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Hanging Clothes on Wire and Its Association with Malaria Incidence in Batubara, North Sumatera Sinaga, Budi Junarman; Lubis, Rahayu; Mutiara, Erna
Journal of Epidemiology and Public Health Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The majority of the mosquito and parasite life-history traits that combine to determine malaria transmission intensity are environmental depen-dent. Earlier evidence suggests that certain malaria vectors can spend large parts of their adult life resting indoors. This study aimed to examine the practice of hanging clothes on wire and its association with malaria incidence in Batubara, North Sumatera. Subjects and Method: This was a case control study conducted in Batubara, North Sumatera in March 2018. A total of 176 people aged ≥ 15 years consisting of 88 cases of malaria and 88 controls were selected for this study. The dependent variable was malaria incidence. The independent variable was hanging clothes on wire. The data were collected by questionnaire and analyzed by a logistic regression. Results: Hanging clothes on wire was associated with an increased risk of malaria (OR= 3.33; 95% CI= 1.65 to 6.73; p= 0.001). Conclusion: Hanging clothes on wire increases the risk of malaria.Keywords: malaria, hanging clothes, wire.Correspondence: Budi Junarman Sinaga. Masters Program in Public Health, Universitas Sumatera Utara. Jl. Prof. T. Maas, Medan, North Sumatera. Email: budijunarman@yahoo.com. Mobile: 081361424297.Journal of Epidemiology and Public Health (2019), 4(2): 65-69https://doi.org/10.26911/jepublichealth.2019.04.02.01
The Effects of Multiple Sexual Partners and Condoms Use on the Incidence of HIV in Men Having Sex with Men Wati, Evi Erlinda; Lubis, Rahayu; Rochadi, R. Kintoko
Journal of Health Promotion and Behavior Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: HIV has become a problem in the international community. Rapid transmission of HIV becomes a threatfor the entire global community in order to prevent an increasingly widespread. One of the factors that causes HIV is unhealthy sexual behavior. This study aimed to determine the effect of changing partners and condom use on HIV incidence in men having sex with Men (MSM) in the Teladan Health Center in Medan.Subjects and Method: This was case-control study conducted at Teladan Health Center, in May 2018. A sample of 96 study subjects was selected for this study. The dependent variable was the incidence of HIV. The independent variables were multiple sex partners and condom use. HIV status was obtained from medical record. The other variables were measured by questionnaire. The data were analyzed by a multiple logistic regression.Results: Multiple sexual partners (OR= 2.93; 95% CI= 1.25 to 6.86; p= 0.022) and absence of condom use (OR= 2.83; 95% CI= 1.23 to 6.52; p= 0.024) increased the risk of HIV among men having sex with men.Conclusions: The occurrence of HIV in MSM is probably 2.9 times due changing partner actions and 2.8 times due to the inconsistent condom use.Keywords: HIV, multiple, sexual partners, condom use, men having sex with menCorrespondence:Evi Erlinda Wati. Masters Program in Public Health, Faculty of Public Health, Universitas Sumatera Utara. Jl. Universitas No. 21 Kampus USU Medan 20155, Sumatera Utara. Email: eviritonga74@gmail.com. Mobile: +08126347701Journal of Health Promotion and Behavior (2018), 3(3): 150-154https://doi.org/10.26911/thejhpb.2018.03.03.02
EFEKTIVITAS METODE DISKUSI DENGAN MENGGUNAKAN MEDIA LEAFLET DAN MODUL TERHADAP PENINGKATAN PENGETAHUAN DAN SIKAP TOKOH MASYARAKAT TENTANG PENCEGAHAN MALARIA DI KECAMATAN KUTAMBARU KABUPATEN LANGKAT TAHUN 2015 Lubis, Rahayu; Yustina, Emmy; Keloko, Alam Bakti
Jurnal Ilmiah Keperawatan Vol 1 No 2 (2018): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Malaria is an ancient disease, which is that still survive to this day, which is transmitted by the bite of Anopheles mosquito containing plasmodium, and poses a health problem that causes anemia, lowered work productivity and even death. Cases of clinical malaria in Langkat in the last three years has increased, which in 2010 from 47.18 per 1000 population increased to 63.79 per 1000 population in 2012. This type of research used in this study is quasi-experimental (quasi experimental) with a pretest-posttest design, which aim to analyze the effectiveness of the method of discussion by using the media module and leaflets to increase the knowledge and attitudes of community leaders on the prevention of malaria in Kutambaru Subdistrict, Langkat district. The population in this study are all Community Leaders in Kutambaru Subdistrict, Langkat district totaling 36 people. The sample is the entire population, numbering 36 people were divided into 2 groups: 18 people for the group threat with leaflet and 18 people for the group threat with modules. Analysis of the data using a statistical test Wilcoxon.  The results of this study showed that the average improvement of knowledge and attitude was more effectively obtained through leaflet media compared to using modules media. It was found out that based on the knowledge of respondents, the difference in the mean value of leaflet media was 4.2 1and SD 1.49 and the mean values of modules media was 2,13 and SD 1.38. In terms of the average value of the difference based on the attitude of respondents for leaflet media was 6.34 , SD 1.49 , while for modules media was 3.32 and SD 1.42. Thew result of statistical test showed that the value p ( 0.000 ) < α ( 0,050 ). It is recommended that the health extension workers Puskesmas Maryke more active in providing health education to the community leaders on the prevention of malaria by using media modules and leaflets.
