Bastaman Basuki
Department of Community Medicine, Universitas Indonesia Faculty of Medicine, Jakarta.

Published : 44 Documents
Articles

Several factors increased job dissatisfaction among medical doctors in Indonesia Basuki, Bastaman; Priyudha, Pamela A.; Ismail, R. Irawati
Health Science Journal of Indonesia Vol 4, No 1 Jun (2013)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/HSJI/article/view/3090

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AbstrakLatar belakang: Beberapa faktor stresor kerja dapat meningkatkkan ketidakpusasan kerja. Tujuan penelitian ini untuk mengidentifikasi beberapa faktor dominan terkait dengan ketidakpusasan kerja.Metode: Studi potong lintgang dengan sampling purposif yang dilakukan pada bulan April-Juli 2011. Subyek terdiri dari mahasiswa pascasarjana dan dosen Fakultas Kedokteran Universitas Indonesia. Regresi linier digunakan untuk menganalisis data. Hasil: Peserta terdiri dari 306 subyek, berusia 23-47 tahun, mayoritas perempuan (61,4%), menikah, dan tidak pernah mengikuti pelatihan manajemen stres. Sedangkan pekerjaan saat ini/sebelumnya adalah dalam pelayanan kesehatan, atau pejabat pemerintah. Tingkat ketidakpuasan kerja berkaitan dengan tujuh faktor: yang tertinggi ialah kurangnya dukungan dari atasan, dan yang terendah ialah melakukan layanan di luar jam kerja. Satu poin kurang dukungan atasan akan meningkatkan ketidakpuasan kerja sebesar 1,26 [koefisien regresi (β) = 1,26, P = 0,000); satu poin untuk menyediakan layanan di luar jam kerja akan meningkatkan 0,61 poin ketidakpuasan kerja (β= 0,6, P = 0,001). Kesimpulan: Kurangnya dukungan atasan dan interaksi dengan rekan kerja, peran organisasi ambiguitas, prosedur birokrasi, memberikan pelayanan di luar jam kerja, dan umpan balik yang tidak memadai dari pasien akan meningkatkan ketidakpuasan kerja. (Health Science Indones 2013;1:11-6)Kata kunci:ketidakpuasan kerja, stresor kerja, dokterAbstractBackground:Several factors of work stressors may increase a person’s job dissatisfaction level. This study aimed to identify several dominant factors related to job dissatisfaction among medical doctors. Methods: A cross-sectional study with purposive sampling was conducted in April-July 2011. Subjects consisted of postgraduate students and faculty members of the Faculty of Medicine, Universitas Indonesia. Linear regression was used to analyze the data. Results: The participants consisted of 306 subjects, aged 23-47 years old, the majority were female (61.4%), married, current/previous work was in health services, government officials and never had stress management training. Job dissatisfaction level related to seven factors, the highest was having lack of support from superiors and the lowest was being required to provide services outside normal working hours. One point of having lack of support from superiors increased job dissatisfaction by 1.26 [regression coeffisient (β) = 1.26; P=0.000); one point of being required to provide services outside normal working hours increased job dissatisfaction by 0.61 point (β= 0.6; P=0.001).Conclusion:Lack of superiors’ support and interaction with colleagues, role organization ambiguity, bureaucratic procedures, having to provide services outside normal working hours, and inadequate feedback from patients all increased job dissatisfaction. (Health Science Indones 2013;1:11-6) Keywords: job dissatisfaction, work stressor, medical doctors
Risks of Plasmodium falciparumparasitemia among 10 years or below children in Indonesia: a 2010 national study Roosihermiatie, Betty; Basuki, Bastaman
Health Science Journal of Indonesia Vol 3, No 2 Des (2012)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/HSJI/article/view/3072

