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HUBUNGAN STATUS SOSIAL ORANG TUA DENGAN KEKERASAN FISIK PADA ANAK UMUR 3-6 TAHUN DI KABUPATEN JEMBER Gumiarti, Gumiarti
IKESMA Vol 6, No 2 (2010)
Publisher : FKM - UNEJ

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (507.48 KB)

Child abuse is defined as any intentional act or series of acts by a parent or other caregivers that results in harm or threat of harm to a child. Under-three children are prone to receive any form of abuses due to the fact that they are entering periods of temper tantrum and egocentrics. In these periods, children usually gets angry easily and cannot control their emotion as well as pose destructive behavior when what they want cannot be fulfilled by their parents. Consequently, this can become a trigger for parents to do physical abuse to their children. In addition, child abuse brings about hazardous effects such as physical injuries and psycopathology. . This was an observational study with a cross-sectional study design. Samples were 164 persons. The independent variable was parentsâ social status, the dependent variable was child physical abuse, and the extraneous variables were age, marital status, history of receiving abuses from parents, and childâs status. Data were collected through questionnaire and in-depth interview towards four mothers. The data were then analyzed with univariate analysis using statistic descriptive test, bivariate analysis using chi-square test, and multivariate analysis using logistic regression. There was a significant relationship between parentsâ education and child physical abuse (RP=1.3 and CI=1.08-1.57), meaning that the prevalence of child abuse was 1.3 greater in parents with lower educational level than with the higher one. Parentsâ occupation was also significantly related with child physical abuse (RP=1.61 and CI=1.04-2.48), meaning that the prevalence of child abuse was greater in children who had parents with lower occupational level than with higher one. Meanwhile, there was no significant relationship between parentsâ income and child abuse (RP=1.08 CI=0.92-1.27). The extraneous variables having risks toward child abuse were parentsâ marital status and history of receiving abuses from parents. Parentsâ social statuses that were significantly related with child physical abuse were education and occupation. Forms of abuses received by children were being pinched, being beaten, being hit or being tweaked. Keywords: Parentsâ social status, child abuse

Hubungan Pola Nutrisi Balita dengan Kejadian Stunting di Desa Panduman Jember Fadilah, Sinta Nurul; Subiastutik, Eni; Gumiarti, Gumiarti
Innovative: Journal Of Social Science Research Vol. 5 No. 2 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i2.18639

Asupan gizi yang dikonsumsi anak secara adekuat dapat membantu pertumbuhan dan perkembangan, mempercepat proses penyembuhan penyakit, memaksimalkan fungsi tubuh, menghindari infeksi dan peradangan. Hasil penelitian Andriani et al.,( 2021) 12,7% ibu memberi makan anak dengan menu tunggal atau menu yang dibuat dari 1 jenis makanan. Kekurangan gizi dalam waktu yang lama dapat mengakibatkan anak mengalami kondisi stunting. Prevalensi balita stunting di Indonesia pada tahun 2022 mencapai 21,6%, Provinsi Jawa Timur 19,2%, dan Kabupaten Jember 34,9%. Penelitian ini bertujuan untuk mengetahui hubungan pola pemberian nutrisi dengan kejadian stunting. Desain penelitian ini menggunakan analitik observasional dengan pendekatan crosssectional. Populasi penelitian ialah anak usia 2-3 tahun sebanyak 197 orang, sampel 60 anak, didapat dengan teknik proportional sampling. Pengumpulan data menggunakan kuesioner dan analisis data dengan uji Chi-Square. Didapatkan hasil penelitian 40% responden memiliki pola pemberian nutrisi anak adekuat, 60% pola pemberian nutrisi anak tidak adekuat dan proporsi kejadian tidak stunting 50% dan stunting 50%. Terdapat hubungan antara pola pemberian nutrisi anak dengan kejadian stunting dengan nilai ρ-value = 0,004 < α 0.05. Pola pemberian nutrisi tidak adekuat menyebabkan berat badan anak tetap dan beresiko turun, penurunan berat badan dalam waktu yang lama dapat mengakibatkan stunting. Peran orang tua untuk mencegah kejadian stunting yakni ; memperhatikan frekuensi, jenis, dan porsi pemberian nutrisi pada anak.

