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The Risk of Sulfur Dioxide Exposure and Its Correlation with the Incidence of Hypertension in Street Sweepers In Samarinda City Rachmawati, Ayudhia; Safika, Erri Larene; Syamsir, Syamsir
Jurnal Kesehatan Lingkungan Indonesia Vol 24, No 2 (2025): Juni 2025
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.68159

Abstract

Latar belakang: Emisi gas buang kendaraan bermotor merupakan sumber pencemaran udara yang paling signifikan, terutama di wilayah perkotaan. SO2 merupakan salah satu polutan yang dihasilkan oleh emisi gas buang kendaraan bermotor. Kota Samarinda terkenal dengan pesatnya peningkatan jumlah kendaraan pribadi, terutama kendaraan berbahan bakar fosil, yang berpotensi meningkatkan konsentrasi SO2 dan dapat berdampak pada kesehatan. Penelitian ini bertujuan untuk mengetahui risiko paparan konsentrasi SO2 pada penyapu jalan dan hubungan antara kejadian hipertensi dengan asupan SO2.Metode: Penelitian ini menggunakan pendekatan penilaian risiko kesehatan lingkungan. Pendekatan EHRA akan memperkirakan risiko yang diterima oleh penyapu jalan akibat paparan SO2 di jalan raya Kota Samarinda. Populasi dalam penelitian ini mencakup seluruh pekerja penyapu jalan yang bertugas pada empat lokasi jalan raya yang telah ditentukan. Sampel penelitian berjumlah 61 orang dan diperoleh melalui teknik total sampling. Teknik pengukuran konsentrasi SO2 menggunakan impinger dengan analisis spektrofotometer. Tekanan darah diukur secara real-time. Uji chi-square digunakan untuk menunjukkan perbedaan proporsi antara variabel asupan dan hipertensi.Hasil: Konsentrasi SO2 masih di bawah batas baku mutu lingkungan yang dipersyaratkan (< 150 mg/Nm3) yakni 18,18 mg/Nm3. Hasil uji chi-square menunjukkan tidak ada perbedaan proporsi kejadian hipertensi dengan asupan SO2 (nilai p = 1.000). Akan tetapi, pekerja dengan asupan SO2 >0,0012 mg/kg/hari memiliki peluang lebih besar untuk mengalami hipertensi dibandingkan penyapu jalan dengan asupan >0,0012 mg/kg/hari (OR = 1,111).Simpulan: Kualitas udara di jalan raya Kota Samarinda masih tergolong aman dan sehat, terutama pada parameter sulfur dioksida. Petugas penyapu jalan tidak berisiko mengalami gangguan kesehatan khususnya kejadian hipertensi. ABSTRACT Background: Vehicle exhaust emissions are the most significant source of air pollution, especially in urban areas. SO2 is one of the pollutants produced by car exhaust emissions. The number of private vehicles, especially fossil fuel vehicles, is increasing rapidly in Samarinda City. These vehicles have the potential to increase SO2 concentrations and can have an adverse on health. This study aims to determine the risk of exposure to SO2 concentrations among street sweepers and the relationship between the incidence of hypertension and SO2 intake.Methods: This study used an environmental health risk assessment approach. The EHRA approach estimated the risk faced by street sweepers due to exposure to SO2 in Samarinda City highways.  This study’s population consisted of all street sweepers working at four specified roadways.  The sample, comprising 61 participants, was selected using a to tal sampling technique. The SO2 concentration measurement technique involved an impinger with spectrophotometer analysis. Blood pressure was measured in real-time. The chi-square test was used to show differences in proportions between intake and hypertension variables.Results: The SO2 concentration, measured at 18.18 mg/Nm3, was found to be below the required environmental quality standard limit (< 150 mg/Nm3). The results of the chi-square test showed no difference in the proportion of hypertension incidents with SO2 intake (p-value = 1,000). However, workers with SO2 intake of >0.0012 mg/kg/day showed a higher likelihood of developing hypertension than street sweepers with an intake of >0.0012 mg/kg/day (OR = 1.111).Conclusion: The air quality in the highways of Samarinda City is deemed safe, especially in terms of the sulfur dioxide parameter. Street sweepers are not at risk of experiencing health problems.
Improving Adolescents' Reproductive Health Knowledge At SMP Negeri 20 Penajam Paser Utara Dhiyalanni, Evana; Yudha Ramadhan , Mirza; Temongmere , Anifa; Larene Safika, Erri; Sultan, Muhammad
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Adolescents are in a complex developmental phase, but limited reproductive knowledge can hinder their understanding of maintaining reproductive health. Questionnaire data indicate that although 79.2% of adolescents understand the risk of pregnancy after a single sexual encounter, only 15.7% are aware of condoms as a contraceptive method. The primary source of information is parents, but typically only covers topics like menstruation, wet dreams, and dating. Furthermore, 34% of adolescents express the need for further counseling, indicating a demand for more comprehensive information. Objective : This program aims to enhance adolescents' knowledge of reproductive health through counseling, covering topics such as puberty, reproductive organ care, understanding adolescent sexuality, risky sexual behavior, and reproductive health issues. Research Methods/ Implementation Methods : This community service program employed a counseling method through lectures using PowerPoint presentations. The material included adolescent reproductive health education related to early and delayed puberty, reproductive organ care, understanding