scholarly journals Determinan Sosial Ekonomi Kepemilikan Jaminan Kecelakaan Kerja pada Tenaga Kerja Informal di Indonesia: Analisis Data SUSENAS 2017

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Sri Denti On Madya ◽  
Atik Nurwahyuni

AbstrakJumlah tenaga kerja informal lebih banyak dibandingkan dengan tenaga kerja formal di Indonesia. Cakupan kepemilikan jaminan kecelakaan kerja masih sangat rendah sedangkan angka kecelakaan kerja masih cenderung tinggi. Penelitian ini bertujuan untuk mengetahui determinan sosial ekonomi kepemilikan jaminan kecelakaan kerja pada tenaga kerja informal di Indonesia. Penelitian ini menggunakan desain studi cross sectional dengan analisis bivariat dengan metode maximum likelihood dengan model logit. Data yang digunakan adalah Data Susenas (Survei Sosial Ekonomi Nasional) tahun 2017 diolah menggunakan stata dengan uji regresi logistic/logit serta dianalisis dengan pendekatan model ekonometri. Variabel yang diamati yaitu, umur, jenis kelamin, status pernikahan, keluhan kesehatan, pendidikan, wilayah dan sosial ekonomi/pendapatan tenaga kerja informal. Hasil penelitian menunjukkan adanya hubungan antara wilayah (p =0,0005), umur (p=0,0005), jenis kelamin (p=0,0005), status pernikahan (p=0,001), pendidikan (p=0,0005), dan sosial ekonomi/pendapatan (p=0,0005) tenaga kerja informal terhadap kepemilikan jaminan kecelakaan kerja di Indonesia. Dengan model ekonometri diketahui faktor yang paling berpengaruh terhadap kepemilikan jaminan kecelakaan kerja pada tenaga kerja sektor informal yaitu karakteristik tenaga kerja informal terdiri dari pendidikan (OR 1,94), Umur (OR 1,09), wilayah (OR 1,71) dan pendapatan (OR 1,79). AbstractThe number of informal workers is higher than the formal workforce in Indonesia. The coverage of working accident protection is still very low while the work accident rate still tends to be high. This study aims to determine the socio-economic determinants of employ-ment accident insurance ownership in informal workers in Indonesia. This study used a cross sectional study design with bivariate analysis using the estimation method of maximum likelihood. The Susenas Data (National Socio-Economic Survey) in 2017 is ana-lyzed using logistic/logit regression. The variables observed were age, sex, marital status, health, education, regional complaints, and socio-economic/informal labor income. The results of the study indicated a relationship between region (p=0,0005), age (p=0,0005), sex (p=0,0005), marital status (p=0,001), education (p=0,0005), and socio-economic/income (p=0,0005) in informal labor on em-ployement accident insurance ownership in Indonesia. The econometric model show that the factors that most influence the owner-ship of work accident insurance in the informal sector workforce are informal labor characteristics consisting of education (OR 1.94), Age (OR 1.09), region (OR 1.71), and income (OR 1.79).

2020 ◽  
Author(s):  
Rafaela Catherine da Silva Cunha de Medeiros ◽  
Tatiane Andreza Lima da Silva ◽  
Isis Kelly dos Santos ◽  
Ricardo Dias de Andrade ◽  
Renata Rangel Barboza ◽  
...  

Abstract Background: Throughout the history of AIDS, changes in behavior patterns, sleep quality, development of depressive symptoms, low self-esteem, low levels of self-care, fear and anxiety were observed. The aim of this study is to analyze the factors associated with sleep quality in people living with HIV/AIDS (PLHA). Methods: It is a cross-sectional study with 314 PLHA. The Pittsburgh Sleep Quality Index was used to assess sleep quality. Socioeconomic, clinical and lifestyle habits were investigated through a structured anamnesis. Using the bivariate analysis, the differences between the sleep quality components in relation to the independent study variables were verified (p <0.10). Linear regression was performed following a multilevel hierarchical model for each sleep quality component (p ≤ 0.5). Results: Regarding the sleep quality domains, there was an association with socioeconomic and clinical factors. Sleep latency with marital status; usual efficiency with marital status and use of HAART and sleep disorders with schooling. Conclusions: The study concludes that sleep latency and usual efficiency in PLHA are associated with marital status, while sleep quality with gender and sleep disturbance with schooling.


