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Determinants of Multimorbidity among The Elderly Population in Indonesia Mahwati, Yeni
Kesmas Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Multimorbiditas adalah kehadiran dua atau lebih penyakit kronis pada satu orang. Prevalensi multimorbiditas meningkat dengan usia, terutama pada lanjut usia (lansia). Penelitian ini bertujuan untuk mengetahui prevalensi dan determinan multimorbiditas pada lansia di Indonesia. Data diambil dari survei keempat Indonesian Family Life Survey (IFLS) yang diadakan pada tahun 2007. IFLS adalah survei sosial ekonomi dan kesehatan longitudinal di Indonesia. Sampel yang digunakan dalam analisis adalah 2.960 lansia (³ 60 tahun). Regresi logistik dilakukan untuk menentukan prevalensi dan determinan multimorbiditas pada lansia. Hasil penelitian menunjukkan prevalensi multimorbiditas sebesar 15,8%, dengan prevalensi lebih tinggi pada lansia yang overweight/obesitas, tingkat pendidikan rendah, tidak bekerja, perokok saat ini, aktivitas fisik ringan, overweight/obesitas, dan kurangnya konsumsi sayur dan buah. Analisis multivariat menunjukkan bahwa tingkat pendidikan yang rendah, tidak bekerja, perokok saat ini dan pernah merokok, overweight/obesitas, aktivitas fisik ringan, serta kurangnya konsumsi sayuran dan buah berhubungan dengan multimorbiditas. Hasil penelitian menunjukkan bahwa prevalensi multimorbiditas pada lansia Indonesia cukup tinggi terutama mereka dengan perilaku kesehatan yang buruk dan kondisi sosial ekonomi yang rendah. Strategi untuk meningkatkan perilaku sehat dan meningkatkan kondisi sosial-ekonomi dapat menurunkan prevalensi multimorbiditas pada lansia. Multimorbidity is the presence of two or more chronic diseases in one person. Multimorbidity prevalence increases with age, especially in the elderly. This study aimed to determine the prevalence of multimorbidity in elderly population in Indonesia and its determinant. Data were taken from the fourth survey of the Indonesian Family Life Survey (IFLS) which held in 2007. IFLS is a continuing longitudinal socio-economic and health survey. The sample used in the analysis were 2,960 elderly (³ 60 years). Logistic regression was performed to determine the prevalence and determinants of multimorbidity in the elderly. The prevalence of multimorbidity were 15.8 % and was higher among low educational level, unemployed, current smokers, mild physical activity, overweight/obese and lower consumption of vegetables and fruit. Multivariate analysis showed that low educational level, unemployed, current smoker and ex smoker, overweight/obese, mild physical activity and lower consumption of vegetables and fruit were associated with multimorbidity. The results showed that the prevalence of multimorbidity in Indonesian elderly is quite high especially those with poor health behaviors and low socioeconomic conditions. Strategies to increase healthy behaviors and improve socio-economic conditions may decrease the prevalence of multimorbidity.
Evaluasi Pasca Pelatihan: Keterampilan Bidan dalam Pelayanan Kontrasepsi: Post-Training Evaluation: Midwives' Skills in Contraception Services Tuti_Surtimanah; Dean Rosmawati; Gina Zulfah; Nuraini; Yeni Mahwati; Irfan Nafis Sjamsuddin
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 5 (2024): May 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i5.5017

