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Apoina Kartini
Departemen Gizi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Semarang
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Differences in triglyceride levels before and after whey protein intervention in field workers exposed and unexposed to arsenic Rahmadhani, Eka Putri; Margawati, Ani; Kartini, Apoina
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 9, No 2 (2021): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.9.2.166-171

Abstract

Background: A work environment that is exposed to heavy metals, such as a coal mining environment, can change fat metabolism in the body. Changes in fat metabolism will lead to cardiovascular disease. Consumption of dairy products, e.g. whey protein, can reduce the risk of metabolic disorders and cardiovascular disease.Objectives: To test and analyze the differences in triglyceride levels before and after whey protein intervention to field workers with different working conditions.Materials and Methods: This experimental research with pretest and posttest was conducted on field workers at PT Bukit Asam Tbk. Tarahan Port Unit, Lampung as an Arsenic exposed group and PTPN VII Way Berulu Business Unit as an Arsenic unexposed group. Both groups received 24 grams of whey protein daily for 28 days. The triglyceride levels before and after the intervention were measured by laboratory analysis using the enzymatic calorimetry method. The data were analyzed using independent t-test, Mann Whitney test, and Wilcoxon test.Results: The average triglyceride levels increased by 50.48 ± 98.09 mg/dL in the exposed group and 16.78 ± 67.67 mg/dL in the unexposed group. There was a significant difference in triglyceride levels before and after the whey protein intervention in the two groups.Conclusions: The whey protein intervention increased the triglyceride level in the exposed group and decreased it in the unexposed group.
Analisis Model Keputusan Berkunjung Ulang terhadap Loyalitas Pelanggan Primasari, Dyah; Farida, Naili; Kartini, Apoina
HIGEIA (Journal of Public Health Research and Development) Vol 5 No 2 (2021): HIGEIA: April 2021
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v5i2.40226

Abstract

Healthcare industry has a challenge of transforming customers satisfied into customers loyalty. The increasing number of hospitals in Central Java pushed the hospital to try to remain a community choice. Hospitals need to make new services to maintaining the company. This study aimed to analyze the influence of service quality, religiosity, and customer value which were mediated by revisit toward customer loyalty at the S beauty clinic in Semarang. The respondents were all customers who have been doing treatment or buying beauty products at S beauty clinic. 99 respondents were selected using accidental sampling. The data were analyzed by Partial Least Square (PLS). The results showed that there was an influence of customer’s value (T-statistic = 4.570) toward revisit decision, but ini the context of service quality (T-statistic = 0.362) and religiosity (T-statistic = 1.181) did not give any influence toward revisit decision. Whereas, the revisit decision (T-statistic = 15.598) gave influence toward customer loyalty. This indicates that the patient who are revisit is loyal customer to S Beauty Clinic. Keywords: Revisit, Customer Loyalty
Effectiveness of Food Safety Education for Early Children's Health Hermawati, Bertakalswa; Kartini, Apoina; Indarjo, Sofwan; Nugroho, Efa
Journal of Health Education Vol 5 No 1 (2020)
Publisher : Universitas Negeri Semarang cooperate with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhe.v5i1.34056

Abstract

Background: Diarrhea is a disease caused by food which is a health problem in early childhood. One cause is food that is not safe for consumption by children. Therefore it is important to educate mothers about the importance of managing food safety. The purpose of this study was to determine changes in maternal behavior after being given early childhood food safety education. Methods: This study uses a quantitative approach. with The One-Group Pretest-Posttest Design. The intervention given is education through film media and booklets. The instrument in this study was an early childhood food safety questionnaire with reference to three aspects namely maintaining cleanliness, preventing raw food from being consumed and preventing food from hazardous chemicals. This instrument is to measure changes in maternal behavior before and after the intervention. Sampling using a purposive sampling technique. The sample in this study was 57 mothers with children under five who were studying in kindergarten in Ungaran, Semarang district. Data analysis using the Wilcoxon test. Result: The results of this study prove that there was a significant increase in maternal behavior before and after food safety education intervention was given with a p-value of 0.020. Conclusion: There is a change in mother’s behavior in managing food safety for early childhood.
Peran Kalsium dan Vitamin C dalam Absorpsi Zat Besi dan Kaitannya dengan Kadar Hemoglobin Ibu Hamil: Sebuah Tinjauan Sistematis Rieny, Elzha Geniz; Nugraheni, Sri Achadi; Kartini, Apoina
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 20, No 6 (2021): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.20.6.423-432

