Articles
Tabu, hambatan budaya pendidikan seksualitas dini pada anak
Ratna Zakiyah;
Yayi Suryo Prabandari;
Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 32, No 9 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada
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DOI: 10.22146/bkm.10557
Taboo, the culture’s barrier of early sexuality education for children in the city of DumaiPurposeThe study aimed to excavate the perception of parents against early sex education for children. It will provide information about the best intervention measures through sex education.MethodThe study used a descriptive exploratory study with a qualitative approach. Selection of research subjects was done by purposive sampling. Data were collected by focus group discussion (FGD) and in-depth interviews. The analysis being used was content analysis.ResultsKnowledge of parents in cases of children sexual abuse (CSA) was still minim. The main barrier factors that prevent parents providing sexuality education in early childhood were an inconvenience-felt, the perception of the child unpreparedness and nescience of how to deliver sexuality education in children. The availability of adequate information about sexuality, good communication and the role of fathers in sexuality education will facilitate the parents in providing sexuality education in early childhood.ConclusionParents need to get more socialization of SVC cases that occurred in the city of Dumai. Health promotor should be able to take advantage of the forums that involve parents, such as posyandu or school committee meeting, to promote early appropriate sexuality education for children.
Implementasi peraturan daerah kawasan tanpa rokok Kota Padang Panjang
Radian Ilmaskal;
Yayi Suryo Prabandari;
Trisno Agung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 5 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada
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DOI: 10.22146/bkm.11716
Evaluation of the implementation of the regional regulation of smoke free areas in Padang Panjang cityPurposeThis study aimed to evaluate the implementation of the regional regulation of smoke free areas (SFAs) in Padang Panjang city.MethodsThis research was a mixed method study with a sequential explanatory design. Accidental sampling was used to select the respondents. Respondents were smokers and non-smokers between 15-50 years of age living in Padang Panjang city since 2009. Informants for the qualitative data were district government authorities, community leaders and non-governmental organizations selected by purposive random sampling. Quantitative data were analyzed descriptively, while qualitative data were analyzed by content analysis. The study was conducted in April-June 2015.ResultsCompared to previous surveys in 2007, 2011 and 2013, smoking prevalence did not decrease in Padang Panjang city. Key informants suggested commitment to SFAs regulation decreased when the mayor changed, since the new mayor is a smoker. The majority of respondents (94%) supported the SFAs regulation, about 90% had not smoked in SFAs and more than 50% of smokers had not smoked in the smoking rooms such as in market (82%) and bus station (78%).ConclusionIt is suggested for the government improve promotion of SFAs regulation, raise awareness of dangers of smoking in markets, public transportation and other public spaces and improve the regulation so its qualification is everyone who wants to be a leader has to be a non smoker.
Determinan Persalinan oleh Tenaga Kesehatan di Indonesia
Asep Hermawan;
Yayi Suryo Prabandari;
Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 7 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada
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DOI: 10.22146/bkm.12320
Determinants of skilled birth attendance in IndonesiaPurposeThis study aimed to find the relationship between health worker ratio with skilled birth attendants (SBA). MethodsThis research was a cross-sectional study using data from Rifaskes 2011 (a nationwide survey of healthcare facilities), SP 2010 (population census), and Riskesdas 2013 (a nationwide survey based on community for basic health). The sample was total population of the district/city as many as 497 districts/cities. The unit of analysis of this study was the district/city in Indonesia. Statistical analysis used univariate analysis, bivariate analysis and generalized linear model (GLM).ResultsThere was no correlation between the ratio of health workers with SBA coverage. But, the GLM analyses showed positive correlation of midwives ratio in the population and SBA when regressed with physicians, nurses, accessibility to community health center (puskesmas) with OR 1.07 (95% CI: 1-1.14), status of region (remote, borderland or islands area) 1.07 (95% CI: 1.01-1.15), and administrative status (district/city) with OR 1.11 (95% CI: 1.03-1.19).ConclusionThe midwives ratio has a strong correlation with SBA after improving accessibility to primary health centers.
