Ratih Indraswari
Bagian Promosi Kesehatan Dan Ilmu Perilaku Fakultas Kesehatan Masyarakat Universitas Diponegoro, Jl. Prof. H. Soedarto, S.H.,Tembalang, Semarang, Indonesia | Universitas Diponegoro

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Akses Pelayanan Kesehatan terhadap Perilaku Merokok Ratih Indraswari
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 2 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (816.294 KB) | DOI: 10.33633/visikes.v16i2.2243

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Smoking caused 235.000 Indonesian people deaths each year and 25.000 non-smokers deaths. Not only in smokers, a disease caused by exposure to tobacco can also be suffered by farmers. That is because the tobacco farmers have the potential exposure to harmful substances from cigarettes and tobacco itself. Health services located around the site should be able to educate people to behave healthily. In this study, we examined the access of health services toward smoking behavior in smokers who lived in tobacco commodities areas. This study was an analytic research with cross sectional study design. Samples were 100smokers in tobacco commodities areas in Weleri Kendal. Most of respondent are male (96%). They were on their final adult age (29%), worked as farmer (80%), and consumed white cigarette (79%). Most of the respondents went to healthservices when they sick (93%) because the distance to health service was close (69%) and had complete facilities (79%). The bivariate analysis showed there is no association between access to health sevices (p = 1) toward smoking behavior. Improving the provision and improvement of facilities should not be a priority of smoking cessation programs. Next studies is suggested to explore more about the ability of health workers to educate people to stop smoking.Keywords : Health services, facilities, access, smoking, tobacco
Factors of mothers' hesitation in discussing reproductive health Ratih Indraswari; Zahroh Shaluhiyah; Bagoes Widjanarko; Antono Suryoputro
International Journal of Public Health Science (IJPHS) Vol 10, No 4: December 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i4.21147

Abstract

Reproductive health is always becoming an issue for adolescence. Lack of knowledge, permissive attitude, easy access to pornography and low parental supervision reported as a determinant of risky sexual behavior in adolescence. This study aimed to investigate mother’s perspectives in discussing reproductive health issues with their children aged 9-11 years old. The respondents were 8.046 mothers who had children aged 9-11 years old in Semarang, taken with a purposive sampling technique. Most mother (84.4%) were in adulthood, graduated from Senior High School (50.8%), unemployment (44%), and 47.2% was in low-middle income family. As much as 26.8% of mothers agreed that it is not necessary to inform their children about reproductive health. Talking about reproductive health is taboo for 41.9% of mothers and 38.5% felt awkward. Most of them (71.7%) encountered difficulties in starting reproductive health discussions with their children and 76.1% used other terms to name the genitals to feel more polite.  A mother who perceived that delivering reproductive health information is unnecessary (OR 1.44), taboo (OR 1.82), awkward (OR 1.93), and giving courtship permission (OR 1.28) to their children significantly becoming risk factors in practicing reproductive health education. Health workers should help the mothers improve their communication skills, especially in discussing reproductive health with children aged 9-11 years old.
Implementasi Kawasan Tanpa Rokok Sebagai Pencegahan Merokok Pada Remaja Awal Yoshef Arieka Marchel; Ratih Indraswari; Novia Handayani
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 7 No. 2 (2019): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V7.I2.2019.144-155

Abstract

Latar Belakang: Perilaku merokok sudah meluas pada seluruh kelompok masyarakat baik secara global maupun nasional, termasuk pada remaja.  Sekolah Menengah Pertama (SMP) dan sederajat merupakan pendidikan utama untuk remaja awal, sehingga perlu mewujudkan kawasan tanpa rokok di lingkungan sekolah. Tujuan: Tujuan penelitian ini adalah menganalisis implementasi Kawasan Tanpa Rokok (KTR) di sekolah. Metode: Penelitian menggunakan deskriptif analitik dan observasi dengan pendekatan cross-sectional. Data diperoleh dengan menggunakan kuesioner terstruktur yang telah diuji cobakan di sepuluh sekolah. Populasi penelitian ini sebanyak 86 sekolah di Kabupaten Madiun. Wawancara dilakukan pada penanggung jawab Kawasan Tanpa Rokok di SMP. Penanggung jawab tersebut bisa pada jabatan kepala sekolah, wakil, guru, atau humas. Data dianalisis secara univariat dan bivariat. Hasil: Analisis bivariat menunjukkan terdapat hubungan implementasi kawasan tanpa rokok dengan ketersediaan sumber dana dengan p-value 0,004 dan dukungan sarana prasarana dengan p-value 0,001. Sedangkan tidak ada hubungan antara implementasi Kawasan Tanpa Rokok dengan ketersediaan sumber daya manusia dan dukungan kebijakan. Kesimpulan: Implementasi Kawasan Tanpa Rokok di SMP dan sederajat masih belum maksimal, karena masih terdapat siswa, guru, dan karyawan yang berperilaku merokok di lingkungan sekolah
COVID-19 Prevention Practices for Employees who Work From Office (WFO) Evicenna Naftuchah Riani; Ratih Indraswari
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 9 No. 1 (2021): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V9.I1.2021.44-49

