Menara Ilmiah Kesehatan Lingkungan dan Biodiversitas
Journal Title : Menara Ilmiah Kesehatan Lingkungan dan Biodiversitas Initial : MIKELIB Frequency : 2 issues every year DOI : Crossref Online ISSN : 3110-1771 Editor-in-Chief : Assoc. Prof. Dr. Dessyka Febria, SKM., M.KL Publisher : Yayasan Almanar Pujud Menara Ilmiah Kesehatan Lingkungan dan Biodiversitas (MIKELIB) is a peer-reviewed scientific journal that focuses on the advancement of knowledge in the fields of environmental health, ecology, and biodiversity. The journal serves as a platform for academics, researchers, practitioners, and students to publish original research articles, literature reviews, and relevant scientific papers addressing environmental and public health issues. MIKELIB aims to promote the exchange of knowledge and critical thinking in efforts to preserve the environment, improve public health quality, and protect biodiversity as part of sustainable development. This journal adopts an open access policy and implements a peer-review process to ensure the quality and credibility of each published article.
Beban Ekonomi Rumah Tangga Akibat Penyakit Berbasis Lingkungan di Bantaran Sungai Batang Kumu
Communities living along the Batang Kumu Riverbank in Pujud District, Rokan Hilir Regency, face persistent environmental health challenges arising from water quality degradation caused by domestic pollution and agricultural activities within the watershed. This study aims to identify and analyze the economic burden of environment-related diseases borne by households in this area through the lens of social accounting, and to examine its implications for local environmental health conditions. A qualitative approach with a phenomenological method was employed. Twelve household heads residing along the riverbank were selected purposively as primary informants, complemented by key informants comprising village officials, community health volunteers, and staff from Pujud Primary Health Center. Data were gathered through in-depth interviews, participatory observation, and documentary review of household health expenditure records. The findings reveal that the economic burden of environment-related diseases consists of direct medical costs, indirect costs in the form of lost productivity, and hidden costs that have never been accounted for in any public reporting system. Average environment-related health expenditure per household reached IDR 2,340,000 per year, with significant variation based on proximity to the riverbank. The social accounting perspective reveals a burden transfer from the public sector to households, reflecting accountability failures in local environmental management. These findings carry important policy implications for strengthening village sanitation programs and community-based environmental cost reporting systems.
Copyright (c) 2026 Menara Ilmiah Kesehatan Lingkungan dan Biodiversitas
Evaluasi Penerapan Prinsip ALARA dalam Keselamatan Radiasi Bagi Tenaga Kesehatan di Ruang Cathlab Jantung RSUD Arifin Achmad Provinsi Riau
Cardiac Catheterization Laboratory (Cathlab) services rely on X-ray fluoroscopy, which exposes healthcare workers to occupational ionizing radiation. Therefore, implementing the As Low As Reasonably Achievable (ALARA) principle is essential to minimize radiation exposure while maintaining service quality. This study aimed to evaluate the implementation of the ALARA principle for radiation safety among healthcare workers in the Cardiac Cathlab of Arifin Achmad Regional General Hospital, Riau Province. A descriptive qualitative approach was employed through observations, interviews, and document reviews. Data were analyzed using the Urgency, Seriousness, and Growth method to determine priority problems, Fishbone analysis with the 6M approach to identify root causes, and SWOT analysis to formulate improvement strategies. The findings indicate that ALARA implementation has been supported by radiation safety policies, personal protective equipment, personal dosimeters, and the presence of a Radiation Protection Officer. However, several challenges remain, including inconsistent use of protective equipment and dosimeters, limited continuity of radiation safety training, and inadequate monitoring and evaluation. The primary issue identified was the high potential for occupational radiation exposure among healthcare workers. Strengthening radiation safety culture, regular training, radiation safety audits, and management commitment are required to optimize ALARA implementation.