adolescent sexuality, risky sexual behaviors, and reproductive health issues in adolescents. Pre-test and post-test assessments were conducted to measure changes in participants' knowledge. The counseling session was attended by 25 students from SMP Negeri 20 Penajam Paser Utara, Wonosari Village, Sepaku, Penajam Paser Utara, East Kalimantan. Results : The analysis showed an 88% increase in students' knowledge after the counseling program (p<0.001), indicating that the counseling successfully enhanced students' understanding of reproductive health. Conclusion/Lesson Learned : This program successfully contributed to adolescent health promotion by providing a better understanding of reproductive health. It is expected that government agencies and schools can strengthen reproductive health education for adolescents through counseling and curriculum integration and collaborate with health centers to provide continuous education.
The Relationship between Dietary Compliance, Physical Activity, and Nutritional Status with the Incidence of Type 2 Diabetes Mellitus in Adults in the Barong Tongkok Health Center Work Area Jessica Hanason, Arielle; K, Iriyani; Larene Safika, Erri
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Diabetes Mellitus is a metabolic syndrome disease that causes high mortality rates both nationally and internationally. The prevalence of diabetes mellitus in adults aged 15 years and over in West Kutai Regency in 2018 showed a figure of 1.86% for diabetes mellitus sufferers. Objective : This study aims to determine the relationship between dietary compliance, physical activity, and nutritional status with the incidence of type 2 diabetes mellitus in adults in the Barong Tongkok Health Center work area. Research Methods/ Implementation Methods : The type of research used is cross-sectional with a total of 77 respondents. Data collection using a questionnaire. Data were analyzed using the Fisher Exact test. Results : The results showed that there was a significant relationship between dietary compliance (p <0.001), physical activity (p <0.045), and nutritional status (p <0.001) with the incidence of type 2 diabetes mellitus in adults in the Barong Tongkok Health Center work area with a p-value <0.005. Conclusion/Lesson Learned : This study concludes a relationship between dietary compliance, physical activity, and nutritional status with the incidence of type 2 diabetes mellitus in adults. It is recommended that there is a need for dietary regulation, regular exercise, weight monitoring, and blood sugar monitoring to live a healthy life.
Waste Management Problems in Wono Sari Village Juarisela, Juarisela; Rizqi, Jennisa; Tabitha Hutagalung, Modestine; Widyanti, Wiwid; Larene Safika, Erri; Sultan , Muhammad
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Wono Sari Village has a strategic role in maintaining the health of the local community. Various factors affect the health of residents in this village, including the environment, lifestyle, and access to health facilities. Based on observations, it was found that 97.3% of waste is the number one problem in Wono Sari Village. This happens because many residents manage their waste by burning it because there is no landfill there. Therefore, an integrated waste management program is needed in Wono Sari Village. Objective : The objective of this community service activity is to increase community knowledge and skills in processing organic and inorganic waste. Research Methods/ Implementation Methods : This community service activity is in the form of training using teaching methods, including lectures, demonstrations, and simulations. This training activity involves the community of Wono Sari Village, Sepaku District, North Penajam Paser Regency. Results : The integrated waste management program carried out in Wono Sari Village is the SOLASA Program (Socialization of Waste Management), E-Table Training (Ecobrick Table) and COHATA Training (Eco-Enzyme Training of Plant Pests). SOLASA (Socialization of Waste Management) and E-Table Training (Ecobrick Table Training) are socialization and training activities carried out to reduce plastic waste and reuse it into products with functional value. This program was carried out in Wono Sari Village, precisely at the Goa Tapak Raja Food Court (N=35). From the SOLASA program and E-Table Training, there was an increase in participant knowledge of 3.3% after the delivery of the material. COHATA Training is a training activity carried out to reduce organic waste and reuse it into effective and environmentally friendly natural pesticides (N=6) with training participants being members of Dasa Wisma. The results of the pre-test post-test showed an increase in participant knowledge of 2.75% after the delivery of the material. Conclusion/Lesson Learned : This training successfully increased participants’ knowledge in waste management. There needs to be further waste management program in Wono Sari Village community to reduce waste burning.
Hubungan Asupan Zat Besi, Protein dan Kebiasaan Melewatkan Makan dengan Kejadian Anemia pada Remaja Putri di SMP Negeri 16 Samarinda Awalinda, Sri Shinta; Safika, Erri Larene; Wahyuni, Leny Eka Tyas; Ismail , Ismail; Afiah, Nurul
PHARMADEMICA : Jurnal Kefarmasian dan Gizi Vol 5 No 1 (2025): April - September
Publisher : LPPM-KI - POLTEKKES PIM (Formerly AKAFARMA-AKFAR PIM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54445/pharmademica.v5i1.85

