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All Journal Althea Medical Journal Jurnal Berkala Epidemiologi Damianus Journal of Medicine Berkala Ilmiah Kedokteran Duta Wacana Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) JOURNAL EDUCATIONAL OF NURSING(JEN) Indonesian Journal of Global Health research AKSONA Berita Kedokteran Masyarakat Jurnal Pengabdian Pada Masyarakat Journal of Urban Health Research Neurona Jurnal Kedokteran Meditek Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Mitramas Jurnal Pengabdian dan Pemberdayaan Masyarakat Mitramas Jurnal Pengabdian dan Pemberdayaan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Kevin Kristian
Departemen Ilmu Kesehatan Masyarakat Dan Gizi, Fakultas Kedokteran Dan Ilmu Kesehatan, Universitas Katolik Indonesia Atma Jaya
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STUDI DESKRIPTIF PENGUNJUNG POSBINDU PTM DI DUA RUKUN WARGA KELURAHAN PEJAGALAN Yunisa Astiarani; Kevin Kristian
Bahasa Indonesia Vol 18 No 1 (2019): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v18i1.2202

Abstract

Introduction: A community-based health post called ‘pos pembinaan terpadu’ (Posbindu) is a vital approach to NCDs prevention and control strategy in the community. However, the posts appear to receive low appreciation in urban areas, with less than 10% of the population at risk visiting the post. This study presented a descriptive evaluation in Posbindu visitors after half-year implementation in two hamlets in Pejagalan. Methods: A survey-based study was conducted in two Posbindu, each in a hamlet. A self-questionnaire regarding sociodemography, NCDs status, risk factors, visiting frequency and health-seeking behaviour were asked to all visitors and collected during Posbindu schedule. Results: Posbindu visitors in hamlet A and B (131 and 160) share common demographic characteristics, with women participation higher in both (Hamlet A= 90.1% and Hamlet B=80.6%) mostly in their 30-44 age group for hamlet A (38.9%) and 45-59 age group for hamlet B (50%). Homemakers and unemployed were more than 70% of the proportion with low education preceding (40%) in both hamlets. NCDs status slightly higher in hamlet A (54.1%) than in B (53.7%), with hypertension, occupied the most. More than 90% of visitors lack in physical activity. Health seeking behaviour is better in diabetes sufferer than hypertension. Conclusion: Posbindu visitors are usually housewives or unemployed group due to limitation of schedule. School and workplace-based NCDs prevention program have to be in consideration. Open space facilities on increasing the community's physical activity and intensive health literacy are necessary to maintain their healthy life years.
NONCOMMUNICABLE DISEASES PREVALENCE AND HEALTH-POST ATTENDANCE ASSOCIATED FACTORS IN AN URBAN SLUM AND A MIDDLE-INCOME COMMUNITY Yunisa Astiarani; Kevin Kristian; Nur Fitriah
Berkala Ilmiah Kedokteran Duta Wacana Vol. 7 No. 2 (2022): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v7i2.542

Abstract

Background Non-communicable Diseases (NCDs) become the leading cause of death, particularly in low-income settings. However, the health post for NCDs called Pos Pembinaan Terpadu (Posbindu) aimed to be the screening post in the community loses its function due to residents’ low visitation.Objective This study aimed to investigate NCD’s prevalence in low-middle income communities and analyzed health-post attendance associated factors in two areas with different socioeconomic backgrounds.Methods A community survey was conducted on a slum and a middle-income hamlet in Pejagalan village. A total of 470 residents aged 15 and above responded to the demographic and NCDs risk factors questionnaire. Logistic regression was performed separately in the two areas.Results The prevalence of NCDs and its multimorbidity are presiding in the slum, while the health-post attendance in the area associated with women visitors (odds ratio [OR]=4.2; 95% confidence interval [CI]=1.9-9.1), the 30-59 age group (OR=5.0; 95%CI=2-10), having no education (OR=4.7; 95%CI=1.9-5.5), unemployed (OR=2.5; 95%CI=1.3-5.7), and practicing a less-fat diet (OR=3.2; 95%CI=1.7-6.0). The elderly were less likely to visit the posts (OR=0.3; 95%CI=0.1-0.9). Meanwhile, increasing age (OR=1.03; 95%CI=1.01-1,05), residents who practice regular physical activity (OR= 2.3; 95% CI=1.3-4.1), and not smoking (OR=2.9; 95%CI=1.4-6.0) were associated with community health-post attendance in middle-income hamlet.Conclusion The results indicated that NCDs prevalence in the slum needs proper attention, particularly in elderly and male residents, due to low visits to the health post. Enhancing the specific target of NCDs screening respective to the areas would be the best effort to prevent further NCDs prevalence.
Penguatan Kapasitas Guru SMA Dalam Masa Pandemi Covid-19 Terkait Usaha Kesehatan Sekolah Bryany Titi Santi; Kevin Kristian; Hadiyanto Hadiyanto; Nur Fitriah; Denis Gunawan
Jurnal Pengabdian Pada Masyarakat Vol 8 No 1 (2023): Jurnal Pengabdian Pada Masyarakat
Publisher : Universitas Mathla'ul Anwar Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (317.595 KB) | DOI: 10.30653/jppm.v8i1.184

