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Sikap Remaja Perempuan Terhadap Pencegahan Kanker Serviks Melalui Vaksinasi HPV di kota Semarang Rachmani, Berlian; Shaluhiyah, Zahroh; Cahyo, Kusyogo
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 11, No 1 (2012): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Kanker serviks merupakan the silent killer diseases dengan penderita risiko tinggi pada perempuan mulai umur 20 tahun sehingga remaja perempuan perlu melakukan tindakan preventif secara dini melalui vaksinasi HPV. Tuiuan penelitian ini adalah mengetahui faktor-faktor yang berhubungan dengan sikap remaja perempuan terhadap pencegahan kanker serviks melalui vaksinasi HPV, dengan sampel penelitian adalah mahasiswi berlatar belakang kesehatan dari empat universitas di Kota Semarang. Hasil penelitian menunjukkan bahwa sikap remaja perempuan mendukung pencegahan kanker serviks melalui vaksinasi HPV (92,9%). Dari uji statistik terlihat ada hubungan antara keyakinan remaja perempuan dengan sikap (p=0,00), ada hubungan antara pengetahuan dengan sikap (p=0,005), ada hubungan antara sikap keluarga dengan sikap remaja perempuan (p=0,009). Dari penelitian dapat disimpulkan bahwa keyakinan terhadap viksinasi HPV pengetahuan tentang kanker serviks dan vaksin HPV serta sikap keluarga terhadap vaksinasi HPV merupakan factor yang berhubungan dengan sikap remaja perempuan terhadap pencegahan kanker serviks melalui vaksinasi HPV. Kata kunci : sikap, kanker serviks, vaksin HPV, remaja The factors associated with attiude factors adolescent girl to prevention cervical cancer through HPV vaccination; Cervical cancer is the silent killer disease with high risk patients in women starting at 20 years old that adolescent girls need to take some prevention action at an early stage through HPV vaccination. This study investigate the factors associated with attitude factors adolescent girls to prevention cervical cancer through HPV vaccination, with sample were student with medical backgrounds from four universities in the Semarang City. These result indicate that the attitude of adolescent girls support the prevention of cervical cancer through HPV vaccination (92,9%). The results of the chi square test statistic showed associated between adolescent girls with an attitutde (p=0.00), associated between knowledge with attitude (p=0,005), associated between familly attitude with the attitude of adolescent girls (p=0,009). Conclution this study is belief of against HPV vaccination, knowledge about cervical cancer and HPV vaccines and family attitudes toward HPV vaccination is a factor related to adolescent female attitudes towaids the prevention of cervical cancer through HPV vaccination. Keyword : attitude, cervical cancer, HPV vaccination, girls adolescent

Rokok, Pola Pemasaran dan Perilaku Merokok Siswa SMA/Sederajat di Kota Semarang Cahyo, Kusyogo; Asmita Wigati, Putri; Shaluhiyah, Zahroh
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 11, No 1 (2012): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Populasi perokok yang mulai merokok sebelum berumur 19 tahun meningkat dari 69% tahun 2001 meniadi 78% tahun 2004. Penelitian ini bertuiuan untuk mengetahui pola pemasaran rokok, karakteristik perokok dan perilaku merokok siswa SMA/sederajat do Kota Semarang. Penelitian ini bersifat deskriptif kualitatif dengan subyek adalah siswa SMA/sederajat, berumur l5-19 tahun, berstatus perokok. Pengambilan subyek penelitian menggunakan metode Purposive Sampling. Pengumpulan data melalui wawancara dan diskusi kelompok terarah. Hasil penelitian menunjukkan sebagian besar subyek memulai merokok ketika berumur dibawah 15 tahun, memiliki konsep diri yang negatif karena merokok, mengetahui kegawatan dari penyakit akibat rokok, akan tetapi belum dapat berhenti karena factor kecanduan. Pola pemasaran produk rokok yang berpengaruh kuat membentuk perilaku merokok remaja adalah pergaulan teman sebaya, perilaku merokok orangtua atau keluarga terdekat. Pengetahuan subjek yang masih rendah tentang rokok mengakibatkan sikap yang positif terhadap perilaku merokok. Kata Kunci: Rokok, pola pemaiaran, peiilaku merokok Cigarette, Marketing Patterns, and Smoking Behaviour of senior High school student in Semarang City, The smoker population had started on 19th years old getting increase from 69% on 2001 become 78% on 2004. The goal of this research were to analized cigarette marketing pattterns, smoker characteristic, and smoking behaviour of senior High school student in Semarang city. The type of this research is descriptive and qualitative that sample were smoker students on 15-19th years old and taken by purposive sampling. Collecting data by interview and Focus Group Discussion. The result showed that almost subject started smoking when they were on l5th years old, they have a negative concept because of smoker status, and actually know the illness, but cannot stop smoking. The association between friends, parents or family behaviour were form of cigarette marketing patterns that have strong influence of smoking behaviour. The knowledge of subject were low and it caused a positive attitude of smoking behavior Key Words: Cigarette, Marketing Path, Smoking Behaviour

