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All Journal Panakeia Journal of Epidemiology Proceeding Mulawarman International Conference on Tropical Public Health
Akhmad Azmiardi
Mulawarman University
Health Professions Public Health

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The Relationship between Anxiety Symptoms and Smoking AmongAdolescents in Samarinda Vicca Yulia Insany; Riyan Ningsih; Akhmad Azmiardi
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Adolescents are a vulnerable population for both anxiety disorders and health risk behaviors such as smoking, including the use of electronic cigarettes. Anxiety symptoms in adolescents are thought to contribute to earlier smoking initiation. Objective : This study aimed to examine the relationship between anxiety symptoms and smoking behavior among adolescents in Samarinda Research Methods/ Implementation Methods : This cross-sectional study was conducted in the working area of Baqa Primary Healthcare Center, Samarinda, in 2025. A total of 212 senior high school students were selected using a total sampling technique. Smoking behavior data were collected using a smoking behavior screening questionnaire. Anxiety symptoms were measured using the Mini MINDHEAR Youth Scale V.1 (anxiety subscore). Data were analyzed using univariate and bivariate analysis with the Chi-Square test Results : Most respondents were aged 15 to 17 years. Among the smokers, 40 participants were male (81%) and 9 were female (19%); 29 respondents (59%) reported smoking conventional tobacco cigarettes, while 20 respondents (40%) used electronic cigarettes. The proportion of smoking (tobacco/e-cigarettes) among respondents with anxiety symptoms was 33.9%, compared to 19.2% among those without anxiety symptoms. There was a statistically significant association between anxiety symptoms and smoking behavior (p = 0.025; PR = 2.157; 95 percent CI = 1.091–4.264). Conclusion/Lesson Learned : There is a significant relationship between anxiety symptoms and smoking behavior among students. These findings highlight the importance of mental health screening and intervention within School Health Programs (UKS), Adolescent Integrated Community Health (Posyandu Remaja), and Smoking Cessation Program (UBM
The The Relationship Between Age, Employment Status, Gender, Linezolid Use, and Hiv Status on The Survival Duration of Short-Term Treated MDR-TB Patients Akhmad Azmiardi; Muhamad Zakki Saefurrohim; Intan Henda Ardiani
Panakeia Journal of Epidemiology Vol. 1 No. 1 (2024): PANAKEIA
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/panakeia.v1i1.1851

Abstract

This study evaluated the association of demographic and clinical factors with the survival of drug-resistant TB (MDR-TB) patients undergoing short-term treatment. Using a retrospective cohort design, data were collected from the medical records of 38 MDR-TB patients who received short-term therapy in 2021-2023 at a Central Java hospital. The variables analyzed included age, employment status, gender, Linezolid (Lzd) use, HIV status, and treatment initiation time. The results of logistic regression analysis showed that employment status and gender significantly influenced survival. Patients who were employed had a higher chance of survival than patients who were not employed (Exp(B) = 38.884; p = 0.011). Female patients showed better outcomes than males (Exp(B) = 0.031; p = 0.011). Age showed a weak association with survival, with older age tending to decrease survival although not significantly (p = 0.052). HIV status and timing of early treatment initiation also showed potential to affect survival, but were not significant (p > 0.05). Lzd use showed no significant effect on survival (p = 0.441). This study concludes that occupation and gender are important predictors of survival in MDR-TB patients, while other factors require further research.
Geo-Spatial Exploration of Tuberculosis in Samarinda Ulu Sub-District, Samarinda City, East Kalimantan Muh. Amri Arfandi; Muhammad Zakki Saefurrohim; Akhmad Azmiardi; Siswanto; Siti Lutfiyah Ulfa
Panakeia Journal of Epidemiology Vol. 1 No. 1 (2024): PANAKEIA
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/panakeia.v1i1.2111

Abstract

This research investigates the spatial distribution of tuberculosis (TB) cases in Samarinda Ulu, a sub-district with the second-highest percentage of detected TB cases in Samarinda City. Despite the availability of geographic analysis tools, no prior studies have focused on this area. The study uses a descriptive-analytical, cross-sectional approach, utilizing secondary data from the TB03-SO form for 2023. The total sample includes 323 TB cases, with Google Maps used to locate case coordinates based on respondents’ addresses. Spatial analysis was conducted using QGIS software with overlay, buffer, and nearest neighbor analysis techniques. Results shows that TB cases in Samarinda Ulu are distributed in a clustered pattern (NNI<1), with clusters forming primarily in densely populated areas. The spatial analysis results also indicate that the majority of TB cases spread through close contact with index cases. Teluk Lerong Ilir Village emerges as a TB "hotspot," with the highest concentration of cases. This study suggests strengthening spatial-based TB surveillance and intensifying control efforts, such as enhancing early detection and promoting community-based health education programs in highly populated areas. This would allow health institutions to better target high-risk regions and improve TB prevention and control strategies.
Co-Authors Alwan Zakki Nozomi Amandha Baruni Andika Nicholas Iqbal Ardiansyah Anisa Rahayu Arlina Azka Asrianti, Tanti Blego Sedionoto Gusti Nurul Husna Hefi Kurniasih Intan Henda Ardiani Irfan Baharuddin Pakki Irfansyah Baharuddin Pakki Iriyani Iriyani Muh. Amri Arfandi Muhamad Zakki Saefurrohim Muhammad Zakki Saefurrohim Noorhayaty Noorhayaty Nuning Nuning Nunuk Kusuma Wardani Resda Herliani Risva Risva Riyan Ningsih Rusna Azizah Aziz Siswanto Siswanto Siswanto Siti Lutfiyah Ulfa Siti Malikha Zalzabila Maharani Vallina Laurensia Indika Ningrum Vicca Yulia Insany