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All Journal Berkala Ilmiah Kedokteran Duta Wacana Jurnal Ilmu Kesehatan Masyarakat
Nur Fitriah
Department of Public Health and Nutrition, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Prevalence and Determinants of Central Obesity at Urban Slum Dwellers in North Jakarta Yunisa Astiarani; Maria G.A.I. Kedang; Nur Fitriah; Fani A. Chandra
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 1 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (326.536 KB) | DOI: 10.26553/jikm.2022.13.1.14-25

Abstract

Central obesity, widely known as a major cardiovascular disease risk factor, threatens the urban poor more than other socio-economic groups. The study intended to disclose the prevalence and determinants of central obesity in urban slum dwellers in North Jakarta. We conducted a survey study on residents aged 15 and above. The study randomly recruited two hundred forty-eight residents for direct interviews and body measurements according to the minimum sample requirement. Sociodemographic and Noncommunicable Diseases (NCDs) risk factors questionnaires were used and asked after weight, height, and waist circumference measurements. Descriptive and multivariate analyses were conducted to determine the central obesity prevalence and associated determinants. The central obesity prevalence in urban slum dwellers reaches 68.1%, presiding in women (69.4%) than men (65.3%). The multivariate binary logistic regression analysis indicates that central obesity was higher in the 30-59 y.o age group (Prevalence Ratio [PR]= 1.68; 95% Confidence Interval [CI]=1.19-2.37) and ≥ 60 y.o age group (PR = 1.76; 95%CI = 1.20-1.41). Besides, the residents who do not eat fruits and vegetables daily (PR=1.20; 95%CI=1.01-1.41) and practice less physical activity (PR=1.25; 95%CI=1.01-1.56) were more likely to have central obesity. The productive age group and elderly are at a higher risk for central obesity in an urban slum. Although notable as the main risk factors for central obesity, less consumption of fruits, vegetables and lack of physical activity highlight the urgent need to provide affordable, healthier options for urban slum dwellers.
NONCOMMUNICABLE DISEASES PREVALENCE AND HEALTH-POST ATTENDANCE ASSOCIATED FACTORS IN AN URBAN SLUM AND A MIDDLE-INCOME COMMUNITY Yunisa Astiarani; Kevin Kristian; Nur Fitriah
Berkala Ilmiah Kedokteran Duta Wacana Vol. 7 No. 2 (2022): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v7i2.542

Abstract

Background Non-communicable Diseases (NCDs) become the leading cause of death, particularly in low-income settings. However, the health post for NCDs called Pos Pembinaan Terpadu (Posbindu) aimed to be the screening post in the community loses its function due to residents’ low visitation.Objective This study aimed to investigate NCD’s prevalence in low-middle income communities and analyzed health-post attendance associated factors in two areas with different socioeconomic backgrounds.Methods A community survey was conducted on a slum and a middle-income hamlet in Pejagalan village. A total of 470 residents aged 15 and above responded to the demographic and NCDs risk factors questionnaire. Logistic regression was performed separately in the two areas.Results The prevalence of NCDs and its multimorbidity are presiding in the slum, while the health-post attendance in the area associated with women visitors (odds ratio [OR]=4.2; 95% confidence interval [CI]=1.9-9.1), the 30-59 age group (OR=5.0; 95%CI=2-10), having no education (OR=4.7; 95%CI=1.9-5.5), unemployed (OR=2.5; 95%CI=1.3-5.7), and practicing a less-fat diet (OR=3.2; 95%CI=1.7-6.0). The elderly were less likely to visit the posts (OR=0.3; 95%CI=0.1-0.9). Meanwhile, increasing age (OR=1.03; 95%CI=1.01-1,05), residents who practice regular physical activity (OR= 2.3; 95% CI=1.3-4.1), and not smoking (OR=2.9; 95%CI=1.4-6.0) were associated with community health-post attendance in middle-income hamlet.Conclusion The results indicated that NCDs prevalence in the slum needs proper attention, particularly in elderly and male residents, due to low visits to the health post. Enhancing the specific target of NCDs screening respective to the areas would be the best effort to prevent further NCDs prevalence.
Co-Authors Fani A. Chandra Kevin Kristian Maria G.A.I. Kedang Yunisa Astiarani