Banyak hoaks yang beredar di masyarakat tentang Covid-19 membentuk persepsi yang salah sehingga menyebabkan rendahnya penerimaan masyarakat terhadap vaksin. Penelitian ini bertujuan untuk mengetahui hubungan persepsi masyarakat terhadap vaksin Covid-19 di Kota Banda Aceh. Desain penelitian ini adalah cross-sectional dengan pengumpulan data secara online menggunakan Google form dengan responden berusia ≥18 tahun yang berdomisili di Kota Banda Aceh. Analisis data dengan uji Chi square dengan 95% confident interval. Hasil penelitian didapatkan bahwa jumlah responden yang berpartisipasi sebanyak 258 orang dengan status belum divaksin sebanyak 14,34%. Distribusi skor persepsi manfaat pada responden yang vaksin lebih baik dibandingkan dengan responden yang tidak vaksin. Persepsi masyarakat yang rendah terhadap manfaat vaksin berhubungan secara signifikan terhadap penolakan vaksin (p value ≤ 0,05). Risiko untuk tidak vaksin pada responden yang berpersepsi: vaksin tidak melindungi infeksi Covid-19 (PR = 3,51, 95% CI = 1,74-7,06); vaksin tidak mengurangi keparahan akibat Covid-19 (PR = 6,57, 95% CI = 3,00-14,36); dan program vaksin bukan untuk membentuk herd immunity (PR = 6,71, 95% CI = 2,30). Berdasarkan dorongan untuk vaksin yaitu informasi yang tidak memadai (PR = 7,96, 95% CI = 2,93-21,63); dan vaksin belum dinyatakan halal oleh Majelis Ulama Indonesia (MUI) (PR = 4,77, 95% CI = 2,01-11,31) berhubungan dengan status tidak vaksin responden. Persepsi masyarakat akan manfaat Covid-19 menjadi faktor utama yang melandasi masyarakat bersedia untuk divaksin Covid-19. Peran pemerintah dan stakeholder dalam melakukan sosialisasi dan edukasi tentang vaksin kepada masyarakat adalah kunci untuk memberikan pengetahuan yang benar dan menangkal informasi hoaks sehingga meningkatkan penerimaan masyarakat terhadap vaksin.
Background: Anthropometric indicator such as Body Mass Index (BMI), Waist Circumference (WC) and Waist to Height Ratio (WHtR) can to predict risk of hypertension. This study aims to compare anthropometry in predicting risk of hypertension in employees Cimahi City by gender. Methods: Design study was Cross Sectional with Diagnostic Test. This study used secondary data Non Communicable Diseases (NCD) screening in 827 employees with age ≥ 15 years. The ROC (receiver operating characteristic) curves were analyzed to identify the optimal cut off points and compare the predictive capacity of the anthropometric indicators for the hypertension outcome by gender using Stata.13 software. Result: The hypertension in men 65.32% more than women 34.68%. The Area Under the Curve (AUC) of WC 0.70 (95%CI=0.66-0.74) more than WHtR 0.66 (95%CI=0.62-0.70) and BMI 0.64 (95%CI=0.60-0.69). Based on gender,in men the highest AUC WC 0.69 (95%CI=0.64-0.75) while in women the highest AUC were in WC and WHtR was 0.67 (95%CI=0.60-0.74). The optimal cut off point in predicting hypertension were BMI 25.89 (Sn=67.05%,Sp=57.95%),WC 90 cm (Sn=76.30%,Sp=54.74%) and WHtR 0,56 (Sn=68.79%,Sp=59.02%). Conclusion: The WC is the most superior anthropometric index compared to the WHtR and BMI in predicting hypertension risk in employees in Cimahi City. Keywords: Hypertension, Obesity, Diagnostic Test
The prevalence of hypertension in the world is about 1.13 billion. Most people with hypertension are undiagnosed and unaware that they have it. The low level of medication in patients with hypertension affects uncontrolled blood pressure. The long-term effect may risk cardiovascular disease, kidney failure, stroke and even death. The study aims to determine the prevalence, awareness, treatment, control, and risk factors of hypertension toward productive age in Indonesia. The study design was cross-sectional with secondary data analysis from the Indonesian Family Life Survey (IFLS) 5 with the sample aged 15-64 years. The Chi-square test is applied to see the correlation between variables with p-values of 0.05 and 95%CI. The findings indicated hypertension prevalence (22.49%), awareness (10.60%), treatment (23.73%) and control (27.97%). Significant factors risk hypertension were obesity (PR 2.75; 95% CI 2.59-2.93), aged groups; 25-34 years (PR 1.51; 95% CI 1.35-1.68), 35-44 years (PR 3.52; 95%CI 3.17-3.90), 45-54 years (PR 7.89; 95% CI 7.11-8.77), 55-64 years (PR 13.36; 95% CI 11.92-14.97). Other variables showed no significant relationships. The variables such as low awareness, treatment, and control of hypertension for productive age increase the morbidity and mortality of non-communicable diseases in the future. Health screening efforts must be carried out by a routine blood pressure check for productive ages and optimizing the role of Integrated Non-Communicable Diseases Post (Posbindu PTM). Abstrak Prevalensi hipertensi di dunia sekitar 1,13 