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Hubungan Stunting dengan Tingkat Keparahan Karies Gigi pada Anak Usia 10-12 Tahun di Kecamatan Tuah Negeri Kabupaten Musi Rawas Abubakar Lutfi; Rostika Flora; Haerawati Idris; Mohammad Zulkarnain
Jurnal Akademika Baiturrahim Jambi Vol. 10 No. 2 (2021): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v10i2.395

Abstract

Stunting is one of the most common malnutrition conditions. Stunting conditions can cause impaired child development including developmental disorders in the oral cavity. Stunting children are more susceptible to dental caries due to changes in saliva characteristics. This study aims to analyze the relationship between stunting and the severity of dental caries in elementary school-aged children in Tuah Negeri District, Musi Rawas Regency. Methods: This study is an analytic observational study with a cross-sectional design. A sample of 70 people was taken randomly from elementary school students in Tuah Negeri District, Musi Rawas Regency. Determination of nutritional status based on anthropometric measurements (TB/U). DMFT examination was carried out by looking at decaying, filling, and missing teeth, then the severity of dental caries was categorized into low (DMFT 0 - 2.6), moderate (DMFT 2.7 - 4.4), high (DMFT > 4.5). Data were analyzed using SPSS version 20 with Chi-Square Test analysis. Result: The results of the measurement of nutritional status showed that 34 children (48.6%) were stunted. In stunting children, there are 15 children (44.12%) in the low category, 16 children (47.06%)  in the medium category, 3 children (8.82%) in the high category. The results of the bivariate analysis obtained p = 0.000. Conclussion: There is a significant relationship between stunting and the severity of dental caries in children aged 10-12 years in Tuah Negeri District, Musi Rawas Regency. It is necessary to increase efforts to promote health related to stunting and dental health through health education activities by involving the role of parents in choosing food intake and in maintaining children's dental and oral hygiene
HUBUNGAN KESEHATAN MENTAL IBU DAN STATUS GIZI ANAK DI NEGARA BERKEMBANG : TINJAUAN PUSTAKA Lubis, Fatma Juwita; Flora, Rostika; Zulkarnain, Mohammad; Fajar, Nur Alam; Sunarsi, Elvi; Rahmiwati, Anita
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.38259

Abstract

Peran ibu adalah inti dari sebuah rumah tangga. Sebagai peran inti, kesehatan mental seorang ibu merupakan hal prioritas. Gangguan kesehatan mental ibu berdampak negatif pada kesehatan fisik dan psikologis ibu itu sendiri dan juga pada anak. Tujuan dari tinjauan ini adalah untuk mengidentifikasi bukti terkini tentang hubungan antara kesehatan mental ibu dan status gizi anak di negara-negara berkembang. Tinjauan ini merupakan tinjauan sistematis untuk mensintesiskan studi penelitian yang ditemukan dalam basis data di Google Scholar, Science Direct, dan PubMed tentang hubungan antara kesehatan mental ibu dan status gizi anak. Hasil penelitian ini menunjukkan bahwa ibu dengan gejala gangguan mental 9 kali lebih mungkin memiliki anak dengan pertumbuhan indeks tinggi/usia abnormal (pendek/sangat pendek) dibandingkan dengan ibu tanpa gejala gangguan mental. Selain itu, kesehatan mental ibu yang buruk dapat mengakibatkan berkurangnya kehadiran ibu di Pelayanan Antenatal dan Postnatal, meningkatnya risiko preeklamsia, meningkatnya risiko kesulitan menyusui, praktik pengasuhan yang buruk, dan cakupan gizi yang tidak memadai pada anak. Kesimpulan penelitian ini adalah terdapat hubungan antara gangguan kesehatan mental ibu dan status gizi yang buruk, meskipun dalam beberapa penelitian, hal tersebut tidak memberikan bukti yang jelas. Terlepas dari arah hubungan tersebut, program gizi anak di negara berkembang harus mempertimbangkan untuk menggabungkannya dengan program promosi kesehatan mental ibu.
Exclusive Breastfeeding and Educational Attainment of Mother Correlate with Stunting Problem in Musi Rawas Regency Damanik, Hanna DL; Rostika Flora; Zulkifli, Hilda; Mohammad Zulkarnain
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI1 (2025): 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.V13.ISI1.2025.147-154

