Henry Setyawan, Henry
Program Studi Epidemiologi Program Pascasarjana Universitas Diponegoro Semarang

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Berbagai Faktor Risiko Kejadian Bayi Berat Lahir Rendah (BBLR) (Studi di Beberapa Puskesmas Kota Makassar) Hasriyani, Hasriyani; Hadisaputro, Suharyo; Budhi, Kamilah; Setiawati, Mexitalia; Setyawan, Henry
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 2: Agustus 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

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Background: Low-birth-weight (LBW) as community health problem have remained as the main cause of prenatal morbidity and mortality. In Indonesia, the occurrence rate of LBW has reached 10,2%. LBW has caused by multifactors such as maternal factor, fetus factor, and environmental factor. The aim of the study was to elaborate if maternal factor and environmental factor are the risk factors contributing to LBW occurrence.Method: The study was based on case control design. The number of samples was 138 respondents who were categorized into 69 cases and 69 controls fulfilling the criteria of inclusion and exclusion. The cases were mothers with babies having birth weight <2500 grams regarding the gestational age, and the controls were mothers with babies having birth weight ≥2500 grams regarding the gestational age. Sampling method to the cases was conducted by consecutive sampling while sampling to the controls was conducted by simple random sampling with matching to sex and location.Results: Maternal factors observed as risk factors contributing to LBW are low nutritional status (OR=5.357; 95%CI=1.985-14.457), illness pregnancy (OR=3.976; 95%CI=1.669-9.476). Maternal factors and environmental factors observed as non-risk factors to LBWN are age < 20 years old or age > 35 years, the spacing of pregnancy < 2 years, the of family members smoking at home, the of a food taboos culture, ANC status < 4x , low social economy status.Conclusion: Low nutritional status, illness pregnancy are risk factors contributing to LBW occurrence. The probability of LBW occurrence when those risk factors observed are 68,87%.
Faktor Risiko Kejadian Infeksi Cacing Tambang pada Petani Pembibitan Albasia di Kecamatan Kemiri Kabupaten Purworejo Wijaya, Norra Hendarni; Anies, Anies; Suhartono, Suhartono; Hadisaputro, Suharyo; Setyawan, Henry
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 1: Februari 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

