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Jambura Journal of Health Sciences and Research
Published by Universitas Negeri Gorontalo
ISSN : 26230674     EISSN : 2655643X     DOI : -
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health
Jambura Journal of Health Sciences and Research is a health scientific journal which published original articles of public health. This articles Published Twice a year in January and July. Which Focus and Scope in public health issues, including : Epidemiology, Health Education and Promotion, Environmental Health, Occupational Health and Safety, Health Administration and Policy, Biostatistics, Reproductive Health, Hospital Management, Nutrition Science, Health Information System. Moreover, Author can submit articles on any issue relating to public health with editor consideration.
Arjuna Subject : -
Articles 363 Documents
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PERAN INTENSITAS MEROKOK DALAM PENURUNAN FUNGSI PARU PETANI: ANALISIS INDEKS BRINKMAN DAN PEMERIKSAAN SPIROMETRI Muhammad Raihan Laide; Sri Manovita Pateda; Sri Andriani Ibrahim; Muhammad Isman Jusuf; Muhammad Zukri Antuke
Jambura Journal of Health Sciences and Research Vol 8, No 2 (2026): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v8i2.36262

Abstract

Merokok merupakan faktor risiko utama penurunan fungsi paru dan masih banyak ditemukan pada petani yang juga terpapar debu serta bahan kimia pertanian. Namun, bukti empiris hubungan derajat merokok dengan fungsi paru pada petani masih terbatas. Penelitian ini bertujuan menganalisis hubungan derajat merokok dengan fungsi paru pada petani. Penelitian ini memiliki kebaruan dalam penggunaan Indeks Brinkman untuk mengukur paparan merokok kumulatif serta menghubungkannya dengan fungsi paru berbasis spirometri pada populasi petani dengan paparan risiko ganda. Penelitian ini merupakan studi analitik kuantitatif dengan desain cross-sectional pada 33 petani di Kelurahan Dembe Jaya, Kota Gorontalo yang dipilih secara purposive sampling. Derajat merokok diklasifikasikan menjadi ringan, sedang, dan berat, sedangkan fungsi paru dinilai menggunakan parameter FEV₁, FVC, dan rasio FEV₁/FVC. Analisis dilakukan dengan uji Chi-square. Hasil menunjukkan fungsi paru tidak normal pada 19 responden dengan dominasi pola obstruktif (15 responden). Perokok berat lebih banyak pada kelompok fungsi paru tidak normal (10 orang), sedangkan fungsi paru normal didominasi perokok ringan (7 orang). Semakin tinggi derajat merokok, semakin besar risiko gangguan fungsi paru, terutama pola obstruktif.
DETERMINAN SIKAP REMAJA DALAM PENCEGAHAN KEHAMILAN TIDAK DIINGINKAN: STUDI PADA PENGETAHUAN SEKSUALITAS, KOMUNIKASI ORANG TUA, DAN MEDIA SOSIAL DI SMKN 1 SELONG Baiq Septina Nurkomala Sari; Irwan Syuhada; Aulia Mahdaniyati S.; Lusiana Wahyu Ratna Wijayanti
Jambura Journal of Health Sciences and Research Vol 8, No 2 (2026): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v8i2.37167

