The Indonesian Journal of Public Health

Journal Information
ISSN / EISSN : 1829-7005 / 2540-8836
Current Publisher: Universitas Airlangga (10.20473)
Total articles ≅ 118
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Dian Anita Nilawati, Lailatul Muniroh
The Indonesian Journal of Public Health, Volume 15, pp 266-275; doi:10.20473/ijph.v15i3.2020.266-275

Abstract:
Infant is one of vulnerable groups that have nutritional problems. High prevalence of nutritional problems could affect nutritional status that become an important concern. The determining factor of nutritional status includes nutritional intake and maternal occupation. The purpose of this study was to determine the relationship between maternal occupation and nutritional intake, with nutritional status of infants aged 6-12 months. This study used cross-sectional design, with nutrional status of infants as dependent variable; intake of the food energy sufficiency level and protein sufficiency level. Subject was selected by simple random sampling technique. The interview was conducted on 88 mothers of infants aged 6-12 months, which used questionnaire, form food recall 2x24 hours (breastfeeding and complementary feeeding), and anthropometric measurements (W/L index). Data analyzed used Spearman-Rank test and Coefficient Contingency. The results of this study showed that most of the infants had normal nutritional status (76,1%). Maternal occupation (p=0,025) had correlation with nutritional status. The food energy sufficiency level (p=0,047) had correlation with nutritional status and protein sufficiency level (p=0,016) had correlation with nutritional status. The conclusion of this study is infant who get the sufficiency level of energy and protein sufficiency level adequate has normal nutritional status. Wasting infant tend to have inadequate energy and protein intake. This study suggest mothers to give complementary feeding appropriately the quantity and according to the stage of giving food to infant. Keywords: maternal occupation, nutritional status of infant, the sufficiency level of energy, protein sufficiency level
Prakash Ghimire, Alisha Khadka, Amornrat Anuwatnonthakate, Supaporn Trongsakul
The Indonesian Journal of Public Health, Volume 15, pp 325-338; doi:10.20473/ijph.v15i3.2020.325-338

Abstract:
Hypertension is a significant public health issue considered as the world's biggest killer among the working-age group. Health workers are one of the working groups who are facing several factors in their lives that could induce hypertension among them. Nevertheless, there is a lack of information about hypertension among Nepalese health workers. Therefore, this cross-sectional study aimed to determine the prevalence and factors associated with hypertension among health workers of central hospitals in Nepal. A total of 422 health workers aged ≥30 years from seven central hospitals of Nepal were selected using a proportionate stratified systematic random sampling method. Information regarding characteristics (socio-demographic, clinical, behavioral, occupational, and perceived stress) of participants were obtained by face to face interviews using a questionnaire after getting informed written consent. Participant's blood pressure and body mass index were measured based on the World Health Organization STEP Surveillance Manual. Binary logistic regression model was used to identify the associated factors of hypertension. The prevalence of hypertension was 35.31% (95% CI: 30.70%-40.10%). After controlling potential confounding factors through multivariate analysis, seven factors (increasing age, low educational level, being married, low fruit & vegetable consumption, low physical activity, alcohol use, and increased perceived stress) were found as significant independent predictors of hypertension. In conclusion, hypertension is highly prevalent among Nepalese health workers. Effective behavioral change interventions and routine health screening programs focusing on hypertension should be implemented to control hypertension among this neglected group, Nepalese health workers. Keywords: Health Workers, Hypertension, Perceived stress, Physical activity, Prevalence, Nepal
Munif Arifin
The Indonesian Journal of Public Health, Volume 15, pp 356-368; doi:10.20473/ijph.v15i3.2020.356-368

Abstract:
The number of diphtheria suspects in Lumajang district was the second highest in East Java province during the diphtheria outbreaks in 2018. The number of diphtheria cases was more than 500% in 2018 compared to 2017. To give diphtheria antitoxin (DAT), the provincial diphtheria expert team consider various suspects’ characteristics for DAT recommendation as DAT supplies are limited. This case report aimed to explore and describe the relationship between diphtheria suspects’ characteristics, including age, gender, symptoms, immunization status, duration of disease, and contact status with other suspects according to the DAT recommendations from the expert team. This case report was descriptive and used a cross-sectional approach. It was conductedduring the diphtheria outbreaks and involved total samples of all suspects. Based on age, the majority of the suspects (92%)were under 19 years old. Suspects at this age were the target of an outbreak response immunization (ORI) program. Those who were not targetted to receive ORI (aged over 19 years) began to appear in November and mostly in December. The trend of non-ORI targetted age increased after the third round of ORI implementation. According to the report form parents, most suspects (46.7%) had complete immunization status, and only 6.7% of their immunization records were reported on growth chart cards. All suspects with positive diphtheria never had and know routine immunization records. The laboratory tests show only 5% were suspected with positive diphtheria with a cultural type of mitis toxigenic. As many as 32% of the total suspects were recommended for DAT treatment. The use of controlled DAT could save 1,640,000 iU. Keywords: Diphtheria, outbreak response immunization, diphtheria antitoxin.
Vidya Tri Huttami, Atik Choirul Hidajah
The Indonesian Journal of Public Health, Volume 15, pp 258-265; doi:10.20473/ijph.v15i3.2020.258-265

