bluuebunny/crossref_metadata_2025 huggingface dataset:
Factors Affecting the Levels of Open Defecation in Cibaduyut, Bandung, Indonesia
Authors: Budiman Budiman , Indiyani Selvia
Published: February 2022

An area is categorized as Open Defecation Free (ODF) when the community has carried out total sanitation practices and does not defecate openly. In Indonesia, more than 58 million people still practice open defecation; in the city of Bandung only 17 of the 151 sub-districts have 100% ODF categorization and Cibaduyut sub-district only has 26% ODF. This study aimed to determine the factors associated with the levels of open defecation in Cibaduyut Village, Bandung City. This was a cross-sectional study. The sample consisted of 92 heads of families who live in Cibaduyut Village, and the sampling technique used was stratified random sampling. Data were collected by means of interviews and a questionnaire. Data analysis involved multivariate analysis to understand the determinants of the levels of open defecation using the KMO & Barlett’s test. The results showed that there was a significant relationship between knowledge, attitudes, income, latrine ownership, and social interaction (p-value = 0.0001), and the KMO & Barlett’s test value was 0.508. However, after the anti-image matrices test, it was deemed that the ownership of the latrine variable could not be analyzed further (MSA value 0.460 < 0.50). The most influentual factors were community factors (attitudes and social interaction) and individual factors (knowledge and income). It is recommended that a communal septic tank is made so that people do not defecate carelessly and there is a place for processing feces. The puskesmas and the health office need to increase their active role in providing counseling and empowering the community to understand the importance of having healthy latrines, so that they can and are able to build independent and communal septic tanks.
Keywords: community, individual, ODF, cross-sectional, factor analysis
Factors Affecting HIV/AIDS Stigma in Nursing Students
Authors: Panma Yuanita
Published: February 2022

HIV/AIDS stigma is recognized as a barrier to prevention, treatment, the process of socialization, and support. Manifestations of HIV stigma include any prejudice, humiliation, or discrimination directed within the family, community, institution, discriminatory laws or policies, or through self-stigma (internalized). This study aimed to identify factors affecting HIV/AIDS stigma in nursing students. This study used a cross-sectional design with purposive sampling and was conducted in a nursing academy in East Jakarta, Indonesia. The sample was 153 respondents in the nursing academy. Data were collected using the International AIDS Questionnaire-Chinese Version (IAQ-C) to identify the knowledge of respondents and the AIDS-Related Stigma Scale to identify stigma. Data were analyzed using the Mann-Whitney test, Kruskal Wallis test, and Spearman correlation test. 85.6% of respondents were female, 37.9% were 3rd grade, 62.7% had no partner, 64.1% were quite religious, 94.44% were heterosexual, and 90.91% of the males and 93.73% of the females did not have any sexual experience. The mean age was 20.11 years, the mean knowledge score was 58.41, and the mean stigma score was 10.02. 87.58% of respondents knew information about HIV-AIDS from the internet. There was a significant relationship between sexual experience and HIV/AIDS stigma (p-value = 0.047), and between attitude and HIV/AIDS stigma (p-value = 0.007) in the nursing students. There was no significant impact of age (p-value = 0.298), gender (p-value = 0.397), relationship status (p-value = 0.769), or knowledge (p-value = 0.065). This study recommends improving nursing student attitudes to reduce HIV/AIDS stigma.
Keywords: HIV/AIDS, stigma, knowledge, attitudes, nursing student
The Effect of Family Support, Transfusion Compliance and Self-Efficacy on the Quality of Life of Children With Thalassemia
Authors: Mariam Iyam
Published: February 2022

Thalassemia is a chronic disease that can affect quality of life. The purpose of this study was to determine the effect of family support, transfusion compliance and self-efficacy on the quality of life of children with thalassemia. This research was correlational with a cross-sectional approach. The sample consisted of 45 people. Data were collected using questionnaires, and statistical analysis consisted of descriptive data analysis of respondents’ characteristics, univariate analysis of each variable, simple linear regression analysis and multiple linear regression analysis. The results showed that family support affected quality of life (b = 0.628, p = 0.009), transfusion compliance affected quality of life (b = 7.294, p = 0.048), and self-efficacy affected quality of life (b = 0.374, p = 0.038). Also, family support, transfusion compliance and self-efficacy simultaneously affected the quality of life of children with thalassemia at Bhayangkara Setukpa Hospital, Sukabumi City (p < 0.001).
Keywords: family support, transfusion compliance, self-efficacy, thalassemia, quality of life
Hope Among Adolescents With Thalassemia in Indonesia: A Cross-Sectional Study
Authors: Mardhiyah Ai , Suzana Mediani Henny , Letcmi Panduragan Santhna , Yosep Iyus
Published: February 2022

