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PENGARUH BERAT LAHIR MENURUT USIA KEHAMILAN TERHADAP KELANGSUNGAN HIDUP BAYI DI INDONESIA Mona Lisa; Iwan Arriawan; Besral Besral; Hadi Pratomo; Lukas C Hermawan; Ingan Ukur Tarigan
Jurnal Ilmiah Kesehatan Vol 15, No 1 (2023): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v15i1.892

Infant survival is defined as the ability of infants to survive through life until the age of 1 year. In 2012, Indonesia IMR reportedd as 32 per 1,000 live births. Sosio economic status will affect infant survival through maternal factors, nutrition, fetal condition at birth, disease control and environment. This study aims to determine the effect of birth weight for gestational age on the infantâ€™s survival in Indonesia. The Method of study is a retrospective cohort, utilize of data 13 295 child data contained in the Riskesdas data 2013. Result of the analysis showed that the survival of small for gestational age had the lowest probability of 97%. Results cox regression showed that small for gestational age on the high economic status, HR = 8.95, the middle-income status, HR = 3.72, and the poor economic status, HR = 7.36. Small for gestational age have contributed to infant mortality in the population by 42%. Improving the quality of antenatal care for during pregnancy and socialization of kangaroo care method for birth weight small for gestational age is an alternative to decrease the incidence of small for gestational age.Â Keywords:Â infant survival, small for gestational age, economic status

The Relationship Of 'LILA' To The Incidence Of Anemia In Pregnant Women Mona Lisa; Winnie Tunggal Mutika; Melda Maulia Herlisya; Ambariani Ambariani
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 10, No 1 (2023): Jurnal Publikasi Kesehatan Masyarakat Indonesia
Publisher : Lambung Mangkurat University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v10i1.15119

Anemia in pregnant women is the highest cause of maternal mortality, with 40% of pregnant women suffering from anemia. Maternal health during the pre-pregnancy period, during pregnancy, and during breastfeeding is a very critical period for the growth and development of the child. The first 1000 days of life is a sensitive period or "window of opportunity" Nutritional factors are direct factors that cause anemia during pregnancy, one of which is Chronic Energy Deficiency (CHD) by measuring Upper Arm Circumference (LILA). This study aims to determine the relationship of Upper Arm Circumference (LILA) to the incidence of anemia in pregnant women at Haryanti Depok Independent Midwife Practice (PMB). This study used a cross-sectional approach with a population of first trimester pregnant women in May 2019-May 2020 at PMB Haryanti Depok, totaling 118 pregnant women. Sampling using purposive sampling technique, namely pregnant women who meet the inclusion criteria of 105 pregnant women with complete medical record data. Data analysis used with chi-square test with sig <0.05. The results obtained as many as 68 pregnant women (64.8%) who experienced anemia, LILA measurements below normal limits as many as 62 pregnant women (59%). The statistical test results showed that there was a significant relationship between LILA and the incidence of anemia in pregnant women in the first trimester. Screening nutritional status by measuring LILA and checking hemoglobin levels plays an important role in preventing anemia, especially in pregnant women so that early treatment can be carried out.

PENGARUH BERAT LAHIR MENURUT USIA KEHAMILAN TERHADAP KELANGSUNGAN HIDUP BAYI DI INDONESIA Lisa, Mona; Arriawan, Iwan; Besral, Besral; Pratomo, Hadi; Hermawan, Lukas C; Tarigan, Ingan Ukur
Jurnal Ilmiah Kesehatan Vol 15 No 1 (2023): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v15i1.892

Infant survival is defined as the ability of infants to survive through life until the age of 1 year. In 2012, Indonesia IMR reportedd as 32 per 1,000 live births. Sosio economic status will affect infant survival through maternal factors, nutrition, fetal condition at birth, disease control and environment. This study aims to determine the effect of birth weight for gestational age on the infantâ€™s survival in Indonesia. The Method of study is a retrospective cohort, utilize of data 13 295 child data contained in the Riskesdas data 2013. Result of the analysis showed that the survival of small for gestational age had the lowest probability of 97%. Results cox regression showed that small for gestational age on the high economic status, HR = 8.95, the middle-income status, HR = 3.72, and the poor economic status, HR = 7.36. Small for gestational age have contributed to infant mortality in the population by 42%. Improving the quality of antenatal care for during pregnancy and socialization of kangaroo care method for birth weight small for gestational age is an alternative to decrease the incidence of small for gestational age.Â Keywords:Â infant survival, small for gestational age, economic status

