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ANALISIS FAKTOR PERILAKU SEKSUAL REMAJA DI KOTA MEDAN Rani Elviyanti Siregar; Apriliani Apriliani; Nur Fadhilah Hasanah; Sarah Fadhila Siregar
AN-NUR: Jurnal Kajian dan Pengembangan Kesehatan Masyarakat Vol 1, No 1 (2020): Annur:Jurnal Kajian dan Pengembangan Kesehatan Masyarakat
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/an-nur, 1, 1, 99-108

Masa remaja menjadi moment pada individu mengalami pergeseran umur dan melewati masa pubertas hingga terjadi perubahan fisik, psikologi, dan karakter di sertai perilaku seksual. Perubahan yang terjadi pada remaja semakin sering memunculkan berbagai persoalan dalam hal aktivitas seksual hingga seks bebas dikalangan remaja. Pacaran menjadi sarana menarik yang digunakan remaja saat ini dalam menyalurkan gejala-gejala dari perubahan pada dirinya tersebut. Hingga saat ini angka kejadian kehamilan tidak diinginkan di Indonesia mencapai 51,7% dikalangan umur 16-20 tahun dan upaya melakukan aborsi mencapai 6,54%. Selain itu, kemudahan dalam mengakses konten pornografi dalam bentuk gambar, video, kemunculan iklan dan tayangan lainnya yang secara jelas menampilkan pergaulan remaja modern di berbagai unggahan media sosial tanpa sensor menjadi salah satu penyebab terjadinya perilaku seks yang menyimpang di kalangan remaja. Penelitian ini menggunakan metode cross-sectional. Jumlah sampel dalam penelitian ini sebanyak 108 remaja di kota medan, Sumatera Utara, Indonesia. Penelitian ini menggunakan kuesioner sebagai alat pengumpulan data primer. Analisis penelitian ini menggunakan analisis crosstabulation. Hasil penelitian ini menunjukkan bahwa 81,5% remaja mengaku pernah berpacaran, 100% remaja mengaku pernah melakukan aktivitas seksual (berjalan-jalan bersama,berpegangan tangan, berciuman, berpelukan, dan berhubungan intim) dan 62,0% remaja tinggal di rumah kost, dengan uang saku diatas Rp500.000/bulan. Disimpulkan bahwa perilaku seksual remaja saat ini sudah tidak terkendali dari segi aktivitas seksual hingga mengakibatkan beberapa permasalahan muncul seperti seks bebas, upaya aborsi, pernikahan dini dan kehamilan yang tidak diinginkan. Hal tersebut di pengaruhi beberapa faktor yang ada salah satunya kurangnya pengawasan dan pengendalian orang tua terhadap remaja yang tinggal di rumah kost.Kata kunci: remaja, perilaku seksual, kost, pornografi.---Adolescence becomes a moment in individuals experiencing a shift in age and through puberty until physical, psychological, and character changes occur along with sexual behavior. Changes that occur in adolescents increasingly raise various problems in terms of sexual activity to free sex among adolescents. Dating is a new tool used by adolescents today in channeling the symptoms of changes in him. Until now, the incidence of unwanted pregnancy in Indonesia has reached 51.7% among people aged 16-20 years, and attempts to have an abortion reached 6.54%. Also, the ease of accessing pornographic content in the form of images, videos, the appearance of advertisements, and other shows that display the association of modern adolescents in many uncensored social media uploads is one of the causes of deviant sexual behavior among adolescents. This study uses a cross-sectional method. The number of samples in this study was 108 teenagers in Medan city, North Sumatra, Indonesia. This study uses a questionnaire as a primary data collection tool. The analysis of this study uses crosstabulation analysis. The results of this study showed that 81,5% adolescents had dated, 100% adolescents claimed to have had sexual activity (walking together, holding hands, kissing, hugging, and having sex) and 62,0% adolescents living in boarding houses, with pocket money above Rp500.000/month. It was concluded that the current sexual behavior of adolescents is out of control in terms of sexual activity to cause several problems to emerge, such as free sex, attempts at abortion, early marriage, and unwanted pregnancy. This is influenced by several factors, one of which is the lack of supervision and control of parents of adolescents who live in boarding houses.Keywords: Adolescence, sexual behavior, boarding house, pornography.

