At the present time, an estimated of 673 million people defecate in the open space, not in private. Indonesia is a densely populated country with a lot of open defecation (OD) both in urban (37%) and rural areas (43%). Tanjung Karang Pusat Subdistrict is an area in Bandar Lampung City with the highest percentage of OD practice (45%). This study aimed to explore and explain the patterns and determinants of OD among urban people in the Tanjung Karang Pusat Subdistrict in- volving 377 respondents for quantitative analysis. Quantitative data were analyzed using the chi square and regression analysis. After controlling the economic status and education level variables, the data revealed that urban communities were still practicing OD (23.3%) with land ownership, latrine ownership, conative attitude, and occupation as influential factors. Statistical test results showed that the most influential factor in the behavior of OD in the community was latrine ownership (p-value <0.001, OR adj = 58.2). These findings suggested that stakeholders must take action on landowners who do not allow sanitation facilities to be built on their land.
ABSTRAK Latar Belakang Kejadian kanker serviks dapat dicegah dengan deteksi dini lesi prakanker. Data yang didapat di Wilayah Puskesmas Tanjung Bintang Kecamatan Tanjung Bintang bulan september – desember 2018, dari 430 wanita usia subur yang melakukan pap smear dan IVA, sebanyak 2 orang (0,46%) terdeteksi kanker rahim stadium 1b, 57 orang (13,4%) mengalami lesi pra kanker serviks. Tujuan penelitian diketahui pengaruh penyuluhan tentang kanker servik terhadap pengetahuan dan motivasi pemeriksaan IVA pada wus di wilayah puskesmas tanjung bintang kecamatan tanjung bintang kabupaten lampung selatan tahun 2019 Metode Jenis penelitian kuantitatif, dengan rancangan Quasi Eksperimen. Populasi penelitian ini seluruh Wanita usia subur berjumlah 11.361 dengan sampel sebanyak 39 orang, pengambilan sampel purposive sampling. Objek dalam penelitian ini pengetahuan, morivasi dan pengetahuan menggunakan data primer langsung dari responden. Penelitian telah dilakukan pada tanggal 20 Mei – 21 Juni 2019 di Wilayah Puskesmas Tanjung Bintang Kecamatan Tanjung Bintang Kabupaten Lampung Selatan. Pengumpulan data menggunakan kuesioner. Hasil penelitian Rata-rata pengetahuan ibu sebelum penyuluhan adalah 10,28 dengan standar deviasi 2,224 dan setelah penyuluhan adalah 17,41 dengan standar deviasi 1,773. Rata-rata motivasi ibu sebelum penyuluhan adalah 43,59 dengan standar deviasi 7,556 dan setelah penyuluhan adalah 62,26 dengan standar deviasi 6,142. Kesimpulan Ada Pengaruh penyuluhan tentang kanker servik terhadap Pengetahuan (p-value = 0,000 (p-value < α = 0,05) dan Motivasi (p-value = 0,000) pada WUS . Saran lebih meningkatkan ketrampilan kepada petugas dilapangan tentang teknik penyuluhan, serta memberikan fasilitas untuk penyuluhan yang lebih memadai hingga dapat meningkatkan motivasi kepada wanita usia subur Kata kunci: kanker servik, pengetahuan, motivasi, penyuluhan
Blood level 25(OH)D3 in obese peopleBackground: Currently, obesity is a world problem, even the World Health Organization (WHO) declared obesity to be a global epidemic and contributes 5% of global deaths in 2015. Recently, many studies have reported an association between vitamin D levels and the incidence of obesity, although the exact mechanism raises many questions. Objective: This study is to examine the correlation between levels of 25(OH)D3 and body mass index (BMI).Methods: The design of this research is an analytic survey with a case control approach. The population of this study was all students of the Faculty of Medicine, Malahayati University, Bandar Lampung. The number of samples in this study were 60 samples with details of 30 case samples (obesity) and 30 control samples (no obesity). The sampling technique used was purposive sampling. The data used are primary data from direct measurement results. The data were analyzed using the correlation test.Results: The results showed that only one sample had normal 25(OH)D3 levels, while most (more than 98%) had low and very low levels of 25(OH)D3. The correlation test showed that there was a significant relationship between 25(OH)D3 levels with BMI (p=0.008; r= -0.0338), gender (p=0.001; r= -0.457), and total cholesterol levels (p=0.009); r= -0,391).Conclusions: There is a relationship between levels of 25(OH)D3 with BMI, the lower the 25(OH)3 blood level, the higher the risk of increasing BMI. Further research is still needed to ensure that giving vitamin D to obese populations can reduce body weight or BMI.
Consumption of dark green, leafy vegetables and maternal anemia during pregnancyBackground: The data base of the statistical bureau agency in Indonesia, the prevalence of maternal anemia during pregnancy is still relatively high and tends to increase where in 2013 in urban areas amounted to 36.4%, in rural areas 37.8% so that the average 37.1%. in 2018 it has increased significantly to an average of 48.9%. The incidence of maternal anemia during pregnancy in 12 public health centre (Puskesmas) in North Lampung was found a public health centre (Puskesmas) that was classified as still high in Semuli Raya public health centre (Puskesmas) (33.6%).Purpose: Knowing of consumption of dark green, leafy vegetables and maternal anemia during pregnancyMethod: A quantitative study with an analytical survey using the cross sectional study. The samples were 60 respondents and analysis of statistical tests used the chi-square test.Results: The consumption of dark green, leafy vegetables in 60 respondents, 29 respondents (48.3%) consumes vegetables every day, and 31 respondents (51.7%) has seldom consumes. Hemoglobin status in 60 respondents, 28 respondents ( 46.7%) had normal range of haemoglobin and 32 respondents (53.3%) had lower of haemoglobin . Statistical test results using chi square obtained p-value of 0.000.Conclusion: There was correlation of consumption of dark-green leafy vegetables in prevention of maternal anemia during pregnancy.Keywords: Consumption; Dark green, Leafy vegetables; Maternal anemia; During pregnancyPendahuluan: Data dari badan pusat statistik di Indonesia, prevalensi anemia pada ibu hamil tergolong masih tinggi dan cenderung meningkat dimana di tahun 2013 di perkotaan sebesar 36.4 %, di perdesaan 37.8% sehingga rerata 37.1%. di tahun 2018 telah naik secara signifikan menjadi rerata 48.9%. Kejadian anemia pada ibu hamil di 12 Puskesmas di Kabupaten Lampung Utara didapatkan ada puskesmas yang tergolong masih tinggi di Puskesmas Semuli Raya (33.6%).Tujuan: Diketahui hubungan konsumsi sayuran hijau dengan kejadian anemia pada ibu hamil.Metode: Jenis penelitian kuantitatif dengan rancangan survey analitik dengan menggunakan pendekatan cross sectional. Jumlah sampel sebanyak 60 orang dan analisis uji statistik menggunakan uji chi square.Hasil : Konsumsi makanan sayuran hijau pada 60 responden sebanyak 29 responden (48,3%) mengkonsumsi sayuran hijau setiap hari, dan sebanyak 31 responden (51,7%) jarang mengkonsumsi sayuran hijau setiap hari. Status hemoglobin pada 60 responden sebanyak 28 responden (46,7%) memiliki hb normal, dan sebanyak 32 responden (53,3%) memiliki hb rendah. Hasil uji statistik menggunakan chi square didapat nilai p-value 0.000 < 0,05.Simpulan : Ada hubungan konsumsi sayuran hijau dengan kejadian anemia pada ibu hamil.
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