Prima Dhewi Ratrikaningtyas
Department Of Biostatistics, Epidemiology, And Population Health, Faculty Of Medicine, Public Health, And Nursing, Universitas Gadjah Mada, Indonesia

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Kader hidup sehat dalam upaya promotif penyakit denegeratif Emy Huriyati; Prima Dhewi Ratrikaningtyas; Siti Rahmah Projosasmito; Arta Farmawati
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (388.58 KB) | DOI: 10.22146/jcoemph.41292

Abstract

Degenerative diseases occur because of interactions between genetics and lifestyle. The prevalence of non-communicable diseases in Sleman Regency is higher than the provincial average and occupies the second position in Daerah Istimewa Yogyakarta (DIY) or Special Region of Yogyakarta. The prevalence of diabetes mellitus 3.1% and central obesity is 29.8%. Health cadres have routinely carried out posyandu activities but have a role in preventing the risk of degenerative diseases which have not gone well. Research methods conducted with quasi-experimental one group pre-test and post-test designs on health cadres who were given counseling, tutorial, and discussions. The post test material was the cadre's knowledge before counseling and discussion were held. The measurement results are analyzed using quantitatif and pair t test analysis. The results of material delivery did not have a significant effect on the increase in knowledge of degenerative diseases p = 0.225 known from the pre-test (4.3 ± 1.6) and post-test (4.8 ± 1.4) with an increase in the mean of 0.4. Although statistically does not show significance, there is an increase in the value between pre and post test. There is an increase in the average knowledge before and after counseling.
Sociodemographic Factors Related To The Use Of Modern Contraception In Sleman Yogyakarta Hardiyanti, Ajeng; Wahab, Abdul; Ratrikaningtyas, Prima Dhewi
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2022)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v18i2.37873

Abstract

The coverage of the use of modern contraception in Sleman exceeded Indonesia’s achievements in 2017-2019. It’s vital to research sociodemographic factors that influence the use of modern contraception in Sleman as an example for other areas. The purpose of this research is to determine the relationship between sociodemographic factors with the recent contraception use. This study is an observational descriptive model using secondary data from HDSS Sleman. Bivariable analysis was carried out using the chi-square test and followed by multivariable analysis using logistic regression. The result showed that the proportion of modern contraceptive use is 54.1%. Sociodemographic factors that significantly related to the use of modern contraception were the husband’s education and the number of children. Husbands with a high level of education (AOR = 0.56; 95% CI: 0.34-0.90) had a 44% lower chance of using modern contraception than husbands with low levels of education. Couples with ≥2 children (AOR = 4.29; 95% CI: 3.41-5.39) were 4.29 times more likely to use modern contraception than couples with 0-1 children. The conclusion is sociodemographic factors significantly related to the use of modern contraceptive methods are the husband’s education and the number of children.
PREVALENCE AND PATTERN OF UTERINE BLEEDING AMONG BREASTFEEDING WOMEN USING PROGESTERONE-ONLY PILLS Ratrikaningtyas, Prima Dhewi; Rosdiana, Dian; Wilopo, Siswanto Agus
Public Health of Indonesia Vol. 4 No. 3 (2018): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (622.471 KB) | DOI: 10.36685/phi.v4i3.203

Abstract

Background: Progesterone-Only Pill (POPs) is one of the ideal oral contraceptive methods for breastfeeding women. Discontinuation of POPs was mostly due to bleeding pattern disorders.Objective: The purpose of this study is to identify the prevalence and pattern of uterine bleeding on breastfeeding women using contraceptive pills containing progesterone derivatives.Methods: This study is a double blind block randomized controlled trial for the treatment group (levonorgestrel or lynestrenol pills) and non-randomized controlled trial for the control group, 6-8 weeks' postpartum women, 20 to 35-year-old, and breastfeeding. Monthly follow up was done for 6 months. Analysis was done using survival analysis, X2,and Cox's Proportional Hazard.Results: A hundred and seven women were involved with a drop-out rate of 17.8%. Subjects characteristics were ≤ 32-year-old, multiparous, ever used contraception with birth spacing of >60 months. Spotting and amenorrhea was the most common pattern. Levonorgestrel causes bleeding/menstrual resumption sooner in breastfeeding women than Lynestrenol.Conclusion: The most common uterine bleeding on women using Progesterone-only Pills were spotting and amenorrhea. By recognizing such effects, for Indonesian women, POPs was expected to be produced in the country and can be included in the national family planning programs.
Peer communication about contraception knowledge of early adolescent in urban areas Kurniawati, Yustina Tyas; Sihombing, Lastdes Cristiany Friday; Ratrikaningtyas, Prima Dhewi
International Journal of Public Health Science (IJPHS) Vol 12, No 4: December 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i4.22267