Analisis Aktivitas Masyarakat terhadap Kondisi dan Kualitas Air Anak Sungai di Desa Naga Beralih
The number of words in the abstract section ranges from 150-200 words, written in two Tributary rivers play an essential role in sustaining rural communities, serving as a source of water for domestic needs, sanitation facilities, and supporting local ecosystems. This study aims to examine the influence of community activities on the condition of the tributary river in Naga Beralih Village, focusing on water utilization patterns, waste disposal behavior, and perceived changes in water quality. The research employed a descriptive qualitative approach through field observation and in-depth interviews with residents living near the river. The results indicate that daily activities such as bathing, washing, and open defecation remain dominant practices around the river, despite a government sanitation program providing latrines since 2026. Additionally, a motorcycle repair workshop near the riverbank contributes waste with the potential to pollute the water body. Respondents perceived the river water condition as relatively poor, marked by the presence of waste and sediment disrupting the flow, although visible changes in color and odor were not yet significant. The study concludes that low environmental awareness and limited education among residents are the primary factors weakening the sustainability of river conservation efforts, highlighting the need for synergy between environmental education, village regulation enforcement, and active community participation.
Analisis Faktor Risiko Lingkungan dan Perilaku terhadap Kejadian Malaria: Sebuah Studi Kajian Literatur
Malaria remains a major tropical disease burden that fluctuates due to dynamic environmental factors and community behavior. This study aims to analyze environmental and behavioral risk factors associated with malaria incidence through a comprehensive literature review. This study design is a literature review by synthesizing 15 articles selected from electronic databases published in 2016–2026, using descriptive-comparative analysis. The results of this study, synthesizing 15 articles, show that environmental factors such as the presence of breeding places (80%) and the absence of wire mesh on ventilation (73.3%) significantly increase transmission. Meanwhile, behavioral factors such as non-compliance with the use of insecticide-treated bed nets (86.7%) and nighttime habits (80%) are the dominant predictors of malaria infection. The study concludes that malaria transmission is strongly triggered by the presence of mosquito nests close to homes and low self-protection at night, so integrated environmental management and intensive health education at the grassroots level are needed to accelerate malaria elimination.
Hubungan Status Imunisasi dan Pemberian ASI Eksklusif dengan Diare pada Balita: Sistematik Review
Diarrhea remains one of the leading causes of morbidity and mortality among children under five worldwide, including in Indonesia. Incomplete immunization and the lack of exclusive breastfeeding are considered preventable risk factors associated with an increased incidence of diarrhea. This study aimed to analyze the relationship between immunization status, exclusive breastfeeding, and the incidence of diarrhea among children under five through a systematic review. A systematic literature search was conducted in Google Scholar, Garuda, PubMed, and ScienceDirect for articles published between 2015 and 2025 using the keywords immunization, exclusive breastfeeding, diarrhea, and children under five. A total of 20 eligible studies, comprising 15 national and 5 international journal articles, were critically appraised using standardized critical appraisal tools and synthesized narratively. The findings showed that 18 of the 20 reviewed studies reported a statistically significant association between incomplete immunization and/or the absence of exclusive breastfeeding and a higher incidence of diarrhea among children under five, with reported odds ratios generally ranging from 1.8 to 3.6. The remaining two studies found no significant association, possibly due to uncontrolled confounding factors such as sanitation and hygiene. Overall, the evidence indicates that complete immunization and exclusive breastfeeding are important protective factors against diarrhea. Therefore, strengthening immunization coverage and promoting exclusive breastfeeding through integrated primary healthcare programs should be prioritized to reduce the burden of diarrhea among children under five.
Literasi Kesehatan Lingkungan pada Masyarakat di Indonesia: Studi Potong Lintang
Environmental health literacy is the ability of individuals to understand and use information about environmental health to make appropriate decisions. This study aimed to assess the level of environmental health literacy and identify factors associated with it among residents in Indonesia. This research used a cross-sectional design with 400 respondents selected through purposive sampling in Riau Province, covering three areas: Pekanbaru City, Kampar Regency, and Indragiri Hulu Regency. Data were collected using a validated questionnaire. Results showed that 42.5% of respondents had low environmental health literacy, 38.3% moderate, and 19.2% high literacy. Factors significantly associated with literacy level included education level (p<0.001), access to health information (p=0.003), and residential area (urban vs. rural) (p=0.012). These findings suggest the need for structured environmental health education programs, especially in rural communities with low formal education.