Adolescents with thalassemia suffer from complex problems, which can include psychosocial issues, self-image and self-confidence problems, and disruption in school or social activities. Hope is a fundamental multidimensional psychological concept that refers to a person’s belief that desired outcomes will be achieved on the basis of rational and potential goals. This study aimed to examine hope and its associated factors among adolescents with thalassemia in Indonesia. A cross-sectional study was carried out at the Thalassemia Polyclinic in four general public hospitals in West Java, Indonesia. The following inclusion criteria were used: (1) adolescents (10-19 years) who obtained frequent blood transfusions; (2) able to write, read and participate; and (3) aware of their own diagnosis. A convenience sample strategy was used to choose the participants. The Children’s Hope Scale was used to measure the outcome. Linear regression analyses were used to investigate the factors associated with hope. The mean overall hope score among adolescents with thalassemia was 3.34 (SD = 1.15). The mean of agency was 2.78 (SD = 1.37) and of pathway was 3.89 (SD = 2.01). Age, transfusion period and hemoglobin explained 26.1% of the variance in the overall hope score; 23.8% was explained by the agency domain, and 30.1% by the pathway domain. This study demonstrated that hope plays a unique role in adolescents with thalassemia. As a result, it is critical to develop information and empirically based interventions that help adolescents’ caregivers to enhance their feelings of hope.
Keywords: adolescents, hope, thalassemia, Indonesia
Relationship Between Burnout and Quality of Care in Nurses in Banten, Indonesia: A Cross-Sectional Study
Authors: Amaliyah Eli , Sansuwito Tukimin
Published: February 2022

Nurses are legally liable and morally responsible for the quality of the care they provide to patients. Nursing is considered to be a high-risk working group, that is high pressure and involves constantly having to handle the needs and emergency conditions of patients. This puts them in conditions with a higher risk of burnout. This cross-sectional study was carried out with nurses at general public hospitals in Banten, Indonesia. Data were collected from January to March 2021. All participants were staff nurses in either the medical, surgical, obstetric, or pediatric care units working in direct care. The total sample was 180. Convenience sampling was used. Burnout was measured using the Maslach Burnout Inventory Human Service Survey. The patient’s perception of nursing care quality was measured using a modified instrument. Linear regression analyses were used to investigate the factors associated with quality of care. Most of the nurses (58.33%) had a nursing diploma, and 7% had been married. Approximately 70% were nurses at the level 1 to 3 range. The mean score was 3.56 (SD = 1.33). The highest domains score was comfort (4.24, SD = 1.44), and the lowest score was physical environment (2.89, SD = 0.81). Burnout and quality of care showed a significant correlation with r ranging from 0.37 to 0.65, with p < 0.05. Nurses are the largest segment of healthcare professionals and so measuring the quality of nursing care is critical for improving practice. Interventions to improve nursing care quality by considering nurse burnout are needed.
Keywords: burnout, quality of care, nurse, Indonesia
Analysis of Risk Factors for Stunting in Toddlers in Cicantayan Sukabumi Regency
Authors: Novianti Utami Rima , Letchmi Pandarugan Santhna , Nambiar Nisha
Published: February 2022

Stunting is a major public health problem in most developing countries. Although worldwide the prevalence is decreasing slowly, the number of stunted children is still increasing. Stunting can occur in the first thousand days of birth and many factors can influence it, including knowledge, nutritional intake and parenting. The purpose of this study was to analyze the risk factors for stunting in infants aged 24-59 months. This study used a cross-sectional approach. The research sample was 75 respondents, recruited through purposive random sampling techniques, and data were collected using a questionnaire that had been tested for validity and reliability. Bivariate tests using simple linear regression and multivariate tests using multiple linear regression were carried out. The results of the study showed there was a significant effect of mother’s knowledge on stunting (p < 0.001), of parenting on stunting (p < 0.001) and of nutritional intake on stunting (p = 0.004).
Keywords: nutritional intake, stunting incidence, knowledge, parenting
Effleurage Massage With Lavender (Lavandula Lamiaceae) Essential Oil Aromatherapy Reduces Pregnant Women's Lower Back Pain
Authors: Puji Lestari Kurniati , Wuri Oktaviana Anindya , Indrati Dyah Sulistyowati Dina , Jauhar Muhamad
Published: February 2022

Pregnant women are a high-risk group because they experience physical and psychological changes, one of which is often complaints of lower back pain (LBP) in the third trimester. This can be due to changes in positioning, walking too often, using high heels, or lifting heavy weights. Effleurage massage is a complementary therapy to reduce LBP. The combination with lavender essential oil aromatherapy may reduce LPB more optimally. The purpose of this study was to identify the impact of a combination of effleurage massage with lavender essential oil aromatherapy on LBP in pregnant women. The research used a quasi-experimental pretest-posttest design with a control group. The sample consisted of 16 third-trimester pregnant women for each group (intervention and control), recruited through the purposive sampling. This research was conducted in the area of the Padangsari Health Center, Semarang City in February-March 2021. The Numerical Rating Scale (NRS) of pain was used. The intervention provided was a combination of effleurage massage with lavender essential oil aromatherapy four times a month for 15-20 minutes per session. Data were analyzed using the Wilcoxon test and independent t test. The results showed that the combination of effleurage massage with lavender essential oil aromatherapy led to a significant decrease in LBP in pregnant women (p < 0.001). This therapy can be carried out by the family as needed because it is easy, does not cause side effects, and basic ingredients are available in the market. Nurses can accompany pregnant women and their families in the non-pharmacological management of LBP integrated with maternal health programs in primary health care facilities.
Keywords: aromatherapy lavender essential oil, effleurage massage, lower back pain, pregnant women
Anemia Prevention in Young Women
Authors: Rahayu Sri , Eko Pertiwi Wiwik , Putri Ramadhina Desy
Published: February 2022

