scholarly journals HUBUNGAN KARAKTERISTIK ANAK DAN AKSES KE PELAYANAN KESEHATAN DENGAN STATUS KESEHATAN ANAK TERINFEKSI DAN TERDAMPAK HIV DI KABUPATEN SEMARANG PROVINSI JAWA TENGAH

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Novita Alviani

Anak terinfeksi HIV adalah anak umur 0-12 tahun yang telah melakukan tes HIV dan dinyatakan reaktif. Anak terdampak HIV adalah anak umur 0-12 tahun yang dilahirkan dari orang tua HIV positif, yang telah melakukan tes HIV dengan hasil non reaktif/tidak tahu, maupun yang belum tes HIV. Dampak yang ditimbulkan adalah keadaan anak mengalami penurunan kesehatan karena terinfeksi HIV maupun terdampak HIV. Anak mengalami stigmatisasi dan diskriminasi oleh keluarga, masyarakat dan petugas kesehatan. Kondisi ekonomi yang semakin sulit dan terbatasnya layanan rumah sakit rujukan membuat anak-anak kesulitan untuk mengakses pelayanan kesehatan.Penelitian ini dilakukan untuk mengetahui apakah ada hubungan karakteristik anak dan akses pelayanan kesehatan dengan status kesehatan anak terinfeksi dan terdampak HIV di Kabupaten Semarang Provinsi Jawa Tengah dengan penelitian kuantitatif menggunakan metode analitik dan pendekatan cross-sectional. Dengan besar sampel 47 anak dari populasi 76 anak. Responden yang diwawancarai adalah pengasuh dari anak terinfeksi maupun terdampak HIV.Hasil penelitian menunjukkan 53,2% anak umur 6-12 tahun, 51,1% anak perempuan. 59,6% kesulitan mengakses pelayanan kesehatan, 59,6% status kesehatan anak tidak baik, Uji Chi-Square menunjukkan bahwa variabel umur anak, jenis kelamin anak dan akses ke pelayanan kesehatan tidak ada hubungan yang signifikan dengan status kesehatan anak.Kata kunci : Pengasuh, anak terinfeksi maupun terdampak HIV, akses pelayanan kesehatan. THE RELATION OF CHILDREN CHARACTERISTIC AND THE ACCESS OF HEALTH SERVICE WITH THE HEALTH STATUS OF HIV INFECTED CHILDREN IN SEMARANG REGENCY CENTRAL JAVAThe children who are infected by HIV are the children 0-12 years old and stated reactive after getting the test. The infected children are 0-12 years old who are born by the infected parents too, although they are not doing test yet or they are stated infected. The effect is the children will get their decrease in health because of HIV infection. The children will get some discrimination by family, society and health servant. Moreover the limitation of hospital service and the low of the economic situation, it will be complicated and harder for the children to get the health service.The research objective is to know whether there a relation between the children’s character and the health service access with the condition the children are infected by HIV in Semarang Regency Central Java. This research is using analytical method and cross sectional approach. The sample are 47 children from the total 76 children. The respondents are the caregiver of the infected children. The research stated that 53,2% children 6-12 years old, 51,1% are girls. 59,6% are getting their difficulties in accessing the health service, 59,6% are having the bad health status, Chi-Square test mentioned that the variable of children’s age, gender, and accessing the health service have no significant relation with the children’s health status.Key Words : Caregiver, infected children, and the access of health service.

2020 ◽  
Vol 28 ◽  
pp. e51838
Author(s):  
Thaislane Milene Oliveira ◽  
Pollyana Cristina dos Santos Ferreira ◽  
Nayara Gomes Nunes Oliveira ◽  
Darlene Mara dos Santos Tavares