Copyright (c) 2025 Menara Ilmiah Kesehatan Lingkungan dan Biodiversitas
Literasi Kesehatan Lingkungan dan Implikasi Ekonominya: Akuntansi Biaya Lingkungan di Provinsi Riau, Indonesia
Environmental health literacy is closely linked to economic behavior, particularly in the context of environmental accounting and the internalization of environmental costs. This study examined the relationship between environmental health literacy and community understanding of environmental economic costs in Riau Province, Indonesia—a region heavily impacted by industrial activities, palm oil plantations, and peatland fires. A cross-sectional study was conducted with 420 respondents across three areas: Pekanbaru City, Kampar Regency, and Indragiri Hulu Regency. A validated questionnaire assessed literacy levels and awareness of environmental cost accounting. Results showed that 44.3% of respondents had low literacy, 37.1% moderate, and 18.6% high literacy. Respondents with higher literacy demonstrated significantly greater awareness of environmental costs borne by the community (p<0.001). Education level, occupational sector, and access to environmental information were the dominant associated factors. These findings highlight the need to integrate environmental health literacy into economic and accounting education frameworks in Riau.
Hubungan Perilaku Hidup Bersih dan Sehat (PHBS) dan Kelembapan dengan Kejadian Skabies di Pondok Pesantren Darul Al-Fatah
Scabies is a contagious skin disease caused by Sarcoptes scabiei infestation and commonly occurs in crowded environments such as Islamic boarding schools. Poor clean and healthy living behavior (PHBS) and inappropriate indoor humidity are suspected risk factors. This study aimed to analyze the relationship between PHBS and room humidity with scabies incidence among students at Darul Al-Fatah Islamic Boarding School, North Kampar District, Kampar Regency in 2025. This study used an observational analytic design with a cross-sectional approach. The population consisted of students living in the boarding school dormitories, with 71 respondents selected using simple random sampling. PHBS data were collected using a structured questionnaire, while room humidity was measured using a hygrometer. Data analysis was performed using chi-square tests. The results showed a significant relationship between PHBS and scabies incidence (p = 0.003) and between room humidity and scabies incidence (p = 0.019). Poor PHBS and humidity levels outside health standards were associated with a higher incidence of scabies. Strengthening health education, improving personal hygiene practices, and controlling dormitory humidity are essential to reduce scabies transmission in boarding schools.
Determinan Kejadian Demam Berdarah Dengue (DBD)
Demam Berdarah Dengue (DBD) merupakan penyakit yang disebabkan oleh virus Dengue yang ditularkan dari orang ke orang melalui gigitan nyamuk Aedes, yang disertai sakit kepala, nyeri otot, sendi dan tulang, penurunan jumlah sel darah putih dan ruam-ruam biasa dimulai dengan demam ringan atau demam tinggi (>39˚C) yang tiba-tiba dan berlangsung selama 2-7 hari. Berdasarkan data Dinas Kesehatan Provinsi Riau tahun 2017, penderita demam dilaporkan sebanyak 1.928 kasus dan meninggal sebanyak 15 orang. Sedangkan di Pangkalan Kerinci sebanyak 56 orang positif mengalami Demam Berdarah Dengue. Tujuan penelitian ini untuk mengetahui hubungan antara determinan kejadian demam berdarah dengue di Pangkalan Kerinci wilayah kerja Puskesmas Berseri Pangakalan Kerinci I Kabupaten Pelalawan Tahun 2018. Jenis penelitian ini adalah survei analitik, dengan desain case control. Teknik pengambilan sampel yang digunakan Adalah Non Probability dengan menggunakan teknik pencuplikan quota sampling. dengan sampel kasus sebanyak 70 orang dan sampel kontrol sebanyak 70 orang dengan jumlah sampel 140 orang. Analisis data yang digunakan adalah analisis univariat dan bivariat. Hasil penelitian menunjukan ada hubungan signifikan antara pengetahuan (pvalue = 0,000), tindakan 3M Plus (pvalue = 0,001), partisipasi masyarakat (pvalue = 0,000) dengan kejadian Demam Berdarah Dengue (DBD) di wilayah kerja Puskesmas Berseri Pangkalan Kerinci. Tidak ada hubungan yang signifikan antara sikap dengan (pvalue = 1,000) dengan kejadian Demam Berdarah Dengue (DBD) di wilayah kerja Puskesmas Berseri Pangkalan Kerinci. Diharapkan kepada petugas kesehatan untuk lebih meningkatkan pengetahuan masyarakat dengan memberi penyuluhan dan penyebaran leaflet tentang DBD agar dapat menekan angka kesakitan Demam Berdarah Dengue (DBD).
