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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.
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.
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.
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.
Environmental Determinants and Spatial Distribution of Pediatric Pneumonia in Padang City Maharani, Diva; Masrizal, Masrizal; Novirsa, Randy; Pradipta, Yudi
JIK-JURNAL ILMU KESEHATAN Vol 10, No 1 (2026): JIK-APRIL VOLUME 10 NOMOR 1 TAHUN 2026
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v10i1.1537

Abstract

Background: Pneumonia remains the leading infectious cause of death in children under five globally. In Padang City, Indonesia, pediatric pneumonia cases increased sharply from 2021 to 2023, yet the environmental and host-related determinants driving this trend remain poorly understood in the local tropical urban context.Objective: This study aimed to analyze the correlation between physical environmental factors humidity, wind speed, temperature, rainfall, PM10, and PM2.5  and pediatric pneumonia incidence in Padang City from 2021 to 2023, and to spatially map host-related intervention coverage across sub-districts.Methods: An ecological study design was employed using monthly secondary data aggregated at the city level (n = 36 months). Pneumonia case data were obtained from the Padang City Health Office, meteorological data from BPS, and air quality data from the Environmental Agency. Pearson correlation and multiple linear regression were used for statistical analysis following assumption testing. Spatial overlay mapping was conducted using QGIS to examine the geographic distribution of cases in relation to exclusive breastfeeding, vitamin A supplementation, and complete basic immunization coverage.Results: A total of 5,428 cases were recorded (mean: 150.78 cases/month). Wind speed showed a significant positive correlation (r = 0.436, p = 0.008) and PM2.5 a significant negative correlation (r = −0.516, p = 0.003) with pneumonia incidence. PM2.5 was the most dominant predictor (R² = 0.463). Spatial analysis identified Kuranji and Lubuk Begalung as persistently high-burden sub-districts, consistently associated with inadequate host-factor intervention coverage.Conclusion: Wind speed and PM2.5 are significant environmental determinants of pediatric pneumonia in Padang City. Integrated strategies combining air quality monitoring, vitamin A supplementation, immunization programs, and strengthened Posyandu-based interventions are essential to reduce pneumonia burden in tropical urban settings.
Systematic Review: Factors Influencing HIV Status Self-Disclosure Among MSM And Non-MSM Groups Saktia, Bunga Harumi; Novirsa, Randy; Masrizal, Masrizal
JIK-JURNAL ILMU KESEHATAN Vol 10, No 1 (2026): JIK-APRIL VOLUME 10 NOMOR 1 TAHUN 2026
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v10i1.1552

Abstract

Background: HIV status self-disclosure is a critical determinant of transmission prevention, treatment adherence, and psychosocial wellbeing among people living with HIV/AIDS (PLWHA). Despite its public health significance, disclosure rates remain suboptimal across diverse populations, particularly among men who have sex with men (MSM) and non-MSM groups.Objective: This systematic review aimed to identify and synthesize factors influencing HIV status self-disclosure among PLWHA, with a specific focus on comparative differences between MSM and non-MSM populations.Methods: A systematic search was conducted across PubMed, Scopus, Science Direct, and Google Scholar, covering publications from January 2020 to December 2024. Study selection followed PRISMA 2020 guidelines using a predefined PICO framework. Two independent reviewers screened studies, and methodological quality was assessed using the Newcastle-Ottawa Scale (NOS). Data were synthesized narratively across three thematic domains.Results: From 1,125 initial records, 10 studies met the inclusion criteria (6 cross-sectional, 4 case-control). Three thematic domains were identified: psychological factors (stigma, HIV knowledge, self-acceptance), social factors (partner communication, social support, relationship quality), and structural factors (ART duration, residential setting, healthcare confidentiality). MSM faced distinctive barriers through dual stigmatization related to HIV status and sexual orientation, whereas non-MSM populations were more strongly influenced by gender-based power dynamics, economic dependency, and community-level stigma.Conclusion: HIV disclosure is a multifactorial process requiring differentiated, multi-level interventions targeting stigma reduction, social support strengthening, and improved healthcare confidentiality across both population groups.
Pemberdayaan Masyarakat untuk Pengelolaan Sampah Berkelanjutan di Kawasan Ekowisata Sungai Pisang: Sustainable Community-Based Waste Management for Supporting Ecotourism Development in Sungai Pisang, Bungus Teluk Kabung District, Padang Randy Novirsa; Frima Elda; Yessy Markolinda; Fadilla Azmi
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 9 No. 2 (2026)
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.v9i2.891

