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All Journal Media Gizi dan Keluarga Medikora: Jurnal Ilmiah Kesehatan Olahraga Archive of Community Health Jurnal Ilmu Keluarga dan Konsumen Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Epidemiologi Kesehatan Komunitas The Indonesian Journal of Infectious Diseases Journals of Ners Community Care : Jurnal Ilmiah Ilmu Kesehatan PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Cahaya Mandalika Jurnal Kesmas Jambi Action Research Literate (ARL) Indonesian Journal of Social Science Research Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Jurnal Impresi Indonesia Makara Journal of Health Research Psychological Research on Urban Society Indonesian Research Journal on Education Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Epidemiologi Kesehatan Indonesia
Ratna Djuwita
Departemen Epidemiologi Fakultas Kesehatan Masyarakat Universitas Indonesia
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Effect of Local Culture-based Nutrition Education on Compliance with Iron and Folic Acid Supplementation in Female Adolescent Rahmiwati, Anita; Djokosujono, Kusharisupeni; Krianto, Tri; Utari, Diah Mulyawati; Djuwita, Ratna; Setiarini, Asih; Besral, Besral; Purnama, Dadang Hikmah; Dwiriani, Cesilia Meti; Mulyana, Nana
Kesmas Vol. 18, No. 2
Publisher : UI Scholars Hub

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Abstract

The non-compliance of female adolescents with the consumption of iron and folic acid supplementation (IFAS) poses a challenge to reducing the incidence of anemia. Therefore, this study aimed to determine the effect of nutrition education using the local culture-based approach on the level of knowledge and attitudes regarding awareness, interest, evaluation, trial, and adoption dimensions, as well as compliance of female adolescents in consuming IFAS. The intervention was conducted using a quantitative quasi-experimental design approach. The sample comprised 68 and 58 senior high school girls in the control and intervention groups. The intervention group received IFAS and local culture-based nutrition education for 12 weeks and followed up after four weeks; while, the control group was given a leaflet and IFAS. Univariate analysis was conducted to analyze the participants’ characteristics; while, bivariate analysis used an independent T-test. The multivariate analysis was carried out using multiple linear and logistic regression analyses. The study showed a statistically significant increase in knowledge and attitudes scores in the intervention group (p-value<0.01) compared to the control group. In conclusion, the compliance with IFAS in the intervention group was 82.8%.
Nutrition Education Effect on Anemia Incidence in Female Adolescents: Meta-Analysis for Future Health Post-COVID-19 Pandemic Rahmiwati, Anita; Djokosujono, Kusharisupeni; Krianto, Tri; Utari, Diah Mulyawati; Djuwita, Ratna; Utama, Feranita
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

Female adolescents are at a heightened risk of anemia due to inadequate iron intake and absorption, blood loss during menstruation, and an escalated need for iron to support rapid growth. This study examined the impact of nutrition education on the incidence of anemia in adolescent girls. The investigation was conducted through a systematic review and meta-analysis, employing articles from reputable sources such as Google Scholar, JAMA Network, PubMed, ScienceDirect, The New England Journal of Medicine, Lancet, and ProQuest, published between 2013 and 2021. The keywords for data retrieval were"nutrition education" and "adolescent anemia girls." Furthermore, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was used to select and organize publications for this study. Using Review Manager 5.3 Software, full-text articles meeting meta-analysis criteria were selected, resulting in 7 out of the 257 retrieved articles being included. The findings suggested that nutrition education indeed impacts the incidence of anemia in adolescent girls (p-value
Overweight and Obesity Status with Dental Caries among Children Aged 7–12 Years Old in Badung District, Bali 2018 Rafitha, Hariani; Machmud, Putri Bungsu; Djuwita, Ratna; Gayatri, Dwi; Ariani Ayub, Fakhrana
Kesmas Vol. 14, No. 2
Publisher : UI Scholars Hub

