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DETERMINAN PENGAMBILAN KEPUTUSAN UNTUK MENIKAH PADA REMAJA DI INDONESIA Yane Tambing; Mona S Fatiah; Apriyana Irjayanti
JURNAL KESEHATAN REPRODUKSI Vol 14 No 2 (2023): JURNAL KESEHATAN REPRODUKSI VOLUME 14 NOMOR 2 TAHUN 2023
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v14i2.130

Abstract

Abstract Background: Making decisions to marry among teenagers will lead to high rates of child marriage before the age of 18, which will later have long-term risks for the health, psychological, and social problems of teenagers. Objective: Analyzing the determinants that influence the decision to marry among teenagers in Indonesia. Method: This study was cross-sectional by analyzing IDHS data in 2018, where the study sample was 10,619 women aged between 20-24 years who had been married before turning 18 years old. Results: about 72.2% of Indonesian adolescents participated in the decision to get married, another result of the study found that. The factors of sexual experience that were related to education (p-value: 0.001 and AOR:1.94 with 95% CI: 1.52-2.48), information exposure (p-value: 0.002 and AOR: 1.37 with 95% CI: 1.12-1.66) and sexual experiences (p-value=0.001 and AOR=0.64 with 95% CI=0.52-0.79). Education was The dominant variable that influenced the decision-making of marriage in adolescents was education. Conclusion: The decision-making of marriage in adolescents is influenced by education variables, information exposure, and sexual experiences Recommendation: enhancing adolescent participation in PIKRs: promoting healthy marriage and sexuality education through social media. Keywords: determinants, marriage decision-making, Indonesian teenagers.   Abstrak Latar belakang: Memutuskan untuk menikah pada usia remaja dapat berdampak jangka panjang pada pada masalah kesehatan, psikologis dan sosial remaja. Tujuan: Mengetahui deteminan keputusan menikah pada remaja Indonesia. Metode: Penelitian ini berdesain cross sectional dengan menganalisis data SDKI tahun 2018, dimana sampel penelitian sejumlah 10.619 orang wanita berusia antara 20–24 tahun  yang pernah menikah sebelum menginjak 18 tahun. Hasil: Sekitar 72,2% remaja Indonesia berpartisipasi dalam pengambilan keputusan untuk menikah, variabel pendidikan dengan nilai p-value=0,001 serta AOR=1,94 (95% CI=1,52-2,48), keterpaparan media dengan nilai p-value:=0,002 dan AOR=1,37 (95% CI=1,12-1,66) dan pengalaman seks dengan nilai p-value=0,01 dan AOR=0,64 (95% CI:0,52-0,79) berhubungan dengan pengambilan keputusan sendiri untuk menikah pada remaja, dan variabel yang dominan adalah variabel pendidikan. Kesimpulan: Pendidikan, keterpaparan informasi serta pengalaman seks remaja memiliki peran dalam  keputusan menikah. Rekomendasi: Menggalakkan kampanye tentang pernikahan yang sehat serta edukasi seksualitas melalui media sosial serta meningkatkan peran remaja pada Pusat Konseling dan Informasi Remaja (PIKR) yang ada di sekolah.     Kata kunci: determinan, pengambilan keputusan menikah, remaja Indonesia.
FAKTOR LANGSUNG DAN TIDAK LANGSUNG DENGAN KEJADIAN STUNTING Irjayanti, Apriyana; Irmanto, Maxsi; Safitri Fatiah, Mona
Jurnal Kesehatan Kusuma Husada Vol. 15 No. 2, Juli 2024
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v15i2.1241

