Leersia Yusi Ratnawati
Bagian Gizi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Jember Jln. Kalimantan 37, Jember 68121

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IMPLEMENTASI WATER, SANITATION, AND HYGIENE (WASH) KELUARGA BADUTA STUNTING DI WILAYAH PERTANIAN KABUPATEN JEMBER Ratnawati, Leersia Yusi; Nafikadini, Iken; Ningtyias, Farida Wahyu; Prasetyowati, Irma; Bumi, Candra
Jurnal Ilmu Kesehatan Masyarakat Vol 20 No 2 (2024)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v20i2.43772

Abstract

Intervensi Water, Sanitation and Hygiene (WASH) terbukti dapat menurunkan 860.000 kematian anak akibat kekurangan gizi salah satunya stunting. Karakteristik wilayah pertanian memiliki korelasi dengan kejadian stunting baik dari aspek sosio ekonomi maupun cemaran lingkungan dan penggunaan pestisida maupun pupuk. Kabupaten Jember dengan angka stunting tertinggi di Jawa Timur juga memiliki beberapa wilayah pertanian dengan stunting yang tinggi. Tujuan dari penelitian adalah untuk menganalisis impelementasi WASH pada keluarga baduta stunting di wilayah Pertanian Kabupaten Jember. Penelitian ini merupakan penelitian obervasional analitik dengan pendekatan cross sectional. Populasi penelitian adalah anak usia 6 – 23 bulan kriteria utama orang tua memiliki mata pencaharian sebagai petani. Teknik pengumpulan data dengan Proportionate Stratified Random Sampling dan dianalisis menggunakan chi square. Hasil penelitian menunjukkan bahwa indikator WASH yang berkaitan dengan akses sumber air minum, pengolahan air, serta kebiasaan cuci tangan pada saat sebelum dan sesudah beraktivitas pada keluarga baduta stunting di wilayah pertanian sudah baik. Namun, indikator pengolahan sampah menunjukkan implementasi yang masih rendah karena kondisi tempat sampah yang tidak saniter, pengolahan secara dibakar serta tumpukan sampah yang menjadi tempat perkembang biakan rodent. Selain itu, akses jamban sehat juga masih rendah yang dibuktikan dengan masih adanya masyarakat yang melakukan praktik BABS ke sungai. Hasil statistik menunjukkan indikator WASH tidak secara signifikan berhubungan dengan stunting. Satu indikator yang berkorelasi dengan kejadian stunting adalah banyaknya tikus yang berada di lokasi sampah. Implementasi WASH perlu dilakukan terutama intervensi program pengolahan sampah untuk mengurangi tempat perindukan rodent yang dapat berkorelasi dengan penyakit infeksi sebagai determinan stunting.
RELATIONSHIP BETWEEN LONG-SUFFERING AND DIABETES DISTRESS WITH DIETARY ADHERENCE AMONG DIABETES MELLITUS PATIENTS: A CROSS-SECTIONAL STUDY Purwanti, Aisyah Tri; Ratnawati, Leersia Yusi; Rohmawati, Ninna
Journal of Public Health Research and Community Health Development Vol. 7 No. 2 (2024): March
Publisher : Fakultas Ilmu Kesehatan, Kedokteran dan Ilmu Alam (FIKKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v7i2.36975

Abstract

Background: The prevalence of diabetes melitus is increasing significantly. Dietary adherence in people with diabetes mellitus is difficult to achieve because it requires regular long-term changes throughout their lives. It also has an impact on the psychology of people with diabetes mellitus to experience distress. Purpose: Analyze the relationship of long suffering and diabetes distress with dietary adherence in diabetes mellitus patients. Methods: This research uses analytical methods with a cross-sectional design. There were 71 respondents who were taken from 1320 diabetes mellitus patientin Puskesmas Talango by simple random sampling method. Data collection was using the Diabetes Distress Scale and Perceived Dietary Adherence Questionare Questionnaires. chi square was used for bivariate analysis. Results: The results showed that dietary adherence had a significant relationship with diabetes distress (p=0.001) but had no relationship with long-suffering (p=0.100). Conclusion: There is a significant relationship between education, income, and diabetes distress with dietary adherence.
Soil-Transmitted Helminth Infection and Macronutrient Intake among Stunted Toddlers in Panti Sub-district, Jember Ghaiska Najma Amnur; Yunita Armiyanti; Irawan Fajar Kusuma; Leersia Yusi Ratnawati; Wiwien Sugih Utami; Bagus Hermansyah
Media Gizi Indonesia Vol. 20 No. 1 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i1.74-80

