Kegiatan seksual yang tidak bertanggung jawab menempatkan remaja pada tantangan risiko terhadap berbagai masalah kesehatan reproduksi. Berdasarkan data SDKI 2012, remaja (15-24 tahun belum menikah) yang pernah melakukan hubungan seksual pranikah sebanyak 0,9% perempuan dan 8,7% laki-laki di daerah urban serta 1,0% perempuan dan 7,8% laki-laki di daerah rural. Penelitian ini bertujuan untuk mengetahui variabel yang paling berpengaruh terhadap perilaku seksual pranikah remaja di Indonesia berdasarkan data SDKI 2012. Metode penelitian ini menggunakan jenis kuantitatif analitis dengan desain cross sectional. Jumlah sampel sebanyak 19.882. Analisis bivariat menggunakan Chi-Square dan analisis multivariat menggunakan Regresi Logistik. Hasil penelitian menunjukkan bahwa terdapat hubungan antara faktor internal dan faktor eksternal terhadap perilaku seksual pranikah remaja di Indonesia. Faktor internal yakni tingkat pendidikan (p=0,000), pengetahun (p=0,000), sikap (p=0,000) dan gaya hidup (p=0,017). Faktor eksternal yakni sumber informasi (p=0,000), kelengkapan informasi (p=0,005), peran (p=0,000) dan tempat tinggal (0,000). Demikian pula hasil analisis multivariat menunjukkan bahwa sikap memiliki nilai OR tertinggi sebesar 2,129 (95%CI : 1,963-2,309), artinya remaja dengan sikap tidak baik memiliki risiko 2,129 kali untuk melakukan perilaku seksual pranikah daripada remaja dengan sikap baikKata Kunci: Remaja, Perilaku Seksual, Faktor Internal dan Eksternal, SDKI 2012

COVID-19 has experienced an increase in 2,995,758 positive cases and 204,987 deaths, in distribution areas of more than 213 countries. This research using a systematic literature review, policy brief, and internet-based questionnaire with the aim of finding out the diagnosis and epidemiology of Coronavirus (COVID-19) outbreak in Indonesia. The cases in Indonesia have reached 9,771 and killed 784 people, possibly as many as 19 cases are asymptomatic but can be carriers of the virus. The diagnosis is carried out by rapid testing and using a polymerase chain reaction (PCR). Most of the patients diagnosed were aged 30-49 years (38.91%), the highest accompanying diseases were hypertension (34.85%), diabetes mellitus (25.76%), and cardiac disease (17.05%). The most signs and symptoms are that the patient has a cough, shortness of breath, and has a history of internal medicine and fever. Based on sex mostly experienced by men (58.94%) compared to women (41.06%), 60.4% of the community is still active outside the home. The Government of Indonesia is making efforts to reduce the COVID 19 outbreak by implementing a health protocol and a Large-scale Social Restrictions or “Pembatasan Sosial Berskala Besar (PSBB)” policy.

Context:The waste of landfill produced in three phases, they were solid, liquid (example leachate), and gas. The waste had contaminated three environmental media; air, soil, and air. Operational of landfill also has an impact on the environment and public health. This review is specifically to analyze partially the impacts of the municipal solid waste (MSW) landfill, the impact on environmental pollution and the impact on public health. Settings and Design: This study is a literature review that discusses various literatures on environmental impact and public health caused by municipal solid waste (MSW) landfill. Methods and Material: The data sources of this study come from literatures obtained through the internet in the form of scientific journal articles that can be traced online. The study in this paper focuses on discussing several scientific articles in reputed international journals that carry out research related to the impact of the Municipal Solid Waste (MSW) Landfill. Statistical analysis used: The data were processed descriptively to describe various environmental and public health impacts arising from the landfill. Results: Environmental impacts are: chemical pollutants such as heavy metals (Cd, Cr, Fe, Ni, Pb, Zn, Mg), methane gas, H2S, CO, microorganisms such as Coliform, Clostridia perfringens (Veillon & Zuber 1898, and Hauduroy et al. 1937), Shygella dysenteriae (Shiga, 1897, and Castellani & Chalmers 1919) . While the health effects are the symptoms of skin irritation, eye irritation, gastro intestinal tract disorders, allergies, nasal irritation, and other symptoms. While the risk of cancer is very low risk.

