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Hypertension knowledge, preventive behaviors, and primary care integration among patients at Medan Johor Community Health Center Aqila Amelia Afni; Pahala Maringan Jubel Simangunsong; Hartono Hartono
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September (in press)
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8459

Abstract

Background: Hypertension is a non-communicable disease that can lead to serious complications if not managed properly. Patients' knowledge level is hypothesized to influence their preventive behaviors, particularly within the context of Primary Care Integration (Integrasi Layanan Primer, ILP) implemented at community health centers. This study aimed to determine the relationship between knowledge level and preventive behaviors for hypertension complications among patients in the ILP program at Medan Johor Community Health Center.  Method: A quantitative survey design was used. Data were collected in April–May 2026 using printed questionnaires. The population comprised 7,648 hypertension patients, with a sample of 99 respondents determined using the Slovin formula and purposive sampling. Univariate and bivariate analyses (Chi-square test) were performed. Results: Most respondents were aged 55–64 years (53.5%), female (69.7%), had senior high school education (59.6%), and were housewives (62.6%). The majority had good knowledge (72.7%) and good preventive behaviors (90.9%). The Chi-square test showed a p-value of 0.669 (p > 0.05), indicating no significant relationship between knowledge level and preventive behaviors for hypertension complications in this population. Conclusion: Although most hypertensive patients had good knowledge and good preventive behaviors, knowledge was not significantly associated with preventive behavior in the context of ILP implementation. Other factors such as family support, motivation, and healthcare access may play more influential roles.
Dietary patterns and hypertension among daily laborers at Belawan Community Health Center Eliza Juliana Hutabarat; Johannes Bastira Ginting; Pahala Maringan Jubel Simangunsong
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September (in press)
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8470

Abstract

Background: Occupational health problems in the informal sector, particularly among daily laborers in coastal areas such as the working area of Belawan Community Health Center, require special attention. Heavy physical activity, environmental exposure, and individual characteristics are strongly suspected to be associated with fluctuations in blood pressure (systolic and diastolic) that may increase hypertension risk. This study aimed to determine the relationship between dietary patterns and hypertension among daily laborers in the working area of Belawan Community Health Center. Method: This quantitative study used a correlational analysis with a cross-sectional design. A sample of 92 daily laborers was selected using purposive sampling. Data were collected through interviews using a questionnaire and direct blood pressure measurement using a sphygmomanometer. Data were analyzed using the Chi-square test (α = 0.05) with SPSS. Results: Univariate analysis showed that most respondents had poor dietary patterns (64.1%) and were classified as having hypertension (44.6%) or prehypertension (28.3%). The Chi-square test yielded a p-value of less than 0.001, indicating a significant relationship between dietary pattern and hypertension among daily laborers in this population. Respondents with poor dietary patterns predominantly had elevated blood pressure, while those with good dietary patterns were more likely to have normal blood pressure. Conclusion: There is a significant relationship between dietary pattern and hypertension among daily laborers at Belawan Community Health Center. Regular health screening programs for informal sector workers in this area are recommended.
Determinants of Workplace Accidents among Oil Palm Plantation Workers at PTPN IV Gunung Bayu, Simalungun, Indonesia Simangunsong, Pahala Maringan J; Ginting, Rapael; Dameria, Dameria; Nababan, Santosa; Hutasoit, Mey Lani; Naftalia, Risa
AgriHealth: Journal of Agri-food, Nutrition and Public Health Vol 7, No 1 (2026): April
Publisher : Research and Development Center for Food, Nutrition and Public Health (P4GKM) LPPM UNS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/agrihealth.v7i1.109767

Abstract

The palm oil industry in Indonesia operates under high occupational risk conditions, making occupational safety and health (OSH) a critical factor for ensuring both sustainability and productivity. This study aimed to identify factors significantly associated with workplace accidents among palm oil processing workers at PTPN IV Gunung Bayu, Simalungun. A descriptive, quantitative, cross-sectional design was employed, involving all 75 employees. Data were collected using questionnaires that assessed occupational accidents along with 6 independent variables: physical work environment, social work environment, use of personal protective equipment (PPE), machinery safety, work behavior, and participation in OSH training. These data were complemented by company accident reports from 2021 to 2024. Although workers reported generally positive perceptions of safety factors, 66.7% had experienced workplace accidents. Statistical analyses revealed significant associations between accidents and the physical work environment, PPE use, machinery safety, work behavior, and OSH training. Multivariate analysis identified the lack of OSH training as the most influential factor, increasing the risk of accidents by 5.1 times. These findings suggest that OSH training, specifically focusing on hazard awareness and safe work practices, is crucial for reducing workplace accidents. Key implementation challenges include engaging a diverse and experienced workforce. The study concludes that structured and periodic OSH training is vital for fostering a proactive safety culture and improving operational efficiency in the palm oil industry.
Factors influencing infant basic immunization uptake at Bestari Community Health Center, Medan Pahala Maringan Jubel Simangunsong; Herbert Wau; Lincewan Lestari Gulo; Riky Suherman Simanjuntak; Claudia Tanamal; Andri Hidayat; Muhammad Rizal Rezaldi; Jeff Loren; Rizki Arviandi
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 1 (2026): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

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

Abstract

Background: Immunization is one of the most effective public health interventions for preventing infectious diseases and reducing mortality rates. However, complete basic immunization coverage in Indonesia, particularly in North Sumatra, remains suboptimal. This study aimed to analyze the relationship between maternal characteristics (age, education, employment, knowledge, and attitudes) and the provision of complete basic immunization for infants at the Bestari Community Health Center in Medan. Methods: The research employed an analytical survey with a cross-sectional approach involving 60 mothers visiting integrated health posts in November 2022. Data were collected via questionnaires and analyzed using the chi-square test. Results: Results indicated significant associations between maternal age (p = 0.002), education level (p = 0.003), employment status (p = 0.000), knowledge (p = 0.000), and attitudes (p = 0.000) with infant immunization completeness. Conclusion: The study concludes that sociodemographic factors and maternal understanding play crucial roles in immunization coverage.