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Bintang Sukma Dhea Fransisca Enjellita; Pembimbing: Nurhayati Adnan; Penguji: Helda, Dewi Kristanti
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Latar belakang: Hipertensi menjadi penyebab kematian dini tertinggi di seluruh dunia dan merupakan faktor risiko utama untuk penyakit kardiovaskular termasuk di Indonesia. Jawa Barat merupakan provinsi dengan angka prevalensi hipertensi tertinggi di Indonesia yaitu sebesar 34,4% berdasarkan hasil pengukuran tekanan darah dan sebesar 10,7% berdasarkan diagnosis dokter yang menjadikan Jawa Barat sebagai provinsi terbesar ketiga dengan prevalensi hipertensi terbanyak pada penduduk berusia ≥ 18 tahun. Dalam penanganan penyakit hipertensi, indikator terkait terapi atau pengobatan hipertensi merupakan salah satu faktor yang penting untuk diperhatikan. Data terbaru yang diperoleh dari Survei Kesehatan Indonesia (SKI) tahun 2023 menunjukkan bahwa ketidakpatuhan konsumsi obat antihipertensi di Jawa Barat mencapai 53,8% dengan 35,5% pasien tidak teratur minum obat dan 18,3% tidak minum obat sama sekali. Rendahnya kepatuhan pasien hipertensi untuk konsumsi obat antihipertensi masih menjadi masalah dalam penanganan hipertensi di Indonesia terutama di Jawa Barat. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan ketidakpatuhan konsumsi obat antihipertensi pada pasien hipertensi berusia ≥ 18 tahun di Jawa Barat. Metode: Penelitian ini menggunakan desain studi cross-sectional dengan analisis univariat dan bivariat. Hasil: Prevalensi ketidakpatuhan konsumsi obat antihipertensi pada pasien hipertensi usia ≥ 18 tahun di Jawa Barat adalah 53,1% dengan “merasa sudah sehat” menjadi alasan tertinggi ketidakpatuhan. Faktor yang signifikan berhubungan dengan ketidakpatuhan konsumsi obat antihipertensi meliputi berusia 18 - 59 tahun (PR = 1,23; 95% CI = 1,06 - 1,47), memiliki tingkat pendidikan rendah (PR = 1,17; 95% CI = 1,09 - 1,27), tidak memiliki jaminan kesehatan (PR = 1,26; 95% CI = 1,18 - 1,36), merokok (PR = 1,12; 95% CI = 1,04 - 1,21), tidak memiliki pengetahuan terkait konsumsi obat antihipertensi (PR = 1,88; 95% CI = 1,72 - 1,97). Kesimpulan: Pemerintah perlu meningkatkan edukasi kesehatan dan menekankan pentingnya rutin mengonsumsi obat antihipertensi meskipun tidak merasakan gejala. Selain itu, diperlukan kerja sama lintas sektor untuk mendukung pencegahan ketidakpatuhan konsumsi obat antihipertensi.
Background: Hypertension is the leading cause of premature death worldwide and is a major risk factor for cardiovascular diseases, including in Indonesia. West Java is the province with the highest prevalence of hypertension in Indonesia, with a rate of 34.4% based on blood pressure measurements and 10.7% based on doctor diagnoses. This makes West Java the third largest province in terms of hypertension prevalence among individuals aged ≥ 18 years. In managing hypertension, indicators related to hypertension therapy or medication are crucial factors that need attention. Recent data from the Indonesia Health Survey (SKI) shows that non-adherence to antihypertensive medication in West Java reaches 53.8%, with 35.5% of patients taking medication irregularly and 18.3% not taking medication at all. The low level of adherence among hypertensive patients to taking antihypertensive medication remains a significant issue in hypertension management in Indonesia, particularly in West Java. Objective: This study aims to identify the factors associated with non-adherence to antihypertensive medication among hypertensive patients aged ≥ 18 years in West Java. Methods: This research used a cross-sectional study design with univariate and bivariate analyses. Results: The prevalence of non-adherence to antihypertensive medication among hypertensive patients aged ≥ 18 years in West Java is 53.1%, with “feeling healthy” being the most common reason for non-adherence. Significant factors associated with non-adherence to antihypertensive medication include: being aged 18–59 years (PR = 1.23; 95% CI = 1.06–1.47), having a low education level (PR = 1.17; 95% CI = 1.09–1.27), lacking health insurance (PR = 1.26; 95% CI = 1.18–1.36), smoking (PR = 1.12; 95% CI = 1.04–1.21), and lacking knowledge related to antihypertensive medication (PR = 1.88; 95% CI = 1.72–1.97). Conclusion: The government needs to enhance health education and emphasize the importance of regularly taking antihypertensive medication, even when no symptoms are present. Additionally, cross-sector collaboration is necessary to support the prevention of non-adherence to antihypertensive medication.
