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Pendidikan Manajemen Perawatan Diri Diabetes dalam Meningkatkan Aktivitas Perawatan Diri Pasien Diabetes: Studi Kuasi-Eksperimental Noor Diani; Elly Nurachmah; Debie Dahlia; Evi Martha; M. Fakhruddin Noor; Rizka Hayyu Nafi’ah
An Idea Health Journal Vol 6 No 03 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i03.738

Abstract

Background: Diabetes mellitus is a chronic condition requiring continuous self-management. Appropriate self-care practices are essential for glycemic control and prevention of complications; however, local evidence on educational interventions remains limited. This study aimed to determine the effect of diabetes self-care management education on self-care activities among patients with type 2 diabetes mellitus. Methods: A quasi-experimental, one-group pretest–posttest design was used. Forty patients with type 2 diabetes mellitus who met the inclusion criteria were recruited. Self-care activities were assessed using the Summary of Diabetes Self-Care Activities (SDSCA) before and after the educational intervention. Result: The mean SDSCA score increased from 4.89 to 6.12 after the intervention, showing a statistically significant improvement (p < 0.001). Conclusion: Diabetes self-care management education improved self-care activities among patients with type 2 diabetes mellitus. Clinically, this intervention may support routine diabetes care by strengthening patient engagement in daily disease management. Nevertheless, the one-group design limits causal interpretation because no control group was used. Future studies with controlled design and larger samples are recommended.
ASSOCIATION BETWEEN SOCIAL DETERMINANTS OF HEALTH AND TOBACCO USE IN INDONESIAN ADOLESCENTS Shinta Restyana Widya; Dien Anshari; Evi Martha; Natalia Desiani; Yuni Syahfitri
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.72-88

Abstract

Background: Tobacco use among adolescents remains a critical public health issue in Indonesia, contributing to long-term health risks and shaped by complex social factors. Understanding these influences is essential for effective prevention strategies. Aims: This study aims to identify the Social Determinants of Health (SDOH) associated with tobacco use among Indonesian adolescents aged 10–19 years, to support evidence-based interventions and policymaking. Methods: A quantitative cross-sectional study was conducted using secondary data from the 2023 Survei Kesehatan Indonesia (SKI), involving 126.543 adolescent respondents. Data analysis included univariable, bivariable (chi-square test), and multivariable (multiple logistic regression) approaches to explore associations between SDOH variables and tobacco use. Results: Ten SDOH variables showed significant associations with tobacco use: male gender, older age, higher education, employment, marital status, lack of health insurance, low socioeconomic status, receipt of social assistance, daily exposure to secondhand smoke, and proximity of healthcare facilities to district/city levels. In contrast, ownership of the KKS and residential area type (urban or rural) were not significantly associated.. Conclusion: SDOH significantly influence tobacco use among adolescents in Indonesia. These findings highlight the urgent need for integrated, community-based policies and interventions addressing social disparities to reduce youth tobacco consumption.
Upaya Peningkatan Pengetahuan dan Sikap Siswa SMP dalam Pencegahan Penggunaan NAPZA Heryanto Sumbung; Evi Martha
Jurnal Promosi Kesehatan Indonesia Volume 15, No. 2 Agustus 2020
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.31 KB) | DOI: 10.14710/jpki.15.2.42-50

Abstract

Background: Ransiki is a district in South Manokwari Regency which was a new division in West Papua Province. Junior high school students in Ransiki are at risk of drug use. An effort should be made to improve the knowledge and attitude of junior high school students as a form of prevention of drug use. This study aimed to improve knowledge and attitude for the prevention of drug use in junior high school students in Ransiki using the training module "Pengenalan Bahaya NAPZA bagi Kesehatan".Method: This was a Pre Experimental study using the one group pre-test and post-test design. The study samples were 60 students. Samples were determined by purposive sampling. The intervention was conducted by providing module training for five meetings. The pre-test and post-test of students were analyzed using the Dependent T-test.Results: The results showed there was a significant relationship between the mean score of students’ knowledge before the intervention (39.44) and after the intervention (77.77) (p-value = 0.0001). There was a significant relationship between the mean score of students’ attitudes before the intervention (73.40) and after the intervention (82.40) (p-value = 0.0001). The training module "Pengenalan Bahaya NAPZA bagi Kesehatan" can be used to improve students' knowledge and attitude to prevent drug use in junior high school students of South Manokwari Regency
Potret Self-system Remaja dengan Perilaku Tindakan Seksual Berisiko di Provinsi Jambi Kartika Setyaningsih Sunardi; Evi Martha; Essi Guspaneza
Jurnal Promosi Kesehatan Indonesia Volume 15, No. 2 Agustus 2020
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.15.2.59-64