Abstract

Soil-transmitted helminth (STH) infections are one of the most common infectious diseases in the developing world, with prevalence rates as high as 65%. STH infections generally affect the digestive system, which can reduce appetite and nutrient absorption. This study aimed to determine the association between STH infection and macronutrient intake in stunted toddlers aged 12-36 months in Panti Sub-district, Jember Regency. This study used observational analysis method with cross-sectional approach. The total number of subjects was 83 stunted toddlers. Data on STH infection were collected through fecal examination and 2x24 hour food recall questionnaire to assess their macronutrient intake. The results of the study showed that the prevalence of STH was 4.8% with species identified in the examinations such as Ascaris lumbricoides (2.4%) and hookworm (2.4%). The majority of macronutrient intake was considered sufficient for protein (77.1%), deficit for carbohydrate (94%) and fat (77.1%). Bivariate analysis using the contingency coefficient correlation test showed that there was no significant correlation between STH infection and macronutrient intake. Based on the results of this study, macronutrient intake may be influenced by other factors such as the role of parents in preparing nutritious food, economic status, and mild degree of infection. However, the underlying mechanism remains unclear and should be further investigated.
Bibiliometrics Menggunakan Analisis R-Bibiloshiny Resistensi Insulin pada Obesitas Kelompok Dewasa Database Scopus (2019-2025) Krish Naufal Anugrah Robby; Rachmad Gusti Irwansyah; Leersia Yusi Ratnawati; Candra Bumi; Irma Prasetyowati; Isa Ma’rufi; Dedek Sutinbuk; Farida Wahyu Ningtyias; Anita Dewi Prahastuti Sujoso; Dewi Rokhmah; Ida Srisurani Wiji Astuti
Jurnal Kesehatan Amanah Vol. 8 No. 2 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i2.678

Abstract

contributing to the global burden of type 2 diabetes, cardiovascular diseases, and other metabolic complications. This bibliometric study aims to analyze trends, thematic focuses, and collaborations in scientific publications related to insulin resistance in adult obesity, utilizing data from the Scopus database covering the period from 2019 to 2025. Bibliometric tools such as RStudio, Biblioshiny, and VoS Viewer were employed to extract and visualize findings from 8,037 publications. The results reveal that research activity peaked in 2021, followed by a decline in subsequent years. Dominant keywords, such as "insulin resistance," "obesity," and "metabolic syndrome," highlight the clinical and metabolic focus of current research. Biomolecular markers, such as "glycated hemoglobin" and the "triglyceride-glucose index," reflect a growing interest in more precise diagnostic tools. The United States, China, and Italy emerged as major contributors, with journals like Nutrients and Frontiers in Endocrinology leading in publications. Despite significant progress, there remains a considerable gap, particularly in exploring the role of epigenetics and the microbiota in insulin resistance. Additionally, cross-disciplinary collaboration and participation from institutions in developing countries remain limited. This study emphasizes the importance of global, interdisciplinary efforts to address these gaps and drive innovation in interventions, providing a foundation for future research aimed at reducing the impact of insulin resistance in adult obesity.
The Lifestyle of Health and Sustainability Framework in Agricultural Community Fibriansari, Rizeki Dwi; Astuti, Anggia; Ratnawati, Leersia Yusi
Jurnal Promosi Kesehatan Indonesia Vol 20 No 3: July 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.3.156-162

