Yuliana; Martya Makful; Risma Risma; Ngabila Salama
JHECDs: Journal of Health Epidemiology and Communicable Diseases Vol 7 No 2 (2021): JHECDs Vol. 7, No. 2, Desember 2021
Publisher : Balai Litbangkes Tanah Bumbu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jhecds.v7i2.5552

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Pandemi COVID-19 telah menjadi ancaman dunia. Tingkat nasional kasus Covid-19 hingga 15 Oktober 2021 mencapai 4,2 juta kasus kumulatif dengan jumlah orang yang meninggal 142.889 jiwa. Provinsi DKI Jakarta adalah provinsi tertinggi yang memiliki kasus Covid-19 di Indonesia dan termasuk kota yang padat penduduk. Tujuan dari penelitian ini ingin melihat hubungan antara populasi terhadap kasus konfirmasi COVID-19 secara spasial. Data penelitian ini mencakup 5 area administratif dan 42 kecamatan di DKI Jakarta. Data yang digunakan ialah data surveilans COVID-19 Dinas Kesehatan DKI Jakarta mulai tanggal 1 Januari 2021-Oktober 2021. Analisis data menggunakan analisis deskriptif spasial, Global Moran I, dan LISA. Hasil analisis menemukan bahwa hubungan spasial antara populasi dengan kasus konfirmasi COVID-19 di DKI Jakarta pada Januari 2021-Oktober 2021 dengan pola penyebaran mengelompok. Kecamatan yang menjadi hotspot (high-high) adalah Kecamatan Kalideres. Pemerintah sebaiknya fokus kepada daerah kecamatan dengan populasi tinggi dan mengatur pembatasan mobilitas secara ketat agar dapat mengendalikan kasus COVID-19 di DKI Jakarta.
Pemetaaan Kerawanan dan Penentuan Prioritas Penanganan Penyakit Demam Berdarah Dengue di Kota Padang : Vulnerability Mapping and Handling Priority of Dengue Hemorrhagic Fever in Padang City Roma Yuliana; Martya Rahmaniati; Inna Apriantini; Robet Triarjunet
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 5: MAY 2022 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (984.836 KB) | DOI: 10.56338/mppki.v5i5.2278

Abstract

Latar Belakang: Demam berdarah dengue (DBD) masih merupakan permasalahan serius di Kota Padang dan penyumbang kasus terbanyak di Provinsi Sumatera Barat. Pada tahun 2020, terdapat 292 kasus DBD di Kota Padang, namun belum diketahui bagaimana sebaran kasus tersebut secara spasial dikaitkan dengan faktor lingkungan dan demografi. Tujuan: Penelitian ini bertujuan untuk memetakan sebaran (kasus DBD, kepadatan penduduk, suhu udara), memetakan tingkat kerawanan DBD dan penentuan prioritas penanganan penyakit DBD berdasarkan unit kelurahan di Kota Padang Tahun 2020. Metode: Penelitian ini merupakan penelitian deskriptif menggunakan aplikasi Sistem Informasi Geografis (SIG) dengan teknik skoring dan overlay. Data penelitian berupa data sekunder dari Dinas Kesehatan Kota Padang, Badan Pusat Statistik (BPS) Kota Padang dan United State Geological Survey tahun 2020. Hasil: Penelitian ini menunjukkan dari 104 kelurahan, terdapat 11 kelurahan dengan tingkat kerawanan tinggi dengan prioritas penanganan pertama yaitu Kelurahan Kuranji, seterusnya yaitu Kelurahan Korong Gadang, Surang Gadang, Dadok Tunggul Hitam, Pasar Ambacang, Lubuk Buaya, Bungo Pasang, Batang Kabung, Jati, Jati Baru, dan Alai Parak Kopi. Pemerintah diharapkan untuk dapat meningkatkan upaya pencegahan dan penanganan penyakit DBD dengan memfokuskan pada kelurahan dengan tingkat kerawanan tinggi Kesimpulan: Penelitian ini menyimpulkan bahwa pemetaaan tingkat Kerawanan DBD di Kota Padang dengan menggunakan parameter (kasus DBD, kepadatan penduduk dan suhu udara tahun 2020) menunjukkan dari 104 kelurahan yaitu pada tingkat kerawanan tinggi (11 kelurahan), sedang (41 kelurahan), rendah (40 kelurahan) dan sangat rendah (12 kelurahan).
Analisis Spasial Determinan Kejadian Berat Badan Lahir Rendah (BBLR) di Provinsi Kalimantan Timur: Spatial Analysis of Determinants of Low Birth Weight (LBW) in East Kalimantan Province Erlingga Prihandani; Ahmad Syafiq; Roma Yuliana
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 9: SEPTEMBER 2022 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v5i9.2337