Objetivo: descrever e comparar as características sociodemográficas e clínicas dos idosos, e o acesso e a utilização dos serviços de saúde, segundo três microrregionais de saúde de Minas Gerais. Método: inquérito domiciliar transversal realizado com 1.635 idosos residentes nas Microrregionais de Saúde do Triângulo Sul, em Minas Gerais. Procederam-se às análises descritivas e teste qui-quadrado (p<0,05). Resultados: na comparação entre os grupos obteve-se diferença significativa em relação à faixa etária (p<0,001), número de morbidades (p<0,001), uso contínuo de medicamentos (p<0,001) e não realizar consulta com dentista no último ano (p=0,005). Conclusão: as políticas públicas devem considerar os fatores sociodemográficos e as condições clínicas dos idosos, mediante o contexto da territorialização e regionalização em saúde, para proposição de estratégias de ação que favoreçam o acesso e uso dos serviços por essa população.ABSTRACTObjective: to describe and compare the older adults’ sociodemographic and clinical characteristics, and their access to, and use of, health services, by three health micro-regions in Minas Gerais. Method: this cross-sectional household survey interviewed 1,635 older adults living in the Health Micro-regions of the Southern Triangle of Minas Gerais. Descriptive analyses and chi-square test were performed (p < 0.05). Results: comparisons among the groups revealed significant differences by age group (p < 0.001), number of morbidities (p < 0.001), continuous medication use (p < 0.001) and no dental appointment in the prior year (p = 0.005). Conclusion: in the context of health care territorialization and regionalization, public policies should consider older adults’ sociodemographic characteristics and clinical conditions, in order to propose action strategies to favor service access and use by this population.RESUMENObjetivo: describir y comparar las características sociodemográficas y clínicas de los adultos mayores y su acceso y uso de los servicios de salud por parte de tres microrregiones de salud en Minas Gerais. Método: esta encuesta de hogares de corte transversal entrevistó a 1.635 adultos mayores residentes en las Microrregiones de Salud del Triángulo Sur de Minas Gerais. Se realizaron análisis descriptivos y prueba de chi-cuadrado (p <0.05). Resultados: las comparaciones entre los grupos revelaron diferencias significativas por grupo de edad (p <0,001), número de morbilidades (p <0,001), uso continuo de medicación (p <0,001) y ausencia de consulta dental en el año anterior (p = 0,005). Conclusión: en el contexto de territorialización y regionalización asistencial, las políticas públicas deben considerar las características sociodemográficas y las condiciones clínicas de los adultos mayores, con el fin de proponer estrategias de acción que favorezcan el acceso y uso de los servicios por parte de esta población.


2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Rahmat Feryadi ◽  
Delmi Sulastri ◽  
Husnil Kadri

AbstrakHipertensi merupakan masalah kesehatan yang banyak dijumpai pada masyarakat dan berkorelasi dengan penyakit lainnya. Banyak faktor penyebab terjadinya hipertensi, salah satunya adalah gangguan profil lipid. Profil lipid dapat memicu terjadinya hipertensi melalui berbagai mekanisme, baik secara langsung atau tidak langsung. Penelitian ini bertujuan untuk meneliti lebih lanjut tentang hubungan obesitas dengan kejadian hipertensi. Penelitian dilakukan pada masyarakat Etnik Minangkabau di 8 kelurahan di kota Padang. Ini adalah studi komparatif menggunakan desain cross sectional study, dengan jumlah subjek 160 responden. Pengumpulan data responden dilakukan dengan wawancara. Pengukuran tekanan darah dilakukan berdasarkan cara yang direkomendasikan WHO dan penetapan nilainya berdasarkan JNC VII. Profil lipid diukur dilaboratorium dengan acuan penilaian berdasarkan NCEP ATP III. Analisis statistik yang digunakan adalah uji chi square. Hasil penelitian ini menunjukkan bahwa sebagian besar gangguan kadar kolesterol terdapat pada penderita hipertensi dari pada normotensi. Uji statistik chi square menunjukkan hubungan yang bermakna antara kadar kolesterol dan trigliserida dengan kejadian hipertensi (total kolesterol p < 0,05; OR = 2,40, trigliserida p< 0,05; OR = 2,49). Kadar HDL dan LDL tidak menunjukkan hubungan yang bermakna terhadap kejadian hipertensi (p > 0,05). Dari hasil tersebut dapat disimpulkan bahwa sebagian fraksi profil lipid mempengaruhi kejadian hipertensi pada etnik Minangkabau yang berada di kota Padang, yaitu kadar kolesterol total dan trigliserida.Kata kunci: Hipertensi, kolestertol total, HDL, LDL, Trigliserida, etnik Minangkabau.AbstractHypertension is a common disease in the community and have correlation with other diseases. Many factor can leads hypertension, such as disturbance of lipid profile. Lipid profile can lead hypertension through a variety of mechanism, either directly or indirectly. This study aims to investigate the lipid profile relation with the incident of hypertension. The research was conducted at the Minangkabau ethnic communities in 8 district in Padang city. This was s a comparative study using a cross sectional study in 160 respondents. Data was collected by interview to get respondent characteristics. Measurement of blood preasure waist and carried out by the WHO recommended and appointment value based on JNC VII. Profile lipid was measured in laboratory and appointment value based on NCEP ATP III. The statistical analysis used chi square test. The result found that the disturbance of total cholesterol and trigliceride more existed in hypertension than normotension population. Chi square statistical test showed there was relation between total cholesterol and triglycerides with hypertension incident (total cholesterol p < 0,05; OR = 2,40 , triglycerides p < 0,05 ; OR = 2,49 ). HDL and LDL had not significant relation with hypertension incident (p > 0.05). The conclusion of this study is some of profil lipid effected hypertension incident at Minangkabau Ethnic in Padang, especially total cholesterol and triglycerides.Keywords: Hypertension, total cholesterol, HDL, LDL, triglycerides, Minangkabau Ethnic