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Abstract

Dental caries is an infectious disease that Dental is characterized by the dental damage resulting from microorganism products in carbohydrate fermentation. Dental caries and obesity in children are multifactorial diseases associated with eating habits and certain lifestyle factors. This study aimed to assess the association between overweightness, obesity, and dental caries among children aged 7–12 years in Badung district, Bali province in 2018. The total sample of 426 children and their mothers were recruited from all first to fifth elementary grade students in three schools selected by simple random sampling. The logistic regression analysis has demonstrated a significant association between obesity and dental caries (OR: 1.830; 95% CI: 1.230–2.722) and showed that after controlling for the confounding variables, obese children have a twice higher chance of experiencing dental caries than non-obese children. Therefore, strengthening the existing health education programs in schools, including those on healthy food or snack components, and improving the efficiency of physical activities for preventing obesity could be a short-term strategy to protect school children from childhood obesity and dental caries.
Asupan Gizi dan Kadar Low Density Lipoprotein Kolesterol Darah pada Kalangan Eksekutif Djuwita, Ratna
Kesmas Vol. 8, No. 2
Publisher : UI Scholars Hub

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Kemajuan teknologi dan ekonomi akhir-akhir ini memberikan dampak perubahan pola hidup yang menyebabkan pergeseran pola penyakit. Terlihat pada peningkatan penyakit kardiovaskular pada kelompok eksekutif usia produktif. Hiperkolesterolemia adalah satu-satunya faktor risiko yang dapat menyebabkan timbulanya aterosklerosis. Asupan gizi terkait erat dengan hiperkolesterolemia. Tujuan penelitian ini adalah mengetahui hubungan antara asupan gizi serta pola makan dengan hiperkolesterolemia pada kalangan eksekutif di Jakarta. Desain penelitian adalah potong lintang. Populasi penelitian adalah kelompok eksekutif Indonesia dewasa berusia 25-60 tahun. Sampel penelitian terdiri dari 280 responden berusia 25- 60 tahun yang merupakan kelompok eksekutif dari beberapa perusahaan yang ada di sekitar Jakarta. Kadar low density lipoprotein (LDL) kolesterol diperiksa dengan mengumpulkan sampel darah puasa. Asupan gizi dinilai dengan metode 24 hour recall dan pola makan dinilai dengan metode food frequency questionnaire (FFQ). Prevalensi hiperkolesterolemia pada kalangan eksekutif 46,1%. Prevalensi hiperkolesterolemia ini lebih tinggi secara bermakna pada laki-laki (50,9%) dibandingkan pada perempuan(29,7%). Prevalensi hiperkolesterolemia cenderung lebih tinggi pada kalangan eksekutif yang berumur di atas 40 tahun, berpendidikan tinggi dan berpenghasilan tinggi. Asupan gizi, khususnya protein hewani serta frekuensi mengonsumsi sapi, memiliki hubungan dengan prevalensi hiperkolesterolemia. Asupan protein nabati, kekerapan mengonsumsi tempe, asupan serat serta kekerapan mengonsumsi sayur dan buah dapat dipertimbangkan sebagai makanan yang protektif atau dapat menurunkan kadar LDL kolesterol dalam darah. Technology and economical development recently poses impact toward changes of lifestyle which cause shifted of the disease pattern. The escalating of cardiovascular appears to be more common among executive productive age group. Hypercholesterolemia is the only risk factor that by itself can cause atherosclerosis. Hypercholesterolemia might be influenced by nutrient intake. The objective of this study is to know the relationship of between nutrient intake as well as food pattern and hypercholesterolemia among executive group surrounding Jakarta. Low density lipoprotein (LDL) content was assessed by collecting fasting blood samples. 24 hour recall and food frequency questionnaire (FFQ) was conducted to assess nutrient intake. Prevalence hypercholesterolemia was 46.1% among this excecutive group.The prevalence of hypercholesterolemia was significant higher among men (50.6%) compared to women (29.7%).Hypercholesterolemia prevalence tend to be higher among those who were over 40 years old, had higher education and had higher income. There was a relationship between nutrient intake especially animal protein intake as well as more frequent consuming beef with the prevalence of hypercholesterolemia. Non-animal protein intake, more frequent consuming tempe, fibre intake as well as more frequent consuming fruit and vegetable might be considered as protective food toward lowering effect of the LDL plasma cholesterol level.
Hubungan Penggunaan Kontrasepsi Pil dengan Usia Menopause Fitriyani, Fitriyani; Djuwita, Ratna
Kesmas Vol. 8, No. 4
Publisher : UI Scholars Hub

