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FAKTOR FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN HIPERTENSI PADA WANITA USIA SUBUR DI PUSKESMAS UMBULHARJO I YOGYAKARTA TAHUN 2009 Yeni, Yufita; Djannah, Sitti Nur; Solikhah, Solikhah
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 4, No 2 (2010): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Hypertension or high blood pressure is heart and blood vessel disorder marked by increasing of blood pressure. Consequence from this incident is occurrence of other accompanying illness. Hypertension may occur in people without age and sex limitation until it needs good handling. High prevalence of childbearing age woman suffer from hypertension in Puskesmas Umbulharjo I (Public Health Service) has drove writer to make study about factors related with hypertension incident in childbearing age woman in Puskesmas Umbulharjo I Yogyakarta. Objective of this research is to recognize correlation between history of hypertension family, obesity, and hormonal contraception usage, and hypertension incident of childbearing age woman in Puskesmas Umbulharjo I Yogyakarta. Method: This was observational analytic research using cross sectional approach. Population of this study is age group which medicinize in common polyclinic of Puskesmas Umbulharjo I Yogyakarta. Sample was taken using Accidental Sampling method. Sample comprised of childbearing age woman who suffering hypertension (having problem) and those who have not hypertension problem (having not problem), and meet respondent inclusion criterion, that resulted of 88 women. Result: Result of this study showed there is no correlation between history of hypertension family with hypertension incident, that is p=0,158, > ?=0,05, calculated chi square is 1.992 < tabulated chi square of 3,481. There is correlation between obesity and hypertension incident with p value of 0,007 < ?=0,05, and calculated chi square is 7,298 > tabulated Chi Square of 3,481. There is no correlation between hormonal contraception and hypertension incident with value of p= 0,762 > ?=0.05, and calculated Chi Square of 0.091 < tabulated Chi Square of 3,481. Conclusion: There was no correlation between history of hypertension family and hormonal contraception with hypertension incident. There is correlation between obesity and hypertension incident. Keywords: hypertension, history of hypertension family, obesity, hormonal contraception.

HUBUNGAN ANTARA DUKUNGAN SOSIAL DENGAN KESIAPAN MENGHADAPI MENARCHE PADA SISWI KELAS VII DI SMP 1 PLAYEN GUNUNGKIDUL Ayu, Suci Musvita; Djannah, Sitti Nur; Wardani, Yuniar
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 4, No 3 (2010): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Adolescent is a periode where many physical changes and environmental demainds occurings. For a girl, the most visible changes is the beginning of menarche or first menstruation. Because menarche is definitely happened to every girl. Its necessary for a girl to have many sources of social support to help her reduce anxiety during her menarche periode and decrease her readiness on that situasion. The goal is to find of relationship between social support and readiness on menarche at VII grade of SMP 1 Playen Gunungkidul. Method: This was an analytical observation research using cross sectional approach. The research subjects were 26 students of VII grade of SMP 1 Playen, 12-13 years old and having menarche. Sampel were taken using accidental sampling techniques, data analysis used Chi Square. Result : There was relationship between social support and readiness on menarche with correlation coefficient was 0,599 and significance/Asymp. Sig was 0,006 which compared by a= 0,05 so P value < 0,05. from 26 subjects, 65,4 persen had sufficient social support level and 73 persen subjects had sufficient level of readiness on menarche. Conclusion : There was relationship between social support and readiness on menarche at VII grade of SMP 1 Playen Gunungkidul Yogyakarta andd readiness on menarche. 65,4 persen had sufficient social support level and 73 persen subjects had sufficient level of readiness on menarche. Key Word: Social Support, Readiness On Menarche, Student