HUBUNGAN ANTARA KARAKTERISTIK REMAJA PEREMPUAN DENGAN KONSUMSI TTD BERDASARKAN DATA PBL MAHASISWA DI KECAMATAN KELEKAR, GELUMBANG DAN LEMBAK Jasmine, Annisah Biancika; Lisa, Mona; Ambarwati, Dyah; Novitasari, Prihatini Dini; Muharramah, Disa Hijratul; Pulungan, Rafiah Maharani; Aulia, Fitri; Harwanto, Fatria; Yusri, Yusri; Erman, Ery
Mitra Raflesia (Journal of Health Science) Vol 16, No 2 (2024)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v16i2.463

ABSTRAKPendahuluan: Angka konsumsi Tablet Tambah Darah (TTD) di Indonesia menunjukkan tingkat yang sangat rendah, terutama di kalangan remaja putri. Berdasarkan data Riskesdas 2018, meskipun 76,2% remaja putri mendapatkan akses TTD, hanya 1,4% yang mengonsumsi lebih dari 52 butir selama periode yang dianjurkan. Secara keseluruhan, rendahnya konsumsi TTD di kalangan remaja putri mencerminkan perlunya penelitian lebih lanjut mengenai konsumsi TTD pada remaja putri dan edukasi kesehatan serta dukungan sosial untuk meningkatkan kesadaran dan kepatuhan terhadap program suplementasi ini.Metode: Penelitian ini menggunakan sumber data sekunder berupa data PBL mahasiswa fakultas Kesehatan Masyarakat Universitas Sriwijaya tahun 2024 di Kecamatan Kelekar, Gelumbang dan Lembak terhadap 96 remaja Perempuan dengan pendekatan potong lintang yang dipilih menggunakan teknik Total Sampling. Data kemudian dianalisis menggunakan analisi univariat dan analisis bivariat menggunakan SPSS versi 27. Analisis univariat bertujuan untuk menganalisis karakteristik variabel. Analisis bivariat dilakukan untuk mengetahui hubungan antara dua variabel yakni variabel karakteristik remaja dengan variabel konsumsi TTD.Hasil: Berdasarkan hasil uji bivariat mengenai korelasi karakteristik responden dan status konsumsi TTD didapatkan bahwa analisis Chi-Square menunjukkan bahwa umur (p=0,344), Pendidikan (p=0,334), status haid (p=0.051) dan usia MENARS (p=0.382) pada remaja Perempuan tidak memiliki hubungan yang bermakna dengan konsumsi TTD. Mayoritas total remaja yang tidak mengkonsumsi TTD dengan frekuensi sebesar 78 orang (81.2%).Pembahasan: Meskipun ada rekomendasi untuk meningkatkan konsumsi TTD pada saat menstruasi, banyak remaja putri yang tidak teratur dalam mengonsumsinya. Hal ini dapat disebabkan oleh kurangnya pengetahuan, efek samping yang dirasakan, atau ketidaknyamanan saat mengonsumsi tablet. Selain itu, Banyak faktor lain yang mempengaruhi keputusan remaja putri untuk mengonsumsi TTD, termasuk pengetahuan tentang manfaatnya, dukungan dari keluarga dan teman, serta persepsi pribadi terhadap kesehatan mereka.Kesimpulan: Sebagian besar remaja Perempuan (81.2%) tidak mengkonsumsi TTD. Tidak terdapat hubungan antara umur, penddikan, status haid, dan usia MENARS dengan konsumsi TTD. Edukasi yang efektif dan dukungan kontinu dari berbagai pihak sangat diperlukan untuk meningkatkan kesadaran dan kepatuhan konsumsi TTD di kalangan remaja putri.Kata Kunci: Karateristik remaja, remaja Perempuan, konsumsi TTD. ABSTRACTIntroduction: The consumption rate of Iron Supplement Tablets (ITP) in Indonesia shows a very low level, especially among adolescent girls. Based on the 2018 Riskesdas data, although 76.2% of adolescent girls have access to ITP, only 1.4% consume more than 52 tablets during the recommended period. Overall, the low consumption of ITP among adolescent girls reflects the need for further research on ITP consumption in adolescent girls, reproductive health education, and social support to increase awareness and compliance with this supplementation program.Method: This study used secondary data sources in the form of PBL data from students of the Faculty of Public Health, Sriwijaya University in 2024 in Kelekar, Gelumbang and Lembak Districts of 96 adolescent girls with a cross-sectional approach selected using the Total Sampling technique. The data were then analyzed using univariate analysis and bivariate analysis using SPSS version 27. Univariate analysis aims to analyze the characteristics of the variables. Bivariate analysis was conducted to determine the relationship between two variables, which were the adolescent characteristic variable and the ITP consumption variable.Results: Based on the results of the bivariate test on the correlation of respondent characteristics and ITP consumption status, it was found that the Chi-Square analysis showed that age (p = 0.344), education (p = 0.334), menstrual status (p = 0.051) and MENARS age (p = 0.382) in female adolescents did not have a significant relationship with ITP consumption. The majority of adolescents did not consume ITP with a frequency of 78 people (81.2%).Discussion: Although there are recommendations to increase ITP consumption during menstruation, a lot of adolescents girls are not consuming ITP regularly. This can be caused by lack of knowledge, perceived side effects, or discomfort when taking the tablets. However, there are many other factors that can influence the decision of adolescent girls to consume ITP, including knowledge of its benefits, support from family and friends, and personal perceptions of their health.Conclusion: Most adolescent girls (81.2%) did not consume ITP regularly. There was no relationship between age, education, menstrual status, and MENARS age with TTD consumption. Effective education and continuous support from various parties are needed to increase awareness and compliance of ITP consumption among adolescent girls.Keywords: Characteristics of adolescents, adolescent girls, ITP consumption.

