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Adolescents school students in Java and Sumatra are in greater risk of obesity Nunik Kusumawardani; Anissa Rizkianti Rizkianti; Rofingatul Mubasyiroh; Prisca Petty Arfines; Tities Puspita
Health Science Journal of Indonesia Vol 10 No 2 (2019)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v12i2.2448

Latar belakang: Indonesia masih menghadai beban ganda masalah gizi berkaitan dengan obesitas yang meningkat sementara masalah kurang gizi masih terjadi, termasuk pada remaja. Hasil penelitian masih terbatas, dalam hal aspek demografi dan geografi di Indonesia, sementara strategi pencegahan obesitas pada remaja membutuhkan intervensi yang lebih optimal. Tujuan: Studi ini bertujuan untuk memberikan gambaran masalah obesitas berdasarkan karakteristik populasi dan perilaku berisiko di region yang berbeda. Metode: Studi ini menggunakan data sekunder dari survei kesehatan berbasis sekolah tahun 2015 yang dikembangkan oleh CDC Amerika dan WHO, dengan modifikasi sesuai kondisi Indonesia. Analisis mencakup 10,544 pelajar kelas 7 – 12 dengan representasi populasi nasional di tiga regional/pulau di Indonesia. Uji statistik yang digunakan adalah chi-square dan log regression. Hasil: Model logistik menunjukkan pelajar remaja yang tinggal di pulau Jawa mempunyai risiko yang lebih tinggi untuk mengalami obesitas (adjusted OR 2.1;95%CI 1.3-3.3) dibandingkan pada pelajar yag tinggal di pulau Sumatra dan luar pulau Jawa dan Sumatra, sementara perilaku berisiko seperti aktivitas fisik dan perilaku diet tidak menunjukkan hubungan yang bermakna dengan kejadian obesitas. Kesimpulan: Disparitas masalah obesitas terjadi pada remaja di tiga pulau besar di Indonesia, di tingkat kelas yang berbeda dan perilaku diet berisiko yang berbeda. Strategi pencegahan diperlukan lebih mengarah pada intervensi berbasis sekolah dengan memperhatikan faktor geografis tempat tinggal di pulau Sumatra dan lainnya serta tingkat atau kelas yang berbeda. (Health Science Journal of Indonesia 2019;10(2):119-27) Kata kunci: Obesitas, remaja, perilaku diet, region, aktivitas fisik Abstract Background: Indonesia faces burden of nutrition related diseases as obesity is increasing while malnutrition still exists, including in adolescents. Research are limited in term of which specific demography and geography aspects in Indonesia while stronger strategic intervention to prevent obesity in adolescents is needed. Objective: This study aims to describe proportion of obesity in indifferent adolescents characteristic and eating behaviour in different regions. Method: This study used data from Indonesia 2015 Global School-based Health Survey developed by US CDC and WHO) with modification based on Indonesia specific. The analysis included 10,544 students covered national representative and three regions of school students (grade 7 to 12) in Indonesia. Statistical analysis used chi square and log regressions. Results: The logistic model showed adolescents students living in Java island has significantly higher risk of obesity (adjusted OR 2.1;95%CI 1.3-3.3) compare to their peers in outside Java and Sumatra Island, while behavior risk factors such as physical activity and dietary habit were not significantly associated with obesity. Conclusions: Issues disparity of obesity in adolescents occurred in the three main Islands in Indonesia, in different school grades and in those with different dietary risk behaviours. Intervention strategy to address adolescents obesity issues will need to be directed toward school-based settings with taking into account specific approaches for students in Sumatra and other main islands in Indonesia as well as specific for junior and senior high school. (Health Science Journal of Indonesia 2019;10(2):119-27). Keywords: Obesity, adolescents, dietary behaviour, region, physical activity

PENERAPAN ANALISIS KOMPONEN PRINSIPAL DALAM MEMBENTUK INDEKS PENGETAHUAN TENTANG FILARIASIS Anton Suryatma; Tities Puspita
JURNAL EKOLOGI KESEHATAN Vol 17 No 3 (2018): JURNAL EKOLOGI KESEHATAN VOL 17 NO.3 TAHUN 2018
Publisher : Puslitbang Upaya Kesehatan Masyarakat