HUBUNGAN ANTARA KADAR PB DALAM DARAH DENGAN KEJADIAN HIPERTENSI PADA OPERATOR SPBU DI KOTA YOGYAKARTA Rosyidah, Hesti; Djannah, Sitti Nur
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 4, No 2 (2010): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: The spread of Pb to humans could cause many negative effects to health such as cardiovasculer system, hypertension and carsinogenic. The change of society pattern from agrarian to industry and life style, community social economic became was one of the things that cause the increasing of un infected prevalence, that was hypertension. The average of hypertension prevalence in Indonesia around 8,3 percent. Low concentrate of Pb inside blood (3-5 g/dl) had cause effect to blood pressure and Pb also took act in hypertension patolgy. The air pollution in Yogyakarta city alraedy reach the normal standar of air quallity. One of the area with high air pollution was Public Refueling Station (SPBU). The operator employee has high risk to conteminate by dangerous chemical substances especially plumbum by gasoline and motor vehicle gas emission that waiting queue refuelingor vehivle that depart after refueling. The purpose of this study was to determine the relationship of Pb concentrate inside blood with hypertension incident to SPBU operator in Yogyakarta city.Method : This was observational analytic using cross sectional approach with quantitative method. Sample of this study was operator in four SPBU Yogyakarta city amount 25 people. To analyzed Pb concentrate inside blood used spectrophotometry with AAS method, the measuring of blood pressure used mercury sphygmomanometer and respondent characteristic used interview orientation. Data analysis used univariate and bivariate.Result : There was significant relationship between Pb concentrate in blood with hypertension incident to SPBU operator Yogyakarta city with signicancy value (p) amount 0,028 p=0,028 < ?=0,05, the risk seen by RR value = 2,619 (95% CI:0,944-7,625) ; so Ho which mention there was no relationship between Pb concentrate inside blood with hypertension incident to SPBU operator rejected. Ha which mention there was relationship between Pb concentrate inside blood with hypertension incident to SPBU operator accepted.Conclusion : Pb concentrate inside blood had significant relationship with hypertension incident to SPBU operator Yogyakarta city.Keywords : Plumbum (Pb), Hypertension, Public Refueling Station operator

HUBUNGAN ANTARA POLA PEMBERIAN MAKANAN PENDAMPING ASI (MP-ASI) DAN STATUS GIZI BALITA USIA 6-24 BULAN DI WILAYAH KERJA PUSKESMAS GEDONGTENGEN YOGYAKARTA Septiana, Rika; Djannah, Sitti Nur; Djamil, M Dawam
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 4, No 2 (2010): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Economic crisis had happened since 1997 till now still not be overcome yet carefully. This had caused more number of poor families and declined purchasing power of food. Furthermore, the availability of foods in family becomes limited in the end generates the potency of less consumption of nutrient to malnutrition. Malnutrition is primary factor causing baby and child under fifth age mortality. Malnutrition normally caused by two primary factors namely by disease infection and the lack of nutrient as a result by lack of the availability of food in household level or wrong taking care manner. The giving of not accurately food can caused malnutrition and excessive nutrient can caused obesity. At the age of 6 month, physiologically, baby has ready to receive additional food, because at that age the mothers milk shall no longer fulfill for the baby to grow, so that feeding the complementary food of mothers milk is hardly required. So that complementary food for mothers milk hardly required. Purpose of this research was to understand the relationship between feeding pattern of complementary food and nutrition status of child under fifth age at range of 6-24 months in Puskesmas Gedongtengen Yogyakarta region.Method: This was an observational research using cross-sectoanal approach. The variables that involved in this research are the pattern of complementary feeding for mothers milk as an independent variable and nutrition status of child under fifth age between 6-24 months as a dependent variables. This research executed in March until April 2009 with sample amount 74 child under fifth age. Retrieval of data applies semi qualitative food frequency questionary (SQFFQ). Result of this research analyzed by chi square test.Result: Result of this research indicates that giving pattern of complementary feeding for mothers milk seen from consumption level of energy included in good category ( 91,89%), and nutrition status in normal category is 57 child under fifth age ( 77,03%), while 16 of child under fifth age samples is in abnormal category ( 22,97%). The analysis result of complementary feeding pattern for mothers milk and nutrition status of child under fifth age , 6-24 months shows the Chi-Square value 4,103 with a significant level of 0.043 (p <0.05).Conclusion: There was a meaningful relationship between the pattern of complementary feeding for mothers milk and nutrition status of child under fifth age 6-24 months in Puskesmas Gedongtengen Yogyakarta region.Keywords: complementary feeding for mothers milk, nutritional status, child under fifth age.

