ABSTRAKMerokok dipercaya dapat menyebabkan berbagai kondisi pada kulit. Smoker's face merupakan temuan yang khas pada kulit wajah perokok yang ditandai dengan garis atau kerutan pada wajah seperti ujung kanan bibir atas dan bawah atau sudut mata, atau pada beberapa bagian wajah lainnya. Penelitian ini bertujuan untuk menganalisis hubungan aktivitas merokok dengan timbulnya tanda penuaan dini kulit wajah pada masyarakat di wilayah Kampus Sudirman Universitas Udayana kelompok usia 20-40 tahun. Penelitian ini merupakan penelitian deskriptif. Subjek penelitian adalah masyarakat di wilayah Kampus Sudirman Universitas Udayana kelompok dengan usia 20-40 tahun berjumlah 133 orang. Pengambilan data dilakukan dengan menggunakan data primer melalui pengisian kuesioner dan foto responden. Hasil penelitian ditemukan bahwa dari 133 responden, didapatkan 60.90% merokok dan 39.10% tidak merokok. Berdasarkan tanda penuaan dini, responden dikategorikan sesuai skor yang didapat dari klasifikasi Smoker Face. Kategori 0 sebesar 42.11%, kategori 1 sebesar 35.34%, kategori 2 yaitu 21.8% dan kategori 3 sebesar 0.75%. Hsil penelitian dapat disimpulkan bahwa terdapat hubungan yang signifikan antara aktivitas merokok dengan penuaan dini kulit wajah pada masyarakat di wilayah Kampus Sudirman Universitas Udayana kelompok usia 20-40 tahun. Hal ini ditunjukkan dengan koefisien korelasi (r) sebesar 0,731. Pada penelitian ini, faktor eksternal seperti aktivitas outdoor serta perawatan kulit tidak mempunyai hubungan yang kuat dengan penuaan dini. Kata kunci: aktivitas merokok; penuaan dini; Universitas Udayana ABSTRACTSmoking is believed to cause various conditions on the skin. Smoker's face is a characteristic finding on smoker's facial skin that is marked by lines or wrinkles on the face such as the right end of the upper and lower lip corner of the eye, or on some other parts of the face. This study aims to determine the relationship of smoking activity with the onset signs of premature skin aging in the community in Sudirman Campus area of Udayana University ages 20-40 years. This research is an analytic study. The subject of the research was the community in Sudirman Campus area of Udayana University with a group of 20-40 years old totaling 133 people. Data was collected using primary data through questionnaires and photos of respondents. From 133 respondents, 60.90% were smokers while 39.10% were nonsmokers. Based on finding of premature aging, respondents were categorized based on their score from Smoker's Face classficiation, categorized as 0 was 42.11%, categorized as 1 was 35.34%, categorized as 2 was 21.7%, categorized as 3 was 0.75%. Based on the resuls of research and discussion, it can be concluded that there was a significant relationship between smoking activity and premature aging. This was indicated by the coefficient correlation (r) of 0.731. Besides smoking activity, external factors such as outdoor activity and the use of skincare did not show a significant correlation with premature aging.
Background and purpose: Cervical cancer is the second most prevalent cancer in women after breast cancer. Nationally, the coverage of cervical cancer screening among reproductive age women from 2014 to 2018 only reached 7.34%, while in Badung District was 10.3% in 2018. In the era of the Universal Health Coverage (UHC) schemes, cervical cancer screening has been covered. This study aims to explore factors associated with the utilization of cervical cancer screening programs in the UHC era in Badung District.Methods: This cross-sectional study was conducted from January-February 2020, involving 195 women aged 20-50 years who were selected through multistage random sampling from two villages in the Badung District. Characteristics of the women, perceptions of seriousness, vulnerability, barriers and benefits, self-efficacy, cues to action and knowledge on cervical cancer screening programs were assessed. Data was analyzed descriptively, and association was assessed with Chi square and multiple logistic regression.Results: The proportion of reproductive age women who utilized cervical cancer screening program in the last 5 years was 44.1%. The utilization of cervical cancer screening program was associated with age (AOR=0.03; 95%CI: 0.03-0.300), perceived vulnerability (AOR=28.77; 95%CI: 3.745-221.68), perceived barriers (AOR=55.70; 95%CI: 7.12-435.72), self-efficacy (AOR=34.44; 95%CI: 4.34-273.66), cues to action (AOR=19.56; 95%CI: 3.32-115.24).Conclusion: The perception of barriers was found to be significantly associated with the use of cervical cancer screening programs along with other variables related to the Health Belief Model (HBM). Structured campaigns and improvement of the quality of services should be carried out in order to increase access of women to cervical cancer screening.
