Excessive alcohol consumption increases the risk of non-communicable diseases. This study aimed to analyze the risk factors for alcohol consumption in Indonesia and present a cluster mapping based on the risk factors. The sample of this study was individuals aged 15 years and over who participated in the Indonesia Basic Health Survey 2018, while pregnancy was the exclusion criterion. The sample size for univariate was 542,682 individuals and 539,905 individuals in the multivariate analysis conducted using logistic regression. The prevalence of alcohol consumption was 3.7 percent. The risk factors for drinking alcohol included work as a farmer/fisherman/laborer or other manual occupations (aOR = 1.10; 95% CI 1.04-1.17), smoking (aOR = 4.93; 95% CI 4.62- 5.25), experiencing common-mental disorders (CMD) (aOR = 2.13; 95% CI 1.99-2.28), centrally obese (aOR = 1.21; 95% CI 1.13-1.3) and being overweight/obese (aOR = 1.07; 95% CI 1.01-1.13). On the other hand, the factors that showed a reduced risk of alcohol consumption were being the head of household (aOR = 0.79; 95% CI 0.74-0.85), low education level (aOR = 0.75; 95% CI 0.68-0.83), not working (aOR = 0.74; 95% CI 0.68-0.80), low socioeconomic status (aOR = 0.82; 95% CI 0.75-0.90), and being married (aOR = 0.56; 95% 0.52-0.61) or divorced (aOR = 0.60; 95% CI 0.53-0.67). Type of work as manual workers, smoking, experiencing CMD, being obese centrally, and overweight or generally obese are the main risk factors for alcohol consumption. Specific interventions are needed based on the risk factor cluster of alcohol drinkers

Background: As the second-highest country in tuberculosis (TB) cases globally, Indonesia has experienced an increasing trend of notification rate in the last ten years; however, the 34 provinces may have different risks. This study aims to examine TB risk variation across Indonesia in 2010-2019. Methods: A descriptive analysis was conducted on TB routine data of 2010-2019 from the Ministry of Health. Cases included all types of TB patients. Total cases, incidence rate (IR), and standardized morbidity ratio (SMR) were calculated for each province and national level during the period. Distributions of IRs and SMRs were displayed on maps. Results: During 2010-2019, 3,866,447 TB cases occurred in Indonesia, and the national IR was 1,523 per 100,000 populations. The highest proportion of cases and IR were in West Java (20.6%, 314 per 100,000); while the lowest was in North Kalimantan (0.2%, 3 per 100,000). Higher risks of TB occurred in DKI Jakarta (SMR 1.9), Papua (1.7), North Sulawesi (1.7), Maluku (1.5) and West Papua (1.5) among others. The smallest SMRs were found in Bali and Yogyakarta (0.5). Conclusion: TB risk varied across Indonesia in 2010-2019, with a higher risk in DKI Jakarta and several provinces in eastern Indonesia. Given the underreporting nature of routine data, validation is required when using the finding of this study in the local-level intervention. Keywords: tuberculosis, TB, standardized morbidity ratio, spatial variation, risk   Abstrak Latar belakang: Sebagai negara dengan jumlah kasus tuberkulosis (TB) terbesar kedua di dunia, Indonesia menunjukkan tren peningkatan notification rate di sepuluh tahun terakhir. Akan tetapi, risiko TB di 34 provinsi bisa saja berbeda-beda. Artikel ini bertujuan mengkaji variasi risiko TB di Indonesia pada tahun 2010-2019. Metode: Data rutin TB tahun 2010-2019 dari Kementerian Kesehatan dianalisis secara deskriptif. Kasus TB didefinisikan sebagai semua tipe pasien TB. Total jumlah kasus, incidence rate (IR), dan standardized morbidity ratio (SMR) dihitung untuk tiap provinsi dan tingkat nasional selama periode tersebut. Sebaran IR dan SMR diplot di atas peta. Hasil: Selama 2010-2019, terdapat 3.866.447 kasus TB dan IR nasional 1.523 per 100.000 populasi. Proporsi kasus dan IR terbesar ada di Jawa Barat (20,6%, 314 per 100.000) dan terkecil di Kalimantan Utara (0,2%, 3 per 100.000). Risiko TB lebih tinggi di antaranya terjadi di DKI Jakarta (SMR 1,9), Papua (1,7), Sulawesi Utara (1,7), Maluku (1,5) dan Papua Barat (1,5). Standardized Morbidity Ratio terendah ditemukan di Bali dan Yogyakarta (0,5). Kesimpulan: Dapat disimpulkan bahwa risiko TB beragam di seluruh Indonesia selama 2010-2019, di mana DKI Jakarta dan beberapa provinsi di timur Indonesia memiliki risiko lebih tinggi. Mengingat adanya kurang lapor dalam data rutin, validasi diperlukan jika menggunakan temuan studi ini dalam intervensi di tingkat lokal. Kata kunci: tuberkulosis, TB, standardized morbidity ratio, variasi spasial, risiko

