Chatarina Umbul Wahyuni
Department Epidemiology, Faculty of Public Health, Universitas Airlangga
Articles
11
Documents
PERAN FAKTOR LINGKUNGAN DAN PERILAKU TERHADAP PENULARAN DEMAM BERDARAH DENGUE DI KOTA MATARAM

Jurnal Kesehatan Lingkungan Vol 2, No 1 (2005): Jurnal Kesehatan Lingkungan
Publisher : Jurnal Kesehatan Lingkungan

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Abstract

Dengue Hemorrhagic Fever (DHF) is a viral endemic disease in Indonesia transmitted by Aedes mosquitoes vector. The only way to prevent the disease is by cutting disease transmission chain namely vector control that is influenced by environmental and socio-behavioral factors. Therefore the aim of this study was to analyze environmental and socio-behavioral factors influencing DHF epidemic outbreak in Mataram. This study was designed as a cross-sectional observational survey conducted during DHF outbreak in Mataram, Nusa Tenggara Barat province in March to June 2004. Four villages as outbreak zone were taken as study area. Whereas sixteen villages of non-DHF outbreak zone were taken as control area. From each village, ten households were taken as samples amounting to a total sample of 200 people. Associations between environmental factors or socio-behavioral factors with DHF epidemic outbreak were tested by the Chi-square. A both environmental and socio-behavioral factor all together in relation to DHF epidemic outbreak was analyzed using by multiple logistic regression model. The data showed that there were associations between container indexes, attitude to DHF disease, action in vector control, abatization with DHF epidemic outbreak in Mataram in 2004 (Chi- square tests, all p < 0.05). However, in multiple logistic regression model it was revealed that the only container indexes was of significant influence on the DHF epidemic outbreak (p < 0.01) with relative risk (RR) was 2.96. It is concluded that the most important factor influences DHF epidemic outbreak in Mataram is high container index. It is recommended to Local Health Department to increase alertness in pertaining to DHF outbreak by intensifying program of abatization, health education on DHF and action in vector control. There is an urgency of inter-program and inter-sectoral joint cooperation in prevention of DHF outbreak.   Keywords : DHF, environmental factor, socio-behavioral factor

PENGETAHUAN, TINDAKAN DAN PERSEPSI MASYARAKAT TENTANG KEJADIAN MALARIA DALAM KAITANNYA DENGAN KONDISI LINGKUNGAN

Jurnal Kesehatan Lingkungan Vol 3, No 1 (2006): Jurnal Kesehatan Lingkungan
Publisher : Jurnal Kesehatan Lingkungan

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Abstract

The aim of this study was learning about society knowledge, attitude, and perception about malaria according to environmental conditions. This study was an analytic observational study with cross-sectional design. Samples were 20 years old visiting Puu Weri health center. Statistic test used is chi-square test. The results showed that there were no significant correlation between the occurrence of malaria and age, level of education, whereas there were correlation between the occurrence of malaria with social and cultural environment knowledge (p=0,020, OR=4,343), biological environment knowledge (p=0,024, OR=4,000), physical environment knowledge (p=0,043, OR=3,625), social and cultural environment practice (p=0,004, OR=5,700), biological environment (p=0,003, OR=6,338), physical environment  (p=0,018, OR=4,735), cultural and social environment perception (p=0,017, OR=4,375), biological environment perception (p=0,020, OR=4,667), and physical environment perception (p=0,024,  OR=5,185). It is concluded that there are correlations among society knowledge, practice, perception, and the occurrence of malaria accor-ding to environmental condition. It is suggested that the mass counseling of malaria prevention and eradication related with the environment condition must be improved by primary health center and health service of West Sumba rgency support.   Keywordd : attitude, environment, knowledge, practice, malaria.

