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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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Medical personnels’ well-being and policy adaptations in hospitals during COVID-19 pandemic Kristian, Kevin; Santi, Bryany Titi; Astiarani, Yunisa; Kurniawan, Felicia; Salama, Ngabila
BKM Public Health and Community Medicine Vol 38 No 08 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i8.4996

Abstract

Purpose: To explore many forms of adaptations and alterations that occur in the COVID-19 referral hospitals in Jakarta during the COVID-19 pandemic as a preparation to deal with another pandemic in the future. Method: A qualitative study through focus group discussions (FGD) of seven hospitals in Jakarta, including five public and two private hospitals, with the participation of each structural and medical personnel separately. The discussion identifies four main topics that cover the aim of the study: (a) Medical personnel workload; (b) Occupational health and comfort; (c) Relationships; (d) Hospital policy during the COVID-19 pandemic. Results: This study was participated by 40 informants from the medical personnel group and 37 responders from the structural group from various positions in the hospital. Researchers estimated several factors to contribute to medical personnel’s well-being in providing health services during the pandemic of COVID-19. Rising workloads, an increased number of patients and types of procedures, and the unavailability and discomforts from suitable PPE with a lack of IPC socialization influence a decline in their well-being and increase the risk of counterproductive work behavior. Moreover, conflicts among personnel and poor communication also deteriorate well-being. Nevertheless, several hospital policy adaptations, namely incentives provision, regular mental-health check-ups, no salary reduction for COVID-19-positive workers, and supportive attitudes towards each other in the workplace, may enhance their well-being. Conclusion: Increased workloads, problems in PPE availability, and conflict among personnel are the main contributing factors that need to be addressed to increase the medical personnel's well-being during the pandemic, while several hospital policy adaptations support their well-being.
Depression as a predominant factor for activities of daily living among elderly Giovanny, Audrey Carissa; Handajani, Yvonne Suzy; Turana, Yuda; Kristian, Kevin
BKM Public Health and Community Medicine Vol 41 No 04 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i04.19266

Abstract

Purpose: This study aims to provide an overview of the ability to perform activities of daily living (ADL) in the elderly population and to identify associated factors. Methods: A cross-sectional study was conducted with 100 community-dwelling participants aged 60 and older in West Jakarta. Sociodemographic data, the Barthel Index, the Berg Balance Scale, the Fried Frailty Index, and the Geriatric Depression Scale were collected by interview. Chi-Square and multiple logistic regression analyses were used for the bivariate and multivariate analyses. Results: The majority of participants were women (71%), aged 60-74 years (75%), with education levels of 12 years or more (90%). Fifteen percent of elderly participants experienced problems with ADL. Chi-square analysis showed significant associations between ADL impairment with age (p=0.006; OR=4.57; 95%CI: 1.454-14.368), balance (p=0.023; OR=10.38; 95%CI: 1.567-68.595), and depression (p=0.006; OR=5.00; 95%CI: 1.468-17.033). Multiple logistic regression analysis identified depression as the most dominant risk factor affecting ADL, increasing the risk by 4.02 times. Conclusion: This study highlights age, body balance, and depression as potential contributors to ADL impairment, with depression emerging as the predominant risk factor. Both physical and mental health should be considered essential for preserving ADL function in the elderly.
Dari Lemak ke Sendi: Bahaya Proporsi Lemak Tubuh sebagai Penyebab Osteoartritis Lutut Kwok, Lyvia Ariella; Kristian, Kevin; Handajani, Yvonne Suzy; Barus, Jimmy Fransisco Abadinta
Jurnal Kedokteran Meditek Vol 31 No 5 (2025): SEPTEMBER
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v31i5.3495

