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Hazrina Fadiah Insani; Pembimbing: Evi Martha; Penguji: Dien Anshari, Wahyu Septiono, Eddy Riris Anita Tarihoran, Dewi Yuliana Lestari
Abstrak:
Kawasan tanpa rokok merupakan upaya perlindungan untuk masyarakat terhadap risiko ancaman gangguan kesehatan karena lingkungan tercemar asap rokok. Kampung Cigaten Desa Cihuni Kecamatan Pagedangan Kabupaten Tangerang berupaya mendirikan kawasan tanpa rokok di sebuah kampung yang cukup padat penduduk. Penelitian ini bertujuan untuk mengetahui implementasi pelaksanaan peraturan kawasan tanpa rokok di Kampung Cigaten dengan menggunakan Teori Implementasi kebijakan George C.Edward. Penelitian ini menggunakan pendekatan kualitatif, dengan desain penelitian Rapid Assesment Procedure. Pengumpulan data dilakukan dengan wawancara mendalam dan Focus Group Discussion, pengambilan data dilakukan pada bulan Agustus-November Tahun 2023. Hasil penelitian menunjukkan bahwa faktor komunikasi dalam pelaksanaan kebijakan kawasan tanpa rokok di kampung Cigaten belum berjalan dengan baik, selanjutnya sumber daya yang dimiliki dalam pelaksanaan kawasan tanpa rokok di kampung Cigaten yaitu sumber daya manusia dan sarana prasarana kawasan tanpa rokok juga belum terpenuhi kualifikasi dan kelengkapannya, Sikap positif mayoritas ditunjukan oleh para informan terhadap berlakunya kawasan tanpa rokok di kampung Cigaten hanya saja masih banyak informan yang sama sekali tidak mengetahui maksud dan tujuan dari kawasan tanpa rokok. Surat keputusan dan standar operasional pelaksanaan kawasan tanpa rokok di kampung Cigaten sudah tersedia namun belum pernah disosialisasikan termasuk kejelasan gambaran kerja para pengelola kawasan tanpa rokok. Untuk itu pemerintah kabupaten Tangerang perlu memperkuat peraturan kawasan tanpa rokok dengan melakukan sosialisasi serta monitoring dan evaluasi pada tempat-tempat yang di tetapkan sebagai kawasan tapa rokok dan dapat membuat petunjuk teknis terhadap pelaksanaan kawasan tanpa rokok di kabupaten Tangerang.

Smoke-free areas are an effort to protect the community from the risk of health problems caused by environmental pollution from cigarette smoke. The village of Cigaten, Cihuni village, Pagedangan district, Tangerang regency is trying to set up a smoke-free area in a village that is quite densely populated. The purpose of this research is to determine the implementation of the smoke-free regulations in the village of Cigaten, using George C. Edward's theory of policy implementation. This research will use a qualitative approach with a research design of a rapid assessment procedure. Data will be collected through in-depth interviews and focus group discussions. Data collection will take place from August to November 2023. The results of the research show that the communication factor in the implementation of the no-smoking area policy in Cigaten village has not gone well, and the resources in the implementation of the no-smoking area in Cigaten village, namely human resources and infrastructure in the no-smoking area, also do not have the qualifications and completeness. The majority of informants had a positive attitude towards the implementation of the no-smoking area in Cigaten Village. However, there were still many informants who did not know the aims and objectives of the no-smoking area at all. The decree and operational standards for the implementation of smoke-free areas in Cigaten village are available, but have never been socialised, including a clear description of the work of smoke-free area managers. Therefore, the Tangerang district government can provide technical instructions for the implementation of smoke-free areas in Tangerang district by strengthening the regulations on smoke-free areas through publicity, monitoring and evaluation of places designated as smoke-free areas.