AbstrakKegiatan seksual yang tidak bertanggung jawab menempatkan remaja pada tantangan risiko terhadap berbagai masalah kesehatan reproduksi. Berdasarkan data SDKI 2012, remaja (15-24 tahun belum menikah) yang pernah melakukan hubungan seksual pranikah sebanyak 0,9% perempuan dan 8,7% laki-laki di daerah urban serta 1,0% perempuan dan 7,8% laki-laki di daerah rural. Penelitian ini bertujuan untuk mengetahui variabel yang paling berpengaruh terhadap perilaku seksual pranikah remaja di Indonesia berdasarkan data SDKI 2012. Metode penelitian ini menggunakan jenis kuantitatif analitis dengan desain cross sectional. Jumlah sampel sebanyak 19.882. Analisis bivariat menggunakan Chi-Square dan analisis multivariat menggunakan Regresi Logistik. Hasil penelitian menunjukkan bahwa terdapat hubungan antara faktor internal dan faktor eksternal terhadap perilaku seksual pranikah remaja di Indonesia. Faktor internal yakni tingkat pendidikan (p=0,000), pengetahun (p=0,000), sikap (p=0,000) dan gaya hidup (p=0,017). Faktor eksternal yakni sumber informasi (p=0,000), kelengkapan informasi (p=0,005), peran (p=0,000) dan tempat tinggal (0,000). Demikian pula hasil analisis multivariat menunjukkan bahwa sikap memiliki nilai OR tertinggi sebesar 2,129 (95%CI : 1,963-2,309), artinya remaja dengan sikap tidak baik memiliki risiko 2,129 kali untuk melakukan perilaku seksual pranikah daripada remaja dengan sikap baik Kata Kunci: Remaja, Perilaku Seksual, Faktor Internal dan Eksternal, SDKI 2012 AbstractUncontrolled sexual activity causes risks of reproductive health problems. According to IDHS data 2012, adolescents (unmarried 15-24 years old) that have been done an intercourse as much as 0,9% girls -8,7% boys in urban area and 1,0% girls -7,8% boys in rural area. This study aims to know the most influential variable toward adolescent's sexual experience before married in Indonesia according to IDHS data 2012. The method of this research is analytic cuantitative using cross sectional design. The sample is 19.882. Chi-Square is used as bivariate analysis and Logistic Regression is used as multivariate analysis. The results show that there are relationships of internal and external factors with adolescent's sexual experience before married in Indonesia. Internal factors are educational level (p=0.000), knowledge (p=0.000), attitude (p=0.000) and life style (p=0.017). External factors are information source (p=0.000), the completed of information (p=0.005), role of parents, friends and teachers (p=0.000) and type of residence (p=0.000). Multivariate result shows that the value of OR of attitude is the highest, as much as 2,129 (95%CI : 1,963-2,309), it means that adolescent who have bad attitude has 2,129 times of risk to do sexual experience before married than adolescent who have good attitude.

Pregnancy requires increased iron needs, while teenage pregnancy also needs iron for growth. As a result, teenage pregnancy has an impact on the risk of stunting in their children. The purpose of this study is to prove the relationship between early marriage and the risk of stunting in children. The design of this study was observational using a cross-sectional method with a quantitative approach. The study was conducted at 8 Community Health Centers in West Bangka Regency, Bangka Belitung Islands Province, Indonesia, during October-November 2018. The research sample consisted of 310 children aged 0-59 months. To find out the age at marriage, the researcher used interviews as primary data and records from Puskesmas, Office of Religious Affairs, the measurement of antopometry of stunting data or nutritional status of children under-five as secondary data. The analysis of the results used Odds Ratio and Chi-Square test of 95% confidence interval. The results from 8 health centers showed that the highest incidence of early marriage (under 20 years old) by engaging teenage pregnant who had stunting children were at the Kundi Health Center (78.6%) and Sekar Biru Health Center (83,3%). There was a significant relationship between the early married teenage and stunting in their children (OR = 1,724; 95% CI = 1,088-2,732; p = 0.020). Early marriage (under20 years old) increases the risk of stunting in children. Therefore, it is necessary to educate and regulate the marriageable age.