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All Journal Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) JURNAL KESEHATAN PERINTIS PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Indonesian Journal of Health Sciences Research and Development (IJHSRD) Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Jurnal Kesmas Jambi Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Promotor: Jurnal Mahasiswa Kesehatan Masyarakat Jurnal Ilmu Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Frontiers on Healthcare Research Jurnal Kesehatan
Ratno Widoyo, Ratno
Universitas Andalas
Computer Science & IT Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra Yani, Finny Fitry; Izzah, Amirah Zatil; Alkamdani, Riki; Widoyo, Ratno
Frontiers on Healthcare Research Vol. 1 No. 2 (2024)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v1.n2.p8-16.2024

Abstract

Background: COVID-19 clinical signs can be different for each pediatric patient. This study aims to systematically evaluate the clinical, laboratory examination, severity of COVID-19 infection of pediatric patients in RSUP Dr. M. Djamil General Hospital. Methods: This is a cohort retrospective study. Data were extracted from the medical records of pediatric patient who received COVID-19 medical treatment between September 2020 to June 2021. The data were presented as frequency, percentage and adjusted odd ratio (aOR). Bivariate and multivariate analysis was done to identify the association. Results: The results showed that from a total sample of 93 patients, the majority of these patients were male (60,2%) and fell within the age groups of 1-5 years (30,1%) and 11-15 years (31,2%). Most pediatric patients presented with a mild severity level of COVID-19. Clinical characteristics, such as consciousness (p=0.014), neurologic deficits (p=0.035), and thoracic abnormalities (p=0.040), showed a significant association with the severity level of COVID-19. There are no significant association between laboratory results and the severity level of COVID-19. Admission to PICU was identified as a protective factor against the mortality of COVID-19 (aOR=0.02) and abdominal abnormalities were identified as a contributing factor to mortality among pediatric COVID-19 cases (aOR=14.44). Conclusions: Clinical characteristics including consciousness, neurologic deficits, and thoracic abnormalities were associated with the severity level of COVID-19. PICU admission and abdominal abnormalities were associated with mortality among pediatric COVID-19 patients.
Empowering Adolescent Peer Cadres for Tuberculosis Prevention: The “PEKA TB” Initiative at SMPN 31 Padang Masrizal; Widoyo, Ratno; Perwati, Ane Dayu; Fauzi, Falah
Warta Pengabdian Andalas Vol 32 No 4 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.04.480-488.2025

Abstract

Tuberculosis (TB) remains a major public health issue, particularly among adolescents in densely populated school environments with poor ventilation. This community service aimed to strengthen TB prevention and control efforts through the establishment and empowerment of “PEKA TB” (Pencegahan dan Penanggulangan Tuberkulosis) cadres at SMPN 31 Padang. The activity employed a pre–post test design with an educational and participatory approach, involving 34 students from grades VIII and IX as peer health cadres. The intervention consisted of interactive lectures, discussions, and simulations on TB transmission, prevention, and the PEKA TB framework (Examine–Educate–Coordinate–Act). Evaluation using structured questionnaires measured knowledge, attitude, and practice before and after the intervention. The results showed significant improvements across all variables, indicating that peer-based education effectively enhanced students’ awareness, attitudes, and preventive behaviors toward TB. The empowerment of adolescent cadres successfully fostered active participation in school health promotion and strengthened collaboration between schools and local health authorities. This initiative demonstrates that student-centered, peer-led education is a sustainable strategy to create a healthy, TB-free school environment.
THE RISK FACTORS FOR WASTING IN CHILDREN AGED 24–59 MONTHS IN RURAL AREAS OF WEST SUMATRA PROVINCE: ANALYSIS OF SKI 2023 DATA : WASTING IN CHILDREN AGED 24–59 MONTHS Ul-Humami, Auliya; Nursal, Dien Gusta Anggraini; Widoyo, Ratno
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 7 No. 2 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol7.Iss2/325