Author(s):  
Nirmal Georgie Ninan ◽  
Sanjeev Kumar TM

Background and objectives: Hyponatremia often occurs among children with bronchiolitis. It is the most common electrolyte abnormality associated with severe disease course. Aim was to study relation between sodium levels and severity of bronchiolitis Methodology: Cross-sectional study was conducted on 72 infants admitted with bronchiolitis to Pediatrics ward/ICU, JMMC. Infants with recurrent respiratory or super added bacterial infections, born <34weeks gestation, any chronic disorder or medications that can influence electrolyte levels or parents unwilling for consent were excluded. Severity of bronchiolitis was scored and classified into mild, moderate, severe. Sodium levels were determined and grouped (in mmol/L) into normonatremia (135-145) and hyponatremia (mild (130-134), moderate (125-129) and severe (≤124). The grade of hyponatremia with severity of bronchiolitis was compared. Chi square test was used to test the association of severity of bronchiolitis and category of hyponatremia. ANOVA test was done to compare the severity of bronchiolitis with sodium levels. Results: Hyponatremia was seen in 50% of cases admitted with severe bronchiolitis, which when compared to mild and moderate bronchiolitis, was statistically significant (p<0.001). ANOVA showed mean sodium levels of mild, moderate and severe bronchiolitis were 138.44±1.81, 137.37±1.76 and 135.43±3.93 respectively; these were statistically significant (p<0.001). A pairwise comparison between mild and moderate bronchiolitis with hyponatremia was not found to be statistically significant (p-0.769) but comparison between mild and severe bronchiolitis with hyponatremia was statistically significant (p<0.001) Conclusion: There is statistically significant relation between hyponatremia and severity of bronchiolitis. Hyponatremia could be considered as a marker to assess the severity of bronchiolitis. Keywords:  Bronchiolitis, Hyponatremia, Respiratory distress