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AbstrakLatar belakang:In 2007, 396 (80%) dari total 95 kabupaten/kota merupakan daerah endemis malaria. Maka SK Menteri Kesehatan Nomor 293 tahun 2009 adalah tentang eliminasi malaria. Malaria menyebabkan anemia, berat badan rendah, co-infeksi dengan penyakit lainnya. Untuk mencapai eliminasi malaria penting menurunkan parasitemia malaria. Tujuan studi ini untuk menentukan karakteristik, sosioekonomi dan perilaku pada anak usia 10 tahun ke bawah terhadap kejadian Plasmodium falciparum parasitaemia di Indonesia.Metode: Studi ini menggunakan data Riskesdas 2010. Sebanyak total 72,105 orang diperiksa Plasmodium falciparum parasitemia dengan menggunakan Rapid Diagnostic Test Nusa Tenggara Barat (RDT, Merek NTB) didapat 16.666 anak usia 10 tahun ke bawah. Data dianalisis dengan uji regresi logistik.Hasil:Prevalensi anak-anak berumur 10 tahun ke bawah yang terkena P. falciparum parasitemia ialah 1,1%. Dibandingkan dengan anak di perkotaan, anak di daerah pedesaan mempunyai risiko 3,3 kali lipat terkena P. falciparum parasitemia [rasio odds suaian (ORa)=3,34; 95% interval kepercayaan (CI)= 2,23–5,02].Kesimpulan: Anak-anak 10 tahun ke bawah yang bertempat tinggal di pedesaan dibandingkan yang di perkotaan mempunyai risiko lebih tinggi terkena P. falciparum parasitemia. (Health Science Indones 2012;2:xx-xx)Kata kunci: Plasmodium falciparum, parasitemia, anak 10 tahun ke bawahAbstractBackground:In 2007, in Indonesia 80% of a total 495 districts/municipalities was malaria endemic. Most malaria parasitemia is P. falciparum, and it is related to several risk factors. This analysis aimed to identify dominant risk factors related to P. falciparummalaria parasitemia among children 10 years or below.Methods: This analysis used a part of Basic Health Research year 2010 data. A total of 72,105 people were examined parasitemia using Rapid Diagnostic Test Nusa Tenggara Barat (RDT Brand NTB). They were 16,666 children aged 10 years old and below. We used logistic regression analysis to identify determinant risk of positive P. falciparum.Results:The prevalence of positive P. falciparumwas 1.1%. Compared with urban children, rural children had 3.3-fold higher risk to be positive P. falciparum parasitemia [adjusted odds ratio (ORa)=3.34; 95% confidence interval (CI) = 2.23–5.02].Conclusion:Rural than urban under 10 years children had higher risk to be positive P. falciparum. (Health Science Indones 2012;2:xx-xx)Key words: P. falciparum, parasitemia, children 10 years or below
Coping strategies related to total stress score among post graduate medical students and residents Ismail, R. Irawati; Basuki, Bastaman
Health Science Journal of Indonesia Vol 3, No 2 Des (2012)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/HSJI/article/view/3069

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AbstrakLatar belakang:Beberapa strategi penanganan yang dapat mengurangi tingkat stres. Tujuan penelitian ini untuk mengidentifikasi beberapa strategi yang dominan terhadap tingkat skor stres total.Metode:Pada penelitian potong lintang dengan sampel purposif mahasiswa kedokteran pasca sarjana Fakultas Kedokteran Universitas Indonesia pada bulan April-Juli 2011. Kuesioner yang digunakan ialah kuesioner strategi mengurangi stres dan self reporting questionnaire WHO (SRQ-20). Regresi liniar digunakan Untuk mengidentifikasi faktor dominan terhadap tingkat stres dipergunakan regresi linear.Hasil: Subjek terdiri dari 272 orang, usia 23-44 tahun. Empat hal menurunkan skor stres total (menerima realitas, berbicara dengan seseorang yang dapat melakukan sesuatu, meminta bantuan Allah, dan menertawakan situasi yang bermasalah). Sebaiknya tiga faktor meningkatkan skor stres total (menyelesaikan langkah demi langkah pada suatu waktu, berbicara dengan seseorang untuk mengetahui lebih lanjut tentang situasi, dan mengakui tidak bisa menangani pemecahan situasi). Satu poin menerima realitas situasi mengurangi 0,493 poin skor total stress [koefisien regresi (β) = -0,493, P = 0,002]. Sementara satu poin mencari pertolongan Allah akan mengurangi 0,307 poin skor stres total (β) = -0,307, P = 0,056). Namun, satu poin melakukan satu langkah pada suatu waktu akan meningkatkan 0,54 poin skor stres total (β) = 0,540, P = 0,005).Kesimpulan: Menerima realitas, berbicara dengan seseorang yang dapat melakukan sesuatu, meminta bantuan Allah, dan menertawakan situasi akan menurunkan tingkat stres. Sebaiknya, menyelesaikan langkah demi langkah pada suatu waktu, berbicara dengan seseorang untuk mengetahui lebih lanjut tentang situasi, dan mengakui tidak bisa menangani memecahkan situasi, meningkatkan skor stres total.Kata kunci:strategi pengendalan stres, meminta pertolongan AlllahAbstractBackground:Several coping strategies may minimize stress levels. This study aimed to identify several dominant coping strategies related to total stress score levels.Methods:A cross-sectional purposive sampling method study among postgraduate medical students of the Faculty of Medicine, Universitas Indonesia was done April-July 2011. We used a coping strategies questionnaire and the WHO SRQ-20. Linear regression was used to identify dominant coping strategies related to stress levels.Results:This study had 272 subjects, aged 23-47 years. Four items decreased the total stress score (accepting the reality of the fact, talking to someone who could do something, seeking God’s help, and laughing about the situation). However, three factors increased the total stress score (taking one step at a time has to be done, talking to someone to find out more about the situation, and admitting can’t deal solving the situation). One point of accepting the reality of the situation reduced 0.493 points the total stress score [regression coefficient (β)= -0.493; P=0.002]. While one point seeking God’s help reduced 0.307 points the total stress score (β)= -0.307; P=0.056). However, one point of doing one step at a time increased 0.54 point the total stress score (β)=0.540; P=0.005).Conclusions: Accepting the reality of the situation, talking to someone who could do something, seeking God’s help, and laughing about the situation decreased the stress level. However, taking one step at a time, talking to someone to find out more about the situation and admitting can’t deal solving the situation, increased the total stress score.Key words:stress level, coping strategies, age, seeking God’s help
Slit-lamp calibration, crucial but neglected Rif’ati, Lutfah; Basuki, Bastaman
Health Science Journal of Indonesia Vol 3, No 2 Des (2012)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/HSJI/article/view/3066

