Archive Community Health (Arc. Com. Health) merupakan jurnal elektronik (e-journal) resmi yang diterbitkan oleh PSKM (Program Studi Kesehatan Masyarakat) Fakultas Kedokteran Universitas Udayana yang mencakup topik yang luas terkait dengan isu kesehatan masyarakat. Jurnal ini didedikasikan untuk menyosialisasikan penemuan terkini di bidang kesehatan masyarakat serta meningkatkan kemajuan ilmu pengetahuan dan teknologi di bidang kesehatan masyarakat seperti kebijakan kesehatan, kesehatan ibu dan anak, kesehatan lingkungan, gizi kesehatan masyarakat, kesehatan kerja, promosi kesehatan, ekonomi kesehatan serta ilmu ilmu dasar yang berkaitan seperti bioteknologi kesehatan, biologi molekuler, bioinformatik dan genetik, tanaman, hewan, serta sel yang terkait dengan kesehatan masyarakat. Hasil penelitian yang dipublikasikan dalam Arc. Com. Health harus merupakan laporan yang belum pernah dipublikasikan sebelumnya atau tidak sedang dalam proses penelaahan pada publikasi yang sedang diusulkan.
Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)
PERSEPSI PEROKOK DAN PELAKU USAHA ROKOK ELEKTRIK TERHADAP KEBIJAKAN PENERAPAN CUKAI ROKOK ELEKTRIK SERTA PENGARUHNYA TERHADAP POLA KONSUMSI
ABSTRACT Tobacco represents a significant economic commodity, albeit with deleterious health implications. Prior to the resolution of this issue, electronic cigarettes have been introduced in Indonesia under the assertion of being a healthier alternative or a cessation aid for conventional smoking. The imposition of the first electronic cigarette tax took effect in 2018 through Minister of Finance Regulation No. 146/PMK.010/2017, levying a tax rate of 57%. This study adopts an exploratory qualitative approach employing purposive sampling, with in-depth interviews as the chosen methodology to assess the tax's impact on consumption and sales trends. The findings indicate that smokers did not curtail their consumption post-tax implementation, and there was no observable reduction in electronic cigarette sales. Evidently, the government-imposed tax has not thus far succeeded in attenuating the prevalence of electronic cigarette consumption within the population. Key word : E-Cigarettes, Excise tax, Consumption
HUBUNGAN TINGKAT KETAHANAN PANGAN, POLA MAKAN DAN PERILAKU SEDENTARI DENGAN KEJADIAN OBESITAS PADA SISWA SMP DI KABUPATEN BADUNG
ABSTRACT Junior high school students, classified as adolescents, are susceptible to obesity, which can affect their physical growth and development. Obesity is influenced by multi-factors, including household food security, dietary patterns, and sedentari habits. This research aims to establish connections between household food security, eating behaviors, sedentari behavior, and the prevalence of obesity among junior high school students in Badung Regency. Employing a quantitative method with a cross-sectional design, the study employs multistage random sampling involving 193 students. It examines the socio-demographic features of students and families, household food security, dietary diversity, macronutrient intake, and sedentari behavior. Analyzing the collected data using univariate and bivariate techniques, the findings reveal significant associations between energy intake (p=0.003) (OR=3.14), protein intake (p=0.000) (OR=3.70), sedentari behavior (p=0.005), and obesity risk among junior high school students. Conversely, household food security (p=0.62) (OR=0.31), carbohydrate intake (p=0.70) (OR=0.87), and fat intake (p=0.11) (OR=0.40) exhibit no notable links. These outcomes underscore the necessity for more robust strategies that encompass both nutritional education initiatives and the cultivation of healthy eating habits, involving students and parents. The ultimate goal is to stimulate active student involvement in appropriate nutritional choices and physical engagement, both within and beyond the school premises. Keyword: Adolescent, Food Security, Dietary Habit, Sedentari Behaviour, Badung
FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU PADA PENERAPAN KESELAMATAN DAN KESEHATAN KERJA (K3) PADA PEKERJA LAPANGAN DI PT PELINDO SUB REGIONAL BALI NUSRA
ABSTRACT The behavior of applying K3 is the habit of employees following the K3 standards or guidelines that apply in the company where they work. K3 behavior that is not good and not according to standardshas an impact on the incidence of work accidents, work-related diseases, and work-related diseases which are influenced by several factors. This study aims to determine the proportion of good behavior and factors related to the application of OSH to workers at PT Pelindo Sub Regional Bali Nusra. This research is a quantitative analytic observational study with a cross-sectional study design. The sampling technique used a total sampling technique with a total of 96 respondents. The results of the study show that as many as 46.82% of workers have good behavior in implementing OSH. The variable that has a relationship with K3 behavior is the use of personal protective equipment (p-0.03). Efforts to improve K3 behavior include providing training on how to use personal protective equipment properly and correctly and the company provides the tools needed by workers. Keywords : Use of Personal Protective Equipment, Occupational Health and Safety (K3) Implementation Behavior
FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA CARPAL TUNNEL SYNDROME PADA PEKERJA OJEK ONLINE DI KOTA DENPASAR
ABSTRACT Occupational diseases are diseases caused by work, work tools, materials, processes and work environment. One of the frequently reported occupational diseases is musculoskeletal. One type of MSDs is Carpal Tunnel Syndrome. Carpal Tunnel Syndrome is a disorder of the body parts of the hand that causes pain and numbness, especially in the thumb and three main fingers, namely the index finger, middle finger and some of the ring finger. Online motorcycle taxi is a job that has a risk of Carpal Tunnel Syndrome. This study aims to determine the factors that influence the occurrence of Carpal Tunnel Syndrome. This research is an analytical research with a quantitative approach using the cross-sectional study method with a total sample of 80 respondents and was carried out in May-June 2023. The variables observed were individual variables consisting of age and gender, as well as occupational variables consisting of length of work, duration of work, hand posture and use of personal protective equipment. The results of the analysis using the chi-square test showed that the variables that had a relationship with Carpal Tunnel Syndrome were age (p=0.00), years of service (p=0.04), and hand posture (p=0.00). the results of multivariable analysis showed that age and hand posture had the most significant relationship with the incidence of CTS. Keywords: Occupational Diseases, Carpal Tunnel Syndrome, Ojek Online
ANALISIS SURVIVAL PASIEN GAGAL GINJAL KRONIS DENGAN TERAPI HEMODIALISIS DI RSUD BULELENG