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Background : The prevalence of hookworm infection in Indonesia in 2002 - 2006 amounted to 2,4% ; 0,6% ; 5,1% ; 1,6% and 1,0%. No data reports on de-worming of DHO Purworejo. The results of a preliminary study of the month January 2014 shows the proportion of de - worming of 94,1% of the population of farmers plant nursery albasia 51 people, with the proportion of 41,2% hookworm.Methods : This study is observational analytic study with cross-sectional design. The study sample as many as 101 people, with purposive sampling. Samples taken from population studies that met the inclusion criteria (job as Albasia nursery growers, willing as respondent, place of residence in the territory of the district health center Kemiri, aged 18-64 years) and criteria exclusion (habit of consumption of raw vegetables, travel/resettled in a long time, not willing to be made respondents).Results : The proportion of patients with hookworm infection (64,3 %) or 65 people. The risk factors are shown to affect the incidence of hookworm infection among others ; wash feet after work (OR = 4,41), available toilet at work (OR = 3,77), wash hands after work (OR =3,74) and wear footwear when working (OR = 3,56).Conclusion : Several risk factors that influence the incidence of hookworm infection in nursery growers in the district albasia hazelnut is to wash the feet after work, lack of latrines in the workplace, wash hands after work and do not use footwear when working with a probability of 99,03%.
HUBUNGAN POLA PEMBERIAN SUSU FORMULA DENGAN KEJADIAN EARLY CHILDHOOD CARIES (ECC) PADA ANAK PRASEKOLAH DI TK ISLAM DIPONEGORO KOTA SEMARANG Lucitaningsih, Erliana Jingga; Setyawan, Henry; Yuliawati, Sri
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 1 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Dental caries prevalence for children under 12 years in Indonesia in 2013 was 89% with a prevalence of children aged 3-5 years at 81.7%. Various causes of early childhood caries, one of which is the pattern of consumption of formula milk is not right. Giving formula milk or sweet liquid in a bottle that is too long attached to the surface of the tooth can cause dental caries in children. At previous research, it was found contradictory result. Thus, research on the association of formula milk feeding pattern with the incidence of Early Childhood Caries (ECC) was conducted. The purpose of this study was to analyze the relationship between the pattern of formula feeding with Early Childhood Caries (ECC) in preschool children in the Diponegoro Islamic Kindergarten in Semarang City. This type of research is an observational analytic study with a cross sectional approach. The population in this study were preschool children with a total of 188 children then the sample was taken as many as 66 children using the purposive  sampling method. Data collection was done by interviewing and measuring dental caries. Data were analyzed using the Chi-Square test. 56 preschool children (84.8%) suffer from dental caries with 30 children having a def-t index in the very high category (score 6,6-14). Bivariate analysis using the Chi-Square test, shows the duration of milk consumption (p= 0.006; POR= 7.7), frequency of consumption (p= 0.017; POR= 9.6), duration of consumption (p= 0.013; POR= 11.1 ), night consumption only (p= 0.001; POR = 0.02), time for consuming milk in the morning, afternoon and night (p= 0,000; POR= 33), adding sugar (p= 0.016; POR= 12) is a risk factor Early Childhood Caries (ECC), and morning consumption only (p= 0.145), lunch consumption time only (p= 0.388), consumption time in the morning and evening (p= 1,000), time of consumption day and night (p= -) and bottle / pacifier use with the incidence of dental caries in preschool children is not proven to be a risk factor for Early Childhood Caries (ECC). Duration of consumption, frequency, duration, time, and addition of sugar in the consumption of formula milk are risk factors for Early Childhood Caries (ECC) in preschool children.
Faktor Risiko yang Berpengaruh Terhadap Status Kontrol Glikemik pada Kehamilan dengan Diabetes Melitus (Studi Kasus Kontrol Pasien di Beberapa RS di Kota Semarang) Meiwarnis, Resna; Soejoenoes, Ariawan; Nugroho, Heri; Hadisaputro, Suharyo; Setyawan, Henry
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 2: Agustus 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

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Abstract

Background : The number of diabetes patients was higher in women than men. The high prevalence in women occurs in pregnant women because of the increasing age of childbearing. Commonly, pregnancy in women with diabetes was associated with morbidity and mortality.  Data obtained from Diabetic  Department  King’s  College  Hospital mentioned that  during  pregnancy, a good control of maternal diabetes cause a progressive decline in blood glucose control. The purpose of this research is to explain some risk factors related to glycaemic control status in pregnancy with diabetes mellitus. Methods : This research was an observational study using case control design by using retrospective approach. The population of this study is all cases of pregnancy with diabetes with  the number of sample was 62 people, consist of 31 cases and 31 control with consecutive  sampling. In this research, cases sample selection was chosed from pregnant women with diabetes who come to Tugurejo Hospital, Semarang City Hospital and Roemani Hospital during 2015. Control sample selection was chosed from non pregnant women with diabetes who come to Tugurejo Hospital, Semarang City Hospital and Roemani Hospital during 2015. Results : The pattern of taking medications that was not good (p= 0,002; aOR= 7,2; 95%CI= 1,9-17,2) was risk factors of poor glycaemic control status with probability event amounted was 70,0%. Conclusion : The risk factors to glycaemic control status in pregnancy with diabetes was the pattern of taking medications that was not good. Background  :Thenumber  ofdiabetes  patients  washigher  inwomen  thanmen.Thehigh prevalence   in   women   occurs   in   pregnant   women   because   of   the   increasing   age   of childbearing.  Commonly,  pregnancy  inwomen  withdiabetes  wasassociated  withmorbidity andmortality.  Dataobtained  fromDiabetic  Department  King’s  College  Hospital  mentioned that  during  pregnancy,  agood  control  ofmaternal  diabetes  cause  aprogressive  decline  in bloodglucosecontrol.Thepurposeof thisresearchisto explainsomeriskfactorsrelatedto glycaemiccontrolstatusinpregnancywithdiabetesmellitus.Methods  :Thisresearch  wasanobservational  studyusingcasecontrol  design  by  using  a retrospective  approach.  Thepopulation  ofthisstudyisallcasesofpregnancy  withdiabetes with  the  number  of  sample  was  62  people,  consist  of  31  cases  and  31  control  with consecutive  sampling.  In  this  research,  cases  sample  selection  was  chosed  from  pregnant women   with   diabetes   who   come   to  Tugurejo   Hospital,   Semarang   City   Hospital   and Roemani  Hospital  during  2015.  Control  sample  selection  was  chosed  from  non  pregnant women   with   diabetes   who   come   to  Tugurejo   Hospital,   Semarang   City   Hospital   and RoemaniHospitalduring2015.Results:Thepatternoftakingmedications  thatwasnotgood(p=0,002;aOR=7,2;95% CI=1,9-17,2)was   risk  factors   of  poor  glycaemic   control   status  with  probability   event amountedwas70,0%.Conclusion  :Theriskfactorstoglycaemiccontrolstatusinpregnancywithdiabeteswasthe patternoftakingmedicationsthatwasnotgood.
Dental Hygiene Care Intervention (Oral Hygiene) in Reduction Plaque Index towards Hearing Impaired Students: RCT Nurhamidah, Nurhamidah; Setyawan, Henry; Sunarjo, Lanny
Jurnal LINK Vol 10, No 3 (2014): September 2014
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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Abstract