Abstract

Introduction: Stunting is a growth condition reflected in a height-for-age or length-for-age that is below -2 standard deviations. It is identified by Sustainable Development Goals (SDGs) as a priority objective for global health improvement. Objective: This study aimed to determine the factors that contribute to stunting in children younger than 5 years. Methods: The study adopted a cross-sectional design and a sample of 150 children under the age of 5 whose mothers were the respondents, was selected using the purposive sampling method. Data were collected through questionnaire interviews and anthropometric measurements. Results: The results showed that 28% of children were stunted, with 54.7% being male and 58% not exclusively breastfed. Approximately 60.7% and 57.3% had fathers with a history of smoking and mothers with high education, respectively. The mothers of 74% were unemployed, while 80.7% of the stunted children were from low-income families. Based on statistical analysis, stunting had a significant correlation with a history of exclusive breastfeeding were significantly correlated (p = 0.01) and educational attainment of mothers (p = 0.04). Conclusion: The prevalence of stunting remained high compared to the national norm. The incidence was correlated with the educational attainment of mothers and the duration of exclusive breastfeeding. Therefore, mothers should be educated about the value of exclusive breastfeeding to avoid the condition.
The Influence of Maternal Characteristics and Nutritional Status on Toddler Development: Literature Review Nurul Fitriani; Rostika Flora; Mohammad Zulkarnain; Nur Alam Fajar; Elvi Sunarsih; Anita Rahmiwati
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 11: NOVEMBER 2024 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i11.6305

Abstract

Introduction: The first five years of a child's life are a time of peak development. According to the global prevalence, 52.9 million children under the age of five suffer from developmental problems. Parental involvement in monitoring their children's development will rise if parents have greater education, have a high level of knowledge, higher socioeconomic level, income, and the mother does not work. In addition, toddlers with good nutritional status will optimise their development. Objective: This literature review aims to identify how maternal characteristics and nutritional status impact toddler development. Method: This study is a systematic review by searching the literature through Google Scholar, Science Direct, and PubMed. Articles in Indonesian and English published from 2016 to 2022. Article searches used keywords or Boolean operators (AND - OR), some of the keywords used to search the literature included combinations of “development” OR “education” OR “income”’ OR “knowledge” OR “occupation” OR “nutritional status”, “education” AND “development”, “income” AND “development”, “knowledege” AND “development”, “occupation” AND “development”, “nutritional sataus” AND “development”. Result: The results of this study showed that maternal characteristics such as education level, knowledge, occupation, and family income, as well as nutritional status affect the development of toddlers. Conclusion: Knowing the interaction between maternal role and nutritional status can help optimise the development of toddlers according to their age.
Characteristics and Abundance of Microplastics in the Feces of Communities on the Banks of the Musi River, Palembang Anwar, Khairil; Damiri, Nurhayati; Windusari, Yuanita; Zulkarnain, Mohammad
Tropical Health and Medical Research Vol. 7 No. 1 (2025): Tropical Health and Medical Research
Publisher : Baiman Bauntung Batuah Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35916/thmr.v7i1.127

Abstract

Microplastic pollution has become an increasingly worrying global environmental issue. Microplastics are plastic particles measuring less than 5 mm from the degradation of large plastics or using products containing microplastics. Microplastics can enter the human body through contaminated food, water, and air, with feces being one of the indicators of exposure. This study aims to analyze the characteristics and abundance of microplastics in feces in communities on the banks of the Musi River in Palembang City. This study used a descriptive design with laboratory analysis. Fecal samples were collected from 50 respondents selected by purposive sampling based on fish consumption patterns and water sourced from the Musi River. The study was carried out using the microplastic separation method using a solution and particle identification using a stereo microscope and FTIR spectroscopy. The results showed that microplastics were found in all respondents' feces samples, with concentrations ranging from 9-27 particles per gram and an average of 18 particles per gram. The dominant types of microplastic polymers found were Polystyrene (PS), Nylon, Polyvinyl chloride (PVC), Polypropylene (PP), Polyethylene Terephthalate (PET), and Polyethylene (PE). It was concluded that the presence of microplastics in feces indicates significant exposure. Microplastics, such as fragments, fibers, and other particles, were found in people's feces with various shapes, sizes, and colors. The abundance of microplastics in feces indicates contamination, which most likely comes from consuming food and drinks exposed to microplastics. It is recommended that a campaign be carried out to reduce single-use plastic or increase waste processing in riverbank areas.
Secondhand smoke exposure and its role in the pathogenesis of preeclampsia: a narrative review of molecular and epidemiological perspectives Yenny Febriany; Irfannuddin; Mohammad Zulkarnain; Yusuf Effendi
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 2 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i2.19209