Abstract

Kegiatan Pendidikan mengalami krisis selama pandemi COVID-19 yang diakibatkan kebijakan Pembatasan Sosial Berskala Besar (PSBB). Upaya Kesehatan Sekolah (UKS) terhenti selama periode ini karena siswa belajar secara daring. Padahal kesehatan siswa dapat menunjang keberhasilan kegiatan belajar sehingga perlu dilakukan inovasi untuk mendukung program kesehatan sekolah yang disesuaikan dengan kebutuhan siswa dan situasi. Tujuan dari program ini adalah untuk meningkatkan kemampuan dan peran guru dalam menyampaikan edukasi kesehatan. Kegiatan penguatan kapasitas guru dilakukan melalui penyampaian materi kesehatan pada guru, diskusi dan tanya jawab, kemudian dilanjutkan dengan bermain peran. Setelah kegiatan guru diminta untuk melakukan edukasi pada siswa sekolah. Seluruh kegiatan dilakukan secara daring menggunakan aplikasi zoom. Hasil yang didapatkan setelah kegiatan berlangsung adanya peningkatan pengetahuan guru terkait masalah kecelakaan, kesehatan reproduksi, dan gizi serta feedback yang didapat dari murid bahwa mereka memahami penjelasan topik kesehatan dari guru. The COVID-19 pandemic has impacted on education crisis due to government’s policy, namely Large Scale Social Restriction. School Health Promotion program which is expected to support the health of school residents could not run well due to the policy. Therefore, it is necessary to bring innovation to support health promotion program that are in accordance to the needs and limited conditions and also sustainable. The purpose of The High School Teacher Capacity Building program is to improve the ability of teachers to convey health topics to their students so that health promotion activities in schools can continue. This Capacity Building activity consists of teaching health topics, discussion, and role play directly from teachers to students. The entire series of activities is carried out online through the Zoom Meeting application. The results are teachers’ knowledge about health topics was increased and students’ feedback about transfer of knowledge was easy to understand.
Potential Factors related to COVID-19 Vaccine Hesitancy in Indonesia: A Literature Review Kevin Kristian; Anisya Lutfia Andini; Fransiska Eka Putri; Julian; Karina Sylvana; Kenji Sungkhar; Mentari Artanti Jelita; Mikhael Aditya
Journal of Urban Health Research Vol. 1 No. 2 (2023): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v1i2.4205

Abstract

Introduction: The pandemic of COVID-19 has become a burden to the world's health system, in which strategic measures are needed, especially vaccination. However, numbers of challenge have been reported regarding the so-called most effective public health intervention, such as vaccine hesitancy. On top of that, WHO has acknowledged vaccine hesitancy in the top list of 10 most dangerous threats to global health. The spectrum related to the reluctance to receive vaccination in society has also occurred in previous infectious diseases management and during the COVID-19 pandemic. This review aimed to identify factors and mechanism related to COVID-19 vaccine hesitancy in Indonesia. Method: This study provided a review of 14 literatures from 2019 to 2021 using ProQuest and Google Scholar discovered through the selected keywords. The SAGE WG model for vaccine hesitancy framework was used as the main reference in identifying and explaining the associated factors of phenomenon. Results: Based on the analysis of framework, determinants related to confidence crucial in affecting the acceptance level of COVID-19 vaccine in the community. In regard to that aspect, various factors within the scope of individual and social influences, vaccine and vaccination-specific issues, as well as contextual influences may well-explained the plausible mechanism that build hesitancy over vaccination. Accordingly, this study found that mistrust and skepticism related to the effectiveness of vaccine, safety concerns, and adverse reactions discouraged people from getting vaccinated. Furthermore, religious matters such as unavailable halal certification, along with poor socioeconomical factors, and misinformation that were spread through the media also prevent people to receive COVID-19 vaccine and risk the development of herd-immunity toward COVID-19 in the community. Conclusions: Various factors were identified regarding the development of vaccine hesitancy in Indonesia. Understanding the plausible factors and mechanism that prevented people to get COVID-19 vaccine are substantial to strategically address the phenomenon and successfully manage the COVID-19 pandemic in Indonesia. Keywords: COVID-19 – Indonesia - vaccine hesitancy – asia – outbreak - prevention
DEVELOPMENT OF STANDARDIZED OLFACTORY TEST AS A COGNITIVE IMPAIRMENT SCREENING TOOL IN INDONESIAN ELDERLY: A PRELIMINARY STUDY Kristian, Kevin; Handajani, Yvonne Suzy; Widjaja, Nelly Tina; Suswanti, Ika; Turana, Yuda
Berkala Ilmiah Kedokteran Duta Wacana Vol. 9 No. 1 (2024): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v9i1.631

