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All Journal Public Health of Indonesia Manuju : Malahayati Nursing Journal Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan
Wangsawinangun, Rana Zahra Raniyah
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Health Professions Nursing Public Health

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Determinants of Pediatric Tuberculosis in DKI Jakarta During The COVID-19 Pandemic Simanjorang, Chandrayani; Wangsawinangun, Rana Zahra Raniyah; Karima, Ulya Qoulan; Nurcandra, Fajaria
Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan Vol. 5, No. 1
Publisher : UI Scholars Hub

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Abstract

The COVID-19 pandemic has affected the diagnosis and treatment of pediatric tuberculosis (TB), which can pose a public health burden if not properly treated. This study aims to find out the risk factors for pediatric TB. The design of this study was cross-sectional, using TB surveillance data extracted from maintenance cards of individuals who underwent TB screening in 2020–2022 at health facilities in DKI Jakarta. The independent variables in this study are age, gender, contact history, BCG immunization, and nutritional status. Logistic regression analysis was performed to identify factors associated with childhood TB after bivariate analysis using chi-square to determine the candidates. There were 14.158 patients as the sample, consisting of 5.9% positive TB. Risk factors associated with pediatric TB are aged 0-4 years (POR=0.3.90; 95% CI=3.32-4.58), male (POR=1.71; 95% CI=1.50-1.98), have a history of contact (POR=0.48; 95% CI=0.40-0.60) and do not have a history of contact (POR=0.78; 95% CI=0.64-0.91). Carrying out routine examinations on children in high TB areas, providing accessible health facilities, exceptional care for infected children, supporting vaccination programs, and promoting self-awareness and environmental sanitation can help prevent and control TB in children.
Risk Factors of Monkeypox Outbreak in Indonesia: A Case-Control Study Simanjorang, Chandrayani; Karima, Ulya Qoulan; Wangsawinangun, Rana Zahra Raniyah; Ariantini, Anggrahita Dwi; Fitri, Asti Elysia Rahmatul
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.922

Abstract

Background: Monkeypox (Mpox) was declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO), and the first case in Indonesia was reported in 2022. Subsequently, there has been a significant increase in cases in 2023. Although global research on Mpox has expanded, particularly in regions like Europe and the Americas, there is a lack of studies focusing on the epidemiology and risk factors of Mpox in Southeast Asia, particularly in Indonesia. Objective: This study aimed to identify risk factors for the outbreak of Mpox in Indonesia. Methods: This study uses a case-control design method with purposive sampling. The study population was all people recorded in the Mpox screening system in Indonesia. All samples originated from the Mpox surveillance report for the Ministry of Health, Republic of Indonesia. The sample size was calculated using the Lemeshow formula with a 1:2 ratio. The total sample was 371 divided into 82 cases and 289 control groups. Results: The average age of participants was 30 years and most cases (96.3%) were male. Multivariate analysis revealed that individuals identifying as bisexual had a 10.8 times higher risk (OR: 10.87, 95% CI: 2.950–39.952) of contracting Mpox, and those identifying as gay had a 3.9 times higher risk (OR: 3.96, 95% CI: 1.238–12.671) compared to heterosexuals. Conclusion: This study concluded that sexual orientation was a significant risk factor in the incidence of Mpox in Indonesia. It is important to increase the uptake of Mpox vaccination among high-risk groups such as gays, bisexuals, and those in close contact with them. Keywords: risk factors; monkeypox; case-control; Indonesia
Faktor-Faktor yang Berhubungan dengan Kejadian Stunting di Kota Sukabumi Simanjorang, Chandrayani; Hanifah, Laily; Togatorop, Lina Berliana; Lestari, Mugi Rahayu; Zahra, Asy Syifa Anwari; Wangsawinangun, Rana Zahra Raniyah
Malahayati Nursing Journal Vol 6, No 3 (2024): Volume 6 Nomor 3 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i3.12897