Faktor Risiko Kejadian Tuberkulosis Paru di Kecamatan Baturetno Kabupaten Wonogiri Setia Kurniasari, Ryana Ayu; suhartono, suhartono; Cahyo, Kusyogo
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 11, No 2 (2012): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Tuberkulosis paru merupakan suatu jenis penyakit menular yang disebabkan oleh bakteri Mycobacterium tuberkulosis. Ada berbagai macam faktor yang dapat mempengaruhi terjadinya tuberkulosis. Di Kabupaten Wonogiri, penderita tuberkulosis paru terbanyak selama 3 tahun terakhir berasal dari Kecamatan Baturetno sebanyak 79 kasus pada tahun 2011. Penelitian ini bertujuan untuk mengetahui faktor risiko yang berhubungan dengan kejadian tuberkulosis paru di Kecamatan Baturetno. Jenis penelitian ini adalah studi observasional analitik dengan menggunakan metode case control research. Sampel penelitian ini sebanyak 68, terdiri dari 34 kasus dan 34 kontrol. Analisis data dilakukan dengan menggunakan uji chi square untuk mengetahui deskripsi dan hubungan faktor risiko dengan kejadian tuberkulosis paru. Hasil analisis bivariat yang terbukti berhubungan dengan kejadian tuberkulosis paru adalah; pencahayaan ruangan (p = 0,025) dan luas ventilasi (p = 0,005). Dari keseluruhan hasil penelitian dapat disimpulkan bahwa faktor risiko yang berhubungan dengan kejadian tuberkulosis paru adalah pencahayaan ruangan dan luas ventilasi. Kata kunci : faktor risiko, tuberkulosis paru

Pengetahuan Ibu HIV Mempengaruhi Perilaku Pencegahan Penularan HIV/AIDS dari Ibu ke Bayi di Provinsi Jawa Tengah Isni, Khoiriyah; Shaluhiyah, Zahroh; Cahyo, Kusyogo
Jurnal Promosi Kesehatan Indonesia Volume 12, No. 2, Agustus 2017
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background: PMTCT was government program to suppres HIV/AIDS and child. The point of PMTCT activities was a strategy to prevent HIV/AIDS transmission from mothers living with HIV/AIDS to their child. However, there were mothers living with HIV/AIDS who have been too late knowing their status HIV status so that they did not join PMTCT.Method: This study aims to learn about HIV-positive mothers behavior in preventing of HIV/AIDS transmission from mother to child. This research was a quantitative with cross sectional approach. The data was collected from 32 mothers living with HIV/AIDS who had toddler babies in Central Java Province. Data were analyzed using univariate with frequency distribution, bivariate with chi square and fisher exact, and multivariate with logistic regression.Results: The result showed that the variable which correlated towards behavior of HIV-positive mothers in preventing HIV/AIDS transmission from mother to child were age of child, HIV status reveal time, time of joining ARV, joining PMTCT, time of joining PMTCT, and knowledge. While, knowledge was the main variable that has considerable influence on the behavior of HIV-positive mothers. From this research, can be conclude that knowledge can affect HIV-positive motherâ€™s behavior.Â

Kepatuhan Pengguna Napza Suntik dalam Terapi Rumatan Metadon di RSK Propinsi Kalimantan Barat Herlantoro, Herlantoro; Widjanarko, Bagoes; Cahyo, Kusyogo
Jurnal Promosi Kesehatan Indonesia Volume 7, No. 1, Januari 2012
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

