Lestari, Ayu Indira Dwika
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Analisis Faktor-Faktor Mempengaruhi Implementasi Kebijakan Peraturan Daerah Nomor 8 Tahun 2017 Tentang Kawasan Tanpa Rokok (KTR) di SMK 6 Kota Samarinda Hasibuan, Juliana; Adrianto, Ratno; Rohmah, Nur; G, Ike Anggraini; Pakki, Irfansyah Bahruddin; Lestari, Ayu Indira Dwika
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.v9i3.47100

Abstract

Indonesia is currently facing a growing number of active smokers, particularly among adolescents. In an effort to protect the public from the negative impacts of cigarette smoke, the Government has established a Smoke-Free Area (KTR) policy. This study aims to analyze the factors influencing the implementation of Regional Regulation Number 8 of 2017 concerning Smoke-Free Areas (KTR) at SMK Negeri 6 Samarinda.This research employed a quantitative approach with a cross-sectional design. The sampling technique used was stratified random sampling, involving 428 student respondents. Data were collected using a questionnaire, and analyzed using path analysis with the help of SPSS software.The results show a direct influence of communication, bureaucratic structure, resources, and disposition on policy implementation (each with a p-value = 0.000). Furthermore, communication had a direct effect on resources (p-value = 0.000), and bureaucratic structure had a direct effect on disposition (p-value = 0.000). An indirect effect was also found between communication and implementation through resources (Sobel test value = 6.132 > t-table = 1.969), as well as between bureaucratic structure and implementation through disposition (Sobel test value = 8.625 > t-table = 1.969).In conclusion, communication, resources, bureaucratic structure, and disposition are key factors influencing the implementation of Regional Regulation No. 8 of 2017 on Smoke-Free Areas in the school environment. communication needs to be improved through regular and interesting socialization. Keywords: Implementation, Smoke-Free Areas, Adolescents, School, Smoking
WORK RELATED HYPERTENSION : Mapping Occupational,Environmental, and Psychosocial Risk Factors from Global andIndonesian Studies Ambarwaty, Susiana; Ramdan, Iwan Muhamad; Lestari, Ayu Indira Dwika
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 : Hypertension is a major global public health problem and a leading contributor to cardiovascular morbidity and mortality. In occupational settings, exposure to multifactorial risks including work organization, environmental hazards, and lifestyle behaviors would makes workers particularly vulnerable to elevated blood pressure. Objective : This study aims to explore current evidence on the determinants of hypertension among workers, focusing on physiological, occupational, environmental, and psychosocial risk factors. Research Methods/ IA literature review were obtained using electronic databases (PubMed, Scopus, ScienceDirect, Google Scholar) with inclusion criteria encompassing studies published in the last five years.. Eligible studies assessed risk factors associated with blood pressure among workers. mplementation Methods : Results : Fifteen studies that met inclusion criteria were analyzed. Findings were grouped into four main determinants: demographic/physiological, work characteristics, environmental exposures, and lifestyle as a psychosocial factors. Age and male sex consistently increased hypertension risk. Shift work, night shifts, and long working hours disrupted circadian rhythm and were associated with higher blood pressure. Physical workload contributed to increased cardiovascular strain. Noise exposure and benzene toluene xylene (BTX) chemicals were associated with hypertension through oxidative stress and endothelial dysfunction. Metabolic indicators such as obesity, lipid accumulation product (LAP), and visceral adiposity index (VAI) were strong predictors. Psychosocial stress and burnout also elevated risk, whereas smoking showed inconsistent associations across studies. Conclusion/Lesson Learned : Hypertension in workers is driven by interacting occupational, environmental, physiological, and psychosocial risk factors. Effective control requires targeted workplace interventions addressing exposure control, shift and workload management, psychosocial support, and metabolic health screening. A lack of longitudinal and intervention studies represents a significant research gap.