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All Journal Narra J Berita Kedokteran Masyarakat Jurnal Epidemiologi Kesehatan Indonesia
Prihartono, Nurhayati A.
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Blood lead levels and their association with children’s factors, nutritional status, and daily dietary intake in used lead-acid battery (ULAB) recycling area Machmud, Putri B.; Prihartono, Indira; Prihartono, Nurhayati A.
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.2059

Abstract

Evidence has shown that unregulated lead battery recycling is a significant contributor to lead exposure in many countries. The aim of this study was to investigate the factors associated with blood lead levels (BLLs) among children aged 1 to 5 who reside within 250 meters of used lead-acid battery recycling areas in three metropolitan neighborhoods in Indonesia. Using a cross-sectional approach, data was collected through in-person household visitations. The assessed risk factors included socio-demographic data, nutritional status, immunization, breastfeeding status, and daily food intake. BLLs were measured using the LeadCare II portable device and confirmed with plasma mass spectrometry, then classified based on the recommendations of the Centers for Disease Control and Prevention (CDC). A multivariate multinomial logistic regression was used to analyze the association between children’s characteristics and daily eating habits as predictors of BLLs. Out of a total of 433 eligible children, 361 were included in this study. High monthly household income (adjusted odds ratio (aOR): 0.16; 95% confidence interval (95%CI): 0.04–0.67), child’s age (aOR: 0.21; 95%CI: 0.07–0.64), and being boy (aOR: 2.19; 95%CI: 1.17–4.10) were associated with medium BLLs in comparison to low BLLs. In addition, high fruit consumption (AOR: 1.91; 95%CI: 0.99–3.66) and high dairy consumption (aOR: 0.42; 95%CI: 0.27–0.76) were associated with medium BLLs in comparison to low BLLs. Our study also indicated that being a boy (aOR: 5.53; 95%CI: 1.68–18.25), completed breastfeeding history (aOR: 3.47; 95%CI: 1.18–10.23), short outdoor activity duration (aOR: 0.30; 95%CI: 0.09–0.97), high heme-rich iron consumption (aOR: 0.32; 95%CI: 0.10–1.00), and high dairy consumption (aOR: 0.13; 95%CI: 0.04–0.44) were associated with high BLLs in comparison to low BLLs. This study highlights the necessity for further investigation into the impact of various dietary groups on the BLLs of children living around used lead-acid battery recycling areas.
Elevated liver transaminase levels prolong hospital stay in dengue patients: retrospective cohort study Alnweiri, Abdelrahman MS; Prihartono, Nurhayati A.
BKM Public Health and Community Medicine Vol 41 No 07 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i07.22555

Abstract

Purpose: To evaluate the public health impact of elevated liver transaminases (AST/ALT >35 U/L) on hospitalization duration in adult dengue patients in Indonesia’s resource-constrained settings. Methods: Retrospective cohort study of 786 confirmed dengue patients at Ummi Hospital, Bogor (2021–2023). We analyzed demographics, comorbidities, hepatoprotective therapy, and AST/ALT levels. Prolonged stay was defined as ≥5 days. Multivariate logistic regression identified predictors of prolonged length of stay (LOS). Results: 41.9% had elevated transaminases. Patients with enzyme elevations had longer hospital stays than those with normal levels. Non-comorbid patients with elevated enzymes were significantly more likely to experience prolonged hospitalization. Comorbidities markedly increased the risk of extended stays, while hepatoprotective therapy reduced it. Nationally, this could save ~105,000 bed-days annually. Conclusion: Elevated transaminases independently predict prolonged dengue hospitalization. Routine liver monitoring and hepatoprotective therapy may optimize bed utilization in Indonesian hospitals.
Efek Obesitas dengan Risiko Kejadian Penyakit Asma pada Perempuan Usia Produktif di Indonesia Maulana, Arief; Prihartono, Nurhayati A.; Yovsyah, Yovsyah
Jurnal Epidemiologi Kesehatan Indonesia
Publisher : UI Scholars Hub

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Abstract

Penelitian mengenai hubungan obesitas dengan risiko kejadian penyakit asma sudah banyak dilakukan namun masih jarang dilakukan penelitian yang mengambil sampel perempuan usia produktif (15-64 tahun). Tujuan penelitian ini adalah untuk mengevaluasi hubungan obesitas dalam menyebabkan asma pada perempuan usia produktif (15-64 tahun). Penelitian ini menggunakan data bersumber dari Indonesian Family Life Survey 5 (IFLS-5) tahun 2014 dengan desain penelitian cross sectional. Sampel yang dianalisis pada penelitian ini berjumlah 15.654 setelah memenuhi kriteria inklusi dan eksklusi. Data sampel dianalisis dengan menggunakan uji regresi logistik untuk mengetahui besar risiko obesitas dalam menyebabkan asma. Hasil penelitian didapatkan prevalensi asma sebesar 2,91%. Hasil analisis menunjukkan bahwa perempuan usia produktif yang obesitas memiliki risiko 1,21 kali (95% CI 0,987-1,485) untuk mengalami asma (POR=1,21) dibandingkan dengan yang tidak obesitas setelah dikontrol dengan variabel merokok. Perlu adanya adanya promosi kesehatan lebih baik dan variatif untuk mencegah asma terutama pada perempuan obesitas pada umur 15-64 tahun.
Co-Authors Alnweiri, Abdelrahman MS Arief Maulana Machmud, Putri B. Prihartono, Indira Yovsyah Yovsyah