HUBUNGAN TINGKAT PENGETAHUAN TENTANG MENOPAUSE DENGAN DUKUNGAN SOSIAL SUAMI SAAT ISTRI MENGHADAPI MENOPAUSE DI DESA SOMAGEDE KECAMATAN SOMAGEDE BANYUMAS Wulandari, Indah Yuliana; Djannah, Sitti Nur; Utami, Isti Ken
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 3, No 3 (2009): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: The knowledge of husband fowards menopause will help women to understand and prepare themselves in the period of menopause. Normally women will experience menopause between the ages of 45 years and 50 years. Support from her husband when the wife entering menopause can increase the confidence and the spirit of living of the wife, so that they will get a harmonic family in facing their elderly life. Goal of this research is to understand the relationship between the level of knowledge on menopause and social support of husband while the wife entering menopause in the Village of Somagede, Somagede sub district, Banyumas Regency Method: This was an observational analytic research using cross sectional approach . The simple of this research were 70 respondents. Data collections for primary data used questionnaire. Results: There is a relationship between the level of knowledge on menopause and social support of husband when his wife entering menopause with correlation coefficient value (R) = 0, 523 and R square 0, 273, and a significant value (Sig) = 0,000 lower than the alpha value (?), then Ha that there was a connection between the levels of knowledge about menopause with social support while the wife of the husband menopause is "received". Conclusion: There was a relationship between the level of knowledge about menopause and social support of husband when the wife entering menopause. The level of knowledge about menopause contributes 27,3 percent of the social of support the husband when the wife entering menopause in Somagede village, Somagede sub district, Banyumas Regency. Keywords: Knowledge, Menopause, Age

EFEKTIVITAS MENCUCI TANGAN MENGGUNAKAN CAIRAN PEMBERSIH TANGAN ANTISEPTIK (HAND SANITIZER) TERHADAP JUMLAH ANGKA KUMAN Desiyanto, Fajar Ardi; Djannah, Sitti Nur
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 7, No 2 (2013): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

ABSTRAKLatar Belakang : Mencuci tangan adalah salah satu tindakan sanitasi dengan membersikan jari-jemari menggunakan air atau pun cairan lainnya oleh manusia dengan tujuan untuk menjadi bersih, sebagai ritual keagamaan, ataupun tujuan-tujuan lainnya. Antiseptik merupakan bahan kimia untuk mencegah multiplikasi mikroorganisme pada permukaan tubuh, dengan cara membunuh mikroorganisme tersebut atau menghambat pertumbuhan dan aktivitas metaboliknya. Hand sanitizer antiseptik yang sering digunakan adalah alkohol. Alkohol telah digunakan secara luas sebagai obat antiseptik kulit karena mempunyai efek menghambat pertumbuhan bakteri. Penelitian ini bertujuan untuk mengetahui efektivitas mencuci tangan menggunakan cairan pembersih tangan antiseptik (hand sanitizer) terhadap jumlah angka kuman.Metode : Penelitian ini menggunakan jenis penelitian true experiment dengan rancangan penelitian posttest only control group design. Subjek penelitian adalah telapak tangan probandus dengan enam kali ulangan.Hasil : Hasil analisis bivariat menunjukkan bahwa sig. 0,010, artinya ada perbedaan jumlah angka kuman antara mencuci tangan menggunakan air mengalir, sabun, hand sanitizer A, hand sanitizer B, dan kelompok kontrol (tanpa cuci tangan). Kelompok yang mempunyai perbedaan jumlah angka kuman adalah kelompok kontrol dan kelompok mencuci tangan menggunakan sabun dengan nilai sig. 0,008, kelompok kontrol dan kelompok mencuci tangan menggunakan hand sanitizer A dengan nilai sig. 0,016, dan kelompok kontrol dan kelompok mencuci tangan menggunakan hand sinitizer B dengan nilai sig. 0,005.Kesimpulan : Ada perbedaan jumlah angka kuman antara mencuci tangan menggunakan air mengalir, sabun, hand sanitizer A, hand sanitizer B, dan kelompok kontrol (tanpa cuci tangan). Cairan pembersih tangan antiseptik (hand sanitizer) efektif terhadap penurunan jumlah angka kuman dan secara deskriptif yang paling efektif adalah hand sanitizer B (alkohol 60%). Kata Kunci : mencuci tangan, antiseptik, hand sanitizer, angka kuman. ABSTRACTBackground: Hand washing is one of the sanitation actions by washing fingers with water or other liquid for the purpose of getting clean, religious ceremony or others. Antiseptic was chemical substance to prevent multiplication of microorganism on the surface of body, by killing the microorganism or blocking the growth and activity of its metabolic. The commonly used antiseptic of hand sanitizer was alcohol; alcohol has been widely used as skin antiseptic because it had an effect of blocking the growth of germ. Hand sanitizer should be practical and portable so it could be an alternative substance to wash our hand. This study aimed at identifying the affectivity of hand washing with hand sanitizer to the amount of germ. Method: This study applied a true experiment study with posttest only control group design. The subject of the study was probandus palms with 6 repetitions. Result : The result of bivariate analysis indicated sig. 0.010; there was difference in number of germ between washing hand with flowing water, soap, hand sanitizer A, hand sanitizer B, and controlled group (without washing). The groups which had the difference in number of germ were a controlled group and a group washing with soap in the sig. value of 0.008, controlled group and group washing with hand sanitizer A in the sig. value of 0.016, and the controlled group and the group washing with hand sanitizer B in the sig. value of 0.005. Conclusion : There was difference in number of germ between washing hand with flowing water, soap, hand sanitizer A, hand sanitizer B, and controlled group (without washing hand). Antiseptic hand washing (hand sanitizer) was affective to decrease the amount of germ and it was descriptively observed that hand sanitizer B (alcohol 60%) was the most affective. Keywords : hand washing, antiseptic, hand sanitizer, amount of germ

