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Prevalence and Predictors of COPD in Indonesian Smokers Attending Posbindu Community Health Centers: A Cross-Sectional Analysis Sari, Dian Mutia; Besral, Besral; Djuwita, Ratna; Damayanti, Triya; Murtiani, Farida
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.9428

Abstract

Introduction: Chronic Obstructive Pulmonary Disease (COPD) is a major global health burden, particularly in low- and middle-income countries. In Indonesia, the high prevalence of smoking, coupled with underdiagnosis and limited healthcare access, contributes substantially to COPD cases. Identifying key risk factors is critical to strengthen prevention and management strategies. This study aimed to determine the prevalence of COPD among smokers attending POSBINDU community health center in Indonesia and to identify significant predictors associated with the disease. Methods: A population-based cross-sectional study was conducted in March 2023 across Integrated Care Posts (Posbindu) in Yogyakarta and East Java. A total of 548 smokers aged ?40 years were recruited using convenience sampling, which may limit generalizability. Only 17 COPD cases were identified (3.1% prevalence), constraining statistical power for multivariate analyses. Data collection involved structured questionnaires and spirometry testing following American Thoracic Society guidelines. Descriptive statistics, bivariate analysis, and multivariate logistic regression were used to identify independent predictors of COPD. Results: The prevalence of COPD was 3.1% (17/548). Most participants were male (98.2%) and aged 40-49 years (44.2%). Bivariate analysis showed significant associations between COPD and sputum production (OR = 4.79; P = 0.001), shortness of breath (OR = 3.11; P = 0.017), asthma (OR = 23.03; P <0.001), cardiovascular disease (OR = 11.67; P = 0.005), and abnormal spirometry (OR = 12.59; P <0.001). In multivariate analysis, sputum production (AOR = 3.99; P = 0.019) and asthma (AOR = 8.64; P = 0.020) remained strong independent predictors. Conversely, a Brinkman Index ?20 pack-years showed a paradoxical protective effect (AOR = 0.16; P = 0.023). Conclusion: This study highlights the importance of early screening and intervention among high-risk smoker populations. Community-based platforms such as Posbindu can play a critical role in facilitating prevention, early diagnosis, and improved management of COPD.
Determinants of Stunting Among Under-Five Children (0–59 Months) in Central Sulawesi Province Bamba, Marchell; Sudaryo, Mondastri Korib; Djuwita, Ratna; Umniyati, Helwiah
Jurnal Epidemiologi Kesehatan Indonesia
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Stunting is caused by chronic malnutrition which can be caused by various factors including poverty, poor nutritional intake and maternal health, and inappropriate infant feeding. This study was conducted to determine what factors cause stunting in Central Sulawesi Province. This study was conducted using a cross-sectional observational analysis method using secondary data from the Survei Kesehatan Indonesia (SKI) 2023. The analysis was carried out using logistic regression. The sample used was 2179 respondents. The dependent variable is stunting while the independent variables are age, gender, area of residence, gestational age, provision of PMT, exclusive breastfeeding, maternal occupation, maternal education, and the number of family members in the household. Based on the data obtained, the prevalence of stunting in Central Sulawesi Province is 24.42%. In the multivariate analysis, the factors that had a significant relationship were: age variable (P value Keywords: Stunting, Risk factor, Central Sulawesi
Together We Can Change the Issues of Polluted Air: Identity as A Jakarta Citizen Could Predict Collective Action through Group Efficacy Alfiannor, Muhammad; Djuwita, Ratna
Indonesian Journal of Social Science Research Vol. 5 No. 2 (2024): Indonesian Journal of Social Science Research (IJSSR)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ijssr.05.02.10

Abstract

In high-density metropolitan areas, urban air pollution increasingly affects the physical environment of cities. The city of Jakarta has poor air quality which can threaten the health of its citizens. The purpose of this research was to find out whether the role of fusion identity with the city of Jakarta in the collective action demanding clean air in Jakarta is mediated by group efficacy and group-based anger. a correlational survey approach with cross-sectional was used for data collection. People who live in Jakarta, Bogor, Depok, Tangerang and Bekasi are the samples of this study. After data collection, 127 people were found with an age range of 17-47 years. Based on the results of the research, it proves that in this study there is a role for fusion identity towards collective action demanding clean air in mediation in Jakarta by group efficacy which can be confirmed. This finding is different from SIMCA, which shows that group-based anger emotions can mediate the indirect effect of social identity on collective action. In this study, we found that identity fusion has no effect on collective action.
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