Hadyana Sukandar
Department of Epidemiology and Biostatistics, Faculty of Medicine, Universitas Padjadjaran, Bandung

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Familial Predisposition of Primary Dysmenorrhea among Senior High School Girl Students Sharlini, Prema; Sukandar, Hadyana; Fadil, Ryadi
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Background: Dysmenorrhea is a common female reproductive problem in women of active reproductive agewhich is characterized by menstrual pain or cramps in a women’s lower abdomen or back. Dysmenorrhea can be classified into primary and secondary. One of the associated risk factor of primary dysmenorrhoeais the family history, however the study on the family history of primary dysmenorrhea with recurrent  menstrual pain is limited. This study was conducted to identify the correlation between family history and primary dysmenorrhea in high school girls.Methods: This cross sectional study was conducted at several senior high schools in Jatinangor from April−June 2013. One hundred and sixty two students were included in this study. The sample size was calculated based on the unpaired−dichotomous variable for the two−sided formula. A self administered questionnaire was distributed to the senior high school girl students who were in their menarche age, menstrual cycle characteristics, presence or absence of dysmenorrhea, severity of pain and presence dysmenorrhea in mothers and in sisters were inquired. Data were analyzed using chi square test.Results: Overall, there were association between positive family history and primary dysmenorrhea among the students with (p<0.001). The prevalence of dysmenorrhea in the students was 92.6% with 95% confidence interval which was 87.5−95.7%. The prevalence rate was 67.9% in mothers with 95% confidence interval which is 60.4−74.6% and 80.2% prevalence of primary dysmenorrhoea in sisters with 95% confidence interval which is 73.4−85.6%.Conclusions: There is a significant association between positive family history and primary dysmenorrhea.[AMJ.2015;2(4):579–83] DOI: 10.15850/amj.v2n4.643
Correlation between Body Mass Index and Age at Menarche Putri, Atika Primandina; Sofiatin, Yulia; Fadil, R. M. Ryadi; Sukandar, Hadyana; Susanto, Nugroho Harry; Widjadjakusuma, Anggraini; Rakhmilla, Lulu Eva; Ilona, Lola
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Background: The decline of age at menarche has been reported in several countries, it occurred because of genetic, ethnic, and socioeconomic improvement in nutritional status and environment. The improvementof nutritional status has occurred globally all over the world including in Indonesia. One of the measuring tools in nutritional status is body mass index (BMI). The objective of the study was to assess the correlationbetween BMI and age at menarche.Methods: A cross-sectional study was carried out among girls aged 9–15 years old in Jatinangor, from May–November 2013. The sample of this study was chosen with cluster random sampling. Age at menarche information was collected through a questionnaire. Body mass index was calculated from measurement of body weight and height. Data was analyzed using Spearman correlation test.Results: Out of three hundred and sixty nine subjects participating in this study, sixty seven were included in the inclusive criteria. According to the classification of BMI of underweight, normal, overweight, andobese, there were 1, 55, 8, and 3 persons, respectively. Mean of BMI was 19.04 and mean age at menarche was 12.72 years, which showed a non significant result (r=-0.013; p= 0.458).Conclusions: Age at menarche was not correlated with BMI. [AMJ.2015;2(4):521–4] DOI: 10.15850/amj.v2n4.656
Dermatomycosis among Elementary School Children in Jatinangor West Java Sukmara, Isni Maulina; Miliawati, Risa; Sukandar, Hadyana
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

