Ni Wayan Septarini
Program Studi Pendidikan Dokter Gigi Fakultas Kedokteran Universitas Udayana

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Journal : Public Health and Preventive Medicine Archive

Association between breakfast-eating habit and attention-concentration in primary school children: a cross-sectional study in Badung District Ni Made Ari Sukmandari; Ni Wayan Septarini; Gede Ngurah Indraguna Pinatih
Public Health and Preventive Medicine Archive Vol. 6 No. 1 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i1.p10

Abstract

Background and purpose: One of the main benefits of breakfast eating habit for schoolchildren is to maintain the attention concentration. The current trend shows a steady decline in the breakfast-eating habit among primary school children. This present study aims to examine the association between breakfast-eating habit and attention-concentration in primary school children. Methods: A cross-sectional study was conducted involving 160 primary school students year 5 and 6. Samples were selected from six public primary schools within two villages. There were a total of 16 classes of year 5 and 6 in these six schools, and five classes were selected randomly. All students from the selected classes included in the study. Attention concentration was measured using a digit symbol test, and breakfasteating habit and total calories intake were measured using the recall 24 hours and a standardised questionnaire. Multivariate analysis with logistic regression was employed to examine the association between breakfast-eating habit and attention-concentration. Results: The majority of students were found to have good concentration (60.63%), with breakfast-eating habit (75.00%), and consumed sufficient amount of calories (53.13%). Our multivariate analysis found a significant association between breakfast-eating habit and attention-concentration among schoolchildren (AOR=14.0; 95%CI: 4,9–67,8). Conclusions: Students with breakfast-eating habit tend to have a good attention-concentration. The total calories intake during breakfast is not associated with attention-concentration among primary school students in Badung District.
Barriers for people who inject drug (PWID) to access voluntary counselling and testing (VCT) at the health centres in East Lombok Dany Karmila; Pande Putu Januraga; Ni Wayan Septarini
Public Health and Preventive Medicine Archive Vol. 5 No. 1 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i1.p06

Abstract

Background and purpose: Utilisation of voluntary counselling and testing (VCT) by people who inject drug (PWID) in East Lombok is low. This study aims to explore barriers for PWID to access VCT service from community health centres in East Lombok, West Nusa Tenggara. Methods: A qualitative study was conducted in East Lombok. Data were collected using in-depth interviews. Nine participats were purposively selected consisted of five HIV negative PWID who repeatedly tested for HIV, one non-governmental organization official, one field worker, one VCT counsellor and one medical doctor. Data were inductively analysed. Results: This study found that PWID preferred to use mobile VCT rather than VCT at health centres because of scared of getting caught by police. They also felt uncomfortable of using VCT service at the health centres due to stigma and discrimination. In addition, lack of human resources at the health centre was also found to be a significant barrier. This led to increased workload thus limited attention was given to quality of VCT service. Conclusions: Barriers to access VCT service at the health centre include high stigma and discrimination from health provider and living arrangements of PWID. To improve VCT access for PWID, effective collaboration between health centres, private health institutions and village cadres are required.
The association between hypertension self-management and stroke event in male patients at the Badung District Hospital, Bali Ni Kadek Sutini; Ni Wayan Septarini; I Made Ady Wirawan; Anak Agung Sagung Sawitri
Public Health and Preventive Medicine Archive Vol. 6 No. 2 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i2.p02

Abstract

Background and purpose: Hypertension is a major risk factor for stroke. Despite efforts to control hypertension with pharmacological and non-pharmacological therapies, the prevalence of and death from stroke is reported to be increasing. This study aims to determine the association of hypertension self-management with the incidence of stroke in patients with hypertension. Methods: A case-control study was conducted involving 44 patients suffering from hypertension and who had suffered a stroke as cases, as well as 44 patients with hypertension and without stroke as controls. Cases and controls were conveniently selected at the outpatient clinic of Badung District Hospital. Data on self-management of diet, physical activity, stress mitigation efforts, alcohol consumption, and medication adherence were collected using self administered questionnaire. Data on the diagnosis of hypertension, stroke and history of comorbidities were obtained from the patient’s medical records. Multivariate analysis using logistic regression was employed to assess the association between hypertension self-management with the incidence of stroke in patients with hypertension. Results: Characteristics of cases and controls did not differ in education, marital and socioeconomic status, but differed in age and employment. Multivariate analysis showed that there were three components of hypertension self-management associated with the incidence of stroke, namely poor adherence to medication (AOR=7.28; 95%CI: 2.19-24.17), poor self-management of stress (AOR=5.45; 95%CI: 1.56-18.99), and poor management of self-regulated diet (AOR=5.28; 95%CI: 1.31-21.32). Conclusion: Medication adherence, diet and stress management are the three main components of self-management that are associated with stroke events among hypertension patients. Efforts to increase medication adherence, diet and stress management should be enhanced.