The influence of body image and gender in adolescent obesity

Latar Belakang: Body image adalah persepsi penampilan fisik diri sendiri. Mispersepsi berat badan pada remaja dapat menyebabkan rasa ketidakpuasan terhadap tubuh dan obesitas pada remaja. Jenis kelamin juga berperan dalam obesitas remaja dan body image. Remaja yang obes memiliki risiko penyakit tidak menular lebih besar dibandingkan remaja dengan berat badan normal. Maka dari itu, penelitian ini bertujuan untuk melihat pengaruh body image dan jenis kelamin pada obesitas di remaja. Metode: Desain penelitian ini adalah observasional dengan pendekatan cross sectional. Penelitian ini dilakukan pada bulan November 2019 di SMK Negeri 9 Surakarta. Jumlah subjek dari penelitian ini sebanyak 57 siswa yang dipilih dengan cara two stage sampling. Body image dan obesitas dinilai melalui kuesioner MBSRQ-AS, Grafik IMT berdasarkan usia dan lingkar pinggang. Data yang telah terkumpul diolah dengan independent T-test, fisher exact test, uji regresi logistik dengan nilai signifikansi p <0,05. Hasil: Terdapat perbedaan yang signifikan dalam skor body image antara kelompok obesitas dan non obesitas (p = 0,006) dan rata - rata skor laki-laki lebih tinggi dibandingkan perempuan. Selain itu, laki – laki memiliki skor lebih tinggi dalam setiap aspek body image dibandingkan perempuan. Hubungan signifikan juga ditemukan antara body image dan obesitas (p = 0,045), dan jenis kelamin dengan obesitas (p = 0,009). Kesimpulan: Ada hubungan yang signifikan antara citra tubuh dan jenis kelamin dengan obesitas pada remaja dan skor citra tubuh berbeda secara signifikan antara kelompok obesitas dan non obesitas dan antara siswa pria dan wanita. Kata kunci: body image,obesitas, jenis kelamin, remaja   Abstract Background: Body image is a perception of our physical appearance. Weight misperception in adolescent lead to body dissatisfaction and obesity in adolescent. Gender also plays a role in adolescent obesity and body image. Obese adolescents have greater risk of non-communicable diseases than adolescents with normal weight. therefore, this research aims to discover body image and gender influence on adolescent obesity. Method: This study is an observational design with cross sectional approach. The study was conducted in November 2019 at SMK Negeri 9 Surakarta. The subjects were 57 sophomore that were chosen randomly with simple random sampling. Body image and obesity were measured using MBSRQ-AS questionnaire, BMI for Age Charts and waist circumference. Data was processed by independent T-test, fisher exact test, logistic regression test with significance value p <0.05. Results : There is a significant difference in body image scores between obese and non obese group (p = 0.006) and male students scored higher in every aspect of body image than female students. A significant relationship was found between body image and obesity (p=0,045), and gender with obesity (p = 0.009). Conclusion: There is a significant relationship between body image and gender with obesity in adolescents and body image scores differ significantly between obese and non obese group and between male and female students. Keywords: body image, obesity, gender, adolescent

Garbage collectors, far from health: A study of dermatitis in Middle Java, Indonesia

Household garbage collectors are one of the groups who are at risk of getting dermatitis due to their work. This study aims to determine the relationship between the length of service and the use of long-sleeved work clothes and gloves with dermatitis on the household garbage collector in Surakarta. This was an observational analytic study using a cross-sectional study. The subjects of the study were household garbage collector in Jebres sub-district, Surakarta. A total of 134 respondents was recruited as samples using simple random sampling. A questionnaire sheet was used to collect individual data and dermatitis status was determined by the doctor’s diagnosis. A Chi-square test was used to investigate the relationship between the length of service and the use of long-sleeved work clothes and gloves with dermatitis. Logistic regression was used to determine factors associated with dermatitis. There was a significant relationship between the length of service with dermatitis p=0.000 (p<0.05). There was also a significant relationship between long-sleeve work clothes and gloves with dermatitis p=0.003 (p<0.05). The multivariable test showed that workers with a long length of service had a higher risk of having dermatitis compared to a short length of service (OR=6,701, p=0.000). It was also showed that more frequent use of long-sleeved work clothes intensity reduces the risk of getting dermatitis compared to sometimes use (OR=0.341, p=0.017). There is a significant association between the length of work and the use of long-sleeved work clothes and gloves with dermatitis on household garbage collectors in Surakarta