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AbstrakLatar belakang: Kalibrasi berkala alat diagnostik sangat esensial untuk diagnosis yang akurat. Riset fasilitas kesehatan (Rifaskes) 2011 mengumpulkan data termasuk kalibrasi lampu celah (slit-lamp) pada sampel rumah sakit (RS) di Indonesia. Tujuan analisis ialah untuk mengidentifikasi faktor dominan yang berpengaruh terhadap pelaksanaan kalibrasi berkala lampu celah di RS.Metode: Analisis memakai sebagian data Rifaskes 2011 di antara 442 RS yang menyediakan layanan kesehatan mata. Risiko relatif dipergunakan untuk menilai kemungkinan tidak dilakukannya kalibrasi lampu celah di RS.Hasil: Di antara 248 RS sampel yang memenuhi kriteria inklusi, hanya 25,8% RS yang melakukan kalibrasi lampu celah tepat waktu. Dibandingkan dengan rumah sakit yang dimiliki oleh Badan Usaha Milik Negara (BUMN), rumah sakit yang dimiliki lembaga lain memiliki risiko yang lebih tinggi tidak mengkalibrasi lampu celah. Menurut tipe RS, RS non-pendidikan dibandingkan dengan RS -pendidikan berisiko 40% lebih tinggi tidak mengkalibrasi lampu [risiko relatif suaian (RRa) = 1,40; 95% interval kepercayaan (CI) = 1,02-1,91].Kesimpulan: Kalibrasi tepat waktu lampu-celah masih menjadi masalah di sebagian besar RS. Dibandingkan dengan rumah sakit yang dimiliki oleh BUMN, rumah sakit yang dimiliki oleh instansi lain berisiko yang lebih tinggi tidak mengkalibrasi lampu celah. (Health Science Indones 2012;2:xx-xx)Kata kunci:kalibrasi, lampu celah, rumah sakitAbstractBackground: Periodical diagnostic tool calibration is essential for accurate diagnosis. Health Facilities Research (Rifaskes) in 2011 collected data on the slit-lamp calibration of all registered general hospitals in Indonesia.Methods: Analysis using a part Rifaskes 2011 data among 442 hospitals that provide eye health services. Relative risk was used to assess the risk of performing calibration slit lamp.Results: Out of 442 hospitals, 248 hospitals met the inclusion study criteria, and only 25.8% calibrating the slit-lamp on schedule. Ownership and type of hospital were the dominant factors on the risk of not performing on schedule slit- lamp calibration. Compared to hospital owned by government public company, the hospitals owned by the other institution had higher risk did not calibrate their slit-lamp. In term of hospital type, nonteaching hospital compared with teaching hospital had 40% higher risk did not calibrate their slit-lamp [adjusted relative risk [adjusted relative risk (RRa) = 1.40; 95% confidence interval (CI) = 1.02-1.91].Conclusion: On schedule slit-lamp calibration was still a problem in most of hospitals. Compared to hospital owned by government public company, the hospitals owned by the other institution had higher risk did not calibrate their slit-lamp. (Health Science Indones 2012;2:xx-xx)Key words:calibration, slit-lamp, hospital
Welding fumes exposure decreases forced vital capacity but not height among welders Mariyamah, Titis; Basuki, Bastaman; Effendi, Fikry
Health Science Journal of Indonesia Vol 3, No 1 Jun (2012)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/HSJI/article/view/426

