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Widya Hary Cahyati
Program Studi Kesehatan Masyarakat Fakultas Kedokteran Universitas Negeri Semarang
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Transportation Veterinary Other

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Journal : Public Health Perspective Journal

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HUBUNGAN FAKTOR SOSIAL EKONOMI DENGAN KETERLAMBATAN DIAGNOSIS PENDERITA KANKER LEHER RAHIM DI RSUD KOTA SEMARANG Mukharomah, Kunthi Isti; Cahyati, Widya Hary
Public Health Perspective Journal Vol 1, No 1 (2016)
Publisher : Public Health Perspective Journal

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Abstract

Penderita kanker leher rahim di RSUD Kota Semarang terus meningkat. Peningkatan kasus diikuti dengan banyaknya pasien yang didiagnosis stadium lanjut. Faktor keterlambatan diagnosis kanker leher Rahim dipengaruhi factor social ekonomi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara status pekerjaan dan tingkat penghasilan dengan keterlambatan diagnosis kanker leher rahim. Jenis penelitian ini adalah analitik observasional dengan pendekatan kasus kontrol. Total sampel 62, terdiridari 32 kasusdan 32 kontrol yang diperoleh dengan teknik acak sederhana. Analisis data dilakukan melalui 2 tahap yaitu analis isunivariat dengan deskriptif dan analisis bivariate dengan ujichi-square (?=0,05) dan menghitung nilai Odds Ratio (OR). Hasil penelitian menunjukkan bahwa factor tingkat penghasilan (p=0,001; OR=6,818) berhubungan dengan keterlambatan diagnosis kanker leher rahim. Saran bagi RSUD Kota Semarang adalah memberi dorongan kepada wanita usia subur untuk mendaftarkan diri dalam jaminan kesehatan agar dapat menggunakan pelayanan kesehatan dengan lebih murah atau tanpa biaya.Cervical cancer patients in SemarangCityHospital increased. That increased case was followed by most patient diagnosed with advanced stage of cervical cancer. Late diagnosis of cervical cancer was influenced by socio economic factor. The purpose of this research was to identify association between occupation and income level with late diagnosis of cervical cancer patient. This research was observational analytic with case control approach. Total sample was 64, consisted of 32 cases and 32 controls that were taken using simple random sampling technique. Data analysis used univariate analysis by descriptive and bivariate analysis by chi-square test (?=0,05) and calculated the Odds Ratio value (OR). Study result showed that income (p=0,001; OR=6,818) related with late diagnosis of cervical cancer patient. Recommendation for SemarangCityHospital was to advocate childbearing woman for registered at health insurance to order used the cheaper or free health care.
Disparity of Risk Factors Stunting on Toddlers in the Coast and the Mountain Areas of Sinjai, South Sulawesi satriani, satriani; Hary Cahyati, Widya; Yuniastuti, Ari
Public Health Perspective Journal Vol 4, No 3 (2019): December 2019
Publisher : Universitas Negeri Semarang