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Background: Dermatomycosis often occurs in tropical countries. Many studies from tropical countries have reported high prevalence of dermatomycosis among elementary school children. Despite being a tropical country, prevalence of dermatomycosis among elementary school children in Indonesia is still unknown.The objective of this study was to determine the prevalence and characteristics of dermatomycosis among elementary school children in Jatinangor, Sumedang, West Java in September–November 2012.Methods: This study used a cross-sectional descriptive survey method. The 328 children from five elementary schools in Jatinangor were included in the study using multistage sampling technique. Medical history and physical examination was performed to all subjects. Subjects who had skin lesion suspected fordermatomycosis were examined with direct microscopic examination using 10% solutions of potassium hydroxide (KOH). Data were presented as frequent analysis distribution using Statistical Package for Social Sciences (SPSS) version 17.0.Results: Of 328 children (174 males, 154 females; aged 5–14 years), 35 (10.6%) had lesions suggestive of dermatomycosis but only 5 children (1.5%) were positive for dermatomycosis. Males are more prevalent females, patients were in ≥10 years age group. Four cases were Pityriasis versicolor, while one was diagnosed with tinea facialis.Conclusions: Dermatomycosis among elementary school children in Jatinangor had a low prevalence, with only 4 cases of Pityriasis versicolor and one tinea facialis case. [AMJ.2015;2(1):268–75]
Prevalence and Characteristics of Low Back Pain among Productive Age Population in Jatinangor Novitasari, Dini Diwayani; Sadeli, Henny Anggraini; Soenggono, Arifin; Sofiatin, Yulia; Sukandar, Hadyana; Roesli, Rully M. A.
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Background: Low back pain is one of the global health issues which prevalence is high among productive ages. It oftentimes corresponds with one’s physical activity during work . The purpose of this study was to determine theprevalence and characteristics of low back pain among productive age population in Jatinangor, West Java, Indonesia.Methods: This study was a cross-sectional descriptive study conducted during the period of August to October 2014 in the three villages in Jatinangor, West Java, Indonesia. In order to determine the demographic data and history of low back pain in the last three months, about 1075 productive age populations were selected through validated questionnaire as the secondary data. These data consisting of 310 subjects were then described according to the pain characteristics and physical activity during work.Results: During three months of examination, s the prevalence of low back pain was 38.4%, with the average age 50–59 years old. Furthermore, about 22.3% subjects were indicated chronic low back pain. The most prevalent qseverity of the pain was dull pain (29.4%), followed with pins and needles pain (23.1%), As the intensity of the pain increased, there was a tendency of increasing interference in daily activities. Static posture was also the most frequent physical activity during work (53.2%).Conclusions: The prevalence of low back pain is more than one third (38.4%) among productive age populations in Jatinangor, West Java, Indonesia.[AMJ.2016;3(3):468–75]DOI: 10.15850/amj.v3n3.863
Hubungan Kadar Kolesterol Total dengan Tekanan Darah pada Masyarakat Jatinangor Ulfah, Mariya; Sukandar, Hadyana; Afiatin, Afiatin
Jurnal Sistem Kesehatan Vol 3, No 2 (2017): Volume 3 Nomor 2 Desember 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.04 KB) | DOI: 10.24198/jsk.v3i2.15004

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Hipertensi adalah salah satu penyakit yang banyak menyebabkan kematian dan komplikasi yang berkaitan dengan penyakit kardiovaskuler. Prevalensi hipertensi di Indonesia sebesar 25,8%. Salah satu faktor yang memengaruhi kejadian hipertensi adalah tingginya kadar kolesterol dalam darah (hiperkolesterolemia). Penelitian ini bertujuan untuk mengetahui hubungan antara kadar kolesterol total dengan tekanan darah pada masyarakat Jatinangor. Penelitian ini merupakan observasional analitik korelasional dengan rancangan potong lintang. Populasi penelitian adalah masyarakat di kecamatan Jatinangor dari tiga desa yaitu Cilayung, Cipacing dan Hegarmanah. Data diperoleh dari penelitian “Epidemiologi Hipertensi dan Albuminuria di Jatinangor pada tahun 2014”. Penelitian dilaksanakan pada bulan Agustus hingga November 2016. Subjek yang terlibat dalam penelitian ini adalah 107 responden. Terdiri dari 75 perempuan (70,1 %) dan 32 laki-laki (29,9%), dengan rentang usia 23-82 tahun. Nilai tengah tekanan darah sistolik dan diastolik adalah 144 mmHg (rentang= 98-224 mmHg) dan 85 mmHg (rentang= 58-139 mmHg), nilai tengah kadar kolesterol total adalah 189 mg/dL (rentang=110-310 mg/dL). Hasil analisis korelasi rank-Spearman diperoleh hubungan antara kadar kolesterol total dengan tekanan darah sistolik meskipun menunjukkan korelasi lemah (r=0,297; p=0,004); dan dengan tekanan darah diastolik (r=0,145; p=0,136). Secara statistik diperoleh hubungan yang bermakna dengan nilai korelasi lemah antara kadar kolesterol total dengan tekanan darah sistolik.Kata Kunci: Kadar Kolesterol Total, Tekanan Darah Diastolik, Tekanan Darah Sistolik.
Korelasi Indeks Massa Tubuh dengan Profil Lipid pada Masyarakat di Jatinangor Tahun 2014 Humaera, Zahra; Sukandar, Hadyana; Rachmayati, Sylvia
Jurnal Sistem Kesehatan Vol 3, No 1 (2017): Volume 3 Nomor 1 September 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (337.744 KB) | DOI: 10.24198/jsk.v3i1.13956

