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Relationship between Body Mass Index and Gender with Asthma Dewi Puji Ayuningrum; Risna Nur Fajariyah; Randy Novirsa; Erni Astutik
Jurnal Berkala Epidemiologi Vol. 9 No. 2 (2021): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I22021.115-122

Abstract

Background: Asthma is ranked 16th among the leading causes of years lived with disability (YLD) and ranks 28th among the causes of global burden of disease (GBD). Various potential factors can cause asthma, which include body mass index (BMI) and gender. Purpose: This research aimed to determine the relationship between BMI and gender in people living with asthma in Indonesia. Methods: This research employed secondary data obtained from the Indonesian family life support (IFLS) 5th edition. This research used an observational analysis technique with a cross-sectional approach. The number of respondents in this research were 30,713. In this study, the BMI category was based on WHO’s classification for Asians. Data was analyzed using logistic regression tests and chi square. Statistical significance was set at a value of p<0.05. Results: As many as 17,175 respondents had a normal BMI range (56.92%), out of which the majority were women—16,001 respondents (52.10%). After controlling the other variables, statistical test results with logistic regression indicated that male respondents had 1.23 times the odds of experiencing asthma compared to females (adjusted odds ratio (AOR)=1.23; 95% confidence interval (CI), 1.04–1.44; p=0.02). Again, after controlling the other variables, underweight respondents had 1.31 times the odds of experiencing asthma compared to respondents who had a normal BMI (AOR=1.31; 95%CI=1.07–1.59; p=0.01). Conclusion: A relationship between gender and the category of people who were underweight after determining their BMI could be established. Health counseling can be provided to help improve the respiratory conditions of these individuals.
Rancangan Pengembangan Ekowisata Bukit Matoa di Kota Padang, Aspek Kesehatan dan Keselamatan Kerja, dan Lingkungan (K3L) Gina Syakila Intania; Hanifa Zahra; Silvia Maharani Wineti; Syarifa Ayuni; Yoshiana Safira; Randy Novirsa
Warta Pengabdian Andalas Vol 30 No 4 (2023)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.30.4.579-587.2023

Abstract

Ecotourism is a tourism development concept that promotes tourism that is friendly to environmental and cultural sustainability and impacts the local economy. As part of the strategic area for tourism development in Indonesia, Bukit Matoa, Kelurahan Mata Air, West Sumatra has the potential to be developed as an ecotourism area. Based on a field survey, the group discovered that Matoa Hill still required additional development from numerous perspectives, particularly in occupational health and safety (OHS) and environmental health, to become an ecotourism area. The methods used in this project were interviews, observation, documentation, and literature studies. From the results, it was found that in the environmental health aspect, it was found that the availability of clean water and environmental sanitation facilities was inadequate. So, the group prepared a Bukit Matoa ecotourism plan regarding the OHS and environmental health to become a reference for the local government in planning, implementing and developing ecotourism. It hopes the development activities of Bukit Matoa can be more focused and planned.
Analisis Ketahanan Hidup Pasien HIV/AIDS Rawat Inap di RSUD Raden Mattaher Jambi Tahun 2016-2021 Annisa, Reza; Masrizal, Masrizal; Novnariza, Elsi; Novirsa, Randy
JIK-JURNAL ILMU KESEHATAN Vol 8, No 2 (2024): JIK-Oktober Volume 8 Nomor 2 Tahun 2024
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v8i2.1137

