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All Journal Jurnal Kesehatan Masyarakat HIGEIA (Journal of Public Health Research and Development) Journal of Health Education Jurnal Kreativitas PKM Care : Jurnal Ilmiah Ilmu Kesehatan Unnes Journal of Public Health Jurnal Jaminan Kesehatan Nasional Indonesian Journal of Public Health and Nutrition Prosiding Seminar Nasional Pascasarjana Proceeding of International Conference on Science, Education, and Technology Unnes Journal of Public Health JHE (Journal of Health Education) Journal of Creativity Student Public Health Perspective Journal
Dina Nur Anggraini Ningrum
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Decision Sciences, Operations Research & Management Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Factors of Diabetic Retinopathy among Type 2 Diabetes Mellitus Patients in Central Java Province, Indonesia Casmuti, Casmuti; Zainafree, Intan; Cahyati, Widya Hary; Ningrum, Dina Nur Anggraini; Saefurrohim, Muhamad Zakki; Hakam, Abdul; Zaimatuddunia, Irma; Prasetya, Henky Yoga; Jusran, Alek; Irsam, Muhamad
Unnes Journal of Public Health Vol. 14 No. 1 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the 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/ujph.v14i1.16126

Abstract

One of the microvascular complications of type 2 diabetes mellitus is diabetic retinopathy. The prevalence of diabetes mellitus in Central Java Province in 2022 by 10% increased to 12.52% in the third quarter of 2023. This prevalence rate has not reached the SDG's target, namely there is no increase in diabetes prevalence by 0%. The purpose of this study is to analyze factors associated the incidence of diabetic retinopathy in type 2 DM patients at Central Java Provincial Hospital in 2023. This research is quantitative research with a nested case control study design, using electronic medical record data from the Central Java Provincial Hospital in 2023. The variables in this study were gender, age, education level, employment status, marital status, health insurance status, BMI, DM diet, duration of DM, hypertension, other diseases, current blood glucose, and HbA1c. The analysis used was univariate, bivariate, and multivariate analysis (logistic regression). The results showed that there was association between age ≥70 years (p=0.006), DM diet (p<0.0001, OR=20.914), duration of DM (p=0.003, OR=3.010), hypertension (p=0.013, OR=2.619), other diseases including cataracts (p=0.040, OR=9.00), glaucoma (p=0.007), CHD (p=0.040, OR=9.00), and cardiomegaly (p=0.016), current blood glucose (p=0.045, OR=2.478), and HbA1c (p<0.0001, OR=6.152). DM diet is the most dominant factor associated with diabetic retinopathy in type 2 DM patients. 
Climate Variability and Its Impact on Acute Respiratory Infections: A Case Study Suhito, Hanif Pandu; Cahyati, Widya Hary; Ningrum, Dina Nur Anggraini; Sholikun, Sholikun
Journal of Creativity Student Vol. 8 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jcs.v8i1.25290

Abstract

This study aims to analyze the relationship between climate variability and acute respiratory infection (ARI) cases in Semarang City over the period 2015-2023. This issue is becoming increasingly relevant as climate change continues to influence weather patterns and environmental conditions, potentially affecting public health outcomes, particularly respiratory health. Method: The research method used is descriptive observational with an ecological study approach according to time which aims to see climate variability with ARI cases. Analyses were conducted to test the correlation between ARI cases and various climatic parameters, so as to obtain a comprehensive understanding of climatic factors that can affect the incidence of ARI. Results: The results of univariate analysis showed that during the period 2015 - 2023 the average ARI cases amounted to 9,815 cases / month, the average temperature was 28.31˚C, the average humidity was 73.49%, the average rainfall was 12.52 mm / month, the average length of sunshine was 7.42 hours, and the average wind speed was 2.55 km / hour. The correlation test results show that, maximum temperature (p = 0.002), average temperature (p = 0.003), average humidity (p = 0.008), wind direction with maximum speed (p = 0.000) have a significant relationship with ARI cases in Semarang City. While the average rainfall parameter (p = 0.681) and the length of sunshine parameter (p = 0.752) have no relationship with ARI cases in Semarang City in 2015 – 2023. Conclusion: Maximum temperature parameter, average temperature parameter, average humidity parameter, and wind direction parameter at maximum speed have a significant relationship with ARI cases. Promotive and preventive efforts need to be made to reduce the risk of ARI transmission, especially at the turn of the season and the density of activities carried out in the community.
Association of Headache Syndromes with Hypertension Incidence (Data from SIMPUS Semarang City 2010-2015) Amalia Augustina Fadlilah; Budiono, Irwan; Ningrum, Dina Nur Anggraini; Alwi, Luqman; Andar, Nadiya Arawinda
Public Health Perspective Journal Vol. 8 No. 1 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i1.10695

