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All Journal Media Gizi Mikro Indonesia Indian Journal of Forensic Medicine & Toxicology
Yusi Dwi Nurcahyani
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Health Professions Public Health

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Demographic Characteristics as Predictors of Medicine and Health Services Access Difficulties and Economic Problems during Covid 19 in Java, Indonesia Cati Martiyana; Leny Latifah; Yusi Dwi Nurcahyani; Diah Yunitawati; Marizka Khairunnisa1
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16822

Abstract

Background. The very rapid spread of COVID-19 infection, causing large-scale social restriction in manyparts of the world. A lot of businesses and working places closed. Health services and medicine were in highdemand. Objective. This study aims to determine the demographic characteristics that predict medicineand health services access difficulties and economic problems. Method. This was cross-sectional researchconducted in Java, Indonesia. The research sample was 1,385 individuals aged 15 years and over who livedin Java and had filled out a survey via a google form. Data analysis using multivariate logistic regression.Results. The risk of difficulty accessing medicine and health services and economic difficulties was higherfor males, had income < 3 million per month, and do not have health insurance. Conclusion. Male, hadlow income, and do not have health insurance are at higher risk for having difficulty accessing medicines/health services and experiencing economic difficulties. Meanwhile, respondents under 25 years of age havea higher risk of experiencing difficulties in accessing medicines and health services. The government needsto implement a strategy to reduce health and economic problems due to COVID-19 and pay attention toindividuals under 25 years of age to access health services/medicines.
Stigma and Mental Health during COVID-19 New Normal Transition in Indonesia Leny Latifah; Yusi Dwi Nurcahyani; Diah Yunitawati; Marizka Khairunnisa; Cati Martiyana
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16940

Abstract

Background: Social isolation and economic catastrophic became the main characters of the current pandemic.Historically, the strongest stigmas related to diseases were characterized as highly transmittable, potentiallylethal, and without remedy. All represented COVID-19 during the early transition into the new normal. Weaimed to analyzed stigma and economic stressors concerning mental health. Method: We conducted a crosssectionalonline survey of 1375 participants in Java, Indonesia. Mental health status evaluated with DASS-21. The presence of social and self-stigma related to Covid-19 assessed with a questionnaire developed basedon seven domains of public stigma. Demographics and other psychosocial stressors were assessed withan online questionnaire. Descriptive analyses and logistic regression had carried out. Result: A very highpercentage of perceived and anticipated self-stigma and social stigma revealed. Controlling demographicsfactors, clear self-stigma increased the risk for depression (2.323 (1.241-4.346), p<0.05), anxiety (2.134(1.205-3.777), p<0.05) and stress 3.931 (1.779-8.685), P<0.001). Clear social stigma increased the risk foranxiety (2.000 (1.066-3.756), p<0.05) but not on depression and stress.Conclusion: Ensuring basic needsfulfilment and eliminating stigma is critical for supporting mental health in the Covid-19 pandemic. Furtherresearch into the stigma-related risks is necessary because it represents an important need for interventionin public health.
SENSITIVITAS DAN SPESIFISITAS INSTRUMEN SKRINING HIPOTIROID UNTUK DIAGNOSIS HIPOTIROID PADA ANAK BATITA DI DAERAH ENDEMIK GAKI Yusi Dwi Nurcahyani; Donny Kristanto Mulyantoro; Prihatin Broto Sukandar; Mohamad Samsudin; Nur Ihsan
Media Gizi Mikro Indonesia Vol 8 No 2 (2017): Media Gizi Mikro Indonesia Juni 2017
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (412.224 KB) | DOI: 10.22435/mgmi.v8i2.520

Abstract

Latar Belakang. Penemuan kasus dan pengobatan dini hipotiroid pada anak batita sangat penting karena keterlambatan hal tersebut menyebabkan kelainan intelektual dan atau fungsi neurologis yang menetap. Penegakan diagnosis hipotiroid lebih akurat dengan pemeriksaan laboratorium, tetapi akan mahal dan kurang praktis jika di lakukan di lapangan. Instrumen skrining hipotiroid dapat digunakan sebagai alternatif untuk mendeteksi hipotiroid pada anak batita. Instrumen seharusnya mudah, murah, dan memberikan hasil diagnostik yang dapat diandalkan. Tujuan. Tujuan penelitian untuk mendapatkan sensitifitas dan spesifisitas instrumen skrining hipotiroid. Metode. Penelitian observasional dengan desain uji diagnostik ini dilakukan di kabupaten Magelang, Wonosobo, Temanggung, Purworejo, Situbondo dan Jember, selama 10 bulan. Variabel yang dianalisis adalah 26 gejala hipotiroid pada anak batita. Baku emas berdasarkan pemeriksaan laboratorium kadar TSH dan fT4. Analisis untuk mendapatkan nilai sensitifitas dan spesitifitas dilakukan tabulasi silang dengan tingkat kemaknaan 5%. Hasil. Nilai sensitivitas dan spesifisitas instrumen skrining hipotiroid (ISH) dengan cut off >5 dibandingkan dengan baku emas rendah (Se 26,3, Sp 90,3; area under curve (AUC) 58,3%). Kekuatan hubungan antara skor ISH dengan cut off >5 dibandingkan baku emas adalah OR 3,329 (1,621-6,835; 95% CI). Uji multivariat mengoreksi probabilitas anak batita yang mempunyai skor ISH >5 untuk menjadi hipotiroid 2,253 (1,011-5,022 95% CI) dan terjadi peningkatan area under the curve (AUC) menjadi 70%. Kesimpulan. Instrumen skrining hipotiroid pada anak batita kurang sensitif dan kurang spesifik untuk mendiagnosis hipotiroid.
Co-Authors Cati Martiyana Diah Yunitawati Donny Kristanto Mulyantoro Leny Latifah Marizka Khairunnisa Marizka Khairunnisa1 Mohamad Samsudin Nur Ihsan Prihatin Broto Sukandar