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All Journal Jurnal Kesehatan Masyarakat Jurnal Berkala Epidemiologi J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) Jurnal Locus Penelitian dan Pengabdian Berita Kedokteran Masyarakat Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Journal of Global Nutrition

Bayu Satria Wiratama

Department Of Biostatistics, Epidemiology, And Population Health, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

Author-ID : 3287101

Aerospace Engineering Agriculture, Biological Sciences & Forestry Automotive Engineering Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Electrical & Electronics Engineering Health Professions Immunology & microbiology Mathematics Nursing Public Health

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Analysis of Age, Smoking Habit, Nutritional Status, and Their Influence on Hypertension Wismoyo Nugraha Putra; Bayu Satria Wiratama; Rachmah Indawati; Diah Indriani
Jurnal Berkala Epidemiologi Vol. 9 No. 1 (2021): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I12021.10-17

Background: Hypertension is a major risk factor for cardiovascular disease that can lead to death; it is a condition that is related to age, nutritional status and smoking habit. The likelihood of a person being overweight or obese increases every year, and there are still many people who have a smoking habit. Purpose: This study aims to analyze the effect of age, smoking habit and nutritional status on incidences of hypertension in East Java Province. Methods: This was an analytical observational study using a cross-sectional design and employing secondary data derived from the 5th Indonesian Family Life Survey (IFLS). Data collection was carried out among all household members in East Java who were still at a productive age (15–64 years) making a total of 3,803 respondents. The variables observed were age, gender, nutritional status, smoking habit, physical activity, and consumption of high-fat foods. The data analysis used the chi-squared test and logistic regression. Results: The findings of this study show that there is a relationship between age and nutritional status and the incidence of hypertension. However, there was no significant relationship between smoking habit and the incidence of hypertension. Elderly respondents were shown to have 12 times the risk of developing hypertension than teenage respondents. Conclusion: Age is the dominant factor causing hypertension in East Java Province. Adults and the elderly in East Java Province are expected to maintain a healthy lifestyle.

Association Between Components of Metabolic Syndrome and Cognitive Impairment among Middle-Aged and Elderly in Indonesia: A Nationwide Survey Sandy Ardiansyah; Bayu Satria Wiratama; Shyh-Hsiang Lin
Journal of Global Nutrition Vol 1 No 2 (2021)
Publisher : Ikatan Sarjana Gizi Indonesia (ISAGI)

Cognitive impairment is common among population worldwide which become an increasingly important health issue related with aging. Indonesia is one of low-middle income countries with reach the era of aging, as the population aged 60 years and over is 10.0% in 2020.The purpose of this study was to investigate associations between components of metabolic syndrome (MetS) and cognitive impairment among middle-aged and elderly Indonesians. Cognitively impaired was measured with the questionnaire derived from the instrument of telephone interview for cognitive status (TICS). Analysis of covariance was used to examine the differences and multivariate with logistic regression analysis of the odds of cognitive impairment. Setting on this study was using The Indonesia Family Life Survey (IFLS)-5 conducted in 2014-2015 with 1532 participants were placed into middle-aged and elderly. This study found that central obesity and dyslipidemia were less likely to have cognitive impairment among middle-aged and elderly. (OR adjusted for age and sex 0.67; 95% CI 0.37~1.20; p=0.175). In conclucion, central obesity and dyslipidemia were less likely to have cognitive impairment among middle-aged and elderly in Indonesia. Our findings suggest that middle-aged people should manage their waist circumference in order to prevent cognitive impairment as they age.

Relationship of Environmental Factors with Leptospirosis Incidence in Southeast Asia Dwisiswanarum, Bella; Umniyati, Sitti Rahmah; Qaimumanazalla, Hayu; Wiratama, Bayu Satria; Ramadona, Aditya Lia
Jurnal Kesehatan Masyarakat Vol 19, No 4 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v19i4.45761

Southeast Asia is a leptospirosis endemic with the highest estimated incidence of cases. This type of research is a systematic review using the PRISMA. These search results found 2.322 research articles and only thirteen articles that matched the research criteria. Two articles discussed the relationship between sewer conditions and the incidence of leptospirosis, one article discussed the relationship between the presence of trash bins and the incidence of leptospirosis, nine articles discussed the presence of rats and the incidence of leptospirosis, and one article discussed standing water and the incidence of leptospirosis. There is a relationship between the presence of trash bins, the presence of rats, and standing water and the incidence of leptospirosis in Indonesia, Thailand, and Malaysia and there is no relationship between sewer conditions in Thailand and Indonesia.

