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PRINSIP DAN METODE ANALISIS RISIKO KESEHATAN LINGKUNGAN Defriman Djafri
Jurnal Kesehatan Masyarakat Andalas Vol 8 No 2 (2014): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v8i2.133

Abstract

Analisis risiko kesehatan lingkungan merupakan penilaian atau penaksiran risiko kesehatan yang bisa terjadi di suatu waktu pada populasi manusia berisiko. Kajian prediktif ini menghasilkan karakteristik risiko secara kuantitatif, pilihan-pilihan manajemen risiko dan strategi komunikasi untuk meminimalkan risiko tersebut. Data kualitas lingkungan yang bersifat agent specific dan site specific, karakteristik antropometri dan pola aktivitas populasi terpajan dibutuhkan untuk kajian ini.
PEMODELAN EPIDEMIOLOGI PENYAKIT MENULAR Defriman Djafri
Jurnal Kesehatan Masyarakat Andalas Vol 10 No 1 (2015): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v10i1.172

Abstract

Pemodelan epidemiologi merupakan salah satu bentuk yang dapat menjelaskan fenomena apa yang terjadi dilapangan, dan akan membuat langkah-langkah didalam penganggulangan dan pengendalian penyakit. Ukuran epidemiologi didalam pemodelan merupakan indikator penting untuk pengambilan keputusan didalam menetapkan langkah-langkah pencegahan dan penanggulangan penyakit (evidenve based). Metodologi ilmiah menjadi penting didalam membangun kerangka penelitian kesehatan, baik penegakan diagnosis, maupun langkah-langkah penanggulangan dan pemberantasan penyakit.
Effect Modification of Modifiable Cardiovascular Risk Factors : A Hospital-Based Matched Case Control Study Defriman Djafri; Monalisa Monalisa; Fauziah Elytha; Rizanda Machmud
Jurnal Kesehatan Masyarakat Andalas Vol 11 No 2 (2017): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v11i2.280

Abstract

This study aims to find the role of modifiable risk faktors toward the association between hypertension and coronary heart disease in RSUP DR. M. Djamil Padang, in 2016This match case control study was conducted from Desember 2014 to April 2015. We studied 171 samples with 1:2 ratio between the case and the control. Samples are collection using simple random sampling by matching the age and sex. Data through the medical record (secondary data) in RSUP DR. M. Djamil. Bivariate analysis showed that hypertension had OR=16,04 (95%CI 5.705-45.12), obesitas had OR=2.53 (95%CI 1.321-4.844), and hyperusrisemia had OR 2.41 (95%CI 1.292-4.516. Multivariate modeling showed that hyperurisemia had a confounder between assosiated hypertension and Coronary heart disease. Multivariate modeling showed hypertension had the highest risk to coronary heart disease. Obesity and hyperurisemia were associated between hypertension and coronary heart disease. Hypertension were considered as determinant of coronary heart disease. People are expected to manage their blood pressure to decrease the risk of coronary heart disease.
Mortality Analysis of Covid-19 in The Province of West Sumatera Nindi Elfiza; Defriman Djafri; Ade Suzana Eka Putri
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 1 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i1.898

Abstract

The rapid and uncontrolled transmission of COVID-19, causes the high morbidity and mortality rates of COVID-19 throughout the world, including West Sumatra (CFR 2.27%). This study aims to analyze the mortality of COVID-19 in West Sumatra and the risk factors that influence it. The research design retrospective cohort using secondary data on COVID-19 cases in West Sumatra from March 26, 2020 to June 7, 2021. The sampling technique is total sampling provided that the sample criteria are met. Data analysis used logistic regression method. 44,693 confirmed cases of COVID-19, 968 (2.17%) died and 43,725 (97.83%) did not die. Factors associated with COVID-19 mortality were age (RR 9.79; 95% CI 8.65-11.09), gender (RR 1.51; 95% CI 1.33-1.71), diabetes (RR 10.21; 95% CI 8.91-11.69), hypertension (RR 6.49; 95% CI 5.59-7.54), cardiovascular diseases (RR 9.57; 95% CI 8.17-11.21), COPD (RR 10.51; 95% CI 7.57-14.57), asthma (RR 2.03; 95% CI 1.23-3.34), and kidney diseases (RR 19.87; 95% CI 16.54-23.86). Kidney diseases are the most dominant factor associated with COVID-19 mortality (RR 16.07; 95% CI 11.34-22.78). COVID-19 patients with kidney disease have the highest risk of death. Treatment of patients with comorbidities must be prioritized and improve health promotion in at-risk groups.
Measurement of Vaccine Efficacy and Covid-19 Risk Probability Defriman Djafri
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 1 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i1.1042

