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All Journal Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) PREPOTIF : Jurnal Kesehatan Masyarakat 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 Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Frontiers on Healthcare Research Jurnal Kesehatan
Ratno Widoyo, Ratno
Program Studi Ilmu Kesehatan Masyarakat FK Unand
Computer Science & IT Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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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.
Factors Associated with Mortality Among Patients with Drug-Resistant Pulmonary Tuberculosis in Sumatera, Indonesia, 2020–2024 Wahyuni, Fajriani Dwi; Widoyo, Ratno; Syafrawati, Syafrawati
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.v10i1.55369

Abstract

Drug-resistant tuberculosis (DR-TB) remains a major public health problem due to its high mortality and low treatment success rates. Sumatra is one of the regions in Indonesia with a high burden of DR-TB mortality. This study aimed to analyze factors associated with mortality among patients with drug-resistant pulmonary tuberculosis in Sumatra during 2020–2024. This study used a quantitative analytical observational design with a retrospective cohort approach utilizing secondary data from the Tuberculosis Information System (SITB) of the Ministry of Health of Indonesia. A total sampling technique was applied to all eligible DR-TB patients. The dependent variable was mortality during treatment, while independent variables included age, sex, employment status, HIV status, type of health facility, residential area, and treatment history. Data were analyzed using univariate, bivariable, and multivariable analyses. Multivariable analysis was performed to identify factors associated with mortality after adjustment for confounding factors. The results showed that age and treatment history were significantly associated with mortality (p<0.05). Patients aged ≥45 years had a 1.60 times higher risk of death compared to younger patients, while previously treated patients had a 1.32 times higher risk of mortality compared to new cases. Other variables were not significantly associated with mortality. These findings highlight the importance of closer monitoring among older and previously treated DR-TB patients.
Determinants of Treatment Success Among Drug Resistant Tuberculosis Patients in West Sumatra, Indonesia: a Retrospective Cohort Study (2017–2021) Widoyo, Ratno; Djafri, Defriman; Triana, Vivi; Salsabila, Anisa
Jurnal Kesmas Jambi Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER 2 - July 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i2.55473

Abstract

Treatment success rates remain below the national target in Indonesia. This study aims to identify individual characteristics and health facility-level factors associated with treatment success among Drug-resistant tuberculosis (DR-TB) patients in West Sumatra. A retrospective cohort study encompassing DR-TB patients treated in West Sumatra between 2017 and 2021 was undertaken. Univariate, bivariate, and multivariate analyses are used to evaluate the association between facility-level factors, individual characteristics, and treatment outcomes. The analysis indicated a heightened propensity for successful treatment among male patients and those within younger age cohorts. Patients treated in district-level hospitals were more likely to achieve successful treatment outcomes than those treated in city-based hospitals. Furthermore, patients referred from other facilities to a different district hospital had significantly higher odds of success than those who received care at a single facility throughout their treatment. Younger Age, male gender, district hospital, and patients referred for DR-TB are likely to achieve treatment success. Besides individual characteristics, decentralized care and structured referral systems need improvement. Consequently, the prioritization of inter-facility coordination reinforcement and the augmentation of district hospital capacities are imperative within provincial tuberculosis control strategies.
Psychosocial and Clinical Determination of Quality of Life of Breast Cancer Patients at dr. Adnaan WD Payakumbuh Regional Hospital in 2026 Iwan Gusmana, Azzahra; Gusta Anggraini Nursal, Dien; Widoyo, Ratno
Jurnal Kesmas Jambi Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER 2 - July 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i2.57061

Abstract

Breast cancer is a leading cause of female mortality in Indonesia. The majority of women with breast cancer face physical and psychological pressures such as the fear of death, changes in body image, and fatigue during treatment, which seriously impact their psychological health and quality of life. Globally, the prevalence of depression among women with breast cancer is estimated to be around 30.2%, and breast cancer patients have a higher incidence of depression compared to patients with other malignant tumors. This study aims to determine the association between depression and quality of life (QoL) in 40 patients at RSUD dr. Adnaan WD Payakumbuh. This cross-sectional study employed non-probability sampling and structured interviews. We performed univariate, bivariate (chi-square), and multivariate (logistic regression) analysis. Results indicate significant associations between QoL and depression (p<0.001), age (p=0.003), occupation (p=0.028), stage (p=0.019), and treatment duration (p=0.037). Conversely, education (p=0.811) and treatment type (p=0.970) show no significant relationship. Duration and age emerged as dominant predictors in the relationship between depression and QoL of breast cancer patients at RSUD dr. Adnaan WD Payakumbuh in 2026. We recommend routine depression screenings for early psychological intervention. In addition, continuous health education regarding the disease, treatment, and ways to manage therapy side effects is necessary so that patients are better prepared for long-term treatment.
Co-Authors Ade Suzana Eka Putri Aljutri, Aljutri Alkamdani, Riki Amirah Zatil Izzah 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 Markolinda, Yessy Masrizal Masrizal Nurul Hudha Fadhila Perwati, Ane Dayu Putri Rahmadani, Putri Salsabila, Anisa Sari, Melsi Pita Setiawati, Santi Sherly Febria Utami Suci Muchtariza Syafrawati Ul-Humami, Auliya Umri, Zahriatil Vivi Triana Wahyuni, Fajriani Dwi Yeffi Yeffi Masnarivan Yessi Markolinda