2019 ◽  
Vol 5 (3) ◽  
pp. 197-206
Author(s):  
Mohammad Nayeem Hasan

Aging is one of the embryonic problems in Bangladesh and this has been gradually increasing with its far-reaching consequences. Elderly can develop new and complicating health problems. In most cases the diseases are chronic and complex. The structures were designed to investigate the health status, depression, and function of the daily living of the older men and women in the Sylhet region of Bangladesh. The data were collected using stratified sampling. We have used cross-sectional methods to analyze the data and performed a chi-square test to test the association and a then bivariate and multivariable logistic regression model was used to evaluate the major risk factors of CVD. In this study, 229 elderly people were considered aged from 60 to 60+ years-old face to face personal interviews. Among them 16.6% elderly are suffering in depression. According to residence, the condition of health is good in the ethnic group (21.9%) and this situation is worse in the rural group (97.5%). In addition, people who have depression were 0.087 times or 91.3% (OR = 1.115, 95% CI 0.273-4.552) less likely to have healthy compared to the people who did not have depression. In this study, we have seen that there were many factors that were associated with health status among different communities’ elderly people in Sylhet. This research will help clinicians and policymakers to develop appropriate strategies of CVD patients and organize health education programs for changing lifestyles among elderly in Sylhet. Asian J. Med. Biol. Res. June 2019, 5(3): 197-206


2020 ◽  
Vol 1 (2) ◽  
pp. 65-72
Author(s):  
Salestin Rambu Malairu ◽  
Joko Pitoyo

Problems often faced by eldery is decreasing ability is like physical health, or decrease ability to socialize with others. Health Service Centre is one of  activities aimed to elderly to get health services easily.Objective aim to know differences from quality of life of  active elderly with inactive elderly on follow health service centre in Mojolangu Village Of Lowokwaru District, method is design research is used a Cross Sectional design. Sample are 40 elderly, taking sample is using purposive sampling. Samples divided to 2, that is 20 elderly who are active, and 20 elderly who are inactive Data analysis is using Chi Square test. The results showed there are 5 (25%) respondents who are actively follow elderly  Health Service Centre had a good quality of life, while 1 (5%) respondents who are inactively follow elderly Health Service Centre had a good quality of life. Respondents with a good quality of life average attendance participed in elderly  Health Service Centre by 7 times, while inactive elderly as much as 3/4 times. Chi Square test results obtained by the value of p = 0,002, so concluded there is a differences from quality of life of active elderly with inactive elderly on follow health service centre in Mojolangu Village of Lowokwaru. Suggestion from this study are further researchers can use this research and more developed. Keywords: Quality of Life, Elderly, Health Service Centre


2017 ◽  
Vol 14 (2) ◽  
pp. 72
Author(s):  
Fery Lusviana Widiany

Background: Riskesdas 2013 data shows the prevalence of chronic kidney disease in Central Java and Yogyakarta 0.3%, which is higher than the average prevalence across Indonesia which is only 0.2%. The results of the author’s study previously showed that the intake of energy, protein, sodium hemodialysis patients on average are not sufficient, while the average fluid intake exceeds the dietary recommendation. There are several factors that can affect dietary compliance of the hemodialysis patients, such as knowledge, family support, attitudes, and behavior.Objective: To examine the factors that affect dietary compliance of the hemodialysis patients.Method: This is an observational study with cross-sectional design, conducted in the hemodialysis unit of Dr. Soeradji Tirtonegoro Hospital, Klaten on March - October 2016, involving 60 respondents. The dependent variable is dietary compliance, while the independent variables are knowledge, family support, attitudes, and behavior. Data were analyzed using univariate and bivariate with Chi-Square test.Results: Chi-Square test results of knowledge with dietary compliance showed the p-value = 0.027; family support with dietary compliance showed the p-value = 0.045; attitude with dietary compliance showed the p-value = 0.045; and behavior with dietary compliance showed the p-value = 0.002.Conclusion: Knowledge, family support, attitude, and behavior affect dietary compliance of the hemodialysis patients.