ABSTRACT Knowledge about filariasis is one of many importance dimensions of succsessing filariasis elimination in Indonesia. This study aims at forming knowledge index about filariasis using principal component analysis. Principal component analysis methods have been used to reduce the researcher subjectivity in making knowledge composit. Data was from multicentre research on filaria 2017 by Indonesian National Institute of Health Research and Development. It was a cross sectional study conducted in 23 districts with 13,266 respondents. Ten questions about the causes and impacts of filariasis were asked with a structured questionnaire. Tetrachoric correlation and principal component analysis were used in data analysis. The knowledge index could explain 45.18% (rho=0.4518) of knowledge variations from the ten questions. This index can potentially be used as an output or a predictor variable in advance analysis. Future studies should take into account all levels and depths of knowledge when forming a knowledge composit. Keywords: knowledge, filaria, filariasis, principal component analysis ABSTRAK Pengetahuan tentang filariasis merupakan salah satu dimensi penting dalam keberhasilan eliminasi filariasis di Indonesia. Studi ini bertujuan untuk membentuk indeks pengetahuan tentang filariasis menggunakan metode analisis komponen prinsipal. Metode analisis komponen prinsipal digunakan untuk mengurangi subjektifitas peneliti dalam membentuk komposit pengetahuan. Data yang digunakan berasal dari penelitian multisenter filariasis 2017 yang dilakukan oleh Badan Penelitian dan Pengembangan Kesehatan. Penelitian tersebut merupakan penelitian potong lintang di 23 Kabupaten dengan 13.266 responden. Terdapat sepuluh pertanyaan yang ditanyakan melalui kuesioner terstruktur mengenai penyebab dan akibat dari filariasis. Data dianalisis dengan korelasi tetrakorik dan analisis komponen prinsipal. Indeks pengetahuan filariasis yang terbentuk dapat menjelaskan 45,18% (rho=0,4518) variasi pengetahuan dari 10 pertanyaan. Indeks ini dapat digunakan dalam analisis lanjutan sebagai variabel output atau prediktor. Disarankan untuk mempertimbangkan tingkatan dan kedalaman pengetahuan apabila hendak membentuk komposit pengetahuan filariasis. Kata kunci: pengetahuan, filaria, filariasis, analisis komponen prinsipal

PERBANDINGAN RISIKO KESEHATAN PENGGUNAAN ADITIF FTALAT DAN NON FTALAT PADA BAHAN PLASTIK KEMASAN MAKANAN Eva Laelasari; Athena Anwar; Tities Puspita
JURNAL EKOLOGI KESEHATAN Vol 20 No 1 (2021): JURNAL EKOLOGI KESEHATAN VOLUME 20 NOMOR 1 TAHUN 2021
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jek.v20i1.3683

ABSTRACT The use of plastic-based food packagings has become an option considering their practicality and affordability. However, it is necessary to be aware of the health risks caused by exposure of phthalate plasticizer additives. This article aims to determine the comparison of risks of using phthalate and non-phthalate as plasticizers by scoping review method. The articles were searched through Google Scholar, Pubmed, and official website portals. After categorizing process, we obtained 41 articles for review refference. The result showed that phthalates are categorized as toxic compounds which have risks to disrupt endocrine glands activities. One of the phthalate compounds widely used as plasticizer is di-(2-ethylhexyl) phtalat, which is categorized into Group 2B (probably carcinogenic). Human biomonitoring values for six phthalate compounds vary from 0.02 to 8 mg/kg/day, while alternative plasticizer compounds ranging from 100 to 1,000 mg/kg/day. These alternative phthalate compounds are relatively safer because they do not easily migrate into food or drinks. There is no regulation due to phthlate restriction as plasticizer in Indonesia. Therefore, it is necessary to design the relevant regulation and we recommend the safer non-pthalate alternatives for plasticizers. Keywords: Plasticizer, Phthalate, Non-phthalate, Health risks ABSTRAK Penggunaan kemasan makanan berbahan dasar plastik menjadi pilihan karena dinilai praktis dan harganya terjangkau. Namun perlu diwaspadai risiko kesehatan dari pajanan aditif plastik berupa pemlastis yang terbuat dari senyawa ftalat. Artikel ini bertujuan untuk melakukan tinjauan perbandingan risiko penggunaan pemlastis berbahan ftalat dan alternatif non ftalat dengan metode scoping review. Penelusuran artikel melalui portal Google Scholar, Pubmed, dan situs resmi pemerintah/lembaga. Setelah melalui proses pengkategorian, diperoleh 41 artikel yang digunakan sebagai referensi tinjauan. Dari hasil tinjauan literatur diperoleh informasi bahwa senyawa ftalat dikategorikan dalam senyawa toksik dan berisiko mengganggu kerja kelenjar endokrin. Bahkan salah satu senyawa ftalat yang banyak digunakan sebagai aditif pemlastis, yaitu di-(2-ethylhexyl) phtalat, dikategorikan ke dalam Golongan 2B (probably carcinogenic). Nilai human biomonitoring untuk enam senyawa ftalat bervariasi pada kisaran 0,02–8 mg/kg/hari, sedangkan nilai untuk pemlastis alternatif berkisar antara 100-1000 mg/kg/hari. Senyawa alternatif non ftalat dianggap aman karena tidak mudah bermigrasi memajani makanan atau minuman. Di Indonesia belum ada regulasi yang mengatur pembatasan ftalat sebagai pemlastis, karena itu perlu dirancang regulasi terkait dan merekomendasikan alternatif pemlastis non ftalat yang aman bagi kesehatan. Kata kunci: Pemlastis, Ftalat, Non ftalat, Risiko kesehatan

