Safety climate as a risk factor of occupational accidents in a textile industry

Purpose: This study aimed to analyze several risk factors of safety climate e.g. management safety priority and commitment, management safety empowerment, management safety justice, workers’ safety commitment, workers’ safety priority, safety in learning, communication, and innovation, and worker’s trust in the efficacy of safety system with occupational accidents in a spinning.Methods: This case-control study involved 120 workers divided into two groups, the control group (80 subjects) and the case group (40 subjects). The case group consisted of spinning workers who had experienced occupational accidents in the last two years in the textile industry in Bandung. The bivariate analysis uses a chi-squared, while multivariable analysis with multiple logistic regression.Results: The results show that PPE use and management safety empowerment influenced occupational safety, becoming a risk factor for occupational accidents. Management safety empowerment was considered the primary factor of occupational accidents with an adjusted odds ratio of 5.52 (CI 95% 2.26–13.44).Conclusions: Management safety empowerment that influenced occupational safety programs can improve social exchanges and support workplace safety to encourage occupational safety behavior

Hubungan Persepsi tentang Penularan HIV/AIDS dari Ibu ke Anak terhadap Praktik Penggunaan Kontrasepsi pada Wanita Usia Subur Penerima Obat Antiretroviral di Kota Bandung

Abstract    More than 90% of cases of Human Immunodeficiency Virus (HIV) / Acquired Immune Deficiency Syndrom (AIDS) in children, occur due to transmission from mother to child. Prevention of unwanted pregnancies with contraception in HIV positive women is important strategy to reduce the rate of mother to child HIV/AIDS transmission. The practice of contraceptive use in HIV positive women is strongly influenced by individual beliefs regarding the benefits and effectiveness of contraception for the prevention of mother to child HIV/AIDS transmission. This study aims to determine the relationship of perceptions based on the construct of the Health Belief Model (HBM) wich consists of perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self efficacy, and cues to action and based on pluralistic ignorance on the practice of contraceptive use among woman of childbearing age recipients of antiretroviral in Bandung. The design of this study was quantitative non-experimental with survey methods. Data were collected for one month, using questionnaire from 188 women of childbearing age  receiving  antiretroviral drughs taken by consecutive sampling (non-probability) technique. Data were analyzed by logistic regression. The results revealed perceived susceptibility is an HBM construct that affects contraceptive use (Adjusted Odds Ratio (AOR):4.5). While knowledge (AOR:7.3) and age (AOR:0.801), emerged as other factors that influence contraceptive use among WUS recipients of antiretroviral in Bandung. The HBM is used to predict contraceptive behavior in women. HIV positive women who believe themselves to be at high risk of infecting HIV/AIDS from mother to child will tend to use contraception, besides that knowledge is the basis for HIV positive women taking action to use contraception. Abstrak Lebih dari 90% kasus Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrom (AIDS) pada anak, terjadi akibat penularan dari ibu ke anak. Pencegahan kehamilan yang tidak direncanakan dengan kontrasepsi pada wanita HIV positif merupakan strategi penting untuk menurunkan angka penularan HIV/AIDS dari ibu ke anak. Praktik penggunaan kontrasepsi oleh wanita HIV positif sangat dipengaruhi oleh keyakinan individu terkait manfaat dan efektivitas kontrasepsi terhadap pencegahan penularan HIV/AIDS dari ibu ke anak. Penelitian ini bertujuan untuk mengetahui hubungan persepsi berdasarkan konstruk Health Belief Model (HBM) yang terdiri dari perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self efficacy, dan cues to action serta berdasarkan ketidaktahuan majemuk terhadap praktik penggunaan kontrasepsi pada Wanita Usia Subur (WUS) penerima obat antiretroviral di Kota Bandung. Desain penelitian ini adalah kuantitatif non-experimental dengan metode survei. Data dikumpulkan selama satu bulan, menggunakan kuesioner dari 188 WUS penerima obat antiretroviral yang diambil dengan teknik consecutive sampling (non-probability). Data dianalisis dengan regresi logistik. Hasil penelitian mengungkapkan perceived susceptibility adalah konstruk HBM yang berpengaruh terhadap penggunaan kontrasepsi (Adjusted Odds Ratio (AOR):4,5). Sementara pengetahuan (AOR:7,3) dan usia (AOR:0,801) muncul sebagai faktor-faktor lain yang berpengaruh terhadap praktik penggunaan kontrasepsi pada WUS penerima obat antiretroviral di Kota Bandung. HBM digunakan untuk memprediksi perilaku kontrasepsi pada wanita. Wanita HIV positif yang meyakini dirinya berisiko tinggi dapat menularkan HIV/AIDS ke anak, akan cenderung menggunakan kontrasepsi, disamping itu pengetahuan menjadi dasar bagi wanita HIV positif dalam mengambil tindakan untuk menggunakan kontrasepsi

THE EFFECTIVENESS OF HEALTH EDUCATION THROUGH SMARTPHONE AND BOOKLET ON KNOWLEDGE AND ATTITUDE OF ADOLESENCE REPRODUCTIVE HEALTH

Adolescent related to reproductive health problems. The problem occurs because of adolescent had a lack of knowledge and attitudes about reproductive health. Smartphones was effective tools of education and it can improve knowledge and attitudes of teenagers, so the problem on adolescent reproductive health can be solved. This research analyze the differences and effect of health education through a smartphone and a booklet on the knowledge and attitudes of adolescents about reproductive health, also to analyze the factors that change knowledge and attitudes of adolescent after receiving health education from smartphone. This research was a mix method research that combines quantitative and qualitative research with concurent embedded design. Quantitative research used quasi-experiment design, conducted on 84 adolescent, divided in to two groups. Qualitative research conducted in 8 adolescents who received health education through the smartphone as an informant. Differences in knowledge and attitudes before and after health education through smartphones and booklets were analyzed with the Wilcoxon test. There was the differences between health education through smartphone and booklet on changed knowledge and attitudes of adolescents about reproductive health. The infleunces of health education through smartphone on knowledge and attitudes of adolescents about reproductive health is better than booklet (p <0.05). The factors that cause the adolescent knowledge and attitude changed after getting health education through smartphones are good content, simple language, the content is interesting, easy to understand, being a trend, easy to read, effective, easy to carry, easy to store, more privacy, easily stored, simple, easily accessible and the content was complete. Smartphone as effective tools of health education, it can improve knowledge and attitudes of adolescents about reproductive health. Keywords: Health Education, Smartphones, Booklets, Adolescent Reproductive Healt