Abstract

Introduction: As individuals age, the incidence of osteoarthritis increases. Globally, it is reported that approximately 300 million individuals, particularly the elderly, are affected by osteoarthritis. Metabolic disorders related to lipid pathways have been associated with the development of osteoarthritis in the elderly. Purpose: This study aims to provide an overview of the relationship between haematological indicators, lipid profiles, and body fat proportion with osteoarthritis in the elderly population in Pusaka Kebon Jeruk, West Jakarta. Methods: This study used a cross-sectional design involving an elderly population, with 100 respondents aged ≥60 years who were willing to participate. Data were collected through interviews using an osteoarthritis questionnaire, blood draws, and measurements using BIA. The chi-square test (p<0.05) and multiple logistic regression (p<0.25) were used in this study. Results: Of the 100 respondents, it was found that 28% of the elderly respondents experienced osteoarthritis. Bivariate analysis showed a significant relationship between body fat proportion and osteoarthritis (p: 0.006; OR: 3.519; 95% CI: 1.394–8.878). Multivariate analysis indicated that body fat proportion was the dominant factor associated with osteoarthritis (p: 0.006; OR: 3.814; 95% CI: 1.475–9.865). Conclusions: We concluded that body fat proportion has a significant relationship with the incidence of osteoarthritis. However, this study did not find any significant associations between hemoglobin, white blood cells, RDW, LDL, HDL, triglycerides, and cholesterol.
Profil Pengobatan Infeksi Saluran Napas Atas Akut (ISPA) dan Hubungannya dengan Kunjungan Ulang Pasien Sombuk, Carl Ray Kalla; Astiarani, Yunisa; Kristian, Kevin
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 05 (2024): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v13i05.2326

Abstract

ISPA merupakan salah satu permasalahan yang sering dijumpai di masyarakat. ISPA diakibatkan oleh virus dan bakteri. ISPA menyerang berbagai golongan usia, mulai dari balita, anak, maupun dewasa. Golongan obat antibiotik, kortikosteroid, vitamin, dan obat simptomatik digunakan untuk mengobati ISPA. Timbul permasalahan penggunaan obat yang kurang sesuai sehingga menimbulkan kunjungan ulang pasien untuk berobat lagi pada layanan kesehatan primer. Tujuan penelitian ini untuk mengetahui profil pengobatan ISPA dan hubungannya dengan kunjungan ulang pada pasien ISPA di Klinik A, Kediri, Jawa Timurenggunakan desain penelitian potong lintang dengan pendekatan retrospektif mengguanakan telaah rekam medis. Pengambilan sampelon-random berupa whole population sampling pada penderita ISPA pada periode bulan Januari-Maret 2021 dan jumlah populasi beserta sampel sebesar 127 responden usia > 18 tahun. Menggunakan data rekam medis dan dianalisis menggunakan uji Chi-Square. Sebesar 65,5% usia > 18 tahun, 50,4% obesitas, 14,2% komorbid. Sebesar 20,5% menggunakan antibiotik, 35,4% kortikosteroid, 100% obat simtomatik, dan 52,8% vitamin. Sebesar 17,6% pasien ISPA menggunakan antibiotik, faringitis 26,7%, sinusitis 25%, common cold 15%, dan tonsilofaringitis akut 100%. Sebesar 10,2% melakukan kunjungan ulang 2 dan 6,3% >2. Tidak ada hubungan kunjungan ulang dengan penggunaan kortikosteroid (p=0,201) vitamin (0,162). Dengan uji Fisher-Exact, hasilnya signifikan antara kunjungan ulang dengan penggunaan antibiotik (p=0.014).
Cognitive Function and Nutritional Status in Pre-Elderly Individuals with Human Immunodeficiency Virus Putri, Felicia Cahyadi; Vetinly, Vetinly; Ayu, Astri Parawita; Hardi, Nicholas; Kristian, Kevin
Althea Medical Journal Vol 12, No 4 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n4.4179

Abstract

Background: Human immunodeficiency virus (HIV) infection remains a global health issue, particularly in Africa and Asia. Cognitive impairment may early develop in individuals living with HIV and can therefore potentially impact nutritional status. This study aimed to assess the correlation between cognitive function and nutritional status in pre-elderly individuals with HIV.Methods: A cross-sectional study was conducted from March 2023 to October 2024 among individuals living with HIV aged 45–59 years in Jakarta, Indonesia. Cognitive function was measured using the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina) and nutritional status was evaluated using body mass index (BMI). Data were analyzed using the Chi-square test with Jeffrey’s Amazing Statistics Program (JASP).Results: Of the 157 respondents, most were male (75.2%) with a mean age of 49±4.17 years. The majority were unmarried (44.6%), employed (70.1%), had incomes below the Jakarta minimum wage (74.5%), and had completed senior high school education (56.0%). Mild cognitive impairment was found in 70.7% of participants, whereas normal nutritional status was the most common (45.9%). However, no significant relationship was found between cognitive function and nutritional status (p=0.161).  Conclusion: Mild cognitive impairment is prevalent among pre-elderly individuals with HIV, most of whom have normal nutritional status. Although no significant relationship is observed between cognitive function and nutritional status, these findings highlight the importance of incorporating early cognitive screening into routine HIV care to support healthy aging and timely identification and management of cognitive decline.
Physical Activity Levels Based on Indonesian Population Characteristics: Evidence from the Indonesian Family Life Survey-5 Givana Felicia; Felicia Kurniawan; Yunisa Astiarani; Kevin Kristian; Bryany Titi Santi
Althea Medical Journal Vol 13, No 1 (2026)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v13n1.4273