HUBUNGAN AKTIVITAS SEKSUAL PADA USIA DINI, PROMISKUITAS DAN BILAS VAGINA DENGAN KEJADIAN KANKER LEHER RAHIM PADA PASIEN ONKOLOGY DI RSUD DR.MOEWARDI SURAKARTA Ridhaningsih, .; Djannah, Sitti Nur
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 2 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Cervical cancer ranks the top cause of cancer deaths in developing countries. At Dr. Moewardi Hospital Surakarta cervical cancer was found in most cancers. Risk factors associated with health and cleanliness of the female reproductive tract can increase the incidence of cervical cancer. Purpose this study aims to determine factors associated with female reproductive health tract and the occurrence of cervical cancer. Method: The study was a quantitative analytical research used cross sectional design. Data used primary data from interviews and secondary data from medical records. Bivariate analysis using chi square test used to prove the hypothesis. Results: Statistical analysis by chi square test for sex at an early age got p value=0,382 and the prevalence ratio= 1,375, for promiscuity with incidence cervical cancer got p value=0,481 and prevalence ratio=1,314, for vaginal douching with incidence cervical cancer got p value=0,121 and prevalence ratio=0,571. Conclusion: There was no significant correlation between sex on early age with incidence of cervical cancer, there was no significant correlation between promiscuity with incidence of cervical cancer, there was no significant correlation between vaginal douching with incidence of cervical cancer at Dr. Moewardi Hospital Surakarta on Mey until Juny 2010. Key words: sex at an early age, promiscuity, rinse the vagina, cervix cancer

UJI AKTIVITAS ANTIBAKTERI INFUSA DAUN SIRSAK (ANNONA MURICATA L.) SECARA IN VITRO TERHADAP STAPHYLOCOCCUS AUREUS ATCC 25923 DAN ESCHERICHIA COLI ATCC 35218 SERTA PROFIL KROMATOGRAFI LAPIS TIPISNYA Yeni, Yeni Dianita; Djannah, Sitti Nur; Nurani, Laela Hayu
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 4, No 3 (2010): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: A research has been done to test the In vitro antibacterial activities of sirsak leaf(Annona muricata L.) infuse toward Staphylococcus aureus ATCC 25923 and Escherichia coliATCC 35218 to analyze its thin layer chromatography profile. This research done to observe theantibacterial activity from sirsak leaf infuse.Method: A test on the antibacterial activity was done by using liquid dilution method. Theconcentration infuse in sterile destilate water using to test the antibacterial activity toward S.aureus were 100%, 95%, 90%, 85%, 80%, and 75% w/v, while toward E. coli were 100%, 90%,80%, 70%, 60%, and 50% w/v. To detect Chemical contains of the sirsak leaf infuse wereidentified using Screening method of Phytochemistry and Thin Layer Chromatography (TLC).Result: The result showed that the Minimum Bacterial Concentration (MBC) of sirsak leaf infuseS. aureus were 85% w/v, while E. coli could not be show antibacterial activity until 100% w/vconcentration. The Minimum Inhibition Concentration (MIC) could not be identified by the liquiddilution because the mixture were turbid and the colour is dark brown. Screening method ofPhytochemistry use tube-test and Thin Layer Chromatography showed that the infuse containflavonoid, poliphenol, and alkaloid.Conclusion: Infuse of sirsak leaf (Annona muricata L.) has antibacterial activity againstStaphylococcus aureus ATCC 25923 and Escherichia coli ATCC 35218 profil infuse. Thin LayerChromatography showed that the infuse contain flavonoid, poliphenol, and alkaloid.Keyword: Antibacterial, sirsak leaf, chromatography

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