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Tropical Public Health Journal (TROPHICO) Faculty of Public Health Universitas Sumatera Utara Jalan Universitas No. 21, Kampus USU Padang Bulan Medan 20155, Sumatera Utara - Indonesia
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TROPHICO: Tropical Public Health Journal
Published by TALENTA PUBLISHER
ISSN : 2774766     EISSN : 2797751X     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
TROPHICO: Tropical Public Health Journal is a journal published by TALENTA Publisher, Universitas Sumatera Utara and managed by Faculty of Public Health, Universitas Sumatera Utara. TROPHICO publishes research articles in the field of public health or other disciplines related to public health that have not been published by other publication media. The scientific scope of research results include Epidemiology, Health Policy and Administration, Occupational Health and Safety, Environmental Health, Health Education and Behavioral Science, Public Health Nutrition, Biostatistics and Demography, Family and Reproductive Health and other research in the field of Public Health Sciences. This journal was first published in March 2021 and will then be published twice a year in March and September both in printed and electronic versions designed using the Online Journal System (OJS).
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 72 Documents
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Pengaruh konsumsi air kelapa muda (Cocos nucifera L.) dan madu terhadap penurunan mual dan muntah pada ibu hamil trimester I Citra Hariati, Mayang; Markus Sembiring, Iskandar; Andini Harahap, Febri
TROPHICO: Tropical Public Health J. Vol. 5 No. 1 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i1.21280

Abstract

Nausea and vomiting are common issues experienced by some women during the first trimester of pregnancy. If left untreated, these symptoms may progress into hyperemesis gravidarum, a condition that poses risks to both the mother and the baby. One way to help reduce nausea and vomiting is by consuming coconut water and honey. Young coconut water contains hydrating compounds, and it also provides vitamin B6 (pyridoxine), which has antiemetic effects that can help relieve these symptoms in pregnant women. this study aims to evaluate the effectiveness of young coconut water and honey in lowering the frequency of nausea and vomiting in first trimester pregnant women at the Nurtiana Ginting Clinic. Utilizing a Quasi-Experimental design with a one-group pre-test and post-test format, the research involved 19 pregnant women in their first trimester, selected through purposive sampling based on specific inclusion and exclusion criteria. The PUQE-24 (Pregnancy Unique Quantification of Emesis and Nausea) tool was used to assess symptom frequency before and after the intervention. Statistical analysis using the Wilcoxon test showed a p-value of 0.000 ≤ 0.05, indicating a statistically significant impact of the intervention on reducing nausea and vomiting in early pregnancy. The study concludes that young coconut water and honey are effective in decreasing the frequency of these symptoms. As a result, they are recommended as a non-pharmacological option to help manage and alleviate nausea and vomiting during early pregnancy.
Sustainable development goals and carbon reduction: Insights from universities in Eastern Indonesia Anggraini, Nani Anggraini; Akrim, Djusdil; Muis, Ramdiana; Hutagalung, Ira; Tawakkal, Irfan; Al Fariz, Reza Darma; Rachman, Indriyani; Matsumoto, Toru
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.22915

Abstract

This study employed a mixed methods design to analyse university students' knowledge of the Sustainable Development Goals (SDGs), their practices toward carbon reduction, and their innovative ideas for carbon mitigation. The main aim of this research is to examine how students’ understanding of the SDGs relates to their actual carbon reduction practices and to identify innovative solutions they propose for environmental sustainability. The research surveyed 123 students from 11 academic programs across seven universities in Eastern Indonesia. Quantitative results showed no significant differences in carbon reduction practices among students from various academic programs (F = 0.720; p = 0.674). A significant but very weak correlation was found between SDG knowledge and positive practices toward carbon reduction (r = 0.152; p = 0.047). The qualitative analysis identified eight themes of innovation, with a majority focusing on reforestation (33%) and the 3R waste management system (31%). Notably, technology-based ideas constituted only 8% of the responses. The study's main limitations include a sample imbalance, with 39.5% of participants from Environmental Engineering, and the use of convenience sampling, which necessitates caution when generalizing the findings. The results suggest the need for a holistic approach that integrates education, practical implementation, supportive facilities, and technological innovation. Recommendations include: (1) integrating SDGs into the curriculum, (2) developing a gamified, collaborative digital platform, and (3) fostering interdisciplinary collaboration to create contextual solutions
Qualitative test of formalin content in Hainanese Chicken Rice in Tanjungpinang City Area Zaleha; Simbolon, Veronika; Erda, Zulya
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.23036

