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PENGARUH USIA PERTAMA KALI MELAKUKAN HUBUNGAN SEKSUAL TERHADAP KEJADIAN KANKER SERVIKS DI RUMAH SAKIT UMUM DR. PIRNGADI MEDAN TAHUN 2017 Lubis, Rhina Chairani; Siregar, Fazidah Aguslina; Sanusi, Sri Rahayu
Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Vol 1, No 2 (2017): 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.v1i2.1034

Abstract

Kanker Serviks merupakan masalah yang paling sering terjadi pada sistem reproduksi wanita. Setiap tahun terdeteksi lebih dari 15.000 kasus kanker serviks, dan sekitar 8.000 kasus diantaranya berakhir dengan kematian. Jumlah penderita kanker diperkirakan terus meningkat dari tahun ke tahun dengan perkiraan mencapai 12 juta jiwa pada tahun 2030. Setiap tahun, terdapat 6,25 juta orang baru yang menderita kanker. Untuk penyakit kanker serviks di dunia, diperhitungkan terjadi lebih dari 30 per 100.000 penduduk. Penelitian ini bertujuan untuk untuk mengetahui pengaruh usia pertema kali melakukan hubungan seksual terhadap  kejadian kanker serviks pada wanita di RSUD. Dr. Pirngadi Kota Medan Tahun 2017.Penelitian bersifat case kontrol study. Kasus  ini diambil dari penderita kanker serviks dan kontrol bukan penderita kanker serviks di Poli Obygn RSUD Dr. Pirngadi Medan. Jumalh sampel pada kasus dan pada kontrol 58. Analisis data yang digunakan dengan Simple Logistic Regression.Hasil menunjukkan adanya pengaruh yang signifikan anatara usia pertama kali melakukan hubungan seksual (p=0,002; OR 3,359; 95% CI 1,566-7,203 ) terhadap kejadian kanker serviks. Disimpulkan bahwa wanita yang  pertama kali melakukan hubungan seksual<20 tahun perkiraan risikonya 3,3 kali akan menderita kanker serviks di bandingkan dengan wanita yang melakukan hubungan seksual>20 tahun.
Factors Associated with Hypertension among Elderly in Medan, Indonesia Situngkir, Santa Ulina Apriani; Lubis, Namora Lumongga; Siregar, Fazidah Aguslina
Journal of Epidemiology and Public Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (389.767 KB)

Abstract

Background: Hypertension or high blood pressure is often called the silent killer. World Health Organization reported that hypertension is estimated to cause 7.5 million deaths (12.8% of the total of all deaths). Prevalence of hypertension in Medan ranked the third in Indonesia in all ages with the mortality of 6.8%. The purpose of this study was to examine factors associated with hyper­tension among elderly in Medan, Indonesia.Subjects and Method: This was an analytic observational study with a case-control design. The population was all elderly people who visited community health centre in Medan, North Sumatera, in 2016. A sample of 124 elderly was selected for this study by purposive sampling, consisting of 62 hypertensive and 62 normotensive elderly. The dependent variable was hypertension. The independent variables were physical activity, obesity, and family hisyory of hypertension. Data on blood pressure were measured by sphygmomanometer. The other data were collected by questionnaire. The data were analyzed by a multiple logistic regression.Results: Obesity (OR = 2.48; 95% CI = 1.05 to 5.87), low physical activity (OR = 2.56; 95% CI= 1.06 to 6.17), and family history of hypertension (OR = 5.74; 95% CI = 2.44 to 13.46) increased the risk of hypertension.Conclusion: Obesity, low physical activity, and family history of hypertension increase the risk of hypertension.Keywords: hypertension, elderly, risk factors Correspondence: Santa Ulina Apriani Situngkir. Masters Program in Public Health, Universitas Sumatera Utara, Jl. Universitas 21, Medan 20115, North Sumatera, Indonesia. Email: situngkir_29@yahoo.com. Mobile: +6281370430295.Journal of Epidemiology and Public Health (2019), 4(3): 215-221https://doi.org/10.26911/jepublichealth.2019.04.03.09
Physical Activity, Obesity, Family History, and Their Associations with Hypertension among the Elderly in Aceh Singkil, Aceh Amra, Ricca Nophia; Siregar, Fazidah Aguslina; Mutiara, Erna
Journal of Epidemiology and Public Health Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (563.656 KB)