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AbstrakLatar belakang: Asap pengelasan antara lain dapat menyebabkan penurunan kapasitas vital paksa (KVP). Tujuan penelitian ini adalah untuk mengidentifi kasi beberapa faktor yang dapat berhubungan dengan KVP pada pengelas.Metode: Studi ini menggunakan desain potong lintang pada subjek pengelas di pabrik mobil sekitar Jakarta tahun 2012. Responden dipilih secara purposif. Pemeriksaan KVP menggunakan spirometri. Data pajanan asap didapatkan dari data yang dimiliki perusahaan. Data demografi , kebiasaan, dan pekerjaan diperoleh dengan wawancara.Hasil: Jumlah responden 124 dari 150, rentang umur 19-55 tahun dan telah bekerja antara 1-16 tahun. Data pajanan asap pada area pengelasan adalah 15 mg/m3, Pajanan asap pengelasan cenderung menurunkan kapasitas vital paksa [koefi sient regresi (r) = -0,004, 95% interval kepercayaan (CI) = -0,01;-0,00] dan makin tinggi tinggi badan cenderung KVP meningkat (r= 0,35; 95% CI = 0,02;0,05).Kesimpulan: Pajanan asap pengelasan cenderung menurunkan KVP, sebaliknya semakin tinggi tinggi badan cenderung meningkatkan KVP. (Health Science Indones 2012;1:41-4)Kata kunci: pajanan asap pengelasan, tinggi badan, kapasitas vital paksaAbstractBackground: Welding fumes caused the decreasing of forced vital capacity (FVC). The study aimed to identify several factors related to FVC.Methods: The subject of this cross-sectional study consisted of welders in an automobile manufacture outskirt of Jakarta in 2012. We used purposive sampling selection. The assessments of FVC were using spirometri. Exposure fumes value of the workplace based on the assessements of the factory. Demographic and employment data was selected from interview.Results: A number 124 out of 150 welders which aged between 19-55 years who’s had 1-16 years worked. Exposure fumes value was 15 mg/m3 in the factory. The welding fume exposure decreased FVC [regressioncoeffi cient (r) = -0.004; 95% confi dence interval (CI) = -0.01;-0.00]. On the other site, those who had more taller height had higher FVC (r = 0.035; 95% CI = 0.02;0.05).Conclusions: Welding fumes exposure was decreasing the FVC, but those who had more taller height had higher FVC among welders. (Health Science Indones 2012;1:41-4) 
Welding fumes exposure, body mass index and duration of smoking decrease physical fi tness among welders Perdana, Rudy Wahyu; Basuki, Bastaman; Effendi, Fikry
Health Science Journal of Indonesia Vol 3, No 1 Jun (2012)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/HSJI/article/view/425

