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Socioeconomic Status, Environmental Health Knowledge, and Housewives’ Behavior in Maintaining Healthy Housing at Subsidized Flats in East Jakarta, Indonesia Dewi, Alfitra Firizkia Luthfiana; Fitria, Laila
Kesmas Vol. 20, No. 5
Publisher : UI Scholars Hub

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Healthy behavior among housewives is a crucial aspect of efforts to maintain healthy housing. This study aimed to analyze the relationship of socioeconomic status (e.g., household income, level of education of family head and housewives, and family head’s occupation) and environmental health knowledge with housewives’ behavior (e.g., vector control, waste management, home ventilation, cigarette smoking, and hand sanitation hygiene) in maintaining healthy housing in the subsidized flats in East Jakarta, Indonesia. This cross-sectional study employed the two-proportion hypothesis test formula and a simple random sampling method, recruiting 137 housewives for interviews. Data were analyzed via logistic regression to determine factors related to housewives’ behavior. Analysis demonstrated a significant relationship of housewives’ level of education (OR = 2.883; 95% CI = 1.339−6.209), the family heads’ level of education (OR = 3.856; 95% CI = 1.711−8.690), and housewives’ environmental health knowledge (OR = 2.687; 95% CI = 1.304−5.294) with housewives’ behavior. Multivariate analysis demonstrated that the level of education of family heads and the environmental health knowledge of housewives were the dominant factors influencing housewives’ behavior in maintaining healthy housing. The findings offer useful insights for planning and maintaining flats in other areas, considering the growing number of residents.
Program Langit Biru : Kontribusi Kebijakan Pengendalian Pencemaran Udara Kota terhadap Penurunan Penyakit Pernapasan pada Anak Fitria, Laila
Kesmas Vol. 4, No. 3
Publisher : UI Scholars Hub

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Pencemaran udara perkotaan yang berdampak buruk terhadap kesehatan masyarakat sering dikaitkan dengan PM 10, NO2, dan ozon, polutan reaktif yang memicu kerusakan jaringan dalam saluran napas melalui mekanisme stres oksidatif dan inflamasi saluran napas. Pajanan jangka panjang polutan tersebut berpengaruh terhadap gangguan pernapasan, penurunan fungsi paru, asma, serta penyakit sistem pernapasan kronik lain seperti penyakit paru-paru obstruktif kronik. Program Langit Biru merupakan salah satu upaya mengurangi pencemaran udara dari sektor transportasi yang dicanangkan sejak tahun 1996. Hingga kini, kontribusi Program Langit Biru terhadap penurunan kasus gangguan pernapasan pada anak belum dapat diperkirakan, antara lain disebabkan oleh karena pelaksanaan program melalui kegiatan riil yang baru terwujud beberapa tahun setelah dicanangkan, serta berbagai kendala lainnya. Padahal, beberapa penelitian di negara lain menunjukkan bahwa pengendalian pencemaran udara dapat memberikan kontribusi yang cukup signifikan bagi penurunan kasus-kasus penyakit pernapasan pada anak. Oleh karena itu, agar terwujud kualitas udara yang aman bagi kesehatan, dibutuhkan dukungan dan peran yang lebih besar dari pemerintah, pelaksana program, dan masyarakat. Urban air pollution that have negative impact on public health is frequently related to PM10, NO2, and ozone, the reactive pollutants that could trigger internal tissue of respiratory tract through mechanism of oxidative stress and respiratory tract inflammation. Long term exposure to the pollutant related to respiratory abnormality, lung function, asthma, chronic respiratory disease, and chronic obstructive pulmonary disease. The Blue Sky Program is one measure for reducing air pollutant of transportation sector and has been designed since 1996. Until now, the blue sky program contribution on respiratory track disorder reduction on children has not been predicted yet, due to delay in program implementation and real activities were just been realized years after the program declaration and also due to other constraints. Researches in other countries show that air pollution control contributes significantly to the reduction of respiratory track disease among children. To achieve healthy air quality, bigger support and more active role from government, program manager and public are essentially needed.
Tingkat Keamanan Konsumsi Residu Karbamat dalam Buah dan Sayur Menurut Analisis Pascakolom Kromatografi Cair Kinerja Tinggi Wispriyono, Bambang; Yanuar, Arry; Fitria, Laila
Kesmas Vol. 7, No. 7
Publisher : UI Scholars Hub