Abstract

Latar belakang: Kadar hemoglobin rendah menyebabkan anemia dalam kehamilan. Faktor yang  mempengaruhi kadar hemoglobin adalah zat besi, vitamin C sebagai enhancer besi, dan kalsium sebagai inhibitor besi. Tujuan penelitian ini adalah untuk mengetahui pengaruh asupan besi, kalsium, dan vitamin C terhadap kadar hemoglobin ibu hamil.Metode: Penelitian ini menggunakan pendekatan tinjauan sistematis dengan metode PRISMA. Pencarian literatur menggunakan database elektronik yaitu  SCOPUS, PubMed, dan Garuda dengan kata kunci: asupan besi, kalsium, vitamin C, kadar hemoglobin, ibu hamil. Pembatasan ditetapkan pada artikel: artikel asli dari sumber utama dengan teks penuh, diterbitkan sepuluh tahun terakhir, berbahasa Indonesia dan/atau Inggris. Variabel dalam artikel: pengaruh asupan  besi, kalsium dan artikel terhadap kadar hemoglobin. Dari 663 artikel yang ditemukan, didapatkan 15 artikel yang  memenuhi kriteria dan selanjutnya diidentifikasi.  Hasil: Asupan zat besi meningkatkan kadar hemoglobin ibu hamil. Selain zat besi, vitamin C juga membantu meningkatkan kadar hemoglobin ibu hamil. Hal ini dikarenakan vitamin C merupakan faktor pendukung penyerapan zat besi. Asupan zat besi yang dikonsumsi bersama vitamin C lebih efektif dalam meningkatkan kadar hemoglobin. Sedangkan, kalsium merupakan faktor penghambat penyerapan zat besi, sehingga kalsium menurunkan jumlah kadar hemoglobin pada ibu hamil.Simpulan: Asupan zat besi, kalsium dan vitamin C memberikan pengaruh yang cukup signifikan pada kadar hemoglobin ibu hamil.Kata kunci: Zat Besi; Kalsium; Vitamin C; Hemoglobin ABSTRACTTitle: Effect of Iron Intake, Calcium, and Vitamin C on Pregnant Women’s Hemoglobin Levels: Systematic ReviewBackground: Low hemoglobin levels cause anemia in pregnancy. Factors that affect hemoglobin levels are iron, vitamin C as an iron enhancer, and calcium as an iron inhibitor. This study aims to determine the effect of iron intake, calcium, and vitamin C on the hemoglobin levels of pregnant women.Method: This study uses a systematic review approach with the PRISMA method. A literatur search using electronic databases namely, SCOPUS, PubMed, and Garuda with the following keywords: iron intake, calcium, vitamin C, hemoglobin levels, pregnant women. Search limits included: original and full text articles from primary sources, published in the last ten years,  Indonesian and/or English language. Variables in the articles: effect of iron intake, calcium, and vitamin C on hemoglobin levels. From 663 articles that founded, 15 articles were obtained fulfilling the criteria and then were identified.Result: Iron intake increases hemoglobin levels in pregnant women. In addition to iron, vitamin C also helps to increase the hemoglobin levels of pregnant women. This is because vitamin C is a supporting factor for iron absorption. Iron intake consumed with vitamin C is more effective in increasing hemoglobin levels. Meanwhile, calcium is a factor  inhibiting the absorption of iron, so calcium lowers hemoglobin levels in pregnant women.Conclusion: Iron intake, calcium, and vitamin C has a significant influence on the hemoglobin levels of pregnant women.Keywords: Iron; Calcium; Vitamin C; Hemoglobin
Pengaruh Video Edukasi Terhadap Pengetahuan dan Sikap Ibu dalam Pemberian ASI Eksklusif di Puskesmas Bulu Lor 2021 Safitri, Vania Arthamevia; Pangestuti, Dina Rahayuning; Kartini, Apoina
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 20, No 5 (2021): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.20.5.342-348