HUBUNGAN PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN DIARE DI PUSKESMAS PULO BRAYAN Sinaga, Elvalini Warnelis; Lubis, Rahayu; Lubis, Zulhaida
Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Vol 2, No 2 (2018): Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmstkik.v2i2.1537

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Diarrhea is still a public health problem in developing countries such as Indonesia that may prove fatal. Manyfactors can directly or indirectly be a driving factor for diarrhea, consisting of factors such as agent, host,environment and behavior. Behavioral factors thought to be related to diarrhea include exclusive breastfeeding andchild care. The purpose of this study is to analyze the relationship between exclusive breastfeeding and theincidence of diarrhea. This research is an analytic survey with cross sectional approach. The study was conductedat Pulo Brayan civil health center, Medan. The research population was 102 people and all of them were sampled.Data analysis was done using univariate analysis method, bivariate analysis with chi-square with a level ofconfidence of 95% (= 0.05). The result shows that the majority of respondents gave exclusive breastfeeding totheir children (55.9%), did not give exclusive breastfeeding (44.1%). Children without diarrhea (72.5%), andchildren who have diarrhea (27.5%). The variable of exclusive breastfeeding is related to the incidence of diarrheain infants aged 6-24 months at the Pulo Brayan civil health center, Medan (p = 0.003 <0.05). It is recommended forhealth workers to provide counseling and health education to the community, especially mothers with babies toprovide exclusive breastfeeding properly so as to prevent diarrhea.Keywords: Exclusive breastfeeding, DiarrheaDiare masih merupakan masalah kesehatan masyarakat pada negara-negara berkembang seperti Indonesia yang dapat menyebabkan kematian. Banyak faktor yang secara langsung maupun tidak langsung dapat menjadi faktor pendorong terjadinya diare, terdiri dari faktor agent, penjamu, lingkungan dan perilaku.  Faktor perilaku yang diduga berhubungan dengan kerja diare yaitu pemberian ASI eksklusif dan perawatan anak. Tujuan penelitian ini untuk menganalisis hubungan pemberian ASI eksklusif dengan kejadian diare. Penelitian ini adalah survei analitik dengan pendekatan cross sectional. Penelitian dilakukan di Puskesmas Pulo Brayan Medan. Populasi penelitian sebanyak 102 orang dan seluruhnya dijadikan sampel. Analisis data menggunakan analisis univariat, analisis bivariat dengan chi-square dengan tingkat taraf kepercayaan 95% (=0,05). Hasil penelitian menunjukkan bahwa sebagian besar responden memberikan ASI eksklusif pada anaknya (55,9%), tidak memberikan ASI eksklusif (44,1%). Anak tidak mengalami diare (72,5%), anak yang mengalami diare (27,5%). Variabel pemberian ASI eksklusif berhubungan dengan kejadian diare pada bayi usia 6-24 bulan di Puskesmas Pulo Brayan Medan (p=0,003 < 0,05).  Disarankan kepada tenaga kesehatan untuk memberikan penyuluhan dan pendidikan kesehatan kepada masyarakat khususnya ibu yang mempunyai bayi untuk memberikan ASI eksklusif dengan baik sehingga dapat mencegah terjadinya diare.   Kata kunci: ASI Eksklusif, Diare
PENGARUH OBESITAS TERHADAP KEJADIAN DIABETES MELLITUS PADA WANITA USIA SUBUR DI RSUD DR. DJOELHAM BINJAI TAHUN 2017 Pratiwi, Tika Ayu; Lubis, Rahayu; Mutiara, Erna
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 4, No 1 (2018): April 2018
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v4i1.161

