Jurnal Biometrika dan Kependudukan

CONSUMER SATISFACTION INDEX OF FAMILY PLANNING COUNSELORS’ PERFORMANCE IN WEST JAVA PROVINCE

Dadang Suhenda — 2024-11-06

Family planning counselors or Penyuluh Keluarga Berencana (PKB) are frontline implementers of the population, family planning, and family development program at the grassroots level. This study aims to know the consumer satisfaction index of the PKB performance of The National Population and Family Planning Board or Badan Kependudukan dan Keluarga Berencana (BKKBN) representative of West Java. The consumer satisfaction index was measured using the Permenpan RI (Regulation of the Minister for Administrative Reform and Bureaucratic Reform of the Republic of Indonesia) Number 14 (2017). The study method is descriptive comparative through a purposive sampling survey using a 9 Likert scale. Based on the study, it is shown that the consumer satisfaction index of the PKB performance in 2018 is 71,89, which is service quality category C, which means underperformance. Based on the service, the timing of service is the lowest index, as much as 0.29, and the average of 2.64. PKB does not utilize the time for counseling and post-service assistance well or tends to be slow. Out of 10 steps of PKB, only 2 indicators are measured as satisfactory, which is the formal figure approach and the monitoring and evaluation of the record and reporting (RR). Hence, it is recommended that the BKKBN to maintain the PKB performance through training and development continually, a guidelines book, and periodic training of the 10 PKB steps, as well as the mapping of the affordability to reach PKB service.

HUMBLEBRAG OF RURAL YOUTH: REORIENTATION OF YOUTH TOWARDS TECHNOLOGY AND ITS IMPACT ON FAMILY RESILIENCE

Ali Imron — 2024-12-04

Internet usage in the current digital era has become increasingly pervasive, with teenagers emerging as the largest demographic of users. A specific tendency among teenagers to heavily rely on gadgets (gawais) or social media is called humblebrag. The condition of humblebrag is a symptom that is worrying for families because adolescents become less concerned about their families, so it has an impact on family resilience. This study aims to describe the reorientation of rural youth toward technology and its effects on family resilience. A qualitative research method was employed in Delegan Village, Panceng District, Gresik Regency. The research subjects included teenagers exhibiting humblebrag tendencies, their parents, and community leaders, selected through purposive sampling. Data collected involved observations, in-depth interviews, and literature studies. The data were analyzed using the interactive Miles and Huberman technique. The reorientation of rural youth towards technology (gawai) started due to the influence of their peers, especially the demand for online learning due to the pandemic. Insufficient parental supervision has led to excessive gadget use. This condition is caused by dysfunction in the family. The reorientation of rural youth towards technology has a major impact on family resilience, including legality and family integrity, physically, economically, psychologically, and socio-culturally. The role of parents is essential to monitor the behavior of teenagers towards the use of gawais. In addition, fulfilling the love of both parents is the main solution to realizing changes in the child's condition.

ANALYSIS OF THE DEVELOPMENT OF REGIONAL SOCIO-ECONOMIC CONDITIONS ON THE AGING POPULATION IN ACEH PROVINCE

Rohil Al Azizah — 2024-11-25

Socio-economic developments in Aceh Province have had a real impact which is reflected in the reduction in death and birth rates as well as an increase in life expectancy, causing changes in the composition of the population aged 60 years and over to increase. However, the developments that have occurred are not evenly distributed throughout the region, it is crucial to be aware of the concept of "being not ready to get old" that will arise in Aceh Province. This study analyzes the socio-economic development of regions with population aging in Aceh Province. The study was conducted with a quantitative approach. Data collection using documentation. Data analysis using descriptive analysis and modification of the Klassen typology. The results of the study showed that Aceh Province in 2020 was in the early aging stage (Mid-Aged) because the percentage of elderly people was more than 7%. It is estimated that in the next 25 years in 2035 Nagan Raya, South Aceh, and West Aceh will be in the high aging category (Super-Aged) or more than 14% and the results of the Klassen typology analysis using socio-economic indicators on population aging show that the development of the 23 districts/cities in Aceh Province is not only in areas that are high growth and high income (quadrant I), several districts/cities are in the category of low growth and low income (quadrant III) where socio-economic development is low but have entered the early aging stage.

