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INDONESIA
The Indonesian Journal of Public Health
Published by Universitas Airlangga
ISSN : 18297005     EISSN : 25408836     DOI : -
Core Subject : Health,
Public Health
The Indonesian Journal of Public Health published since 2004, is a scientific journal article presents the results of research and review of the literature on the development of science that includes the study of Public Health Epidemiology, Administration & Policy Health, Health Promotion and Behavior, Biostatistics and Demography, Environmental Health, Public Health Nutrition, and Health & Safety work. Each manuscript submitted to The Indonesian Journal of Public Health will be reviewed by the appropriate bestari partners in the field. List the name of the reviewing bestari partners article will be listed on the final number of each volume.
Arjuna Subject : -
Articles 352 Documents
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AN EDUCATIONAL ASSESSMENT OF PREVENTIVE BEHAVIORS OF CARDIOVASCULAR DISEASE AMONG ADULT WORKERS WITH HYPERTENSION Markmee, Phataraphon; Wongwat, Rung
The Indonesian Journal of Public Health Vol. 19 No. 1 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i1.2024.69-80

Abstract

Introduction: In Thailand, approximately 13 million adult workers have hypertension, with approximately 4.7% of those living in acculturated societies at a higher risk of developing cardiovascular disease (CVD). Aims: This study aims to examine the factors that predicted CVD prevention behaviors in individuals with hypertension. Methods: A cross-sectional analytical study was conducted on 1,151 adult workers with hypertension from Sukhothai Province, Thailand, using a multistage sampling technique. The measurement tools included a standardized questionnaire approved by three experts and tested for reliability using the Cronbach's alpha. A multiple regression analysis was used to identify factors that predicted CVD prevention behaviors. Results: This study involved a total of 1,151 participants, 61.90% of whom were females, with an average age of 52 years. In addition, 71.80% of the participants had a family history of CVD. The majority of the participants (73.4%) exhibited moderate levels of CVD preventive behaviors. Factors that predicted CVD preventive behaviors included self-efficacy (β = 0.423), family and social support (β = 0.162), perceived information (β = 0.119), attitude (β = 0.117), knowledge (β = 0.089), living with nuisance (β = -0.049), and family history of hypertension (β = 0.049). These predictors accounted for 39.2% of the variance (R2 = 0.392, p = 0.05). Conclusion: The intervention mapping to promote CVD preventive behaviors in adult workers with hypertension should focus on increasing self-efficacy by providing information to improve individual knowledge and attitude, as well as addressing environmental factors that may affect people's well-being, such as nuisances.
HEALTH RISK ASSESSMENT OF PESTICIDE EXPOSURE IN FARMERS AROUND RICE FARMING AREA IN OGAN ILIR REGENCY, SOUTH SUMATRA, INDONESIA Maksuk; Intan Kumalasari; Maliha Amin; Pane, Masdalina
The Indonesian Journal of Public Health Vol. 19 No. 1 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i1.2024.118-131

Abstract

Introduction: Pesticides are chemical compounds that are toxic to the environment and humans. Approximately 89.8% of farmers in South Sumatra use chemical pesticides. Aims: This study aims to analyze the health risks due to pesticide exposure among farmers residing in rice farming areas. Methods: This study used an analytical observational design with a cross-sectional approach and was conducted in Pemulutan Subdistrict, Ogan Ilir Regency, from October 2020 to January 2021. The sample size consisted of 61 randomly selected respondents. Blood test samples were taken and examined at the Palembang Health Laboratory Center. The cholinesterase was examined using the DGKC colorimetric (KINETIC) method. Independent t-test and multiple linear regression test were used to analyze the data. Results: The results of the analysis showed that the average cholinesterase level in the blood serum of the farmers was 7628.40 U/L. This study also found that 83.6% of the farmers did not use complete and standard personal protective equipment. The variables that were significantly associated with cholinesterase levels in the blood of the farmers were age group and length of farming. Length of farming was identified as a predictor variable. Conclusion: Pesticides used by farmers in rice farming areas vary widely, ranging from slightly to extremely hazardous. Although the cholinesterase levels in farmers are in the normal range, they can increase over a long period of time. The length of farming is a predictor of cholesterol levels in farmers.
OVERWEIGHT IN SCHOOL-AGE CHILDREN AND ITS RISK FACTORS Pratiwi Hariyani Putri; Catur Wulandari; Sa'bania Hari Raharjeng; Dini Setiarsih; Anugrah Linda Mutiarani; Mery Indartiningsih; Choirinah Fadhilatur Rohmah; Aisyah Nur Safitri; Vera Desianti Ika Haryono
The Indonesian Journal of Public Health Vol. 19 No. 1 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i1.2024.132-142

