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All Journal Jurnal Penelitian Kesehatan Suara Forikes Belitung Nursing Journal Media Karya Kesehatan Jurnal Ilmiah Kesehatan PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Jurnal Menara Medika Journal of Social Research Eduvest - Journal of Universal Studies Jurnal Kesehatan Masyarakat Perkotaan
Indriyati, Titi
Universitas Mohammad Husni Thamrin Jakarta
Aerospace Engineering Humanities Computer Science & IT Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Close Contact with Patients and Immunity Status as Major Risk Factors for Leprosy Among Adults Puji Utami; Titi Indriyati; Sumiati Bedah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 3 (2026): March 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170308

Abstract

Leprosy is a chronic infectious disease caused by Mycobacterium leprae that affects peripheral nerves, skin, the upper respiratory tract, eyes, and nasal mucosa. Despite global progress, it remains a public health problem in Indonesia. This study aimed to analyze the risk factors associated with leprosy among adults at UPT RSUD RAA Soewondo Pati in 2025. An analytical observational study with a case–control design was conducted involving 70 cases and 70 controls (1:1 ratio). Data were analyzed using Chi‑square tests and multivariate logistic regression. In results, age (p=0.007), sex (p=0.033), close contact with leprosy patients (p=0.005), personal hygiene (p=0.011), and immunity status (p=0.000) were significantly associated with leprosy. Multivariate analysis identified close contact with leprosy patients (OR=8.3; 95% CI: 1.897–36.310) and immunity status (OR=6.2; 95% CI: 2.798–13.570) as the strongest predictors. In conclusion, close contact with leprosy patients and compromised immunity status are the major risk factors for leprosy among adults. Strengthening early detection, monitoring close contacts, improving personal hygiene, and enhancing community immunity are essential strategies to reduce transmission and prevent new cases.Keywords: leprosy; risk factors; close contact
Hubungan Kesejahteraan Spiritual Pasien Pengetahuan dan Dukungan Keluarga dengan Kepatuhan Pengobatan Antiretroviral (ARV) di Rs Bhayangkara Indramayu: Hubungan Kesejahteraan Spiritual Pasien Pengetahuan dan Dukungan Keluarga dengan Kepatuhan Pengobatan Antiretroviral (ARV) di Rs Bhayangkara Indramayu Neti Erawati; Titi Indriyati; Brian Sri Prahastuti
Jurnal Ilmiah Kesehatan Vol 18 No 1 (2026): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v18i1.3322

Abstract

Abstrak Latar Belakang: Kepatuhan terhadap terapi antiretroviral (ARV) sangat penting untuk keberhasilan pengobatan pasien HIV/AIDS. Faktor yang memengaruhi kepatuhan antara lain kesejahteraan spiritual, pengetahuan pasien, dan dukungan keluarga. Tujuan: Menganalisis hubungan antara kesejahteraan spiritual, pengetahuan, dan dukungan keluarga dengan kepatuhan pengobatan ARV, serta menentukan faktor yang paling dominan setelah dikontrol oleh usia, jenis kelamin, dan pendidikan. Metode: Penelitian ini menggunakan desain cross-sectional pada 242 pasien HIV/AIDS yang menjalani terapi ARV di RS Bhayangkara Indramayu dengan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan uji Chi-square serta regresi logistik. Hasil: Kesejahteraan spiritual, pengetahuan, dan dukungan keluarga berpengaruh signifikan terhadap kepatuhan ARV setelah dikontrol oleh usia, jenis kelamin, dan pendidikan. Kesejahteraan spiritual merupakan faktor dominan (OR=23,8). Model prediksi menjelaskan 67,2% variabilitas kepatuhan ARV. Kesimpulan: Intervensi untuk meningkatkan kepatuhan ARV sebaiknya mengintegrasikan edukasi kesehatan, dukungan keluarga, dan pendampingan spiritual bagi pasien. Kata Kunci: Kepatuhan ARV, Kesejahteraan Spiritual, Pengetahuan, Dukungan Keluarga Abstract Background: Adherence to antiretroviral (ARV) therapy is crucial for treatment success in HIV/AIDS patients. Factors influencing adherence include spiritual well-being, patient knowledge, and family support. Objective: To analyze the relationship between spiritual well-being, knowledge, and family support with ARV adherence, and to identify the most dominant factor after controlling for age, gender, and education. Methods: A cross-sectional study was conducted on 242 HIV/AIDS patients receiving ARV therapy at RS Bhayangkara Indramayu using purposive sampling. Data were collected via questionnaires and analyzed using Chi-square tests and logistic regression. Results: Spiritual well-being, knowledge, and family support were significantly associated with ARV adherence after controlling for age, gender, and education. Spiritual well-being was the most dominant factor (OR=23.8). The predictive model explained 67.2% of adherence variability. Conclusion: Interventions to improve ARV adherence should integrate health education, family involvement, and spiritual support to enhance treatment compliance Keywords: ARV Adherence, Spiritual Well-Being, Knowledge, Family Support
The Health Belief Model Approach In The Utilization Of TOGA And Its Relation To Breast Cancer Prevention Attitudes Restu Ayu Eka Pustika Dewi; Titi Indriyati; Siti Jumhati
Jurnal Ilmiah Kesehatan Vol 18 No 2 (2026): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v18i2.3437

