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All Journal Journal of Health (JoH) Health Information : Jurnal Penelitian Berita Kedokteran Masyarakat Gema Lingkungan Kesehatan Jurnal Kesehatan
Pratiningsih, Widya Ayu
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Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Analysis of Factors Associated with the Incidence of Skin Diseases in the Community of Indralaya District Trisnaini, Inoy; Putri, Dini Arista; Pratiningsih, Widya Ayu; Wulandari, Khairunnisa Catur; Kusuma, Liona Ayu Permata; Damayanti, Khistian; Hasanah, Nur; Fijriah, Nuril; Miagoni, Vince
Jurnal Kesehatan Vol 18, No 1 (2025): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jk.v18i1.7243

Abstract

Pendahuluan: Kulit manusia merupakan lapisan pertama yang rentan terhadap infeksi terutama di daerah tropis seperti Indonesia, dimana sanitasi lingkungan yang buruk menjadi faktor utama penyebab tingginya angka penyakit kulit. Di daerah lahan basah seperti Kecamatan Indralaya, kondisi lembab dan sumber udara yang tidak memadai meningkatkan risiko terjadinya gangguan kulit pada masyarakat setempat. Metode: Penelitian ini merupakan penelitian deskriptif kuantitatif yang bertujuan untuk mendeskripsikan faktor sosial dan lingkungan yang mempengaruhi iritasi kulit di Kecamatan Indralaya. Teknik pengambilan sampel yang digunakan adalah purposive sampling dengan jumlah responden sebanyak 100 orang. Data dianalisis menggunakan SPSS melalui analisis univariat dan bivariat untuk memunculkan hubungan variabel sosial dan lingkungan dengan kondisi kesehatan kulit. Hasil: Hasil uji statistik menunjukkan adanya hubungan yang signifikan antara faktor lingkungan dengan kejadian penyakit kulit pada 100 responden. Sumber air bersih dari sungai (nilai p = 0,000), sumber air minum yang tidak diolah (nilai p = 0,001), jenis jamban (nilai p = 0,002), pembuangan sampah melalui tangki septik (nilai p = 0,001), serta jenis pembuangan air limbah ke sungai (nilai p = 0,036), kebiasaan membuang sampah juga berhubungan erat dengan kejadian penyakit kulit (nilai p = 0,000), yang semuanya berhubungan dengan peningkatan risiko penyakit kulit. Namun, jarak jamban ke sumber air bersih (nilai p = 0,782) dan kepadatan rumah (nilai p = 0,000) juga berhubungan dengan peningkatan risiko penyakit kulit. Kesimpulan: Penelitian ini menunjukkan bahwa ada hubungan yang signifikan antara sumber air bersih, sumber air minum, jenis jamban, pembuangan sampah, dan kebiasaan membuang sampah dengan kejadian penyakit kulit di Kabupaten Indralaya. Sanitasi yang buruk dan penggunaan udara yang tercemar meningkatkan risiko penyakit kulit. Kondisi ini diperparah oleh air sungai yang tercemar dan air sumur yang tercemar. Penggunaan jamban umum dan pembuangan limbah ke sungai menyebabkan bakteri patogen yang membahayakan lingkungan.     Introduction: Human skin, as the body’s primary protective barrier, is highly vulnerable to infections, particularly in tropical regions with poor sanitation. In Indralaya District—a humid wetland area with substandard environmental conditions—these factors elevate the risk of skin diseases. This study investigates the environmental determinants associated with skin disease incidence in the region. Methods: This cross-sectional analytical study involved 100 purposively selected residents of wetland areas in Indralaya District. Data were analyzed using SPSS with univariate and bivariate methods, applying the Chi-Square test to assess associations between social-environmental factors and skin health. Results: The statistical test results indicated a significant relationship between environmental factors and the incidence of skin diseases. Clean water sources from the river (p-value = 0.000), untreated drinking water sources (p-value = 0.001), type of latrine (p-value = 0.002), wastewater disposal through a septic tank (p-value = 0.001), and wastewater drainage into the river (p-value = 0.036), as well as waste disposal habits (p-value = 0.000), were all associated with an increased risk of skin diseases. However, the distance of latrines from clean water sources (p-value = 0.782) and housing density (p-value = 0.726) did not show significant associations. Conclusion: Poor environmental sanitation and the use of contaminated water are significantly linked to the incidence of skin diseases. Public education and improved sanitation infrastructure are essential for disease prevention.
Environmental and Behavioral Determinants of Skin Diseases In Wetland Areas: A Study In Gandus, Palembang Pratiningsih, Widya Ayu; Trisnaini, Inoy; Putri, Dini Arista; Kaban, Anastasya Priscilla Angelia; Apriani, Anisya Indah; Arika, Fadillah; Fabiani, Maria Desmonda; Marisa; Rahmawati, Prisda
Health Information : Jurnal Penelitian Vol 17 No 1 (2025): Januari-April
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v17i1.1672

