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The global aging population poses significant challenges to healthcare systems, particularly due to the rising number of older adults living with chronic diseases. Psychological resilience is a crucial capacity that enables older individuals to adapt, maintain emotional well-being, and preserve quality of life amid physical limitations and social transitions associated with aging. This study aims to explore the dynamics of psychological resilience among older adults with chronic illnesses in Depok City, Indonesia, by comparing two intervention contexts: community-based education through the Sekolah Lansia (Elderly School) and primary healthcare services provided by Puskesmas (community health centers). Using an phenomenology qualitative design, data were collected through in-depth interviews with older adults from both groups. Thematic analysis was conducted based on six key dimensions of psychological resilience: self-efficacy, life satisfaction, biological aging, emotional and cognitive appraisal of stressors, reduction of physiological and emotional responses to chronic stress, and engagement in health-promoting behaviors. Findings indicate that older women tend to build resilience through spirituality and familial relationships, while older men emphasize social engagement and problem-focused coping. Participants of the Elderly School demonstrated more reflective and structured resilience patterns supported by community-based education, whereas Puskesmas users adopted practical, experience-based adaptive strategies rooted in daily routines and primary care services. The study underscores the importance of integrated, gender-sensitive approaches to strengthening psychological resilience in later life. The complementary roles of community education and primary healthcare suggest the need for multisectoral collaboration in promoting healthy and dignified aging. These findings provide empirical evidence to inform policy development and the design of inclusive, sustainable, and contextually relevant resilience-building programs for older adults in Indonesia and other low- and middle-income countries.
Hypertension is a disease with very high mortality and morbidity in the world.Hypertension is the most common disease with cases of 3.336 in Puskesmas PasarManggis. This study aims to determine the factors associated with antihypertensivemedication adherence among elderly in the working area of Pasar Manggis Health Centerin 2020. This research is a quantitative-based cross-sectional design. Respondents in thisstudy were 59 elderly (≥60 years old) with hypertension who lived in the working area ofPasar Manggis Health Center which were selected using the quota sampling method.Data was collected through phone interview questions with the Morisky MedicationAdherence Scale-8 (MMAS-8) questionnaire and a questionnaire that has been modifiedfrom previous studies which will be analyzed by chi-square test. The results showed thateducational factors (p = 0.011), knowledge (p = 0.009), and family support (p = 0.001)had a significant relationship with antihypertensive medication adherence. Gender, age,role of health workers and access to health services do not have a significant relationshipwith antihypertensive medication adherence (p> 0.05). The result of this study areexpected to benefit the Sout Jakarta city Health Office & Pasar Manggis Health Centeras a basis for making decisions for future efforts to raise awareness, treatmet and controlof hypertension in the community.Keyword: Medication Adherence, Antihypertensive Medication, Blood Pressure,Hypertension, Elderly.
Hasil pembangunan kesehatan adalah meningkatuya umur harapan hidup, sehingga terjadi peningkatan jumlah lansia di Indonesia dengan berbegai masalah kesehatannya. Untuk mengatasi masalah tersebut maka dilakukanlah suatu upaya dalam bentuk kegiatan posyandu lansia yang bertujuan agar pra lansia (45-59 tahun) dan lansia kegiatan sosial secara rutin. Angka pemanfaatan Posyandu Lansia di Wliayah Kerja Puskesmas Naras Kola Pariaman masih sangat rendah yaitu 13,23% pada talmn 2007, angka ini masih jauh dari SPM yaitu 40"/o. Penelitian ini bertujuan unlnk mendapatkan informasi yang mendalam tentang posyandu lansia karena ketidalctahuan terhadap kegiatan posyandu lansia dan adanya pengaruh keluarga yang sangat kuat dalam memanfaatkan pengobatan tradisional. Mengatasi masalah tersebut maka perlu adanya penyuluhan tentang posyandu lansia secara intensif dengan langkah-langkah sebagai berikut: advokasi kepeda Dinas Kesehatan Kota Pariaman untuk mendapatkan dukuagan dana sosialisasi posyandu untuk perbaikan alat kesehatan dan pengadaan Kartu Menuju Sehat (KMS) lansia, meningkatkan sosialisasi posyandu lansia melalui pelatihan petugas pembina wilayah dan kader, penyuluhan melalui media lokal serta meningkatkan komitmen Puskesmas Naras dalam memberikan pelayanan di posyandu lansia dengan menamhah petugas kesebatan posyandu lansia di daerah pegunungan, melakukan perneriksaao laberatorium saderhana dan mendatangkan petugas PKM dalam sadap kegiatan posyandu lansia serta melakukan senam lansia secara rutin.