Background: Hypertension is the leading cause of premature death worldwide and is a major risk factor for cardiovascular diseases, including in Indonesia. West Java is the province with the highest prevalence of hypertension in Indonesia, with a rate of 34.4% based on blood pressure measurements and 10.7% based on doctor diagnoses. This makes West Java the third largest province in terms of hypertension prevalence among individuals aged ≥ 18 years. In managing hypertension, indicators related to hypertension therapy or medication are crucial factors that need attention. Recent data from the Indonesia Health Survey (SKI) shows that non-adherence to antihypertensive medication in West Java reaches 53.8%, with 35.5% of patients taking medication irregularly and 18.3% not taking medication at all. The low level of adherence among hypertensive patients to taking antihypertensive medication remains a significant issue in hypertension management in Indonesia, particularly in West Java. Objective: This study aims to identify the factors associated with non-adherence to antihypertensive medication among hypertensive patients aged ≥ 18 years in West Java. Methods: This research used a cross-sectional study design with univariate and bivariate analyses. Results: The prevalence of non-adherence to antihypertensive medication among hypertensive patients aged ≥ 18 years in West Java is 53.1%, with “feeling healthy” being the most common reason for non-adherence. Significant factors associated with non-adherence to antihypertensive medication include: being aged 18–59 years (PR = 1.23; 95% CI = 1.06–1.47), having a low education level (PR = 1.17; 95% CI = 1.09–1.27), lacking health insurance (PR = 1.26; 95% CI = 1.18–1.36), smoking (PR = 1.12; 95% CI = 1.04–1.21), and lacking knowledge related to antihypertensive medication (PR = 1.88; 95% CI = 1.72–1.97). Conclusion: The government needs to enhance health education and emphasize the importance of regularly taking antihypertensive medication, even when no symptoms are present. Additionally, cross-sector collaboration is necessary to support the prevention of non-adherence to antihypertensive medication.
S-12011
Depok : FKM-UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Anastasha Cassandra Ko; Pembimbing: Rizka Maulida; Penguji: Lhuri Dwianti Rahmartani, Diah Satyani Saminarsih
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Penyakit tidak menular (PTM) menyebabkan 71% kematian global, dengan kasus hipertensi diproyeksikan meningkat dari 639 juta pada 2000 menjadi 1,5 miliar pada 2025. Di Indonesia, prevalensi hipertensi meningkat dan menjadi penyebab kematian utama ketiga, namun hanya kurang dari 10% penderita yang memiliki kontrol tekanan darah baik. Penelitian ini menganalisis hubungan karakteristik pasien hipertensi dengan konsumsi obat antihipertensi pada responden Riskesdas 2018. Desain penelitian cross-sectional ini menggunakan data Riskesdas 2018 dengan responden berusia 18 tahun ke atas. Survei oleh Kementerian Kesehatan RI menggunakan stratified multistage random sampling untuk representasi nasional. Karakteristik pasien yang dianalisis meliputi jenis kelamin, kelompok umur, pendidikan, pekerjaan, dan tempat tinggal. Analisis statistik chi-square bivariat dengan signifikansi p < 0.05 digunakan untuk menentukan hubungan tersebut. Tujuan penelitian ini adalah mengidentifikasi karakteristik pasien hipertensi yang signifikan terkait konsumsi obat antihipertensi guna merancang intervensi pengendalian hipertensi yang lebih efektif. Hasil analisis menunjukkan bahwa responden perempuan (OR = 0,78; 95%CI= 0,75-0,81), kelompok umur berisiko (≥31 tahun) (OR = 0,32; 95%CI= 0,30-0,35), individu dengan pendidikan rendah (OR = 1,27; 95%CI=1,22-1,33), tidak bekerja (OR = 1,30; 95%CI= 1,26-1,35), dan tinggal di perdesaan (OR = 0,95; 95%CI= 0,92-0,99) berhubungan dengan konsumsi obat antihipertensi. Temuan ini menekankan perlunya peningkatan kesadaran dan kepatuhan terhadap pengobatan antihipertensi terutama di kalangan kelompok berisiko tinggi, untuk mengurangi beban hipertensi di Indonesia.