Abstract

Latar belakang: Pelayanan kontrasepsi di fasilitas kesehatan mesti dilakukan secara terstandar dan berkualitas. Telah dilakukan pelatihan pelayanan kontrasepsi bagi bidan dengan indikator hasil belajar 16 ranah keterampilan dan empat ranah pengetahuan. Tujuan: Mengetahui tingkat keterampilan bidan pasca pelatihan pelayanan kontrasepsi. Metode: Disain mixed methods, rancangan sekuensial eksplanatif. Populasi alumni pelatihan tahun 2023 dengan sampel total sebanyak 40 orang untuk penelitian kuantitatif, dan 13 informan penelitian kualitatif dipilih purposif. Pengumpulan data kuantitatif melalui penyebaran kuesioner skala penilaian diri dan pertanyaan aplikasi keterampilan pelayanan kontrasepsi berbentuk google form, kemudian dianalisis deskriptif dan uji beda skor keterampilan menurut karakteristik responden. Pengumpulan data kualitatif melalui wawancara mendalam, dianalisis menggunakan framework analysis. Hasil: Rata-rata skor keterampilan hasil skala penilaian diri sebesar 80,20 lebih tinggi dari rata-rata skor hasil pertanyaan aplikasi pelayanan kontrasepsi sebesar 49,75. Tidak ada korelasi signifikan antara skor hasil skala penilaian diri dengan skor hasil pertanyaan aplikasi pelayanan kontrasepsi (p 0,689). Tidak ada beda signifikan (p > 0,05) skor keterampilan pelayanan kontrasepsi menurut umur, instansi kerja, pendidikan, jenis tugas, asal kabupaten – kota, lama kerja. Ada 8 dari 16 keterampilan yang dijawab benar ? 50% responden pada pertanyaan aplikasi keterampilan yaitu konseling dengan ABPK, pelayanan kontrasepsi darurat dan pasca keguguran, pelayanan kontrasepsi metode suntik – pil dan kondom, melakukan kewaspadaan pencegahan pengendalian infeksi, pencatatan pelaporan pelayanan. Terjadi perubahan keyakinan diri serta motivasi melaksanakan tugas pasca pelatihan, termasuk dalam melaksanakan konseling. Kesimpulan: Sebanyak 97,5% responden memiliki keterampilan pelayanan kontrasepsi kategori baik menurut skala penilaian diri, namun hanya 45% memiliki kategori baik menurut jawaban pertanyaan aplikasi pelayanan kontrasepsi. Dukungan pimpinan, kebijakan serta penyediaan sarana prasarana kerja dibutuhkan alumni dalam mengaplikasikan keterampilan yang dipelajari selama pelatihan.
Impact of Infancy Conditions on Physical Growth of Children Under-five Claudia Azhari; Yeni Mahwati; Yeni Suryamah; Arfian Hikmat Ramdan
Preventia : The Indonesian Journal of Public Health Vol 9, No 1 (2024)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um044v9i12024p1-8

Abstract

Children under five years old is the age group most vulnerable to several health problems. It is important to evaluate the impact of infancy condition on their physical growth.  This research aimed to examine the impact of infancy condition on the physical growth of children under-five years old. The unmatched case-control study was conducted in Puskesmas Griya Antapani areas, Bandung from May to July, 2023. A total of 112 children aged under 5 years were included in this study (56 cases and 56 control). The analysis used multivariate logistic regression to determine adjusted odds ratios (OR). The results showed that the variables associated with the children growth are infection or illness in infancy (OR is 0,138 95 percent CI 0,51 until 0,375), feeding patterns in infancy (OR is 11,000 95 percent CI 4,566 until 26,503), birth weight (OR is 0,170 95 percent CI 0,036 until 0,818) and economic status (OR is 0,062 95 percent CI 0,14 until 0,280). Multivariate logistic regression showed that economic status was the most dominant factor for children physical growth (OR is 6.701 95 percent CI 1,323 until 33,944). Education for families is needed in choosing food that is rich in nutrition and economical by utilizing alternative sources of protein, the amount of food, and the schedule of meals according to the needs of children according to their age.
Study of the Validity of Student Academic Achievement Instruments (CLEI) Siti Sugih Hartiningsih; Yeni Mahwati; Ejeb Ruhyat; Gugum Pamungkas; Meta Dwi Tamara; Maya Indriati; Berty Risyanti
Jurnal Penelitian Pendidikan IPA Vol 11 No 9 (2025): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i9.11441

Abstract

This study aims to study of the validity of student academic achievement instruments (CLEI). This research is quantitative descriptive. The population in the study is a subject who meets the criteria that have been set, namely all students of the class of 2021 semester 2 at STIKes Dharma Husada who have joined the whatsapp group, namely 129 students. Data analysis in this study uses univariate analysis, namely by calculating the frequency distribution of each characteristic measured, then conducting bivariate analysis in the form of a grain validity test using the Pearson product moment correlation formula and multivariate analysis in the form of a construct validity test using a factor analysis test. As many as 93% of the questions were declared valid with a reliability value of 0.917, factors formed from the component of academic potential as many as 5 factors, time management 2 factors, academic stress management 1 factor and the component of involvement in campus activities 2 factors
Inisiasi Menyusui Dini dengan Penggunaan Bedong Chibeb untuk Mendukung Keberhasilan Menyusui Dini dan Stabilisasi Suhu Tubuh Bayi Ambar Susilawati; Herry Garna; Yeni Mahwati; Herri S Sastramihardja
Healthcaring: Jurnal Ilmiah Kesehatan Vol. 5 No. 1 (2026): Vol : 5 No : 1 : Periode Januari 2026
Publisher : Information Technology and Science (ITScience)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47709/healthcaring.v5i1.6937

