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Muharramah, Disa Hijratul
Fakultas Kesehatan Masyarakat, Universitas Sriwijaya
Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Obesity and Severity COVID-19 : Literature Review Study Disa Hijratul Muharramah; Nurhayati Prihartono
Jurnal Epidemiologi Kesehatan Komunitas Vol 6, No 2: Agustus 2021
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v6i2.11662

Abstract

Background: Coronavirus disease (COVID-19) caused by SARS-CoV 2 (Severe Acute Respiratory Syndrome) has spread worldwide and infected more than 180 million confirmed cases and 3,9 million deaths. The clinical manifestations of COVID-19 range from asymptomatic or mild infection to severe. Previous reports identified that obesity is associated with the condition of a person infected with COVID-19 develop into severe. This study aims at examining the risk of severity COVID-19 associated with obesity Methods: This study  was conducted a literature review method. There are ten articles obtained from online databases at Pubmed, Google Schoolar and the Wiley Online Library.Result: The results of various studies using cohort and cross-sectional study designs show that obesity has a statistically significant association with increasing risk for the severity of COVID-19. Obese individuals infected with COVID-19 suffer severe and critical symptoms that impact patients admitted to ICU, intubation and death.Conclusion : Obesity increase the risk for severity of COVID-19.  Maintain healthy life style, including routine exercise, choice of healthy food and routine medical checkup may reduce the risk of severity of COVID-19
Effectiveness of Using Hydrocolloid Dressing on the Incidence of Extravasation: an Experimental Study Rosi Suriati; Rahmi Ramadhan; Anggun Atrisia; Waldi Rahman; Disa Hijratul Muharramah
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): 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.v6i4.3330

Abstract

Extravasation describes the process of leaking of substances injected into blood vessels into surrounding tissues. The incidence of extravasation ranges from 0.5%-6% in patients receiving peripheral chemotherapy. One way of treating extravasation is by using dressings. Hydrocolloid contains carboxymethyl cellulose (CMC) and gelatin. The function of hydrocolloid is to provide a moist environment, overcome inflammation, and protect epithelialised wounds from physical, chemical, and thermal trauma Objective: The purpose of the study was to determine the effectiveness of using Hydrocolloid dressing with regular wound care on the incidence of extravasation in the chronic room of dr. Mdjamil Hospital Padang Method: The type of research is quantitative with an Experimental Study design with a control Pre- Post Test. This study was conducted from February to July 2023 with 50 samples using the Simple Random Sampling technique. Data were collected using observation sheets, then tested with the General Linear Model Repeated Measure. Results: Based on the research results, a P value of 0.001 was obtained, giving hydrocolloid dressing had an effect in overcoming the incidence of extravasation after its use in children with cancer undergoing chemotherapy. The median score of extravasation on hydrocolloid was 7 and on ordinary wound care with a median score of 9 on the incidence of extravasation where the p-value was 0.018 Conclusions: There is an effect of using Hydrocolloid dressing on the incidence of extravasation in the chronic room of Dr. M. Djamil Hospital Padang. There is no effect of regular wound care on the incidence of extravasation in the chronic room of Dr. M. Djamil Hospital Padang.
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

Abstract

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.
In-hospital mortality and its determinant factors among patients with sepsis Fadrian, Fadrian; Decroli, Eva; Ahmad, Armen; Kam, Alexander; Muharramah, Disa Hijratul; Pradana, Genta; Putri, Vidola Yasena
Universa Medicina Vol. 44 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2025.v44.3-15

Abstract

BACKGROUNDSepsis is a heterogeneous syndrome characterized by a variety of clinical features. Multiple studies have identified sepsis as the leading cause of death in hospitalized patients. A comprehensive report on the incidence, clinical characteristics, and predictors of sepsis is important. This study aimed to determine the relative importance of predictors of in-hospital mortality in sepsis. METHODSA retrospective cohort study at Dr. M. Djamil Central General Hospital focused on sepsis patients. A total of 200 participants, aged 18 and older, were included based on specific criteria and recruited through consecutive sampling. Data was gathered from medical records and laboratory results to identify factors influencing mortality in sepsis patients. These factors were classified into sociodemographic, intrinsic, and extrinsic categories. Statistical analysis utilized simple and multiple logistic regression. A p-value of less than 0.05 indicated statistical significance for predicting in-hospital mortality in sepsis. RESULTSThe sepsis patient mortality rate was 69.50%. Hospital-acquired pneumonia (HAP) emerged as the most common infectious diagnosis, impacting 47.50% of the patients. Type 2 diabetes mellitus (Type 2 DM) was identified as the most frequent comorbidity, present in 36.50% of cases. Multivariate analysis indicated that HAP (adjusted odds ratio [aOR] 2.32; 95% confidence interval [CI] 1.19–4.49; p=0.013) and hyperlactatemia (aOR 2.11; 95% CI 1.06–4.18; p=0.032) significantly increased the risk of mortality in sepsis patients. CONCLUSIONHospital-acquired pneumonia was the primary predictor of mortality in sepsis patients. Timely prediction and evaluation of sepsis outcomes are essential for developing strategies to reduce mortality rates.
The Association of Low Birth Weight and the Incidence of Stunting among Under-Fives in Indonesia: A Systematic Review Safhira, Bella; Anggraini, Junisa; Tarina, Lian; Apriani, Sasmita; Budiastuti, Anggun; Pulungan, Rafiah Maharani; Muharramah, Disa Hijratul
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 17 No 1 (2025): JIKM Vol. 17, Issue 1, February 2025
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v17i1.744