Hubungan Posisi Kerja dengan Keluhan LPB pada Pekerja CV. Mozart dan Anugrah di Kelurahan Air Tiris
Low back pain (LBP) is a common complaint in society. Low back pain is caused by lifting excessively heavy loads at work, improper posture, prolonged bending over, lifting and carrying loads in an unergonomic manner, and sitting or standing for long periods. This study aims to analyze the relationship between work positions and LBP complaints at CV. Mozart and Anugrah. The study used a cross-sectional design. This study was conducted on September 15-30 with a sample of 60 respondents using a total sampling technique. Data were collected using a questionnaire, then analyzed using univariate and bivariate analysis with the Chi-Square test. The univariate results showed that 39 respondents (65.0%) had high-risk work positions, and 19 respondents (31.7%) had low-risk low back pain complaints. The Chi-Square test showed a significant relationship between work positions and low back pain complaints (p <0.005). In conclusion, there is a significant relationship between work position and low back pain complaints at CV. Mozart Plafon and Anugrag Plafon. It is recommended that workers adopt good and correct work positions to prevent low back pain complaints.
Hubungan Penggunaan APD dengan Gejala Gangguan Penglihatan pada Pekerja Las di Kecamatan Bangkinang Kota
Welding work poses a high risk to eye health, making the use of PPE crusial. However, many workers fall to use it. As a result, exposure to welding light and fumes often leads to symptoms of visual impairment. This study aims to determine the relationship between PPE use and visual impairment symptoms among welding workers in Bangkinang City District. The method used was an analytical observational study with a cross sectional approach. This study was conducted on August 25 – September 2, 2025 with a sample size of 59 workers using a total sampling technique. The research instruments were questionnaires and observation sheets. Univariate and bivariate analyses were used with the Chi Square test. The univariate analysis revealed that 33 respondents (55.9%) did not use PPE and 39 respondents (66.1%) experienced visual impairment. The Chi Square test showed a relationship between PPE use and visual impairment (p-value = 0.001).
Hubungan Literasi Kesehatan Lingkungan dengan Pengelolaan Sampah Rumah Tangga di Desa Kuapan Kecamatan Tambang
Household waste management is a crucial issue in public environmental health. Good environmental health literacy can influence waste management behavior at the household level. This study aims to analyze the relationship between environmental health literacy and household waste management in Kuapan Village, Tambang District, Kampar Regency. The study used a cross-sectional design with a quantitative approach. The study population was all heads of families in Kuapan Village, totaling 1,015 families spread across 5 hamlets. A sample of 300 respondents was selected using a stratified random sampling technique with the Slovin formula (margin of error 5%). The study was conducted in October-November 2025. The research instrument used a structured questionnaire to measure environmental health literacy and household waste management practices. Data analysis used the Spearman correlation test. The results showed a significant positive relationship between environmental health literacy and household waste management (r = 0.685, p < 0.001). The conclusion of this study states that there is a relationship between environmental health literacy and household waste management in Kuapan Village. It is hoped that increasing environmental health literacy will improve good household waste management practices in Kuapan Village.
Assessing the Vulnerability of Blue Tourism Sites to Coastal Flooding on the Atlantic Shores of Akwa Ibom State
Coastal flooding, exacerbated by climate change, poses a critical threat to the burgeoning "blue tourism" sector in coastal states worldwide. This paper expands on a previous assessment of Akwa Ibom State, Nigeria, by incorporating a global comparative analysis to develop a more robust framework for vulnerability assessment and climate-resilient development. The study assesses the physical and socio-economic vulnerabilities of key tourism sites, such as Ibeno Beach, against the backdrop of international experiences from the Caribbean, Southeast Asia, and other parts of Africa. Instead, successful international models leverage a combination of green and gray infrastructure, innovative public-private partnerships (PPPs), and community-led adaptation strategies. Using a mixed-methods approach with primary data from Akwa Ibom and secondary data from global case studies, this paper proposes a holistic vulnerability assessment model and a strategic blueprint for sustainable blue tourism in the region. The findings demonstrate that by learning from international best practices, Akwa Ibom can transition from a reactive to a proactive stance, enhancing its resilience, protecting its natural heritage, and securing its economic future as a premier coastal tourism destination.