Analysis of Risk Factors Malaria Incidence in Indonesia (data analysis of riskesdas 2018) Apriliani Apriliani; Putra Apriadi Siregar; Azhari Akmal Tarigan
International Archives of Medical Sciences and Public Health Vol. 2 No. 1 (2021):
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.108 KB)

Malaria is still a problem in Indonesia and the world because the morbidity rate is still quite high, and its management is a commitment to the Sustainable Development Goals (SDGs) until 2030. The purpose of this study is to determine the risk factors for the incidence of malaria in Indonesia. This study uses a quantitative approach with a cross-sectional study design. Further analysis of Riskesdas 2018 data was carried out from January to August 2021. The location of this research is all provinces in Indonesia, as many as 34 provinces. The sample in this study is the total population based on the Rapid Diagnostic Test (RDT) in Indonesia as many as 26,657 samples. This study uses secondary data from Riskesdas 2018. The data analysis in this study is univariate analysis with descriptive analysis. The results of this study are respondents suffering from malaria aged >24 years as many as 14,769 (55.4%), female respondents suffering from malaria as many as 13,827 (51.9%), respondents having low education suffered from malaria as many as 19,926 (74.7%), respondents working suffered as much as 15,570 ( 58.4%), respondents living in rural areas suffer from malaria as many as 18,558 (69.6%), respondents who sleep without using mosquito nets suffer from malaria as many as 20,671 (77.5%), respondents do not use repellent suffer from malaria as many as 18,104 (67.9%), respondents do not use mosquito coils /spray/electric suffer from malaria as many as 14,059 (52.7%), respondents who do not use mosquito netting on home ventilation suffer from malaria as many as 22,369 (83.9%), and respondents suffer from malaria in Indonesia as many as 8,076 (30.3%). It is hoped that the Indonesian Ministry of Health will monitor the program for using repellents and distributing insecticide-treated mosquito nets to malaria-endemic areas. It is hoped that the District/City Offices should be more effective in providing counselling or education on malaria prevention to the public as a malaria prevention measure.

Analysis of Risk Factors Malaria Incidence in Indonesia (data analysis of riskesdas 2018) Apriliani Apriliani; Putra Apriadi Siregar; Azhari Akmal Tarigan
International Archives of Medical Sciences and Public Health Vol. 2 No. 1 (2021):
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.108 KB)

Malaria is still a problem in Indonesia and the world because the morbidity rate is still quite high, and its management is a commitment to the Sustainable Development Goals (SDGs) until 2030. The purpose of this study is to determine the risk factors for the incidence of malaria in Indonesia. This study uses a quantitative approach with a cross-sectional study design. Further analysis of Riskesdas 2018 data was carried out from January to August 2021. The location of this research is all provinces in Indonesia, as many as 34 provinces. The sample in this study is the total population based on the Rapid Diagnostic Test (RDT) in Indonesia as many as 26,657 samples. This study uses secondary data from Riskesdas 2018. The data analysis in this study is univariate analysis with descriptive analysis. The results of this study are respondents suffering from malaria aged >24 years as many as 14,769 (55.4%), female respondents suffering from malaria as many as 13,827 (51.9%), respondents having low education suffered from malaria as many as 19,926 (74.7%), respondents working suffered as much as 15,570 ( 58.4%), respondents living in rural areas suffer from malaria as many as 18,558 (69.6%), respondents who sleep without using mosquito nets suffer from malaria as many as 20,671 (77.5%), respondents do not use repellent suffer from malaria as many as 18,104 (67.9%), respondents do not use mosquito coils /spray/electric suffer from malaria as many as 14,059 (52.7%), respondents who do not use mosquito netting on home ventilation suffer from malaria as many as 22,369 (83.9%), and respondents suffer from malaria in Indonesia as many as 8,076 (30.3%). It is hoped that the Indonesian Ministry of Health will monitor the program for using repellents and distributing insecticide-treated mosquito nets to malaria-endemic areas. It is hoped that the District/City Offices should be more effective in providing counselling or education on malaria prevention to the public as a malaria prevention measure.

