Soemanto, RB
UNIVERSITAS SEBELAS MARET (UNS)

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Factors Associated with Healthy Preventive Behavior among the Elderly in Lamongan, East Java Jannah, Nurul; Tamtomo, Didik; Soemanto, RB
Journal of Health Promotion and Behavior Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Health promotion behaviors in the elderly have potential effects in promoting health and quality of life and reducing the cost of health care services. Changes in the lifestyle of the people affected by cardiovascular diseases have more potential shares in reducing vascular problems than medicinal treatments of hypertension and high cholesterol. By convincing more people to maintain and obtain healthy lifestyles, there will be considerable reduction in emergence and disabilities due to cardiac problems. This study aimed to determine factors associated with health preventive behavior among the elderly in Lamongan, East Java.Subjects and Method: This was a cross sectional study conducted in Lamongan, East Java, from November to December 2018. A sample of 200 elderly was selected by stratified random sampling. The dependent variable was health behavior. The independent variables were education, attitude, peer support, family support, cadre support, perceived behavioral control, subjective norm, and intention. The data were collected by questionnaire and analyzed by a multiple linear regression.Results: Health behavior in elderly was influenced by education (b = 0.76; 95% CI = 0.27 to 1.24; p = 0.002), intention (b= 0.08; 95% CI = 0.01 to 0.16; p = 0.033), attitude (b = 0.20; 95% CI = 0.07 to 0.33; p= 0.002), perceived behavioral control (b= 0.18; 95% CI= 0.06 to 0.30; p= 0.002), family support (b = 0.19 ; 95% CI = 0.08 to 0.30; p = 0.001), cadre support (b = 0.13; 95% CI = 0.04 to 0.23; p = 0.005), peer support (b = 0.07; 95% CI = - 0.01 to 0.15; p = 0.060), and subjective norm (b = 0.10; 95% CI = - 0.01 to 0.22; p = 0.064).Conclusion: Health behavior in elderly is influenced by education, intention, attitude, perceived behavioral control, family support, cadre support, peer support, and subjective norm.Keywords: health behavior, elderly, linear regressionCorrespondence: Nurul Jannah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: njannah.31@gmail.com. Mobile: +6282230300405.Journal of Health Promotion and Behavior, 2018, 3(4): 223-229https://doi.org/10.26911/thejhpb.2018.03.04.01
Biopsychosocial Determinants of Quality of Life in the Elderly at Tresna Werdha Social Nursing Home, Yogyakarta Swastika, Sobma; Rahardjo, Setyo Sri; Soemanto, RB
Journal of Epidemiology and Public Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Aging process is a multidimensional natural process with implicating problem involving various aspects, i.e. biological, psychological, and social aspects. Efforts are needed to prolong life expectancy and to improve the quality of life of the elderly. This study aimed to analyze biopsychosocial determinants of quality of life in the elderly at Tresna Werdha Social Nursing Home, Yogyakarta.Subjects and Method: This study was analytic observational study with cross-sectional design. It was conducted at Abiyoso and Budi Luhur units, Tresna Werdha Social Nursing Home, Yogyakarta, in April 2017. A sample of 100 elderly were selected for this study by purposive sampling and simple random sampling. The independent variables were health status, level of independence, intellectual function, depression, and social activities. The dependent variable was quality of life. The data were collected by a set of pre-tested questionnaire and analyzed by logistic regression.Results: Biopsychosocial determinants of quality of life in the elderly included health status (OR= 11.66; 95% CI= 2.18 to 62.14; p= 0.004), level of independence (OR= 4.12; 95% CI= 1.08 to 15.60; p= 0.037), intellectual function (OR= 9.75; 95% CI = 1.09 to 87.08; p= 0.036), depression (OR= 3.38; 95% CI= 1.01 to 11.24; p= 0.047), and social activities (OR= 6.02; 95% CI = 1.12 to 32.25; p= 0.047).Conclusion: Health status, level of independence, intellectual function, depression, and social activities, are biopsychosocial determinants of quality of life in the elderlyKeywords: biopsychosocial, determinant, quality of life, elderlyCorrespondence: Sobma Swastika. Masters Program in Public Health, Sebelas Maret University. Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: sobmaswastika@gmail.com. Mobile: +628113239862.Journal of Epidemiology and Public Health (2017), 2(1):  82-92https://doi.org/10.26911/jepublichealth.2017.02.01.08
Biopsychosocial Factors Affecting Functional Disability and Depression in Patients with Osteoarthritis in Surakarta, Central Java Sudaryanto, Wahyu Tri; Mudigdo, Ambar; Soemanto, RB
Journal of Epidemiology and Public Health Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Osteoarthritis (OA) is a major cause of disability in the elderly. OA can cause chronic pain, disability, and the patient's quality of life. This study aimed to determine the biopsychosocial factors affecting functional disability and depression in patients with OA in Surakarta, Central Java.Subjects and Method: This was an analytic and observational study with a case-control design. The study was conducted at Dr. Moewardi Hospital and Dr. Soeharso Orthopedic Hospital, Surakarta, Central Java, from January to February 2018. A sample of 200 OA patients was selected by simple random sampling. The dependent variables were functional disability and depression. The independent variables were age, sex, grade of OA, duration, body mass index (BMI), history of injury, pain level, family support, and peer support. Depression data were measured by Beck’s Depression Inventory (BDI). Functional disability data were measured by The Western Ontario and McMaster University Arthritis Index (WOMAC). The other variables were collected by questionnaire. The data were analyzed by path analysis.Results: The risk of depression increased with higher BMI (b= 0.23; SE= 0.10; p= 0.021), pain level (b= 0.16; SE= 0.07; p= 0.022), duration (year) (b= 