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PERILAKU SEKSUAL PRANIKAH BERISIKO TERHADAP KEHAMILAN TIDAK DIINGINKAN Azinar, Muhammad
Jurnal Kesehatan Masyarakat Vol 8, No 2 (2013)
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Abstract

Perilaku seksual pranikah di kalangan mahasiswa semakin meningkat, sehingga diperlukan perhatian khusus dari semua pihak termasuk perguruan tinggi. Kasus kehamilan yang tidak diinginkan (KTD), aborsi, dan infeksi menular seksual pranikah semakin banyak terjadi di kalangan mahasiswa. Permasalahan penelitian adalah  faktor apakah yang mempengaruhi perilaku seksual pranikah berisiko KTD pada mahasiswa. Tujuan penelitian untuk mengetahui faktor yang mempengaruhi perilaku seksual pranikah berisiko KTD pada mahasiswa. Metode penelitian adalah explanatory research dengan pendekatan cross sectional. Sampel penelitian adalah sebagian mahasiswa yang berusia remaja (18-24 tahun) yang berjumlah 380 mahasiswa, dengan proporsional simple random sampling. Hasil penelitian ini menunjukkan bahwa 12,1% mahasiswa memiliki perilaku seksual pranikah berisiko terhadap Kehamilan Tidak Diinginkan (KTD). Analisis bivariat dengan menggunakan uji chi square menunjukkan ada lima variabel yang secara signifikan berhubungan dengan perilaku seksual pranikah mahasiswa yaitu religiusitas, sikap, akses dan kontak dengan media pornografi , sikap teman dekat, serta perilaku seksual teman dekat. Simpulan penelitian adalah perilaku seksual teman dekat, sikap responden terhadap seksualitas, dan religiusitas dominan mempengaruhi perilaku seksual pranikah berisiko KTD pada mahasiswa. Increasing premarital sexual behavior among college students today needs special attention from all parties, including the universities. The case of an unwanted pregnancy, abortion, and sexually transmitted infections premarital are more common among students. Research problem was whether the factors that influence the risk of premarital sexual behavior to unwanted pregnancy in college students. Research purpose was to determine the factors that influence to premarital sexual behavior to unwanted pregnancy in college students. Methods research was explanatory research with cross sectional approach. Sample was mostly teenage students (18-24 years old) who totaled 380 students, by proportional simple random sampling. The results of this study showed that 12.1 % of students have high risk of premarital sexual behavior to unwanted pregnancy. Bivariate analysis by chi square test showed that religiosity; attitudes, access and contact with pornography media, close friend’s attitudes and sexual behavior were significantly associated with premarital sexual behavior of students. Conclusion, close friend’s sexual behavior, respondent’s sexuality attitudes, and religiosity dominant influence to sexual behavior for student’s unwanted pregnancy.
MODEL INTEGRASI PENDIDIK KOMUNITAS DAN SISTEM POIN “RP” (REWARD-PUNISHMENT) UNTUK PENCAPAIAN CONDOM USE 100% DI LOKALISASI Fibriana, Arulita Ika; Azinar, Muhammad; Azam, Mahalul
Jurnal Kesehatan Masyarakat Vol 10, No 1 (2014)
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Abstract