ABSTRACT Chronic Kidney Disease (CKD) is a global public health problem with increasing prevalence and incidence, has a poor prognosis and requires high costs to treat. The results of the 2017 Global Burden of Disease study stated that CRF was the 15th cause of death in 2017. The 2013 Riskesdas data for the Bali Province stated that the prevalence of CRF in Buleleng Regency (0.3%) was ranked 2nd. Based on a preliminary study at the Buleleng Hospital, it was found that there were 144 patients with CRF undergoing HD in 2021. The aim of the study was to determine the factors that are thought to influence the survival time of CRF patients, as well as to compare the survival time of CRF patients undergoing HD at Buleleng Hospital in 2010. 2021. This research is a type of analytic observational research, with a historical cohort study design. The results of the analysis showed that 75% of patients were still alive after 186 days from the start of the patient undergoing HD. Factors that affected the survival of CRF patients undergoing hemodialysis at Buleleng General Hospital were gender (HR=2.62; 95% CI=1.221-5.639; p=0.05), number of comorbidities (HR=1.479; 95% CI= 1.004-2.177; p=0.047), anemia status (HR=0.393; 95% CI=0.171-0.901; p=0.027). From the results of this study, the government should be able to increase Posbindu PTM, through PTM prevention activities, especially regarding CRF. There is a need for preventive efforts to prevent CRF, with improvements to individual behavioral factors, namely diet, physical activity, drug consumption, smoking. There is a need for further consideration and study on decision making for the implementation of renal replacement therapy in CRF patients with comorbidities such as patients with anemia. Keywords: Survival analysis, Chronic Kidney Disease, Hemodialysis
HUBUNGAN KEPATUHAN PENGGUNAAN ALAT PELINDUNG DIRI (APD) DENGAN KECELAKAAN KERJA PADA PEKERJA SEKTOR KONSTRUKSI RUMAH SAKIT BALI
ABSTRACT A work accident is an unwanted incident or event that is detrimental to humans, damages property or losses to the work process. Cases of work accidents in the construction sector in Indonesia are 32%. The purpose of this study was to determine The Relationship Between Personal Protective Equipment With Accident Cases In Construction Workers of Hospital in Bali. Type of this research was quantitative analytics with a cross sectional design. The population was all construction of Hospital in Bali the number of 498 peoples. Sample of the respondents used convenience sampling tecnique. The instrument used was a questionnaire. Data analysis was conducted using univariate and bivariate (used Chi-square alternate test). The results of the analysis showed that there was a relationship between the use of safety helmets and work accidents in Bali Hospital construction workers (p = 0.011), but there was no relationship between the use of safety shoes and work accidents in Bali Hospital construction workers (p = 0.916). The suggestions given to the company include increasing supervision of the use of PPE for workers while the workers are in the project area, ensuring the availability of PPE is sufficient for all workers and the distribution of PPE to workers by subcontractors is carried out properly. Keywords: Compliance, Personal Protective Equipement (PPE), workplace accident
PERSEPSI MENGENAI RISIKO DAN KONSUMSI MINUMAN BERPEMANIS PADA REMAJA
ABSTRACT The prevalence of sweetened beverage consumption among adolescents is notably high in Indonesia, carrying a potential risk for diabetes mellitus. Based on the 2018 National Health and Nutrition Examination Survey, the consumption of sweetened beverages appears to be relatively elevated, with 63% among adolescents aged 12-19 years and 51% among young adults aged 20-39 years. However, the underlying factors influencing this trend remain unidentified. Hence, this study aims to investigate the perceptions regarding risks and patterns of sweetened beverage consumption among adolescents in West Denpasar. This research utilizes a descriptive cross-sectional design and employs purposive random sampling through a questionnaire-based survey. The research findings indicate that adolescents with positive perceptions in terms of perceived benefits and satisfaction amounted to 59 adolescents (57.8%), while those with negative perceptions regarding their understanding of health risks related to sweetened beverages were 43 adolescents (42.2%). All respondents have consumed one or more packaged and non-packaged sweetened beverages. The majority of respondents very rarely or at a minimum once a month consume packaged and non-packaged sweetened beverages. Nonetheless, respondents exhibit variations in their habits of consuming sweetened beverages such as coffee, tea, sports drinks, fruit drinks, and milk. Consequently, it is recommended that the government intensify efforts in enhancing labeling and nutritional information for sweetened beverages. Collaborative initiatives with educational institutions should also be pursued to incorporate comprehensive nutritional education. This concerted approach aims to equip adolescents with the skills to discern and interpret nutritional labels, enabling them to make informed and health-conscious choices regarding their dietary intake. Keywords: Sweetened Beverages, Perception, Adolescents
PENGARUH TEMAN SEBAYA, CITRA TUBUH, DAN RISIKO GANGGUAN MAKAN DENGAN STATUS GIZI PELAJAR PUTRI DI KECAMATAN SUSUT, BANGLI
ABSTRACT Peer influence to adolescents is greater than family, including the formation of a negative body image that encourages eating disorders in adolescents. These eating disorders have an impact on the quality of nutrient intake seen from food diversity which can affect the nutritional status of adolescent girls. The purpose of this study was to determine the relationship between peer influence, family characteristics, body image, risk of eating disorders, and food diversity with the nutritional status of female students. This study is an analytic observational study with a cross sectional design. The sample of this study were female students in SMA and SMK in Susut Sub-District, Bangli Regency, totaling 127 people. Data analysis was done univariable with descriptive analysis and bivariable with chi square test. There was an association between peer influence (p=0.039), family characteristics including mother's occupation (p=0.007), body image (p=0.015), risk of eating disorders (p=0.004) with the nutritional status of female students. There is no relationship between family characteristics including father's education (p=0.675), mother's education (p=0.698), family income (p=0.909), food diversity (p=1.000) with BMI/U of female students. There is a relationship between peer influence, mother's occupation, body image, and risk of eating disorders with nutritional status of female students in Susut District, Bangli. Nutrition intervention policies for female students need to involve the active role of peers and it is hoped that adolescents can create a healthy environment for their peers in an effort to improve nutritional status and prevent nutritional problems in adolescents. Keywords: Peers, Body Image, Eating Disorders, Adolescents