Abstract

Latar Belakang: Berat Badan Lahir Rendah (BBLR) masih menjadi masalah bagi kesehatan masyarakat, banyak faktor untuk terjadinya BBLR antara lain cakupan kunjungan ibu hamil (K4), Pemberian Tablet Tambah Darah, KEK pada ibu hamil serta sulitnya akses ke fasilitas kesehatan. Provinsi Kalimantan Timur memiliki angka kasus BBLR yang masih tinggi. Tujuan: Studi ini bertujuan untuk menggambarkan distribusi kasus BBLR berdasarkan faktor dengan pendekatan pemetaan wilayah. Metode: Studi ini merupakan studi ekologi dengan pendekatan pemetaan wilayah. Data diperoleh dari profil kesehatan Provinsi Kalimantan Timur Tahun 2019 dan Riskesdas Tahun 2018. Unit observasi adalah Kabupaten/Kota. Pemetaan distribusi kasus BBLR dan faktor resiko terjadinya BBLR dilakukan dengan menggunakan aplikasi Quantum GIS. Analisis data menggunakan Teknik Overlay. Hasil: Dari hasil penelitian, didapatkan hasil pemetaan distribusi kasus BBLR di Provinsi Kalimantan Timur Tahun 2019 dengan presentase yang cukup tinggi ada di 3 kabupaten/kota yaitu Kabupaten Mahakam Ulu, Kutai Barat dan Kota Bontang. Cakupan K4 sudah cukup tinggi secara keseluruhan sehingga cakupan K4 bukan menjadi penyebab BBLR. Presentase Pemberian TTD yang masih tergolong rendah serta kejadian KEK yang tergolong tinggi menjadi penyebab BBLR serta sangat sulitnya akses ke Fasyankes yang masih tergolong rendah. Kesimpulan: Kasus BBLR tertinggi di Provinsi Kalimantan Timur yang disebabkan oleh pemberian TTD dan KEK berada di Kabupaten Kutai Barat.
Dukungan Sosial dan Stress Reduction pada Ibu Hamil di Era Pandemi COVID-19: Studi Pendekatan Literature Review Hery Setiawan; Hadi Pratomo; Ikrimah Nafilata; Roma Yuliana
VISIKES: Jurnal Kesehatan Masyarakat Vol 22, No 1 (2023): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v22i1Supp.5637

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The COVID-19 pandemic has restricted human activities or a person's mobilization. Activity restrictions can make people experience psychological disorders, including pregnant women. This certainly makes it easier for pregnant women to experience stress and the lack of direct social support by those closest to them during the pandemic. The purpose of this study is to examine social support and stress reduction for pregnant women in maintaining health during the COVID-19 pandemic era. Search literature using journal databases, namely Science Direct, Scopus, and Proquest. The journal search strategy aims to retrieve research articles that are by the research topic so that 9 journal articles are discussed in this study. The results of this research study found that social support is important for pregnant women by the closest people such as husbands, family, and friends. Social support can be provided through virtual support to improve the quality of life of pregnant women. Activities for pregnant women that can reduce stress include communicating with others, physical activity, seeking entertainment, rest, alternative therapy, nature recreation, doing home activities such as cooking, doing favorite hobbies, organizing (including studying, preparing for the arrival of the baby), and controlled eating/drinking activities.
Ecological Studies of Climate Factors and Pulmonary Tuberculosis Cases in Padang City 2020-2023 Fadilah Habibul, Hamda; Al Asyary; Roma Yuliana; Arinil Haq; Soraya Permata Sujana
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 11: NOVEMBER 2024 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i11.6101

