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Nexus Kedokteran Komunitas
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
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Articles 306 Documents
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Hubungan antara Penerimaan Diri dan Depresi pada Komunitas Gay di Surakarta Pratiwi, Niken Ayu; Suwito, Djoko; Hikmayani, Nur Hafidha
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Gay is one of high-risk groups to have depression. The prevalence of depression in gay is reportedly higher than that in heterosexual people. Gay is often faced to low self-acceptance or social-acceptance problems which potentially lead to depression. This study aimed to seek the correlation between self-acceptance and depression in gay community. Methods: This was an analytical study using cross sectional approach, conducted in May 2013 at Gessang Foundation in Surakarta. Samples were purposively selected based on inclusion and exclusion criteria. Subjects were asked to fill in: (1) biodata and informed consent forms, (2) the L-MMPI questionnaire to evaluate respondents’ truthfulness in answering questionnaires, (3) the Berger’s Self-Acceptance Scale questionnaire to measure self-acceptance scores, and (4) the Beck’s Depression Inventory Scale to measure depression scores. Samples were excluded when either declined at least 10 statements from the L-MMPI questionnaire, did not completely fill in the forms and questionnaires, had chronic diseases, or were on long-term medications. Data were analyzed by Pearson’s Product Moment correlation test using SPSS 20.0 for Windows. Results: The self-acceptance of 31 subjects eligible for this study was relatively low (mean score = 104.6). The overall mean of depression scores was 14.7 and only 6 subjects (19.4%) were not having depression as they scored less than 10. The analysis  showed a Pearson’s correlation coefficient (r) of -0.758 (p<0.001), suggesting that self-acceptance and depression were significantly negatively correlated. Conclusion: There was a strong and statistically significant negative correlation between self-acceptance and depression at a gay community in Surakarta. Keywords: Self-acceptance, Depression, Gay
Pengaruh Penyuluhan Kesehatan terhadap Tingkat Pengetahuan Program Jaminan Persalinan di Wilayah Kerja Puskesmas Sedayu 1 Kabupaten Bantul Putra, Vidi Aditya Pamori Wibowo; Hartanto, Rifai; Sulaeman, Endang Sutisna
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Mass Labor Assurance (known as Jampersal) is a new program, it caused lack of knowledge in the people’s society from rural area. Based on data from Bantul Regency Health Department in 2011 there were 8,5 infant mortality per 1000 birth, and maternal mortality rate was 111,2 per 100.000 birth. Maternal mortality rate in Bantul Regencyincreased 29,1 per 100.000 birth compared with maternal mortality rate in 2010, while labor woman mortality rate was 82,1 per 100.000 birth (Bantul Regency Statistic Department, 2010). It was interesting, because on January 1st 2011 Mass Labor Assurance or Jampersal began to be implemented in every Indonesia region, meanwhile maternal mortality rate in Sedayu District of Bantul Regencyincreased. Methods: This research wasusing quasi experimental with pretest and posttestcontrol group design approaching study. Samplesin this researchwere mothers from Puskesmas Sedayu 1 of Bantul Regency working area. Samples were taken with rule of thumbs, divided by 2 groups consist of control group and treatment group.Total samples were 100 mothers, divided into control group and treatment group. The data was collected by quesioner test before and after the counseling Results: The knowledge difference about Jampersal in treatment and control group is count 14.94 with significant level 0.000 (p<0.05). Conclusion: Counselingwas increasing the mother’s knowledge level about Mass Labor Assurance (Jampersal) programs. Keywords: counseling, knowledge, labor assurance 
Hubungan Usia Menarche dengan Depresi pada Remaja Pertiwi, Annisa; Hafidh, Yulidar; Hikmayani, Nur Hafidha
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:Menarcheisone of the puberty signsin women.The timing of menarche had shifted towards earlier onset and the number ofyoung adolescent girlswho experiencedmenarcheearlier thantheir peers is increasing. Early menarche hadresulted in the acceleration of physical changes, but these are not always followed by emotional and psychological maturity, thereby causinga variety ofpsychologicalproblemssuch asdepression. This studyaimed to examinethe associationbetweenearlymenarcheand depression inadolescentgirls whileadjusting forother confounding variables(body massindex, economic status, andbirth order). Methods:This was ananalyticalobservationalstudy with cross-sectional approach. SubjectswereYear 8students atSMPNegeri 4 Surakarta. All subjects who met inclusion criteria were assessedfordepressionsymptoms using the Beck Depression Inventoryquestionnaire.Data on age at menarche, heightand weight,monthlyincome ofbothparents, andbirth order were collected.Data wereanalyzed by multivariatelogisticregression. Results: Of 111 participating subjects, 63,1% had experienced early menarche and 53,7% of whom had depression symptoms. In multivariate analysis, ageat menarchewas not statistically significantly associated with depression (OR=1.66;95% CI=0.716–3.863;p=0.237)after adjusting for body mass index and birth order. Conclusions:There was nosignificant associationbetweentiming ofmenarcheand depression inyoung adolescent girls after adjusting forbody mass index and birth order. Keywords:earlymenarche, depression, adolescent girls. 
