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All Journal International Journal of Public Health Science (IJPHS) Jurnal Ners Indonesia Jurnal Kesehatan Masyarakat Jurnal Kesehatan Lingkungan Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Kesehatan Andalas Jurnal Antropologi: Isu-Isu Sosial budaya Jurnal Penelitian Kesehatan Suara Forikes Jurnal Ilmiah Universitas Batanghari Jambi Jukema (Jurnal Kesehatan Masyarakat Aceh) Jurnal Kesehatan Medika Saintika Jurnal Hilirisasi IPTEKS (JHI) NERS Jurnal Keperawatan JIK- JURNAL ILMU KESEHATAN Jurnal Sehat Mandiri Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa Indonesian Journal of Health Sciences Research and Development (IJHSRD) Journal SAGO Gizi dan Kesehatan Jurnal Kesmas Jambi Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Andalas Dental Journal Sehat Rakyat: Jurnal Kesehatan Masyarakat Berita Kedokteran Masyarakat Cakradonya Dental Journal SOSIO KONSEPSIA: JURNAL PENELITIAN DAN PENGEMBANGAN KESEJAHTERAAN SOSIAL Malahayati International Journal of Nursing and Health Science NERS Jurnal Keperawatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Kesehatan
Defriman Djafri
Fakultas Kesehatan Masyarakat, Universitas Andalas
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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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.
Crowded Housing and Urban Residence as Risk Factors for Under-Five Children’s Pneumonia in Indonesia: Analysis of SSGI 2024 Data Zahara, Fadilah Yuma; Djafri, Defriman; Gusti, Aria
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.
Determinan Tuberkulosis pada Balita di Indonesia (Analisis Data Survei Status Gizi Indonesia Tahun 2024) Resa Triani; Defriman Djafri; Mery Ramadani
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 2 (2026): Mei 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i2.7598

Abstract

Tuberculosis (TB) was still a major public health challenge in Indonesia, a country that bore the second‑highest global burden of the disease. Cases among toddlers continued to be a significant public health concern because of their greater vulnerability to infection. The rising prevalence of pediatric TB, along with its complex risk factors, highlighted the need to identify the main determinants driving TB occurrence in this age group. The present study investigated factors associated with TB in toddlers across all 38 provinces of Indonesia. Data from the 2024 Indonesian Nutritional Status Survey (SSGI) were used in the analysis, and survey weights were applied following official SSGI guidelines. A cross‑sectional design was adopted, and the sample consisted of 246,338 toddlers. The dependent variable was TB occurrence, whereas the independent variables included child age, nutritional status, stunting, BCG vaccination status, history of exposure to TB patients, low birth weight, employment status of both parents, and household density. Data analysis was carried out in three stages: univariate analysis, bivariate analysis using simple logistic regression, and multivariate analysis using multiple logistic regression. Results from the bivariate analysis indicated that nutritional status, stunting, BCG vaccination, TB exposure history, and low birth weight were significantly associated with TB occurrence. In the multivariate model, a history of TB contact was identified as the most dominant determinant, yielding a prevalence odds ratio (POR) of 46.62 (95% CI: 37.13–58.54).
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.
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 Auliya, Suci Aumas Pabuti Azyyati Ridha Alfian Berlian Kurniawati Dally Rahman Dedi Sumantri Dedi Sumantri Sumantri Devianto, Dodi Dici Putri Utari Eprilla Maharani Devisa Fachrizal, Indra Fauziah Elytha Fea Firdani Hardisman Hasanah, Pujatul Hastuti Syahnita Herlin Silvana Herlin Silvana Hidayati Hidayati Ilmaskal, Radian Imam Wahyudi Imron Rosyadi Imron Rosyadi Indra Fachrizal Kamal Kasra Karina Nabilla Khairul Andri M.Ilham Basgoro Markolinda, Yessy Mega Utami Basra Mery Ramadhani Minarni Minarni Mindasari, Reza 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 Ramadhani, Mery Ratno Widoyo, Ratno Reni Dayati Reni Zulfitri Renidayati Resa Triani Rizanda Machmud Rizanda Machmud Rozada Alemania Sabtria Winda Sari Safutri, Mitha 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 Syahti, Fitri Dwi Symon, Denas Warman Alamsyah Yeffi Yeffi Masnarivan Yudi Pradipta Zahara, Fadilah Yuma Zieta Sakinah Emdi Zurayya Fadila