Non-communicable diseases (NCDs) account for 71% of global deaths, with hypertension cases projected to increase from 639 million in 2000 to 1.5 billion by 2025. In Indonesia, the prevalence of hypertension is rising and is the third leading cause of death, but less than 10% of patients have good blood pressure control. This study analyzes the relationship between the characteristics of hypertensive patients and the consumption of antihypertensive drugs among respondents of the 2018 Riskesdas. This cross-sectional study design uses data from the 2018 Riskesdas with respondents aged 18 years and older. The survey by the Indonesian Ministry of Health used stratified multistage random sampling for national representation. The analyzed patient characteristics include gender, age group, education, occupation, and place of residence. Bivariate chi-square statistical analysis with significance set at p < 0.05 was used to determine these relationships. The aim of this study is to identify significant characteristics of hypertensive patients related to the consumption of antihypertensive drugs to design more effective hypertension control interventions. The analysis results show that female respondents (OR = 0.78; 95%CI = 0.75-0.81), at-risk age group (≥31 years) (OR = 0.32; 95%CI = 0.30-0.35), individuals with low education (OR = 1.27; 95%CI = 1.22-1.33), unemployed (OR = 1.30; 95%CI = 1.26-1.35), and living in rural areas (OR = 0.95; 95%CI = 0.92-0.99) are associated with the consumption of antihypertensive drugs. These findings highlight the need to increase awareness and adherence to antihypertensive treatment, especially among high-risk groups, to reduce the burden of hypertension in Indonesia.
S-11782
Depok : FKM UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Anisa Ramadhani; Pembimbing: Syahrizal Syarif; Penguji: Mondastri Korib Sudaryo, Widyawati
S-10405
Depok : FKM-UI, 2020
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Dessi Marantika Nilam Sari; Pembimbing: Mondastri Korib Sudaryo; Penguji: Syahrizal, Helwiah Umniyati, Suyono
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Kurangnya kepatuhan terhadap pengobatan menjadi faktor risiko munculnya jenis HIV yang resisten terhadap obat, yang dapat ditularkan kepada orang lain. Kepatuhan terhadap pengobatan yang buruk tidak hanya membahayakan kesehatan individu tetapi juga meningkatkan penularan. Penelitian ini bertujuan untuk mengamati faktor-faktor yang berhubungan dengan terjadinya ketidakpatuhan minum obat ARV pada ODHIV yang mendapatkan terapi ARV di Rumah Sakit Umum Daerah Kabupaten Tangerang. Jenis penelitian ini menggunakan penelitian observasional dengan rancangan cross sectional. Penelitian dilakukan di poli HIV Rumah Sakit Umum Daerah Kabupaten Tangerang dan waktu penelitian dilakukan pada bulan November 2023 menggunakan data sekunder. Populasi penelitian berjumlah 1.337 ODHIV yang aktif menjalani pengobatan antiretroviral di Rumah Sakit Umum Daerah Kabupaten Tangerang dengan menggunakan total sampling sesuai dengan kriteria inklusi dan ekslusi sehingga sampel penelitian berjumlah 1.286 ODHIV. Hasil analisis univariat menunjukan bahwa usia ≥ 35 tahun (56,45), laki-laki (61,20%), pendidikan rendah (87,10%), belum kawin atau cerai (51,92%), domisili dalam kabupaten Tangerang (55,88%), mendapatkan konseling kepatuhan (63,73%), memiliki jaminan kesehatan (51,92%), ≥5km akses layanan kesehatan (54,07%), IO non TB (40,90%), stadium lanjut (63,69%), viral load ≥40 mL (46,73%), tidak ada efek samping obat (53,34%), lamanya pengobatan >5 tahun (72,01%), masuk kedalam populasi kunci (88,01%) dan tidak mendapat dukungan (61,12%). Hasil analisis kai kuadrat secara statistik ada hubungan antara umur, jenis kelamin, status pendidikan, status perkawinan, domisili, pelayanan konseling kepatuhan, stadium klinis WHO, viral load, lamanya pengobatan ARV, kelompok populasi kunci dan dukungan teman sebaya (P-Value<0,05) dengan ketidakpatuhan minum obat ARV. Hasil analisis cox regression dengan faktor yang secara statistik berhubungan terhadap ketidakpatuhan minum obat antiretroviral pada ODHIV adalah umur (P-Value=0,01) nilai PR 1,20 dengan 95% CI (1,05-1,38), status perkawinan (P-Value=0,02) nilai PR 1,18 dengan 95% CI (1,03-1,36), domisili (P-Value=0,01) nilai PR 1,19 dengan 95% CI (1,04-1,36), viral load (P-Value=0,001) nilai PR 1,27 dengan 95% CI (1,10-1,43), lamanya pengobatan ARV (P-Value=0,005) nilai PR 1,25 dengan 95% CI (1,07-1,47), kelompok populasi kunci (P-Value=0,02) nilai PR 1,27 dengan 95% CI (1,04-1,56), dukungan teman sebaya (P-Value=0,04) nilai PR 1,15 dengan 95% CI (1,00-1,32). Faktor umur, status perkawinan, domisili, viral load, lamanya pengobatan, kelompok populasi kunci dan dukungan teman sebaya memiliki pengaruh terhadap ketidakpatuhan minum obat antiretroviral (ARV) pada ODHIV di Rumah Sakit Umum Daerah Kabupaten Tangerang.
