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DETERMINASI SOSIAL DAN GAYA HIDUP TERHADAP EPIDEMIOLOGI HIPERTENSI DI PROVINSI NTB: SEBUAH KAJIAN KESEHATAN MASYARAKAT Darma Karno; Jaswadi, Jaswadi; Muh. Emilia Sa'id Rasyid; Lalu Iman Saptahadi; Baiq Reni Pratiwi; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 3 (2025): Nopember 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jcijurnalcakrawalailmiah.v5i3.11763

Abstract

Objective: This article aims to analyze the social and lifestyle determinants that contribute to the epidemiology of hypertension in West Nusa Tenggara (NTB) Province. This study was conducted to understand how social, behavioral, and environmental factors influence the high incidence of hypertension, and how public health policies can be optimized for prevention and control. Methods: This study used a narrative literature review method by searching publications on Google Scholar, PubMed, ScienceDirect, and DOAJ, as well as official reports such as Riskesdas, the NTB Health Profile, and WHO reports. Keywords included "hypertension," "social determinants," "lifestyle risk factors," "Indonesia," and "NTB." The selected literature focused on hypertension prevalence, socioeconomic risk factors, consumption patterns, physical activity, stress, and environmental determinants. The analysis was conducted using a narrative synthesis based on the Social Determinants of Health (SDH) framework and theories of non-communicable disease epidemiology. Results: This study shows that hypertension in NTB is influenced by a combination of socioeconomic factors, lifestyle, and environmental conditions. The prevalence of hypertension in West Nusa Tenggara (NTB) among those aged 18 and above is increasing along with urbanization and changes in consumption patterns. Social factors such as low income, limited education, and residential environments that are less conducive to physical activity contribute to the risk of hypertension. In terms of lifestyle, excessive salt consumption, a diet high in fat and low in fruits and vegetables, smoking, lack of physical activity, and high levels of stress are the most dominant determinants. Basic Health Research (Riskesdas) data shows that districts/cities such as Mataram City, West Lombok, and East Lombok have a higher prevalence of hypertension than other regions, in line with changes in urban lifestyles and the rise in obesity. Implications: These findings emphasize the need for multisectoral interventions to control hypertension, including improving nutrition education, promoting physical activity, reducing salt consumption, and increasing access to screening services. Local governments need to integrate health policies with the education, social, and spatial planning sectors to create an environment that supports a healthy lifestyle. Limitations: This study relies on secondary data from various heterogeneous sources, which cannot quantitatively describe the strength of the relationship.
MENGURAI ENDEMISITAS DBD DI PROVINSI NTB MELALUI DETERMINASI SOSIAL DAN LINGKUNGAN: SEBUAH KAJIAN EPIDEMIOLOGI Lalu Herman Mahaputra; Anna Indriani; Sadikin Apriadi; Elya Endriani; Susi Wirawati Triono; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 3 (2025): Nopember 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jcijurnalcakrawalailmiah.v5i3.11765

Abstract

Objective: This article aims to unravel the endemicity of Dengue Hemorrhagic Fever (DHF) in West Nusa Tenggara Province through an analysis of social and environmental determinants from an epidemiological perspective. This study seeks to provide a comprehensive understanding of the factors that maintain the dengue transmission cycle in the region. Methods: This study used a narrative literature review approach, searching publications from Google Scholar, PubMed, ScienceDirect, DOAJ, and official reports such as the NTB Health Profile, Ministry of Health DHF surveillance data, and Riskesdas. Literature was selected based on its relevance to the topic of DHF endemicity, social, environmental, behavioral, and vector dynamics determinants. The analysis was conducted using narrative synthesis using an environment-based disease epidemiology approach and the Social Determinants of Health framework. Results: The study results indicate that DHF endemicity in NTB is influenced by the interaction of social, environmental, and behavioral factors. Poor sanitation conditions, household water storage practices, population density, low 3M+ PSN behavior, and limited health literacy are the dominant factors. Furthermore, seasonal rainfall, climate change, and inequitable health services contribute to the continued cycle of transmission. Urban areas such as Mataram City and West Lombok have a higher incidence due to population density and mobility. Implications: Efforts to control dengue fever endemicity in West Nusa Tenggara (NTB) require an integrated, multisectoral approach, including strengthening environmental management, community-based mosquito breeding sites, health education, improving water and sanitation infrastructure, and strengthening epidemiological surveillance systems. Limitations: As a literature review study, this research relies on the availability and completeness of secondary data. Variations in data between sources can affect the consistency of interpretation, and no quantitative statistical analysis was performed to measure the strength of the relationship between variables.
MENGURAI DETERMINAN SOSIAL TUBERKULOSIS DI NTB: PERSPEKTIF EPIDEMIOLOGI DAN SISTEM KESEHATAN I Putu Artawan Prayoga; Nursini Juiban Hadi; Desak Gede Sri Baktiasih; Baiq Nirmalasari; Muhammad Munip; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 3 (2025): Nopember 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jcijurnalcakrawalailmiah.v5i3.11766