Abstract

Hypertension is one of the serious public health problems facing the world. The prevalence of hypertension in Semarang City increased in 2013 by 27.1% to 37.02% in 2018. This prevalence rate has not reached the target of the Semarang City SDG's related to the hypertension prevalence rate, which is 25%. Hypertension becomes very dangerous when it is not controlled, because if it occurs for a long time, it can cause complications of the disease. One of the most common comorbidities of primary headache disorders is hypertension. The purpose of this study is to analyze the epidemiological pattern of hypertension and headache syndromes, as well as the association of headache syndromes with hypertension incidence by gender and age group. This study is a quantitative research with a nested case control study research design, using data from SIMPUS Semarang City from 2010-2015. The variables in this study were hypertension and headache syndromes. The analysis used was univariate (frequency distribution) and bivariate analysis (chi square test). The results of the study show that hypertension is more experienced in women than men. The most cases of hypertension occur in the age group of 50-59 years (men and women). There was a significant relationship between headache syndromes and the incidence of hypertension in the Puskesmas area throughout Semarang City.
Uncontrolled Blood Pressure in Hypertension Patients in Semarang City Sari, Emi Yela Utami; Cahyati, Widya Hary; Ningrum, Dina Nur Anggraini
Public Health Perspective Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i2.14127

Abstract

Hypertension is blood pressure above the normal threshold of 120/80 mmHg. Uncontrolled blood pressure is blood pressure >140/90 mmHg. The purpose of this study was to analyze factors related to uncontrolled blood pressure. Controlled in Hypertension Patients in Semarang City. This study used a cross-sectional method, the research sample was 400 people with convenience sampling technique. Data collection techniques using questionnaires and medical records. Data analysis was carried out using the chi-square test and logistic regression. The results showed that there was a significant relationship between the variables of age p value 0.043 <0.05; PR1.141, drug consumption compliance 0.027 <0.05; PR 0.864, obesity incidence p value 0.023 <0.05; PR1.157 , education level p value 0.020 <0.05; PR1,190, smoking status p value 0.017<0.05; PR1,271, exercise habits p value 0.012<0.05; PR1,186, stress events p value 0.036<0.05; PR1,146, marital status p value 0.39<0.05; PR0,865, and there is no relationship between gender p value 0.151>0.05 , with uncontrolled blood pressure in hypertensive patients in Semarang City. The obesity variable (p value 0.023<0.05) is the most risky variable or the most related to uncontrolled blood pressure in hypertensive patients in Semarang City. The conclusion of the results of this study is that there is a relationship between age, drug compliance, obesity events, education level, smoking status, exercise habits, stress events and marital status with uncontrolled blood pressure in hypertensive patients in Semarang City.
Risk Factors Of Mortality Among Hajj Pilgrims In SOC 1444 H Group Amada, Safaya; Ningrum, Dina Nur Anggraini; Junaidi, Lili; Iqbal, Usman
Unnes Journal of Public Health Vol. 14 No. 1 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the 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/ujph.v14i1.3100

Abstract

Hajj is an annual international ritual because it is carried out every year and involves Muslims from various parts of the world. Based on data from Siskohatkes, in 2022 there was a decrease in the number of pilgrims who died, which is 101 pilgrims, while in 2023 there was 8 times increase to 856 pilgrims who died. In 2022, the number of pilgrims with SOC embarkation who died was 19 pilgrims, while there was a significant increase in the number of deaths of pilgrims by approximately 6 times with the number of 129 pilgrims who died. The purpose of this study was to determine the risk factors for death of pilgrims for SOC group. This study is an observational quantitative study with a nested case control research design. This research was conducted in Central Java Province and Yogyakarta Special Region Province during the Hajj period 1444 H (2023). The result is that cardiomegaly (p-value:0,009; OR: 2.058; 95% Cl: 1.195-3.543), disease history (p-value<0.001; OR: 0.242; 95% Cl: 0.155-0.377), overweight and/or obesity (p-value<0.001; OR: 0.460; 95% Cl: 0.302-0.700) have a significant impact on the mortality of the Hajj pilgrims. It is hoped that Semarang Port Health Office can carry out monitoring and give more attention towards pilgrims who have cardiomegaly.
Pemetaan Kejadian Stunting pada Balita di Kabupaten Klaten Tahun 2021 astuti, Fera; Ningrum, Dina Nur Anggraini
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 3 (2023): EDITION NOVEMBER 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i3.4720

