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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Media Gizi Kesmas Berita Kedokteran Masyarakat
Siwidati, Anggit Wirama
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Environmental Science Health Professions Nursing Public Health Social Sciences

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Systematic Review: Efek Nanoplastik terhadap Metilasi DNA pada Manusia Siwidati, Anggit Wirama; Tualeka, Abdul Rohim
Media Gizi Kesmas Vol 12 No 2 (2023): MEDIA GIZI KESMAS (DECEMBER 2023)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v12i2.2023.1107-1116

Abstract

Background: Along with the times, plastic pollution is increasing and this is a problem throughout the world, especially in developing countries due to its very large amount, persistent nature and widespread use. Objectives: The purpose of this systematic review is to determine the effect of nanoplastics on deoxyribonucleic acid (DNA) methylation in humans Methods: The method used is PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses). Data search in the form of articles or journals is carried out using the keywords "nanoplastics" and "DNA methylation". The inclusion criteria used were human population, nanoplastic effect, type of nanoplastic, amount and time of exposure, and DNA methylation. The data source used comes from Google Scholar, with the publication year starting from 2017-2022, and the language used is English Discussion: total data based on searches using the keywords "nanoplastics" and "DNA Methylation" (n=94), focusing on the study and research articles and free full text with the year of publication being the last 5 years (n=29), then adjusting the inclusion criteria (n=13). Conclusions: According to the results of the systematic review, it was concluded that there is a relationship between nanoplastics and DNA methylation. However, these results have limitations so it is necessary to conduct research with subjects that focus on workers. In addition, this systematic review has not been able to explain the special effects on workers in the industrial field due to limited literature obtained.
Knowledge and waste management based on local wisdom on environmental health complaints Ardhianingrum, Galuh Saraesti; Deismawaranti, Asri; Siwidati, Anggit Wirama; Puarada, Sabil Agung Bestari; Mulyani, Dwi
BKM Public Health and Community Medicine Vol 41 No 06 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i06.18223

Abstract

Objective: This study explores environmental health issues related to waste management, focusing on the local wisdom that makes biopore holes to accommodate organic waste with Budaya Gawe Jugangan Sampah Organik as known as ”BYGJUSO”, to understand the relationship between knowledge and waste management based on local wisdom and public health complaints. Methods: The study used a cross-sectional approach. It was conducted in October 2024 in Sorogenen Village, RT 34, RW 09, Sorosutan, Umbulharjo, Yogyakarta City. The sample consisted of 30 family Empowerment and Welfare (PKK) members, selected through purposive sampling. The data were analyzed using univariate analysis, including cross-tabulation, and bivariate analysis with Fisher’s exact test. Results: The statistical analysis revealed a p-value of 0.037 for the association between the edge and environmental health complaints, indicating a significant relationship. In contrast, the p-value for the association between waste management and environmental health complaints was 0.491, indicating no statistically significant relationship. Conclusion: These results suggest that enhancing environmental knowledge may play a crucial role in addressing public health concerns, whereas waste management practices alone may not have a direct influence on health complaints.
Analysis of Facility and Safety Management Implementation for Hazardous Materials at Hospital X Hapsari, Maria Saraswati Kinasih; Kusuma, Raden Bonifacius Bayu Erlangga; Siwidati, Anggit Wirama
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.227-235

Abstract

Background: The management of hazardous and toxic materials is an essential component of Hospital Occupational Safety and Health standards. In addition, it is included in the Hospital Accreditation Standards, specifically in Facility and Safety Management Standard No. 5. However, in practice, some hospitals—including Hospital X—still do not meet these requirements. Objectives: This study aims to evaluate the implementation of facility and safety management standard elements related to hazardous and toxic materials at Hospital X in order to provide appropriate recommendations for improvement. Methods: This study employed a descriptive observational design. Data were collected through observations and interviews with relevant staff across 15 service units assessed against the facility and safety management standard elements for hazardous and toxic materials, as outlined in the Ministry of Health Regulation No. HK.01.07/MENKES/1596/2024. The study was conducted from June to August 2025 at Hospital X. Results: Service units that met the facility and safety management standard elements for hazardous and toxic materials (>80%) included radiology (87.50%), hemodialysis (95.65%), pharmacy (95.65%), laundry (95.65%), Occupational Safety and Health (OSH) & sanitation (95.65%), emergency department (91.30%), central surgical unit (91.20%), and Intensive Care Unit (ICU) (91.30%). Units that did not meet the standard elements (<80%) were nutrition (39.13%), laboratory (65.21%), inpatient care (60.86%), outpatient care (65.21%), forensic (60.86%), medical rehabilitation (34.78%), and IPSRS (34.78%). Conclusion: Only 8 out of 15 service units met the facility and safety management standard elements for hazardous and toxic materials. Therefore, improvement efforts should prioritize the provision of MSDS, proper material inventory recording, classification-based labeling, and chemical segregation according to their characteristics.
Analisis Hubungan antara Beban Kerja Mental dan Stres Kerja pada Perawat di Rumah Sakit X Hapsari, Maria Saraswati Kinasih; Kusuma, Raden Bonifacius Bayu Erlangga; Siwidati, Anggit Wirama
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.257-263