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Menopause merupakan menstruasi yang berhenti secara permanen yang disebabkan kehilangan fungsi folikel sel-sel telur. Wanita yang memasuki menopause mengalami penurunan hormon estrogen yang mengganggu aktivitas sehari-hari, bahkan menurunkan kualitas hidup. Penggunaan kontrasepsi pil berhubungan dengan penundaan usia dan keluhan menopause. Penelitian ini bertujuan mengetahui hubungan antara penggunaan kontrasepsi pil terhadap usia menopause. Penelitian ini menggunakan desain potong lintang. Populasi adalah wanita menopause di Pos Pembinaan Terpadu (Posbindu) Kota Depok. Sampel pada penelitian adalah wanita menopause yang berusia 45 - 60 tahun. Teknik pengambilan sampel secara purposive sampling subjek dengan besar sampel 407 orang. Analisis multivariat pada penelitian ini menggunakan cox proportional hazard model. Hasil analisis multivariat menunjukkan tidak ada hubungan antara lama penggunaan kontrasepsi pil terhadap usia menopause baik sebelum maupun sesudah dikontrol variabel kovariat, yaitu tingkat pendidikan. Namun demikian, masih diperlukan penelitian lain dengan menggunakan desain penelitian kohort prospektif untuk dapat melihat hubungan temporal antara lama penggunaan kontrasepsi pil terhadap usia menopause. Menopause is marked with the permanent cessation of menstruation due to the loss of follicles. Earlier menopause will be likely to increase the risk factors relating to declined estrogen level, such as osteoporosis that can lead to early death. Awoman entering menopause period often experiences declined estrogen hormone that causes her to have complaints or disturbances that hinder her daily activities and even reduce her quality of life. However, the use of oral contraceptive poses a correlation with the postponing of menopause age and complaints. The primary aim of this study was to examine the relation of oral contraceptive use and age at menopause. This was an observational study with cross-sectional study design. Population in this study was all menopausal women in integrated training post (Posbindu), Depok. The sample was menopausal women among 45 - 60 years old. Sample was 407 menopausal women taken purposive sampling. The data was analysed by cox’s proportional hazard analysed. The longer use of oral contraceptive was not associated with age at menopause before and after adjusted for confounding variable (education). However, another similar studies was still needed with prospective kohort study design to know temporality causal of longer use of oral contraceptive and age at menopause.
Siapa yang akan mengalami Kesulitan Psikososial: : Penolong Korban atau Pendukung Pelaku Perundungan? Thalia, Ria; Djuwita, Ratna
Indonesian Research Journal on Education Vol. 4 No. 4 (2024): irje 2024
Publisher : Fakultas Keguruan dan Ilmu Pendidikan, Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/irje.v4i4.1753

Abstract

Studi literatur menunjukkan bahwa perundungan dapat diturunkan jika para siswa yang menjadi saksi perundungan bersedia menolong korban. Kesediaan menolong korban perundungan sangat tergantung pada efikasi diri maupun efikasi komunitas mereka. Namun dampak bagi saksi siswa yang bersedia menolong masih kontradiktif; ada studi yang menunjukkan bahwa saksi penolong korban akan meningkat self esteemnya, dan ada studi-studi lain yang menunjukkan bahwa saksi penolong dan pendukung pelaku yang akan mengalami kesulitan psikososial. Penelitian ini bertujuan untuk menemukan model terbentuknya permasalahan psikososial yang dapat menjelaskan peranan keyakinan efikasi diri, keyakinan efikasi komunitas dan perilaku menolong saksi. Penelitian ini dilakukan dengan metode survei menggunakan kuesioner. Partisipan dalam penelitian ini sebanyak 239 siswa. Dari pengihitungan SEM didapatkan bahwa kesulitan psikososial akan meningkat dengan menurunnya keyakinan efikasi diri melalui mediator perilaku mendukung pelaku. Berdasarkan hasil tersebut dapat disimpulkan bahwa perilaku mendukung pelaku lebih rentan mengalami kesulitan psikososial dibandingkan perilaku menolong korban.
Association Of Stunting And Supplementary Feeding In Stunting Prevention Program On Under-Five (6 - 59 Months Old) Children: A Systematic Review Syahana Indaryono, Cleo; Djuwita, Ratna; Julianti, Rita
Journals of Ners Community Vol 13 No 6 (2022): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i6.2428