Abstract

AbstrakLatar belakang: Pajanan asap pengelasan dapat mengganggu kesehatan, antara lain penurunan kebugaran jasmani. Penelitian ini bertujuan menganalisis efek pajanan asap pengelasan terhadap kebugaran jasmani pengelas.Metode: Penelitian menggunakan desain potong lintang dan subjek penelitian dipilih secara purposif di antara pengelas di suatu pabrik knalpot di sekitar Jakarta tahun 2012. Beberapa karakteristik demografi , riwayat pekerjaan, dan kebiasaan subjek diperloleh dengan wawancara. Kebugaran jasmani diperiksa dengan metode Queen’s College Step Test. Total pajanan asap dinilai menggunakan metode semi kuantitatif yaitu perkalian pajanan asap dengan masa kerja sebagai pengelas.Hasil: Subjek penelitian berjumlah 110 orang, yang berusia antara 19-55 tahun, dengan masa kerja 1-16 tahun. Pajanan asap diperusahaan sebesar 15 mg/m3 menurut data pemeriksaan rutin perusahaan tahun 2012. Umur dan aktivitas fi sik tidak berkorelasi terhadap tingkat kebugaran jasmani pengelas. Akan tetapi didapatkan korelasi negatif antara total pajanan asap, index massa tubuh (IMT), dan kebiasaan lama merokok terhadap tingkat kebugaran jasmani pengelas. Korelasi terhadap tingkat kebugaran jasmani pengelas tersebut adalah: total pajanan asap [koefi sien regresi (r) = -0,07; 95% koefi sien interval (CI) = -0,10; -0,04]; IMT (r =-0,38; 95% CI = -0,64;-0,09); dan kebiasaan lama merokok (r = -0,16; 95% CI = -0,28;-0,04)Kesimpulan: Peningkatan pajanan asap pengelasan, index massa tubuh, dan lama merokok menurunkan tingkat kebugaran jasmani pengelas. (Health Science Indones 2012;1:37-40)Kata kunci: pajanan asap, kebugaran jasmani, Queen’s College Step Test AbstractBackground: Welding fumes exposure caused health disorders, one of them are decreasing the level of physical fi tness. This study aimed to analyze the effect of welding fumes exposure with the level of welder’sphysical fi tness.Methods: This cross-sectional using purposive selected by sampling selection method among welders in the muffl er factory at outskirt of Jakarta in 2012. Several characteristic demography, occupational history,and habits were obtained through interview. Welding fumes exposure obtained by semi quantitative method. Physical fi tness was obtained by physical examination using Queen’s College Step Test.Results: The total of subjects in this study were 110 people, 19-55 years of age, total duration of work between 1-16 years. We found that there were no signifi cant association between the age and physical activity of respondents with the level of welder physical fi tness. We noted negative correlation between the total fume exposure, body mass index, duration of smoking habits and the level of welder physical fi tness. The correlation were: the total fume exposure [regression coeffi cient (r)= -0,07; 95% confi dence interval (CI)= -0,10;-0,04]; body mass index (r= -0,38; 95% CI= -0,64;-0,09); and duration of smoking habits (r= -0,16; 95% CI= -0,28;-0,04).Conclusion: Increase in total welding fumes exposure, body mass index, and duration of smoking habit will be decrease welder physical fi tness. (Health Science Indones 2012;1:37-40) 
Postpartum depression in Indonesia women: a national study Idaiani, Sri; Basuki, Bastaman
Health Science Journal of Indonesia Vol 3, No 1 Jun (2012)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/HSJI/article/view/396