Abstract

Background: Indonesia's largest population group is adolescents. Adolescents have a critical period in the human life cycle and put adolescents vulnerable to the influence of sexual risky behavior. The purpose of this study was to describe the self-portrait system that causes the sexual risky behavior of adolescents in Jambi Province.Method: This was quantitative research using a cross-sectional design. As much as 661 unmarried male and female adolescents (15-24 years) in Jambi Province involved as the sample of the 2017 IDHS. Data were analyzed using univariate, bivariate, and multivariate analysis.Results: The result showed 68.1% of adolescents performed sexual risky behavior in Jambi Province. The Self-System Factors associated with sexual risky behavior of adolescents were age, knowledge, attitude, and alcohol consumption. The probability of adolescents in the age group of 20-24 years, who have low knowledge, negative attitudes, and consumed alcohol will perform sexual risky behavior of 95.78%. The result of the multivariate analysis found that the most influential variable with sexual risky behavior in adolescents was the attitude. It is suggested to the Department of Health and BKKBN to increase sexual knowledge about reproductive health and sexuality to adolescents.
Faktor-Faktor Keberhasilan Implementasi Kurikulum Pendidikan Seksual Pada Remaja di Sekolah : Literature Review Afifah Shafa Ulya; Evi Martha
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.62043

Abstract

Implementation of Comprehensive Sexuality Education (CSE) in schools is an essential strategy to improve adolescent reproductive health and prevent risk behaviors such as adolescent pregnancy and sexually transmitted infections. The effectiveness of this curriculum is strongly influenced by supporting and inhibiting factors at both systemic and practical levels. This literature review aims to identify the determinants of successful implementation of sexual education curricula for adolescents in schools. A literature review method was applied to 13 journal articles from various countries (Indonesia, Zambia, Nepal, the Philippines, Malaysia, and the United States) obtained from four digital databases (Researchgate, Google Scholar, PubMed, and ScienceDirect) using keywords related to sexuality education, curriculum implementation, and determinants. The analysis identified five main determinants of successful implementation: political support and local authority legitimacy, school principal leadership, teacher competence and values clarification, school-parent partnership, and participatory pedagogical methods involving youth voice. The main barriers found were cultural taboos, limited resources, and weak monitoring and evaluation mechanisms. The study concludes that successful CSE implementation requires cross-sector synergy among policymakers, schools, teachers, and families.
Faktor Internal dan Eksternal yang Berhubungan dengan Kualitas Hidup Pasien Diabetes Novia Indriani Sudharma; Tri Yunis Miko Wahyono; Evi Martha; Harsheena Gobind
Prosiding Seminar Nasional Kesehatan Masyarakat Universitas Muhammadiyah Surakarta 2026: Prosiding Seminar Nasional Kesehatan Masyarakat Universitas Muhammadiyah Surakarta
Publisher : Universitas Muhammadiyah Surakarta