Overview of the Incidence of Scabies Factors in the Work Area of the Public Health Center Tanjung Medan, Kampung Rakyat District Mutiara Nauli Siregar; Rika Arnanda; Sarah Fadhila Siregar; Apriliani Apriliani; Wasiyem Wasiyem; Nurhayati Nurhayati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 4, No 2 (2022): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v4i2.14182

Based on health profile data in the work area of the Tanjung Medan Community Health Center, Kampung Rakyat District, South Labuhanbatu (June 2019-June 2020), the number of cases of scabies sufferers was 352 cases. The areas where people living with scabies disease are prone to frequent flooding when it rains, because people live along rivers and are also densely populated, so this has resulted in a high number of cases of scabies.This study was conducted to determine the description of the incidence of scabies in the working area of PUSKESMAS Tanjung Medan, Kecamatan Kampung Rakyat.This study uses qualitative methods. The research informants were selected by using purposive sampling method. The criteria for the informants in this study were people who had or are currently suffering from scabies skin disease. Data were collected by in-depth interviews.The results showed the factors that influence the incidence of scabies such as personal hygiene, environmental sanitation, nutritional status, symptoms of scabies experienced, and health services at PUSKESMAS. In the aspect of personal hygiene, it is known how the informants' daily activities in carrying out personal hygiene. The personal hygiene of the community and, the environmental sanitation around the place where the community lives is still not good. It is also known that a poor diet has made supporting factors for the development of scabies continue to occur, in the community, so that people continue to experience symptoms such as itching and the appearance of red spots on the skin.

Student Smoking Behaviour and Cigarette Advertisements Around School and Home: A study in Tebing Tinggi City Syam, Abdi Mubarrak; Zali, Muhammad; Siregar, Putra Apriadi; Apriliani, Apriliani; Siregar, Sarah Fadhila; Adinda, Desty; Ahsan, Abdillah; Amalia, Nadira; Nuzlan, Diva Nada Rizki
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21312

Backgrounds: Indonesia is the second-largest cigarette market in the world, with an increased smoking rate among young people aged 10–18 years. The latest data show that smoking is increasingly common in youth. Tobacco control will reduce public demand for tobacco products, especially if the supply of tobacco can be limited. Methods: This study, conducted in Tebing Tinggi City, North Sumatra Province, aimed to collect data on the density of cigarette sellers around schools and their impact on students' smoking behavior. The research involved 1914 students from 10 schools, examining factors such as smoking laws, age at first smoking, daily cigarette consumption, location, and advertisements. The study used a cross-sectional design, GPS coordinates, QGIS 3.0 analysis, and in-depth interviews with a Tebing Tinggi City Health Office representative. The findings will be analyzed using the JASP computer program. Results: The study shows that 8.2% of adolescents in Tebing Tinggi City have never smoked, with mixed views on the smoking law. The majority do not smoke, with varying smoking rates and exposure to cigarette advertisements. The study also found a high density of cigarette sellers in junior and senior high schools, indicating a lack of awareness about smoking. Conclusions: Most adolescents in Kota Tebing Tinggi do not smoke, with mixed views on the smoking law. They are exposed to cigarette advertisements in school and home environments, with vendors providing easy access. Increased awareness and effective law enforcement are needed to control cigarette advertising and sales.

Description of HIV/AIDS Incidence in Helvetia Health Center, Medan City Apriliani, Apriliani; Dachi, Rahmat Alyakin; Juniati Sitorus, Mido Ester; Nababan, Donal; Simanjuntak, Siska Evi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.23537

