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Environmental Sanitation as Risk Factors for Intestinal Protozoa Infection among Stunted Children in Sugerkidul Village, Indonesia Hanu Neda Septian; Erma Sulistyaningsih; Angga Mardro Raharjo; Bagus Hermansyah; Wiwien Sugih Utami; Yunita Armiyanti
Al-Sihah : The Public Health Science Journal Volume 15, Nomor 1, January-June 2023
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/al-sihah.v15i1.35378

Abstract

Stunting, a prevalent health issue in Indonesia, has been found to have a significant impact on the overall well-being of children, with a prevalence rate of 24.4%. This condition not only affects physical growth but also puts children at a heightened risk of various infections, including those caused by intestinal protozoa. Therefore, this study aimed to determine the relationship between personal hygiene parenting style and environmental sanitation with intestinal protozoa infection among stunted children in Sugerkidul Village, Jember District, Indonesia. The participants included were 30 stunted children. Questionnaires were used to collect data on personal hygiene parenting style and environmental sanitation, while microscopic stool examination was conducted to identify intestinal protozoa infection. The results showed that 26.7% of stunted children were infected with intestinal protozoa such as Giardia lamblia (13.3%), Blastocystis hominins (3.3%), and Cryptosporidium parvum (10%). Statistical analysis using Fisher's exact test showed a significant association between environmental sanitation and intestinal protozoa infection. However, there was no association between personal hygiene parenting style and this infection among stunted children in Sugerkidul Village. Therefore, to prevent intestinal protozoa infection, it is necessary to improve environmental sanitation.
The Analysis of Clean and Healthy Living Behavior Factors on Wood Furniture Informal Workers Nanik Kurniyati; Isa Ma'rufi; Wiwien Sugih Utami
The Indonesian Journal of Occupational Safety and Health Vol. 12 No. 2 (2023): The Indonesian Journal of Occupational Safety and Health
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijosh.v12i2.2023.194-200

Abstract

Introduction: Clean and Healthy Living Behavior (CHLB) is essential to be applied by the community, especially workers who work in the fields of construction, furniture, and others. Workers sometimes do not pay attention to CHLB, so many diseases and even deaths occur due to a lack of awareness of the importance of CHLB. This study analyzes the factors influencing CHLB in the workplaceon informal wood furniture workers at the Occupational Health Effort (OHE) posts. Methods: This type of research is quantitative with an analytical observational approach. The population was all members of the OHE posts in the Kendit Health Center working area in the Situbondo Regency, totaling 40 people. Results: The results that significantly affected workers' attitudes towards CHLB at work on informal wooden furniture workers were knowledge, attitude, infrastructure, workforce and funding. The attitudes about CHLB can also be the basis (foundation) of changes in CHLB behavior in the workplace on informal workers. The results of the observations showed that there were still many workers who smoked and did not wear PPE at work even though these workers had already known that cigarettes contain chemicals that are harmful to health. The adequate facilities and infrastructure at the OHE posts could improve the behavior of CHLB in the workplace. The findings at OHE posts at the Kendit's working area related to funding showed that all members of OHE posts have agreed on a monthly health fund contribution, but this is still not going well. Conclusion: Therewas an influence of attitude and adequate infrastructure at OHE posts on CHLB in the workplace. However, knowledge, workforce, and funding at OHE posts did not have significant effect on CHLB in the workplace.
Analysis of Milking Hygiene and Its Association to Staphylococcus Aureus Contamination in Fresh Cow Milk Nurus Saffana Yulianto; Yunita Armiyanti; Dini Agustina; Bagus Hermansyah; Wiwien Sugih Utami
JURNAL KESEHATAN LINGKUNGAN Vol. 15 No. 4 (2023): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v15i4.2023.275-282