Case Series : Angka Kematian Demam Berdarah Dengue Berdasarkan Jenis Kelamin di Jawa Barat: Case Series: Dengue Fever Mortality Rate Based on Gender in West Java Taufik, Afifah; Hasibuan, Putri Amanda; Putri, Firly Deliana; Wulandari, Aulia; Tunggal Mutika, Winnie; Lisa, Mona
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 15 No. 2 (2024): Jurnal Kesmas Untika Luwuk: Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/phj.v15i2.279

Demam Berdarah Dengue (DBD) adalah penyakit endemik yang umum di seluruh Indonesia, termasuk di Provinsi Jawa Barat. Analisis pola kejadian DBD berdasarkan jenis kelamin menjadi penting untuk untuk mendukung upaya pencegahan pencegahan dan pengendalian yang lebih efektif. Penelitian ini bertujuan untuk mengkaji prevalensi kasus DBD berdasarkan jenis kelamin dan angka kematian di Jawa Barat selama periode 2021-2023. Dengan desain studi deskriptif case series, penelitian ini menggunakan data sekunder dari Dinas Kesehatan Provinsi Jawa Barat. Analisis deskriptif untuk dilakukan untuk membandingkan kasus DBD antara laki-laki dan perempuan. Dari hasil analisis didapatkan bahwa laki-laki memiliki risiko 1,17 kali lebih tinggi untuk terinfeksi DBD dibandingkan perempuan (OR=1,17; 95% CI: 1,09-1,25). Proporsi kasus DBD pada laki-laki menunjukkan peningkatan dari 51,4% pada di tahun 2021 menjadi 53,1% di tahun 2023, sedangkan proporsi pada perempuan cenderung menunjukkan tren fluktuatif. Walaupun laki-laki memiliki kerentanan lebih tinggi terhadap infeksi, angka kematian akibat DBD pada perempuan tercatat lebih besar dibandingkan dengan laki-laki selama periode penelitian. Hasil ini menyoroti pentingnya pendekatan pencegahan yang mempertimbangkan aspek berbasis gender. Dinas Kesehatan diharapkan dapat meningkatkan edukasi dan intervensi pencegahan yang lebih spesifik, terutama bagi kelompok perempuan, guna menekan angka kematian. Selain itu, masyarakat perlu didorong untuk secara rutin memberantas sarang nyamuk dan meningkatkan kewaspadaan terhadap gejala awal DBD. Penelitian lebih lanjut direkomendasikan untuk mengeksplorasi faktor biologis, sosial, dan lingkungan yang berkontribusi terhadap perbedaan risiko infeksi dan angka kematian berdasarkan jenis kelamin. Dengue Hemorrhagic Fever (DHF) is an endemic disease common throughout Indonesia, including in West Java Province. Analysis of DHF incidence patterns by gender is essential to support more effective prevention and control efforts. This study aims to examine the prevalence of DHF cases by gender and mortality rates in West Java during the period 2021-2023. With a descriptive case series study design, this study used secondary data from the West Java Provincial Health Office. A descriptive analysis was conducted to compare DHF cases between men and women. The results of the analysis showed that men had a 1.17 times higher risk of contracting DHF than women (OR = 1.17; 95% CI: 1.09-1.25). The proportion of DHF cases in men increased from 51.4% in 2021 to 53.1% in 2023, while the proportion in women tended to fluctuate. Although men are more susceptible to infection, the mortality rate due to dengue fever in women was recorded to be greater than that of men during the study period. These results highlight the importance of a prevention approach that considers gender-based aspects. The Health Office is expected to improve education and more specific prevention interventions, especially for women, to reduce mortality rates. In addition, the community must be encouraged to routinely become members of mosquito nests and increase awareness of early symptoms of dengue fever. Further research is recommended to explore biological, social, and environmental factors contributing to differences in infection risk and mortality rates based on gender.

Faktor Risiko Keluarga sebagai Prediktor Perilaku Merokok di Kalangan Pelajar: Sebuah Tinjauan Empiris di Indonesia: Family Risk Factor as Predictor of Smoking Behavior Among Students: an Empirical Study in Indonesia Lisa, Mona; Mutika, Winnie Tunggal; Muharramah, Disa Hijratul; Sulistyorini, Dwi
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 16 No. 1 (2025): Jurnal Kesmas Untika Luwuk: Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/phj.v16i1.323

