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Hubungan penerapan Perilaku Hidup Bersih dan Sehat (PHBS) orang tua dengan kejadian stunting di Kelurahan Air Hitam Kota Samarinda Dhefiana, Tika; Suhelmi, Reni; Hansen, Hansen
Sanitasi: Jurnal Kesehatan Lingkungan Vol. 16 No. 1 (2023): Februari 2023
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/sanitasi.v16i1.1484

Stunting, a crucial issue in Indonesia, reported that the prevalence was still significantly higher at 23,4% in 2021. Regionally, 403 children were stunted in Samarinda city, while 87 stunting were reported in Juanda health center in 2021. One of the indirect causes of stunting is environmental factors such as water and sanitation (clean and healthy behavior) that influence the nutrient intake of children. This study aimed to analyze the relationship between mothers' knowledge, attitude, and behavior about clean and healthy behavior with stunting in children under five in the Air Hitam sub-district. This research was analytically descriptive with a cross-sectional approach. Samples were collected from 50 mothers who have children under five years old. This was conducted in May 2022 through a direct interview using a questionnaire and anthropometric measures. The results showed that 22% of respondents were stunted, and there was a relationship between the level of mothers' knowledge and behavior with stunted children ((p-value = 0,030 dan 0,017). It is recommended to give more care, attention, and implementation of clean and healthy behavior at the family level as the first step to preventing nutritional problems. Abstrak: Stunting merupakan masalah gizi nasional dengan pravelensi kejadian cukup tinggi setiap tahun yang tercatat 23,4% pada tahun 2021. Secara regional, terdapat 403 balita tercatat stunting di Kota Samarinda sedangkan 87 balita stunting dilaporkan pada Puskesmas Juanda tahun 2021. Salah satu penyebab tidak langsung stunting adalah faktor lingkungan melalui perilaku hidup bersih dan sehat yang secara signifikan memengaruhi pola asupan gizi anak. Tujuan penelitian ini adalah untuk mengetahui hubungan antara tingkat pengetahuan, sikap, dan perilaku ibu balita dalam implementasi PHBS dengan kejadian stunting pada balita berusia 24 hingga 59 bulan di Kelurahan Air Hitam Kota Samarinda. Populasi yang ditetapkan pada penelitian ini ialah ibu yang mempunyai balita berusia 24 hingga 59 bulan di Posyandu Srikaya dan Posyandu Al-Azhar. Sampel yang ditentukan dalam penelitian ini sebanyak 50 responden dengan metode penelitian analitik dengan pendekatan cross sectional. Pengumpulan data dilakukan pada bulan Mei 2022 melalui wawancara langsung responden menggunakan kuesioner dan pengukuran antropometri pada balita. Hasil penelitian menunjukkan bahwa sebesar 22% balita mengalami stunting, terdapat hubungan antara tingkat pengetahuan dan penerapan PHBS ibu dengan kejadian stunting (p-value = 0,030 dan 0,017). Diharapkan masyarakat dapat lebih peduli dan dapat menerapkan PHBS di lingkungan mereka sebagai langkah awal pencegahan stunting.

Analisis Risiko Kesehatan Lingkungan Bahaya Kandungan Logam Berat pada Produk Olahan Pterygoplichthys Pardalis Asal Sungai Ciliwung Jakarta bagi Kesehatan Manusia Andriani, Rima; Dhefiana, Tika; Surianto, Heri; Sediotono, Blego
Jurnal Sehat Mandiri Vol 20 No 2 (2025): Jurnal Sehat Mandiri, Volume 20, No.2 Desember 2025
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v20i2.2021