Abstract

Anemia was a condition characterized by a small number of red blood cells and was commonly experienced by adolescent girls due to menstruation and increased nutritional needs during growth. In 2023, the highest number of anemia cases in the working area of Puskesmas Loa Bakung, Samarinda, was found among female students of SMP Negeri 16 Samarinda, with a prevalence of 25% out of 190 cases. The purpose of this study was to analyze the association between iron intake, protein intake, and the habit of skipping meals with the incidence of anemia among female students at SMP Negeri 16 Samarinda. A cross-sectional design was used for this study. As much as 72 respondents were selected with purposive sampling. Data for this study was collected through haemoglobin (Hb) testing, interviews using the SQ-FFQ questionnaire and a meal-skipping questionnaire. A total of 37 (51.4%) female students suffered from anemia, 56 (77.8%) female students consumed adequate protein intake, and 67 (93.1%) female students had insufficient daily iron intake. As much as 55 (76.4%) female students did not regularly eat breakfast. Statistical analysis showed a significant relationship between iron intake (p=0.023), protein intake (p=0.010), and the habit of skipping breakfast (p=0.038) with anemia. However, this study didn’t find any association between skipping lunch (p=0.207) or dinner (p=0.658) with anemia. It was necessary to raise awareness among adolescent girls about the importance of breakfast and consuming nutritious foods, especially those rich in iron and protein to prevent anemia and support healthy development during adolescence.
Young children nutritional status in Samarinda: does exclusive breastfeeding play a role in stunting prevention? Safika, Erri Larene; Rachmawati, Ayudhia; Pakki, Irfansyah Baharuddin
BKM Public Health and Community Medicine Vol 39 No 01 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i01.6070

Abstract

Purpose: This study investigated the relationship between exclusive breastfeeding and stunting incidence in young children aged 0-59 months. Method: This is an observational study with a cross-sectional approach. There were 100 mothers with young children aged 0-59 months as respondents from Palaran, Samarinda. The dependent variable was children's height-for-age nutritional status, as in normal or stunting, and the independent variable was exclusive breastfeeding. Young children's height was collected by checking their Maternal and Child Health (KIA) book. Parity, family income, mother's education, mother's knowledge, and family support information were also collected by interview. Bivariate analysis was measured with the Chi-square test. Results: There is no association between exclusive breastfeeding and stunting (p-value>0.05). We also found no association between stunting and parity, family income, mother's knowledge, and family support (p-value<0.05). However, we found a significant relationship between stunting and mother education. Conclusion: Exclusive breastfeeding is not associated with stunting in Palaran, Samarinda. Further research is needed to determine the factors associated with stunting in Samarinda.
An Analysis of the Implementation and Challenges of the 2024 Indonesian Nutrition Status Survey (SSGI) Validation in East Kalimantan Province Anshory, Jamil; G, Riska Mayang Saputri; Pijaryani, Indria; Kawareng, Andi Tenri; Safika, Erri Larene; Khuzaimah, Ummi; Wahyuni, Leny Eka Tyas; Rahayu, Agustin Putri; Kurniasari, Lia; Mardiana, Mardiana; Sabarinah, Sabarinah; Nurrika, Dieta; Nurzihan, Nastitie Cinintya
Journal of Global Nutrition Vol 5 No 2 (2025)
Publisher : Ikatan Sarjana Gizi Indonesia (ISAGI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53823/jgn.v5i2.157