Abstract

Latar belakang: Persentase cakupan bayi usia 0-6 bulan yang memperoleh ASI eksklusif di Puskesmas Bulu Lor Semarang sebesar 48,39%, angka ini masih lebih rendah dari Target Renstra Kota Semarang (65%) dan target nasional (80%). Pengetahuan ibu yang rendah berisiko 1.81 kali dan sikap ibu yang rendah berisiko  2,81 kali terhadap pemberian ASI. Teknik pemberian edukasi dengan metode video dalam rangka pendidikan kesehatan dinilai lebih mampu dan lebih efektif untuk mengubah pengetahuan ataupun kemampuan seseorang. Penelitian bertujuan mengetahui pengaruh edukasi gizi melalui video terhadap pengetahuan dan sikap ibu dalam pemberian ASI eksklusif di Puskesmas Bulu Lor Semarang.Metode: Penelitian dilaksanakan pada bulan Februari-April 2021. Desain studi yang digunakan adalah quasy eksperimental dengan menggunakan one-group pre test-post test design. Jumlah sampel sebanyak 36 ibu menyusui bayi usia 0-6 bulan. Intervensi dilakukan dengan pemberian 2 jenis media video (durasi 3 – 5 menit) dan dilakukan selama 2 minggu. Terdapat pemberian konseling sebelum dilakulan post test. Analisis data menggunakan menggunakan analisis univariat dan bivariat (Wilcoxon signed ranks).Hasil: Ibu menyusui berusia 20 – 35 tahun (75%), berpendidikan tinggi (77,8%), tidak bekerja (72,2%), mendapatkan dukungan keluarga baik (75%), dan pernah mendapatkan paparan informasi ASI eksklusif (66,7%). Rerata skor pada pengetahuan sebelum diberikan intervensi sebanyak 16,5 dan setelah diberikan intervensi meningkat menjadi 18,5. Rerata skor pada sikap sebelum diberikan intervensi sebanyak 7,7 dan setelah diberikan intervensi meningkat menjadi 9,0. Uji statistik menggunakan Wilcoxon signed ranks menunjukan hasil bahwa pemberian edukasi dengan media video berpengaruh terhadap tingkat pengetahuan dan sikap ibu tentang ASI (p-value=0,001).Simpulan: Terdapat pengaruh pemberian edukasi dengan media video terhadap pengetahuan dan sikap ibu dalam pemberian ASI eksklusif.Kata kunci: ASI Eksklusif; Edukasi; Ibu; Pengetahuan; Sikap ABSTRACT Title: The Effect of Education on Mother's Knowledge and Attitude in Exclusive Breastfeeding at Bulu Lor Health Center 2021Background: The percentage coverage of infants aged 0-6 months who received exclusive breastfeeding at the Bulu Lor Health Center Semarang was 48.39%, this figure is still lower than the Semarang city strategic plan target (65%) and the national target (80%). Research conducted by Iin showed that the mother's knowledge and attitude influenced breastfeeding with OR=1.81 on mother's knowledge and OR=2.81 on mother's attitude. This study aims to determine the effect of nutrition education on the knowledge and attitudes of mothers in exclusive breastfeeding at Bulu Lor Health Center Semarang.Method: The study was conducted in February-April 2021 using a quasi-experimental design, and obtained a total sample of 36 mothers breastfeeding infants aged 0-6 months. The intervention was carried out by giving 2 types of video media (duration 3 – 5 minutes) and carried out for 2 weeks. There is counseling before the post test. Data analysis using univariate and bivariate analysis (Wilcoxon signed ranks).Result: Breastfeeding mothers aged 20-35 years (75%), highly educated (77.8%), do not work (72.2%), have good family support (75%), and have had exposure to information on exclusive breastfeeding (66.7 %). Average of knowledge score before being given an intervention were 16.5 and after being given an intervention it increased to 18.5. Mean of attitude score before being given the intervention was 7.7 and after being given the intervention it increased to 9.0. Statistical test using Wilcoxon signed ranks showed that the provision of education with video media affected the level of knowledge and attitudes of mothers about breastfeeding (p-value = 0.001).Conclusion: There is an effect of providing education with video media on mother's knowledge and attitudes in exclusive breastfeeding.Keywords: Exclusive Breastfeeding; Education; Mother; Knowledge; Attitude
Evaluasi Proses dalam Program Penanganan Stunting di Semarang P. H, Firmansyah Kholiq Pradana; Sriatmi, Ayun; Kartini, Apoina
HIGEIA (Journal of Public Health Research and Development) Vol 5 No 4 (2021): HIGEIA: Oktober 2021
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v5i4.52122