The Relationship between Nutritional Status and Dysmenorrhea Degree in Female Students of SMA Negeri 1 Surakarta Yuniandry, Ristyadita; Lestari, Endang Dewi; Prasetyawati, Arsita Eka
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Dysmenorrhea is young women problem. Dysmenorrhea is lower abdominal pain that is felt before or during menstruation. One factor that may lead to primary dysmenorrhea is nutritional status. This study aim is to determine the relationship between nutritional status and degree of dysmenorrhea in female students of SMA Negeri 1 Surakarta. Methods: This research is an observational analytic with cross sectional approach. This research was conducted in SMA Negeri 1 Surakarta. The population was class X female students of SMA Negeri 1 Surakarta who have experienced menstruation period at least 1 year, dysmenorrhea, not smoking, not consuming alcohol, willing to be respondent, L-MMPI scores with the answer "No" < 10, and do not have any gynecological abnormality or secondary dysmenorrhea. Sampling was done by purposive random sampling after selected based on inclusion and exclusion criteria of the study. The dependent variable in this study was the degree of dysmenorrhea, while the independent variable is nutritional status. Research subjects filled (1) informed consent, (2) L-MMPI questionnaire to determine the honesty of respondents in filling out the questionnaire, (3) personal information form and the degree of dysmenorrhea questionnaire, (4) measured height and weight. Ninety two sample was obtained and analyzed using chi-square test followed by Somer’s d correlation test. Results: Based on the data analysis with significance α = 0.05, we obtained value of p = 0.004 (p <0.05),  whereas correlation coefficient was 0.096. Conclusions: Statistically, there is significant but very weak relationship between nutritional status and dysmenorrhea degree in female students of SMA Negeri 1 Surakarta. Keywords: nutritional status, dysmenorrhea degree
The Relationship between Knowledge about Antibiotics with Usage Frequency of Non-prescription Antibiotics on Non-Medical Student of Sebelas Maret University Amira, Nadya Kemala; Prasetyawati, Arsita Eka; Febrinasari, Ratih Puspita
Nexus Kedokteran Komunitas Vol 5, No 1 (2016): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Antibiotics are the drugs most widely used and abused in the world. The most frequent form of antibiotic misuse is self-medication by various groups of society including students. Lacking of knowledge of the students, especially non-medical students, about antibiotics plays an important role in the discovery of many cases of antibiotics misuse. This study aimed to investigate the relationship between knowledge about antibiotics with usage frequency of non-prescription antibiotics on non-medical student of Sebelas Maret University. Method: This study was an observational analytic study with cross sectional approach. Sample collected from 186 non-medical students from 5 faculties in Sebelas Maret University which were randomly drawn by cluster random sampling technique. Each respondent was given a questionnaire regarding knowledge about antibiotics and the usage frequency of non-prescription antibiotics that has been tested for validity and reliability by researcher. The research data were tested with the nonparametric Spearman correlation test (α = 0.05). Result: Spearman correlation test results a significant correlation between knowledge about antibiotics with usage frequency of non-prescription antibiotics on non-medical students of Sebelas Maret University with p < 0.05 (p = 0.000). The test results also showed a strong correlation between the two variables with a correlation coefficient (r) -0.681, with increased knowledge about antibiotics will decrease the usage frequency of non-prescription antibiotics on non-medical students of Sebelas Maret University. Conclusion: There was a strong relationship between knowledge about antibiotics with the usage frequency of non-prescription antibiotics on non-medical students of Sebelas Maret University. Better knowledge of antibiotics, would reduce the usage frequency of non-prescription antibiotics. Keywords: antibiotics, knowledge about antibiotics, the usage frequency of non-prescription antibiotics
Fruits and Vegetables Consumption Relationship with Hypertension in the Elderly Villager of Bolon, Colomadu Karanganyar Prakosa, Muhammad Ardianto; ., Bagus Wicaksono; Damayanti, Kusmadewi Eka
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Fruits and vegetables intake was associated with lower risk of hypertension especially to elderly which have more complication disease. There was evidence that a diet rich in fruit and vegetables reduces blood pressure (sistolic and diastolic). This observation aimed to examine whether fruits and vegetables intake between elderly villagers was related to hypertension. Methods: This study was an observational study with a cross-sectional approach in the elderly villager of Bolon, Colomadu, Karanganyar. Subjek was 72 elderly aged ≥ 60 years. Baseline intake of fruits and vegetables was assessed by food frequency questionnaires. Fruits and vegetables group was divided into banana, apple, spinach, and tomato which was in journal can reduced blood pressure (sistolic and diastolic). Chi-square test was used to examine relationship fruit and vegetable consumption with hypertension. Results: Chi-square test frequency of consumption banana, apple, spinach and tomato with hypertension consecutive p-value = 0.681, 0.320, 0.122, 0.315. Conclusions: There was no relationship frequency of consumption of bananas, apples, spinach, and tomatoes with hypertension. Keywords: hypertension, fruit consumption, vegetable consumption, elderly