2020 ◽  
Vol 5 (1) ◽  
pp. 29
Author(s):  
Triyana Harlia Putri

<p><em>Conflicts in patient care decision making often conflict with a nurse's personal values and lead to moral distress. Moral distress unwittingly can occur continuously and if not resolved, the condition can lead to burnout. This research is aimed toidentifythe factors that influence moral distress in mental health nurses.A cross-sectional study design was adopted. A total of 130 mental health nurses were recruited using universal sampling at Mental Health hospital X. The instrument used was Moral Distress Scale for Psychiatric. Data analysis was performed by univariate to see the frequency of each variable studied, namely respondent characteristics, while bivariate analysis used Spearman Rank. The results showed that most of the nurses 94 (72.3%) were in early adulthood and 86 (66.2%) were women, almost all 118 nurses (90.8%) with marital status, 92 (70.8%) with a Diploma in Nursing education, and 88 (67.7%) with years of service - 10 years and 79 (60.8%) expressed high level of moral distress, each dimensi of moral distress, 81 (62.3%) stated that it was Unethical action by caregiver, 68 (52.3%) Low Staffing, and 92 (71 %) stated that acquiescence of patients rights violations. There is nocorrelation between the demographic characteristic variables such as age, gender, education level, marital status,and duration of work with moral distress</em></p><p><em><br /></em></p><p><em><em>Konflik dalam pengambilan keputusan perawatan klien sering bertentangan dengan nilai pribadi seorang perawat, hal tersebut dapat mengindikasikan ke moral distress. Moral distress tanpa disadari dapat terjadi secara terus menerus dan apabila tidak teratasi, kondisi itu dapat mengarah ke burnout. Adapaun tujuan dalam penelitian ini yaitu mengetahui faktor-faktor yang mempengaruhi moral distress pada perawat kesehatan jiwa. Desain penelitian ini deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel sebanyak 130 perawat kesehatan jiwa secara total sampling yang dilakukan di RSJ X . Penelitian ini menggunakan Moral Distress Scale for Psychiatric untuk mengukur tingkat moral distress. Analisis data dilakukan dengan univariat  untuk melihat frekuensi dari setiap variabel yang diteliti yaitu karakteristik responden, sementara analisis bivariate digunakan teknik analisis bivariat korelasi Spearman Rank.  Hasil penelitian didapatkan bahwa sebagian besar dari perawat 94 (72,3%) berada pada usia dewasa awal dan 86 (66,2%) adalah perempuan, hampir seluruh perawat 118 (90,8%) dengan status menikah, 92 (70,8%) dengan tingkat pendidikan DIII Keperawatan, dan 88 (67,7%) dengan lama bekerja 1 tahun - 10 tahun. Sebanyak 79 (60,8%) mengungkapkan moral distress level tinggi, masing- masing dimensi moral distress, 81 (62,3%)  menyatakan hal yang tidak etis dilakukan caregiver, 68 (52,3%) menyatakankekurangan staf  dan 92 (71%) menyatakansecara diam-diam menyetujui pelanggaran hak klien. </em></em><em><em>31.1 perawarkesehatan lainnya .ress dapat menyebabkan burnout.Tidak ada hubungan yang bermakna semua variabel karakteristik seperti umur, jenis kelamin, tingkat pendidikan, status pernikahan, dan lama bekerja dengan moral distress</em></em></p>


2020 ◽  
Author(s):  
Rafaela Catherine da Silva Cunha de Medeiros ◽  
Tatiane Andreza Lima da Silva ◽  
Isis Kelly dos Santos ◽  
Ricardo Dias de Andrade ◽  
Renata Rangel Barboza ◽  
...  

Abstract The aim of this study is to analyze the factors associated with sleep quality in people living with HIV/AIDS (PLHA). It is a cross-sectional study with 314 PLHA. The Pittsburgh Sleep Quality Index was used to assess sleep quality. Socioeconomic, clinical and lifestyle habits were investigated through a structured anamnesis. Using the bivariate analysis, the differences between the sleep quality components in relation to the independent study variables were verified (p <0.10). Linear regression was performed following a multilevel hierarchical model for each sleep quality component (p ≤ 0.5). Regarding the sleep quality domains, there was an association with socioeconomic and clinical factors. Sleep latency with marital status; usual efficiency with marital status and use of HAART and sleep disorders with schooling. The study concludes that sleep latency and usual efficiency in PLHA are associated with marital status, while sleep quality with gender and sleep disturbance with schooling.


