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Muchlis Achsan Udji Sofro
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Beberapa Faktor yang Berhubungan dengan Kejadian HIV/AIDS pada Wanita (Studi Kasus di Kabupaten Kendal) Siti Musyarofah; Suharyo Hadisaputro; Budi Laksono; Muchlis Achsan Udji Sofro; Lintang Dian Saraswati
Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 1: Februari 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (19458.67 KB) | DOI: 10.14710/jekk.v2i1.3968

Abstract

Background: HIV/AIDS are major problem that threatens Indonesia and many countries around the world. In 2011 there were 17.3 million adults living with AIDS were women. The purpose of studies proved that host and environmental factors were associated the occurence of HIV/AIDS in women. Method: The research using case-control study, was supported by indepth interview. The target population were women in Kendal with a sample of 76 women consisted of 38 women with HIV/AIDS and 38 women negative HIV. Samples case with consecutive sampling technique, control with cluster sampling. Bivariate analysis using chi-square test and multivariate analysis used logistic regression. Results: Multivariate analysis showed that host factors significantly associated with the occurence of HIV/AIDS in women were the number of sexual partners more than 1 (p = 0,003), level of education was low ≤ 9 years (p = 0,049) and the first married age < 20 years (p = 0,03); environment factors significantly associated was history of HIV/AIDS on her husband (p=0,001). Host factors were not significantly associated with the occurence of HIV/AIDS in women were history of receiving blood donors,  history of sexually transmitted diseases, the status of drug users, the habit of drinking alcohol, violence, type of job, and socioeconomic. Conclusion: Host factors significantly associated with the occurence of HIV/AIDS in women were the number of sexual partners more than 1, level of education was low ≤ 9 years, and the first married age <20 years; environment factors significantly associated was history of HIV/AIDS on her husband. Background:HIV/AIDSaremajorproblemthatthreatensIndonesiaandmanycountriesaround theworld.In2011therewere17.3millionadultslivingwithAIDSwerewomen.Thepurposeof studiesprovedthathostandenvironmentalfactorswereassociatedtheoccurenceofHIV/AIDS inwomen.Method:Theresearchusingcase-controlstudy,wassupportedbyindepthinterview.Thetarget population were women in Kendal with a sample of 76 women consisted of 38 women with HIV/AIDSand 38 women negative HIV. Samples case with consecutive sampling technique, controlwithclustersampling.Bivariateanalysisusingchi-squaretestandmultivariateanalysis usedlogisticregression.Results:    Multivariateanalysisshowedthathostfactorssignificantlyassociatedwiththe occurenceofHIV/AIDSinwomenwerethenumberofsexualpartnersmorethan1(p=0,003), levelofeducationwaslow≤9years(p=0,049)andthefirstmarriedage<20years(p=0,03); environmentfactorssignificantlyassociatedwashistoryofHIV/AIDSonherhusband(p=0,001).HostfactorswerenotsignificantlyassociatedwiththeoccurenceofHIV/AIDSinwomen were history of receiving blood donors,  history of sexually transmitted diseases, the status of drugusers,thehabitofdrinkingalcohol,violence,typeofjob,andsocioeconomic.Conclusion: Host factors significantly associated with the occurence of HIV/AIDS in women werethenumberofsexualpartnersmorethan1,levelofeducationwaslow≤9years,andthefirst marriedage<20years;environmentfactorssignificantlyassociatedwashistoryofHIV/AIDSon herhusband.
Higiene Genetalia sebagai Faktor Risiko Infeksi Menular Seksual (IMS) pada Ibu Rumah Tangga di Puskesmas Bandarharjo Semarang Kumalasari Kumalasari; Henry Setyawan; Bagoes Widjanarko; Muchlis Achsan Udji Sofro
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 2: Agustus 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.724 KB) | DOI: 10.14710/j.e.k.k.v1i2.3944