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Diabetes mellitus (DM) merupakan penyakit degeneratif yang paling umum ditemukan, peningkatan BMI (Body Mass Index)  1 angka akan mempunyai kecenderungan menjadi kencing manis sebesar 25%. Dengan bertambahnya ukuran lingkaran perut dan panggul, terutama pada obesitas tipe sentral atau androit, menimbulkan resistensi insulin, suatu keadaan dimana insulin tidak dapat bekerja dengan baik, maka terjadilah kencing manis. Tujuan penelitian untuk melihat pengaruh obesitas terhadap kejadian diabetes mellitus pada wanita usia subur di RSUD DR. Djoelham Binjai tahun 2017. Penelitian ini menggunakan studi analitik observasional dengan desain studi unmatched case control. sampel dalam penelitian ini 52 orang (kasus) dan 52 orang (kontrol). Analisis data dilakukan dengan tahapan analisis univariat, bivariat dengan uji chi-Square. Pada kelompok kasus terdapat sebanyak 27 orang (51,9%) wanita usia subur yang obesitas, dan 25 orang (48,1%) yang tidak obesitas. Sedangkan pada kelompok kontrol terdapat sebanyak 14 orang (26,9%) wanita usia subur yang obesitas, dan 38 orang (73,1%)wanita usia subur yang tidak obesitas. Hasil uji statistik menunjukkan bahwa terdapat pengaruh obesitas terhadap kejadian diabetes mellitus  (p= 0,009) pada taraf nyata ? = 0,05. Hasil penelitian juga menunjukkan  nilai OR= 2,931(95%CI 1,292-6,652), artinya wanita usia subur yang obesitas perkiraan risikonya 2,9 kali akan menderita diabetes mellitus dibanding dengan yang tidak obesitas. Kesimpulan dan saran penderita diabates mellitus diharapkan dapat menjaga gula darah agar tetap dalam keadaan normal, mengurangi berat badan bagi pasien obesitas, mengatur kebiasaan makan yang memiliki tinggi karbo, mengurangi makanan yang mengandung tinggi lemak, serta memperbanyak mengkonsumsi sayur dan buah, dan melakukan aktifitas olah raga untuk mengurangi risiko terjadinya diabates mellitus.Kata kunci: diabetes mellitus, obesitas
Pengaruh Tingkat Pengetahuan dan Sikap Ibu terhadap Penyakit Kecacingan Pada Balita Lubis, Rahayu; Panggabean, Merina; Yulfi, Hemma
Jurnal Kesehatan Lingkungan Indonesia Vol 17, No 1 (2018): April 2018
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.17.1.39-45

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Latar belakang: Kejadian kecacingan pada balita di Indonesia masih tinggi. Untuk mengurangi kejadian kecacingan balitamemerlukan upaya terintegrasi seperti peningkatan perilaku sehat. Hal ini dapat diwujudkan dengan memberikan pengetahuan pada masyarakat terutama ibu yang mempunyai balita. Oleh karena itu perlu dilakukan penelitian tentang pengetahuan dan sikap ibu yang mempunyai anak balita yang dibawa ke posyandu untuk pencegahan penyakit kecacingan pada balitaMetode: Ini adalah penelitian quasi experiment,pre and post test design. Populasi adalah ibu yang mempunyai anak balita yang datang ke posyandu Sentosa di Kota Medan tahun 2016. Sampel adalah ibu yang bersedia memeriksakan tinja anak balitanya. Sampel diambil secara purposif yaitu sebanyak 50 orang. Intervensi yang diberikan berupa penyuluhan (ceramah dan video). Pengumpulan data menggunakan kuesioner dan catatan medik Puskesmas Sentosa Baru. Analisis data secara univariat, bivariat menggunakan analisis uji  chi-square.Hasil: Total dari 50ibu yang mempunyai anak balita sebagian besar pada kelompok umur 20-30 tahun, berpendidikan SMP, bekerja sebagai ibu rumah tangga dan mempunyai anak 1-2 orang. Ada peningkatan pengetahuan dan sikap yang baik sebesar 43% dan 52% sesudah di berikan intervensi. Ada pengaruh tingkat pengetahuan ibu terhadap infeksi kecacingan pada balita (RR= 1,96; 95% CI: 1,12-4,15;p = 0,002). Ada pengaruh sikap ibu terhadap infeksi kecacingan pada balita (RR=2,46; 95% CI: 1,46-5,62;p = 0,001).Simpulan: Infeksi kecacingan pada anak balita dipengaruhi oleh pengetahuan dan sikap ibu. Untuk menjaga kesehatan anaknya perlu menjaga kebersihan diri dan lingkungan sertamelakukan pemeriksaan kesehatan secara periodik, penyuluhan kesehatan secara rutin perlu diberikan pada ibu yang datang ke posyandu ABSTRACTTitle: The Influence