This research was to determine the influence of dental hygiene care interventions (oral hygiene) to the reduction of plaque index of deaf students. It was a true experimental with randomi pre-post-test control group design. The measurements of plaque index performed with PHPM index in inspection sheet method. The plaque index are calculated from the amount of plaque scores in inspection sheet. Research was done over 49 respondents that divided into two groups: intervention groups and control groups. There was a significant difference of plaque index before and after the treatment. In intervention groups it decreased from the average of 35,7 to 10,4 (70,87%) with value p=0,001. Whether in control group it was also decreased from the average of 37,5 to 28,9 (22,93%) with value p=0,001. The average of plaque index reduction was also differ significantly between intervention groups (31,06 ) and control groups (12,0) with value p=0,001. Dental hygiene care intervention (oral hygiene) can reduce plaque index of deaf students. Suggestion: Dental hygiene care intervention (oral hygiene) should be delivered periodically to the deaf students by nurturing the habit brushing teeth twice a day completed with a written module, so that it can prevent the occurrence of oral diseases.
Beberapa Faktor yang Berisiko Terhadap Hipertensi pada Pegawai di Wilayah Perimeter Pelabuhan (Studi Kasus Kontrol di Kantor Kesehatan Pelabuhan Kelas II Semarang) Oktaviarini, Eka; Hadisaputro, Suharyo; Suwondo, Ari; Setyawan, Henry
Jurnal Epidemiologi Kesehatan Komunitas Vol 4, No 1: Februari 2019
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