Abstract

ABSTRAK Kota Semarang merupakan kota yang berhasil menekan angka stunting 2,5% pada tahun 2019. Akan tetapi, pandemi Covid-19 program stunting di kota Semarang mengalami hambatan pada proses yang berpotensi meningkatkan resiko prevalensi stunting, yaitu terbatasnya akses intervensi yang menyebabkan menurunya mutu program stunting.Tujuan penelitian ini untuk mengetahui dan mengevaluasi proses pelaksanaan program stunting di Kota Semarang menggunakan model Proses CIPP. Penelitian ini adalah penelitian survei dengan pendekatan kualitatif. Informan penelitian ini rdiri dari 5 informan utama yaitu tenaga gizi puskesmas dan 15 informan triangulasi. penentuan informan menggunakan teknik purposive. Analisis data menggunakan analisis isi. Hasil penelitian menunjukan indikator perencanaan, adanya perubahan kegiatan pada program stunting masa pandemi karena penutupan layanan posyandu. Indikator pelaksanaan adalah kegiatan pemantauan dilaksanakan door to door, tidak adanya pemberian PMT F100, penyuluhan online tidak efektif, berkurangnya ibu yang mengikuti konsultasi gizi, tidak ada pemantauan terkait pemberian vitamin A. Indikator monitoring menyatakan bahwa empat dari lima kegiatan stunting tidak mencapai target. Saran dalam penelitian ini adalah, meningkatkan inovasi program penanggulangan stunting menggunakan teknologi digital selama masa pandemi. ABSTRACT Semarang is a city that has succeeded in reducing the stunting rate by 2.5% in 2019. Covid-19 pandemic caused stunting program in Semarang has encountered obstacles in the process that can increase the risk of stunting prevalence. The purpose of this study was to determine the implementation process of the stunting using the CIPP Process model. This research is a survey research with a qualitative approach. The informants of this study consisted of 5 main informants and 15 triangulation informants. when informants use purposive techniques. Data analysis using content analysis. The results showed planning indicators, changes in activities in the stunting program during the pandemic due to the closure of posyandu services. The implementation indicators are door to door monitoring activities, no provision of PMT F100, ineffective online counseling, reducing mothers who attend consultations, no monitoring related to vitamin A administration. Monitoring indicators state that four activities did not reach the target. Suggestions in this study are to increase stunting prevention innovation programs using digital technology during the pandemic. Keyword: Program, Stunting, CIPP Process
FAKTOR RISIKO KEJADIAN STUNTING PADA ANAK USIA 12-36 BULAN DI PUSKESMAS WOHA KABUPATEN BIMA Jasman - -; Apoina Kartini; Martini - -
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (317.341 KB) | DOI: 10.33633/visikes.v19i01.3763