Abstract

Background: Wasting is still a major health problem in toddlers, especially in rural areas. This study aims to analyze the risk factors of wasting in children under five years of age 24-59 months in rural areas of West Sumatra Province. Methods: This study used a quantitative approach with a cross-sectional design. The study used secondary data from the Indonesian Health Survey in 2023 with a sample size of 541 toddlers. Data analysis was conducted bivariate using the chi-square test. Results: The results of the analysis showed that of the five variables studied, the history of infectious diseases (p=0.001) and vitamin A supplementation (p=0.003) had a significant association with the incidence of wasting in children aged 24-59 months in rural areas of West Sumatra Province. Meanwhile, economic status (p=0.414), environmental sanitation (p=0.104), and drinking water source (p=0.094) had no significant association. Conclusion: In rural areas, infectious diseases and lack of vitamin A supplementation were the causes of wasting. Health promotion and prevention of infectious diseases need to be evaluated and improved including efforts to increase the immune system of children under five.
THE FACTORS ASSOCIATE WITH THE INCIDENCE OF TYPE 2 DIABETES MELLITUS IN WOMEN IN THE WORKING AREA OF THE BIARO COMMUNITY HEALTH CENTER : TYPE 2 DIABETES MELLITUS Azeny, Claudya Putri; Putri, Ade Suzana Eka; Widoyo, Ratno; Masrizal, Masrizal
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 7 No. 2 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol7.Iss2/331

Abstract

Background: The global prevalence of type 2 diabetes mellitus is steadily increasing, with a particularly notable rise among women. This study aims to identify factors associated with type 2 diabetes mellitus among women in the working area of Biaro Public Health Center. Methods: A case-control study design was employed, involving 50 women diagnosed with type 2 diabetes mellitus (cases) and 50 women without type 2 diabetes mellitus (controls), selected randomly from the same population. Data were analyzed using both bivariate and multivariate statistical methods to determine significant predictors of type 2 diabetes mellitus. Results: Bivariate analysis revealed significant associations between type 2 diabetes mellitus with age, family history of diabetes, level of education, physical activity, and stress (p < 0.05). Multivariate analysis identified that low physical activity as the most influential risk factor. Conclusion: These findings highlight the urgent need for targeted health promotion strategies—particularly in the Biaro Public Health Center area— behavioral interventions such as physical activity on high-risk groups to effectively reduce the incidence of type 2 diabetes mellitus among women.
SOCIOECONOMIC ANALYSIS AND PARENTING PATTERNS ON THE INCIDENCE OF STUNTING IN TODDLERS IN AKABILURU DISTRICT, LIMA PULUH KOTA REGENCY: PARENTING PATTERNS ON THE INCIDENCE OF STUNTING Umri, Zahriatil; Nursal, Dien Gusta Anggraini; Widoyo, Ratno
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 7 No. 2 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol7.Iss2/346

Abstract

Background: Akabiluru Subdistrict was chosen as the research location because of the high prevalence of stunting among toddlers and its correlation with various socioeconomic factors and parenting patterns at the household level. This study aims to analyze the influence of socioeconomic factors and parenting patterns on the incidence of stunting among toddlers. Methods: This study used a mixed-method design with quantitative and qualitative approaches. The quantitative stage used a case-control study with a sample of 94 cases and 94 controls. The qualitative phase used a sequential explanatory model through FGDs with selected informants to explore mothers' perceptions, cultural factors, family roles, and access to information, which were thematically analyzed to support the quantitative findings. Results: The results of this study found that maternal education, exclusive breastfeeding, and basic immunization status were significantly associated with stunting, with exclusive breastfeeding being the dominant factor. Qualitative findings showed that exclusive breastfeeding practices were influenced by maternal perceptions, cultural factors, family roles, and access to information. Conclusion: This study shows that exclusive breastfeeding is a dominant factor associated with stunting in toddlers in Akabiluru District.
HUBUNGAN TEMAN SEBAYA DENGAN PERILAKU MEROKOK REMAJA : META-ANALISIS DI ASIA TENGGARA Rahmadani, Putri; Markolinda, Yessy; Widoyo, Ratno
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 10 No. 1 (2026): APRIL 2026
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v10i1.54709