IRON-RICH FOOD CONSUMPTION AND ASSOCIATED FACTORS AMONG CHILDREN AGED 6-23 MONTHS: A FURTHER ANALYSIS OF 2017 INDONESIA DEMOGRAPHIC AND HEALTH SURVEYS

Dewi Muthia Charissa Akhyudi — 2024-11-26

Iron deficiency in children age under two years are potentially to get a higher risk of iron deficiency anemia. This research seeks to examine the factors that influencing the consumption of iron-rich food among aged group 6-23 months in Indonesia. This research utilized a cross-sectional design and was conducted through a secondary analysis of 2017 Indonesia Demographic Health Survey (IDHS) data, involving a total weighted sample of 4.622 children aged group 6-23 months. The process of analysis data using a computer program. The statistical test used for bivariable analysis is the chi-square test and multivariable analysis uses the logistic regression test. Overall, 71.7% of children aged group 6-23 months in Indonesia exhibited a strong level of consumption of iron-rich foods. Children with aged 18-23 months [aPR= 8.42; 95%CI= 6.61-10.72], highly educated mothers [aPR= 1.14; 95%CI= 1.01-1.98], antenatal care visits <6 times [aPR= 1.77; 95%CI= 1.04-3.02], who took medication for deworming and antiparasitic over the past 6 months [aPR= 1.55; 95%CI= 1.17-2.05], children who were not breastfeeding [aPR= 1.36; 95%CI= 1.10-1.68], relatively rich economic status [aPR= 1.43; 95%CI= 1.11-1.82] and mothers who access of mass media [aPR= 1.40; 95%CI= 1.17-1.68] has a statistically significant with the good consumption of iron-rich foods in children aged 6-23 months in Indonesia. The interventions must have been focused on nutrition education, access to antenatal care (ANC), encouraging health promotion through mass media and support efforts from government to improving socioeconomic factors are needed for increase the consumption of iron-rich foods in children.

DETECTION OF FACTORS THAT AFFECT THE DECLINE IN COGNITIVE FUNCTION THAT CAUSES DEMENTIA IN THE ELDERLY

Nanik Dwi Astutik — 2024-12-13

In general, the number of elderly people suffering from dementia is expected to increase. Dementia results in a decrease in the quality of life of sufferers so that it becomes a problem. This study aims to detect and identify factors that affect the decline in cognitive function that causes dementia in the elderly. This type of analytical research is conducted by the cross sectional research method. The population of this study is the elderly in Malang city, east Java, the sample size is 155 people with probability sampling technique using proportionate cluster random sampling. Data Collection for the identification of cognitive aspects using instruments MMSE (Mini Mental Status Exam) instruments, data analysis using the Bier Logistic Regression test with SPSS20 for Windows. The results of the analysis showed the relationship between health status factors and the cognitive function of the elderly (p value 0.05). The results that some respondents as many as 105 people or 67,7% had normal cognitive function, and 50 respondents or 32.3% fell into the category of probable cognitive impairment. Conclusion were obtained that the decline in cognitive function in the elderly was caused by high blood pressure, smoking, having experienced a blow to the head, a sad mood, lack of exercise, lack of activity in social activities, difficulty sleeping, and prolonged illness and illness. The suggestion from the results of this study is that the elderly manage and prevent risk factors so that cognitive function does not decline so that dementia can be prevented.

