Yoseph Samodra - Academia.edu (original) (raw)
Papers by Yoseph Samodra
Trends in medical research, Apr 17, 2024
Narra J, Mar 20, 2024
Persistent symptoms after the coronavirus disease 2019 (COVID-19, known as post-COVID syndrome (P... more Persistent symptoms after the coronavirus disease 2019 (COVID-19, known as post-COVID syndrome (PCS), presented an ongoing health burden among COVID-19 survivors, including health workers. The existence of fatigue in mild COVID-19 survivors has not been widely reported. The aim of this study was to present the symptoms of fatigue in healthcare workers who experienced mild COVID-19 and the factors associated with fatigue. A cross-sectional study was conducted at H. Adam Malik General Hospital in Medan, Indonesia, from September to December 2022, included doctors, nurses, ancillary workers, and medical support workers who experienced mild COVID-19. Fatigue was measured by a fatigue assessment scale (FAS). The assessed possible risk factors were gender, age, vaccination history, comorbid, presence of PCS, duration of PCS symptoms, and number of PCS symptoms. The Chi-squared or Fisher's exact tests were used to assess the association between the incidence of fatigue and risk factors. A total of 100 healthcare workers of mild COVID-19 survivors were included. Most of them were nurses (58%), women (81%), and aged 19−30 years old (36%). The majority had incomplete vaccination history (64%), experienced PCS (71%), no comorbidities (61%), and experienced <3 months of PCS symptoms (55%). Mild to moderate fatigue was found in 23% of healthcare workers and only 1% experienced severe fatigue. No significant association was found between gender, vaccination history, and comorbidities with the incidence of fatigue. However, a significant association was observed between age (p=0.021), the presence of PCS (p=0.041), and the number of PCS symptoms (p=0.047) with fatigue incidence. Furthermore, there were significant associations between symptoms of PCS (confusion (p=0.004), insomnia (p=0.001), myalgia (p=0.035), arthralgia (p=0.028), throat pain (p=0.042), headache (p=0.042), and chest pain (p=0.011)) with fatigue. These findings can contribute to providing the necessary support for mild COVID-19 survivors and persistent fatigue.
Preventive Medicine Reports
The Lancet Global Health
Background Analysing trends and levels of the burden of disease at the national level can mask in... more Background Analysing trends and levels of the burden of disease at the national level can mask inequalities in healthrelated progress in lower administrative units such as provinces and districts. We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to analyse health patterns in Indonesia at the provincial level between 1990 and 2019. Long-term analyses of disease burden provide insights on Indonesia's advance to universal health coverage and its ability to meet the United Nations Sustainable Development Goals by 2030. Methods We analysed GBD 2019 estimated cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life-years (DALYs), life expectancy at birth, healthy life expectancy, and risk factors for 286 causes of death, 369 causes of non-fatal health loss, and 87 risk factors by year, age, and sex for Indonesia and its 34 provinces from 1990 to 2019. To generate estimates for Indonesia at the national level, we used 138 location-years of data to estimate Indonesia-specific demographic indicators, 317 location-years of data for Indonesia-specific causes of death, 689 location-years of data for Indonesia-specific non-fatal outcomes, 250 location-years of data for Indonesiaspecific risk factors, and 1641 location-years of data for Indonesia-specific covariates. For subnational estimates, we used the following source counts: 138 location-years of data to estimate Indonesia-specific demographic indicators; 5848 location-years of data for Indonesia-specific causes of death; 1534 location-years of data for Indonesia-specific non-fatal outcomes; 650 location-years of data for Indonesia-specific risk factors; and 16 016 location-years of data for Indonesia-specific covariates. We generated our GBD 2019 estimates for Indonesia by including 1 915 207 total source metadata rows, and we used 821 total citations. Findings Life expectancy for males across Indonesia increased from 62•5 years (95% uncertainty interval 61•3-63•7) to 69•4 years (67•2-71•6) between 1990 and 2019, a positive change of 6•9 years. For females during the same period, life expectancy increased from 65•7 years (64•5-66•8) to 73•5 years (71•6-75•6), an increase of 7•8 years. There were large disparities in health outcomes among provinces. In 2019, Bali had the highest life expectancy at birth for males (74•4 years, 70•90-77•9) and North Kalimantan had the highest life expectancy at birth for females (77•7 years, 74•7-81•2), whereas Papua had the lowest life expectancy at birth for males (64•5 years, 60•9-68•2) and North Maluku had the lowest life expectancy at birth for females (64•0 years, 60•7-67•3). The difference in life expectancy for males between the highest-ranked and lowest-ranked provinces was 9•9 years and the difference in life expectacy for females between the highest-ranked and lowest-ranked provinces was 13•7 years. Age-standardised death, YLL, and YLD rates also varied widely among the provinces in 2019. High systolic blood pressure, tobacco, dietary risks, high fasting plasma glucose, and high BMI were the five leading risks contributing to health loss measured as DALYs in 2019. Interpretation Our findings highlight that Indonesia faces a double burden of communicable and non-communicable diseases that varies across provinces. From 1990 to 2019, Indonesia witnessed a decline in the infectious disease burden, although communicable diseases such as tuberculosis, diarrhoeal diseases, and lower respiratory infections have remained a main source of DALYs in Indonesia. During that same period, however, all-ages death and disability rates from non-communicable diseases and exposure to their risk factors accounted for larger shares of health loss. The differences in health outcomes between the highest-performing and lowest-performing provinces have also widened since 1990. Our findings support a comprehensive process to revisit current health policies, examine the root causes of variation in the burden of disease among provinces, and strengthen programmes and policies aimed at reducing disparities across the country. Funding The Bill & Melinda Gates Foundation and the Government of Indonesia.