Abstract

Woha Subdistrict Is one of the sub-districts in the district of Bima which has a stunting prevalence rate of (39.65%) higher than the national prevalence (30.8%). Most people in Woha Subdistrict do farming activities to make ends meet. To get a better harvest, the community uses pesticides as the most effective drug for controlling pests. The effect of pesticide exposure is not yet known as a risk factor for stunting in Bima Regency. The objective of this study was to determine whether the history of pesticide exposure as a risk factor for the incidence of stunting in children aged 12-36 months in the working area of Woha Health Center Bima Regency. The study design was a case-control using a retrospective approach in 48 cases (stunting) and 48 controls (normal). Data analysis was carried out in stages including univariate, bivariate and multivariate analyses. The analysis showed three variables that had a significant relationship with the incidence of stunting, namely a history of exposure to pesticides (OR = 3,35; CI = 1,44-7,78; p = 0,008), history of infectious diseases (OR = 3,97; CI = 1,64-9.58; p = 0,003), maternal height (OR = 3,76; CI = 1,60-8,88; p = 0,004. Conclusion low maternal height is the most dominant factor influence the incidence of stuntingKeywords: Stunting, exposure to pesticides, infectious diseases, maternal height.
PENGARUH PENDIDIKAN KESEHATAN DENGAN MEDIA LEMBAR BALIK TENTANG PENCEGAHAN STUNTING PADA CALON PENGANTIN Naila Fauziatin; Apoina Kartini; S. A. Nugraheni
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2019): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (373.013 KB) | DOI: 10.33633/visikes.v18i2.2679

Abstract

Naila Fauziatin1, Apoina Kartini2, S.A Nugraheni31Magister Promosi Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Diponegoro2,3Fakultas Kesehatan Masyarakat, Universitas DiponegoroEmail : nailafauzia729@gmail.com ABTRACTEfforts to assess stunting must be done on the right candidate for the bride who will prepare for the pregnancy. Knowledge of the status of prospective mothers, the fetus to be conceived, and the quality of the baby to be improved, therefore the knowledge and attitude of the brides. can be enlarged stunting that continues to pass.The research is experimental quasy with a control group non-randomized design. The research subjects were the brides in 4 KUA in Grobogan District, 72 respondents in the intervention group and 72 respondents in the control group. This research will analyzes the differences in knowledge and attitudes of brides before and after the intervention with the media flipchart about stunting prevention. The instrument research uses a structured questionnaire. Data were analyzed by univariate and bivariate using the Wilcoxon test.Statistical test results is p=0,000 which means an increase in the knowledge and attitude of the brides. In this study, reversing media has been proven to increase the knowledge and attitudes of brides in preventing stunting. It is expected that the KUA and the health office will increase health promotion efforts in stunting prevention to brides.Keywords: Flipchart, Stunting, Bride
ANALISIS PELAKSANAAN PISPK DALAM CAPAIAN INDEKS KELUARGA SEHAT DI KABUPATEN BREBES Rizky Aprilianti Lestari; dr. Antono Suryoputro, MPH., Ph.D; Dr. dr. Apoina Kartini. M., Kes
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 1 (2021): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i1.4251

