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TWO DECADES OF CHANGE IN ISCHEMIC HEART DISEASE BURDEN IN INDONESIA BASED ON RISK FACTORS Safaryna, Alifia Merza; Artanti, Kurnia Dwi; Indriani, Diah
Jurnal Biometrika dan Kependudukan Vol. 14 No. 2 (2025): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v14i2.2025.114-124

Abstract

The burden of ischemic heart disease (IHD), measured in disability-adjusted life years (DALYs), has significantly increased in Indonesia over the past two decades, indicating that current policies and programs have not been fully effective. This study aimed to analyze changes in the burden of IHD and its associated risk factors from 2002 to 2021 across 34 provinces in Indonesia, using secondary data from the Global Burden of Disease 2021. This cross-sectional analytical study used IHD-related DALYs as the dependent variable, and independent variables included non-optimal temperature, low physical activity, tobacco use, risky dietary patterns, air pollution, obesity, hypertension, high LDL cholesterol, and high fasting glucose. Descriptive statistics and linear regression were used, with Principal Component Analysis (PCA) applied to reduce multicollinearity. Separate regressions were conducted for 2002 and 2021 to assess changes over time. The results showed a 10.5% increase in IHD-related DALYs, from 2,753.87 per 100,000 population in 2002 to 3,043.08 in 2021. Hypertension emerged as the leading risk factor, followed by risky dietary patterns. Tobacco use and a principal component (low physical activity, risky dietary patterns, obesity, high LDL cholesterol, hypertension, and high fasting glucose) significantly contributed to the burden of IHD in both years. Environmental factors such as non-optimal temperature and air pollution did not show significant effects. Health programs must be strengthened with a focus on seven key risk factors contributing to IHD-related DALYs, especially modifiable ones like low physical activity, risky dietary patterns, and tobacco use to reduce IHD burden in Indonesia.
Anticipatory Balance in Athletes Cerebral Palsy After 6-Month Intervention of Proprioceptive Neuromuscular Facilitation Stretching Techniques Martino, Nieko Caesar Agung; Subadi, Imam; Satyawati, Rwahita; Indriani, Diah
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 14 No. 2 (2025): October 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v14i2.2025.84-91

Abstract

Background: The effect of Proprioceptive Neuromuscular Facilitation (PNF) stretching, in addition to standard stretching, improves anticipatory balance in athletes with Cerebral Palsy (CP). We aimed to analyze the effects of PNF stretching to standard training over 4 weeks on anticipatory balance in Cerebral Palsy athletes at 6-month post-intervention evaluation. Methods: The subjects of this study are 24 athletes with Cerebral Palsy at the Indonesian National Paralympic Committee (NPC) training facility. Subjects divided into the treatment group (n = 12) received standard stretching exercises along with PNF stretching, and the control group (n = 12) performed only standard stretching exercises. Both groups received intervention 3 times per week for 4 weeks and evaluation 6 months post-intervention. Y balance tests (YBT) were measured in three directions: anterior (A), posterolateral (PL), and posteromedial (PM), pre- and post-intervention.Results: There was significant improvement of YBT in the treatment group after 4 weeks of intervention. For the right and left limbs, marked increases were observed in all directions (p < 0.05). No significant improvements in YBT were observed at 6 months post-intervention in all directions (p > 0.05).Conclusions: Significant improvements in the Y Balance Test were observed after 4 weeks, but no differences between the two groups at the 6-month evaluation. These findings suggest that while short-term gains in dynamic stability are achievable with PNF, sustained benefits require ongoing reinforcement to maintain neuromuscular adaptations over time.
TODDLER FECES MANAGEMENT AND BASIC IMMUNIZATION ON THE INCIDENCE OF DIARRHEA: A SPATIAL ANALYSIS: Pengelolaan Feses Balita dan Imunisasi Dasar Terhadap Kejadian Diare Balita: Analisis Spasial Rahmawati, Nur Anisah; Mahmudah, Mahmudah; Wibowo, Arief; Indriani, Diah; Rosita Dewi, Erni; Firmanty Mustofa, Vina
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.V12I12024.18-25