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

Abstract

Pendahuluan: Diabetes merupakan penyakit yang berlangsung lama dan mempunyai kecenderungan untuk timbulnya komplikasi, yang akan berdampak pada kualitas hidup pasien diabetes. Beberapa hal yang mempengaruhi kualitas hidup pasien diabetes baik faktor dari internal pasien sendiri seperti karakteristik pasien diabetes, karakteristik penyakit diabetes yang diderita, faktor personal, faktor psikologis, faktor metabolik, maupun faktor dari luar (eksternal) pasien. Penelitian ini bertujuan untuk menganalisis faktor internal dan eksternal yang berhubungan dengan kualitas hidup pasien diabetes yang berkunjung ke Puskesmas di Jakarta Selatan. Metode: Mixed-method penelitian kuantitatif dan kualitatif dengan desain sekuensial eksplanatori. Penelitian kuantitatif melalui cross sectional dilakukan pada pasien diabetes yang datang berobat ke Puskesmas secara consecutive non random sampling, untuk menganalisis faktor internal dan eksternal yang berhubungan dengan kualitas hidup pasien diabetes dan dianalisis dengan regresi logistik berganda, sedangkan penelitian kualitatif dilakukan pada 9 informan pasien yang memiliki kualitas hidup kurang dan 5 informan pasien dengan kualitas hidup baik, untuk menjelaskan mengenai perawatan mandiri (self-care) yang dilakukan pasien, dengan analisis tema. Hasil. Faktor yang berhubungan dengan kualitas hidup pasien diabetes adalah diabetes distress domain kesulitan dengan dokter (aOR 4.79 95% CI 1.44-15.96); diabetes distress domain beban emosional (aOR 3.99 95% CI 1.47-10.81); Self-care latihan fisik/olah raga (aOR 1.99 95% CI 1.11-3.61); serta self-care domain perawatan kaki (aOR 0.39 95% CI 0.21-0.74). Hasil: kualitatif didapatkan adanya kesulitan melakukan pengelolaan diabetes mandiri pada pasien-pasien dengan kualitas hidup yang kurang, dengan tema-tema yaitu kurangnya pengetahuan/persepsi, kesibukan, emosional, dan kurangnya edukasi. Sementara itu, pasien dengan kualitas hidup yang baik, dapat melakukan perawatan mandiri karena faktor pengalaman, pengetahuan, keluarga, dan adanya motivasi emosional. Simpulan. Diabetes distress dan perilaku perawatan mandiri berhubungan dengan kualitas hidup pasien diabetes, setelah dikontrol variabel lainnya. Kesulitan melakukan perawatan mandiri berkaitan dengan kurangnya pengetahuan/persepsi, kesibukan, emosional, dan kurangnya edukasi.
Needs Assessment of Sexual Harassment Protection Education Model for Children with Intellectual Disabilities Cherly Marlina; Evi Martha; Rita Damayanti; Besral
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.11482

Abstract

Introduction: Children with intellectual disabilities face a high risk of sexual harassment, yet self-protection interventions for this population remain limited and tend to be reactive. National policies and reproductive health modules are available, implementation gaps at the operational level persist; therefore, teachers require structured pedagogical support to effectively deliver self-protection materials. Methods: These qualitative needs assessment study was conducted in five special education schools for children with intellectual disabilities (SLB-C) in Bandung, Indonesia. Data were collected from 11 teachers and 5 principals through focus group discussion and in-depth interviews. This study explored experiences, current practices, systemic barriers, and the specific requirements for sexual harassment protection education. Data were transcribed verbatim and evaluated using thematic content analysis. Results: The findings were classified into three main themes. First, factors shaping educational needs highlighted that the urgency of education is often hindered by a lack of institutional support and parental denial regarding children's vulnerability. Second, current practices and implementation gaps revealed that current education remains situational and is impeded by students' limited working memory and unsupervised gadget exposure. Third, design requirements for education formulated design specifications emphasizing that educational methods must be collaborative and gradually repeated (spaced repetition). The required learning media must be simple, concrete, visual, interactive, and multisensory. Conclusion: Sexual harassment protection education for children with intellectual disabilities requires an integrated collaborative approach involving students, teachers, parents, and school institutions. The availability of multisensory media and structured modules is essential to accommodate children's cognitive limitations, simultaneously serving as a pedagogical instrument that enables teachers to deliver protection instruction in a directed and consistent manner that synergizes with the family environment.
Determinants of the Use of Traditional Contraceptive Methods in Indonesia (2017 IDHS Data Analysis) Henny Fatmawati; Evi Martha
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 3 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.2.334-349

