Meita Dhamayanti
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung

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Deteksi Dini Pengalaman Kekerasan Pada Anak Di Tingkat Keluarga Di Kecamatan Jatinangor Dewi, Nurusofa Surti; Arisanti, Nita; Rusmil, Viramitha Kusnandi; Sekarwana, Nanan; Dhamayanti, Meita
Jurnal Sistem Kesehatan Vol 2, No 3 (2017): Volume 2 Nomor 3 Maret 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.064 KB) | DOI: 10.24198/jsk.v2i3.11956

Abstract

Undang-Undang Republik Indonesia No. 35 Tahun 2014, menyatakan setiap anak memiliki hak untuk mendapatkan perlindungan dari kekerasan dan diskriminasi. Kejadian  terbanyak  kekerasan  pada  anak  terjadi  di  tingkat  keluarga.  Penelitian dilakukan untuk mengetahui gambaran dan karakteristik kekerasan pada anak di tingkat keluarga di Kecamatan Jatinangor sebagai deteksi dini terhadap kekerasan. Penelitian ini dilakukan menggunakan studi desain deskriptif kuantitatif dengan rentang waktu pengambilan data September sampai November 2016 secara satu kali potong lintang pada siswa/i Sekolah Menengah Pertama (SMP) aktif berusia 13-15 tahun di Kecamatan Jatinangor, Kab. Sumedang dengan sampel valid diambil sebanyak 98 orang. Ditinjau dengan kejadian terbanyak berdasarkan pengalaman kekerasan di rumah dan lingkungan yaitu pernah melihat orang dewasa di rumah meneriaki dan berteriak yang membuat takut (37.8%), serta berdasarkan jenis pengalaman disiplin dan mendapatkan tindak kekerasan   yaitu   memberi   sesuatu   istimewa   atau   uang   (90.82%).   Berdasarkan pengalaman  pola  asuh  yaitu  terluka/jatuh  karena  tidak  ada  orang  dewasa  yang mengawasi (27.6%), berdasarkan pengalaman kejadian menakutkan yaitu seseorang masuk ke rumah untuk mencuri sesuatu (16.34%), dan berdasarkan pengalaman kekerasan  seksual  yaitu  menyuruh  melihat  organ  vital/pribadinya  atau  sebaliknya (8.2%). Sebagian besar anak pernah mengalami kekerasan di rumah dan sekitarnya.Kata Kunci: kekerasan pada anak, keluarga, pengalaman
Relationship between Drugs Use and Sexual Risk Behaviors among Senior High School Students Herijanto, Yola Yuniaarti; Saputra, Lucky; Dhamayanti, Meita
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (567.189 KB)

Abstract

Background: Drugs use and risky sexual behavior among teenager are some of crucial problems arising in Indonesia. Statistic showed that there is an increasing prevalence in drugs use and risky sexual behavior among teenagers. This study was conducted to analyze the relationship between drugs use and risky sexual behaviors among high school students. Methods: An analytic study involving 432 students in 5 state high schools located in Kerees region Bandung, West Java, Indonesia, was carried out in 2013. The region was chosen due the high prevalence of  substance abuse. The inclusion criteria were every high school students in the Karees region. The exclusion criteria were the students who refused to participate in the study, did not come when the sample was taken, and did not fill the questionnaire completely. The instruments used for the study were questionnaires with cross-sectional technique. Furthermore, the questionnaire used for analyzing drugs use was Addiction Severity Index-Lite Version (ASI-lite) questionnaire; with additional questionnaire to analyze risky sexual behaviors.Results: Out of 432 students, 23.8% students already engaged to one or more risky sexual behavior. Among all respondents, the prevalence of students who had already done kissing was 22.7%, necking 9.3%, petting 7.2% and sexual intercourse 1.2%. Illegal drugs had been used at least once by 21.8% students. According to Chi-square test, drugs use and risky sexual behavior were related.Conclusions:The prevalence of both drugs use and risky sexual behaviors are high and students who use drugs are more prone to do risky sexual behavior. [AMJ.2017;4(1):125–8] DOI: 10.15850/amj.v4n1.1032
Association between Mothers’ Characteristics, Knowledge, Attitude, and Practice and Intestinal Helminthes Infection on Children Hakiki, Nadhira Permata; Faridah, Lia; Dhamayanti, Meita
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: The prevalence of soil-transmitted helminthes infection in Indonesia is still high, especially in children aged 3 to 8 years old. Helminthes infection cause loss of nutrition, delay physical development, intelligence, and labor productivity and decrease immunity. Mothers’ characteristics, knowledge, attitude, and practice are some of the factors that influence the occurrence of intestinal helminthes infection on children. This study was aimed to find the association between mothers’ characteristics, knowledge, attitude, and practice and the occurrence of intestinal helminthes infection on children.Methods: The study was conducted at Jatinangor Cohort’s research center from August to September 2014 using cross sectional analysis. One hundred and forty five secondary data were collected using validated questionnaire that filled by mothers and results of feces on children were tested. The amount of data excluded due to incomplete was 8, the data utilized was then analyzed by Chi Square evaluation.Results: Mothers’ characteristics such as age (P = 0.611), education (P = 0.952), occupation (P = 0.876), income (P = 0.199), and knowledge (P = 0.424; OR = 1.333), attitude (P = 0.236; OR = 0.808), practice (P = 0.333; OR = 4.625) did not have a significant association with the occurrence of intestinal helminthes infection on children.Conclusions: Characteristics, knowledge, attitude, and practice of the mothers towards the intestinal helminthes infection do not associate with the occurrence of intestinal helminthes infection on children. [AMJ.2016;3(2):248–53] DOI: 10.15850/amj.v3n2.794
Association of stature and mental problems among adolescents in Jatinangor District, West Java Dhamayanti, Meita; Deliana, Pia H.; Bukkar, Faisal
Medical Journal of Indonesia Vol 27, No 3 (2018): September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (228.998 KB) | DOI: 10.13181/mji.v27i3.2467

