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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Jurnal Kesehatan Lingkungan indonesia Jurnal Kesehatan The Indonesian Journal of Public Health Public Health of Indonesia Jurnal SOLMA Window of Health : Jurnal Kesehatan Jurnal Kesehatan JURNAL MEDIA KESEHATAN JPP Jurnal Kesehatan Poltekkes Palembang Health Information : Jurnal Penelitian Jurnal 'Aisyiyah Medika Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal PREPOTIF : Jurnal Kesehatan Masyarakat Science Midwifery Journal of Nursing and Public Health (JNPH) Indonesian Journal of Global Health research Media Kesehatan Masyarakat Mitra Raflesia (Journal of Health Science) Jurnal Pengabdian Masyarakat: Humanity and Medicine JOURNAL LA MEDIHEALTICO SRIWIJAYA JOURNAL OF ENVIRONMENT Jurnal Ilmu Kesehatan Masyarakat Electronic Journal Scientific of Environmental Health And Diseases JURNAL SMART ANKes Journal of Health Management, Administration and Public Health Policies Holistik Jurnal Kesehatan Malahayati International Journal of Nursing and Health Science Journal of Multidisciplinary Academic and Practice Studies Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Rico Januar Sitorus
Fakultas Kesehatan Masyarakat Universitas Sriwijaya
Agriculture, Biological Sciences & Forestry Humanities Decision Sciences, Operations Research & Management Dentistry Education Energy Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Journal : Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

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Socio-Epidemiological Perspectives of Sexual Trauma Experiences and Influential Factors on Sexual Orientation in Men Who Have Sex with Men Sitorus, Rico Januar; Misnaniarti, Misnaniarti; Legiran, Legiran; Syakurah, Rizma Adlia; Sartika, Diana Dewi; Maharani, Asri; Patresia, Retta
Kesmas Vol. 20, No. 1
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The complexity of sexuality and sexual trauma experiences, including harassment, unwanted touching, sexual urges, and forced sexual intercourse, should not be underestimated because of the tendency to initiate adverse psychosocial impacts. Sexual harassment can increase mental health risks, which may influence sexual orientation decisions. This quantitative study, using a cross-sectional design, aimed to determine a relationship between sexual trauma experiences and sexual orientation in men who have sex with men (MSM). This study population was MSM living in Palembang and Prabumulih City, with a sample size of 216 respondents. The proportion of respondents with homosexual orientation was 57.1%, and the proportion having sexual trauma experiences was 42.3%. The multiple logistic regression identified a significant relationship between sexual trauma experiences and sexual orientation in MSM with a pvalue of 0.02, an adjusted odds ratio of 2.71, and a 95% CI of 1.17-6.26. These results suggested a higher risk of a different sexual orientation among traumatized MSM compared to MSM without one after controlling access to pornographic content and correcting parenting patterns. Sexual trauma has been shown to affect individual sexual orientation; therefore, special attention is needed due to the impact on future life behavior.
Understanding the Health-related Quality of Life of People Living with HIV Based on Sexual Orientation Sitorus, Rico Januar; Antara, Nyoman Yudi; Sangalang, Reymart; Panjaitan, Merry Natalia; Fauk, Nelsensius Klau
Kesmas Vol. 18, No. 1
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Human immunodeficiency virus (HIV) infection has detrimental impacts on the lives of different population groups living with HIV, including men who have sex with men (MSM). Using the World Health Organization Quality of Life questionnaire, this study aimed to assess the health-related quality of life of men living with HIV with different sexual orientations and to determine the dominant influential factors. This cross-sectional study involved 206 men living with HIV. They were recruited from the Sriwijaya Plus Foundation and a medical facility that provided antiretroviral therapy. The data were analyzed using Chi-square and binomial logistic regression. The analysis showed that the percentage of MSM patients was greater than that of non-MSM patients, accounting for 68.9% of the total population. The multivariate logistic regression revealed that the most dominant influential factor was depression status (PR = 5.417; 95% CI = 2.473–11.876), with the majority of the depressed patients being 5.417 times more at risk of a lower quality of life compared to others. These findings suggest that depression can lead to a low quality of life among HIV patients.