Abstract

Introduction: Staphylococcus aureus foodborne disease is caused by the consumption of food contaminated with Staphylococcus aureus enterotoxins. Milk is a type of food that contains many nutrients but is susceptible to contamination by Staphylococcus aureus. Jember is one of the districts in East Java that produces cow milk. Previous research showed that the level of milk consumption in the community in 2018 was 3.1 kg/capita/year and 42% consumed pasteurized milk, which has lower quality and may still be contaminated with bacteria. The purpose of this study was to determine the relationship between milking hygiene and Staphylococcus aureus contamination. Methods: A cross-sectional study was conducted involving 36 cow milkers with traditional milking, selected by total sampling. The independent variable was milking hygiene and the dependent variable was Staphylococcus aureus contamination. Milking hygiene practice data were collected through direct observation using a questionnaire. Staphylococcus aureus contamination data were tested using Total Plate Count (TPC) and identified using Gram staining and catalase tests. Results and Discussion: The TPC test results showed that 61.1% of cow's milk fulfilled the Indonesian National Standard for Staphylococcus aureus contamination. There was a relationship between milking hygiene and Staphylococcus aureus contamination. The most influential milking hygiene was cage, udder, and teat hygiene. Conclusion: Staphylococcus aureus contamination did not meet the standards. Therefore, improving the sanitation and hygiene of cages, as well as udder and teat hygiene by dairy farmers, is necessary.
Spatial Map of Geohelminths Infection in Agricultural Communities and its Contamination in Soil of Jatian Village, Jember Regency Yunita Armiyanti; Nanda Nuramna; Muhammad Afiful Jauhani; Bagus Hermansyah; Wiwien Sugih Utami
JURNAL KESEHATAN LINGKUNGAN Vol. 15 No. 4 (2023): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v15i4.2023.309-316

Abstract

Introduction: Geohelminth infections are a neglected global health problem. Data from the World Health Organization (WHO) in 2020 show that more than 24% of the world population is infected by geohelminths. The condition of the agricultural soil, which tends to be loose and moist, supports the development of the infective form of the geohelminth. This makes agricultural communities susceptible to geohelminth infections. This study aimed to determine a spatial map of geohelminth infection in agricultural communities and its contamination in the soil of Jatian Village, Jember Regency. Methods: This study used an observational analytical design and a spatial analysis approach. Sampling was performed using a random sampling method that included 43 samples. Data were obtained by examining soil and stool samples and the coordinates of the sampling locations. Data were analyzed using spatial analysis. Results and Discussion: The results of this study indicated that the prevalence of geohelminth infection in agricultural communities was 23.3%, and its contamination in the soil was 6.98%. Hookworms caused infections among respondents, and contamination in the ground was caused by Hookworms and Strongyloides stercoralis. Clustering analysis results showed that geohelminth infection formed two secondary clusters. Spatial autocorrelation and buffer analysis showed clustering of geohelminth infections within the buffer range (<100 m), indicating that the infection spreads more easily within the cluster. Conclusion: The spatial map showed the distribution pattern of clustered geohelminth infection cases and their contamination in soil within proximity, thereby increasing the risk of geohelminth transmission.
Correlation of Soil Contamination and Incident of STH Infection in Sukokerto Village Sukowono District Jember Regency Bagus Hermansyah; Yunita Armiyanti; Wiwien Sugih Utami; Aulya Rahmi; Ayu Munawaroh Aziz
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 02 (2024): Qanun Medika Vol 08 No 02 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i02.18731