Abstract

Preeclampsia (PE) is a pregnancy complication characterized by hypertension after 20 wk of gestation, often accompanied by proteinuria or organ dysfunction. This condition is linked to genetic, environmental factors, and exposure to secondhand smoke (SHS). This study explores the relationship between SHS exposure and PE risk through a narrative literature review. Epidemiological and molecular studies data demonstrate that SHS exposure increases PE risk via oxidative stress, inflammation, and angiogenic disruptions. The analysis reveals that SHS exposure enhances reactive oxygen species (ROS) production, triggers systemic inflammation through the NF-κB pathway, and impairs angiogenic function by lowering the PlGF/sFlt-1 ratio. The risk significantly increases with exposures ≥2 hr/d or weekly frequencies ≥4 d, particularly in poorly ventilated domestic and occupational settings. Biomarkers such as cotinine and carbon monoxide (CO) are employed to assess exposure levels, providing robust evidence that duration and intensity of exposure are pivotal in PE pathogenesis. These findings highlight the importance of preventive strategies, including smoking bans, public health education, and integration of biomarker-based assessments into prenatal care. Future research should aim to clarify the molecular and epigenetic mechanisms involved and explore therapeutic interventions to mitigate SHS-induced damage.
PENGARUH PERILAKU (KEBIASAAN BUANG AIR BESAR) DAN SANITASI LINGKUNGAN TERHADAP INFEKSI KECACINGAN PADA ANAK USIA SEKOLAH DASAR Septiani, Eichi; Fajar, Nur Alam; Sitorus, Rico J; Anwar, Chairil; Zulkarnain, Mohammad; Flora, Rostika
Jurnal 'Aisyiyah Medika Vol 6, No 1: Februari 2021 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/jam.v6i1.579

Abstract

Latar Belakang: Sebagai negara beriklim tropis, Indonesia memiliki iklim dan kelembaban yang mendukung parasit cacing untuk tetap melangsungkan hidupnya. Kecacingan merupakan suatu masalah kesehatan yang masih dijumpai pada  masyarakat khususnya yang tinggal di negara tropis seperti Indonesia. Infeksi kecacingan lebih sering di jumpai pada anak, baik itu pra sekolah ataupun sekolah dasar. Tujuan: Untuk menganalisis pengarh perilaku dan sanitasi lingkungan terhadap infeksi kecacingan pada anak Sekolah Dasar. Metode: Penelitian ini menggunakan  rancangan studi cross-sectional yang dilakukan di Kabupaten Seluma yang dilaksanakan pada April 2020. Sampel berjumlah 140  anak yang  merupakan anak Sekolah Dasar usia 9-12 tahun dan berasal dari 5 kecamatan.  Pengambilan sampel dilakukan dengan cara simple random sampling. Data dikumpulkan dengan cara wawancara dan observasi. Selain itu juga dilakukan pemeriksaan feses untuk mengetahui infeksi kecacingan. Hasil: Hasil pemeriksaan feses didapatkan bahwa 37,9% anak mengalami infeksi kecacingan,  45,0% anak yang terinfeksi kecacingan mempunyai kebiasaan defikasi kurang baik, 45,7% anak yang terinfeksi kecacingan mempunyai sumber air kurang baik serta 25,0% anak yang terinfeksi kecacingan mempunyai tempat BAB kurang baik. Hasil uji chi square antara infeksi kecacingan dengan kebiasaan defikasi didapatkan nilai p= 0,201 dan PR = 1,66 ; infeksi kecacingan dengan sumber air didapatkan nilai p= 0,028 dan PR 2,3 ; infeksi kecacingan dengan  kebersihan kuku didapatkan nilai p=0,268 dan PR=0,57. Saran: Bagi Dinas Kesehatan Kabupaten Seluma dan jajarannya diharapkan terus menggalakkan lagi edukasi tentang pencegahan dan bahaya penyakit kecacingan serta melakukan pemberian obat cacing lebih rutin (6 bulan 1x) dan melakukan skrining infeksi STH untuk sebagai upaya preventif. Kata Kunci : Perilaku, Sanitasi Lingkungan, Kecacingan, Anak Sekolah Dasar
Factors Associated with the Activeness of Posyandu Cadres in Providing Supplementary Food in Banyuasin District Apriliani, Ferenadia; Fajar, Nur Alam; Rahmiwati, Anita; Flora, Rostika; Zulkarnain, Mohammad; Sunarsih, Elvi; Lubis, Adelina Irmayani
Jurnal Promosi Kesehatan Indonesia Vol 20 No 4: October 2025
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.20.4.%p

