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Hamid Mukhlis
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Majalah Kesehatan Indonesia
Published by Utan Kayu Institute
ISSN : 27456498     EISSN : 27458008     DOI : https://doi.org/10.47679/makein
Core Subject : Humanities, Health,
Humanities Health Professions Medicine & Pharmacology Nursing Public Health
Majalah Kesehatan Indonesia (MAKEIN) with registered ISSN 2745-6498 (Print) and ISSN 2745-8008 (online), is an interdisciplinary journal that publishes material on all aspects of public health science. This MAKEIN provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers worldwide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to nursing and midwifery, epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 2 Documents
 1 
Search results for , issue "Vol. 7 No. 3 (2026)" : 2 Documents clear
Factors Associated With Family Caregivers’ Knowledge and Attitudes Toward Home-Based Geriatric Care in Primary Healthcare: A Cross-Sectional Study Gemini, Savitri; Lipoeto, Nur Indrawati; Machmud, Rizanda; Murni, Arina Widya
Majalah Kesehatan Indonesia Vol. 7 No. 3 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026324

Abstract

Family caregivers play a central role in home-based geriatric care, especially in settings where institutional long-term care remains limited. However, caregiver capacity may vary according to socio-demographic, relational, and service-related factors. This study aimed to identify factors associated with family caregivers’ knowledge and attitudes toward home-based geriatric care in a primary healthcare context. A quantitative analytic study with a cross-sectional design was conducted from September to December 2025 in two Puskesmas working areas in Batam City, Indonesia. A total of 326 family caregivers were recruited using proportional sampling. Data were collected through structured questionnaires and analyzed using univariate analysis, Chi-square tests, and multivariate logistic regression. Most caregivers had low knowledge (86.5%) and negative attitudes (61.0%) despite reporting high communication patterns and positive perceptions of healthcare facility quality. Bivariate analysis showed that economic status, caregiving duration, communication pattern, and perceived quality of healthcare facilities were significantly associated with knowledge, whereas economic status, communication pattern, and perceived quality of healthcare facilities were associated with attitudes. In the multivariate model, only caregiving duration (AOR = 15.790; p < 0.001) and communication pattern (AOR = 0.157; p = 0.013) remained independently associated with caregiver knowledge. No independent predictors were identified for attitudes. These findings indicate that caregiver knowledge was more strongly associated with experiential and relational factors, particularly caregiving duration and family communication. Structured, family-centered, and nurse-led interventions in primary healthcare may help strengthen caregiver preparedness in home-based geriatric care. Abstrak: Caregiver keluarga memainkan peran sentral dalam perawatan geriatri berbasis rumah, terutama di lingkungan yang layanan perawatan jangka panjang institusionalnya masih terbatas. Namun, kapasitas caregiver dapat bervariasi menurut faktor sosiodemografis, relasional, dan faktor terkait layanan. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan pengetahuan dan sikap caregiver keluarga terhadap perawatan geriatri berbasis rumah dalam konteks pelayanan kesehatan primer. Penelitian kuantitatif analitik dengan desain potong lintang dilakukan dari September hingga Desember 2025 di dua wilayah kerja Puskesmas di Kota Batam, Indonesia. Sebanyak 326 caregiver keluarga direkrut menggunakan proportional sampling. Data dikumpulkan melalui kuesioner terstruktur dan dianalisis menggunakan analisis univariat, uji Chi-square, dan regresi logistik multivariat. Sebagian besar caregiver memiliki pengetahuan rendah (86,5%) dan sikap negatif (61,0%) meskipun melaporkan pola komunikasi yang tinggi dan persepsi positif terhadap kualitas fasilitas pelayanan kesehatan. Analisis bivariat menunjukkan bahwa status ekonomi, lama merawat, pola komunikasi, dan persepsi terhadap kualitas fasilitas pelayanan kesehatan berhubungan secara signifikan dengan pengetahuan, sedangkan status ekonomi, pola komunikasi, dan persepsi terhadap kualitas fasilitas pelayanan kesehatan berhubungan dengan sikap. Pada model multivariat, hanya lama merawat (AOR = 15,790; p < 0,001) dan pola komunikasi (AOR = 0,157; p = 0,013) yang tetap berhubungan secara independen dengan pengetahuan caregiver. Tidak ditemukan prediktor independen untuk sikap. Temuan ini menunjukkan bahwa pengetahuan caregiver lebih kuat berhubungan dengan faktor pengalaman dan relasional, khususnya lama merawat dan komunikasi keluarga. Intervensi yang terstruktur, berpusat pada keluarga, dan dipimpin oleh perawat di pelayanan kesehatan primer berpotensi membantu memperkuat kesiapan caregiver dalam perawatan geriatri berbasis rumah.
The Complex Intersection: Barriers to Gender Affirmation Surgery and Mental Health in Pakistan's Transgender Community Abbas, Sana; Saqib, Usman
Majalah Kesehatan Indonesia Vol. 7 No. 3 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026303

Abstract

This study aims to investigate the structural barriers to accessing gender affirmation surgery (GAS) and evaluate the resulting impact on the mental health of transgender individuals in Pakistan. Conducted through a cross-sectional survey from January to March 2025, the study engaged 500 transgender individuals across five major Pakistani cities: Karachi, Lahore, Islamabad, Peshawar, and Quetta. Data were gathered via a structured questionnaire encompassing demographics, healthcare barriers, and mental health metrics. Mental health indicators, including depression (42%), anxiety (38%), and PTSD (21%), were documented based on participant self-report of formal clinical diagnoses received prior to the study. The results reveal a stark reality: only 9% (n=45) of respondents had successfully undergone full GAS, while a substantial majority (61%, n=305) expressed a strong desire for the procedure but faced insurmountable obstacles. The most prominent barriers identified were the prohibitive high cost (73%) and a critical lack of specialized surgeons (56%). A mental health crisis is evident, with 74% of participants reporting regular symptoms of distress. A statistically significant association was established between the desire for surgery and heightened mental distress (x2 = 17.94, df = 1, p < 0.001), with a Cramer’s V of 0.19, indicating a moderate effect size. This research highlights a systemic failure at the intersection of healthcare, socio-legal policy, and mental health support, calling for urgent reforms such as financial subsidies and the integration of transgender health into medical education.

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