Abstract

Proses IMD merangsang pelepasan oksitosin pada ibu yang mendukung stabilisasi suhu tubuh bayi selama kontak kulit ke kulit. Tujuan penelitian ini menganalisis pengaruh bedong Chibeb dibanding dengan bedong tradional terhadap keberhasilan IMD dan stabilisasi suhu tubuh bayi baru lahir di Wilayah Kerja UPT Puskesmas Mancak Kabupaten Serang. Modifikasi Prosedur Inisiasi Menyusui Dini dengan Penggunaan Bedong Chibeb Untuk Mendukung Keberhasilan Menyusui Dini dan Stabilisasi Suhu Tubuh Bayi di Wilayah Kerja UPT Puskesmas Mancak Kabupaten Serang Tahun 2025. Metode penelitian yang digunakan Quast exsperimental dengan desain penelitian posttest nonequivalent control group design, Populasi adalah bayi baru lahir di Wilayah Kerja UPT Puskesmas Mancak Kabupaten Serang. Teknik pengambilan sampel penelitian ini meggunakan purposive sampling. Uji statistik menggunakan uji chi square. Waktu penelitian dilaksanakan periode 20 Februari–15 Maret 2025. Hasil penelitian pada bedong Chibeb sebanyak 31 dari 33 bayi berhasil dilakukan inisiasi menyusu dini, sedangkan pada bedong tradisional hanya 15 dari 33 bayi yang berhasil (p=0,001). Simpulan, Modifikasi Prosedur Inisiasi Menyusui Dini dengan Penggunaan Bedong Chibeb terhadap inisiasi menyusu dini lebih baik dari pemakaian bedong tradisional, sedangkan kedua pemakaian bedong tidak memengaruhi stabilisasi suhu tubuh bayi baru lahir dan bedong Chibeb tidak lebih baik daripada bedong tradisional.  
Rapid Response to Underweight: Effectiveness of a Short-Term Community-Based Intensive Nutritional Intervention Muharani, Filly; Febriany, Sekar Elok; Rahmawati, Santi Deliani; Yamin, Imam Syahputra; Mahwati, Yeni; Wisastra, Danan Panggih
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 1: Februari 2026
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v11i1.30548

Abstract

Background: Childhood stunting and undernutrition remain critical global health challenges. While long-term interventions are common, the efficacy of short-term, community-based intensive nutritional interventions (Pos Gizi) requires further empirical evaluation.Objective: This study aimed to analyze the clinical effectiveness of a 12-day intensive nutritional package on weight and height gain among underweight children under five in Garut District, West Java, using a quasi-experimental one-group pretest-posttest design.Methods: The study included 69 children (aged 10–55 months) meeting the inclusion criteria, who received supplementary feeding and intensive health education over 12 days. Anthropometric data were collected at baseline and endline using standardized instruments. Data were analyzed using the Paired t-test and Cohen’s d effect size calculation.Results: Significant improvements were observed in both weight (p < 0.001) and height (p < 0.001) post-intervention. The mean weight gain was 0.20 kg (95% CI: 0.16–0.25), and the mean height gain was 0.65 cm (95% CI: 0.42–0.88). Effect size analysis indicated a large clinical impact on weight     (d = 1.01) and a medium-to-large impact on height (d = 0.68).Conclusion: Short-term intensive nutritional interventions are effective in stimulating rapid weight rehabilitation. While linear growth showed statistical improvement, this likely reflects acute physical recovery rather than permanent structural growth. This model is recommended as an initial acceleration strategy to manage undernutrition.
Impact of Infancy Conditions on Physical Growth of Children Under-five Azhari, Claudia; Mahwati, Yeni; Suryamah, Yeni; Ramdan, Arfian Hikmat
Preventia: The Indonesian Journal of Public Health Vol. 9, No. 1
Publisher : citeus

