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Factors Associated with Pregnant Women's Compliance with Fit-to-Fly Recommendations at El Tari Airport in 2024 Misnadin, Indri Wahyuningsih; Syamruth, Yendris Krisno; Manurung, Imelda Februati Ester; Weraman, Pius; Nayoan, Christina Rony
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.10

Abstract

Background: Fit-to-fly recommendations for pregnant women are regulated in Indonesia’s civil aviation guidelines. Noncompliance may pose health risks for both mother and fetus during air travel. This study aimed to identify factors associated with pregnant women’s compliance with fit-to-fly recommendations at El Tari Airport in 2024.Subjects and Method: A cross-sectional study was conducted from January to March 2024 at El Tari Airport, Kupang. A total of 130 pregnant passengers who applied for fit-to-fly letters at the BKK Class I Airport Health Post were selected using simple random sampling. The dependent variable was compliance with fit-to-fly recommendations. Independent variables included maternal age, gestational age, parity, education level, travel reasons, document completeness, exposure to information, family support, and maternal knowledge. Data were collected using a structured questionnaire and analyzed using univariate, bivariate, and multivariate methods with multiple logistic regression.Results: Gestational age (OR=6.79; 95%CI: 2.06–22.41; p=0.002), parity (OR=8.00; 95%CI: 2.61–22.54; p<0.001), education level (OR=5.49; 95%CI: 1.47–20.41; p=0.011), and maternal knowledge (OR=6.75; 95%CI: 2.13–21.34; p=0.001) were significantly associated with compliance. Other factors such as exposure to information, maternal age, document completeness, travel reasons, and family support showed no statistically significant association..Conclusion: Gestational age, parity, education level, and maternal knowledge were significant determinants of compliance with fit-to-fly recommendations among pregnant women. These findings highlight the importance of targeted health education and screening prior to air travel during pregnancy.
Analisis Determinan Kepatuhan Berobat Penderita Hipertensi di Wilayah Kerja UPTD Puskesmas Sikumana Kota Kupang Weky, Norman Delvano; Manurung, Imelda F.E; Handoyo, Nicholas E.; Roga, Anderias Umbu; Syamruth, Yendris Krisno
MAHESA : Malahayati Health Student Journal Vol 4, No 11 (2024): Volume 4 Nomor 11 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i11.16062

