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Rianna J Sumampouw
Universitas Negeri Manado
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High Hypertension Prevalence and Associated Factors in Urban Coastal Communities: A Cross-Sectional Study in Manado, Indonesia Jeini Ester Nelwan; Oksfriani Jufri Sumampouw
Majalah Kesehatan Indonesia Vol. 7 No. 1 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026301

Abstract

Hypertension is a major public health challenge in Indonesia, and urban coastal communities may experience compounded risk. This community-based cross-sectional study estimated hypertension prevalence and assessed factors associated with hypertension among adults in Manado City, North Sulawesi. Data were collected in September 2024 at three coastal primary healthcare centers (Puskesmas Bahu, Tuminting, and Bailang). Convenience sampling enrolled 150 adults, most of whom were aged ≥50 years (63.3%) and female (70.0%). Blood pressure was measured twice in a seated position after rest; the average was used to classify hypertension (systolic ≥140 mmHg and/or diastolic ≥90 mmHg). Exposures included age, sex, family history, marital status, education, occupation, physical activity, and smoking. Associations were analyzed using modified Poisson regression with robust variance to estimate prevalence ratios (PR). Hypertension prevalence was 70.0% (105/150). In multivariable analyses, hypertension was associated with family history (PR=4.746; p=.035), marital status (PR=4.723; p=.046), education (PR=3.831; p=.034), physical activity (PR=5.523; p=.025), and smoking (PR=4.821; p=.047). Age, sex, and occupation were not statistically significant. These findings indicate a very high hypertension burden in urban coastal Manado and highlight priority targets for prevention and primary-care action, including risk-based screening, smoking cessation support, physical-activity promotion, and tailored health education. Abstrak: Hipertensi merupakan tantangan kesehatan masyarakat utama di Indonesia, dan komunitas pesisir perkotaan dapat mengalami risiko yang berlapis. Studi potong lintang berbasis komunitas ini bertujuan mengestimasi prevalensi hipertensi dan menilai faktor-faktor yang berasosiasi dengan hipertensi pada orang dewasa di Kota Manado, Sulawesi Utara. Pengumpulan data dilakukan pada September 2024 di tiga puskesmas wilayah pesisir (Puskesmas Bahu, Tuminting, dan Bailang). Dengan accidental (convenience) sampling, diperoleh 150 responden; sebagian besar berusia ≥50 tahun (63,3%) dan perempuan (70,0%). Tekanan darah diukur dua kali dalam posisi duduk setelah istirahat; nilai rerata digunakan untuk mengklasifikasikan hipertensi (sistolik ≥140 mmHg dan/atau diastolik ≥90 mmHg). Variabel paparan meliputi usia, jenis kelamin, riwayat keluarga, status perkawinan, pendidikan, pekerjaan, aktivitas fisik, dan merokok. Analisis asosiasi menggunakan regresi Poisson termodifikasi dengan varians robust untuk mengestimasi prevalence ratio (PR). Prevalensi hipertensi sebesar 70,0% (105/150). Dalam analisis multivariat, hipertensi berasosiasi dengan riwayat keluarga (PR=4,746; p=0,035), status perkawinan (PR=4,723; p=0,046), pendidikan (PR=3,831; p=0,034), aktivitas fisik (PR=5,523; p=0,025), dan merokok (PR=4,821; p=0,047). Usia, jenis kelamin, dan pekerjaan tidak signifikan. Temuan ini menunjukkan beban hipertensi yang sangat tinggi di Manado pesisir perkotaan dan menegaskan perlunya skrining berbasis risiko, dukungan berhenti merokok, promosi aktivitas fisik, serta edukasi kesehatan yang terarah di layanan primer.
Hubungan Antara Durasi Dan Frekuensi Penyemprotan Pestisida Dengan Keluhan Iritasi Kulit Pada Petani Di Desa Raanan Baru Kecamatan Motoling Barat Adeleide Michelle Rumengan; Vennetia Ryckerens Danes; Oksfriani Jufri Sumampouw; Odi Pinontoan; Sri Seprianto Maddusa
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.877