FAKTOR RESIKO PEROKOK DAN KADAR LEUKOSIT DENGAN KEJADIAN KETUBAN PECAH DINI DI RUANG BERSALIN RSD DR. SOEBANDI JEMBER Wahda, Nurul; Gumiarti, Gumiarti; Susilawati, Susilawati
Malang Journal of Midwifery (MAJORY) Vol 7 No 1 (2025): MAJORY : Malang Journal of Midwifery
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v7i1.5254

Premature rupture of membranes (KPD) is one of the important complications and problems in obstetrics which is associated with increased perinatal morbidity and mortality. According to WHO, the incidence of KPD ranges from 12%-14%. In Indonesia, KPD ranges from 4.4-7.6% of all pregnancies. At RSD Dr. Soebandi in 2023, the highest referral case is KPD with an incidence of 17.4%. The aim of the study was to determine the risk factors of smoking and leukocyte levels with the incidence of PROM at RSD dr. Soebandi Jember. The research was a quantitative study with an analytical observational design using a cross-sectional approach. The population consisted of 125 postpartum mothers, and the sample size was determined using the Slovin formula, resulting in 95 respondents. The sampling technique used was accidental sampling. The measurement tool was a questionnaire, and data analysis was conducted using the Prevalence Ratio test. 77.90% of mothers giving birth were passive smokers, 77.90% of women gave birth with normal leukocyte levels, 50.50% of women gave birth with premature rupture of membranes, analysis of passive smokers with the incidence of KPD was found to be RP 1.2 with 95% CI (0.559-3.948), abnormal leukocyte levels with the incidence of PROM were found to be RP 1.6 with a 95% CI (1.085-8.893). Passive smoking is not a risk factor for premature rupture of membranes, while abnormal leukocyte levels carry a 1.6 times greater risk compared to women giving birth with normal leukocyte levels. It is expected that pregnant women will improve personal hygiene and become more proactive in getting their pregnancies checked as a preventive measure against the increase in leukocyte levels during pregnancy.

HUBUNGAN PENDAPATAN KELUARGA DENGAN KEJADIAN KEKURANGAN ENERGI KRONIK PADA IBU HAMIL DI DESA TISNOGAMBAR BANGSALSARI KABUPATEN JEMBER Husnia, Livia Hidayatul; Gumiarti, Gumiarti; Susilawati, Susilawati
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i3.7039

Chronic Energy Deficiency (CED) is a nutritional problem caused by insufficient food intake over a long period of time, counting years. Data from the Ministry of Health in 2021 shows that the percentage of pregnant women with CED in Indonesia is 8.7%. East Java is 9.2%. Jember Regency in 2023 was 13.86%. From the Baangsalsari Health Center in 2023 was 10.1%. The purpose of this study was to analyze the relationship between family income and the incidence of chronic energy deficiency in pregnant women in Tisnogambar Bangsalsari Village, Jember Regency. The type of research used was analytical with a correlation design and a cross-sectional approach. The number of pregnant women studied was 40 mothers using the Saturated Sampling Technique. The measuring instrument was a questionnaire, using the Fisher's Exact test. Low family income was 57.5% and high family income was 42.5%, pregnant women with CED were 52.5% and pregnant women without CED were 47.5%. The results of data analysis using Fisher's Exact obtained a p-value calculation of 0.001 < ? 0.05, indicating a relationship between family income and the incidence of chronic energy deficiency in pregnant women. Low income is one factor that influences the incidence of CED in pregnant women because it is related to family purchasing power and the ability to meet nutritional needs during pregnancy. Pregnant women can meet nutritional needs during pregnancy with foods made from local ingredients, making them more affordable. ABSTRAKKurang Energi Kronis (KEK) merupakan masalah gizi yang disebabkan karena kurangnya asupan makanan dalam waktu yang cukup lama,hitungan tahun.Data Kemenkes tahun 2021 Persentase Ibu hamil KEK di Indonesia sebesar 8,7%. Jawa Timur sebesar 9,2%. Kabupaten Jember tahun 2023 sebesar 13,86%. Dari Puskesmas Baangsalsari tahun 2023 sebesar 10,1%. Tujuan penelitian ini untuk menganalisa Hubungan Pendapatan Keluarga Dengan Kejadian Kekurangan Energi Kronis pada Ibu hamil di Desa Tisnogambar Bangsalsari Kabupaten Jember. Jenis penelitian yang digunakan adalah analitik dengan desain korelasi, dan pendekatan cross sectional.Jumlah ibu hamil yang diteliti 40 ibu dengan menggunakan Teknik Sampling Jenuh. Alat Ukurnya berupa kuisioner, menggunakan uji Fisher’s Exact. Pendapatan Keluarga yang rendah sebesar 57,5% dan pendapatan keluarga yang tinggi sebesar 42,5%, ibu hamil KEK sebesar 52,5% dan ibu hamil tidak KEK sebesar 47,5%. Hasil analisis data menggunakan Fisher’s Exact didapatkan perhitungan p-value 0.001 < ? 0.05 maka terdapat Hubungan pendapatan keluarga dengan kejadian kekurangan energi kronis pada ibu hamil. Pendapatan rendah merupakan salah satu faktor yang mempengaruhi kejadian KEK pada ibu hamil karena berkaitan dengan daya beli keluarga dan kemampuan untuk memenuhi nutrisi selama kehamilan. Ibu hamil dapat memenuhi kebutuhan nutrisi selama kehamilan dengan makanan yang berbahan-bahan lokal sehingga lebih terjangkau.