Indonesian Scholars Scientific Summit Taiwan Proceeding
Youth and students are one component in society that can play an important role and continue the ... more Youth and students are one component in society that can play an important role and continue the relay of Indonesia's sustainable development in the future. Success in building education will significantly contribute to the achievement of overall national development goals. Indonesia's development plan also mentions Sustainable Development Goals (SDGs). The SDGs describe a universal agenda that applies and must be implemented by all countries, including Indonesia. The 17 goals are:
The Lancet
Background Understanding the magnitude of cancer burden attributable to potentially modifiable ri... more Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk-outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. Findings Globally, in 2019, the risk factors included in this analysis accounted for 4•45 million (95% uncertainty interval 4•01-4•94) deaths and 105 million (95•0-116) DALYs for both sexes combined, representing 44•4% (41•3-48•4) of all cancer deaths and 42•0% (39•1-45•6) of all DALYs. There were 2•88 million (2•60-3•18) risk-attributable cancer deaths in males (50•6% [47•8-54•1] of all male cancer deaths) and 1•58 million (1•36-1•84) risk-attributable cancer deaths in females (36•3% [32•5-41•3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20•4% (12•6-28•4) and DALYs by 16•8% (8•8-25•0), with the greatest percentage increase in metabolic risks (34•7% [27•9-42•8] and 33•3% [25•8-42•0]). Interpretation The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden. Funding Bill & Melinda Gates Foundation.
Indonesian Scholars Scientific Summit Taiwan Proceeding
Background: Many factors have been reported to contribute to a decrease in the use of pharmacothe... more Background: Many factors have been reported to contribute to a decrease in the use of pharmacotherapy to control pain, including the complexity of the medication regime, lack of efficacy, side effects, and cost considerations. Objective: The purpose of this study was to identify the significant factors associated with the use of pharmacotherapy in pain relief among Indonesian population. Methods: The data was obtained from the fifth wave of the Indonesian Family Life Survey (IFLS-5). The sample size was 11,516 persons aged 21-60 years with recent pain. Logistic regressions were utilized to explore the associations between independent characteristics and the outcome of medication use for pain complaints. Results: The majority of the participants were females between the ages of 31 and 40, had a high school diploma or less, were working, practiced Islam, and had no restrictions on their daily activities. The proportions of pharmacotherapy users and non- pharmacotherapy users were 51.4...
Seminar Hasil Penelitian Bagi Civitas Akademika 2017, 2017
Plant-based diet is a dietary pattern that prioritizes the high consumption of plant products and... more Plant-based diet is a dietary pattern that prioritizes the high consumption of plant products and avoids consuming various types of animal products. Plant-based diet as a sustainable diet has a low environmental impact, maintains health and wellbeing, and preserves resources for future generations [1]. Vegetarian is a form of a plant-based diet that focuses on reducing the consumption of various animal products (meat, fish, and poultry) and has been shown to reduce the risk of various diseases, such as ischemic heart disease, type II diabetes mellitus, hypertension, some types of cancer, and obesity [2]. Each attempt to improve energy balance and dietary changes towards predominantly plant-based diets that are in line with evidence on healthy eating is a suitable approach for sustainable diet [3]. Diets high in plants and low in animal contents are associated with a reduced risk of cardiovascular disease morbidity and mortality. Cardiovascular disease is one of the leading causes of...
JHE: Journal of Health Education, 2019
Background: ARI is one of the most causes child mortality in Indonesia due to their immature defe... more Background: ARI is one of the most causes child mortality in Indonesia due to their immature defense systems compared to adults. Intake of a toddler can affect the level of immunity against diseases, one of which is ARI. The aim of this study is to find out the correlation between exclusive breast feeding with the Incidence of Acute Respiration Infection in children. Methods: This study was performed by observational analysis experimental design with crosssectional method. The number of sample in this study was 70 children and the sample took from children that visit Puskesmas Tabanan III. Data were collected by Musfardi Rustam's (2010) questionnaire. Results: Statistical bivariate analysis by the chi-square test show a correlation between exclusive breastfeeding with the Incidence of Acute Respiration Infection in children (p<0,01). There were no correlations between age of the children (p = 0,567), mother's education level (p = 0,601), and children's gender (p = 0,1...