Abstract

The effectiveness and efficacy of the Covid-19 vaccine are important indicators considered in implementing the vaccination program. This indicator is also a consideration for the community to receive the Covid-19 vaccine in the future. This calculation informs the community about the importance of the efficacy and effectiveness of the Covid-19 vaccination.
Dukungan Sosial terhadap Pengasuhan Balita Stunting: Perspektif Pengasuh di Nagari Tanjung Sumatera Barat Siswati, Hermaini; Afrizal; Djafri, Defriman; Symon, Denas
Sosio Konsepsia: Jurnal Penelitian dan Pengembangan Kesejahteraan Sosial Vol. 14 No. 2 (2025): Sosio Konsepsia: Jurnal Penelitian dan Pengembangan Kesejahteraan Sosial
Publisher : Pusat Pendidikan, Pelatihan, dan Pengembangan Profesi Kesejahteraan Sosial (Pusdiklatbangprof Kesos), Kementerian Sosial RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33007/ska.v14i2.3525

Abstract

Stunting merupakan masalah kesehatan masyarakat yang kompleks di Indonesia, tidak hanya disebabkan oleh kekurangan gizi, tetapi juga dipengaruhi oleh pola pengasuhan yang belum optimal. Penelitian ini bertujuan untuk menganalisis peran dukungan sosial dalam pengasuhan balita stunting di Nagari Tanjung, Sumatera Barat. Pendekatan yang digunakan adalah mixed methods dengan desain explanatory sequential. Tahap kuantitatif melibatkan 47 pengasuh balita stunting melalui survei terstruktur, kemudian dilanjutkan dengan wawancara mendalam untuk mengeksplorasi pengalaman subjektif pengasuh dalam menerima dan memanfaatkan dukungan sosial. Analisis data dilakukan dengan uji Chi-Square untuk menguji hubungan antarvariabel dan thematic analysis untuk menggali tema-tema kualitatif.Hasil penelitian menunjukkan bahwa tenaga kesehatan dan kader Posyandu menjadi aktor utama pemberi dukungan sosial, sementara keterlibatan ayah dalam pengasuhan masih terbatas akibat tekanan ekonomi dan kuatnya norma budaya patriarki. Pengasuh menghadapi beragam hambatan, seperti akses terbatas terhadap pangan bergizi, kurangnya stimulasi perkembangan anak, serta rendahnya pemanfaatan layanan kesehatan. Dukungan sosial dari komunitas juga masih bersifat sporadis dan belum terstruktur secara berkelanjutan.Pemerintah memiliki peran strategis dalam membangun ekosistem intervensi berbasis komunitas, termasuk melalui program pendampingan dan pemberdayaan kader. Meskipun bantuan sosial seperti PKH dan BPNT telah disalurkan, upaya edukasi pola asuh masih belum mencapai efektivitas yang diharapkan. Oleh karena itu, diperlukan program yang lebih intensif untuk mendorong keterlibatan ayah, meningkatkan keterampilan ekonomi keluarga, serta memperkuat peran komunitas sebagai jaringan dukungan sosial dalam pengasuhan anak stunting.
Effects of Mercury Exposure, Community Behavior, and Activities on Contact Dermatitis in a Watershed Area, 2024 Rahmi, Sintha Defiza; Djafri, Defriman; Ramadani, Mery
Jurnal Kesmas Jambi Vol. 9 No. 2 (2025): VOLUME 9 - NUMBER 2 - July 2025
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v9i2.45789

Abstract

Contact dermatitis is a skin disease with the highest prevalence compared to other types of skin disorders.This study examines the influence of mercury (Hg) exposure levels, community behavior, and activity patterns on the incidence of contact dermatitis in the Batang Tebo River flow, Bungo District, in 2024. The study employed a matched case-control design. The minimum sample size was 49 pairs, with an additional 10% added to account for potential non-response, resulting in a target of 54 matched pairs. After data collection, the final sample consisted of 51 matched pairs with a case-to-control ratio of 1:1. Samples were selected using simple random sampling with matching based on sex. Primary data were collected through interviews with respondents. Case data were obtained from the medical records at Air Gemuruh Primary Health Center. Bivariate analysis identified variables significantly associated with contact dermatitis: mercury (Hg) exposure level (OR = 5.8; 95% CI: 2.24–14.98), bathing activity (OR = 8.5; 95% CI: 3.01–23.95), and contact frequency (OR = 5; 95% CI: 1.91–13.06). Multivariate modeling showed that bathing activity was the most dominant factor influencing the incidence of contact dermatitis.
The Moderating Role of Social Determinants in the Association between Malnutrition and Dental Caries Among Elementary School Children Auliya, Suci; Djafri, Defriman; Ramadani, Mery
Cakradonya Dental Journal Vol 17, No 2 (2025): Agustus 2025
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v17i2.45701