PERBEDAAN SIKAP IBU ANAK BAWAH DUA TAHUN DALAM PENCEGAHAN STUNTING SEBELUM DAN SESUDAH DIBERIKAN PENYULUHAN MENGGUNAKAN MEDIA FLIP CHART DI DESA KASIYAN DI PUSKESMAS KASIYAN Nurindah, Meitha Christina; Gumiarti, Gumiarti; Palupi, Jenie; Restanti, Dian Aby
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i3.7048

According to the stunting data of Kasiyan Health Center from EPPGBM (Electronic Recording and Reporting of Community-Based Nutrition) in 2023 it was 9.4%, while the number of children under two years old with stunting at Kasiyan Health Center in 2023 was 8%. In stunting, the role of mothers is very important in preventing toddlers from experiencing problems with nutritional status, for example stunting. If mothers have a good attitude in fulfilling toddler nutrition, it will prevent stunting. This study is to determine the difference in the attitudes of mothers of children under two years old in preventing stunting before and after being given counseling using flip chart media in Kasiyan Village at Kasiyan Health Center. Method: This study design uses one group pretest-posttest. The population is mothers of children under two years old in Kasiyan Village. The sampling technique uses saturated sampling. The sample is 24 respondents. The statistical analysis technique used in this study is the Wilcoxon Signed Rank Test. Results: There was a lack of attitude in mothers before being given counseling 37.5% and the lack of attitude in mothers after being given counseling decreased to 17%. With the Wilcoxon Signed Rank Test analysis, the p-value result was 0.004> ? 0.05, so there was a difference in mothers' attitudes in preventing stunting before and after being given counseling using flip chart media. Conclusion: There was a difference before being given counseling, a small portion / almost half of the respondents had a lack of attitude and after being given counseling half of the respondents had a good attitude. Discussion: The Kasiyan Health Center can provide counseling about stunting to mothers of toddlers using flip chart media. ABSTRAKMenurut Data stunting Puskesmas Kasiyan dari EPPGBM (Eleltronok Pencatatan dan Pelaporan Gizi Berbasis Masyarakat) pada tahun 2023 sebesar 9,4 %, sedangkan jumlah anak bawah dua tahun dengan stunting di Puskesmas Kasiyan pada tahun 2023 sebesar 8 %. Dalam stunting yaitu peran ibu sangat penting dalam mencegah balita agar tidak mengalami permasalahan pada status gizi misalnya stunting salah satunya. Jika ibu mempunyai sikap yang baik dalam pemenuhan gizi balita maka akan mencegah terjadinya stunting. Peneitian ini untuk mengetahui perbedaan sikap ibu anak bawah dua tahun dalam pencegahan stunting sebelum dan sesudah diberikan penyuluhan menggunakan media flip chart di Desa Kasiyan di Puskesmas Kasiyan. Metode : Desain penelitian ini menggunakan one grup pretest- posttest. Populasinya adalah ibu anak bawah dua tahun di Desa Kasiyan. Teknik pengambilan sampel menggunakan sampling jenuh. Sampel sebanyak 24 responden. Teknik analisis statistic yang digunakan dalam penelitian ini adalah Uji Wilcoxon Signed Rank Test. Hasil : Terdapat sikap kurang pada ibu sebelum diberikan penyuluhan 37,5% dan sikap kurang pada ibu sesudah diberikan penyuluhan turun menjadi 17%. Dengan uji analisis Wilcoxon Signed Rank Test didapatkan hasil p-value 0,004 > ? 0,05 maka terdapat perbedaan sikap ibu dalam pencegahan stunting sebelum dan sesudah diberikan penyuluhan menggunakan media flip chart. Kesimpulan : Ada perbedaan sebelum diberikan penyuluhan sebagian kecil / hampir setengah responden memiliki sikap kurang dan sesudah diberikan penyuluhan setengah dari responden memiliki sikap baik. Diskusi : Pihak Puskesmas Kasiyan bisa memberikan penyuluhan tentang stunting pada ibu balita dengan media flip chart.