Abstract

The effect of supplementary feeding in stunting prevention programs for toddlers has had mixed results. The purpose of this study was to determine the association of stunting and supplementary feeding in stunting prevention programs in children under five (6 - 59 months): systematic review. subscription database from the University of Indonesia, namely Embase, PUBMED, SAGE, Science Direct, Scopus, and Taylor & Francis. Systematic reviews were extracted and sorted using EndNote and reviewed using Rayyan.ai. The risk of bias was assessed using the Cochrane risk of bias tool. Results: Eight publications meeting the inclusion and exclusion criteria were included in the systematic review and presented qualitatively. Five publications significantly increased LAZ and reduced stunting events over the duration of the study. Conclusion: Five of the eight publications analyzed showed a higher increase in LAZ compared to the controls in each study. Studies show that dual interventions have a higher chance of reducing stunting, and that further research is needed to determine effective and optimal interventions in food absorption through the role of gut health..
PENGARUH MENYUSUI EKSLUSIF DENGAN STUNTING PADA BALITA 6-59 BULAN: KAJIAN SISTEMATIS Julianti, Rita; Djuwita, Ratna; Indaryono, Cleo Syahana
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 4 No. 2 (2023)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v4i2.1726

Abstract

Stunting is caused by interaction of various complex factors, including breastfeeding practice. Exclusive breastfeeding for the first 6 months was found to be effective in maintaining optimal growth in infants. However, previous studies have shown controversial results regarding the benefits of breastfeeding for stunting prevention. Thus, this systematic review aims to determine the effect of exclusive breastfeeding on stunting prevention in toddlers age 6-59 months in Indonesia. Literature search was carried out systematically based on PRISMA guidelines in international databases such as Embase, PubMed, Sage, Scopus, and ProQuest. Study quality was assessed using the Newcastle Ottawa Scale for cohort and case control studies, while the Joanna Briggs Institute criteria were used to assess cross-sectional studies. 17 studies were found to meet the criteria and presented qualitatively. Seven studies showed significant increase in stunting incidence in children not exclusively breastfed. The relationship between exclusive breastfeeding and stunting is influenced by other factors such as economic level, mother's occupation, maternal malnutrition, low birth weight, low birth length, and intrauterine growth restriction. Exclusive breastfeeding a determinant that has the potential to reduce the incidence of stunting in children under 5 years. Stunting prevention strategies can aim to educate and increase public awareness about the importance of exclusive breastfeeding. Nonetheless, stunting is related to various complex factors, so systemic changes to social, economic, cultural, and maternal factors must still be pursued.
META-ANALISIS PENGARUH PERSALINAN SECARA PERVAGINAM TERHADAP KEPUASAN IBU DI PELAYANAN KESEHATAN Nurhadi, Nurhadi; Djuwita, Ratna; Simatupang, Nanda Agustian; Azhary, Muhammad Rifqi
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 3 No. 2 (2022)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v3i2.1864

Abstract

Latar belakang: Tidak semua kelahiran dilakukan oleh tenaga terampil untuk melakukannya kepuasan para ibu sebagai klien terhadap pelayanan asuhan persalinan merupakan salah satu sarana pencegahan sekunder kematian ibu. Penelitian ini bertujuan menganalisis besarnya pengaruh persalinan secara pervaginam terhadap kepuasan ibu di pelayanan kesehatan dengan studi meta- analisis. Subjek dan Metode: Penelitian ini merupakan systematc review dan meta -analisis yang dilakukan dengan PRISMA diagram flow. Pencarian artikel melalui database jurnal meliputi: PubMed, Science Direct, dan Google Scholar dengan memilih artikel yang diterbitkan pada tahun 2010-2020. Kata kunci yang digunakan yaitu (Pervaginam OR Normal OR Natural) AND “Mothers Satisfaction”. Kriteria inklusi adalah artikel full text dengan desain studi cross-sectional, artikel menggunakan bahasa Inggris, analisis yang digunakan multivariat dengan adjusted Odds Ratio. Artikel yang memenuhi syarat dianalisis menggunakan aplikasi Revman 5.3. Hasil: Meta-analisis dari 7 studi cross-sectional menunjukkan persalinan dengan pervaginam (spontan) akan mempengaruhi sebesar 1.66 kali kepuasan ibu bersalin dibandingkan dengan ibu yang persalinan non pervaginam (spontan) (aOR 1.66; CI 95% 1.28 hingga 2.17; p=0.0002). Kesimpulan: Persalinan secara pervaginam (spontan) berpengaruh terhadap kepuasan ibu di pelayanan Kesehatan.
Analisis Situasi Masalah Kesehatan Di Kota Depok Karim, Rohana Rosmiyati Abdul; Djuwita, Ratna; Djadjuli, Hidayat Nur Ghazali
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 1 (2023): EDITION MARCH 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i1.3747