Abstract

Dental caries represents a significant health issue, being the most prevalent disease worldwide. Despite being easily preventable, its prevalence has not significantly decreased over the past thirty years and remains concentrated within groups of low socioeconomic status. Chronic malnutrition (stunting) in children can cause atrophy and reduced saliva secretion, which affects masticatory performance and the OHIS (Oral Hygiene Index Simplified). This study aims to determine the influence of social determinants on the correlation between stunting and dental caries in elementary school children. A cross-sectional study design was implemented, and data were analyzed using bivariate and multivariate methods. The findings of this investigation demonstrate a statistically significant association between malnutrition and dental caries (p-value = 0.010). The interaction analysis identified toothbrushing habits as a significant covariate exhibiting an interactive effect between nutritional status and the prevalence of dental caries. Following adjustment for interaction and confounding variables in the final multivariate regression model, the Prevalence Odds Ratio (POR) for nutritional status was determined to be 6.739, with a corresponding significance level of 0.007. Furthermore, the regression coefficient (B) was calculated as 1.908, indicating a positive correlation between nutritional status and the occurrence of dental caries. Based on the results of the study, it was concluded that there is a significant relationship between malnutrition and dental caries that was identified as being influenced by social determinants of toothbrushing habits.
Promoting social transformation through basic social work training for the Nagari apparatus: a case study in West Sumatra Siswati, Hermaini; Afrizal; Djafri, Defriman; Symon, Denas
BKM Public Health and Community Medicine Vol 41 No 08 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i08.21002

Abstract

Purpose: This study aims to analyze why social support has not yet successfully transformed parenting behavior among caregivers of stunted toddlers in Nagari Tanjung, West Sumatra, and to identify internal and external barriers that prevent caregivers from accessing and utilizing the available support. Methods: We used an exploratory qualitative approach with a case study design, involving 47 caregivers of stunted toddlers. The findings highlight parenting barriers and provide a compelling argument for promoting Basic Social Work Training (PDPS) among nagari officials, thereby enabling them to integrate various social components within their communities effectively. We collected data through in-depth interviews, participatory observation, and documentation, then thematically analyzed it based on internal and external factor categories. Data collection was conducted in Nagari Tanjung, West Sumatra, in 2024. Results: The main barriers include low nutritional literacy, stigma, shame, minimal father involvement, and beliefs in myths such as palasik. Social support from family, community, health workers, and the government has not been effective due to a lack of integration, inadequate cultural contextualization, and insufficient attention to psychosocial aspects. Moreover, the role of community social workers (PSM) at the village level has not been fully optimized, further exacerbating the situation. Conclusion: Community- and culture-based interventions are necessary, along with capacity-building for Nagari government officials through PDPS, to enable them to function similarly to social workers. The Ministry of Social Affairs should extend this training to the village or nagari level, not just at the provincial or district level. Strengthening the roles of nagari officials, village midwives, and community cadres (PKK, Posyandu, Family Planning, PPKBD, Human Development Cadres, PSM, and PKH facilitators) can help coordinate a sustainable and culturally contextual parenting support system.
Analisis Paparan PM2.5 dan PM2.5 serta Karakteristik Individu terhadap Gangguan Fungsi Paru Nelianis, Nelianis; Djafri, Defriman; Gusti, Aria
Jurnal Sehat Mandiri Vol 20 No 2 (2025): Jurnal Sehat Mandiri, Volume 20, No.2 Desember 2025
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v20i2.2137

Abstract

Air pollution, particularly exposure to fine particulate matter (PM2.5) and nitrogen dioxide (NO2), is a serious health problem that may impair lung function in high-risk groups such as gas station fuel operators. This study aimed to analyze the relationship between exposure to PM2.5, NO2, and individual characteristics with lung function disorders among gas station workers in Padang City. This research used an analytical descriptive design with a cross-sectional approach, applying environmental health risk analysis (EHRA) and environmental health epidemiology (EHE) methods. A total of 79 respondents from seven gas stations were selected, with data collected through interviews, measurement of PM2.5 and NO2 concentrations, spirometry testing, and assessment of individual characteristics. The findings showed that PM2.5 and NO2 concentrations were below the regulatory threshold; however, 30.4% of workers experienced impaired lung function. Statistical analysis revealed significant associations between lung function and age, gender, and length of employment, whereas pollutant exposure levels, vehicle density, mask use, and smoking status were not significantly associated. It can be concluded that individual characteristics had a stronger influence on lung function disorders compared to direct pollutant exposure. Routine health monitoring, education on the use of personal protective equipment, and work-hour regulation are recommended to reduce health risks among gas station workers.