Abstract

Background: Diarrhea is one of the leading causes of child morbidity and mortality in low and middle-income countries. 23.8% prevalence of diarrhea was found among children under five years of age. Area-based management is required to address and provide specific interventions. Purpose: The study aims to analyze the effect of unsafe toddler feces management and incomplete primary immunization on the incidence of diarrhea using a spatial analysis in East Java, Indonesia. Methods: The data used is the 2018 Basic Health Research data. The measurement of the relationship between region and diarrhea was carried out by studying Moran's I index. Lisa Cluster Map and the Lisa Significance Map were also studied to understand distribution and significance. The regression used is OLS regression, spatial lag, and spatial error. The best model is assessed by comparing various parameters. Data were analyzed using GeoDA. Results: Moran's I result shows an index value of 0.489 with a pseudo-value of 0.001 (p <0.05) and a z-value of 3.7515. Lisa Cluster Map shows seven high-high category areas, five low-low category areas, and one high-low category area. Lisa's Significance Map shows six areas p=0.05, three areas p=0.01, and four areas p=0.001. The unsafe management of toddler feces and incomplete primary immunization related to diarrhea shows a significance of p<0.05. By comparing the R square, log-likelihood, p(sign), and sigma square values, the better model is the spatial lag model. Conclusion: The unsafe toddler feces management and incomplete primary immunization related to diarrhea.
InsuTAG and Early Salutogenic Screening of Cardiometabolic Risk in Obese Adolescents Inner Beauty Bilqis, Tiber Raniar; Widjaja, Nur Aisiyah; Devy, Shrimarti Rukmini; Indriani, Diah; Irawan, Nur Roedi; Hanindita, Meta Herdiana; Ardianah, Eva
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.86-93

Abstract

Background: Insulin resistance (IR) is considered the common underlying cause of metabolic syndrome (MetS). Predicting the incidence of MetS and IR at the individual level is essential, especially in obese adolescents who are at high risk of cardiovascular disease (CVD). InsuTAG has shown reliable results in predicting IR and MetS in healthy elderly populations. This study aimed to investigate the use of InsuTAG as an assessment tool to predict IR and MetS in obese adolescents, using the homeostasis model assessment (HOMA) to quantify insulin resistance. Methods:  A cross-sectional analytic study was conducted from January to May 2020 in healthy obese adolescents aged 13-18 years-old. Blood analyses included lipid profile (LDL-c, HDL-c, total cholesterol, and triglycerides), fasting blood glucose, and fasting insulin. IR was defined as HOMA-IR > 5.22 for boys and > 3.82 for girls during the pubertal period. Results: The receiver operating characteristic (ROC) curve for InsuTAG demonstrated a greater area under the curve (AUC) for identifying IR than MetS (0.877 vs. 0.743, p = 0.000; 95% CI). The optimal InsuTAG cut-off to determine IR was > 23.48, with 78.43% sensitivity and 87.38% specificity. The cut-off to identify MetS was > 23.36, yielding 67.97% sensitivity and 72.82% specificity. Conclusion: InsuTAG is a useful tool for identifying IR and MetS. The optimal cut-off values are > 23.48 for IR and > 23.36 for MetS in obese adolescents. These findings support early prevention and health promotion efforts, ultimately strengthening self-care practices among obese adolescents.
PROGRAM BUNA SEHAT SEBAGAI STRATEGI PROMOSI KESEHATAN PARTISIPATIF UNTUK PENCEGAHAN STUNTING Setiawan, Ari; Indriani, Diah
Jurnal Mutiara Kesehatan Masyarakat Vol 10 No 1 (2025): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

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

Abstract

Latar belakang: Masalah stunting masih menjadi tantangan utama dalam pembangunan kesehatan masyarakat di Indonesia. Salah satu pendekatan strategis dalam mengatasinya adalah dengan melibatkan komunitas melalui program berbasis masyarakat. Tujuan:untuk mendeskripsikan pelaksanaan Program BUNA SEHAT sebagai salah satu upaya menurunkan angka stunting, mengidentifikasi bentuk partisipasi masyarakat dalam setiap tahap program, serta menilai potensi keberlanjutan dan tantangan yang dihadapi selama implementasinya. Outcome dari penelitian ini adalah tersusunnya pemahaman yang komprehensif mengenai praktik promosi kesehatan berbasis komunitas yang efektif, yang dapat dijadikan dasar pengembangan strategi intervensi berkelanjutan untuk penurunan angka stunting di tingkat lokal maupun nasional. Metode: menggunakan pendekatan kualitatif deskriptif dengan melibatkan informan dari kalangan kader posyandu, bidan desa, ibu PKK, kelompok sasaran ibu hamil dan menyusui, karang taruna, serta perwakilan akademisi dari Fakultas Kesehatan Masyarakat Universitas Airlangga. Data dikumpulkan melalui wawancara mendalam, observasi partisipatif, dan dokumentasi, kemudian dianalisis menggunakan teknik tematik. Hasil: bahwa kolaborasi multi-pihak mampu meningkatkan efektivitas pelaksanaan program, terutama dalam penyebaran informasi kesehatan dan pemberdayaan masyarakat. Meski demikian, tantangan seperti keterbatasan dana, rendahnya partisipasi remaja, serta kurangnya kesinambungan koordinasi masih perlu diatasi. Simpulan: Partisipasi aktif masyarakat dan sinergi lintas sektor terbukti menjadi kunci keberhasilan program promosi kesehatan berbasis komunitas. Temuan ini memberikan kontribusi ilmiah dalam pengembangan model intervensi partisipatif dan memiliki implikasi penting bagi pengabdian kepada masyarakat, khususnya dalam upaya pencegahan stunting.
Pola Kepemilikan Sumber Air Minum Rumah Tangga di Jawa Timur Novi Lestari; Diah Indriani
Media Gizi Kesmas Vol 11 No 1 (2022): MEDIA GIZI KESMAS (JUNE 2022)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v11i1.2022.88-94