Humans lose iron through feces every day, and young women also lose iron through menstruation every month. Conseqently, young women lose 1.3 mg of iron per day, which accelerates the occurrence of anemia, causing problems during pregnancy. This study aimed to investigate the correlation between knowledge, attitude and family support with anemia prevention behavior in young women in Senior High School 1 Bojonegara, Serang in 2021. This research was a descriptive correlation study with a cross-sectional design and it involved 184 respondents selected using a proportional random sampling technique. The data were collected using questionnaires distributed through social media and WhatsApp groups. The results showed that most students had a low level of knowledge (60.9%), a negative attitude (51.6%), a less supportive family (52.7%), and low preventative behavior (55.4%). This study also found no relationship between knowledge (p = 0.463) or attitude (p = 0.521) and anemia prevention behavior. However, there was a relationship between family support and anemia prevention behavior (p < 0.001). Motivation and exposure to information about anemia are necessary to improve anemia prevention behavior.
Keywords: anemia prevention behavior, knowledge, attitude, family support
Family Support for HIV Patients Undergoing Antiretroviral Therapy in Subang City
Authors: Firza Kumala Tria , Lindayani Linlin , Hasan Acep , Ropei Oop , N Widhea , Badrujamalludin Asep , Agus Sudrajat Diwa
Published: February 2022

Without family support, HIV patients face negative responses and a tough life situation, which can lead to worries, guilt and sometimes ideas about ending their life. Family support can improve the confidence of HIV patients and it can lead to a longer life if it encourages the HIV patient to take their antiretroviral therapy (ARV) medicine. ARV treatment is necessary for HIV patients. When HIV patients do not comply with their ARV treatment or stop their ARV therapy, resistance to ARV becomes more likely, there is an increased risk of infecting other people with HIV, and a higher likelihood of the HIV patient dying. This study aimed to determine the relationship between family support and adherence of HIV patients to ARV therapy. This study was conducted using an analytical survey with a cross-sectional design. The total sample was 40 subjects. Data were analyzed using the Chi Square test. The results showed that there was a relationship between family support and HIV patient compliance with undergoing ARV therapy (p = 0.001). Types of family support included emotional support, instrumental support and informational support. It can therefore be concluded that the role of the family is very influential on the adherence of HIV patients to ARV therapy.
Keywords: family support, obedience, HIV
How Can Support From Fathers Increase Breastfeeding in Children?
Authors: Purwaningsih Heni , Azizah Nurul , Rosalina Rosalina , Mintarsih Sri
Published: February 2022

A father who provides full support to his wife in the breastfeeding process, from the phase of pregnancy onwards, can improve breastfeeding. The purpose of this research was to determine the correlation between the breastfeeding support of fathers and the provision of breastfeeding in children aged 6-24 months. This research used a descriptive correlation approach with a cross-sectional design. The sample included 117 respondents, recruited through purposive sampling. Data collection was through a questionnaire and checklist. Analysis of these data was through the Chi-square test. The results of the study showed that 76 respondents (65.0%) had implemented breastfeeding support by the fathers, and 50 respondents (42.7%) carried out partial breastfeeding. The results of the Chi-square test were significant (p = 0.001), indicating that there was a correlation between breastfeeding support from fathers and the administration of breastfeeding in children aged 6-24 months. It is therefore suggested that parents who have children aged 6-24 months ensure that the father provides support for breastfeeding for more than 6 months.
Keywords: breastfeeding, father, administering breastfeeding, children
The Effectiveness of Storytelling to Improve Handwashing Knowledge and Attitude in School-Age Children in Indonesia
Authors: Srinatania Dewi , Dahlia Liya , Laili Perdani Agni
Published: February 2022

During the COVID-19 pandemic, good knowledge and attitude towards handwashing are essential. Education through various media is found in public places, television, social media and others. However, a specific approach is needed for children of school age as a vulnerable population, since the prevalence of COVID-19 is relatively high in this group. Storytelling is a method to deliver health education and develop cognitive (knowledge), affective (feelings), social and conative aspects in children. This study aimed to determine the effectiveness of storytelling in improving handwashing knowledge and attitudes among school-age children. This research used a quantitative approach with a pre-experimental one-group pretest-posttest design, and it was conducted in April-May 2021. A total of 40 respondents participated. Data were collected using a self-filled questionnaire related to handwashing knowledge and attitude with good reliability (Cronbach’s alpha > 0.881 [knowledge] and > 0925 [attitude]). Data were analyzed using SPSS Version 23 for univariate and bivariate formulas. Storytelling had a significant impact on knowledge and attitudes in the school-age children (p < 0.001).
Keywords: storytelling, hand puppets, knowledge, attitude, school-age children
The Impact of Cucumber (Cucumissativus) Juice on Blood Pressure in Elderly With Hypertension
Authors: Evania Dinda , Punjastuti Budi , Yunitasari Pritta , Maryati Siti
Published: February 2022

