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THE IMPACT OF KNOWLEDGE, ATTITUDE AND PRACTICE OF EATING BEHAVIOR ON STUNTING AND UNDERNUTRITION IN CHILDREN IN THE AGRICULTURAL AREA OF JEMBER DISTRICT, INDONESIA Ancah Caesarina Novi Marchianti; Dwita Aryadina Rachmawati; Ida Srisurani Wiji Astuti; Angga Mardro Raharjo; Rony Prasetyo
Jurnal Berkala Epidemiologi Vol. 10 No. 2 (2022): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V10I22022.140-150

Abstract

Background: Indonesia as an agricultural country is still having nutritional problems (stunting and undernutrition) caused by mothers’ lack of knowledge, attitude and practice of eating behavior. Purpose: This research aims to investigate the impact of knowledge, attitude, and practice of eating behavior of mothers of children under five on stunting and undernutrition prevalence in the agricultural communities in Jember. Methods: This cross-sectional research used questionnaires as a method to collect data from respondents i.e. mothers who have toddlers about the knowledge, attitudes and practice of eating behavior. The research was conducted in 2018-2019 in Jember. A total of 414 respondents who met the inclusion criteria (those resided in the study area and were willing to participate in this study) were chosen through random sampling. The data were then analyzed by using Spearman rho’s test to search the effect of the knowledge and attitudes of the mothers of under fives toward stunting and undernutrition. While eating behavior was described based on the results of interviews with respondents on 2x24 hours of food recall and food frequency questionnaires.  Results: This study showed that knowledge and attitudes of mothers regarding eating behavior were related to the occurrence of stunting (p = 0.01; p = 0.04) and malnutrition (p = 0.04), except for the attitude variable towards malnutrition (p = 0.81). Data analysis results regarding eating behavior showed that there was still a lack of fulfillment of certain nutrients, both macronutrients (fiber) and micronutrients (Vitamin B1, Vitamin C, Vitamin E, Potassium, Sodium, Calcium and Folic Acid.) to the RDA reference which was recorded as severe deficiency in 60-97% of children under five. Conclusion: Adequate knowledge and attitudes of mothers of diet can be a factor that prevents nutritional problems (stunting and malnutrition). The consumption pattern assessed showed that there was still a lack of fulfillment of certain nutrients both macro (fiber) and micronutrients against RDA reference. Further research needs to be done to explore the right promotive and prevention approach based on the lack of nutrition found in each area.
The Effectiveness of Nutrition Counseling on The First Thousand Days of Life Group in Improving Knowledge and Attitude on Nutrition Awareness Ancah Caesarina Novi Marchianti; Elly Nurus Sakinah; Nurud Diniyah
Journal of Agromedicine and Medical Sciences Vol 3 No 3 (2017)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v3i3.5331

Abstract

Nutrition status in the first thousand days of life (FTDL) of 270 days during pregnancy and 730 days in the infant's first life is a critical period, since the resulting consequences are permanent and irreparable. There are still many problems in the group of FTDL around the campus of University of Jember which require intensive handling, such as stunting, low energy protein, anemia, underweight and etc. Methods of improving the quality of nutrition for the FTDL group can be done by increasing knowledge about nutrition through counseling by utilizing various media (posters, brochures, videos, demos and presentation slides). This study aims to determine how far is the effectiveness of nutrition counseling in improving knowledge and attitude awareness on nutrition problems. The method used was to give counselling on nutrition in the target groups (members of Posyandu Catleya A and B) and assessed changes by comparing the level of nutritional knowledge and attitude before and after receiving counseling. The results showed there were significant differences in the level of nutritional knowledge and attitude between before and after the counseling about nutrition and food processing technology. It can be concluded that this method is quite effective to raise awareness of FTDL group on nutrition problems. Keywords: food insecurity, nutrition counseling, nutrition awareness
Risk Factor Analysis of Recurrent Diarrhea on Toddlers in Sumberjambe Health Center Jember Regency Anita Margaret Wibisono; Ancah Caesarina Novi Marchianti; Dion Krismashogi Dharmawan
Journal of Agromedicine and Medical Sciences Vol 6 No 1 (2020)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v6i1.9657