Abstract

Kasus stunting menjadi permasalahan global yang saat ini merupakan satu faktor terhambatnya perkembangan manusia di dunia. Tujuan riset yaitu menganalisis faktor langsung dan tidak langsung kejadian stunting. Metode riset memakai analitik observasional dengan desain case control. Populasi dan sampel yaitu rumah tangga yang memiliki balita berusia 25-59 bulan yang berisiko stunting di wilayah kerja Puskesmas Jayapura Utara sebanyak 82 balita. Besar sampel menggunakan perbandingan sampel antara kasus dan kontrol 1:1. Teknik pengambilan sampel yaitu teknik consecutive sampling. Seluruh variabel memakai instrumen kuesioner dan analisis data univariat dan bivariat. Hasil riset didapatkan ada korelasi antara riwayat penyakit diare dengan stunting pada balita (p-value = 0,001) dan tidak terdapat korelasi antara praktik cuci tangan (p-value = 0,258), praktik buang air besar (p-value = 0,081), praktik pengamanan sampah rumah tangga (p-value = 0,649), praktik pengelolaan air minum dan makanan (p-value = 1,000), akses air minum (p-value = 0,065), sanitasi jamban (p-value = 0,797), sanitasi pembuangan limbah cair (p-value = 0,068), dan sanitasi sampah rumah tangga (p-value = 1,000) dengan stunting pada balita. Saran riset ini ialah masyarakat agar membiasakan diri berperilaku higienis dan saniter serta membarui dan menegakkan keberlanjutan budaya hidup bersih dan sehat. The case of stunting is a global problem which is currently a factor in hampering human development in the world. The aim of the research is to analyze direct and indirect factors in the incidence of stunting. The research method uses observational analytics with a case control design. The population and sample are 82 households with toddlers aged 25-59 months who are at risk of stunting in the working area of ​​the North Jayapura Community Health Center. The sample size uses a sample ratio of 1:1 between cases and controls. The sampling technique is consecutive sampling technique. All variables use questionnaire instruments and univariate and bivariate data analysis. The research results showed that there was a correlation between a history of diarrhea and stunting in toddlers (p-value = 0.001) and there was no correlation between hand washing practices (p-value = 0.258), defecation practices (p-value = 0.081), safety practices household waste (p-value = 0.649), drinking water and food management practices (p-value = 1.000), access to drinking water (p-value = 0.065), latrine sanitation (p-value = 0.797), liquid waste disposal sanitation (p-value = 0.068), and household waste sanitation (p-value = 1.000) with stunting in toddlers. The advice of this research is for the public to get used to hygienic and sanitary behavior and to renew and uphold the sustainability of a clean and healthy living culture.
Risk factors of COVID-19 disease confirmed cases in Solok District Nuraisyah, Fatma; Irjayanti, Apriyana; Irmanto, Maxsi; Fauziah, Khairani
International Journal of Public Health Science (IJPHS) Vol 13, No 1: March 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i1.22715

Abstract

According to West Sumatra corona virus data, Solok Regency has the highest prevalence of positive confirmed cases of COVID-19 in West Sumatra, and one of the areas where the prevalence has increased significantly. Analysis of risk factors for COVID-19 cases in Solok Regency in 2021. We conducted a cross-sectional study analysis of secondary data from March to December 2020 with a mass randomized trial using the polymerase chain reaction (PCR) test in Solok Regency. Descriptive statistical analysis was used with secondary data relevant, and a logistic regression model was used to assess infection risk factors. A total of the 770 participants, 47.4% were women and 66% were aged 50-64 years. A total of 624 participants tested (81.03%) were identified as asymptomatic PCR SARS-CoV infection without symptoms, with 88% of participants with co-morbidities and 66% of participants without travel history. Based on the results obtained a significant relationship between history of comorbidities (p-value=0.00; AOR=0.16; 95% CI=0.08-0.32), clinical symptoms (p-value=0.00; AOR=0.04; 95% CI=0.03-0.08), and travel history (p-value=0.00, AOR=1.80, 95% CI=1.25-2.61). The majority of cases that were confirmed positive for COVID-19 based on the PCR test showed no symptoms, with co-morbidities and travel history. Confirmed positive cases of COVID-19 are associated with co-morbidities, symptoms and travel history.
SANITASI PENTING ATASI STUNTING: PEMICUAN PILAR STBM DI RUMAH TANGGA Irjayanti, Apriyana; Rumbiak, Helmin; Medyati, Novita
Kumawula: Jurnal Pengabdian Kepada Masyarakat Vol 7, No 3 (2024): Kumawula: Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/kumawula.v7i3.52469

