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All Journal Althea Medical Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Berita Kedokteran Masyarakat Proceeding Muhammadiyah International Public Health and Medicine Conference
Surbakti, Indra Murty
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Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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PROGRESS IN HEALTH COVERAGE AMONG INDONESIAN OLDER PEOPLE TOWARD THE WORLD HEALTH ORGANIZATION’S DECADE OF HEALTHY AGING 2021-2030 Puspitasari, Mardiana Dwi; Rahardja, Mugia Bayu; Surbakti, Indra Murty
Muhammadiyah International Public Health and Medicine Proceeding Vol. 3 No. 1 (2023): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - T
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v3i1.364

Abstract

Introduction. Older people are associated with health decline and age-related disability. Person-centered integrated care is an action plan for the 'Decade of Healthy Aging 2021-2030' to ensure older people enjoy healthier lives. Purpose. To participate in the Decade movement, evidence of the progress in health coverage among Indonesians elderly from 2015 to 2022 should be presented. Methods. This study uses the 2015, 2020, and 2022 National Socio-Economic Survey (SUSENAS) datasets with a sample of 94,326, 121,961, and 122,344 elderly aged 60 and over, respectively. Univariate analysis is used to determine the percentage of elderly utilizing outpatient treatment between 2015 and 2022. Results. The proportion of elderly without health insurance fell from approximately 45.4 percent in 2015 to 26.4 percent in 2015, and 26 percent in 2022. However, the proportion of older people with health insurance and a health problem but not seeking outpatient treatment rose from around 35.8 percent in 2015 to 45.2 percent in 2020, and 48.2 percent in 2022. Self-medication has been the highest prevalent reason for not utilizing outpatient treatment over time. Self-medication increased from about 57.5 percent in 2015 to 62.1 percent in 2020 and 73.9 percent in 2022. Only about 2.8 percent of the elderly did not utilize outpatient treatment in 2022 due to the COVID-19 pandemic. Conclusion. As self-medication was the most common reason, community awareness and collaboration with health care providers should be encouraged to carry out person-centered integrated treatment.
Internet Usage and Its Utilization for Outpatient Treatment among Older Adults in Indonesia: Evidence from the 2020 National Socioeconomic Survey Rahardja, Mugia Bayu; Puspitasari, Mardiana Dwi; Surbakti, Indra Murty
Althea Medical Journal Vol 11, No 3 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n3.3404

Abstract

Background: Health insurance is essential for older adults to get healthcare services. Interestingly, only around half of older adults in Indonesia had used the health insurance for outpatient care. Recently, internet usage has increased and is considered a predisposing factor for seeking therapy. This study aimed to explore the internet use among older adults for outpatient therapy.Methods: The National Socioeconomic Survey (SUSENAS)-core 2020 had included 29,905 older adults who had poor self-rated health and were unable to work or carried out other daily activities. Regression analysis was performed to determine the factors that influence the outpatient treatment.Results: Outpatient treatment utilization was highly associated with all predisposing factors such as age, gender, marital status, and education (p<0.05). Older adults who did not use the internet were 1.4 times more likely not obtain outpatient care (OR 1.362; 95% CI (1.207–1.537)). Those without health insurance had a higher probability of not seeking outpatient care (OR 1.643; 95% CI (1.551–1.741)) than those who had health insurance. Enabling factors, such as household wealth and living arrangements, were significantly associated with outpatient treatment utilization (p<0.05).Conclusions: Although health insurance remains the most significant factor, internet use is emerging as a way to increase coverage of outpatient treatment for the older adults.
Pengetahuan Tentang Anemia pada Remaja dan Dewasa Muda di Jakarta dan Jawa Barat: Survei Demografi dan Kesehatan Indonesia 2017 Rahardja, Mugia Bayu; Sahiratmadja, Edhyana; Setiawati, Elsa Pudji; Panigoro, Ramdan; Surbakti, Indra Murty
Majalah Kedokteran Indonesia Vol 74 No 2 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.2-2024-392

Abstract

Introduction: Iron deficiency anemia in developing countries is common. However, knowledge on the etiology of anemia among young adults needs to be further explored, including hemoglobinopathy, since Indonesia is located in the thalassemia belt, harboring 6-10% thalassemia carriers. The study aimed to explore the knowledge about anemia among young adults in Jakarta and the province of West Java. Methods: A descriptive analytical study design using secondary data from the National Demographic and Health Survey 2017 was employed. A questionnaire was distributed to unmarried young adults (n=5389) aged 15-24, including questions about anemia. Knowledge was further compared between places, genders, and age groups. Result: Only 70% of young adults have heard about anemia. However, the knowledge was poor. The definition of anemia was lack of blood (48%), and only 5% stated it was due to iron deficiency. The etiology of anemia was lack of vegetables (21%) and meat (18%) consumption. As a treatment, only 9% mentioned the iron tablets. None mentioned thalassemia carrier as an alternative cause of anemia. Conclusion: Young adults in Jakarta and West Java are poorly informed about anemia. Socialization to increase knowledge about anemia is imperative. Thalassemia carriers need to be introduced among unmarried young adults for better family planning in the future.
Regional disparity in age-related disability: toward healthy aging in Indonesia Puspitasari, Mardiana Dwi; Rahardja, Mugia Bayu; Nurhayati, Septi; Surbakti, Indra Murty
BKM Public Health and Community Medicine Vol 40 No 01 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i01.11647

Abstract

Purpose: Maintaining functional ability and minimizing age-related disability of older adults are required to promote healthy aging. A supportive physical and social environment, in addition to individual variables, has a role in reducing the risk of age-related disability. Infrastructure development differs between Java-Bali and outer Java-Bali regions. This study aims to determine the extent to which the disability of older adults in Java-Bali and outer Java-Bali regions. Methods: This study is cross-sectional, using data from the 2020 National Socio-Economic Survey (SUSENAS) with 122.344 Indonesian older adults aged 60 and over. Disability is the outcome variable. The explanatory variable is regional disparity (Java-Bali and outer Java-Bali regions), which refers to where the older adults live. In addition, the control variables include age, sex, marital status, educational level, employment status, leisure activity, household wealth status, and self-rated health status (SRHS). A multivariate logistic regression statistical analysis is performed. Results: The outer Java-Bali region has a slightly greater prevalence of older adults with age-related disability than the Java-Bali region, with 28.8 and 22.9 percent, respectively. However, older adults living in the outer Java-Bali region are 1.63 times more likely (OR 1.63; 95% CI (1.58-1.68)) to have disability than those living in the Java-Bali region. Other socio-demographic variables are significantly associated with age-related disability. Conclusion: Living in the Java-Bali region increases the risk of age-related disability. Infrastructure development in the outer Java-Bali region needs to be improved so that older adults can experience healthy aging.
Co-Authors Edhyana Sahiratmadja Elsa Pudji Setiawati Mugia Bayu Rahardja Puspitasari, Mardiana Dwi Ramdan Panigoro Septi Nurhayati