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Introduction: Tuberculosis (TB) is actually a disease that can be prevented and cured. In 2022, TB became the second leading cause of death in the world after Coronavirus (COVID-19), and caused twice as many deaths as HIV/AIDS. Several studies have stated that climate factors such as exposure to high temperatures, dry environments and exposure to ultraviolet light can influence the growth of Mycobacterium tuberculosis. Objective: This research aims to determine the distribution and correlation of climate factors with the number of pulmonary TB cases in Padang City in 2020-2023. Method: This research is an ecological study with the study population of Padang City. In this study the dependent variable is pulmonary TB cases and the independent variables are temperature, precipitation, and humidity. Pearson correlation is used to determine whether or not there is a relationship, the strength of the relationship, and the direction of the relationship between two normally distributed numerical variables. This research also describes descriptively the distribution of pulmonary TB cases in Padang City based on sub-districts using spatial analysis. Result: There is significant relationship in 2022 between temperature (p=0.010) and precipitation (p=0.019) with pulmonary TB cases in Padang City. However, there are no variables of climates related to pulmonary TB when analyzed cumulatively from 2020-2023. Based on the results of spatial analysis, it can be seen that Koto Tangah sub-district is consistently in the high category of pulmonary TB cases in 2020-2023. Conclusion: The research results found that temperature and precipitation in 2022 were significantly related with the incidence of pulmonary TB, while the humidity variable had no significant relationship with the incidence of pulmonary TB cases in Padang City. It is recommended to make climate factors such as one of the considerations in making policies related to the prevention of pulmonary TB.
Mental Health Trends in the 60-Year-Old Elderly Analyzing Scopus Bibliometric Database and WHO Guidelines for the Period 2010-2025 Wasa, Carolus; Yambedoan, Thadius; Sumarsono, Adi; Lewar, Emanuel; Marlissa, Damaris; Yuliana, Roma
JUMORA: Jurnal Moderasi Olahraga Vol 5 No 1 (2025): Jurnal Moderasi Olahraga
Publisher : Universitas Ma'arif Nahdlatul Ulama Kebumen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53863/mor.v5i1.1639

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The increase in life expectancy globally has led to a significant increase in the elderly population, including those aged 60 years and over. This condition requires special attention to various aspects of elderly welfare, one of which is mental health. Elderly mental health is a crucial issue due to various factors such as social isolation, unstable economic conditions, and limited access to mental health services. The World Health Organization (WHO) in its guidelines for 2010-2025 has emphasized the importance of a multidisciplinary approach in improving the quality of life of the elderly, including social and economic aspects that play an important role in determining well-being. The Scopus database-based bibliometric analysis method is one of the largest sources of scientific information covering various disciplines. The results of the analysis show that research on elderly mental health has increased significantly in the last decade, especially after the increasing global awareness of the importance of mental health in the elderly population. The main topics referred to in this study include the International Journal of Environmental Research and Public Health, BMJ Open Sport and Latihan Medicine, Frontiers in Psychology, Journal of Physical Education and Sport, and the British Journal of Sports Medicine. These journals publish various studies that examine how social and economic factors affect the mental health of the elderly
Strategi Edukasi Berbasis Literasi dalam upaya meningkatkan Budaya Keselamatan Pasien di RSUD Kabupaten Bekasi Subardi, Arda Yunita; Wijaya, Anna Maria Nurhayati; Yuliana, Roma
Journal Scientific of Mandalika (JSM) e-ISSN 2745-5955 | p-ISSN 2809-0543 Vol. 6 No. 8 (2025)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/10.36312/vol6iss8pp2240-2246