As the consequence of the result of health development is the increase of life expectacy age that leads to the increase in the number of the elderly people in Indonesia including its health problem. In order to overcome the problem, an effort is conducted in the form of activities of the integrated health posts (posyandu) for the elderly that aims to make the pre elderly people (aged 45-59) aod elderly people (aged'?:60) become healthy and self reliant by conducting their health examination and social activities regularly. The number of utilization of the integrated health posts for the elderly in the working area of Naras Health Center of Pariaman City was still low (13.23%) in 2007. The number was lower than Minimal Service Staodard (SPM), that was 40%. The study aimed to obtain the information of the utilization of the integrated health posts for the elderly and factors supported and delayed in utilizing the integrated health posts for the elderly in the working area of Naras Health Center of Pariaman City. To overcome the problems mentioned above, it is needed a elucidation (communication, information, and education) about the integrated health posts fur the elderly intensively with following steps: advocacy towards the Health Office of Pariaman City to get the financial support of socialization of the integrated health posts to repair the medical appliances and to procure the health monitoring card (KMS) for the elderly, to maintain the socialization of the integrated health posts for the elderly through training for regional assistance staffs and health volunteers, to run the elucidation through local media and to maintain the commitment of Naras Health Center in providing the service in the integrated health posts for elderly by adding health staffs at mountain area, to conduct the simple laboratorium test, and to make the health center staffs attended in every activity conducted in the integrated health posts, as well as to conduct the exercise for elderly regularly.
Masa remaja merupakan periode kritis dalam pembentukan kebiasaan makan yang akan berdampak pada kesehatan jangka panjang. Remaja diperkirakan mencakup 16% dari seluruh populasi dunia dengan kebutuhan nutrisi yang tinggi akibat pertumbuhan dan perkembangan yang pesat. Remaja secara konsisten ditemukan sebagai kelompok populasi dengan kebiasaan makan terburuk dibandingkan kelompok usia lainnya. Kebiasaan makan yang tidak sehat pada remaja, seperti rendahnya konsumsi buah dan sayur serta tingginya konsumsi makanan cepat saji, berkontribusi terhadap peningkatan prevalensi obesitas yang mencapai 23,48% secara nasional dan 29,16% di Kota Depok. Obesitas pada masa remaja merupakan katalis berbagai penyakit tidak menular di kemudian hari dan cenderung berlanjut hingga dewasa. Lingkungan keluarga memainkan peran penting dalam membentuk perilaku makan remaja melalui ketersediaan makanan di rumah, frekuensi makan bersama keluarga, dan keberfungsian keluarga. Penelitian ini bertujuan untuk mengetahui hubungan faktor-faktor lingkungan keluarga dengan kebiasaan makan siswa SMP di SMPN 3 Depok tahun 2025. Penelitian cross-sectional ini melibatkan 219 siswa kelas VIII dengan pengumpulan data menggunakan kuesioner. Hasil penelitian menunjukkan bahwa ketersediaan makanan di rumah (p<0,05) dan keberfungsian keluarga (p<0,05) memiliki hubungan signifikan dengan kebiasaan makan siswa, sedangkan frekuensi makan bersama keluarga tidak menunjukkan hubungan yang signifikan (p>0,05). Penelitian ini menyimpulkan bahwa faktor lingkungan keluarga, khususnya ketersediaan makanan di rumah dan keberfungsian keluarga, berperan penting dalam membentuk kebiasaan makan remaja. Penemuan ini dapat menjadi dasar pengembangan intervensi berbasis keluarga dalam mengatasi masalah obesitas remaja di Indonesia.