of Maternal Knowledgeand Attitude Against Soil Transmitted Helminths Infections in Children Lessthan Five Years OldBackground:The incidenceof helminthes infection in children less than five years old is still high in Indonesia. To reduce the incidence of helminthes infectionneeds an integrated effort such as the improvement of healthy behavior. This can be realized by providing knowledge to the community, especially mothers with children under five years. Therefore it is necessary to do research on knowledge and attitude of mother who have children under five who brought to posyandu for prevention of diseases of helminthes infection in children less than five years oldMethod:This is a quasi-experimental study pre and post-test design. The population is mothers who have children less than five years old who come to posyandu Sentosa in Medan City in 2016. The sample is the mother who is willing to check the feces of her children. The sample was taken purposively as many as 50 people. Data collection was using structural questioners before and after intervention (lectures and video) about helminthesinfection.Data medical records from Puskesmas Sentosa Baru Medan. Data analysis univariate and bivariate using chi-square test.Result:A total of 50 mothers with children less than five years old are mostly in the age group 20-30 year, junior high school educated, work as housewives and have 1-2 children. There is an increase in knowledge and good attitude by 43% and 52% after intervention.Mothers with not good knowledge and not good attitude were significantly influence intensity of helminthesinfection in children (RR = 1.96; 95% CI 1.12-4.15, p = 0.002) and (RR = 2.46, 95% CI 1.46-5.62, p = 0.001) respectively.Conclusion: There was influence of maternal knowledge and attitude against helminthes infection in children less than five years old. Awareness in protection of personal and environment hygiene, periodic medical check- up should be done for improve health children. Health counseling routinely needs to be given to mothers who come to posyandu
Pengaruh Pemakaian Kelambu, Kawat Kasa dan Kondisi Geodemografis Terhadap Kejadian Malaria di Kabupaten Batu Bara Lubis, Rahayu; Sinaga, Budi Junarman; Mutiara, Erna
Jurnal Kesehatan Lingkungan Indonesia Vol 20, No 1 (2021): April 2021
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.20.1.53-58

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Latar Belakang: Malaria merupakan salah satu penyakit menular yang menjadi masalah global. Malaria sering menimbulkan kejadian luar biasa dan berakibat pada penurunan kualitas hidup, ekonomi serta mengakibatkan kematian. Penelitian ini bertujuan untuk mengkaji hubungan penggunaan kelambu dan kawat kasa dengan kejadian malaria serta analisis spasial di Kabupaten Batu BaraMetode: Jenis penelitian ini adalah observasional analitik dengan disain matched case control terhadap umur dan jenis kelamin dan analisis spasial. Lokasi penelitian di Kabupaten Batu Bara pada tahun 2018. Sampel berjumlah 136 orang (68 kasus dan 68 kontrol). Sampel kasus adalah penduduk berumur diatas 15 tahun dan positif malaria. Sampel kontrol adalah tetangga kasus dengan gejala demam tetapi hasil pemeriksaan darah negatif malaria.Teknik pengambilan sampel secara purposive sampling. Data dikumpulkan melalui observasi dan wawancara menggunakan kuesioner. Analisis data termasuk data individu dan aggregat. Analisis data menggunakan Epi Info 3.5.4, aggregate analysis menggunakan SatScan v9.8 and Geoda 1.12.0.Hasil: Ada hubungan bermakna antara pemakaian kelambu (OR 2,8) dan kawat kasa (OR 2,5) dengan kejadian malaria. Berdasarkan analisis purely spasial dengan menggunakan software satscan terdapat dua cluster. Cluster 1 terdiri dari 5 kasus dengan nilai RR = 4,41 dan cluster 2 terdiri dari 8 kasus dengan