Abstract

ABSTRAKLatar Belakang: Konsumsi air yang layak merupakan salah satu faktor untuk mencegah terjadinya masalah kesehatan seperti diare, kolera, disentri, tipes, cacingan, penyakit kulit, dan keracunan.. Diare menjadi penyebab kedua kematian tertinggi pada balita di seluruh dunia. masih ada beberapa daerah di Indonesia yang mengalami kekurangan air bersih dan air yang tercemar berat.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan kepemilikan sumber air minum dan pengolahan air minum sebelum diminum dengan jenis wilayah tempat tinggal di Provinsi Jawa Timur berdasarkan data SDKI tahun 2017.Metode: Penelitian ini menggunakan data dari Survei Demografi dan Kesehatan Indonesia tahun 2017 di wilayah Jawa Timur dengan desain cross sectional. Jumlah sampel yang digunakan adalah 4113 rumah tangga. Data yang diperoleh berasal dari situs resmi DHS. Analisis yang digunakan pada penelitian ini adalah analisis Chi Square.Hasil: Hasil penelitian didapatkan adanya hubungan yang signifikan sumber air minum dan pengolahan air minum sebelum diminum dengan jenis wilayah tempat tinggal (p < 0,05). Sumber air minum dan pengolahan air minum memiliki korelasi dengan jenis wilayah tempat tinggal. Prevalensi rasio sumber air minum adalah 0,355 dan pengolahan air minum adalah 3,321.Kesimpulan: Rumah tangga di perkotaan mayoritas memiliki sumber air minum yang layak serta rumah tangga di perkotaan cenderung mengonsumsi air kemasan untuk minum. Rumah tangga di pedesaan melakukan pengolahan air minum sebelum dikonsumsi.   ABSTRACTBackground: Adequate water consumption is one of the factors to prevent health problems such as diarrhea, cholera, dysentery, typhoid, intestinal worms, skin diseases, and poisoning. Diarrhea is the second highest cause of death in children under five in the world. There are still some areas in Indonesia that experience a shortage of clean water and heavily polluted water.Objectives: This study aims to determine the relationship between ownership of drinking water sources and treatment of drinking water before drinking with the type of area of residence in East Java Province based on the 2017 IDHS data.Methods: This study uses data from the 2017 Indonesian Demographic and Health Survey in the Java region. East withdesign cross sectional. The number of samples used is 4113 households. The data obtained comes from the official website of DHS. The analysis used in this study is Chi Square analysis.Results: The results of the study found a significant relationship between drinking water sources and drinking water treatment before drinking with the type of area of residence (p < 0,05). Drinking water sources and drinking water treatment have a correlation with the type of area of residence. The prevalence ratio of drinking water sources is 0,355 and drinking water treatment is 3,321.Conclusions:. The majority of households in urban areas have a decent source of drinking water and households in urban areas tend to consume bottled water for drinking. Households in rural areas treat drinking water before consumption.  
Stress and Quality of Life in Hypertension Sufferes: A Systematic Review Surma Elisa Manihuruk; Soenarnatalina Melaniani; Diah Indriani; Andi Safutra Suraya
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.3996

