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Multilevel Analysis: Biopsychosocial Determinants and Environmental Factor on the Incidence of Diarrhea Among Children Under Five in Surakarta Zicof, Erick; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.455 KB)

Abstract

Background: Diarrhea is an endemic disease with a potential to become an epidemic in Indonesia. Diarrhea most often occurs in children under five years of age. This study aimed to determine the relationship between biopsychosocial factors, environmental factor, and diarrhea occurrence in Surakarta, Central Java, using multilevel analysis.Subjects and Method: This was an observational analytic study with a cross-sectional approach. This study was conducted on October 2017 - April 2018. A sample of 200 children under five years of age was selected by fixed disease sampling, consisting of 100 children with diarrhea and 100 without diarrhea. The dependent variable was the incidence of diarrhea. The independent variables were the number of family members, maternal knowledge, maternal personal hygiene, and environmental sanitation. The data were collected by questionnaire and analyzed by multilevel logistic regression in Stata 13.Results: The number of family member (b= 1.09; 95% CI= 0.02 to 2.15; p< 0.046) increased the risk of diarrhea. Good maternal knowledge (b= -2.30; 95% CI= -3.46 to -1.14; p<0.001), good maternal personal hygiene (b= -2.09; 95% CI= -3.48to-0.70; p<0.003), and good environmental sanitation (b= -1.64; 95% CI= -2.84to -0.43; p= 0.008) decreased the risk of diarrhea in children under five. The village had a substantial contextual effect on the incidence of diarrhea with ICC= 66.14%.Conclusion: The number of family member increases the risk of diarrhea. Good maternal knowledge, good maternal personal hygiene, and good environmental sanitation decrease the risk of diarrhea in children under five. Village has a substantial contextual effect on the incidence of diarrheaKeywords: diarrhea, number of family member, maternal knowledge, maternal personal hygiene, village, contextual effectCorrespondence: Erick Zicof. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: erickzicof@gmail.com. Mobile: +6281363425870.Journal of Epidemiology and Public Health (2018), 3(3): 323-330https://doi.org/10.26911/jepublichealth.2018.03.03.03
RISIKO PAJANAN BAHAN PENCEMAR TERHADAP PEKERJA PENGECATAN MOBIL DI PT.STEELINDO MOTOR KOTA PADANG Erdinur Erdinur; Burhan Muslim; Erick Zicof
Jurnal Sehat Mandiri Vol 16 No 1 (2021): Jurnal Sehat Mandiri, Volume 16, No.1 Juni 2021
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (117.214 KB) | DOI: 10.33761/jsm.v16i1.330

Abstract

Car painting work is one of the jobs that are at great risk of impaired lung function. Paint particles consist of hazardous chemicals such as cadmium, chromium, plumbum, mercury, acrylic resin, isocyanate, and toluene solvents. These materials when proven to enter the respiratory tract can cause lung function disorders. The purpose of this study is to identify hazards, analyze dose-response, analyze exposure and analyze the risk characterization of pollutants. This research is descriptive by analyzing environmental health risks to pollutants around the work environment. The population is all sanding, picking, and painting workers totaling 21 people which become sample. The instruments used in this study were low volume air sampler (LVAS), thermo hygrometers, anemometers, scales, and checklists for observing activity patterns. Data analysis uses stages in environmental risk analysis. Respondents smoke at work as much as 47.6%, and do not use APD 71.4%. Pollutants that exceed the quality standard are dust (0.1538 μg / m3), and Cd (0.0025 μg / m3). RQ value (life time) > 1 for all exposure materials, which means that agent risk is not safe after 30 years of work. Management needs to manage risks such as reducing concentration, exposure time, and frequency of exposure to safe limits by managing risk through a technological approach, socioeconomic approach, and an institutional approach.
Faktor Risiko Kejadian Diare Pada Balita Di Kota Padang Erick Zicof; Elva Idriani
JURNAL BIDANG ILMU KESEHATAN Vol 10, No 2 (2020): Jurnal Bidang Ilmu Kesehatan
Publisher : Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jbik.v10i2.1097