Abstract

The 2017 IDHS shows that modern family planning tools/methods tend to decrease while traditional family planning methods increase. This study aimed to determine the factors associated with using conventional contraceptives in Indonesia. This study uses secondary data from the 2017 IDHS. The sample size is 11,542 women of childbearing age 15-49 years. The dependent variable in this study was the use of traditional contraceptives. In contrast, the independent variables consisted of age, education level, mother's occupation, economic status, area of residence, number of children, desire to have children, the decision to use contraception, knowledge of family planning tools/methods, knowledge of fertile periods, visits by field officers, sources of information from the mass media, and ownership of health insurance. The analysis results show that women of childbearing age who are <20 years old or >35 years old, have a higher education level, and live in urban areas tend to use traditional contraceptive methods. Furthermore, women of childbearing age with good knowledge about family planning methods and their fertile period also tend to use traditional contraceptive methods. In addition, the husband's decision to use contraception and not to accept visits by field workers also influences women of childbearing age to use traditional contraceptive methods. The sources of information from the mass media and the use of conventional contraceptives were not different. BKKBN, through Family Planning Field Officers (PLKB), needs to socialize the family planning program so that it can motivate people to switch to modern contraceptive methods, especially long-term contraceptive methods.
Analysis of food waste behavior among managers, employees, and consumers at Warung Tegal in 2025 Suci Maudy Aulia; Evi Martha; Zakianis Zakianis
Public Health and Preventive Medicine Archive Vol. 13 No. 2 (2025)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2025.v13.i2.p02