Abstract

meningkatkan rasa ingin tahu terhadap seksualitas, sehingga remaja menjadi kelompok yang rentan terhadap kehamilan tidak diinginkan (KTD). Tingginya angka KTD pada remaja di Indonesia, khususnya di Nusa Tenggara Barat, menunjukkan bahwa upaya pencegahan masih belum optimal. Kebaruan penelitian ini adalah menganalisis secara simultan hubungan pengetahuan seksualitas, komunikasi orang tua, dan media sosial dengan sikap remaja dalam pencegahan kehamilan tidak diinginkan pada konteks sekolah menengah kejuruan di Lombok Timur. Penelitian ini bertujuan menganalisis hubungan ketiga faktor tersebut dengan sikap remaja di SMKN 1 Selong. Penelitian ini menggunakan desain studi analitik dengan pendekatan cross sectional terhadap 106 siswa yang dipilih melalui teknik stratified random sampling. Data dikumpulkan pada November 2025 dan dianalisis menggunakan uji Chi-square. Hasil penelitian menunjukkan adanya hubungan signifikan antara pengetahuan seksualitas dan sikap pencegahan KTD (P-value=0,002; PR=1,793; CI=1,272–2,529) serta antara komunikasi orang tua dan sikap pencegahan KTD (P-value=0,008; PR=1,557; CI=1,141–2,125). Media sosial tidak menunjukkan hubungan yang signifikan (P-value=0,498; PR=1,167; CI=0,614–2,218). Pengetahuan seksualitas dan komunikasi orang tua berperan penting dalam pembentukan sikap remaja terhadap pencegahan kehamilan tidak diinginkan.
ANALISIS DETERMINAN INISIASI PRE-EXPOSURE PROPHYLAXIS (PREP) PADA POPULASI LELAKI SEKS DENGAN LELAKI (LSL) DI KABUPATEN BADUNG Ni Wayan Putri Larassita Parwangsa; I Nyoman Purnawan
Jambura Journal of Health Sciences and Research Vol 8, No 2 (2026): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v8i2.37885

Abstract

Inisiasi Pre-Exposure Prophylaxis (PrEP) merupakan strategi pencegahan HIV yang direkomendasikan bagi populasi berisiko tinggi, termasuk lelaki yang seks dengan lelaki (LSL), dengan kebaruan penelitian ini terletak pada penekanan bahwa inisiasi PrEP lebih dipengaruhi oleh perilaku seksual berisiko serta pendekatan berbasis wilayah yang masih jarang dikaji. Penelitian ini bertujuan menganalisis faktor-faktor yang memengaruhi inisiasi PrEP pada LSL di Kabupaten Badung menggunakan desain observasional analitik dengan pendekatan cross-sectional terhadap 135 responden yang direkrut dari layanan PrEP di Puskesmas Kuta I, Kuta II, dan Kuta Selatan. Hasil deskriptif menunjukkan mayoritas responden berusia 25 tahun, memiliki pengetahuan dan persepsi yang kurang baik terhadap PrEP, serta perilaku seksual berisiko tinggi, termasuk seks anal, jumlah pasangan seksual lebih dari tiga, penggunaan kondom tidak konsisten, dan riwayat IMS yang tinggi. Analisis bivariat menunjukkan hubungan signifikan antara inisiasi PrEP dengan usia, riwayat seks anal, jumlah pasangan seksual, penggunaan kondom, penggunaan pelicin, riwayat IMS, dan paparan informasi PrEP, sedangkan analisis multivariat mengidentifikasi tiga faktor dominan yaitu usia 25 tahun, jumlah pasangan seksual 3, dan tidak pernah menggunakan kondom. Penelitian ini menyimpulkan bahwa perilaku seksual berisiko tinggi merupakan determinan utama inisiasi PrEP pada LSL.
PERAN POSTUR KERJA DALAM MENINGKATKAN RISIKO CERVICAL PAIN SYNDROME (CPS) PADA PEKERJA INDUSTRI: STUDI DI CV. AMANDIRA TEKNIK BALIKPAPAN Neti Eka Jayanti; Sumiati Sumiati; Emanuella Arlina
Jambura Journal of Health Sciences and Research Vol 8, No 2 (2026): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v8i2.36226