Abstract

Kabupaten Brebes merupakan salah satu Kabupaten di Provinsi Jawa Tengah yang telah mengimplementasikan progam PISPK sejak tahun 2016, dalam beberapa tahun dilaksanakan program PISPK Kabupaten Brebes menempati urutan ke-6 dalam hal cakupan kunjungan keluarga. Puskesmas Kluwut merupakan salah satu Puskesmas yang sudah melaksanakn program PISPK sejak diterbitkan program tersebut, sampai dengan saat ini pendataan jumlah keluarga (KK) di Puskesmas Kluwut mencapai 90%. Tetapai untuk capaian jumlah Indeks Keluarga Sehat (IKS) belum sesuai dengan target. Tujuan penelitian ini adalah menganalisis pelaksanaan program indonesia sehat dengan pendekatan keluarga PISPK dengan melihat capaian Indeks Keluarga Sehat (IKS) di Puskesmas Kluwut Kabupaten Brebes tahun 2019 dengan menggunakan metode kualitatif dengan observasi dan wawancara mendalam (in-depth interviews). Informan utama adalah pemegang program PISPK, petugas pelaksanaan program PISPK di Puskesmas Kluwut. Informan triangulasi adalah kepala Puskesmas Kluwut. Teknik pengolahan dan analisis data dilakukan dengan pengumpulan data, reduksi, dan verifikasi. Hasil penelitian menunjukan bahwa aspek input meliputi kurangnya SDM kesehatan, belum fokusnya alokasi penggunaan dana, pemanfaatan sistem apilkasi yang terbatas dapat berdampak pada aspek proses, yaitu kurang maksimalnya pelaksanaan penyuluhan kesehatan menyebabkan masih banyaknya masalah kesehatan yang ditemukan. Sehingga menyebabkan aspek output yaitu cakupan indeks keluarga sehat (IKS) di Puskesmas Kluwut belum tercapai sesuai dengan target nasional. Dukungan aktif lintas sektor juga dapat mempengaruhi dan mempermudah proses pelaksanaan program indonesia sehat dengan pendekatan keluarga. Rekomendasi kepada Puskesmas adalah agar dapat melakukan komunikasi dan koordinasi dengan lintas sektor serta menambah ketersediaan SDM kesehatan terutama untuk melakukan pendataan dilapangan.Keywords: Analisis, Indeks Keluarga Sehat, Puskesmas
Hipotiroidisme pada Wanita Usia Subur (WUS) di Daerah Pertanian: Penelitian di Kecamatan Kersana Kabupaten Brebes Suhartono Suhartono; Sri Djokomoeljanto; Suharyo Hadisaputro; Hertanto Wahyu Subagio; Apoina Kartini
MEDIA MEDIKA INDONESIANA 2010:MMI VOLUME 44 ISSUE 1 YEAR 2010
Publisher : MEDIA MEDIKA INDONESIANA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (198.499 KB)