Lack of treatment adherence becomes a risk factor for the emergence of drug-resistant strains of HIV, which can be transmitted to others. Poor adherence to treatment harms the individual’s health and increases the risk of transmission. This study aims to observe the factors associated with the occurrence of non-adherence to taking ARV drugs in PLHIV who receive ARV therapy at the Regional General Hospital of Tangerang Regency. This type of study uses observational research with a cross-sectional design. The study was conducted at the HIV Specialist of the Regional Govern Hospital of Tangerang Regency and the time of the study was carried out in November 2023 using secondary data. The study population amounted to 1,337 PLHIV who were actively undergoing antiretroviral treatment at the Regional General Hospital of Tangerang Regency using total sampling by inclusion and exclusion criteria so that the study sample amounted to 1,286 PLHIV. The results of the univariate analysis showed that the age of ≥ 35 years (56.45), male (61.20%), low education (87.10%), unmarried or divorced (51.92%), domiciled in Tangerang district (55.88%), received compliance counselling (63.73%), had health insurance (51.92%), ≥5km of health service access area (54.07%), non-TB IO (40.90%), advanced stage (63.69%), viral load ≥40 mL (46.73%), no drug side effects (53.34%), duration of treatment ≥5 years (72.01%), entered into key populations (88.01%) and received no support (61.12%). The results of the kai squared analysis statistically showed there was an association between age, sex, educational status, marital status, domicile, adherence to counselling services, WHO clinical stage, viral load, duration of ARV treatment, key population groups and peer support (P-Value<0.05) with non-adherence to taking ARV drugs. The results of Cox Regression analysis with factors statistically related to non-adherence to taking antiretroviral drugs in ODHIV were age (P-Value = 0.01), PR value 1.20 with 95% CI (1.05-1.38), marital status (P-Value = 0.02), PR value 1.18 with 95% CI (1.03-1.36), domicile (P-Value = 0.01), PR value 1.19 with 95% CI (1.04-1.36), viral load (P-Value = 0.001), PR value 1.27 with 95% CI (1.10-1.43), duration of ARV treatment (P-Value = 0.005), PR value 1.25 with 95% CI (1.07-1.47), key population group (P-Value = 0.02), PR value 1.27 with 95% CI (1.04-1.56), peer support (P-Value = 0.04), PR value 1.15 with 95% CI (1.00-1.32). Factors such as age, marital status, domicile, viral load, duration of treatment, key population groups and peer support have an influence on non-adherence to taking antiretroviral drugs (ARV) in PLHIV at the Regional General Hospital of Tangerang Regency.
T-6876
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Sarah Narumi; Pembimbing: Lhuri Dwianti Rahmartani; Penguji: Rizka Maulida, Jeremia Immanuel Siregar
Abstrak:
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Latar belakang: Hipertensi merupakan penyakit tidak menular dengan prevalensi tertinggi Indonesia. Berdasarkan data Survei Kesehatan Indonesia (SKI) 2023, 30,8% penduduk usia ≥18 tahun mengalami hipertensi berdasarkan pengukuran, sedangkan prevalensi hipertensi berdasarkan diagnosis dokter adalah 8,6%. Selain itu, laporan SKI 2023 menekankan adanya kesenjangan antara perilaku pencarian pengobatan hipertensi dengan proporsi masyarakat yang terdiagnosis. Saat ini, sebesar 53,3% penyandang hipertensi tidak teratur minum obat atau tidak minum obat antihipertensi, dan 56,9% tidak teratur atau sama sekali tidak melakukan pemeriksaan ulang ke tenaga kesehatan.
Tujuan: Mengetahui faktor-faktor yang berhubungan dengan perilaku pencarian pengobatan hipertensi pada penyandang hipertensi usia ≥18 tahun di Indonesia.
Metode: Sebanyak 53.648 penyandang hipertensi usia ≥18 tahun berdasarkan data SKI 2023 diteliti dalam penelitian cross-sectional ini. Uji chi-square dan regresi logistik sederhana dilakukan untuk melihat hubungan antar variabel. Variabel luaran adalah perilaku pencarian pengobatan hipertensi. Variabel prediktor adalah jenis kelamin, usia, status pernikahan, tingkat pendidikan, status pekerjaan, pengetahuan terkait hipertensi, tempat tinggal, wilayah geografis, status sosial ekonomi, kepemilikan jaminan kesehatan, akses ke fasilitas kesehatan, multimorbiditas, dan perilaku cek kesehatan berkala.