Abstract

Recurrent diarrhea is diarrhea that occurs repeatedly within one to three months. Toddler is the highest group suffering of diarrhea. Diarrhea is the second leading cause of death on toddler. This research aims to analyze the effect of risk factors of recurrent diarrhea on toddler in Sumberjambe Health Center Jember Regency. This type of research is observational analytic with case control design. The sample is 50 cases and 50 controls. The sampling technique used consecutive sampling method. The research was conducted in December 2018 to January 2019 using a questionnaire. Data analysis using Chi Square test and Logistic Regression test. Chi Square analysis results are child’s age (p= 0.003), gender (p= 1,000), exclusive breastfeeding (p= 0.044), measles immunization (p= 0.387), nutritional status (p= 0.840), hand nail hygiene (p= 0.395), mother’s age (p= 0.435), mother’s education level (p= 0.263), mother’s knowledge (p= 0.494), hand washing habit (p= 0.684), and family income (p= 0.773). Logistic Regression analysis results are child’s age (p= 0.002) and exclusive breastfeeding (p= 0.499). The conclusions of this study are child’s age and exclusive breastfeeding have influence of recurrent diarrhea on toddler and child's age is the most influential risk factor of recurrent diarrhea on toddler. The suggestion of this research is that it needs to research other risk factors and mothers are required to give exclusive breastfeeding. Keywords: risk factors, recurrent diarrhea, toddler
The Effectivenes of Red Rice to Decrease Total Cholesterol in Type 2 DM Patients Wydi Ulfa Pradini; Ancah Caesarina Novi Marchianti; Rini Riyanti
Journal of Agromedicine and Medical Sciences Vol 3 No 1 (2017)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v3i1.4091

Abstract

Diabetes mellitus (DM) is a group of metabolic diseases with hyperglycemia characteristic that happens because anomaly of insulin secretion or insulin activity. Insulin deficiency in type 2 DM caused dislipidemia. Red rice are contain fiber, essential fatty acid and Gamma Amino Butiric Acid (GABA). This research intended to know the effectiveness of red rice to decrease total cholesterol levels of patient with type 2 DM. Clinical test with quasi experimental and research design non randomized control-group pretest-postest design was used for the research method. Total samples of this research are 36 samples. The treated group was given the red rice during 6 days on breakfast and dinner, while the control group did not have any intervention. The research showed that average cholesterol levels in the beginning and finale of treated group was 235,69 mg/dL and 198,56 mg/dL, while average cholesterol levels in the beginning and finale of control group was 235,72 mg/dL and 256,50 mg/dL. From this research, red rice has effective to decrease  total cholesterol levels of patients with type 2 DM.Keywords: Diabetes mellitus, Red Rice, Cholesterol total levels
Effects of Herbal Forte Rice as Replacement of Carbohydrate to Insulin Resistance in Patients with Type 2 Diabetes in Sumbersari Health Center Jember Dina Faizatur Rahmah; Ancah Caesarina Novi Marchianti; Rini Riyanti
Journal of Agromedicine and Medical Sciences Vol 3 No 2 (2017)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v3i2.5064

Abstract

The population of type 2 diabetes mellitus sufferer continuously increases due to the increase of insulin resistance characterised by the rise of the secretion insulin. Insulin resistance is affected by several factors such as the lack of physical activity, obesity, and unhealthy diet. One of the characteristics of the unhealthy diet is the high consumption of carbohydrates.Whereas Indonesian prefers to have carbohydrate sources from food which has high glycemic index such as rice so thatit makes the glucose in the blood increased rapidly. This condition causes more and faster insulin secretion and can affect insulin resistance. The purpose of this study is to know the effectiveness of herbal forte rice as a substitute of the main carbohydrate in the state of hyperinsulinemia suffered by 15 patients of type 2 diabetes mellitus in Puskesmas (community health center) Sumbersari Jember. This study is a clinical trial with a quasi experimental method and crossover design. In this study, the sample is interviewed by characteristics (age, gender) and the early consumption patterns using 24-hour food recall three times at different times. Samples acted as a control group once the experimental group. The control group did not receive any treatment, while the experimental group received the herbal forte rice as much as 100 grams for 7 consecutive days in the morning (at 06.30 am). After washing out period for 9 days, experimental group switched into control group. At the end of the period (7 days), data of fasting blood glucose and fasting insulin were collected then counted by HOMA-IR formula. The result of the study based on the paired t test p=0.001 in comparison to the state of the control and experimental group. The conclusion of this study is there is a changing state of insulin resistance with the replacement of food based on glycemic index.
Konsumsi Garam sebagai Faktor Determinan Grade Hipertensi pada Penderita Hipertensi Primer di Wilayah Pesisir FX. Ady Soesetijo; Krish Naufal Anugrah Robby; Ancah Caesarina Novi Marchianti
Multidisciplinary Journal Vol 1 No 1 (2018): Agustus 2018
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (509.867 KB) | DOI: 10.19184/multijournal.v1i1.8590