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

Abstract

Children under five years old is the age group most vulnerable to several health problems. It is important to evaluate the impact of infancy condition on their physical growth. This research aimed to examine the impact of infancy condition on the physical growth of children under-five years old. The unmatched case-control study was conducted in Puskesmas Griya Antapani areas, Bandung from May to July, 2023. A total of 112 children aged under 5 years were included in this study (56 cases and 56 control). The analysis used multivariate logistic regression to determine adjusted odds ratios (OR). The results showed that the variables associated with the children growth are infection or illness in infancy (OR is 0,138 95 percent CI 0,51 until 0,375), feeding patterns in infancy (OR is 11,000 95 percent CI 4,566 until 26,503), birth weight (OR is 0,170 95 percent CI 0,036 until 0,818) and economic status (OR is 0,062 95 percent CI 0,14 until 0,280). Multivariate logistic regression showed that economic status was the most dominant factor for children physical growth (OR is 6.701 95 percent CI 1,323 until 33,944). Education for families is needed in choosing food that is rich in nutrition and economical by utilizing alternative sources of protein, the amount of food, and the schedule of meals according to the needs of children according to their age.
SINDROM PASCA COVID-19 Aprilia Sari; Yeni Mahwati
Jurnal Sehat Masada Vol 17 No 1 (2023): Jurnal Sehat Masada
Publisher : Sekolah Tinggi Ilmu Kesehatan Dharma husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38037/jsm.v17i1.418

Abstract

Background: The phenomenon of post-COVID-19 syndrome is still largely unreported in Indonesia. Post-COVID-19 syndrome itself has not been widely studied, resulting in a lack of promotive and preventive measures for patients who experience post-COVID-19 syndrome. Objective: To determine the syndrome experienced by COVID-19 survivors and the factors that influence the occurrence of post-COVID-19 syndrome. Methods: Literature search using Google Scholar and Pubmed databases with a range of years 2019-2023. With keywords "Adult" and "Elderly" and "Long COVID-19" or "COVID-19 Syndrome" or "Long haulers" or "Post COVID-19" and "Brain fog" or "Fatigue" or "Dyspnea" or "Breathlessness". Discussion: A total of 10 studies were included. The most reported syndrome was fatigue and the most reported risk factor affecting the incidence of post COVID-19 syndrome was female gender. Conclusion: Post-COVID-19 syndrome is a complex condition with multiple and prolonged syndromes. The effects of post-COVID-19 syndrome are enormous for health.
Faktor Risiko Kejadian Katarak Motris Pamungkas; Yeni Mahwati; Suparni Suparni; Siti Sugih Hartiningsih; Weni Tusrini
Jurnal Sehat Masada Vol 18 No 1 (2024): Jurnal Sehat Masada
Publisher : Sekolah Tinggi Ilmu Kesehatan Dharma husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38037/jsm.v18i1.460

Abstract

Cataract is one of the leading causes of blindness in the world and in Indonesia. The prevalence of blindness due to cataracts increases annually by 0.1% of the total Indonesian population. Cataracts are caused by several risk factors. Based on this, early prevention efforts are needed to reduce the risk factors for cataract blindness. The purpose of this study was to determine the description of risk factors for cataract incidence based on the epidemiological triad, determine the relationship and magnitude of risk factors for cataract incidence. This type of research uses a literature review method of 16 journals consisting of 12 national journals and 4 international journals that discuss cataract risk factors. The results showed that risk factors were significantly associated with a p value of <0.05 with cataract incidence. Host risk factors are age ≥60 years, female gender, low education level, non-white race, genetic history (family cataract, diabetes mellitus, hypertension), and smoking habit. Based on agent exposure to ultraviolet light, and lack of antioxidant consumption are more at risk for cataract incidence. Then based on the environment, risk factors consist of climate, work outside the building, and low income levels. In conclusion, age, gender, education, race, genetic history (family cataract, diabetes mellitus, hypertension), smoking habit, ultraviolet light exposure, lack of antioxidant consumption, climate, occupation, and income level are significantly related and at risk for cataract incidence.
Determinasi Minat PrEP pada LSL: Studi pada Komunitas Daring Gay Indonesia (X Community Tab) Nurul Huda, Alfi Septian; Mauliku, Novie Elvinawaty; Suhat, Suhar; Nugrahaeni, Dyan Kunthi; Mahwati, Yeni
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.25015