The Risk of Disability Among Leprosy Patients in Pamekasan District, East Java province

The Indonesian Journal of Public Health Vol 8, No 3 (2012): The Indonesian Journal of Public Health
Publisher : The Indonesian Journal of Public Health

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Abstract

Leprosy is still a major public health problem particularly in Indonesia. It caused not only medical, but also social, economical, cultural,and even political factors. Disability caused by leprosy may infl uence patient’s personality and reduce their self- confi dence. It will infl ictmedication or healing process, thus it can increase the risk of disability. The objectives of this study are to analyze the risk of disability amongleprosy patients in Pamekasan District, East Java province. This is a case control design. Data was collected using questionnaire and medicalrecord of Multiple Drug treatment (MDT). Twenty fi ve (25) leprosy patients with disabilities were taken as case group, while the unmatchedcontrol were 25 leprosy patients without disabilities. The independent variables consist of the type of leprosy, regularity of medication, age,sex, education level, knowledge, and family income, while the dependent variable was disability. Data was statistically analyzed by Chi-squaretest and multivariate logistic regression (α = 0.05). The results are that the most prevalent type of leprosy is Multi Basilar (94%). There isassociation between regular medication and disability (p = 0.005; O.R = 6.7). There is no effect of regular medication to disability (p = 0.150).No effect of sex (p = 0.069), age (p = 0.251), education level (p = 0.366), and family income (p = 1.00) to regularity of medication. There iseffect of knowledge to regularity of medication (p = 0.003; O.R = 0.2; B = 1.881). The conclusion is that the patient with low level of knowledgetends to take medicine irregularly which leads to disability.Key words: disability, type of leprosy, regularity of medication

Relationship between Type and duration of hormonal contraception utilization and the Increasing of Acceptor’s Body Weight

The Indonesian Journal of Public Health Vol 8, No 3 (2012): The Indonesian Journal of Public Health
Publisher : The Indonesian Journal of Public Health

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Abstract

Hormonal contraception which is contain of estrogen or progesterone usually used in family planning program to prevent pregnancy.This contraception consists of pill, injection, and implant. Hormonal contraception used may increase the body weight. This research wasconducted to analyze the relationship between type and duration of hormonal contraception utilization and the increasing of acceptor’s bodyweight. This is a cross sectional research with 69 samples randomly selected from 415 hormonal contraception user. The variables of thisresearch were age, education level, status of job, number of children, variety and duration in utilization of hormonal contraception. The datawere statistically analyzed using chi-square test (α = 0.05) The result indicated that most of respondents were 20–35 years old, high schoolgraduates, housewives, and had no more than two children. There was, apparently, no relationship between the type of hormonal contraceptionused and the increasing of body weight (p = 0.438). However, there was signifi cant relationship between the duration of hormonal contraceptionutilization and the increasing of body weight (p = 0.016; OR = 4.250; 95% CI: 1.246-14.502). It was imply that the longer used of hormonalcontraception tend to increased the body weight.Key words: hormonal contraception, increasing of body weight, the duration of hormonal contraception utilization

The Analysis of Secondhand Smoke Effect at House on Women toward Hypertension

Jurnal Berkala Epidemiologi Vol 1, No 2 (2013): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

ABSTRACTHypertension is a major risk factor of cardiovascular diseases and lead to 20–50% of all deaths. Smoking is one of risk factors for hypertension. Smoking is not only affects the smoker but also the people around them as passive smoker because the toxins components found in mainstream cigarette smoke were also found in environmental tobacco smoke, sometimes in higher concentrations. The purpose of this study was analyzing the effect of secondhand smoke at house on women toward hypertension. The design of the study was case control. The study was conducted at the Health Center Mulyorejo Surabaya. The case populations was all female patients who have hypertension and the control populations was all female patients who did not have hypertension. The numbers of sample were 84 respondents. The sampling technique in this study used systematic random sampling. The dependent variabel was hypertension and the independent variables of this study were the respondents characteristics, passive smoker status, family relationship, the type of cigarette, the number of smoker, the duration of smoke exposure, the number of cigarette consumptions, smoking location, and passive smoker reaction were analyzed by simple logistic regression. The results of this study showed age > 40 years old (CI 95%: 1.723–14.256; OR = 4.96) and higher education (CI 95%: 0.309–0.807; OR = 0.50) significantly affect the hypertension. Variables of secondhand smoke exposure at house on women had no affects to hypertension. The value of Population Attribute Risk (PAR) from this study was 0.27 which means 27% hypertension can be prevented by eliminating the risk factor of passive smoker. The conclusion of this study found no effect of exposure to secondhand smoke at house on woman toward hypertension, but other studies have demonstrated that passive smoking is a risk factor for hypertension. Keywords: secondhand smoke, hypertension, passive smoker, house, women