Adolescence represents a critical period for establishing eating habits that significantly impact long-term health outcomes. Adolescents comprise approximately 16% of the global population with high nutritional requirements due to rapid growth and development. Adolescents are consistently identified as the population group with the poorest eating habits compared to other age groups. Unhealthy eating habits among adolescents, such as low consumption of fruits and vegetables and high consumption of fast food, contribute to increasing obesity prevalence reaching 23.48% nationally and 29.16% in Depok City. Adolescent obesity serves as a catalyst for various non- communicable diseases later in life and tends to persist into adulthood. Family environment plays an important role in shaping adolescent eating behaviors through food availability at home, family meal frequency, and family functioning. This study aimed to determine the relationship between family environmental factors and eating habits among junior high school students at SMPN 3 Depok in 2025. This cross-sectional study involved 219 eighth-grade students with data collection using questionnaires. The results showed that food availability at home (p<0.05) and family functioning (p<0.05) had significant relationships with student eating habits, while family meal frequency showed no significant relationship (p>0.05). This study concludes that family environmental factors, particularly food availability at home and family functioning, play important roles in shaping adolescent eating habits. These findings can serve as a foundation for developing family-based interventions to address adolescent obesity problems in Indonesia.
Latar belakang: Swamedikasi adalah upaya individu untuk mengatasi sendiri keluhan kesehatan yang dirasakan, sebelum meminta bantuan tenaga medis di fasilitas kesehatan. Kota Depok merupakan satu dari lima wilayah di Jawa Barat dengan persentase tertinggi penduduk dengan keluhan kesehatan dan tidak pergi berobat jalan dengan alasan mengobati sendiri. Tujuan: Mengetahui faktor apa saja yang berhubungan dengan perilaku swamedikasi yang dilakukan oleh masyarakat di Kota Depok. Metode: Kuantitatif observational desain cross cectional pada 335 responden didapatkan melalui consecutive non-probability sampling. Pengumpulan data secara self administrated menggunakan aplikasi google form dan analisis regresi logistik berganda. Hasil: Sebanyak 50,4% responden melakukan swamedikasi untuk mengatasi keluhan kesehatan yang dirasakan. Tindakannya berupa membeli obat sendiri tanpa resep dokter di apotek/toko obat (23,0%); warung/swalayan (6,9%); atau secara online (1,2%); menggunakan obat sisa di rumah (15,5%); dan mengonsumsi jamu/herbal (3,9%). Swamedikasi menggunakan jenis obat bebas/bebas terbatas (63,9%); obat keras (17,8%) dan obat bahan alam (16%) dan tidak ditemukan penggunaan antibiotik. Variabel-variabel berhubungan signifikan dengan perilaku swamedikasi: keyakinan swamedikasi tinggi (OR=4,17; 95%CI 2,385–7,281); keluhan kesehatan gejala ringan (OR=10,06; 95%CI 5,671–17,830); dan adanya pengaruh sebaya/keluarga (OR=3,45; 95%CI 1,894–6,298). Keluhan kesehatan yang paling berhubungan signifikan dengan perilaku swamedikasi. Responden dengan keluhan kesehatan bergejala ringan berpeluang 10,06 kali untuk melakukan swamedikasi dibandingkan dengan responden bergejala sedang/berat, setelah dikontrol oleh keyakinan pada swamedikasi, pengaruh sebaya/keluarga, jenis kelamin dan pekerjaan.
Background: Self-medication is an individual's attempt to treat their own health problems before seeking medical assistance at a health facility. Depok is one of five regions in West Java with the highest percentage of residents with health problems who do not seek outpatient treatment because they treat themselves. Objective: To identify the factors associated with self-medication behavior among residents of Depok City. Method: A quantitative observational cross-sectional design was used with 335 respondents selected through consecutive non-probability sampling. Data collection was conducted via self-administered google forms, and analysis was performed using multiple logistic regression. Results: A total of 50.4% of respondents self-medicated to address their health problems. Their actions included purchasing medication without a doctor's prescription at pharmacies/drug stores (23.0%); small shops/supermarkets (6.9%); or online (1.2%); using leftover medication at home (15.5%); and consuming herbal medicine (3.9%). Self-medication involved the use of over-the-counter/restricted medications (63.9%); prescription medications (17.8%); and natural remedies (16%), with no use of antibiotics observed. Variables significantly associated with self-medication behavior included: high self-medication belief (OR=4.17; 95% CI 2.385–7.281); mild health problems (OR=10.06; 95% CI 5.671–17.830); and peer/family influence (OR=3.45; 95% CI 1.894–6.298). Health problems were most significantly associated with self-medication behavior. Respondents with mild health problems were 10.06 times more likely to engage in self-medication compared to those with moderate/severe symptoms, after controlling for beliefs about self-medication, peer/family influence, gender, and occupation.