Abstract

Food safety is an important issue in Indonesia that is often associated with cases of food poisoning, one of which is due to the use of banned Food Additives (BTP) such as formalin. The people of Tanjungpinang City consume a lot of processed chicken meat, such as Hainanese chicken rice, so it is important to ensure its quality and safety. This study aims to identify the organoleptic physical quality of chicken meat and detect the presence of formalin in Hainanese chicken rice. This type of research is descriptive qualitative with an observational approach. The study population included all Hainanese chicken rice traders in Tanjungpinang City as many as 51 people, and all were sampled (total sampling). The physical examination of chicken meat was conducted organoleptically, while the formalin content test used potassium permanganate solution (KMnO₄). Results showed that formalin-positive chicken meat is characterized by its off-white color, pungent odor, and chewy texture. Of the 51 samples tested, 11 showed positive results for formalin, indicated by a change in color to cloudy yellow or brown. Meanwhile, negative samples showed a pink color with no significant color change. These findings emphasize the importance of monitoring the use of formaldehyde in ready-to-eat food.
The effect of modification of yellow pumpkin, moringa leaves, and tamban fish in wet noodles on nutritional content and acceptability Tinambunan, Gledis; Ardiani, Fitri
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.21725

Abstract

Wet noodles commonly consumed in Indonesia generally have low nutritional value, especially in protein. Their high carbohydrate content can lead to excess intake, converting into fat and causing weight gain. Therefore, innovation in noodle production is necessary to enhance nutritional value by substituting wheat flour with local ingredients such as yellow pumpkin, moringa leaves, and tamban fish. This study aims to analyze the nutritional content and acceptability of wet noodles made from these ingredients.This experimental research applies a Completely Randomized Design (CRD). The samples were wet noodles formulated with yellow pumpkin, moringa leaves, and tamban fish, evaluated by 30 panelists from the Faculty of Public Health (FKM). The Shapiro-Wilk normality test showed that the data were not normally distributed. The Kruskal-Wallis test results indicated no significant effect on color acceptability (p=0.340), a significant effect on aroma acceptability (p=0.009), a significant effect on taste acceptability (p=0.042), and no significant effect on texture acceptability (p=0.092). Based on the acceptability test and nutritional analysis, wet noodles made with yellow pumpkin and moringa leaves were preferred by panelists and had high nutritional value. The noodles contained carbohydrates (16.3%), protein (4.24%), fat (0.57%), energy (87.3 kcal), iron (15.3 mg), beta-carotene (138 mg), and calcium (154.4 mg). These findings suggest that incorporating local ingredients can improve the nutritional quality of wet noodles while maintaining consumer acceptance
The relationship of physical activity, dietary patterns, and energy intake with overweight incidence among Sabhara members at Langkat police station Alhafiz, Muhammad Daffa; Lubis, Halinda Sari
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.22637

Abstract

Occupational Safety and Health (OSH) is an effort to ensure the physical and mental well-being of workers, which is essential for productivity. Health and work ability are closely related to nutritional status, where balanced calorie intake supports energy and effective task performance. Conversely, being overweight or obese increases the risk of degenerative diseases and is influenced by multifactorial causes such as genetics, lifestyle, and poor diet. This study aimed to examine the relationship between physical activity, dietary patterns, and energy intake with overweight among SABHARA members at the Langkat Police Headquarters as an important basis for health interventions. This study employed an analytical quantitative method with a cross-sectional design. The sample was obtained through simple random sampling, consisting of 49 members. The data collected included nutritional status (body scale, micrometer), energy intake (24-hour food recall), dietary patterns (FFQ), and physical activity (IPAQ Short-Form). The data were analysed using the Chi-Square test. The results showed that 57.1% of members were overweight, 18.3% had low physical activity, 53.1% had poor energy intake, and 49.0% had inadequate dietary patterns. The findings showed a significant relationship between physical activity, dietary patterns, and energy intake with overweight. 
The difference in waste generation reporting compliance of districts/cities before and after the issuance of the Ministry of Environment and Forestry Regulation Number 6 of 2022 Purba, Seri Ulina
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.22690