DETERMINANTS OF ANXIETY IN TRIMESTER III PREGNANT WOMEN IN THE WORKING AREA OF GUNUNGSARI PUSKESMAS, SERANG DISTRICT

Whidy Lisarsa — 2024-11-28

Mental disorders are experienced by pregnant women 10% worldwide, the occurrence of mental health disorders certainly requires the best solution, so that it can reduce the impacts that arise, such as preeclampsia/eclampsia, bleeding, increased blood pressure measurement results, and prolonged second stage. Preliminary studies found that pregnant women felt anxious, and the examination was still focused on physical examination. The purpose of the study was to see the determinants that cause anxiety in pregnant women in the third trimester, using a Cross-Sectional design and interview method using the Perinatal Anxiety Screening Scale (PASS) questionnaire, a sample for the study of 138 respondents using the total population. The primary data used was from the questionnaire. Statistical analysis using multiple logistic regression. The variables of parity, history of pregnancy complications, facilities, husband's support, and support from health workers have a significant effect on anxiety in pregnant women in the third trimester. The variable of health worker support is the most dominant on anxiety in pregnant women with an OR of 4.727. There is an influence of the variables of knowledge, parity, history of pregnancy complications, health facilities, and support from health workers, the dominant variable is the support of health workers, which is the main key to reducing anxiety in pregnant women in the third trimester. The better the support from health workers for pregnant women, the greater the opportunity for mothers to not feel anxious during their pregnancy.

SOCIO-ECONOMIC STATUS AND FAMILY NUTRITION INFLUENCE ON STUNTING AMONG CHILDREN UNDER FIVE IN THEBELU DISTRICT EAST NUSA TENGGARA PROVINCE

Sirilius Seran — 2024-11-01

Stunting is a condition observed in children under the age of five, characterized by a visibly undernourished physique, often a slender frame with a distended abdomen, or a shorter stature and lighter weight compared to their peers. This malnutrition-induced growth impairment can potentially hinder optimal brain development, thereby compromising cognitive potential. Various factors contribute to stunting in this age group, including demographic, socio-economic, and residential conditions. This research aims to uncover the causal relationship between social and economic status and nutrition variables in relation to the likelihood of stunting. The study focuses on 100 households with children under five in Belu Regency, specifically in Atambua City and Halilulik Village. Employing ordinary least square analysis, the study finds a significant relationship (p=0.002) between residential conditions, education, occupation, and nutrition variables in relation to stunting. This relationship is moderately strong, as indicated by an R-value of 0.427, while the R² value stands at 0.182. Notably, the likelihood of stunting is significantly higher for children whose mothers have an education level of ≤ Junior High School, at 8.081 times, in comparison to those with High School-educated mothers, who are at 8.159 times higher risk, than mothers with a University/Diploma education level. Additionally, children with lower nutritional intake are 4.913 times more likely to experience stunting compared to their well-nourished counterparts, while those from low-income households face a 1.849 times higher risk compared to children from higher-income families.

HIV KNOWLEDGE AND SEXUAL RELATIONSHIP NEGOTIATION AMONG INDONESIAN WOMEN LIVING IN AREAS WITH HIGH VS LOW HIV PREVALENCE

Marya Yenita Sitohang — 2024-12-10

The prevalence of HIV in Indonesia is increasing, particularly among certain regions and married women. Such disparities have a significant impact on regional development. Knowledge of HIV and the ability to negotiate sexual relationships with their spouses can help prevent the spread of HIV in the population. This study aims to compare the HIV knowledge, stigma, sexual relationship negotiation, and attitudes toward negotiating safer sexual relationships of Indonesian married women in high and low HIV prevalence areas (Papua and West Sulawesi). Percentages, t-tests, and logistic regression were conducted using the 2017 Indonesian Demographic and Health Survey (IDHS) to analyze the differences between the two regions. The study found that HIV knowledge and negotiating skills differed between the two regions. Married women in the region with the highest HIV prevalence had better HIV knowledge but lower ability to negotiate sexual relationships with their husbands compared to married women living in the lowest HIV prevalence. The differences in HIV knowledge and ability to negotiate sexual relationships may be linked to gender disparities as well as efforts to prevent HIV transmission in the regions. Further studies are needed to explore the experiences and perspectives of married women in negotiating sexual relationships to develop more effective strategies to prevent HIV transmission in this population group.