Abstract

The Klaten Regency stands as one of the districts yet to adopt a mapping system for managing stunting cases. The objective of this study was to identify the prevalence and risk factors associated with stunting among toddlers across the 26 sub-districts of Klaten Regency in 2021. Employing a cross-sectional design coupled with an ecological study and mapping approach, the research was conducted throughout 2021. The study encompassed a population of 26 sub-districts, accounting for a total of 6,949 reported cases of stunting in 2021. Total sampling was employed as the sampling technique. The findings revealed that in the mapping of correlated risk factors—specifically, variables such as low birth weight, chronic energy deficiency in pregnant women, birth length, and antenatal care coverage—four sub-districts were identified as having a high risk of stunting. For prospective researchers, it is recommended to explore additional risk factors associated with stunting, such as the prevalence of early marriages, the percentage of individuals living below the poverty line, the proportion of women attaining secondary education or higher, or by incorporating supplementary primary data sources, like the employment status of toddlers' parents. 
Determinant of Low Birth Weight in Indonesia (IFLS 5 Data Analysis) Aisyah, Gisela Habibah; Ningrum, Dina Nur Anggraini
Journal of Health Education Vol 8 No 2 (2023): October 2023
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.v8i2.76341

Abstract

Background: LBW is a condition where babies are born with a body weight of less than 2500 gr. In 2020, as many as 19.8 million babies (14.7%) of all babies born in the world experienced low birthweight. Based on data from the Maternal and Child Health Profile, the prevalence of LBW in Indonesia from 2020 to 2022 has increased. This study aims to know the determinants of LBW events with IFLS data. Methods: The type of research used was quantitative observational analytic using a cross sectional design, with the data source used was IFLS 5 in 2014. Results: The results showed that after controlling for other variables, the variables associated with LBW events were the number of ANC visits (p = 0.024), the number of children (p = 0.004), hypertension (p = 0.046), CED (p=0.003), pregnancy complications (p=0.003), and education (p=<0.001). Conclusions: Mothers who have visited ANC <6 times, have a >2 child, are diagnosed with hypertension by a doctor, have CED, experience pregnancy complications, and take compulsory education <12 years have a greater chance of giving birth to a LBW baby. The advice for the education office is to ensure that every woman has been educated for at least 12 years to prevent low birth weight.
Comparative Analysis of Type 2 Diabetes Mellitus Association Patterns in Primary and Referral Care Muhtar, Muhammad Solihuddin; Hafidh, Kasyfil Azis; Ningrum, Dina Nur Anggraini; Hsu, Min-Huei
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 2 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i2.389

Abstract

Understanding differential comorbidity patterns for Type 2 Diabetes Mellitus (T2DM) across healthcare levels is crucial for targeted prevention strategies in tiered systems. In this cross-sectional study, we analyzed 2023 BPJS Kesehatan claims data to examine ICD-10-coded comorbidities associated with T2DM between basic primary care facilities (FKTP) and advanced referral care facilities (FKRTL), using weighted and unweighted odds ratios. Distinct patterns emerged reflecting both appropriate care distribution and coding artifacts. FKRTL showed the highest associations with specialized diagnostic: abnormal glucose tolerance (R73, OR: 41.089), unspecified diabetes (E12, OR: 53.023), and insulin-dependent diabetes (E10, OR: 33.807). FKTP demonstrated unexpected associations with conditions beyond its diagnostic capability, notably pulmonary embolism (I26; OR: 112.912), absent in FKRTL’s top 20, suggesting follow-up coding rather than primary diagnosis. Common diabetic complications appeared in both settings: retinopathy (FKTP: OR 44.145 vs FKRTL: OR 25.980) and polyneuropathy (FKTP: OR 25.807 vs FKRTL: OR 26.482), though FKTP lacks specialized diagnostic equipment. Findings reveal appropriate healthcare distribution where FKRTL handles specialized care, while complex diagnostic codes in FKTP likely reflect monitoring of conditions initially diagnosed at referral facilities. This highlights critical interpretation challenges in administrative claims data across tiered healthcare systems managing Indonesia’s millions of T2DM cases.
Applying The Roy Adaptation Model: An Empowerment Approach to Build Psychosocial Resilience in Hypertensive Pregnant Women Liliek Pratiwi; Siti Harnina Bintari; Dina Nur Anggraini Ningrum; Chatila Maharani
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 7 (2026): Volume 9 Nomor 7 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i7.26287