The Influence Factors to Increase Specific Antibody Titers in Patients with Subclinical Leprosy

Jurnal Berkala Epidemiologi Vol 1, No 2 (2013): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

ABSTRACTLeprosy Serologic studies conducted by Leprosy Laboratory Institute of Tropical Disease (ITD), Airlangga University Surabaya in SDN Sumberaji Lamongan in 2007 found 45.8% of patients had subclinical leprosy and serum all survey respondents are still stored in the ITD. The purpose of this study was to analyze factors that influence the increase in specific antibody titers in patients with subclinical leprosy in the Sumberaji village in Lamongan. The method used is use observational analytic with cross sectional study. The research sample number 41 children with leprosy specific antibody IgM titer ≥ 600 U/ml of examination results 2007. Studied variables such as age, sex, BCG immunization, nutrition, natural lighting, residential density, parental knowledge, parental income, contact history, personal hygiene and water used. To determine the effect of the variable to the rise in IgM leprosy antibody titers of specific statistical tests used Multiple Logistic Regression. From the results of serology of leprosy (indirect ELISA) in samples that get results IgM of leprosy specific antibody titers increased as much as 41.46% (17 samples). From the results of multiple logistic regression statistical analysis results obtained effect of natural lighting and nutritional status (BMI) to the increase in IgM of leprosy specific antibody titer. Keywords: IgM, antibodies specific leprosy, ELISA

Epidemiological Determinants Low Birth Weight in Malaria Endemic Areas Banjar District

Jurnal Berkala Epidemiologi Vol 1, No 2 (2013): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

 ABSTRACTThe main reason of high rate of infant death, especially during prenatal period is LBW. In Malaria endemic areas, pregnant mothers are highly risked of suffering from malaria sinced it can cause LBW to pregnant mothers. In Banjar District, LBW has become the main cause of infant death. Aim of this research was to analyzed determinants of LBW incidence epidemiology in malaria endemic areas of Banjar District. This research used case control study design. The numbers of sample was 130 persons, divided into two groups 65 persons were case group and 65 persons were control group. Data collecting instruments were questionnaire and MCH book. Data were analyzed using bivariate analysis (Chi square Test) and multivariate analysis (Logistic Regression Test). The result of this research show that mother factors related to LBW were age (OR 2.835), nutritional status (OR 2.583), family income (OR 2.275), knowledge of antenatal care (OR 2.252), antenatal care visit (OR 5.673) and anemia (OR 2.739). Based on multivariate analysis, it could be concluded that the LBW determinants were antenatal care visit, mother age, and anemia. Recommendation is highly risk pregnant mothers (< 20 years and > 35 years old) and those who suffer from anemia during pregnancy can maximize the antenatal care visit routinely during pregnancy.Keywords: Antenatal care, LBW, malaria endemic

Hubungan Antara Pencahayaan Rumah, Kepadatan Penghuni dan Kelembaban, dan Risiko Terjadinya Infeksi Tb Anak SD di Kabupaten Jember