Abstract

ABSTRACT Stunting in Indonesia is a chronic problem. This is due to the nutritional intake given, in a long time, not in accordance with the needs. This research aims to determine the factors related to the incidence of stunting in Sukabumi City in 2023. This research is a quantitative study using a cross-sectional approach. Held in July 2023 in Sukabumi. The population of this study were all mothers with toddlers in Sukabumi, with a total sample of 237 people using cluster random sampling technique. The research data were analyzed using univariate, bivariate, and multivariate analysis. Univariate analysis included descriptive and frequency analysis, bivariate analysis used the chi-square test, and multivariate analysis used multiple logistic regression tests. The results of the final model of the multiple logistic regression test showed that two variables were significantly related to the incidence of stunting, namely Exclusive Breastfeeding with a p-value of 0.004 (aPOR: 0.35; 95% CI: 0.169—0.716), and History of Infectious Diseases with a p-value of 0.000 (aPOR: 4.34; 95% CI: 2.379—7.901). Based on the research results, it can be concluded that the factors related to the incidence of stunting in Sukabumi are exclusive breastfeeding and a history of infectious diseases. Exclusive breastfeeding is a protective factor for stunting in toddlers, while a history of infectious disease is a risk factor for stunting in toddlers. Keywords: Stunting, Risk Factors, Toddler  ABSTRAK Stunting di Indonesia merupakan permasalahan kronis. Hal ini diakibatkan asupan gizi yang diberikan, dalam waktu yang panjang, tidak sesuai dengan kebutuhan.  Penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan kejadian stunting di Kota Sukabumi Tahun 2023. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan pendekatan potong lintang. Dilaksanakan pada bulan Juli 2023 di Sukabumi. Populasi penelitian ini adalah seluruh ibu yang memiliki balita di Sukabumi, dengan jumlah sampel yang digunakan sebanyak 237 orang dengan teknik cluster random sampling. Data penelitian ini dianalisis menggunakan analisis univariat, bivariat, dan multivariat. Analisis univariat meliputi analisis deskriptif dan frekuensi, analisis bivariat menggunakan uji chi-square, dan analisis multivariat menggunakan uji regresi logistik berganda. Hasil model akhir dari uji regresi logistik berganda menunjukkan dua variabel yang berhubungan signifikan dengan kejadian stunting, yaitu ASI Eksklusif dengan p-value sebesar 0,004 (aPOR: 0,35; 95% CI: 0,169—0,716), dan riwayat penyakit infeksi dengan p-value sebesar 0,000 (aPOR: 4,34; 95% CI: 2,379—7,901). Berdasarkan hasil penelitian dapat disimpulkan bahwa faktor yang berhubungan dengan kejadian stunting di Sukabumi adalah ASI Eksklusif dan riwayat penyakit infeksi. ASI Eksklusif menjadi faktor protektif terjadinya stunting pada balita, sedangkan riwayat penyakit infeksi menjadi faktor risiko terjadinya stunting pada balita. Kata Kunci: Stunting, Faktor Risiko, Balita
Vaccination as a Protective Factor Against Hospitalization for SARS-CoV-2 Infections: an Observational Study Using Surveillance Data Simanjorang, Chandrayani; Tarigan, Kristin Mutiara; Sudrajat, Diva Anita Churiana; Wangsawinangun, Rana Zahra Raniyah; Zahra, Asy Syifa Anwari
Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan Vol. 5, No. 2
Publisher : UI Scholars Hub

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Abstract

Death due to SARS-CoV-2 generally occurs in patients requiring hospital care (hospitalization). However, it is still unclear whether vaccination acts as a protective factor against hospitalization in SARS-CoV-2 patients in Indonesia. This study examines the association between vaccination and hospitalization among SARS-CoV-2 patients. It employs a quantitative, cross-sectional design using secondary data from SARS-CoV-2 surveillance records at the Jakarta Health Agency (January–August 2021). Findings show that patients who received the 1st vaccine dose had a 0.34 times lower risk of hospitalization compared to unvaccinated individuals (aPOR=0.34; 95% CI=0.31–0.38). Those who received the 2nd dose had an even lower risk (aPOR=0.16; 95% CI=0.14–0.18). Additionally, gender, age, and chronic kidney disease were significantly associated with hospitalization. These results indicate that vaccination reduces hospitalization risk among SARS-CoV-2 patients, even after adjusting for gender, age, and chronic kidney disease. The government should expand vaccination coverage, especially for high-risk groups. Further research is needed to assess vaccine effectiveness based on different vaccine types in preventing hospitalization in Indonesia.
Co-Authors Ariantini, Anggrahita Dwi Chandrayani Simanjorang Fitri, Asti Elysia Rahmatul Hanifah, Laily Lestari, Mugi Rahayu Lina Berliana Togatorop Nurcandra, Fajaria Sudrajat, Diva Anita Churiana Tarigan, Kristin Mutiara Ulya Qoulan Karima Zahra, Asy Syifa Anwari