Abstract

Stunting is still a nutritional problem currently faced by children under five years of age. This has been proven by the high incidence of stunting in Indonesia, including in Jayapura City. Sanitation plays an important role in reducing stunting because it is closely related to efforts to prevent disease infection. The aim of this community service activity is to educate mothers who have babies/toddlers concerning stunting and implementing good and correct sanitation in the household, and can be one of the steps to support the government's efforts to accelerate stunting reduction. Activities are carried out using lecture and discussion/question and answer methods. The implementation stages include data collection and coordination, activity design, preparation of supporting materials and tools, implementation of triggering and evaluation. The results and achievements of the service activities were assessed as going well. This was demonstrated by the enthusiasm of the participants who attended and participated in the educational implementation until completion. The activity was attended by 30 participants consisting of mothers and other family members who brought their babies and toddlers. The results of the pre-test and post-test evaluation, which was carried out during community service activities carried out at Posyandu Rambay, Kota Baru Village, Abepura Health Center working area, showed that there was an increase in knowledge among participants by 16.6%. It is hoped that participants (mothers and other family members) will be motivated to implement the 5 pillars of Community-Based Total Sanitation (STBM) in their households and this activity can be carried out by health centers routinely in order to support local government programs in order to accelerate the reduction of stunting.Stunting masih merupakan masalah gizi yang dihadapi oleh anak usia di bawah lima tahun. Angka kejadian stunting di Indonesia masih tinggi, salah satunya di Kota Jayapura. Sanitasi berperan penting dalam mengurangi stunting karena berkaitan erat dengan upaya pencegahan infeksi penyakit. Tujuan kegiatan pengabdian kepada masyarakat ini yaitu guna mengedukasi para ibu yang memiliki bayi/balita tentang permasalahan stunting dan penerapan sanitasi di rumah tangga yang baik dan benar, serta dapat menjadi salah satu langkah mendukung upaya pemerintah dalam percepatan penurunan stunting. Kegiatan dilakukan menggunakan metode ceramah dan diskusi/tanya jawab. Tahap pelaksanaan yang dilakukan meliputi pengumpulan data dan koordinasi, perencanaan kegiatan, persiapan materi dan alat penunjang, pelaksanaan pemicuan, dan evaluasi. Hasil dan capaian dari kegiatan pengabdian dinilai berlangsung dengan baik. Hal ini diperlihatkan antusiasme para peserta yang hadir dan mengikuti pelaksanaan edukasi hingga selesai. Kegiatan dihadiri oleh 30 peserta yang terdiri dari ibu-ibu dan anggota keluarga lainnya yang membawa bayi dan balitanya. Hasil evaluasi pre test dan post test pada kegiatan pengabdian kepada masyarakat yang dilaksanakan di Posyandu Rambay, Kelurahan Kota Baru wilayah kerja Puskesmas Abepura, diketahui terdapat peningkatan pengetahuan pada peserta sebesar 16,6%. Diharapkan bagi para peserta (ibu dan anggota keluarga lainnya) terpicu untuk menerapkan 5 pilar Sanitasi Total Berbasis Masyarakat (STBM) di rumah tangganya dan kegiatan ini dapat dilakukan oleh puskesmas secara rutin agar dapat mendukung program pemerintah daerah dalam rangka percepatan penurunan stunting.
A Study of Obesity in Kindergarten-Age Children in J City in 2020 Maxsi Irmanto; Irjayanti, Apriyana; Maranden, Ayu Annisa
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 2 (2024): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i2.2071

