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All Journal Amerta Nutrition Buletin Ilmiah Nagari Membangun JIK- JURNAL ILMU KESEHATAN Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Randy Novirsa
Research Center for Climate Change Universitas Indonesia
Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Analisis Ketahanan Hidup Pasien HIV/AIDS Rawat Inap di RSUD Raden Mattaher Jambi Tahun 2016-2021 Annisa, Reza; Masrizal, Masrizal; Novnariza, Elsi; Novirsa, Randy
JIK-JURNAL ILMU KESEHATAN Vol 8, No 2 (2024): JIK-Oktober Volume 8 Nomor 2 Tahun 2024
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v8i2.1137

Abstract

HIV/AIDS merupakan masalah kesehatan global yang memiliki angka morbiditas dan mortalitas yang masih tinggi di Indonesia. Provinsi Jambi merupakan 10 terendah kejadian HIV/AIDS namun memiliki angka kematian yang masih tinggi (CFR=26,98%). Penelitian ini bertujuan untuk menganalisis ketahanan hidup pasien HIV/AIDS di RSUD Raden Mattaher Jambi Tahun 2016-2021, serta faktor yang diduga mempengaruhinya. Penelitian ini menggunakan desain studi kohort retrospektif. Data bersumber dari rekam medis pasien HIV/AIDS rawat inap tahun 2016-2021 sebanyak 124 sampel menggunakan teknik simple random sampling. Analisis dilakukan secara univariat, dan bivariat (cox regression). Pasien mengalami events sebesar 17,7% dengan incidence rate sebesar 2,4%. Terdapat hubungan antara stadium klinis (p-value=0,014), infeksi oportunistik (p-value=0,011), komorbid (p-value=0,000), status terapi ARV (p-value=0,037), lama terapi ARV (p-value=0,028). Pasien HIV/AIDS yang berada pada stadium klinis IV, memiliki infeksi oportunistik, memiliki komorbid, tidak pernah/putus terapi, dan menjalani terapi < 6 bulan memiliki probabilitas ketahanan hidup yang lebih rendah. Diharapkan rumah sakit dapat memberikan perawatan yang komprehensif, serta perawatan pendukung khususnya pasien dengan komorbiditas sehingga membantu dalam perencanaan pengobatan yang tepat.
PENINGKATAN KUALITAS HIDUP DAN KESEHATAN MASYARAKAT KELOMPOK RENTAN PASCA BENCANA BANJIR BANDANG DI KENAGARIAN PANDAI SIKEK Markolinda, Yessy; Ramadani, Mery; Augia, Trisfa; Novirsa, Randy; Elda, Frima; Kasra, Kamal; Husna, Nadiyatul; Aurora, Bunga Putri; Efendi, Melati Putria; Deca, Fathiya Zarine; Cahyani, Mardhiah BP
Warta Pengabdian Andalas Vol 32 No 3 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.3.357-366.2025

Abstract

Nagari Pandai Sikek West Sumatra experienced a flash flood disaster that caused infrastructure damage, disruption of basic services, and decreased the quality of life of the community, especially vulnerable groups. This activity aims to improve the quality of life and health of post-disaster communities through an integrated approach in the fields of health and disaster management. The quality of life of the community is measured through a composite approach that includes knowledge improvement (pre- and post-tests), behavioral changes and participation in activities, simple health conditions (blood pressure and physical activity), waste bank and maggot-based environmental management, and community social involvement. These indicators show improvements in physical, cognitive, social, and environmental aspects after the community service activities. Activity methods include socialization, simulation, and education with a pre-test and post-test approach to measure the effectiveness of the intervention. Activities were carried out in the form of disaster mitigation counseling for elementary school students, maggot-based waste management training, healthy lifestyle counseling for the elderly through the GERMAS program, and nutrition education for parents related to stunting prevention. The results of the activity showed an increase in public understanding of disaster mitigation, with an average pre-test score of 58.4 increasing to 82.7 in the post-test. The community demonstrated a better understanding of the importance of waste management to prevent environmental pollution, awareness of early detection of hypertension, and the fulfillment of balanced nutrition to prevent stunting. Active participation in simulations, question and answer sessions, and discussions were indicators of the success of the activity. It can be concluded that this community service program succeeded in increasing the understanding and awareness of the Pandai Sikek community regarding health and disaster preparedness. The sustainability of this program needs to be supported through collaboration with local governments, educational institutions, and local communities to expand its positive impact.
Survival Rate of Hepatocellular Carcinoma Patients with Varying Individual Characteristics: A Retrospective Cohort Study Mardhiyah, Imalatul; Masrizal, Masrizal; Pradipta, Yudi; Novirsa, Randy; Soko, Wilson
JIK-JURNAL ILMU KESEHATAN Vol 9, No 2 (2025): JIK-OKTOBER VOLUME 9 NOMOR 2 TAHUN 2025
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v9i2.1408

