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Analisis Multilevel Terhadap Determinan Kejadian Diare Pada Balita di Kabupaten Pesisir Selatan Sri Mici Indah Permata Sari; Aria Gusti; Defriman Djafri
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 6 No. 2 (2025): Juli-Desember 2025
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.6.2.138-147.2025

Abstract

Kabupaten Pesisir Selatan dipilih karena tingginya angka diare pada balita serta kerentanannya terhadap faktor lingkungan dan sosial ekonomi. Penelitian ini bertujuan mengidentifikasi determinan kejadian diare pada balita melalui analisis multilevel di Kabupaten Pesisir Selatan tahun 2024. Desain penelitian adalah cross-sectional dengan pendekatan kuantitatif. Data diperoleh dari survei individu balita, karakteristik rumah tangga, dan data wilayah Dinas Kesehatan. Analisis dilakukan pada tiga level: individu (umur, status gizi, imunisasi dasar, dan riwayat ASI eksklusif), rumah tangga (pendidikan ibu, pekerjaan orang tua, status ekonomi, dan penerapan PHBS), serta wilayah (cakupan air bersih dan ketinggian wilayah). Data dianalisis secara univariat, bivariat (uji chi-square), dan multilevel modeling menggunakan SPSS dan STATA. Hasil menunjukkan status gizi dan riwayat ASI eksklusif berhubungan signifikan dengan kejadian diare (p<0,05). Pada level rumah tangga, pendidikan ibu dan status ekonomi keluarga juga berhubungan bermakna (p<0,05), sedangkan cakupan air bersih dan ketinggian wilayah tidak signifikan (p>0,05). Faktor dominan yang memengaruhi kejadian diare adalah status gizi balita. Penelitian ini menyimpulkan bahwa faktor individu dan rumah tangga lebih berperan dibanding faktor wilayah. Upaya pencegahan perlu difokuskan pada peningkatan gizi anak, promosi ASI eksklusif, pendidikan ibu, dan ekonomi keluarga.
Faktor-Faktor yang Berhubungan dengan Kesiapsiagaan Terhadap Bencana Letusan Gunung Marapi di Provinsi Sumatera Barat Aulia Rahman; Defriman Djafri; Dici Putri Utari; Imam Wahyudi; M.Ilham Basgoro
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 6 No. 2 (2025): Juli-Desember 2025
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.6.2.187-192.2025

Abstract

Sepanjang tahun 2024, di Provinsi Sumatera Barat telah terjadi sebanyak lebih dari 140 kejadian gempa bumi, sejumlah kejadian banjir bandang lahar dingin, semburan abu dan sebagainya akibat aktivitas Gunung Marapi. Tujuan dari penelitian ini adalah untuk mengetahui apa saja Faktor-Faktor yang Berhubungan dengan Kesiapsiagaan Terhadap Bencana Letusan Gunung Marapi di Provinsi Sumatera Barat Tahun 2024. Penelitian ini merupakan penelitian kuantitatif, dengan pendekatan Cross Sectional. Penelitian dilakukan di Kabupaten Agam dan Kabupaten Tanah Datar, sebagai area yang paling terdampak Letusan Gunung Marapi, dengan jumlah sampel sebanyak 220 orang responden yang dipilih secara accidental sampling dari kedua area. Analisis data terdiri dari analisis univariat dan bivariat dengan uji Chi-Square. Hasil penelitian ini menunjukkan bahwa terdapat hubungan antara variabel pengetahuan, tingkat pendidikan, umur, tingkat ekonomi dan Komunikasi, Edukasi dan Informasi (KIE) dengan variabel kesiapsiagaan (p-value < 0,05) serta tidak terdapat hubungan antara variabel sikap dan jenis kelamin dengan variabel kesiapsiagaan (p-value > 0,05). Disarankan kepada pemerintah kabupaten Agam dan Tanah Datar untuk  meningkatkan kesiapsiagaan menghadapi bencana letusan gunung melalui edukasi di sekolah-sekolah dan sosialisasi pada masyarakat setempat, serta peningkatan kolaborasi lintas sektor untuk merancang program-program kebencanaan.
Risk Characterization of Treatment Histories and Comorbidities Regarding Tuberculosis Treatment Status in West Sumatra Province 2020-2021 Sari, Novita; Djafri, Defriman; Ramadhani, Mery
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 3 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i3.988