Abstract

HIV/AIDS merupakan masalah kesehatan global yang memiliki angka morbiditas dan mortalitas yang masih tinggi di Indonesia. Provinsi Jambi merupakan 10 terendah kejadian HIV/AIDS namun memiliki angka kematian yang masih tinggi (CFR=26,98%). Penelitian ini bertujuan untuk menganalisis ketahanan hidup pasien HIV/AIDS di RSUD Raden Mattaher Jambi Tahun 2016-2021, serta faktor yang diduga mempengaruhinya. Penelitian ini menggunakan desain studi kohort retrospektif. Data bersumber dari rekam medis pasien HIV/AIDS rawat inap tahun 2016-2021 sebanyak 124 sampel menggunakan teknik simple random sampling. Analisis dilakukan secara univariat, dan bivariat (cox regression). Pasien mengalami events sebesar 17,7% dengan incidence rate sebesar 2,4%. Terdapat hubungan antara stadium klinis (p-value=0,014), infeksi oportunistik (p-value=0,011), komorbid (p-value=0,000), status terapi ARV (p-value=0,037), lama terapi ARV (p-value=0,028). Pasien HIV/AIDS yang berada pada stadium klinis IV, memiliki infeksi oportunistik, memiliki komorbid, tidak pernah/putus terapi, dan menjalani terapi < 6 bulan memiliki probabilitas ketahanan hidup yang lebih rendah. Diharapkan rumah sakit dapat memberikan perawatan yang komprehensif, serta perawatan pendukung khususnya pasien dengan komorbiditas sehingga membantu dalam perencanaan pengobatan yang tepat.
Promoting Healthy Behaviors through Education and Practical Interventions for Disease Prevention in Sungai Pisang Randy Novirsa; Frima Elda; Yessy Markolinda; Fadilla Azmi
Warta Pengabdian Andalas Vol 32 No 2 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.2.238-249.2025

Abstract

Sungai Pisang Village is confronted with several public health issues, particularly a high incidence of diseases attributable to inadequate sanitation facilities and unhealthy lifestyle practices. This community-based intervention aimed to improve clean and healthy living behaviors through a combination of educational strategies and practical disease prevention activities. The intervention consisted of structured health education sessions, hands-on demonstrations of hygiene practices, and subsequent evaluations to measure behavioral outcomes and program effectiveness. Active engagement from community members and institutional support from the local health center facilitated program implementation. Findings revealed a significant increase in public awareness and the adoption of clean and healthy living behaviors practices, especially in terms of environmental hygiene, healthy dietary behavior, and preventive health measures. The results suggest that such integrative health promotion efforts can effectively foster sustainable behavioral changes, provided that continuous support from stakeholders is maintained.
PENINGKATAN KUALITAS HIDUP DAN KESEHATAN MASYARAKAT KELOMPOK RENTAN PASCA BENCANA BANJIR BANDANG DI KENAGARIAN PANDAI SIKEK Markolinda, Yessy; Ramadani, Mery; Augia, Trisfa; Novirsa, Randy; Elda, Frima; Kasra, Kamal; Husna, Nadiyatul; Aurora, Bunga Putri; Efendi, Melati Putria; Deca, Fathiya Zarine; Cahyani, Mardhiah BP
Warta Pengabdian Andalas Vol 32 No 3 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.3.357-366.2025

Abstract

Nagari Pandai Sikek West Sumatra experienced a flash flood disaster that caused infrastructure damage, disruption of basic services, and decreased the quality of life of the community, especially vulnerable groups. This activity aims to improve the quality of life and health of post-disaster communities through an integrated approach in the fields of health and disaster management. The quality of life of the community is measured through a composite approach that includes knowledge improvement (pre- and post-tests), behavioral changes and participation in activities, simple health conditions (blood pressure and physical activity), waste bank and maggot-based environmental management, and community social involvement. These indicators show improvements in physical, cognitive, social, and environmental aspects after the community service activities. Activity methods include socialization, simulation, and education with a pre-test and post-test approach to measure the effectiveness of the intervention. Activities were carried out in the form of disaster mitigation counseling for elementary school students, maggot-based waste management training, healthy lifestyle counseling for the elderly through the GERMAS program, and nutrition education for parents related to stunting prevention. The results of the activity showed an increase in public understanding of disaster mitigation, with an average pre-test score of 58.4 increasing to 82.7 in the post-test. The community demonstrated a better understanding of the importance of waste management to prevent environmental pollution, awareness of early detection of hypertension, and the fulfillment of balanced nutrition to prevent stunting. Active participation in simulations, question and answer sessions, and discussions were indicators of the success of the activity. It can be concluded that this community service program succeeded in increasing the understanding and awareness of the Pandai Sikek community regarding health and disaster preparedness. The sustainability of this program needs to be supported through collaboration with local governments, educational institutions, and local communities to expand its positive impact.
Survival Rate of Hepatocellular Carcinoma Patients with Varying Individual Characteristics: A Retrospective Cohort Study Mardhiyah, Imalatul; Masrizal, Masrizal; Pradipta, Yudi; Novirsa, Randy; Soko, Wilson
JIK-JURNAL ILMU KESEHATAN Vol 9, No 2 (2025): JIK-OKTOBER VOLUME 9 NOMOR 2 TAHUN 2025
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v9i2.1408

