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Journal : Contagion: Scientific Periodical Journal of Public Health and Coastal Health

Factors Associated with Hypertension Control Behavior in the Pre-Elderly Group in Padangsidimpuan City Raysyah Rahmadhani Hasibuan; Kintoko Rochadi; Fazidah Aguslina Siregar
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 3 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i3.15649

Abstract

Indonesia is currently facing a double burden of disease, namely communicable diseases and non-communicable diseases, where behavior is one of the causes of changes in the pattern of these diseases. One of the non-communicable diseases which is the main cause of premature death in the world, namely hypertension is a silent killer with the highest prevalence rate in Indonesia. Untreated hypertension can cause complications. The elderly population is the most vulnerable population suffering from hypertension. One of the areas in North Sumatra with an ever-increasing number of cases of hypertension is Padangsidimpuan City. This study aims to analyze factors related to hypertension control behavior in the pre-elderly group in Padangsidimpuan City. This type of research is quantitative analytic with cross sectional design. The total population in this study was 3104 with a total sample of 237 obtained using cluster sampling and proportional random sampling. The instrument in this study used a questionnaire. The data obtained were analyzed by univariate, bivariate, and multivariate using multiple logistic regression tests. The results showed that there was a relationship between intention (p=0.002), knowledge (p=<0.001), attitude (p=<0.001), affordability of information (p=<0.001), availability of facilities and infrastructure (p=0.020), and support social status (p=0.002) with hypertension control behavior. Multivariate analysis shows that the attitude variable is the variable most related to the behavior of the elderly in controlling hypertension with a Prevalence Ratio (RP) value of 4.869. The pre-elderly group is expected to be more active in adopting a healthy lifestyle, and an active role from the family and health workers is needed in providing support to hypertension sufferers to implement hypertension control behavior and avoid complications. Keywords:  Behavior, Hypertension Control, Pre-Elderly
The Effect of Obesity, Carbohydrate, and Fat Intake on the Incidence of Type 2 Diabetes Mellitus at the Age of 30-50 Years in Medan Gifani Anastasya; Fazidah Aguslina Siregar; Taufik Ashar
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 1 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i1.18485

Abstract

Diabetes Mellitus (DM) is a disease that is synonymous with elevated blood glucose levels that have an impact on vascular and nervous system disorders.  In 2013, the prevalence of DM in Indonesia was 6.8 percent and increased to 8.5 percent in 2018. North Sumatra is in the twelfth position of provinces in Indonesia with a prevalence of 2 percent and Medan is the city with the highest cases with a total of 249.000 cases. In 2022 in Medan, the number of DM cases is known to be 21,515 cases. This study aims to analyze the effect of obesity, carbohydrate, and fat intake on the incidence of type 2 DM at the age of 30–50 years in Medan. The research method used a case-control unmatching design.  The study subjects were aged 30-50 years consisting of 65 DM cases and 65 non-DM as controls. Data analysis was carried out univariate, bivariate, and multivariate with SPSS software using multiple logistic regression tests. The results showed that there was an effect between overweight (p=0.014), carbohydrate intake (p= 0.013), and fat intake (p= 0.032) on the incidence of type 2 DM. Multivariate analysis shows that carbohydrate intake is the most influential variable in the incidence of type 2 DM with an Odds Ratio value of 5.696.   It is recommended for the community to carry out a healthy lifestyle by maintaining a diet, and an ideal weight, and exercising regularly. It is hoped that the Posbindu and Prolanis programs can be implemented massively at the community health center. Keywords: Carbohydrate, Fat, Obesity, Type 2 Diabetes Mellitus