Abstract

Background: Hypertension is an important global health challenge due to its high prevalence and resulting cardiovascular disease and chronic kidney disease. This study aimed to examine the associations of physical activity, obesity, family history, with hypertension among the elderly in Aceh Singkil, Aceh.Subjects and Method: This was a case control study carried out in Aceh Singkil, Aceh, Indo­ne­sia. A sample of 132 elderly was selected for this study, consis­t­ing 66 elderly with hyper­tension and 66 elderly without hypertension. The depen­dent variable was hypertension. The independent variables were physical activity, obesity, and fa­mily history. Hypertension data was measured by sphygmo­ma­nometer. The other data were collected by qu­e­s­tionnaire. The data were analy­zed by a multiple logistic regression model.Results: Hypertension was associated with phy­sical inactivity (OR= 5.12; 95% CI=2.41 to 10.86; p<0.001), obesity (OR= 3.30; 95% CI= 1.61 to 6.74; p<0.001), and family history (OR=7.73; 95% CI=3.56 to 16.78; p<0.001).Conclusion: Physical activity, obesity, and fa­mily history, are associated with an increased risk of hypertension.Keywords: physical activity, obesity, family history, hypertensionCorrespondence: Ricca Nophia Amra. Masters Program in Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: ricca.ubudiyah­@­gmail.­com. Mobile: 085260686305Journal of Epidemiology and Public Health (2020), 5(1): 45-51https://doi.org/10.26911/jepublichealth.2020.05.01.05
EARLY DETECTION OF HYPERTENSION IN ELDERLY AND IMPROVING THE QUALITY OF LIFE THROUGH HEALTHY LIFE BEHAVIOR Siregar, Fazidah Aguslina
Journal of Saintech Transfer Vol. 2 No. 1 (2019): Journal of Saintech Transfer
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (109.624 KB) | DOI: 10.32734/jst.v2i1.966

Abstract

Hypertension is common in the elderly. The diseases is related to unhealthy lifestyles include unhealthy food habitual and lack of physical activity. Delay in detecting and handling have an impact on the quality of life. The community service had been carried out at Tanjung Anom Village, Pancurbatu subdistrict, Deli Serdang. The purpose of&nbsp; this activity to detect hypertension&nbsp; through health examination (Height, weight, waist size, blood pressure, blood&nbsp; sugar levels, cholesterol, and uric acid&nbsp; level), followed by education on healthy lifestyles and elderly gymnastic exercise and preparation of&nbsp; healthy menu. Of the 49 elderly were present, 26 people (53.1%) were obese, 12 people (24.5%) had diastolic hypertension, and 30 people (61.2%) were at the stage of prehypertension. Based on risk factors, 7 people (14.3%) had high blood glucose levels, as many as 38 people (77.6%) had high cholesterol levels and 28 people (57.1%) with high uric acid levels. From the results, most of elderly have high blood pressure. In the effort to reduce the number of hypertensive patients in the elderly, it is necessary to early detection and applied a healthy lifestyle.
ASSOCIATION OF NUTRITION AND OVERCROWDED ON THE RISK OF PULMONARY TUBERCULOSIS IN SAMOSIR DISTRICT NORTH SUMATERA Sitanggang, Helpi; Siregar, Fazidah Aguslina; Nurmaini, Nurmaini
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 15 No 1 (2020): Jurnal Ilmiah PANNMED Periode Januari-April 2020
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (490.36 KB) | DOI: 10.36911/pannmed.v15i1.657

Abstract

Background: Pulmonary tuberculosis is an infection diseases that continues to increase morbidity and mortality in Indonesia. In 2017, the cases of pulmonary TB in Samosir District was 252 cases, with incidence rate a smear-positive of 126 per 100,000 population. Smear positive pulmonary tuberculosis potential to infect other people who living in the same environtment. &nbsp; Materials and Methods: This study aims to determine the association of nutritional status and lighting withsmear positive pulmonary tuberculosis. Methods: A case-control study was conducted among 63 cases of smear-positive pulmonary tuberculosis and 63 controls without pulmonary tuberculosis. The cases were retrieved from the TB Registry at health centre in Samosir District. The cases were recruited from June 2018 to March 2019. Data was collected using a set of questionnaireby interview. Simple logistic regressionwas used to compute the crude odds ratio for the association of nutritional and lighting with smear-positive pulmonary tuberculosis. &nbsp; Result: This study indicated that there was an association of poor nutrition status (OR = 4.280; 95% CI: 1.849, 9.906), and an overcrowded (OR = 5.084;95% CI: 1.852, 13,995) with the incidence of smear-positive pulmonary TB in Samosir District. &nbsp; Conclusion: The conclusion of this study there was an association between poor nutritional status and an overcrowded with smear-positive pulmonary TB in Samosir District. Some interventions needed including strengthening health promotion and supplementary feeding to TB patient. &nbsp;
Pengaruh Metode Promosi Kesehatan Terhadap Pengetahuan Dan Sikap Penderita Tb Dalam Pencegahan Tb Di Puskesmas Aek Parombunan Kota Sibolga Hotmauli Manik; R.Kintoko Rochadi; Fazidah Aguslina Siregar
Jurnal Health Sains Vol. 1 No. 3 (2020): jurnal health sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v1i3.27

