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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) Media Kesehatan Masyarakat Mitra Raflesia (Journal of Health Science) Jurnal Pengabdian Masyarakat: Humanity and Medicine JOURNAL LA MEDIHEALTICO SRIWIJAYA JOURNAL OF ENVIRONMENT International Journal of Health Science & Medical Research Electronic Journal Scientific of Environmental Health And Diseases JURNAL SMART ANKes Journal of Health Management, Administration and Public Health Policies Holistik Jurnal Kesehatan International Journal of Health Literacy and Science Journal of Multidisciplinary Academic and Practice Studies Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Kesehatan
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 Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Analysis of the Determinants of Families at Risk of Stunting in Ogan Komering Ilir and Lahat Regencies Ditiaharman, Mutya; Nengyanti, Nengyanti; Sitorus, Rico Januar
Sriwijaya Journal of Environment Vol 10, No 2 (2025): ECOLOGY AND ENVIRONMENTAL HEATLH
Publisher : Program Pascasarjana Universitas Sriwijaya

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Abstract

The prevalence of stunting among children under five in South Sumatra Province decreased from 24.8% in 2021 to 20.3% in 2023. Lahat Regency showed the most significant decline, while Ogan Komering Ilir Regency had the highest prevalence of stunting. This study analyzes determinants of stunting risk in families (KRS) in these regencies. Using secondary data from Perwakilan BKKBN Provinsi Sumatera Selatan, we examined families at risk of stunting in Ogan Komering Ilir (96,266 households) and Lahat (70,922 households). Univariate and bivariate analyses revealed significant determinants of stunting risk, including: presence of reproductive-age couples, use of unsafe water sources, inadequate sanitation, families classified as 4T (too young, too old, too many, too close), and non-use of modern contraception. These findings highlight key factors that contribute to the risk of stunting in these regencies.
Pencegahan Penularan HIV melalui Peningkatan Partisipasi Penggunaan Profilaksis Pra Pajanan (PrEP) pada Populasi Kunci Sitorus, Rico Januar; Aerostaa, Danny; Yusria, Yusria; Purbaa, Imelda Gernauli
Jurnal SOLMA Vol. 14 No. 2 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i2.18774

Abstract

Background: Indonesia sudah mengadopsi program Profilaksis Pra Pajanan sejak tahun 2021 dan sudah dilaksanakan di 10 Propinsi dan 22 Kabupaten. Profilaksis Pra Pajanan (PrEP) merupkan metode pencegahan biomedis HIV yang aman dan sangat efektif ketika penggunanya patuh sepenuhnya. Profilaksis pra pajanan terbukti mengurangi risiko infeksi HIV sebesar 51%. Metode: Program Pengabdian kepada Masyarakat (PkM) yang digunakan adalah Pretest, penyuluhan, diskusi kelompok, dan sesi tanya jawab serta Posttest. Karaketristik peserta berdasarkan usia memiliki rata-rata usia peserta 34.44 tahun dengan usia paling muda 18 tahun dan usia peserta paling tua 54 tahun, dan mayoristas LSL sebanyak 89.5%. Hasil: Uji T Dependen menunjukkan nilai p 0.0001 < 0.05. Hal ini menunjukkan ada kenaikan skor secara siginfikan dari peserta. Efek penyuluhan berpengaruh dalam peningkatan pengetahuan peserta. Kesimpulan: Hal ini menunjukkan bahwa kegiatan penyuluhan yang dilakukan berhasil meningkatkan pengetahuan peserta tentang PreP. Penggunaan PreP sangat ditekankan bagi mereka yang berisiko tinggi dan negatif HIV seperti Lelalki seksusal lelaki, pekerjan seks perempuan dan transgender guna mencegah infeksi HIV baru.
Factors Influencing Risky Sexual Behavior Among MSM and Transgender Individuals and its Relationship to Hiv/Aids Prevention: A Literature Review Almandra, Gabriella Mariza; Sitorus, Rico Januar; Najmah, Najmah
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2529

Abstract

HIV/AIDS remains a global public health challenge with a high prevalence among vulnerable populations, particularly men who have sex with men (MSM) and transgender individuals. These groups face various barriers, such as social stigma, discrimination, and limited access to healthcare services, which exacerbate the risk of engaging in risky sexual behavior. This study employed a literature review design. Data sources included scientific articles retrieved from Google Scholar and PubMed. Factors influencing risky sexual behavior include young age, low levels of education and knowledge, negative social environments, unstable economic conditions, and experiences of stigma and discrimination. HIV prevalence among transgender and MSM individuals in developing countries remains high (e.g., 75.7% in the Caribbean, 25–35% in Peru). Effective prevention efforts include consistent condom use, utilization of Pre-Exposure Prophylaxis (PrEP), and access to transgender-friendly healthcare services. However, major challenges remain in terms of PrEP adherence, awareness, and addressing social and structural barriers. Risky sexual behavior among MSM and transgender populations results from a complex interaction of social, economic, and structural factors. HIV/AIDS prevention requires a holistic approach, including comprehensive sexual education, inclusive and friendly healthcare services, strategies to reduce stigma and discrimination, and the promotion and facilitation of access to condoms and PrEP. Interventions should engage communities, healthcare providers, and policymakers to establish a supportive and safe system for vulnerable populations.
PEREMPUAN DAN PENYAKIT KEGANASAN (KANKER PAYUDARA DAN KANKER SERVIKS) Anggriani, Bayu; Sitorus, Rico Januar; Flora, Rostika; Octariyana, Octariyana
Scientific Of Environmental Health and Diseases Vol. 3 No. 1 (2023): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/esehad.v3i2.27654