Abstract

Abstract Background: Stunting or failure to thrive in children is characterized by lower height compared to the child's age standard. Stunting in children under five not only affects their physical and cognitive development, but also impacts their future quality of life. LBW is one of the factors that increase the risk of stunting. This study aimed to examine the association between low birth weight (LBW) and the prevalence of stunting in children under five through a systematic review. Method: The search for scientific articles of case-control analytic observational studies with research locations in Indonesia from 2020 to 2024 was conducted through two databases, namely Semantic Scholar and Google Scholar using Harzing's Publish or Perish application. This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines with study quality assessment using The JBI Critical Appraisal Checklist for Case-Control Study. Result: From a total of 63 articles obtained, 13 articles were extracted after going through a screening process based on inclusion criteria, exclusion criteria and article quality assessment. Of the 13 studies, 10 studies or 77%, concluded that LBW had an association with stunting. Conclusion: Based on a systematic review, LBW is one of the important risk factors contributing to stunting among children under five in Indonesia. Therefore, interventions that focus on improving maternal nutrition and education on maternal health before, during, and after pregnancy are very important to be maximized to reduce and minimize the incidence of LBW and prevent stunting.
Incident of Intradialytic Hypertension and Quality of Life in Hemodialysis Patient Sutra Dewi; Hidayati Hidayati; Mulyastuti Mulyastuti; Disa Hijratul Muharramah
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): 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.v6i6.3126

Abstract

Intradialytic hypertension is an often overlooked complication during hemodialysis, yet it possesses the potential to increase morbidity and mortality among CKD patients undergoing routine hemodialysis, indirectly impacting their quality of life. This study aims to analyze the occurrence of intradialytic hypertension and its impact on the quality of life of hemodialysis patients. Employing a Case-Control design, the research subjects consisted of patients with intradialytic hypertension as the case group and those without intradialytic hypertension as the control group. The study population comprised CKD patients undergoing hemodialysis at DR M. Djamil Padang Hospital. The sampling technique employed was convenience sampling, with a total sample size of 44 individuals, evenly divided into two groups of 22 patients each (hypertension and non-hypertension). Data analysis included both univariate and bivariate analyses. The questionnaire utilized was KDQOL-SF version 1.3. Bivariate analysis results indicated a difference in the quality of life of hemodialysis patients between those with and without intradialytic hypertension (IHD). Activation of educational initiatives and the utilization of educational media, such as audio-video materials and leaflets provided by various Healthcare Professionals (HCPs), are recommended to enhance the quality of life of hemodialysis patients.
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

Abstract

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.
The Effect of Climate Conditions on COVID-19: A Modelling Study in The Indonesian Epicenter Saputra, Yoerdy Agusmal; Muharramah, Disa Hijratul; Novitrie, Ayu; Armawan, Ladyka Viola; Lewinsca, Maurend Yayank; Utami, Putri
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.43086

Abstract

Over 200 countries have experienced a further increase in COVID-19 cases and this has been considered to be influenced by climatic conditions. The most vulnerable countries to this increase are those with low vaccination rates. This study aims to determine the influence of climate on COVID-19 cases in Indonesia. Furthermore, an ecological study design based on time conducted in Jakarta was used to obtain secondary data from March to September 2020. These data include maximum, minimum and average temperature, humidity, precipitation, maximum, and average wind speed, and solar radiation. The multiple linear regression test results showed that high humidity significantly affects the decrease in COVID-19 cases and 66.5% of the variations can be explained by this factor. For every 1% increase in humidity, there will be a decrease of 4 cases per week. However, the high humidity environment was reported to have the ability to suppress cases since transmission is still possible. Therefore, SARS-CoV-2 can still survive in humid conditions but in a relatively short time. Kata Kunci: Climate, COVID-19, epicenter, humidity.
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
Publisher : Universitas Pahlawan Tuanku Tambusai

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

Abstract

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

Abstract

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.
Co-Authors Ahmad, Armen Ambarwati, Dyah Anggraini, Junisa Anggun Atrisia Anggun Budiastuti Apriani, Sasmita Arfi, Alzikra Armawan, Ladyka Viola Armawan, Ladyka Viola Auliya Cicelia, Christara Dwi Listyorini Erman, Ery Eva Decroli Fadrian, Fadrian Fakhriatiningrum, Fakhriatiningrum Fakhriyatiningrum, Fakhriyatiningrum Fatria Harwanto Firdaus, Ghina Firdaus, Zaskia Amirosa Fitri Aulia Genta Pradana, Genta Hidayati Hidayati Jasmine, Annisah Biancika Kam, Alexander Ladyka Viola Aulia Armawan Lewinsca, Maurend Yayank Marisa Marisa Mona Lisa Mulyastuti Mulyastuti Mutika, Winnie Tunggal Novitasari, Prihatini Dini Novitrie, Ayu Nur, Fatima Nurhayati Prihartono Pulungan, Rafiah Maharani Putri Utami, Putri Putri, Vidola Yasena Rahmatillah Razak, Rahmatillah Rahmi Fitri J Rahmi Ramadhan Rosi Suriati Safhira, Bella Saputra, Yoerdy Agusmal Sutra Dewi Tarina, Lian Waldi Rahman Yusri Yusri