CERVICAL CANCER SCREENING AND ASSOCIATED FACTORS AMONG WOMEN OF REPRODUCTIVE AGE IN LHOKSEUMAWE, ACEH

Mulyati Sri Rahayu — 2024-12-03

Cervical cancer is the second most prevalent cause of cancer-related mortality among women worldwide. Indonesia has the second-highest incidence of cervical cancer worldwide. The etiology of cervical cancer in women is multifactorial. This study aimed to investigate the Pap smear screening tests and analyze the risk factors associated with cervical cancer in women of reproductive age in Lhokseumawe, Aceh, Indonesia. This quantitative study used a cross-sectional design. The data source comprised secondary data collected between January and September 2023 at a clinical laboratory in Lhokseumawe, Aceh, Indonesia. The study sample consisted of 100 women who underwent the Pap smear test. The independent variables examined were age, age at first childbirth, age at menarche, parity, menstrual cycle, history of contraceptive use, and history of miscarriage, whereas the dependent variable was the Pap smear test results. Chi-square analysis demonstrated significant correlations between miscarriage history (p=0.05), parity (p=0.001), menstrual cycle duration (p=0.049), and Pap smear cytological results. Logistic regression revealed that women with a previous miscarriage, more than two children, and menstrual cycles exceeding 28 days were 3.46, 1.32, and 2.53 times more likely, respectively, to have abnormal Pap smear results. Therefore, high-risk women should undergo regular cervical cancer screening to detect the precancerous lesions.

EVALUATING CLUSTER EFFECTS IN MALARIA SURVIVAL ANALYSIS WITH A SIMULATED EXTENDED COX MODEL

Peter Enesi Omaku — 2024-12-12

Malaria remains a significant global health challenge, particularly in tropical regions. Accurate analysis of patient survival data is essential for understanding disease progression and evaluating the effectiveness of interventions. However, traditional survival analysis often overlooks clustering effects from factors like location, healthcare or family relationship. This study examines how unshared heterogeneity in treatment regimens and reporting time affect malaria patient survival analysis. A simulated dataset, following a Weibull distribution for typical malaria treatment duration (3-7days) was generated to assess the extended Cox model's ability to handle clustering. Three cluster sizes (20, 10, 5 observations) and varying total clusters (25, 50, 100) were used to mimic a 500-patient malaria dataset from Keffi General Hospital, Nigeria, considering shared treatment similarities within clusters. Cluster effects were introduced through a normally distributed random variable. Model 2, with 10 observations per cluster, performed best based on constant hazard, low AIC, and BIC. This suggests that 50 clusters of 10 observations each effectively capture the malaria data's underlying structure. The analysis of simulated covariates revealed that male patients had 15% higher risk of death compared to females. Additionally, younger patients (0-5years), patients with blood types A, B, or AB (particularly type A), and those with increasing body temperatures were identified as high-risk groups. This study underscores the importance of considering clustering effects in analyzing malaria time-to-event data, especially for clustered datasets; a sample size of 500, divided into 50 clusters of 10 patients each, seems optimal for analyzing real-world malaria datasets using the extended Cox model.

GENERALIZED GAMMA REGRESSION FOR ANALYZING ALCOHOL CONSUMPTION SURVIVABILITY

Fadhaa Aditya Kautsar Murti — 2024-12-12

Alcohol consumption remains a public health problem, affecting various organ systems. Its impact can be detrimental to adolescents, leading to disturbed social and economic development. Gender differences exist, with male adolescents being more affected. This research aims to understand alcohol consumption among male adolescents in Indonesia. This study used pseudo longitudinal data from the 2017 Indonesian Demographic Health Survey (IDHS) and employed a survival analysis method using the generalized gamma approach. A total of 12,373 (weighted) adolescents were analyzed, with 4,573 of them classified as events. A time ratio (TR) was reported. Smoking was identified as the most substantial variable, shortening the survivability of alcohol consumption by 19%. Additionally, living in rural areas, having tried drugs, and having had sex were identified as risk factors, while education level and mobile phone ownership were protective factors. Risk behaviors shorten alcohol consumption survival among adolescents. Cross-sectoral interventions and comprehensive counseling are essential for effective prevention.