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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) 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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Analisis Paparan PM2.5 dan PM2.5 serta Karakteristik Individu terhadap Gangguan Fungsi Paru Nelianis Nelianis; Defriman Djafri; Aria Gusti
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.
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).
Spatial Distribution and Spatial Determinants of Stunting Among Under-Five Children in West Sumatra Province Ramadanti, Aztika; Djafri, Defriman; Pradipta, Yudi
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.v10i2.57612

Abstract

Stunting remains a major public health challenge because of its long-term impacts on growth, cognitive development, productivity, and future health. Marked differences in stunting prevalence across districts and municipalities in West Sumatra suggest spatial heterogeneity that cannot be adequately explained using conventional ecological approaches. This study aimed to examine the spatial distribution, spatial autocorrelation and spatial association between stunting among children under five and its ecological determinants in West Sumatra Province in 2024. An ecological study was conducted using secondary data from the West Sumatra Provincial Health Office and the Central Bureau of Statistics, covering all 19 districts and municipalities. Spatial patterns were analyzed using Global Moran's I and Bivariate Local Indicators of Spatial Association (LISA). The findings showed that stunting prevalence was predominantly moderate across the province. Global Moran's I indicated significant negative spatial autocorrelation (Moran's I = −0.245; p < 0.05), reflecting a dispersed spatial pattern. Bivariate LISA identified limited significant local associations, with clusters mainly classified as Low-Low and High-Low. These results suggest that stunting is influenced more by local contextual conditions than by geographic clustering, highlighting the need for geographically targeted and context-specific interventions to strengthen stunting prevention and control.
Sociodemographic, clinical, and environmental determinants of tuberculosis and diabetes mellitus comorbidity: A case-control study Fitri Dwi Syahti; Dien Gusta Anggraini Nursal; Defriman Djafri
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1101

Abstract

Background: Tuberculosis-Diabetes Mellitus comorbidity poses a major challenge in controlling communicable and non-communicable diseases simultaneously. TB-DM comorbidity represents a significant health concern, as both conditions can mutually influence one another, necessitating focused attention in clinical management, prevention, and treatment strategies. Therefore, it is essential to investigate how sociodemographic, clinical, and environmental factors contribute to the prevalence and severity Purpose: To explore how sociodemographic, clinical, and environmental factors contribute to the prevalence and severity of tuberculosis-diabetes mellitus comorbidity. Method: A quantitative research with a case control matching study research design. This study used secondary data from the tuberculosis information system of the West Sumatra Provincial Health Office. Samples were taken as many as 830 people with a ratio of cases (Tuberculosis-Diabetes Mellitus) and controls (Tuberculosis) 1:1. Data collected were comorbidity status of tuberculosis-diabetes mellitus and tuberculosis, sociodemographic, clinical and environmental data. Data were analyzed by univariate, bivariate, multivariate. Results: Univariately, there were 830 cases of tuberculosis-diabetes mellitus comorbidity and 830 cases of tuberculosis.  Age ≥ 45 (81.45%), employment (62.53%), urban residential area (47.21%), health facility referral (12.77%), type of pulmonary tuberculosis (98.3%), history of tuberculosis relapse (10.72%). There was an association between age, occupation, type of tuberculosis, and history of tuberculosis treatment with tuberculosis-diabetes mellitus comorbidity (p<0.05). There was no association between residential area and referral status with the incidence of DR-TB comorbidity (p>0.05). The most dominant risk factor for tuberculosis-diabetes mellitus comorbidity was age with p-value=0.0001 with OR=11.031 (95% CI 8.0143-15.185). Conclusion: Age tends to be the risk probability for tuberculosis-diabetes mellitus comorbidity compared to tuberculosis. It is recommended that routine screening for diabetes mellitus be carried out in tuberculosis patients, especially in the age group ≥ 45 years because this group has the highest risk of experiencing tuberculosis-diabetes mellitus comorbidity.
Systematic Review : Faktor Risiko Dari Ibu Dan Anak Pada Kejadian Stunting Mitha Safutri; Defriman Djafri; Mery Ramadani
Jurnal Kesehatan Medika Saintika Vol 15, No 2 (2024): Desember 2024
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v15i2.2755