Abstract

Background: There is a continuous demand for an integrated survival analysis that takes into account clinical biomarkers and socio-demographic factors in Hepatocellular carcinoma (HCC) patients from Southeast Asia. This study figured out the mortality predictors that were independent of HCC patients at a major tertiary referral center in Indonesia.Methods: This retrospective cohort study looked into 123 HCC patients who were admitted to Dr. M. Djamil General Hospital, Padang (2018-2023). These patients were selected by simple random sampling. Survival analysis was conducted using Kaplan-Meier curves, log-rank tests, and multivariate Cox regression.Results: Median survival was 284 days with mortality at 24.4%. Univariate analysis showed that albumin <3.5 g/dL (HR=7.67, p=0.045), AFP ≥20 ng/mL (HR=2.16, p=0.044), age ≥59 years (HR=2.38, p=0.018), and obesity (HR=3.43, p=0.013) were significantly associated factors. Multivariate Cox regression indicated that AFP level was the leading factor (adjusted HR=3.94, 95%CI: 1.67-9.33, p=0.002), followed by age ≥59 years (adjusted HR=3.52, p=0.002) and education (adjusted HR=0.36, p=0.014).Conclusions: AFP level, old age, and education were the independent factors of HCC deaths in Central Sumatra. Besides, the conjunction of clinical and socio-demographic factors may be utilized for prognostic risk stratification to pinpoint the most at-risk groups and hence direct the targeted interventions that are most compatible with resource-limited settings predominately HBV-related HCC.
Myths about Menstrual Personal Hygiene among Female Adolescents Palupi, Tyas Diah; Pristya, Terry Y.R.; Novirsa, Randy
Kesmas Vol. 15, No. 2
Publisher : UI Scholars Hub

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

Abstract

Poor personal hygiene during menstruation among adolescents can lead to urinary tract infection, reproductive tract infection, and skin irritation. This studyaimed to determine the relationship between belief in myths and personal hygiene during menstruation. Cross-sectional quantitative study was conductedusing a sample of 119 10th grade female students from Tangerang 13 State Senior High School selected through purposive sampling. Logistic regressionanalysis was used in this study to determine the relationship between myths and personal hygiene after age of menarche, attitude, socioeconomic status,information, and maternal education were controlled. In the bivariate selection, modeling was completed by entering confounding and interaction variablesthen reducing the confounding variables by examining changes in the odds ratio. Results showed that the students who believed the myths were 3.7 timesmore likely to not practice personal hygiene during menstruation compared with those who did not believe the myths after attitude and status socioeconomicstatus were controlled. No interaction was observed between the myths and socioeconomic status.
Optimizing Public Health through Nutritional Status Assessment and Nutrition Education during Car Free Day in Padang City Elda, Frima; Novirsa, Randy; Kasra, Kamal; Markolinda, Yessy; Amalia, Revi; Azmi, Fadilla; Fatrima Surya, Rezi; Delviana, Adelia
Warta Pengabdian Andalas Vol 32 No 4 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.04.424-433.2025

Abstract

Public health is one of the key aspects of sustainable development. This community service activity aims to improve public health through nutritional status assessments conducted during the Car Free Day (CFD) event in Padang City. The methods used include nutritional status measurement, nutrition education, and the promotion of healthy lifestyles. Health measurements included assessments of body weight, height, fat mass, muscle mass, blood pressure, blood sugar levels, uric acid levels, and hemoglobin levels. Education was delivered through interactive sessions and the distribution of leaflets on healthy eating patterns and clean-living behaviors. The impact of the education was evaluated qualitatively through testimonials from participants who took part in both the health check and educational sessions. Participants shared their experiences regarding changes in their dietary habits and healthy lifestyle practices after participating in the program. Several participants stated that they had begun adopting healthier lifestyles, such as paying more attention to food intake, increasing physical activity, and feeling the benefits of a fitter body. Based on these testimonials, this activity demonstrated an increase in awareness and the adoption of healthy living behaviors among the community. Therefore, interventions through health assessments and nutrition education have been proven to contribute to encouraging positive behavioral changes within the community.
Pemberdayaan Masyarakat Untuk Peningkatan Gizi Dan Sanitasi Di Kelurahan Sungai Pisang Kota Padang Elda, Frima; Novirsa, Randy; Elda, Edita; Kasra, Kamal; Markolinda, Yessy; Azmi, Fadilla; Fatrima Surya, Rezi; Delviana, Adelia; Marzuki, Mardhatillah; Diva, Azzahra
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 4 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i4.813