HUBUNGAN PENGETAHUAN ERGONOMI TERHADAP KELUHAN MUSCULOSKELETAL DISORDERS (MSDs) PADA PEKERJA PT. PP PROYEK KONSTRUKSI BALI INTERNATIONAL HOSPITAL SANUR
ABSTRACT Musculoskeletal Disorders (MSDs) are disorders or damage to muscles, joints, ligaments and other skeletal systems in the human body caused by inappropriate body positions, especially if done for a long time. Good ergonomic knowledge in workers can reduce the risk of injury. MSDs cases in 2018 amounted to 7.9% in Indonesia. The highest prevalence based on diagnosis is found in three provinces, namely Aceh (13.3%) followed by Bengkulu (10.5%), and Bali (8.5%). The purpose of this study was to determine the relationship of ergonomic knowledge to complaints of MSDs in PT field workers. PP construction project Bali International Hospital Sanur. The type of research used is observational analytic with a cross-sectional design. The population of this study was PT. PP construction project Bali International Hospital Sanur. Sampling by stratified random sampling method. The research instrument used is a questionnaire. Data analysis was carried out univariate and bivariate (Chi-Square alternative test was used). The results showed that there was a significant relationship between ergonomic knowledge and complaints of Musculoskeletal Disorders (MSDs) in PT. Bali International Hospital Sanur construction project PP (p=0.018). The company is expected to routinely provide training related to work ergonomics to workers so as to reduce MSDs complaints arising from work. Keywords: Musculoskeletal Disorders (MSDs), Construction Workers, Knowledge of Ergonomics
STUDI TIMBULAN LIMBAH BAHAN BERBAHAYA DAN BERACUN SISA DAN KEMASAN OBAT PADA RUMAH TANGGA KOTA DENPASAR
ABSTRACT The city of Denpasar, which acts as the capital of the Province of Bali, is of course the center of government, the center of the economy and the center of education. According to the Central Statistics Agency for Denpasar City, the population of Denpasar City in 2020 is 962,900 people and the number of households is 292,600 households. As the population increases, the amount of waste generated and its problems also increase. The purpose of this study was to determine the generation of hazardous and toxic waste materials and drug packaging as well as the management behavior carried out at the household level. This research is a cross-sectional study with a quantitative descriptive research design conducted in the city of Denpasar. The variables measured in this study consisted of age, education level, knowledge, facilities, policies based on Lawrence Green's theory. The results showed that the respondent's behavior was still negative with a percentage of 71%. Based on the results of the analysis carried out, the knowledge variable has a relationship with the behavior variable with a p-value = 0.027. Meanwhile, the variables of age, level of education, facilities and policies have no relationship with the behavior of respondents in managing the remaining B3 waste and drug packaging produced. The generation of residual B3 waste and drug packaging produced by households reached 0.0016 kg/household/day. Keywords: Hazardous waste generation, behavior, knowledge, household
HUBUNGAN STATUS AKREDITASI DENGAN TINGKAT KEPUASAN PASIEN TERHADAP MUTU PELAYANAN PUSKESMAS DI KOTA DENPASAR
ABSTRACT The impact of the Covid-19 Pandemic has caused the quality assurance process to not run optimally, one of which is the implementation of accreditation at all health service facilities. In addition, the relationship between accreditation status and the level of satisfaction cannot be concluded because previous research is still contradictory. The purpose of this study was to measure the level of patient satisfaction and determine the relationship between accreditation status and the level of patient satisfaction. The design of this research is quantitative research with analytic cross-sectional design. The research sample selection method is non-random sampling with consecutive sampling technique, namely the sample will be selected based on the order of the patient's arrival at the earliest until the desired number of samples is met. Methods of data collection through interviews using a questionnaire instrument to measure the level of patient satisfaction. Data were analyzed using the chi-square test and multiple logistic regression. The results showed that the majority of patients expressed satisfaction as much as 57.8% and patients who stated dissatisfaction as much as 42.2%. In terms of satisfaction in each aspect of the quality dimension, the majority of patients with the highest proportion of satisfaction, namely the dimension of responsiveness and the lowest proportion of satisfaction, namely the dimension of reliability. Accreditation status is related to the level of patient satisfaction (AOR=13.7 ; 95% CI=5.40-34.5 ; P=<0.01). The sex of the patient is related to the level of patient satisfaction (AOR=3.84 ; 95% CI=1.36-10.8 ; P=<0.01). Health centers need to make improvements to aspects of service that are still considered unsatisfactory. Keywords: Accreditation, Patient Satisfaction, Public Health Center
I Gusti Ayu Putu Sintya Dewi Cahya Lestari
HUBUNGAN FAKTOR INDIVIDU DAN PEKERJAAN DENGAN PERILAKU TIDAK AMAN PADA PEKERJA KONSTRUKSI Y TAHUN 2023
ABSTRACT Unsafe actions cause 88% of workplace accidents, with 10% due to hazardous conditions and 2% to other factors. Individual and job-related factors are the primary causes of unsafe actions. This study aims to explore the link between these factors and unsafe actions among workers at the 2023 Y construction project. This research employs a quantitative research design with an analytical method and a cross-sectional approach conducted at the Y Construction Project. Data were obtained through questionnaires and observations. The sampling technique employed was purposive sampling among construction project workers. The data utilized were primary data based on the questionnaires. The study found that 43.2% of workers exhibited unsafe behavior. Work experience (p=0.005), knowledge (p=0.002), attitude (p=0.018), work duration (p=0.040), job type (p=0.001), and use of personal protective equipment (PPE) (p=0.005) were identified as variables linked to unsafe behavior through bivariate analysis. Multivariate analysis using logistic regression highlighted that work duration had the greatest impact on unsafe behavior (OR=9.34; CI=1.42-61.29; p=0.02). Addressing unsafe behavior can involve providing occupational health and safety (OHS) education, emphasizing PPE usage, and enhancing worker awareness of the importance of working safely for their own well-being. Keywords: Unsafe Behavior, Construction Workers, Construction Projects