Risk Factor Profile and Role of Cardiovascular Disease Outreach Program by Experts in Rural Communities: A Pilot Study in Magetan Regency, Indonesia Wungu, Citrawati Dyah Kencono; Elvaretta, Clarissa; Palupi, Dian Eka Roro; Qurnianingsih, Ema; Susilo, Hendri; Lukitasari, Lina; Humairah, Ira; Khaerunnisa, Siti; Soetjipto, Soetjipto; Handajani, Retno; Safitri, Indri; Ummah, Fithriyah Cholifatul; Waskito, Langgeng Agung; Prabowo, Gwenny Ichsan; Wiratama, Bayu Satria; Amin, Indah Binti Mohd
Jurnal Keperawatan Soedirman Vol 19 No 2 (2024): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2024.19.2.10947

Cardiovascular outreach programs and risk factors profiling have been regarded as key strategy in preventing and controlling cardiovascular diseases as the leading global causes of death worldwide, especially when being conducted by a professional. This pilot study aims to evaluate the effectiveness of a cardiovascular outreach program in Plaosan District, Magetan Regency, to improve knowledge and influence changes in the community’s behavior related to cardiovascular risk factors. This study was conducted by providing educational interventions and profiling cardiovascular risk factors on 90 adults using consecutive sampling method. Health education was performed by experts and evaluated by pre-post tests before and after the material delivery. Statistical analysis was used to assess the relationship of risk factors that can contribute to cardiovascular disease. This study showed a significant increase in the participants' knowledge score after the intervention (p = 0.007). There were several risk factors for cardiovascular disease in the participants, with the highest risk prevalence being diabetes mellitus (33.33%). Six participants (6.67%) had abnormal electrocardiography results. In conclusion, our study showed a high prevalence of cardiovascular risk factors in rural communities and the importance of cardiovascular outreach programs by experts to improve the understanding of cardiovascular disease in a specific community.

Characteristics of Patients with Positive Cervical Cancer Screening using Visual Inspection with Acetic Acid (VIA) in Bantul District 2023: A Descriptive Study Firdaus, Muhammad Reza; Rohmah, Nilna Sa'adatar; Aryanto, Samsu; Wiratama, Bayu Satria
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.11337

Background: Cervical cancer is the second leading cause of death in Indonesia and is one of the largest burdens on health costs. This study aims to determine the distribution of characteristics of positive cervical cancer screening patients in the Bantul District. Method: A descriptive study using data from cervical cancer screening reports at Bantul District Health Office in 2023 was conducted to observe treatment outcomes, demographic factors (education, age, working status, marital status, and address), nutritional status, and behavior. Cervical cancer screening was done using Visual Inspection with Acetic Acid (VIA). Proportions were calculated for univariate analysis. Results: There were 1,587 females screened and 40 people (2,5%) were positive. Among those positive cases, only 7.5% received cryotherapy and 55% were referred to other health centers (either primary centers with cryotherapy facilities or secondary centers for further treatment). Most of positive cases married (25/25; 100%), non-drinker of alcohol (25/25; 100%), non-smoker (25/25; 100%), had high education levels (17/23; 73.9%), overweight (15/22; 68.2%), 20-44 years old (26/40; 65%), were not working (16/25; 64%), did not regularly consume fruits and vegetables (16/25; 64%), and active physical activity (13/25; 52%). There were variables with missing data ranging from 37.5% to 45%, with the variable that had the most missing data being BMI, while the variable with the most complete data was age. The positive cases were distributed across 9 sub-districts (52,9%). Conclusion: The majority of positive cases were married, non-drinkers of alcohol, non-smokers, higher education levels, overweight, 20-44 years old, not working, unhealthy dietary habits, active physical activity, and 37.5% unknown follow-up. These findings underline the need for targeted interventions to improve follow-up care and conduct follow-up studies regarding risk factors of cervical cancer.

Evaluation of Cervical Cancer Screening System using Visual Inspection with Acetic Acid (VIA) Method in Bantul District 2023 Rohmah, Nilna Saadatar; Firdaus, Muhammad Reza; Aryanto, Samsu; Wiratama, Bayu Satria
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.12087

Background: Cervical cancer remains a significant public health challenge globally, particularly in Indonesia, where it disproportionately affects women of various age groups. This study aims to evaluate the cervical cancer screening surveillance system in Bantul District in 2023, a region chosen for its low cervical cancer screening coverage and its significance as a representative area for rural public health challenges in Indonesia. Method: This descriptive study uses secondary data from the Visual Inspection with Acetic Acid (VIA) screening report conducted at Public Health Centers (PHCs) in Bantul District. The evaluation focuses on core functions (case detection, registration, reporting) and surveillance quality (completeness of data and reporting from PHCs). Results: Data were analyzed descriptively using percentages and frequencies. There were 27 PHCs, and 92,59% reported screening results. Jetis II PHC reported the highest screening coverage (9.60%) and Kasihan II PHC recorded the highest positive cases (21,15%). 24 PHCs (96%) used the patient registration form provided by the Health Office. Of 2.321 screened women, 52 were reported positive with 51.9% of cases having no follow-up records. The completeness of reporting from PHCs reached 95.68%, while the completeness of data averaged 61.76%, with a range of 4.35%-100%. Conclutions: The study relied on secondary data, which limited the ability to explore in-depth contextual factors and stakeholder perspectives, emphasizing the need for qualitative follow-up to enhance understanding. Capacity building of health workers in screening and reporting is required along with the development and implementation of Standard Operating Procedures (SOPs), which is critical to improving the program.