Abstract

Sungai Pisang, located in the Bungus Teluk Kabung District, is a coastal area with approximately 2,116 residents, most of whom earn their livelihood as fishermen. The community faces interrelated nutritional and sanitation problems, primarily due to limited waste-management facilities. Household waste and fish-processing residues are commonly burned or buried, resulting in environmental pollution and increasing the risk of infectious diseases. These conditions negatively affect the community’s nutritional status, particularly among vulnerable groups such as children under five and pregnant women. This community service program aims to strengthen community capacity in improving nutrition and sanitation through a participatory empowerment approach. The activities were carried out through preparation, socialization, and intervention. These included official meetings with local authorities, health education sessions for housewives, mothers of young children, and community health volunteers, as well as a Focus Group Discussion (FGD) to develop applicable waste-management solutions. The results showed an increase in community knowledge regarding balanced nutrition and family health. In addition, residents agreed to initiate organic-waste composting and reduce the use of single-use plastics. This program integrates nutrition interventions with environmentally based sanitation improvements, emphasizing that nutritional enhancement cannot be separated from local ecological conditions. Collaboration among local government, health workers, and the community is essential to creating a sustainable healthy environment that supports comprehensive improvements in nutritional status.
Hubungan Pola Makan dan Citra Tubuh dengan Status Gizi pada Remaja Sekolah Menengah Atas di Kota Padang: Eating Patterns and Body Image in Relation to Nutritional Status among Adolescents in Padang City High Schools Elda, Frima; Novirsa, Randy; Kasra, Kamal; Azmi, Fadilla; Delviana, Adelia; Surya, Rezi Fatrima
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.44-51

Abstract

Introduction: In Indonesia, especially in urban areas, lifestyle and environmental changes contribute to a triple burden of nutritional problems among adolescents, where undernutrition (9.8%) coexists with increasing cases of overweight and obesity (8.6%). This condition reflects a growing imbalance between adolescents’ eating patterns and body perception. Objective: This study aimed to explore the relationship between body image and eating patterns among adolescents with normal, overweight, and obese nutritional status. Methods: A cross-sectional study was applied in this study and data were analyzed using the Chi-square test by comparing observed and expected frequencies. The data collected included the  nutritional status as the dependent variable, body image, socioeconomic factors, and eating patterns as independent variables. The study was conducted in two selected public high schools in Padang City, involving 1,299 population students aged 15–18 years, with a total sample of 377 respondents were selected. Data collection was conducted from August 2024 to March 2025. Results: Results showed that 33.7% of students experienced either undernutrition or overnutrition, 64.5% had poor eating behaviors, and 42.2% reported a negative body image. There were significant associations between eating patterns (p-value=0.049; POR=1.63) and body image (p-value=0.001; POR=29.2) with nutritional status among high school students in Padang City. Conclusion: Understanding the relationship between eating patterns, body image, and nutritional status is essential for developing effective school-based interventions and health promotion strategies.
Environmental Determinants and Spatial Distribution of Pediatric Pneumonia in Padang City Maharani, Diva; Masrizal, Masrizal; Novirsa, Randy; Pradipta, Yudi
JIK-JURNAL ILMU KESEHATAN Vol 10, No 1 (2026): JIK-APRIL VOLUME 10 NOMOR 1 TAHUN 2026
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v10i1.1537

Abstract

Background: Pneumonia remains the leading infectious cause of death in children under five globally. In Padang City, Indonesia, pediatric pneumonia cases increased sharply from 2021 to 2023, yet the environmental and host-related determinants driving this trend remain poorly understood in the local tropical urban context.Objective: This study aimed to analyze the correlation between physical environmental factors humidity, wind speed, temperature, rainfall, PM10, and PM2.5  and pediatric pneumonia incidence in Padang City from 2021 to 2023, and to spatially map host-related intervention coverage across sub-districts.Methods: An ecological study design was employed using monthly secondary data aggregated at the city level (n = 36 months). Pneumonia case data were obtained from the Padang City Health Office, meteorological data from BPS, and air quality data from the Environmental Agency. Pearson correlation and multiple linear regression were used for statistical analysis following assumption testing. Spatial overlay mapping was conducted using QGIS to examine the geographic distribution of cases in relation to exclusive breastfeeding, vitamin A supplementation, and complete basic immunization coverage.Results: A total of 5,428 cases were recorded (mean: 150.78 cases/month). Wind speed showed a significant positive correlation (r = 0.436, p = 0.008) and PM2.5 a significant negative correlation (r = −0.516, p = 0.003) with pneumonia incidence. PM2.5 was the most dominant predictor (R² = 0.463). Spatial analysis identified Kuranji and Lubuk Begalung as persistently high-burden sub-districts, consistently associated with inadequate host-factor intervention coverage.Conclusion: Wind speed and PM2.5 are significant environmental determinants of pediatric pneumonia in Padang City. Integrated strategies combining air quality monitoring, vitamin A supplementation, immunization programs, and strengthened Posyandu-based interventions are essential to reduce pneumonia burden in tropical urban settings.
Systematic Review: Factors Influencing HIV Status Self-Disclosure Among MSM And Non-MSM Groups Saktia, Bunga Harumi; Novirsa, Randy; Masrizal, Masrizal
JIK-JURNAL ILMU KESEHATAN Vol 10, No 1 (2026): JIK-APRIL VOLUME 10 NOMOR 1 TAHUN 2026
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v10i1.1552