The purpose of this study was to determine the factors (predisposing factors suchas age, knowledge about HIV AIDS, attitudes towards condom use, enablingfactors are exposure to HIV AIDS program and the availability of condoms,reinforcing factor is the existence of peer support groups associated with thepractice of the use of condoms on transsexuals in Tangerang city in 2015. Thisstudy used cross sectional design with a sample totaling 151 transvestites taken ofthe total sample and questionnaire as a measuring tool of the study. The results ofthis study showed that 55.6% of respondents always use a condom, 56.3 % of thesame age to 30 years, 57.6% good knowledge, 51.7% negative attitudes towardcondom use, 53.6% are exposed to HIV AIDS program, 62.3% providedcondoms, 76.2% no peer support groups. According to chi square test there arefour variables that have a significant relation to the practice of condom use ontranssexuals that knowledge about HIV AIDS, exposure to HIV AIDS program,the availability of condoms, and peer support. The most dominant factor is theexposure of HIV-AIDS program to the practice of the use of condoms on atranssexual.Keywords: transvestites, condoms, HIV AIDS
Pradiabetes merupakan suatu kondisi risiko untuk texjadinya Diabetes Melitus (DM) tipe 2, yang dapat disebabkan oleh faktor keturunan dan perilaku yang berisiko, seperti konsumsi lemak yang tinggi, kurang serat, rendah karbnhidrat, kurang gerak badan dan merokok. Diperkirakan prcvalensi pradiabetes lebih tinggi dibandingkan prevalensi DM itu sendiri. Penelitian ini bertujuan mengetahui hublmgan fhktor risiko perilaku (konsumsi lemak, konsunasi serat, konsumsi karbohidrat, aktivitas iisik dan merokok) dengan kejadian pradiabetes pada kelompok umur 40-59 tahun di Kota Padang Panjang tahun 2008 setelah dikendalikan oleh faktor keturunan, dengan menggunakan data primer, rancangan potong lintang. Responden dipilih secara acak sederhana dari tiap kelurahan yang menjadi kluster sebanyak |74 orang. Analisis data dcngan dcsain kompleks secara univariat, bivarial (regresi logistik sedcrhana) dan multivariat (regresi logistik ganda). Hasil penelitian menunjukkan rata-rata kadar Gula Darah Sewaktu (GDS) kclompok umur 40-59 tahun adalah I15,4=t25,3 mg/dl, dengan jumlah pradiabetes scbcsar 57,5%. Ada hubungan bermakna antara konsumsi lemak, konsumsi serat dan aktivitas fisik dengan kejadian pradiabetes (p<0,05) tanpa dipengaruhi oleh faktor keturunan. Perilaku dominan yang berhubungan dengan kejadian pradiabetes adalah konsumsi lemak (OR=l 8,7, 95% CI: 6,0-57,5), dimana seseorang yang memiliki pola konsumsi lemak 252,10 g/hari akan berislko untuk pradiabetes 18,7 kali dibandingkan mereka yang konsumsi Iemaknya 62,10 g/hari. Konsumsi serat <1l,96 g/hari akan berisiko 9,5 kali untuk pradiabetes diaandingkan yang konsumsi seratnya 211,96 g/hari. Seseorang dengan aktivitas fisik
Pre-diabetes is a condition to the risk of Diabetes Mellitus (DM) type 2, that can caused by genetic factor and behavior risk factors, such as fat consumption, insufficiently Eber consumption, low carbohydrate consumption, sedentary life, and smoking. Prevalence of pre-diabetes is assumed higher than prevalence of DM. This research purposed is assessed behavior risk factors association with pre-diabetes incident on 40-59 years old in Padang Panjang City in 2008 after genetic factor is controlled This study used cross sectional design. Respondent were sampled by multistage random sampling (n=l74). Data were analyzed with design complex by partial regression, simple logistic regression and multivariate (multiple logistic regression). The study found pre-diabetes incident is 57.5% with Random Plasma Glucose (RPG) 115.41 25.3 mg/dl in average. There is a significantly associated between fat consumption, fiber consumption and physical activity with pre-diabetes incident on 40- 59 years old in Padang Panjang (p<0.05), without adjustment by genetic. Dominant factor that is associated with pre-diabetes incident is fat consumption (0R=l8. 7; CI: 6.0-57.5), that who has tat consumption 252.10 gjday will have 18.7 times to pre-diabetes compared to people who fat consumption <52.l0g/day. Respondent who has Eber consumption