2018 ◽  
Vol 3 (3) ◽  
pp. 440
Author(s):  
Sri Handayani ◽  
Puteri Fannya ◽  
Putri Nazofah

<p><em>Based on data from the Indonesia Ministry of Health in 2015, In Indonesia, new professional nurses were just 2% of the total nurses. This figure was much lower than the Philippines which has reached 40% with bachelor and master level as their education. The purpose of this study was to determine the relationship between age, and leadership with the performance of health personnel</em><em>. </em><em>The design of this research was analytical research with Cross Sectional Study. The population in this study was all nurses and doctors who served in the internal room, children, surgery and midwifery</em><em>. </em><em>Sampling using total sampling</em><em> </em><em>by questionnaires. The data was processed by univariate and bivariate analysis using Chi-square test</em><em>. </em><em>The result showed that 57,8% nurses had poor performance, 56,3% doctors had poor performance, 64,4% nurses had average age 26-35 years, 56,2% doctors had average age  36-45 years, 64.4% nurses have poor leadership, </em><em>and </em><em>50.0% of doctors have less good leadership</em><em>.</em><em> There is a relationship between age</em><em> and </em><em>leadership with the performance of health personnel.</em><em></em></p><p><strong><em> </em></strong></p><p>Berdasarkan data kemenkes RI tahun 2015 jumlah tenaga kesehatan terbanyak yaitu perawat sebanyak 147.264 orang (45,65%). Di Indonesia, perawat profesional baru mencapai 2% dari total perawat yang ada. Angka ini jauh lebih rendah dibandingkan dengan Filipina yang sudah mencapai 40% dengan pendidikan strata satu dan dua. Tujuan penelitian ini untuk mengetahui hubungan antara umur, kepemimpinan dengan kinerja tenaga kesehatan. Jenis penelitian yang digunakan adalah desain penelitian analitik dengan Cross Sectional Study. Populasi pada penelitian ini adalah semua perawat dan dokter. Pengambilan sampel dengan menggunakan Total Sampling. Pengambilan data menggunakan kuesioner. Data diolah dengan analisis univariat menggunakan statistik deskriptif dan analisis bivariat menggunakan uji Chi-square. Hasil penelitian didapatkan 57,8% perawat memiliki kinerja kurang baik, 56,3% dokter memiliki kinerja kurang baik, 64,4% perawat memiliki umur rata-rata 26-35 tahun 64,4%, 56,2% dokter memiliki umur rata-rata 36-45 tahun, 64,4% perawat memiliki kepemimpinan kurang baik, 50,0% dokter memiliki kepemimpinan kurang baik. Terdapat hubungan antara umur dan kepemimpinan dengan kinerja tenaga kesehatan.</p>


SAGE Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 215824402098331
Author(s):  
Nur Chandra Bunawan ◽  
Dwi Suseno ◽  
Drupadi H. S. Dillon ◽  
Ikhwan Rinaldi ◽  
Dyah Purnamasari

Patients with undernutrition at admission have higher risks to worsen their nutritional status, which is linked to an increase in morbidity and mortality. This study investigated the prevalence of undernutrition at admission and its associated factors. A cross-sectional study was conducted on patients aged 18 to 59 years old in Internal Medicine ward at Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia, between July and September 2019. Factors that might be associated with undernutrition at admission, such as age, sex, marital status, Charlson Comorbidity Index (CCI) and type of comorbidity, depression, and neutrophil–lymphocyte ratio (NLR), were assessed. Bivariate and multivariate analyses were used to determine the associated factors. Sixty hospitalized patients with median age of 42 years and 76.7% with married status joined the study. The most common reason for hospitalization was acute gastrointestinal disease with gallstones as the most common comorbidity. Undernutrition exists in 26.7% of subjects. High CCI score was observed among 11.7% subjects and half of subjects had NLR category ≥5. Bivariate analysis revealed that unmarried status, age ≥40 years, and malignancy were associated with undernutrition at admission. Logistic regression analysis showed malignancy as an independent predictor of undernutrition during the initial hospital admission (odds ratio [OR] = 11.8; 95% confidence interval [CI]: [1.1, 125.7]). The prevalence of undernutrition at admission was 26.7%. Factors associated with an increased prevalence of undernutrition at admission were age <40 years, unmarried status, and malignancy. Malignancy was an independent factor of the prevalence of undernutrition at admission.