Correlation between Physical Activity with Sexual Libido of Male Office Workers in Grogol Subdistrict, Sukoharjo Sinuraya, Lauraine Wijayaningtyas; Hidayati, Rosalia Sri; Murti, Bhisma
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Sexual libido or sexual desire has been referred to as desire, appetite, drive and the motivation to seek out sexual satisfaction. Reduced libido is widely considered the symptomatic reflection of low testosterone levels in man. Physical activity is one way to increase testosterone release into circulation from Leydig cell in testis that can affect the libido itself. Objection of this research is to find whether a physical activity related to sexual libido, especially in Grogol Subdistrict, Sukoharjo. Methods: This research was an observational analytic research in cross sectional approaching that had been done at Grogol Subdistrict, Sukoharjo on Mei-June 2014. The study is conducted on 40 samples according to the inclusion and exclusion criteria that have been set. Data were collected from questionnaires by respondents. The data were statistically tested with Chi Square test, which is followed by using Multiple Logistic Regression Analysis to determine the relationship between variables which has controlled the confounding variable. Results: The statistical analysis result for Multiple Logistic Regression Analysis shows the value of p = 0.816 and Odds Ratio = 1.23. Conclusions: Based on the test result of Multiple Logistic Regression Analysis, it can be concluded that physical activity and sexual libido of male office workers in Grogol Subdistrict, Sukoharjo, is related in a negative way, but the result was not statistically significant. Keywords: Sexual libido, physical activity, stress, male office worker. 
The Association between Clean and Healthy Behavior in a Household and the Incidence of Diarrhea in Children Under Five-Years Old in the Territories of Puskesmas Ngoresan Junapati, I Kadek Ludi; Hartanto, Rifai; Murti, Bhisma
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Diarrhea is one of the highest cause of mortality and morbidity in children, especially under five-years old. Outbreak of diarrhea also often happen with high Case Fatality Rate (CFR). Diarrhea can be prevented if the community can apply clean and health behavior. The purpose of this research is to analyze the correlation of clean and health behavior in a household with the incidence of diarrhea in children under five-years old. Methods: This research was an observational epidemiology research with the case control approach. It was held in May-June 2014 in the territories of Puskesmas Ngoresan Jebres. Sampling had been done by fixed-disease sampling, and the selection was done by checking the inclusion and exclusion criteria of the study sample. Data was collected using questioner and independent interview to the respondent. Data obtained by 60 subjects and analyzed by Chi Square Test. Results: Based on the result of Chi Square test, there was a significant difference between the group of people with clean and health behavior in a household with the incidence of diarrhea, whereas the value of p (<0,001) < 0,05. Out of eight indicators, there are four indicators which have a significant correlation  with the incidence of diarrhea, those are the use of clean water (p value <0,001), waste management (p value <0,001), use of floor (p value <0,001) and use of latrines (p value 0,042). Conclusions: Based on this research, there is a significant difference between clean and health behavior in a household with the incidence of diarrhea in children under five-years old.Keywords: Diarrhea, Children Under Five-Years Old, Clean and Healthy Behavior in a Household.Backgrounds: Diarrhea is one of the highest cause of mortality and morbidity in children, especially under five-years old. Outbreak of diarrhea often happen with high Case Fatality Rate (CFR). Diarrhea can be prevented if the community can apply clean and healthy behavior. The purpose of this research is to analyze the correlation associationof between clean and healthy behavior in a household with and the incidence of diarrhea in children under five-years old. Methods: This research was an observational epidemiology research with the case control approach. It was held in May-June 2014 in the territories of Puskesmas Ngoresan Jebres. Sampling has been done by fixed-disease sampling, and the selection was done by checking the inclusion and exclusion criteria of the study sample. Eight criteria were used to assess clean and healthy behaviour. Those are: use of clean water, waste management, use of floor, use of latrines, nutritional status, teeth and mouth hygiene, exclusive breastfeeding, and hand hygiene. Data were collected using questionnaire and independent interview to the respondents. Data obtained from 60 subjects and were analyzed by chi-square test. Results: Based on chi-square test, out of eight indicators, there are four indicators that were have significant correlation associated with the incidence of diarrhea, those are the use of clean water (p value <0,001), waste management (p value <0,001), use of floor (p value <0,001) and use of latrines (p value: 0,042). Whereas other four indicators have no significant correlation were not associated with the incidence of diarrhea, those are nutritional status (p value: 0,154), teeth and mouth hygiene (p value: 0,326), exclusive breastfeeding (p value: 0,443), and hand hygiene (p value: 1,000). Conclusions: Based on this research, among eight indicators there are were four indicators of clean and healthy behaviour in a household that that have significant associated with the incidence of diarrhea in children under five-years old, those are the use of clean water, waste management, use of floor and use of latrines. Keywords: Diarrhea, Children Under Five-Years Old, Clean and Healthy Behavior in a Household.