Hasil: Proporsi perilaku pencarian pengobatan hipertensi yang aktif pada penyandang hipertensi usia ≥18 tahun di Indonesia tahun 2023 adalah 76,2%. Faktor-faktor yang berhubungan dengan perilaku pencarian pengobatan hipertensi adalah berjenis kelamin perempuan (OR = 1,24; 95% CI: 1,15-1,33), berusia 65-74 tahun (ref. 18-24 tahun; OR = 6,60; 95% CI: 4,35-10,04), sedang menikah (OR = 0,92; 95% CI: 0,85-0,99), memiliki tingkat pendidikan tersier (ref. Tidak sekolah; OR = 1,28; 95% CI: 1,12-1,47), tidak bekerja (OR = 1,15; 95% CI: 1,08-1,23), pernah mendapat informasi pengobatan hipertensi (OR = 3,98; 95% CI: 3,70-4,28), berasal dari Kepulauan Maluku (ref. Papua; OR = 1,97; 95% CI: 1,51-2,58), memiliki status sosial ekonomi teratas (OR = 1,36; 95% CI: 1,17-1,59), memiliki jaminan kesehatan (OR = 1,48; 95% CI: 1,36-1,61), memiliki multimorbiditas (OR = 1,77; 95% CI: 1,63-1,92), dan melakukan cek kesehatan minimal 1 bulan sekali (ref. Tidak pernah; OR = 6,16; 95% CI: 5,54-6,84).
Kesimpulan: Studi ini menunjukkan dibutuhkannya program untuk meningkatkan kesadaran dan partisipasi aktif masyarakat, khususnya kelompok usia produktif, dalam melakukan pengobatan hipertensi.
Kata kunci: Perilaku pencarian pengobatan, penyandang hipertensi, hipertensi
Background: Hypertension is a non-communicable disease with the highest prevalence in Indonesia. According to the Indonesian Health Survey (SKI) in 2023, 30.8% of people aged ≥18 experienced hypertension based on blood pressure measurement, while the prevalence of hypertension based on a doctor’s diagnosis was 8.6%. In addition, the SKI 2023 report emphasised the gap between hypertension health-seeking behaviour and the proportion of diagnosed patients. Currently, 53.3% of hypertensive patients do not regularly or do not take anti-hypertensive medication, and 56.9% do not regularly or do not have re-examinations with health professionals. Objective: This study aims to determine the factors associated with hypertension health-seeking behaviour in hypertensive patients aged ≥18 years in Indonesia. Methods: A total of 53.648 hypertensive patients aged ≥18 years based on SKI 2023 were analysed in this cross-sectional study. Chi-square test and simple logistic regression were used to determine the associations between variables. The outcome variable is hypertension health-seeking behaviour. The independent variables are gender, age, marital status, education level, employment status, hypertension-related knowledge, place of residence, geographic area, socioeconomic status, health insurance ownership, access to health facility, multimorbidity, and regular health check-up. Results: The proportion of active hypertension health-seeking behaviour in hypertensive patients aged ≥18 years in Indonesia in 2023 was 76.2%. Factors associated with hypertension health-seeking behaviour were female (OR = 1.24; 95% CI: 1.15-1.33), aged 65-74 years (ref. 18-44 years; OR = 6.60; 95% CI: 4.35-10.04), married (OR = 0.92; 95% CI: 0.85-0.99), having tertiary education (ref. no formal education; OR = 1.28; 95% CI: 1.12-1.47), not working (OR = 1.15; 95% CI: 1.08-1.23), having received information on hypertension treatment (OR = 3.98; 95% CI: 3.70-4.28), living in the Maluku Islands (ref. Papua; OR = 1.97; 95% CI: 1.51-2.58), having the highest socioeconomic status (OR = 1.36; 95% CI: 1.17-1.59), insured (OR = 1.48; 95% CI: 1.36-1.61), having multimorbidity (OR = 1.77; 95% CI: 1.63-1.92), and doing a health check-up at least once a month (ref. never; OR = 6.16; 95% CI: 5.54-6.84). Conclusion: This study indicates the need for a program to raise awareness and the active participation of the public, particularly the productive age population, in seeking hypertension treatment. Key words: Health-seeking behaviour, hypertensive patients, hypertension
S-11934
Depok : FKM-UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Chandra Ilham El Anwary Junior; Pembimbing: Nurhayati Adnan; Penguji: Syahrizal Syarif, Lina R. Mangaweang
Abstrak:
Remaja merupakan kelompok usia yang penting bagi bangsa. Namun, remaja rentan mengalami masalah mental, salah satunya gangguan mental emosional. Dari data Riskesdas 2018, didapatkan prevalensi gangguan mental emosional usia remaja 15-24 tahun sebesar 10%. Angka ini diatas angka prevalensi nasional. Sementara itu, Provinsi Jawa Barat yang memiliki jumlah usia produktif tertinggi sei-Indonesia termasuk ke dalam 10 besar Provinsi dengan prevalensi gangguan mental emosional tertinggi seIndonesia. Penelitian ini bertujuan untuk mengetahui hubungan antara faktor yang berhubungan dengan kejadian gangguan mental emosional pada remaja usia 15-24 tahun di Jawa Barat pada tahun 2018. Desain studi yang digunakan adalah studi cross-sectional dengan data lanjutan dari hasil Riskesdas 2018. Sampel yang digunakan pada penelitian ini ialah seluruh penduduk di wilayah Provinsi Jawa Barat yang berusia 15-24 tahun yang telah diwawancara dalam Riskesdas 2018 dan memiliki data lengkap. Total sampel pada penelitian ini, yaitu sebesar 10561 sampel. Hasil penelitian ini menunjukkan prevalensi gangguan mental emosional pada remaja usia 15-24 tahun di Jawa Barat sebesar 11,2%. Prevalensi gangguan mental emosional tertinggi ditemukan pada remaja berjenis kelamin perempuan (13,3%), tingkat pendidikan rendah (11,7%), telah bercerai (12,2%), tidak bekerja (11,5%), status gizi yang kurus (13,8%), memiliki riwayat penyakit tidak menular (22,4%), mantan perokok (16,4%), dan mengonsumsi alkohol (27,0%). Berdasarkan hasil analisis multivariat, faktor yang paling dominan memiliki hubungan yang signifikan dengan kejadian gangguan mental emosional, ialah konsumsi alkohol (PR = 2,43, 95%CI: 1,92-3,06). Kemudian, diikuti dengan jenis kelamin, perilaku merokok, riwayat penyakit tidak menular, dan status pekerjaan.