Abstract:
The 2007 Basic Health Survey shows the highest number of deaths in Indonesia rural and urban areas was caused by stroke. In 2007-2013, the stroke prevalence in productive age increased up to 22‰. Stroke that attacks productive age can impair individual’s ability to do activities, and thus they might have family financial constraint. Disabilities can be prevented and minimized if patients utilize a golden period of an ischemic stroke. This study identified the utilization of golden period of ischemic stroke in patients and analyzed causes of delayed patient admission to the Neurology Clinic of Sidoarjo Hospital. This study was a descriptive study conducted to 39 post-stroke ischemic patients in productive ages under further therapy at the Neurology Clinic of Sidoarjo Hospital in 2016. The data were collected through interview from January-February 2017. The results present 62% of stroke ischemic patients utilized the golden period of a ischemic stroke. The average respondents' admission took 29.87±47.46 hours after patients experienced first stroke ischemic attacks (ranging from 1-168 hours). The respondents were admitted to the hospital late or >4.5 hours after the stroke attacks because most of them did not know stroke signs and symptoms. Therefore, hospitals or health care providers have to provide counseling service to patients and family members about stroke signs and symptoms, as well as the importance of early admission for treatment as soon as patient gets the first stroke attack. Keywords: utilization of the golden period, ischemic stroke, productive age.
Ismianti Lifia Bestari
The Indonesian Journal of Public Health, Volume 15, pp 286-294; doi:10.20473/ijph.v15i3.2020.286-294

Abstract:
Diabetes mellitus is a chronic disease due to impaired blood glucose levels. Type 2 diabetes mellitus dominantly causes most deaths in the world. The number of patients with type 2 diabetes mellitus (DM) was ranked the second highest at the Surabaya Haji General Hospital. Purpose: This study described characteristics of patients with type 2 DM at the Surabaya Haji General Hospital. Methods: This study was descriptive and used a cross-sectional research design. This study’s population were patients with type 2 DM who visited Diabetes Unit at Surabaya Haji General Hospital. This study was conducted in the Diabetes Unit at the Surabaya Haji General Hospital by involving 114 respondents as the samples. These respondents were interviewed using questionnaires from 11 March to 11 April 2019. The study’s variables were patients’ characteristics including age, gender, family history, and disease duration. Data were analyzed using a univariate analysis with a frequency table. Results: Almost all of patients with type 2 DM at Surabaya Haji General Hospital were aged ≥40 years (94.7%) and female (71.9%). The majority of patients had a family medical history of type 2 diabetes mellitus disease (60.5%) and long disease duration of >5 years (5.,4%). Conclusion: Almost patients with type 2 DM in Surabaya Haji General Hospital were elderly who had a family medical history of diabetes mellitus and had suffered from type 2 diabetes mellitus for >5 years.Keywords: diabetes mellitus, characteristics, hospital, descriptions.
Ragilia Indah Lutfiana
The Indonesian Journal of Public Health, Volume 15, pp 348-355; doi:10.20473/ijph.v15i3.2020.348-355

Abstract:
Fitness center / gymnasium is one of the sports favored by the public because in the fitness center has a range of tools and facilities that have been designed so that it can be used as a tool for physical exercise that right. So the longer the gymnasium has also become a necessity for people, Necessity (need) here are divided into two categories, felt or perceived (subject assessment) and evaluated (clinical diagnosis).This study uses a quantitative approach. While the survey research techniques are activities taking samples from a population and using questionnaires as the main data collection tool to understand the needs of students related Airlangga University gymnasium. The results of the study that students need a gymnasium facilities are only accessible by only academy person and in which there is a pool and a cafeteria. This may indicate that students are given follow the advice of doctors to perform the sport swim and is in accordance with the desired exercise by students.
Zhafira Faruhasa
The Indonesian Journal of Public Health, Volume 15, pp 276-285; doi:10.20473/ijph.v15i3.2020.276-285