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KEKURANGAN ENERGI KRONIS (KEK) PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS BRUNO, KABUPATEN PURWOREJO, JAWA TENGAH
ABSTRACT The incidence of CED for pregnant women at the Bruno Health Center in 2022 is 15.7%, the highest in Purworejo Regency, so an analysis is needed to reduce the risk of death and low birth weight. The purpose of this study was to determine the factors related to the incidence of CED and the differences in the consumption levels of energy, protein and iron in pregnant women with CED and not CED in the Working Area of ??the Bruno Health Center, Purworejo Regency, Central Java.This research is an analytic observational study with a case control design. The total sample in this study was 76 pregnant women consisting of 38 case samples and 38 control samples who were selected at simple random from the cohort of pregnant women in March 2023. The variables studied were age, education, income, birth spacing, knowledge, and level of difference consumption of energy, protein and iron. Data was collected directly using a questionnaire. The results of the analysis showed that there were factors related to the incidence of CED, namely income (p=0.018) and knowledge (p=0.013), while factors that were not related were age (p=0.103), education (p=0.076), birth spacing (p = 0.773). There were differences in energy consumption levels (p=0.001), protein consumption levels (p=0.004), and iron consumption levels (p=0.001) among pregnant women with CED and not CED. Keywords: Pregnant women, Knowledge, Consumption level
GAMBARAN PENGETAHUAN KADER POSYANDU TENTANG PEMANTAUAN PERTUMBUHAN BALITA DI KECAMATAN TABANAN, KABUPATEN TABANAN
ABSTRACT Monitoring the growth of toddlers is an important thing to do in an effort to find out and early detection if there are nutritional problems. Cadres as implementers of posyandu activities are expected to have knowledge about monitoring toddler growth. The purpose of this study was to determine the knowledge of toddler posyandu cadres about monitoring toddler growth in Tabanan District, Tabanan Regency. This study is a descriptive study using a cross sectional approach. The sample of this study was posyandu cadres in Tabanan District totaling 92 people, selected by systematic random sampling. The variables studied were age, education, occupation, length of time as a cadre, training or refreshing and the level of knowledge of cadres about monitoring toddler growth. Data were analyzed using univariate analysis. Most of the cadres (80.4%) had good knowledge about growth monitoring of children under five and there were cadres who had poor knowledge in the aspects of implementation (47.8%) and preparation (21.7%). Based on characteristics, a good level of knowledge is seen in cadres aged 41-50 years, cadres with the last education of Senior High School, cadres work as private employees and housewives, have become cadres for ? 9 years and cadres have attended training. Health agencies, namely the Health Office and Puskesmas, are expected to provide training or refreshing, especially on monitoring toddler growth in the aspects of preparation and implementation, which are held regularly and can use hands-on methods in addition to lecture methods. Keywords: Knowledge, Posyandu Cadres, Growth Monitoring, Toddlers
GAMBARAN KELELAHAN KERJA PADA SOPIR BUS RAPID TRANSIT DI TRANS METRO DEWATA BALI TAHUN 2023
ABSTRACT Bus Rapid Transit (BRT) is a high-quality bus-based transportation that offers comfort, safety, punctuality, good infrastructure, and a scheduled system. Factors that cause traffic accidents include human error, mechanical failure, road conditions and situations, and weather factors. According to the Ministry of Transportation of the Republic of Indonesia, human factors dominate the causes of traffic accidents, where driver fatigue is the leading cause of accidents. This study aims to determine the description of work fatigue among bus rapid transit drivers at Trans Metro Dewata Bali in 2023. This research is quantitative descriptive research with a cross-sectional study approach. The research location is in the Trans Metro Dewata Bali Bus Corridor.The minimum sample size is 78 samples obtained by non-probability sampling technique with a consecutive sampling approach. Data was collected by in-person interviews using respondent's questionnaire and the KAUPK2 questionnaire to measure work fatigue. Data analysis used univariate analysis and cross-tabulation analysis. The results showed that most of the rapid transit bus drivers on the Trans Metro Dewata Bali in 2023 had a level of work fatigue in the tired category of 39 people (48.8%). Companies are expected to provide information related to occupational health and safety, especially work fatigue. Keywords: Bus Rapid Transit, Driver, Work Fatigue
GAMBARAN BUDAYA KESELAMATAN PASIEN PADA PETUGAS PUSKESMAS DI KOTA DENPASAR
ABSTRACT The government is trying to improve the quality of Primary Health Care (PHC) services, one of which is through the implementation of patient safety. However, there are still patient safety incidents in PHC. Therefore, it is important to assess patient safety culture as a basis for patient safety improvement efforts. This study aims to determine the description of patient safety culture at PHC officers in Denpasar City. This study used descriptive quantitative method with cross sectional design. The sample came from 100 health workers. Data collection used HSOPSC 2.0 questionnaire. Data analysis used descriptive analysis and analysis of different proportions. The results showed that the description of patient safety culture among PHC officers in Denpasar City was in the strong category (84%). Almost all dimensions are in the strong category, but 2 dimensions are in the moderate category, namely the dimension of response to errors and the dimension of staffing response and work speed. There is a significant difference in the proportion of patient safety culture based on the characteristics of age and length of service. Meanwhile, there is no significant difference in patient safety culture based on gender, latest education and accreditation status of PHC. PHC and the Health Office of Denpasar City need to make continuous improvements to improve the implementation of patient safety culture in officers. Keywords: Patient Safety Culture, Primary Health Care Officer
GAMBARAN TINGKAT PENGETAHUAN DAN SIKAP TENTANG KEKERASAN BERBASIS GENDER ONLINE PADA MAHASISWA PSIKOLOGI UNIVERSITAS UDAYANA