Abstract

The Indonesian Nutritional Status Survey (SSGI) is a national tool for monitoring population nutritional status and serves as an evidence base for policy formulation. The accuracy of nutritional prevalence estimates depends on the quality of survey implementation and validation. This study aimed to evaluate the validation process of the 2024 SSGI in East Kalimantan Province, specifically in Samarinda City and Penajam Paser Utara District. A descriptive-evaluative design was applied between July and August 2024, involving households and individuals from validation clusters according to the 2024 sampling design. Data collection included anthropometric measurements, household and individual interviews, field observations, and document reviews, complemented by in-depth interviews with enumerators, validators, and supervisors. Quantitative analysis was performed to calculate procedural deviations, while qualitative thematic analysis was applied to identify recurring challenges related to training adequacy, logistics, supervision, and data quality assurance, with triangulation and inter-rater reliability checks used to strengthen validity. Results show that geographical and accessibility constraints, administrative barriers during sample updating, insufficient technical guidelines, and inconsistent recruitment mechanisms hindered the input stage. At the process stage, deviations were observed in anthropometric measurements, hygiene protocol adherence, and interview completeness, while environmental conditions, limited facilities, and weak coordination influenced the output stage. These findings highlight gaps between standardized protocols and field practices that may compromise data validity. Systemic improvements are required through updated sampling frames, written technical guidelines, practice-based training, layered supervision, and context-specific adaptation strategies to strengthen future national nutrition surveys.
Program Pemberdayaan Remaja SMA Negeri 9 Berau dalam Pencegahan Anemia melalui Kampanye Gizi Seimbang di Wilayah Pesisir Anshory, Jamil; Khuzaimah, Ummi; Aryatika, Karera; Majiding, Chaidir Masyhuri; Saputri G, Riska Mayang; Ash Siddiq, Muhammad Nuzul Azhim; Kawareng, Andi Tenri; Wirawanti, Ika Wirya; Safika, Erri Larene; Iriyani. K, Iriyani. K; Rozi , Fahrul
Jurnal Pengabdian Masyarakat Nusantara Vol 5 No 1 (2025): Desember 2025
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/dimastara.v5i1.27335

Abstract

Remaja merupakan kelompok usia yang rentan terhadap masalah gizi, terutama anemia defisiensi zat besi, yang dapat menurunkan konsentrasi belajar, daya tahan tubuh, dan prestasi akademik. Di wilayah pesisir Kabupaten Berau, pola konsumsi remaja cenderung rendah zat besi meskipun tersedia sumber pangan lokal yang kaya gizi. Kegiatan pengabdian ini bertujuan meningkatkan pengetahuan gizi dan kesadaran pencegahan anemia melalui program pemberdayaan remaja di SMA Negeri 9 Berau. Pelaksanaan dilakukan pada tanggal 27 November 2024 dengan pendekatan edukasi partisipatif berbasis sekolah. Metode mencakup pretest pengetahuan, penyuluhan interaktif mengenai gizi seimbang dan pangan lokal kaya zat besi, pemeriksaan kadar hemoglobin, serta posttest pengetahuan. Hasil menunjukkan peningkatan rata-rata skor pengetahuan siswa sebesar 58,2 persen dan mayoritas memperoleh nilai posttest tinggi. Pemeriksaan hemoglobin mengungkapkan 51,1 persen siswa mengalami anemia, lebih tinggi pada perempuan dibanding laki-laki. Temuan ini menunjukkan bahwa edukasi partisipatif efektif meningkatkan literasi gizi remaja, namun perubahan perilaku makan membutuhkan intervensi berkelanjutan. Program ini penting untuk membangun perilaku hidup sehat dan mendukung penurunan prevalensi anemia pada remaja di wilayah pesisir.
Nutritional and Health Status of Adolescents and their Determinants in the Coastal Areas of Maratua Subdistrict, Berau Regency, East Kalimantan, Indonesia Anshory, Jamil; Iriyani, Iriyani; Safika, Erri Larene; Wirayanti, Ika Wirya; Kawerang, Andi Tenri; Azhim Ash Siddiq, Muhammad Nuzul; Saputri, Riska Mayang
Journal of Public Health for Tropical and Coastal Region Vol 8, No 3 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i3.29303