Hasil Survei Kesehatan Indonesia (SKI) tahun 2023 prevalensi merokok pada penduduk berusia ≥10 tahun mencapai angka 27.05%. Peningkatan yang signifikan terjadi pada kelompok usia remaja, terutama pada laki-laki yang berusia 15–19 tahun, yang mencapai angka 56,5%. Tujuan penelitian adalah mengetahui hubungan faktor-faktor keluarga terhadap perilaku merokok pelajar di Indonesia. Penelitian ini menggunakan jenis penelitian Cross-sectional. Survei meliputi kota kabupaten yang tersebar 34 provinsi dengan jumlah sampel 33,135 responden pelajar. Data yang digunakan adalah data sekunder. Analisa yang digunakan adalah analisa univariat dengan distribusi frekuensi dan analisa bivariat dengan menggunakan uji statistik Chi-square dan analisis multivariat dengan menggunakan regresi logistic ganda. Hasil Penelitian: Analisis menunjukkan 22,3% pelajar yang merokok dalam 30 hari terakhir. Setelah di adjust dengan kovariat diperoleh faktor keluarga yang berhubungan dengan perilaku merokok pada pelajar yaitu Pendidikan orang tua (AOR=1,14, 95% CI 1,05–1,19), status pekerjaan orang tua (AOR=1,14, 95% CI 1,03–1,26), Status pernikahan orang tua (AOR=1,2, 95% CI 1,08–1,31), perilaku berisiko keluarga (AOR=1,67, 95% CI 1,58–1,80), jarang ada kehangatan keluarga (AOR=1,18, 95% CI 1,20–1,26), tidak pernah merasakan kehangatan keluarga (AOR=1,41, 95% CI 1,29–1,54) dan kekerasan fisik dalam keluarga (AOR=1,43, 95% CI 1,29–1,59). Nilai R square=0.026 dimana model ini menjelaskan 2.6 % untuk mempredikasi perilaku merokok pada pelajar. Kesimpulan: Perilaku berisiko dalam keluarga memiliki kontribusi paling besar terhadap perilaku merokok pada pelajar. Perlu dilakukan intervensi berbasis keluarga yang fokus pada peningkatan kehangatan relasi keluarga, edukasi orang tua, serta pencegahan kekerasan dan perilaku berisiko dilingkungan rumah. According to the 2023 Indonesia Health Survey (IHS), the prevalence of active smokers aged ≥10 years reached 27,05%, with a significant increase among adolescents, particularly males aged 15–19 years, reaching 56.5%. This study aims to examine the association between family-related factors and smoking behaviour among students in Indonesia. This research employed an analytical Cross-sectional design using secondary data. The survey covered districts and cities across 34 provinces in Indonesia, with a total sample of 33,135 student respondents. Data were analysed using univariate analysis with frequency distribution, bivariate analysis using the Chi-square test, and multivariate analysis using multiple logistic regression. The analysis showed that 22.3% of students had smoked in the past 30 days. After adjusting for covariates, several family-related factors were significantly associated with smoking behaviour, including parental education level (AOR=1.14; 95% CI: 1.05–1.19), parental employment status (AOR=1.14; 95% CI: 1.03–1.26), parental marital status (AOR=1.20; 95% CI: 1.08–1.31), risky behaviours within the family (AOR=1.67; 95% CI: 1.58–1.80), lack of family warmth (AOR=1.18; 95% CI: 1.20–1.26), absence of family warmth (AOR: 1.41; 95% CI: 1.29–1.54), and experience of physical violence within the family (AOR: 1.43; 95% CI: 1.29–1.59). The R-square value 0f 0.026indicate that the model explain 2,6% of variance in predicting smoking behaviour among student. Risky behaviours within the family contributed the most to student smoking behaviour. Family-based interventions are necessary, focusing on strengthening familial warmth, improving parental education, and preventing violence and risky behaviors within the household environment.

Kualitas Air dan Risiko Gejala Infeksi Saluran Pernapasan Akut (ISPA) pada Balita: Studi Cross-Sectional Muharramah, Disa Hijratul; Fakhriatiningrum, Fakhriatiningrum; Saputra, Yoerdy Agusmal; Lisa, Mona; J, Rahmi Fitri; Armawan, Ladyka Viola Auliya
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45923