Abstract

Merokok di kalangan remaja tetap menjadi tantangan kesehatan masyarakat utama di Asia Tenggara, di mana lingkungan sosial sangat memengaruhi perilaku terkait kesehatan. Selama masa remaja, kebutuhan akan penerimaan sosial dan afiliasi kelompok meningkatkan kerentanan terhadap pengaruh teman sebaya, menjadikan kebiasaan merokok teman sebaya sebagai penentu penting perilaku merokok. Studi ini bertujuan untuk meneliti hubungan antara kebiasaan merokok teman sebaya dan perilaku merokok remaja di Asia Tenggara melalui meta-analisis. Pencarian literatur dilakukan menggunakan database PubMed, SAGE, dan EBSCO untuk mengidentifikasi studi observasional yang diterbitkan antara tahun 2015 dan 2025. Studi yang memenuhi syarat mencakup remaja berusia 10–19 tahun dan melaporkan hubungan antara kebiasaan merokok teman sebaya dan perilaku merokok. Data disintesis menggunakan random effect model, dan ukuran efek gabungan dinyatakan sebagai odds ratio (OR) dengan interval kepercayaan 95% (CI). Hasil penelitian menunjukkan bahwa remaja yang memiliki teman sebaya perokok secara signifikan lebih cenderung terlibat dalam perilaku merokok dibandingkan dengan mereka yang tidak memiliki teman sebaya perokok (OR = 2,32; 95% CI: 1,89–2,84). Hasil ini menggarisbawahi pentingnya strategi pengendalian tembakau yang melampaui intervensi tingkat individu dengan menggabungkan pendekatan berbasis teman sebaya, program yang berpusat di sekolah, dan modifikasi norma sosial untuk secara efektif mencegah inisiasi merokok di kalangan remaja.
Spatial Autocorrelation of HIV Cases Based on Key and Special Populations in West Sumatra 2021–2024 Diastanti, Yunita; Masrizal, Masrizal; Widoyo, Ratno
Jurnal Kesmas Jambi Vol. 10 No. 1 (2026): VOLUME 10 - NUMBER 1 - March 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i1.55317

Abstract

HIV cases continue to be a public health issue in West Sumatra Province, as seen from the increasing number of cases each year. Differences in regional characteristics are suspected to contribute to the pattern of HIV spread, so a spatial approach is needed to understand the variation in case distribution more deeply. This study uses an ecological study design by analyzing 19 districts/cities in West Sumatra during the period 2021-2024. The Global Moran’s I and LISA methods were applied to identify spatial autocorrelation patterns. The research results show that there are 7,260 HIV cases with a continuously increasing trend each year. Global spatial analysis shows a significant negative autocorrelation, indicating a dispersed distribution pattern, with a dominance of Low-High clusters in most regions. High spatial heterogeneity that is not concentrated in a single cluster was identified in West Sumatra province. Health policy interventions based on regional characteristics are needed to optimize resource allocation and future HIV prevention strategies.
Low Birth Weight and Childhood Pneumonia in Sumatra, Indonesia: A Cross-Sectional Analysis of the 2023 Indonesian Health Survey Putri, Aulia; Widoyo, Ratno; DJafri, Defriman
Jurnal Kesmas Jambi Vol. 10 No. 1 (2026): VOLUME 10 - NUMBER 1 - March 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i1.55484

Abstract

Low birth weight (LBW) is a well-established early-life biological risk factor for respiratory infections; however, subnational evidence examining its role in childhood pneumonia in Indonesia remains limited. This study aimed to examine the association between low birth weight and pneumonia among children aged 12–59 months in Sumatra, Indonesia, while accounting for demographic, health service, and environmental factors. A cross-sectional study was conducted using data from the 2023 Indonesian Health Survey (IHS). The analysis included 21,466 children aged 12–59 months residing in Sumatra. Pneumonia status and low birth weight were defined according to the SKI standard definitions. Multivariable logistic regression analyses were performed using sampling weights to account for the complex survey design. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were reported. The prevalence of pneumonia among children aged 12–59 months in Sumatra was 1.0%. Children with a history of low birth weight had markedly higher odds of pneumonia compared with those born with normal birth weight (aOR 14.9; 95% CI 9.2-24.1). Household cooking fuel use was identified as a confounding factor, but not as an interaction. Other factors, including vitamin A supplementation, immunization status, and area of residence, were not identified as confounding or interacting factors. Low birth weight is a strong determinant of pneumonia among children aged 12–59 months in Sumatra. Reducing childhood pneumonia requires integrated strategies addressing both early-life biological vulnerability and modifiable household environmental exposures.
Determinan Kejadian ISPA pada Balita di Provinsi Sumatera Barat, Riau dan Jambi: Analisis Data SKI 2023 Sherly Febria Utami; Aria Gusti; Ratno Widoyo
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 7 No. 2 (2026): Mei - Agustus 2026
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.7.2.177-187.2026