Determinan konsumsi mie instan pada mahasiswa Universitas Sriwijaya
Vera Utami;
Yayi Suryo Prabandari;
Susetyowati Susetyowati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 3 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada
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DOI: 10.22146/bkm.13036
Determinants of instant noodles consumption among students in Sriwijaya universityPurposeThis study aimed to explore the factors that influence the instant noodle consumption among students in Sriwijaya university. MethodsThis research was a qualitative study with phenomenological approach. Data were collected through in-depth interviews with 20 informants. The sampling technique was purposive sampling. The data collection was conducted from June-September 2015.ResultsThis study showed that individual factors are the most influential factors, including time constraints, taste, aroma, and prices which were supported by the social environmental factors, including the pattern of family relationships and patterns of friendship. Physical environmental factors included easy access and sufficient availability of instant noodles and macro environmental factors including the lack of campus policies, social norms in the society as well as the advertising effect on the consumption of instant noodles with new flavors. ConclusionStudents receive advice about diet from educational promotional efforts through seminars and social media.
Prevalence of risk factors in adults who have subjective symptoms to coronary disease in Gunungkidul
Musa Wakasala;
Citra Indriani;
Yayi Suryo Prabandari
Berita Kedokteran Masyarakat (BKM) Vol 32, No 12 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada
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DOI: 10.22146/bkm.15485
The prevalence of risk factors in adults who have subjective coronary heart disease symptoms in Gunung KidulPurposeThis study aimed to identify the risk factors of smoking, passive smoking, physical activity, and consumption of fruits and vegetables in adults who have subjective coronary heart disease symptoms.MethodsThis study used secondary data involving 586 participants. Data were obtained from the survey of clean and healthy behaviors conducted by the provincial health office in 2015. Samples were adults aged 18-60 and aged < 18 who have been married and settled in Gunungkidul. Analysis of the relationship between variables used chi-square and Poisson regression tests.ResultsThe prevalence of smoking was lower in those who experience coronary heart disease subjective symptoms than those who do not have this symptom. Multivariate analysis showed a significant association between passive smoking, fruit and vegetable consumption, level of education and coronary heart disease subjective symptoms.ConclusionThis study recommends making a regulation of non-smoking areas and its application in the society. It is also necessary to do socialization and counseling about the dangers, symptoms, and prevention of coronary heart disease.
HUBUNGAN ANTARA PENGETAHUAN TENTANG BAHAYA MEROKOK DENGAN STATUS MEROKOK DI “RW DENGAN RUMAH BEBAS ASAP ROKOK” KOTA YOGYAKARTA TAHUN 2016
Agus Heri Setiawan;
Yayi Suryo Prabandari;
Riris Andono Ahmad
Berita Kedokteran Masyarakat (BKM) Vol 33, No 6 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada
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DOI: 10.22146/bkm.18016
Implementation of the smoke-free neighborhood program in YogyakartaPurposeThis study aimed to identify the successfulness of smoke-free neighborhood and to understand the relationship between the householders' knowledge and household smoking status. MethodsAn observational analytic study was conducted using cross-sectional surveys. Chi-square, Fisher exact and logistic regression tests were used to analyze the correlation between variables. ResultsFrom those numbers, qualified households which fulfill the program criteria were 76.1% and 75.9%, respectively. To be more specific, in smoke-free neighborhood, about 56.8% householders were under smoking status and 43.2% householders were identified as ex- or non-smoker. Bivariable analysis showed that there was a significant correlation between educational background, age, knowledge, and perception of householder with smoking status. The last model of multivariable analysis showed that knowledge, and age of householders was related to household smoking status. ConclusionThis study shows that smoke-free neighborhood program has not yet affected passive smoker protection significantly. A more specific controlling program to improve the knowledge especially for elderly (> 45 years old) has to be increased in smoke-free neighborhood of Yogyakarta.
Stres psikososial dan kejadian kandidiasis vulvovaginalis pada wanita pekerja seks di Banyumas
Leyna Chunaifa;
Yayi Suryo Prabandari;
Baning Rahayujati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 7 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada
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DOI: 10.22146/bkm.18029
Psychosocial stress and vulvovaginal Candidiasis among female sex workers in Banyumas PurposeThis study aimed to determine the relationship between psychosocial stress with candidiasis vulvovaginalis (KVV) incidence in female sex workers (FSW).MethodsThe research design was a case control study conducted in health center clinics in the Banyumas District. The sample size was 164 FSW (82 cases & 82 control). The research instrument was structured questionnaires, Social Readjustment Rating Scale (SRRS), laboratory equipment and microscopes for inspection KVV. Data analysis used logistic regression tests to calculate odds ratios (OR), confidence interval (CI), and p value.ResultsThe multivariate analysis showed that stress was not KVV risk factors, and the risk factors that contribute to the occurrence of KVV in FSW were oral sex (OR = 3.31, 95% CI = 1.60 to 6.83, p-value = 0.001) and smoking more than 10 cigarettes/day (OR = 2.33, 95% CI = 1.2 to 4.59, p-value = 0.014).ConclusionsThe risk factors of KVV were oral sex and smoking ≥ ten cigarettes/day. We recommend to avoid oral sex and smoking < ten cigarettes/day to avoid the risk of KVV infection.