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AbstrakLatar belakang: Ibu yang melahirkan diharapkan tidak mengalami rasa sedih pasca persalinan yang berdampak jangka panjang antara lain menyebabkan gangguan pertumbuhan dan perkembangan anak. Tujuan analisis ini untuk mengidentifikasi beberapa faktor terhadap rasa sedih pasca melahirkan.Metode: Analisis ini merupakan sebagian data Riset Kesehatan Dasar (Riskesdas) 2010 yang dilaksanakan di seluruh Indonesia dengan sampling bertahap. Analisis dilakukan terhadap wanita yang menikah atau pernah menikah berumur 13-49 tahun yang melahirkan bayi antara 1 January 2005 sampai 31 August 2010. Analisis mempergunakan regresi logistik.Hasil:Prevalensi rasa sedih pasca persalinan sebesar 2,32% (440/18937). Wanita yang melahirkan bayi dengan ukuran sangat kecil berisiko tertinggi mengalami (4,8-lipat) rasa sedih pasca persalinan [rasio odds suaian (ORa)=4,84; 95% interval kepercayaan (CI)=2,89-8,12], dan yang mempunyai bayi kecil 67% lebih besar mengalami rasa sedih pasca persalinan (ORa=1,67; 95% CI =1,20-2,33). Selain itu wanita yang mengalami komplikasi pasca persalinan berisiko lebih besar mengalami rasa sedih pasca persalinan. Dibandingkan dengan yang tidak mengalami komplikasi, wanita yang mengalami pecah ketuban dini mengalami risiko lebih tinggi 6 kali lipat (ORa=6,02; 95% CI=4,63-7,83), disusul yang mengalami partus macet (ORa=5.75; 95% CI=3,05-10,85).Kesimpulan:Wanita yang mengalami komplikasi selama persalinan atau mempunyai besar bayi tidak rata-rata berisiko lebih besar mengalami rasa sedih pasca persalinan.(Health Science Indones 2012;1:3-8)Kata kunci: post partum, rasa sedih, komplikasi, besar bayi, IndonesiaAbstractBackground:A mother’s postpartum depression may have long-term impacts on a child’s growth and development. This analysis aimed to identify several risk factors related to postpartum depression.Methods:The data analyzed originated from a cross-sectional Basic Health Survey (Riskesdas) 2010 of Indonesia which provided specific information on the health Millennium Development Goals (MDG). Multistage sampling was used. For this analysis, we included married or ever-married women between the ages of 13-49 years who delivered babies during the period between 1 January 2005 and 31 August 2010. We used logistic regression methods to estimate the postpartum depression risk.Results: The prevalence of postpartum depression was 2.32% (440/18937). Compared to women with average size babies, women who had very small babies had a higher risk (4.8-fold) for postpartum depression [adjusted odds ratio (ORa)=4.84; 95% confidence interval (CI)=2.89-8.12]. Women who had small babies had a 67% higher risk than women with average size babies for having post partum depression (ORa=1.67; 95% CI =1.20-2.33). In addition, All women who reported any delivery complications were at a greater risk for postpartum depression. Compared to those who did not report any complications, those who reported premature rupture of the membrane during their deliveries (ORa=6.02; 95% CI=4.63-7.83), followed by those who experienced obstructive labor (ORa=5.75; 95% CI=3.05-10.85) were at a greater risk for postpartum depression.Conclusion:Women who reported any delivery complication or had a very small or small babies had a higher risk for postpartum depression.(Health Science Indones 2012;1:3-8)
Signs or symptoms of complications in pregnancy and risk of caesarean section: an Indonesia national study Suparmi, Suparmi; Basuki, Bastaman
Health Science Journal of Indonesia Vol 2, No 2 Des (2011)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

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Latar  belakang: Pada  beberapa  tahun  terakhir  kejadian  seksio  sesarea  (c-sesarea)  meningkat.  Tujuan analisis ialah untuk mengidentifikasi beberapa tanda atau gejala yang berbahaya selama kehamilan terhadap c-sesarea.Metode: Analisis ini memakai sebagian data Riset Kesehatan Dasar (Riskesdas) 2010. Sub-sampel dengan metode multistage stratified sampling di seluruh Indonesia di antara wanita yang menikah atau pernah menikah berumur 10-49 tahun yang melahirkan bayi antara 1 January 2005 sampai 31 August 2010. Analisis mempergunakan regresi Cox dengan waktu konstan. Hasil: Prevalensi c-sesarea sebesar 10,8% di antara 20.501 wanita. Rasio prevalensi  kota dan desa ialah 2,9. Wanita yang pernah dibandingkan yang tidak pernah mengalami sebarang tanda atau gejala komplikasi kehamilan berisiko lebih besar mengalami c-sesarea. Wanita yang pernah dibandingkan yang tidak pernah mengalami  demam  tinggi  berisiko  2,3-lipat  c-sesarea [risiko  relatif  suaian  (RRa)  =  2,33;  95%  interval kepercayaan (CI) = 1,69-3,34]. Wanita yang pernah mengalami dibandingkan yang tidak pernah mengalami perdarahan per vaginam berisiko 2,1-lipat mengalami c-sesarea (RRa = 2,12; 95% CI = 1.,5-2,58). Risiko yang terkecil (96%) terjadi pada wanita yang pernah mengalami kejang atau pingsan (RRa = 1.96; 95% CI = 1,41-2,73).Kesimpulan:  Wanita  yang  pernah  dibandingkan  yang tidak pernah  sebarang  tanda  atau  gejala  komplikasi kehamilan berisiko lebih besar mengalami c-sesarea. (Health Science Indones 2011;2:71-6).AbstractBackground: In the last years, the frequency of cesarean section (c-section) has risen. This study was aimed to identify several signs or symptoms of complications during pregnancy increased the risk of c-section (c-section).Methods: Data were derived from the Basic Health Survey (Riskesdas) 2010. The sub-sample was married or divorced women aged 10-49 years between January 1, 2005 and August 2010 in Indonesia based on multistage stratified sampling methods. Analysis used Cox regression with constant time.Results: The c-section rate was 10.8% among 20,501 women. Urban and rural ratio of c-section rate was 2.9. Women who reported than who did not report any signs or symptoms of complications during their pregnancies had a higher risk of c-section. Women who reported high fever had 2.3-fold for c-section [adjusted relative risk (RRa) = 2.33; 95% confidence interval (CI) = 1.69-3.34]. Moreover, those who reported compared to those who did reported bleeding had 2.1-fold increase risk of c-section (RRa = 2.12; 95% CI = 1.75-2.58). The lowest risk (96%) was among those who ever had convulsion/fainted (RRa = 1.96; 95% CI = 1.41-2.73).Conclusion: Women who reported any signs or symptoms of complications during their pregnancies had an increased risk of c-section. (Health Science Indones 2012;2:71-6).
Cold working room temperature increased moderate/severe qualitative work stressor risk in Air Traffic Controllers Astuti, Dewi; Basuki, Bastaman; Mulijadi, Herman
Health Science Journal of Indonesia Vol 2, No 2 Des (2011)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