Abstract

Patients with essential hypertension in the coastal area is very vulnerable to having complications due to high consumption of salt habits. The purpose of this research was to know the effect consumption of salt on grade hypertension in essential hypertension patients in coastal area. This research was kuntitatif with observational analyzed method with cross sectional design. Sample of this research were 100 patient in kedungrejo public health center who taken by consecutive sampling. Partial Least Square (PLS) with smart PLS 3 Aplication software was used as to analyze data. Based on the test result there was positive influence of consumsion salt on grade hipertensi, T statistic was 75,234 (t statistic > t table significant 1.96) it meant Consumption of salt has positive effect on grade hypertension, high consumption of salt will be high grade hypertension. So it can be concluded that it is necessary to modify the behavior consumption of salt to reduce grade hypertension in essential hypertension patients of coastal community.Keywords: Consumption of salt, essential hypertension, grade hypertensi
Pengaruh Stress Kerja Terhadap Kejadian Kecelakaan Kerja di Industri Kayu Lapis Bagian Rotary Jember, Indonesia Fihris Maulidiah Suhma; Ancah Caesarina Novi; Isa Ma’rufi
Multidisciplinary Journal Vol 3 No 1 (2020): Juli 2020
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1021.354 KB) | DOI: 10.19184/multijournal.v3i1.23662

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The current industrial development is getting more advanced and developing every year. The business world, including the industry, is increasingly competitive and is making the best of efforts to optimally utilize all resources, including utilizing human resources. However, efforts to optimize and utilize resources have an impact on humans or workers, namely job stress. Work stress on workers that occurs when daily data in the work environment exceeds the worker's ability to cope with or control work stress so that it will improve mental and physical workers. The general objective of this research is to analyze the effect of stress on the incidence of work accidents in one of the plywood industries in the rotary section in Jember Regency. This research is a quantitative study using an analytic observational research design with a cross sectional method. The population includes all the plywood industry workers in PT. X, Jember district, rotary part of 339 workers, with a sample size of 76 people. The sampling technique used in this study was quota random sampling with a multivariate analysis process. Based on the results of the study, it was obtained from the P value that there was no significant effect between work stress and the incidence of work accidents that occurred in the rotary section at PT. X in Jember. This is possible because the workers’ stress level is still in the medium category, and they can still cope with the stress they experience. Keyword: industry, work place accident, unsafe action, workers. Keywords: industry, work place accident, unsafe action, workers
Studi Environmental Health Risk Assessment (EHRA) Faktor yang Mendorong Perilaku Penggunaan Jamban Di Kabupaten Bondowoso Tahun 2018 Wulandari Wulandari; Fx.Ady Soesetyo; Ancah Caesarina Novi M
Multidisciplinary Journal Vol 2 No 1 (2019): Juli 2019
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1227.71 KB) | DOI: 10.19184/multijournal.v2i1.20098

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In Indonesia the problem of sanitation is the problem of socio-cultural challenges. This also affected Bondowoso District which was in the first position of 38 Regencies or cities in East Java. So that the aim of the researcher is to describe and analyze the encouraging factors mainly focused on the role of health workers and the sanitation policy system. This study used a cross sectional design. The research location in Bondowoso Regency in November 2018. The population is 430 respondents spread across 7 sub districts. The result this study are the role of health workers with a significance value of 0,030 smaller than α. The sanitation policy system has significance value of 0,045 smaller than α. So, the conclution is the role of health workers and the sanitation policy system has to do with the behavior of using lavatory. Keyword: reinforcing factor, sanitation, role of health workers, the sanitation policy system.
Bangunan Fisik Rumah Sebagai Penyebab Kejadian Tuberkulosis Paru Wildanny Nur Maulinda; Sri Hernawati; Ancah Caesarina Novi Marchianti
Multidisciplinary Journal Vol 4 No 2 (2021): Desember 2021
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/multijournal.v4i2.30478

Abstract

Globally, the World Health Organization reported that there were 10.4 million cases of Pulmonary Tuberculosis in 2016. It is also estimated that many cases still have been undiagnosed or unreported. Meanwhile, 45% of pulmonary tuberculosis cases globally occur in Southeast Asia, including in Indonesia. After implementing strategies to reduce the prevalence of pulmonary TB, the reality showed that they had not succeeded significantly. It was due to the spread of pulmonary TB disease caused by several factors such as the house physical construction. Houses with unhealthy conditions can be a medium for transmitting respiratory disease. Therefore, this research objective was to analyze the effect of house physical construction on the pulmonary TB incidences in the work area of Primary Health Care of Tanggul, Jember Regency. The research design was a case-control using 57 respondents from the case group and 57 respondents from the control group as research samples. The data analysis used bivariate analysis with chi-square test. The results of the identification of respondents' characteristics on the components of the house (ceilings, walls, floors, windows, ventilation, kitchen smoke holes, and lighting), showed that most of them met the healthy housing standards based on healthful house parameters, both from control group and case group. Based on the results of bivariate data analysis with the chi-square test of 8 variables, one variables had significant effects on the pulmonary TB incidence is lighting.
Pengaruh Masa Kerja, Lama Paparan Terhadap Gejala Gangguan Fungsi Paru Pada pekerja garment UD. Surabaya Kabupaten Jember (Studi di UD. Surabaya Kabupaten Jember) Mayang Sari Eka Sriwahyuningsih; Ancah Caesarina Novi Marchianti; Hadi Prayitno
Multidisciplinary Journal Vol 3 No 1 (2020): Juli 2020
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1171.909 KB) | DOI: 10.19184/multijournal.v3i1.23681