Abstract

Hypertension has the potential to cause serious complications such as heart disease, stroke, and kidney failure if not treated properly. Apart from physical factors, hypertension sufferers also often face psychological problems such as stress, which can worsen their condition and affect their quality of life. This study aimed to explore the relationship between stress and quality of life in hypertension sufferers. This systematic review searched for relevant articles using MeSH-based keywords in databases such as Scopus, PubMed, Sage Journal, and Web of Science. The article inclusion criteria were: population: patients with hypertension, intervention: no intervention, comparison: no comparison, results: the article's results showed a relationship between stress and quality of life in people with hypertension. Article quality assessment was carried out using the Joanna Briggs Institute guidelines. Descriptive analysis was carried out using a narrative approach by considering articles published from 2012 to 2024. Based on a literature search, 36229 articles were found with appropriate keywords from Scopus (2578), PubMed (683), Sage Journal (31999), and Web of Science (969). After screening for inclusion and exclusion criteria, 11 articles were identified for inclusion in this review. These eleven articles show that there is a relationship between stress and quality of life in people with hypertension. The importance of a comprehensive approach that considers socioeconomic, demographic, and psychological factors to improve the quality of life of hypertension sufferers.
An Atlas.Ti Analysis of the Collaboration of Human Development Cadres Family Assistance Teams in Stunting Prevention Dian Utama Pratiwi Putri; Diah Indriani; Trias Mahmudiono
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4925

Abstract

In the implementation of stunting convergence in Pringsewu District in 2023, there is no direct coordination between the Human Development Cadres and the Family Assistance Team and no way to facilitate collaboration between the human development cadres and the family assistance team to work together to carry out data collection tasks as indicators of stunting achievement and stunting prevention in Pringsewu District. Objective to find out more about the phenomenon of human development cadres and family human assistenace teams collaboration and the perspectives of each agency representative in Pringsewu District, Lampung Province that allows human development cadres and family assitance team collaboration to be carried out in stunting prevention efforts in Pringsewu District, Lampung Province. The type of research used was qualitative using a phenomenological approach and data collection techniques with in-depth interviews and FGDs which were analysed using Atlas t.i version 8. The informants in this study were from the relevant Dinas and OPD in the Pringsewu Regional Government work area. Data collection was carried out using in-depth interviews and FGD techniques which were analyzed using Atlas t.i version 8. From the results of the analysis of the synthesis of interviews and Focus Group Discussions with informants from the relevant Departments and OPDs in the Pringsewu Regional Government work area, it was found that the collaboration between human development cadres and family assistance teams was very needed for the effectiveness and efficiency of human development cadres and family assistance team work as stunting cadres. Collaboration between human development cadres and family assitance team should be facilitated by the Pringsewu Regency Team for Accelerating Stunting Reduction and advocated to the Pringsewu Regency Regional Government for inclusion in the PRINCES (Pringsewu Prevent Stunting) Program. Collaboration between Human Development Cadres and Family Assistance Workers is very crucial in efforts to reduce stunting. This collaboration needs to be facilitated by the Stunting Reduction Acceleration Team and integrated into the PRINCES (Pringsewu Prevent Stunting) program.
Factors Causing Maternal Death due to COVID-19 in Several Countries: A Literature Review Vina Firmanty Mustofa; Budi Prasetyo; Diah Indriani; Nur Anisah Rahmawati
Jurnal Promosi Kesehatan Indonesia Volume 18 No.2 Agustus 2023
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.18.2.100-108