nilai RR = 0,51 Simpulan: Ada hubungan pemakaian kelambu dan penggunaan kawat kasa dengan kejadian malaria di Kabupaten Batu Bara. ABSTRACTTitle: The Effect of The Use of Mosquito Nets, Wire Netsand Geodemographic Conditions on The Incidence of Malaria in Batu Bara District.Background: Malaria is an infectious disease that is a global problem. Malaria often results in Extraordinary Events and results in a decrease in quality of life, economy, and death. This study aims to study the association between the use of mosquito nets and wire nets with the incidence of malaria and  a spatial analysis in Batu Bara District.Method: This research is an analytic observational with matched case-control design according to age and sex and spatial analysis. This research was conducted in Batu Bara District in 2018. Samples were 136 people (68 cases and 68 controls). Case samples were residents aged  more than 15 years who were positive for malaria. Control samples were residents who lived close to the case home with symptoms of fever but the results of the blood test showed negative malaria. The sampling technique used was purposive sampling. Data were collected through observation and interview using a questionnaire, Determination of coordinates using GPS MAP 64S Garmin GPS. The analysis includes individual and aggregate analysis, data analysis using Epi Info 3.5.4, aggregate analysis using SatScan v9.8 and Geoda 1.12.0.Result: There was a significant association between the use of mosquito nets (OR 2.8) and wire nets (OR 2.5) with the incidence of malaria. Based on purely spatial analysis using satscan software, two clusters are formed. Cluster 1 consists of 5 cases with RR = 4.41 and cluster 2 consists of 8 cases with RR = 0.51.Conclusion: There was significant association between the use of mosquito nets and wire nets with the incidence of malaria in Batu Bara District.
Educate cadres for the prevention of Covid-19 in Sei Mati Village, Medan Maimun District Lubis, Rahayu; Jemadi; Rasmaliah
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 1 (2021): ABDIMAS TALENTA : Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.264 KB) | DOI: 10.32734/abdimastalenta.v6i1.5322

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The first case of Covid-19 in Indonesia was in early March 2020 and continues to grow until December 13, 2020, reaching 617 820 positive for Covid-19 and 18,819 deaths. Data in North Sumatra Province, there are 16,682 positive Covid-19 and 640 deaths and Medan City statistical data there are 8192 people positive for Covid-19 and 327 died. Prevention of Covid-19 transmission needs to be done by involving cadres, therefore this service aims to form health cadres and provide educational packages on the prevention of Covid-19 transmission in Sei Mati Village, Medan Maimun District. The reason for choosing the location was because cadres played an active role in their environment. Participants are health cadres such as posyandu cadres. The method used to measure knowledge using a questionnaire before and after the intervention (pre and post test design). The intervention was in the form of lectures and questions and answers using in-focus followed by videos. The implementation of community service was carried out in the Sei Mati village head office hall on September 26, 2020. Participants who attended were 25 people with an average age of 36 years. There was an increase in knowledge and efforts to prevent Covid-19 by 14.7% after intervention. Regular outreach efforts to the community are needed about efforts to increase immunity and maintain health protocols and the availability of running water for washing hands to avoid Covid-19 transmission. The output of this service is in the form of journal articles, educational videos and newspaper publications.