ABSTRAKKasus AIDs di Indonesia triwulan kedua tahun 2010 secara komulatif adalah 21.770 kasus, Penyebaran HIV/AIDS dikalangan Injection Drug Use/IDU telah mencapai 8.795 kasus (40,4%). Terapi subtitusi metadon perlu dilakukan bertujuan mengurangi dampak buruk kesehatan, sosial, ekonomi, mengurangi resiko tertular dan menularkan HIV kepada orang lain, namun kegagalan terapi sering terjadi karena ketidakpatuhan atau adherence yang buruk. Penelitian adalah Observasional dengan pendekatan cross sectional. Pengumpulan data menggunakan kuesioner melalui wawancara kepada 46 penasun mengikuti program terapi rumatan metadon di Rumah Sakit Khusus Propinsi Kalimantan Barat. Hasil penelitian menunjukkan kepatuhan dalam mengikuti terapi rumatan metadon yang baik 69.4%, remaja (15-20 tahun) (58,7%), kelamin laki-laki, pendidikan SLTA, telah bekerja . Faktor yang berhubungan kepatuhan dalam terapi rumatan metadon adalah pengetahuan , sikap, motivasi, self efficacy, peran keluarga, peran teman sebaya, dan peran petugas kesehatan. Analisis multivariat Regresi Logistik berganda faktor yang paling berpengaruh adalah motivasi dan peran teman sebaya.Kata Kunci:Kepatuhan, terapi rumatan metadon, Penasun.ABSTRACTAdherence Injecting Drug Users in Methadone Maintenance Therapy at The Hospital for Special Province of West Borneo; Cumulative Second quarter of 2010, AIDS cases in Indonesia were 21,770 cases, the spread of HIV / AIDS among Injection Drug Use / IDUs has reached 8795 cases (40.4%). Methadone substitution should be aimed at reducing the adverse health, social, economic, reducing the risk of contracting and transmitting HIV to others, but treatment failures often occur because of non-compliance or un-adherence. Design Explanatory Research studies are cross-sectional approach. Data collection through interviews using a questionnaire to the 46 IDUs who are following methadone maintenance program at the Hospital for Special Province of West Kalimantan. Results showed that adherence to the respondents in methadone maintenance who both reached 69.4%, adolescent (15-20 years), male, high school, has been working (87%). Factors related to compliance in methadone maintenance therapy is the knowledge, attitude, motivation, self-efficacy, family support, peers group, and health workers support. The most influential factor is motivation and the peers group.Keyword: Adherence, methadone maintenance, drug users

Peningkatan Pengetahuan dan Sikap Ibu Tentang PHBS Tatanan Rumah Tangga (ASI Eksklusif) Di Kabupaten Sambas melalui Media Leaflet Berbahasa Daerah Damayanti, Ria; Shaluhiyah, Zahroh; Cahyo, Kusyogo
Jurnal Promosi Kesehatan Indonesia Volume 12, No. 1, Januari 2017
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Peran media promosi kesehatan sangat penting dalam perubahan perilaku yang positif terhadap kesehatan. Media promosi kesehatan yang baik adalah yang melihat tingkat kebutuhan masyarakat, sedangkan media promosi kesehatan yang ada di Kabupaten Sambas masih bersifat sentralistik dan belum berbasis pada kebutuhan masyarakat setempat. Leaflet berbahasa daerah diharapkan dapat meningkatkan pengetahuan dan sikap ibu tentang Perilaku Hidup Bersih dan Sehat (PHBS) tatanan Rumah Tangga khususnya pada indikator ASI Eksklusif. Tujuan penelitian ini adalah untuk menganalisis pengaruh media leaflet berbahasa daerah terhadap peningkatan pengetahuan dan sikap tentang PHBS tatanan rumah tangga (ASI eksklusif) di Kabupaten Sambas. Penelitian ini menggunakan metode kuantitatif dengan pendekatan quasy experimental rancangan non equivalent control group, juga dilengkapi metode kualitatif berupa need assessment dan uji coba (pretesting) untuk pengembangan media leaflet. Penentuan sampel menggunakan tekhnik purposive sampling sebanyak 60 ibu rumah tangga yang terdiri dari masing-masing 20 ibu rumah tangga pada tiga kecamatan di Kabupaten Sambas. Hasil peneltian menunjukkan bahwa ada perbedaan pengetahuan (p value < 0,001) dan sikap (p value < 0,001) yang signifikan antara sebelum dan setelah perlakuan, dimana peningkatan pengetahuan dan sikap pada kelompok perlakuan dengan menggunakan media leaflet berbahasa daerah lebih tinggi dibanding dengan kelompok perlakuan dengan media leaflet berbahasa Indonesia dan kelompok tanpa perlakuan (kontrol).A good promotion media is one that considers each communityâ€™s need. Leaflet using local language is expected to increase the knowledge and attitude of mothers about household clean and healthy lifestyle behaviors, especially exclusive breastfeeding indicators. The purpose of this study was to analyze the influence of local-language leaflets media to increase knowledge and attitudes about living a clean and healthy behaviors in order household (exclusive breastfeeding) in Sambas district. This study uses a quantitative method, Using quasi-experimental with a non-equivalent control group design and qualitative method with needs assessment and testing (pretesting). Samples are chosen using a purposive sampling technique, which consisted of 60 housewives which are divided into 20 housewives for each three districts in Sambas. The Result show that there are higher increased knowledge and attitudes in the group treated with the use of local language leaflet.Â