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Abstract

 Stunting is a form of malnutrition is characterized by short stature in children. The prevalence of toddler stunting in 2017 in South Sulawesi is 34%, while in  Sinjai Regency in 2016 is 34.6%, 2017 is 43.7%, and 2018 is 35.8%. The purpose of this study was to analyze the disparity of stunting risk factors in toddlers on the coast and mountain areas. This study used a case-control design. The sampling techniques are Fixed Disease Sampling and Stratified Proportional Random Sampling. The population consists of the entire toddler in Sinjai, whereas consists of 60 toddler stunting age 9-59 months and 60 normal toddler on the coast and mountain areas. The instrument used the Food Frequency Questionnaire (FFQ) sheet. The data were analyzed by univariate bivariate, Chi Square and multivariate with logistic regression. The Chi square test results showed that the risk factors stunting on the coast is energy intake (p = 0.03; OR = 2.99) and Fe (p = 0.03; OR = 2.99), while in the mountain is the protein intake (p = 0.01; OR = 6.5), Fe (p = 0.01; OR = 4) and Zn (p = 0.00; OR = 5.4). The logistic regression results indicate that stunting dominant risk factors in the coast area is the intake of proteins and in the mountain area is the intake of Fe. There is a disparity between the risk factors of stunting toddler in the coast  and mountain area. Poor nutritional intake increases the risk of stunting so it is necesary to increase the consumption of food sources of nutrients for toddlers.Stunting merupakan bentuk dari kurang gizi. Tahun 2017, stunting di Provinsi Sulawesi Selatan masih tinggi (34%) dan Kabupaten Sinjai tahun 2016 (34,6%), 2017 (43,7%), dan 2018 (35,8%). Tujuan penelitian untuk menganalisis disparitas faktor risiko stunting balita di wilayah pesisir pantai dan pegunungan. Penelitian ini merupakan penelitian kuantitatif menggunakan desain case control. Teknik sampling yaitu Fixed Desease Sampling dan Stratified  Proportional Random Sampling. Populasi adalah seluruh balita di Sinjai dan sampel yaitu balita stunting usia 9-59 bulan dan minimal sampel sebanyak 60 balita stunting di wilayah  pesisir pantai dan pegunungan serta 60 balita normal di wilayah pesisir pantai dan pegunungan. Instrumen menggunakan lembar FFQ Semikuantitatif. Data dianalisis univariat, bivariat dengan uji Chi Square dan  multivariat dengan regresi logistik. Hasil uji Chi Square menunjukkan faktor risiko stunting di wilayah pesisir pantai yaitu asupan energi dengan nilai p=0.03 OR=2.99 dan Fe dengan nilai p=0.03 OR=2.99 sedangkan di pegunungan yaitu asupan protein dengan nilai p=0.01 OR 6.5, Fe dengan nilai p=0.01 OR=4, dan Zn dengan nilai p=0.00 OR=5.4. Hasil regresi logistik menunjukkan faktor risiko stunting yang dominan di wilayah pesisir pantai yaitu asupan protein dan di wilayah pegunungan yaitu asupan Fe. Terdapat disparitas faktor risiko stunting pada balita antara wilayah pesisir pantai dan pegunungan.
Analysis of Family Income Factors on Diarrhea Incidence through Behavior in Tapalang Iskandar, Wawan; Woro Kasmini Handayani, Oktia; Hary Cahyati, Widya
Public Health Perspective Journal Vol 4, No 3 (2019): December 2019
Publisher : Universitas Negeri Semarang

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Abstract

Diarrhea is one of an endemic disease and also a potential disease of outbreaks in Indonesia, including in Mamuju, West Sulawesi, where the disease is often accompanied by death. Tapalang is a sub-district with the highest cases of diarrhea in Mamuju in recent years. This study used a case control design with a fixed disease sampling technique. The population in this study were all toddlers in Tapalang as many as 1927 people with a total sample of 60 cases and 60 controls so that a total of 120 samples. The instruments used in this study were questionnaires, checklists and observation sheets. Data were analyzed using Multivariate analysis. The results showed that there was a direct and statistically significant effect between family income on the incidence of diarrhea (b = 1.50; 95% CI = 0.319 to 2.68; p = 0.013). There was an indirect influence between family income on the incidence of diarrhea through behavior but not statistically significant (b = 0.98; 95% CI = -0.76 to 2.73; p = 0.269). There is a direct influence between behavior and the incidence of diarrhea even though it is not statistically significant (b = 0.74; 95% CI = -0.41 to 1.90 p = 0.210). The conclusions of toddlers diarrhea in Tapalang is influenced by family income. It is hoped that this research can be used as a reference for related parties in diarrhea control policies and also for mothers and toddlers' families in efforts to prevent diarrhea in toddlers.
Obesity Determinants of Teenagers in Rural Areas Fajriyah, Anidaul; Woro Kasmini Handayani, Oktia; Hary Cahyati, Widya
Public Health Perspective Journal Vol 5, No 1 (2020): April 2020
Publisher : Universitas Negeri Semarang