Abstract

Waste management in Indonesia faces significant challenges, especially in providing accurate and up-to-date waste generation data at the district/city level. The National Waste Management Information System (SIPSN), managed by the Ministry of Environment and Forestry (KLHK), serves as the main reporting platform. However, compliance with waste generation reporting was low and inconsistent before the issuance of Ministerial Regulation No. 6 of 2022. This study aims to analyze the differences in compliance levels of waste generation reporting by districts/cities before and after the enactment of Ministerial Regulation No. 6 of 2022. A quantitative comparative approach was used, involving all 511 districts/cities in Indonesia as the study population. Secondary data on waste reporting from SIPSN for the periods 2020–2021 (before regulation) and 2023–2024 (after regulation) were analyzed. Compliance was categorized into three groups and analyzed using Wilcoxon Signed Rank Test. Significant differences in compliance levels were found before and after the regulation (p = 0.0001). After regulation, the number of compliant districts/cities increased substantially, while non-reporting decreased markedly. Significant differences in compliance levels were found before and after the regulation (p = 0.0001). After regulation, the number of compliant districts/cities increased substantially, while non-reporting decreased markedly.
Determinants of tuberculosis health service utilization in primary healthcare facilities in Perbaungan, North Sumatra, Indonesia Ismail, Aniza; Fitra, Nurcholisah; M Zulfakhar Zubir; Abdul Rahman Bin Ramdzan; Mohd Ihsanuddin bin Abas
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.22912

Abstract

Indonesia ranks third worldwide in terms of Tuberculosis (TB) cases, after China and India. In 2016, North Sumatera recorded 23,097 TB cases with 5,714 deaths. One of the regencies in this province, Serdang Bedagai particularly in Perbaungan district reported that TB patients with positive smear results did not fully utilize healthcare services or follow the standard treatment protocols provided by primary healthcare centers, according to TB center data from 2016–2017. This study aimed to assess the prevalence and identify factors associated with the utilization of TB health services in primary care. A cross-sectional design was employed with proportionate stratified random sampling among TB patients in Perbaungan. Associations were analyzed using the chi-square test. Inclusion criteria required respondents to be permanent residents aged 20–70 years, both male and female, who agreed to complete the questionnaires. Among 184 respondents, 41.8% showed low utilization of services, while 58.2% demonstrated high utilization. Most respondents had only primary education and were unemployed. The study found significant associations between service utilization and education level, employment status, knowledge, attitudes, and accessibility. In conclusion, nearly half of respondents had low utilization of TB health services in primary health care in Perbaungan, North Sumatera Indonesia.
The relationship between dicsrimination and comorbidity with mental health in the treatment program for TB patients at the Special Pulmonary Hospital in 2025 Nabilah Rasya Musdah; Zulfendri
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.22206