The Effect of Smoking on Carbon Monoxide Respiration among Active Smokers in Palembang City, Indonesia Sitorus, Rico Januar; Purba, Imelda Gernauli; Natalia, Merry; Tantrakarnapa, Kraichat
Kesmas Vol. 16, No. 2
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Abstract

Smoking leads to disease and disability as well as harm nearly every organ of the body. Furthermore, smoking of tobacco is known to cause pulmonary dysfunction and lead to complications, pain, or even death. This study aimed to measure the risk factors for the respiration of carbon monoxide among smokers. A cross-sectional design was implemented by involving 156 smokers in Karyajaya Subdistrict, Palembang City. The dependent variable was carbon monoxide levels (ppm), while the independent variables were smoking frequency, duration, and the last period of smoking. The carbon monoxide levels (ppm) measured with a PiCO + Smokerlyzer® device from Bedfont Scientific Limited were the research tool and the independent variables of the questionnaire. The Pearson Correlation and multiple linear regression were used for the analysis. The results of the multiple linear regression analysis revealed that smoking duration assessment is related to carbon monoxide respiration after controlling smoking frequency, the last period of smoking, and the distance of residence to sources of exposure. The smoker's respiration of carbon monoxide level was 72.5% influenced by the duration, frequency, last period of smoking, and distance of residence to sources of exposure. Reducing the frequency of smoking and stopping may prevent and control carbon monoxide respiration.
Komorbiditas Pecandu Narkotika Sitorus, Rico Januar
Kesmas Vol. 8, No. 7
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Narkotika yang disalahgunakan dapat menimbulkan ketergantungan. Semakin lama mengalami ketergantungan narkotika akan semakin memperburuk kualitas kesehatan. Pada pengguna narkoba suntik, komplikasi komorbiditas seperti hepatitis, tuberkulosis paru, dan HIV/AIDs juga semakin tinggi. Tujuan penelitian ini adalah mengetahui komorbiditas pada penyalah guna narkoba dan determinannya. Metode penelitian adalah potong lintang dengan menggunakan data sekunder catatan medis (medicalrecord) di Rumah Sakit Ketergantungan Obat (RSKO) Jakarta tahun 2013. Populasi dalam penelitian ini adalah seluruh pasien ketergantungan narkoba yang dirawat inap, yang menjalani rehabilitasi dan rawat jalan, dan sampel penelitian ini adalah seluruh populasi sebesar 303 orang. Analisis data yang digunakan adalah analisis secara univariat, bivariat, dan multivariat. Hasil penelitian menunjukkan bahwa pasien yang dirawat jalan dan lama menggunakan narkoba berhubungan dengan komorbiditas pada pecandu narkoba. Model akhir analisis multivariat menunjukkan bahwa lama menggunakan narkoba merupakan variabel yang paling berpengaruh terhadap komorbiditas pecandu narkoba. Narcotics are abused can lead to dependence. The longer experiencing drug dependence will worsen the quality of health care. In injecting drug users, complications such ashepatic, comorbidities, pulmonary TB, and HIV/AIDs also higher. The purpose of this study was to determine the comorbidity of drug abusers and its determinant. The method is a cross sectional study using secondary data, medical records at the Drug Dependence Hospital Jakarta in 2013. The study population were all drug dependent patients who are hospitalized, undergoing rehabilitation and outpatient care, and sample is total population of 303 people. Data were analyzed using univariate, bivariate and multivariate analyzes. The results showed that patients treated in outpatients and comorbidities associated with drug addicts. The final model of multivariate analysis showed that longer using drugs is the most influential variable on the comorbidity of drug addicts.