Abstract

Breast cancer is a malignant disease that originates from glandular cells, ducts, and supporting breast tissue that develops due to genetic changes in body cells. Breast cancer is influenced by various risk factors, especially modifiable factors such as obesity, lack of physical activity, alcohol consumption, and exposure to exogenous hormones. Highlighting the need for preventive efforts through the promotion of healthy behaviors, including the utilization of family medicinal plants (Tanaman Obat Keluarga/TOGA). The Health Belief Model (HBM) can be used to explain how individual perceptions influence breast cancer prevention attitudes among women of reproductive age. This study aimed to analyze the relationship between HBM dimensions in the utilization of TOGA and attitudes toward breast cancer prevention. This study employed a quantitative approach with a cross-sectional design conducted in RW 02 Lamper Krajan, Semarang City, in December 2025. A total of 124 respondents were selected using purposive sampling. The variables examined included perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Data were analyzed using the Chi-Square test and multiple logistic regression. The results showed that all HBM variables were significantly associated with attitudes toward breast cancer prevention, namely perceived susceptibility (p = 0.001), perceived severity (p = 0.001), perceived benefits (p = 0.018), perceived barriers (p = 0.032), cues to action (p = 0.042), and self-efficacy (p = 0.030). Multivariate analysis revealed that perceived barriers were the most dominant factor influencing breast cancer prevention attitudes (p = 0.012; OR = 0.238). Therefore, enhanced health education and community empowerment programs are needed to reduce perceived barriers and strengthen positive attitudes toward breast cancer prevention.
Determining Factors of Medication Compliance in Advanced Phase Pulmonary Tuberculosis Patients in Cikarang Noor Arida Sofiana; Brian Sri Prahastuti; Titi Indriyati
Jurnal Ilmiah Kesehatan Vol 18 No 2 (2026): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v18i2.3485

Abstract

Tuberculosis (TB) remains a global health problem, with treatment success highly dependent on patient adherence, especially during the continuation phase. Medical record and TB program data from Annisa Cikarang Hospital (2024) show that 97 of 406 pulmonary TB patients (23.9%) experienced irregular treatment and were classified as lost to follow-up during the continuation phase, potentially increasing the risk of treatment failure and drug resistance. This study aimed to analyze determinant factors associated with medication adherence during the continuation phase in pulmonary TB patients. An analytical quantitative design with a cross-sectional approach was used, involving 113 continuation-phase pulmonary TB patients who met the inclusion criteria (total sampling). Primary data were collected through a structured questionnaire supplemented with medical records and analyzed using logistic regression. Adherence was classified as compliant if medication intake reached ≥95% of the prescribed dose (WHO) or a questionnaire score ≥75%, verified against medical records and Medication Supervisor (PMO) reports. The results showed that 78.8% of respondents were adherent to treatment. Bivariate analysis found that perception, attitude, self-efficacy, PMO support, and health worker support were significantly associated with adherence, while knowledge, distance, and access to services were not significant. Multivariate analysis showed that sex (p=0.037), self-efficacy (p=0.010), and perceived service access (p=0.003) were significantly associated with adherence, with self-efficacy being the most dominant factor (OR=25.233; 95% CI: 2.193–290.348). These findings confirm the important role of psychological factors in the adherence of continuation-phase TB patients. Therefore, it is recommended that evidence-based efforts focus on strengthening self-efficacy through continuous mentoring, strengthening the role of PMOs and health workers, and optimizing access to services to support treatment success.
Determinant Factors of Health-Seeking Behavior in Hypertension Patients at Kelapa Gading Community Health Center, North Jakarta Nur Padhilah; Titi Indriyati; Brian Sri Prahastuti
Jurnal Ilmiah Kesehatan Vol 18 No 2 (2026): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v18i2.3524