2021 ◽  
Vol 12 ◽  
pp. 215013272110251
Author(s):  
Álvaro Monterrosa-Castro ◽  
Angélica Monterrosa-Blanco ◽  
Andrea González-Sequeda

Background: Quarantine is a measure to control COVID-19 spread, resulting in an increased perception of loneliness. In turn, sleep disorders (SD) may be more frequently reported in uncertain circumstances. Objectives: To identify the association between loneliness and severe SD, in women quarantined due to the COVID-19 pandemic. Methods: A cross-sectional study carried out in women, between 40 and 79 years and living in Colombia. The women were invited through social network to complete 5 digital instruments: de Jong Gierveld Loneliness Scale, Menopause Rating Scale, Fear of COVID-19 Five-item Version, Coronavirus Anxiety Scale, and Francis Religion Scale. Bivariate analysis and adjusted logistic regression between loneliness and SD were performed. Results: 1133 women participated, half of them under 50 years old. 43.1% had emotional loneliness, 39.9% social loneliness and 43.3% general loneliness. SD were identified in 6 out of 10 women, those with mild SD presented an OR of 1.84, 1.85, and 1.64, for emotional, social and general loneliness, respectively. Loneliness was associated twice with moderate SD, and more than twice with severe SD. Very severe SD reached OR:5.81 for emotional loneliness, OR:4.38 social loneliness and OR:4.02 general loneliness. In the presence of religiosity, fear and anxiety due to COVID-19, statistical significance was retained for associations, except intense SD with general loneliness. Conclusions: SD were significantly associated with loneliness in our study population. It is important to assess sleep quality and perception of loneliness in middle-aged women, especially during periods of quarantine due to a pandemic to avoid health implications.


2021 ◽  
pp. 105477382110068
Author(s):  
Luis Angel Cendejas Medina ◽  
Renan Alves Silva ◽  
Magda Milleyde de Sousa Lima ◽  
Lívia Moreira Barros ◽  
Rafael Oliveira Pitta Lopes ◽  
...  

To analyze the correlation between functional health literacy (FHL) and self-efficacy (SE) in people with type 2 Diabetes Mellitus. Cross-sectional study was conducted among September and October 2019, with 196 people with type 2 diabetes. Data were collected using the Functional Literacy in Health instrument (B-TOFHLA) and the Diabetes Management Self-Efficacy Scale for Patients with Type 2 Diabetes Mellitus (DMSES). Bivariate analysis was used to verify the relationship among the constructs. Most diabetics showed an average B-TOFHLA score of 74.75, considered adequate, and self-efficacy of 4.07, high. The association between SE and FHL in the bivariate analysis found no statistical significance ( p > .05), in the same sense as the B-TOFHLA score and the DMSES domains ( p > .05). Constructs were not related to each other in terms of skills arising from judgments and decisions with motivational confidence by the investigated audience.


2018 ◽  
Vol 128 (1) ◽  
pp. 262-271 ◽  
Author(s):  
Olga Helena Hernández Ortiz ◽  
Héctor Iván García García ◽  
Fabián Muñoz Ramírez ◽  
Juan Sebastián Cardona Flórez ◽  
Bladimir Alejandro Gil Valencia ◽  
...  