Abstract

Indonesia faces a double burden, and the significant increase number of non-communicable diseases also unresolved infectious diseases. Depok City is one of the cities directly adjacent to the capital city of Indonesia. With various health problems occurs, it is necessary to perform a situation analysis to determine the priority health problems in Depok City. This activity uses a descriptive observational design with qualitative and quantitative approaches. The study involves officials at the Depok City Health Office and the Head of the Puskesmas within a total of twenty-eight respondents. Scoring and ranking calculated using the PAHO-adapted Hanlon method with the Basic Priority Rating (BPR) formula. Based on the results of problem identification, ten health problems were obtained: Maternal Mortality Rate, Immunization, Tuberculosis (TBC), Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome, Coronavirus Disease 2019 (Covid-19), Dengue Hemorrhagic Fever, Upper Respiratory Tract Infection, Hypertension, Diabetes Mellitus. and people with severe mental disorders. The results of the assessment of health problems placed Covid-19 (BPR: 58.44), followed by tuberculosis (BPR: 54.34) and Immunization (BPR: 53.66) as the three main priority health problems in Depok City. 
Co-Authors Adisasmita, Asri, Prof Adiwena, Bartolomeus Yofana Adria Rusli Ajeng Tias Endarti Alfiannor, Muhammad Amalina, Nida Aminah, Nenden Siti Anita Rahmiwati Apriza, Cici Ariani Ayub, Fakhrana Asih Setiarini Asri C. Adisasmita Bamba, Marchell Benyamin, Aditya Besral . Budiyani, Putri Immi Rizky Cesilia M Dwiriani Dadang Purnama Damayanti, Triya Diah Mulyawati Utari Djadjuli, Hidayat Nur Ghazali Djokosujono, Kusharisupeni Dwi Gayatri Dwi Handayani DWI RAHMAWATI Eka Budi Satria Em Yunir, Em Evi Martha Fakhrana Ariani Ayub Feranita Utama Fitriyani Fitriyani Fitriyani Fitriyani Gayatri, Dwi Gayatri, Maria Giri Aji, Giri Hariani Rafitha Helwiah Umniyati Hermanto, Judhi Hikmah, Kholisotul Husda Oktaviannoor, Husda Indaryono, Cleo Syahana Istiqfani, Maulidya Julianti, Rita Karim, Rohana Rosmiyati Abdul Kurniati, Henny Kusnadi, Bai Lubis, Pika Novriani Lusinta, Hesty Meilisa, Meilisa Mochamad Rachmat Mondastri Korib Muhammad Rifqi Azhary Murtiani, Farida Nana Mulyana Nasution, Helmi Suryani NFN Musdalifah Nurdiansyah, Indra Nurhadi Pramono, Alana Arumsari Prasetyo, Iqbal Purwantyastuti Purwantyastuti Putri Bungsu Machmud Rafitha, Hariani Rizanti, Chintarra Fariska Rizki Nurmaliani, Rizki Sahanggamu, Paulus Daniel Sahid, Muhammad Hidayat Sari, Dian Mutia Selfitriana Simatupang, Nanda Agustian Soelistyo, Soelistyo Sri Dwi Omarsari Sudarto Ronoatmodjo Sudaryo, Mondastri Korib Sudijanto Kamso Sukamto Sukamto Syahana Indaryono, Cleo Teguh Prasetyo, Dimas Thalia, Ria Tri Krianto Tri Yunis Miko Wahyono Wardiman, Wardiman wayan gede artawan Wijaya, Fikri Yuliana Zahra, Yuliana