Abstract

Background: Tuberculosis (TB) is the leading cause of death among bacterial infectious diseases worldwide, and Indonesia is the second country with the highest TB burden.Objective: The treatment history and comorbidities of TB disease play a significant role in determining the appropriateness of therapy and the duration of treatment for patients. The objective is to identify the factors that influence the incidence of first molar caries.Methods: This study employs an analytic case-control design with a retrospective cohort methodology. 161 RO TB patients and 161 SO TB patients comprised the total sample size. Statistical analysis of this investigation utilizing R and R Studio.Result: In this study, there was a correlation between gender (p-value 0.006 and odds ratio 1.89), contact investigation (p-value 0.001 and odds ratio 0.23), new TB (p-value 0.001 and odds ratio 0.05), TB recurrence (p-value 0.001 and odds ratio 19.0), TB failed treatment (p-value 0.007 and odds ratio 16.4), and pH-saliva (p-value 0.0001 and odds ratio 21.250). In contrast, risk factors such as absenteeism, diabetes, and HIV were not associated with TB treatment status (p-value > 0.05). Age, investigation of contact, and TB recurrence were the predominant factors associated with TB treatment status, as determined by multivariate analysis.Conclusions: Several factors, including gender and treatment history (new TB, Relapsed TB, Failed TB), influence the status of TB treatment in West Sumatra Province. These are important factors that must be considered and asked by TB officers at health facilities before the patient undergoes an examination of suspected samples and information to provide appropriate medical therapy to TB patients in health facilities.
The Relationship Between Medical Treatment and Survival Rates Among Cervical Cancer Patients at Dr. M. Djamil General Hospital in Padang, 2020–2024 Hasanah, Pujatul; Djafri, Defriman; Masnarivan, Yeffi; Syafrawati, Syafrawati
Jurnal Kesmas Jambi Vol. 10 No. 1 (2026): VOLUME 10 - NUMBER 1 - March 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i1.55320

Abstract

Medical treatment for cervical cancer aims to improve survival, cure the disease, and prolong patients’ life expectancy. Cervical cancer treatment consists of surgery, radiation/radiotherapy, chemotherapy, or a combination of these three modalities, depending on the extent and stage of the disease. This study aims to analyze the relationship between medical treatment and the survival of cervical cancer patients at Dr. M. Djamil General Hospital, Padang, during the period 2020–2024. This study used a representative cohort design utilizing medical record data from Dr. M. Djamil General Hospital, Padang, of patients who underwent medical treatment from 2020 to 2024. Samples were selected using a simple random sampling technique, with a total of 121 samples. Data were analyzed through univariate, bivariate (Kaplan-Meier and Cox Regression), and multivariate. The results showed that among 121 patients, 57.0% underwent combination medical treatment. Based on patient characteristics, 90.9% were aged >35 years, 87.6% had an education level ≤ senior high school, 74.4% were unemployed, and 56.2% were in the advanced stage of disease. The association between type of medical treatment and survival showed a p-log rank value of 0.003 (<0.05), indicating that at least one type of medical treatment had a different survival outcome compared to the others. Based on survival analysis, a difference in survival was only found between radiotherapy and combination treatment. This study found differences among types of medical treatment in relation to the survival of cervical cancer patients.
Low Birth Weight and Childhood Pneumonia in Sumatra, Indonesia: A Cross-Sectional Analysis of the 2023 Indonesian Health Survey Putri, Aulia; Widoyo, Ratno; DJafri, Defriman
Jurnal Kesmas Jambi Vol. 10 No. 1 (2026): VOLUME 10 - NUMBER 1 - March 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i1.55484

Abstract

Low birth weight (LBW) is a well-established early-life biological risk factor for respiratory infections; however, subnational evidence examining its role in childhood pneumonia in Indonesia remains limited. This study aimed to examine the association between low birth weight and pneumonia among children aged 12–59 months in Sumatra, Indonesia, while accounting for demographic, health service, and environmental factors. A cross-sectional study was conducted using data from the 2023 Indonesian Health Survey (IHS). The analysis included 21,466 children aged 12–59 months residing in Sumatra. Pneumonia status and low birth weight were defined according to the SKI standard definitions. Multivariable logistic regression analyses were performed using sampling weights to account for the complex survey design. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were reported. The prevalence of pneumonia among children aged 12–59 months in Sumatra was 1.0%. Children with a history of low birth weight had markedly higher odds of pneumonia compared with those born with normal birth weight (aOR 14.9; 95% CI 9.2-24.1). Household cooking fuel use was identified as a confounding factor, but not as an interaction. Other factors, including vitamin A supplementation, immunization status, and area of residence, were not identified as confounding or interacting factors. Low birth weight is a strong determinant of pneumonia among children aged 12–59 months in Sumatra. Reducing childhood pneumonia requires integrated strategies addressing both early-life biological vulnerability and modifiable household environmental exposures.
Crowded Housing and Urban Residence as Risk Factors for Under-Five Children’s Pneumonia in Indonesia: Analysis of SSGI 2024 Data Fadilah Yuma Zahara; Defriman Djafri; Aria Gusti
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 7 No. 2 (2026): Mei - Agustus 2026
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.7.2.116-122.2026