Jurnal Kedokteran Indonesia Vol 1, No 1 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Bakcground: Tuberculosis (TB) affected adults and children. The incidence of TB in children was increasing in Jember, East Java. A study from RS Paru Jember found that 17 (11%) students were infected by TB. This figure exceeded that of national level. This study aimed to examine the association between lack of house light, overcrowding, humidity, and the risk of TB infection among elementary school children in Jember.Methods: This was a case control study conducted in Jember, from January to June 2008. A sample consisting of 17 children with TB infection, and 51 children without TB infection was selected for this study. The instrument used in this study included questionnaire, lux meter (for light), and hygrometer (for humidity). Logistic regression and ORs were used to estimate the risk of TB infection.Results: Results showed an association between lack of house light (OR= 16.9; 95%CI= 4.1 to 69.8), over crowding (OR= 4.6; 95%CI= 1.4 to 14.8), and humidity (OR= 1.3; 95%CI= 1.1to 1.5), and the risk of TB infection.Conclusion: Lack of house light, overcrowding, and humidity were associated with increased risk of TB infection. It is suggested that people open the windows and doors every morning, and use some glass roof. Jurnal Kedokteran Indonesia: 1 (1): 88-93Keywords: lighting, overcrowding, humidity, child TB infection

The Effect of Nutritional Status and Contact History toward Childhood Tuberculosis in Jember

Jurnal Berkala Epidemiologi Vol 3, No 2 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

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Abstract

ABSTRACTTuberculosis remains one of diseases with highest mortality among other. Indonesia had categorized in one of high burden countries since 2013. WHO estimated the annual global burden of childhood tuberculosis in 2012 was approximately530.000 cases and that up to 74.000 children died that year. The last three years tuberculosis incidence in Jember increased. In 2014, 6,5% of total tuberculosis incidence was childhood tuberculosis. Childhood tuberculosis is a major component in controlling tuberculosis. The objective of this study is to analyze determining factors of childhood tuberculosis incidence in Jember. This study is an analytical observational study using case-control design. The object of this study is children aged 0–14 years who diagnosed with tuberculosis in Jember Paru Hospital. Sampling taken by simple random sampling method. Sampel consisting 24 cases and 48 control. The independent variables is child nutritional status, contact history, long-term contact, and proximity contact. Analysis using Logistic Regression test to determine the influence between two variables. The results show that childhood tuberculosis incidence determined by contact history (p = 0,000; OR = 26,6), long-term contact (p = 0,000; OR = 69), and proximity contact (p = 0,000; OR = 27,1). The conclusion is, contact history, long-term contact, proximity contact determine childhood tuberculosis in Jember. Stakeholder have to do active case finding to break the chain of tuberculosis transmission with early household contact detection.Keywords: nutritional status, childhood tuberculosis, contact history, long-term contact, and proximity contact

Application Database School Health Program in Primary School Level of Surabaya City

Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

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Abstract

ABSTRACTThe school health program (UKS) is a unit of the existing health activities of the primary school level. Currently the UKS programme has not been able to contribute optimally in an increasing the health of school-age children. This condition is caused due to the UKS programme planning have not been based on data and information related to health problems of school-age children. Constraints which cause yet the existence of the data and information of health problems that school age children recording and reporting system “paper based” incomplete data, and delivery information is not yet in the form of graphs or tables. The purpose of this research to develop a database application UKS primary school level. The scope of this research included implementation of the UKS Trias and recording system and reporting on team Implementing the UKS primary level. This type of research was Action Research. The subject of this research team on implementing the UKS primary level I/240 Sutorejo Surabaya. System analysis of the recording and reporting of the UKS SDN 1/240 Sutorejo found the problem that is the data source that is available only the fields of health care, so that analysis can not be based on Trias UKS. This research resulted in a prototype database of UKS developed based on the results of the analysis recording and reporting system progress on implementing team UKS SDN 1/240 Sutorejo. The prototype database UKS produces health education information, health services, and health coaching school environment that can be used for program planning UKS in managing teams and Puskesmas.. The use of the UKS data base is necessary among other supporting facilities maintenance management system that aims to let the uks programme sustainabilityas well as the monitoring and evaluation activities data base system.Keywords: database, school health program, recording and reporting system.