HIV/AIDS is a contagious disease that has become a strategic issue in the SDGs (Sustainable Development Goals) agenda, making it a priority for development in every country to achieve HIV/AIDS elimination by 2030. HIV/AIDS poses a significant challenge to public health globally, affecting both developed and developing countries, including Indonesia. This study aims to provide an overview of the incidence of HIV/AIDS at Puskesmas Helvetia. The study employed a quantitative design with a case-control approach. The research was conducted at Puskesmas Helvetia from December 2023 to June 2024. The population of this study consisted of all HIV-positive patients at Puskesmas Helvetia, totaling 855 individuals. A purposive sampling technique was used for case and control sampling, with a sample size of 154, split evenly between cases and controls (77 samples each). The study utilized both primary data, collected through interviews, and secondary data from the SIHA 2.1 application. The instrument used was a questionnaire. Data analysis was conducted using univariate descriptive analysis, including distribution and frequency. The results revealed that the majority of respondents were unemployed (53 individuals, 34.4%), had insufficient knowledge (80 individuals, 51.9%), had a history of sexually transmitted infections (STIs) (106 individuals, 68.8%), identified as homosexual (120 individuals, 77.9%), and did not use condoms (110 individuals, 71.4%). The low level of knowledge regarding STIs contributed to high-risk sexual behaviors, including inconsistent condom use. Therefore, there is a need for interventions such as more intensive health education, improved access to sexual health services, and economic empowerment programs for vulnerable groups to reduce STI incidence. Keywords: HIV, AIDS, Incidence

Pemberdayaan Mahasiswa Melalui Program Mahasiswa Penting (Peduli Stunting) melalui Edukasi Pencegahan Stunting bagi Remaja di SMA/SMK Kota Medan Nisa, Widiya; Apriliani, Apriliani
Shihatuna : Jurnal Pengabdian Kesehatan Masyarakat Vol 5 No 2 (2025): Desember
Publisher : FKM UIN Sumatera Utara Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/shihatuna.v5i2.25290

Stunting remains a major public health issue in Indonesia. Preventive efforts should not only focus on toddlers but must also target adolescents as future parents, equipping them with adequate knowledge from an early age. This community service program aimed to empower university students through the "Mahasiswa Penting" (Students Who Care About Stunting) program, positioning them as educational agents to deliver stunting prevention information to high school and vocational school students in Medan City. The activity was conducted through training sessions for students as educational facilitators and the implementation of interactive health education sessions in schools. The materials covered included an introduction to stunting and the importance of adequate nutrition during adolescence. This program aimed to broaden adolescents’ understanding of stunting, including its causes and how they can actively contribute to its prevention. It also sought to enhance students' communication skills in delivering health information. The activity was carried out in three high schools/vocational schools in Medan, reaching a total of 71 adolescent participants representing each school. The results showed an increase in knowledge, with the average score rising from 52.67 to 77.74. This indicates a significant improvement in adolescents’ awareness of stunting and its risk factors. The program demonstrated that involving university students in stunting prevention can be an effective and sustainable promotive and preventive strategy. It is expected that this initiative can be expanded and replicated more broadly through cross-sectoral collaboration.Keywords: Stunting, University Students, Health Education, Adolescents

Utilization of Primary Healthcare Services and Stunting Among Children Aged 0–59 Months in Indonesia: A National Cross-Sectional Study Apriliani, Apriliani
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.25425

Stunting remains a critical public health concern in Indonesia, contributing toelevated morbidity rates and undermining the quality of human capital. While primary healthcare services are central to preventive efforts, their direct association with stunting at the national scale remains inadequately explored. This study investigates the relationship between primary healthcare utilization and stunting incidence among children aged 0–59 months in Indonesia, using data from the 2023 Indonesia Health Survey (SKI). A cross-sectional analytical design was employed, involving 79,141 children after data cleaning. Nutritional status was measured via the height-for-age (H/A) indicator based on WHO Z-scores. Independent variables included child’s sex, maternal education level, maternal employment status, residential area, availability of primary healthcare facilities, and health insurance ownership. Statistical analysis encompassed univariate, bivariate (chi-square test), and multivariate (binary logistic regression) methods. Significant associations were found for sex, maternal education, place of residence, and availability of healthcare facilities (p < 0.05), while maternal employment and health insurance showed no significant relationship. Multivariate analysis identified maternal education as the dominant determinant (p = 0.023; Exp(B) = 1.040; 95% CI: 1.006–1.077). Children of mothers with lower educational attainment faceda heightened risk of stunting compared to those whose mothers had higher education. Utilization of primary healthcare services was associated with stunting among children, particularly through maternal education as a key determinant. Findings underscore the importance of strengthening family-based interventions and enhancing maternal health literacy within the framework of primary healthcare to address stunting more effectively Keywords: Stunting, Children, Primary healthcare services, Indonesia

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