ABSTRACT KBGO is a reproductive health problem that needs to be addressed in Indonesia, because it impacts psychological, social and work. OGBV’s treatment involves psychological analysis and assistance by professionals. Knowledge, attitudes, behavior, and beliefs influence the ability of psychologists to deal with cases of GBV. Therefore, research on the level of knowledge and attitudes of Psychology Students at the Faculty of Medicine, Udayana University is needed. This study used a descriptive cross-sectional design with a quantitative approach, the sampling technique for this study was consecutive sampling, and the data were obtained through a questionnaire.that was tested for the validity of the content and constructs of the MT-MM and the Cronbach Alpha reliability test. Data analysis techniques were carried out through descriptive analysis and cross-tabulation. The results of the study found 53.9% respondents had good knowledge about OGBV, even so OGBV knowledge of psychology students still needed to be improved, because there were still many students who answered incorrectly on the impact component. Meanwhile, 61.8% respondents had a disapproving attitude towards OGBV. Psychology Study Program of Udayana University expected can use the result of this research as reference material in developing strategies to increase knowledge and awareness of their student about Online Gender-Based Violence. Keywords: GBV, OGBV, Knowledge, Attitude
EVALUASI PROGRAM SANITASI BERBASIS MASYARAKAT (SANIMAS) DI KECAMATAN KEDIRI KABUPATEN TABANAN
ABSTRACT Community-Based Sanitation (SANIMAS) is a program organized to increase access to sanitation related to wastewater extraction in residential areas with slums, densely populated, and prone to sanitation. This study aims to evaluate the Community Based Sanitation Program (SANIMAS) in Kediri District, Tabanan Regency. This research is a qualitative research with descriptive analysis. The data used are primary and secondary data. This research is located in 2 villages in Kediri District, Tabanan Regency. The results showed that the management of the WWTP in the SANIMAS program that had been built in the three KSMs was not optimal due to the lack of management and maintenance on the part of the manager and the lack of awareness of the WWTP users. In addition, the results of laboratory tests at the three locations showed that the two locations had COD values above the established quality standards. Therefore it is necessary to carry out routine management and maintenance to overcome this as well as regular monitoring for program sustainability. Keywords: Evaluation, Community-Based Sanitation, Wastewater Treatment Plant
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN SIKLUS MENSTRUASI PADA SISWI MADRASAH ALIYAH (MA) KOTA DENPASAR
ABSTRACT The menstrual cycle is a reproductive change that occurs in women during puberty, typically lasting for 28 days, with the majority of women having cycles between 25-30 days. Menstrual cycle disorders are classified as polimenorrhea, oligomenorrhea, and amenorrhea. Several factors that can influence the menstrual cycle include macronutrient intake, nutritional status, physical activity, stress levels, and macronutrient intake. Therefore, this study aims to determine the factors associated with the menstrual cycle among female students of Islamic Senior High Schools in Denpasar City. This cross-sectional research involved 80 students from grades X and XI, selected using a simple random sampling method. Data were collected through questionnaire responses related to physical activity variables, interviews regarding dietary intake to determine macronutrient intake variables, and anthropometric measurements to establish nutritional status variables. Data analysis was conducted using descriptive statistical tests and the chi-square test. The results of this study indicate that physical activity (p=0.017), stress levels (p=0.023), and nutritional status (p=0.028) are the most relevant variables. Female students are advised to maintain their BMI/U, balanced activity levels, and positive mindset for menstrual cycle prevention. Subsequent researchers should explore other factors such as infections, age of menarche, and micronutrient intake using a qualitative approach. Keywords: Macronutrient Intake, BMI/U, Physical Activity, Stress Level, Menstrual Cycle
FAKTOR MANUSIA YANG BERHUBUNGAN DENGAN KEJADIAN KECELAKAAN KERJA PADA PETUGAS PEMADAM KEBAKARAN DI BPBD KOTA DENPASAR
ABSTRACT Workers have a high risk of occupational accidents because they are directly dealing with fire and other potential hazards. According to Heinrich, 80% of accidents are caused by unsafe actions. There were 23,825 cases of firefighter’s injury in 2019 in America. 63.3% of Majalengka Regency firefighters had work accidents in 2021 and 62.7% of Medan City firefighters had work accidents in 2022. The purpose of this study was to determine the human factors associated with work accidents in firefighters. This study is a quantitative study with a cross sectional approach. The sample in the study was 80 people and were selected using simple random sampling technique. Data analysis was carried out univariate and bivariate. The results of the chi square test there was a significant relationship between age (p = 0.020), OHS knowledge (p = 0.026), work attitude (p = 0.048), and the use of PPE (p = 0.034) with work accidents. There is no significant relationship between length of service (p = 0.669) and level of education (p = 0.196) with work accidents. The Denpasar City Regional Disaster Management Agency is expected to provide standardized PPE and take a persuasive approach to increase firefighter’s awareness of using PPE. Keywords: Occupational accidents, Firefighters, Human factors
HUBUNGAN STRES, EMOTIONAL EATING, DAN AKTIVITAS FISIK DENGAN STATUS GIZI MAHASISWA TINGKAT AKHIR UNIVERSITAS UDAYANA
ABSTRACT Nutritional problems often occur in early adulthood. The eating patterns of young adults, particularly as university seniors, can be characterized by emotional eating, which is linked to increased stress and reduced physical activity. This research aims to investigate the relationship between stress, emotional eating, physical activity, and nutritional status among senior students at Udayana University. It is a quantitative cross-sectional study. Data were collected in March 2023 from a randomly selected sample of 145 senior students. Nutritional status data based on BMI, stress levels using the DASS questionnaire, emotional eating using DEBQ, and physical activity using IPAQ were analyzed using chi-square. The analysis results show that the majority of students have a normal nutritional status (65.3%). There is a significant relationship between stress (p = 0.003), emotional eating (p = 0.000), physical activity (p = 0.002), and the nutritional status of senior students at Udayana University. It is concluded that stress, emotional eating, and physical activity are significantly associated with nutritional status. It is recommended that students manage stress effectively, pay attention to their dietary intake, and maintain regular physical activity. Keywords: Stress Level, Emotional Eating, and Physical Activity Level