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Patient safety is one of the main pillars in improving the quality of health services. In the preliminary study, it was found that the implementation of patient safety was low, so it is necessary to increase knowledge and understanding related to patient safety. This study aims to evaluate the effectiveness of literacy-based education strategies in improving the understanding and implementation of patient safety. This study uses both descriptive analytical methods to explain the education strategy through the applied Learning Model and Method, as well as quasi-experimental methods with a pretest-posttest design involving hospital staff to assess the effectiveness of learning. The literacy-based education program is designed using an interactive approach, such as e-learning modules, simulation videos, and PDSA and FMEA competitions to trigger brainstorming and group discussions in all units as learning and sharing of patient safety experiences. This will improve critical and analytical thinking skills in solving patient safety problems in their work units. The focus of the education material covers 6 (six) patient safety targets. The results of this study showed a significant increase in medical personnel's understanding of patient safety by up to 78% and an increase in active participation of units in PDSA learning by up to 100%. In addition, there was a reduction in Adverse Events (KTD) by up to 30% after the implementation of the education program. This study concludes that literacy-based education strategies are an effective approach and can be integrated into routine training systems in health facilities to improve patient safety culture.
Faktor Risiko Kejadian Stunting pada Anak Usia 12 – 60 Bulan Yuliana, Roma
VJKM: Varians Jurnal Kesehatan Masyarakat Vol. 1 No. 1 (2023): Desember 2023
Publisher : Varians Statistik Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63953/vjkm.v1i1.5

Abstract

ABSTRAK Masalah stunting di Indonesia tergolong dalam kategori berat dengan prevalensi 30,8% selama tahun 2018 sehingga perlu adanya program penanggulangan. Tanggamus merupakan kabupaten dari Provinsi Lampung dengan prevalensi stunting tertinggi dari 15 kabupaten lainnya. Penelitian ini dilakukan untuk mengetahui faktor risiko kejadian stunting pada balita usia 12-60 bulan di wilayah kerja Puskesmas Sumanda, Kecamatan Pugung, Kabupaten Tanggamus. Desain penelitian ini adalah kasus kontrol dengan sampel 70 anak berusia 12-60 bulan. Sampel terdiri dari 35 kasus dan 35 kontrol yang diambil dengan cara simple random sampling. Kedua kelompok tersebut diwawancara menggunakan kuisioner yang sama. Hasil uji chi square menunjukkan bahwa BBLR (p=0,026,OR= 6,60), ASI Eksklusif (p=0,017,OR=3,69) dan riwayat infeksi (p=0,037,OR=3,62)berhubungan dengan stunting. Sedangkan uji regresi logistik ganda menunjukkan riwayat BBLR ditemukan sebagai faktor yang paling dominan terhadap stunting (OR=5,70). Dapat disimpulkan bahwa BBLR, ASI Eksklusif dan riwayat infeksi berhubungan dengan kejadian stunting. Diharapkan kepada Pusat Kesehatan Masyarakat dan petugas kesehatan untuk memantau status kesehatan ibu hamil dan mengontrol perkembangan balita agar kejadian stunting dapat dicegah. ABSTRACT The problem of stunting in Indonesia is classified as severe with a prevalence of 30.8% during 2018. Hence, a prevention program is needed. Tanggamus is a district in Lampung Province with the highest prevalence of stunting than other 15 districts. This study was conducted to determine the risk factors for stunting in toddlers aged 12-60 months in the Sumanda Health Center working area, Pugung District, Tanggamus Regency. A case-control study was conducted in the Sumanda Health Center working area in 2019 with 70 children aged 12–60 months. The sample consisted of 35 cases and 35 controls taken by simple random sampling. Both groups were interviewed using the same questionnaire. The results of the chi square test showed that low birth weight (LBW) (p = 0.026, OR = 6.60), exclusive breastfeeding (p = 0.017, OR = 3.69) and a history of infection (p = 0.037, OR = 3.62) were associated with stunting. While the logistic regression test showed a history of LBW was found as the most dominant factor in stunting (OR=5,70). It can be concluded that LBW, exclusive breastfeeding and a history of infection are associated with stunting. It is hoped that the Community Health Center and health workers will monitor the health status of pregnant women and control the development of children under five so that stunting can be prevented.
Unwanted Pregnancy and Maternal Mental Health Based on the WHO SRQ-20: A Meta-Analysis Saefurrohim, Muhamad Zakki; Azmiardi, Akhmad; Wisnuwardani, Ratih Wirapuspita; Al-Ayubi, Moch Thoriq Assegaf; Basrowi, Ray Wagiu; Yuliana, Roma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (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.2025.10.03.04