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T-7008
Depok : FKM UI, 2024
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Afifah Isra Rinda Siregar; Pembimbing: Putri Bungsu; Penguji: Rizka Maulida, Sekar Astrika Fardani
Abstrak:
Latar Belakang: Penyakit Paru Obstruktif Kronis (PPOK) merupakan penyakit utama dan masih menjadi beban kesehatan besar di Indonesia, terutama akibat tingginya perilaku merokok dan paparan asap rokok yang melebihi rata-rata global. Implementasi Kawasan Tanpa Rokok (KTR) telah diterapkan secara nasional, tetapi pelaksanaannya belum merata sehingga efektivitas pengendalian rokok antarwilayah bervariasi. Pulau Jawa memiliki tingkat konsumsi rokok tinggi, perbedaan kekuatan implementasi KTR, serta variasi karakteristik penduduk yang berpotensi memengaruhi risiko PPOK. Penelitian ini bertujuan menggambarkan dan mengetahui korelasi antara tingkat konsumsi rokok (pack-years), skor implementasi KTR, rasio jenis kelamin, dan tingkat melek huruf dengan proporsi penduduk berisiko PPOK di tujuh wilayah Pulau Jawa. Metode: Penelitian ini menggunakan desain studi ekologi dengan unit analisis kabupaten/kota dengan total sampling (n = 7) berdasarkan data Uji Coba Deteksi Dini PPOK 2022, dashboard Implementasi KTR, dan publikasi BPS. Analisis dilakukan secara deskriptif sederhana dan uji korelasi Spearman untuk menilai hubungan antara variabel independen dan proporsi penduduk berisiko PPOK usia ≥40 tahun. Hasil: Proporsi penduduk berisiko PPOK berkisar 0,6–6,3 per 100.000 penduduk, dengan rata-rata 2,8 (95% CI = 1,28–4,40). Rata-rata pack-years adalah 30,8 (95% CI = 21,01–40,39), skor implementasi KTR 33,1 (95% CI = 14,36–51,08), rasio jenis kelamin 96,3 (95% CI = 94,50–97,77), dan tingkat melek huruf 96,7 (95% CI = 94,67–98,57). Hasil uji Spearman menunjukkan tidak ada variabel yang berhubungan signifikan dengan risiko PPOK: pack-years (r = 0,036; p = 0,939), skor KTR (r = –0,179; p = 0,702), rasio jenis kelamin (r = –0,607; p = 0,148), dan tingkat melek huruf (r = 0,214; p = 0,645). Kesimpulan: Tidak ditemukan hubungan signifikan antara pack-years, skor KTR, rasio jenis kelamin, maupun tingkat melek huruf dengan proporsi penduduk berisiko PPOK di Pulau Jawa. Temuan ini menunjukkan bahwa variasi risiko PPOK kemungkinan dipengaruhi faktor lain di luar variabel yang diteliti.

Background: Chronic Obstructive Pulmonary Disease (COPD) remains a major disease and a substantial public health burden in Indonesia, primarily due to high smoking prevalence and exposure to tobacco smoke exceeding the global average. Smoke-Free Area (SFA) policies have been implemented nationally, however, their enforcement has been uneven, resulting in regional variation in the effectiveness of tobacco control. Java Island exhibits high levels of cigarette consumption, differences in the strength of SFA implementation, and diverse population characteristics that may influence the risk of COPD. This study aimed to describe and examine the correlation between smoking consumption level (pack-years), SFA implementation score, sex ratio, and literacy rate with the proportion of the population at risk of COPD across seven regions of Java Island. Methods: This study employed an ecological study design with districts/cities as the units of analysis, using total sampling (n = 7). Data were obtained from the 2022 COPD Early Detection Pilot Program, the SFA Implementation Dashboard, and publications from Statistics Indonesia (BPS). Analyses included simple descriptive statistics and Spearman’s correlation test to assess the associations between independent variables and the proportion of the population aged ≥40 years at risk of COPD. Results: The proportion of the population at risk of COPD ranged from 0.6 to 6.3 per 100,000 population, with a mean of 2.8 (95% CI: 1.28–4.40). The mean pack-years was 30.8 (95% CI: 21.01–40.39), the mean SFA implementation score was 33.1 (95% CI: 14.36–51.08), the mean sex ratio was 96.3 (95% CI: 94.50–97.77), and the mean literacy rate was 96.7 (95% CI: 94.67–98.57). Spearman’s correlation analysis indicated no statistically significant associations between any variables and the risk of COPD: pack-years (r = 0.036; p = 0.939), SFA implementation score (r = −0.179; p = 0.702), sex ratio (r = −0.607; p = 0.148), and literacy rate (r = 0.214; p = 0.645). Conclusion: No significant associations were found between pack-years, SFA implementation score, sex ratio, or literacy rate and the proportion of the population at risk of COPD on Java Island. These findings suggest that variations in COPD risk are likely influenced by other factors beyond those examined in this study.
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S-12155
Depok : FKM-UI, 2025
S1 - Skripsi   Pusat Informasi Kesehatan Masyarakat
:: Pengguna : Pusat Informasi Kesehatan Masyarakat
Library Automation and Digital Archive