Abstract

Introduction: Adolescence is a critical period of growth marked by increased nutritional needs and heightened susceptibility to health problems. This study aimed to analyze the nutritional and health status of adolescents and their determinants.Methods: A cross-sectional study was conducted among 47 tenth-grade students at SMAN 9 Berau, recruited through total sampling method. The data collected included anthropometry, blood pressure, hemoglobin levels, and urine tests. Behavioral and psychological factors were assessed using standardized questionnaires: nutrition knowledge, dietary intake (1×24-hour recall and food frequency), Pittsburgh Sleep Quality Index, screen time, and the Depression Anxiety Stress Scale. Data were analyzed descriptively and using chi-square tests.Results: Most adolescents had a normal nutritional status (78%); however, a dual burden of malnutrition persisted, with undernutrition and overweight or obesity affecting over one-fifth of the participants. Dehydration was highly prevalent (89%) and was accompanied by significant cardiometabolic risks, including prehypertension (32%) and chronic energy deficiency risk (38%). Although the overall energy intake was adequate, the insufficient intake of key micronutrients, particularly protein, iron, and folate, remained common. Behavioral and psychosocial vulnerabilities were also prominent, with excessive screen time, poor sleep quality, and notable levels of stress and depression reported by more than half of the respondents. BMI-for-age was significantly associated with blood pressure, chronic energy deficiency risk, and nutritional knowledge (p < 0.05).Conclusion: Despite a predominantly normal nutritional status, adolescents remain at risk of  the double burden of malnutrition, anemia, and micronutrient deficiencies. Strengthening school-based nutrition programs, including regular health screening, practical nutrition education, and improved access to micronutrient support through fortified foods or supplements, is essential for preventing long-term health problems.
PENINGKATAN STATUS GIZI DENGAN METODE EDUKASI GIZI SEIMBANG PADA IBU RUMAH TANGGA GIZI LEBIH Kamaruddin, Iriyani; Wisnuwardani, Ratih Wirapuspita; Afiah, Nurul; Safika, Erri Larene; Nurzihan, Nastitie Cinintya
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 3 (2024): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i3.23334

Abstract

Abstrak: Provinsi Kalimantan Timur merupakan salah satu provinsi di Indonesia dengan jumlah penderita obesitas tertinggi. Prevalensi gizi lebih dan penyakit degeneratif lebih banyak terjadi pada perempuan dibandingkan laki-laki. Gizi berlebih yang tidak dikelola dengan baik perlu mendapat perhatian serius karena dapat menurunkan kesehatan, produktivitas kerja, dan meningkatkan kesejahteraan masyarakat. Selain itu konsumsi sayur dan buah masih rendah yaitu 11,49%, dan di Kota Samarinda sebesar 11,59%. Tujuan dilaksanakan pengabdian ini adalah memberikan edukasi gizi seimbang untuk meningkatkan status gizi Ibu Rumah Tangga (IRT) menjadi status gizi baik Pengabdian ini menggunakan metode edukasi gizi dengan menggunakan modul gizi seimbang, template isi piringku, dan model makanan, sebelum diberikan edukasi gizi diberikan pre-test dan sesudah edukasi gizi diberikan post-test yang terdiri dari 15 pertanyaan pilihan ganda terkait dengan materi edukasi gizi seimbang Mitra pendukung pengabdian ini adalah Kelurahan Air Putih dan mitra peserta edukasi gizi sebanyak 21 orang. Hasil sudah terlaksana pengabdian dengan baik dan lancar, menunjukkan peningkatan skor pengetahuan sebelum dan sesudah edukasi gizi sebesar 28,20%.Abstract: East Kalimantan Province is one of the provinces in Indonesia with the highest number of obesity sufferers. The prevalence of overnutrition and degenerative diseases is more common in women than men. Excessive nutrition that is not managed properly needs serious attention because it can reduce health, work productivity and improve people's welfare. Apart from that, consumption of vegetables and fruit is still low, namely 11.49%, and in Samarinda City it is 11.59%. The aim of this service is to provide balanced nutrition education to improve the nutritional status of Housewives (IRT) towards good nutritional status. This service uses nutritional education methods using balanced nutrition modules, my plate contents templates, and food models. Before being given nutrition education, a pre-test is given and after being given nutrition education, a post-test is given which consists of 15 multiple choice questions related to balanced nutrition education materialPartners supporting this service are Air Putih District and 21 partners participating in nutrition education. The results of service that was carried out well and smoothly showed an increase in knowledge scores before and after nutrition education by 28.20%.