Hypertension is a type of degenerative disease. Blood pressure increases slowly with age. In 2018, the prevalence of hypertension in people aged 65-74 years in Indonesia was 57.6% and in those over 75 years was 63.8%. Cucumber juice is a natural product that may be useful for lowering blood pressure without side effects because its potassium content may help improve blood flow and calm nerves so that blood pressure drops. This study aimed to analyze the effectiveness of cucumber juice in reducing blood pressure in elderly people with hypertension. This was a literature review. Articles were obtained using Google Scholar, PubMed and Lipi, with the keywords: hypertension, cucumber juice, elderly. 435 articles were screened and five were identified for the review. Based on the results of these studies, it was found that there was a significant decrease in blood pressure after the elderly were given cucumber juice and this decrease was as much as 100-200 mg per day. We can therefore conclude that cucumber juice can be effective in lowering blood pressure in elderly people with hypertension. These findings can be applied in daily life.
Keywords: hypertension, cucumber juice, elderly
Relationship Between Patient's Perception of Service Quality and Use of Outpatient Services
Authors: Idealistiana Lia , Ciptaningsih Wuri
Published: February 2022

Outpatient services need to be prioritized because they are often the start of a patient’s use of health services and can improve the image of the hospital, so that it continues to be the hospital of choice for patients and improves its profits. This descriptive research used a cross-sectional approach. Univariate analyses and bivariate analyses (the Chi-square test) were used. According to the results, there was a significant relationship between the perception of empathy (p = 0.017), responsiveness (p = 0.015), and assurance (p = 0.006) with service utilization. There was no significant relationship between tangible perception (p = 0.099), or reliability (p = 0.062) by using outpatient services. Although a relationship was found in some but not all of the perceptions of patients related to the dimensions of service quality, the quality of service should remain a priority, and it is hoped that future researchers will investigate other influencing factors.
Keywords: perception, service quality dimensions, service utilization
The Effect of Tuberculosis on the Growth and Development of Children in Indonesia
Authors: Yanuarti Tuty
Published: February 2022

A case study conducted at the Jatibening Community Health Center found 50 cases where tuberculosis affected the growth and development of toddlers in 2016, 62 in 2017 and 75 in 2018. This research aimed to examine the effect of tuberculosis on the growth and development of infants in UPTD Puskesmas Jatibening in 2019. Primary and secondary data were collected, and the Chi-square test was used for analysis. The results showed that tuberculosis had a significant effect on the growth and development of infants (p = 0.01). It is recommended that health workers provide education to families to pay attention about nutrition for the growth of infants.
Keywords: toddlers, growth & tuberculosis (TB)
Online-Based Healthcare Program for the Elderly: A Pilot Program
Authors: Hani Umi , Agusman Fery
Published: February 2022

During the pandemic, health programs for the elderly in the community have been limited to prevent the transmission of COVID-19. However, health services still need to be provided for the elderly to maintain their health. This paper aimed to explain the health problems of the elderly and the participation of elders, the family, and community health workers in the revitalization of strategies for integrated health service activities for the elderly during the pandemic. The Community as Partner model was used in this study. A one-group pre-test/post-test pilot study was conducted. The activities included health assessments via telemedicine (video call), drive-through services for vital signs assessment and simple lab checks, home visits, and education via WhatsApp as needed. We also provided training to community health workers and nursing students. The pilot project ran from June 2020 to May 2021 with 184 community-dwelling elderly in Central Java. The evaluation included participant questionnaires and measurements before and after the program. Change in outcomes was assessed using Wilcoxon signed-rank tests. The study found health problems of the elderly included depression, hypertension, and joint stiffness. 100 elderly people participated in the online exercise activities accompanied by their families and felt a decrease in complaints of joint stiffness, and 84 others participated in health education and exercise activities in open areas, adhering to strict health protocols. Most of the participants said they were satisfied with the activities. The online health education and exercise activities were successfully adapted to be effective interventions.
Keywords: elderly, empowerment, health services
Disability and Quality of Life in Stroke Patients in a Rural Area
Authors: Arief Sulistyanto Benny , Irnawati Irnawati , Sulistiyawati Rini
Published: February 2022

Stroke often causes disability in the patients who survive. This condition may affect the quality of life. The purpose of this study was to examine the relationship between disability and the quality of life in stroke patients at Poly Neurology Kraton Hospital of Pekalongan. This study used the Modified Rankin Scale to measure body function (disability) and the short version of the Stroke-Specific Quality of Life Scale (SS-QOL-12) to measure the quality of life. This cross-sectional study used convenience sampling to recruit 78 respondents. Simple linear regression was used to analyse the data. The R2 produced was 0.126 and the beta score was -0.122, meaning that every increase of one unit in the Modified Rankin Scale decreased the quality of life by 0.122 units. This study therefore revealed that physical function was significantly correlated with quality of life among stroke patients.
Keywords: Modified Rankin Scale, Stroke-Specific Quality of Life Scale, stroke
Factors Related to Anxiety in Pregnant Mothers During the Covid-19 Pandemic in Puskesmas Purwokerto Timur 1
Authors: Elsanti Devita , Sumarmi Sumarmi
Published: February 2022