Di Indonesia, diprediksi lebih dari 50% WPS adalah menderita PMS. Penggunaan kondom merupakan salah satu strategi pencegahan penularan PMS dan HIV. Di lokalisasi Banyu Putih Batang, program kondom 100% masih sulit dicapai. Pemberdayaan bagi WPS menjadi pilar utama, agar WPS tidak hanya menjadi objek, tetapi juga menjadi subjek yang dapat merubah perilaku di komunitasnya. Penelitian ini menerapkan inovasi Pengembangan Model Pendidik Komunitas dan Sistem Poin “RP” (Reward-Punishment) untuk upaya pencapaian Condom Use 100%. Penelitian menggunakan desain eksperimen dengan rancangan sebelum dan sesudah intervensi menggunakan kelompok pembanding eksternal. Penelitian ini menggunakan total sampling yaitu sejumlah 71 orang Wanita Pekerja Seks (WPS) di lokalisasi Banyu Putih. Hasil menunjukkan bahwa 80% WPS dan atau pelanggannya tidak selalu menggunakan kondom saat berhubungan seksual. Faktor yang menghambat adalah pengetahuan WPS tentang HIV/AIDS, sikap terhadap penggunaan kondom, serta kurang terampilnya WPS dalam negosiasi kondom. Pada kelompok intervensi, setelah diterapkannya model integrasi Pendidik Komunitas dan sistem reward-punishment, praktik penggunaan kondom meningkat menjadi 82,9%. Ini menunjukkan terdapat perbedaan yang siginifikan praktik penggunaan kondom antara sebelum dan sesudah intervensi. Sedangkan pada kelompok kontrol tidak menunjukkan adanya perbedaan.AbstractFemale Sex Workers (FSW) is a group at high risk of sexually transmitted diseases (STDs) and HIV/AIDS. In Indonesia, more than 50% FSW predicted suffering of STDs. Condom use is one of the strategies of prevention of transmission of STDs and HIV. In Banyu Putih prostitution, program of 100% condom use is still difficult to achieved. This is presumably because FSW has less power and strong bargaining to kliens. Empowerment for FSW as a central pillar, so the FSW not only as the object, but also be subject to change behavior in their community. This study applies innovations Community Educators Model and “RP” (Reward-Punishment) Point System for achieving the 100 % Condom Use. Research using experimental design with before and after intervention design using external comparison group. This study used a total of 71 sampling that some of FSW. The research results showed that 80% of FSW or their clients do not always use condom when having intercourse. Fac-tors that inhibit are knowledge about HIV/AIDS, attitudes toward condom use, and less skilful in negotiating condom. In the intervention group, after the implementation of the integration model of Community Educators and reward-punishment system, the practice of condom use increased to 82.9 %. It shows there is a significant difference between before and after the intervention. Whereas the control group did not show any differences.
The Sexual Behavior of Male Sexual Partner of Tranvestite in the Prevention Efforts of HIV/AIDS Transmission Azinar, Muhammad; Mahardining, Anggipita Budi
Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.6542

Abstract

Transvestite is one of the high risk groups in HIV/AIDS. Integrated Biological and Behavioral Surveillance (IBBS) states that in 2011, the HIV prevalence among waria in Indonesia has reached 22%, increasing from 2009 (18.96%). Such occurrence is because transvestite usually has multiple partners in intercourse both oral and anal sex, and rarely use condoms. Similarly, the male regular partners of transvestite also have sex with multiple sexual partners. Therefore, they also have a high risk of spread of HIV/AIDS. The objective of this study is to analyze sexual behavior of male regular partner of transvestite in Efforts to prevent the spread of HIV/AIDS. The study was carried out in 2014 using qualitative approach. Data was collected by in-depth interview on 6 male regular partner of transvestite through purposive sampling and triangulation informants of peer educators. The result shows that the use of condom on male regular partners of transvestite is still low and they inconsistently use when having sex with transvestite, female sex workers and female girlfriend. Their knowledge about HIV/AIDS is not good, and some regular partner of transvestite also felt susceptibility to contracting HIV. However, the perceived severity and perceived of benefits male regular partner of transvestite is good about HIV /AIDS despite the barrier of perceived and perceived self-efficacy is low related  access to condoms.
PENINGKATAN PENGETAHUAN DAN SIKAP TENTANG KESEHATAN REPRODUKSI PADA REMAJA DI DESA MARGOSARI KECAMATAN LIMBANGANKABUPATEN KENDAL Cahyati, Widya Hary; Azinar, Muhammad
Jurnal Abdimas Vol 15, No 2 (2011)
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LP2M), Universitas Negeri Semarang