Abstract

The decline of olfactory function is an early indicator of neurodegenerative diseases, such as Alzheimer’s and Parkinson’s disease. An olfactory function assessment instrument using ten familiar scents with multiple-choice answers has been developed, but several items were inapplicable and had not been standardized. This study aimed to identify various scents that have not been standardized for the aging population with normal cognitive function. This research was a preliminary study with a descriptive cross-sectional approach conducted in Kalianyar village, Jakarta, involving 23 elderly participants with normal cognitive function. An instrument consisting of a list of scents was employed in two steps, with or without assistance. Initially, participants had one chance to smell and try to guess the type of scent given. If the scent was not guessed correctly, participants were then provided with multiple-choice options as a hint. Based on the assessment of twelve scents from the existing research, only nine scents were recognizable. Among them, coffee, lemongrass, oranges, eucalyptus, and menthol were the scents with the most correct answers without assistance. Additionally, there were four scents recognized with or without assistance, such as jasmine, lemon, aromatic ginger, and lime. This study found that only nine scents were familiar and had the potential to be utilized in the future as a screening tool for cognitive impairment.
Lingkar Pinggang Sebagai Faktor Risiko Utama Osteoartritis Lutut dan Peran Penting Depresi Felicia, Tesya; Kristian, Kevin; Handajani, Yvonne Suzy; Barus, Jimmy Fransisco Abadinta
Jurnal Kedokteran Meditek Vol 31 No 3 (2025): MEI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v31i3.3496

Abstract

Background: As the elderly population increases, the incidence of osteoarthritis (OA) also rises. In Indonesia, the prevalence of OA is 15.5% in men and 12.7% in women. Research on OA in Indonesia remains limited, particularly regarding population-based studies. Purpose: This study aimed to provide an overview of knee OA and its risk factors among older adults living in Pusaka Kebon Jeruk, West Jakarta. Methods: This cross-sectional study involved 100 respondents. Data were collected through interviews using questionnaires. Bivariate analysis was conducted using chi-square tests, and multivariate analysis was performed using multiple logistic regression (p<0.05). Results: The study found that 28% of the elderly had knee OA, with the majority aged 60-74 years (75%), female (71%), unemployed (82%), educated for 12 years or more (90%), and married (55%). Bivariate analysis identified waist circumference (p<0.001) and depression (p=0.032) as variables significantly associated with knee OA. Multivariate analysis indicated that waist circumference was the most significant factor affecting knee OA, with an odds ratio (OR) of 24.239. The prevalence of knee OA requires serious attention from the government and healthcare providers. Conclusion: Knee OA is significantly related to waist circumference and depression, with waist circumference being the most critical factor. Central obesity is associated with a higher risk of knee OA. Therefore, it is essential to prevent central obesity through a balanced diet and regular exercise.
Evaluating The CURB-65 Score for Prognostic Assessment in COVID-19 Patients: A Systematic Review Astiarani, Yunisa; Sari, Gabriella Aninda Puspita; Kristian, Kevin
Journal of Urban Health Research Vol. 3 No. 2 (2025): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v3i2.6640