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Abstract

Obesity is excessive or abnormal fat deposits in adipose tissue, which will improve health. In 2015, at the age of 15 years, obesity was found to be 28.97%, and in Semarang District, it was found 54.56%. In 2017 obesity increased by ≥15 years, decreased by 6.04%. Whereas in Semarang Regency it was 6.68%. The percentage of the number that has increased, but the number of the number that has increased from the previous year. The aim of the study was to analyze the determinants of obesity in teenagers in rural areas. This study uses a case control design. The population consists of all high school/MA students in Semarang Regency. The sample consists of 35 obese and 35 non-obese teenagers, with the Purposive Sampling technique. The instruments used were Semi-Quantitative Food Frequency Questionnaire (SK-FFQ) and Physical Activity Questionnaire for Adolescent (PAQ-A). Data analysis using Chi-square test and logistic regression test. The analysis showed that there was a relationship between energy intake (p=0,000), protein intake (p=0.002), fat intake (p=0.008), carbohydrate intake (p=0.002), snack consumption (p=0.031), and physical activity (p=0.02) with obesity in teenagers in rural areas. The most dominant risk factors for obesity are energy intake, physical activity, and protein intake. Physical activity that can increase the risk of obesity in teenagers is decided to improve teenager welfare.
The Effect of Knowledge and Parenting on Stunting of Toddlers in Muna Barat, South East Sulawesi Rohmawati, wahidah Apri; Woro Kasmini, Oktia; Hary Cahyati, Widya
Public Health Perspective Journal Vol 4, No 2 (2019): August 2019
Publisher : Universitas Negeri Semarang

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Abstract

Stunting is a nutritional problem that has lasted a long time in toddlers aged 6-59 months. Stunting is assessed based on the ratio of a child's height to the standard height of a child in a normal population according to age and gender. The purpose of this study was to analyze the direct and indirect influence of knowledge factors on stunting through parenting of toddlers. This research is a quantitative study using a case control study approach. A sample of 100 respondents consisting of 50 case samples and 50 control samples was obtained by taking techniques using fixed disease sampling. The data analysis using chi square test and multivariate analysis. The result of this study showed that the knowledge directly affects the stunting with values (b=1.25; CI 95%=0.27 to 2.23; p=0.012). The knowledge has an indirect but insignificant effects on stunting events through the mediation of parenting with values (b=0.21; CI 95%=-0.78 to 1.2; p=0.667). Parenting directly affects stunting with values (b=1.2; CI95%=0.13 to 2.26; p=0.027). The conclusion of this research was knowledge directly affects the stunting in Toddler. The results of this study are expected to be a reference material for related parties in improving nutrition problems (stunting), especially in increasing mothers’ knowledge and parenting.
RISK FACTORS OF FILARIASIS IN BREBES REGENCY Juwita, Fitra; Hary Cahyati, Widya; Yuniastuti, Ari
Public Health Perspective Journal Vol 5, No 2 (2020): in press August 2020
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Abstract

Filariasis or elephantiasis is an infectious disease affecting lymph nodes (lymph nodes) caused by filarial worms and transmitted by various species of mosquitoes. Brebes Regency is an area with the highest cases of Filariasis in Central Java Province. The number of cases of Filariasis until 2018 there were 65 patients. In addition, the discovery of new cases in the past two years has increased exactly in 2018 by 5 cases to 8 cases in 2019. The purpose of the study was to analyze the risk factors for the incidence of filariasis in Brebes Regency. This study used a case control design. The population consists of all people whose blood samples have been examined through a finger blood examination and recorded at the health center and Brebes District Health Office. The sample consisted of 32 patients with filariasis and 32 not sufferers of filariasis with the Purposive Sampling technique. The instruments used questionnaire and observation sheets. Data analysis used Chi-squared test and logistic regression test. The analysis shows that there is a correlation between resting place (p=0.000), breeding place (p=0.000), wire netting (p=0.002), the presence of livestock (p=0.015), knowledge (p=0.001), occupation (p=0.000), behaviour (p=0.024), and economic status (p=0.024) with the incidence of filariasis. The most dominant risk factors for obesity are work, resting place, and breeding place. The existence of a resting place and breeding place can increase the risk of filariasis so efforts are needed to maintain a clean and healthy environment.
Analysis of Premarital Sex Factor Through Self-Control in Teenagers At Senior High School / Equals in Sarolangun Regency Salviana, Eka Asvista; Made Sudana, I; Hary Cahyati, Widya
Public Health Perspective Journal Vol 5, No 3 (2020): December 2020
Publisher : Universitas Negeri Semarang