Abstract

The most common worm infections are those caused by soil-transmitted helminths (STH) infection. Soil contamination is one of the causes of helminth transmission to humans. Poor environmental sanitation and personal hygiene facilitate the spread and transmission of STH. Jember is a district where the majority of the population lives in rural areas with poor sanitation access. This study aims to determine the correlation between soil contamination and incident of STH infection in Sukokerto Village, Sukowono District, Jember Regency. This cross-sectional analytic observational study was conducted from August 2022 to February 2023. The total of samples in this study was 44 fecal and soil around the house. The data obtained from the laboratory examination showed that the total fecal positive of STH was 11 or 25%, and soil was 13 or 29.5%. The results of the Chi-Square test analysis obtained ρ<0.05 (ρ=0.036, OR=4,457). The results showed a significant relationship between soil contamination and the incidence of STH infection in Sukokerto Village, Sukowo District, Jember Regency
ADHERENCE DETERMINANT ANALYSIS OF PLHIV ON ARV (ANTIRETROVIRAL) THERAPY IN SITUBONDO DISTRICT: Analisis Determinan Kepatuhan ODHA dalam Menjalani Terapi ARV (Antiretroviral) di Kabupaten Situbondo Winda Cindy Wulandari; Mei Syafriadi; Rini Riyanti; Wiwien Sugih Utami; Rondhianto Rondhianto
Jurnal Berkala Epidemiologi Vol. 12 No. 1 (2024): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V12I12024.44-53

Abstract

Background: Human Immunodeficiency Virus (HIV) infection causes Acquired Immune Deficiency Syndrome (AIDS), a collection of symptoms arising from the deteriorating immunity. The number of people living with HIV worldwide continues to increase year-by-year. Those infected with HIV need antiretroviral (ARV) therapy to suppress the amount of HIV in the body. Purpose: This study aimed to investigate the determinants of adherence in people living with HIV/AIDS (PLHIV) undergoing ARV therapy in Situbondo Regency. Methods: This study employed a quantitative analytic observational approach with a cross-sectional design. Data analysis involved both descriptive and multivariate analysis. The population for this study consisted of 328 individuals, from which 212 were selected as samples, all being PLHIV on ART as of April 2022, sourced from ARV treatment services in Situbondo district. Results: The research analysis was based on predisposing factors, measured using three indicators: work, knowledge, and belief in ARVs. Supporting aspects were measured by two factors: ownership of health insurance and adherence counselling. Reinforcing factors were measured using two indicators: family support and stigma in the community. Conclusion: The study concluded that predisposing and reinforcing factors significantly influenced PLHIV adherence to antiretroviral therapy. However, supporting factors did not show a significant influence on adherence in PLHIV undergoing antiretroviral therapy in the Situbondo District.
Determinant of Water Source Contamination by Soil Transmitted Helminths in Rural Areas of Jember District Yunita Armiyanti; Mash’ab Zirrun Al-Qomah; Angga Mardro Raharjo; Bagus Hermansyah; Wiwien Sugih Utami
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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

Abstract

Purpose: This study aims to identify STH eggs and larvae that contaminate water sources in rural areas of Jember and their risk factors. Method: This type of study is an observational analytic study with a cross-sectional approach. Samples from water sources in Mumbulsari and Sukowono districts were taken on inclusion criteria under flotation and sedimentation methods and totaled 56 samples. Respondents were interviewed on account of risk factors related to the presence of STH in water sources using a questionnaire and a total of 56 respondents. Result: The results showed that the common type of STH found was Hookworm (92.31%). The most polluted water source is river (53.84%). Based on the characteristics, the majority of respondents are female (67.86%), aged over 40 years (58.93%), have low education (57.15%), and have no job (51.79%). Found a relationship using chi-square between bowel habits and the presence of STH eggs and larvae (ρ > 0.05). Conclusion: This study proved that STH eggs and larvae can contaminate water sources such as rivers and wells The contamination is related to the habit of defecating not in latrines, so the important prevention for STH infection in water sources is to change the habit of defecation into a healthy habit.
Analysis of Determinants of Tuberculosis in Stunted Toddlers in Rambipuji, Jember Wiwien Sugih Utami; Yunita Armiyanti; Adinda Putri Yusri Amrina
Journal of Agromedicine and Medical Sciences Vol 10 No 1 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i1.46500