Abstract

Objective: This article aims to analyze the social determinants contributing to the incidence of tuberculosis (TB) in West Nusa Tenggara (NTB) Province using an epidemiological and health systems approach. This study was conducted to understand how social, environmental, behavioral, and health service capacity factors interconnectedly influence the transmission and sustainability of TB cases in the region. Methods: This study employed a narrative literature review method through a search of Google Scholar, PubMed, DOAJ, ScienceDirect, and official reports such as the NTB Health Profile, Tuberculosis Information System (SITB), Riskesdas (Basic Health Research), and WHO documents. Literature was selected based on its relevance to the social determinants of TB, TB epidemiology in NTB, and environmental and health system risk factors over the past 10 years. The analysis was conducted using a narrative synthesis approach based on the Social Determinants of Health framework and infectious disease epidemiology theory. Results: The study indicates that TB in NTB is influenced by a combination of socioeconomic factors such as poverty, overcrowding, poor nutrition, poor sanitation, and substandard housing conditions. Behavioral determinants such as delayed self-examination, stigma, and irregular medication adherence contribute to worsening transmission. From a health system perspective, findings indicate challenges in case finding, accurate contact tracing, surveillance quality, and long-term treatment adherence. Geographic variation and disparities in access to services between Lombok and Sumbawa exacerbate epidemiological disparities and impact TB case detection outcomes in NTB. Implications: TB control in NTB requires a multisectoral approach that combines social interventions, residential environmental improvements, strengthening food security programs, health education, and strengthening the health system through increased primary care capacity, active surveillance, and community-based patient support. Integrating health policies with the housing, social, and education sectors is key to sustainable case reduction. Limitations: This study relies on secondary data that varies across sources and does not conduct statistical analysis or meta-analysis, so the strength of relationships between variables is not presented quantitatively.
DETERMINANNYA SOSIAL TERHADAP KEJADIAN STUNTING PADA BALITA: TINJAUAN EPIDEMIOLOGI DI PROVINSI NUSA TENGGARA BARAT Laily Indrayanti Yusuf; Ng Phi Shi; Wahyu Nur Chalamsa; Sunanto, Sunanto; Muhamad Sardiman; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 3 (2025): Nopember 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jcijurnalcakrawalailmiah.v5i3.11767

Abstract

Objective: This article aims to analyze the social determinants influencing stunting in West Nusa Tenggara (NTB) Province using an epidemiological perspective and the WHO's Social Determinants of Health (SDH) framework. This analysis is expected to provide a comprehensive overview of the social factors contributing to the high prevalence of stunting in NTB. Methods: This research is a narrative review conducted through a literature search in Google Scholar, PubMed, DOAJ, and ScienceDirect databases, as well as official reports such as Riskesdas, SSGI, the NTB Health Profile, and national policy documents. The articles analyzed were selected based on their relevance to the topic of social determinants of stunting in the past 10 years. A literature synthesis was conducted to identify key themes of social determinants contributing to stunting in NTB. Results: The analysis indicates that stunting in NTB is influenced by a number of interrelated social determinants, particularly poverty, low maternal education, limited access to clean water, poor sanitation, inadequate parenting and feeding practices, early marriage, and unequal access to health services. Environmental factors such as drought and household food security contribute to exacerbating children's vulnerability to chronic malnutrition. These social determinants form a complex network of upstream and downstream factors that influence child growth in NTB. Implications: These findings emphasize that efforts to reduce stunting in NTB must be carried out through a multisectoral approach that focuses not only on direct nutrition interventions but also on improving socioeconomic factors, sanitation, health access, women's education, and policies to prevent child marriage. Upstream interventions targeting structural factors need to be strengthened to create long-term impact. Limitations: As a narrative review study, this research relies on the quality and comprehensiveness of the available literature. Specific data for NTB in recent years still vary across sources, requiring careful interpretation. This study did not include quantitative analysis or meta-analysis, thus not providing an estimate of the strength of the relationship between variables.
Innovation Of A Holistic And Integrated Approach To Improve Yuly Peristiowati; Hariyono; Zauhani Kusnul3
Journal of Health Science Community Vol. 6 No. 2 (2025): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhsc.v6i2.320