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Background: The WHO (2019) reported that approximately 10% of pregnant women and 13% of postpartum women globally experience maternal mental health disorders. Several studies have identified unintended pregnancy as a contributing factor to these disorders. This systematic review and meta-analysis aimed to analyze and estimate the association between unintended pregnancy and maternal mental health disorders (MHD), using studies that applied the WHO Self-Reporting Questionnaire-20 (SRQ-20).Subjects and Method: A systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO (CRD42025634410). Article searches were conducted up to January 15, 2025, in PubMed, ScienceDirect, Google Scholar, and Scopus using the keywords: “SRQ” AND (“mental health” OR “psychological well-being” OR “mental disorder”) AND (“unwanted pregnancy” OR “unintended pregnancy” OR “unplanned pregnancy”) AND (“mother” OR “maternal”). Inclusion criteria focused on observational studies using the WHO SRQ-20 to assess maternal mental health among women with unintended and intended pregnancies. Meta-analysis was performed using R Studio, with effect sizes reported as risk ratios (RR) or adjusted odds ratios (aOR) and 95% confidence intervals. Heterogeneity was assessed using the I² statistic, and funnel plots were generated to examine publication bias.Results: A total of 12 studies from Ethiopia, Indonesia, India, Vietnam, Brazil, and Malawi, comprising 85,862 participants, were included in this meta-analysis. A total of 12 studies with a total of 85,862 participants were analyzed in this meta-analysis. The results showed that unintended pregnancy significantly increased the risk of maternal MHD. This finding was consistent in both cohort and cross-sectional studies, with effect sizes of (RR = 1.49; CI95%= 1.03 to 2.15; p= 0.030) and (aOR= 1.83; CI95%= 1.35 to 2.47; p < 0.001), respectively.Conclusion: These findings highlight the strong association between unintended pregnancy and MHD. Limitations include high heterogeneity among studies, potential publication bias, and the predominance of observational designs, which preclude causal inferences. Despite these limitations, the results underscore the need for interventions that prioritize the overall health of pregnant women.
Understanding The Causal Pathways of Mental Health Symptoms in Indonesia Ismah, Zata; Syifa, Rahmatu; Anelia, Astia; Mafaz, Zhafira; Nasution, Citra Cahyati; Yuliana, Roma; Pratiwi, Dessy
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.153-162

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Background: Mental disorders affect an individual's ability to cope with life stress, pursue education, work, and contribute to society. Among individuals of productive age, the prevalence of mental disorders reaches 15%. Factors such as age, education level, and gender play a role in influencing vulnerability to mental disorders in this age group. Objective: . This study aims to screen mental disorders experienced by the Indonesian population and analyze the causal factors of various mental disorder symptoms. Methods: This research is a quantitative observational-analytic study with a cross-sectional design. The study was conducted across all regions of Indonesia in 2023. A total of 2,081 Indonesian residents aged 18 and above participated in this study. Primary data were collected online via Google Forms. The collected data were analyzed univariat, bivariat using chi-square, multivariate using logistic regression, followed by path analysis. Results: The results showed that 84.2% of the participants experienced mental health disorders out of 2,081 respondents. Three variables were identified as the most vulnerable to mental health symptoms among the Indonesian population: female gender, low education level, and productive age (17–35 years). These variables were found to impact different mental health symptoms, such as anxiety, substance abuse, psychotic disorders, and post-traumatic stress disorder (PTSD). Specifically, individuals aged 17–35 years were more susceptible to anxiety, psychotic disorders, and PTSD. Women were more vulnerable to anxiety, substance abuse, psychotic disorders, and PTSD. Meanwhile, individuals with low education levels were more prone to anxiety and psychotic disorders.Path analysis revealed that psychotic symptoms serve as the culmination of three mental health symptoms. Conclusion: Mental disorder symptoms must be detected and treated promptly, even in mild cases, as all mental disorder variables have the potential to develop into psychosis, which manifests as physical illnesses resulting from psychological disturbances.