OBJECTIVEDiagnosing nosocomial meningitis (NM) in neurosurgical patients is difficult. The standard CSF test is not optimal and when it is obtained, CSF cultures are negative in as many as 70% of cases. The goal of this study was to develop a diagnostic prediction rule for postoperative meningitis using a combination of clinical, laboratory, and CSF variables, as well as risk factors (RFs) for CNS infection.METHODSA cross-sectional study was performed in 4 intensive care units in Medellín, Colombia. Patients with a history of neurosurgical procedures were selected at the onset of febrile symptoms and/or after an increase in acute-phase reactants. Their CSF was studied for suspicion of infection and a bivariate analysis was performed between the dependent variable (confirmed/probable NM) and the identified independent variables. Those variables with a p value ≤ 0.2 were fitted in a multiple logistic regression analysis with the same dependent variable. After determining the best model according to its discrimination and calibration, the β coefficient for each selected dichotomized variable obtained from the logistic regression model was used to construct the score for the prediction rule.RESULTSAmong 320 patients recruited for the study, 154 had confirmed or probable NM. Using bivariate analysis, 15 variables had statistical associations with the outcome: aneurysmal subarachnoid hemorrhage (aSAH), traumatic brain injury, CSF leak, positioning of external ventricular drains (EVDs), daily CSF draining via EVDs, intraventricular hemorrhage, neurological deterioration, age ≥ 50 years, surgical duration ≥ 220 minutes, blood loss during surgery ≥ 200 ml, C-reactive protein (CRP) ≥ 6 mg/dl, CSF/serum glucose ratio ≤ 0.4 mmol/L, CSF lactate ≥ 4 mmol/L, CSF leukocytes ≥ 250 cells, and CSF polymorphonuclear (PMN) neutrophils ≥ 50%. The multivariate analysis fitted a final model with 6 variables for the prediction rule (aSAH diagnosis: 1 point; CRP ≥ 6 mg/dl: 1 point; CSF/serum glucose ratio ≤ 0.4 mmol/L: 1 point; CSF leak: 1.5 points; CSF PMN neutrophils ≥ 50%: 1.5 points; and CSF lactate ≥ 4 mmol/L: 4 points) with good calibration (Hosmer-Lemeshow goodness of fit = 0.71) and discrimination (area under the receiver operating characteristic curve = 0.94).CONCLUSIONSThe prediction rule for diagnosing NM improves the diagnostic accuracy in neurosurgical patients with suspicion of infection. A score ≥ 6 points suggests a high probability of neuroinfection, for which antibiotic treatment should be considered. An independent validation of the rule in a different group of patients is warranted.


2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.


2021 ◽  
Vol 1 (1) ◽  
pp. 7
Author(s):  
Vivienne Tjung ◽  
Husnia Auliyatul Umma ◽  
Jarot Subandono

<p class="16"><strong><em>Introduction</em></strong><strong><em>:</em></strong><strong><em> </em></strong><em>Exclusive breast milk is breastfeeding for six months to babies, without providing other foods and drinks. Breastfeeding for up to 6 months is recommended by various health organizations, including the Ministry of Health. In Indonesia, exclusive breastfeeding is still low, even though the benefits of breastfeeding are numerous. Various studies that have been conducted have shown </em><em>different</em><em> results regarding the relationship between the number and sequence of children with breastfeeding practices. This stud</em><em>y </em><em>aimed</em><em> </em><em>to determine the relationship between the number of children and the order of the children with the practice of exclusive breastfeeding in Surakarta</em><em></em></p><p class="16"><strong><em>Methods</em></strong><strong><em>:</em></strong><strong><em> </em></strong><em>This study </em><em>was</em><em> an analytic observational study with a cross-sectional study design. The research sample was determined by random sampling of mothers registered at the Penumping Health Center. The research sample consisted of 50 people who have children aged 1-5 years. Assessment of completeness of breastfeeding was measured using a questionnaire. Data were analyzed using bivariate analysis techniques using chi-square and multivariate logistic regression</em><em>.</em><em></em></p><p class="16"><strong><em>Result</em></strong><strong><em>s and discussions: </em></strong><em>From</em><em> 47</em><em> </em><em>subjects studied with the bivariate analysis technique using the chi square between the number of children and the order of children with exclusive breastfeeding practice, the results were less significant, p = 0.724 and p = 0.401</em><em>.</em><em></em></p><p class="16"><strong><em>Conclusion</em></strong><strong><em>: </em></strong><em>There </em><em>was</em><em> no significant relationship between the number of children and the order of children with the practice of exclusive breastfeeding in Surakarta.</em><em></em></p><p class="18"><strong><em>Keywords</em></strong><strong><em>: </em></strong><strong><em>E</em></strong><strong><em>xc</em></strong><strong><em>lusive breastfeeding, number of children, </em></strong><strong><em>order </em></strong><strong><em>of children</em></strong><strong><em>.</em></strong><strong><em></em></strong></p>


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