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Tuberculosis is one of the most challenging public health issues at the moment, with the number of cases being treated and reported in Indonesia still falling short of the national objective for 2021. In the last four years, the success rate for tuberculosis treatment in Kupang City has not been optimal. One of the reasons people fail to take medication is because they have been taking it for a long time, which allows for non-compliance. Non-adherence in taking medication can lead to treatment failure, re-treatment or drug resistance. The purpose of this study was to determine the relationship between social determinants and health literacy with medication adherence for tuberculosis patients in Kupang City. This study is a cross-sectional quantitative study that was carried out on tuberculosis patients receiving care at a medical facility in Kupang City. Data were collected by filling out online questionnaires (self-administered survey) on 126 tuberculosis patients who were undergoing treatment at 11 health centers in Kupang City. Simple logistic regression and multiple logistic regression were used to analyze the data. According to the study's findings, 23.8 percent of tuberculosis patients did not take their tuberculosis medications. Health literacy variables (p=0.008) and respondent age (p=0.029) with p-value 0.05 were shown to be significantly related to tuberculosis patients' medication adherence. After adjusting for age, education, and income, health literacy emerged as the most influential variable in affecting medication adherence in tuberculosis patients. The significance of integrated collaboration among multiple associated entities to undertake tuberculosis education through various media can improve public health literacy and adherence to tuberculosis medications.
The prevalence of mental disorders among young adults in Indonesia has increased, indicating the importance of improving mental health literacy among them. This study aimed to determine the social determinants and mental health literacy among first year undergraduate students of Universitas Hasanuddin, South Sulawesi, Indonesia. Data for this study came from the Indonesia Health Literacy Study 2019, a cross-sectional online survey of undergraduate students from four public universities in four provinces of Indonesia. Mental health literacy was measured using the Mental Health Literacy Scale (MHLS) which had been adapted into Indonesia context. The results showed that respondents had relatively low mental health literacy (M=59,60 on a scale of 0-100). Bivariate analysis showed that gender, relationship status, and scientific clusters were associated with MHLS. Multivariate analysis showed that mental health literacy was lower among male students, students who refused to reveal their ethnic identities, and students of science-tech cluster. Interventions through mental health education and mental health call center are recommended to improve mental health literacy, especially among these undergraduate students of Universitas Hasanuddin.
Functional nutiriton literacy is a basic and important skill that a person needs and health promotion in an era of disease due to nutritional problems is increasing. This study aims to determine the associated between social determinants and functional nutrition literacy in first-year regular undergraduate students at Halu Oleo University. This research using cross-sectional, that takes data from Health Literacy Study 2019 at Halu Oleo University, Southeast Sulawesi Province (n=359). The measuremenet of nutritional literacy was carried out using The Newest Vital Sign (NVS), containing 6 questions regarding adapted nutrition labels. The analysis used multiple linier regressin, with functional nutrition literacy as the dependent variable and social determinants such as gender, ethnicity, residence status, pocket money, access to health services, and access to health information as independent variables. The results showed that the functional nutrition literacy level of the students was inadequate (M=2,47; SD=1,285). The results of multiple linear regression analysis showed a significant relationship between functional nutrition literacy scores and social determinantas, gender (β=0,30, p=0,019). These results indicate a weak relationship between social determinants and functional nutrition literacy. And efforts are needed to develop education related to nutrition labels to assist students to improve functional nutritional literacy
