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Prof. Diah Ayu Maharani, DDS, PhD
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Makara Journal of Health Research
Published by Universitas Indonesia
ISSN : 23563664     EISSN : 23563656     DOI : https://doi.org/10.7454/msk
Core Subject :
Makara Journal of Health Research (MJHR) is a peer-reviewed and scientific journal published by Universitas Indonesia. Starting from 2019 onwards, MJHR is redirecting its scope, focusing on publishing research articles relevant to non-communicable diseases (NCDs) addressing issues of surveillance, disease management and health policy in the Asia Pacific and Mediterranean countries. Relevant academic articles regarding NCDs analyzed from an integrated perspective including individual and population level, experimental and clinical approaches, epidemiology, public health, disease prevention and health promotion, diagnosis, treatment, prognosis and palliative care are welcome.
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Articles 10 Documents
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Search results for , issue "Vol. 23, No. 3" : 10 Documents clear
The effects of a maternal personality, children’s behavioral characteristics, and parenting styles on the dental anxiety of 3- to 6-year-old children Ibis, Sevgin; Sari, Mustafa Erhan; Tomak, Lemak; Babadagi, Zehra; Karabekiroglu, Koray Mehmet Zeynel
Makara Journal of Health Research Vol. 23, No. 3
Publisher : UI Scholars Hub

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Abstract

Background: Many individual and environmental factors cause dental anxiety in children. The aim of this study was to examine the effects of a maternal personality, children’s behavioral characteristics, and parenting styles on the dental anxiety of three- to six-year-old children. Methods: The parents of 230 children who applied to the Department of Pediatric Dentistry, Faculty of Ondokuz, Mayıs University were involved in this study. The “Temperament and Character Inventory”, “Child Behavior List”, and “Parenting Attitude Scale” were applied to the volunteer parents. All data were statistically analyzed (p < 0.05). Results: From the results of determining the maternal personality, it was found that the score of “novelty seeking” and those of all the character dimensions were statistically significantly higher in the dental anxiety group than in the control group, while the scores of “reward dependence” and persistence were statistically significantly lower in the dental anxiety group (p < 0.001). From the aspect of children’s behavior characteristics, the scores of “inhibitory control” (p = 0.029) and permissive attitude among the parenting styles were statistically significantly higher in the dental anxiety group (p = 0.027). Conclusion: In this study, it was determined that maternal characteristics, children’s behavioral characteristics, and parenting attitudes affect the dental anxiety of three- to six-year-old children.
Experiences of parents and caregivers of children with disability on community-based rehabilitation (CBR) services in Malaysia: A qualitative study Hasan, Haliza; Syed Junid, Syed Mohamed Aljunid
Makara Journal of Health Research Vol. 23, No. 3
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Background: The rehabilitation program for disabled children is provided through community-based rehabilitation (CBR) services by an initiative of the Department of Social Welfare Malaysia. This long-term program needs commitment and compliance, which relates to the quality of services experienced by parents and caregivers. Thus, the purpose of this study was to explore the experiences of the parents and caregivers of disabled children on the CBR services. Methods: This qualitative study utilized in-depth interview sessions held from March to May 2015. Fifteen parents and caregivers who had disabled children participating in the CBR program were selected using a purposive sampling method. All recorded conversations were transcribed verbatim and analyzed using Atlas.ti version 8.0. The thematic analysis was used for identifying, analyzing, and reporting the data obtained. The themes that emerged were read, reread, and peer checked until the researcher agreed on the thematic representation of the data. Results: Six major themes emerged from this study, including CBR activity, facilities, environment, communication, program impact, and management system. Conclusion: The majority of the parents and caregivers had good experiences with CBR services. However, several aspects could be given further attention to improve the CBR quality and to sustain its services for disabled children.
Correlation between carotid intima-media thickness and serum TNF-alpha levels in female with rheumatoid arthritis of different ethnicities: A single-centre experience in Malaysia Yi, Kek Xin; Wahab, Asrul A; Abas, Mohamad Norazrin Mohd; Wahid, Siti Amira Kamarul Abdul; Othman, Faridah Hanun; Said, Mohd. Shahrir Mohamed
Makara Journal of Health Research Vol. 23, No. 3
Publisher : UI Scholars Hub

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Background: Rheumatoid arthritis (RA) is a destructive chronic inflammatory disease with intra- and extra-articular manifestations. It is associated with accelerated formation of arteriosclerosis. The aim of this study was to ascertain the correlation between endothelial dysfunction using carotid intima–media thickness (cIMT) and tumor necrosis factor-alpha (TNF-α) levels among the three main ethnic groups in Malaysia: Malay, Chinese, and Indian. Methods: This cross-sectional study included 23 females with RA belonging to three different ethnic groups who were free from cardiovascular risk factors. Blood sample was taken from each patient to measure serum TNF-α level, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR). Carotid ultrasonography was performed for cIMT analysis. The Disease Activity Score (DAS)-28 scoring system was used to assess disease activity. Results: Patients’ median age and disease duration were 47 and 5 years, respectively. No thickened cIMT was found in any of the patients. The duration of disease, TNF-α level, cIMT, DAS-28 CRP, and DAS-28 ESR showed no significant correlations in the different ethnic groups (p > 0.05). Conclusion: This study indicates that cIMT and serum TNF-α levels among females with RA in Malaysia may not be affected by ethnicity.
Dimensions of stress in parents of children with autistic spectrum disorder Bakri, Amirah Hazwani Binti; Rosli, Noor Aishah Binti; Mohd Kasirun, Zarinah Binti; Md Nasir, Mohd Hairul Nizam Bin; Othman, Fazidah Binti; Tengku Kasim, Tengku Sarina Aini Binti
Makara Journal of Health Research Vol. 23, No. 3
Publisher : UI Scholars Hub

