Aris Yulianto
National Institute of Health Research Development, Ministry of Health Indonesia

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Association of Smoking Related to Knowledge, Attitude, and Practice (KAP) with Tobacco Use in Community Health Center Working Area of Sungai Durian, Sintang Regency, West Kalimantan Province Maretalinia Maretalinia; Elvi Juliansyah; Suyitno Suyitno; Aris Yulianto; Dyah Suryani
Buletin Penelitian Sistem Kesehatan Vol 24 No 1 (2021): Buletin Penelitian Sistem Kesehatan
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsr.v24i1.3544

Abstract

Tobacco use is one of the predicting factors of non-communicable diseases. In 2003, cigarette consumption was the main factor contributing to 4.9 million deaths in developing countries. In 2020, Bureau of Statistics Indonesia reported 31.5% of Indonesian population were tobacco users. Particularly, in West Kalimantan province, more than one-fourth of men are smokers. Specifically, in the working area of Sungai Durian Primary Healthcare Center, third-fourth of men are smokers. This study was conducted to examine the relationship between Knowledge, Attitude, and Practice (KAP) with tobacco use. This cross-sectional study employed 218 respondents of 4,321 male population. The predicting factors in this study were knowledge, attitude, and practice. The statistical test was done using univariate, bivariate (Chi-Square), and multivariate (binary logistic regression) analyses. The bivariate analysis test showed that knowledge and practice were significantly associated with tobacco use. Regarding the multivariate analysis results, practice was the strongest factor affecting tobacco use (AOR= 4.25, CI 95% (1.93 – 9.36)), and the second strongest factor was knowledge (AOR= 2.46, CI 95% (1.00 – 6.04)). Tobacco use in the working area of Sungai Durian Primary Healthcare Center was mostly affected by practice. Primary healthcare centers as the nearest healthcare facility in the community need to improve health education and decrease tobacco consumption. A tobacco control can be implemented by banning smoking indoors to reduce smoking behavior. Abstrak Penggunaan tembakau merupakan salah satu faktor risiko penyakit tidak menular. Pada tahun 2003, konsumsi rokok merupakan penyebab utama kematian 4,9 juta penduduk di negara berkembang. 31,5% penduduk Indonesia adalah pengguna tembakau berdasarkan data tahun 2000. Secara khusus di Provinsi Kalimantan Barat, lebih dari satu per empat laki-lakinya adalah perokok, dan secara lebih khusus lagi, tiga per empat laki-laki usia 20-30 tahun di wilayah kerja Puskesmas Sungai Durian adalah perokok. Studi ini dilakukan untuk menguji hubungan pengetahuan, sikap, dan perilaku terhadap penggunaan tembakau. studi cross-sectional ini melibatkan 180 perokok di antara 4,321 total populasi laki-laki. Faktor prediksi pada studi ini yaitu: pengetahuan, sikap, dan praktik. Uji statistik telah dilakukan yaitu uji tunggal, ganda (Chi-Square), dan multivariabel (binary logistic regression). Uji ganda menemukan bahwa pengetahuan dan perilaku secara signifikan berhubungan dengan penggunaan tembakau. Lebih jauh, berdasarkan hasil multivariabel, perilaku merupakan pengaruh terbesar (AOR= 4,25, CI 95% (1,93 – 9,36)) dan diikuti dengan pengetahuan (AOR= 2,46, CI 95% (1,00 – 6,04)). Penggunaan tembakau di wilayah kerja Puskesmas Sungai Durian sebagian besar dipengaruhi oleh perilaku. Puskesmas sebagai pelayanan kesehatan terdekat butuh menyelenggarakan pendidikan kesehatan untuk menurunkan konsumsi tembakau. Pengendalian tembakau yang diimplementasikan dengan larangan merokok di dalam ruangan sangat penting untuk mengurangi kebiasaan merokok.
The Clean and Healthy Life Behavior (PHBS) Among Elementary School Student in East Kuripan, West Nusa Tenggara Province Dyah Suryani; Maretalinia Maretalinia; Suyitno Suyitno; Elvi Juliansyah; Ria Damayanti; Aris Yulianto; Baiq Rini Oktina
Jurnal Ilmu Kesehatan Masyarakat Vol. 11 No. 01 (2020): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.373 KB) | DOI: 10.26553/jikm.2020.11.1.10-22

Abstract

School-age is a golden period to instill the values of clean and healthy life behavior (PHBS), so it has the potential as an agent of change to promote within the school, family and community. The function of the school is also a place of learning that can be a threat of disease transmission if not managed properly. Besides, school-age for children is also a vulnerable period for various diseases. The aim of this study was to determine the association between knowledge, attitude and role of teacher with the implementation of PHBS in the school. This study used observational quantitative research by using a cross-sectional approach. The research subjects were 58 students in fourth and fifth grade from elementary school number 1 East Kuripan West Lombok which selected by using total sampling. That school was selected because it has the lowest scope in terms of implementation of PHBS. The instrument used was a questionnaire in the checklist form which consisted of 19 questions about knowledge, 15 questions about attitude, 13 questions about the role of teacher, and 11 questions about the implementation of PHBS. Each variable was categorized into good category if the correct answers was covered >70 % out of total score, and vice versa. Data analysis performed by Chi-square. The results of the bivariate analysis revealed that knowledge and attitude were significantly associated with implementation of PHBS behavior. The role of the teacher did not have any association with implementation of PHBS among fourth and fifth grade elementary school students’ number 1 East Kuripan. It can be concluded that the implementation of PHBS in Elementary School Number 1 was influenced by student’s knowledge and attitude.