ABSTRAK Visi pcmbangunan kesehatan di Kota Bandung adalah tercapainya Kclurahan Sehat tahun 2005, Kecamatan Sehat 2006 clan Bandlmg Sehat 2007. Dalam kenyataannya hingga tahun 2005, cakupan rumah tangga sehat masih l4,14% sehingga pencapaian kelurahan kelurahan sehat hanya sebanyak 6,46% di Kota Bandung. Permasalahannya antara lain karena perilaku masyarakat yang kurang mendukung pola hidup bcrsih dan sehat. Pcnelitian Lentang penyebab rendahnya cakupan kelumhan sehat yang dihubungkan dengan faktor-faktor yang mcnyebabkan terbentuknya perilaku kesehatan masyarakat, selarna ini belum pemah dilakukan. Pcnelitian ini menggunakan rancangan suvei (cross sectional), dengan sampel sebanyak 192 rumah tangga yang terpilih secara random berdasarkan metode klaster. Unit analisisnya adalah ibu rumah tangga dengan kriteria inklusi mempmmyai anak usia 6 bulan - 5 tahun dan bersedia ikut penelitian. ' ' Hasil uji univaniat menunjukkan bahwa gambaran perilaku masyarakat yang sudah baik scbesar 64,6% dan kumng baik 35,4%. Hasil uji bivariat menunjukkan faktor predisposisi yang berhubungan bennakna adalah pendidikan, status ekonomi, pcngetahuan dan sikap; Faktor pemungkin yang berhubungan berrnakna adalah kctersediaan fasilitas kesehatan, ketcrscdiaan biaya kesehatan dan komitmen terhadap kesehatan; Faktor pcnguat yang berhubungan bermakna adalah dukungan pctugas puskesmas dan dukungan forum masyarakat. Sikap ibu merupakan variabel yang paling dominan pada komposit indikator perilaku masyarakat dalam mewujudkan kelurahan schat. Adapun pendidikan; status ekonomi; pengetahuan; sikap; dukungan petugas puskesmas; dukungan forum masyarakat merupakan variabcl yang paling dominan berhubungan dengan masing- masing indikator dari perilaku masyarakat dalam mewujudkan kelurahan sehat. Mengacu pada kcsimpulan tersebut, penulis mengajukan beberapa saran sebagai berikut: 1) Mcningkatkan Advokasi kepada pemerintah legislatif, donor agency, LSM, PT, organisasi masyarakat untuk dukungan kebijakan dan alokasi anggaran; 2) Menjalin kemitraan dengan mitra potensial untuk mengatasi masalah bidang kesehatan seperli LSM dan media massa; 3) Melalcukan standarisasi ketenagaan promosi keseharan; 4) Melakukan evaluasi perilaku sehat masyarakat melalui kegiatan pembinaan rutin dan peningkatan sistem pencatatan dan pelaporan.
ABSTRACT The vision of healthy development in Bandung 2006 is to achieve Healthy Sub District 2005, Healthy District 2006, and Healthy Bandung 2007. In reality, until 2005, only achieving of scope of healthy homes about l4,l4% and 6,46% healthy sub district in Bandung. This problem is caused by the behaviour of community with less supporting for health and neat life pattern. The research about the motive of low achieving healthy sub district that is related with factors of behaviour that contribute to perform community health behaviour, during this time is never done. This research uses survey planning (cross sectional), with mother sample having child have age 6 months - 5 years counted 192 homes in selected sub district by cluster sampling methode. U The results of univariate test indicates that the portrayal of health community behaviour about 64,6% and 35,4% of community less supporting for health and neat life pattern. The results of bivariatc tests indicates that predisposing factors which significantly related are education, economic status, knowledge and attitude; Enabling factors significantly related are availability of health facilities, availability of health cost and commitment to health; Reinforing factors which significantly related are public health centre officer support and public forum support. Mother attitude represent dominant factor is significantly relation with composit community behaviour indicator in order to achieve healthy sub district. Education; economic status; knowledge; attitude; public health centre ofiicer support; public fomm support represent dominant factor is signilicantly relation with each community behaviour indicator in order to achieve healthy sub district. As according to the conclusion, writer raise some the following suggestion 1 1) Increasing advocacy to legistlatif government, agency donor, public independent agency, education institute and public origanization for health administrative and budget support; 2) Building partnership with potential partner such as public independent agency and mass media to influence a health problem; 3) Standarization for health promotion officer; 4) Evaluating community health behaviour through monitoring, reporting and recording system.
Background: COVID-19 is a new contagious disease that was emerging in December 2019 and became a pandemic in 2020. Both morbidity and mortality rates have hit worldwide due to this disease. Health workers as the frontliner had to protect public from the COVID-19 infection. This study used Health Belief Model framework. Objective: To analyze the prevention behavior of COVID-19 among health workers at health centers, during the pandemic in Indonesia in 2020. Method: This study using cross-sectional approach on secondary data of the Association of Indonesian Public Health Educators and Educators (PPPKMI) 2020 in June 2020 survey. Selected variables consist of modification factors, perceived threats, perceived barriers, and cues to action. Whereas dependent variable wass the COVID-19 Prevention Behavior in Health Workers at the Puskesmas. Results: The total sample used was 651 respondents consist of 82% female, 20-29 years old, 54.3% civil servants and 66.2% working area in Java. The average of practicing preventive behavior was 97,75 points with the proportion of actions taken, namely always wearing mask when leaving the house 93,7%, at work 96.2%, always wash hands 90%, always keep a distance 85.7 and the availability of personal masks is above 96%. Independent variables that have a significant relationship with COVID-19 prevention behavior are Gender, Working Area and Perceptions of Barriers. Conclusion: this study found that perceived barriers were the most influencing factor on COVID-19 prevention behavior among health workers at Puskesmas p-value =0,000 OR.2,293