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Abstract

Latar belakang: Pemandu lalu lintas udara (PLLU) kemungkinan lebih besar terkena stresor kerja kualitatif. Tujuan penelitian untuk mengidentifikasi beberapa faktor yang berkaitan dengan stresor kerja kualitatif moderat (SBKL) sedang di antara PLLU di Bandar Udara Internasional Soekarno-Hatta.Metode:  Studi  potong  lintang  dilakukan  pada  bulan  November 2008  dengan  subjek  PLLU  aktif  bekerja minimal  6  bulan. Penelitian  menggunakan  kuesioner  standar  survei  diagnostik stres  dan  kuesioner  stresor rumah tangga. Kuesioner diisi oleh subjek.Hasil: Subjek berumur 27-55 tahun terdiri dari 122 PLLU dengan SBKL sedang/berat dan serta 13 (9,6%) PLLU dengan SBKL rendah. Model menunjukkan bahwa mereka yang merasa dibandingkan dengan yang tidak merasa suhu ruangan terlalu dingin mempunyai 11-lipat risiko SBKL sedang/berat [rasio odds suaian (ORa) = 10,63: 95% interval kepercayaan (CI) = 1,79-65,59]. Dibandingkan dengan subjek tanpa stresor ketaksaan peran, mereka yang mempunyai stresor ketaksaan peran sedang/berat berisiko 8,2-lipat SBKL sedang/berat (ORa = 8,23: 95% CI = 1,13-59,90). Di samping itu, mereka yang mempunyai stresor tanggung jawab sedang/berat mendapatkan dibandingkan dengan tanpa stesor ini 6,6-kali berisiko SBKL sedang/berat (ORa = 6,64: 95% CI = 1.13-38.85), Selanjutntya mereka yang mempunyai dibandingkan dengan yang tanpa stresor pengembangan karir sedang/berat mempunyai 3,7-kali risiko SBKL sedang/berat  (ORa = 3,67: 95% CI = 0.88-15.35; P = 0,075).Kesimpulan: Subjek LLU yang merasa suhu ruangan terlalu dingin, stresor ketaksaan peran, tanggung jawab personal dan pengembangan karir sedang/berat mengalami peningkatan risiko SBKL sedang/berat. (Health Science Indones 2011;2:58-65).AbstractBack ground: Air traffic controllers (ATCs) have a high level of responsibility which may lead to qualitative work load stressor (QLWS). This study identified several risk factors related to moderate qualitative work load stressor among the ATCs.Methods:  This  cross-sectional  study  was  conducted  in November  2008  at  Soekarno-Hatta  International Airport. Subjects consisted of active ATCs with a minimum of six months total working tenure. The study used standard diagnostic as well as home stressor questionnaire surveys. All questionnaires were filled in by the participants.Results: Subjects were aged 27–55 years, consisted of 112 ATCs who had moderate and 13 (9.6%) ATCs who had slight QLWS. Those who felt than did not feel the working room temperature was not too cold had 11-fold moderate/severe QLWS [adjusted odds ratio (ORa) = 10.63: 95% confidence interval (CI) = 1.79-65.59]. Those who had than did not have moderate/severe role ambiguity stressor had 8.2-fold risk of moderate/severe QLWS (ORa = 8.23: 95% CI = 1.13-59.90). Those who had than did not have moderate/severe personal responsibility stressor had 6,6-fold risk for moderate/severe QLWS (ORa = 6.64: 95% CI = 1.13-38.85). In terms of the career development stressor, those who had it than did not have it had a 3.7-fold risk for moderate/severe QLWS (ORa = 3,67: 95% CI = 0.88-15.35; P = 0.075).Conclusion:  Those who felt the room temperature was too cold, moderate/severe role ambiguity, personal responsibility, as well as career development stressor were at increased risk for moderate/severe QLWS. (Health Science Indones 2011;2:58-65). 
Total flight hours, eating fatty foods habits and risk of obesity among civil pilots in Indonesia Wibawanti, Retno; Gathmyr, Dewi; Nasution, Asrunsyah; Basuki, Bastaman
Health Science Journal of Indonesia Vol 4, No 2 Des (2013)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

