Ruben Dharmawan’s research while affiliated with Sebelas Maret University and other places
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Background: Diabetes mellitus (DM) is a serious chronic disease with a tendency to worsen. The number of DM cases worldwide in 2015 was 415 million people and is expected to increase by 642 million cases in 2040. Indonesia ranks 7th in the world with 10 million DM cases in 2015, around 90% of which are Diabetes Mellitus Type 2. This study aimed to determine the effects of chronic disease control club on physical activity, anxiety, and blood sugar level.
Subjects and Method: This was a cross sectional study conducted at Sukoharjo health center, Sukoharjo, Central Java, from August to September 2018. A sample of 245 type 2 DM patients was selected for this study. The independent variables were physical activity, anxiety, chronic disease control club, and complications. Data were collected using HARS, physical activity, complication and club activitiesquestionnaires. Data were analyzed by using path analysis.
Results: Anxiety directly increased with complication (b= 12.55; 95% CI= 111.98 to 13.90; p
Background: Leprosy is a chronic disease caused by Mycobacterium leprae. World Health Organization (WHO) reported that the number of leprosy cases in 2015 was 211,973 in 108 countries in the world. The number of leprosy cases in Indonesia ranks third after India and Brazil. There are 14,000 (8%) leprosy cases with disability. This study aimed to determine factors affecting disability and Years of Life with Disability (YLD) attributable to leprosy in patients with leprosy at Kelet Hospital, Central Java.
Subjects and Method: This was an analytic observational study with case control design. The study was conducted at Kelet Hospital, Central Java, from December 2017 to January 2018. A total sample of 140 leprosy patients was selected for this study using fixed disease sampling, consisting of 70 patients with disability and 70 patients without disability. The dependent variables were disability and YLD. The independent variables were age, education level, and self care. The data were collected by questionnaire and analyzed by path analysis.
Results: Disability increases YLD (b= 0.37; 95% CI= 0.31 to 0.43; p
Background: Leprosy remains a major public health problem in the world, particularly in developing countries. Leprosy can be so progressive that damages skin, nerve, extremity, and eye organs of the affected patients. Cumulative incidence of leprosy amounted to 200,000 cases worldwide, with the highest incidences occuring in India, Brazil, and Indonesia. This study sought to examine the social economic, environmental, and behavioral determinants of leprosy in Kediri, East Java, using path analysis approach.
Subjects and Method: This was an analytic observational study with case control design. The study was conducted at Leprosy Hospital, Kediri, East Java, from November to December 2017. A total sample of 150 study subjects consisting of 75 leprosy patients and 75 non-diseased subjects were selected for this study by fixed disease sampling. The dependent variable was leprosy. The independent variables were personal hygiene, education, employment status, family income, dwelling density, humidity, and migration. Data on leprosy diagnosis was taken from medical record. The other data were collected by questionnaire. The data were analyzed by path analysis.
Results: The risk of leprosy increased with poorer personal hygiene (b= -1.20; 95% CI= -1.92 to -0.49; p=0.001), higher humidity (b= 0.73; 95% CI= 0.33 to 1.43; p=0.040), and migration (b= 0.94; 95% CI= 0.14 to 1.74; p= 0.022). Being employed status increased family income (b= 1.41; 95% CI= 0.72 to 2.11; p< 0.001). Low family income increased the likelihood of migration (b= -14; 95% CI= -1.71 to -3.19; p= 0.007) and dwelling density (b= -1.02; 95% CI= -1.71 to -0.32; p=0.004). Higher education level increased the likelihood of being employed (b= 1.41; 95% CI= 0.72 to 2.11; p< 0.001) and better personal hygiene (b= 1.15; 95% CI= 0.44 to 1.85; p= 0.001). Dwelling density increased the likelihood of humidity (b= 4.29; 95% CI= 3.22 to 5.37; p< 0.001).
Conclusion: Migration, higher humidity, and poorer personal hygiene directly increase the risk of leprosy. Education, employment status, family income, and dwelling density indirectly affect the risk of leprosy.
Keywords: Leprosy, social economic, environmental, personal hygiene
Correspondence: Anindita Hasniati Rahmah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: aninditarahma22@gmail.com.
Journal of Epidemiology and Public Health (2018), 3(2): 253-262
https://doi.org/10.26911/jepublichealth.2018.03.02.05
Background: Sexually transmitted infections (STIs) are diseases that are now a global issue because they are the entrance to HIV transmission. Female sex workers (WPS) have a high risk of contracting and transmitting STIs and HIV / AIDS due to unsafe sex behavior. The purpose of this study was to analyze the relationship of safe sex behavior for the prevention of sexually transmitted infections in female sex workers in Surakarta.
Subjects and Method: A cross-sectional study was conducetd in Surakarta, Central Java, from December 2017 to January 2018. A sample of 105 female sex workers was selected by fixed disease sample. The dependent variable was safe sex behavior. The independent variables were perceived susceptibility, perceived seriousness, perceived benefit, perceived barrier, perceive threat, cues to action, and self-efficacy. The data were collected by questionnaire and analyzed by a multiple logistic regression.