Abstract

ABSTRACT Hypertensive Disorders of Pregnancy (HDP) significantly drive Maternal Mortality Rates (MMR) in Garut Regency, exacerbated by poor psychosocial support. This program aimed to empower hypertensive pregnant women by enhancing psychosocial resilience through Roy’s Adaptation Model. Using a Participatory Technology Development approach, 30 pregnant women with gestational hypertension or mild preeclampsia at Tarogong Public Health Center participated in a four-session workshop addressing physiological, self-concept, role function, and interdependence modes. Pre- and post-tests evaluated knowledge, resilience via the Connor-Davidson Resilience Scale (CD-RISC), and blood pressure stability. Participants with 'Good' knowledge surged from 10% to 86.7%. Resilience scores substantially improved in self-concept (+35.7), role function (+27.3), and interdependence (+31.3), shifting coping mechanisms from maladaptive to adaptive. Clinically, average blood pressure decreased by 14.4 mmHg (systolic) and 8.7 mmHg (diastolic), with 83.3% of participants achieving controlled, stable levels. Interventions based on Roy's Adaptation Model effectively strengthen the psychosocial and physiological capacities of hypertensive pregnant women. Integrating a sustainable WhatsApp consultation group with village midwives serves as a vital preventive strategy for early detection and maternal mortality reduction. Keywords: Blood Pressure Stability, Hypertensive Disorders of Pregnancy, Psychosocial Resilience, Roy's Adaptation Model.
Co-Authors Abdul Hakam Adeliani, Melia Aisyah, Gisela Habibah Alwi, Luqman Amada, Safaya Amalia Augustina Fadlilah Andar, Nadiya Arawinda Arfiana Arfiana Ari Yuniastuti Azizah, Agtika Yasyfa Nur Bambang Budi Raharjo Casmuti, Casmuti Chatila Maharani Dartini Dartini Dessi Aryani Dessi Aryani Efa Nugroho Eko Haris Adrianto Evi Widowati Fatimah Fatimah Fera Astuti, Fera Hafidh, Kasyfil Azis Hsu, Min-Huei Intan Zaenafree Intan Zainafree, Intan Iqbal, Usman Irsam, Muhamad Isti Mulyawati Jeffri Ardiyanto Junaidi, Lili Jusran, Alek Kinanti, Anastasia Kukilowati, Novita Liliek Pratiwi Listianingrum, Devy Mahalul Azam Maharani, Silvie Sasria Mardiana - Mardiana Mardiana Miarso, Dani Muhtar, Muhammad Solihuddin Nathaniela, Regina Marsha Noor Hidayah Oktia Woro Kasmini Handayani Prasetya, Henky Yoga Qimamayah, Asih Satut Damul Rahmat, Sultan Aulia Rasajati, Qorry Putri Rizqiya, Mala Saefurrohim, Muhamad Zakki Sari, Emi Yela Utami Sarifah, Mar’atul Sholikun, Sholikun Siti Harnina Bintari Suharna Suharna, Suharna Suhito, Hanif Pandu Sutarjo, Puji Tandiyo Rahayu Trisnaningsih, Asyifa Rahma Tyas, Lintang Wening Ing Ulfah, Natijatul Utomo, Ocbrivianita Mulyaningtyas Wahyuningsih, Siti Endah Widya Hary Cahyati Yuswantoro, Rico Novian Zaimatuddunia, Irma