Abstract

Background: COVID-19 pandemic in Indonesia has not ended yet. Since the New Habit Adaptation, previously known as the New Normal, employees have started return to work in offices. At the end of July 2020, the addition of new cases received a large number of contributions from employees working in the office, raising a new cluster known as the office cluster. Objective: This study aimed to analyze the association between characteristics and practice of preventing the transmission of COVID-19 among employees in Purwokerto, Central Java. Methods:  This is a quantitative study with a cross-sectional design. Online data collection was conducted in early August 2020. The variables were the respondents’ characteristics (gender, age, occupation, and income) and the practice of COVID-19 prevention among employees in the office (wearing a mask, maintaining physical distance, handwashing, opening doors and windows for air circulation). Fifty-seven employees started working in offices in Purwokerto who were involved in this research. Results: Most respondents were adults (82.5%), women (70.2%), working as private employees (77.2%) with an income above the minimum wage (73.7%). Almost all respondents have widely adopted the practice of washing hands (86%) and using masks (98.2%) since the pandemic’s emergence. However, many employees were unable to perform physical distancing (26.3%), stayed away from the crowd (29.8%), opened workspace doors/windows (56.1%), and tried to work outdoor (86%). There is no association between characteristics and prevention practice. Private companies need to tighten their health protocols and monitoring. They should provide rewards and punishments for employees who did not obey the regulation. Also, local governments need to supervise all companies in their area to enforce health protocols seriously.
Characteristics of Indonesian Adolescents who had Experienced Pregnancy Under the Age of 20 Years: Basic Health Research 2018 Ratih Indraswari
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 9 No. 2 (2021): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V9.I2.2021.159-167

Abstract

Background: As well as other countries, Basic Health Research 2018 (Riskesdas) reported that adolescent pregnancies (aged under 20 years) occurred in almost all provinces in Indonesia. More than 60,000 Indonesian females experienced pregnancy at a young age. Objective: This study aims to analyze the characteristics of Indonesian women who had been pregnant under the age of 20 years. Methods: This study used a quantitative study with a cross-sectional design, the data processed was from Indonesian Basic Health Research 2018. The subjects were 67,392 women who experienced their first pregnancy under the age of 20 years. The independent variables of the study included the respondent's domicile, age, education level, and occupation. The dependent variable was the age at first pregnancy. All variables were analyzed using univariate, bivariate, and multivariate analysis. Results: Almost all (95.4%) Indonesian women who had experienced adolescent pregnancy were in the age range of 14-19 years when they were first pregnant. Most of the respondents lived in rural areas (68.1%), were in late adulthood (32.9%) when the survey was conducted, had completed primary school education (38.7%), and were not working (47.9%). Domicile, age, education, and occupation were related significantly to the age at which they were first pregnant (P-Value = 0.0001). Education affected the age at first pregnancy in women with a history of adolescent pregnancy (OR = 2.215). Conclusion: Adolescent with low education level is 2.2 riskier to have early pregnancy than an adolescent with high-level education. The government needs to make it a priority and seriously provide provision of reproductive health education among children before they get into their adolescence phase.
Factors Influence on Dietary Intake and Practices of Adolescent Girls Aged 15-19 in Rural Area Central Java Zahroh Shaluhiyah; Ratih Indraswari; Aditya Kusumawati
Amerta Nutrition Vol. 5 No. 2 (2021): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i2.2021.105-114

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Background: Dietary habits formed during adolescence have been shown to track into adulthood. Establishing healthy eating behaviours among adolescents, therefore, has both short- and long-term health benefits..Objectives: This study aims to identify dietary habits among adolescent girls aged 15-19 in rural area and its influence factorsMethod: This is a quantitative study with cross-sectional approach, involved 93 adolescent girls aged 15-19 in Jatipurwo village who were selected randomly. Data was collected by enumerators using structure questionnaires that has been validated in other village before.  Univariate, bivariate using Chi-Square and multivariate (logistic regression) were employed to analyze data.Results: The eating behavior of adolescent girls were categorized as unhealthy and unbalanced diet. It was shown with insufficient level of energy including low adequacy of carbohydrate, protein and fat. The average height of adolescents was 155 cm. Most adolescents have LILA less than 23.5cm. As Low socioeconomic family income tends to have eating habits with low nutritional value both in quantity and quality as well as food variations. Lack of food availability at the family level makes teens have poor diet. It is recommended that the need for increased food security at the family level and provide awareness to adolescents about healthy eating. 
ANALISIS KONTEN TWEET PADA AKUN TWITTER KEMENKES RI SELAMA AWAL WABAH COVID-19 DI INDONESIA Daranida Normandia Visina; Zahroh Shaluhiyah; Ratih Indraswari
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 3 (2021): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.511 KB) | DOI: 10.14710/jkm.v9i3.29357