Abstract

Saat ini Indonesia sedang menghadapi beban ganda dalam masalah gizi atau biasa dikenal dengan istilah double burden malnutrition. Salah satu kondisi dari permasalahan gizi lebih adalah kegemukan yang jika tidak diantisipasi sejak dini akan menimbulkan berbagai masalah kesehatan lainnya terutama masalah penyakit-penyakit non infeksi (non-communicable disease). Tujuan penelitian ini adalah mengetahui studi kegemukan anak usia taman kanak-kanak di Kota Jayapura tahun 2020. Jenis penelitian menggunakan kuantitatif analitik dengan pendekatan cross-sectional. Populasi dan sampelnya sebanyak 90 anak usia taman kanak-kanak, dengan teknik pengambilan sampel menggunakan purposive random sampling. Instrumen yang dipakai meliputi timbangan injak merk Camry dengan ketelitian 0,1 kg untuk mengukur berat badan dan mikrotoa dengan ketelitian 0,1 cm untuk mengukur tinggi badan dan untuk menganalisis status gizi menggunakan program komputer anthroplus. Sedangkan untuk penentuan asupan gizi menggunakan formulir recall 1 x 24 jam untuk penilaian asupan energi dan asupan serat. Untuk menganalisis data asupan menggunakan bantuan program Nutrisurvey. Data karakterisitik, riwayat genetik dan aktivitas fisik anak menggunakan kuesioner serta formulir chek list yang dibagikan pada saat penelitian. Data dianalisis menggunakan analisis univariat dan bivariat dengan uji chi-square p-value < ? (0,05). Uji statistik penelitian ini menunjukkan terdapat hubungan antara genetik dari orang tua dengan kegemukan (p-value = 0,005, RP = 2,152 CI 95% (1,254-3,683)), tingkat asupan energi (p-value = 0,000, RP = 2,917 CI 95% (1,570-5,417)), dan aktivitas fisik anak (p-value = 0,013, RP = 2,121 CI 95% (1,150-3,14)), sedangkan tidak terdapat hubungan kegemukan dengan tingkat asupan serat (p-value = 0,955, RP = 1,067 CI 95% (0,664-1,716)).
Malaria Surveillance Mapping in Yogyakarta Special Region, Indonesia Nuraisyah, Fatma; Nurlaily, Nova; Ruliyandari, Rochana; Irjayanti, Apriyana; Irmanto, Maxsi; Sugiarto, Sugiarto
Journal of Epidemiology and Public Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.04.12

Abstract

Background: Kulon Progo is one of contributing malaria cases in Indonesia and eliminating incidence malaria still unsolved problem in Indonesia. This study aims to analyze the relationship between mosquito breeding sites, the distribution of malaria cases through Arc-GIS specifically for buffering and spatial analysis in Kulon Progo Regency from 2015 to 2021.Subjects dan Method: This descriptive research retrospective approach was conducted from secondary data on malaria cases in Kulon Progo between 2015 and 2021. The variable research in this study are positive malaria cases diagnosed using the traditional method of thick blood and thin smear. The sampling technique in this study used total sampling, in totally 265 cases were included. The Data on malaria cases in Kulon Progo Health Office were used as instruments to develop the spatial map and questionnaires served as a confirmation sheet for demographic characteristic. GPS (Global Positioning System) 10.3 used to determine the coordinates of malaria cases. Data on malaria cases are presented in a six-year time series. Area classification using Arc-GIS 10.1 software with buffer analysis and visualization data was utilized to determine the distribution pattern of malaria.Results: Incidence declined sharply 23.9 to 0.4 cases per 100,000 in 2015 to 2021. The purely cluster of malaria cases trend were in the watershed area at a distance of <250 meters in Kokap Sub-district. Malaria cases were mostly found in rice fields with a distance of <250 meters in Samigaluh Sub-district. All malaria cases were in the garden areas of <250meters in Nanggulang and the forest area of >250 meters in the Kalibawang Sub-district. Conclusion: Probability of malaria transmission are rivers, rice fields and gardens. It is necessary to hold training on the use of the Arc-GIS application for surveillance officers.Keywords: Gis, malaria, mapping, surveillance. Correspondence: Fatma Nuraisyah, Faculty of Public Health, Universitas Ahmad Dahlan, Indonesia. Kapas street No. 9, Semaki, Special Region of Yogyakarta, Post Box: 55166; email: fatma.nuraisyah@ikm.uad.ac.id. Mobile: 6285747232100.
FAKTOR YANG MEMPENGARUHI KEJADIAN MALARIA PADA IBU HAMIL Sintia Kartika Sari; Lisda Oktavia Madu Pamangin; Asriati Asriati; Melkior Tappy; Yane Tambing; Apriyana Irjayanti
Jambura Journal of Health Sciences and Research Vol 5, No 4 (2023): OKTOBER: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v5i4.19018