Perilaku Gelandangan Dalam Pemanfaatan Pelayanan Kesehatan Masyarakat Di Kota Semarang Jawa Tengah (Studi Kasus di Kawasan Pasar Johar) Cahyo, Kusyogo; Hidayatullah, M. Syarif; Widjanarko, Bagoes
Jurnal Promosi Kesehatan Indonesia Volume 1, No. 2, Agustus 2006
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background : Vagrants are an interesting and critical social phenomenon where their numbers in large cities is steadily increasing. They have been generally vulnerable from many health problems and hence they have a high risk of various diseases. Poverty, illiteracy, lack of assets and production means, unemployment and many other factors have made them never using health facilities and services. This research is therefore, intended to discribe health seeking behaviour of the vagrants who usually stay in the area of Johar market Semarang.Method : This study applies a qualitative approach. In-depth interviews have been used to collect the data from 18 selected respondents. Snowball sampling technique has been employed to find respondents.Results : The study found that most vagrants have lack of knowledge primarily in terms of disease preventions, health protections and promotion. Their perceptions about sickness is acondition when they feel unable to do their daily activities anymore. Generally, they seldomknow the type of diseases they are suffering from, but they only feel the pain. The kind of preventive and curative measures which they adopt often based on information obtained from their friends. When they feel pain or sick, they just treat themselves by taking some medicines which bought in drug store or taking some traditional herbs (Jamu). The majority of va-grants have never visited health center because they could not afford to pay, feel embarassed, fear to be refused by health personnels. Importantly, they feel that they have never obtained a serious illness.Keywords : Vagrant, health seeking behaviour, qualitative method.

Penilaian Pelajar SMP Di Kota Yogyakarta Terhadap Pictorial Health Warning (PHW) Denali, Citra; Shaluhiyah, Zahroh; Cahyo, Kusyogo
Jurnal Promosi Kesehatan Indonesia Volume 12, No. 2, Agustus 2017
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background: Based on a national data of proportion of domestics agedÂ â‰¥ 10 year old related to their smoking behaviour, Yogyakarta is 14th province with highest number of active smokers with a rate of 21,2% every day.Â The purpose of this research is to analyze factors influencing students of junior high schools (SMP) in Yogyakarta regarding their assessment of PHW.Method: This research is a quantitative researh supported by qualitative data. The quantitative data were obtained by a cross sectional method, while the qualitative ones by case study approach. The samples were 403students who are in seventh grade at several SMPs in Yogyakarta.Informant of indepth interview were 2 teachers SMPs, and 10 students who are in seventh grade at several SMPs in Yogyakarta.Results: The results of this research show us that 49,1% of respondens have a negative assessment of PHW. The factors contributing to the assessment of SMP students in Yogyakarta were: exposure of PHW, with Ï value of 0,0001 (Ï < 0,05) and OR/Exp (B) of 16,610; knowledge of smoking with Ï value of 0,024 (Ï < 0,05) and OR/Exp (B) of 2,041; and age, with Ï value of 0,029 (Ï < 0,05) and OR/Exp (B) of 1,808. Indepth interview shows that PHW has not been able to make a smoker (SMP student) have assessment of PHW related to them intention to quit smoking.Â Key Words: PHW, Assessment, Junior High School Students, CigaretteÂ

Faktor-Faktor Yang Mempengaruhi Perilaku Pemakaian Kondom Konsisten Saat Melakukan Hubungan Seksual Pada Laki-Laki Pengguna Napza Stimulan Di Kota Semarang Handayani, Ratna Dewi; Shaluhiyah, Zahroh; Cahyo, Kusyogo
Jurnal Promosi Kesehatan Indonesia Volume 12, No. 1, Januari 2017
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

