The Indonesian government issued large-scale social restrictions (called Pembatasan Sosial Berskala Besar, or PSBB) at the beginning of the coronavirus disease 2019 (COVID-19) pandemic to control the spread of COVID-19 in Jakarta, Bogor, Depok, Tangerang, and Bekasi (Greater Jakarta). Public compliance poses a challenge when implementing large-scale social restrictions, and various factors have contributed to public non-compliance with the regulation. This study aimed to determine the degree of non-compliance and identify the factors that contributed to public non-compliance with the PSBB in Greater Jakarta, Indonesia.Methods: This was a quantitative study with a cross-sectional design. A total of 839 residents of Greater Jakarta participated in this study. Data were collected online using a Google Form, and convenience sampling was undertaken. Univariate and multivariate analyses were performed to explore the relationships between public non-compliance with the PSBB regulation and socio-demographic variables, respondents' opinion of the PSBB, and social capital.Results: A total of 22.6% of subjects reported participating in activities that did not comply with the PSBB. The variables that most affected non-compliance with the PSBB were age, gender, income, opinion of the PSBB, and social capital. Conclusions:Strengthening social capital and providing information about COVID-19 prevention measures, such as washing one's hands with soap, wearing masks properly, and maintaining social distancing, is essential. Robust public understanding will foster trust and cooperation with regard to COVID-19 prevention efforts and provide a basis for mutual agreement regarding rules/penalties.
ABSTRACT The problem of stunting in children under five (0-59 months) is still a public health problem, especially in developing countries. This study aims to measure the prevalence of stunting and determine its sociodemography risk factors in Indonesia. This study was a nationwide survey in 514 districts consisting of 32,000 census blocks (320,000 households). The study design was cross-sectional. The population of this study was all families of children under five in all districts in Indonesia. The sample was households with children under five which were visited by Susenas (National Sociodemographic Survey) in March 2019. The data collected were the length/height of children under-five of age, gender, age (months), region (rural and urban), all provinces which were divided into 7 regions. (Java-Bali, Sumatra, Kalimantan, Sulawesi, Nusa Tenggara, Maluku, Papua), and diarrhea. The results showed that the prevalence of stunting in children under five (0-59 months) was 27.6 percent. Multivariate regression analysis showed that children 12 month old and older, living in rural areas (AOR=1,444; 95% CI: 1,442-1,447), in the Nusa Tenggara region (AOR=1,874; 95% CI: 1,866-1,882), and suffering from diarrhea (AOR=1,409; 95%CI: 1,401-1,417) were more at risk of becoming stunted. ABSTRAK Masalah stunting pada balita (0-59 bulan) masih menjadi masalah kesehatan masyarakat terutama di negara berkembang. Penelitian ini bertujuan untuk mengetahui prevalensi stunting dan faktor risiko stunting menurut sosiodemografi di Indonesia. Penelitian ini merupakan survei nasional di 514 kabupaten/kota yang terdiri dari 32.000 blok sensus (320.000 rumah tangga). Desain penelitian adalah cross-sectional. Populasi dari penelitian ini adalah semua keluarga balita yang ada di seluruh kabupaten/ kota di Indonesia. Sampel adalah rumah tangga yang memiliki balita yang dikunjungi oleh Susenas Maret 2019. Data yang dikumpulkan adalah panjang/tinggi badan balita, jenis kelamin, umur (bulan), wilayah (perdesaan dan perkotaan), provinsi yang dibagi dalam 7 wilayah (Jawa bali, Sumatera, Kalimantan, Sulawesi, Nusa Tenggara, Maluku, Papua), dan penyakit diare pada balita. Hasil penelitian menunjukkan prevalensi stunting pada balita (0-59 bulan) sebesar 27,6 persen. Analisis regresi multivariate menunjukkan bahwa balita yang berumur lebih dari 11 bulan, tinggal di perdesaan (AOR=1,444; 95% CI: 1,442-1,447), wilayah Nusa Tenggara (AOR=1,874; 95% CI: 1,866-1,882) dan yang menderita diare (AOR=1,409; 95%CI: 1,401-1,417) lebih berisiko untuk menjadi stunting. [Penel Gizi Makan 2021, 44(1):71-78]
