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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Fazidah Aguslina Siregar
Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara
Health Professions Public Health

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Path Analysis on the Effect of Stress, Sleep Quality, and Hypertension on Type 2 Diabetes Mellitus Incidence in the 30–60 years Age Group in Medan City Riri Oktavani Banjarnahor; Fazidah Aguslina Siregar; Asfriyati Asfriyati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.17688

Abstract

Non-communicable diseases are still the leading cause of death worldwide, affecting not only the elderly but also the productive age group. Type 2 diabetes mellitus (DM) is one of the non-communicable diseases whose prevalence continues to rise, including in Indonesia. North Sumatra Province also experienced an increase in DM prevalence, with the highest number of cases in Medan City. The development of type 2 DM is a complex process and is associated with several risk factors, one of which is psychological stress. This study aims to analyze the effect of stress on the incidence of type 2 DM in the 30-60 years age group in Medan City directly and indirectly through sleep quality and hypertension. The research method used a case control design with a sample size of 68 cases and controls each. Data analysis was carried out univariately and multivariately using a path analysis model. The results showed that there is a direct effect between stress (b=0.892; 95% CI=0.149-1.636; p=0.019) on the incidence of type 2 DM in the 30 -60 years age group in Medan City. Stress increases the risk of type 2 DM indirectly through poor sleep quality (b=0.886; 95% CI=0.188-1.583; p=0.013) and hypertension (b=0.859; 95% CI=0.117-1.602; p= 0.023). In addition, sleep quality (b=0.820; 95% CI=0.076-1.565; p=0.031) and hypertension (b=1.046; 95% CI=0.249-1.841; p=0.010) also have a direct effect on type 2 DM. Avoiding and managing stress, getting enough and regular sleep, and controlling blood pressure can help prevent type 2 DM.Keyword: Hypertension, Sleep Quality, Stress, Type 2 Diabetes Mellitus
The Effect of Individual Characteristics, Physical Activity, and Consumption of Sweetened Foods and Drinks on the Incidence of Type 2 Diabetes Mellitus in Adults Aged 30–60 Years in Medan Icmi Ikhtiari Nanjar; Fazidah Aguslina Siregar; Sri Rahayu Sanusi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.18192

Abstract

The Sustainable Development Goals (SDGs) aim to reduce morbidity and mortality from non-communicable diseases, including diabetes mellitus, by 2030. Around 8.5 percent of adults worldwide are living with of type 2 diabetes mellitus, and up to 1.5 million people die from it. The prevalence of diabetes mellitus in Indonesia was 2 percent in 2018, and in North Sumatera was 249.519 cases with the highest number of cases in Medan City. This increase in diabetes mellitus prevalence is associated with several risk factors. This study aims to analyze the effect of individual characteristics, physical activity, and consumption of sweetened foods and drinks on the incidence of type 2 diabetes mellitus in 30–60 years age group in Medan. This type of research was observational analytic used a case control design. This study was conducted in 6 community health centers with the highest number of diabetes cases divided into 3 sub-districts with the highest number of type 2 diabetes mellitus cases. This study was conducted from February to October 2023. The sampling technique uses purposive sampling. The population in this study were people 30-60 years age group in Medan with sample size of 66 cases and 66 controls. Logistic regression was used for data analysis. The results showed that there was an effect between age (p=0.002), physical activity (p=0.034), consumption of sweetened foods and drinks (p=<0.001), and family history (p=<0.001) on the incidence of type 2 diabetes mellitus. The community is expected to do regular physical activity of at least 150 minutes per week, limit sugar intake every day, and conduct regular health checks if they know the family health history that contributes to the development of type 2 diabetes mellitus.Keywords: Diabetes, Drinks, Foods , Physical Activity, Sweetened
Co-Authors Icmi Ikhtiari Nanjar Riri Oktavani Banjarnahor Sri Rahayu Sanusi