Abstract

Tuberculosis (TB) patients often experience discrimination and have comorbidities that have an impact on reducing the quality of life, which ultimately affects mental health in the form of anxiety and depression. This study aims to determine the relationship between discrimination and comorbidities with mental health in the TB patient treatment programme at the Special Pulmonary Hospital. This study used a quantitative approach with a cross sectional design. The population in this study were all TB patients receiving treatment at the Special Pulmonary Hospital whose numbers were unknown, during one month period. The sample in this study was taken using accidental sampling conducted within a period of 1 month with a final number of 73 people. The inclusion criteria were TB patients undergoing treatment who were aged >18 years and consented to participate, while the exclusion criteria included patients with severe clinical conditions or incomplete questionnaire responses. This data was collected by questionnaire and analysed using Spearman's Rank correlation. The results showed that there was a significant relationship between discrimination and mental health of TB patients, namely anxiety (p= 0.0001; r= 0.713) and depression (p=0.0001; r=0.710). In addition, there was a significant relationship between comorbidity and mental health, namely anxiety (p = 0.0001; r = 0.656) and depression (p=0.0001; r=0.642). Comprehensive and systematic integration of mental health services with TB is needed in TB control programmes to accelerate the achievement of the target of complete elimination of TB by 2030.
The impact of pig ownership, history of exposure to worms, and personal hygiene on taeniasis infection in Silou Kahean District Sitanggang, Ismail Juli Rico; Darlan, Dewi Masyithah; Ramayani, Oke Rina; Lubis, Inke Nadia Diniyanti; Hutagalung, Sunna Vyatra
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.23187

Abstract

Taeniasis remains a zoonotic public health concern in communities with traditional pig farming systems. Silou Kahean District, Simalungun Regency, is an endemic area where free-range pig husbandry increases exposure risk and may sustain persistent local transmission. This study aims to analyze the relationship between pig ownership status, the number of pigs owned, and pig husbandry practices with the incidence of taeniasis in Silou Kahean District, Simalungun Regency. This cross-sectional quantitative study (October 2024–June 2025, Silou Kahean, Simalungun) analyzed 270 cluster-randomized respondents from a population of 21,149 using structured questionnaires and Kato-Katz fecal examination. Associations between pig ownership, pig density, husbandry method, and taeniasis infection were tested using chi-square (95% CI). The findings revealed a significant relationship between pig ownership and the occurrence of taeniasis (p-value = 0.002; PR = 5.513; 95% CI: 1.953–15.560), indicating that respondents who owned pigs had a higher risk of infection than those who did not. The number of pigs owned also showed a significant association with infection (p-value = 0.035). Furthermore, husbandry methods significantly influenced the occurrence of taeniasis (p-value = 0.0001), with a higher prevalence observed among respondents practicing free-range pig rearing compared to those using pen systems. Pig ownership, higher pig density, and free-range husbandry are significant risk factors for taeniasis in Silou Kahean District. Community education, sanitation improvement, and stronger livestock supervision are critical to interrupt transmission in endemic areas.
Analysis of distribution and determining factors for identifying patterns and predicting the risk of stunting Anggraeny, Rini; Wafiah, Andi; Hengky, Henni Kumaladewi; Febriani Malik, Fivit
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.23835

Abstract

Stunting remains a major public health problem in many low and middle income countries, including Indonesia. According to the 2022 National Nutrition Status Survey (SSGI), the national prevalence of stunting reached 21.6%, exceeding the World Health Organization threshold of 20% and remaining far from far the 2024 National Medium Term Development Plan (RPJMN) target of 14%. In South Sulawesi, the prevalence was even higher at 35.7%. Stunting not only impairs physical growth but also affects cognitive development, health status, and long-term productivity. This study aimed to anylize the spatial distribution and determinants of stunting by integrating Geographic Information System (GIS)-based spatial analysis with a case-control study design. A total 0f 200 respondents were included, consisting of 100 stunted children (case group) and 100 non stunted children (control group). Primary data were collected and analyzed using bivariate statistical tests, follewed by GIS based mapping to identify high risk areas. The results showed that maternal and child health was significantly associated with stunting, (OR = 0.190; 95% CI: 0.053–0.684; p = 0.011), indicating a protective effect. In contrast, maternal parenting practices and education were not significantly associated with stunting (OR = 2.111; 95% CI: 0.928–4.805; p = 0.108), although a tendency toward increased risk was observed among mothers with poorer parenting practices and lower education levels. In conclusion, the integration of spatial analysis and epidemiological approaches provides a comprehensive understanding of stunting distribution and its determinants. Strengthening maternal and child health remains a key strategy in reducing stunting, particulary in identified high risk area.

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