Abstract

Tuberculosis (TB) and stunting remain serious health problems in Indonesia. Stunting can impact a child's ability to resist infections, including TB. Stunted toddlers are more vulnerable to contracting TB compared to those with normal nutritional status. This research aims to explore the relationship and influence of TB risk factors on the occurrence of TB in stunted toddlers. This research is an analytical descriptive research with a cross sectional design. The research sample consisted of 183 stunted toddlers from eight villages in the Rambipuji sub-district, Jember. The research procedures included interviews, direct observations, and TB examinations in children. Interviews were conducted with the parents/guardians of the child respondents. Observations and direct measurements were performed to determine the physical characteristics of the respondents' living environments, including household density, ventilation area, natural lighting, humidity, and room temperature. The diagnosis of TB in children was established based on a scoring table for childhood TB. From the research findings, 15 children tested positive for TB (8.2%). Bivariate analysis showed a value of p <0.05 for nutritional status, close contact, household density, ventilation, and natural lighting factors. Multivariate analysis revealed significant results for close contact (p=0.000; OR=39.563), household density (p=0.015; OR=9.659), and nutritional status (p=0.029; OR=6.718) as risk factors. In conclusion, it can be inferred that the risk factors associated with TB occurrence in stunted toddlers include nutritional status, close contact history, household density, ventilation, and natural lighting. The factors influencing TB occurrence in stunted toddlers are close contact history, household density, and nutritional status. Keywords: risk factor, stunted toddler, tuberculosis
Diet Reduce Apnea Hypopnea Index (Ahi) Score in Obstructive Sleep Apnea Patient: Systematic Review and Meta-analysis Adella Bintang Saputri; Nindya Shinta Rumastika; Muhammad Afiful Jauhani; Wiwien Sugih Utami; Jauhar Firdaus
Journal of Agromedicine and Medical Sciences Vol 10 No 2 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i2.38538

Abstract

Obstructive sleep apnea (OSA) is a breathing disorder during sleep that can cause obstruction to the flow of breathing with characteristics such as collapse of the upper airway which can cause breathing to stop, either completely (apnea) or partial (hypopnea). Based on a study of taxi drivers in Jakarta, it was found that 52,5% of the sample had OSA. One of the main factors for OSA is obesity. Based on The American Academy of Sleep Medicine (AASM) recommends weight loss through lifestyle modifications (eg applying diet) as a treatment option for AHI improvement in OSA. The purpose of writing this article is to prove that adopting a diet can reduce the apnea hypopnea index (AHI) of OSA. The method in this study is a systematic review and meta-analysis using secondary data derived from PubMed, Science Direct, and Springer databases published from 2019 to 2022.. A total of six randomized controlled trial (RCT) articles were investigated by meta-analysis The weighted mean difference in AHI (-6,77 event/d with 95% CI: -13,42 to -0,1) significantly favoured diet over control arms. Based on the results of a systematic review and meta-analysis of six articles, the application of a diet is proven to reduce AHI scores in OSA patients. Keywords: Obstructive sleep apnea, Apnea hypopnea index, Diet
Analisis spasial infeksi Cryptosporidium spp. terhadap penggunaan sumber air bersih pada balita stunting di Kabupaten Jember Utami, Wiwien Sugih; Pangestu, Ahmad Yudho Hadi; Purwandhono, Azham; Maududie, Achmad; Armiyanti, Yunita; Hermansyah, Bagus
Majalah Geografi Indonesia Vol 38, No 2 (2024): Majalah Geografi Indonesia
Publisher : Fakultas Geografi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mgi.93422