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Background: Hypertension is an increase in arterial blood pressure where systolic blood pressure is ≥140 mmHg or diastolic blood pressure ≥90 mmHg. Hypertension is often called the silent killer because it does not cause symptoms so the treatment is often late. Occupational-related diseases one of which is hypertension. The type of work, work environment, lifestyle and individual characteristics can be a factor of hypertension.Methods: An analytical observational study using a case-control design with 76 samples consisting of 38 cases and 38 controls taken by consecutive sampling. The variables studied were age, gender, family history, type of work, years of work, workload, work schedule, sedentary behavior, coffee drinking habits, and smoking habits. Data were analyzed by bivariate and multivariate with logistic regression method.Results: Significant factors for hypertension were sex (p=0,012; OR adjusted 6,582; 95% CI 1,522-28,456) and the work type (p=0,020; OR adjusted 5,248; 95%CI 1,292-21,316) as risk factors, while sedentary behavior (p=0,030; OR adjusted 0,311; 95% CI 0,108-0,895) as a protective factor. The factors that are not significant at risk are age, family history, years of work, workload, work schedule, coffee drinking habits and smoking habits.Conclusion: Male and structural work type are risk factors, while sedentary behavior ≥ 6 hours/day is a protective factor. Probability at risk of hypertension is 75%. 
A Calculating Actual Stature of Elderly through Arm Span and Knee Height Measurements Pertiwi, Julia; Kartasurya, Martha Irene; Lukmono, Djoko Tri Hadi; Setyawan, Henry; Martini, Martini
Health Notions Vol 2 No 2 (2018): February 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Background: Most of estimation height study was calculated with one predictor. This research tried to arrange regression model by combining two predictors. Methods: The type of study was observational with cross sectional design. The study population is aged 60-69 years old in Wonogiri District. The sample size of 136 included 65 men and 71 women with purposive sampling technique. Data collection technique is observation on anthropometry measurement. Data analyzed with Pearson Product Moment, Unpaired T-test and Linear Regression. Results: Arm span is positively correlated with value of p&lt;0.001; r=0.886 in men and p&lt;0.001; r=0.992 in women. Knee height is positively correlated with p value &lt;0.001; r=0.989 in men and p&lt;0.001; r=0.986 in women. The height estimated from the arm span–knee height formulas: Women height (cm) = 40.915+[0.457 x AS (cm)]+[0.818 x KH (cm)]. Men height (cm) = 34.426+[0.513 x AS (cm)]+[0.813 x KH (cm)]. The highest overestimation happen at Chumlea’s formula in men at women group (6.01 cm) and highest underestimation happen at Fatmah’s formula in women group (-0.72 cm). Conclusions: Arm span is more accurately used in women, whereas knee height is more accurate in men. Predictor combinations can be used to predict height more accurately.
Factors That Related with Incomplete Children Immunization in Kuala Tungkal II Health Center yundri, yundri; Setiawati, Mexitalia; Suhartono, Suhartono; Setyawan, Henry; Budhi, Kamilah
Jurnal Berkala Epidemiologi Vol 5, No 3 (2017): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

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Abstract

ABSTRACTImmunization is a program be done to protect a human body from diseases. In Tanjung Jabung Barat District, the completeness of mmunization has not reached in MDGs (> 93%). According to the health agency information, showed that the completeness of  immunization in West Tanjung Tabung regency (89%) and Kuala Tungkal II health Center (78%). The purpose of this research is to analyze factors that related with the status of basic Immunization. The type of research is qualitative method through indepth interview. This research uses cross sectional design. The research was be located on Kuala Tungkal II PHC in Tanjung Jabung Barat Regency. The population is all mothers who have children aged 12-24 months. Sampling is done by random sampling. The result showed that were a significant relationship between maternal education level (p = 0.007; OR 3.15; 95% CI 1.33-7.49), mother’s knowledge (p = 0.000; OR = 45.25; 95% CI 13.23-154.72), mothers attitude (p = 0.000; OR = 94.55; 95% CI 22.13-403.87), and mother’s motivate  (p = 0.000;  OR= 37.00 ; 95% CI 11.40-119.99) related to the child immunization status. It can be concluded that three variables have related to incomplete immunization. It is suggested that the health agency should improve the knowledge of health personnel in training that involves the basic immunization., so as to provide education to the public about the importance of complete basic immunization.Keywords: immunization, motivate, knowledge, attitude
Analisis Faktor Host terhadap Kecacatan Kusta Tingkat II Di Kabupaten Nagan Raya Provinsi Aceh Rafsanjani, T.M.; Trihadi Lukmono, Djoko; Setyawan, Henry; Anies, Anies; Adi, Sakundarno
Jurnal Vokasi Kesehatan Vol 4, No 1 (2018): Januari 2018
Publisher : Poltekkes Kemenkes Pontianak