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Abstract

Menurut Biro Pusat Statistik jumlah total penduduk propinsi Jawa Tengah mencapai lebih dari 31.896.114 jiwa. Dari jumlah tersebut ternyata remaja umur 10-14 tahun mencapai 5%, umur 15-19 tahun mencapai 8,9% dan remaja umur 20-24 tahun mencapai 8%. Remaja di Jawa Tengah banyak yang sudah aktif secara seksual meski tidak selalu atas pilihan sendiri. Kegiatan seksual menempatkan remaja pada tantangan resiko terhadap berbagai masalah kesehatan reproduksi. Pusat Informasi dan Layanan Remaja Perkumpulan Keluarga Berencana Indonesia (Pilar PKBI) Jawa Tengah 2004 mengungkapkan bahwa 43,22 % pengetahuan remaja tentang kesehatan reproduksi rendah, 37,28 % cukup, dan 19,50 % memadai. Kegiatan pengabdian masyarakat melalui pendidikan kesehatan masyarakat pada remaja di Kecamatan Limbangan diharapkan dapat meningkatkan pengetahuan dan pemahaman tentang pentingnya kesehatan reproduksi yang baik, sehingga dapat menurunkan kejadian praktik seksual yang kurang benar. Setelah dilaksanakan kegiatan pengabdian, didapatkan hasil adanya peningkatan nilai pre test dari peserta sebesar 32% serta kemampuan menyelesaikan masalah pada tingkat kelompok serta usaha untuk mempraktekan pengetahuan yang didapat pada kegiatan kerja sehari-hari.
MODEL KELAS IBU HAMIL UNTUK PEMETAAN RISIKO KEHAMILAN DAN PENCEGAHAN KOMPLIKASI PERSALINAN Fibriana, Arulita Ika; Azinar, Muhammad
Jurnal Abdimas Vol 20, No 1 (2016): Juni 2016
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LP2M), Universitas Negeri Semarang

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Abstract

Upaya penurunan angka kematian ibu (AKI) merupakan masih sulit dicapai di Indonesia sampai saat ini. Angka kematian ibu di kabupaten Kendal masih sangat tinggi. Penyebab kematian ibu secara langsung adalah perdarahan, preeklampsi/ eklampsi, dan infeksi. Sedangkan secara tidak langsung, penyebab kematian ibu diperberat oleh keadaan “3 terlambat” (terlambat mengambil keputusan, terlambat mencapai tempat rujukan, terlambat mendapatkan pertolongan di fasilitas kesehatan). Selain itu, diperberat dengan kondisi “4 terlalu” (terlalu tua, terlalu muda, terlalu banyak, dan terlalu rapat jarak kelahiran). Kondisi geografis wilayah kecamatan Singorojo yang jauh dari pusat layanan kesehatan rujukan persalinan, rendahnya pengetahuan dan sikap masyarakat, serta masih banyaknya kasus persalinan muda (di bawah usia 18 tahun) sangatlah merupakan faktor risiko terjadinya komplikasi kehamilan dan persalinan. Melihat fakta-fakta tersebut, maka sebagai upaya pemetaan risiko kehamilan sejak dini dan pencegahan komplikasi persalinan pada ibu hamil, maka perlu dilakukan inovasi yaitu dengan model Kelas Ibu Hamil. Rumusan masalah yang akan dipecahkan dalam kegiatan ini adalah bagaimana model Kelas Ibu Hamil ini dapat dikembangkan untuk upaya pemetaan risiko kehamilan sejak dini dan pencegahan komplikasi persalinan pada ibu hamil di wilayah kecamatan Singorojo kabupaten Kendal. Sasaran kegiatan ini adalah ibu-ibu hamil, Kader Posyandu, Bidan Desa, Perangkat desa, dan pengurus PKK Desa di wilayah kecamatan Singorojo kabupaten Kendal. Setelah secara intensif kelas ibu hamil ini dilaksanakan: 1) pengetahuan peserta kelas ibu hamil menjadi meningkat, 2) sikap peserta ibu hamil menjadi lebih baik, 3) praktik pencegahan risiko dan komplikasi kehamilan oleh ibu hamil menjadi lebih baik, 4) Peserta kelas ibu hamil menjadi lebih intensif melakukan kunjungan ANC setiap bulan ke Bidan Desa setempat. Saran yang diajukan berdasarkan hasil kegiatan ini adalah: 1)Pemerintah Desa diharapkan mampu mengkoordinir dan memfasilitasi kegiatan kelas ibu hamil di semua wilayah RT/ RW, 2) Bidan Desa diharapkan secara intensif melakukan fasilitasi dan pendampingan terhadap pelaksanaan kelas ibu hamil, 3) Puskesmas dan Dinas Kesehatan diharapkan memberikan dukungan untuk efektifitas pelaksanaan kelas ibu hamil dengan bentuk penguatan program, fasilitasi sarana prasarana, bantuan motivasi maupun pendanaan
Hubungan Sosiodemografi dan Kondisi Lingkungan dengan Keberadaan Jentik di Desa Mangunjiwan Kecamatan Demak Maftukhah, Maftukhah; Azam, Mahalul; Azinar, Muhammad
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 1 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (294.165 KB) | DOI: 10.12928/kesmas.v11i1.5712