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Karbamat merupakan salah satu jenis pestisida yang banyak digunakan untuk membasmi hama buah dan sayur. Untuk menentukan bahwa residu karbamat dalam sayuran masih aman dikonsumsi manusia, telah dilakukan analisis beberapa residu karbamat seperti metomil, karbaril, karbofuran, dan propoksur. Sampel-sampel tomat, apel, selada air, kubis, dan sawi hijau dikumpulkan dari tiga supermarket dan satu pasar tradisional di Depok, Jawa Barat. Analisis dilakukan serempak untuk ke empat residu karbamat menggunakan kromatografi cair kinerja tinggi denganpereaksi o-ftalaldehida dan 2-merkaptoetanol dalam reaktor pascakolom dengan detektor fluoresensi. Dari sampel-sampel buah dan sayur yang dianalisis, hanya sawi hijau asal pasar tradisional yang positif mengandung propoksur dengan kadar 1,2 mg/25 gram berat basah (0,048 mg/g berat basah). Dengan Acceptable Daily Intake(ADI) propoksur 0,005 mg/kg berat badan/hari, konsumsi sawi hijau harian seberat 20 g/hari masih cukup aman dari gangguan kesehatan akibat pajanan kronik propoksur dengan margin of safety 298,7 (> 100 sebagai batas aman). Carbamat is a group of pesticides which is commonly used to control fruits and vegetables pests. To determine that carbamat residues in fruits and vegetables are safe for human consumption, carbamate residues such as methomyl, carbaryl, carbofuran, and propoxur in vegetables and fruits have been analyzed. Samples of tomato, apple, water lettuces, cabbage, and mustard greens were collected from three supermarkets and one traditional market in Depok, West Java. The analysis was carried out simultaneously for all four carbamate residues by high performance liquid chromatography using o-phtaladehyde and 2 mercaptoethanol reagents in post-column reactor with a fluorescence detector. Of fruits and vegetable samples analyzed, only mustard greens from traditional market positively containe propoxur at 1.2 mg/ 25 gram wet weight (0,048 mg/gram wet weight). With Acceptable Daily Intake (ADI) of 0.005 mg/kg body weight/day, mustard greens consumption of 20 g/day is safe from adverse health effect from chronic exposure to propoxur with Margin of Safety of 298.7 (> 100 as safe limit).
Knowledge, Attitudes, and Behaviors of Students at Islamic Boarding School X toward COVID-19 Incidence in 2022 Haninda, Aisyah Raisa; Susanna, Dewi; Kusuma, Aria; Fitria, Laila
Kesmas Vol. 17, No. 3
Publisher : UI Scholars Hub

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The spread of COVID-19 can occur in various settings but most notably in gathering places. Health protocols to avoid the spread of COVID-19 may be influenced by the knowledge and attitude of individuals. This study examined the relationship between knowledge, attitudes, and behaviors of students at the Islamic Boarding School X in Serang City, Banten Province, Indonesia, with the COVID-19 incidence. A quantitative approach with a cross-sectional study design was used. The study population consisted of 994 students, from which (via the Slovin’s formula) a minimum sample size of 285 students was obtained. Data collection was carried out using an online validated questionnaire. The data collected related to age, sex, education level, knowledge level, attitude, behavior, and the COVID-19 incidence as experienced by the respondents. The results showed that most students had low-level knowledge (71.9%), negative attitudes (51.3%), and poor behaviors (53.2%) regarding the COVID-19. Most of the students were infected by the COVID-19 (88%). Statistically, knowledge, attitude, and behavior had no significant relationship with the COVID-19 incidence (p-value>0.05). This study concludes that knowledge, attitude, and behavior are not related to the COVID-19 incidence.
Pesticide Exposure, Behavior of Farmer, and Activity of Cholinesterase Enzyme in Blood of Fertile Women Farmers Rahman, Deni Abdul; Zakianis, Zakianis; Fitria, Laila
Kesmas Vol. 10, No. 2
Publisher : UI Scholars Hub