HUBUNGAN TINGKAT LITERASI KESEHATAN LINGKUNGAN DENGAN PERILAKU PENGELOLAAN SAMPAH PADA MASYARAKAT KOTA BAGAN SIAPI-API
Masalah pengelolaan sampah merupakan tantangan kompleks yang memerlukan pemahaman masyarakat tentang kesehatan lingkungan. Literasi kesehatan lingkungan (Environmental Health Literacy/EHL) menjadi konsep penting yang dapat mempengaruhi perilaku pengelolaan sampah masyarakat. Tujuan: Penelitian ini bertujuan menganalisis tingkat literasi kesehatan lingkungan, perilaku pengelolaan sampah, dan hubungan keduanya pada masyarakat Kota Bagan Siapi-api. Metode: Penelitian cross-sectional dengan 101 responden masyarakat dewasa di Kota Bagan Siapi-api menggunakan kuesioner tervalidasi. Data dianalisis dengan uji korelasi Spearman dan regresi linear berganda. Hasil: Tingkat literasi kesehatan lingkungan masyarakat berada dalam kategori sedang (60,4%) dengan skor rata-rata 2,48 ± 0,47. Dimensi pengetahuan dan kesadaran menunjukkan skor tertinggi (2,78 ± 0,52), sedangkan tindakan komunitas terendah (2,21 ± 0,58). Perilaku pengelolaan sampah juga dalam kategori sedang (73,3%) dengan skor rata-rata 2,84 ± 0,52. Perilaku pembuangan tepat menunjukkan skor tertinggi (3,21 ± 0,55), sedangkan daur ulang terendah (2,34 ± 0,69). Terdapat hubungan positif kuat dan signifikan antara literasi kesehatan lingkungan dengan perilaku pengelolaan sampah (rs = 0,672; p < 0,001). Kesimpulan: Literasi kesehatan lingkungan berperan penting dalam membentuk perilaku pengelolaan sampah masyarakat. Peningkatan program edukasi kesehatan lingkungan diperlukan untuk memperkuat tindakan komunitas dan praktik daur ulang.
Hubungan Biaya Kesehatan dengan Status Ekonomi Keluarga
Latar Belakang: Biaya kesehatan yang tinggi seringkali menjadi barrier utama bagi masyarakat untuk mendapatkan pelayanan kesehatan yang optimal. Status ekonomi keluarga memiliki korelasi kuat dengan perilaku pencarian pelayanan kesehatan, dimana keluarga dengan status ekonomi rendah cenderung menunda atau menghindari pencarian pelayanan kesehatan karena keterbatasan finansial. Tujuan: Penelitian ini bertujuan menganalisis hubungan antara biaya kesehatan dengan status ekonomi keluarga di Kabupaten Rokan Hilir. Metode: Penelitian cross sectional dengan 290 kepala keluarga yang dipilih melalui multistage cluster random sampling. Data dikumpulkan melalui wawancara terstruktur menggunakan kuesioner. Status ekonomi diukur dengan Indeks Status Ekonomi termodifikasi, sedangkan biaya kesehatan diukur dari total pengeluaran kesehatan 12 bulan terakhir. Analisis data menggunakan uji korelasi Spearman dan regresi linear berganda. Hasil: Rata-rata biaya kesehatan keluarga adalah Rp 6.542.020 per tahun. Mayoritas responden memiliki status ekonomi sedang (46,2%). Terdapat hubungan positif signifikan antara status ekonomi dengan biaya kesehatan (rs = 0,486; p < 0,001). Keluarga dengan status ekonomi tinggi mengeluarkan biaya kesehatan rata-rata Rp 9.876.340, sedangkan status ekonomi rendah Rp 4.234.560. Model regresi menjelaskan 54,2% varians biaya kesehatan. Sebanyak 23,1% keluarga mengalami catastrophic health expenditure. Kesimpulan: Status ekonomi keluarga berhubungan positif dengan biaya kesehatan. Diperlukan kebijakan untuk mengurangi disparitas akses pelayanan kesehatan berdasarkan status ekonomi.