Kata kunci: Gangguan Mental Emosional, Faktor-faktor, Remaja, Jawa Barat
Adolescents are an important age group for the nation. However, adolescents are prone to experiencing mental problems, one of which is emotional mental disorders. From the 2018 Riskesdas data, the prevalence of mental emotional disorders in adolescents 15-24 years was 10%. This figure is above the national prevalence rate. Meanwhile, West Java Province, which has the highest number of productive ages in Indonesia, is among the top 10 provinces with the highest prevalence of emotional mental disorders in Indonesia. This study aims to determine the relationship between factors associated with the incidence of emotional mental disorders in adolescents aged 15-24 years in West Java in 2018. The study design used was a cross-sectional study with follow-up data from the results of the 2018 Riskesdas. Samples used in this study are all residents in West Java Province aged 15-24 years who have been interviewed in Riskesdas 2018 and have complete data. The total sample in this study, amounting to 10561 samples. The results of this study indicate the prevalence of emotional mental disorders in adolescents aged 15-24 years in West Java by 11.2%. The highest prevalence of mental emotional disorders was found in female adolescents (13.3%), low education level (11.7%), divorced (12.2%), unemployed (11.5%), underweight nutritional status (13.8%), had a history of non-communicable diseases (22.4%), were former smokers (16.4%), and consumed alcohol (27.0%). Based on the results of multivariate analysis, the most dominant risk factor has a significant relationship with the incidence of mental emotional disorders, is alcohol consumption (PR = 2,43, 95%CI: 1,92-3,06). Then, followed by gender, smoking behavior, history of non-communicable diseases, and employment status.
Key words: Emotional Mental Disorder, Determinants, Adolescents, West Java
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Kata kunci: Gangguan Mental Emosional, Faktor-faktor, Remaja, Jawa Barat
Adolescents are an important age group for the nation. However, adolescents are prone to experiencing mental problems, one of which is emotional mental disorders. From the 2018 Riskesdas data, the prevalence of mental emotional disorders in adolescents 15-24 years was 10%. This figure is above the national prevalence rate. Meanwhile, West Java Province, which has the highest number of productive ages in Indonesia, is among the top 10 provinces with the highest prevalence of emotional mental disorders in Indonesia. This study aims to determine the relationship between factors associated with the incidence of emotional mental disorders in adolescents aged 15-24 years in West Java in 2018. The study design used was a cross-sectional study with follow-up data from the results of the 2018 Riskesdas. Samples used in this study are all residents in West Java Province aged 15-24 years who have been interviewed in Riskesdas 2018 and have complete data. The total sample in this study, amounting to 10561 samples. The results of this study indicate the prevalence of emotional mental disorders in adolescents aged 15-24 years in West Java by 11.2%. The highest prevalence of mental emotional disorders was found in female adolescents (13.3%), low education level (11.7%), divorced (12.2%), unemployed (11.5%), underweight nutritional status (13.8%), had a history of non-communicable diseases (22.4%), were former smokers (16.4%), and consumed alcohol (27.0%). Based on the results of multivariate analysis, the most dominant risk factor has a significant relationship with the incidence of mental emotional disorders, is alcohol consumption (PR = 2,43, 95%CI: 1,92-3,06). Then, followed by gender, smoking behavior, history of non-communicable diseases, and employment status.