2018 ◽  
Vol 11 (1) ◽  
pp. 172 ◽  
Author(s):  
Septian Emma Dwi Jatmika ◽  
Muchsin Maulana ◽  
Kuntoro Kuntoro ◽  
Santi Martini ◽  
Beni Setya Anjani

INTRODUCTION: The aim of the study is to find out the archives of smokers&#39; readiness to quit smoking after the application of the Smoke-free House (RBAR) program. MATERIAL &amp; METHODS: This type of research is a descriptive analytic study by using cross sectional approach. The research was conducted in a hamlet neighborhood (RW) that had been implementing RBAR program, and were selected randomly. They are RW 8 Tegal Panggung, RW 5 Tegal Panggung, RW 11 Ngupasan, RW 12 Bumijeo, RW 11 Gowongan. The samples were taken by cluster random sampling technique and obtained 70 heads of families with criteria of willing to be respondents, family heads (male), active smokers and permanent residents who lives in the study site since the RBAR program was first set in 2010. Data analysis was done by chi-square test. RESULTS: The result shows that attitudes has significant relation to the readiness of smokers to quit smoking after the application of the RBAR program (p value = 0.030). DISCUSSION &amp; CONCLUSIONS: The carried out interventions can be adjusted to the stages of the smokers&rsquo; behavior change process.


Author(s):  
Yaser A. M. Al Sahafi ◽  
Ahmad Mufadi Al Juhani ◽  
Badr Mohammad Foudah ◽  
Lujain Atiq Alrehaily ◽  
Samar Amar Al Jabri ◽  
...  

Background: Teeth are among the most important parts of our body which help in mastication, phonetic and esthetic. Now a days tooth extraction can be avoided due to availabilities of most advanced treatment. Mostly, extraction is the treatment of choice for extensive caries and severe periodontitis because of late reporting to dentist due to lack of knowledge. Knowledge about post extraction complications and their management can prevent the occurrence of untoward sequalae following extraction. Previous studies have shown that preoperative patient education can help in decreasing postoperative anxiety, pain and complications. Methodology: This is a questionnaire based cross-sectional descriptive study. The study was conducted during the period of January to March 2018. Total of 250 patients (138 males and 112 females) were included in the study by the convenient method of sampling that visited the dental clinics of college of Dentistry, Taibah University. Validated questionnaire was asked about post extraction preventive knowledge. Categories of answer was good, average and poor according to number of correct answers. The statistical analysis was performed by the Statistical Package for Social Science version 21 (SPSS Inc Chicago, IL, USA). The significant value was obtained by using Chi Square test and p < 0.05 was set to be significant. Results: Females and 31-45 years age group had better post extraction preventive knowledge and there was significant relation. Nationality and education level had no significant relation with level of post extraction preventive knowledge. The patients who had better knowledge followed the instructions precisely. Conclusion: It was concluded that female, patients above middle age group and more qualified patients had more post extraction preventive knowledge and they also followed the instructions very strictly. The importance of study came out that dentist or dental assistant should explain and convince them to follow proper post-operative instruction to avoid complications.


Author(s):  
Ropitasari Ropitasari ◽  
◽  
Fanny Kartika F ◽  
Rachmi Fauziah R ◽  
Sri Anggarini ◽  
...  

Background: Physical activity among school-age adolescents make them skipping the breakfast. Skipping breakfast can cause a loss of energy and nutrients needed for hemoglobin (Hb) synthesis. This study aimed to examine the effect of breakfast on anemia levels among female adolescent. Subjects and Method: A cross-sectional was conducted by involving 30 female adolescent aged 13-15. The study subjects were divided into 30 female adolescent had breakfast group and 30 female adolescent had no breakfast group. Breakfast was the consumption of food and side dishes from waking up until 10:00 AM. The dependent variable was Hb level and the dependent variable was breakfast. The data were collected by measuring the HB level and questionnaire. The data then analyzed using Chi-square test. The association between breakfast habits and hemoglobin levels was analyzed by means of the Gamma Somers test. Results: The breakfast habit increased the Hb level among female adolescent (OR= 1.75; p= 0.003), and it was statistically significant. Conclusion: Female adolescent with a good breakfast habit increase the Hb level and prevent the anemia. Keywords: breakfast, female adolescent, hemoglobin levels Correspondence: Ropitasari. Diploma III of Midwifery, Universitas Sebelas Maret, Surakarta. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia.Email: [email protected]. Mobile: 08222023585 Ropitasari, Fanny Kartika DOI: https://doi.org/10.26911/the7thicph.02.52


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