Abstract

Introduction: According to data from the Basic Health Research in 2018, the prevalence of overweight and obesity among children in East Java Province was 24.27%. This prevalence is still higher than the national average. Aims: This study aims to analyze the risk factors for overweight in school-age children in Tawangsari Village, Sidoarjo Regency, East Java Province. Methods: This study used a case-control design and involved 132 school-age children at 1 and 3 Tawangsari State Elementary Schools, Sidoarjo Regency. The respondents were divided into two groups, namely case and control. The data were analyzed using multiple logistic regression with a significance level at 0.05. Result: The results of the multivariate analysis suggested that sedentary behavior (p = 0.002; Exp(B) = 8.340), sugar intake (p = 0.000; Exp(B) = 9.125) and vegetable and fruit intake (p = 0.007; Exp(B) = 20.643) were significant variables (p < 0.05). Conclusion: School-age children with low levels of physical activity were found to be 8.34 times more likely to be overweight compared to those with high levels of physical activity. In addition, excessive sugar intake and inadequate consumption of vegetable and fruit were associated with a higher likelihood of being overweight in school-age children. However, dietary diversity is not a risk factor for overweight in school-aged children.
THE DEVELOPMENT OF COVID-19 BRIEF ANXIETY SCALE IN OMAN Khalaf, Mustafa Ali
The Indonesian Journal of Public Health Vol. 19 No. 1 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i1.2024.28-43

Abstract

Introduction: The global COVID-19 pandemic has caused increased levels of anxiety and stress. A recent study reported that 99% of its sample experienced anxiety, stress, stigma, and concerns about potential social isolation. Aims: This study aims to address the lack of a specific COVID-19 anxiety scale in Oman. Methods: The online scale was distributed via Google Form to 431 students, representing 3% of the total student population at Sultan Qaboos University (SQU). The students were enrolled in different colleges of Sultan Qaboos University. Exploratory factor analysis revealed a unidimensional factorial structure consisting of four items. Item loadings ranged from 0.617 (item 4) to 0.847 (item 3). Results: The results indicated that the validity fit indices were excellent. The RMSEA and SRMR values were greater than 0.05 indicating a perfect fit. The X2/DF value was 0.854, with a p-value of less than 0.653, while the GFI, AGFI, IFI, NFI, TLI, CFI, RMR, and RMSEA values were 0.999, 0.995, 1.003, 0.998, 0.959, 1.00, 0.015, 0.000, respectively (90% CI [0.000; 0.074]). The COBAS-4 showed convergent validity through its significant association with similar scales. Discriminant validity was established via its insignificant correlation to distinct constructs. McDonald's omega and Cronbach's alpha showed adequate reliability at 0.810 each. The results of multiple group CFA indicated configural, metric, and scalar invariance between male and female students (ΔCFI ≤ 0.01, ΔRMSEA ≤ 0.015). No significant differences were found between the two sexes. The scale was calibrated using the Rasch rating scale, which provided robust results. The Mantel-Haenszel test showed no differential item functioning (DIF) across sexes. Conclusion: The COBAS-4 is a valid, reliable, simple, and easy-to administer self-report instrument for assessing COVID-19-related anxiety.
SENSITIVITY AND SPECIFICITY OF A NEW TOOL FOR EARLY DETECTION OF RISK FACTORS FOR NON COMMUNICABLE DISEASES IN URBAN WORKERS Erista Nai, Hildagardis Meliyani; Wulandari, Risky
The Indonesian Journal of Public Health Vol. 19 No. 1 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i1.2024.94-105