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Abstract

Premarital sexual cases in adolescents can be caused due to various conditions and several factors. Data from the National Population and Family Planning Board (BKKBN) in 2017 shows that in Jambi Province there were cases of adolescents aged 15-19 who gave birth or pregnant with their first child with a percentage of 10.9%. This study aimed to analyze the effect of knowledge and information media on the incidence of premarital sex in adolescents in Senior High School/Equals at Sarolangun Regency, Jambi Province. The type of research was an observational analytic study with a cross sectional design. The research sample was 371 adolescents. The analysis used in this research was Path Analysis. The results showed that knowledge had a negative and significant effect directly on the incidence of premarital sex, and there was a positive and significant effect directly from the information media on the incidence of premarital sex with a significant value for information media of 0.042 <0.05. Furthermore, on the incidence of premarital sex through self-control, it was found that knowledge had a negative and significant effect on premarital sex through self-control, and the results showed that information media had a positive and significant effect on the incidence of premarital sex through self-control.
Socio-demographic Factors Associated with Loss to Follow up Anti Retro Viral Therapy among People Living with HIV and AIDS in Semarang City Sutini, Sutini; Hary Cahyati, Widya; Ratna Rahayu, Sri
Public Health Perspective Journal Vol 5, No 3 (2020): December 2020
Publisher : Universitas Negeri Semarang

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Abstract

Longlife Anti Retro Viral (ARV) treatment is an important component of Human Immunodeficiency Virus (HIV) care. Loss to follow up (LTFU) defined as not taking ARV refill for 3 months or longer from the last attendance for refill and not yet classified as dead or transferred out, this causes morbidity and mortality related to Acquired Immune Deficiency Syndrome (AIDS). The incidence of LTFU in ARV therapy among people living with HIV and AIDS (PLWHA) in Semarang City 924 people (21%) (WHO target LTFU <20%). The aim of this research is to analyze education level, employment status and distance from residence to health services that affecting loss to follow-up of ARV therapy among people living with HIV and AIDS in Semarang City. The research used case control design. The sample of the research was 134 (67 cases and 67 controls) respondents obtained by purposive sampling technique. Technique for collecting the data were interview and questionnaire. Chi square and logistics regression test were used in analyzing the data. The result of the research showed that there were significant influences in the variables of education (p = 000), employment status (p = 0,000), distance from home to health services (p = 0.009 affect loss to follow up of antiretro viral therapy among people living with HIV and AIDS in Semarang City. Multivariate models showed the most influential factors was education level (p= 0,000. OR = 6.270). A treatment literacy program should be emphasized to people living with HIV and AIDS who are starting treatment and during treatment ARV.                                          
Incidence of Hypertension of 30-50 Years Old in the Salatiga City Health Center sinta septiyawati, Gabrial; Hary Cahyati, Widya; Raffy Rustiana, Eunike Raffy Rustiana
Public Health Perspective Journal Vol 6, No 1 (2021): April 2021
Publisher : Universitas Negeri Semarang