Abstract

ABSTRAKLatar Belakang:Kanker payudara dan kanker serviks muncul sebagai tantangan kesehatan global utama dansecara tidak proporsional menyebabkan morbiditas dan mortalitas yang berlebihan di negara-negaraberpenghasilan rendah dan menengah bila dibandingkan dengan negara-negara berpenghasilan tinggi.Kankerpayudara dan serviks adalah kanker paling umum yang didiagnosis pada wanita yang tinggal di negaraberpenghasilan rendah dan menengah, di mana peluang untuk pencegahan, deteksi dini, atau keduanya sangatsedikitMetode: Penelitian ini menggunakan Literature Review dengan menggunakan pencarian grey literature GoogleScholar. Hasil pencarian yang memenuhi kriteria kemudian dilakukan analisis artikel.Hasil: Hasil didapatkan 12 artikel yang memenuhi kriteria inklusi. Dari 12 artikel didapatkan tiga temayaitupengetahuan, usia, dan pencegahan serta pengendalian.Kesimpulan:Strategi promosi dan pencegahan harussegeradiimplementasikan ke publik melalui layanan untukmembangun manajemen penanggulangan kanker yang lebih baik dimasyarakat dan menjamin manfaat yangsebesar-besarnya baginegara.Unit pemerintah daerah bekerja dengan pemerintah pusat untuk menentukan faktorfaktor penentu pembangunandan pelaksanaan program kebijakan kesehatan dan untuk mempresentasikan hasildari program yang dilaksanakan.Kata Kunci: Women, Breast Cancer, Cervix Cancer
Analysis of compliance with Antiretroviral (ARV) drinking of HIV patients in Regional General Hospitals Central Bangka District Kurrohman, Taufik; Sunarsih, Elvi; Sitorus, Rico Januar; Legiran, Legiran; Yunindyawati, Yunindyawati
Journal of Multidisciplinary Academic and Practice Studies Vol. 2 No. 4 (2024): November
Publisher : Goodwood Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/jomaps.v2i4.2157

Abstract

Purpose: This study aimed to analyze the knowledge, attitudes, and compliance with antiretroviral (ARV) antidotes among HIV patients at the Central Bangka Regional General Hospital. Research Methodology: This study used a qualitative method with a phenomenological approach. The technique for selecting respondents was a non-probability sampling technique, purposive sampling. Nine informants participated in 9 people. Data were collected using an in-depth interview guide. Results: Findings from the research show that several informants had insufficient knowledge about compliance in taking ARV antidotes. Even though the informants' attitude towards compliance with antiretroviral (ARV) antiretrovirals was relatively good, several key informants stated that they had stopped taking antiretroviral (ARV) antidotes for several months because they felt healthy. However, several months later, they experienced adverse effects that resulted in declining health. Conclusions: The study concludes that Inadequate knowledge and misconceptions about ARV therapy remain significant obstacles to sustained adherence. Strengthening education, family involvement, and consistent supervision are essential for enhancing compliance and improving health outcomes for people living with HIV. Limitations: The study was limited to a small number of participants from a single hospital, which restricts broader generalization. Contribution: This research provides practical insights for healthcare providers and policymakers to design targeted interventions, improve supervision, and foster cross-program collaboration to ensure consistent ARV adherence among patients with HIV, ultimately supporting public health goals in HIV management.
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
Publisher : UI Scholars Hub

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Abstract

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
Publisher : UI Scholars Hub

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Abstract

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
Publisher : UI Scholars Hub

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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
Publisher : UI Scholars Hub

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Abstract

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
Publisher : UI Scholars Hub

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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.
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 Agustianto, Nicko Alfha, Liese Margaretha Almandra, Gabriella Mariza Amrina Rosyada Anggriani, Bayu Anita Camelia Anita Rahmiwati Antara, Nyoman Yudi Ari Natalia Probandari Ariana, Rika Asri Maharani Astry Fidyawati, Astry Aulia, Maulida Aurora, Wahyu Indah D. Ayu Setyani, Rizka Deni Susanti, Deni Devi Kartika Sari Dewi Handayani Dhian Komala Jayanti M, Dhian Komala Jayanti Diana Dewi Sartika 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 Fitriani, Ranty Fitrianti Fitrianti, Fitrianti Haerawati Idris, Haerawati Hamzah Hasyim Harry Cahya Maulana, Harry Cahya Ikhsan Ikhsan Imelda G. Purba, Imelda G. Imelda Gernauli Purba, Imelda Gernauli Isnainy, Henny Jasmine, Annisah Biancika Juanda Dewi Bambang Bangun Wibowo, Shaviera Julia, Tiara Eka Karlinda Karlinda Khairunnisa, Nanda Kritmas Situmorang, Kritmas Kurniati, Halisa Kusumah, Nila 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 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 Ristaning Belawati, Yeny 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 Septhayudi, Gian 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 Vitri Widyaningsih Wijaya, Dhandi Wulandari, Septa Wulansari, Galuh Yanri Wijayanti Subronto 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