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Abstract: An Analysis Of Host Factors Toward The Level Ii Leprosy Disability In Nagan Raya Regency, Aceh Province. The leprosy disabilities level II is often experiencing the limitations in function among societies. In Nagan Raya Regency, there are 41% endemic areas with the number of level II disability for 5%. This research aims to prove some host and environment factors that become the risk factors for disability for level II leprosy. Case-control methods and interview methods were chosen as the design of control case in this research. 84 respondents were involved in conducting case-control design, and 42 cases of leprosy disabilities level II and 42 control of leprosy without disabilities, selected with consecutive sampling by considering the criteria of inclusion and exclusion. The results of this research were analyzed with bivariate by using chi-square test and the multivariate data were analyzed by using logistic regression test. Four variables that had the risk towards leprosy level II disability were at the age of the diagnosis time > 15 p=0,039 and OR=8,4 (CI 95%; 1,1-63,3), level of education p=0,038 and OR=3.4 (CI 95%; 1,1-10,9), too late to do early diagnosed p=0,011 and OR=5,4 (CI 95%; 1,5-19,6), types of leprosy MB p=0,015 and OR=3,9, (CI 95%; 1,3-12,1). Some host factors were proven to have risk towards leprosy disability of level II are the age at the time of diagnosis > 15 years, too late to do early diagnosis and leprosy types MB with the probability of 99.96 %. It is expected for the team of Public Health Office to conduct prevention in a productive age population, early case detection to prevent disability, and socialized the patient about the dangers of leprosy.Abstrak: Analisis Faktor Host Terhadap Kecacatan Kusta Tingkat II Di Kabupaten Nagan Raya Provinsi Aceh. Kecacatan kusta tingkat II mengalami keterbatasan pada fungsinya dalam masyarakat. Kabupaten Nagan Raya terdapat 41% daerah endemis, dengan kecacatan tingkat II sebanyak 5%. Penelitian ini bertujuan untuk membuktikan beberapa faktor host merupakan faktor risiko kecacatan tingkat II. Penelitian ini menggunakan desain kasus kontrol terhadap 84 responden,  dari 42 kasus (cacat kusta tingkat II) dan 42 kontrol (kusta tanpa cacat),  yang dipilih secara consecutive sampling dengan memperhatikan kriteria inklusi dan eksklusi. Pengumpulan data dilakukan dengan metode wawancara. Analisis data secara bivariat dengan uji Chi-Square dan multivariat dengan uji regresi logistik. Empat variabel merupakan faktor risiko terhadap kecacatan kusta tingkat II, yaitu umur saat diagnosis > 15 tahun p=0,039, OR=8,4 (CI 95%; 1,1-63,3), tingkat pendidikan p= 0,038, OR=3,4 (CI 95%; 1.1-10.9) diagnosis dini lambat p=0,011, OR=5,4 (CI 95%; 1,5-19,6), tipe kusta MB p=0,015, OR=3,9, (CI 95%; 1,3-12,1). Beberapa faktor host terbukti berisiko terhadap kecacatan kusta tingkat II adalah umur saat diagnosis > 15 tahun, tingkat pendidikan, diagnosis dini lambat, dan tipe kusta MB dengan probabilitas sebesar 99,96%. Diharapkan kepada dinas kesehatan melakukan pencegahan kelompok usia produktif, penemuan kasus secara dini untuk mencegah kecacatan dan memberikan pemahaman terhadap penderita tentang bahaya kusta
Beberapa Faktor Risiko Gizi Kurang dan Gizi Buruk pada Balita 12-59 Bulan (Studi Kasus di Kota Pontianak) Alamsyah, Dedi; Mexitalia, Maria; Margawati, Ani; Hadisaputro, Suharyo; Setyawan, Henry
Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 1: Februari 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

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Background: Moderate and severe malnutrition cases in Pontianak City increases each year although a nutritional improvement program has been held by the Health Department of Pontianak City.Method: The type of research was observational using the quantitative study design of case control study and the qualitative study through in-depth interview (mixed method). The number of samples was 80 people consisting of 40 people from case and 40 people from control. Assessment of nutritional using anthropometry measurement based on weight for height. Height measurement using microtoise and measure weighting scale.Results: The multivariate analysis found 2 variables significantly associated with the prevalence of moderate and severe malnutrition in children under five years old aged 12-59 months, i.e.: poor of attitude toward food (OR = 6.980) and poor environmental health (OR =5.033). There were 9 variables which were not associated with nutritional status, not given exclusive breastfeeding, energy intake is less, protein intake is less, frequency of Severe Acute Respiratory Infection equal to over three times in the last two months, frequency of diarrhea equal to over three times in the last two months, low monthly family income, number of children more than two, low mother's education, and frequency of watching TV more than two hours a day.Conclusion: Based on the results above, it can be concluded that the risk factors associated with the prevalence of moderate and severe malnutrition are poor of mother's attitude toward food is poor health and poor environmental.