Hypertension was one of the non-communicable diseases that may cause death in Indonesia. Through Healthy Indonesia Program with Family Approach (PIS-PK), the public health centers conduct home visits to collect family’s health status, such as risk factors and health outcomes involving smoking and hypertension. This study investigates the correlation of smoking and hypertension in two heath centers to the lowest and highest healthy family index (IKS) in Metro City, Lampung Province. The data analysis used multiple logistic regression. The results indicated Puskemas Mulyojati had 11.18% of people diagnosed with hypertension, while Puskesmas Iringmulyo had 5.14%. More smokers were higher in Mulyojati (27.30%) than those in Iringmulyo (23.38%). The proportion of smokers with hypertension in Mulyojati was 2.40% (OR 0.70; 95%CI 0.59-0.84; p 0.006) and in Iringmulyo was 1.09% (OR 0.87 95%CI 0.66-1.14; p 0.115). In Mulyojati, the odds of smokers contracting hypertension was 0.56 times lower than the non-smokers (95%CI 0.44-0.71; p <0,000); meanwhile, the smoking-hypertension relationship in Iringmulyo was not significant despite a bigger odds ratio (OR 0.83, 95%CI 0.59-1.17; p 0.293.) As a recommendation, both Puskesmas promote campaigns for a smoke-free movement, smoke-free areas and smoking cessation counseling to reduce the prevalence of hypertension. Abstrak Hipertensi merupakan salah satu penyakit tidak menular penyebab kematian di Indonesia. Melalui Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK), puskesmas melakukan kunjungan rumah dan mengumpulkan data profil kesehatan keluarga, meliputi faktor risiko dan kejadian penyakit termasuk kebiasaan merokok dan hipertensi. Penelitian ini bertujuan mengetahui hubungan antara kebiasaan merokok dengan hipertensi di dua puskesmas yang memiliki Indeks Keluarga Sehat (IKS) terendah dan tertinggi di Kota Metro, Provinsi Lampung. Data dianalisis dengan regresi logistik berganda. Sebanyak 11,18% orang di Puskesmas Mulyojati didiagnosis hipertensi, sedangkan Puskesmas Iringmulyo sebesar 5,14%. Perokok lebih banyak ditemukan di Puskemas Mulyojati (27,30%) daripada di Puskesmas Iringmulyo (23,38%). Proporsi orang yang merokok dan didiagnosis hipertensi di Puskesmas Mulyojati sebanyak 2,40% (OR 0,70; IK 95% 0,59-0,84; p 0,000) sedangkan di Puskesmas Iringmulyo 1,09% (OR 0,87; IK 95% 0,66-1,14; p 0,325). Odd rasio orang merokok untuk mengidap hipertensi 0,56 kali dibandingkan dengan orang yang tidak merokok dengan hasil signifikan (IK 95% 0,44-0,71; p <0,000) di Puskesmas Mulyojati. Di Puskesmas Iringmulyo, meskipun odd rasionya sebesar 0,83, namun hasilnya tidak signifikan (IK 95% 0,59-1,17; p 0,293). Kedua Puskesmas disarankan untuk melakukan kampanye gerakan tanpa asap rokok, area bebas rokok dan konseling berhenti merokok untuk menurunkan prevalensi hipertensi.

The problem of the availability of clean and safe water in Indonesia has increased during global climate change. The conditions of the COVID-19 pandemic also have an impact on increasing domestic water use. This study aims to assess drinking water access in household during COVID-19 pandemic. This study using data of National Household of Drinking Water Quality Survey. The survey conducted in 2020 of 21,829 household in Indonesia. Many households have increased water consumption, households for hand washing (49.6% HH), personal hygiene (37.2% HH), clean house (29.2% HH), and washing (33.9% HH). There are only 1.6% of HH have difficulty accessing drinking water source, 1.3% in urban area and 2.0% in rural area. The cause is 76.1% because of decreased water flow and 42.1% because of economic problems. Drinking water sources used by household who has difficulty accessing drinking water are piped water (26.8%), refill water (16.8%), and bore hole (13.6%). Only few of household difficult to access drinking water during COVID-19 pandemic, meanwhile there are increasingly of drinking water needs. It is suggested that the municipal government form a public-private partnership (PPP) to invest in immediate and long-term water infrastructure in order to strengthen the resilience of drinking water systems against future pandemics.

The availability of safe drinking water remains a challenge in Indonesia. Packaged water in bottles or refillable containers has been increasingly popular as an alternative to good-quality drinking water. This study aimed to identify the reasons for the selection, management, and factors that influenced bottled and refilled water use in Indonesia. A cross-sectional Household Drinking Water Quality (HDWQ) study was conducted in 34 Indonesian provinces in 2020 involving 7,236 households as analyzed samples. The data analysis also included the 2020 National Socioeconomic Survey data to obtain households' socioeconomic status. As many as 68 and 63% of households consumed good-quality bottled and refilled water, respectively. Health was the reason for 29% of households choosing good-quality bottled water, while 49% of households selected good-quality refilled water out of habit. Several factors related to the consumption of fine-quality packaged water were high social status, water physical quality, ease of access, health reason, monthly expenses to buy drinking water, and storing water in manufactured containers. Packaged water, whether bottled or refilled, does not guarantee good physical and chemical quality. Therefore, to ensure good quality, the water storage should be kept from contamination.