Results: Safe sex behavior among female sex worker increased with strong perceived benefit (b= 0.18; 95% CI= 0.74 to 0.28; p= 0.001) and strong self-efficacy (b=0.51; 95% CI=0.25 to 0.76; p
Background: Poor environmental sanitation and personal hygiene have been shown to be associated with increased risk of diarrheal disease. Poor personal hygiene that is associated with an increased risk of diarrheal disease may be explained by the constructs of Health Belief Model, such as perceived susceptibility and perceived seriousness. This study aimed to examine biopshychosocial and economic determinants of personal hygiene in the prevention of diarrheal diseases.
Subjects and Method: This was an analytic observational study with case control design. This study was conducted at Mondokan, Gesi, and Sambungmacan Health Centers, Sragen District, Central java, from January to March, 2017. A sample of 150 subjects, consisting of 50 cases of diarrheal disease during the past month and 100 subjects without diarrheal disease, was selected in this study by purposive sampling. The dependent variable was prevention behavior of diarrheal disease. The independent variable included perceived susceptibility, seriousness, threat, benefit, barrier, cues to action, and self-efficacy. The data was collected using a pre-tested questionnaire, and analyzed by path analysis model.
Results: There were positive, and statistically significant effects of perceived seriousness (b= 0.26; SE=0.06; p
... Hal itu terjadi karena mereka tidak pernah memeriksakan diri kepada petugas kesehatan dengan alasan terbatasnya biaya dan perasaan malu. Hal ini mengakibatkan kemungkinan mereka tertular dan menularkan IMS, HIV/AIDS cukup besar (Aryani et al., 2015;Syarifah et al., 2018). ...
... Personal hygiene: is de ned as the daily self-care that study participants perform to keep their hair, teeth, mouth, skin, hands, and feet clean. Questionnaires were used to collect data and the scale of measurement was categorical [32]. ...
... In this study, personal hygiene has also been identi ed as an important protective factor against developing leprosy, and a person who was able to maintain personal hygiene was shown to reduce the transmission of leprosy by 65% [43]. This was consistent with another study that indicated personal hygiene, is regarded as one of the most important protective factors against leprosy transmission [30]. ...
... Landak mini memiliki potensi membawa dan menularkan penyakit zoonosis (Riley dan Chomel, 2005). Sejumlah penelitian mengenai landak mini di Indonesia telah dilakukan dan menurut laporan penelitian Sofiyani et al. (2018), landak mini berperan sebagai sumber penyebaran agen leptospirosis. ...
... Besides that, adherence to treatment completion is lower when patients have a negative treatment experience, e.g., when access to care involves substantial travel time, lost earnings, and other patient expenditures; when adverse drug reactions are frequent or consequential; or conversely, when patients feel better, and their motivation to finish treatment declines (12). Furthermore, in Indonesia, the role of community education has been described as low and impacting adversely on the effectiveness of TB treatment in the population, though these studies are still few and over short periods of time, for example, in Surakarta and Flores, and cannot necessarily be generalized over the entire Indonesian geographical and cultural complexity (13,14). ...
... The majority of articles (n = 29) was published between 2015 and 2020. Most included articles were about studies that used health care settings to recruit participants, with 17 conducted via primary health centres (puskesmas) [22,34,36,39,[43][44][45][46][47][48][49][50][51][52][53][54][55]. One article reported on a study that recruited participants via a hospital in Jakarta [31]. ...
... A study of Siswandwika et al. (2017) stated that there was an effect between perceived susceptibility to individual hygiene with a value of p <0.001. Perceived susceptibility was a belief that someone would suffer from certain diseases, so that someone changed their behavior to avoid the disease. ...
... The study explained that macronutrient intake, namely energy, protein, fat, and carbohydrates, has a correlation with the incidence of obesity in high school teachers in Tomohon 20 . Fruit and vegetable consumption, which is rich in fiber, vitamins, minerals, and antioxidants, is also correlated with reduced prevalence of obesity, as high fiber helps slow digestion and reduces the risk of overeating 21, 22 . Research shows a good correlation between fruit and vegetable consumption and obesity among health and non-health workers 23 . ...
... PAM is a powerful tool for researchers in various fields, including Behavioral sciences (White-Gosselin and Poulin 2022), epidemiology (Nanda et al. 2016), psychology (Li et al. 2023), the government (Hardi et al. 2023), administrative sciences (Hassan et al. 2024), environment (Nazir et al. 2023;Yang 2023), health (Chen et al. 2024), psychology of education (Ren et al. 2024;Alamer et al. 2023), educational technology (Alhwaiti et al. 2023), industry (Szilagyi et al. 2022;Yusuf et al. 2020;Fa et al. 2021), sociology (Aslan et al. 2022;Gor et al. 2023), and others, to test complex theories and understand the intricate relationships between variables in a structured way. ...
... Kontainer penampungan air yang menunjukkan positif jentik secara epidemiologi harus diwaspadai sebagai sarana penularan DBD, baik dalam jumlah kecil maupun besar. (15)(16)(17) Hasil penelitian ini selaras dengan penelitian Zulmi (2017) di Kecamatan Jepara Kabupaten Jepara yang menunjukkan adanya hubungan antara container index dengan faktor risiko terjadinya DBD. Studi tersebut menjelaskan bahwa rumah dengan kontainer indeks berisiko tinggi 5.588 kali lebih berisiko daripada kontainer indeks risiko rendah. ...