Abstract

Background and purpose: In Indonesia, food waste is an urgent problem, especially in the informal food sector, such as Warung Tegal or food stall, which has received insufficient attention in waste-reduction initiatives. Despite its high prevalence, research on food waste behavior in this sector remains limited, creating a gap in understanding of how managers, employees, and consumers influence waste generation. This study aims to explore behavior of managers, employees and consumers of Warung Tegal. Methods: This study uses a qualitative phenomenological design with thematic analysis, based on in-depth interviews and field observations with 12 informants, including managers, employees, consumers from three Warung Tegal outlets, as well as environmental activists (FoodCycle Indonesia), the South Jakarta Environment Agency, and A Garbage Collector. Results: The findings suggest that food waste may be influenced by a variety of behavioral factors. It was observed that one in three Warung Tegal had implemented waste sorting, though government support for food waste management was considered inadequate. In addition, awareness programs regarding food waste management have yet to be directed towards Warung Tegal business owners and waste management officers, who play a crucial role in this cycle. Conclusion: Behavioral analysis of the informants indicates that food waste is influenced by various factors, including community access to waste management facilities and support initiatives tailored to the Warung Tegal sector. These findings highlight that Warung Tegal business operators could benefit significantly from support from the government and environmental organizations to raise awareness about the risks of food waste and mitigate this critical issue.
Co-Authors Abdul Mahfuzh Zulfiqar Putra Hamid Abellya Zuleika Jusuf Achir Yani S. Hamid Ade Iva Murty Afifah Shafa Ulya AHDIAH IMROATUL MUFLIHAH Aisyah Putri Mayangsari Alifta, Fenindra Anggi Amelia, Tiara Amirah, Nada Anggraeni, Legina Anggy Febiarthy Anggy Febiarthy Anies Irawati Anies Irawati Anshari, Dien Apriany Apriza, Cici Ardi Findyartini, Ardi Arifah Alfiyyah Arsyina, Lia Artini, Ni Nyoman Astri Athena Anwar Ayu Amalia Rahmi Ayudhia Rachmawati Bambang Wispriyono Bashabih, Masyitoh Besral Besral . Besral Besral Charisma Destrikasari Cherly Marlina Cokro, Fonny Dadan Erwandi Dadan Erwandi Erwandi Dahlia, Debi Dahlia, Debie - Danang Wahansa Sugiarto Danang Wahansa Sugiarto Dedi Sandra Deslina, Deslina Destrikasari, Charisma Dewa Ayu Putu Mariana Kencanawati, Dewa Ayu Dewi Ayumaruti Dewi Safitri Dewi, Ni Kadek Puspita Dian Ayubi Diantha Soemantri Dina Evariyana Bangun Ditya Fahlevi Safitri Dortua Lince Sidabalok Dwi Meilani Dwiana Ocviyanti Edison, Aan Eka Habina Eka Putri, Vahlufi Elfiyani, Nur Khotimah Elly Nurachmah Embun Ferdina Enjaini Emi Marfuqoh Endang Laksminingsih Achadi Endang Laksminingsih Achadi Enie Novieastari Erik Ekowati Erwandi, Dadan Erwandi Essi Guspaneza Essi Guspaneza Essi Guspaneza Essi Guspaneza Essi Guspaneza Fajar Nugraha Fathimah Sulistyowati Sigit Febrie Wulandari Fenindra Anggi Alifta Fenny Etrawati Fitriana, Delta Francisca S Tanoerahardjo Fransiska Meyanti Friska, Erlin Gerda Angela Komalawati Guspaneza, Essi Gustanela, Oktrina Hadi Pratomo Hadi Pratomo Hadi Pratomo Hanny Handiyani Harsheena Gobind Hartaty, Diana Hasanah, Indah Jamiatun Hazrina Fadiah Insani Helen, Helen Henny Fatmawati Herlena Hayati Hermadi, Hermadi Herna Lestari Heryanto Heryanto Heryanto Sumbung Ice Yulia Wardani Indah Jamiatun Hasanah Indriyawati, Dwi Titus Intan Komalasari Isnawati Isnawati Izmi Arisa Putri Lubis Jhon Sugiharto Jusuf Kristianto Kartika Setyaningsih Sunardi Kartini Ruswandi Keumalasari Keumalasari Krisna Yetti KUSUMA, INDAH DARA Lestari, Herna Lisa Puspa Karmila Lubis, Sri Novita Luh Putu Ari Dewiyanti Luluk Rosida M. Fakhruddin Noor Marfuqoh, Emi Meilani, Dwi Miranda Adriani MIRONG, IGNASENSIA DUA Muh Nur Akhsin Ridho Muhamad David Setiadi Mustikasari Mustikasari Mustikawati, Intan Silviana Muthmainah Sartika Myranti Myranti Nadhira Silmi Alifa Nafi'ah, Rizka Hayyu Nafi’ah, Rizka Hayyu Nana Mulyana Natalia Desiani Ndapa, Conchita Emiliana Nenda Wulandari Ni Kadek Puspita Dewi Nina Herlina Nindy Audia Nadira Noor Diani Noor Diani Noor Mastura Mohd Mujar Noor, M. Fakhruddin Normala, Shinta Novia Indriani Sudharma Novy Helena Chatarina Daulima Nurdini, Lia Nurwijayanti Okfriani, Coraima Oktaria, Risma Paradillah, Indri Prihastuti, Retno Prima Sesari Saraswati Putra, I Gusti Ngurah Edi Raiya, Faradina Ramadhan, Farandi Agesti Rani Sauriasari, Rani Ratna Aryani Ratna Aryani Ratna Djuwita Ratna Djuwita Ratu Ayu Dewi Sartika Ratu Ayu Dewi Sartika Redi Yudha Irianto Resvi Siti Zulfa Ririn Citra Aprilianti Risma Oktaria Risnawati Valentina Rita Damayanti Rizka Hayyu Nafi’ah Rohman Daka Rohman Daka Rungreangkulkij, Somporn Rusman, Kharisma Nurul Fazrianti Sabarinah Prasetyo Safitri, Ditya Fahlevi Safitri, Intan Ayu Sandra, Dedi Santi Purna Sari Sari, Yona Wia Sartika Sejati, Irwiena Tahar Setyaningsih, Tyas Setyowati Setyowati Shinta Restyana Widya Siboro, Ria Tahoma Siregar, Riski Agussalim Sofyan, Lukman Perdana Somporn Rungreangkulkij Sopamena, Yoslien Stephanie, Natasha Griselda Suci Maudy Aulia Sudarto Ronoatmodjo Sudijanto Kamso Sudijanto Kamso Sugiarto, Danang Wahansa Susila, Lia Rahmawati Sutanto Pryo Hastono Syahbana, Lutfi Rinaldi Syahrizal Syarif Tahapary, Dicky L. Tenriana, Irene Tiara Amelia Tika Puspa Ryanthi Tika Puspa Ryanthi Tika Ramadanti Toar J.M. Lalisang Tri Auri Putri Ayuningtyas Tri Yunis Miko Wahyono Tria Astika Endah Permatasari Trini Sudiarti Urip Purwono Urip Purwono Veronica Crassnaya Angel Wahyu Sulistiadi Wicaturatmashudi, Sukma Widya, Shinta Restyana Woro Riyadina Yanti, Cici Apriza Yasyfa Mutiara Yati Afiyanti Yeremia Prawiro Mozart Runtu Yona Wia Sartika Sari Yuni Syahfitri Yuniar Mansye Soeli Yunita Arihandayani Yunita Wulandari Yurnila Yurnila Yurnila, Yurnila Zainita, Ulfi Hida Zakianis Zakianis Zulfa Kevaladandra Zulfa, Resvi Siti