Covid-19 is an acute respiratory tract disorder caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Pregnant women are vulnerable to health problems, especially infectious diseases such as Covid-19. The increased risk during pregnancy can lead to a number of problems, including increased anxiety. The aim for this study was to determine the factors related to the level of anxiety in pregnant women during the Covid-19 pandemic. This was a quantitative study with an analytical observational research design and a cross-sectional approach. The population was pregnant women who had their pregnancy checked at Puskesmas Purwokerto Timur 1. The sample was taken using an accidental sampling technique with a total of 79 respondents. Anxiety was measured using the Zung-Self Rating Anxiety Scale (ZSAS) and the data were then analyzed using the Chi-square test. 19.0% of pregnant women did not experience anxiety, 67.1% experienced mild anxiety, and 13.9% experienced moderate anxiety. Of the five variables studied, all showed a significant relationship with the level of anxiety, namely age (p = 0.029), education (p = 0.022), occupation (p = 0.017), income (p = 0.020), and coping responses (p = 0.035).
Keywords: Covid-19, pregnancy, anxiety
The Effect of Interactive Education on Anxiety in Parents of Hospitalized Children in Waikabubak
Authors: Agustine Uly , Florida Boa Grasiana
Published: February 2022

According to the World Health Organization, in 2015-2017, 15% of child deaths were due to pneumonia, and each year, diarrhoea causes around 760,000 deaths in children under five years. The neonatal morbidity and mortality rates in West Java are 19/1000 live births and 32/1000 births under five, respectively. Hospitalization of children can cause anxiety in parents. This anxiety can be due to various factors and can be an obstacle in providing nursing interventions. This study aimed to determine the effect of the KIE intervention (Communication, Information, and Education) on the level of anxiety of parents with hospitalized children in the Children’s Room of Waikabubak Hospital. This study used an analytical experimental approach. The p-value obtained was < 0.01, which means there was a significant difference in the level of parental anxiety after being given KIE, and therefore that this intervention was effective in reducing the level of anxiety of parents with hospitalized children at Waikabubak Hospital.
Keywords: KIE, anxiety level
Performance of Health Facilities in Relation to Capitation Payments
Authors: Geodesi Meridian , Wardani Ratna
Published: February 2022

Health facilities, in collaboration with BPJS Kesehatan, must organize health care efforts that are promotive, preventative, curative and rehabilitative. BPJS Kesehatan must collaborate with health facilities to implement a service quality control system and payment system for the efficiency and effectiveness of health insurance. The purpose of this research was to evaluate the performance of Puskesmas services in Jombang Regency, and to evaluate patient contact numbers, the ratio of non-specialist outpatient referrals and the ratio of Prolanis participants at health center services in Jombang Regency. This was qualitative research with a case study design. There were nine informants, including the Head of BLUD Puskesmas. Puskesmas contact numbers in Jombang Regency did not reach the target (150 permil). The outpatient referral ratio of non-specialist cases reached the target (less than 1%). The ratio of regular Prolanis participants visiting FKTP reached the target (≥ 50%), but in January-March 2021 this ratio decreased. The home visit ratio has not been implemented due to inadequate means of transportation. This research can be used as a reference to find ways to improve the components of KBKP so that it can maximize capitation payments.
Keywords: BPJS Kesehatan, FKTP, capitation based on service commitment, community health center
The Relationship Between Education Level and Sexually Transmitted Infections in Bekasi City Hospitals
Authors: Mayunita Abela , Marisa Marisa
Published: February 2022

According to the World Health Organization, in 2015 there were 36.9 million people with IMS. According to West Java profile data, there were 23,301 cases of IMS in 2016, and during the period 2004-2006, there were 3,627 cases. This high level of IMS is because there are still many people with low levels of education, so their knowledge about infections is low. The purpose of the study was to determine the relationship between education level and the incidence of sexually transmitted infections in Bekasi City Hospital in 2018. This research used an analytical cross-sectional approach. The sample was the data for all patients treated in the Azalea Room for Internal Medicine at Bekasi City Hospital in 2018. Of the 221 patients who experienced sexually transmitted infections, 110 had a low education level (78.0%), 67 had a moderate education level, and 44 had a high education level. The study results showed a relationship between the level of education and the incidence of sexually transmitted infections in the Azalea Room for Internal Medicine at the Bekasi City Hospital.
Keywords: education, sexually transmitted infections
Determinants of Smoking Cessation in Palu City, Indonesia
Authors: Banne Rasiman Noviany , Wichaikul Susheewa , Boonpleng Wannaporn
Published: February 2022