Key words: Emotional Mental Disorder, Determinants, Adolescents, West Java
S-10313
Depok : FKM UI, 2020
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Suherni; Pembimbing: Mondastri Korib Sudaryo; Penguji: Renti Mahkota, I Nengah Darna
S-5371
Depok : FKM UI, 2008
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Nafikhatul Khikmah; Pembimbing: Syahrizal; Penguji: Helda, Dyah Armi Riana
Abstrak:
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Berdasarkan data Riskesdas tahun 2013, prevalensi hipertensi di Indonesia pada penduduk usia ≥ 18 tahun sebesar 25,8% dan mengalami kenaikan pada tahun 218 menjadi 34,11%. Provinsi Jawa Tengah merupakan provinsi dengan prevalensi hipertensi tertingi keempat di Indonesai pada tahun 2018 dengan angka prevalensi sebesar 37,57% dan angka tersebut melebihi angka nasional. Penelitian ini dilakukan dengan tujuan untuk mengetahui faktor-faktor yang berhubugan dengan kejadian hipertensi pada penduduk usia ≥ 18 tahun di Provinsi Jawa Tengah tahun 2018. Penelitian ini dilakukan menggunakan desain studi cross-sectional dengan menggunakan data sekunder Riskesdas 2018 di Provinsi Jawa Tengah sebanyak 62.482 responden. Uji statistik yang dilakukan yaitu uji chi square. Hasil penelitian menunjukkan bahwa prevalensi hipertensi pada penduduk usia ≥ 18 tahun di Provinsi Jawa Tengah pada tahun 2018 sebesar 38,6%. Terdapat 11 variabel yang mempunyai hubungan secara signifikan dengan kejadian hipertensi. Variabel tersebut, yaitu usia (PR=2,44; 95% CI: 2,37-2,50), jenis kelamin (PR=0,87; 95% CI: 0,85- 0,89), pendidikan (PR=1,44; 95% CI: 1,40- 1,47), status pekerjaan (PR=1,18; 95% CI: 1,16- 1,21), perilaku merokok (PR=0,78; 95% CI: 0,76- 0,80), konsumsi alkohol (PR=0,70; 95% CI: 0,63-0,77), aktivitas fisik (PR=1,20; 95% CI: 1,17- 1,23), konsumsi makanan manis (PR=0,89; 95% CI: 0,87- 0,90), konsumsi minuman manis (PR=0,89; 95% CI: 0,87- 0,92), konsumsi makanan asin (PR=0,93; 95% CI: 0,92-0,95), dan konsumsi makanan berlemak/ berkolesterol/ gorengan (PR=0,91; 95% CI: 0,89- 0,93). Kesimpulan penelitian ini yaitu bahwa terdapat hubugan antara usia, jenis kelamin, pendidikan, status pekerjaan; perilaku merokok, konsumsi alkohol, aktivitas fisik; konsumsi makanan manis, minuman manis, makanan asin, makanan berlemak/ berkolesterol/ gorengan dengan kejadian hipertensi pada penduduk usia ≥ 18 tahun di Provinsi Jawa Tengah.
Based on Riskesdas data in 2013, the prevalence of hypertension in Indonesia in people aged ≥ 18 years was 25.8% and increased in 2018 to 34.11%. Central Java Province was the province with the fourth highest prevalence of hypertension in Indonesia in 2018, with a prevalence rate of 37.57%, and this figure exceeds the national rate. This research was conducted to determine the factors associated with the incidence of hypertension in residents aged ≥ 18 years in Central Java Province in 2018. This research was conducted using a cross-sectional study design using secondary data from Riskesdas 2018 in Central Java Province, totaling 62.482 respondents. The statistical test performed was the chi-square test. The results showed that the prevalence of hypertension in residents aged ≥ 18 years in Central Java Province in 2018 was 38.6%. There are 11 variables that have a significant relationship with the incidence of hypertension. These variables are age (PR=2.44; 95% CI: 2.37-2.50), gender (PR=0.87; 95% CI: 0.85-0.89),education (PR=1.44; 95% CI: 1.40-1.47), employment status (PR=1.18; 95% CI: 1.16-1.21), smoking behavior (PR=0.78; 95% CI: 0.76-0.80), alcohol consumption (PR=0.70; 95% CI: 0.63-0.77), physical activity (PR=1.20; 95%CI: 1.17- 1.23), consumption of sweet foods (PR=0.89; 95% CI: 0.87- 0.90),consumption of sweet drinks (PR=0.89; 95% CI: 0.87- 0.92), consumption of salty (PR=0.93; 95% CI: 0.92- 0.95), and consumption of fatty/cholesterol/friedfoods (PR=0.91; 95% CI: 0.89- 0.93). This study concludes that there is a relationship between age, gender, education, employment status; smoking behavior,alcohol consumption, physical activity; consumption of sweet foods, sweet drinks, salty foods, and fatty/cholesterol/fried foods with the incidence of hypertension in people aged ≥ 18 years in Central Java Province.