HUBUNGAN DUKUNGAN SUAMI DENGAN PEMINATAN KB PASCA PERSALINAN IUD DIWILAYAH PUSKESMAS PALERAN Khasanah, Siti Nur; Palupi, Jenie; Gumiarti, Gumiarti
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i3.7052

Postpartum family planning (IUD) is still rarely sought after by postpartum mothers. The low usage rate is 62 acceptors (16.5%) of the target of 338 acceptors (65%) of new postpartum family planning in the Paleran Community Health Center area. One form of husband's participation in the use of family planning is supporting his wife in choosing a family planning tool. Husband's support is one of the factors that can influence the mother's interest in using postpartum IUD family planning. The purpose of this study was to determine the relationship between husband's support and interest in postpartum IUD family planning. This study used a correlational analytical study type with a cross-sectional design with a population of 155 pregnant women, a sample of 112 pregnant women, a simple random sampling technique and the test used was chi square. The results showed that 56.2% of respondents received husband's support, 75.9% of respondents were not interested in postpartum IUD family planning. The results of the test analysis obtained a p-value of 0.001 <? 0.05. There is a relationship between husband's support and interest in postpartum IUD contraception. It is recommended that husbands participate in their wives' choice of contraception after giving birth and that health workers increase counseling on postpartum IUD contraception. ABSTRAKKeluarga Berencana pasca persalinan IUD masih jarang diminati oleh Ibu pasca salin, Angka penggunaaannya yang rendah yaitu 62 akseptor (16,5%) dari target 338 akseptor (65%) KB baru pasca persalinan diwilayah Puskesmas Paleran. Salah satu bentuk partisipasi suami dalam penggunaan alat KB adalah mendukung istri dalam memilih alat KB.Dukungan suami menjadi salah satu faktor yang bisa mempengaruhi minat ibu untuk menggunakan KB pasca persalianan IUD. Tujuan penelitian ini untuk mengatahui hubungan dukungan suami dengan peminatan KB pasca persalinan IUD. Penelitian ini menggunakan jenis penelitian analitik korelational dengan desain cross sectional dengan jumlah populasi 155 ibu hamil, jumlah sampel penelitian 112 ibu hamil, teknik sampling simple random samping dan uji yang digunakan adalah chi square. Hasil 56,2 % responden mendapat dukungan suami, 75,9 % responden tidak berminat KB pasca persalinan IUD, Hasil analisis uji didapatkan p-value 0,001 < ? 0.05. Terdapat hubungan dukungan suami dengan peminatan KB pasca persalinan IUD, disarankan kepada suami ikut serta dalam pemilihan KB pada istrinya setelah melahirkan dan tenaga kesehatan meningkatkan penyuluhan tentang KB pasca persalinan IUD

HUBUNGAN PERSEPSI IBU HAMIL TENTANG KEHAMILAN RESIKO TINGGI DENGAN NIAT RUJUKAN DI WILAYAH KERJA PUSKESMAS KARANGDUREN Lijayani, Putri; Karnasih, I Gusti Ayu; Gumiarti, Gumiarti
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i3.7054

