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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Media Medika Muda Jurnal Epidemiologi Kesehatan Indonesia Narra J Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Renti Mahkota
Department Of Epidemiology, Faculty Of Public Health, Universitas Indonesia, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Public Perception and Obedience with Social Distancing Policies during the COVID-19 Pandemic in Jakarta, Indonesia Widyamurti, Widyamurti; Sitorus, Edwina Bernita; Susanna, Dewi; Wispriyono, Bambang; Kusuma, Aria; Mahkota, Renti
Kesmas Vol. 17, No. 1
Publisher : UI Scholars Hub

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The Indonesian Government established a social distancing policy to prevent COVID-19 transmission. However, this implementation will be ineffective without the compliance of the people. This study aimed to analyze the relationship between public perception and obedience with social distancing in terms of the variables based on the Health Belief Model. This study used a cross-sectional design with a population of Daerah Khusus Ibukota (DKI) Jakarta’s indigenes within the productive age of 15-64 years. The sample comprised 408 participants, with the independent variables of sociodemographics (age, gender, occupation, and education) and health beliefs (perceived susceptibility, severity, benefits, barriers, and self-efficacy). Meanwhile, obedience to social distancing was the dependent variable. Data were obtained through an online questionnaire and evaluated with the bivariate and multivariate analysis using Chi-square and logistic regression tests. Gender (OR = 2.327; 95% CI = 1.404-3.857) and perceived self-efficacy (OR = 2.609; 95% CI = 1.726-3.945) were significantly related to social distancing obedience. Meanwhile, no statistical correlation (p-value>0.05) was found with sociodemographics, perceived susceptibility, severity, benefits, and barriers. The males with low self-efficacy were more likely to disobey the social distancing policies. The individual’s self-efficacy perception increased with their level of obedience to social distancing policies.
Adverse Effect of Aerosol Pesticide on Lung Dysfunction amongPaddy Farmers in Purworejo, Central Java, Indonesia Nurcandra, Fajaria; Mahkota, Renti; Miko Wahyono, Tri Yunis
Kesmas Vol. 15, No. 2
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The World Health Organization estimated that chronic obstructive pulmonary disease (COPD) will be the highest non-communicable disease worldwide by2030, and pesticide exposure is one of major risk factors. This study aimed to determine effect of pesticide exposure on lung dysfunction among paddyfarmers. A case-control study was performed on April - May 2016 in Purworejo. The case group comprised 66 farmers suffering from lung dysfunction during2015 based on medical records, while the control group comprised 59 neighboring farmers showing normal lung function. Both case and control groups weretested using a spirometer and COPD assessment test (CAT) questionnaire. Logistic regression analysis of pesticide quantity (OR = 0.75; 95% CI = 0.317 -1.754) and duration of spraying (OR = 1.11; 95% CI = 0.430 - 2.891) adjusted for confounders showed no clear associations. Pesticide remained a potentialhealth risk for lung dysfunction due to farming duration (OR = 5.61; 95% CI = 1.124 - 27.990) adjusted by age, personal protective equipment, records of lungdisease, smoking habit, dust exposure, and indoor air pollution. The farming duration was revealed to be a risk factor, but no clear association was found between quantity and duration of spraying to lung dysfunction.
Exclusive Breastfeeding and Decrease of Upper respiratory Infection Incidence among Infants Aged 6-12 Months in Kampar District, Riau Province Rustam, Musfardi; Mahkota, Renti; Kodim, Nasrin
Kesmas Vol. 13, No. 3
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Upper Respiratory Infection (URI) is a major cause of morbidity and mortality of infants and toddlers in developing countries. The high infant morbidity and mortality rates in Indonesia are associated with the low exclusive breastfeeding ability. Breast milk is a natural drink for newborns in the first month of life that is beneficial not only for the babies, but also for mothers. The aim of study was to determine exclusive breastfeeding and decrease in incidence of URI among infants aged 6-12 months. This study was conducted by using case control design. Samples were taken by using cluster random sampling. Subject of study consisted of 162 cases and 162 control with infants aged 6-12 years. Cases were 162 infants aged 6-12 months suffering from URI within one last month and taken by mothers to primary health care that was selected location of study, while control was mothers who took their infants aged 6-12 months who did not suffer from URI within one last month to the selected primary health care. Data analysis included univariate, bivariate, stratification, and multivariate analysis with logistic regression. Results of study found that infants who were not exclusively breastfed were 1.69 times (95% CI: 1.02-2.80) more at risk of increasing URI incidence compared to infants who were breastfed exclusively after controlled by smoker in house and immunization variables. Health promotion of 6-month exclusive breastfeeding, provision of immunization, and anti-smoking program need to be implemented continuously to decrease the rates of morbidity and mortality due to URI disease.