Abstract

Currently, generation Z is 27.94% of the Indonesian population and triggers fulfillment of sexual reproductive health information, including contraception, which should be given of 9-12 years old. This effort is necessary to reduce unwanted pregnancy incidence, free sex, and abortion. A factor potential to influence is peer communication. Determine the relationship between peer communication with contraception knowledge of early adolescents in the urban area of Indonesia. This quantitative study with a cross-sectional design uses the Global Early Adolscent Study’s (GEAS) secondary data. The research subjects were 2,225, which were 7th grade of State Junior High Schools in Bandar Lampung, Semarang, and Denpasar, Indonesia. The relationship between peer communication to contraceptive knowledge considers age, gender, sexual history, economic status, residence, and parental communication. Contraception knowledge is divided into good and poor. Data processing was done with univariable, chi-square, and logistic regression statistical tests and used 95% confidence interval (CI) with a 0.05 significance level. Peer communication significantly related to contraceptive knowledge (p-value <0.001). Other factors that influenced were gender, residence, sexual intercourse, and parental communication, which were statistically significant. Conclusion: About half of the early adolescents have good contraception knowledge, which is three times more likely in adolescent who communicates with peers.
Analisis Fungsi Pendengaran pada Masinis PT Kereta Api Indonesia (Persero): Kajian Tingkat Kebisingan Lokomotif Sangadi, Fitri Juniasih; Ratrikaningtyas, Prima Dhewi
J-Mestahat Vol 4 No 2 (2024): Jurnal Semesta Sehat (J-Mestahat)
Publisher : Ikatan Ahli Kesehatan Masyarakat Indonesia Kota Tangerang Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/j-mestahat.v4i2.133

Abstract

Long-distance trains are generally a series of passenger cars pulled by diesel-electric locomotives. With a fairly high level of locomotive noise, the driver is susceptible to noise exposure. The study aims to determine the relationship between length of service and hearing function of all drivers, assistant drivers, driver supervisors and prospective drivers of PT. Kereta Api Indonesia, and its relationship with locomotive cabin noise. Primary data were taken from the audiometry results during the 2023 medical check-up and service period data using an electronic questionnaire. The noise of the CC206 locomotive when driving ranged from 75 dBA to 120.9 dBA. The audiometry analysis data and service period have c2count = 117.23, so it is concluded that there is a relationship between service period and decreased hearing function. This can happen because the longer the driver is exposed to noise, the higher the risk of hearing loss. The application of additional soundproofing, installation of air conditioning units and adjustment of the flute position in the locomotive can be done to reduce noise in the locomotive cabin.
Sociodemographic Characteristics of Premature Birth in Sleman Regency Utami, Dianita Putri; Ratrikaningtyas, Prima Dhewi; Oktaria, Vicka
JURNAL KESEHATAN REPRODUKSI Vol 11, No 1 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.85075

Abstract

Background: Premature birth can increase mortality and disability in infants. Premature birth can be influenced by several types of factors, such as sociodemographic factors. Based on literature studies, there are several contradictory research results regarding the sociodemographic characteristics of premature birth. In addition, there is a surveillance system HDSS Sleman that periodically collects data on demographic transition, health status, and social transition in Sleman.Objective: This research objective is determining the sociodemographic characteristics of premature birth in Sleman Regency.Method: This is a cross-sectional study with total sampling method using HDSS Sleman secondary data from cycle 4 (2018) until cycle 6 (2020).Results and Discussion: The results of this study showed that the total proportion of premature birth in Sleman Regency from 2018 to 2020 was 14.4%. Then, the proportion of premature birth each year from 2018 to 2020 were 18.5%, 13.0%, and 5.8% respectively. After that, the highest proportion of sociodemographic characteristics of the mothers experiencing premature birth were in the category of maternal age <20 years old (20.0%), maternal parity 1 (13.0%), “working” occupational status (15.4%), low educational status (18.8%), and low socioeconomic status (18.0%).Conclusion: It can be concluded that the most common sociodemographic characteristics of the mothers experiencing premature birth were maternal age <20 years old, maternal parity 1, “working” occupational status, low educational status, and low socioeconomic status. 
Perception regarding hypertension treatments and prevention of hypertension complications among individuals with hypertension Trisna Setya Dewi; Yayi Suryo Prabandari; Prima Dhewi Ratrikaningtyas
BKM Public Health and Community Medicine Vol 38 No 02 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i02.3782

Abstract

Purpose: This study aims to explore hypertension patients' perceptions about hypertension treatments and preventing hypertension complications. Method: This study was qualitative and phenomenological. Informants were selected using purposive sampling. The study was performed on 12 individuals with hypertension, three family members of an individual with hypertension, and one health worker. Data were collected using in-depth interviews and a semi-structured interview guide. This study's trustworthiness was achieved using triangulation data sources and member checking. Results: Informants in this study perceived that hypertension treatments consist of pharmacological and herbal treatments. Informants who stopped taking antihypertensive admitted that they did not feel the effectiveness of antihypertensive and felt more effective with herbal treatments. They were also afraid of the long-term side effects of drugs and thought that herbal treatments had no long-term side effects. The informants who felt the effectiveness of antihypertensive regularly continued the treatment and combined it with herbal treatment. The treatments carried out by the informant aim to prevent complications of hypertension; besides that, the informant also believes that a healthier lifestyle can prevent complications. Conclusion: The effectiveness of hypertension treatments that individuals feel can affect their' continuation of the treatments they did. The individuals who did not feel the benefits of treatment tend to take another treatment that is considered more effective. Their concern about hypertension complications is the reason for their adherence to both pharmacological and herbal treatment.
The feeling of fear of families with stroke survivors to the threat of COVID-19 Lusia Lero Maya Sari; Prima Dhewi Ratrikaningtyas; Supriyati
BKM Public Health and Community Medicine Vol 38 No 04 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i04.4281