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Abstract

The prevalence of hypertension in Indonesia based on measurement of blood pressure at age ≥18 years was 7.5% in 2007, an increase in 2013 by 9.5% and an increase again in 2016 by 30,9%. The purpose of this study was to analyze the factors that influence the incidence of hypertension at the age of 30-50 years at the Salatiga City Health Center. The study design in this research is case control. The population in this study were people aged 30-50 years in the working area of Puskesmas Kota Salatiga, namely Puskesmas Cebongan, Puskesmas Kalicacing and Puskesmas Sidorejo Lor. The sample consisted of 35 cases group, 35 control group as well. The sampling method used purposive sampling technique. The instrument used was a questionnaire containing questions on gender, exercise habits, stress levels / DASS questionnaires, BMI, genetic history and a tool to measure the respondent's blood pressure, namely the mercury spignomanometer. Data analysis used chi-square and logistic regression. There was no effect between sex on the incidence of hypertension (p = 0.633; OR = 0.709). There was an influence between genetic history (p = 0.017; OR = 11.769), smoking status (p = 0.036; OR = 4.889), obesity (p = 0.049; OR = 5.717), alcohol consumption (p = 0.025; OR = 0.453), salt consumption (p = 0.017; OR = 4.500), stress levels (p = 0.026; OR = 4.580), exercise habits (p = 0.020; OR = 0.246) the incidence of hypertension. The factors that most influenced the incidence of hypertension were exercise habits (p = 0.018; OR = 5.006), stress levels (p = 0.053; OR = 0.251), and salt consumption (p = 0.035; OR = 0.239).                                                                  
Analysis of The Relationship Allergic Contact Dermatitis on Scavengers Wiratama, Rifki; Hary Cahyati, Widya; Laksono, Budi
Public Health Perspective Journal Vol 5, No 3 (2020): December 2020
Publisher : Universitas Negeri Semarang