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Background: Parents of children with Autistic Spectrum Disorder (ASD) are at an increased risk for stress and other mental health problems. While treatment is mainly focused on the child, somehow parents’ stress is exacerbated. Accordingly, the purpose of this study was to identify the sources of stress in the parents of children with ASD. Methods: The 52 parents of children with ASD who participated in the study completed the child domain (CD) and parent domain (PD) subscales of the Parenting Stress Index Fourth Edition (PSI-4). Subsequently, the scores of the PSI-4 subscales were analyzed and compared. Results: The respondents scored the highest for the distractibility/hyperactivity subscale in the child domain and highest for the depression subscale in the parent domain. Conclusion: The results of this study may help to determine suitable treatment for parents of children with ASD. Child and parent characteristics contribute equally to parental stress, distractibility/hyperactivity and depression were most prevalent in the CD and PD respectively.
Does healthy lifestyle contribute to physical and mental health among University students? Widyasari, Dian Caesaria; Turnip, Sherly Saragih
Makara Journal of Health Research Vol. 23, No. 3
Publisher : UI Scholars Hub

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Background: Little is known of how a healthy lifestyle and its health outcomes are related in university students in Indonesia. This study examined the association between healthy lifestyle markers (diet, sleeping hours, physical exercise, smoking, alcohol intake) and health outcomes (perceived physical fitness, psychological distress) among undergraduate students at university in Indonesia. We also examined gender-related patterns. Methods: A total of 616 undergraduate students participated in two cross-sectional studies carried out between 2011 and 2013. Six close-ended questions were used to measure health behaviors and perceived physical fitness. The Hopkin Symptoms Checklist-25 was used to measure psychological distress. Results: The results showed gender differences in physical exercise, smoking, and alcohol intake. A healthy diet, regular physical exercise, and adequate sleeping hours were identified as contributing factors for perceived physical fitness. The probability of experiencing mental health problems was 65% higher among sedentary students and being female doubles this risk. Conclusion: Engagement in physical exercise consistently contributes to both measures of health outcome. Further, this study found that female students had greater susceptibility to health issues due to a sedentary lifestyle than male ones.
Factors influencing consumers’ choices of oral hygiene products: A cross-sectional study Awais, Faiza; Shahzad, Hazik Bin; Naheed, Kiran; Khan, Ayyaz Ali
Makara Journal of Health Research Vol. 23, No. 3
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Background: Environment, peer-groups, and salespersons influence consumers’ purchasing decisions regarding oral hygiene products. Other influences include various cultural, social, demographic, and socioeconomic factors. This study was designed to determine factors motivating and influencing consumers while choosing oral hygiene aids. Methods: 410 patients (age, 10–70 years), who visited the outpatient department of Sheikh Zayed Medical Complex, Lahore, Pakistan, were subjected to a close-ended questionnaire survey. Factors investigated included cost, packaging, media advertisement, perceptions, and previous experiences. Results: The cost of oral-hygiene products (82%) were the biggest influence. Advertisements influenced 55% of consumers in their purchase decisions regarding oral hygiene products. Reason for product use was disease prevention (58.7%) and freshness of breath (31%). Logistically, females were significantly 0.66 times less likely to be affected by media advertisements. Low income and occupations were 2.27 times more likely to be influenced by advertisements. Price was not significant meaning all categories were influenced by price equally. Conclusion: Consumers’ choices of oral hygiene products were influenced by information available through mass media and the products’ cost-effectiveness. Dentists should be aware of these influences and should accordingly advise their patients considering their needs and influencing factors.
Factors influencing pre-marital sexual intercourse among unmarried young individuals in Cambodia Mai, Vanthy; Kittisuksathit, Sirinan
Makara Journal of Health Research Vol. 23, No. 3
Publisher : UI Scholars Hub