Abstract

Malaria disebabkan oleh parasit Plasmodium dan disebarkan melalui gigitan nyamuk. Penyakit ini dapat menyerang anak-anak sampai orang tua, laki-laki maupun perempuan, termasuk wanita hamil. Indikator Annual Parasite Incidence (API) malaria di Indonesia pada tahun 2019 sebesar 0,93 per 1.000 penduduk. Kebaruan penelitian ini mengetahui faktor yang berpengaruh terhadap kejadian malaria pada ibu hami. Tujuan penelitian ini adalah mengetahui faktor risiko kejadian malaria pada ibu hamil di Puskesmas Waena Kota Jayapura. Jenis penelitian adalah penelitian kuantitatif dengan pendekatan case control. Populasi kasus dalam penelitian ini adalah seluruh ibu hamil yang menderita penyakit malaria. Populasi kontrol dalam penelitian ini adalah seluruh  ibu hamil yang tidak menderita malaria. Sampel dalam penelitian ini sebesar 29 sampel untuk kasus malaria pada ibu hamil dan 58 sampel untuk kontrol ibu hamil, sehingga total sampel dalam penelitian ini sebanyak 87 responden (matched 1:2). Teknik sampling dalam penelitian ini menggunakan dua cara yaitu total sampling untuk kelompok kasus dan purposive sampling untuk kelompok kontrol. Instrumen dalam penelitian ini menggunakan kuesioner. Analisis dalam penelitian ini terdapat analisis univariat dan bivariat dan menghitung nilai OR untuk melihat besar risiko. Hasil analisis uji statistic Chi-Square dan Odds Ratio menunjukkan bahwa, perilaku merupakan faktor risiko kejadian malaria (OR= 9,529, Cl 2,067-43,939), kondisi lingkungan merupakan faktor risiko kejadian malaria (OR= 13,269,Cl 4,461-39467). Disimpulkan bahwa ibu hamil yang perilaku dan kondisi lingkungannya buruk berisiko secara signifikan untuk mengalami malaria.  
Peran Lima Pilar STBM di Rumah Tangga dalam Menurunkan Angka Stunting di Wilayah Kerja Puskesmas Jayapura Utara Irjayanti, Apriyana; Irmanto, Maxsi; Fatiah, Mona Safitri; Aronggear, Mutiara S. D; Bouway, Nelson F J; Nauw, Jeqllyn J P; Nasifal, Alwi
Warta LPM WARTA LPM, Vol. 28, No. 1, Maret 2025
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/warta.v27i1.7468