Abstract

Background: The Lifestyle of Health and Sustainability (LOHAS) concept encourages life choices and adopting behaviors that prioritize both environmental sustainability and personal well-being. Lifestyle shifts and food consumption patterns are significant factors that often hinder the pursuit of a healthy and sustainable way of living. The purpose of this research is to explore the concept of LOHAS and its role in addressing the fundamental health needs of agricultural communities.Method: This study employs a descriptive-analytic method with a cross-sectional design. A sample of 138 fish cage farmers was selected. Primary data were collected through interviews using questionnaires and direct observations, focusing on aspects such as physical fitness, mental and emotional health, spiritual well-being, environmental awareness, and social responsibility. The data were analyzed descriptively.Result: The majority of fish cage farmers are males over the age of 50 years old. Aging farmers face physical and health challenges that can impact their productivity and long-term sustainability. Optimal physical health in agricultural communities can be supported through a balanced diet and regular exercise. Moreover, mental and emotional well-being can be enhanced through stress-relief activities, meditation, and fostering positive relationships. Adopting a holistic health approach enables communities to address physical, mental, emotional, and environmental aspects in alignment with the LOHAS framework.
Behaviour of Using Personal Protective Equipment by Midwives During Normal Childbirth Based on Health Belief Model and Social Capital at Maternity Clinics Framudella, Azarine Dwinta; Asmaningrum, Nurfika; Ratnawati, Leersia Yusi
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.3997

Abstract

The implementation mechanism of normal childbirth care is inseparable from the potential risks to midwifery health disorders. One of the efforts to prevent health problems due to work is to use Personal Protective Equipment (PPE). The behavior of using PPE by midwives is important to prevent work accidents or occupational diseases during normal childbirth assistance which can be reviewed from a person's health behavior. Theories that can describe health behaviors are the Health Belief Model and Social Capital. The purpose of this study is to analyze the influence of the theory of Health Belief Model and Social Capital on the behavior of using PPE in midwives in normal childbirth care at the Surabaya City maternity clinic. The research design uses clinical observation with a cross sectional approach. The population consists of 80 midwives and the sample consisted of 66 respondents. All aspects of HBM and social capital have a sig > 0.05 which means that these aspects are related to the behavior of using PPE in midwives in normal childbirth care at the Surabaya City maternity clinic. All aspects of HBM and social capital have a sig of < 0.05 which means that these aspects affect the behavior of using PPE in midwives in normal childbirth care at the Surabaya City maternity clinic. The vulnerability aspect of HBM theory and the proactive action aspect of Social Capital theory significantly affect normal childbirth care.
Faktor predisposisi dan dukungan suami dalam praktik pemberian makanan pendamping ASI (MP-ASI) pada bayi usia 6-12 bulan Lailiyah, Eka Nur; Ningtyias, Farida Wahyu; Ratnawati, Leersia Yusi
Jurnal Gizi Klinik Indonesia Vol 21, No 3 (2025): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.84840

Abstract

Predisposing factors and husband’s support in the practice of feeding weaning food infants aged 6-12 monthsBackground: Nutritional problems are caused by several factors, one of which is weaning food feeding. Objective: This research aims to analyze the predisposing factors and the husband's support for feeding weaning food to infants aged 6-12 months. Methods: This observational analytic study, using a cross-sectional approach, was conducted in the working area of Kemuningsari Kidul Public Health Center in Jember Regency. Eighty mothers of infants aged 6-12 months were chosen as the sample, and the sample selection was done using a simple random sampling technique. Meanwhile, the Chi-Square test and multiple logistic regression were used for the statistical analysis. Results: The research showed that most respondents were 26-35 years old, and their latest education was junior high school/equivalent. They were unemployed, had good knowledge, a positive attitude, family support, and no cultural influence. Fifty-four people (67,5%) had appropriate behavior in feeding weaning food, while the other 26 people (32.5%) had not. Besides, based on the results of the bivariate analysis, there was a relationship between occupation (p=0.007), knowledge (p=0.023), attitude (p=0.004), culture (p=0.000), and husband's support (p=0.008) with the practice of feeding weaning food. The results of the multivariate analysis indicated that culture was the dominant factor in feeding weaning food. Conclusions: Factors related to feeding weaning food to infants aged 6-12 months include work, knowledge, attitudes, culture, and husband's support. Culture is the most dominant factor.