Abstract

Penyakit Diare merupakan penyakit endemis potensial Kejadian Luar Biasa (KLB) yang sering disertai dengan kematian di Indonesia. Penderita diare yang paling banyak terjadi pada kelompok  anak di balita. Penelitian ini bertujuan untuk mengetahui faktor risiko kejadian diare di Kota Padang. Jenis penelitian ini adalah studi analitik observasional dengan pendekatan cross sectional. Penelitian ini dilaksanakan pada bulan januari –  maret 2020. Sampel dipilih secara simple random sampling sebanyak 250 subjek di Kota Padang, menggunakan perbandingan 1:1 antara kelompok kasus dan kontrol. Variabel dependen adalah kejadian diare. Variabel independen adalah paparan informasi, jumlah anggota keluarga, perilaku pencegahan, pendapatan kelurga, modal sosial dan sanitasi lingkungan. Teknik pengumpulan data menggunakan kuesioner dan lembar observasi yang dianalisis dengan uji chi-square. Hasil penelitian menunjukkan paparan informasi yang kurang (OR=4.2; 95% CI= 2.6 sampai 7.4; p< 0.001), jumlah anggota keluarga > 4 orang (OR= 2.3; 95% CI= 1.1 sampai 3.5; p= 0.014), pendapatan keluarga yang rendah (OR= 5.2; 95% CI= 3.2 sampai 9.7; p< 0.001), perilaku pencegahan yang kurang (OR= 7.2; 95% CI= 4.3 sampai 13.2; p< 0.001) , modal sosial yang lemah (OR= 4.3; 95% CI= 2.78 sampai 8.0; p< 0.001) ,dan sanitasi lingkungan yang kurang baik (OR= 2.4; 95% CI= 1.4 sampai 3.9; p=0.001) mempunyai pengaruh secara signifikan terhadap kejadian diare pada balita.  Faktor risiko paparan informasi, jumlah anggota keluarga, pendapatan keluarga, perilaku pencegahan, modal sosial dan sanitasi lingkungan mempunyai pengaruh terhadap kejadian diare pada balita.
Model Kepercayaan Kesehatan terhadap Perilaku Pencegahan Penularan Covid-19 di Kota Padang Erick Zicof; Rahmi Hidayanti; Darwel Darwel; Erika Erika; Elva Idriani
Jurnal Sehat Mandiri Vol 18 No 1 (2023): Jurnal Sehat Mandiri, Volume 18, No.1 Juni 2023
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v18i1.983

Abstract

Padang has the highest number of confirmed cases of COVID-19 in West Sumatera on 2021 as 18.328 with 334 deaths. The Health Belief Model (HBM) is a behavioral theory that seeks to explain healthy behavior by focusing on individual attitudes and beliefs. HBM is usually used to predict preventive behavior on disease prevention or health problems which considered priority, such as the COVID-19 outbreak. The purpose of the study was to determine the relationship between perceptions of vulnerability, severity, benefits, barriers and self-efficacy on the behavior of preventing COVID-19 transmission. The research method used is a cross-sectional approach with the number of research subjects as many as 100 samples. The research was implemented on April-October 2022. Data was collected using the fixed exposure sampling method with a ratio of cases and controls, namely 1:1. In COVID-19 prevention, it is obtained that there is a direct relationship between perceived seriousness with risk logit of 0.72 (p-value = 0.001), self-efficacy with risk logit of 0.14 (p-value = 0.035) and perception of vulnerability with risk logit of 0.10 (p-value = 0.005). while factors that are not directly related are the perception of barriers with a risk logit of 0.17 (p-value = 0.041) and the perception of benefits with a risk logit of 0.25 (p-value = 0.006). It is suggested to develop education related to the seriousness and severity of being infected with COVID-19.