BACKGROUND: Indonesia, the world’s fourth-most populous country, is grappling with coronavirus disease 2019 (COVID-19) catastrophe as cases continue to rise. This situation induces uncertainties and changes in daily life, leading to uneasiness among the population, which may trigger anxiety symptoms. AIM: This study aimed to analyze the factors associated with the anxiety level among the general population during the COVID-19 pandemic in Indonesia. METHODS: A cross-sectional study was carried out among 267 adults from June 10, 2020, to June 15, 2020, the transition phase week after Large-scale Social Restriction of Indonesia. The survey was conducted online using a Google Form distributed through social media (WhatsApp, Instagram, Facebook, and Twitter). Respondents over 18 years old, who agreed to participate in this study, were asked to complete the questionnaire by clicking the link. The anxiety level was measured by the Hamilton Anxiety Rating Scale. RESULTS: The results of this study showed a significant correlation between age (p = 0.010), education (p = 0.039), personal income (p = 0.034), media exposure (p < 0.01), physical activity (p < 0.01), and anxiety diagnosis (p < 0.01) with the anxiety level among general people. However, ordinal logistics regression revealed that only respondents living in the city (odds ratio [OR] = 2.476) and people with clinician-anxiety diagnosis (OR = 5.116) were more likely to experience anxiety symptoms during the COVID-19 pandemic in Indonesia. CONCLUSION: According to the obtained results, age, education level, average income per month, media exposure, physical activity, and anxiety diagnosis correlated with anxiety incidence, whereas risk factors of anxiety included current residence and anxiety diagnosis.
Background: COVID-19 might also predispose individuals to elevate blood glucose as the effect of anxiety. Blood glucose level is an important risk factor for the prognosis of disease among diabetes patients. Purpose: This study aimed to assess the effect of Coronavirus-related anxiety with hyperglycemia incidence among type 2 diabetes patients. Methods: A cross-sectional study was conducted among 143 individuals with type 2 diabetes mellitus, from 25 January to 29 February 2021. This study was conducted both online and by assessing archives of medical records using random samples. Results: A total of 143 respondents completed the questionnaire, with 59.44% females and 40.56% males. More than half of the respondents (55.94%) who reported hyperglycemia showed COVID-19 anxiety, and 51.05% of them experienced ≥ 8 years of diabetes. COVID-19 anxiety was associated positively with the risk of hyperglycemia among type 2 diabetes patients (PR>1). Severe worry about the pandemic had the highest risk of hyperglycemia compared to moderate and mild anxiety. This finding is confounded by diabetes duration (PR discrepancy >10% and PR>1 for ≥8 years long-duration). Conclusion: This study suggests a positive association between COVID-19 anxiety and hyperglycemia while the degree of anxiety is associated with an increased risk of hyperglycemia.
Adolescents confront boundaries in obtaining contraception counting prohibitive policies and adolescents possess failure to obtain contraceptives since of information, transportation, and monetary limitations. The objective of this study is to assign the variables which impact on the use of contraception for the first sexual intercourse among unmarried adolescents. Quantitative research employing cross sectional analysis was implemented in this study, by processing 2017 Indonesian Health Demographic Survey (IDHS) data. Cox regression was utilized to examine the association between sociodemographic, peer and social influences, contraceptive knowledge and contraceptive use. The study populace encompassed 705 single young people; 15 to 24 years old. The study resulted that contraceptive use at the primary sexual intercourse by single young people in Indonesia was approximately 50.35%. After bivariate analysis was applied, it was revealed that there is a significant relationship between education with the contraceptive use at the first sexual intercourse among unmarried adolescents in Indonesia (p-value = 0.049). In the final model, we discovered that the level of education and contraceptive use was statistically significant, and the contraceptive use was higher in adolescents with high education than adolescents with middle and primary education (PR 1.51, 95% CI 1.09 – 2.07, p = 0.012). Therefore, this finding provides information that education is a prominent variable for understanding contraceptive use in adolescents.
A higher level of physical activity is widely recommended for the prevention of several Non-Communicable Diseases (NCDs), such as diabetes and cardiovascular disease, and leads to a reduction of blood pressure in resistant hypertension as well. This study aimed to measure the estimated effect of altered physical activity on hypertension over the course of three years of observation. This longitudinal study was conducted on 3109 adults at baseline using The Cohort Study of NCDs Risk Factors. The investigation was conducted through interviews, self-reports and observations. Data were analyzed using the Generalized Estimating Equation. The results show that the highest proportion of hypertension based on observation time occurred among those with low physical activity and experienced a delta change of less than 100 MET-min/week, which was 24% at the third follow-up. The risk of hypertension was higher among those with low physical activity and unchanged in the second (RR=1,642; 0,922 – 8,224) and third years of follow-up (RR=3,607; 95% CI: 0,923 – 7,993) compared to those who had moderate-vigorous activity. A longer follow-up period led to higher risk estimation. Given the significant impact of inactivity, regular physical activity should therefore be recommended for all individuals at risk of hypertension, including office workers. A firm policy is needed to encourage workplace physical activity breaks, in both government and private sectors.
The application of larvicide from botanical origin was extensively studied as an essential part of mosquito prevention. This study aimed to assess the difference in container index (CI) based on the characteristics of water containers using <em>Ziziphus mauritiana</em> leaf extract solution. A quasi- experiment research was done among 300 selected containers with temephos as a control and 9% of <em>Ziziphus mauritiana</em> leaf extract solution as a treatment. The types of containers observed in this study were the type of water, container materials, location, container lids, and community behavior regarding immature <em>Aedes aegypti</em> breeding eradication. Water containers without lids and outside the house had a significantly higher CI among treatment (OR=26; 3.69–18.34; p=0.001 and OR=20; 2.04–19.64; p=0.003) and control group (OR= 10.83; 95% CI=1.96–59.83; p=0.005 and OR=6.43; 95% CI=1.02–40.26; p=0.04). Negative community behavior regarding the prevention and eradication of <em>Aedes</em> immatures was significantly associated with greater odds of high CI among treatment and control, with OR=37.5; 3.64–38.65; p=0.001 and OR=16.88; 2.56-11.4; p=0.002, respectively. Furthermore, containers with rainwater out of the treatment group had a higher presence of <em>Aedes larvae</em> (OR=11.25; 1.15–11.05; p=0.03).
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