Abstract

Pneumonia remains the leading cause of morbidity and mortality among under-five children in Indonesia, with cases tending to increase each year. This study aimed to examine the association between crowded housing, cooking fuel type, nutritional status, sex, and classification of residence with the incidence of under-five children in Indonesia. This study used a cross-sectional design with secondary data from the 2024 Indonesian Nutritional Status Survey. The sample included 201,017 children aged 12-59 months. Bivariate analysis was performed using the chi-square test. The bivariate analysis of five variables showed that crowded housing (p=0.008; POR=1.273) and urban residence (p<0.001; POR=1.918) were significant risk factors for under-five children’s pneumonia. Meanwhile, sex (p=0.412), nutritional status (p=0.216), and cooking fuel type (p=0.290) did not show statistically significant associations. Crowded housing conditions and living in urban areas are significant risk factors for pneumonia in children under five in Indonesia. Public health interventions should prioritize improving household ventilation, reducing indoor crowding, and developing targeted pneumonia prevention programs in urban areas.
Determinants of Treatment Success Among Drug Resistant Tuberculosis Patients in West Sumatra, Indonesia: a Retrospective Cohort Study (2017–2021) Widoyo, Ratno; Djafri, Defriman; Triana, Vivi; Salsabila, Anisa
Jurnal Kesmas Jambi Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER 2 - July 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i2.55473

Abstract

Treatment success rates remain below the national target in Indonesia. This study aims to identify individual characteristics and health facility-level factors associated with treatment success among Drug-resistant tuberculosis (DR-TB) patients in West Sumatra. A retrospective cohort study encompassing DR-TB patients treated in West Sumatra between 2017 and 2021 was undertaken. Univariate, bivariate, and multivariate analyses are used to evaluate the association between facility-level factors, individual characteristics, and treatment outcomes. The analysis indicated a heightened propensity for successful treatment among male patients and those within younger age cohorts. Patients treated in district-level hospitals were more likely to achieve successful treatment outcomes than those treated in city-based hospitals. Furthermore, patients referred from other facilities to a different district hospital had significantly higher odds of success than those who received care at a single facility throughout their treatment. Younger Age, male gender, district hospital, and patients referred for DR-TB are likely to achieve treatment success. Besides individual characteristics, decentralized care and structured referral systems need improvement. Consequently, the prioritization of inter-facility coordination reinforcement and the augmentation of district hospital capacities are imperative within provincial tuberculosis control strategies.
Pengaruh Pemberian Pursed Lip-Breathing, Diaphragmatic Breathing, dan Upper Limb Stretching Terhadap Skala Dispnea pada Pasien PPOK: The Effect of Pursed Lip-Breathing, Diaphragmatic Breathing, and Upper Limb Stretching on Dyspnea Scale in COPD Patients Imron Rosyadi; Defriman Djafri; Dally Rahman
NERS Jurnal Keperawatan Vol. 15 No. 2 (2019): NJK Volume 15, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v15i2.174

Abstract

Respiratory muscle weakness in patients with Chronic Obstructive Pulmonary Disease (COPD) is a problem that can affect the patient's ability to conduct daily activities. The aim of this study to see the difference between the intervention group given the pursed-lip breathing exercises, diaphragmatic breathing, and upper limb stretching with the control group which not given therapy. 38 COPD patients were grouped into intervention groups (n = 18) and control group (n = 18) randomly. The intervention group was given pursed-lip breathing, diaphragmatic breathing, and upper limb stretching for 4 weeks as much as two times for each week, while the control group was not given exercise. The dyspnea scale was measured using the MRC Dyspnea Scale questionnaire and was categorized as mild (scale 1), medium (scale 2-3) and severe (scale 4-5). The result showed there was a difference in dyspnea (p value 0.008) for intervention group and there is no difference in the dyspnea for control group that was not given exercise (p value 0.655). In conclusion, pursed lip breathing, diaphragmatic breathing, and upper limb stretching can give more significant benefits when done sustainably, especially for COPD patients.
Factors Related to Anxiety Levels of the Elderly with Chronic Diseases in Sijunjung Regency 2019: Faktor-Faktor yang Berhubungan dengan Tingkat Kecemasan Lansia dengan Penyakit Kronis di Kabupaten Sijunjung Tahun 2019 Herlin Silvana; Defriman Djafri; Renidayati
NERS Jurnal Keperawatan Vol. 15 No. 2 (2019): NJK Volume 15, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v15i2.175