Abstract

Background: There is a continuous demand for an integrated survival analysis that takes into account clinical biomarkers and socio-demographic factors in Hepatocellular carcinoma (HCC) patients from Southeast Asia. This study figured out the mortality predictors that were independent of HCC patients at a major tertiary referral center in Indonesia.Methods: This retrospective cohort study looked into 123 HCC patients who were admitted to Dr. M. Djamil General Hospital, Padang (2018-2023). These patients were selected by simple random sampling. Survival analysis was conducted using Kaplan-Meier curves, log-rank tests, and multivariate Cox regression.Results: Median survival was 284 days with mortality at 24.4%. Univariate analysis showed that albumin <3.5 g/dL (HR=7.67, p=0.045), AFP ≥20 ng/mL (HR=2.16, p=0.044), age ≥59 years (HR=2.38, p=0.018), and obesity (HR=3.43, p=0.013) were significantly associated factors. Multivariate Cox regression indicated that AFP level was the leading factor (adjusted HR=3.94, 95%CI: 1.67-9.33, p=0.002), followed by age ≥59 years (adjusted HR=3.52, p=0.002) and education (adjusted HR=0.36, p=0.014).Conclusions: AFP level, old age, and education were the independent factors of HCC deaths in Central Sumatra. Besides, the conjunction of clinical and socio-demographic factors may be utilized for prognostic risk stratification to pinpoint the most at-risk groups and hence direct the targeted interventions that are most compatible with resource-limited settings predominately HBV-related HCC.
Analisis Risiko Pajanan PM2,5 di Udara Ambien Siang Hari terhadap Masyarakat di Kawasan Industri Semen Novirsa, Randy; Achmadi, Umar Fahmi
Kesmas Vol. 7, No. 4
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Salah satu dampak negatif industri pabrik semen terhadap kesehatan masyarakat adalah peningkatan risiko penyakit saluran pernapasan. Risiko tersebut banyak disebabkan oleh pajanan partikulat di udara, khususnya partikulat berukuran di bawah 2,5 mikron (PM2,5). Penelitian ini bertujuan menganalisis risiko pajanan PM2,5 di udara ambien siang hari pada masyarakat di kawasan industri semen. Risiko dihitung dengan metode Analisis Risiko Kesehatan Lingkungan berdasarkan metode Louvar yang menghasilkan nilai Intake pajanan yang diterima individu per hari berdasarkan nilai konsentrasi pajanan, pola aktivitas individu, dan nilai antropometri. Konsentrasi PM2,5 di lingkungan diukur pada 10 titik dengan radius 500 meter antartitik dari pusat pabrik, sedangkan pola aktivitas dan nilai antropometri diukur dengan menggunakan kuesioner pada 92 responden dewasa di kawasan pabrik. Hasil perhitungan risiko yang diterima seumur hidup (lifetime) menunjukkan terdapat tiga area berisiko dengan nilai RQ > 1, yaitu Ring 2 (500 – 1.000 m), Ring 4 (1.500 – 2.000 m), dan Ring 5 (2.000 – 2.500 m). Daerah paling aman yang dapat dihuni oleh masyarakat di kawasan industri semen adalah di atas 2,5 km dari pusat industri dengan konsentrasi paling aman 0,028 mg/m3. One of the negative impacts of cement industry to public health is an increased risk of respiratory disease. These risks are caused by exposure to particulate matter in air, especially fine particulate matter which is smaller than 2,5 microns (PM2,5). This study aimed to analyze the risks of PM2,5 exposure in ambien air at noon on people around cement industry. Risk was calculated using Environmental Health Risk Analysis Method that generates value of individual exposure intake received per day. This value was generated based on the concentration of exposure, individual activity patterns, and anthropometric values. PM2,5 concentrations in the environment was measured at 10 points (Ring) from the center of plant with radius of 500 meters each point. The activity patterns and anthropometric values were measured using questionnaire to 92 adult respondents around the factory. The calculation of lifetime risk showed that there are three risked area: Ring 2 (500 – 1.000 m), Ring 4 (1.500 – 2.000 m), and Ring 5 (2.000 – 2.500 m). The safest area was over 2,5 kilometers from the center of the industry with the safest concentration was 0,028 mg/m3.
Myths about Menstrual Personal Hygiene among Female Adolescents Palupi, Tyas Diah; Pristya, Terry Y.R.; Novirsa, Randy
Kesmas Vol. 15, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Poor personal hygiene during menstruation among adolescents can lead to urinary tract infection, reproductive tract infection, and skin irritation. This studyaimed to determine the relationship between belief in myths and personal hygiene during menstruation. Cross-sectional quantitative study was conductedusing a sample of 119 10th grade female students from Tangerang 13 State Senior High School selected through purposive sampling. Logistic regressionanalysis was used in this study to determine the relationship between myths and personal hygiene after age of menarche, attitude, socioeconomic status,information, and maternal education were controlled. In the bivariate selection, modeling was completed by entering confounding and interaction variablesthen reducing the confounding variables by examining changes in the odds ratio. Results showed that the students who believed the myths were 3.7 timesmore likely to not practice personal hygiene during menstruation compared with those who did not believe the myths after attitude and status socioeconomicstatus were controlled. No interaction was observed between the myths and socioeconomic status.
Optimizing Public Health through Nutritional Status Assessment and Nutrition Education during Car Free Day in Padang City Elda, Frima; Novirsa, Randy; Kasra, Kamal; Markolinda, Yessy; Amalia, Revi; Azmi, Fadilla; Fatrima Surya, Rezi; Delviana, Adelia
Warta Pengabdian Andalas Vol 32 No 4 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.04.424-433.2025