Abstract

Introduction: Several instruments and biomarkers have been used to assess the severity and predict outcomes in COVID-19 patients, each with varying sensitivity levels. One such tool is the CURB-65 score—an acronym for Confusion, Urea nitrogen, Respiratory rate, Blood pressure, and age ≥65 years—which has traditionally been used to evaluate the severity of community-acquired pneumonia. Its application in COVID-19 patients aims to identify clinical deterioration and assist in risk stratification. Accurate prognosis is essential to guide clinical management and reduce mortality. However, the utility of the CURB-65 score in predicting outcomes in COVID-19 patients remains a subject of debate. This study aims to evaluate the performance of the CURB-65 score in determining the prognosis of patients with COVID-19. Methods:This systematic review was conducted in accordance with PRISMA guidelines. Relevant studies published between 2020 and 2022 were identified through searches using predefined keywords in PubMed, ScienceDirect, and EBSCO databases. Studies of all designs that assessed the CURB-65 score concerning COVID-19 outcomes were considered for inclusion. Results: Ten studies were included in this review, evaluating the CURB-65 score's effectiveness in predicting various outcomes in COVID-19 patients, including overall mortality, 30-day mortality, adverse outcomes, need for organ support, ICU admission and intervention, critical illness, mechanical ventilation, and 72-hour mortality. Seven out of ten studies demonstrated good prognostic performance of the CURB-65 score, with sensitivity greater than 80% or an Area Under the Curve (AUC) exceeding 0.80 for predicting mortality. Conclusion: The CURB-65 score shows promising utility in predicting mortality among COVID-19 patients and may perform better than several other prognostic tools. Its simplicity and accessibility make it a valuable aid in clinical decision-making, although further validation in different populations may be warranted.
THE ROLE OF OLFACTORY FUNCTION AND MULTIMORBIDITY IN COGNITIVE IMPAIRMENT: Peranan Fungsi Penghidu dan Multimorbiditas Terhadap Fungsi Kognitif Kristian, Kevin; Vebriana, Gennesia; Hardi, Nicholas; Turana, Yuda; Handajani, Yvonne Suzy
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.193-200

Abstract

Background: As the population ages, the issue of cognitive impairment is becoming increasingly worrisome, especially with the rise in conditions like multiple chronic diseases and loss of smell among the elderly. Purpose: The goal of this research is to explore how multiple chronic diseases, sense of smell, and cognitive impairment are linked among the senior population. Methods: This study involved 128 individuals at a senior community in Jakarta with an average age of 68.34 years. The presence of multiple chronic diseases was determined by looking for highest prevalence of disease pairs, and the sense of smell was tested with an 8-smell test. Cognitive function was measured with the CERAD questionnaire, with a score below 52 indicating cognitive impairment. The analysis included Chi-square tests at a 95% confidence level. Results: The findings suggest a clear link between lower levels of education and cognitive impairment (p=0.018; OR=3.214), as well as between loss of smell and cognitive deterioration (p=0.049; OR=2.565). However, having more than three chronic diseases was found to significantly increase the risk of cognitive impairment (p=0.018; OR=2.678), but there was no significance to support that certain disease pairs were more likely to lead to cognitive impairment. Conclusion: This research underscores the significance of sense of smell and the presence of multiple chronic diseases, especially in greater numbers, as major risk factors for cognitive impairment in the elderly.
PEKERJAAN SEBAGAI FAKTOR PROTEKTIF MEMORI PADA LANSIA Suwito, Michelle Margaretha; Handajani, Yvonne Suzy; Turana, Yuda; Kristian, Kevin
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 2 (2024): Vol 40 No 2 (2024): Volume 40, No 2 - Maret 2024
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i2.586

Abstract

Introduction: The risk of memory impairment increases with age, with a global prevalence of 20% of elderly experiencing difficulties in memory related activities.Aim: The aim of this study is to understand memory impairment and its associated factors in a community- dwelling setting in Kebon Jeruk, West Jakarta.Method: This cross-sectional study involved 98 participants aged over ≥60 years. Data was collected by interview using validated instruments. Statistical analysis was done using chi-square method for bivariate analysis and multiple logistic regression for multivariate analysis.Result: Majority of participants were women (71%), with ages of ≥65 years (81%), an education of >12 years (90%) and were unemployed (87%). Memory impairment was found in 82% of participants. Chi- square analysis showed that factors significant to memory impairment were age (p: 0.021; OR: 0.734; 95%CI: 0.515 – 1.046), occupation (p: 0.045; OR: 0.727; 95%CI: 0.486 – 1.127), and physical activity (p: 0.013; OR: 1.338; 95%CI: 0.998 – 1.794). Multiple logistic regression analysis showed that the most significant factor affecting memory impairment was age (OR: 3.766).Discussion: Memory impairment in the elderly is associated with age, occupation, and physical activity. Of these factors, age is the most significant factor, with a risk increase of 3.766 times in impairing memory of the elderly.Keywords: Age, elderly, memory impairment, occupation, physical activity.
PERAN ANALISIS SUARA DALAM DETEKSI DINI KOGNITIF PADA LANSIA: STUDI PENDAHULUAN Kristian, Kevin; Adhitya, Paskalis; Tirta Wening, Andrea; Indrawan, Novelya; Indrajaya, Feryandinata; Yauw, Michael
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 4 (2025): Volume 41 Nomor 4, September 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i4.615