Abstract

Diabetic neuropathy is a serious complication of diabetes mellitus that can lead to a decline in patients' quality of life. This study aimed to evaluate the effectiveness of various approaches to diabetic neuropathy care, including nutrition, digital technology, clinical simulation, and traditional protocols. A systematic literature review (SLR) was used, analyzing six primary articles published between 2015 and 2025. The results showed that nutritional approaches such as Metanx can significantly reduce neuropathy symptoms and improve patients' quality of life. Digital technology approaches have also been shown to improve patients' self-efficacy and self-care behaviors, while virtual simulation can improve nurses' clinical skills. The conclusion of this study is that a more holistic and integrated approach is needed to improve the quality of life of diabetic neuropathy patients. Future research should include a more robust study design with an adequate control group to ensure the validity of the findings .
Co-Authors Abd. Rasyid Syamsuri Achmad Wahdi Achmad Zakaria Adelina Pinto Ady Purwoto Afzal, Ridha Agit Pratama Putra Agung Purnomo Agung Purnomo Agus Salim Burhanuddin Agusta Dian Ellina Agustin Agustin Agustin Widyowari Agustin Widyowati Ahmad Syauqi Mubarok Ahmadi Putri, Nabila Maharani Aini, Trianike Nor Alexius Andi Bur Ali Humardani Alin Ayuning Tyas Almas, Sri Warsuni Alya Tata Riani Amani, Tartilah Nur Amelindha Vania Ananda Wansika Dewi Andariningsih Andayani, Erisa Ariya Andre Bagaskara Angky Meilin Widi Sumijayanti Anis Ansyori Anna Indriani Anna Lince Dasmasela Anniza Pramesti, Adhe Anto, Ambo Anugraheni Wintari Soerya Arantrinita Arantriwardani Arantriwardhani Arief Churniawan Arief Fardiansyah Artha Budi Susila Duarsa Asri Dewi Wahyuningtyas Asri Putri Kisfandari Asruria Sani Fajria Asyafa'a Rizqi Fadilla Atmojo, Joko Tri Aulia Rahman Ayu E., Mas Roro Dyah Baiq Nirmalasari Baiq Reni Pratiwi Bayu Prabowo Bekti, Yhen Ari Benny Yoga Satria Betharia Mardiyani Bhisma Murti Birroudhoh, Fiqhiyah Budi Minarno Bur, Alexius Andi Byba Melda Suhita Crystalia Darma Karno Dedy Mochtar Setiaji Demasa Maulana Seta Deny Sumantoro Desak Gede Sri Baktiasih Dewi Kusumawati, Prima Dewi Retno Puspitosari Dian Jayantari Putri K Hedo Dita, Janny Dony Wahyu Baktisiswoyo Doris Novelyn Lalamentik Dwi Helynarti Syurandhari Dwiana, Winda Gusya Edi Kurnianto Efendy, Muhamad As'ad Eka Lutfiatus Solehah Elina, Agusta Dian Elliana, Agusta Dian Ellina , Agusta Dian Elya Endriani Endah Pujiati Eni Natalia Teuf Etti Suryani Eva Agustin Fajriah, Asruria Sani Fajriah, Asuria Sani Fajriyah, Asruria Sani Farida Hidayati Feliciano De Araujo Fransiska Xaveria Hangriani Ghazali, Muh Al Gunawan Handayani, Rina Tri Hardiani, Novita Hari Prasetyo Umar Hariyono Hariyono Hariyono Heri Suroso, Heri Heri Susanto Herin Mawarti Herman Pratikto Herminofa, Irsyad Hidayat, Ichwan Hidayat, Poppy Hidayatur Rahman Hilda Anggraeni Laluyan Hilda Dea Revani I Ketut Gede Muliarta I Putu Artawan Prayoga I'im Murtiawani Ida Winarni Ifa Artha Mefia Ike Nurrochmawati Ikke Winar Rachmawaty Ikke Winar Rachmawaty Imam Ghazali Imam Ghazali Imam Ghazali Indah Aprilia Angelina Indah Sri Wahyuni Indah Sri Wahyuni Indasah Indasah Iriawan Putra, Pujo Broto Istianah Istianah Jamhari Jamhari Janita