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All Journal Media Kesehatan Masyarakat Indonesia Afiasi : Jurnal Kesehatan Masyarakat Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Jurnal Kesehatan Poltekkes Kemenkes RI Pangkalpinang JURNAL PENELITIAN PERAWAT PROFESIONAL SMART ANKes Narra J JURNAL SMART ANKes Citra Delima Scientific journal of Citra Internasional Institute Jurnal Pengabdian Masyarakat Universitas Anak Bangsa Jurnal Praba: Jurnal Rumpun Kesehatan Umum Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Pengabdian Masyarakat
Dedek Sutinbuk
Fakultas Kesehatan Universitas Anak Bangsa, Pangkalpinang
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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Hubungan Pengetahuan Dan Sikap Dengan Kepatuhan Minum Obat Pada Pasien Tuberkulosis Rizky Handayani; Fitri Rizkiah; Dedek Sutinbuk
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i3.965

Abstract

Background: Tuberculosis (TB) is an infectious disease that requires long-term and regular treatment. Non-adherence to anti-tuberculosis medication (ATM) can lead to treatment failure, relapse, and drug resistance; there are still patients who do not complete their treatment or skip doses during treatment. Objective: To determine the relationship between knowledge and attitudes and medication adherence among tuberculosis patients in the service area of the Mentok Community Health Center, West Bangka Regency, in 2026. Methods: This study employed a quantitative, analytical, observational method with a cross-sectional design. The study population consisted of 60 tuberculosis patients, all of whom were included as the sample using total sampling. Data were collected through interviews using a questionnaire. Data analysis was performed using univariate and bivariate analyses with the Chi-Square test at a significance level of α = 0.05. Findings: There was a significant association between knowledge and medication adherence among tuberculosis patients (p-value: 0.005 < α = 0.05), and a significant association between attitude and medication adherence among tuberculosis patients (p-value: 0.026 < α = 0.05). Implications: There is a relationship between knowledge and attitude and medication adherence among tuberculosis patients. Community health centers are encouraged to improve education, treatment monitoring, family support, and ease of access to health services for patients.
Determinants of Multimorbidity Among Stroke Patients for Epidemiological Management in Indonesia's Agro-Coastal Communities Robby, Krish Naufal Anugrah; Ma'rufi, Isa; Ningtyias, Farida Wahyu; Izzah, Latifatul; Nurjazuli, Nurjazuli; Suhartono, Suhartono; Sofro, Muchlis Achsan Udji; Astuti, Ida Srisurani Wiji; Listiowati Prawoto, Olivia; Sutinbuk, Dedek; Kurrohman, Taufik; Ouassou, Elhoussin
Kesmas Vol. 21, No. 3
Publisher : UI Scholars Hub

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Abstract

Multimorbidity remains a major public health challenge among stroke patients, particularly in agro-coastal communities characterized by socioeconomic vulnerability, limited healthcare access, and lifestyle changes. This study aimed to analyze the determinants of multimorbidity among stroke patients in agro-coastal communities. A quantitative observational analytical design was employed, involving 45 stroke patients selected through total sampling in Jember District, Indonesia. Data were collected through structured interviews, anthropometric measurements, and secondary health records. The model included biological, socioeconomic, healthcare access, and lifestyle as exogenous variables, with multimorbidity as the endogenous variable. Data were analyzed using PLS-SEM, including evaluation of measurement and structural models with bootstrapping procedures. The structural model demonstrated moderate explanatory power (R² = 0.543), explaining 54.3% of the variance in multimorbidity among stroke patients. Anthropometric status, represented by body weight, height, and waist circumference (β = 0.414; p-value <0.05), family history of stroke (β = -0.384; p-value <0.01), healthy dietary lifestyle (β = 0.588; p-value <0.001), and healthcare access (β = -0.403; p-value <0.001) were significant determinants of multimorbidity. An unhealthy dietary lifestyle (high-fat intake and low fruit and vegetable consumption) was significantly associated with multimorbidity, suggesting possible reverse causality due to dietary changes after stroke diagnosis.
Co-Authors Alfazah, Ahmad Antika, Rindi Asmaruddin, M. Faad Asmaruddin, M. Fahd Atik Mawarni AYU LESTARI Clarissa, Ananda Deri Kusmadeni Edi, Mohammad Farida Wahyu Ningtyias, Farida Wahyu Fitri Rizkiah Handayani, Uyun Haryanti, Novi Hendriyani, Hendriyani Ida Srisurani Wiji Astuti Izzah, Latifatul Jonnimar, Jonnimar Lestari, Ewi Listiowati Prawoto, Olivia Lucia Ratna Kartika Wulan M. Fahd Asmaruddin Ma'rufi, Isa Mohammad Z. Rahfiludin Muchlis Achsan Udji Sofro Murniani, Murniani Ningsih, Jeni Rahayu Nurjazuli Nurjazuli Ouassou, Elhoussin Perdana, Kurnia Cipta Prarona, Mohammad Khadavy Rendita Dwibarto Rizky Handayani Robby, Krish Naufal Anugrah Sabda Wahab Siska Siswanto Siti Aminah Sri A. Nugraheni Suhartono tasyrifah, ghina mutiara Taufik Kurrohman Velanda, Velanda Yuliani Setyaningsih