Husband's role in the birth preparedness and complication readiness program in the Kebumen District, 2022 Silayuningsih, Devvy Herawati; Wiratama, Bayu Satria; Wahab, Abdul
BKM Public Health and Community Medicine Vol 40 No 08 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i08.14197

Purpose: The involvement of the husband during pregnancy helps a mother to make timely decisions to avoid delays. Identifying the level of husband involvement in birth preparedness and complication readiness (BPCR) is crucial, as the husband is the primary decision-maker in household and health service-related matters. The purpose of this study is to analyze the role of husbands in BPCR in Kebumen District in 2022. Method: This research was a cross-sectional study design. Primary data was collected using questionnaires for 300 respondents, including pregnant women in the third trimester and their husbands, through cluster random sampling. The dependent variable was the role of husbands in BPCR; the independent variables were the wife's reproductive status, the husband's socioeconomic status, the husband's knowledge about pregnancy, labor, and postpartum complications, and the husband's knowledge about BPCR. The data was analyzed using univariate, bivariate analysis with binomial regression, and multivariate analysis with Poisson regression modification. Results: The proportion of husbands’ roles in BPCR was 71.33%. Multivariate analysis indicates that husbands employed in the government or private sector are 36% (aPR 1.36; 95% CI 1.10-1.68) and 14% (aPR 1.14; 95% CI 1.02-1.28) more likely to play a supportive role in BPCR, respectively. Husbands with good knowledge about the danger signs during pregnancy, labour, and postpartum (aPR 1.23; 95% CI 1.02-1.50) and those knowledgeable about BPCR (aPR 9.83; 95% CI 4.83-19.96) have a significant positive impact on their role in BPCR. Conclusions: Husbands’ participation in birth preparedness and complication readiness was found to be quite good. We recommend that improving the educational level is important to increase husbands’ involvement in the birth preparedness and complication readiness plan.

Hubungan Kepemilikan Asuransi Kesehatan dengan Metode Persalinan di Kabupaten Sleman Analisis Data Health and Demographic Surveillance System (HDSS) Sleman Tahun 2015-2021 Ramdhani, Suci; Ratrikaningtyas, Prima Dhewi; Wiratama, Bayu Satria
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 8 (2025): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i8.4749

Cesarean section (CS) is a critical medical intervention that can save the lives of mothers and babies when performed based on proper clinical indications. However, the rising global and national CS rates raise concerns about unnecessary interventions without medical necessity. The World Health Organization (WHO) recommends an ideal CS rate of 10–15%, yet the global average has reached 18.6%. In Indonesia, the 2023 National Health Survey reported a CS rate of 25.9%, while in Yogyakarta Province it was 38.1%. In Sleman Regency, HDSS data showed an increase from 26.11% (cycle 3) to 34.63% (cycle 5), remaining above WHO’s threshold despite a slight decline afterward. This study applied a retrospective cohort design using Sleman HDSS data from 2015–2021, involving 853 mothers who met inclusion criteria. Data were analyzed with chi-square tests and multivariate logistic regression using STATA to examine the relationship between health insurance ownership and CS, controlling for sociodemographic factors. Results revealed that 68.58% of mothers delivered vaginally, while 31.42% underwent CS. Health insurance ownership was high (73.95%) but showed no significant association with delivery method (AOR = 1.13; 95% CI: 0.79–1.61). Significant factors influencing CS were maternal age >31 years (AOR = 4.96), urban residence (AOR = 1.75), and gestational age >43 weeks (AOR = 5.05), while higher parity reduced CS likelihood (AOR = 0.38). Maternal education and employment were not significant predictors.