Faktor-faktor yang berhubungan dengan pemberian air susu ibu eksklusif di Kabupaten Sleman
Safitri Dwicahyani;
Yayi Suryo Prabandari
Berita Kedokteran Masyarakat (BKM) Vol 33, No 8 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada
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DOI: 10.22146/bkm.18130
Determinants of exclusive breastfeeding in SlemanPurposeThe purpose of this paper was to determine the factors associated with the exclusive provision of breast milk in Sleman.MethodsA cross-sectional study was conducted using secondary data derived from HDSS Sleman Cycles I and II. The sample in this study were 218 mothers with children aged 7 to <24 months.ResultsThe ownership of health insurance and the use of bottles and pacifiers were significantly associated with exclusive breastfeeding. Maternal age, maternal education, and maternal occupation were not significantly associated with exclusive breastfeeding. Mothers with health insurance are 2.14 times more likely to exclusively breastfeed than those without health insurance. Infants who never use bottles, and pacifiers before the age of 6 months are 5.14 times more likely to receive exclusive breastfeeding than those who used bottles / dots before the age of 6 months.ConclusionThe use of bottles, and pacifiers is the most dominant factor associated with exclusive breastfeeding. Coverage of health insurance, especially in pregnant and lactating mothers and effective health promotion programs related to exclusive breastfeeding needs to be improved. HDSS Sleman needs to analyze the data more in-depth on exclusive breast-feeding.
Partisipasi guru smp terhadap penerapan kawasan tanpa rokok: studi komparasi di Kabupaten Sleman dan Kulonprogo
Arie Kurniardi;
Yayi Suryo Prabandari
Berita Kedokteran Masyarakat (BKM) Vol 33, No 11 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada
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DOI: 10.22146/bkm.25891
PurposeThis study aimed to explore the difference of participation in non-smoking areas implementation among junior high school teachers in Kulon Progo and Sleman.MethodThis research used a cross-sectional study design. The samples in this study were the junior high school teachers from Kulon Progo and Sleman District. The analysis used independent sample t-tests.Results There was no significant difference in knowledge level, self-efficacy, smoking status and school policy in Kulon Progo and Sleman districts. There was a difference in accessibility level of information about smoking ban and teacher participation to implement non-smoking areas in Kulon Progo and Sleman.Conclusion The most dominant factor that influenced the participation of junior high school teachers towards the implementation of nonsmoking areas in Kulon Progo Regency and in Sleman District of Yogyakarta is the accessibility of information about smoking ban.
Kepatuhan dan asertivitas pegawai negeri sipil pada penerapan peraturan daerah kawasan tanpa rokok: studi komparasi di Kabupaten Sleman dan Kabupaten Kulon Progo
Israini Susanti;
Yayi Suryo Prabandari
Berita Kedokteran Masyarakat (BKM) Vol 33, No 12 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada
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DOI: 10.22146/bkm.25927
Civil servant compliance and assertiveness to non-smoking areas regulation: a comparative study in Sleman and Kulon Progo RegenciesPurpose:his study aimed to determine the differences of compliance and civil servants on the application of non-smoking areas in Sleman and Kulon Progo.MethodsThis analytical survey study used a cross-sectional approach. The subjects of this research were civil servants in the regional work units of Kulon Progo Regency as many as 1,072 and Sleman as many as 2,300 employees at 26 SKPD in Sleman and 25 SKPD in Kulon Progo. The sampling technique used multistage random sampling. The research instruments used were questionnaires, observations, and interviews to support the research. The analysis used was independent t-test and Mann-Whitney tests, namely to determine whether there was a relationship between independent and dependent variables.ResultsThis study found a difference of knowledge on application of perda KTR with (p = 0.000), attitude with (p = 0.003) and there was difference of socialization to applying of regulation of non-smoking area (p = 0.000). Logistic regression tests showed that the dominant factor of the non-smoking area law was the knowledge.ConclusionThere was a difference of knowledge, attitude, and socialization among civil servants in Kulon Progo and Sleman. There was no significant difference in attitude, smoking status, compliance, assertiveness, accessibility and social environment among civil servants in Kulon Progo and Sleman districts. The dominant factor affecting the compliance and assertiveness of civil servants is knowledge.