Abstract

Ringkasan: Latar belakang: Tingginya prevalensi penyakit kulit di daerah lahan basah, seperti Kecamatan Gandus, Palembang, didorong oleh kondisi lingkungan dan perilaku kebersihan masyarakat yang kurang optimal. Tujuan: Menilai hubungan faktor lingkungan (struktur rumah, pengelolaan sampah, dan praktik cuci tangan) serta perilaku higiene terhadap kejadian penyakit kulit. Metode: Penelitian cross-sectional dengan 100 responden menggunakan purposive sampling; data dikumpulkan melalui kuesioner, dianalisis dengan uji Chi-Square dan regresi logistik. Hasil: Variabel cuci tangan (PR=3,468; p=0,007), plafon rumah (PR=0,361; p=0,026), dan pengelolaan sampah (PR=0,268; p=0,044) berhubungan signifikan dengan kejadian penyakit kulit. Simpulan: Pencegahan efektif membutuhkan edukasi perilaku cuci tangan, pengelolaan sampah aman, dan perbaikan infrastruktur rumah berupa plafon. Saran: Penguatan edukasi masyarakat, program sanitasi terpadu, serta intervensi infrastruktur lingkungan berbasis karakteristik lokal dapat menekan prevalensi penyakit kulit.
Hubungan Kebiasaan Hidup Bersih dan Kondisi Lingkungan Rumah Terhadap Risiko ISPA: Studi Kasus Pada Masyarakat Pemukiman Lahan Basah di Kecamatan Seberang Ulu II Widya Ayu Pratiningsih; Rieke Rahma Dwinda; Marsha Cahya Nadira Adham; Irren Jetty Nuranisa; Dwi Cahyani Rahma Dhini; Khafifah Hazriati Repalia; Dinda Octaviani; Inoy Trisnaini; Dini Arista Putri; Adelia Kesuma Wardhani; Pratiningsih, Widya Ayu
Journal of Health Vol. 12 No. 2 (2025): Journal of Health (JoH) - July
Publisher : LPPM STIKES Guna Bangsa Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30590/joh.v12n2.12

Abstract

Acute Respiratory Infection (ARI) is a major public health issue in Indonesia, particularly in slum areas with poor environmental conditions. Low hygiene awareness and unhealthy living environments contribute to the high incidence of ARI, especially in large urban areas like Palembang. This quantitative study employed a cross-sectional design and involved 100 purposively selected respondents in Seberang Ulu II District, Palembang City. Data were analyzed using chi-square tests for bivariate analysis and logistic regression for multivariate analysis. The results indicated that residential density (p=0.041) and waste burning (p=0.008; OR=3.156) were significantly associated with ARI incidence. Waste management was identified as the most dominant factor (p=0.021; OR=3.156), while other variables showed no significant association. These findings highlight that residential density and waste management are key determinants of ARI. Improving household sanitation and promoting clean living behaviors are essential preventive efforts in wetland urban settlements.
Implementation challenges of community-based total sanitation in wetland areas: a case study from Tanjung Jabung Barat Pratiningsih, Widya Ayu; Supriyati; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine Vol 40 No 12 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i12.6699