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Wabah COVID-19 telah menjadi perhatian utama di dunia saat ini dan telah diklasifikasikan oleh WHO sebagai pandemi. Penyebaran informasi palsu terkait COVID-19 terjadi secara cepat dan luas di media sosial seperti Twitter. Akun Twitter milik Kementerian Kesehatan Republik Indonesia merupakan salah satu sumber informasi terpecaya untuk memberikan informasi terkait situasi COVID-19 di Indonesia. Penelitian ini bertujuan menganalisis konten tweet akun Twitter @KemenkesRI selama awal wabah COVID-19 di Indonesia. Penelitian ini menggunakan metode kuantitatif dengan desain cross sectional. Sampel penelitian ini adalah 521 tweet yang diunggah oleh akun Twitter @KemenkesRI pada bulan Maret 2020 dan dipilih menggunakan metode consecutive sampling. Penelitian ini menggunakan analisis konten dan analisis bivariat dengan menggunakan uji chi square. Penelitian menunjukkan bahwa frekuensi tweet yang paling banyak diunggah oleh akun Twitter Kemenkes RI pada bulan Maret memiliki konten pesan berupa laporan kasus sebanyak 269 tweet (51,6%). Pada 439 tweet (84,3%) memiliki sifat pesan informatif dan 386 tweet (74,1%) memiliki bentuk pesan berupa teks biasa. Hasil penelitian ini menunjukkan bahwa konten pesan (ρ = 0,001) dan bentuk pesan  (ρ = 0,000) berhubungan dengan respon pesan yang diperoleh akun Twitter Kemenkes RI. Saran bagi Kemenkes RI agar dapat memaksimalkan penggunaan media sosial Twitter sebagai media promotif dan preventif dengan mempertimbangkan strategi komunikasi risiko sebagai salah satu upaya mitigasi bencana kesehatan masyarakat serta memaksimalkan penggunaan media seperti gambar dan video pada sebuah tweet sehingga pesan dapat tersampaikan secara lengkap, jelas, menarik minat masyarakat dan meningkatkan kemungkinan untuk disebarluaskan lebih tinggi.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PRAKTIK KONSUMSI TABLET TAMBAH DARAH (TTD) REMAJA PUTRI DI WILAYAH KERJA PUSKESMAS GILINGAN KOTA SURAKARTA Devika Rahayuningtyas; Ratih Indraswari; Syamsulhuda Budi Musthofa
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 3 (2021): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (135.908 KB) | DOI: 10.14710/jkm.v9i3.29231

Abstract

Adolescents girls’ tend to be riskier of developing anemia than boys because they experience menstruation every month. Based on survey, 4 of 5 students who received blood supplement tablets at school stated that they don’t want to consume it. This research aimed to analyze any factors related to the practice of consuming adolescents girls’ blood supplement tablet in the work area of the Gilingan Health Care Center Surakarta. The method of this research was analytic quantitative with cross sectional design. The population were 542 adolescents girls’ and a sample of 225 adolescents girls’ were selected using simple random sampling. This research used univariate and bivariate analysis (Chi Square). The results of univariate analysis of characteristics respondents were the majority of the respondents were 17 years old (48,0%), education of the respondent’s father is university (56,0%) and also education of the respondent’s mother is university (44,9%), the occupation of respondent’s father is self-employed (30,7%), the occupation of respondent’s mother is housewife (46,2%), with the majority of parents income of Rp. 5.000.000,00 (12,0%). The result of Chi Square test showed that there is a relation between father’s education (p=0,032), parent’s income (p=0,002), attitude (p=0,000), family support (p=0,000), peer support (p=0,000), support from UKS tutor teachers (p=0,001), health workers support (p=0,003), and access to information (p=0,004) with practice of consuming adolescents girls’ blood supplement tablet. Meanwhile, the respondent’s age (p=0,396), father’s occupation (p=1,000), mother’s occupation (p=0,272), mother’s education (p=0,128), knowledge (p=0,850), school support (p=0,210), availability blood supplement tablets in school (p=0,164), and the availability of control cards (p=0,066) had no relation with practice of consuming adolescents girls’ blood supplement tablet.
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN FREKUENSI AKSES PORNOGRAFI DAN DAMPAKNYA TERHADAP PERILAKU SEKSUAL PADA REMAJA DI KOTA BOGOR (Studi di SMA ‘X’ Kota Bogor) Sabrina Gayatri; Zahroh Shaluhiyah; Ratih Indraswari
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 3 (2020): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.586 KB) | DOI: 10.14710/jkm.v8i3.26456