S-11300
Depok : FKM-UI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Dina Fikriyah; Pembimbing: Yovsyah; Penguji: Mondastri Korib Sudaryo, Rahmadewi
Abstrak:
Tujuan dari penelitian ini adalah untuk mengetahui gambaran faktorfaktor yang berhubungan dengan kejadian diare pada balita di Provinsi Jawa Barat tahun 2017. Penelitian ini menggunakan desain studi Cross Sectional. Data yang digunakan adalah data sekunder yang berasal dari Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017. Sampel yang digunakan adalah balita berusia 0-59 bulan di Provinsi Jawa Barat yang terdata di SDKI 2017, dan yang memenuhi kriteria inklusi dan eksklusi adalah sebanyak 1.554 balita. Hasil penelitian menunjukkan bahwa prevalensi kejadian diare pada balita di Provinsi Jawa Barat tahun 2017 adalah sebesar 15,6% (242 balita). Hasil uji bivariat menunjukkan faktor yang berhubungan dengan kejadian diare adalah balita usia ≤ 1 tahun (OR 1,62; 95% CI 1,23-2,13; p=0,001), sarana sanitasi (OR 1,52; 95% CI 1,14-2,03; p=0,005), dan sumber air minum (OR 1,34; 95% CI 1,01-1,79; p=0,047). Salah satu cara untuk mencegah terjadinya diare pada balita adalah dengan menjaga kebersihan lingkungan serta menerapkan pola hidup bersih dan sehat.
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S-10771
Depok : FKM UI, 2021
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Theodorus Holspid Sembodo; Pembimbing: Asri C. Adisasmita; Penguji: Lhuri Dwianti Rahmartani, Telly Purnamasari Agus
Abstrak:
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Stroke merupakan penyebab terjadinya disabilitas tertinggi dan penyebab kematian terbanyak ke-2 secara global. Di Asia Tenggara, Indonesia merupakan negara dengan kasus kematian akibat stroke terbanyak. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan kejadian stroke pada penduduk yang berusia ≥ 15 tahun di Provinsi Jawa Barat. Penelitian ini menggunakan desain studi cross sectional dengan sumber data dari Riskesdas 2018 dengan total sampel 51860 responden yang diolah dengan analisis bivariat dan stratifikasi. Berdasarkan hasil penelitian, diketahui bahwa prevalensi kejadian stroke pada penduduk usia ≥15 Tahun di Provinsi Jawa Barat adalah sebesar 1,4%. Diketahui bahwa terdapat hubungan signifikan antara stroke dengan usia (PRR=75,880; 95% CI; 28,335—203,205), hipertensi (PRR= 9,181; 95% CI; 7,793—10,816), diabetes mellitus (PRR= 6,757; 95% CI; 5,455—8,368), penyakit jantung (PRR= 5,887; 95% CI; 4,723—7,338), aktivitas fisik (4,709; 95% CI; 4,054—5,470), IMT (PRR= 1,254; 95% CI; 1,024—1,536), wilayah tempat tinggal (PRR= 1,246; 95% CI; 1,062—1,464), perilaku merokok (PRR= 0,654; 95% CI; 0,538—0,796), dan pola makan (PRR= 0,423; 95% CI; 0,327—0,546). Variabel jenis kelamin dan tingkat pendidikan tidak berhubungan signifikan dengan kejadian stroke. Namun, dalam penelitian ini terdapat temuan unik di mana perokok harian dan 3 pola makan berisiko memiliki efek protektif terhadap stroke. Hal tersebut merupakan keterbatasan penelitian ini, maka perlu dilakukan penelitian yang dapat lebih jelas melihat hubungan kausal antara pajanan dengan stroke.
Stroke is the leading cause of disability and the second leading cause of death globally. In Southeast Asia, Indonesia has the highest number of stroke deaths. This study aims to identify factors associated with the incidence of stroke in the population aged ≥ 15 years in West Java Province. This study used a cross-sectional study design with data sources from Riskesdas 2018 with a total sample of 51860 respondents processed by bivariate and stratification analysis. The results show that the prevalence of stroke incidence in the population aged ≥15 years in West Java Province is 1.4%. It is known that there is a significant relationship between stroke and age (PRR = 75.880; 95% CI; 28.335-203.205), hypertension (PRR = 9.181; 95% CI; 7.793-10.816), diabetes mellitus (PRR = 6.757; 95% CI; 5.455-8.368), heart disease (PRR = 5.887; 95% CI; 4.723-7.338), physical activity (4.709; 95% CI; 4.054-5.470), BMI (PRR= 1.254; 95% CI; 1.024-1.536), region of residence (PRR= 1.246; 95% CI; 1.062-1.464), smoking behavior (PRR= 0.654; 95% CI; 0.538-0.796), and diet (PRR= 0.423; 95% CI; 0.327-0.546). Gender and education level were not significantly associated with stroke incidence. However, in this study there were unique findings where daily smoking and 3 risky diets had a protective effect on stroke. This is a limitation of this study, so research that can more clearly see the causal
S-11402
Depok : FKM-UI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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