Abstract

Background: The prevalence of short stature during adolescence in Indonesia remains high. Adolescents are very concerned about their stature. Most adolescent health problems are related to psychosocial issues. The prevalence of mental disorders among adolescents in Indonesia is 6.0%, and West Java is 9.3%. The aim of this study was to analyze the association between stature and mental problems during middle adolescence.Methods: This analytical cross-sectional study was performed at three high schools in Jatinangor, West Java, Indonesia. The subjects were students, age of 16–17 years old without physical abnormalities other than short stature and weight problems. Mental problems were screened using a self-report Strength and Difficulties Questionnaire (SDQ). Data were analyzed using the chi-square test with prevalence risk.Results: Of the 150 respondents, 116 subjects met the inclusion and exclusion criteria. The prevalence of short stature was 55 cases (47.4%) and more predominant in females. Among the behavioral and emotional problems assessed, the emotional symptom was associated significantly with short stature; prevalence ratio 1.87 (95% CI=1.14; 3.08). There was no significant association of short stature with other attributes such as conduct, hyperactivity, peer problems, and total difficulties (p>0.05).Conclusion: Stature in adolescence is associated with emotional problems.
Emotional Mental Problems among Adolescents: Urban and Semi-Urban Settings Dhamayanti, Meita; Peryoga, Stanza Uga; Firmansyah, Mohamad Rizqy
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Althea Medical Journal

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Abstract

Background: Emotional mental problems refer to something that complicates someone in an attempt to conform to the environment and experiences. In Indonesia the prevalence of emotional mental problems is 6.0%. In West Java province as the most populous region in Indonesia, the number of prevalence is above the national average of 9.3%. West Java province was selected for this study because in addition to being the most densely populated region, it also has urban and semi-urban areas. The purpose of this study was  to identify the difference in the prevalence of emotional mental problems of adolescent in urban and semi-urban areas.Methods: This study used the cross sectional approach method. Inclusion criteria were adolescents aged 14-16 years who attended several Junior High and Senior High Schools in Cirebon City as an urban area and Sumedang Regency as a semi-urban area. Exclusion criteria were adolescents who filled out  the questionnaire incompletely. The study variables consisted of adolescents, urban and semi-urban areas, and emotional mental problems. Data were analyzed by using chi square (x2) test.Results: Out of 1039 respondents, 816 met the inclusion criteria. There were significant differences in emotional mental problems on the aspects of emotional symptoms, behavior, hyperactivity, interpersonal relationships, social behavior, and total value of emotional mental problems with p value <0.05.Conclusions: There is a difference in emotional mental problems of adolescents in urban and semi-urban areas. Adolescents in urban regions have higher mental-emotional problems than in semi-urban regions. 
Respon Imun terhadap Vaksin Influenza pada Remaja Dhamayanti, Meita; Rusmil, Kusnandi; Idjradinata, Ponpon
Jurnal Kedokteran Brawijaya Vol 27, No 2 (2012)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (514.659 KB) | DOI: 10.21776/ub.jkb.2012.027.02.9