Prevention of HIV Transmission Among Men Who Have Sex with Men and Compliance with Sexual Protective Equipment Sitorus, Rico Januar; Octavia, Nurafni; Panjaitan, Merry Natalia; Rahmiwati, Anita Rahmiwati; Syakurah, Rizma Adlia; Aerosta, Danny; Sangalang, Reymart V; Yusri, Yusri
Kesmas Vol. 19, No. 2
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Abstract

Sexual orientations, such as gay, lesbian, and bisexual, are prevalent among individuals at high risk of experiencing mental health problems, including drug use, depression, emotional distress, and suicide. Therefore, this study aimed to assess the compliance of men who have sex with men with protective equipment and determine the dominant influential factors. This cross-sectional study included 187 men who had sexual intercourse with men who were recruited from two foundations based in Palembang City, Indonesia, focusing on people living with HIV/AIDS. Data were analyzed using Chi-square and binomial logistic regression. In this context, 50.8% of men who have sexual intercourse with men did not comply with the use of sexual protective equipment, exceeding those in compliance. The multivariate logistic regression showed that knowledge was the dominant factor (PR = 15.733; 95% CI = 4.063-60.920), and most low-knowledge individuals were 15.733 times more at risk of non-compliance. Intensive education is needed regarding the potential risk of transmission, considering the ease of access to condoms.
Perilaku Seksual Berisiko Pengguna Narkotika Sitorus, Rico Januar; Natalia, Merry
Kesmas Vol. 9, No. 4
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Penyalahgunaan narkotika yang melakukan hubungan seksual sebelum menikah, dan berganti-ganti mitra seksual merupakan perilaku berisiko. Masalah yang diakibatkan penyalahgunaan narkotika sangat kompleks, seperti masalah sosial dan kesehatan. Kecenderungan pengguna narkotika melakukan perilaku seksual dini dan tidak aman semakin memperparah kondisi kualitas hidup pecandu dan tentunya berdampak besar pada kelangsungan hidup di masa depan. Tujuan penelitian ini adalah mengetahui determinan perilaku seksual berisiko di kalangan pengguna narkotika. Metode penelitian adalah potong lintang menggunakan data sekunder kajian rekam medis di instalasi Medical Psikiatric Evaluation di rumah sakit ketergantungan obat (RSKO) Jakarta tahun 2013. Populasi penelitian adalah pasien ketergantungan narkotika yang dirawat inap di RSKO Cibubur selama tahun 2013. Sampel dalam penelitian ini adalah seluruh pasien yang dirawat inap berjumlah 74 responden. Analisis data yang digunakan adalah analisis secara univariat, bivariat, dan multivariat. Hasil penelitian membuktikan bahwa mayoritas responden telah melakukan perilaku seksual berisiko, yaitu sebesar 82,4% dengan usia pertama kali berhubungan seksual ≤ 17 tahun sebesar 78,4%. Usia pertama kali berhubungan seksual ≤ 17 tahun merupakan variabel yang paling berpengaruh terhadap perilaku seksual berisiko di kalangan pecandu narkotika. Model akhir analisis multivariat menunjukkan bahwa pengguna narkotika yang telah melakukan hubungan seksual ≤ 17 tahun berpeluang 6,74 kali (CI = 1,84 – 24,73) untuk melakukan perilaku seksual berisiko dibandingkan dengan pengguna narkotika > 17 tahun. Narcotic abuse having premarital sexual intercourse and multiple sexual partners is risky behavior. Problems caused by narcotic abuse are very complex, such as social and health problems. Tendency of narcotic users committing early and unsafe sexual intercourse worsen condition of the addict’s quality of life and definitely has a big impact on life survival in the future. This study aimed to determine determinants of risky sexual behavior among narcotic users. The method was cross sectional study using secondary data of medical record assessment at Medical Psikiatric Evaluation installation in Jakarta hospital for drug addicts in 2013. The study population was narcotic-addicted patients hospitalized at Cibubur Hospital for Drug Addicts within 2013. Sample of this study was all hospitalized patients amounted to 74 respondents. Data analysis used was univariate, bivariate and multivariate analysis. Results proved that most respondents had committed risky sexual behaviors worth 82.4% in which the age of first intercourse ≤ 17 years old worth 78.4%. The age of first intercourse ≤ 17 years old was the most influential variable to risky sexual behavior among narcotic addicts. The final model of multivariate analysis showed that narcotic users who committed sexual intercourse ≤ 17 years had 6.74 times opportunity (CI = 1.84 – 24.73) to commit risky sexual behavior than > 17 yearold narcotic users.