Abstract

Background: Dengue Hemorrhagic Fever (DHF) is the one of public health problem which transmitted by Aedes Aegypti’s bite. Population density, climate and environmental conditions are the most influential factor. At 2015 DHF had been disease trends in desa Mangunjiwan kecamatan Demak. So, it necessary to refer existence and density’s the vectors.  The purpose of this research is to know correlation between sociodemographic and environmental condition with existence larva on desa Mangunjiwan kecamatan Demak. Method: This research is using observational analysis with cross sectional plan. Using random sampling as data collection technique with 100 respondent. The research analysis using univariate and bivariate with Chi Square. Result: Statistical result of the research shows that all of Desa Mangunjiwan’s RW has low population density, the revenue is p=0.799, acidity (pH) is p=0.036, water temperature is p=0.24, air temperature is p=0.616, air humidity is p=0.001. House Index (HI) on Desa Mangunjiwan is 59%, Container Index (CI) is 22%, Breteau Index (BI) is 95% and Larva Free Number (LFN) 41%. Conclusion: The variable that correlated to be larva was environmental condition (acidity, water temperature and air humidity).
MODEL INTEGRASI PENDIDIK KOMUNITAS DAN SISTEM POIN “RP” (REWARD-PUNISHMENT) UNTUK PENCAPAIAN CONDOM USE 100% DI LOKALISASI Azam, Mahalul; Fibriana, Arulita Ika; Azinar, Muhammad
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 1 (2014)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i1.3067

Abstract

Di Indonesia, diprediksi lebih dari 50% WPS adalah menderita PMS. Penggunaan kondom merupakan salah satu strategi pencegahan penularan PMS dan HIV. Di lokalisasi Banyu Putih Batang, program kondom 100% masih sulit dicapai. Pemberdayaan bagi WPS menjadi pilar utama, agar WPS tidak hanya menjadi objek, tetapi juga menjadi subjek yang dapat merubah perilaku di komunitasnya. Penelitian ini menerapkan inovasi Pengembangan Model Pendidik Komunitas dan Sistem Poin “RP” (Reward-Punishment) untuk upaya pencapaian Condom Use 100%. Penelitian menggunakan desain eksperimen dengan rancangan sebelum dan sesudah intervensi menggunakan kelompok pembanding eksternal. Penelitian ini menggunakan total sampling yaitu sejumlah 71 orang Wanita Pekerja Seks (WPS) di lokalisasi Banyu Putih. Hasil menunjukkan bahwa 80% WPS dan atau pelanggannya tidak selalu menggunakan kondom saat berhubungan seksual. Faktor yang menghambat adalah pengetahuan WPS tentang HIV/AIDS, sikap terhadap penggunaan kondom, serta kurang terampilnya WPS dalam negosiasi kondom. Pada kelompok intervensi, setelah diterapkannya model integrasi Pendidik Komunitas dan sistem reward-punishment, praktik penggunaan kondom meningkat menjadi 82,9%. Ini menunjukkan terdapat perbedaan yang siginifikan praktik penggunaan kondom antara sebelum dan sesudah intervensi. Sedangkan pada kelompok kontrol tidak menunjukkan adanya perbedaan.AbstractFemale Sex Workers (FSW) is a group at high risk of sexually transmitted diseases (STDs) and HIV/AIDS. In Indonesia, more than 50% FSW predicted suffering of STDs. Condom use is one of the strategies of prevention of transmission of STDs and HIV. In Banyu Putih prostitution, program of 100% condom use is still difficult to achieved. This is presumably because FSW has less power and strong bargaining to kliens. Empowerment for FSW as a central pillar, so the FSW not only as the object, but also be subject to change behavior in their community. This study applies innovations Community Educators Model and “RP” (Reward-Punishment) Point System for achieving the 100 % Condom Use. Research using experimental design with before and after intervention design using external comparison group. This study used a total of 71 sampling that some of FSW. The research results showed that 80% of FSW or their clients do not always use condom when having intercourse. Fac-tors that inhibit are knowledge about HIV/AIDS, attitudes toward condom use, and less skilful in negotiating condom. In the intervention group, after the implementation of the integration model of Community Educators and reward-punishment system, the practice of condom use increased to 82.9 %. It shows there is a significant difference between before and after the intervention. Whereas the control group did not show any differences.
Support of Family Member, Public Figure, and Health Attendant to PSN Behavior and Related Factors Rangga, Rouhdy; Giang, Nguyen Tra; Azinar, Muhammad
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 2 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v13i2.12112