Abstract

Penyakit Tuberkulosis (TB) masih menjadi permasalah kesehatan di dunia hingga saat ini, World Health Organization melaporkan bahwa 10 juta kasus baru TB dengan jumlah kasus relatife stabil. Kasus TB ini, sebagian besar berada di negara berkembang, diantaranya di Indonesia. Upaya pengendalian TB secara Nasional telah dilakukan dengan program DOTS (Directly Observed Treatment Shourt Course), program ini adalah pengawasan langsung pengobatan dengan jangka pendek. Tujuan penelitian ini untuk menganalisis pengaruh promosi kesehatan terhadap pengetahuan dan sikap penderita TB dalam pencegahan TB di Puskesmas Kota Sibolga. Jenis penelitian yang digunakan adalah eksperimen semu dengan rancangan pretest-posttest control group design. Jumlah sampel dalam penelitian sebanyak 15 orang. Sebelum melakukan analisis data dilakukan uji Saphiro-wilk dan diperoleh data berdistribusi normal, kemudian dilanjutkan analisis data uji paired t-test dan diperoleh nilai rerata pengetahuan dari 13,40 menjadi 22,73 dengan nilai p = 0,000 dan niai rerata sikap dari 9,67 menjadi 12,47 dengan nilai p = 0,000 yang artinya bahwa ada pengaruh kombinasi ceramah dan audiovisual/film terhadap pengetahuan dan sikap penderita TB. Berdasarkan hasil uji tersebut dapat disimpulkan bahwa pemberian promosi kesehatan dengan metode kombinasi ceramah dengan media audiovisual berpengaruh terhadap perubahan pengetahuan dan sikap penderita TB dalam pencegahan TB. Oleh karena itu diperlukan pengembangan media promosi kesehatan secara terus menerus terkait pencegahan penyakit TB.
Factors Associated with Breast Cancer in Women of Reproductive Age at Dr. Pirngadi Hospital, Medan, North Sumatera Sari, Mila Trisna; Sarumpaet, Sorimuda; Siregar, Fazidah Aguslina
Journal of Maternal and Child Health Vol 6, No 1 (2021)
Publisher : Journal of Maternal and Child Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.638 KB)

Abstract

Background: Breast cancer has the highest prevalence in Indonesia. The objective of the research was to analyze the risk factors which influenced the incidence of breast cancer in women of reproductive age.Subjects and Method: This was a case-control study conducted at Dr. Pirngadi Hos­pital, North Sumatera. The population was all 15-49 year-old breast cancer women. Sample of 42 women of reproductive age with breast cancer and 42 women without breast cancer was selected for this study. The dependent vari­able was breast cancer. The independent vari­ables were family history of breast cancer, menarche, history of breastfeeding, and history of fibrocystic disease. The data were collected by questionnaire and medical record. The data were analyzed by a multiple logistic regression.Results: History of family with breast cancer (OR= 4.93; 95% CI=1.33 to 18.28), age of menstruation (OR= 8.46; 95% CI=2.34 to 30.64), history of breastfeeding (OR= 8.46; 95% CI= 2.19 to 32.70), and history of fibro­cystic disease (OR= 7.12; 95% CI=1.99 to 25.48) were associated with breast cancer.Conclusion: History of family with breast cancer, age of menstruation, history of breast­feeding, and history of fibrocystic disease are associated with breast cancer.Keywords: breast cancer, history of breastfeeding, women of reproductive ageCorrespondence: Mila Trisna Sari. Masters Program in Public Health, Universitas Sumatera Utara. Email: milatrisnasari@gmail.com. Mobile: 08192100­173Journal of Maternal and Child Healthdoi.org/10.26911/thejmch.2021.06.01.09 
Community Empowerment in The Prevention of Stunting for Children Under Five : by Optimizing the Role of Cadres, Health Education and Family Assistance Siregar, Fazidah Aguslina; Surdayati, Etti; Nurmaini
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 2 (2020): ABDIMAS TALENTA : Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (853.343 KB) | DOI: 10.32734/abdimastalenta.v5i2.4963