ABSTRAKPenelitian pencegahan penularan IMS dan HIV/AIDS melalui hubungan seksual pada pengguna napza suntik yang dilakukan oleh Pusat penelitan Unika Atmajaya menjelaskan bahwa penasun menyadari bahwa menggunakan kondom saat berhubungan seksual merupakan pencegahan terbaik, tetapi penggunaan kondom secara konsisten baru mencapai 19-40% dan dilakukan hanya pada pasangan komersial, sedangkan pada pasangan tetap tidak dilakukan. Pada penelitian ini subyek penelitian dikhususkan pada pengguna napza stimulan mengingat efek yang ditimbulkan salah satunya adalah peningkatan gairah seksual dan perilaku seksual bebas, tujuan penelitian mengetahui faktor-faktor yang mempengaruhi perilaku pemakaian kondom konsisten saat melakukan hubungan seksual pada laki-laki pengguna napza stimulanÂ di kota Semarang. Â Â Penelitian dilaksanakan dengan metode kuantitatif-explanatory research pendekatan cross sectional kepada seluruh pengguna napza stimulan yang ada dikota Semarang- dibawah binaan HR LSM Graha Mitra.Hasil penelitian menunjukkan 43 orang responden pengguna shabu-sabu dan extacy dimana 36 diantaranya hanya menggunakan extacy saja.Â Mereka menggunakan kondom secara konsisten 55.8%, dan tidak menggunakan kondom secara konsisten sebanyak 44.2%. Analisis bivariat penelitian bermakna pada sikap, persepsi manfaat, persepsi kemampuan diri, dan dukungan pasangan seksual. Sedangkan penelitian tidak bermakna pada karakteristik (umur, pendidikan, pekerjaan, status pernikahan, tempat tinggal, status HIV, pengetahuan, persepsi kerentanan, persepsi keparahan, keterjangkauan akses kondom dan ketrampilan pemakaian kondom.Â Analisis multivariat memperlihatkan adannya pengaruh variabel independen kepada variabel dependen yaitu sikap dan dukungan pasangan seksual dengan probabilitas penggunaan kondom secara konsisten pada pengguna napza stimulan 13.9%. Kata Kunci: Perilaku, Kondom Konsisten, Napza stimulant.Â Factors That Affect The Behavior Of Consistent Condom Use During Sexual Intercourse On A Male Stimulant Drugs Users In The City Of Semarang: Research on the prevention of the transmission of STI and HIV/AIDS through sexual intercourse on people who use drugs by injection the study centre Unika Atmajaya explained that IDUâ€™s realized that using condoms during sexual intercourse is the best prevention, but condom use is consistently achieving new 19-40% and is done only on the commercial, while couples on couples still isn't done. On the research subject of research is devoted to users who use drugs stimulants given effect posed one is an increase in sexual arousal and sexual behaviour, the research objectives knowing the factors that affect the behavior of consistent condom use during sexual intercourse on a male stimulant drugs users in the city of Semarang. Research carried out by quantitative methods-explanatory research approach of cross sectional to all users who use drugs stimulants that exists in the city of Semarang-under the patronage of HR NGOS Graha Mitra.The results showed 43 people respondents shabu shabu users sabu and extacy where 36 of them only use the extacy only. They use condoms consistently 55.8%, and not using condoms consistently as much of 44.2%. Analysis of meaningful research on bivariat attitude, perception, perception of the ability of self benefit, and support sexual partners. While the research does not mean on the characteristics (age, education, occupation, marital status, place of residence, HIV status), knowledge, perception, perception of the severity of the vulnerability, the affordability of access condoms and condom use skills. Multivariate analysis shows that influence the dependent variable to the independent variable i.e. attitude and sexual partner support with a probability of use condoms consistently on people who use drugs stimulants 13.9%.Key Words; behavior, Condom Consistently, stimulant Drugs

Perilaku Berolahraga dalam Menghadapi Keluhan Menopause Yusnita, Laila Erni; Cahyo, Kusyogo
Jurnal Promosi Kesehatan Indonesia Volume 5, No.2 , Agustus 2010
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

About 75% women who have menopause feel it trouble, but 25% not. This study aims to analyze factors influencing exercise behavior to face the menopause syndrome at members of PORPI Tambak Mas Semarang City. It was a cross sectional explanatory study employed quantitative and qualitative approach. Respondents were all of the population, women 40 â€“ 55 years old, and 49 samples. One branch manager and two subsection manager were in â€“depth interviewed in qualitative part. Most of respondents were 50 â€“ 55 years old, not working (55, 1%), high educated (81, 6%) and good in exercise behavior (73,5%). Womenâ€™s knowledge on menopause and all of syndrome mostly (57, 1%) categorized in low level, perceived susceptibility, seriousness of the menopause syndrome mostly good (55,1%) and 61,2%). Perceived barriers of the exercise and cues to action categorized in high level (69,4% and 53,1%). Perceived benefits of the exercise were significantly correlated to exercise behavior. Age, education attainment, knowledge, perceived susceptibility and seriousness of the menopause syndrome were not correlated. Multivariate analysis showed that there were no independent variables dominated to exercise behavior.

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