Infeksi Saluran Pernapasan Akut (ISPA) adalah penyebab utama morbiditas pada balita. Kualitas air rumah tangga, termasuk air berwarna, berasa, dan berbau, berpotensi meningkatkan risiko ISPA. Penelitian ini bertujuan untuk mengidentifikasi hubungan kualitas air dengan gejala ISPA pada balita. Studi observasional analitik dengan desain potong lintang dilakukan pada 1.267 rumah tangga di tiga kecamatan di Kabupaten Muara Enim pada tahun 2024. Data dikumpulkan melalui kuesioner terstruktur dan dianalisis dengan uji chi-square untuk mengetahui hubungan antara kualitas air dan gejala ISPA. Hasil analisis menunjukkan bahwa kualitas air rumah tangga berhubungan signifikan dengan gejala ISPA pada balita. Ditemukan hubungan yang signifikan antara kualitas air dengan gejala ISPA. Balita yang tinggal di rumah dengan sumber air berwarna berhubungan signifikan dengan gejala demam (p = 0,009) dan pilek (p = 0,014). Air berasa berhubungan dengan demam (p < 0,001) dan pilek (p = 0,016). Air berbau berhubungan signifikan hanya dengan demam (p = 0,004). Material rumah juga berhubungan signifikan dengan gejala batuk (p = 0,011) dan pilek (p = 0,019). Sebaliknya, ventilasi rumah dan status merokok keluarga tidak menunjukkan hubungan signifikan dengan gejala ISPA. Kualitas air rumah tangga, terutama air yang berwarna dan berasa, berhubungan signifikan dengan peningkatan risiko gejala ISPA pada balita. Intervensi peningkatan akses terhadap air bersih perlu diprioritaskan sebagai bagian dari upaya pencegahan ISPA. Penelitian lebih lanjut dengan desain longitudinal dan uji kualitas air berbasis laboratorium direkomendasikan untuk menguatkan hubungan kausal. Kata kunci: Balita; gejala ISPA; Kualitas air. Acute Respiratory Infections (ARI) are a leading cause of morbidity in young children. Household water quality, including water that is discolored, tastes unpleasant, or has an odor, may increase the risk of ARI. This study aims to identify the relationship between water quality and ARI symptoms in young children. This study identified a statistically significant association between household water quality and the occurrence of ARI symptoms among children under five. The use of discolored water was significantly associated with increased reports of fever (p = 0.009) and nasal congestion (p = 0.014). Unpleasant-tasting water was also significantly associated with fever (p < 0.001) and nasal congestion (p = 0.016), whereas foul-smelling water demonstrated a significant association with fever only (p = 0.004). Furthermore, housing materials were significantly associated with the presence of cough (p = 0.011) and nasal congestion (p = 0.019). Conversely, no significant associations were observed between ARI symptoms and household ventilation or exposure to tobacco smoke. Household water quality, particularly water that is discolored or has an unusual taste, is significantly associated with an increased risk of acute respiratory infection (ARI) symptoms in children under five. Improving access to safe and clean drinking water should be prioritized as part of ARI prevention efforts. Further research using longitudinal designs and laboratory-based water quality testing is recommended to strengthen the evidence for a causal relationship. Keywords: ARI;Water Quality;Young Children

Analisis faktor sosio-demografi, perilaku hygiene ibu, dan sanitasi lingkungan terhadap kejadian diare Fakhriyatiningrum, Fakhriyatiningrum; Muharramah, Disa Hijratul; Razak, Rahmatillah; Lisa, Mona
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.873