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Abstract

AbstrakLatar belakang:Pilot dapat mengalami obesitas yang berkaitan dengan jam terbang total dan faktor risiko lainnya. Oleh karena itu perlu diidentifikasi kaitan jam terbang total dan faktor lainnya terhadap risiko obesitas pada pilot sipil di Indonesia. Metode: Studi potong lintang ini dengan sampel purposif pada pilot di Indonesia yang melakukan pemeriksaan kesehatan berkala di Balai Kesehatan Penerbangan Jakarta 14-24 Mei 2013. Data yang dikumpulkan terdiri dari karakteristik demografi, pekerjaan, kebiasaan makan dan olahraga, tinggi dan berat badan. Pengambilan data dilakukan dengan wawancara dan pemeriksaan fisik. Klasifikasi indeks massa tubuh berdasarkan standar WHO untuk obesitas. Analisis menggunakan regresi Cox dengan waktu yang konstan. Hasil:Di antara 612 pilot berusia 19-61 tahun, diperoleh 112 subjek yang terdiri dari 33 obes dan 79 subjek normal. Faktor-faktor dominan yang berkaitan dengan obesitas adalah jam terbang total dan kebiasaan makan  makanan  berlemak.  Berdasarkan  waktu  jam  terbang  total,  pilot  yang  memiliki  jam  terbang  total 2000-24361 jam dibandingkan dengan yang 60-1999 jam memiliki risiko obesitas 3,8 kali lipat [risiko relatif suaian (RRa) = 3,83; P = 0,000]. Selanjutnya, dibandingkan dengan pilot yang tidak memiliki kebiasaan makan makanan berlemak, mereka yang mempunyai kebiasaan makan makanan berlemak memiliki risiko obesitas 2 kali lipat [RRa = 2,03; 95% interval kepercayaan (CI) = 0,95-4,29; P = 0,064].Kesimpulan: Jam terbang total 2000 jam atau lebih dan kebiasaan makan makanan berlemak mempertinggi risiko obesitas di antara pilot laki-laki sipil di Indonesia. (Health Science Indones 2013;2:55-8)Kata kunci: obesitas, jam terbang total, makanan berlemak, pilot sipil, IndonesiaAbstractBackground:Obesity in pilots may be related to total flight hours and other risk factors. This study aimed to identify the relationship between total flight hours and other factors to obesity in civil pilots in Indonesia. Methods: A cross-sectional study was done with purposive sampling among pilots in Indonesia undergoing periodic medical check up in 14-24 May at Aviation Medical Center Jakarta. Data collected were several demographic and work characteristics, eating habits, exercise habits, height, and weight. Data were collected by interview and physical examination. Subjects were classified normal and obese according to the WHO standard for obesity. Analysis was carried out by Cox regression with constant time. Results:There were 612 pilots undergoing the periodic medical check up, aged 19-61 years. For this analysis were available 112 male subjects, consisting of 33 obese pilots and 79 with normal body weight. Total flight hours and eating fatty food habit were dominant risk factors for obesity. Pilots who had 2000-24361 total flight hours compared with who had 60-1999 hours had 3.8-fold risk to be obese [adjusted relative risk (RRa) = 3.83; P = 0.000]. Furthermore, compared with pilots who did not have eating fatty food habit, those who had eating fatty food habit had 2-fold risk to be obese pilot [RRa = 2.03; 95% confidence interval (CI) = 0.95-4.29; P = 0.064]. Conclusion: Total flight hours for 2000 or more and eating fatty foods habits increased the risk of obesity among male civilian pilot in Indonesia. (Health Science Indones 2013;2:55-8)Key words: obesity, total flight hours, fatty food, civil pilots, Indonesia