Abstract

Background: A mismatch between job requirements and individual abilities can lead to reduced performance due to work-related stress. Work stress affects many professions, but nurses at Hospital X experience it most frequently. A national Indonesian survey reported that 50.9% of nurses across the country experienced work stress in 2018. Previous studies have also examined how stress levels among nurses are associated with individual characteristics (such as age, gender, and length of service) and the mental workload they face. Objectives: This study examined which nurse characteristics, combined with their mental workload, influence their work-related stress levels. Methods: This study used a cross-sectional quantitative design to collect data from nurses at Hospital X in August 2025 through the distribution of the NASA-TLX and ENSS questionnaires. A total of 30 nurses participated through purposive sampling. Frequency distribution tables were used for univariate analysis, while chi-square and Fisher’s exact tests were performed for bivariate analysis. Results: The univariate analysis showed that 63.3% of participants were under 29 years old, 90.0% were female, and 53.3% had worked for less than four years. The results also indicated that 56.7% of participants experienced a high mental workload, while 60.0% reported low levels of work stress. Bivariate analysis using the chi-square test revealed a significant relationship between mental workload and work stress (p=0.035). However, no significant relationships were found between age and work stress (p=0.266), gender and work stress (p=0.548), or length of service and work stress (p=0.765). Conclusion: This study found that mental workload significantly affects work stress levels among nurses at Hospital X. However, age, gender, and length of service were not found to influence work stress among nurses in this setting.
Relationship between workplace conflict, job certainty, job opportunities, and job stress Siwidati, Anggit Wirama; Dwiyanti, Endang; Astutik, Ratna Hafitri; Ardhianingrum, Galuh Saraesti; Astrini, Nahdia Retno; Deismawaranti, Asri; Damayanti, Dwi; Hapsari, Maria Saraswati Kinasih
Berita Kedokteran Masyarakat Vol 41 No 12 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i12.21271

Abstract

Purpose: This study analyzes the influence of individual capacity and task demands on Job stress levels.Methods: This study uses an observational, cross-sectional design. All 33 workers who became the population were included as research samples. Data were collected through questionnaires and observations and analyzed using the gamma coefficient to measure the strength and direction of relationships among individual capacity, task demands, and job stress.Results: Most workers reported mild to moderate stress levels. Workplace conflict demonstrated a strong, positive relationship with job stress (γ = 0.622), indicating that higher workplace conflict is associated with greater job stress. Job certainty showed a moderate, negative relationship with job stress (γ = -0.543), indicating that lower job certainty is associated with higher job stress. Job opportunities had a powerful and negative relationship with job stress (γ = -0.907), indicating that limited employment opportunities significantly increase stress levels.Conclusion: Mental workload and job opportunities have the most substantial relationship with job stress, followed by education, tenure, physical workload, and work conflict. Therefore, interventions to address this issue by strengthening job security policies are needed to minimize stress and improve overall employee well-being.
Building a Salutogenic School Ecosystem: Stakeholder Engagement in Health Promotion throught School Health Program (UKS) Zuhrah, Hana Mufidatuz; Noviyanti, Tausyiah Rohmah; Siwidati, Anggit Wirama; Firdausya, Farah Amalia; Sulistyowati, Muji
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.94-105

Abstract

Background: Indonesia's School Health Program (UKS) is a key strategy for promoting student well-being. However, in Sukoharjo Regency, health service coverage for elementary students (52.0%) lags behind the Central Java provincial average (60.9%). Research highlights school and health center policy support as a critical driver for school health promotion. The involvement of health and education staff, teachers, parents, and community figures is a core element of the WHO's Health Promoting School (HPS) framework (SEARO, 2003), yet it is not formally integrated into the standard Indonesian UKS (TRIAS UKS) indicators. Objective This study aims to identify the application of this stakeholder involvement element in the implementation of UKS across all junior high schools in Sukoharjo District. Methods: This research employs an evaluative mixed-method design conducted in 10 junior high schools (JHS) in the Sukoharjo District and involves 25 informants. Results: All schools involved parents through school committees, although their engagement in UKS activities varied. Community participation included collaborations with health centers and the Youth Red Cross. Local businesses supported school health initiatives through menstrual hygiene programs and industrial visits, while community organizations facilitated the dissemination of local health information. Schools also partnered with fire departments for first-aid and disaster-preparedness activities, as well as with local clinics for health outreach and vendor mediation. Conclusion: Stakeholder involvement reflects the salutogenic principle of fostering resources that enable schools to build a health-supportive ecosystem. Strengthening and institutionalizing this multi-stakeholder collaboration within UKS implementation is essential for enhancing student resilience, improving health literacy, and ensuring the sustainability of school-based health promotion.
Co-Authors Abdul Rohim Tualeka Ardhianingrum, Galuh Saraesti Astrini, Nahdia Retno Astutik, Ratna Hafitri Damayanti, Dwi Deismawaranti, Asri Dwi Mulyani Endang Dwiyanti Firdausya, Farah Amalia Hapsari, Maria Saraswati Kinasih Kusuma, Raden Bonifacius Bayu Erlangga Muji sulistyowati Noviyanti, Tausyiah Rohmah Puarada, Sabil Agung Bestari Zuhrah, Hana Mufidatuz