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Akses pornografi semakin mudah untuk diakses memungkinkan remaja sebagai penerus bangsa dan sebagai individu yang sedang berkembang serta tinggi akan rasa penasaran akan terpicu untuk melakukan aktivitas seperti yang dilihat pada konten pornografi. Perilaku seksual berisiko seperti ciuman bibir, petting hingga hubungan seksual sudah banyak dilakukan oleh remaja sebelum waktunya. Penelitian ini bertujuan untuk menemukan faktor-faktor yang berhubungan dengan perilaku akses pornografi yang berdampak pada perilaku seksual remaja. Penelitian ini menggunakan metode kuantitatif dengan desain cross-sectional. Populasi pada penelitian ini ada siswa dan siswi yang bersekolah di SMA ‘X’ Kota Bogor sejumlah 337 orang dengan teknik sampling penelitian menggunakan total sampling. Penelitian ini menggunakan analisis univariat dan bivariat dengan menggunakan uji chi square. Penelitian ini menunjukkan jika frekuensi akses pornografi rendah atau < 2x/hari (68%) dan frekuensi akses pornografi tinggi atau ≥ 2x/hari (32%). Pada perilaku seksual menunjukkan perilaku seksual tidak berisiko (78,6%) dan berisiko (21,4%). Hasil dari penelitian ini menunjukkan bahwa Usia (p = 0,045) berhubungan dengan frekuensi akses pornoggrafi. Penelitian ini juga menunjukkan bahwa Jenis Kelamin (p = 0,002), Pengalaman Pacaran (p = 0,002), Sikap (p = 0,002), Peran Teman Sebaya p = 0,000), Pengawasan Orang Tua (p = 0,036), Kategori Pornografi (p = 0,010) dan Jenis Konten Pornografi (p = 0,000) berhubungan dengan perilaku seksual responden. Saran bagi sekolah agar dapat memberikan informasi mengenai dampak dari pengaksesan pornografi serta pengawasan penggunaan media elektronik di sekolah serta kepada orang tua agar lebih memantau kegiatan anak sehingga mengurangi kejadian-kejadian menyimpang.
PENGGUNAAN LEAFLET, BOOKLET DAN VIDEO UNTUK TINGKATKAN PENGETAHUAN, SIKAP, KEYAKINAN DAN NIAT IBU REMAJA MENGENAI PEMBERIAN ASI EKSKLUSIF DI 2 KECAMATAN DI KABUPATEN MAGELANG Nurngaviatul Fadhilah; Priyadi Nugraha Prabamurti; Ratih Indraswari
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 5 (2020): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (377.856 KB) | DOI: 10.14710/jkm.v8i5.27992

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Stunting ialah masalah kesehatan anak akibat dari kekurangan gizi sehingga anak Iebih pendek dibandingkan umurnya. Penyebab anak menjadi stunting Iebih banyak dipengaruhi oleh asupan gizi yang diterima anak utamanya saat 1000 HPK anak. Pemberian ASl Eksklusif yang salah dapat meningkatkan resiko anak stunting Iebih besar sehingga ibu harus mengetahui pentingnya memberikan ASl Eksklusif yang benar bagi anak. Ibu remaja yang hamil di usia yang masih muda dikhawatirkan belum siap untuk menjadi seorang ibu dikarenakan akan memiliki pengetahuan, sikap, keyakinan dan niat yang kurang. Media dapat diberikan untuk mengurangi masalah kurangnya faktor personal ibu remaja. Penelitian ini bertujuan untuk menganalisis penggunaan leafIet, bookIet dan video untuk tingkatkan faktor personal ibu remaja mengenai pemberian ASI Eksklusif di 2 kecamatan di Kabupaten Magelang. Penelitian ini menggunakan penelitian kuantitatif dengan metode eksperimen semu (quasy experimental). Populasi ibu remaja berjumlah 108 orang dan sampel  yang diambil sebanyak 60 orang menggunakan simpIe random sampIing. AnaIisis yang digunakan adalah anaIisis univariat dan bivariat yaitu uji homogenitas, Rank Spearman, dan WiIcoxcon Signed Rank Test. Hasil penelitian menunjukkan bahwa beberapa variabel dalam karakteristik ibu mempunyai hubungan dengan pengetahuan, sikap, keyakinan dan niat ibu,  seluruh responden homogen, terdapat pengaruh penggunaan leaflet, booklet, dan video terhadap pengetahuan, sikap, keyakinan dan niat ibu remaja. Diharapkan metode ini dapat dipakai untuk mengedukasi ibu remaja agar kesehatan dirinya dan anak yang akan lahirkannya agar dapat tumbuh dengan maksimal.