Abstract

Background:  According to the World Health Organization, approximately 80% of the global population is physically inactive. Sedentary behavior is a major contributor to the increasing risk of chronic diseases. This study aimed to describe physical activity levels among the Indonesian population and examine their associations with sociodemographic and lifestyle factors. Methods:  This cross-sectional study was conducted from March to November 2024 using secondary data from the Indonesian Family Life Survey-5 (IFLS-5). Variables analyzed included age, gender, ethnicity, marital status, body mass index (BMI), perceived health status, occupation, education level, residence, sleep quality, smoking status, and physical activity level. A total of 4,156 respondents were included. Associations between population characteristics and physical activity levels were examined using the chi-square test.Results:  Nearly half of the respondents engaged in light physical activity (47.8%), followed by moderate (28.0%) and vigorous physical activity (24.2%). Significant associations were found between physical activity levels and age (p=0.015), gender (p<0.001), ethnicity (p=0.006), occupation (p<0.001), education level (p<0.001), residence (p<0.001), sleep quality (p<0.001), and smoking status (p<0.001). Agricultural workers (46.7%) and individuals with severe sleep disturbances (40.0%) were more likely to engage in vigorous physical activity.Conclusion: Most Indonesians engage predominantly in light physical activity. Several sociodemographic and lifestyle factors are significantly associated with physical activity levels, underscoring the importance of promoting healthier and more active lifestyles. 
Preferences For Childbirth At Primary Health Care And Hospitals Of Pregnant Women At The Tanah Abang And Kemayoran Primary Health Care Windhi Kresnawati; Helena Angelica; Kevin Kristian; Dwirani Amelia; Elida ‎
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 1 (2026): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i1.332

Abstract

The 2023 Indonesia Health Survey reported that 60.7% of deliveries in Jakarta occurred in hospitals, while only 14.2% took place in primary health care (puskesmas), indicating a gap between antenatal care (ANC) utilization and delivery services at puskesmas despite high ANC attendance. This qualitative exploratory study was conducted at Tanah Abang and Kemayoran Primary Health Care from July to October 2025, involving 114 respondents in focus group discussions, with data analyzed using thematic analysis, triangulation, and inter-rater agreement. The findings identified six major themes related to ANC and delivery place selection, influencing factors, perceptions of puskesmas services, and maternal health education. Distance and accessibility were the main reasons for choosing puskesmas for ANC, while hospitals were preferred for delivery due to perceived higher safety, availability of specialists, and more complete facilities, particularly for high-risk pregnancies. Utilization of maternal health services was strongly supported by the BPJS/JKN program, as well as family support, prior delivery experiences, and socioeconomic factors. Although puskesmas services were generally perceived positively, gaps were identified in lactation counseling and antenatal class implementation, indicating the need to strengthen health education and provider communication to enhance trust and utilization of puskesmas delivery services.
Dependency in Older People with Sarcopenia Sebastian Lim; Yvonne Suzy Handajani; Yuda Turana; Kevin Kristian
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.4338

Abstract

The risks of sarcopenia tends to increase as the age increase and also low physical activity, dependency in activity of daily living, and obesity may lead to decrease in skeletal muscle mass that impact to muscle strength and decreasing physical performance. This study aimed to determine the association between physical activity, activity of daily living, and obesity in older people. Determining the association of physical activity, activity of daily living, and obesity with sarcopenia among older people in West Jakarta. This was an analytical descriptive study with cross-sectional design of 207 subjects aged > 70 years in West Jakarta. The variable were assessed by using a guidelines from Asian Working Group of Sarcopenia (AWGS), cut-off points from World Health Organization (WHO) and Barthel Index for assessment of sarcopenia, physical activity and activity of daily living, and also using cut-off points from World Health Organization (WHO) for assessment of obesity. Multivariate logistic regression was used to analyze the association between sociodemographic factors, physical activity, activity of daily living, and obesity on sarcopenia. Based on sociodemographic characteristics, the respondents were mostly woman (71.5%) with more than 70 years (58%), had more than 12 years of education (74.4%). The analysis showed that activity of daily living has a meaningful relationship with sarcopenia (p= 0.021; OR= 3.595; 95% CI= 1.208 – 10.696). Furthermore, sex was also found as a risk factor for sarcopenia (p= 0.002; OR= 5.484; 95% CI= 1.899 – 15.836). This study showed that activity of daily living played a significant role in the incidence of sarcopenia in older people. In addition, older men are known to have higher risk of developing sarcopenia.
Analysis of Vowel Formants and Frequencies for Cognitive Health Assessment: A Preliminary Study Kevin Kristian; Bryan Santoso; Novelya Indrawan; Nicholas Hardi; Djoko Setyanto; Hadi Sutanto; Yvonne Suzy Handajani; Yuda Turana
AKSONA Vol. 6 No. 2 (2026): JULY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v6i2.91890