Indonesia has one of the largest tobacco epidemics in Southeast Asia. According to the World Health Organization, smoking-related illnesses kill about 200,000 Indonesians annually. In Central Sulawesi, 26.1% are daily smokers and 6.0% are former smokers. The data show that a future burden of tobacco-related disease can be predicted if people still smoke. The objective of this study was to determine the factors related to smoking cessation in adults (aged 20-59 years old) in Palu City, Indonesia. The Health Belief Model was used as a conceptual framework to guide the study. This was a cross-sectional study and it was conducted with 183 adults. Data were collected by face-to-face interview using a structured questionnaire. Data were analyzed by using descriptive statistics, Chi-square, and logistic regression. The results revealed that significant predictors of smoking cessation included the perceived severity about the consequences of smoking (OR = 4.49, p < 0.001), attempts to quit (OR = 0.93, p < 0.001), and advice from peer/family/physician (OR = 0.32, p < 0.001), with R2 = 0.38. Health care providers can use the findings from this study as an evidence base to develop health promotion and prevention programs to encourage adults to quit smoking and so avoid developing diseases related to smoking. Furthermore, enhancing smoking cessation efforts in young smokers can significantly improve the health of the public.
Keywords: smoking cessation, adults, Health Belief Model
Preventing Tuberculosis in Families of East Timor Expatriate Tuberculosis Patients in Indonesia
Authors: Kurniadi Tahu Sebastianus , Dion Yohanes
Published: February 2022

Tuberculosis is a highly contagious disease caused by rod-shaped bacteria (bacilli) known as Mycobacterium tuberculosis. The housing of East Timor expatriates in Indonesia is very close to each other, with unsanitary environmental conditions and poor ventilation, thus making this community vulnerable to disease transmission, especially of infectious diseases such as pulmonary tuberculosis. This study aimed to examine the attitudes and behaviors associated with preventing tuberculosis in the families of East Timor expatriate tuberculosis patients. This was a descriptive study with a survey and observational approach. The sample consisted of 36 respondents and data were collected using a questionnaire with 27 questions about attitudes and behaviors to prevent TB transmission. The average age of the respondents was 38 years old. 53% of respondents were male and 42% graduated from elementary school. The results showed that 69% had a positive attitude to the prevention of pulmonary TB transmission in the family and 61% mostly behaved well in their behavior to prevent pulmonary TB transmission. Based on these findings, health workers need to improve health promotion programs with family empowerment methods, as well as advocate for the Government to pay attention to the quality of environmental sanitation and increase the number of patients who recover from TB.
Keywords: tuberculosis, pulmonary, prevention and control
Self-Efficacy and Nomophobia in Nurses in Indonesia
Authors: Anggoro Wahyu , Handiyani Hanny
Published: February 2022

This study aimed to determine the relationship between self-efficacy and the level of nomophobia (the fear of being detached from a smartphone) in nurses. This was a descriptive correlative study with a cross-sectional design, where 113 respondents were selected using quota sampling techniques. Data collection was through the Nomophobia Questionnaire and General Self-Efficacy Scale. The study was conducted from June 6 until July 10, 2020, at Hospital X in Bandung, Indonesia. Analysis of the data was through univariate analysis (frequency distribution) and bivariate analysis (Chi-square and Spearman’s correlation test). The results showed that most of the respondents were female (66.4%), and ages ranged between 26 - 56 years old with a mean of 37 years old. The minimum and maximum length of work were 1 and 34 years, respectively. The study showed a significant relationship between the cost of using a smartphone and the level of nomophobia. It also showed a relationship between self-efficacy and the level of nomophobia among nurses from X hospital in Bandung (p < 0.05). Generally, nurses with lower self-efficacy showed a higher degree of nomophobia. These results may be used in developing clear regulations regarding restricting smartphone usage in hospitals and formulating work strategies. This would improve and maintain the nurses’ self-efficacy as an effort to increase the quality of nursing care services as well as patient satisfaction and safety in the hospital.
Keywords: self-efficacy, nomophobia, nurse, smartphone
Indicators of the Healthy Indonesia Program in Remote Areas
Authors: Betan Yasinta , Yasintha Goa Maria
Published: February 2022

The Healthy Indonesia Program is part of the nine priorities agenda of President Jokowi Dodo and Vice President Jusuf Kalla, namely relating to improving the quality of life of Indonesians. The success of the Healthy Indonesia Program, which uses a family approach, is measured by the healthy family index which is a combination of 12 indicators. This study aimed to present data for the healthy family index and the 12 healthy family indicators for remote areas. This was a descriptive cross-sectional study which was conducted during April 2019 in remote areas of East Nusa Tenggara, Indonesia. 320 households participated in the study, consisting of 1,293 people. Proportional random sampling was used to select the participants. Data on the healthy family index were collected using a healthy family profile questionnaire. The results of this study indicated that there are several indicators that need to be considered by the Government. First, most couples of reproductive age (61% of 288 households) do not use contraception. Second, most families have family members who are active smokers (70% of the 320 households). Next, only 33% of the 14 tuberculosis patients and 49% of the 144 hypertension patients receive standard treatment. Finally, 100% of the six people with mental health disorders in this study do not receive appropriate treatment. This study also showed that the majority of people in these remote areas were identified as pre-healthy families. This study provides basic data on 12 indicators of healthy families that are essential for further research and for the Government to further develop the Healthy Indonesia Program in this research area. All families in remote areas should be visited regularly by health workers, and these health workers are expected to increase health promotion related to the problematic indicators identified.
Keywords: family approach, Healthy Indonesia Program, healthy family, healthy indicators
The Effect of Motivational Interviewing on Adolescent Risk Behaviors: A Literature Review
Authors: Retno Wulandari Eka , Lindayani Linlin , Herdiman Herdiman
Published: February 2022