Abstract

CPS merupakan gangguan muskuloskeletal yang sering dialami pekerja industri akibat postur kerja yang tidak ergonomis, aktivitas statis berkepanjangan, dan gerakan repetitif. Kebaruan penelitian ini yaitu dengan mengintegrasikan penilaian risiko postur kerja menggunakan metode Ovako Working Posture Analysis System (OWAS) dan tingkat disabilitas leher menggunakan Neck Disability Index (NDI) secara simultan pada pekerja sektor teknik di Balikpapan yang masih terbatas dilaporkan. Penelitian ini bertujuan untuk menganalisis hubungan antara postur kerja dan kejadian CPS pada pekerja di CV. Amandira Teknik Balikpapan. Metode yang digunakan adalah penelitian kuantitatif dengan pendekatan cross-sectional terhadap 80 pekerja melalui teknik total sampling. Hasil penelitian menunjukkan bahwa distribusi postur kerja berdasarkan OWAS terdiri atas kategori tidak berisiko cedera sebesar 37,5%, risiko cedera rendah 46,25%, dan risiko cedera sedang 16,25%, tanpa ditemukan kategori risiko cedera tinggi, sementara berdasarkan NDI sebagian besar responden mengalami disabilitas leher ringan (50%), diikuti sedang (36,25%) dan berat (13,75%). Uji korelasi Spearman’s Rho menunjukkan adanya hubungan positif yang signifikan antara postur kerja dan CPS (r = 0,462; P-value = 0,001), yang mengindikasikan bahwa peningkatan risiko postur kerja sejalan dengan peningkatan tingkat disabilitas leher. Kesimpulannya, temuan ini menegaskan pentingnya evaluasi ergonomi berbasis metode objektif dalam mengidentifikasi risiko gangguan servikal pada pekerja industri serta menjadi dasar dalam pengembangan intervensi preventif yang lebih terarah.
PERAN UREUM DAN EGFR DALAM MENENTUKAN KADAR HEMOGLOBIN PADA PASIEN PENYAKIT GINJAL KRONIK NON-DIALISIS Ariel Adyatma Budiono; Yuniarty Antu; Sitti Rahma; Ivan Virnanda Amu; Richard Arie Monoarfa
Jambura Journal of Health Sciences and Research Vol 8, No 2 (2026): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v8i2.37005

Abstract

Penyakit ginjal kronik (PGK) merupakan masalah kesehatan global yang ditandai dengan penurunan laju filtrasi glomerulus (eGFR) dan sering disertai anemia sebagai komplikasi utama. Penelitian ini bertujuan menganalisis hubungan kadar ureum dan eGFR dengan kadar hemoglobin pada pasien PGK non-dialisis di RSUD Prof. Dr. H. Aloei Saboe, Gorontalo. Penelitian ini menggunakan desain analitik kuantitatif dengan pendekatan potong lintang retrospektif berdasarkan data rekam medis tahun 2024. Sampel sebanyak 52 pasien diperoleh melalui teknik purposive sampling. Analisis dilakukan secara univariat dan bivariat dengan uji normalitas Kolmogorov–Smirnov serta uji korelasi. Kebaruan penelitian ini terletak pada analisis simultan ureum dan eGFR berbasis formula CKD-EPI 2021 dalam hubungannya dengan hemoglobin pada populasi PGK non-dialisis di tingkat rumah sakit daerah yang masih terbatas diteliti. Hasil menunjukkan seluruh pasien memiliki ureum tinggi, eGFR rendah, dan hemoglobin di bawah normal. Terdapat hubungan bermakna antara ureum dan hemoglobin (arah negatif) serta eGFR dan hemoglobin (arah positif). Disimpulkan bahwa peningkatan ureum dan penurunan eGFR berhubungan dengan rendahnya kadar hemoglobin. Temuan ini menegaskan pentingnya pemantauan anemia bersamaan dengan fungsi ginjal dalam pengelolaan PGK non-dialisis.
PARITAS SEBAGAI PREDIKTOR ADOPSI MHEALTH PADA IBU HAMIL DALAM DETEKSI DINI RISIKO KEHAMILAN Nining Tunggal Sri Sunarti; Silvia Ari Agustina; Reni Tri Lestari; Eny Retna Ambarwati
Jambura Journal of Health Sciences and Research Vol 8, No 2 (2026): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v8i2.38319