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Background: Since 2019, the world has been faced with a global crisis. The spread of SARS-CoV-2 has an impact on all populations, including pregnant women, who are among the most vulnerable and at-risk population groups. The worldwide spread of the virus is called the COVID-19 pandemic. This study aims to explore the factors that cause maternal death during pregnancy and postpartum due to COVID-19 in several countries.Method: A literature review was conducted to explore broadly the causes of maternal deaths due to COVID in several countries. Article search on three databases, namely PubMed, Google Scholar, and ScienceDirect. A total of 7 articles were analyzed. The data studied are cases of death and their causes.Results: The study was conducted in the period 2018 to 2021 with the type of research using retrospective data. When compared to before the pandemic, there was a significant increase in the number of maternal deaths. Factors that increase the risk of maternal death come from direct and indirect factors. Indirect factors such as age, health facility access, inadequate tools, and health services, access to knowledge, cultural practice, and poverty. Direct factors are comorbidities such as obesity, diabetes, cardiovascular disease, hypertension, and immune impairment. Pregnant women who do not have comorbidities can have a poor prognosis with undetected causes of death. Health facilities need to conduct early screening so that direct and indirect factors can be minimized to prevent maternal mortality.
Co-Authors Abdullah Al Mamun Abihail, Chrysoprase Thasya Afianto, Rery Aldiella Ayu Prasetya Astuti Alfiana Miranda Nur Afifah Ali Ghufron Mukti Amanda Fharadita Olivia Rakhmad Amelia Yomanda Andi Safutra Suraya Apriana Berkanis, Adelbertha Aprillia Nurhayati Ardianah, Eva Ari Setiawan Arief Wibowo Arief Wibowo Arina Dery Puspitasari Arina Pambudi, Tesalonika Astridya Paramita Astutik, Erni Ayu Pangestuti Ayu Prasetya Astuti, Aldiella Az Zahra, Annisa Azizah Zahrotul Adha Bayu Satria Wiratama Bella Dwi Saputri Boerhan Hidayat, Boerhan Budi Prasetyo Cahyani, Fatimah Dwi Callista Naurah Azzahra Chatarina Umbul Wahyuni Christanto, Daniel Chrysoprase Thasya Abihail Chrysoprase Thasya Abihail Devi, Rafika Minati Dian Utama Pratiwi Putri Dicky Andhyka Priambudi Edna Elkarima Eighty Mardiyan K, Eighty Eka Anisah Yusryana Ernadila Diasmarani Hargiyanto Erwanda Anugrah Permatasari Esta Ruri Solecha Farah Mumtaz Suwandiman Fatimatuz Zahra Oviary Satryo Fauzul Meiliani Gerardin Ranind Kirana Giovanny Yan Mario Paridy Man Girma Mengistu, Assaye Gunawan Yoga Pratama Hanindita, Meta Herdiana Hari Basuki Notobroto Hari Kusnanto Hari Kusnanto Hario Megatsari Iidrie Iidrie Iitdrie, Iitdrie Imam Subadi Inner Beauty Bilqis, Tiber Raniar Intan Laraswati Irawan, Nur Roedi Joaquina Franscisca Belo Kardita Puspa Monitasari KUNTORO Kuntoro Kuntoro Kuntoro Kuntoro Kurnia Dwi Artanti Lailatul Muniroh Lely Indrawati Lestari, Novi Lily Aina Luki Triyanto Lutfi Agus Salim Mahmud Aditya Rifqi Mahmudah Mahmudah Mahmudah Mahmudah Marius Iban Martina Puspa Wangi Martino, Nieko Caesar Agung Maulidiyatun Nafiisah Melinda Putri Amelia Rachman Muji sulistyowati Munfaridah Munfaridah Nailul Izza Nanda Ardianto Nendy Putra Salsabila Nining Tyas Triatmaja Novi Lestari Nur Aisiyah Widjaja, Nur Aisiyah Nur Alifia Hera Nur Anisah Rahmawati Nur Sahila Nurfidaus, Yasmine Nurhayati, Aprillia Oktaviana, Riska Pangestuti, Ayu Pebriaini, Prisma Andita Prasetya, Tofan Agung Eka Puspikawati, Septa Indra Rachmah Indawati Rachmah, Qonita Rafika Minati Devi Ratna Dwi Puji Astuti Rery Afianto Ria Puspitasari Riris Wahyu Maharani Riska Oktaviana Roedi Irawan Rosita Dewi, Erni Rosyid, Alfian Nur Ruliyani, Hanin Rwahita Satyawati Dharmanta Safaryna, Alifia Merza Salsabilla, Nendy Putra Samsriyaningsih Handayani Santi Martini Santoso, Febrina Mustika Sasha Anggita Ramadhan Shrimarti Rukmini Devy Sigit Ari Saputro SITI NURUL HIDAYATI Socadevia, Annisa Soenarnatalina Melaniani Soenarnatalina, Melaniani Sri Hardianti Sri Hardianti Sri Widati Suarilah, Ira Sulvy Dwi Anggraini Sumartini Sumartini Surma Elisa Manihuruk Susi Hidayah Susy Kartikana Sebayang Syahirul Alim Tamara Nur Budiarti Tarawally, Abubakar Tesalonika Pambudi Trias Mahmudiono Ulaganathan, Vaidehi Vina Firmanty Mustofa Wadi'ah Hasna Nurramadhani Welldellin Yufuria Windhu Purnomo Wismoyo Nugraha Putra Yan Mario Paridy Man, Giovanny Yufuria Christiansi, Welldelin Yuly Sulistyorini Yuniar, Cindra Tri Yunidar Ayu Pratama Yurike Adhela Zahrotul Adha, Aziza