Abstract:
Injuries can occur as a result of various activities, which of them is a sport. In 2017, basketball was a sport that produced the highest prevalence of injury incidence in the United States at 15.77%. Athletes who have ankle sprain are 20-40% more likely to experience chronic ankle instability. This study analyzed the relationship between gender, history of ankle sprain, and ankle stability with ankle sprain status in basketball athletes of Universitas Airlangga Surabaya. This study was analytical-observational research using a cross-sectional design. The research population was basketball athletes who were members of the basketball club of Universitas Airlangga, and finally there were 23 respondents selected as the research samples. The sample selection used the accidental sampling technique. The results of chi-square test (α = 0.05) indicate that there was a relationship between the previous history of ankle sprain (p = 0.002; RR = 9.1) and ankle stability with ankle sprain status (p = 0.013; RR = 6.), but gender had no relationship with ankle sprain status (p = 0.435; RR = 1.6). It concludes that the history of ankle sprain injury and ankle stability were related to ankle sprain status, but gender was not related to it. Keywords: gender, history of ankle sprain, ankle stability, ankle sprain
Yuyun Tri Wulansari, Chatarina Umbul W
The Indonesian Journal of Public Health, Volume 15, pp 304-314; doi:10.20473/ijph.v15i3.2020.304-314

Abstract:
Chronic kidney disease is decreasing glomerular filtration rate of less than 15mL/minute which causes someone to undergo a hemodialysis therapy that replaces kidney function. The course of chronic kidney disease is progressive and irreversible and may cause psychological problems in hemodialysis patients such as depression. This study aimed to describe to what extent patients under hemodialysis treatment at Jemursari Hospital, Surabaya experience depression symptoms in patients. This study was descriptive research with a cross-sectional approach. The simple random sampling technique was performed to select 72 patients who had scheduled hemodialysis treatment and been qualified for the inclusion criteria. Data were then analyed using a univariate analysis in variable frequency distribution. The results show that patients with depression symptoms were mostly men as many as 31 people (43.1%), and the majority were aged 46-65 years as many as 24 people (49%). The latest formal education in most respondents was high school (23.6%). There were 38 respondents (77.5%) who got married, and most respondents were unemployed (77.5%) and had undergone hemodialysis for more than 12 months (77.5%). This study concludes that the patients under hemodialysis treatment at the hospital experienced mild depression symptoms. Keyword: hemodialysis, depression, Beck Depression Inventory.
Iftitah Shofiyati
The Indonesian Journal of Public Health, Volume 15, pp 339-347; doi:10.20473/ijph.v15i3.2020.339-347

Abstract:
Type 2 diabetes mellitus (DM) occurs due to insufficient insulin production or insulin resistance in the human body. Type 2 DM also causes physical weakness, vision problems, risk of death, and depression. This study aimed to describe depression tendencies in patients with type 2 DM under treatment in Kebonsari Primary Healthcare Center, Surabaya city. This study was a descriptive study with a cross-sectional approach. The research samples were 74 people with type 2 DM in the Kebonsari Primary Healthcare Center, Surabaya city. These respondents selected using simple random sampling had met the inclusion criteria. These repsondents were aged more than 25 years old, did not experience psychological disorders, and had suffered from type 2 diabetes mellitus for 5 years. The data analysis was done using a univariate analysis by looking at the frequency distribution of variables. The results indicate that the prevalence of patients with type 2 DM who tended to experience depression was at 50%. The majority of patients with type 2 DM who experienced depression were women (47.4%) and elderly (aged 46-65 years) (41.9%). Most of them had low education levels (62.2%), and some respondents had complications (37.8%) and poor family support (62.2%). Support from closest people such as family support can improve the adaptation of patients with the disease and can prevent psychological disorders, especially depression in patients with type 2 DM. Keyword: type 2 diabetes mellitus, family support, depression tendencies.
Novrin Senselia Putri Ziliwu, Lina Dewi Anggraeni, Rosa Nora Lina
The Indonesian Journal of Public Health, Volume 15, pp 315-324; doi:10.20473/ijph.v15i3.2020.315-324

Abstract:
The number of children under five years of age suffering from underweight was 28.0% in Gunungsitoli district. Out of six primary Healthcare centers in the district, Gunungsitoli Idanoi Primary Healthcare Center Healthcarewas one of the six primary healthcare centers with the highest malnutrition prevalence. Sixty-four children under five years of age there Healthcaresuffered from malnutrition. This study aimed to identify factors associated with the nutritional status of children under five in Gunungsitoli Idanoi Primary Healthcare Center, Gunungsitoli district. It was an analytical survey with a cross-sectional approach conducted in Gunungsitoli Idanoi Primary Healthcare Center in February 2019. Data were collected using a questionnaire. This study had samples as many as 246 mothers of children under five years of age selected using a purposive random sampling technique. The bivariate analysis indicates the nutritional status of children under five was significantly associated with mother’s employment status (p=0.043) and family size (p=0.015). While the nutritional status of children under five had no significant association with mother’s knowledge of nutrition (p=0.485), mother’s education (p=0.616), family income (p=0.511), infectious disease (p=0.913), and history of breastfeeding (p=0.847). Mother’s employment status and family size affected the nutritional status of children under five. The primary Healthcare center should cooperate with stakeholders across sectors, especially conduct training for improving economic business skills of the people in the village, and promote family planning program for couples of childbearing age. Keywords: Breastfeeding, children under five years of age, underweight, mother’s knowledge, mother’s employment.
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