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Analysis of Stigma and Myths on Medication Adherence in Pulmonary Tuberculosis Patients Vivop Marti Lengga; Nur Intan Hayati Husnul Khotimah; Silvi Nindiani Putri; Raden Siti Jundiah; Haerul Imam; Sri Wulan Megawati; Ade Iwan Mutiudin; Sumbara Sumbara
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): 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.v8i3.979

Abstract

Pulmonary Tuberculosis (TB) remains a global and national health problem, including in Indonesia as the country with the second-highest TB burden in the world. TB control efforts are strongly influenced by patient adherence to long-term treatment. Various social and psychological factors, including stigma and myths about TB, have the potential to affect patient adherence, but empirical evidence at the community level is still limited. This research aims to analyze the relationship between stigma and myths and medication adherence in pulmonary tuberculosis patients. The research design used a quantitative correlational approach. A sample of 40 respondents was obtained through a total sampling technique. The instruments used included the ISTB-12 to measure stigma and the M-TBQ for myths, that have undergone content validity testing and were declared valid by two experts and construct validity test yielded a Cronbach's alpha > 0.6 (reliable). The third instrument measuring medication adherence was the MARS-5, which has been validated and proven reliable. Correlation analysis was performed using the Theta (θ) test because the data was not normally distributed with an ordinal-numeric scale. The Theta test results showed a relationship between stigma and medication adherence (θ = 0.219; low correlation), while myths were not related to adherence (θ = 0.038). Stigma is proven to be associated with medication adherence, although with a low strength of relationship, while myths do not affect adherence in pulmonary TB patients.
The Indonesia Colorectal Cancer Risk Assessment (Ina_Cocara):Identifikasi Profil Risiko Pada Mahasiswa Vivop Marti Lengga; R. Siti Jundiah; Sumbara Sumbara
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.18784

Abstract

ABSTRACT Colorectal cancer is the third most common type of cancer and the second most common cause of cancer-related deaths worldwide, including Indonesia. The number of colorectal cancer patients diagnosed at a young age is still under-detected, so the risk of death is higher. This impact can be reduced by implementing a primary preventive strategy to determine the level of risk earlier through the latest instrument specifically for the Indonesian community and non-invasive in the form of The Indonesian Colorectal Cancer Risk Assessment (Ina_CoCaRA). This study aims to develop the Ina_CoCaRA nursing assessment instrument, as well as to analyze the risk profile of colorectal cancer incidence in nursing students. This quantitative study uses a descriptive method, to describe the risk profile of colorectal cancer in a group of students through the Ina_CoCaRA assessment instrument which has been tested for validity and reliability. The number of samples was 100 students with a sampling technique using the stratified random sampling technique. The results showed that the risk profile of colorectal cancer in students included no risk (27%) and low risk (73%). This means that most students have a risk, although in the low category, of developing colorectal cancer. This occurs due to lifestyle factors, especially frequent consumption of junk food, lack of exercise, and sedentary lifestyle factors. The risk profile of colorectal cancer in students using the Ina_CoCaRA instrument is low risk. If there is no change in a healthier lifestyle, the risk of developing colorectal cancer with increasing age can be categorized as moderate or even severe. The development of the Ina_CoCaRA instrument is still needed according to the age group and culture of each region to determine early detection instruments that can be given periodically so that colorectal cancer does not occur. Keywords: Colorectal Cancer, Ina_CoCaRA, Risk Assessment, Risk Profile  ABSTRAK Kanker kolorektal merupakan jenis kanker terbanyak ketiga dan menjadi penyebab kematian terbanyak kedua terkait kanker di seluruh dunia, termasuk Indonesia. Jumlah pasien kanker kolorektal yang terdiagnosis pada usia muda masih kurang terdeteksi dengan cepat, sehingga risiko kematian menjadi lebih tinggi. Dampak ini dapat dikurangi dengan menerapkan strategi preventif primer untuk mengetahui tingkat risiko lebih dini melalui instrumen terbaru khusus masyarakat Indonesia dan noninvasif berupa The Indonesian Colorectal Cancer Risk Assessment (Ina_CoCaRA). Penelitian ini bertujuan untuk mengembangkan instrumen pengkajian keperawatan Ina_CoCaRA, sekaligus menganalisis profil risiko kejadian kanker kolorektal pada Mahasiswa Universitas Bhakti Kencana. Penelitian kuantitatif ini menggunakan metode deskriptif, untuk menggambarkan profil risiko kanker kolorektal pada kelompok mahasiswa melalui instrumen pengkajian Ina_CoCaRA yang telah teruji validitas dan reliabilitasnya. Jumlah sampel sebanyak 100 mahasiswa dengan teknik pengambilan sampel menggunakan teknik stratified random sampling. Hasil penelitian menunjukkan bahwa profil risiko kanker kolorektal pada mahasiswa meliputi tidak berisiko (27%) dan berisiko rendah (73%). Artinya, sebagian besar mahasiswa memiliki risiko meskipun dalam kategori rendah untuk mengalami kanker kolorektal. Hal ini terjadi karena faktor gaya hidup terutama seringnya mengonsumsi junk food, kurang olahraga, dan faktor sedentary lifestyle. Profil risiko kanker kolorektal pada mahasiswa melalui instrumen Ina_CoCaRA yaitu berisiko rendah. Jika tidak ada perubahan gaya hidup yang lebih sehat, maka risiko terjadinya kanker kolorektal seiring bertambahnya usia dapat menjadi kategori sedang bahkan berat. Masih dibutuhkan pengembangan instrumen Ina_CoCaRA sesuai kelompok usia dan budaya tiap daerah untuk menetapkan instrumen deteksi dini yang dapat diberikan secara berkala sehingga kanker kolorektal tidak terjadi. Kata Kunci: Ina_CoCaRA, Kanker Kolorektal, Profil Risiko, Risk Assessment.