Abstract

Introduction: Non communicable diseases (NCDs) have an impact on health, economy, and quality of life, and can reduce worker productivity. Approximately 41 million people die from NCDs every year, accounting for 74% of deaths worldwide. The Deteksi Dini Faktor Risiko Gizi dan Kesehatan (DDR-GizKes) is instrument designed for the early detection of nutritional and health risk factors related to NCDs that affect the productivity of urban workers . A screening test is essential part of this newly developed tool. Aims: This study aims to test the sensitivity and specificity of the DDR-GizKes instrument for detecting NCDs in urban workers. Methods: This study used a descriptive observational design with a cross-sectional approach. The population consisted of 227 teachers and staff in high schools in Yogyakarta who were selected using a cluster random sampling technique. Hypertension was used as the gold standard for the screening test. Results: The nutritional risk factor test had a sensitivity of 15.8% and a specificity of 94.2%. The positive predictive value (PPV) for the nutritional risk factor was 16.7% and the negative predictive value (NPV) was 93.8%. Meanwhile,  the health risk factor test had a sensitivity of 15.8% and a specificity of 86.4%. The PPV for the health risk factor was 7.89% and the NPV was 93.3%. Conclusion: The DDR-GizKes instrument had low sensitivity but high specificity. Further research is necessary to establish the scoring system of the DDR-GizKes instrument in populations with a high prevalence of NCDs using a larger sample size.
IMPROVING KNOWLEDGE OF NON-COMMUNICABLE DISEASE PROGRAM MANAGERS IN TUBERCULOSIS-DIABETES MELLITUS CONTROL AND CARE Arini, Merita; Primastuti, Harumi Iring; Basha, Muzaitul Akma Binti Mustapa Kamal
The Indonesian Journal of Public Health Vol. 19 No. 1 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i1.2024.15-27

Abstract

Introduction: Indonesia ranks second in the number of TB cases worldwide, accounting for 10% of the total TB cases. In addition, Indonesia ranks fifth in the number of DM cases worldwide. However, the integration of TB and DM disease management programs to ensure safe and quality care in health facilities is generally insufficient. Aims: This study aims to improve the knowledge of NCD program managers regarding TB-DM and their role in TB control and care. Methods: This study used a quasi-experimental design (non-randomized and non-control group) involving all healthcare workers (HCWs) managing NCD programs in Yogyakarta City. The participants were selected from 18 community health centers, 5 hospitals, the Health Office of Yogyakarta City. Prior to and following the training sessions, the knowledge of the participants was assessed. Results: According to the results of the Kruskal-Wallis test, no significant differences in TB-DM knowledge were observed among participants based on age group, length of employment, occupation, and highest level of education. However, following the training sessions, the participants showed a significant improvement in TB-DM knowledge according to the results of the Wilcoxon signed-rank test p = 0.000, with an effect size (r) of 0.57 (95% CI [0.000, 0.113]). Conclusion: Training for NCD program managers has been shown to improve their knowledge about TB-DM and their potential roles. Therefore, it is crucial to conduct continuous capacity-building programs for HCWs. These programs should be supported by policies, systems, and necessary infrastructures to ensure effective implementation of integrated care for TB and other diseases.
HEALTHY TO SUPPORT QUALITY OF LIFE Hendrati, Lucia Yovita
The Indonesian Journal of Public Health Vol. 19 No. 1 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i1.2024.1-2

Abstract

ADOLESCENT MARRIAGES AND RISK OF STUNTING IN CHILDREN UNDER FIVE YEARS IN INDONESIA Simbolon, Demsa; Riastuti, Frensi; Kusdalinah
The Indonesian Journal of Public Health Vol. 19 No. 2 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i2.2024.276-288