Latar belakang: Indonesia masih menghadai beban ganda masalah gizi berkaitan dengan obesitas yang meningkat sementara masalah kurang gizi masih terjadi, termasuk pada remaja. Hasil penelitian masih terbatas, dalam hal aspek demografi dan geografi di Indonesia, sementara strategi pencegahan obesitas pada remaja membutuhkan intervensi yang lebih optimal. Tujuan: Studi ini bertujuan untuk memberikan gambaran masalah obesitas berdasarkan karakteristik populasi dan perilaku berisiko di region yang berbeda. Metode: Studi ini menggunakan data sekunder dari survei kesehatan berbasis sekolah tahun 2015 yang dikembangkan oleh CDC Amerika dan WHO, dengan modifikasi sesuai kondisi Indonesia. Analisis mencakup 10,544 pelajar kelas 7 – 12 dengan representasi populasi nasional di tiga regional/pulau di Indonesia. Uji statistik yang digunakan adalah chi-square dan log regression. Hasil: Model logistik menunjukkan pelajar remaja yang tinggal di pulau Jawa mempunyai risiko yang lebih tinggi untuk mengalami obesitas (adjusted OR 2.1;95%CI 1.3-3.3) dibandingkan pada pelajar yag tinggal di pulau Sumatra dan luar pulau Jawa dan Sumatra, sementara perilaku berisiko seperti aktivitas fisik dan perilaku diet tidak menunjukkan hubungan yang bermakna dengan kejadian obesitas. Kesimpulan: Disparitas masalah obesitas terjadi pada remaja di tiga pulau besar di Indonesia, di tingkat kelas yang berbeda dan perilaku diet berisiko yang berbeda. Strategi pencegahan diperlukan lebih mengarah pada intervensi berbasis sekolah dengan memperhatikan faktor geografis tempat tinggal di pulau Sumatra dan lainnya serta tingkat atau kelas yang berbeda. (Health Science Journal of Indonesia 2019;10(2):119-27) Kata kunci: Obesitas, remaja, perilaku diet, region, aktivitas fisik Abstract Background: Indonesia faces burden of nutrition related diseases as obesity is increasing while malnutrition still exists, including in adolescents. Research are limited in term of which specific demography and geography aspects in Indonesia while stronger strategic intervention to prevent obesity in adolescents is needed. Objective: This study aims to describe proportion of obesity in indifferent adolescents characteristic and eating behaviour in different regions. Method: This study used data from Indonesia 2015 Global School-based Health Survey developed by US CDC and WHO) with modification based on Indonesia specific. The analysis included 10,544 students covered national representative and three regions of school students (grade 7 to 12) in Indonesia. Statistical analysis used chi square and log regressions. Results: The logistic model showed adolescents students living in Java island has significantly higher risk of obesity (adjusted OR 2.1;95%CI 1.3-3.3) compare to their peers in outside Java and Sumatra Island, while behavior risk factors such as physical activity and dietary habit were not significantly associated with obesity. Conclusions: Issues disparity of obesity in adolescents occurred in the three main Islands in Indonesia, in different school grades and in those with different dietary risk behaviours. Intervention strategy to address adolescents obesity issues will need to be directed toward school-based settings with taking into account specific approaches for students in Sumatra and other main islands in Indonesia as well as specific for junior and senior high school. (Health Science Journal of Indonesia 2019;10(2):119-27). Keywords: Obesity, adolescents, dietary behaviour, region, physical activity
Introduction: The Covid19 pandemic has greatly impacted all aspects of life, including the behavior of food purchasing. This study aims to identify the description of food hygiene and sanitation practices as part of the food safety aspect in the practice of food purchasing in Greater Jakarta, Indonesia. Methods: Data collection was conducted online in May 2020 from 411 respondents including data on sociodemographic, the proxy of knowledge level, perceptions, sources of information related to food handling, and the practice of food sanitation, and hygiene during the pandemic. Food sanitation and hygiene practices were assessed using a composite index of variables based on the Five Keys to Safer Food and preventive measures during the pandemic. Logistic regression analysis was conducted to assess factors associated with food sanitation and hygiene practices. Results and Discussion: Sufficient practice on food sanitation and hygiene is still relatively low (41.6%). An increased risk of poor food sanitation and hygiene practices was observed in people with less attention on the virus transmission while doing direct shopping, had a non-permanent job, single source of information on food handling during a pandemic, and were currently not married. Changes in the frequency of direct food purchasing and method of online food purchasing were shown as protective factors to better food and sanitation hygiene practice. Conclusion: The food sanitation hygiene practices of consumers during the pandemic in Indonesia are classified as unfavorable. Educational interventions using multi-source of media information are recommended to promote good hygiene food sanitation practices during the pandemic.
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