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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.
Background: Based on data as of September 20, 2021 in 46,500 schools, there were 2.8 percent or 1,296 schools that reported COVID-19 clusters. Most of the COVID-19 clusters occurred in SD/MI, namely 2.78 percent. As of March 18, 2021, the death rate in Lampung Province reached 5.32 percent or was above the national average, which was 2.71 percent. Based on the SE Head of the Education and Culture Office of Bandar Lampung Number: 420/1254/IV.40/2022 regarding face-to-face learning during the COVID-19 pandemic, it was held on Monday, March 14, 2022. MIN 8 Bandar Lampung is a pilot MIN located very close to with densely populated settlements, the school building area is not too large and has the largest number of students and has very active interactions with the outside community. Based on the preliminary study that has been carried out by the researchers, it turns out that the 3M students of MIN 8 Bandar Lampung still lack discipline. Objective: To determine the factors related to the application of 3M behavior as a prevention of COVID-19 in students of MIN 8 Bandar Lampung in 2022. Methods: using a cross sectional study design where in this study the subject was only measured and observed once. Result: 5th grade students of MIN 8 Bandar Lampung in 2022 (62.9%) apply 3M behavior. Variables of knowledge (56.7%), attitudes (62.9%), parenting (58.8%), teacher support (70.1%), peer support (62.9%) school regulations (50.5%) and infrastructure (56.7). The most dominant variable related to the application of 3M behavior is the habituation of parents with OR 3,095 (95% CI: 1.315-7,284). Conclusion: There is a significant relationship between parental habits and school rules with 3M behavior. The most dominant variables related to 3M behavior are parental habits after controlling for peer support, and school rules.
There is an age shift in patients with diabetes mellitus in the East Bogor Health Center area. In 2021 the diagnosis for the youngest person with diabetes mellitus found at the East Bogor Health Center was at the age of 29 years. Meanwhile, in 2022 until July, the age of the youngest patient with diabetes mellitus was found to be 19 years old. This research was conducted to determine the determinants that influence diabetes mellitus prevention behavior in adolescents. A cross-sectional study was conducted on 110 students at SMAN 3 Bogor City who were selected as a random sample. The study was conducted from November to December 2022. Data were collected using a structured questionnaire through gform. Data were entered into SPSS for univariate and bivariate analysis. In bivariate analysis, variables with p=0.05 were considered significantly associated. The mean value obtained from adolescent prevention behavior was 64.7 (scale 100). There are asignificant relationship between knowledge (p=0.006), perceived susceptibility (p=0.002), perceived severity (p=0.018), perceived benefits (p=0.011), perceived barriers (p=0.001), and sources of information (p=0.034) with diabetes mellitus prevention behavior in adolescents. Efforts to increase awareness in preventing diabetes mellitus need to be increased to produce a generation free from catastrophic diseases, especially diabetes mellitus.
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
The high rate of premarital sexual behavior in male adolescents in Indonesia at risk for health problems. Families, especially parents, play a role in preventing premarital sexual intercouse. This study aims to determine the role of reproductive health information from families on premarital sexual behavior of male adolescents aged 15-24 years in Indonesia. This study is a further analysis of the 2017 IDHS-KRR data using a cross sectional design with a sample of 7,030 male adolescents who meet the criteria: male adolescents aged 15-24 years and unmarried. The results showed that about 11% of male adolescents had premarital sexual intercourse, while only 19.5% had received information on health issues from their families. Reproductive health information from family contribute to adolescent premarital sexual intercouse of male adolescents in Indonesia after being controlled by the level of education and reproductive health discussions with teachers. Adolescents who do not get reproductive health information from their families and have low education are nearly 4 times more likely to have premarital sexual intercourse compared to adolescents who get reproductive health information from their families, while adolescents who do not get reproductive health information from their families and are highly educated are 3.5 times more likely to have premarital sexual intercouse compared adolescents who get reproductive health information from their families. Adolescents who do not get information on reproductive health from their families and have never discussed with the teacher about reproductive health are nearly 4 times more likely to have premarital sexual intercourse than adolescents who get information on health care from their families, while adolescents who do not get information on reproductive health from their families and have had discussions with teachers about reproductive health have the opportunity 3.3 times for having premarital sexual intercourse compared to adolescents who get reproductive health information from their families. The hope is that the BKKBN through the GenRe program (PIK R / M, and BKR) can be further utilized by young men and teenage parents, especially fathers, while the PKPR program, the Ministry of Health needs to reach more young men in Indonesia so that it can help reduce the number of sexual behavior young men in Indonesia.
Background: Although food insecurity was identified in late 1970s, it’s still a major problem of public health. However, it’s a burden to health care and society since victims consume poor nutrient diets and outcomes of these poor nutrient diets are malnutrition and chronic diseases. *Aim: To determine if there is a relationship between soybean harvests and food security in 25 villages of Northern Uganda. Method: One Shoot Quasi experimental study, focusing on 93 households from secondary data of VODP project 2016 - 2018. A paired T test, Chi square and multivariate analysis was used. Main independent variable soybean harvest (50.5% high harvests), dependent food security. (77.4%food secure) Results: There was huge difference in mean of soybean harvests before and after intervention Pvlaue = 0.0005. There was a relationship between soybean harvest and food security P value = 0.027 C.I (1.088 – 8.972) chi square results. Multivariate model showed no relationship between soybean harvest and food security. Nevertheless, soybean seeds had an influence on food security with P value 0.038, OR, 3.449 C.I (1.069-11.134) and household farm size had an effect on food security P value 0.041, OR, 2.668 C.I (1.0749 – 9.503). Recommendation: Policies to protect people from food insecurity are needed.