Abstract

Hypertension is one of the leading causes of premature mortality worldwide and remains a major public health problem in Indonesia. This study aimed to analyze the determinants associated with health-seeking behavior among patients with hypertension at Kelapa Gading Community Health Center, North Jakarta. A quantitative study with a cross-sectional design was conducted. The dependent variable was help-seeking behavior, while the independent variables included respondents' characteristics (age, sex, educational level, and employment status), perceived susceptibility, perceived severity, perceived benefits, perceived barriers, the health service system, and social support. A total of 110 respondents were selected using an accidental sampling technique. The results showed that health-seeking behavior was influenced by several factors. Multiple logistic regression analysis identified perceived severity as the strongest determinant (OR = 7.05; p < 0.001), followed by educational level (OR = 4.77; p = 0.002). Respondents with a high perceived severity of hypertension were approximately seven times more likely to seek appropriate healthcare services than those with a low perceived severity. The study recommends strengthening health education, optimizing healthcare services, and enhancing family support to improve health-seeking behavior among patients with hypertension.
Unhealthy Snack Consumption Patterns and the Risk of Overweight and Obesity in Adolescents: A Mini-Literature Review Shofia Romadhona; Mamat Sukena; Titi Indriyati
Jurnal Ilmiah Kesehatan Vol 18 No 2 (2026): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v18i2.3663

Abstract

Adolescents are a group particularly susceptible to shifts in dietary habits driven by increasing access to high-calorie snacks containing excessive sugar, salt, and fat, yet low in essential nutrients. These changes have contributed to the rising prevalence of overweight and obesity, which has become a significant public health concern in many countries, including Indonesia. This review aimed to analyze the association between unhealthy snacking patterns and the risk of overweight and obesity among adolescents through a mini literature review. Articles published during 2016–2026 were searched through PubMed and Google Scholar using the PICO framework. A total of 20 articles from 12 countries across five continents met the inclusion criteria and were analyzed narratively. The synthesis revealed that snacking frequency, caloric value, and nutritional quality are factors associated with increased overweight risk in adolescents. Snack-dominant dietary patterns increase the risk of excess body weight by up to 1.86 times. This risk is further influenced by the school food environment, snack availability, and family food purchasing habits. In addition, unhealthy snacking that replaces nutritious main meals contributes to a dual nutritional burden. These findings emphasize that improving dietary quality and strengthening school food environment policies should be integral components of overweight and obesity prevention strategies among adolescents.
The Relationship Between Family Support and Quality of Life Among Elderly Patients with Hypertension: A Mini-Literature Review Hardianti Yahya; Melisa BR Sembiring; Titi Indriyati
Jurnal Kesehatan Masyarakat Perkotaan Vol. 6 No. 2 (2026): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v6i2.3646

Abstract

Elderly is a way of growth and development that must be passed by everyone. Each individual experiences different growth and development, starting from when they are babies, children, adults, to the elderly phase, which is a cycle of life. Hypertension is a condition of excessively high blood pressure that can become serious if not treated. This article aims to determine the relationship between family support and the quality of life of elderly people aged ≥60 years with hypertension. The method used is a mini literature review with the PICO framework to formulate the problem, namely Population: Elderly, Intervention: Family support including emotional, informative, and appreciation dimensions, Comparison: no specific comparison, Outcome: an increase in the quality of life of the elderly in the physical, psychological, social relationship, and environmental domains. The main literature used in the synthesis table is original research articles, while review articles, guidelines, and institutional reports are used as supporting references. A total of 16 research articles are used in the synthesis table. The results show that family support has an important role in improving the quality of life of elderly people with hypertension. Therefore, managing hypertension in older adults requires active family involvement through education and a holistic approach to achieve optimal quality of life.
DEA-Based Comparison of Hospital Efficiency in Tegal Regency Before and After Medical Record Digitalization Muhamad Faishal Rizki; Lilis Heri Mis Cicih; Titi Indriyati
Jurnal Ners Vol. 10 No. 4 (2026): OKTOBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.63802

Abstract

Electronic Medical Records (EMR) play a crucial role in transforming hospital services toward greater operational efficiency and improved service quality. However, during the early stages of implementation, challenges such as inadequate infrastructure, limited digital readiness, and organizational resistance often hinder optimal efficiency outcomes. This study aimed to compare hospital service efficiency before and after EMR implementation and to identify challenges and adaptation strategies during the digital transition at Mitra Siaga Hospital, Tegal Regency. A mixed-methods approach was employed, integrating quantitative and qualitative analyses. Quantitatively, Data Envelopment Analysis (DEA) using Constant Return to Scale (CRS) and Variable Return to Scale (VRS) models measured technical efficiency across four key service units: the Emergency Room (ER), Delivery room  (VK), Intensive Care Unit (ICU), and Inpatient Ward. Qualitatively, in-depth interviews with healthcare professionals explored barriers and supporting factors in EMR implementation. Results indicated that post-EMR implementation, the ER, VK, and Inpatient wards achieved full efficiency (CRS = 1.000; VRS = 1.000), while the ICU reached pure technical efficiency (VRS = 1.000) but remained scale-inefficient (CRS = 0.4395). The Wilcoxon test (p = 0.655) showed no significant difference between pre- and post-digitalization periods. Identified barriers included limited hardware, network disruptions, and user resistance, while managerial support and continuous training enhanced adaptation. In conclusion, EMR implementation has a positive impact on hospital operational efficiency, particularly when supported by adequate infrastructure, skilled human resources, and adaptive change management.
Aktivitas Fisik, Gaya Hidup Sedenter dengan Status Gizi Anak Sekolah Dasar: Systematic Review Lilis Heri Mis Cicih; Hesty Riana Anggraini; Icha Chairunnisa; Titi Indriyati; Nur Asniati Djaali; Atikah Pustikasari
Jurnal Ilmiah Kesehatan Vol 15 No 2 (2023): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v15i2.2750