Abstract

Abstrak. Cryptosporidium spp. adalah parasit intestinal yang secara global ditularkan melalui air (waterborne diseases), dengan banyak kejadian wabah di dunia yang dilaporkan terkait dengan sumber air konsumsi. Mayoritas penyakit ini tidak bergejala (asimptomatis) pada orang dewasa dengan rute penularan dari orang-ke-orang, hewan-ke-orang, melalui air dan makanan. Namun infeksi ini menyebabkan diare kronis hingga malnutrisi pada kelompok rentan yaitu balita dan merupakan faktor risiko terjadinya stunting.  Salah satu media transmisi Cryptosporidium spp. adalah air bersih yang dikonsumsi dan digunakan sehari-hari. Tujuan penelitian adalah untuk menganalisis risiko sumber air bersih yang digunakan sehari-hari terhadap infeksi Cryptosporidium spp. pada balita stunting secara spasial di Kabupaten Jember. Penelitian ini dilakukan pada populasi balita stunting di Kecamatan Kaliwates, Panti, Rambipuji dan Sukorambi Kabupaten Jember menggunakan desain cross sectional. Analisis spasial moran index dan nearest neigbor index (NNI) digunakan untuk mengetahui pola persebaran infeksi Cryptosporidium spp. terhadap suatu wilayah. Uji chi-square dilakukan untuk mengetahui hubungan faktor risiko sumber air  bersih  dengan infeksi Cryptosporidium spp. Hasil penelitian menunjukkan bahwa 18 dari 528 (3,41%) balita stunting diketahui terinfeksi Cryptosporidium spp. Nilai moran index menunjukkan adanya pola persebaran mengelompok (clustered) dengan autokorelasi positif di Kecamatan Sukorambi sedangkan daerah lainnya memiliki pola yang acak (random). Hasil NNI di Kecamatan Sukorambi menunjukkan pola yang acak, sedangkan 3 kecamatan lain menunjukkan pola menyebar (dispersed). Jenis sumber air bersih menunjukkan korelasi terhadap infeksi Cryptosporidium spp. Pola spasial infeksi Cryptosporidium spp. di Kecamatan Sukorambi dan korelasinya dengan jenis sumber air bersih ini menunjukkan bahwa pola infeksi ini cenderung mengelompok (clustered) karena penggunaan sumber air bersih yang sama pada penduduk di kecamatan ini yaitu sumber mata air alami yang digunakan bersama-sama seluruh warga, meskipun jarak antar penggunanya tidak berdekatan atau acak sesuai hasil NNI. Di 3 kecamatan lain, pola spasial cenderung menyebar (dispersed) karena penggunaan sumber air yang berbeda dan tidak digunakan secara bersama-sama. Kesimpulan, infeksi Cryptosporidium spp. cenderung meningkat pada sumber air bersih yang digunakan secara bersama-sama. Perlu edukasi pada kelompok masyarakat agar mengolah dulu air yang digunakan sebelum dikonsumsi untuk mengurangi risiko penyebarannya.Abstract. Cryptosporidium spp . are intestinal parasites that are transmitted worldwide by water(waterborne disease), with many of the reported outbreaks in the world associated with sources of drinking water. Most cases of the disease are asymptomatic in adults, and transmission is person-to-person, animal-to-person, waterborne, and foodborne. However, the infection causes chronic diarrhea and malnutrition in vulnerable children under the age of five and is a risk factor for stunting. One of the modes of transmission of Cryptosporidium spp . is through clean water, which is consumed and used daily. The study aimed to spatially analyze the risk of daily clean water sources on Cryptosporidium spp. infection among stunted children in Jember Regency. This study was conducted on a population of stunted young children in Kaliwates, Panti, Rambipuji and Sukorambi sub-districts of Jember Regency using a cross-sectional design. The Moran and NNI index were used to determine the distribution pattern of infection in a region. Chi-squared test was conducted to determine relationship between risk factors of clean water