The study aimed to determine the relationship between nutritional status based on Body Mass Index (BMI) and Tuberculosis (TB) in the age group >18 years. This study further analyzes the 2018 Basic Health Research (Riskesdas 2018), a cross-sectional study conducted in all city districts in 34 provinces of Indonesia. Unit samples of this study are population-based in the age group >18 years. The determination of having had TB is if the respondent answered yes to the question: "Has a doctor ever been diagnosed with TB by a period of ≤1 year". Nutritional status based on BMI value by calculating height per body weight. Nutritional status was classified as: underweight: BMI <18.5; normal: BMI ≥18.5 - <25.0; Overweight: BMI ≥25.0 - <27.0; obesity: BMI ≥27.0. The total sample was 624,562. The number of TB sufferers 3,220 (0.5%). The number of underweight respondents 62,456 (9.4%), normal respondents 344,941 (55.2%), overweight and obese respondents 221,021 (35.4%). There is a relationship between nutritional status and TB after controlling for confounding variables such as gender, education, type of work, residence, DM risk factors, and smoking behavior. Underweight has a risk of 7.67 (CI 6.40-9.20) of getting TB compared to overweight/obesity, while normal weight has a risk of 2.55 (CI 2.18-2.98) of getting TB compared to overweight/ obesity after controlled confounding variables. Underweight people have 7.67 times the risk of getting TB, and normal weight has 2.55 times have the prevalence ratio getting TB than obese people. The Additional food program for TB patients whose weight is thin in the age group >18 years.
Abstract Background: Lack of information and basic knowledge of reproductive health cause street children vulnerable to complex problems, one of which is risky sexual behavior. Reproductive health education is an effort to reduce negative impacts and to protect adolescents from the risk of unwanted pregnancy, abortion, sexually transmitted infections (STIs), HIV/AIDS and sexual violence Objective: This study aimed to explore the implementation and barriers of reproductive health education among street children at shelters under the program of PKPR in East Jakarta public health centers in DKI Jakarta Method: This research used qualitative methods. Data were collected by in-depth interviews. There were 20 research informants consisting of program stakeholders for street children and school-aged children health program at the central level, health offices, social services, public health centers, managers of shelters and street children assisted by shelters in East Jakarta. Results: Knowledge of reproductive health among street children was still poor. The implementation of reproductive health education carried out by PKPR in public health centers was still not optimal because it has not reached all street children at the shelter as well as the lack of trained health resources implementing PKPR trained. Conclusion: Efforts are needed to optimize reproductive health education among street children by strengthening commitment and building networks Keywords: reproductive health education, knowledge, PKPR, street children Abstrak Latar belakang: Kurangnya informasi dan pengetahuan dasar mengenai kesehatan reproduksi menyebabkan anak jalanan rentan terhadap permasalahan yang kompleks, salah satunya adalah perilaku seks berisiko. Pendidikan kesehatan reproduksi merupakan salah satu cara untuk mengurangi dampak negatif serta melindungi remaja dari risiko kehamilan yang tidak dikehendaki, aborsi, Infeksi Menular Seksual (IMS), HIV/AIDS dan kekerasan seksual. Tujuan: Penelitian ini bertujuan untuk menggali pelaksanaan dan hambatan pendidikan kesehatan reproduksi pada anak jalanan di rumah singgah binaan PKPR puskesmas wilayah Jakarta Timur di DKI Jakarta Metode: Penelitian ini menggunakan metode kualitatif. Data dikumpulkan dengan wawancara mendalam. Informan penelitian berjumlah 20 orang yang terdiri dari pemegang program anak jalanan dan kesehatan usia remaja dan sekolah di tingkat pusat, Dinas Kesehatan, Dinas Sosial, puskesmas, pengelola rumah singgah dan anak jalanan binaan rumah singgah di Jakarta Timur. Hasil: Pengetahuan anak jalanan tentang kesehatan reproduksi masih kurang. Pelaksanaan pendidikan kesehatan reproduksi yang dilakukan melalui program PKPR puskesmas masih belum maksimal karena belum menjangkau seluruh anak jalanan di rumah singgah serta kurangnya SDM kesehatan pelaksana PKPR yang terlatih. Kesimpulan: Diperlukan upaya untuk memaksimalkan pendidikan kesehatan reproduksi pada anak jalanan dengan memperkuat komitmen dan membangun jejaring Kata kunci: pendidikan kesehatan reproduksi, pengetahuan, PKPR, anak jalanan
Anak balita menjadi kelompok rentan terhadap kejadian ISPA, faktor risko yang terkait kejadian ISPA diantaranya faktor individu dan lingkungan. Adanya industri baja ditengah permukiman menjadi resiko terjadinya ISPA pada balita di Desa Sukadanau. Tujuan penelitian ini adalah untuk mengetahui kejadian ISPA pada balita yang ditinjau dari faktor individu dan kondisi fisik rumah. Metode: Desain studi dalam penelitian ini yaitu Cross Sectional (potong lintang) dengan jumlah sampel 96 anak balita. Dilakukan wawancara pada ibu balita, dan pengukuran tinggi badan, berat badan pada anak balita. Pengukuran parameter kondisi lingkungan rumah yaitu luas ventilasi, luas bangunan. Hasil: Hasil penelitian menunjukkan bahwa ASI Ekslusif merupakan faktor yang berhubungan secara signifikan dengan kejadian ISPA (p=0.020). Simpulan: Orang tua diharapkan dapat melakukan pemberian ASI Eksklusif hingga anak berusia 6 bulan.
Most infectious diseases in the world are zoonotic diseases. Zoonotic diseases are now a public health problem that is taking the world's attention because it can cause a pandemic. Zoonotic pandemic diseases can have a very large impact on people's social and economic life. This article is a literature review of the approach of one health concept in addressing the spread of zoonotic diseases in Indonesia. Data collection is carried out through research libraries in the form of scientific journals, books, articles in mass media, and online media. Improving the world of livestock in Indonesia has an impact on humans and the environment. This can increase the risk of transmitting various infectious diseases from animals to humans. The spread of disease occurs quickly and can reach areas not limited by cities, islands, even continents. Zoonotic diseases are closely related to animals and humans, so the planning and control efforts undertaken must involve many people in charge, especially in the animal, human and environmental health sectors. Starting from the joint vigilance, the concept of One Health was born. One health approach needs to involve cross-sectoral and cross-disciplinary by integrating professional concepts in animal health and human health. The concept of one health comprehensively looks at the components related to the process of emergence and spread of zoonotic diseases so that the picture of the disease is more complete and makes it easier to overcome.
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