Abstract

Public health is one of the key aspects of sustainable development. This community service activity aims to improve public health through nutritional status assessments conducted during the Car Free Day (CFD) event in Padang City. The methods used include nutritional status measurement, nutrition education, and the promotion of healthy lifestyles. Health measurements included assessments of body weight, height, fat mass, muscle mass, blood pressure, blood sugar levels, uric acid levels, and hemoglobin levels. Education was delivered through interactive sessions and the distribution of leaflets on healthy eating patterns and clean-living behaviors. The impact of the education was evaluated qualitatively through testimonials from participants who took part in both the health check and educational sessions. Participants shared their experiences regarding changes in their dietary habits and healthy lifestyle practices after participating in the program. Several participants stated that they had begun adopting healthier lifestyles, such as paying more attention to food intake, increasing physical activity, and feeling the benefits of a fitter body. Based on these testimonials, this activity demonstrated an increase in awareness and the adoption of healthy living behaviors among the community. Therefore, interventions through health assessments and nutrition education have been proven to contribute to encouraging positive behavioral changes within the community.
Pemberdayaan Kelompok Rentan Pasca Banjir Bandang Melalui Edukasi Kesehatan dan Pengelolaan Lingkungan di Nagari Pandai Sikek Yessy Markolinda Markolinda; Mery Ramadani; Trisfa Augia; Randy Novirsa; Frima Elda; Kamal Kasra; Bunga Putri Aurora; Melati Putria Efendi; Fathiya Zarine Deca; Mardhiah Cahyani BP
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 3 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i3.669

Abstract

This activity aimed to improve the quality of life and public health post-disaster through an integrated approach in health and disaster management. The service was conducted from September 21 to November 13, 2024, using methods of included socialization, simulations, and education using pre-test and post-test approaches to measure intervention effectiveness. Activities were carried out in the form of disaster mitigation counseling for elementary school students involving 200 students, maggot-based waste management training with more 30 participants, healthy lifestyle education for the elderly through the GERMAS program, and nutrition education for parents to prevent stunting with more than 20 participants. The results showed an increase in community understanding of disaster mitigation, with the average pre-test score rising from 58,4 to 82,7 in the post-test. The community demonstrated a better understanding of the importance of waste management to prevent environmental pollution, awareness of early hypertension detection, and fulfillment of balanced nutrition to prevent stunting. Active participation in simulations, Q&A sessions, and discussions serves as indicators of the activity success. It can be concluded that this community service program successfully enhanced the knowledge and awareness of the Pandai Sikek community regarding health and disaster preparedness. The sustainability of this program requires support through collaboration with local governments, educational institutions, and community groups to expand its positive impact. It is recommended to actively involve younger generations and strengthen implementation monitoring to optimize and sustain the program's outcomes.