Putri, Aqmarlia Jaswadi JASWADI, Jaswadi Joaquim Pinto Joko Prasetyo Joko Prasetyo Joko Prasetyo Joko Tri Atmojo Joko Tri Atmojo Joko Sutrisno Justanti, Chusnul Katmini Katmini, Katmini Khaerotib Koesnadi Krisnanda Aditya Pradana Krisnanda Aditya Pradana Krissanti, Hanny Kusumawardani, Nila Laily Indrayanti Yusuf Lalu Herman Mahaputra Lalu Iman Saptahadi Lastari, Heni Layla, Siti Farida Noor Lestaluhu, Masdarany Lilik Afifah Lingga Kusuma Wardani Lutfi Nur Aini M Al Farisi Manumara, Theophylia Melisa Maria Haryanti Butarbutar Maria Haryanti Butarbutar Maria Maria Marviyani Baisila Maryati Masrulloh Masrulloh Melda, Byba Melur Belinda Menny Noviani Mohamad As'ad Efendy Mohammad Yusuf Alamudi Muh. Emilia Sa'id Rasyid Muhamad As’ad Efendy Muhamad Hadhikul Ichwan Muhamad Sardiman Muhammad Erfansyah Muhammad Maftukh Muhammad Miftachul Mafakhir Muhammad Munip Muhammad Roihan Mahesa Putra Muji Murtiningsih Mukhofi, Lutfi Murwani Murwani Mustofa Khairul Sholeh Ng Phi Shi Nia Sari Nian Afrian Nuari Ningtiyas, Linda Kristian Nova Purma Hardini Novi Kusrini Noviani, Menny Novita Ana Anggraini Nurdina Nurdina Nurfitriani, Yuzita Nursini Juiban Hadi Nurwijayanti Nurwijayanti Kusumaningrum Octaviana Marta G.M. Gusmão Ode Muhammad Ady Ardyawan, La P H Livana Prananingtias, Rosita Prasetya, Fika Indah Pratiwi Yuliansari Predito Prihantoro Prima Dewi Kusumawati Pujo Broto Iriawan Putra Purmahardini, Nova Purwanti, Tentry Fuji Putri Amanda Oktavia Putri Nur Fadhilah Rahmadi, Syamsu Rahmanasari, Suska Evi Rahmania Ambarika Ratna Wardani Ratna Wardani Raysella Khaulla Miandi Rendy Mahendra Rendy Mahendra Reni Yuli Astutik Reny Maswiyati Restu Hadi P Ritalia Monika Kaka Riyad Hariyadi Rizal, Yusuf Rizki Fadila, Rizki Rokhmawan, Ulum Rokhmat Rumpiati, Rumpiati Rusady, Yulia Paramita Sadikin Apriadi Safrina Citra Salsabila Salsabila, Unik Hanifah Salva Ayu Vidias Putri Sandu Siyoto Sandu Siyoto Sandu Siyoto Sandu Siyoto Sandu Siyoto, Sandu Sani, Miftahuddin Sari Pratiwi Sarippy, Jesseline Sasmita, Hasri Yulia Sasmito, Armando Hadyono Joko Sasmito, Priyo Semiarto, Mufit Sentot Alibasah Sentot Imam Suprapto Septin Maisharah K Setyo Wahyudi Sih Winarti Sinambela, Sunggulan Siswanti Siswanti Siti Farida Siti Farida Noor Layla Siti Farida Noor Layla Siti Hasna Ulfiah Siti Nur Farida Siti Nur Hasina Slamet Djoko Sunarko Slamet Djoko Sunarko Slamet Hariadi Slamet Jayadi Soerya, Anugraheni Wintari Solehah, Eka Lutfiatus Stianto, Mitayakuna Subarkat Bangun Satoto sultan Sulton Ali M Sumarno . Sumiati Sumiyati Sunanto Sunanto Supangkat, Ismu Dwi Suprapto, Sentot Imam Susi Wirawati Triono Susiati, Asih Luklu Syahrul Hidayat Syarif Abdullah Tin Dwi Kartiningsih Titik Mariyati Titis Sulistyowati Tri Retnoningsih Triningsih, Indah Tutik Nushah Tutik Nusnah Undatun Ni'mah Upik Supiaty Ura, Rahmad Suryawan wahono, kaiden budi Wahyu Agung Wahyu Herwati Cahyo Wahyu Nur Chalamsa Wardani, Silvia Intan Wasita, Rangga Watna, Ida Wening Palupi Dewi Wibowo, Kevin Rachmalia Widi Ardian S. Widiastuti Widiastuti Widiyanto, Aris Widiyawati, Rina Winarti, Sih Winda Gusya Dwiana Wing Umi Latifah WULANDARI Yatimul Kais Diyanto Yenny Puspitasari Yhen Ari Bekti Yoga Satria , Benny Yoyok Yulianto Yulia Paramita Rusady Yulida Ti'ani Yusiana Vidhiastutik Zauhani Kusnul Zauhani Kusnul3 Zuhrotul Aini, Zuhrotul