Abstract

Influenza merupakan penyakit yang mudah menular dengan mortalitas dan morbiditas tinggi serta sering menimbulkan kejadian  luar biasa, epidemi, dan pandemi. Pada anak  sekolah,  influenza menyebabkan  tingginya angka absensi dan remaja merupakan  sumber  penularan  terbesar .  Penelitian  dilakukan  untuk menilai  respons  imun    terhadap  vaksin influenza pada kelompok remaja 12–18 tahunpada bulan Juni–September 2008, di Puskesmas Garuda Bandung. Desain dilakukan dengan  intervensional,  longitudinal, acak sederhana, dan tersamar tunggal. Vaksin  influenza yang mengandung 3 jenis virus A/H1N1, A/H3N2 dan B, disuntikkan intramuskular. Pengambilan darah dilakukan pra dan pasca vaksinasi. Pemeriksaan kadar antibodi dilakukan dengan metode hemaglutinasi inhibisi (HI). Respons imun dinilai berdasarkan nilai serokonversi, dan peningkatan geometric mean titer (GMT). Subjek dibagi 2 kelompok, 69 (52,7%) remaja pertengahan (12–15  tahun) dan 62  (47,3%)  remaja akhir  (16–18  tahun). Semua  subjek  telah mempunyai kadar antibodi protektif HI>1:40 pascavaksinasi. Nilai serokonversi kedua kelompok berbeda bermakna pada pra  (p=0,02) dan pascavaksinasi (p=0,02). Serokonversi  terhadap virus A/H3N2 antara remaja pertengahan dan akhir berbeda bermakna pada pravaksinasi (p=0,02). Pada pra dan pascavaksinasi  terdapat peningkatan GMT bermakna  terhadap ketiga  jenis virus  influenza  (Zw 9,73; 9,19; 9,59 dan p=0,00). Simpulan, vaksinasi influenza pada remaja menghasilkan kadar protektif. Respons imun remaja pertengahan dan akhir  tidak berbeda, namun  remaja pertengahan  tampak   lebih  responsif.Kata Kunci: Influenza,  remaja,  responsimun, vaksin
POLA PEMBERIAN ASI DAN DIARE PADA ANAK USIA 6–24 BULAN Wijaya, Dhandi; Dhamayanti, Meita; Gondodiputro, Sharon
Majalah Kedokteran Bandung Vol 49, No 3 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (62.172 KB) | DOI: 10.15395/mkb.v49n3.1118

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Diare merupakan salah satu penyebab utama kematian anak secara global. Air susu ibu (ASI) diketahui dapat mencegah diare pada anak sehingga World Health Organization merekomendasikan pemberian ASI eksklusif untuk seluruh bayi. Namun, cakupan ASI eksklusif di Indonesia masih rendah sehingga risiko diare pada anak masih tinggi. Penelitian ini bertujuan menilai hubungan pola pemberian ASI dan  diare pada anak usia 6?24 bulan. Penelitian observasional dengan studi potong lintang ini dilakukan tanggal 20 Januari?31 Januari 2017. pada 160 ibu dengan anak usia 6?24 bulan yang mendapat ASI yang datang ke posyandu di Puskesmas Talang Ubi, Kabupaten Penukal Abab Lematang Ilir. yang buka selama penelitian dilakukan, lahir tunggal, aterm, berat badan lahir ?2.500 gram, gizi baik, tidak menderita kelainan kongenital. Data dikumpulkan menggunakan kuesioner untuk mengetahui pola pemberian ASI dan MP ASI serta prevalensi, periode, dan lama diare dalam tiga bulan terakhir. Data dianalisis dengan uji kai-kuadrat, Fisher eksak, Mann-Whitney U, Kruskal-Wallis, ANOVA, serta uji normalitas Kolmogorov Smirnov. Penelitian ini mendapatkan hubungan waktu inisiasi pemberian ASI, ASI eksklusif, lama pemberian ASI, serta frekuensi dan lamanya menyusui dengan prevalensi dan lama diare (p<0,05), tetapi tidak mendapatkan hubungan waktu inisiasi pemberian ASI, pemberian ASI eksklusif, lama pemberian ASI, frekuensi pemberian ASI, dan lama menyusui dengan frekuensi diare (p>0,05). Dapat disimpulkan bahwa pola pemberian ASI dapat menurunkan prevalensi dan mempersingkat lama diare pada anak usia 6?24 bulan. [MKB. 2017;49(3):165?71]Kata kunci: ASI, ASI eksklusif, diare, MP ASI  Breastfeeding Pattern and Diarrhea in Children Aged 6?24 MonthsDiarrhea is one of the leading causes of global childhood mortality. Breast milk was known to have a protective role against childhood diarrhea that the World Health Organization (WHO) recommendeds exclusive breastfeeding for all infants. However, the coverage of exclusive breastfeeding in Indonesia is still small, leading to a higher risk of childhood diarrhea. The aim of this study was to assess the correlation between breastfeeding pattern,  complementary feeding,  prevalence, frequency, and diarrhea duration in children aged 6?24 months. This observational cross-sectional study was conducted in the period of 20 January?31 January 2017 on 160 mothers who brestfed their child who was, at the time of the study, 6?24 months old. These were children who visited the Posyandu (Integrated Health Post) of Talang Ubi Public Health Center (Puskesmas Talang Ubi), Penukal Abab Lematang Ilir district at the time of the study, singleton, full term, birth weight ?2,500 grams, well-nourished, and did not have any congenital abnormalities. Data were obtained through questionnaires that collected  information on breastfeeding pattern, complementary feeding, and the prevalence, frequency, and diarrhea duration in the last three months . Data were statistically analyzed using chi-square, Fisher?s exact, Mann-Whitney U, Kruskal-Wallis, and ANOVA tests as well as   Kolmogorov Smirnov normality test. This study found the correlation between breastfeeding initiation, exclusive breastfeeding, breastfeeding duration, frequency and duration of lactation, with the prevalence and diarrhea duration (p<0.05), but did not find the correlation between breastfeeding initiation, exclusive breastfeeding, breastfeeding duration, frequency and duration of lactation with diarrhea frequency (p>0,05). Therefore, this study concludes that the pattern of breastfeeding reduces the prevalence of diarrhea and shortens diarrhea duration in children aged 6?24 months. [MKB. 2017;49(3):165?71]Key words: Breastfeeding, complementary feeding, diarrhea, exclusive breastfeeding
Influence of Adolescents’ Smartphone Addiction on Mental and Emotional Development in West Java, Indonesia Dhamayanti, Meita; Dwiwina, Resti Gradia; Adawiyah, Rubiah
Majalah Kedokteran Bandung Vol 51, No 1 (2019)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v51n1.1577