EFEK PEMBERIAN BUAH PISANG PADA PENURUNAN KELELAHAN KERJA BAGI PEKERJA DI BAGIAN PELINTINGAN ROKOK

Manual rolling work can cause work fatigue due to high job targets. Banana (Musa sapientum) contains natural sugars such as sucrose, fructose, and glucose as a source of energy. Work fatigue can be overcome with energy supplementation such as banana. This study aimed to determine the effect of banana supplementation on the level of work fatigue of cigarette manual rolling workers in X factory Karanganyar. This research was a quasi-experimental, with a one-shot case study design. The sampling technique used was simple random sampling, A total of 54 workers was randomly recruited as the sample. The independent variable of this study was banana (Musa sapientum), while the dependent variable was work fatigue. The Wilcoxon test was used to analyze the data. The Wilcoxon test showed that there was a significant difference between work fatigue before and after the banana supplementation to the cigarette manual rolling worker of X factory Karanganyar (p-value = 0.000). Thus, Banana (Musa sapientum) can be given as a food supplement to overcome the work fatigue problems in manual rolling workers

The Relationship Between Soil-transmitted Helminth Infections and Clean and Healthy Living Behavior

Background: Soil-transmitted Helminth (STH) are nematodes that can infect humans through direct contact with soil due to poor hygiene behavior. School-age children are the most susceptible to the infection. The clinical symptoms of STH infection are usually asymptomatic. However, it can affect the quality of life of the infected. This study aims to analyze the relationship between STH infection with clean and healthy living behavior; Method: This study takes the form of analytic observational research with a cross-sectional approach. The sampling technique used was the total sampling method with subjects of 132 students of Sekolah Dasar (SD) 1 Talakbroto, SD 1 Kedunglengkong, and SD Wates, Simo, Boyolali. The data were obtained from the results of the students' clean and healthy living behavior questionnaire and the examination of stool samples using the Kato Katz technique. Data were presented in a categorical form and analyzed using the chi-square method.; Results: There were 15 students (11%) infected by STH from 132 subjects studied. Based on the chi-square test, the p-value of STH infection and clean and healthy living behavior was 0.043 (p&lt;0,05); Conclusion: There is a significant relationship between STH infection with clean and healthy living behavior.Â

Missed opportunities in hypertension risk factors screening in Indonesia:A mixed-methods evaluation of integrated health post (POSBINDU) implementation

OBJECTIVES: To assess the implementation and contextual barriers of POSBINDU, a community-based activity focusing on screening of non-communicable diseases (NCDs), mainly hypertension and diabetes, in Indonesia. DESIGN: This was a concurrent mixed-methods study, with a cross-sectional analysis of secondary data and focus group discussions (FGDs) on stakeholder of POSBINDU. SETTING: The study was conducted in seven districts in three provinces in Indonesia, with approximately 50% of the primary healthcare (PHC) were selected as areas for data collection (n PHC=100). PARTICIPANTS: From 475 POSBINDU sites, we collected secondary data from 54 224 participants. For the qualitative approach, 21 FGDs and 2 in-depth interviews were held among a total of 223 informants. PRIMARY OUTCOMES AND MEASURES: Proportion of POSBINDU visitors getting the hypertension screening and risk factors’ assessment, and barriers of POSBINDU implementation. RESULTS: Out of the 114 581 POSBINDU visits by 54 224 participants, most (80%) were women and adults over 50 years old (50%) showing a suboptimal coverage of men and younger adults. Approximately 95.1% of visitors got their blood pressure measured during their first visit; 35.3% of whom had elevated blood pressure. Less than 25% of the visitors reported to be interviewed for NCDs risk factors during their first visit, less than 80% had anthropometric measurements and less than 15% had blood cholesterol examinations. We revealed lack of resources and limited time to perform the complexities of activities and reporting as main barrier for effective hypertension screening in Indonesia. CONCLUSIONS: This study showed missed opportunities in hypertension risk factors screening in Indonesia. The barriers include a lack of access and implementation barriers (capability, resources and protocols)

Knowledge, Attitudes, and Behavior to Prevent Transmission of Toxoplasma gondii among Cat Owners