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Petani perempuan usia subur berisiko mengalami penurunan aktivitas kolinesterase akibat pajanan pestisida. Penelitian ini bertujuan untuk menganalisis hubungan antara pajanan pestisida dan perilaku pemajan terhadap aktivitas kolinesterase petani perempuan usia subur di Desa Kedunguter. Penelitian ini menggunakan desain potong lintang pada 94 petani perempuan usia subur tahun 2015. Pengumpulan data dilakukan secara observasi, wawancara, dan uji kolinesterase. Analisis data menggunakan uji kai kuadrat dan hasil analisis menunjukkan hubungan signifikan antara jenis pestisida, waktu kerja, penggunaan sarung tangan, perilaku mencuci tangan terhadap aktivitas kolinesterase petani perempuan usia subur. Hasil analisis pada penelitian ini menunjukkan bahwa variabel waktu kerja memiliki nilai odds ratio (OR) tertinggi, yaitu OR = 14,072 sehingga waktu kerja merupakan variabel paling dominan dalam memengaruhi enzim kolinesterase. Penelitian ini menyarankan agar petani perempuan usia subur tidak bekerja lebih dari enam jam per hari. Fertile women farmers are risky of suffering decrease of cholinesterase activity due to pesticide exposure. This study aimed to analyze relation between pesticide exposure and the exposure agent to cholinesterase activity of fertile women workers at Kedunguter Village. This study used cross-sectional design on 94 fertile women farmers in 2015. Data was collected by observation, interview and cholinesterase test. Data analysis used chi-square test and analysis results showed a significant relation between pesticide types, working time, the use of gloves, hand-washing behavior to cholinesterase activity of fertile women farmers. Analysis results of this study showed that variable working time had the highest odds ratio (OR) score (OR = 14.072), so the variable working time is the most dominant variable in influencing cholinesterase enzyme. This study suggests that fertile women farmers should work not more than six hours per day.
Systematic Review of Factors Related to PM2.5 Exposure on the Risk of Type 2 Diabetes Mellitus Salma, Rifka Putri; Fitria, Laila
Kesmas Vol. 19, No. 5
Publisher : UI Scholars Hub

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Diabetes mellitus is a major public health problem in many countries, and most of them are type 2 diabetes mellitus (T2DM). Air pollution is thought to contribute to the T2DM incidence, and one of the most important pollutants is PM2.5. This study aimed to determine factors related to PM2.5 exposure and individual factors in increasing the risk of T2DM based on a systematic review. The PRISMA was used as a method of data collection and selection. Of 176 relevant articles identified and screened, 12 articles from various countries published in 2013-2021 were synthesized in this study. Results showed that long-term PM2.5 exposure, high PM2.5 concentrations, and living in densely-populated areas, close to roads, and in areas with industrial activity could increase the risk of T2DM. Population with an older age (>40 years) and a BMI of overweight or obese were more vulnerable. However, men and persons who stopped or never smoked were also at higher risk; thus, further studies need to be carried out along with other risk factors. A future study is recommended to determine the effects of PM2.5 exposure on the incidence of T2DM in Indonesian populations.
Ambient Particulate Matter with Blood Pressure in Adult Women Living in Urban City Aliyyah, Nurusysyarifah; Kusnoputranto, Haryoto; Wispriyono, Bambang; Fitria, Laila
Kesmas Vol. 19, No. 5
Publisher : UI Scholars Hub

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Ambient air pollution, especially from fine particles, contributes to human mortality from cardiovascular and respiratory diseases, for which high blood pressure (BP) is a major modifiable risk factor. This study aimed to analyze the influence of ambient particulate matter (PM2.5) on the risk of high BP leading to hypertension. This study used a cross-sectional design on 118 adult women living in Central Jakarta, Indonesia. Participants were selected from a 1-km radius of the nearest air quality monitoring station with available data PM2.5. Linear regression was analyzed to examine the relationship between PM2.5 and systolic and diastolic BPs adjusted for potential confounders. The annual means of PM2.5 concentration was 36±5.74 μg/m3. The linear regression model showed that PM2.5 exposure was associated with systolic BP after controlling with age and body mass index (r = 0.408; R2 = 0.167). The second model showed that exposure to PM2.5 concentration could explain about 10.9% variation of diastolic BP after controlling with age, length of stay, body mass index, smoking status, and diabetes mellitus record. Ambient air PM2.5 has a risk of BP and hypertension among adult women in Central Jakarta.
Exploration of food risk containing nitrosamine on potential public health implications: A descriptive literature review Andriyani, Ariska Nandia; Fitria, Laila; Susanna, Dewi
BKM Public Health and Community Medicine Vol 40 No 12 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i12.17043