Abstract

Background: Hypothyroidism can cause infertility, spontaneous abortion, fetal growth-development disorders, placental abruption and prematurity. Exposure to pesticides, both of organochlorines and organophosphate, can cause hypothyroidism. The aim of the study was to examine the prevalence of hypothyroidism in WCA in agricultural areas.Methods: A cross-sectional study was conducted in two hundred and eight women of WCA who were randomly selected from four villages and TSH levels were examined. The TSH cut-off point for the diagnosis of hypothyroidism was 4.5 μIU/mL. In a sub-sample, fT4 levels, UEI and thiocyanate in urine, were also examined. Result: The mean level of TSH was 3.66 (±5.330) μIU/mL, the lowest value was 0.05, and the highest was 60 µIU/mL; the median was 2.38 μIU/mL; the mean FT 4 (n=89) was 16.207±3.0438 pmol/L; UEI median value (n=41) was 288.0 mcg/L; while the mean of urinary thiocyanate levels (n=41) was 1.468±1.25 mcg/mL. There were 47 WCA (22,6%) with hypothyroidism, 46 of which (97.9%) are sub-clinical hypothyroidism.Conclusion: The prevalence of hypothyroidism in WCA was 22.6% and almost all women had sub-clinical hypothyroidism. Pesticide exposure is suspected as a risk factor for hypothyroidism in this population.ABSTRAKLatar belakang: Hipotiroidisme merupakan keadaan, di mana kelenjar tiroid tidak dapat memproduksi hormon cukup untuk memenuhi kebutuhan tubuh. Pada WUS, hipotiroidisme dapat menyebabkan infertilitas, abortus spontan, gangguan tumbuh-kembang janin, placental abruption dan bayi lahir sebelum waktunya. Pajanan pestisida, baik dari golongan organoklorin maupun organofosfat, dapat menyebabkan hipotiroidisme. Penelitian ini bertujuan mengkaji berapa besar prevalensi hipotiroidisme pada WUS yang bertempat tinggal di daerah pertanian.Metode: Penelitian ini menggunakan desain cross-sectional. 208 WUS dipilih secara acak dari empat desa dan dilakukan pemeriksaan kadar TSH. Diagnosis hipotiroidisme ditegakkan berdasarkan kadar TSH 4,5 µIU/mL. Pada sebagian WUS (sub-sampel) dilakukan pemeriksaan kadar fT4, UEI dan kandungan tiosianat dalam urin. Hasil: Rerata kadar TSH adalah 3,66 (±5,330) µIU/mL, nilai terendah 0,05, nilai tertinggi 60 µIU/mL sedangkan median TSH 2,38 µIU/mL; rerata fT 4 (n=89) adalah 16,207±3,0438 pmol/L; nilai median UEI (n=41) adalah 288,0 µg/L; rerata kadar tiosianat urin (n=41) adalah 1,25±1,468 µg/mL. Didapatkan 47 WUS (22,6%) dengan hipotiroidisme, 46 di antaranya (97,9%) adalah hipotiroidisme sub-klinik.Simpulan: Prevalensi hipotiroidisme pada WUS sebesar 22,6%, hampir semuanya hipotiroidisme sub-klinik. Pajanan pestisida patut dicurigai sebagai faktor risiko pada WUS di daerah pertanian yang diteliti ini.
Co-Authors - Mukhfi - Suyatno Adriana Rizki Novita Agnes Styfani Meko Ahmad Syauqy Alfan Afandi Alfi Fairuz Asna Amini, Musdalifah Nor Anggray Duvita Wahyani Ani Margawati Anies Anies Anna Herdina Ari Suwondo Ari Yulistianingsih Aulia Medina Sulistyowati Ayu Silvia Ayun Sriatmi Azkia, Bardiatul Bagoes Widjanarko Baju Widjasena Bintang Agustina Pratiwi Budhi R, Kamilah Budiyono Budiyono Cahaya Asdhany Cahya Tri Purnami Cahya Tri Purnami Cahya Tri Purnami, Cahya Cahyo Setiawan Camelia Nurjannah Chairunnisa, Syifa Al Janna Christin Desi Anggreyenti Dea Indartanti Dewi, Putu Lina Paramitha Dhea Salisa, Merisha