Abstract

Purpose: Community-Based Total Sanitation or STBM is an empowerment-based approach promoting hygienic behavior without subsidies. However, implementation in geographically challenging areas, such as wetlands, remains problematic, with limited research on context-specific adaptations. This study aimed to analyze the implementation of STBM in wetland areas by examining implementation protocols, monitoring mechanisms, and post-Open Defecation Free (ODF) sustainability in Tanjung Jabung Barat Regency, Indonesia. Methods: This qualitative case study employed purposive sampling to select 12 key informants across multiple sectors (health department, public works, primary health centers, village officials, and community members). Data were collected through in-depth interviews (25 to 80 minutes), participant observation, and document review. Thematic analysis, employing open coding, was conducted with source triangulation to ensure validity. Results: STBM implementation remains focused on Pillar 1 (Stop Open Defecation) with uneven achievement across subdistricts (ODF declaration in only 16.4% of villages despite 74.6% being triggered). Key implementation barriers included: (1) absence of village facilitators and formal STBM working groups; (2) weak post-triggering monitoring systems lacking formal community-to-health center reporting mechanisms; and (3) geographic constraints with conventional sanitation technologies proving unsuitable for wetland conditions. Additionally, a subsidy-oriented community culture hindered the adoption of behavior change. Conclusion: Effective CLTS implementation in wetland areas requires context-specific adaptations, including strengthened village-level institutions, locally adapted sanitation technologies, and formal post-ODF regulations. These findings contribute to understanding the geographical determinants of sanitation program effectiveness and highlight the importance of place-based approaches to achieve sustainable sanitation goals.
Association Between Community-Based Total Sanitation (CLTS) Pillars and Diarrhea Incidence in Wetland Communities of South Indralaya Trisnaini, Inoy; Pratiningsih, Widya Ayu; Putri, Dini Arista; Juniarni, Annisa; Febriana, Dwita; Safana, Hanifaus; Firdaus, Amirarosa
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan (on progress)
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i4.363

Abstract

Diarrhea remains a major global health problem and a leading cause of mortality among children under five, often exacerbated by inadequate sanitation and limited access to clean water. Community-Led Total Sanitation (CLTS) represents a national strategy for preventing environment-based diseases, including diarrhea. However, researchers have not comprehensively studied the effectiveness of each CLTS pillar within specific geographical contexts, such as wetland areas. This study aims to identify the relationship between sanitation factors of Community-Led Total Sanitation (CLTS) pillars and diarrhea incidence in the South Indralaya wetland community. This quantitative research employed a cross-sectional design and selected 100 respondents using a purposive sampling technique. Data were collected through questionnaires and analyzed using chi-square test for bivariate analysis and logistic regression for multivariate analysis. Our results indicated a diarrhea prevalence of 45% among total respondents. Multivariate analysis revealed that two CLTS pillars significantly associated with diarrhea incidence. Pillar 1, concerning latrine availability, showed that households without latrines had a 3.4 times higher risk of experiencing diarrhea (OR = 3.400; 95% CI: 1.037–11.155). Pillar 4, regarding unsafe waste management, also served as a strong predictor, increasing diarrhea likelihood up to 3.296 times (P-value = 0.008; Exp(B) = 3.296; 95% CI: 1.359–7.996). We found that latrine type (P = 0.053) acted as a confounder, which influenced the risk estimation of the main variables in the model. This study concludes that CLTS pillars 1 and 4, related to feces and solid waste management, are key determinants of diarrhea incidence in South Indralaya. Interventions focusing on improving access to and quality of latrines, as well as safe waste management practices, are crucial for reducing diarrhea incidence in the region.
Co-Authors Adelia Kesuma Wardhani Apriani, Anisya Indah Arika, Fadillah Damayanti, Khistian Dinda Octaviani Dini Arista Putri Dwi Cahyani Rahma Dhini Fabiani, Maria Desmonda Febriana, Dwita Fijriah, Nuril Firdaus, Amirarosa Inoy Trisnaini Irren Jetty Nuranisa Juniarni, Annisa Kaban, Anastasya Priscilla Angelia Khafifah Hazriati Repalia Kusuma, Liona Ayu Permata Marisa Marsha Cahya Nadira Adham Miagoni, Vince Mubasysyir Hasanbasri Nur Hasanah Putri, Dini Arista Rahmawati, Prisda Rieke Rahma Dwinda Safana, Hanifaus Supriyati Widya Ayu Pratiningsih Wulandari, Khairunnisa Catur