DAMPAK EDUKASI GIZI BERBASIS DIGITAL TERHADAP PERUBAHAN PERILAKU MAKAN REMAJA DI KABUPATEN ROKAN HILIR
Latar Belakang: Masa remaja merupakan periode kritis pembentukan kebiasaan makan yang akan berlanjut hingga dewasa. Perkembangan teknologi digital membuka peluang inovasi dalam edukasi gizi remaja. Tujuan: Menganalisis hubungan antara paparan edukasi gizi berbasis digital dengan perilaku makan remaja di Kabupaten Rokan Hilir. Metode: Penelitian cross-sectional melibatkan 240 siswa SMA/SMK di Kabupaten Rokan Hilir yang dipilih melalui stratified cluster random sampling. Data dikumpulkan menggunakan kuesioner paparan edukasi digital, pengetahuan gizi, sikap terhadap makanan sehat, dan Food Frequency Questionnaire (FFQ). Analisis data menggunakan korelasi Pearson dan regresi linier berganda. Hasil: Rata-rata skor paparan edukasi gizi digital adalah 42,8±18,4 dari skala 100. Terdapat korelasi positif signifikan antara paparan edukasi digital dengan pengetahuan gizi (r=0,425; p<0,001), sikap terhadap makanan sehat (r=0,368; p<0,001), dan konsumsi buah-sayuran (r=0,284 dan r=0,251; p<0,001). Analisis multivariat menunjukkan paparan edukasi digital merupakan prediktor terkuat perilaku makan sehat (β=0,312; p<0,001). Terdapat perbedaan signifikan berdasarkan jenis kelamin, lokasi geografis, dan status sosial ekonomi. Kesimpulan: Edukasi gizi berbasis digital berhubungan positif dengan peningkatan pengetahuan, sikap, dan perilaku makan sehat remaja. Platform digital dapat menjadi media efektif untuk promosi gizi remaja dengan mempertimbangkan faktor sosiodemografi dan aksesibilitas teknologi.
KORELASI TINGKAT STRES DENGAN PERILAKU MEROKOK PADA REMAJA KOTA BANGKINANG
Latar Belakang: Perilaku merokok pada remaja merupakan masalah kesehatan global yang sering dikaitkan dengan tingkat stres. Prevalensi merokok remaja di Kota Bangkinang yang mencapai 23,5% lebih tinggi dari rata-rata nasional, sehingga perlu dikaji hubungannya dengan tingkat stres yang dialami remaja. Tujuan: Menganalisis korelasi antara tingkat stres dengan perilaku merokok pada remaja di Kota Bangkinang. Metode: Penelitian cross sectional dengan 386 responden remaja berusia 15-18 tahun di SMA Negeri dan Swasta Kota Bangkinang yang dipilih menggunakan proportionate stratified random sampling. Data dikumpulkan menggunakan Perceived Stress Scale-10 (PSS-10) untuk mengukur tingkat stres dan modifikasi kuesioner Global Youth Tobacco Survey (GYTS) untuk perilaku merokok. Analisis data menggunakan uji korelasi Spearman dengan tingkat signifikansi p<0,05. Hasil: Mayoritas responden mengalami tingkat stres sedang (60,6%) dengan rata-rata skor PSS-10 sebesar 18,7 ± 6,4. Prevalensi perilaku merokok mencapai 25,1% dengan perbedaan signifikan antara laki-laki (35,9%) dan perempuan (14,1%). Terdapat korelasi positif yang signifikan antara tingkat stres dengan perilaku merokok (rs = 0,487; p < 0,001) dengan kekuatan korelasi sedang. Prevalensi merokok meningkat dari 9,2% pada kelompok stres rendah menjadi 53,7% pada kelompok stres tinggi. Kesimpulan: Terdapat korelasi positif yang signifikan antara tingkat stres dengan perilaku merokok pada remaja di Kota Bangkinang. Program intervensi perlu mengintegrasikan manajemen stres dan pengembangan keterampilan koping adaptif untuk mencegah perilaku merokok pada remaja.