Abstract

Introduction. The 2018 Basic Health Research Report recorded that 58.8% of women aged 10-19 years had been pregnant and 25.2% were pregnant. Aims: The study aimed to determine the relationship between adolescent marriage and the risk of stunting in Indonesia. Method. This research used Indonesian Family Life Survey (IFLS) 2014 data with a cross-sectional approach. The study sample was 4,809 children who met the inclusion criteria, such as biological children, live births, children aged 1-5 years in the 2014 IFLS, children living with biological parents, complete data on the child's length or height, data on the characteristics of the child, mother, and family, the child does not have a disease. Independent variable is the age of the mother at marriage. The dependent variable is the incidence of stunting.  Bivariate analysis used the Chi-Square test and multivariate analysis used logistic regression. Result. The risk of stunting in children under five years in Indonesia in 2014 was 36.6%. The risk of stunting is higher in children under five years of married mothers in adolescence (42.4%) compared to mothers who are married at an old age (35%). Adolescent marriage is associated with the risk of stunting in children under five years, married adolescents have a 1.2 times risk of stunting compared to mothers who are married at an older age (p-value 0.046). Conclusion. Adolescent marriage increases the risk of stunting. Cross-sectoral integrated interventions are needed to implement the marriage age maturity program to prevent adolescent marriages to reduce the risk of stunting
PNEUMONIA CASES AMONG TODDLERS BASED ON EXCLUSIVE BREASTFEEDING COVERAGE, UNDERNUTRITION STATUS, AND POPULATION DENSITY IN SIDOARJO REGENCY IN 2019, 2020, AND 2021 Wigunawanti, Rezandra Anggita; Astutik, Erni; Khan, Rukhsana
The Indonesian Journal of Public Health Vol. 19 No. 2 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i2.2024.237-250

Abstract

Introduction: Pneumonia is the leading infectious cause of death among children worldwide accounting for 14% of all under-five deaths. Sidoarjo Regency has the highest incidence of toddlers with pneumonia in East Java. Aims: This study aimed to map and analyze the distribution of pneumonia cases among toddlers in the Sidoarjo Regency based on the risk factors of exclusive breastfeeding coverage, lack of nutrition status, and population density. Methods: This research was a descriptive study using secondary data obtained from the Sidoarjo Regency Health Profile in 2019, 2020, and 2021. This study’s analysis unit included all 18 sub-districts in Sidoarjo Regency. Mapping was done using QGIS software version 3.10, “A Coruña.” Results: The findings showed that the Waru Sub-district was vulnerable to the incidence of pneumonia in toddlers because, apart from consistently having a high prevalence of cases over the last three years, it was also accompanied by high-risk factors, including low coverage of exclusive breastfeeding, high incidence of undernourished toddlers, and high population density. Conclusions: It can be concluded that intervention activities such as socializing and advocating programs of exclusive breastfeeding and balanced toddler nutrition with PMT and immunization are better prioritized in Waru Sub-district.
PROFILE OF METABOLIC SYNDROME COMPONENTS IN OBESE ADOLESCENTS: STUNTING VS. NON-STUNTING Harits, Muhammad; Widjaja, Nur Aisiyah; Ardiana, Meity
The Indonesian Journal of Public Health Vol. 19 No. 2 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i2.2024.302-315

Abstract

Introduction: Stunted children are more likely to become obese, with a prevalence of 1.33% in children under the age of five. Aims: To evaluate the metabolic syndrome (MetS) profile in overweight/obese adolescents who are either stunted or not, and to determine the associations between stunting characteristics (height-for-age z-score, or HAZ) and anthropometric measurements (waist circumference, hip circumference, and waist-to-hip ratio), as well as MetS indicators. Methods: A retrospective observational study was conducted focusing on adolescents who were overweight or obese. Subjects were divided into 2 groups based on height-for-age z-score (HAZ): stunting group and non-stunting group. Subject numbers were determined by total sampling due to the number of stunted being small. Results: The prevalence of MetS in stunting overweight/ obese adolescents was 18.75%, dominated by female. There was a significant difference on BMI (34.60 (26.80-45.09) vs. 31.11 (27.34-40.13, p=0.040), waist-to-height ratio (0.63 (0.54-0.73) vs. 0.58 (0.52-0.64), p=0.005), hip circumference (111.27 (95-135) vs. 102.50 (87-114) cm, p=0.012) and systole blood pressure (124.37 (110-140) vs. 116.25 (100-130) mmHg, p=0.032), greater in stunting subjects than non-stunting. Waist-to-hip ratio was lower in stunting than non-stunting (0.85 (0.69-0.97) vs. 0.92 (0.81-0.99), p=0.012). HAZ was correlated negatively with BMI (r=-0.358, p=0.044), but correlated positively with hip circumference (r=0.215, p=0.023). Conclusion: Adolescents who were stunted and overweight/obese exhibited higher values for BMI, waist-to-height ratio, hip circumference, and systolic blood pressure compared to non-stunted individuals who were overweight/obese. There was a correlation between the height-for-age z-score and both BMI and waist-to-hip ratio.

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