Abstract

Prevalensi stunting merupakan indikator penting dari status kesehatan dan gizi suatu populasi. Saat ini, 22,3% anak di bawah usia 5 tahun di seluruh dunia mengalami stunting, dengan mayoritas kasus terjadi di Asia (52%) dan Afrika (43%). Tujuan penelitian ini untuk menemukan bukti dari artikel-artikel yang telah dipublikasikan mengenai penyebab dan faktor risiko yang memengaruhi kejadian stunting pada ibu dan anak. Metode yang dilakukan systematic review menggunakan Framework PRISMA. Penelitian ini mengidentifikasi permasalahan berdasarkan elemen PICO dan melakukan pencarian artikel di database Pubmed dan Google Scholar. Hasil systematic review ini mengumpulkan 20 artikel yang relevan dengan kriteria inklusi dan eksklusi, terdiri dari 13 studi cross-sectional, 6 studi case control, dan 1 studi mixed method. Hasilnya menunjukkan bahwa faktor risiko dari ibu meliputi pekerjaan, pendidikan, usia, kelahiran prematur, tinggi badan, status gizi, dan pendapatan keluarga. Sementara faktor risiko dari anak mencakup usia, berat badan lahir rendah, pola makan, jenis kelamin, penyakit infeksi, status imunisasi, dan status gizi. systematic review ini mengidentifikasi sejumlah faktor risiko dari ibu dan anak yang berhubungan dengan kejadian stunting pada balita. Temuan ini diharapkan dapat mendukung perencanaan dan pelaksanaan program-program intervensi untuk mengatasi masalah stunting secara efektif.
FAKTOR RISIKO KETAHANAN HIDUP PASIEN PENYAKIT GINJAL KRONIK DI INDONESIA Ari Susanti; Dien Gusta Anggraini Nursal; Defriman Djafri
Jurnal Kesehatan Medika Saintika Vol 15, No 2 (2024): Desember 2024
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v15i2.2757

Abstract

Penyakit ginjal kronik adalah kondisi saat fungsi ginjal menurun secara bertahap karena kerusakan ginjal(Irawati et al., 2023). Prevelansi gagal ginjal pada tahun 2018, sekitar 131.600 orang di Amerika Serikat mulai pengobatan untuk gagal ginjal. Tahun 2018 jumlah pasien gagal ginjal kronik di Indonesia sebanyak 713.783 penderita. Penelitian ini bertujuan mencari bukti berdasarkan artikel yang dipublikasikan terkait penyebab dan faktor risiko pada ketahanan hidup pasien gagal ginjal kronik. Metode penelitian tinjauan Sistematis menggunakan Framework PRISMA. Penelitian ini mengkaji permasalahan berdasarkan elemen PICO. Pencarian artikel dilakukan menggunakan dua database: Pubmed dan Google Scholar. Hasil penelitian menunjukkan  diperoleh 6  artikel yang sesuai kriteria inklusi dan eksklusi yang terbagi menjadi 1 artikel dengan desain case control dan 5 artikel cohort prospektif. Dan diketahui bahwa Sosiodemografi terdiri dari umur . Sedangkan penyakit penyerta  yang berhubungan dengan ketahanan hidup pasien gagal ginjal kronik yaitu diabetes melitus. Oleh karena itu tinjauan sistematis ini menemukan beberapa penelitian yang membahas tentang faktor yang mempengaruhi ketahanan hidup pasien gagal ginjal kronik. Hasil ini diharapkan menjadi bahan pertimbangan dalam perbaikan pelaksanaan berbagai unit baik itu kesehatan, masyarakat dan pasien.
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