Hubungan Pola Konsumsi Fast Food dengan Status Gizi Mahasiswa di Kota Bangkinang
Latar Belakang: Periode perkuliahan merupakan fase transisi kritis yang seringkali diikuti perubahan pola makan tidak sehat, termasuk peningkatan konsumsi makanan cepat saji (fast food). Mahasiswa rentan mengalami masalah status gizi akibat faktor kemandirian dalam memilih makanan, tekanan akademik, dan keterbatasan waktu. Tujuan: Penelitian ini bertujuan menganalisis hubungan antara pola konsumsi fast food dengan status gizi mahasiswa di Kota Bangkinang. Metode: Studi cross-sectional melibatkan 120 mahasiswa aktif semester 2-8 berusia 18-25 tahun di Kota Bangkinang yang dipilih menggunakan stratified random sampling. Data dikumpulkan melalui Food Frequency Questionnaire (FFQ) untuk mengukur pola konsumsi fast food dan pengukuran antropometri untuk menentukan status gizi berdasarkan Indeks Massa Tubuh (IMT) dengan klasifikasi WHO Asia-Pasifik. Analisis data menggunakan Chi-square test, korelasi Spearman, dan multiple logistic regression. Hasil: Sebagian besar mahasiswa (74,2%) mengonsumsi fast food minimal 1 kali per minggu, dengan 35,9% mengonsumsi sering hingga sangat sering (≥3 kali/minggu). Prevalensi kelebihan berat badan dan obesitas mencapai 35,0%, sementara 18,3% mengalami kekurangan berat badan. Terdapat hubungan signifikan antara pola konsumsi fast food dengan status gizi (p=0,003) dan korelasi positif sedang antara frekuensi konsumsi fast food dengan IMT (r=0,412; p<0,001). Mahasiswa yang sering mengonsumsi fast food memiliki risiko 3,24 kali lebih besar mengalami kelebihan berat badan/obesitas (OR=3,24; 95%CI: 1,45-7,26). Kesimpulan: Pola konsumsi fast food berhubungan signifikan dengan status gizi mahasiswa, menunjukkan perlunya intervensi gizi komprehensif untuk mencegah masalah gizi pada populasi mahasiswa.
PENGARUH PROMOSI KESEHATAN TERHADAP PERUBAHAN PERILAKU HIDUP SEHAT
Latar Belakang: Masyarakat nelayan memiliki risiko kesehatan yang lebih tinggi dibandingkan populasi umum, namun program promosi kesehatan belum menunjukkan efektivitas optimal dalam mengubah perilaku hidup sehat komunitas ini. Tujuan: Penelitian ini bertujuan menganalisis pengaruh promosi kesehatan terhadap perubahan perilaku hidup sehat pada masyarakat nelayan di Kabupaten Rokan Hilir. Metode: Penelitian cross-sectional melibatkan 385 nelayan yang dipilih melalui stratified random sampling. Data dikumpulkan menggunakan kuesioner karakteristik demografi dan Health Promoting Lifestyle Profile II (HPLP-II) untuk mengukur perilaku hidup sehat. Analisis data menggunakan uji chi-square dan regresi logistik berganda dengan tingkat signifikansi p<0,05. Hasil: Mayoritas responden berusia 31-40 tahun (36,9%), berjenis kelamin laki-laki (84,2%), dan berpendidikan rendah (52,2% ≤SD). Media elektronik menjadi sumber informasi kesehatan yang paling banyak diakses (69,4%), namun konseling kesehatan individual menunjukkan efektivitas tertinggi. Analisis multivariat menunjukkan konseling individual (AOR=2,77; 95%CI:1,63-4,71), penyuluhan Puskesmas (AOR=2,44; 95%CI:1,55-3,84), dan media edukasi (AOR=1,95; 95%CI:1,22-3,12) berpengaruh signifikan terhadap perilaku hidup sehat setelah mengontrol faktor confounding. Kesimpulan: Promosi kesehatan berpengaruh signifikan terhadap perubahan perilaku hidup sehat masyarakat nelayan, dengan pendekatan interpersonal melalui konseling individual menunjukkan efektivitas tertinggi dibandingkan metode lainnya.