Abstract

Infeksi Saluran Pernapasan Akut (ISPA) merupakan salah satu penyebab utama morbiditas pada balita dan tetap menjadi masalah kesehatan masyarakat di Indonesia. Studi ini bertujuan untuk menganalisis hubungan antara karakteristik individu balita, perilaku rumah tangga, dan faktor lingkungan rumah dengan kejadian ISPA pada balita di Provinsi Sumatera Barat, Riau, dan Jambi berdasarkan analisis data Survei Kesehatan Indonesia (SKI). Studi ini menggunakan desain cross-sectional, menggunakan data sekunder dari Survei Kesehatan Indonesia (SKI) 2023 sebanyak 5.728 anak usia 12-59 bulan. Analisis data bivariat menggunakan uji chi-square. Hasil analisis bivariat dari 13 variabel menunjukkan bahwa jenis kelamin laki-laki (p=0,029; POR=1,246) dan merokok di rumah (p=0,013; POR=1,307) berhubungan dengan kejadian ISPA pada balita. Sementara itu, variabel usia (p=0,868), status gizi (p=0,319), status imunisasi (p=0,156), status pendidikan ibu (p=0,766), status sosial ekonomi (p=0,125), penggunaan obat nyamuk bakar (p=0,090), kebiasaan mencuci tangan ibu (p=0,412), kualitas air bersih (p=0,083), kepadatan penduduk (p=0,427), jenis lantai (p=0,184) dan jenis dinding (p=0,659) tidak menunjukkan hubungan yang signifikan secara statistik. Jenis kelamin dan kebiasaan merokok di rumah merupakan faktor yang berhubungan dengan kejadian ISPA pada balita di provinsi Sumatera Barat, Riau, dan Jambi. Oleh karena itu, upaya promotif dan preventif harus difokuskan pada penguatan promosi rumah bebas asap rokok melalui pendidikan bagi orang tua dan anggota keluarga, terutama mereka yang memiliki balita.
A Survival Analysis of Breast Cancer Patients at Andalas University Hospital from 2019 to 2023 Yeffi Masnarivan; Muchtariza, Suci; Widoyo, Ratno
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 1 (2026): Jurnal Kesehatan Volume 17 Nomor 1 Tahun 2026
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i1.1324

Abstract

Background: Breast cancer is one of the leading health problems among women worldwide, including in Indonesia. More than 80% of cases in Indonesia are diagnosed at an advanced stage and are associated with low survival rates. Objective: This study aims to analyze the survival of breast cancer patients at Andalas University Hospital from 2019 to 2023. Methods: This study employed a retrospective cohort design. Secondary data were collected from breast cancer patients at Andalas University Hospital between 2019 and 2023. A total of 52 breast cancer patients were selected using simple random sampling. The data were analyzed using survival analysis methods, including the log-rank test, Kaplan–Meier curves, and Cox regression. Results: During the five-year observation period, 63.5% of patients experienced the event of interest. Most breast cancer patients at Andalas University Hospital from 2019 to 2023 were over 45 years old (75.0%), unemployed (69.2%), diagnosed at clinical stage IV (40.4%), had anemia (51.9%), and received combination therapy (59.6%). A significant association was found between cancer stage and patient survival. However, age, employment status, type of treatment, and anemia status were not significantly associated with breast cancer patient survival.
Co-Authors Ade Suzana Eka Putri Afifah Hanum Harahap Ahmad Fadil Rangkuti Aljutri, Aljutri Alkamdani, Riki Amirah Zatil Izzah Ane Dayu Perwati Annisa Nurul Habibah Aria Gusti Aulia Putri Azeny, Claudya Putri Defriman Djafri Dewi, Novi Putriana Diastanti, Yunita Fadhillah, M. Fadhillah Fauzi, Falah Fauziah Elytha Finny Fitry Yani Iwan Gusmana, Azzahra Kamal Kasra Kamal Kasra3 Markolinda, Yessy Masrizal Masrizal Nurul Hudha Fadhila Putri Rahmadani, Putri Salsabila Syafni Aulia Salsabila, Anisa Sari, Melsi Pita Setiawati, Santi Sherly Febria Utami Sri Siswati Suci Muchtariza Syafrawati Ul-Humami, Auliya Umri, Zahriatil Vivi Triana Wahyuni, Fajriani Dwi Yeffi Yeffi Masnarivan Yessi Markolinda Yessy Markolinda