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Obesitas merupakan masalah epidemik. Setiap tahunnya terjadi peningkatan persentase individu dengan IMT tinggi (overweight atau obese). Beberapa penyakit tidak menular seperti hipertensi, penyakit jantung koroner (PJK) dan stroke mempunyai faktor risiko yang sama yaitu meningkatnya indeks massa tubuh dan meningkatnya konsentrasi profil lipid. Penelitian ini bertujuan untuk mengetahui korelasi antara indeks massa tubuh dengan konsentrasi profil lipid. Penelitian ini menggunakan data sekunder pendekatan studi potong lintang (cross sectional). Jumlah sampel sebanyak 99 orang. Analisis data menggunakan uji korelasi rank Spearman. Karakteristik sampel pada data yang didapatkan menunjukkan sebanyak 55% subjek termasuk dalam golongan yang mempunyai berat badan yang berlebih (overweight dan obese). Rerata Indeks Massa Tubuh dan profil lipid lebih tinggi pada perempuan bila dibandingkan dengan laki-laki, kecuali untuk kadar TG. Koefisien korelasi IMT dengan kolesterol total (rs = 0,244 p = 0,015), dengan HDL-C (rs=-0,222 p= 0,027), dengan LDL-C (rs = 0,223 p = 0,026), dan dengan TG (rs = 0,242 p = 0,016).Terdapat korelasi yang signifikan antara indeks massa tubuh dengan profil lipid.Kata Kunci: HDL-C, IMT, Kolesterol Total, LDL-C, TG
Hubungan Aktivitas Fisik dengan Kadar Kolesterol Total, Kolesterol Low-Density Lipoprotein, dan Kolesterol High-Density Lipoprotein pada Masyarakat Jatinangor Zuhroiyyah, Siti Fatimah; Sukandar, Hadyana; Sastradinanja, Sunaryo Barki
Jurnal Sistem Kesehatan Vol 2, No 3 (2017): Volume 2 Nomor 3 Maret 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (293.261 KB) | DOI: 10.24198/jsk.v2i3.11954

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Saat ini aktivitas fisik pada masyarakat semakin menurun. Untuk melakukan aktivitas fisik, manusia memerlukan energi yang didapat dari makanan. Jika pemakaian energi menurun, maka makanan yang harusnya dibentuk menjadi energi akan diubah menjadi kolesterol. Sudah banyak penelitian yang dilakukan untuk mengetahui hubungan aktivitas fisik dengan kadar kolesterol, namun hasil penelitiannya beragam. Oleh karena itu, dilakukan penelitian untuk mengetahui hubungan aktivitas fisik dengan kadar kolesterol total, Low Denstiy Lipoprotein (LDL), dan High Density Lipoprotein (HDL) pada masyarakat Jatinangor. Penelitian ini merupakan bagian dari penelitian “Epidemiologi Hipertensi dan Albuminuria di Jatinangor”. Metode penelitian analitik dengan desain potong lintang melibatkan 120 orang dari 3 strata desa, yaitu urban, semirural, dan rural, di Jatinangor. Variabel yang diteliti terdiri dari jenis kelamin, usia, indeks massa tubuh, aktivitas fisik, kadar kolesterol total, LDL, dan HDL. Data dianalisis dengan menggunakan perhitungan korelasi rank Spearman. Hasil aktivitas fisik memiliki hubungan terbalik yang bermakna dengan kadar kolesterol total dan LDL dengan nilai r= -0,302(p=0,001) dan r= -0,288(p=0,001). Sedangkan aktivitas fisik tidak memiliki hubungan yang bermakna dengan kadar kolesterol HDL r = 0,090 (p=0,328).  Simpulan aktivitas fisik memiliki hubungan dengan kadar kolesterol total dan LDL. Sedangkan aktivitas fisik tidak memiliki hubungan dengan kadar kolesterol HDL pada masyarakat Jatinangor.Kata kunci: Aktivitas fisik; Kolesterol HDL; Kolesterol LDL; Kolesterol Total
Gambaran Status Nutrisi pada Pasien Tuberkulosis di Rumah Sakit Umum Pusat Hasan Sadikin Bandung Adiningrum, Farida; Sukandar, Hadyana; Wijaya, Merry
Jurnal Sistem Kesehatan Vol 2, No 2 (2016): Volume 2 Nomor 2 Desember 2016
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (240.904 KB) | DOI: 10.24198/jsk.v2i2.11258

