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All Journal Miracle Journal Of Public Health (MJPH) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Berita Kedokteran Masyarakat
Ridwan Amiruddin
Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Health Professions Nursing Public Health

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Non-adherence to pulmonary tuberculosis treatment: prevalence and associated factors in an urban community health center in Makassar, Indonesia Zalsah Puteri Annisa Syahrani; Ridwan Amiruddin; Eri Wijaya; Octavio Sequeira; Bayu Satria Wiratama
Berita Kedokteran Masyarakat Vol 42 No 03 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i03.28079

Abstract

Purpose: Non-adherence to tuberculosis (TB) treatment remains a major public health concern, contributing to drug resistance, ongoing trans- mission, and increased morbidity and mortality. This study aimed to determine the prevalence and determinants of treatment non-adherence among pulmonary TB patients at the Tamalate Public Health Center, Makassar City, Indonesia, focusing on sociodemographic, behavioral, and health-related factors. Methods: A cross-sectional study was conducted from April 2024 among 110 pulmonary TB patients selected through exhaustive sampling. Treatment adherence was measured using the Morisky Medication Adherence Scale (MMAS). Data were collected via structured interviews using KoboCollect and analyzed in Stata 14.0 using univariate and bivariate analyses (Chi-square and odds ratio). Results: Among 110 respondents, 30.0% were non-adherent. Most demonstrated poor TB-related knowledge (77.3%), low income (65.4%), and low education levels (42.7%). More than half experienced adverse drug effects (55.4%) and reported high family support (54.6%). In multivariate analysis, poor knowledge about tuberculosis remained independently associated with treatment non-adherence (aOR = 7.3; 95% CI: 2.13–25.30). Other factors, including adverse drug effects, household income, educational level, employment status, health insurance type, and family support, were not independently associated with non-adherence after adjustment. Conclusion: Treatment non-adherence in urban TB patients was primarily driven by poor tuberculosis-related knowledge, underscoring the need for strengthened, structured patient education within TB control programs.
Risk Factors for Chronic Complications in Type 2 Diabetes Mellitus Patients in Makassar City: A Case-Control Study Andi Selvi Yusnitasari; Ridwan Amiruddin; Andi Nur Afifah Wahyuni; Andi Tis'a Ramadhani; Ghea Fricillia Sambe
Miracle Journal of Public Health Vol 8 No 2 (2025): Miracle Journal of Public Health (MJPH)
Publisher : Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/mjph.v8i2.500

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The prevalence of type 2 diabetes mellitus continues to increase globally and has become a significant economic burden on health, making the identification of risk factors for chronic complications important in order to prevent long-term effects. This study aims to analyze risk factors for chronic complications in patients with type 2 DM at five community health centers in Makassar: Sudiang, Ballaparang, Kassi-kassi, Antara, and Paccerakkang. The study design used an analytical observational approach with a case-control approach. The total sample consisted of 100 respondents (50 cases and 50 controls) selected using purposive sampling. Data were collected through interviews and medical records, then analyzed univariately and bivariately (Odds Ratio/OR). The results of statistical analysis showed that age (OR = 2.524; 95% CI = 0.723-8.818), blood pressure (OR = 1.379; 95% CI = 0.628–3.029), GDP (OR = 3.802; 95% CI = 1.482–9.750), duration of DM (OR = 18.614; 95% CI = 6.782–51.087), treatment adherence (OR = 2.263; 95% CI = 1.013–5.052), stress (OR = 1.084; 95% CI = 0.494–2.377), and self-care for DM (OR = 2.495; 95% CI = 1.105–5.629). Based on these findings, patients with type 2 DM are advised to monitor their blood sugar levels regularly, improve adherence to therapy, and implement good self-care practices such as diet management, regular physical activity, and periodic health checkups to prevent chronic complications.
Effectiveness of Leaflet-Based Health Education on Health Behavior Change among Hypertensive Patients Asyhariah B; Stang; Ridwan Amiruddin; A. Ummu Salmah; Shanti Riskiyani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.11565

Abstract

Introduction: Hypertension is among the leading chronic non-communicable diseases and requires sustained lifestyle modification to achieve long-term blood pressure control. Within primary healthcare settings, printed leaflets are commonly incorporated into patient education because they are affordable, simple to distribute, and practical for routine health promotion. However, previous research has produced inconsistent evidence regarding the effectiveness of leaflets in improving various health-related behaviours. Therefore, this study investigated whether leaflet-assisted health education influenced multiple lifestyle behaviours among patients with hypertension receiving care at UPTD Puskesmas Tampapadang. Methods: A quasi-experimental pretest–posttest approach was undertaken among 174 adults with hypertension who were assigned to either an intervention or a control group. Participants in the intervention group (n = 87) received leaflet-assisted health education, while those in the control group (n = 87) received routine counselling without printed leaflets. Outcomes assessed comprised physical activity, dietary behaviour, medication adherence, sleep quality, stress management, and smoking behaviour. Within-group changes were analysed using the Wilcoxon signed-rank test, whereas between-group differences were evaluated using the Mann–Whitney U test. Results: Comparative analyses demonstrated significant between-group differences in medication adherence (p = 0.010), sleep quality (p = 0.001), and smoking behavior (p < 0.001). No statistically significant between-group differences were identified for physical activity, dietary behaviour, or stress management. Conclusion: The impact of leaflet-assisted health education differed according to the behavioural outcome evaluated. Improvements were more evident for medication adherence, sleep quality, and smoking behaviour whereas no significant effects were found for physical activity, dietary behavior, or stress management compared with routine health counseling. Overall, printed leaflets may serve as a valuable educational resource in primary healthcare, particularly when integrated with complementary educational strategies.
Co-Authors A. Ummu Salmah Andi Nur Afifah Wahyuni Andi Selvi Yusnitasari Andi Tis'a Ramadhani Asyhariah B Bayu Satria Wiratama Eri Wijaya Ghea Fricillia Sambe Octavio Sequeira Shanti Riskiyani Stang Zalsah Puteri Annisa Syahrani