Abstract

Highlight: Voice parameters did not differ between cognitive impairment groups Combined speech analysis may better assess cognition than voice alone.   ABSTRACT Introduction: Recent studies have shown that, in addition to being cost-effective and non-invasive, voice and speech analysis may play an important role in detecting cognitive impairment, such as dementia. Although numerous studies have investigated this topic, the relationship between voice-related abnormalities and cognitive impairment has not been completely captured. Objective: To investigate the relationship between voice-related abnormalities and cognitive impairment. Methods: A total of 100 participants aged >60 years were selected through purposive sampling. Cognitive function was assessed using the Indonesian version of the Montreal Cognitive Assessment (MoCA-INA), and participants were divided into cognitive impairment and non-cognitive-impairment groups. Acoustic analysis of sustained vowels was conducted using audio analysis software, focusing on formant frequencies, formant centralization ratio, fundamental frequency, and amplitude. Data were analyzed using an independent-samples t-test. Results: The cognitive impairment group demonstrated lower mean values for most formant frequencies. However, no statistically significant differences (p > 0.05) were observed between the groups in formant frequencies, formant centralization ratio, fundamental frequency, or amplitude. Conclusion: No significant association was found between voice-related abnormalities and cognitive impairment. However, subtle variations in voice parameters may still indicate other underlying neurological problems.
PENYULUHAN KESEHATAN GIGI DAN MULUT SISWA-SISWI TK CIKAL, RUSUN PENJARINGAN Mora Octavia; Stephani Dwiyanti; Indriani Oktaria; Isadora Gracia; Hendro Sunjaya; Regina Satya Wiraharja; Bryani Titi Santi; Kevin Kristian
Mitramas: Jurnal Pengabdian dan Pemberdayaan Masyarakat Vol. 4 No. 02 (2026): Mitramas, Jurnal Pengabdian dan Pemberdayaan Masyarakat
Publisher : Universitas Katolik Indonesia Atma Jaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/mitramas.v4i02.7249

Abstract

Karies atau gigi berlubang merupakan permasalahan rongga mulut yang paling utama di dunia, dengan anak-anak dan remaja sebagai populasi yang paling berisiko terkena karies. Bukti klinis menunjukkan bahwa karies dapat dicegah, salah satunya adalah dengan mempromosikan cara menjaga kebersihan gigi dan mulut. Kegiatan pengabdian masyarakat ini bertujuan untuk mencegah karies sejak dini, dengan memberikan penyuluhan kesehatan gigi dan mulut kepada masyarakat sekolah TK Cikal, Penjaringan. Upaya untuk menilai tingkat pemahaman dan perilaku menyikat gigi anak TK dilakukan dengan metode partisipatif. Para peserta yang berjumlah 106 orang dibagi menjadi beberapa kelompok kecil dan dirotasi ke pos-pos penyuluhan dengan topik mengenai penyebab gigi berlubang, dampak tidak menjaga kesehatan gigi dan mulut, makan makanan yang tidak sehat dan merusak gigi, serta demonstrasi cara menyikat gigi dengan baik dan benar. Peserta dipanggil secara acak untuk menilai tingkat pengetahuan mengenai materi penyuluhan dan keterampilan menyikat gigi. Hasilnya menunjukkan bahwa sebagian besar peserta (96,3%) memahami materi penyuluhan, tetapi hanya sebagian peserta (46,7%) yang dapat mendemonstrasikan seluruh metode penyikatan gigi dengan sempurna. Kesimpulannya adalah peserta memahami materi penyuluhan, tetapi keterampilan menyikat gigi masih belum dikuasai seluruhnya, sehingga perlu diadakan kegiatan penyuluhan secara berkala disertai dengan pemeriksaan indeks kebersihan rongga mulut untuk menilai efektivitas penyuluhan yang sudah dilaksanakan.
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