Motivational interviewing is a client-centered counseling method that is used to promote behavior change by eliciting client motivations for change and analyzing conflicting client motivations. The purpose of this literature review was to summarize the effect of motivational interviewing on adolescent risk behaviors. Articles published in English between 2015-2020 were searched in MEDLINE, CINAHL, and the Cochrane Library. The reviewers extracted and summarized the data using the Joanna Briggs Institute ( JBI) data extraction tool. A total of six articles were included in this review. It can be concluded from the results that counseling combined with motivational interviewing is beneficial at reducing risky sexual behavior in teenagers and in preventing HIV transmission.
Keywords: adolescent, motivational interviewing, risk behaviors, review
Factors Affecting the Occurrence of Coronary Heart Disease in the General Hospital of Waikabubak, Indonesia
Authors: Belarminus Petrus , Florida Boa Grasiana
Published: February 2022

Coronary heart disease (CHD) causes many deaths. It is a disease of the heart that occurs due to decreased blood supply to the heart muscle. Risk factors that can trigger CHD can be grouped into two categories, namely those that cannot be modified and those that can. The risk factors that cannot be modified include heredity, age and gender, while the modifiable risk factors include smoking, hypertension, increased serum cholesterol levels, obesity and diabetes. Basic Health Research data show that in 2018, 1.5% or 15 out of 1000 Indonesians suffered from CHD. The aim of this study was to investigate the factors that influence the incidence of CHD at the RSUD Waikabubak. This was a quantitative analytical survey which used a cross-sectional approach. According to the results, CHD was significantly associated with gender (OR = 3.5, p = 0.011), smoking (OR = 3.9, p = 0.006) and hypertension (OR = 4.8, p = 0.001). Of the factors studied, hypertension had the strongest influence on the incidence of CHD.
Keywords: coronary heart disease, the factors that influence
Presentación: Dossier Vejeces latinoamericanas y el impacto del COVID-19 en las personas adultas mayores
Authors: Ramos Bonilla Gabriela , Zegarra Chiappori Magdalena
Published: February 2022

La población mayor de sesenta años está creciendo en el mundo a un ritmo más veloz que el resto de segmentos poblacionales. Según datos de las Naciones Unidas (2019)1, la proporción de personas adultas mayores —en adelante PAM— se duplicará entre los años 2000 y 2050, cuando subirá del 11% al 22% de la población total del planeta. Esto en números absolutos implicaría que este grupo de edad se incrementará de 605 millones a 2000 millones en el transcurso de medio siglo2. Este fenómeno —denominado envejecimiento poblacional, que consiste en el incremento del número y proporción de personas de sesenta años a más y en la disminución de los grupos de edades más jóvenes— es una de lasrevoluciones demográficas más importantes de nuestros tiempos. A pesar de que este proceso se considera una expresión del desarrollo económico, social y científico, también impone importantes desafíos sociales, políticos y económicos para las sociedades e individuos alrededor del mundo.
Una revisión sistemática de literatura sobre la violencia contra mujeres mayores en América Latina y el Caribe: ¿se ha alcanzado una perspectiva interseccional?
Authors: Ramos Bonilla Gabriela
Published: February 2022

Este artículo hace una revisión crítica y sistemática de 72 investigaciones cualitativas y cuantitativas relacionadas con la violencia ejercida contra mujeres mayores de América Latina y el Caribe (ALC) entre los años 2000 y 2020 con el objetivo de evaluar en qué medida han logrado analizar este fenómeno desde un enfoque interseccional—vinculado con el género y la edad en simultáneo— y cuáles son sus brechas, limitaciones y principales hallazgos. Esta investigación demuestra que el estudio sobre este tema ha sido dominado por los marcos conceptuales del «maltrato a las personas adultas mayores» y la «violencia contra la mujer», así como también por una perspectiva médica y cuantitativa que no permiten comprender este problema cabalmente, pues abordan la violencia de manera fragmentada. En comparación, un grupo novedoso de estudios sociales utilizó un marco conceptual interseccional abordando la violencia desde un enfoque de curso vital y una perspectiva fenomenológica. A modo de conclusión se plantea que los estudios interseccionales, a pesar de ser aún escasos en ALC, poseen un gran potencial para la comprensión de la naturaleza acumulativa y la interconexión entre diferentes experiencias de abuso, así como explorar los sistemas de creencias de mujeres mayores, sus experiencias cotidianas de abuso, y sus dilemas, barreras y estrategias para buscar ayuda. Esta perspectiva permitirá la construcción de teoría adaptada a nuestros contextos culturales de forma inductiva y basada en evidencia contextualizada es un arma poderosa para enfrentar falencias de los marcos teóricos anteriores.
Una política «a medio camino». Reflexiones sobre la política para pueblos indígenas de contacto reciente en Brasil
Authors: Jabur Clarisse
Published: February 2022