Abstract

Purpose: Nitrosamines, chemical compounds formed from nitrites and amines, are gaining attention due to potential health risks. They are found in processed foods, such as cured meats, smoked fish, and fermented products, prompting a thorough examination of their sources and impact on health. This study aims to explore the nitrosamine content in food and its potential public health implications. Methods: This study employs a descriptive literature review methodology to investigate the impact of nitrosamine content in food on human health. It searches peer-reviewed journals, books, and online databases to identify relevant studies on food risk processing that contain nitrosamines and their impact on public health. Results: The review includes studies published over the past 20 years, focusing on nitrosamine content, nitrosamine formation processes, and health implications. Data from selected studies is systematically extracted and analyzed, focusing on patterns, risk factors, and health impacts, particularly in terms of cancer risk. Conclusion: This review found they pose significant public health risks, especially in meat products. Studies show a strong link between nitrosamine intake and increased risk of gastric and esophageal cancers. The detection and mitigation of nitrosamines are crucial, with more stringent regulations and improved testing techniques being needed in the food and pharmaceutical industries.
Determinants of personal hygiene behavior amongst food handlers in fast food restaurants in South Jakarta, Indonesia Avifah, Shelvira; Fitria, Laila
BKM Public Health and Community Medicine Vol 41 No 03 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i03.17121

Abstract

Purpose: This study aimed to analyze the association between hygiene and sanitation facilities, food handler knowledge, health checks, and uniform conditions with personal hygiene behavior among food handlers in fast food restaurants in South Jakarta. Methods: A cross-sectional study was conducted using secondary data from 102 fast food restaurants inspected by the South Jakarta Health Office in 2021. Variables were constructed from standardized environmental health inspection forms. Chi-square tests and logistic regression were used to analyze the relationships between variables. Results: The majority (93.1%) of food handlers exhibited good personal hygiene behavior. Multivariate analysis revealed that the quantity and quality of handwashing facilities (adjOR: 6.64; 95% CI: 1.14–38.74) and the condition of work uniforms (adjOR: 8.48; 95% CI: 1.43–50.12) were significantly associated with personal hygiene behavior. Other variables, such as knowledge and health checks, showed no significant association despite low implementation rates. Conclusion: Ensuring the availability of proper handwashing facilities and appropriate work uniforms can significantly improve food handlers’ hygiene behavior, thereby reducing the risk of foodborne illnesses. These findings underline the importance of infrastructure, routine inspections, and hygiene monitoring in fast food settings as part of a broader public health strategy to enhance food safety.
The Effect of Contextual Teaching Learning Method Toward Students’ Reading Skill at SMA Negeri 1 Panai Hilir Fitria, Laila; Yusuf, Muhammad; Harianto II
International Journal of Educational Research Excellence (IJERE) Vol. 3 No. 2 (2024): July-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijere.v3i2.937

Abstract

This study examines the efficacy of contextual teaching and learning (CTL) in enhancing reading proficiency among eighth-year students at SMAN 1 Panai Hilir. The research questions were as follows: (a) To what extent is the use of contextual teaching and learning (CTL) effective in improving students’ vocabulary? (b) What are the perceptions of students with respect to vocabulary acquisition through CTL? The research objectives were to ascertain (1) the efficacy of using CTL in improving students’ vocabulary and (2) students’ perceptions of vocabulary acquisition through CTL at the eighth-grade students of SMAN 1 Panai Hilir. The research employed a pre-experimental method with a pretest and posttest design, with the intention of providing a systematic expression or description of the data collected from a pre-experimental investigation. All eighth-year students at SMAN 1 Panai Hilir constituted the target population for this investigation during the 2024/2025 academic year. A purposive sampling approach was used to draw a sample from the population, with the resulting sample comprising 25 students. The sample was drawn from the lower class, with a total of 25 students. The research instruments consisted of a vocabulary test and a questionnaire. The vocabulary test was designed to assess the students' comprehension of the material, while the questionnaire aimed to gauge their perceptions. The research yielded two key findings: a pretest and a posttest. The results of the statistical analysis revealed that t-test values (21.823 > 2.064) were significantly different before and after the CTL intervention, indicating an improvement in vocabulary acquisition. This finding supports the hypothesis that the CTL method is an effective approach to enhancing vocabulary skills in 8th grade students at SMAN 1 Panai Hilir.