Abstract

The eradication of mosquito’s breeding place (PSN) is the most effective efforts to prevent the increasing prevalence of DHF in Demak which is 43% of its area is endemic. This study aims to determine the factors related to PSN behavior by family members.This is an observational analytic study with cross sectional approach using 210 samples divided into 3 groups of respondents (father, mother, child) with purposive sampling technique. Data were obtained through questionnaire based on interview results and analyzed by chi square. The results of the research on the father respondents showed that there was a relationship between the support of family members (p=0.001), support of community leaders (p=0.007), and support of health attentand (p=0.005) with PSN behavior. In mother respondents was found that the support of family members (p=0.006) and support of health officer (p=0.009) correlated with PSN behavior. In the child respondents was found that the support of family members (p=0.000), support of community leaders (p=0.007), and support of health officer (p=0.009) correlated with PSN behavior. It was concluded that the support of family members and support of health attendant was related to the behavior of PSN in all groups of respondents, and support of community leaders related to PSN behavior to the respondents of father and child.
The Sexual Behavior of Male Sexual Partner of Tranvestite in the Prevention Efforts of HIV/AIDS Transmission Azinar, Muhammad; Mahardining, Anggipita Budi
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.6542

Abstract

Transvestite is one of the high risk groups in HIV/AIDS. Integrated Biological and Behavioral Surveillance (IBBS) states that in 2011, the HIV prevalence among waria in Indonesia has reached 22%, increasing from 2009 (18.96%). Such occurrence is because transvestite usually has multiple partners in intercourse both oral and anal sex, and rarely use condoms. Similarly, the male regular partners of transvestite also have sex with multiple sexual partners. Therefore, they also have a high risk of spread of HIV/AIDS. The objective of this study is to analyze sexual behavior of male regular partner of transvestite in Efforts to prevent the spread of HIV/AIDS. The study was carried out in 2014 using qualitative approach. Data was collected by in-depth interview on 6 male regular partner of transvestite through purposive sampling and triangulation informants of peer educators. The result shows that the use of condom on male regular partners of transvestite is still low and they inconsistently use when having sex with transvestite, female sex workers and female girlfriend. Their knowledge about HIV/AIDS is not good, and some regular partner of transvestite also felt susceptibility to contracting HIV. However, the perceived severity and perceived of benefits male regular partner of transvestite is good about HIV /AIDS despite the barrier of perceived and perceived self-efficacy is low related  access to condoms.
Precede-Procede Analysis of Prenatal Class Plus Model in the Optimization Education of High Risk Pregnancy Azinar, Muhammad; Fibriana, Arulita Ika; Wahyuningsih, Anik Setyo; Azam, Mahalul
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i1.11532

Abstract

High-risk pregnancies are still common in rural areas. The percentage of high-risk pregnancy in Singorojo sub-district of Kendal District in the last three years has increased significantly. The highest number of cases was in Cening and Singorojo villages. In the past year, 86.88% of pregnancies in Cening village and 55.42% of pregnancies in Singorojo village were categorized as high-risk. The lack in community education limited prevention of high-risk pregnancies. Prenatal Class Plus model is an innovation that was being developed in this study. This is a research and development study with qualitative and quantitative approaches. The “Prenatal Class Plus” model was developed in Cening and Singorojo village. Research subjects were pregnant women, husbands, or families of pregnant women, health cadres, and related stakeholders. Research data were analyzed qualitatively and quantitatively. Prenatal Class Plus model can improve the knowledge, attitude and efforts of pregnant women and their husbands during parturition and prevention of pregnancy complications (P4K).