The referral system is expected to improve quality health services. Of the 13,523 high-risk pregnant women, only 10,518 were referred, meaning that 3,005 did not want to be referred (22.22%) (Jember District Health Office, 2023). The role of the family, income, perceptions of pregnant women about high-risk pregnancies, distance to service facilities, health, health service facilities, perceptions of health service costs can influence decision making in referral intentions. This study aims to determine the relationship between pregnant women's perceptions about high-risk pregnancies and referral intentions in high-risk pregnant women in the working area of ??the Karangduren Community Health Center, Jember Regency. The design of this study is observational through a cross-sectional approach. The population of this study was all high-risk pregnant women who had KSPR ? 10 from January to May 2024, a total of 74 people with a sample of 62 people using simple random sampling. This study found that high-risk pregnant women had a positive perception of 88.7%, and 69.4% of high-risk pregnant women had the intention to be referred to further facilities. From the results of the Fsiher's Exact Test analysis, p 0.002 <? = 0.05 was obtained, There is a relationship between pregnant women's perceptions of high-risk pregnancies and referral intentions in the work area of ??the Karangduren Community Health Center, Jember Regency in 2024. ABSTRAKSistem rujukan diharapkan dapat meningkatkan pelayanan kesehatan yang lebih bermutu .Ibu hamil resiko tinggi sejumlah 13.523 hanya 10.518 yang di lakukan rujukan artinya ada 3.005 yang tidak mau di lakukan rujukan (22,22 %) (Dinas Kesehatan Kabupaten Jember, 2023). Peranan keluarga, pendapatan, persepsi Ibu hamil tentang kehamilan resiko tinggi, jarak ke fasilitas layanan, kesehatan,, sarana-prasana layanan kesehatan, persepsi biaya layanan kesehatan dapat memengaruhi pengambilan keputusan dalam niat rujukan. Penelitian ini bertujuan untuk mengetahui hubungan Persepsi ibu hamil tentang kehamilan resiko tinggi dengan niat rujukan pada ibu hamil resiko tinggi di wilayah kerja Puskesmas Karangduren Kabupaten Jember. Desain penelitian ini adalah observasional melalui pendekatan crossectional. Populasi penelitian ini adalah seluruh ibu hamil resiko tinggi yang memilik KSPR ? 10 bulan januari s/d mei 2024 sejumlah 74 orang dengan jumlah sampel 62 orang yang menggunakan simple random sampling. ini didapatkan ibu hamil resiko tinggi yang memiliki persepsi positif 88,7 %, dan 69,4% ibu hamil resiko tinggi yang mempunyai niat untuk dilkakukan rujukan ke fasilitas lebih lanjut. Dari hasil analisis uji Fsiher’s Exact Test didapatkan p 0,002< ? = 0,05, Ada hubungan persepsi ibu hamil tentang kehamilan resiko tinggi dengan niat rujukan diwilayah kerja Puskesmas Karangduren Kabupaten Jember pada tahun 2024.

Hubungan Intention Behavior Dengan Gaya Hidup Pada Lansia Hipertensi di Wilayah Kerja Puskesmas Jember Kidul Putri, Dea Ayunda; Bachri, Syaiful; Gumiarti, Gumiarti
Jurnal Inovasi Global Vol. 3 No. 10 (2025): Jurnal Inovasi Global
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jig.v3i10.429

Gaya hidup dianggap sebagai perilaku utama yang mencerminkan status kesehatan individu lanjut usia, termasuk masalah seperti tekanan darah tinggi. Menurut Organisasi Kesehatan Dunia (WHO), sekitar 60% faktor gaya hidup seseorang berhubungan dengan kesehatan dan kualitas hidup mereka. Di Indonesia, prevalensi hipertensi meningkat menjadi 38,7% pada tahun 2019 dibandingkan tahun sebelumnya (Kementerian Kesehatan Republik Indonesia, 2019). Pada tahun yang sama, data di Jawa Timur menunjukkan 37,4% masyarakat terdiagnosis hipertensi (Dinkes Provinsi Jawa Timur, 2019). Studi pendahuluan yang dilakukan pada 6 September 2023 menemukan bahwa 24 dari 30 partisipan lansia menderita hipertensi. Salah satu faktor utama yang berkontribusi terhadap gaya hidup tidak sehat adalah niat berperilaku. Penelitian ini bertujuan untuk mengetahui hubungan niat berperilaku dengan gaya hidup pada lansia penderita hipertensi di wilayah Puskesmas Jember Kidul. Desain penelitian yang digunakan adalah analitik dengan pendekatan cross-sectional. Populasi penelitian terdiri dari 37 lansia, dimana 34 partisipan yang memenuhi kriteria inklusi dipilih melalui simple random sampling. Data dianalisis menggunakan uji eksak Fisher. Temuan menunjukkan bahwa 28 responden (82,3%) menunjukkan niat berperilaku lemah, sedangkan 6 (17,7%) menunjukkan niat kuat. Selain itu, 27 peserta (79,4%) memiliki gaya hidup tidak sehat, dan 7 (20,6%) memiliki gaya hidup sehat. Uji eksak Fisher menghasilkan nilai p sebesar 0,01, yang lebih kecil dari tingkat signifikansi 0,05, yang menunjukkan adanya hubungan yang signifikan antara niat berperilaku dan gaya hidup pada individu lanjut usia yang menderita hipertensi. Niat berperilaku yang lemah berkontribusi terhadap prevalensi gaya hidup tidak sehat pada kelompok ini.

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