Abstract

Background : STI (Sexual Transmission Infection) resulted in sexual and reproductive health issues that affect women, especially among housewives, children and the poor. Factors that may affect the incidence of STIs covers all aspects of epidemiology: age, race, education, occupation, economic status, marital status, knowledge, attitudes and practices in the treatment of genital hygiene. PHC Bandarharjo with the incidence of STI is quite high of 50 cases in 2014 and 90% are housewives. This study aims to prove hygiene genital factors affect the incidence of STI in housewives.Methods : This study used a mixed methods where quantitative was as the main approach with case-control design. Total sample of 80 with a ratio of 1:1 (40 respondents each group), in PHC Bandarharjo. As the case is positive housewife STI and control is negative h ousewife STI after physically examined at the PHC and laboratories Bandarharjo. Data was analyzed by univariate, bivariate (chi-square) and multivariate (logistic regression), followed by in-depth-interviews.Results : The result show the factors are shown to affect the STI on the housewife is not wash the vagina before sexual intercourse (OR = 7.7; 95% CI 2.0 to 29.1; p = 0.002), vaginal douching (OR = 7, 7; 95% CI 2.0 to 29.1; p = 0.002), low family income <UMR (OR = 4.0;95% CI 1.4 to 14.3; p = 0.030).Conclusion : Risk factors influencing STIs to wards housewives are not wash the vagina before sexual intercouse, perform vaginal douching, family income <UMR
Faktor Karakteristik Klinis Host dan Sosiodemografik yang Berpengaruh Terhadap Kejadian Dengue Shock Syndrome Dias Irawan Prasetya; Suharyo Hadisaputro; Muchlis Achsan Udji Sofro; Djoko Trihadi Lukmono; Martini Martini
Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 2: Agustus 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3617.167 KB) | DOI: 10.14710/jekk.v2i2.4002

Abstract

Background : Dengue Shock Syndrome (DSS) is DHF grades III and IV, which can result in disease severity and lead to the death. In 2016, the number of DHF/DSS cases in Semarang City was 2.200 cases (IR=124,50) with 293 cases DSS or 15,4% from DHF, and CFR DSS cases is 9,21%.Methods : An observational analytic was conducted with case-control study design. Study populations were patients with diagnosis of DSS or diagnosis of DHF that admitted inK.R.M.T Wongsonegoro Hospital Semarang City. The samples were 70 cases and 70controls by consecutive sampling. Data were analyzed by logistic regression.Results : Patients DHF with age ≤ 15 years OR=4,277 (95% CI=1,325-13,598), secondary infection OR=2,807 (95% CI=1,116-7,055), hepatomegaly OR=3,206 (95% CI=1,055-9,745) and thrombocytopenia (<50.000/µL) OR=11,301 (95% CI= 4,674-27,325) is a factors that influenced for incidence of dengue shock syndrome. Sex, nausea/vomiting,hemoconcentration, BMI, blood type, prolonged acces to health services, signs of spontaneous bleeding, abdominal pain, hypotension, acces to health services, knowledge and awareness of parents / suffers were not associated with DSS.Conclusion : Host clinical characteristic variables were evident influenced to DSS is age ≤ 15 years, secondary infection, hepatomegaly, and thrombocytopenia (<50.000/µL).
Kebiasaan Tidak Memakai Celana/Rok Panjang Merupakan Faktor Risiko Kejadian Demam Berdarah Dengue (Studi pada Siswa SD di Kota Semarang) Mada Gautama; Suharyo Hadisaputro; Mateus Sakundarno Adi; Muchlis Achsan Udji Sofro; Suhartono Suhartono
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 2: Agustus 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.197 KB) | DOI: 10.14710/j.e.k.k.v1i2.3945

Abstract

Background : Dengue Haemorrhagic Fever is still remains a health problem in Indonesia, especially in the city of Semarang. Based on data for the year 2014 from the Semarang City Health Office, DBD many experienced by the age group 1-14 years as many sufferers of1,065 (65%), in children ages 6 – 12 years old recorded 336 sufferers (ITP 20.6%). Some protective factors that affect mosquito bite incident DBD in children is wearing pants/skirt length, the use of repellent, the installation of netting on the bed, the installation of ram mosquitoes.Methods : The design was a case control study. The total sample was 160 children (80 children per group) selected by proportional random sampling with due regard to inclusion and exclusion criteria. Data analysis was bivariate with chi-square test and multivariatelogistic regression.Results : There are two variables that may prevent the incidence of Dengue HaemorraghicFever in school children, that is wearing pants/long skirts at home (p = 0.003; Or = 2,781;95% CI = 1,412-5,476), installation of ram mosquitoes in the windows (p = 0,018; Or =2,462; 95% CI = 1,166-5,200).Conclusion : The occurrence of DHF in children can be prevented by wearing pants/long skirts at home, and the installation of ram mosquitoes in the windows home. Probability to experience the occurrence of Dengue Haemorrhagic Fever is 78,72%.
Co-Authors Bagoes Widjanarko Budi Laksono Dias Irawan Prasetya Djoko Trihadi Lukmono Henry Setyawan Susanto Henry Setyawan Susanto Kumalasari Kumalasari Lintang Dian Saraswati Mada Gautama Martini Martini Mateus Sakundarno Adi, Mateus Sakundarno Siti Musyarofah Suhartono, Suhartono Suharyo Hadisaputro