Background: Diarrhea is an infectious disease that can cause death in the post-neonatal period (age 29 days-11 months) and toddlers (age 12-59 months). Muara Enim Regency is one of the endemic areas for diarrhea with an incidence rate reaching 15.2% in toddlers in 2022. Purpose: To analyze socio-demographic factors, maternal hygiene behaviour, and environmental sanitation on diarrhea incidence. Method: This study used data from the results of the field work practice of the Faculty of Public Health, Sriwijaya University in 2024 in Lembak District, Muara Enim Regency. The study design was cross-sectional with a sample of 403 mothers of toddlers selected by multistage random sampling. Data analysis was carried out using the chi-square test and continued with logistic regression analysis. Results: It was found that 66 toddlers (16.4%) suffered from diarrhea, 67.5% of mothers were aged > 25 years, 51.1% of mothers had low education, 73.2% of mothers did not work, 63.8% had low family income, and 51.1% of mothers had poor hygiene behavior. However, 98.0% of respondents had access to clean water quality, and 95.3% of respondents had adequate toilet facilities. There was a significant relationship between maternal age and maternal hygiene behavior with the incidence of diarrhea. The variables of maternal education, maternal occupation, maternal income, clean water quality, and toilet and bathing facilities were not significantly related to the incidence of diarrhea. Conclusion: The maternal hygiene variable is the most dominant factor in this study after being controlled by the maternal age and family income variables. Keywords: Diarrhea; Maternal Hygiene Behavior; Socio-Demographic Factors. Pendahuluan: Diare merupakan penyakit infeksi yang dapat mengakibatkan kematian pada masa post-neonatal (usia 29 hari-11 bulan) dan anak balita (usia 12-59 bulan). Kabupaten Muara Enim merupakan salah satu daerah endemik diare dengan angka kejadian mencapai 15.2% terjadi pada balita di tahun 2022. Tujuan: Untuk menganalisis faktor sosio-demografi, perilaku hygiene ibu, dan sanitasi lingkungan terhadap kejadian diare. Metode: Penelitian ini menggunakan data dari hasil Pengalaman Belajar Lapangan (PBL) Fakultas Kesehatan Masyarakat Universitas Sriwijaya tahun 2024 yang berada di Kecamatan Lembak Kabupaten Muara Enim. Desain penelitian bersifat cross-sectional dengan jumlah responden sebanyak 403 ibu balita yang dipilih secara multistage random sampling. Analisis data yang dilakukan yaitu menggunakan uji chi-square dan dilanjutkan dengan analisis regresi logistik. Hasil: Terdapat 66 balita (16.4%) ditemukan