HUBUNGAN KARAKTERISTIK PEGAWAI DAN KEPUASAN KOMPENSASI DENGAN KINERJA PEGAWAI DI RUMAH SAKIT X DI DENPASAR
ABSTRACT X Hospital is an organization that routinely provides compensation. Compensation is a factor that affects employee performance. However, compensation is still a problem in 2018 - 2022 and also an issue of employee performance. This study aims to determine the relationship between employee characteristics and compensation satisfaction with employee performance at X Hospital in Denpasar. This research is a quantitative study with an observational research design with a cross sectional approach. The sample of this research is employees who are registered as employees of 79 employees. The sampling technique uses probability proportional to size (PPS). This study used a questionnaire with descriptive and bivariate statistical analysis methods. The results showed that the majority of employees were aged ? 30 years (73.4%), female (69.6%), university education (97.5%), permanent employment status (68.4%), years of service > 5 years (75.9%), service group (62%), satisfied with compensation (67.1%), and good performance (81%). There is a relationship between length of service (p-value = 0.023) and compensation satisfaction (p-value = 0.016) with employee performance. There still dissatisfaction with compensation and poor performance. It is hoped that in providing compensation, the hospital will be guided by performance evaluation and employees will further improve their attitude of responsibility. Keywords: Employee Characteristics, Compensation Satisfaction, Employee Performance
PRAKTIK PENGGUNAAN GARAM BERYODIUM PADA PENDERITA HIPOTIROID DI PUSKESMAS 1 DENPASAR BARAT
ABSTRACT Hypothyroidism is a medical condition that occurs when the thyroid gland does not produce enough thyroid hormone to meet the body's need. This condition is related to the practice of consuming iodized salt in the community. This study aims to determine the practice of using iodized salt in hypothyroid patients at Public Health Center 1 West Denpasar. This research is qualitative with a descriptive approach. Data collection strategy with in-depth interviews and observation with a total of 10 informants. This research was conducted at Public Health Center 1 West Denpasar. The results of this study indicate that informants have knowledge about the use of iodized salt but not good enough knowledge. Most of the informants mentioned getting information from social media. The practice of using iodized salt during food processing in the wrong way by adding iodized salt during the cooking process Informants have a habit of consuming iodized salt with food. However, the frequency of consumption for most of the informants was rare, with a consumption duration of only under 1 year. Iodine deficiency is perceived as harmful to the body. In addition, the distribution of iodized salt regulated by the local government was reported to be poor, so participants had difficulty obtaining iodized salt. Keywords: Hypothyroidism, Iodized Salt, Usage Practice
ANALISIS KEJADIAN PENYAKIT GAGAL GINJAL KRONIS PADA PENDERITA DIABETES MELITUS DI INDONESIA : ANALISIS DATA RISET KESEHATAN DASAR 2018
ABSTRACT The increasing morbidity rate of Diabetes Mellitus (DM) in Indonesia is estimated that people are not aware of the possible complications that can be suffered. Diabetic Nephropathy (ND) or Chronic Kidney Failure (CKD) is one of the microvascular complications in patients with DM that has affected 3.3% of DM patients in Indonesia. This study aims to determine the incidence of GGK in patients with DM and the relationship between demographic characteristics and behavioral characteristics with the incidence of GGK in patients with DM. This research is a quantitative study with a descriptive cross-sectional design. The study sample of 14,932 was all patients with DM >15 years old in Indonesia who were registered as respondents of Riskesdas 2018. Data were analyzed using the Chi-Square method. It was found that from all samples studied, the incidence rate of GGK in patients with DM was 2%. And the characteristics that have a significant association with the incidence of GGK in patients with DM are gender (OR 1.33; 95%CI 00.0-00.0), physical activity (OR 1.33; 95%CI 00.0-00.0), moderate intensity physical activity (OR = 1.97 95%CI 1.57-2.48) and duration of DM (OR = 1.95 95%CI 1.52-2.49). Further studies are needed regarding the relationship between duration of DM and physical activity with GGK complications. It is also recommended to increase physical activity in patients with DM to avoid worse complications of GGK. Keywords : Diabetes Mellitus, Chronic Kidney Failure
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN MENARCHE DINI PADA SISWI SEKOLAH MENENGAH PERTAMA (SMP) DI KOTA DENPASAR
ABSTRACT Early menarche can increase the risk of ovarian cancer, breast cancer, and anemia. This study aims to determine the factors associated with the incidence of early menarche in junior high school students in Denpasar City. This research is a quantitative analytic study with a cross sectional study design. The research locations were conducted in two public and private junior high schools respectively. The time of the research starts from January-May 2023. The research sample is class VII students, totaling 287 people. The research sample was taken using a multistage random sampling technique. The variable in this study is early menarche, junk food, physical activity, mass media, socio-economic, age of mother's menarche, and sleep rest. Data was obtained through filling out a structured questionnaire and data analysis used simple logistic regression. The results showed 49.48% experienced early menarche. Variables that were related to the incidence of early menarche were junk food, physical activity, mass media, socioeconomics, and maternal menarche, while the variables that were not related to the incidence of early menarche were sleep rest. Provision of information on a regular basis, especially regarding factors related to menarche, needs to be done early to minimize the occurrence of early menarche. Keywords: Early Menarche, Junk Food, Mass Media, Social Economy, Maternal Menarche
PERUBAHAN MOOD MAHASISWA PRODI KESEHATAN MASYARAKAT UNIVERSITAS UDAYANA YANG MENGGUNAKAN APLIKASI TIKTOK