Effect of Personal Protective Equipment during Pesticide Application to Neurological Symptoms in Farmers in Purworejo District, Indonesia Nurcandra, Fajaria; Mahkota, Renti; Shivalli, Siddharudha
Kesmas Vol. 12, No. 4
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Agriculture is one of major sectors of Indonesia economic source with the high volume of pesticide used. Unfortunately, adverse health effect of neurotoxic pesticide has never been reported in Indonesia. This study aimed to determine effectiveness of personal protective equipment (PPE) during applied pesticides to neurological symptoms in farmers. This study was cross-sectionally conducted from April to May 2016 in Purworejo District. About 125 farmers were selected using purposive sampling, and restriction was applied in male farmers due to the high proportion of male sprayer. Data was collected by observation and interview. Logistic regression showed protective result of PPE used during preparing (POR=0.402; 95% CI 0.114-1.423) and spraying (POR = 0.382; 95% CI 0.110-1.320), also following wind direction (POR = 0.882; 95% CI 0.271-2.872) and bathing after spraying (POR=0.328; 95% CI 0.036-3.006) after controlled by confounders. Proper PPE used during preparing and spraying pesticide, following wind direction during spraying, and bathing after spraying can decrease risk of neurological symptoms because of pesticide exposure.
Risk Factors of COVID-19 Infection Among Health Workers Post-Vaccination in Jakarta Saputra, Rahmat; Prihartono, Nurhayati Adnan; Sudaryo, Mondastri Korib; Mahkota, Renti; Devita, Yeni; Arisanti, Ni Wayan Deisy
Kesmas Vol. 19, No. 4
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One of the best approaches to stop the COVID-19 pandemic is vaccination. In Indonesia, the first round of vaccinations was prioritized for health workers on January 14, 2021 (first dose) and March 1, 2021 (second dose). However, some health workers who have been vaccinated were found to be reinfected after receiving the second dose. This cross-sectional study examined the risk factors for COVID-19 infection among health workers after vaccination using secondary and primary data. The data analysis was carried out in univariate (examining the frequency distribution and proportion of independent variables), bivariate (Chi-square test to explore the relationship between independent and dependent variables), and multivariate (Logistic Regression to assess the strength of the relationship between independent and dependent variables). The results showed that the variables associated with post-vaccination infection included COVID19 infection history (PR: 2.16, p-value <0.05), age (PR: 0.64, p-value <0.05), hypertension (PR: 1.52, p-value <0.05), direct contact with patients (PR: 2.02, p-value <0.05). It is recommended that health workers aged >37 years with a history of diabetes mellitus, hypertension, or previous COVID-19 infection, working directly with patients, and using Personal Protective Equipment level 1 daily should be prioritized for booster vaccinations.
Co-Authors A. H. Mahpudin A.H. Mahpudin Adelina Fitri Anggraini, Fitria Dewi Puspita Annisa Ika Putri Ansariadi Ansariadi Aria Kusuma Aria Kusuma Arisanti, Ni Wayan Deisy Arwinda Nugraheni Asri C. Adisasmita Bambang Wispriyono Berliana Situmeang Devita, Yeni Dewi Susanna Dwi Agus Setiabudi Dwinata, Indra Edwina Bernita Sitorus Eka Malfasari Elvieda Sariwati Fariani Syahrul Fatmah A. Gobel Fatmah A. Gobel Helda Helda Hidajah, Atik C. Irwan Muryanto Kawi, Nurhayati Miko Wahyono, Tri Yunis Mira Maryani Latifa Nasrin Kodim Nasrin Kodim Nenden Hikmah Laila Ni Ketut Susilarini Nurcandra, Fajaria Prihartono, Nurhayati Adnan Rajunitrigo Sukirman Rustam, Musfardi Saputra, Rahmat Shivalli, Siddharudha Sitorus, Edwina Bernita Sudaryo, Mondastri Korib Sukarsi Rusti Syahrizal Syarif Vivi Setiawaty Wahyono, Tri YM. Widyamurti Widyamurti Widyamurti, Widyamurti Wignjadiputro, Ira