Abstract

Pemanfaatan teknologi kesehatan seluler (mobile health/mHealth) melalui aplikasi kehamilan memiliki potensi besar dalam meningkatkan efektivitas deteksi dini risiko kehamilan, namun tingkat adopsinya dipengaruhi oleh berbagai faktor, termasuk karakteristik obstetri seperti paritas. Penelitian ini memiliki kebaruan dalam menyoroti peran paritas sebagai determinan utama dalam adopsi mHealth, khususnya perbedaan perilaku antara ibu dengan pengalaman reproduksi rendah dan tinggi yang masih terbatas dibahas pada studi sebelumnya. Tujuan penelitian ini adalah untuk menganalisis pengaruh paritas terhadap adopsi mHealth sebagai sarana deteksi dini risiko kehamilan. Metode yang digunakan adalah studi kuantitatif dengan pendekatan cross-sectional pada 254 ibu hamil, dengan pengumpulan data melalui kuesioner terkait karakteristik obstetri dan perilaku penggunaan aplikasi, serta analisis menggunakan uji Chi-Square dan Odds Ratio (OR). Hasil penelitian menunjukkan adanya hubungan yang sangat signifikan antara paritas dan penggunaan aplikasi kehamilan (P-value 0,001), di mana ibu dengan paritas rendah (nulipara dan primipara) memiliki peluang 7,071 kali lebih besar untuk menggunakan aplikasi dibandingkan ibu multipara (OR = 7,071; 95% CI = 3,157–15,841). Kesimpulannya, paritas merupakan prediktor signifikan dalam adopsi mHealth selama kehamilan, di mana ibu dengan paritas rendah cenderung lebih bergantung pada informasi digital, sementara rendahnya adopsi pada ibu multipara menunjukkan perlunya pendekatan edukasi digital yang lebih inovatif untuk meningkatkan keterlibatan mereka dalam pemantauan risiko kehamilan secara mandiri.
SETIA-IMS: A PARTNER-BASED DIGITAL INTERVENTION TO IMPROVE SEXUALLY TRANSMITTED INFECTION SCREENING UPTAKE AMONG PREGNANT WOMEN IN RURAL BALI Putu Indah Sintya Dewi; Ni Made Dwi Yunica Astriani; Cindy Meilinda Sari; Aditha Angga Pratama
Jambura Journal of Health Sciences and Research Vol 8, No 3 (2026): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v8i3.38721

Abstract

Sexually transmitted infection (STI) screening is an essential component of antenatal care to prevent pregnancy complications and vertical transmission. However, screening coverage among pregnant women in rural areas, including Buleleng Regency, remains suboptimal, partly due to limited partner involvement. This study introduces SETIA-IMS (Suami Terlibat Aktif–IMS; Actively Involved Husband for STI Prevention), a partner-based intervention integrating a narrative-based educational mini series, digital reminders, couple counseling, and mutual commitment to improve STI screening uptake among pregnant women. This study aimed to evaluate the effectiveness of the SETIA-IMS intervention in increasing STI screening coverage in rural areas. A quasi-experimental study with a pretest–posttest control group design was conducted among 80 pregnant women in rural Buleleng Regency. The intervention group received the SETIA-IMS program for two weeks, while the control group received standard antenatal care. Data were analyzed using the chi-square test and paired t-test with a significance level of 0.05. STI screening coverage in the intervention group increased from 32.5% to 75.0%, whereas the control group increased from 30.0% to 42.5%, with a significant difference between groups (P-value=0.001; OR=4.50; 95%CI: 1.80–11.25). Knowledge and partner involvement also improved significantly in the intervention group (P-value0.001). The SETIA-IMS intervention was effective in increasing STI screening coverage through strengthened partner involvement supported by digital and narrative-based educational strategies. This intervention has the potential to be integrated into antenatal care services to improve maternal health outcomes in rural settings.
EVALUATION OF THE EARLY INTERVENTION PROGRAM FOR ARI IN TODDLERS TO SUPPORT THE SDG's HEALTH TARGETS AT THE PRIMARY SERVICE LEVEL IN GORONTALO REGENCY Yanti Hano; Dewi Kartika; Mayangsari Kau; Ririn Pakaya; Maesarah Maesarah
Jambura Journal of Health Sciences and Research Vol 8, No 3 (2026): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v8i3.34532