Co-Authors : Samwilson Slamet, : Samwilson adelina irmayani lubis Adiaty, Vefi Aerosta, Danny Aerosta, Danny Kusuma Aerostaa, Danny Agnes Martha Helena Sitompul, Agnes Martha Helena Aguscik, Aguscik Alfha, Liese Margaretha Almandra, Gabriella Mariza Amrina Rosyada Anggriani, Bayu Anita Camelia Anita Rahmiwati Antara, Nyoman Yudi Ariana, Rika Asri Maharani Astry Fidyawati, Astry Aulia, Maulida Aurora, Wahyu Indah D. Deni Susanti, Deni Devi Kartika Sari Dewi Handayani Dhian Komala Jayanti M, Dhian Komala Jayanti Diana Dewi Sartika, Diana Dewi Ditiaharman, Mutya Dwi Septiawati, Dwi Eka Retvina D, Eka Retvina Elvi Sunarsih Fathiya, Iska Fauk, Nelsensius Klau Fauta, Ari Fenny Etrawati Feranita Utama FERLY OKTRIYEDI Fitria Fitria Fitria, Fitra Fitriani, Ranty Fitrianti Fitrianti, Fitrianti Hamzah Hasyim Harry Cahya Maulana, Harry Cahya Ikhsan Ikhsan Imelda G. Purba, Imelda G. Imelda Gernauli Purba, Imelda Gernauli Isnainy, Henny Jasmine, Annisah Biancika Julia, Tiara Eka Karlinda Karlinda Khairunnisa, Nanda Kritmas Situmorang, Kritmas Kurniati, Halisa Legiran Legiran Lionita, Widya M. Hatta Dahlan, M. Hatta Maulina, Lisna Merry Natalia, Merry Mirawati Mirawati Misnaniarti Misnaniarti Mona, Lisa Muhammad Desiandi Murinata, Jaka MUSTIKA FATIMAH Nabila, Imtiyazi Najmah, Najmah Nandini, Rizka Faliria Nengyanti Nengyanti, Nengyanti Noviadi, Pitri Novrikasari Novrikasari, Novrikasari Nur Alam Fajar Nurhayati Nurhayati Nurmalia Ermi Octariyana, Octariyana Octavia, Nurafni Panjaitan, Merry Natalia Patresia, Retta Poppy Fujianti, Poppy Purnama, Yetti Putri, Debby Amanda Rahmayani, Lusi Rahmiwati, Anita Rahmiwati Ramiwati, Anita Retna Mahriani Reza Suwandra, Reza RIANTINA, ANITA Rini Anggraini Rini Mutahar Rizma Adlia Syakurah Rosaria, Rini Rosaria Rostika Flora Sabila, Virgina Putri Salesika Sangalang, Reymart Sangalang, Reymart V Sangalang, Reymart V. Sari, Eni Puspita Sari, Novrika Septiani, Siti Ariffah Sherti Agusti, Mona Shinta Rimvalia Sinulingga, Shinta Rimvalia Sitilonga, Jernita Megawati Sofiati Sofiati, Sofiati Sri Maryatun Sucirahayu, Citra Afny Sulung, Neshy SUPLI EFFENDI RAHIM Tantrakarnapa, Kraichat Taufik Kurrohman Utami, Titi Permatasari Verianti, Tety Wijaya, Dhandi Wulandari, Septa Yeni Yeni Yuanita Windusari Yudia Gustri, Yudia Yuliana Zahra, Yuliana Yuliantari, Devy Yuliarni Yuliarni Yulyana Kusuma Dewi Yunindyawati Yunindyawati Yusri Yusri Yusria Zulkarnain, M Zulkarnain, Mohammad