PEMAHAMAN LANSIA TERHADAP KESEHATAN LINGKUNGAN RUMAH TINGGAL: STUDI LANSIA DI KECAMATAN PUJUD
Peningkatan populasi lansia di Indonesia mencapai 11,75% pada tahun 2023 menimbulkan tantangan baru dalam kesehatan lingkungan rumah tinggal. Tujuan: Penelitian ini bertujuan menganalisis tingkat pemahaman lansia terhadap kesehatan lingkungan rumah tinggal, faktor-faktor yang mempengaruhi, serta hubungannya dengan kondisi kesehatan di Kecamatan Pujud, Kabupaten Rokan Hilir. Penelitian ini menggunakan teknik cross-sectional dengan 387 responden lansia (≥60 tahun) menggunakan teknik probability proportionate to size sampling. Data dikumpulkan melalui kuesioner terstruktur adaptasi HLS-EU-Q47 dan observasi kondisi rumah. Analisis data menggunakan uji chi-square dan regresi logistik berganda. Hasil penelitian ini menunjukkan sebagian besar lansia memiliki pemahaman kesehatan lingkungan rumah yang kurang (42,4%) dan cukup (37,5%), hanya 20,2% yang memiliki pemahaman baik (mean: 62,3±18,7). Faktor prediktor terkuat adalah pendidikan ≥SMP (AOR=3,48), pendapatan ≥UMR (AOR=2,97), usia 60-69 tahun (AOR=2,10), dan status bekerja (AOR=1,84). Kondisi fisik rumah menunjukkan 62,5% tidak memiliki tempat sampah memadai dan 56,8% SPAL tidak memenuhi syarat. Terdapat hubungan signifikan antara pemahaman kesehatan lingkungan dengan status kesehatan subjektif dan penyakit penyerta (p<0,001). Kesimpulan: Pemahaman lansia terhadap kesehatan lingkungan rumah tinggal masih rendah, dipengaruhi terutama oleh tingkat pendidikan, pendapatan, usia, dan status pekerjaan. Pemahaman yang baik berkorelasi positif dengan status kesehatan yang lebih baik, menunjukkan pentingnya intervensi edukasi kesehatan lingkungan yang disesuaikan dengan karakteristik sosio-demografis lansia.
Determinan Sosial-Ekonomi terhadap Literasi Kesehatan Lingkungan pada Mahasiswa di Kota Bangkinang
Latar Belakang: Literasi kesehatan lingkungan (Environmental Health Literacy/EHL) merupakan kemampuan penting untuk memahami dampak lingkungan terhadap kesehatan dan membuat keputusan protektif. Determinan sosial-ekonomi diketahui memengaruhi literasi kesehatan, namun penelitian tentang hubungannya dengan EHL pada mahasiswa di Indonesia masih terbatas. Tujuan: Menganalisis pengaruh determinan sosial-ekonomi terhadap literasi kesehatan lingkungan mahasiswa di Kota Bangkinang. Metode: Penelitian cross-sectional dengan 400 mahasiswa dari berbagai perguruan tinggi di Kota Bangkinang menggunakan stratified random sampling. Data dikumpulkan melalui kuesioner EHL yang diadaptasi dari Febria & Yenita (2024) dan kuesioner determinan sosial-ekonomi. Analisis data menggunakan chi-square untuk uji bivariat dan regresi logistik berganda untuk analisis multivariat. Hasil: Tingkat EHL mahasiswa sebagian besar kategori sedang (46,8%) dengan skor rata-rata 62,4 ± 12,8. Semua determinan sosial-ekonomi berpengaruh signifikan terhadap EHL (p<0,05). Akses sumber informasi merupakan determinan paling dominan (OR=5,80; 95% CI: 2,76-12,18), diikuti pendapatan keluarga >Rp 6 juta (OR=7,99; 95% CI: 2,62-24,35), dan pendidikan ayah S2/S3 (OR=6,33; 95% CI: 1,53-26,16). Model regresi menjelaskan 40,2% variasi EHL dengan akurasi klasifikasi 73,5%. Kesimpulan: Determinan sosial-ekonomi berpengaruh signifikan terhadap literasi kesehatan lingkungan mahasiswa, dengan akses sumber informasi sebagai faktor paling dominan. Strategi peningkatan EHL perlu mempertimbangkan disparitas sosial-ekonomi dan memprioritaskan peningkatan akses informasi berkualitas untuk semua mahasiswa.