Neonatal survival analysis: the relationship between neonatal mortality and the number of antenatal care visits (2017 Indonesia Demographic and Health Survey) Cahyanti, Betri; Ratrikaningtyas, Prima Dhewi; Wiratama, Bayu Satria
BKM Public Health and Community Medicine Vol 40 No 11 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i11.14461

Purpose: In 2021, the number of under-five child deaths in Indonesia reached 27.566, with 28.158 (73,1%) of these being neonatal deaths. Indonesia implemented a minimum of four prenatal visits (K4) in 2019. The number of antenatal care (ANC) visits according to WHO standards has not been fully implemented nationwide in Indonesia. This study aims to analyze neonatal survival related to the number of ANC visits and neonatal death incidents based on the 2017 IDHS data. Methods: This study used a cross-sectional method with data from the 2017 IDHS. The sample included women of childbearing age (15-49 years) who had given birth within five years before the survey and had recorded ANC visits during their last pregnancy. Data analysis was performed using descriptive life-table and Kaplan-Meier Curve, bivariate analysis using Log Rank Test, and multivariate analysis using Cox Regression. Results: The study involved 13.826 women of childbearing age who were survey respondents. Univariate analysis showed that most respondents were at low risk during pregnancy (73.55%), belonged to the lowest wealth quintile (22.18%), and had a high education level (52.91%). Most babies were born with normal birth weight (92,89%) and were male (51,43%). The majority of ANC visits fell into the K6 category (47,59%). Kaplan-Meier survival analysis showed significant neonatal deaths within the first five days, with the survival probability dropping to 99,50% by the fifth day. Multivariate analysis identified maternal age, birth weight, baby's sex, and place of delivery as significant factors affecting neonatal mortality. Higher maternal age, lower birth weight, and male sex increased the risk of neonatal death, while delivering in a health facility was associated with higher neonatal mortality. Conclusion: The study found that ANC visits were significant in the K6 and K8 categories. However, when multivariate analysis was performed, the significance was lost when the birth weight variable was included. Most ANC visits were in the K6 category, which is Indonesia's standard for at least six antenatal visits. Maternal age, baby's sex, birth weight, and the number of babies significantly affected neonatal survival. The neonatal mortality rate was 6,4 per 1.000 live births.

Outbreak investigation of Chikungunya fever in Kapanewon Banguntapan, Bantul, Yogyakarta: a lesson learned Gusrina, Sylvia; Lestari, Nining Puji; Aryanto, Samsu; Wiratama, Bayu Satria
BKM Public Health and Community Medicine Vol 40 No 05 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i05.9777

Purpose: The investigation was conducted to confirm the Chikungunya outbreak in Banguntapan. Bantul. from November 2021 to January 2022 and identify the risk factors for control measures. Methods: We conducted a 1:1 case-control study. Cases were residents of the six hamlets in Banguntapan with sudden fever and arthralgia from December 2021 to February 14. 2022. Controls were residents of the same neighborhood with no symptoms. We collected demographics, risk factors, and environmental data using standardized questionnaires through direct interviews and observation. For diagnosis confirmation, we examine the case blood serum for laboratory testing. Logistic regression was used to analyze the risk factors. Results: We identified 151 Chikungunya suspects (Attack-rate/AR 13.6%) of 1111 total population. The highest AR by gender and location were in women (16.3%) and Genengan hamlet in Jambidan village (45.6%), respectively. Fever (92.1%) and muscle pain (81.7%) are the significant symptoms. The latest larval rate average was 13% lower than the national target. More than one-third of the cases were in the acute phase of infection. Multivariate analysis showed close contact of cases (aOR 22.79; 95% CI: 7.01–74.17) and community habit of hanging clothes in the house (aOR 2.42; 95% CI: 1.01–5.82) significantly associated with the Chikungunya outbreak. Conclusion: There was a Chikungunya outbreak in Jambidan and Tamanan Village, Banguntapan, from November 8, 2021, to January 31, 2022. Therefore, we recommend that the DHO strengthen health education related to protective action while having close contact with suspects and the habit of hanging wardrobes in the house as risk factors associated with the outbreak.

Co-Authors A'yun Hafisyah Wafi Abdul Wahab Amin, Indah Binti Mohd Artha, Dian Parama Aryanto, Samsu Cahyanti, Betri Diah Indriani Dwisiswanarum, Bella Elvaretta, Clarissa Firdaus, Muhammad Reza Gusrina, Sylvia Hendri Susilo Humairah, Ira Indri Safitri, Indri Khaerunnisa, Siti Lestari, Nining Puji Lukitasari, Lina Palupi, Dian Eka Roro Permatasari, Ririn Indah Prabowo, Gwenny Ichsan Prima Dhewi Ratrikaningtyas Qaimumanazalla, Hayu Qurnianingsih, Ema Rachmah Indawati Ramadona, Aditya Lia Ramdhani, Suci Retno Handajani Reza Firdaus, Muhammad Rohmah, Nilna Sa'adatar Rohmah, Nilna Saadatar Saadatar Rohmah, Nilna Samsu Aryanto Sandy Ardiansyah Shyh-Hsiang Lin Silayuningsih, Devvy Herawati Sitti Rahmah Umniyati SOETJIPTO . Ummah, Fithriyah Cholifatul Wahyu Hudoyoko Waskito, Langgeng Agung Wismoyo Nugraha Putra Wulandari, Hanifah Wungu, Citrawati Dyah Kencono Yulietta Avianty

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