Abstract

ABSTRACT Hypertension is a non-communicable disease that requires serious attention because of its high prevalence. The results of the 2018 Riskesdas showed that hypertension patients reached 76,130 cases in NTT. Data from 2017 hypertension amounted to 1,582 cases in Kupang City. The purpose of this study was to analyze the determinants of adherence to treatment for hypertension patients and the determinants that have the most influence on adherence using a cross-sectional analytical approach, with purposive sampling technique. The number of samples was 95 people. Data analysis was univariate, bivariate using chi square test and multivariate using logistic regression test. The results of bivariate analysis showed that age was not associated with hypertension treatment compliance (p value = 0.773> 0.05). The level of education is not associated with hypertension treatment compliance (p value = 1.000 > 0.05). The level of knowledge is not associated with hypertension treatment compliance (p value = 0.091 > 0.05). Access to health services is not associated with adherence to treatment of patients with hypertension (p value=0.521>0.05). Family support was associated with hypertension treatment adherence (p value=0.000 <0.05; PR= 14.426). Family income level was not associated with medication adherence (p value=0.973>0.05). Side effects were not associated with adherence (p value=0.059>0.05). Duration of treatment was not associated with adherence (p value=0.564>0.05). Comorbidities were not associated with adherence (p value=0.550>0.05). Multivariate test showed the influence of family support (p value=0.000 <0.05; PR= 12.893) and knowledge level (p value= 0.002 <0.05; PR= 0.142) with treatment compliance. There is a need for consultation and socialization by health workers and doctors to hypertensive patients and families so that they can work together to support patients to adhere to taking medication.  Keywords: Hypertension NTT, Sikumana Health Center, Medication Adherence, Family Support, Knowledge ABSTRAK Hipertensi merupakan penyakit tidak menular yang memerlukan perhatian serius karena prevalensinya yang cukup tinggi. Hasil riskesdas 2018 menunjukkan penderita hipertensi mencapai 76.130 kasus di NTT. Data tahun 2017 hipertensi sebesar 1.582 kasus di Kota Kupang. Tujuan penelitian ini untuk menganalisa determinan kepatuhan berobat penderita hipertensi serta  determinan yang paling berpengaruh terhadap kepatuhan menggunakan pendekatan analitik cross sectional, dengan teknik sampling purposive sampling. Jumlah sampel 95 orang. Analisis data secara univariat, bivariat menggunakan uji chi square dan multivariat menggunakan uji regresi logistik. Hasil analisis bivariat menunjukkan umur tidak berhubungan dengan kepatuhan berobat penderita hipertensi (p value= 0,773> 0,05). Tingkat pendidikan tidak berhubungan dengan kepatuhan berobat penderita hipertensi (p value= 1,000 > 0,05). Tingkat pengetahuan tidak berhubungan dengan kepatuhan berobat penderita hipertensi (p value=0,091 >0,05). Akses pelayanan kesehatan tidak berhubungan dengan kepatuhan berobat penderita hipertensi (p value=0,521 >0,05). Dukungan keluarga  berhubungan dengan kepatuhan berobat pasien hipertensi (p value=0,000 <0,05; PR= 14,426). Tingkat pendapatan keluarga tidak berhubungan dengan kepatuhan berobat (p value=0,973 >0,05). Efek samping tidak berhubungan dengan kepatuhan berobat pasien hipertensi (p value=0,059 >0,05). Lama pengobatan tidak berhubungan dengan kepatuhan berobat pasien hipertensi (p value=0,564 >0,05). Komorbid tidak berhubungan dengan kepatuhan berobat pasien hipertensi (p value=0,550 >0,05). Uji multivariat menunjukkan adanya pengaruh dukungan keluarga (p value=0,000< 0,05; PR= 12,893) dan tingkat pengetahuan (p value= 0,002 <0,05; PR= 0,142) dengan kepatuhan berobat. Perlu adanya konsultasi dan sosialisasi oleh petugas kesehatan maupun dokter kepada pasien hipertensi dan keluarga agar bisa bekerjasama mendukung pasien untuk patuh minum obat. Kata Kunci: Hipertensi NTT, Puskesmas Sikumana, Kepatuhan Berobat, Dukungan Keluarga, Pengetahuan
MULTIVARIATE SPATIAL ANALYSIS OF ACTIVE FAMILY PLANNING USERS USING CHOROPLETH AND PIE CHART MAPPING IN KUPANG CITY Sulla, Marbella Katarina; Syamruth, Yendris Krisno; Landi, Soleman
Jurnal Biometrika dan Kependudukan Vol. 14 No. 2 (2025): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Family Planning (FP) is defined as an effort to regulate births, encompassing the establishment of ideal birth spacing and age, as well as the management of pregnancies. This is achieved by advancing, protecting, and developing reproductive rights to foster a high-quality family unit. Information on active family planning in Kupang City is still presented in tabular form. This information cannot yet be used to view detailed information on active family planning users by geography. The research employed a descriptive epidemiological approach using an ecological study design. The research sample was all individuals who utilized family planning services, totaling 22,703 people. Statistical data from 2022 indicates that the target for active FP users was not met, reaching only 39.7%. Among these users, the majority, 21,831 (96%), are female. The contraceptive method most commonly chosen is injections, which account for 12,360 (54%) of users. Those aged over 30 years constitute the largest age group, numbering 11,555 (50.9%). Additionally, the family planning policy shows that 12,327 individuals (54%) have fewer than two children.