Abstract

Skin irritation is one of the most common health problems experienced by farmers due to pesticide exposure during spraying activities. This study aimed to analyze the relationship between the duration and frequency of pesticide spraying and skin irritation complaints among farmers in Raanan Baru Village, West Motoling District. This quantitative analytical study employed a cross-sectional design and was conducted from March to April 2026. A total of 55 respondents were selected from 286 active pesticide-using farmers using a purposive sampling technique. Data were collected through structured questionnaire-based interviews and analyzed using the Spearman's rank correlation test with a significance level of p < 0.05. The results showed that the average spraying duration was 2.35 hours per day, while the average spraying frequency was 2.38 times per week. There was a significant positive correlation between spraying duration and skin irritation complaints (r = 0.315; p = 0.019) and between spraying frequency and skin irritation complaints (r = 0.346; p = 0.010), with both correlations classified as weak. The findings indicate that longer spraying duration and higher spraying frequency are associated with increased skin irritation complaints among farmers.
Co-Authors Aaltje Ellen Manampiring Adeleide Michelle Rumengan Afnal Asrifuddin Anisa T Lubis Anneke Tahulending Arlin Debora Tongkotou Awuy, Stiffany Clara Bawole, Belliani B. Blessy Ezra Dompas Boky, Harvani B. Bryan Rawung Budi Tamardy Ratag Butarbutar, Risca Natalia Cahya Kamila Sugiarta Chasy Ester Mandalika Chasy Mandalika Cicilia Pali Cicilia Pali Cindy Meisy Kairupan Dajoh, Ireine Norma Diane M. Tengker Doda, Diana V.D. Duhupo, Dewinta Dwi Istanti Elshaday Mangembulude Ester Candrawati Musa Ester, Sangian Farikah, Tetris Febi Kornela Kolibu Ferika Sumerah Fima Lanra Fredrik G. Langi Fima Lanra Fredrik Gerarld Langi Fince L. Sambeka Fona Budiarso Frelly Valentino Kuhon Frelly Valentino Kuhon Freysi Heidy Mantiri Gebby Gabriele Tania Walujo Gidion Kolondam Harvani Boky, Harvani Henry Palandeng Hitipeuw, Michelle Regina Christanty Jeana Lydia Maramis Jeanne d’Arc Zafera Adam Jeanne d’arc Zafera Adam Jeineke Ellen Ratuela Jeineke Ellen Ratuela Jootje M.L. Umboh Jootje M.L. Umboh Jos Narande Josefien Rolita Tiwow Josep, Woodford h B. S. Joseph, Woodford Baren Soleiman Juergen Geovane Rambing Jusuf Ondang Kaparang, Leticia Wulandari Kasenda, Jeniffer Febriyanti Kaunang, Wulan P.J Kawatu, Paul A.T Kesek, Mutiara Kuhon, Frelly Valentino Laura Wulandary Kaeng Lidya Streisand Leiwakabessy Linoe, Ribka Gloria Logor, Fione Vesty Lombogia, Orianly Lowing, Van Grayen Lumantow, Marfil Lumi, Christi Natalia Maddusa, Sri Seprianto Mamusung, Nicia Indira Manayang, Yubilarisa Mandas, Grifith Vanesa Mantjoro, Eva M. Maramis, Franckie R.R. Maria Sophia Muaja Mega Melati Putri Kansil Mondoringin, Dyna C. Monintja, Tyrsa Christine Montolalu, Mitha M. M. Musa, Ester Candrawati Musfanto, Cheren P. Mutiara Kesek Nelwan, Ester Jeini Ni Wayan Dimkatni Nova Hellen Kapantow Novarita M. Koch Novie Homenta Rampengan Oddi R Pinontoan Odi Pinontoan Odi Roni Pinontoan Odi Roni Pinontoan Odi Roni Pinontoan Pangau, Rianne Rollin Pangerapan, Sinthia Brigyta Paul A. T. Kawatu, Paul A. T. Paul A.T. Kawatu Pinontoan, Odi Pinontoan, Odi Roni Pinontoan, Odie Roni Pola, Priska Karla Ponga, Fine Claudia Pontororing, Maria E.I Punusingon, Axel Brayen Rabia Ani Ohoirat Rahayu H. Akili, Rahayu H. Rany, Pongkorung Desi Ratuela, Jeineke Ellen Ribka Gloria Linoe Ribka L. Wowor, Ribka L. Ricky C. Sondakh Rivald Semuel Jacobs Ronald Alexander Wenas Ronald Imanuel Ottay Ronald Imanuel Ottay Ronald Immanuel Ottay Roya, Jisia Natasia Runtuwene, Kurviasni S. Sapulete, Ivonny Melinda Sapulete, Margareth Rosalinda Sapulete, Margaretha Rosalinda Sasiang, Evani Sekeon, Sekplin A.S Sekeon, Sekplin Steven Sindy Naomi Kasenda Sopacua, Victoria Greimar Sri Seprianto Maddusa Sri Seprianto Maddusa Sumampouw, Jeannedria Jeisi Yuniar Eleanor Sumampouw, Jeanneprita Jeksi Yesinta Endarini Sumual, Agatha E.G Syahlan, Vioni L. G. Syalom Mikha Tiwa Tangkilisan, Sharon Laurenzi Mariabie Thesalonika Elisabeth Loucianna Sunkudon Ticoalu, Eliza Rolanda Ticoalu, Jansje Vera Tolondang, Andre Stif Trivena Mantow Tuda, Josef Sem Berth Vania Sartika Putri Lahinda Vennetia R Danes Vennetia Ryckerens Danes Warouw, Finny Wenny Tilaar Wewengkang, Militia Christy Woodford B. S. Joseph Woodford B.S. Joseph, Woodford B.S. Wulan Pingkan Julia Kaunang Yekaterina Sipa Danduru Yenni Wahani Yunus, Yasero Lazarus