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Proporsi gizi kurang pada pasien tuberkulosis (TB) dewasa masih tinggi di negara-negara berkembang. Hal ini akan menyebabkan permasalahan kesehatan yang lebih serius, jika tidak teridentifikasi dengan segera. Penelitian ini bertujuan untuk mengetahui gambaran status nutrisi berdasarkan karakteristik pasien TB dewasa rawat jalan di Klinik Directly Observed Treatment Short-course (DOTS) Rumah Sakit Hasan Sadikin (RSHS). Penelitian ini menggunakan metode potong lintang. Data diambil dari 107 rekam medis online (Sistem Informasi Rumah Sakit: Admission dan Klinik Rawat Jalan) dan Kartu Pengobatan Pasien TB (Formulir TB.01) pada pasien TB dewasa rawat jalan dalam periode Juni 2015 hingga Oktober 2016. Informasi mencakup identitas pasien (nama, nomor rekam medis, umur, pekerjaan, pendidikan, dan sistem pembayaran), diagnosis, serta berat dan tinggi badan yang diukur saat didiagnosa mengalami TB.Proporsi gizi kurang adalah tiga puluh lima persen (35 %). Enam puluh dua persen (62 %) pasien tidak bekerja dan sembilan puluh persen (90 %) pasien terdaftar sebagai pasien asuransi kesehatan. Enam puluh lima persen (65 %) pasien mengalami gizi kurang dan tidak bekerja. Proporsi gizi kurang masih cukup tinggi (35 %) pada pasien-pasien yang mengalami TB. Hasil dari penelitian ini dapat memberikan landasan penatalaksanaan yang lebih efektif dan meningkatkan angka kesembuhan pada pasien TB dewasa.Kata Kunci: Gizi kurang, pasien rawat jalan, tuberkulosis
Community Willingness to Participate in A Mosquito Breeding Site Eradication Program: A Study in Bandung, West Java, Indonesia Faridah, Lia; Nuriyah, Eva; Ekawardhani, Savira; Fauzah, Nisa; Sukandar, Hadyana; Agoes, Ridad
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (383.584 KB) | DOI: 10.22216/jen.v4i1.3917

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Despite many efforts to prevent dengue, vector control still promising specially through integrated vector management. This effort requires community participation. Therefore, it is crucial to understand the factors that are associated with the willingness of communities in high prevalence areas to participate in mosquito breeding eradication program. This study explored factors associated with the willingness of community members in Bandung to participate in the mosquito breeding eradication program initiated by Indonesian's government, called One House One Larvae Monitor. A community-based cross-sectional study was carried randomly at sub-district level in Bandung from January-November 2018. Interviews using a set of validated questionnaires were conducted to collect data on demography, socioeconomic status, knowledge, attitude and practice regarding implementation of the program. Among 210 participants, the proportion of low-to-middle knowledge, attitude, and practice (KAP) index is more prevalent. Yet, for attaining high-score on KAP, there are three main predictors observed; by being female, at least had attend undergraduate level of education, and being an entrepreneur. A good score in the attitude section does not necessarily translate to good score in the practice section. The results reflect the need for better tools for changing the behavior of society, and it should not be limited to enhancement of society’s knowledge.
KNOWLEDGE OF MIDWIVES ON IUD COUNSELING Ferina, Ferina; Purwara, Benny Hasan; Setiawati, Elsa Pudji; Susiarno, Hadi; Abdurrahman, Muniroh; Sukandar, Hadyana
The Southeast Asian Journal of Midwifery Vol 5 No 1 (2019): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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The evaluation of IUD contraceptive services is still lack of quality until now. Many IUD&nbsp; acceptors choose to stop use contraception because they don't accept side effects such as bleeding, and fear of interfering with sexual intercourse. Adequate information from professional health personnel, in the form of counseling, is a very important step in helping women choose the best contraceptive method and according to their needs. The purpose of this study was to determine the relationship between education level and work period of midwives to the knowledge of midwives about IUD counseling. The research method uses a quantitative approach with a crossectional design. The number of respondents was 124 midwives Public Health Center in Bandung. The sampling technique uses consecutive sampling. Measurement of IUD counseling knowledge using a questionnaire that has been tested for validity and reliability using the Rasch Model with alpha chron-bach 0.87 (Good). Data were analyzed using SPSS 20 chi-square. The results of the study found that almost all of the 96% of respondents were lack of knowledge about counseling IUDs. The chi-square analysis results did not have a significant relationship between the level of education and knowledge of IUD counseling p = 0.548 (&gt; 0.05). There is no significant relationship between the period of work with knowledge of IUD counseling p = 0.081 (&gt; 0.05). Communication and counseling have been included in the Midwifery Diploma III education curriculum, but the level of education does not have a significant relationship to the knowledge of midwives about IUD counseling. This shows that the learning process in educational institutions has not been able to produce midwives who have knowledge of IUD counseling as expected.