Yunita, Astri
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Multilevel Analysis on the Bio-psychosocial and Environment Factors Affecting the Risk of Pneumonia in Infants Yunita, Astri; Murti, Bhisma; Dewi, Yulia Lanti Retno
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background:Pneumonia is an illness of the maincauses of pain and death in toddler in the world. The incidence of pneumonia in Indonesia has increased, from 2007 about 2.1% and in 2013 about 2.7%. Pneumonia in toddler in Indonesia is an issue that is important to do the actions of prevention and control of pneumonia. This study was aimed to investigate the factors bio-psychosocial to the risk of pneumonia in toddlers.Subject and Methods: This was an analytical observational study with case control design, carried out on 2 August to 16 September 2016. A total of 140 subjects in Banjarnegara, Central Java, were selected by fixed disease sampling. The dependent was pneumonia in infants. The independent variables were exposure to CO, H2S, family income, maternal education, householdsmoke exposure, sanitary home, chain-smoking family activity, anxiety. The data was collected by using a questionnaire, check list and recording and analyzed by using Logistic regression.Results: There was influence of exposure of CO (OR = 1.46; 95% CI = 0.17 to 21; p = 0.970), H2S (OR = 0.53; 95%CI = 0.98 to 2.92; p = 0.412), family income (OR = 1.90; 95% CI = 0.78 to 4.65; p= 0.365), maternal education (OR = 1.75; CI = 0.72 to 4.25; p= 0.474), household smoke exposure (OR = 5.63; CI = 2.27 to 13.95; p = 0.001), home sanitation (OR = 6.23; 95% CI = 2.61 to 14.84; p = 0.001),  smoking activity (OR = 3.19; 95% CI = 1.33 to 7.66; p = 0.020) and the incidence of pneumonia toddlers. There was the influence of anxiety to pneumonia in toddler (OR = 16; 96% CI = 6.87 to 37.75; p < 0.001). There was the influence of contextual conditions to pneumonia in toddler (ICC = 36.97%; role of thumb 5 to 8% likelihood ratio p = 0.008; 95% CI = 0.45 to 8.17).Conclusion: There is the influence of exposure to CO, H2S, family income, maternal education, household smoke exposure, home sanitation, smoking activity. There is the influence of anxiety of pneumonia in toddler. The condition has influence contextual variations toddler pneumonia incident, so it is noteworthy.Keywords: bio-psychosocial, environmental factor, pneumonia toddlersCorrespondence: Astri Yunita Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: astriyunita07@yahoo.co.idJournal of Epidemiology and Public Health (2016), 1(1): 1-10https://doi.org/10.26911/jepublichealth.2016.01.01.01 
Hubungan Theory Health Belief Model dengan Kejadian Preeklamsia pada Ibu Hamil di Kabupaten Kediri Jawa Timur Katmini, Katmini; Nurcahyanti, Febrina Dwi; Yunita, Astri
Journal of Health Vol 6 No 1 (2019): Journal of Health - January 2019
Publisher : LPPM STIKES Guna Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (860.381 KB) | DOI: 10.30590/vol6-no1-p1-5

Abstract

Latar Belakang: Angka Kematian Ibu (AKI) yang tinggi tahun 2015 merupakan masalah yang besar di Indonesia, yaitu 305 per 100.000 kelahiran hidup. Angka ini sedikit menurun jika dibandingkan dengan SDKI (1991) yaitu sebesar 390 per 100.000 KH. Tujuan ke-3 SDG’s adalah kesehatan yang baik (menurunkan AKI) menjadi 102 per 100.000 KH. Kematian ibu tahun 2010-2012 disebabkan karena peningkatan pada kejadian preeklamsia, eklamsia dan faktor lain-lain, seperti masalah sosial, budaya, pendidikan yang kurang, hingga persoalan ekonomi. Tujuan penelitian untuk mengetahui hubungan Theory Health Belief Model&nbsp; dengan kejadian preeklamsia pada ibu hamil di Kabupaten Kediri Jawa Timur. Subjek dan Metode: Penelitian dilaksanakan di Puskesmas binaan Kabupaten Kediri. Metode penelitian kuantitatif jenis explanatory study, desain penelitian case control study, pada ibu dengan preeklamsia untuk kasus dan tidak preeklamsia untuk kontrol. Jumlah sampel adalah 100 ibu hamil dari Puskesmas Binaan Kabupaten Kediri. Variabel independen yang diteliti adalah umur ibu hamil, pendidikan, pekerjaan, Body Mass Index dan berat badan. Variabel dependen yang diteliti adalah preeklamsia. Analisa data yang digunakan adalah Chi Square menggunakan SPSS 22. Hasil: Analisis bivariat menggunakan uji chi square didapatkan ada hubungan antara persepsi kerentanan(OR=0.32; 95% CI=0.13 to 0.74; p=0.007), persepsi keseriusan (OR=0.33; 95% CI=0.13 to 0.80; p=0.012),persepsi manfaat (OR=0.38; 95% CI=0.17 to 0.87; p=0.022) dan persepsi hambatan (OR=5.18; 95% CI=2.13 to 12.58; p=&lt;0.001) dengan preeklamsia. Kesimpulan: Ada hubungan antara umur ibu hamil, paritas, tingkat pendidikan dan pekerjaan dengan preeklamsia. Variabel lain yang tidak berhubungan dengan kejadian preeklamsia yaitu Body Mass Index dan berat badan.