menderita diare, sebesar 67.5% ibu berusia > 25 tahun, 51.1% ibu memiliki tingkat pendidikan rendah, 73.2% ibu tidak bekerja, 63.8% memiliki pendapatan keluarga rendah, dan 51.1% ibu memiliki perilaku hygiene yang kurang baik. Namun, 98.0% responden memiliki akses terhadap kualitas air bersih, dan 95.3% responden memiliki fasilitas mandi cuci kakus (MCK) yang memenuhi syarat. Terdapat hubungan yang signifikan antara usia ibu dan perilaku hygiene ibu dengan kejadian diare. Variabel pendidikan ibu, pekerjaan ibu, pendapatan ibu, kualitas air bersih, dan fasilitas MCK tidak berhubungan signifikan dengan kejadian diare. Simpulan: Variabel hygiene ibu merupakan faktor paling dominan dalam penelitian ini setelah dikontrol oleh variabel usia ibu dan pendapatan keluarga. Kata Kunci: Diare; Faktor Sosiodemografi; Perilaku Hygiene Ibu.

PENGARUH ANEMIA TERHADAP KEJADIAN PERDARAHAN PASCA PERSALINAN PADA IBU BERSALIN Mutika, Winnie Tunggal; Mona Lisa; Indah Trisna Sari; Ambariani
HEARTY Vol 11 No 2 (2023): AGUSTUS
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v11i2.8687

Penyebab kematian ibu didominasi oleh 33,19% perdarahan, 32,16% hipertensi dalam kehamilan, 9,80% gangguan sistem peredaran darah (jantung), 3,36% infeksi, 1,75% gangguan metabolik, dan 19,74% penyebab lainnya. Faktor-faktor yang mempengaruhi terjadinya pasca persalinan adalah umur ibu, partus lama, jarak persalinan, riwayat perdarahan pasca persalinan, dan anemia. Tujuan penelitian ini adalah untuk mengetahui pengaruh anemia terhadap perdarahan pasca persalinan yang sudah dikontrol oleh beberapa variabel. Metode yang digunakan adalah kuantitatif dengan desain cross-sectional. Subjek penelitian adalah ibu bersalin sedangkan untuk objek penelitian adalah perdarahan pasca persalinan. Pengambilan sampel menggunakan total sampling dan dilaksanakan di PMB J pada Juli 2021. Analisis yang digunakan adalah regresi logistik berganda. Hasil penelitian menunjukkan bahwa kadar Hemoglobin (Hb) saat kehamilan dapat meningkatkan risiko terjadinya perdarahan pasca persalinan (OR 2,95; 95% CI 1,73–5,04). Riwayat perdarahan sebelumnya pada persalinan sebelumnya dapat juga meningkatkan risiko terjadinya risiko perdarahan pasca persalinan (OR=5,18;95% CI 1,50–17,9). Riwayat abortus pada ibu bersalin juga dapat meningkatkan terjadinya perdarahan (OR 2,61; 95% CI 1,09–6,21). Berdasarkan hasil tersebut, maka dapat disimpulkan bahwa anemia memberikan pengaruh terhadap kejadian perdarahan pasca persalinan setelah dikontrol dengan variabel anemia, riwayat persalinan sebelumnya, dan riwayat abortus.

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