Dian Fajriyah Pangestika Dian Ratna Sawitri Dina Rahayuning Pangestuti Dina Rahayuning Pangestuti, Dina Dini Indah Fauziah Distrika Philani Diwian Jaya Putra, I Putu Okta Donny Kristanto Mulyantoro dr. Antono Suryoputro, MPH., Ph.D Dwi Sutiningsih Dyah Krisnawati Dyah Primasari Dyah Umiyarni Purnamasari Efa Nugroho Eka Putri Rahmadhani Elisa Henny Eni Rumiyati Erizka Marwita Triyonate, Erizka Marwita Etika Hasna Dina Putri Etika Ratna Noer Eva Novianingsih Farid Agushybana Ferdian, Nizaar Ferry Ardhiansyah Fifiantyas Amalia Fillah Fithra Dieny Firmansyah Kholiq Pradana PH Fitry, Febriana Ramadhani Fristiwi, Pingkan Ghodiq Ufthoni Gunawan, Novia Riansari Habibah Abidin Hapsari, Kanya Hapsari, Rani Ayu Hendrawati, Menik Hendrixus Eko Surani Putro Heni Irawati Heri Gunawan Hermawati, Bertakalswa Hertanto Wahyu Subagio Hesti Ardini Rakhmiditya Hidayati Hidayati Ida Nurmawati Ilmiati, Fatia Indri Mulyasari Intan Claudina Jamhari Jamhari Jasman - - Jatu Safitri Cahyahati Jauharany, Firdananda Fikri Jayawarsa, A.A. Ketut Kamilah Budhi Rahardjani Karisma, Putu Ayu Khikmah Wati Kusworo Adi LA MANI, LA Laksmi Widajanti Latifahanun, Este Lestari, Rizky Aprilianti Lidiyawati Lidiyawati Liyana Putri Afifah Lu lu atul Khodijah M. Zen Rahfiluddin Ma'rifah Tri Citra Mahalul Azam Mandati, Dewi Anjani Mardiana Mardiana Mardiana Mardiana Martha Irene Kartasurya Martini - - Martini Martini Maya Erisna Meliati, Linda Merisha Dhea Salisa Mexitalia Setiawati Miftahul Mualimah Mochamad Abdul Hakam Mohammad Zen Rahfiludin Muflihatul Muniroh Muhtar, Muhammad Solihuddin Muniroh, Muflihatul Mursid Raharjo Naila Fauziatin Naili Farida Naintina Lisnawati Natalia Kristiani Nidya, Indriana Rahma Nizaar Ferdian Novia Luthviatin Novie Susanto Nunung Wulandari Nurjazuli Nurjazuli Nurul Dewi Anggraeni Nurul Laili Hidayati Rizqie Olivionita, Vita Onny Setiani Oqi Bintang Hapsari Ossie Happinasari Prastika Yulianasari Putra, I Putu Okta Diwian Jaya Putri Tiara Nur Mahardika Putu Ayu Karisma Rafika Farianita Ragil Sri Pamungkas rahmuniyati, merita eka Rasipin Rasipin Rasnasuri, Dita Ratna Indriati Retno Widyaningsih, Retno Rhisma Nasita Sianti Rhosidatus Salamah Rieny, Elzha Geniz Rizki Putri Anjani Rohma Yuanita Rohmatul Bariroh Al Faiqoh Ronny Aruben Rudi Pangarsaning Utami Rukman, Pingkan Fristiwi Runjati S. A. Nugraheni S. Fatimah Pradigdo S.A Nugraheni S.A. Nugraheni Safitri, Vania Arthamevia Sania Lailatul Rahmi Saraswati, Rizki Septia Sarman Sentha Kusuma PJ Septo Pawelas Arso Sianti, Rhisma Nasita Silvia Agus Widyaningtyas Sinta Lestari Sinta Wati Siti Fatimah Siti Fatimah Siti Fatimah SITI FATIMAH Siti Fatimah Muis Siti Fatimah Pradigdo Siti Fatimah-Muis, Siti Soakakone, Minnalia Sofwan Indarjo Solly Aryza Sophia Rose Sri Achadi Nugraheni Sri Achadi Nugraheni Sri Djokomoeljanto Sri Winarni Suhartono Suhartono Suhartono Suhartono, Suhartono Suharyo Hadisaputro Sulistyawati Sulistyawati Supriyana Supriyana Suroto Suroto Susi Yunita Haryanti Sutopo Patria Jati Suyatno Suyatno Suyatno Suyatno Suyatno Suyatno Syamsul Arifin Syamsulhuda BM Talitha Rahma Nur Aini Thomas Triadi Putranto, Thomas Triadi Tri Joko Vania Retno Nurastrini Wa Ode Asma Isra Wahyu Ratri Sukmaningsih Widya Widya Wulandari, Nunung Yusfina Modesta Rua Yusniar Hanani Darundiati Zahrah, Nabilah Ayu Az Zahroh Shaluhiyah Zhafira, Shabrina Nuril