Abstract

of anxiety increases. As the number of elderly increases, it is very important to maintain the health of the elderly. Otherwise, it will result in the decreased physical condition, limited mobility, decreased independence, loss of self-confidence and decreased social activity. Knowing and controlling the causative factors of anxiety can be a solution to overcome anxiety in the elderly. This study aimed to measure the factors associated with the anxiety level of the elderly with chronic deseases in Sijunjung Regency. The design of this study was cross sectional approach and logistic multivariable regressions method. The samples were chosen by a cluster sampling technique with a total of 207 elderly with chronic diseases. The results showed that income, social support, social activities, and history of trauma had a significant relationship with the anxiety level of the elderly with chronic deseases and social support is the most dominant factor that related to. Thus, it was suggested to increase the nursing interventions with an approach family therapy to increase social support and it was focused on improving regular health screening so that the occurence of chronic deseases and anxiety in the elderly could be identified earlier.
PENERAPAN HIGIENE DAN SANITASI PENGELOLAAN MAKANAN UNTUK MENJAMIN KEAMANAN PANGAN DI KANTIN PUJA SERA UNIVERSITAS ANDALAS Fea Firdani; Defriman Djafri; Azyyati Ridha Alfian; Aulia Rahman
Jurnal Hilirisasi IPTEKS Vol. 3 No. 4 (2020)
Publisher : LPPM Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jhi.v3i4.470

Abstract

The implementation of management hygiene and sanitation at the DPR's Puja Sera Canteen (Under a Shady Tree) is very important because it is a canteen with high activity in Andalas University. Based on the results of the survey on 6 February 2020, it was found that condition of the DPR Puja Sera Canteen (Under a Shady Tree) still needed implementation of hygiene and sanitation management to ensure the health of visitors or students. The solution offered is education on good food production methods for home industries (CPPB-IRT). The method used to realize the implementation of food handling hygiene and sanitation includes identification and inspection of hygiene and sanitation, assessment of examination results, providing education to food handlers who are not / not / inadequate. The results of examination became a reference for correcting deficiencies in the implementation of hygiene and sanitation at the DPR's Puja Sera Canteen (Under a Shady Tree) Unand to be equipped according to requirements of a healthy canteen so that the DPR Puja Sera Canteen (Under a Shady Tree) Unand could meet requirements to become a healthy canteen. The results of the examination for issuance of home industry food production certificates (SPP-IRT) of the 14 assessment criteria show that DPR's Puja Sera Canteen is at level III, found 1-4 serious problems that should be corrected to obtain SPP-PIRT certification. Serious problems include 1) buildings and facilities, 2) water supply and water supply facilities, 3) hygiene and sanitation facilities and activities, 4) employee health and hygiene.
Co-Authors Ade Suzana Eka Putri Afrizal AFRIZAL AFRIZAL Agus Sri Banowo Anggela Pradiva Putri Aprisia, Ega Ari Susanti Aria Gusti Astiena, Adila Kasni Aulia Putri Aulia Rahman Aulia Rahman Aulia Rahman Auliya, Suci Aumas Pabuti Azyyati Ridha Alfian Azyyati Ridha Alfian Berlian Kurniawati Dally Rahman Dedi Sumantri Dedi Sumantri Sumantri Devianto, Dodi Dici Putri Utari Eprilla Maharani Devisa Fachrizal, Indra Fadilah Yuma Zahara Fauziah Elytha Fea Firdani Fitri Dwi Syahti Hardisman Hasanah, Pujatul Hastuti Syahnita Herlin Silvana Herlin Silvana Hidayati Hidayati Ilmaskal, Radian Imam Wahyudi Imron Rosyadi Indra Fachrizal Kamal Kasra Karina Nabilla Khairul Andri M.Ilham Basgoro Markolinda, Yessy Mega Utami Basra Mery Ramadhani Minarni Minarni Mindasari, Reza Mitha Safutri Monalisa Monalisa Muhammad Fadhil Murniwati - Nadia Sri Devi Namira Yusuf Nelianis Nelianis Nindi Elfiza Novita Sari Novita Sari Nur Intan Rahmi Andafia Nursal, Dien Anggraini Nursyirwan Effendi, Nursyirwan Pramita, Wiwid Putri , Ade Suzana Eka Rahmi, Sintha Defiza Ramadani, Mery Ramadanti, Aztika Ramadhani, Mery Ratno Widoyo, Ratno Reni Dayati Reni Zulfitri Renidayati Resa Triani Rizanda Machmud Rizanda Machmud Rozada Alemania Sabtria Winda Sari Salsabila, Anisa Saputra, Yoerdy Agusmal Shabiyya, Hukma Siswati, Hermaini Sri Meiyenti Sri Mici Indah Permata Sari Sri Rahayu Sri Rahayu Sanusi Sri Ridha Hasanah Susi - Susi Susi Syafrawati Symon, Denas Vivi Triana Warman Alamsyah Yeffi Yeffi Masnarivan Yudi Pradipta Zieta Sakinah Emdi Zurayya Fadila