Cat owners or keepers are at a heightened risk of contracting toxoplasmosis, making it crucial to take preventive measures against Toxoplasma gondii infection (T. gondii). However, there are limited studies on knowledge, attitudes, and behavior toward preventing T. gondii among cat owners. Therefore, this study aimed to investigate the relationship between knowledge, attitudes, and behavior in preventing T. gondii infection among cat owners. To achieve this objective, an analytical observation was conducted using a cross-sectional approach. An online questionnaire was given to cat owners through social media platforms such as Facebook, Twitter, and WhatsApp. Knowledge, attitudes, and behavior of 388 respondents were evaluated using the Spearman Correlation Test. The results showed positive correlations between knowledge and attitudes (r=0.105, p<0.038), knowledge and behavior (r=0.141, p<0.006), as well as attitudes and behavior (r=0.682, p<0.001), towards preventing T. gondii. This study indicated significant associations between knowledge, attitudes, and behavior, and highlighted the importance of continuous health promotion and prevention efforts in addressing toxoplasmosis, warranting further study involving wider and larger populations

Prevalence and determinants of inappropriate antibiotic dispensing at private drug retail outlets in urban and rural areas of Indonesia: A mixed methods study

Introduction: The aim of this mixed-method study was to determine the extent and determinants of inappropriate dispensing of antibiotics by licensed private drug retail outlets in Indonesia.Methods: Standardised patients (SPs) made a total of 495 visits to 166 drug outlets (community pharmacies and drug stores) between July and August 2019. The SPs presented three clinical cases to drug outlet staff: parent of a child at home with diarrhoea; an adult with presumptive tuberculosis (TB); and an adult with upper respiratory tract infection (URTI). The primary outcome was the dispensing of an antibiotic without prescription, with or without the client requesting it. We used multivariable random effects logistic regression to assess factors associated with the primary outcome and conducted 31 interviews with drug outlet staff to explore these factors in greater depth.Results: Antibiotic dispensing without prescription occurred in 69% of SP visits. Dispensing antibiotics without a prescription was more likely in standalone pharmacies and pharmacies attached to clinics compared with drug stores, with an OR of 5.9 (95% CI 3.2 to 10.8) and OR of 2.2 (95% CI 1.2 to 3.9); and more likely for TB and URTI SP-performed cases compared with child diarrhoea cases, with an OR of 5.7 (95% CI 3.1 to 10.8) and OR of 5.2 (95% CI 2.7 to 9.8). Interviews revealed that inappropriate antibiotic dispensing was driven by strong patient demand for antibiotics, unqualified drug sellers dispensing medicines, competition between different types of drug outlets, drug outlet owners pushing their staff to sell medicines, and weak enforcement of regulations.Conclusion: This study shows that inappropriate dispensing of antibiotics by private drug retail outlets is widespread. Interventions will need to address not only the role of drug sellers, but also the demand for antibiotics among clients and the push from drug outlet owners to compete with other outlets

The Effect of Short Stature on Children’s Cognitive Abilities and Psychosocial Condition

Background: Children are categorized as short stature when the Height for Age results are below the 3rd percentile of CDC growth chart standard. Short stature on children will have an impact on increased mortality and morbidity, children’s cognitive development, and psychological abilities. This study aims to investigate the effect of short stature on cognitive abilities and psychosocial condition of primary school children.Subjects and Methods: This was an observational analytic research with a cross-sectional design. A total of 81 students from 3rd – 5th grades of Pasar Kliwon 01 Primary School was included in this study. A consecutive sampling technique was used to select the subject. The student’s height was measured by using microtoise. Children’s cognitive ability was assessed based on mathematics, Indonesian languages, and natural sciences score. Children’s psychosocial condition was assessed using Pediatric Symptom Checklist-17. Data were analyzed using the Chi-Square test and logistic regression with SPSS 16.0 for windows.Results: 50 of 81 students were classified as normal height and 31 students with short stature. Short stature children had lower cognitive abilities (p=0,047) and psychosocial condition (p=0,027) than normal height children. Sex (p=0,058), age (p=0,233), and socio-economic condition (p=0,767) were not associated with children’s cognitive abilities. Age (p=0,264), sex (p=0,913), and socio-economic condition (p=0,138) were also not associated with children’s psychosocial condition.Conclusion: There is a statistically significant effect of short stature on children’s cognitive abilities and psychosocial condition in primary school. Age, sex, and socio-economic condition are not associated with children’s cognitive abilities and psychosocial condition. Screening and comprehensive management of short stature are needed to minimize the negative effect.Keywords: short stature; cognitive ability; psychosocial condition.Correspondence: Heni Hastuti. Faculty of Medicine, Universitas Sebelas Maret. Jl Ir. Sutami 36A, Surakarta Central Java, Indonesia. Email: [email protected]. Mobile: 081904534310.Journal of Maternal and Child Health (2020), 05(03): 297-303https://doi.org/10.26911/thejmch.2020.05.03.0