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Background: Sexual behavior of young individual are recognized as one of the main health priority in society. In Cambodia, young individual who hasten to involve in sexual intercourse, contributes to their high risk of various health issues, particularly those related to sexual reproductive health. This research will identify specific characteristics that have strong relationships with pre-marital sexual intercourse among unmarried young individuals in Cambodia. Methods: A binary logistic regression in a multivariate analysis of secondary data was applied from the 2014 cambodian demographic and health survey. the data about pre-marital sexual intercourse were assessed with the CDHS questionnaire including as age, sex, education, place of resident, risky behavior, living arrangement, and exposure to mass media, knowledge about sexual and reproductive health and HIV prevention. Results: age (p = 0.000), sex (p = 0.000), place of residence (p = 0.000), staying away experience (p = 0.001), and smoking behavior (p = 0.000), were significantly associated with pre-marital sexual intercourse among unmarried young individuals. Conclusion: Appropriate reproductive health promotion programs and disease prevention strategies must be organized for target groups of young individuals who engage in pre-marital sexual intercourse. Moreover, comprehensive reproductive health education should be disseminated to increase awareness of risky sexual behavior and allow young individuals to make informed decisions regarding their sexual practices.
An experimental model of chemically-induced ulceration of the buccal mucosa of Mus musculus Idrus, Erik; Hartanti, Pratiwi Dwi; Suniarti, Dewi Fatma; Prasetyo, Sri Redjeki; Wimardhani, Yuniardini Septorini; Subarnbhesaj, Ajiravudh
Makara Journal of Health Research Vol. 23, No. 3
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Background: Ulceration caused by chemical agents used in dental practice for in-office or home-used is a common event, resulting in discomfort and pain. Treatments for such conditions are still being developed, requiring extensive experiments both in vitro and in vivo studies. At present, a standardized experimental mouse model for mucosal ulceration caused by a chemical inducer to study the pathogenesis of ulceration and to develop medications for treatment of ulceration is still not available. The aim of this study was to create a chemically induced model of ulceration of the buccal mucosa of mice. Methods: An in vivo study model of ulceration using a total of 9 mice (Swiss Webster) was performed. All mice received 70% acetic acid application on the left buccal mucosa, while the right buccal mucosa received only saline. Clinical and histological observations of ulcer formation and healing were performed, including the presence of redness and swelling, ulcer diameter, bodyweight as well as epithelial disintegration, dilation of blood vessels, and infiltration of inflammatory cells. Results: Buccal mucosa application of 70% acetic acid generated ulcers on day 2, reached its peak on day 3 and recovered by day 14. The histological features of inflammation were also seen in the ulcer model, and the degree of inflammation was consistent with the day of ulcers. Conclusion: Chemical trauma by the administration of 70% acetic acid effectively induce ulceration on buccal mucosa in mice, and this method can be considered as a novel, reproducible, and clinically relevant model to study pathogenesis and therapeutic approach for treating oral mucosal ulceration.
The roles of intra-household gendered dominance in unmet need for family planning across Myanmar Phyu, Win Ei; Chamchan, Chalermpol
Makara Journal of Health Research Vol. 23, No. 3
Publisher : UI Scholars Hub

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Background: Unmet need for family planning in Myanmar (estimated 15.8% by the UN in 2017) is relatively high compared to other South East Asia countries. Moreover, Social Institutions and Gender Index in Myanmar is very high and cultural norms promote childbearing. Thus, this paper was conducted to examine role of intra-household gendered dominance (IHGD) in unmet need for family planning across Myanmar to set more effective intervention for family planning. Methods: The study utilized secondary data from 2015–2016 MDHS. Total 7,652 married women in reproductive age (MWRA) were included and 16% of them had unmet need for family planning. Binary Logistic Regression Analysis was conducted to examine the association of each explanatory variables with outcomes variables. Results: IHGD factors which are decision on women’s health and women’s attitude towards wife beating are significantly associated with unmet need. Moreover, socio-economic factors which are place of residence and women’s education level have significant impact on unmet need as well. Conclusion: Based on the findings of this study, the government of Myanmar should address dominance of social and cultural gender norms by conducting gender equality awareness campaign and family planning program should target to reach rural and uneducated women.
Chronic constipation among community-dwelling older people in the East Coast region of Peninsular Malaysia Wahab, Patimah Abdul; Kadir, Azidah Abdul; Lee, Yeong Yeh; Ali, Siti Hawa; Yusoff, Dariah Mohd
Makara Journal of Health Research Vol. 23, No. 3
Publisher : UI Scholars Hub

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Background: This study aimed to investigate the prevalence, symptoms, and factors associated with chronic constipation among community-dwelling older people in the East Coast region of Peninsular Malaysia. Methods: A cross-sectional study was conducted in four selected health clinics using stratified cluster sampling. A face-to-face interview was carried out among the elderly outpatients, in order to complete a structured questionnaire. Results: A total of 400 participants were included in the study. The mean age was 68.7 ± 6.4 years, and 55% of the cohort were women. The prevalence of chronic constipation was 32.3% among the sample population. The most common symptom was “sensation of incomplete evacuation” (63.6%), and none of the participants reported having “less than three defecations per week,” “straining,” or “lumpy or hard stool.” Educational level (p = 0.005), number of defecations per week, stool form, time spent for defecation, and abdominal bloating were significantly associated with chronic constipation (p < 0.001). Conclusion: Chronic constipation was common in older people and associated with a low educational level. Recognition of symptoms was predominantly based on clinical features of constipation and will require the healthcare providers to consider these factors in their routine assessment of older people.

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