Abstract

Sungai Pisang, located in Teluk Kabung Selatan Subdistrict, Padang City, Indonesia, is a coastal area with considerable ecotourism potential but faces persistent challenges in household solid waste management. The community generates approximately 2.6 tons of plastic waste each month; however, the absence of temporary waste storage facilities and regular collection services has led to open burning and indiscriminate waste disposal, threatening public health and coastal ecosystems. This community engagement program aimed to strengthen local capacity for sustainable waste management through participatory and educational approaches. The program was implemented from January to December 2025 using a community-based participatory approach involving 30 participants representing women’s groups, youth organizations, the local Waste Management Institution, elementary school teachers, and community leaders. Activities included stakeholder coordination meetings, focus group discussions (FGDs), and community education on household waste segregation. The program improved participants' knowledge and practical skills in waste segregation. FGDs identified two feasible community-based waste management strategies: household composting of organic waste and periodic collection of recyclable inorganic waste. In addition, the Environmental Agency recommended establishing a Reduce, Reuse, and Recycle (3R) Waste Processing Facility (TPS3R) as a long-term solution to overcome geographical constraints affecting waste transportation to the Air Dingin landfill. Overall, the program enhanced community awareness, strengthened stakeholder collaboration, and established a foundation for sustainable community-based solid waste management in support of coastal environmental sustainability.
Potential Health Risks From Mercury (Hg) Exposure Through Rice Consumption In The Sijunjung Gold Mining Area, West Sumatera: - Randy Novirsa; Aldifa Taufiqurrahman; Septia Pristi Rahmah; Fadilla Azmi
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 7 No. 1 (2026): Januari - April 2026
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.7.1.93-104.2026

Abstract

Accumulation of mercury (Hg) in food crops can pose serious health risks to humans. In Indonesia, the population may be exposed to mercury through rice consumption, a staple food cultivated in areas surrounding gold mining sites. This study aimed to estimate the health risk associated with mercury exposure through rice consumption among communities living near gold mining areas in Sijunjung Regency, West Sumatra, Indonesia. The study was conducted in artisanal and small-scale gold mining (ASGM) areas using a public health risk assessment approach, determining the risk quotient (RQ) by comparing estimated daily intake (EDI) with the reference dose (RfD) to evaluate real-time and lifetime risk levels. Rice (n = 6) and water (n = 6) samples were collected from paddy fields located near the mining areas, along with one market rice sample (n = 1) as a comparison. A total of 103 adult respondents were included in this study. Data were collected through structured interviews using a standardized questionnaire that assessed consumption habits and lifestyle patterns, including body weight. The results showed that the mean total mercury (T-Hg) concentration in rice from ASGM areas ranged from 0.0087 to 0.01 mg/kg. Exposure assessment indicated that the community was exposed to mercury at levels of 0.053 to 0.23 ug/kg/day through rice consumption. The risk quotient (RQ) values indicated a relatively low risk level based on the analyzed rice consumption pathway. In conclusion, mercury intake from rice consumption in communities around gold mining areas in Sijunjung Regency remains within a tolerable daily intake level. However, potential exposure through other pathways, such as inhalation and consumption of other food sources, warrants further investigation.
Pemberdayaan Masyarakat Untuk Peningkatan Gizi Dan Sanitasi Di Kelurahan Sungai Pisang Kota Padang Frima Elda; Randy Novirsa; Edita Elda; Kamal Kasra; Yessy Markolinda; Fadilla Azmi; Rezi Fatrima Surya; Adelia Delviana; Mardhatillah Marzuki; Azzahra Diva
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 4 (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.v8i4.813

Abstract

Sungai Pisang, located in the Bungus Teluk Kabung District, is a coastal area with approximately 2,116 residents, most of whom earn their livelihood as fishermen. The community faces interrelated nutritional and sanitation problems, primarily due to limited waste-management facilities. Household waste and fish-processing residues are commonly burned or buried, resulting in environmental pollution and increasing the risk of infectious diseases. These conditions negatively affect the community’s nutritional status, particularly among vulnerable groups such as children under five and pregnant women. This community service program aims to strengthen community capacity in improving nutrition and sanitation through a participatory empowerment approach. The activities were carried out through preparation, socialization, and intervention. These included official meetings with local authorities, health education sessions for housewives, mothers of young children, and community health volunteers, as well as a Focus Group Discussion (FGD) to develop applicable waste-management solutions. The results showed an increase in community knowledge regarding balanced nutrition and family health. In addition, residents agreed to initiate organic-waste composting and reduce the use of single-use plastics. This program integrates nutrition interventions with environmentally based sanitation improvements, emphasizing that nutritional enhancement cannot be separated from local ecological conditions. Collaboration among local government, health workers, and the community is essential to creating a sustainable healthy environment that supports comprehensive improvements in nutritional status.