ABSTRACT An increase in the amount of stres will reduce academic ability which affects the student's grade point average. high number of TikTok users in the millennial generation is one of the stres diversion efforts that can be made by students. The purpose of the study was to determine changes in the mood of Udayana University public health study programme students who use the TikTok application. This study uses a descriptive qualitative approach with data collection methods with in-depth interviews. Research informants are final year students of the Udayana University Public Health Study Program who are active in using TikTok. Informants were selected by purpose sampling as many 13 informants. The results showed that most of the mood changes that occurred in Udayana University Public Health Study Program students experienced changes in their mood for the better after accessing TikTok. The impact felt by informants after accessing TikTok on thesis completion efforts is also quite good. The conclusion obtained is that mood changes tend to increase, for informants who feel they are experiencing a decline in mood due to inappropriate content, they will use the swipe up or not interest feature. Students feel interested in seeing videos presented by TikTok that are short, concise and clear and have interesting content. Keywords: Change, Mood, TikTok, Unud, Bali
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KEINGINAN BERHENTI MEROKOK DAN MEMANFAATKAN LAYANAN KESEHATAN PADA PASIEN DI RUMAH SAKIT UNIVERSITAS UDAYANA
ABSTRACT Smoking behavior is currently an activity that is starting to be considered normal by most people. The high prevalence of smokers will have a negative impact on health, namely causing various diseases, especially NCDs. One of the effective efforts to reduce these adverse effects is to quit smoking. This study aims to analyze the factors associated with the desire to quit smoking and utilize health services in patients at Udayana University Hospital. This study was an observational study with a cross sectional descriptive design conducted in March-June 2023 at Udayana University Hospital. The population of this study were patients with smoking status at Udayana University Hospital. Data collection techniques were carried out through an interview process with the help of an online questionnaire. Data analysis was performed by univariable and bivariable analysis. The results showed that the factors associated with the desire to quit smoking and utilize health services in patients were perceived need for healthcare support (OR=8.61; 95% CI=3.35-22.10; p<0.01) and perceptions of smoking policies (OR=3.36; 95% CI=1.28-8.79; p=0.01). Keywords: smoking behavior, desire to quit smoking, smoking cessation services
GAMBARAN FAKTOR RISIKO KELUHAN LOW BACK PAIN PADA PEKERJA PORTER CARGO BANDARA
ABSTRACT Porters as manual handling workers use a lot of physical strength as a foundation in carrying out the work of lifting and transporting goods. A complaint that many porters may experience is low back pain. Low back pain is a disease that causes pain in the lower back, such as the waist, hips, buttocks and legs. This study aims to describe the risk factors that influence low back pain complaints in porter cargo based on sociodemographic characteristics, occupational factors, and the environment. This research is a quantitative observational study with a cross-sectional descriptive approach. This research was conducted at Ngurah Rai International Airport Cargo with a total sample of 34 respondents. The research sample is porter cargo workers in the Regulated Agent (RA) division. The sampling technique was carried out using total sampling with a mixture of inclusions and exclusions. Data collection techniques were carried out using questionnaires, microtoise, weight scales, and cameras. Data were analyzed using descriptive frequency test and cross tabulation using SPSS. The results showed that most of the airport cargo porter workers complained of severe LBP aged >35 years (61.8%) and working experience of >5 years, were active smokers, normal body mass index, had a very high risk work attitude and moderate stress. The conclusion of this study was that most of the airport cargo porter workers experienced severe LBP complaints (70.6%) with a very high average work attitude. As an effort to maintain the productivity of airport porter cargo workers, companies can provide routine health checks for workers at least once or every three months for early health checks. Keywords: Low Back Pain Complaints, Porter, Airport, REBA.
EVALUASI PROGRAM STBM STUNTING SEBAGAI UPAYA MENEKAN KEJADIAN STUNTING DI KELURAHAN BABAKAN KOTA MATARAM
ABSTRACT The stunting rate in NTB in 2018 reached 33.5% and contributed to the highest stunting rate in Indonesia. Thus, this study aims to determine the implementation of STBM Stunting in Babakan Village using a qualitative descriptive research design conducted from April to May 2024. Data were collected through in-depth interviews with 19 respondents including representatives of the Yayasan Plan Internasional Indonesia (YPII), the Head of Babakan Village, representatives of the Mataram City Health Office, integrated health post cadres, sanitarians, and nutrition officers at the Puskesmas, and the Babakan community. Data analysis was thematic. The results of the study showed that the implementation of STBM in Babakan Village was not optimal. Supporting factors for the implementation of STBM Stunting in Babakan Village, namely basic knowledge, direct participation of stakeholders, cross-sector involvement, and YPII. Inhibiting factors consisted of personal conditions of the community, low economic levels, inadequate facilities and poor parenting patterns. For stakeholders and health agencies to form policies, conduct training to increase the capacity of cadres and for YPII to repair public toilets beforehand and encourage the community to want to be on scheduled duty to clean public toilets. Keywords: Sanitation, Stunting, Roadmap
PENGARUH PEMBERIAN TERAPI MADU TERHADAP TINGKAT NYERI PADA SAAT PEMASANGAN INFUS ANAK DENGAN HOSPITALISASI DI RSU X DENPASAR
ABSTRACT Hospitalization or inpatient treatment is a planned or emergency process that requires the child to stay in the hospital to undergo therapy and treatment until the child is sent home. This study aims to analyze the effect of giving honey therapy on the level of pain during infusion in children hospitalized at RSU X Denpasar. This research used a Post Test Control Design using a non-probability sampling technique involving 46 respondents who were divided into 2 groups, namely 23 control groups and 23 intervention groups. Respondents were given intervention in the form of honey therapy before the infusion was carried out. Then the researchers observed the child's pain level which was measured using the Wong Baker Pain Scale. The data was then tested using the Mann Whitney test and a significance value of 0.00 was obtained with a significance level of 0.05, which means there was an influence on the level of pain after giving honey therapy to children hospitalized at RSU X Denpasar (p<0.05). The results of the study showed that there was a decrease in the pain scale from moderate to mild, so this honey therapy can be recommended as a non-pharmacological therapy to reduce pain when installing a child's IV in health services. This intervention can be carried out in every health service but must be adapted to the existing circumstances and situations. Keywords: honey therapy, child infusion, pain level