Abstract

Stunting is a health problem needs serious attention. In Bagan Deli Village, the proportion of children who are stunted was 10.37% and children with poor nutritional status was 2.9%. It has an impact on growth disorders, immune system, and furthermore, impaired children's intelligence. Optimizing the role of cadres and family involvement in stunting prevention is necessary. The aims of this activity was to educate cadres and parents in monitoring the growth of children under five, nutritional intake of children and implement of nutritional intake in daily life. From this activity, it can be seen that the cadres' knowledge increases in monitoring the growth and nutrition of children under five after training. From the health status examining on children, it was found that 33.3% of children under five were malnourished, 33.3% were with poor nutrition and 33.3% were with good nutrition. Education and family assistance are provided to parents in preparing a balanced healthy menu for children. It was suggested that parents prepared daily healthy menu and monitoring the nutrition of children under five. Therefore, community empowerment in preventing stunting in children under five is necessary
The Effect of Nutrition Status and Occupancy Density Compliance with Home Contact Pulmonary TB Insidence in Specialized Hospital of Pulmonary Dahwan, Dahwan; Aguslina, Fazidah; Hasan, Wirsal
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 2 (2020)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v16i2.22601

Abstract

Pulmonary Tuberculosis is an important and serious public health problem throughout the world. It is caused by Mycobacterium tuberculosis which attacks lungs and other body organs. This study aimed to determine the effects of nutritional status and dwelling density on the risk of pulmonary TB incidence in Medan, North Sumatera. This was a case control study conducted at Pulmonary Disease Hospital, Medan, North Sumatera, from January to June in 2018. A sample of 120 patients was selected for this study, consisting 60 patients with TB and 60 patients without TB. The dependent variable was TB incidence. Data were collected through observations and interviews using questionnaires. Data was analyzed by bivariate using simple logistic regression test and multivariate by multiple logistic regression. The result showed poor nutritional status is closely associated with pulmonary TB infection. Impact of nutritional status and occupancy density on incidence of Pulmonary contact TB at Median Specialized Hospital in 2018.
Risk Factors of Hypertension in Reproductive Age Women in Kedai Durian Health Center, Medan, Indonesia Situmorang, Friza Novita Sari; Mutiara, Erna; Siregar, Fazidah Aguslina
Journal of Epidemiology and Public Health Vol 6, No 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.043 KB)

Abstract

Background: Hypertension is a global problem in the world. Data from the World Health Organization (WHO) in 2013 showed that deaths from complications of hypertension reached 9.4 million deaths worldwide. This study aims to determine the risk factors to the incidence of hypertension in women of repro­ductive age in Kedai Durian Health Center.Subjects and Method: This was a case con­trol study carried out at Kedai Durian Health Center, Medan, Indonesia. A sample of 100 women of reproductive age was selected for this study. It consists of 50 women of reproductive age with hypertension and 50 women of repro­ductive age without hypertension. The depen­dent variable was hypertension. The indepen­dent variables were physical activity, obesity, and family history. Hypertension was measured by sphygmomanometer. The other data were collected by questionnaire. The data were analyzed by a multiple logistic regression.Results: Hypertension was associated with physical activity (OR=3.46;95% CI=1.52 to 7.90;p=0.003), obesity (OR=4.57;95% CI= 1.96 to 10.64 p<0.0001), family history (OR= 9.33;95% CI=720 to 23.41;p<0.0001), and fat consumption (OR=4.14;95% CI=1.79 to 9.57;p=0.001).Conclusion: Physical activity, obesity, family history, and fat consumption are associated with an increased risk of hypertension.Keywords: Physical activity, obesity, family history, hypertensionCorrespondence: Friza Novita Sari  Situmorang. Masters Pro­gram  in Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: fry­zha_situmorang@ymail.com. Mobile: 082273­235641.Journal of Epidemiology and Public Health (2021), 06(01)https://doi.­org/10.26911/­jepublichealth.2021.06.01.05