miliar. Kebanyakan penderita hipertensi tidak terdiagnosis dan tidak menyadari bahwa mereka menderita hipertensi. Rendahnya konsumsi obat pada penderita hipertensi membuat tekanan darah tidak terkontrol. Efek jangka panjangnya bisa berisiko penyakit kardiovaskular, gagal ginjal, stroke, bahkan kematian. Penelitian ini bertujuan untuk mengetahui prevalensi hipertensi yang diaganosis, pengobatan, terkontrol dan faktor risiko hipertensi pada usia produktif di Indonesia. Desain penelitian adalah cross-sectional dengan analisis lebih lanjut dari data Indonesian Family Life Survey (IFLS) 5 dengan sampel 15-64 tahun. Data dianalisis dengan uji chi-square untuk melihat hubungan variabel dengan p-value 0,05 dan 95% CI. Hasil studi menunjukkan prevalensi hipertensi (22,49%), awareness (10,60%), treatment (23,73%) dan control (27,97%). Faktor signifikan risiko hipertensi adalah obesitas (PR 2,75; IK 95% 2,59-2,93), kelompok umur; 25-34 tahun (PR 1,51; IK 95% 1,35-1,68), 35-44 tahun (PR 3,52; IK 95% 3,17-3,90), 45-54 tahun (PR 7,89; IK 95% 7,11-8,77) , 55-64 tahun (PR 13.36; IK 95%11.92-14.97). Variabel lain tidak menunjukkan hubungan yang signifikan. Rendahnya awareness, treatment, dan control hipertensi pada usia produktif akan meningkatkan morbiditas dan mortalitas penyakit tidak menular di masa yang akan datang. Upaya skrining kesehatan harus dilakukan dengan rutin memeriksakan tekanan darah bagi usia produktif dengan mengoptimalkan peran Pos Binaan Terpadu Penyakit Tidak Menular (Posbindu PTM).
Background: The transmission of tuberculosis (TB) is hard to stop. Surabaya city has the highest TB cases in East Java and only achieved <90% of the target in 2017-2018. The formation of preventing TB team in every primary health care (PHC) is expected to work effectively in preventing TB cases in society. Aims: This study aimed to analyze the impact of cohesion and trust within a team on team effectiveness in preventing TB cases in Surabaya. Methods: This study was an observational study with a cross-sectional design conducted in 43 primary healthcare centers (PHC), and it involved 319 respondents selected by proportional stratified random sampling. The data were collected through questionnaires and tested descriptively and through multivariable linear regression to confirm the most significant models of independent variables and dependent variables. Results: The result showed that task cohesion of the cohesion variable (RR= 0.374; p= 0.014) and cooperative behaviors of the trust variable (RR= 0.558; p= 0.000) had a significant influence on team effectiveness. The others dimension of team cohesion and trust had no significant impact on team effectiveness Conclusion: Team effectiveness is dependent on team cohesion and trust that the teamwork process component. The Surabaya City Health Office needs to collaborate with the PHC management to evaluate the teamwork of the preventing TB team through in-depth interviews or other methods to get the problem in the team.
The number of students who smoke cigarettes continues increase, in line with achievement industrial target of tobacco products. The aim of this study is to determine factors that cause students who do not smoke susceptible to smoking (SS) in the future. This information will direct tobacco control prevention programs. A cross-sectional survey data from 148 schools and 379 classrooms, total 9922 eligible students in grades 7-12. Simple and multiple logistic regression analyses were conducted to factor associated with SS among never smoking students. Descriptive statistics, and adjusted odds ratios with 95% confidence intervals were reported. There were 5863 students who do not smoke of whom 454 SS; girls 78.25% and 58% were grade 7-9. The students who; were boys (OR=1.55, p<0.001), thought cigarettes not harmful (OR=3,79, p<0.001), current use e-cigarettes (OR=3.62, p<0.001), current consumes shisha (OR=2.92, p<0.001), ever got free cigarette/ voucher (OR=2.46, p<0.001), thought safe to smoke only one or two years and quit (OR=2.12, p<0.001), have item of tobacco product (OR=1.8, p<0.001), exposed cigarette advertisement/ promotion at music concert (OR=1.72, p<0.001), thought smoking helps people feel more comfortable (OR=1.66, p<0.001), thought Second Hand Smoke (SHS) are not harmful (OR=1.5, p<0.001), exposed SHS in public places (OR=1.46, p<0.001), exposed to cigarettes advertisement in internet/social media (OR=1.3, p<0.015). Factors that influence students not to smoke susceptible to smoking cigarettes are students who; lack of knowledge the dangers of tobacco consumption, currently use e-cigarettes, currently consumes shisha, exposed of cigarette advertising and promotion, and exposed to SHS in public places.
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