Abstract

Purpose: The purpose of this study was to explore the fear feeling of family and the threat of COVID-19 in stroke survivors. Methods: This study uses a qualitative method with a phenomenological research design. This study is a nested research in the population of HDSS Sleman, so it uses secondary data from stroke survivors' information. The research informants amounted to 8 people. Data collection was carried out in July-August 2021 in Kecamatan Depok Kabupaten Sleman. In-depth interviews and photo documentation were carried out in data collection. Data were analyzed using OpenCode version 4.2. Results: The health status of the stroke survivors at the time of the interview had recovered before the pandemic, died during the pandemic but was not caused by COVID-19, and were still in a state of stroke. All informants or families of stroke survivors showed the same fear response to the threat of COVID-19. Families who care for stroke survivors think that those who are at risk and vulnerable to being exposed to COVID-19 are older people and those who have comorbidities. Fear arises because it is influenced by the perception of oneself and the surrounding environment. There are fears in the form of the assumption that they might be exposed when carrying out examinations and treatment at health facilities, fear of doing swabs, and the financing of COVID-19 testing and the number of positive cases. Conclusion: The fear of the vulnerability of stroke survivors when exposed to the COVID-19 virus is shown by families of stroke survivors by avoiding visits to health facilities, be it puskesmas or hospitals, and choosing to anticipate themselves at home. The fear of the families of stroke survivors must be a concern for the healthcare institutions that protect them so that treatment and health services for stroke survivors with comorbidities during the pandemic can still be achieved.
Behavior of mothers and teachers in providing education on menstrual hygiene to adolescent girls with autism spectrum disorder (ASD) Ruth Roselin Girsang; Yayi Suryo Prabandari; Prima Dhewi Ratrikaningtyas
BKM Public Health and Community Medicine Vol 37 No 05 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i05.22043

Abstract

Purpose: Persons with disabilities are divided into four categories: persons with physical, intellectual, mental, and sensory disabilities. Social and communication dysfunctions are symptoms of an autism spectrum disorder (ASD). This study aims to explore the methods used by mothers and school teachers in providing menstrual hygiene education to adolescent girls with ASD. Methods: This research consists of two steps: a systematic review using meta-synthesis, and a qualitative approach through semi-structured interviews conducted with participants at two different locations in D.I. Yogyakarta. Results: The combination of the two methods obtained: 1) Communication and education. Categories: mother-child relationships, and modes of communication with ASD; 2) The role of mothers and teachers; 3) Obstacles encountered. Categories: communication, rejection, and mother’s feelings; 4) Mother’s worries. Categories: children’s independence, interactions with friends, and the child’s future. Conclusion: Mothers and teachers provide menstrual hygiene information through early introduction, continuous repetition, associating words with relevant concepts, and using electronic media as an educational tool.
Hubungan Kepemilikan Asuransi Kesehatan dengan Metode Persalinan di Kabupaten Sleman Analisis Data Health and Demographic Surveillance System (HDSS) Sleman Tahun 2015-2021 Ramdhani, Suci; Ratrikaningtyas, Prima Dhewi; Wiratama, Bayu Satria
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 8 (2025): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i8.4749

Abstract

Cesarean section (CS) is a critical medical intervention that can save the lives of mothers and babies when performed based on proper clinical indications. However, the rising global and national CS rates raise concerns about unnecessary interventions without medical necessity. The World Health Organization (WHO) recommends an ideal CS rate of 10–15%, yet the global average has reached 18.6%. In Indonesia, the 2023 National Health Survey reported a CS rate of 25.9%, while in Yogyakarta Province it was 38.1%. In Sleman Regency, HDSS data showed an increase from 26.11% (cycle 3) to 34.63% (cycle 5), remaining above WHO’s threshold despite a slight decline afterward. This study applied a retrospective cohort design using Sleman HDSS data from 2015–2021, involving 853 mothers who met inclusion criteria. Data were analyzed with chi-square tests and multivariate logistic regression using STATA to examine the relationship between health insurance ownership and CS, controlling for sociodemographic factors. Results revealed that 68.58% of mothers delivered vaginally, while 31.42% underwent CS. Health insurance ownership was high (73.95%) but showed no significant association with delivery method (AOR = 1.13; 95% CI: 0.79–1.61). Significant factors influencing CS were maternal age >31 years (AOR = 4.96), urban residence (AOR = 1.75), and gestational age >43 weeks (AOR = 5.05), while higher parity reduced CS likelihood (AOR = 0.38). Maternal education and employment were not significant predictors.