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Abstract

Occupational skin disease is the second most common occupational disease in Europe after musculoskeletal injuries, while the most common occupational skin disease is contact dermatitis, accounting for 70-90%. Determining the cause of contact dermatitis in the work environment is very important, because avoiding the causative agent will lead to a cure and reduce the recurrence rate. This study aims to analyze the relationship between personal hygiene, knowledge, use of personal protective equipment, and working period of allergic contact dermatitis in scavengers at the Piyungan Yogyakarta garbage dumpsite. This type of research is an observational analytic study with a cross sectional design. The research sample was 112 scavengers. The analysis of this research uses Path Analysis. The results showed that there was a direct relationship of personal hygiene to allergic contact dermatitis with a path coefficient of 0.243 (p = 0.003 <0.05), there was a direct relationship of knowledge of allergic contact dermatitis with a path coefficient of 0.216 (p = 0.000 <0.05), There was a correlation between the use of PPE on allergic contact dermatitis with a path coefficient of 0.124 (p = 0.001 <0.05). There was a relationship between working period and allergic contact dermatitis with a path coefficient of 0.253 (p = 0.000 <0.05). Scavengers should increase knowledge about allergic contact dermatitis, especially regarding the impact and prevention of allergic contact dermatitis and pay more attention to regular individual hygiene.
Co-Authors Abroery Abroery Agustin, Fatehah Rahma Agustin, Fatehah Rahma Akhsanu Amala Alvy Fajri Amala, Akhsanu Ambar Atikah Zain Andreas Wilson Setiawan Angger Luhung Nur Fadilah Anggraini, Tri Septa Anggraini, Tri Septa Anggun Dessita Wandastuti Angraini, Ulfi Anik Setyo Wahyuningsih Annisa Pramitasari Annisa Putri Fatmasari Annisa Sifa Apriani Ari Yuniastuti Arum Lusiana Arum Lusiana Arum Siwiendrayanti Asturiningtyas, Ika Puspita Atika Aulia Aufiena Nur Ayu Merzistya Bambang Budi Raharjo Bambang Budi Raharjo Bambang Budi Raharjo Budi Laksono Budi Mulyaningsih BUDIONO SKM, M.Kes(Epid), IRWAN Cahya Wulandari Chatila Maharani Chindy Hermania Daryati Daryati Devi Ayu Susilowati Dyah Mahendrasari Sukendra Dyah Rini Indriyanti Efa Nugroho Emaliana Saomi, Eva Erika Wijayanti Erli Widiastuti Ernawati Ernawati Eunike R Rustiana Eunike R. Rustian Evi Widowati Evi Widowati Evi Widowati Fajriyah, Anidaul Farida, Eko Fennyta Fika Fiyanza Feriyanti Lestari Fitria Ardyanti Ramadhani Fitria Ningsih Galuh Nita Prameswari Galuh Nita Prameswari Hadi Ashar Haniek Try Umayana, Haniek Try Hari Rudijanto Indro Wardono Hari Rudijanto Indro Wardono Heni Maulidah Heni Maulidah Hermawati, Bertakalswa I Made Sudana Ika Utami, Ika Ina Kusrini Inayah Anggraini Nanda Pramesti Indah Putrianti Intan Zainafree, Intan Irwan Budiono Isbandi Isbandi Iskandar, Wawan Isnaeni Anggi Safitri Jauharotusf Syifa Kusrah Sanjani Juwita, Fitra Karnowo - Khairunnisa, Marizka Laila Fitriani Latifah Rachmawati Lestari, Yanesti Nur Avianda Lia Diah Kumalasari Linda Riski Sefrina Lukman Fauzi Made Sudana, I Maelani, Tika Magai, Nandito Mapian Magai, Nandito Mapian Mahalul Azam Mamluatul Hikmah Mardiana Mardiana Minhajul Mubarok Mirnawati Mirnawati Mona Subagja Muhamad Anbiya Nur Islam Muhamad Zakki Saefurrohim Muhammad Azinar Mukharomah, Kunthi Isti Muna, Ni'mal Muna, Ni'mal Muniroh Muniroh Muniroh, Muniroh Nadhiroh, Siti Ainun Nadhiroh, Siti Ainun Najib Najib Nanik Wijayati Natalia Desy Putriningtyas, Natalia Desy Ningtyas, Dyka Arya Ratna Nisa, Alfiana Ainun Nur Dina Amalina Nur Siyam Nur Siyam Nur Wahidah Nurfitriani Nurfitriani, Nurfitriani Nurhayati, Syarifah Nuryanti, Susi Oktavia, Eka Radiyani Oktavia, Eka Radiyani Oktia Woro Kasmini Handayani Priadi Eling Waskito PS, Yunita Dyah Purwoko, Sidiq Puspitasari, Candra R. Susanti R. Susanti Raffy Rustiana, Eunike Raffy Rustiana Raina Khairana Denando Raina Khairana Denando Ratna Rahayu, RR Sri Ratna Rahayu, Sri Riski Margareta Rizki Amalia Rohmawati, wahidah Apri Rr. Sri Ratna Rahayu Rudatin Windraswara S Rahmah Umniyati, S Rahmah Saefurrohim, Muhamad Zakki Salviana, Eka Asvista Sari, Merlinda Permata Sari, Merlinda Permata Satriani Satriani Setiawan, Andreas Wilson Shakin Ervita Oktaviyani Shinta Kaozar Wiratman Sidiq Purwoko Sidiq Purwoko Sigit Ambar Widyawati sinta septiyawati, Gabrial Siska Yunita Arsula Sofwan Indarjo Sri Ratna Rahayu Sri Ratna Rahayu Sri Sulastri Suharyo - Sulastri Sulastri Sutini Sutini, Sutini Tatik Atmini tri wahyuni Tur Endah Sukowinarsih Ulfah Husna Labibah Ummul Mahmudah W.D.P Rengga Wahyudi Wahyudi Widya Asmara Widya Dwi Qinahyu Wiratama, Rifki Woro Kasmini, Oktia yoga agung prabowo Yuni Wijayanti Zainuddin Zainuddin Zulfiarini, Febriana Maya Zulfiarini, Febriana Maya