Abstract

Physical inactivity and sedentary lifestyle contribute to a person's nutritional status. Nutritional problems, especially in children, can affect the quality of human resources in the future. To analyze the relationship between Physical Activity and Sedentary Lifestyle with Nutritional Status. The study method used was systematic review. Literature was obtained from the database, Google Scholar, 27,900 articles were obtained and 7 of them were in accordance with the study objectives. The results of the review showed that physical activity and sedentary lifestyle have no relationship with the nutritional status of elementary school-age children. Recommendation: Nutritional problems, especially in children, can affect the quality of human resources in the future, so it is hoped that parents can pay more attention and encourage children to have a healthy lifestyle by doing regular physical activity and reducing sedentary lifestyles. It is expected that schools can also campaign for nutrition education programs and provide facilities to support physical activity in the school environment.
Pengembangan Instrumen Pengukuran Pengetahuan Pola Makan dalam Upaya Pencegahan Anemia bagi Ibu Hamil Brian Sri Prahastuti; Nur Asniati Djaali; Titi Indriyati; Naura Delfi Meisara
Jurnal Ilmiah Kesehatan Vol 15 No 2 (2023): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v15i2.2760

Abstract

The first 1,000 days of life represent a critical window of opportunity to ensure optimal child growth and development. Maternal anemia is a major risk factor for low birth weight (LBW) and stunting at birth. Despite the nationwide iron supplementation program, the prevalence of anemia remains high, largely due to poor adherence to iron tablet (IFA) consumption among pregnant women. This study aims to develop a knowledge measurement instrument regarding dietary patterns for anemia prevention during pregnancy. A mixed-method approach was used, with a qualitative component as the dominant phase. Content analysis was conducted to identify key themes and generate items for the questionnaire, based on data from public discussions, in-depth interviews, and literature review. Instrument validity and reliability were tested quantitatively on 30 pregnant women participating in an online stunting prevention class. The qualitative analysis identified 9 variables, 21 dimensions, and 90 questionnaire items. Validity testing showed that 75 items were valid, and reliability testing yielded a Cronbach’s Alpha of 0.962, indicating high reliability. Knowledge scores showed that 62.5% of respondents had good knowledge of anemia-preventive dietary practices. A normality test confirmed that the data were normally distributed (p = 0.200). This study successfully produced a valid and reliable instrument to measure pregnant women’s knowledge of anemia-preventive dietary patterns. The instrument is suitable for evaluation through pre- and post-intervention assessments in health education programs delivered via social media and other online platforms.
Co-Authors Ajeng Tias Endarti Ajeng Tyas Endarti Anggraini, Hesty Riana Anisa Surya Lestari Annisa Nursita Angesti Apriliani Aqso Binangun Asri C. Adisasmita Atikah Pustikasari Atikah Pustikasari Bambang Adhy Prasakti Brian Sri Prahastuti Brian Sri Prahastuti Chairunnisa, Icha Fatimah Fatimah Fatimah Fatimah Hardianti Yahya Hatma, Ratna Djuwita Heni Kustini Heri Mis Cicih, Lilis Hesty Riana Anggraini Icha Chairunnisa Ilah Muhafilah Ilah Muhafilah Imam Subekti Lilis Heri Mis Cicih Lilis Heri Mis Cicih Lilis Heri Mis Cicih Mamat Sukena Martha Katarina Silalahi Megawati, Dede Sri Meisara, Naura Delfi Melisa BR Sembiring Muhamad Faishal Rizki Nadjib, Mardiati Naura Delfi Meisara Neli Husniawati Neli Husniawati Neti Erawati Noor Arida Sofiana Nur Asniati Djaali Nur Padhilah Nurhasanah Puji Utami Ratih Agustina Prikhatina Ratna Mutu Manikam Restu Ayu Eka Pustika Dewi Ria Komala Sari Ria Ria, Ria Komala Sari Rita Fitriyanti Rita Fitriyanti S, Eti Wiyanti Shofia Romadhona Siti Jumhati Sitorus, Seven Slamet Santoso Kurniawan Soewarta Kosen Sriyani Lianhati Sumiati Bedah Suwarningsih Telly Purnamasari Widiawati Wiwik Dwi Lestari Woro Riyadina Yuliarti, Afif