Abstract

ABSTRACT Introduction: The increase in life expectancy makes the cognitive abilities of the elderly important. The need for a rapid diagnosis of cognitive impairment renders the currently available instruments inadequate. Standardization of the use of voice analysis for cognitive assessment is required for quick diagnosis. Aim: To determine the relationship between voice components and cognitive impairment in the elderly. Methods: A descriptive and analytical cross-sectional study was conducted on elderly individuals over 60 years old who did not have visual or hearing impairments. Cognitive assessment using MoCA-INA was performed on 107 elderly individuals who met the inclusion criteria and were categorized into normal and cognitively impaired groups. Results: The majority of the study respondents were aged 61-70 years (57.9%), not frail (93.5%), had multimorbidity (60.74%), had a habit of exercising (66.4%), and had a formant frequency 1 (F1) of the vowel /e/ <500.9 Hz (50.5%). Univariate analysis showed that F1 of the vowel /e/ had very high variability (107041.294), and the compare means analysis showed a significant relationship (p=0.034). Discussion: Most of the elderly in this study did not have cognitive impairment. There was a relationship between F1 of the vowel /e/ and cognitive impairment at a MoCA-INA cut-off score of 22. There was no relationship between age, exercise habits, multimorbidity, fundamental frequency of the vowels /a/ and /e/, amplitude of the vowels /a/ and /e/, F1 and F2 of the vowel /a/, and F2 of the vowel /e/. Keywords: cognitive impairment, elderly, formant 1 (F1), voice analysis
Co-Authors Adhitya, Paskalis Anisya Lutfia Andini Astri Parawita Ayu Brigita Renata Bryan Santoso Bryani Titi Santi Bryany Titi Santi Bryany Titi Santi Carissa Marvella Budhy Danniel Loogman Prayogo Denis Gunawan Denish Djoko Setyanto Dwirani Amelia Elida ‎ Enda Odhena Fabian Sejati Felicia Kurniawan Felicia Kurniawan Felicia Kurniawan, Felicia Felicia, Tesya Fransiska Eka Putri Giovanny, Audrey Carissa Givana Felicia Hadi Sutanto Hadiyanto Hadiyanto Hadiyanto Hadiyanto Hadiyanto Helen Engelina Helena Angelica Hendri, Gabriel Anetta Hendro Sunjaya Herliana Aprilia Ika Suswanti Indrajaya, Feryandinata Indrawan, Novelya Indriani Oktaria Isadora Gracia Sahusilawane Ivana Angelina Patricia Jimmy Fransisco Abadinta Barus Julian Karina Sylvana Kenji Sungkhar Kwok, Lyvia Ariella Margareta, Revi Mentari Artanti Jelita Mikhael Aditya Mora Octavia Mutiara Putri, Marcelvina Nelly Tina Widjaja Nicholas Hardi Novelya Indrawan Nur Fitriah Nur Fitriah Piustan, Mas Eaufrat Putri, Felicia Cahyadi Putri, Giovani Indah Giantoro Regina Satya Wiraharja Salama, Ngabila Sari, Gabriella Aninda Puspita Sebastian Lim Shalsamir Cotto, Nadjoua Sharren Shera Vionnetta Sombuk, Carl Ray Kalla Stephani Dwiyanti Stephanie Deborah Djuanda Suwito, Michelle Margaretha Tanumihardja, Tommy Theodora Silvia Mulyani Tirta Wening, Andrea Tommy Nugroho Tanumihardja Vebriana, Gennesia Vetinly Vionnetta, Sharren Shera Windhi Kresnawati Xarisa Azalia Yauw, Michael Yuda Turana Yunisa Astiarani Yvonne Suzy Handajani Yvonne Suzy Handajani Yvonne Suzy Handajani