La política para los pueblos indígenas de reciente contacto (PIRC) en Brasil está en construcción. Aunque las directrices para los períodos posteriores al contacto estuvieron presentes en otros momentos de la política gubernamental, no libraron a los pueblos indígenas de destinos crueles como las masacres, las epidemias y el exterminio total. Solo tras el cambio de política en 1987 se incluyeron medidas sanitarias en las acciones posteriores al contacto y otras acciones con un sesgo educativo. En los últimos años, se han producido algunos avances en las normas internas relacionadas con diversas políticas públicas, destacando la publicación de la ordenanza conjunta MS/FUNAI n.º 4.094 sobre la atención a la salud de los pueblos indígenas de contacto reciente. Asimismo, se han formulado los primeros Planes de Gestión Territorial y Ambiental (PGTA) por pueblos indígenas de reciente contacto en Brasil. Esta política está todavía “a medio camino” y tiene algunos retos que consolidar.
Nükak: los contactos, el Estado y la atención en salud en el norte de la Amazonía colombiana
Authors: Peña Riveros Kelly Johana
Published: February 2022

Una de las razones fundamentales por las que el pueblo nükak se contactó con la sociedad mayoritaria fue la atención en salud biomédica, que con el tiempo sigue siendo una de sus vulnerabilidades primordiales. Diversas acciones judiciales durante los últimos treinta años han llamado la atención al Estado colombiano sobre la necesidad de un modelo de atención diferenciado. En este artículo indagaremos sobre el contexto histórico de dicha atención durantesu proceso de contacto, con el objeto de contextualizar algunas demandas y necesidades para el análisis y ejecución de este modelo, reconociendo las diversas formas de atención que procuran los sujetos desde un enfoque relacional.
En memoria: nota necrológica Billie Jean Isbell 1937-2021
Authors: Allen Catherine
Published: February 2022

Billie Jean poseía una enorme joie de vivre que le permitió superar la pobreza de la infancia y la mala salud de toda la vida con gracia y buen humor. Vivía con estilo, generosidad y un gran sentido de la diversión. Sus amigos recordarán durante mucho tiempo su espectacular jardín, su deliciosa cocina y las tardes que pasaban conversando en su casa cerca de Ithaca. Fue una etnógrafa consumada y se distinguió en estudios andinos. Su libro To Defend Ourselves: Ecology and Ritual in an Andean Village (1978) —un estudio de la vida ritual, parentesco, organización sociopolítica, migración urbana y la política en la comunidad de Chuschi, Perú— se ha convertido en un clásico, publicado varias veces y traducidoal español: Para defendernos: ecología y ritual en un pueblo andino (Centro de Estudios Rurales Bartolomé de las Casas,2007).
Development of teaching digital competence in initial teacher training: A systematic review.
Authors: Pinto-Santos Alba R. , Garcias Adolfina Pérez , Garcias Antonia Pérez
Published: February 2022

This article presents the results of a systematic review of different studies published in high-impact journals on the development of teaching digital competence (TDC) in initial teacher training. The methodology of the study is based on the documentary research approach, with the application of a systematic literature review covering the period between 2009 and 2019 in different databases. The sample is made up of 102 articles that are registered in a multidimensional analysis and classification matrix. One of the main findings is that in the last ten years there has been a significant increase in the literature related to teaching digital competence with the prevailing use of the quantitative methodological approach. Likewise, 50.98% of the articles are the result of the application of instruments to assess TDC.  It can be concluded that TDC is a line of research with multiple dimensions of analysis and in constant evolution.

Keywords: teaching digital competence, initial teacher training, educational technology, information, communication technology, systematic review
Evaluation of students' views on teaching the subject of migration through distance education in Kazakhstan geography course
Authors: Nurbol Ussenov , Shakhislam Laiskhanov , Kulyash Kaimuldinova , Bakhadurkhan Abdimanapov , Sholpan Karbayeva , Kairat Zhoya
Published: February 2022

The aim of this study is to determine the important and methodological aspect of examining the population migration patterns of distance education and university students' geography course. 420 university students who continue their education in Kazakhstan participated in the research in the spring term of 2020-2021. Scanning method was used in the research. In the research, a measurement tool called the general opinion measurement tool for the geography lesson, which was developed by the researchers and collected by taking expert opinion in the field of geography, was used. In the research, a 4-week online seminar was organized to increase the views of university students about the geography lesson, and training was given over Microsoft Teams, the interview form was collected with electronic forms after the seminar. The collected data were analyzed using spss program. According to the results of the study, it was concluded that university students' inclination to geography course is higher than male students, university students are familiar with the system for 1-3 years, their inclination to distance education systems is high and population migration patterns are learned well with this system.

Keywords: University Student, Distance Education, Geography ,Lesson, Kazakhstan;