0.27; SE= 0.12; p= 0.025), and poor functional disability (b= 0.19; SE= 0.04; p<0.001). Depression decreased with stronger family support (b= -0.05; SE= 0.03; p= 0.031) and stronger peer support (b= -0.09; SE= 0.05; p= 0.001). The risk of functional disability increased with female sex (b= 3.36; SE= 1.21; p= 0.006), age (b= 0.14; SE= 0.06; p= 0.016), BMI (b= 0.31; SE= 0.17; p= 0.070), had experienced injury (b= 2.27; SE= 1.16; p= 0.051), higher grade of OA (b= 1.32; SE= 0.65; p= 0.041), and higher pain level (b= 0.41; SE= 0.12; p<0.001). The risk of functional disability decreased with stronger family support (b= -0.16; SE= 0.04; p<0.001) and stronger peer support (b= -0.29; SE= 0.08; p<0.001).Conclusion: Depression in OA patients is affected by BMI, pain level, duration (year), functional disability family support, and peer support. Functional disability is affected by sex, age, BMI, injury experience, grade of OA, pain level, family support, and peer support.Keywords: osteoarthritis, depression, functional disability, pain, BMI, family support, peer supportCorrespondence: Wahyu Tri Sudaryanto. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: wahyu.londho86@yahoo.co.id. Mobile: 085640637769.Journal of Epidemiology and Public Health (2018), 3(2): 292-306https://doi.org/10.26911/jepublichealth.2018.03.02.08
The Contextual Effect of Village on Early Marriage in Wonogiri, Central Java Prawita, Mirna; Soemanto, RB; Murti, Bhisma
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: In spite of international agreements and national laws, the marriage of girls <18 years of age is common worldwide and affects millions. Child marriage is a human rights violation as it prevents girls from obtaining an education, enjoying optimal health, bonding with others their own age, maturing, and ultimately choosing their own life partners. Child marriage is driven by poverty. Therefore, village level of prosperity may have a contextual effect on child marriage. The purpose of this study was to examine the contextual effect of the village on early marriage in Wonogiri, Central Java.Subjects and Method: A case-control study was conducted at 25 villages in Wonogiri, East Java, in December 2018. A sample of 225 women was selected by fixed disease sampling. The dependent variable was an early marriage. The independent variables were the intention, attitude, perceived behavior control, paternal education, maternal education, and information exposure. The data were collected by questionnaire and analyzed by multilevel analysis.Results: The risk of early marriage increased with exposure to negative information (b= 0.97; 95% CI= 0.20 to 1.72; p<0.012), negative attitude (b= 1.67; 95% CI= 1.00 to 2.67; p<0.001), and strong intention (b= 1.86; 95% CI= 1.03 to 2.70; p<0.001). The risk of early marriage decreased with high paternal education (b= -0.81; 95% CI= -1.57 to -2.14; p= 0.009), high maternal education (b= -0.65; 95% CI= -1.37 to 0.85; p= 0.083), strong perceived behavior control (b= -1.77; 95% CI= -1.77 to -0.20; p= 0.013). Village had contextual effect on early marriage with ICC= 15%.Conclusion: The risk of early marriage increases with high exposure to information, negative attitude, and strong intention. The risk of early marriage increases with high paternal education high maternal education, strong perceived behavior control. The village has a contextual effect on early marriage.Keywords: intention, early marriage, parental education, information exposureCorrespondence: Mirna Prawita. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: mirna.prawita2013@gmail.com. Mobile: 085­642331691.Journal of Maternal and Child Health (2019), 4(5): 317-325https://doi.org/10.26911/thejmch.2019.04.05.03
Linear Regression Analysis on Factors Affecting Health Surveillance Personnel Performance in Early Detection of Preeclampsia in Semarang, Central Java Cahyandaru, Zella; Tamtomo, Didik; Soemanto, RB
Journal of Health Policy and Management Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Preeclampsia is a major cause of maternal death both globally and regionally. It can be prevented either through continuous surveillance and early detection activities. City Health Office in Semarang recruited health surveillance officers as an effort to reduce maternal mortality especially due to preeclampsia. The purpose of this study was to analyze factors associated with health surveillance personnel performance in the early detection of preeclampsia.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in 26 community health centers in Semarang, from October to December 2018. A sample 148 health surveillance personnels was selected by exhaustive sampling. The dependent variable was health surveillance personnels performance. The independent variables were age, work motivation, work stress, job satisfaction, leadership style, and supervision. The data were collected by questionnaire and analyzed by a multiple linear regression.Results: Health surveillance personnel’s performance in early detection of preeclampsia was positively associated with strong work motivation (b= 0.12; 95% CI= 0.07 to 0.16; p<0.001), low work stress (b= 0.08; 95% CI= -0.01 to 0.15; p= 0.058), work satisfaction (b= 0.10; 95% CI= 0.05 to 0.15; p<0.001), leadership style (b= 0.23; 95% CI= 0.10 to 0.37; p= 0.001), and good supervision (b= 0.31; 95% CI= 0.18 to 0.45; p<0.001). Health surveillance personnel’s performance was negatively associated with older age (b= -0.08; 95% CI= -0.16 to 0.01; p= 0.050).Conclusions: Health surveillance personnel performance in early detection of preeclampsia is positively associated with strong work motivation, low work stress, work satisfaction, leadership style, and good supervision. Performance is negatively associated with older age.Keywords: early detection, preeclampsia, performance, health surveillance personnelCorrespondence: Zella Cahyandaru. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: zellacahyandaru@gmail.com. Mobile: +6287832622469.Journal of Health Policy and Management (2019), 4(1): 13-22https://doi.org/10.26911/thejhpm.2019.04.01.02