Environmental pollution by heavy metals, particularly lead (Pb), has become a major global concern due to its harmful impacts on human health and aquatic ecosystems. This study aimed to analyze the health risks associated with the consumption of processed products made from Pterygoplichthys pardalis (suckermouth catfish) caught in the Ciliwung River, Jakarta, which were found to contain Pb exceeding the permissible limits. An observational design with an Environmental Health Risk Assessment (EHRA) approach was applied. Processed food samples in the form of shredded fish (abon) were analyzed using the X-Ray Fluorescence (XRF) method to measure Pb concentration, followed by intake and Risk Quotient (RQ) calculations. The results revealed that Pb levels in shredded fish reached 1.3 mg/kg, significantly higher than the Indonesian National Standard (SNI) maximum limit of 0.03 mg/kg. The risk assessment showed RQ values of 17.4 for 5 years of exposure, 34.2 for 10 years, and 51.4 for 15 years, all exceeding the safe threshold (RQ > 1). These findings indicate a significant non-carcinogenic health risk, particularly affecting the nervous, renal, and cardiovascular systems if the product is consumed continuously. It can be concluded that processed P. pardalis products from the Ciliwung River are not safe for consumption due to the potential for lead toxicity in the long term. Therefore, strict monitoring of food raw materials from polluted waters, public education on heavy metal hazards

Potential Physical and Chemical Properties of Soil from Coal Mine Waste Exploration in Reducing Pathogenic Microbial Content Dhefiana, Tika; Sedionoto, Blego; Ningsih, Riyan
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Adsorbents are porous solids that can bind and absorb substances from liquids or gases, serving to remove contaminants. Adsorbents are classified into porous and non-porous types (Dewi & Sa’diyah, 2024). Clay minerals such as kaolinite, montmorillonite, and bentonite are highly potential as natural adsorbent media for reducing pathogenic microorganisms in domestic wastewater. Clay also acts as a mechanical filtration medium that traps bacteria, viruses, or protozoa as wastewater passes through, and the use of physical or chemical activation can reduce the content of pathogenic microbes by more than 90% (Sedionoto et al., 2022). Assessing cation exchange capacity and clay content is very important for research on the use of clay in liquid domestic waste treatment. The purpose of this study was to determine the cation exchange capacity parameters of coal mine exploration waste soil in adsorbing E. coli pathogenic microbes. This study is a laboratory experiment aimed at analyzing the physical and chemical quality of coal mine exploration waste soil in its ability to reduce E. coli pathogenic microbes. The study was conducted during September-October 2025. The research samples were coal mine exploration waste soils in the Samarinda City area of East Kalimantan, originating from depths of 1 meter and 2 meters below the soil surface. The results showed that coal mine exploration waste soil at a depth of 1 meter had a cation exchange capacity of 24.33 meq/100 g, while coal mine exploration waste soil at a depth of 2 meters had a cation exchange capacity of 31.79 meq/100 g. The clay parameter value obtained at a depth of 1 meter was 21%, while at a depth of 2 meters, the clay value was 13%. Based on the analysis results, the soil texture at a depth of 1 meter was classified as loam, while the soil texture at a depth of 2 meters was classified as silt. In general, coal mine exploration waste soil from a depth of 2 meters shows a higher CEC than that from a depth of 1 meter, even though the clay content is lower. Based on the analyzed physical parameters of the soil, the depth of 1 meter (loam) has a higher proportion of clay, while the depth of 2 meters (silt) has a lower proportion of clay. This data can be used as a basis for further experiments to examine the reduction capacity of E. coli pathogenic microbes, with the potential for differences in adsorption capacity between the two depths related to differences in CEC and soil texture.

Analisis Risiko Kesehatan Lingkungan Pajanan Timbal Pada Air Depo Sumber Air Minum Di Komunitas Dhefiana, Tika; Andriani, Rima; Surianto, Heri; Sedionoto, Blego
Jurnal Kesehatan Lingkungan Indonesia Vol 25, No 1 (2026): Februari 2026 (In process)
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.74806