Community pharmacies, drug stores, and antibiotic dispensing in Indonesia: A qualitative study

Background: Inappropriate dispensing of antibiotics at community pharmacies is an important driver of antimicrobial resistance (AMR), particularly in low- and middle-income countries. Thus, a better understanding of dispensing practices is crucial to inform national, regional, and global responses to AMR. This requires careful examination of the interactions between vendors and clients, sensitive to the context in which these interactions take place.Methods: In 2019, we conducted a qualitative study to examine antibiotic dispensing practices and associated drivers in Indonesia, where self-medication with antibiotics purchased at community pharmacies and drug stores is widespread. Data collection involved 59 in-depth interviews with staff at pharmacies and drug stores (n = 31) and their clients (n = 28), conducted in an urban (Bekasi) and a semi-rural location (Tabalong) to capture different markets and different contexts of access to medicines. Interview transcripts were analysed using thematic content analysis.Results: A common dispensing pattern was the direct request of antibiotics by clients, who walked into pharmacies or drug stores and asked for antibiotics without prescription, either by their generic/brand name or by showing an empty package or sample. A less common pattern was recommendation to use antibiotics by the vendor after the patient presented with symptoms. Drivers of inappropriate antibiotic dispensing included poor knowledge of antibiotics and AMR, financial incentives to maximise medicine sales in an increasingly competitive market, the unintended effects of health policy reforms to make antibiotics and other essential medicines freely available to all, and weak regulatory enforcement.Conclusions: Inappropriate dispensing of antibiotics in community pharmacies and drug stores is the outcome of complex interactions between vendors and clients, shaped by wider and changing socio-economic processes. In Indonesia, as in many other LMICs with large and informal private sectors, concerted action should be taken to engage such providers in plans to reduce AMR. This would help avert unintended effects of market competition and adverse policy outcomes, as observed in this study

The response to COVID-19 among drug retail outlets in Indonesia: A cross-sectional survey of knowledge, attitudes, and practices.

BACKGROUND: Pharmacists have been at the frontline of the COVID-19 response in Indonesia, providing medicines, advice, and referral services often in areas with limited healthcare access. This study aimed to explore their knowledge, attitudes, and practices during the pandemic, so that we can be better prepared for future emergencies. METHODS: A cross-sectional online survey of community pharmacists and pharmacy technicians in Indonesia was conducted between July and August 2020. The dataset was analysed descriptively, and logistic regression was used to explore willingness to participate in COVID-19 interventions. FINDINGS: 4716 respondents participated in the survey. Two-thirds (66·7%) reported knowing only "a little" about COVID-19 and around a quarter (26·6%) said they had not received any COVID-19 guidelines. Almost all were concerned about being infected (97·2%) and regularly took steps to protect themselves and their clients (87·2%). Stock-outs of Personal Protective Equipment (PPE) and other products (32·3%) was the main reason for not taking any precautions. Around a third (37·7%) mentioned having dispensed antibiotics to clients suspected of having COVID-19. To support COVID-19 response efforts, most respondents were willing to provide verbal advice to clients (97·8%), distribute leaflets to clients (97·7%), and participate in surveillance activities (88·8%). Older respondents, those identifying as male, and those working in smaller outlets were more willing to provide information leaflets. Those working in smaller outlets were also more willing to engage in outbreak surveillance. INTERPRETATION: Drug retail outlets continue to operate at the frontline of disease outbreaks and pandemics around the world. These providers have an important role to play by helping to reduce the burden on facilities and providing advice and treatment. To fulfil this role, drug retail outlets require regular access to accurate guidelines and steady supplies of PPE. Calls for drug retail outlet staff to plat in response efforts including the provision of information to clients and surveillance could ease escalating pressures on the health system during future outbreaks. FUNDING: This study was funded by a grant from the Department of Foreign Affairs and Trade, Australia, under the Stronger Health Systems for Health Security Scheme