Abstract

Smartphone useis widespread globally, including in Indonesia. The excessive useand ubiquity of smartphone technology raise concerns on addiction and its effects on mental and emotional development ofadolescents. This study aimed to analyze the correlation between smartphone addiction and mental-emotional disorders inearly adolescents aged 11–12 years old in several primary schools in Bandung City and Sumedang District. This study was conducted October to December 2018 .Thiswas a cross-sectional study using convenient sampling technicwith unpaired categorical data for subject selection. Subjects were assessed with the Smartphone Addiction Scale Short Version (SAS-SV) and Strength and Difficulties Questionnaire (SDQ)which were self-administered by subjects. Subjects were classified into low level and high level smartphone user groups. Data were analyzed usingChi Square test. Out of 206 subjects, only 178 met the inclusion criteria with 44.9% (n=80) and 55.10% (n=98) were in  high- and low-level of smartphone addiction. The percentage of mental and emotional problems based on SDQ that was included in thenormal, borderline, and abnormal category was 60.7, 21.9, 17.4, respectively. Those with high-level smartphone addiction had mental and emotional problems with 1.425 prevalence ratio and CI95% 1.141–1.779. In conclusion, there is a correlation between smartphone addiction on mental and emotional problems of early adolescent.Key words: Early adolescent, mental and emotional, smartphone addiction, West Java, Indonesia Pengaruh Kecanduan Gawai pada Perkembangan Mental dan Emosional Remaja di Jawa Barat, IndonesiaPemakaian gawai sudah menyebar ke berbagai negara termasuk Indonesia. Pemakaian gawai sendiri memiliki dampak positif serta negatif. Salah satu dampak negatif yaitu mengalami kecanduan gawai sehingga mempengaruhi emosi dan perilaku dan juga dapat menurunkan produktifitas serta kualitas hidup. Tujuan penelitian ini adalah untuk menganalisis hubungan pengaruh kecanduan gawai terhadap gangguan mental emosional pada remaja awal usia 11 – 12 tahun. Metode penelitian analitik pontong lintang dilakukan pada subjek usia 11 – 12 tahun dari beberapa Sekolah Dasar Kota Bandung dan Kabupaten Sumedang pada Oktober sampai Desember 2018 . Subjek dipilih dengan metode convenient data kategori tidak berpasangan Subjek mengisi kuesioner yang berisi data sosiodemografi, Strength Difficulties Questionnaire (SDQ) dan Smartphone Addiction Scale – Short Version (SAS-SV). Subjek dibagi 2 kelompok tingkat kecanduan rendah dan tinggi. Data yang diperoleh dianalisis dengan menggunakan uji Chi Square. Dari 206 sebanyak 178 memenuhi kriteria. Subjek dengan tingkat kecanduan gawai tinggi sebanyak 80 (44,9%) dan rendah 98 (55,1%). Persentase gangguan mental emosional normal (60,7), borderline (21,9) dan abnormal (17,4). sebanyak 31 responden atau 17,4%. Terdapat hubungan bermakna Tingkat kecanduan gawai yang tinggi dan masalah mental emosi (rasio prevalens 1,45 (IK 1,141–1,779). Simpulan terdapat hubungan tingkat kecanduan gawai dan masalah mental emosio remaja awal usia 11 – 12 tahun.Kata kunci: Gawai, mental emosional, remaja awal