Latar belakang : Senyawa Pb yang tertelan oleh manusia dalam konsentrasi yang tinggi dapat menyebabkan keracunan. Data Riset Kesehatan Dasar (Riskesadas) tentang proporsi sumber air minum rumah tangga menunjukkan bahwa air minum isi ulang merupakan sumber air minum yang paling banyak digunakan oleh masyarakat untuk dikonsumsi. Tujuan dari penelitian ini adalah untuk memprediksi kejadian akibat adanya kandungan logam berat timbal (Pb) pada air minum yang berasal dari depo air minum isi ulang di Kecamatan Tangen Kabupaten Sragen.Metode: Metode penelitian yang digunakan adalah penelitian observasional dengan teknik analisa risiko kesehatan lingkungan (ARKL). Analisa dilakukan dengan menentukan intake (I) masing-masing sampel, yang kemudian di hitung tingkat risiko bagi kesehatan (RQ). Selanjutnya disimulasikan dengan variasi lama pajanan.Hasil: Berdasarkan ketiga sampel yang diambil pada masing-masing lokasi, didapatkan hasil kandungan Pb yang melebihi ambang batas ketentuan yaitu kadar Pb sebanyak 0,35 mg/L pada lokasi pertama, kadar logam berat Pb 0,17 mg/L pada sampel air yang di ambil di lokasi kedua dan kadar Pb sebesar 0,05 mg/L pada lokasi ketiga. Hasil analisis didapatkan nilai RQ >1 adalah pada sampel air minum di lokasi pertama dan kedua dengan nilai RQ 2,57 dan 1,14. Kedua sampel yang berisiko tersebut disimulasikan dengan variasi lama pajanan dan didapatkan hasil RQ lokasi pertama adalah 1,1 dengan lama pajanan 15 tahun. Simpulan: Nilai RQ pada lokasi 1 dan lokasi 2 pada pajanan Pb yang terkandung dalam air minum isi ulang diperoleh nilaii RQ > 1 yang artinya bahwa pajanan lifetime beresiko menimbulkan efek kesehatan. Nilai pajanan real time yang beresiko terpajan logam berat Pb adalah selama 15 tahun di air minum yang diambil pada depo air minum dilokasi pertama. Disarankan adanya pemeriksaan kualitas air minum di depo air minum isi ulang di Desa tangen Kabupaten Sragen dilakukan secara rutin dan berkala. ABSTRACT Title: Environmental Health Risk Analysis Of Lead Exposure In Drinking Water In The CommunityBackground: Heavy metals are one of the known hazardous environmental issues that are difficult to deal with. Pb compounds ingested by humans in high concentrations can cause poisoning. Along with the increasingly busy society, the provision of drinking water needs in the community has also changed. People prefer to fulfill their drinking water needs with cheap, practical, and easy to obtain. Basic Health Research (Riskesdas) data on the proportion of household drinking water sources shows that refill drinking water is the source of drinking water most widely used by the community for consumption. This has led to the need to monitor the content of heavy metals in drinking water from refill drinking water depots. The purpose of this study was to predict the incidence of heavy metal lead (Pb) in drinking water from refill drinking water depots in Tangen Sub-district, Sragen Regency.Method: The research method used is observational research with environmental health risk analysis techniques (EHRA). The analysis was carried out by determining the intake (I) of each sample, which then calculated the level of risk to health (RQ). Furthermore, it is simulated with variations in exposure durationResult: Based on the three samples taken at each location, the results obtained Pb content that exceeds the threshold provisions are Pb levels of 0.35 mg/L in the first location, Pb heavy metal levels of 0.17 mg/L in water samples taken in the second location and Pb levels of 0.05 mg/L in the third location. The results of the analysis obtained the RQ value> 1 is in drinking water samples in the first and second locations with RQ values of 2.57 and 1.14. The two risky samples were simulated with variations in exposure duration and the first location RQ result was 1.1 with an exposure duration of 15 years. Conclusion: The RQ value at location 1 and location 2 on exposure to Pb contained in refill drinking water obtained RQ> 1, which means that lifetime exposure is at risk of causing health effects. The real time exposure value at risk of exposure to heavy metal Pb is for 15 years in drinking water taken at the drinking water depot in the first location. It is recommended that drinking water quality checks at refill drinking water depots in Tangen Village, Sragen Regency be carried out routinely and periodically. (1 spasi, 10 pt)

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