Abstract

The prevalence of stunting in children is influenced by the state of sanitation in households. North Jayapura public health center is one of the public health centers in Jayapura City with the highest proportion of stunted children in 2020, at 26.3%. The objective of this initiative is to disseminate knowledge regarding the five fundamental principles of Community-Based Total Sanitation (STBM) within the domestic setting. The activity was conducted over a three-month period, from July to September 2024, within the operational scope of North Jayapura public health, the target population comprised women of childbearing age (WUS) or pregnant women (Bumil) and mothers with infants or toddlers who attended the Integrated Service Post (Posyandu). The number of target groups in this activity was 50 individuals, selected using the accidental sampling technique. The implementation of this activity employed a lecture method supported by animated images, followed by discussion and question-and-answer activities. The results of this activity demonstrated a statistically significant increase in knowledge, with an average gain of 12.0 points on a knowledge assessment of the five pillars of STBM in households, comparing the pre- and post-education groups, one statement, namely the one concerning septic tanks, has yet to achieve a satisfactory score. This is due to the fact that it is one of the methods used to treat household liquid waste.
SMOKING, PHYSICAL INACTIVITY AND DIETARY WITH HYPERTENSION IN THE ELDERLY: A SYSTEMATIC REVIEW AND META-ANALYSIS: Merokok, Aktivitas Fisik, dan Pola Diet dengan Hipertensi pada Lansia: Sistematik Review dan Meta Analisis Nuraisyah, Fatma; Irjayanti, Apriyana; Irmanto, Maxsi; Noorkhalisah, Noorkhalisah
Jurnal Berkala Epidemiologi Vol. 13 No. 3 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I32025.289-298

Abstract

Background: The condition of the elderly can affect blood pressure because they may struggle to balance both psychologically and physiologically. Lifestyle can affect risk factors for hypertension. Purpose: To examine lifestyle risk factors for the incidence of hypertension in the elderly with a systematic review and meta-analysis. Methods: Eight electronic databases, including PubMed, Science PubMed, ScienceDirect, NCBI, ProQuest, and EBSCO Journals Online, were searched for studies published in English from 2017 to December 2023. Quality was assessed using the Joanna Briggs Institute (JBI) for cross-sectional and case-control studies. We further categorized the outcomes into smoking, physical activity, Diet, and hypertension in the elderly. We analyzed them using the Review Manager 5.3 application with both fixed-effect and random-effect models. Results: Eight studies and 30,821 subjects were included, with fair to excellent quality. Based on the meta-analysis, not dieting (AOR = 1.37; 95% CI = 1.17-1.61; p < 0.001) was a statistically significant risk factor for hypertension in the elderly. Conclusion: Not dieting is are risk factor for hypertension in the elderly.
DETERMINANTS OF THE INCIDENCE OF DIARRHEA IN TODDLERS AGED 12-59 MONTHS IN JAYAPURA CITY: Determinan Kejadian Diare Pada Balita Usia 12-59 Bulan di Kota Jayapura Irmanto, Maxsi; Irjayanti, Apriyana; Fatiah, Mona Safitri; Ilmidin, Ilmidin
Jurnal Berkala Epidemiologi Vol. 13 No. 3 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I32025.264-271

Abstract

Background:  Diarrhea in toddlers can be more deadly compared to other ages because the percentage of fluid in the baby’s body is greater. In 2023, data from 14 health centers in Jayapura City showed that diarrhea consistently ranked among the top 10 diseases, particularly at Abepura and North Jayapura Health Centers. Purpose:  This study aims to analyze the determinants of diarrhea incidence, including risk factors, among toddlers in Jayapura City. Methods:  A cross-sectional design was applied with a sample of 192 toddlers aged 12–59 months selected through accidental sampling. Inclusion criteria were mothers of toddlers aged 12–59 months, residing in the community health center working area, and willing to participate. Exclusion criteria included toddlers with congenital or chronic diseases, mothers not serving as primary caregivers, and uncooperative respondents. Data were collected using questionnaires and processed with SPSS software. Univariate and bivariate analyses employed the chi-square test, while multivariate analysis used multiple logistic regression.   Results:  Exclusive breastfeeding (p = 0.00) and maternal attitude (p=0.01) were significantly related to diarrhea incidence. Exclusive breastfeeding was identified as the main determinant, with p = 0.00 and an Exp(B) value of 4.32. Conclusion:  Exclusive breastfeeding is the key determinant of diarrhea incidence among toddlers aged 12–59 months in Jayapura City.