source and Cryptosporidium spp. It was found that 18 out of 528 (3.41%) stunted infants were known to have Cryptosporidium spp. infection. The Moran index value shows a clustered distribution pattern with positive autocorrelation in the Sukorambi sub-district, while the other areas show arandom pattern. The results of the NNI in Sukorambi sub-district show a random pattern, and 3 other sub-districts show adispersed pattern. The spatial pattern of Cryptosporidium spp . infection in Sukorambi subdistrict and its correlation with the type of clean water source shows that this infection pattern tends to cluster because the population in this subdistrict uses the same clean water source, natural springs, which are shared by all residents, although the distance between users is not close or random according to NNI results. In the other three sub-districts, the spatial pattern tends to be more dispersed due to the use of different water sources that are not shared. In summary, there is a tendency for the incidence of Cryptosporidium spp. to increase in shared water supplies. There is a need to educate community groups to treat the water they use prior to consumption in order to reduce the risk of its spread.Submitted: 2024-01-22  Revisions:  2024-09-11 Accepted: 2024-09-25 Published: 2024-09-25
Co-Authors Achmad Ilham Tohari Achmad Maududie Achmad Nazalal Furqon Adella Bintang Saputri Adinda Putri Yusri Amrina Adinda Putri Yusri Amrina Angga Mardro Raharjo Angga Mardro Raharjo Anita Dewi Prahastuti Sujoso, Anita Dewi Prahastuti Ardyansyah, Rizky Robeth Arina, Yuliana Mahdiyah Daat Aris Prasetyo Asis Fitriana Aulya Rahmi Ayundasari, Asti Ayundasari, Asti Azham Purwandhono Aziz, Ayu Munawaroh Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bambang Ilamto Baskoro Adi Prayitno Brillian Adexa Yudinda Cholis Abrori, Cholis Devita Prima Nurmasari Dewi Rokhmah Dian Eka Putri Harnandhari Diana Chusna Mufida Dicky Setiawan Dini Agustina Dita Diana Parti Drajad, Rahadinda Mutia Dhamar Dwi Prijatmoko Dwita Aryadina Rachmawati Elvia Rahmi Marga Putri ENNY SUSWATI Epafroditus Sanjaya Adiguna Erfan Efendi Erma Sulistyaningsih Erma Sulistyaningsih Faizatun Nikmah, Faizatun Febrianti, Zahrah Ghaiska Najma Amnur Hanu Neda Septian Heni Fatmawati Hermansyah, Bagus Ida Srisurani Wiji Astuti Ika Barokah Suryaningsih Ika Rahmawati Sutejo Ika Rahmawati Sutejo Ika Sriwinarti Irawan Fajar Kusuma Isa Ma'rufi Isa Ma’rufi Jauhani, M. Afiful Jauhar Firdaus Kesy Sasta Handani Khoiruddin, Mukhammad Arif Hadi Kristianningrum Dian Sofiana Laily Nurhayati Laksmi Indreswari Laksmi Indreswari Laksmi Indreswari Leersia Yusi Ratnawati M. Ali Shodikin M.S. Irham Rozaq Mash’ab Zirrun Al-Qomah Mauliya Sri Sukmawati Wahyudi Mei Syafriadi Muhammad Afiful Jauhani Muhammad Afiful Jauhani Muhammad Afiful Jauhani Muhammad Zainul Fikri Mukhammad Arif Hadi Khoirudin Nanda Nuramna Nanik Kurniati Nanik Kurniyati Nidia Nursafitri Nindya Shinta Rumastika Nur Hasyimiyyah Nuri Nurmaida, Eny Nurmaida, Eny Nurus Saffana Yulianto Pangestu, Ahmad Yudho Hadi Pradana, Tasya Lukita Cyndi Pralampita, Pulong Wijang Prriantono, Dwinda Pungky Setya Arini Putra, Muhamad Dwi Eka Rachmawati, Dwita Aryadina Rahardjo, Angga Mardro Ramadanti, Novi Awalia Ramadhani, Rafindra Ratnawati, Leersia Yusi Rena Normasari Rifaldy Nabiel Erisadana Rini Riyanti Rondhianto Rondhianto Sa'bani, Begawan Salsabilla, Safira Putri Nur Selly Silfana Liensa Sugeng Winarso Sulistyaningsih, Erma Syamsuddin, Alif Fazduani Tartila, Jasmine Verdian Rahardi Widjaja Putra, Bayu Taruna Winda Cindy Wulandari Yehuda Tri Nugroho Supranoto Yoga Setyo Yudha Nurdian Yudi Wicaksono Yunita Armianti Yunita Armiyanti Yunita Armiyanti Zulaikha Rizqina Rahmawati