PERBEDAAN PENGETAHUAN REMAJA PUTRI SEBELUM DAN SESUDAH DIBERIKAN EDUKASI VULVA HYGIENE SAAT MENSTRUASI MENGGUNAKAN MEDIA FLIPBOOK
ABSTRACT Vulva hygiene during menstruation is a component that plays an important role in avoiding interference with the function of the reproductive organs. The purpose of this study was to determine the difference in knowledge of young women before and after being given education about vulva hygiene during menstruation using flipbook media. The method used in this study was pre-experimental with a pretest-posttest one group design. The data used in this study is primary data using a questionnaire and analysis with the wilcoxon test. This research was conducted at SMP Wisata Sanur in May 2023. The sample in this study was class VIII students. The number ofrespondents in this study totaled 51 people. The sampling technique used proportional random sampling. The results ofthe research before being given education the median value is 80, the minimum value is 50 and the maximum value is 95 and after being given education the median value is 85, the minimum value is 60 and the maximum value is 100.The Wilcoxon test results show that the value of p=0.000 is smaller than 0.05 so it can be concluded that there is a difference in the knowledge ofyoung women before and after being given education about vulva hygiene during menstruation using flipbook media. The results of this study will provide additional information for health workers to help improve promotional and preventive efforts by providing vulva gyfiene education to young women. Keywords: Flipbook, Menstruation, Vulva hygiene
PENGARUH INHALASI AROMATERAPI LAVENDER TERHADAP TINGKAT KECEMASAN IBU NIFAS DI RUMAH SAKIT UMUM DAERAH BALI MANDARA PROVINSI BALI
ABSTRACT Postpartum women anxiety causes psychological disorders that can reduce contact with their babies. Lavender aromatherapy is believed to reduce anxiety levels. The purpose of this study was to determine the effect of lavender aromatherapy inhalation on the anxiety level of postpartum women. This research is a pre-experimental study with a one-group pretest-posttest design. Implementation in March–April 2023. A sample of 17 postpartum women was taken using a purposive sampling technique. Lavender aromatherapy inhalation is done by dripping five drops of lavender essential oil into a diffuser containing 30 cc of distilled water for 15 minutes on three consecutive days. Before and after giving aromatherapy, respondents will fill out the HRS-A questionnaire. Data analysis was univariate in the form of a frequency distribution, and bivariate analysis used the Wilcoxon test. Wilcoxon test showed a significant difference before and after being given lavender aromatherapy inhalation, which means that there is an effect of lavender aromatherapy inhalation on the anxiety level of postpartum women. Postpartum women are expected to be able to use lavender aromatherapy inhalation as a non-pharmacological therapy to overcome anxiety during the postpartum period. Keywords: lavender aromatherapy, anxiety level, postpartum women
GAMBARAN PENGETAHUAN, SIKAP, DAN TINDAKAN REMAJA PUTRI TENTANG PENANGANAN DISMENORE PRIMER DI SEKOLAH MENENGAH PERTAMA PGRI 5 DENPASAR
ABSTRACT Primary dysmenorrhea is a symptom that arises due to abnormalities in the pelvic cavity which can interfere theactivities of school-age teenegers. More than 50% of women in the world are suffered from dysmenorrhea and the number of cases of dysmenorrhea in Indonesia is 60 % -70%. Approximately 90 female students of SMP PGRI 5 Denpasar are suffered from primary dysmenorrhea. The purpose of the study is to determine the knowledge, attitudes and actions of teenege girls regarding the management of primary dysmenorrhea. This type of research is descriptive quantitative with cross sectional research design. The sample in this study is 22 respondents. This study used a proportionate stratified random sampling technique. The instrument used in this study was a questionnaire made by the researcher. The results of the study is most of the respondents have sufficient level of knowledge, more than half of the respondents have a negative attitude and more than half of the respondents have unfavorable actions. The school is expected to improve the UKS and KSPAN facilities and programs as well as provide counselling using interesting media regarding reproductive health especially primary dysmenorrhea. Keywords: knowledge, attitudes, actions, primary dysmenorrhea
SENSITIVITAS DAN SPESIFISITAS KUESIONER RISIKO DIABETES MELITUS UNTUK METODE SKRINING DIABETES MELITUS DI INDONESIA (ANALISIS RISKESDAS TAHUN 2018)
ABSTRACT Based on Riskesdas 2018, the prevalence of diabetes mellitus in Indonesia from 2013 to 2018 has increased from 1.5% to 2.0%. DM risk factors can be used as an effort to predict the incidence of DM in individuals through creating questionnaires. This study used a cross-sectional design using secondary data by Riskesdas 2018 with total of 24,349 samples that met the inclusion and exclusion criteria to determine the cut off point for the incidence of DM, sensitivity and specificity. Data analysis in this study used descriptive statistical analysis, bivariate, logistic regression and ROC analysis. The DM percentage is 2.11%. Several risk factors associated with the incidence of diabetes mellitus with a p-value <0.05 include age variables (aOR=3.94; 95%CI=3.10-5.02), peripheral obesity status (aOR=2.65; 95%CI=1.11–1.97), central obesity (aOR=3.22; 95% CI=1.15–1.80) physical activity (aOR=1.27; 95%CI=1.04 -1.56), non-routine consumption of anti-hypertensive drugs (aOR=1.96;95%CI=1.37-2.84), and regular consumption of drugs (aOR=2.19;95%CI=1 .63–2.95). Based on the OR value obtained, it becomes a reference for weighting in the DM risk questionnaire. Through a questionnaire prepared, the cut off for DM was obtained, namely a total score of ?10 with a sensitivity value of 84% and a specificity of 81%. Keywords: Diabetes Mellitus, Screening, Sensitivity, Specificity
Jurnal Arc. Com. Health merupakan jurnal elektronik (e-journal) resmi yang diterbitkan oleh PSSKM (Program Studi Sarjana Kesehatan Masyarakat) Fakultas Kedokteran Universitas Udayana. Jurnal Arc. Com. Health terbit tiga kali setahun, yaitu bulan April, Agustus dan bulan Desember. Jurnal Arc. Com. Health menerbitkan hasil penelitian berhubungan dengan kesehatan masyarakat seperti kebijakan kesehatan, kesehatan ibu dan anak, kesehatan lingkungan, gizi kesehatan masyarakat, kesehatan kerja, promosi kesehatan, ekonomi kesehatan serta ilmu ilmu dasar yang berkaitan seperti bioteknologi kesehatan, biologi molekuler, bioinformatik dan genetik, tanaman, hewan, serta sel yang terkait dengan kesehatan masyarakat. Arc. Com. Health juga menerbitkan hasil systematic review.