Abstract

Background: HIV status self-disclosure is a critical determinant of transmission prevention, treatment adherence, and psychosocial wellbeing among people living with HIV/AIDS (PLWHA). Despite its public health significance, disclosure rates remain suboptimal across diverse populations, particularly among men who have sex with men (MSM) and non-MSM groups.Objective: This systematic review aimed to identify and synthesize factors influencing HIV status self-disclosure among PLWHA, with a specific focus on comparative differences between MSM and non-MSM populations.Methods: A systematic search was conducted across PubMed, Scopus, Science Direct, and Google Scholar, covering publications from January 2020 to December 2024. Study selection followed PRISMA 2020 guidelines using a predefined PICO framework. Two independent reviewers screened studies, and methodological quality was assessed using the Newcastle-Ottawa Scale (NOS). Data were synthesized narratively across three thematic domains.Results: From 1,125 initial records, 10 studies met the inclusion criteria (6 cross-sectional, 4 case-control). Three thematic domains were identified: psychological factors (stigma, HIV knowledge, self-acceptance), social factors (partner communication, social support, relationship quality), and structural factors (ART duration, residential setting, healthcare confidentiality). MSM faced distinctive barriers through dual stigmatization related to HIV status and sexual orientation, whereas non-MSM populations were more strongly influenced by gender-based power dynamics, economic dependency, and community-level stigma.Conclusion: HIV disclosure is a multifactorial process requiring differentiated, multi-level interventions targeting stigma reduction, social support strengthening, and improved healthcare confidentiality across both population groups.
Potential Health Risks From Mercury (Hg) Exposure Through Rice Consumption In The Sijunjung Gold Mining Area, West Sumatera: - Novirsa, Randy; Taufiqurrahman, Aldifa; Rahmah, Septia Pristi; Azmi, Fadilla
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 7 No. 1 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.7.1.93-104.2026

Abstract

Accumulation of mercury (Hg) in food crops can pose serious health risks to humans. In Indonesia, the population may be exposed to mercury through rice consumption, a staple food cultivated in areas surrounding gold mining sites. This study aimed to estimate the health risk associated with mercury exposure through rice consumption among communities living near gold mining areas in Sijunjung Regency, West Sumatra, Indonesia. The study was conducted in artisanal and small-scale gold mining (ASGM) areas using a public health risk assessment approach, determining the risk quotient (RQ) by comparing estimated daily intake (EDI) with the reference dose (RfD) to evaluate real-time and lifetime risk levels. Rice (n = 6) and water (n = 6) samples were collected from paddy fields located near the mining areas, along with one market rice sample (n = 1) as a comparison. A total of 103 adult respondents were included in this study. Data were collected through structured interviews using a standardized questionnaire that assessed consumption habits and lifestyle patterns, including body weight. The results showed that the mean total mercury (T-Hg) concentration in rice from ASGM areas ranged from 0.0087 to 0.01 mg/kg. Exposure assessment indicated that the community was exposed to mercury at levels of 0.053 to 0.23 ug/kg/day through rice consumption. The risk quotient (RQ) values indicated a relatively low risk level based on the analyzed rice consumption pathway. In conclusion, mercury intake from rice consumption in communities around gold mining areas in Sijunjung Regency remains within a tolerable daily intake level. However, potential exposure through other pathways, such as inhalation and consumption of other food sources, warrants further investigation.
Co-Authors Amalia, Revi Annisa, Reza Augia, Trisfa Aurora, Bunga Putri Azmi, Fadilla Cahyani, Mardhiah BP Deca, Fathiya Zarine Delviana, Adelia Diva, Azzahra Efendi, Melati Putria Elda, Edita Fatrima Surya, Rezi Frima Elda Husna, Nadiyatul Kamal Kasra Maharani, Diva Mardhiyah, Imalatul Markolinda, Yessy Marzuki, Mardhatillah Novnariza, Elsi Palupi, Tyas Diah Pristya, Terry Y.R. Rahmah, Septia Pristi Ramadani, Mery Rezi Fatrima Surya Saktia, Bunga Harumi Soko, Wilson Taufiqurrahman, Aldifa Yudi Pradipta