Abstract

Background: Stunting is a condition of failure to thrive in toddlers (babies under the age of five) due to chronic malnutrition, causing children to have a shorter height than they should for their age. Banyuasin Regency has the third highest prevalence of stunting in South Sumatra Province (13.3% in 2022). The Supplementary Feeding Program (PMT) is designed to improve the nutritional status of under-fives, and posyandu cadres play an important role in its successful implementation. This study aims to analyze the factors associated with the active role of posyandu cadres in providing supplementary food in Banyuasin Regency.Method: Quantitative research with a cross-sectional design using 100 samples with the Proportional random sampling method which was carried out in early October - early November 2024 in Banyuasin Regency.Result: The results of the chi square test showed that knowledge (p = 0.001), attitude (p = 0.025), age (p = 0.039), education (p = 0.524), incentives (p = 0.269), training (p = 0.019), length of time as a cadre (p = 0.045) facilities and infrastructure (p = 0.090) and active cadres as many as 59 posyandu cadres. This study indicates that the better the cadres’ knowledge, attitudes, and experience, and the more frequently they attend training, the more likely they are to play an active role in implementing the PMT program. In contrast, educational background, the provision of incentives, and the availability of facilities do not necessarily influence the cadres’ active involvement in the delivery of the PMT program. Efforts to increase the training of posyandu cadres are the main recommendations to support the success of the PMT program in stunting prevention in Banyuasin district.
Analysis of Risky Sexual Behavior in the Drug user Population Nabila, Imtiyazi; Sitorus, Rico Januar; Zulkarnain, Mohammad
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6946

Abstract

Drug abuse is one of the serious public health problems in Indonesia, especially because it can increase risky sexual behavior for HIV/AIDS transmission. Transmission of HIV can occur not only through the use of injection needles but also through unsafe sexual contact (not using condoms) with fellow injecting drug users or between injecting drug users and FSWs. This study aims to analyze risky sexual behavior in the drug user population at the Palembang City Drug Rehabilitation Center Foundation. This study is a descriptive analytical study with a cross-sectional design. The research instrument used a questionnaire based on the 2023 Integrated Biological and Behavioral Survey (STBP) of the Indonesian Ministry of Health 7. The study sample consisted of 130 people, selected based on the study's inclusion criteria. The majority of respondents were male (100%), age >29 years (63.8%), senior high school (67.7%), unmarried (60.8%), and had a permanent residence (96.2%). Then, the age of first using drugs was 15-19 years (55.4%), with a duration of use >5 years (63.8%), and they did not use injectable drugs (94.6%). From sexual behavior, 56.9% had had sex (vaginal), 28.5% with a permanent female partner, 13.8% with a paid woman. The analysis showed a significant relationship between age, marital status, age of first drug use, and knowledge of HIV/AIDS risk behavior. In contrast, education, current residence status, selling or buying sex, duration of drug use, injection drug use and attitudes were not significantly related. Education efforts and prevention programs need to be more focused on factors that have been proven to have an influence.
Unsafe Actions for Occupational Accidents in Construction Workers: A Systematic Literature Review Azizah, Mulia Fadhilatul; Novrikasari, Novrikasari; Zulkarnain, Mohammad; Noviadi, Pitri
International Journal of Multidisciplinary Sciences and Arts Vol. 4 No. 2 (2025): International Journal of Multidisciplinary Sciences and Arts, Article April 202
Publisher : Information Technology and Science (ITScience)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47709/ijmdsa.v4i2.6200

Abstract

The sector with a high accident rate in Indonesia is the trade and services sector (21.4%), which in this case includes construction. 32% of work accident cases that occurred in Indonesia throughout 2017 were work accidents in the construction sector. It is stated that 88% of work accidents occur due to unsafe actions so it is necessary to conduct research regarding factors related to unsafe actions on work accidents in construction workers. This research uses Systematic Review and PRISMA. The data was obtained from related research that has been collected by the author. A total of 8 journals were used in this research. Knowledge, use of PPE, and supervision are related to unsafe actions towards work accidents in construction workers. It is necessary to provide training and education to increase workers' insight into Occupational Health and Safety knowledge, procedures for using tools and PPE so that workers are able to map the dangers and risks in their work and work environment. It is necessary to create rules/policies and a commitment from supervisors and management to take firm action against workers who violate rules such as not using PPE in the form of punishment.