HIV or Human Immunodeficiency Virus is a type of virus that infects white blood cells and causes the decline of human immune. Physical problems are more visible in people living with HIV/AIDS (PLWHA). On the other hand, there are still psychological, social and economic problems that are still getting less attention from the community which also affect the lives of PLWHA.Aim: The purpose of this research is to describe the psychological, social and economic impact on PLWHA in Yayasan Paramacitta Spirit Denpasar as well as the form of hope and support that expected by PLWHA.Method: This study used qualitative method with 8 informants interviewed at Yayasan Spirit Paramacitta Denpasar and Poli NAPZA Sanglah Hospital Denpasar.Result: Some informants showed rejection or denial of his HIV status. Denial form that looks like depression until the desire to commit suicide. Some informants said that the spiritual support and group of fellow PLWHA can reduce the denial. After some time PLWHA can change perception and start accepting their condition. Some informants are still withdrawing from the community and do not open their status to others for fear of stigma and discrimination from the public if they open their HIV status. In addition, if HIV status is not known, people living with HIV have not felt stigmatized and discriminated. Health workers complained of still providing stigma and discrimination on PLWHA. Family still plays an important role in providing financial support to PLWHA. An informant who lost their jobs is not because of their HIV status, but their physical condition.Conclusion:  The form of support that expected by PLWHA is the recognition of the community and they are treated by the same as others. HIV atau Human Immunodeficiency Virus adalah sejenis virus yang menyerang/menginfeksi sel darah putih dan menyebabkan turunnya kekebalan tubuh manusia. Di samping masalah fisik yang lebih terlihat pada ODHA (Orang dengan HIV/AIDS) masih ada masalah psikologis, sosial dan ekonomi yang masih kurang mendapat perhatian dari masyarakat yang tentunya juga mempengaruhi kehidupan dari ODHA.Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui gambaran dampak psikologis, sosial dan ekonomi pada ODHA di Yayasan Spirit Paramacitta Denpasar serta bentuk harapan dan dukungan yang diharapkan ODHA dari masyarakat.Metode: Penelitian ini menggunakan metode kualitatif dengan jumlah informan 8 orang yang diwawancarai di Yayasan Spirit Paramacitta Denpasar dan Poli Napza RSUP Sanglah Denpasar.Hasil: Dalam penelitian ini didapatkan bahwa sebagian informan memunculkan penolakan atau denial akan status HIV-nya. Bentuk denial yang terlihat seperti depresi hingga adanya keinginan untuk bunuh diri. Sebagian informan mengatakan bahwa dukungan spiritual dan kelompok sesama ODHA dapat meringankan masa denial-nya. Setelah beberapa waktu ODHA bisa merubah persepsi dan mulai menerima kondisinya. Sebagian informan masih menarik diri dari masyarakat dan belum terbuka pada orang lain karena khawatir akan stigma dan diskriminasi dari masyarakat apabila mereka membuka status HIV-nya. Di samping itu, apabila status HIV tidak diketahui, ODHA belum merasakan stigma dan diskriminasi. Tenaga kesehatan dikeluhkan masih memberikan stigma dan diskriminasi pada ODHA. Keluarga masih berperan penting dalam memberi dukungan finansial kepada ODHA. Seorang informan kehilangan pekerjaan bukan karena status HIV-nya melainkan karena kondisi fisiknya.Simpulan: Bentuk dukungan yang diharapkan ODHA adalah pengakuan dari masyarakat dan diperlakukan sama seperti orang lain.Â
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