Abstract

Acute Respiratory Infection (ARI) remains one of the leading causes of morbidity and mortality in toddlers in Indonesia. Based on data from the Ministry of Health, the prevalence of ARI in the last three years has shown a fluctuating trend. In 2022, approximately 8.5% of the total population experienced ARI, this figure increased to 9.2% in 2023, and decreased slightly to 8.8% in 2024. This study aims to evaluate the implementation of the early intervention program for ARI in toddlers in primary health care facilities using the CIPP (Context, Input, Process, Product) evaluation model, as a comprehensive approach to assess the program and its contribution to achieving SDG’s target 3.2. The research method uses a mixed approach (mixed methods) with data collection through surveys, in-depth interviews, and FGDs. Respondents consisted of health workers, cadres, and parents of toddlers in Gorontalo Regency. The results of the study showed that in the general context, early intervention programs for ISPA according to regional needs. From the perspective of input, there are limitations in human resources, infrastructure, and suboptimal budget support. The program implementation process has been ongoing through early detection, community education, and standardized procedures, but still faces obstacles in monitoring and reporting. The program has contributed to reducing ISPA cases in toddlers, although achieving the SDG targets still requires strengthening prevention and program sustainability. Overall, the study results indicate that the ISPA early intervention program has a good initial foundation, but needs to be strengthened through ongoing education to achieve SDG target 3.2, namely reducing infant mortality due to preventable diseases.
EVALUATING SCHOOL HEALTH PROGRAMME SUPPORT CAPACITY ACROSS EDUCATIONAL LEVELS IN GORONTALO CITY RAMLY ABUDI; Susanti Iman
Jambura Journal of Health Sciences and Research Vol 8, No 3 (2026): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v8i3.39504

Abstract

The School Health Program (SHP) is a cross-sectoral initiative designed to promote healthy school environments and improve clean and healthy living behaviours among school-aged children. However, disparities in SHP implementation across regions have limited the effectiveness of the program, while previous studies have generally focused on specific educational levels, providing only a partial understanding of program support capacity. This study aimed to assess the support capacity of SHP implementation in public schools across Gorontalo City by evaluating human resources, management systems, and facilities and infrastructure. A quantitative descriptive study using a cross-sectional approach was conducted in 2017 involving 130 public schools, consisting of 107 elementary schools, 16 junior high schools, 3 senior high schools, and 4 vocational schools. Data were collected using questionnaires, observations, and interviews and analyzed descriptively using percentage distributions. The results showed that good human resource capacity was identified in 40.2% of elementary schools, 37.5% of junior high schools, and 28.6% of senior high and vocational schools. Good management systems were observed in 59.8%, 75.0%, and 85.7% of schools at the respective educational levels, while good facilities and infrastructure were reported in 52.3%, 56.3%, and 42.9% of schools. Overall, the SHP support capacity was categorized as good, although deficiencies remained in human resources and essential facilities. Strengthening the competencies of SHP management personnel through regular capacity-building programs is recommended to improve the quality and sustainability of healthy school implementation.
A DETERMINANT MODEL OF TUBERCULOSIS TREATMENT COMPLIANCE MANAGEMENT BASED ON BEHAVIOR, FAMILY SUPPORT, AND HEALTH WORKERS: BATAM CASE STUDY Elzusandry Fithri; Herdianti Herdianti; Sabri Sabri; Hendri Herman; Hengky Oktarizal
Jambura Journal of Health Sciences and Research Vol 8, No 3 (2026): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v8i3.38960

Abstract

Adherence to Anti-Tuberculosis Drugs (ATD) is a primary determinant of successful TB therapy and prevention of drug resistance. Non-adherence significantly contributes to treatment failure, relapse, and increased public health burden, especially in high-mobility urban areas such as Batam City. The novelty of this study lies in the simultaneous integration of patient behavior, family support, and healthcare worker roles into a single determinant model of TB treatment adherence management in an archipelago urban context. This study aimed to analyze factors affecting ATD adherence among pulmonary TB patients at Baloi Permai Primary Health Center, Batam. A quantitative cross-sectional study with a statistical model output was conducted on 142 pulmonary TB patients undergoing treatment from July 2025 to April 2026 using total sampling. Data were collected through validated structured questionnaires and analyzed using chi-square tests and Backward Stepwise logistic regression. Bivariate analysis revealed that attitude (p=0.043) and family support (p=0.001) significantly influenced ATD adherence. Multivariate analysis identified family support as the dominant determinant with an Odds Ratio of 6.313 (95% CI=1.557–25.606; p=0.010), indicating that patients receiving good family support were 6.313 times more likely to adhere to treatment than those without adequate support. It is concluded that family support is the primary determinant of ATD adherence. Strengthening family involvement in TB management programs at primary health centers, through education, motivation, and optimization of family Drug Supervision roles, should be prioritized as an intervention strategy.

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