The Correlation between Physical Activity and the Menstruation Cycle in Adolescents at Warga Senior High School Surakarta Naibaho, Winny Novietta K; Riyadi, Slamet; Suryawan, Arif
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Recently, many teenagers have an irregular menstruation periods. Physical activity is one of the risk factor that increase the incidence of menstruation periods irregularity. High School’s students had a lot of variation in daily physical activities. This research aimed to determine the correlation between physical activity and the menstrual cycle in adolescents at Warga High School Surakarta. Methods: This research used descriptive analytical study by the cross sectional design. The subject of the research were female students of X and XI grade at Warga High School in Surakarta that taken by purposive random sampling technique. Independent variable of this research was physical activity which  was measured by International Physical Activity Questionnaire (IPAQ). Dependent variable of this research was menstruation cycle which was measured by menstruation cycle questionnaire. The size of the sample were 90 female students who were divided into 3 group based on their intensity of physical activities. These 3 groups were divided again based on their menstruation cycle. The collected data were analysed with Chi Square formula and Coeffisient Contiquenency (CC). Results: The result of Chi Square analysis was 0,037 as p value and the value of Q was 0.261 . Conclusions: There was correlation between physical activity and menstruation cycle in adolescents at Warga Senior High Schools Surakarta but the correlation between these two variables was less closely related. Keywords: physical activity, menstruation cycle, adolescents 
The Relationship between Nutritional Status and Dysmenorrhea Degree in Female Students of SMA Negeri 1 Surakarta Kartika, Shinta Amalia; Dewi, Yulia Lanti Retno; Hidayati, Rosalia Sri
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (291.557 KB)

Abstract

Backgrounds : Dysmenorrhea is young women problem. Dysmenorrhea is lower abdominal pain that is felt before or during menstruation. One factor that may lead to primary dysmenorrhea is nutritional status. This study aim is to determine the relationship between nutritional status and degree of dysmenorrhea in female students of SMA Negeri 1 Surakarta. Methods : This research is an observational analytic with cross sectional approach. This research was conducted in SMA Negeri 1 Surakarta. The population was class X female students of SMA Negeri 1 Surakarta who have experienced menstruation period at least 1 year, dysmenorrhea, not smoking, not consuming alcohol, willing to be respondent, L-MMPI scores with the answer "No" < 10, and do not have any gynecological abnormality or secondary dysmenorrhea. Sampling was done by purposive random sampling after selected based on inclusion and exclusion criteria of the study. The dependent variable in this study was the degree of dysmenorrhea, while the independent variable is nutritional status. Research subjects filled (1) informed consent, (2) L-MMPI questionnaire to determine the honesty of respondents in filling out the questionnaire, (3) personal information form and the degree of dysmenorrhea questionnaire, (4) measured height and weight. Ninety two sample was obtained and analyzed using chi-square test followed by Somer’s d correlation test. Results : Based on the data analysis with significance α = 0.05, we obtained value of p = 0.004 (p <0.05),  whereas correlation coefficient was 0.096. Conclusions : Statistically, there is significant but very weak relationship between nutritional status and dysmenorrhea degree in female students of SMA Negeri 1 Surakarta. Keywords: nutritional status, dysmenorrhea degree

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