Abstract

One of the vital organs in humans is the lungs. Disorders that occur in the lungs will make the body's metabolism unbalanced and can reduce the quality of the human body. Pulmonary function disorders do not only occur in developed countries but in developing countries such as Indonesia. Lung function disorders can be caused by occupations with high dust exposure such as the Garment Industry.The purpose of this study was to analyze the effect of work tenure, length of exposure to symptoms of lung function disorders in garment workers in UD Surabaya, Jember Regency. The data used are primary data obtained from questionnaires of 108 worker respondents. The analysis tool uses regression of weight techniques using AMOS software. The results of instrument testing conclude that all variables are valid and reliable as data collection tools. The results of data analysis indicate that: 1) tenure has a positive effect on symptoms of lung function disorders in garment workers. 2) the length of exposure has a positive effect on symptoms of lung function disorders in garment workers. 3) Most of UD garment workers. Surabaya, Jember Regency has or is experiencing symptoms of lung function disorders in the form of coughing and chest tightness / breathing. Keywords: Lung function disorders, working period, length of exposure.
Co-Authors ACHMAD JAELANI RUSDI Achmad Subagio Adistha Eka Noveyani Ady Soesetijo Aini Hidayati Al Munawir Ali Santosa Alshammari, Fanar Hamad Angga Mardro Raharjo Angga Mardro Raharjo, Angga Mardro Anita Margaret Wibisono Annisa Citra Herrastri Hertanto Arifah, Naila Zanuba Aristha Dwi Wirapraja Arsyzilma Hakiim Azizah, Ulfiatul Bambang Piluharto batistha, zidni imanial Candra Bumi Daniyah, Robiatud Deltaningtyas Tri Cahyaningrum Dewi Rokhmah Dianasari, Erni Dina Faizatur Rahmah Dion Krismashogi Dharmawan Dwike Rachma Maydaniar Dwita Aryadina Rachmawati Dwiyanti, Inayatus Nur Eling Nurdianti Elly Nurus Sakinah, Elly Nurus Endang Sri Purwanti Wulandari Erma Sulistyaningsih Erni Dianasari Fihris Maulidiah Suhma FX Ady Soesetijo, FX Ady Fx.Ady Soesetyo Gema Akbar Wakhidana Hadi Prayitno Hadi Prayitno, Hadi Hairrudin Hairrudin Hanesya, Arini Farihatul Harwiyandi Ningsih Heni Fatmawati Ida Srisurani Wiji Astuti Imam Adi Nugroho Insani, Ain Yuanita Irawan Fajar Kusuma Isa Marufi Isa Ma’rufi Iswahyono Iswahyono Khoiron Khoiron Khrisna Agung Cendekiawan Krish Naufal Anugrah Robby Kurnia Putra, Prayoga Triyadi Laksmi Indreswari Latifah Hanum Luh Putu Ratna Sundari M. Nur Khamid Marufi, Isa Mayang Sari Eka Sriwahyuningsih Mohammad Henri Wahyono Muhammad Hasan Naning Retnowati Nurmaida, Eny Nurud Diniyah Pipiet Wulandari Putri, Elvia Rahmi Marga R. Abdoel Djamali R. Sapto Hendri Boedi Soesatyo Rini Riyanti Riska Rian Fauziah Ristya Widi Endah Yani Robiatud Daniyah Roiful Fatah Rony Prasetyo Rudi Wibowo Rudi Wibowo Sabila, Selma Naf’an Safitri, Raghda Gita Saiful Bukhori Sebastiana Viphindrartin septa surya wahyudi, septa surya Sheilla Rachmania, Sheilla Sri Hernawati Sudarmanto, Yohanes Sugeng Winarso Tantut Susanto Viphindrartin, Sebastiana Wildanny Nur Maulinda Wildanny Nur Maulinda Wirapraja, Aristha Dwi Wulandari Wulandari Wuri Ayu Wirdhani Wydi Ulfa Pradini Y A Triana Ohoiwutun Yuhbaba, Zidni Nuris Yuli Hermansyah Yuli Hermansyah Yulistiana Yulistiana Yusi R, Leersia