Difficulty Accessing Drinking Water during COVID-19 Pandemic in Indonesia Zahra Zahra; Basuki Rahmat; Ika Dharmayanti; Tities Puspita; Alfons Letelay; Feri Ahmadi
Jurnal Penelitian Pendidikan IPA Vol 9 No 3 (2023): March
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i3.3278

The problem of the availability of clean and safe water in Indonesia has increased during global climate change. The conditions of the COVID-19 pandemic also have an impact on increasing domestic water use. This study aims to assess drinking water access in household during COVID-19 pandemic. This study using data of National Household of Drinking Water Quality Survey. The survey conducted in 2020 of 21,829 household in Indonesia. Many households have increased water consumption, households for hand washing (49.6% HH), personal hygiene (37.2% HH), clean house (29.2% HH), and washing (33.9% HH). There are only 1.6% of HH have difficulty accessing drinking water source, 1.3% in urban area and 2.0% in rural area. The cause is 76.1% because of decreased water flow and 42.1% because of economic problems. Drinking water sources used by household who has difficulty accessing drinking water are piped water (26.8%), refill water (16.8%), and bore hole (13.6%). Only few of household difficult to access drinking water during COVID-19 pandemic, meanwhile there are increasingly of drinking water needs. It is suggested that the municipal government form a public-private partnership (PPP) to invest in immediate and long-term water infrastructure in order to strengthen the resilience of drinking water systems against future pandemics.

Knowledge, Attitudes, and Practice Health Care Workers on Disposable Mask Waste Management in the Post-COVID-19 Pandemic Wawan Ridwan; Endang Puji Astuti; Dede Anwar Musadad; Tities Puspita; Ristrini Ristrini; Gurendro Putro; Edy Suyanto; Siwi Pramatama
Jurnal Penelitian Pendidikan IPA Vol 9 No 10 (2023): October
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i10.3670

Biomedical waste including disposable masks requires proper waste handling so it doesnâ€™t pollute the environment and cause re-transmission of COVID-19 disease. The purpose of this study was to look at the relationship between the knowledge, attitudes and practices of the Public Health Centre in Pangandaran Regency. Methodology: Cross-sectional study approach to study assessed KAP. 91 participants were from 15 different public health centres in Pangandaran. Data analysis used chi-square statistical test. Presented with frequency distribution and the form of a tabulation. Result indicated knowledge of respondents was only 41.40% with high scores and practices with high scores were only 44.40% but attitudes towards disposable mask waste management with high scores reached 98.6%. There is a relationship between age and practice with a p-value of 0.009 and a relationship between knowledge and practice with a p-value below 0.05. Conclusion the participants had insufficient knowledge and practice scores but have good attitude scores. Our results conclude that the HCWs good attitude does not affect good practice but knowledge may lead to a proper practice. Findings of this study suggest that a regular training program for the HCWs on BMW specially on disposable mask management may lead to better practice

Knowledge, Attitudes, and Practice Health Care Workers on Disposable Mask Waste Management in the Post-COVID-19 Pandemic Wawan Ridwan; Endang Puji Astuti; Dede Anwar Musadad; Tities Puspita; Ristrini Ristrini; Gurendro Putro; Edy Suyanto; Siwi Pramatama
Jurnal Penelitian Pendidikan IPA Vol. 9 No. 10 (2023): October
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i10.3670

Biomedical waste including disposable masks requires proper waste handling so it doesnâ€™t pollute the environment and cause re-transmission of COVID-19 disease. The purpose of this study was to look at the relationship between the knowledge, attitudes and practices of the Public Health Centre in Pangandaran Regency. Methodology: Cross-sectional study approach to study assessed KAP. 91 participants were from 15 different public health centres in Pangandaran. Data analysis used chi-square statistical test. Presented with frequency distribution and the form of a tabulation. Result indicated knowledge of respondents was only 41.40% with high scores and practices with high scores were only 44.40% but attitudes towards disposable mask waste management with high scores reached 98.6%. There is a relationship between age and practice with a p-value of 0.009 and a relationship between knowledge and practice with a p-value below 0.05. Conclusion the participants had insufficient knowledge and practice scores but have good attitude scores. Our results conclude that the HCWs good attitude does not affect good practice but knowledge may lead to a proper practice. Findings of this study suggest that a regular training program for the HCWs on BMW specially on disposable mask management may lead to better practice

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