Correlation among Sodium Intake, Fat Intake and Physical Activity with Prevalence of Hypertension in Young Adults at Arifin Achmad Regional Public Hospital, Riau Huzaipah, Annisa Amalia; Aritonang, Evawany Yunita; Lubis, Rahayu
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Hypertension is called the silent killer for it has high prevalence rate and is asymptomatic; thus, it needs to be early prevented. When blood pressure is high and uncontrollable, it may lead to complications. Today, hypertension is not only found in elderly, it is also found among young adults at age > 18 and it tends to increase annually as they frequently consume high sodium and high fat and lack of physical activities along with the development of technology. Developed technology has made everything easy to do without burning excessive energy. More researches on hypertension are conducted on elderly and only a few are conducted on young adults. The objective of this study is to discover the correlation among sodium intake, fat intake, and physical activity with prevalence of hypertension in young adults at Arifin Achmad Regional Public Hospital, Riau Province.Subjects and Method: This is an analytical observational study with case-control design that was carried out at Arifin Achmad Regional Public Hospital, Riau Province, Indonesia. A sample of 80 respondents divided into a case group with 40 respondents and control group with 40 respondents was selected by purposive sampling. The depen­dent variable was prevalence of hypertension. The independent variables were sodium intake, fat intake, and physical activity. The instrument used was questionnaires. The data were collected through interviews and analysed by bivariate analysis (chi-square) and multivariate analysis (multiple logistic regression testing).Results: The results of multivariate test demonstrated that variable sodium intake (OR= 2.39; 95% CI= 0.84 to 6.75; p= 0.099) and fat intake (OR= 2.73; 95% CI= 0.92 to 8.06; p= 0.069) did not show any correlation with prevalence of hypertension because it did not meet the required p value= <0.05. The results also showed that prevalence of hypertension physical was most correlated with physical activity (OR= 4.54; 95% CI= 1.59 to 13.00; p= 0.005).Conclusion: There was a significant correlation among sodium intake, fat intake, and physical anctivity with the prevalence of hypertension in the young adults at Arifin Achmad Regional Public Hospital, Riau Province and the most dominant variable was physical activity.Keywords: sodium, fat, physical activity and prevalence of hypertensionCorrespondence: Annisa Amalia Huzaipah. Faculty of Public Health, Universitas Sumatera Utara. Jl. Dr. T. Mansur 9, Medan, North Sumatera. Email: annisaamaliahzp@gmail.com. Mobile: 085278­296171.Journal of Epidemiology and Public Health (2020), 05(03): 384-392 https://doi.org/10.26911/jepublichealth.2020.05.03.12.  
THE INFLUENCED FACTORS ON THE SYPHILIS DISEASE INFECTION MATTER ON THE MAN PRODUCTIVE AGE IN THE TELADAN PUBLIC HEALTH CENTER MEDAN PERIOD OF JANUARY – SEPTEMBER 2019 Liana Rosa; Rahayu Lubis; Heru Santoso
INTERNATIONAL JOURNAL ON LANGUAGE, RESEARCH AND EDUCATION STUDIES Vol 4, No 2 (2020): Language, Research, and Education
Publisher : State Islamic University of North Sumatra Indonesia

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Abstract

Syphilis is an STI that is caused by Treponema pallidum, mainly transmitted through sexual contact. Men of childbearing age (25-49 years) are at high risk of contracting syphilis due to sexual activity. The purpose of this study was to analyze the factors that influence the occurrence of syphilis in men of productive age. This research is an observational analytic study with case control design. The study was conducted at the Medan Exemplary Health Center. The study population was all VCT clinic visitors from January 2019 to September 2019. The number of case samples was 59 people, and control samples were 59. Data analysis used univariate analysis, bivariate analysis with chi-square, and multivariate analysis using multiple logistic regression tests. The results showed that the factors that influenced syphilis were syphilis history (p = 0.013), condom use (p = 0.012), and number of sexual partners (p = 0.003), while education variables (p = 0.222), injecting drug use (p = 0.585) and the sex of the spouse has no effect. The most dominant variable influencing the occurrence of syphilis in men of productive age (25-49 years) in Puskesmas Teladan Medan is the history of syphilis / STI. Men of childbearing age who have a history of syphilis / STI have a 15.6 times higher chance of developing syphilis compared to men with no history of syphilis / STI. It is recommended to the Medan Exemplary Health Center to provide health education through counseling about syphilis and ways to prevent it. Keywords: Syphilis, Male, Productive Age