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The increasing elderly population resulting in the increase of the life expectancyof 70.2 years to 72 years in 2014. Based on the results Susenas in 2012 thenumber of elderly who depend on others for life 934 505 while in Depok for 15369 inhabitants. The purpose of this study was to assess and determine the factorsaffecting the independence of the elderly arrives in Depok Posbindu 2012.Thisresearch using secondary data from the monthly reports of activities at Posbinduelderly services in December 2012.Yhis research using ecological design. Theprevalence of independent elderly at 99%, 16% prevalence hypertension, obesityprevalence of 13.1%, the prevalence of mental disorders was 9% and theprevalence of elderly who followed the extension of 27.5%. There was nosignificant association between the prevalence of self-prevalence hypertension, mental disorders, obesity, and counseling.Keyword : Independence, Visitors, Elderly, Posbindu
Kata kunci: Diabetes mellitus (DM), Mild Cognitive Impairment (MCI), Lansia
Diabetes mellitus is a risk factors of Mild Cognitive Impairment (MCI). MCI is a transition phase between healthy cognitive aging and dementia. The purpose of this study is to determaine the association between diabetes mellitus in elderly with the incidence of MCI in Cipayung Health Center, Depok city. Study design was cross sectional using primary data with validated Montreal cognitive test for Indonesia (MoCa-Ina). Total sample of 272 elderly people age more than 60 years-old. cox regression analysis were applied in the research. The result of study showed the prevalence of MCI is 47,1% and elderly with DM is 17,3%. The result of multivariate analysis showed the elderly people with diabetes mellitus probably had 2,4 risk to get MCI (PR = 2,436 95% CI: 1,191-4,983) than elderly with no diabetes after adjusted with hypertention and interaction diabetes with hypertention variable. Screaning early detection of MCI in elderly with diabetes mellitus is early intervention to prevent to dementia.
Key words: Diabetes mellitus (DM), Mild Cognitive Impairment (MCI), Elderly
Menopause merupakan menstruasi yang berhenti secara permanen yang
Dengue merupakan penyakit infeksi virus yang ditularkan melalui nyamuk Aedes aegypti dan menjadi tantangan kesehatan masyarakat di Indonesia. Pada tahun 2024, Kota Depok mencatat 5.040 kasus dengue (IR 266/100.000 penduduk) dengan 13 kematian (CFR 0,25%), jauh melebihi target nasional (IR ≤10/100.000). Penelitian ini bertujuan untuk menganalisis faktor risiko kejadian dengue secara spasial di Kota Depok tahun 2024 dengan menggunakan pendekatan mix-method. Penelitian ini menggunakan desain cross-sectional untuk pendekatan kuantitatif dengan data sekunder dan pendekatan explanatory untuk kualitatif melalui wawancara mendalam. Analisis spasial dilakukan menggunakan perangkat lunak QGIS dan GeoDa. Variabel yang dianalisis meliputi jenis kelamin, usia, kepadatan penduduk, perilaku hidup bersih dan sehat (PHBS), serta angka bebas jentik (ABJ). Kasus dengue menunjukkan pola spasial mengelompok dengan autokorelasi spasial pada variabel-variabel yang diteliti. Model Spatial Error Model (SEM) memberikan hasil terbaik dengan nilai AIC terendah (657,88) dan R² sebesar 0,276. Efek spasial eror sebesar 37,4% menunjukkan pengaruh dari wilayah sekitar terhadap penyebaran kasus dengue. Kepadatan penduduk ditemukan sebagai variabel signifikan yang berhubungan dengan kejadian dengue. Wilayah prioritas untuk intervensi meliputi Kelurahan Bedahan, Rangkapan Jaya Baru, Depok Jaya, Mampang, dan Cisalak. Pendekatan spasial efektif dalam mengidentifikasi wilayah risiko tinggi dengue dan variabel yang memengaruhi penyebarannya. Disarankan agar intervensi dengue lebih difokuskan pada wilayah dengan kepadatan tinggi, peningkatan edukasi PHBS, integrasi analisis spasial dalam perencanaan program, serta koordinasi lintas sektor. Strategi ini diharapkan dapat meningkatkan efektivitas pengendalian dengue yang berbasis data dan wilayah.
Dengue is a viral infection transmitted by Aedes aegypti mosquitoes and remains a significant public health threat in Indonesia. In 2024, the city of Depok reported 5,040 dengue cases (IR 266/100,000 population) and 13 deaths (CFR 0.25%), far exceeding the national target of IR ≤10/100,000. This study aims to spatially analyze the risk factors associated with dengue incidence in Depok City in 2024 using a mixed-methods approach. A cross-sectional ecological design was used for the quantitative component, supported by secondary data, while the qualitative component followed an explanatory design through in-depth interviews. Spatial analysis was conducted using QGIS and GeoDa. The variables analyzed included gender, age, population density, household-level Clean and Healthy Living Behavior (PHBS), and larva-free index (ABJ). Dengue cases exhibited a clustered spatial pattern with spatial autocorrelation across the studied variables. The Spatial Error Model (SEM) yielded the best performance with the lowest AIC (657.88) and R² of 0.276. A spatial error effect of 37.4% indicated that neighboring areas influence dengue transmission. Among all variables, population density was significantly associated with dengue incidence. Priority intervention areas identified were Bedahan, Rangkapan Jaya Baru, Depok Jaya, Mampang, and Cisalak sub-districts. A spatial approach is effective in identifying high-risk areas and key factors influencing dengue transmission. It is recommended that dengue prevention programs prioritize high-density areas, strengthen PHBS education, integrate spatial analysis into health program planning, and enhance cross-sector coordination. These strategies are expected to improve the effectiveness of dengue control efforts based on spatial and epidemiological data.
