Ardiani, Hanifah
Dian Nuswantoro Semarang

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HUBUNGAN FAKTOR LINGKUNGAN RUMAH DENGAN KEJADIAN TB PARU DI KOTA MAGELANG

VISIKES: Jurnal Kesehatan Masyarakat Vol 17, No 01 (2018): APRIL 2018
Publisher : Dian Nuswantoro Semarang

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Abstract

ABSTRACTPrevalence of tuberculosis in Magelang reached 394,18 per 100.000 population. However, there were a decline TB case detection rate from 96,85% to 78,05%. Previous research about TB in association with environmental risk factors showed controvercial results.The objective was analyzing association between environmental house factors with TB incidence in Magelang. An observational analytic was conducted with case control study design with 120 respondents (40 confirmed cases, 40 controls with symptoms of TB and 40 controls without symptoms of TB and using purposive technique sampling.Data were analyzed using chi-square and multiple logistic regression. Bivariat analysis showed association between type of wall (p=0,005; OR=3,8; 95% CI=1 , 57-8,34) and humidity levels (p=0,022; OR=2,9; 95% CI=1,24-6,73) with incidence TB. Multivariate analysis showed that the risk factors of TB were temperature OR=4,0 (95% CI=1,22-13,37, p=0,022), type of wall OR=3,8 (95% CI=1,47-9,89, p=0,006), and humidity levels OR=2,8 (95% CI=1,12-7,20, p=0,027).There was an association between type of wall, temperature and humidity levels with TB cases in Magelang. It was expected that the window function to be optimized so that the air circulation from outside to inside of the house can occur.Keywords: pulmonary TB, house environment, MagelangABSTRAK Prevalensi tuberkulosis di Kota Magelang mencapai 394,18 per 100.000 penduduk. Namun terjadi penurunan angka penemuan kasus TB dari 96,85% menjadi 78,05%. Penelitian terdahulu tentang TB yang dikaitkan dengan faktor lingkungan rumah masih menunjukkan kontroversi. Tujuan penelitian ini untuk mengetahui hubungan faktor lingkungan rumah dengan kejadian TB paru di Kota Magelang. Metode penelitian adalah observasional analitik dengan desain case control. Jumlah sampel sebesar 120 responden yang terdiri dari 40 kasus confirm, 40 kontrol dengan gejala TB dan 40 kontrol tanpa gejala TB yang diambil dengan teknik purposive sampling. Data dianalisis menggunakan chi square dan multipel regresi logistik. Hasil uji bivariat menunjukkan terdapat hubungan jenis dinding (p=0,005; OR=3,8; 95%CI=1,57-8,34) dan tingkat kelembaban (p=0,022; OR=2,9; 95%CI=1,24-6,73) dengan kejadian TB paru. Kemudian hasil uji multivariat menunjukkan suhu OR=4,0 (95%CI=1,22-13,37, p=0,022), jenis dinding OR=3,8 (95%CI=1,47-9,89, p=0,006), dan tingkat kelembaban OR=2,8 (95%CI=1,12-7,20, p=0,027). Hasil penelitian menunjukkan ada hubungan antara suhu, jenis dinding, dan tingkat kelembaban dengan kejadian TB paru di Kota Magelang. Diharapkan fungsi jendela dapat dioptimalkan sehingga dapat terjadi sirkulasi udara dari luar ke dalam rumah dan sebaliknya.Kata Kunci : TB paru, faktor lingkungan rumah, Magelang

Beberapa Faktor yang Berpengaruh terhadap Kejadian Diabetes Mellitus Tipe 2 pada Wanita Usia Subur (WUS) di RSUD Kota Madiun

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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Abstract

Background : Women of reproductive age with Diabetes Mellitus (DM) who were married having a risk complications of pregnancy, either on mother and her baby. Study on risk factors of DM in women of reproductive age was a rare, they have never done on women of reproductive age that married. The objective of this study was to prove some variables that influence to DM in women of reproductive age.Method : An observasional analytic was conducted with case-control study design. Populations in this study were women of reproductive age 20-49 years that check blood sugar at Madiun Regional Hospital. The samples in this study were 54 cases and 54 controls by consecutive sampling. Data were analyzed by chi-square and logistic regression.Results : Women of reproductive age with 2 and 3 quartile stress scores had risk 4,12 (95% CI=1,42-11,92) and 5,64 (95% CI=1,19-16,55) greater for DM than the comparison group. Women of reproductive age with physical activity <600 MET had risk 4,33 times greater for DM than ≥ 600 MET (95% CI = 1,71-10,96).Conclusion : Variables levels of carbohydrate and fat consumption were not associated with DM. Physical activity and stress levels were evident influece DM occurence in women of reproductive age.

Obesity as Risk Factor of Type 2 Diabetes Mellitus in Women of Reproductive Age

Global Medical & Health Communication (GMHC) Vol 6, No 2 (2018)
Publisher : Faculty of Medicine Universitas Islam Bandung

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Women of childbearing age with type 2 diabetes mellitus (DM) are more at risk of having pregnancy complication (in both the mother and the baby) at twice the risk for sexual dysfunction and three times more likely to die than women of childbearing age without DM. The purpose of this study was to prove obesity as the risk factor of type 2 DM in women of childbearing age. The study design was a case-control and a qualitative analysis using the in-depth interview. This study conducted in Internal Medicine Polyclinic and Eye Polyclinic in Regional General Hospital Madiun, June–July 2017. The population in this study was women of childbearing age 20–49 years old and married who check blood sugar in Regional General Hospital Madiun. The samples of this study were 54 cases and 54 controls using consecutive sampling. Data analyzed by chi-square and logistic regression. The results showed that obese women of childbearing age had risk 2.63 times greater for type 2 DM than non-obese (p=0.016, 95% CI=1.06–6.53). In conclusion, obesity was a risk factor of type 2 DM in the women of reproductive age. OBESITAS SEBAGAI FAKTOR RISIKO DIABETES MELITUS TIPE 2 PADA WANITA USIA SUBURWanita usia subur (WUS) dengan diabetes melitus (DM) tipe 2 lebih berisiko mengalami komplikasi kehamilan (baik pada ibu maupun bayinya), berisiko 2 kali lebih besar untuk menderita gangguan fungsi seksual, dan 3 kali lebih besar untuk mengalami kematian dibanding dengan WUS tanpa DM. Tujuan penelitian ini membuktikan obesitas sebagai faktor risiko DM tipe 2 pada WUS. Desain studi dalam penelitian ini adalah kasus kontrol yang diperdalam dengan analisis kualitatif menggunakan wawancara mendalam. Penelitian ini dilakukan di poliklinik penyakit dalam dan poliklinik mata RSUD Kota Madiun Juni–Juli 2017. Populasi dalam penelitian ini adalah WUS berusia 20–49 tahun dan sudah menikah yang diperiksa gula darah di RSUD Kota Madiun. Sebanyak 54 kasus dan 54 kontrol dipilih menggunakan consecutive sampling. Data dianalisis dengan chi square dan regresi logistik. Hasil penelitian menunjukkan bahwa WUS yang obesitas memiliki risiko 2,63 kali lebih besar untuk mengalami DM tipe 2 dibanding dengan yang tidak obesitas (p=0,016; 95% IK=1,06−6,53). Simpulan, obesitas merupakan faktor risiko DM tipe 2 pada WUS.