Abstract

ABSTRACT HIV (Human Immunodeficiency Virus) is a virus that attacks the immune system and can be prevented through biomedical interventions such as Pre-Exposure Prophylaxis (PrEP), which involves the use of antiretroviral (ARV) medication by individuals who are not infected with HIV. PrEP has been shown to be highly effective in preventing HIV transmission, particularly among high-risk populations such as men who have sex with men (LSL). Despite its proven effectiveness, interest in PrEP use varies across individuals and communities, indicating the need to understand factors influencing PrEP uptake intention. This study aimed to examine the association between education level, sexual orientation, knowledge of PrEP, and multiple sexual partner behavior with interest in PrEP use among members of an Indonesian gay online community (X Community Tab). This study employed a cross-sectional design involving 376 participants who were members of the X Community Tab online community. Data were collected through an online questionnaire and analyzed using univariate, bivariate, and multivariate statistical approaches with IBM SPSS version 25. The variables examined included education level, sexual orientation, knowledge of PrEP, and multiple sexual partner behavior. The analysis revealed a significant association between knowledge of PrEP (p = 0.001) and multiple sexual partner behavior (p = 0.001) with interest in PrEP use. In contrast, no significant association was found between education level (p = 0.634) or sexual orientation (p = 0.974) and interest in PrEP use. Adequate knowledge of PrEP and engagement in multiple sexual partner behavior are associated with greater interest in PrEP use as an HIV prevention strategy. It is recommended that PrEP-related education be strengthened and more strategically targeted toward LSL populations, particularly through digital media platforms and healthcare services. Keywords: HIV, Men Who Have Sex With Men (LSL), Knowledge, Sexual Behavior, PrEP.  ABSTRAK HIV (Human Immunodeficiency Virus) merupakan virus yang menyerang sistem kekebalan tubuh dan dapat dicegah melalui pendekatan biomedis seperti Pre-Exposure Prophylaxis (PrEP), yaitu penggunaan obat antiretroviral (ARV) oleh individu yang belum terinfeksi HIV. PrEP terbukti efektif dalam mencegah penularan HIV, terutama pada kelompok berisiko tinggi seperti lelaki seks dengan lelaki (LSL). Meskipun efektivitasnya telah banyak dibuktikan, minat penggunaan PrEP masih bervariasi, sehingga penting untuk memahami faktor-faktor yang memengaruhi minat tersebut. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat pendidikan, orientasi seksual, pengetahuan tentang PrEP, dan perilaku seksual bergonta-ganti pasangan dengan minat penggunaan PrEP pada komunitas daring Gay Indonesia (X Community Tab). Penelitian ini menggunakan desain potong lintang (cross-sectional) dengan jumlah partisipan sebanyak 376 anggota komunitas daring X Community Tab. Data dikumpulkan melalui kuesioner daring dan dianalisis menggunakan pendekatan univariat, bivariat, dan multivariat dengan bantuan perangkat lunak IBM SPSS versi 25. Variabel yang diteliti meliputi tingkat pendidikan, orientasi seksual, pengetahuan tentang PrEP, dan perilaku seksual bergonta-ganti pasangan. Hasil analisis menunjukkan adanya hubungan yang signifikan antara pengetahuan tentang PrEP (p = 0.001) dan perilaku seksual bergonta-ganti pasangan (p = 0.001) dengan minat penggunaan PrEP. Namun, tidak ditemukan hubungan yang signifikan antara tingkat pendidikan (p = 0.634) maupun orientasi seksual (p = 0.974) dengan minat penggunaan PrEP. Pengetahuan yang baik tentang PrEP dan perilaku seksual bergonta-ganti pasangan berhubungan dengan meningkatnya minat penggunaan PrEP sebagai upaya pencegahan HIV. Oleh karena itu, disarankan agar edukasi mengenai PrEP ditingkatkan secara lebih terarah kepada kelompok LSL, khususnya melalui media digital dan layanan kesehatan. Kata Kunci: HIV, Lelaki Seks dengan Lelaki, Pengetahuan, Perilaku Seksual, Prep.