The Lancet
Summary Background Sustainable Development Goal 3.2 has targeted elimination of preventable child... more Summary Background Sustainable Development Goal 3.2 has targeted elimination of preventable child mortality, reduction of neonatal death to less than 12 per 1000 livebirths, and reduction of death of children younger than 5 years to less than 25 per 1000 livebirths, for each country by 2030. To understand current rates, recent trends, and potential trajectories of child mortality for the next decade, we present the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 findings for all-cause mortality and cause-specific mortality in children younger than 5 years of age, with multiple scenarios for child mortality in 2030 that include the consideration of potential effects of COVID-19, and a novel framework for quantifying optimal child survival. Methods We completed all-cause mortality and cause-specific mortality analyses from 204 countries and territories for detailed age groups separately, with aggregated mortality probabilities per 1000 livebirths computed for ne...
Journal of Health Education
Background: Nutritional components contained in fish like ssential fatty acid might support the g... more Background: Nutritional components contained in fish like ssential fatty acid might support the growth and development of children’s brain. Therefore, it’s better to give it as early as possible at the age of 6-24 months as complementary food because this age is the ideal age for the growth and development of…
Indonesian Journal of Human Nutrition
Abstrak Di Indonesia terdapat 40% anak yang melewatkan sarapan. Melewatkan sarapan dapat memengar... more Abstrak Di Indonesia terdapat 40% anak yang melewatkan sarapan. Melewatkan sarapan dapat memengaruhi penurunan aktivitas fisik. Kurangnya aktivitas fisik ini berdampak pada penurunan kebugaran jasmani, sehingga seseorang akan lebih mudah lelah dan kurang optimal dalam melakukan aktivitas harian. Penelitian ini bertujuan untuk mengetahui hubungan antara kebiasaan sarapan dengan tingkat kebugaran jasmani pada anak usia sekolah dasar di SD Budya Wacana Yogyakarta. Penelitian menggunakan metode cross sectional dengan subjek penelitian adalah anak usia sekolah dasar kelas IV, V, dan VI di SD Budya Wacana Yogyakarta, yang diambil dengan metode total sampling, yaitu sebesar 157 siswa. Pengambilan data menggunakan kuisioner sarapan dan tingkat kebugaran jasmani dengan lari jarak menengah (1000 meter). Analisis statistik menggunakan spearman rank, dengan tingkat kepercayaan 95%. Hasil analisis menunjukkan terdapat hubungan antara kebiasaan sarapan dengan tingkat kebugaran jasmani (p=0.023), serta adanya hubungan antara status gizi dengan tingkat kebugaran jasmani (p=0.000). Tidak terdapat hubungan antara jenis kelamin (p=0.682), usia (p=0.021), penyakit kardiovaskular respirasi (p=0.781) dengan tingkat kebugaran jasmani. Hasil analisis multivariat dengan uji regresi logistik hubungan status gizi (p= 0.000) dengan tingkat kebugaran jasmani memiliki hubungan yang lebih besar dibandingkan dengan kebiasaan sarapan (p= 0.011). Status gizi dapat mempengaruhi 11,9% dari kebugaran jasmani siswa dalam penelitian ini.
Berkala Ilmiah Kedokteran Duta Wacana
UKK Nutrisi dan Penyakit Metabolik Ikatan Dokter Anak Indonesia pada tahun 2018 menerbitkan bukle... more UKK Nutrisi dan Penyakit Metabolik Ikatan Dokter Anak Indonesia pada tahun 2018 menerbitkan buklet berjudul Pemberian Makanan Pendamping Air Susu Ibu (MPASI). Dalam publikasi tersebut disampaikan bahwa MPASI diberikan ketika air susu ibu (ASI) saja tidak cukup untuk memenuhi kebutuhan gizi bayi. Batasan waktu yang dipakai untuk memulai pemberian MPASI adalah ketika bayi berusia enam bula
Jurnal Gizi Klinik Indonesia
Background: Elderly (>60 years old) population is growing in Indonesia. It is important to pre... more Background: Elderly (>60 years old) population is growing in Indonesia. It is important to prevent degradation of cognitive capacity by risk factor identification and treatment.Objective: To identify the relationship between anthropometric status and cognitive capacity on elderly population.Method: This is an analysis of The Fifth Wave of the Indonesia Family Life Survey (IFLS5) data with cross-sectional design. Anthropometric status is consisted of: body weight, body height, body mass index (BMI), knee height, upper arm length, waist circumference, hip circumference, and waist-hip ratio (WHR). Cognitive capacity is measured by modified telephone survey of cognitive status (TICS). Chi-Square and Mann-Whitney test are used for bivariate analysis, logistic regression is used for multivariate analysis.Results: Variables with significant relationship to cognitive capacity are body weight (p=0.0002), body height (p=0.0001), knee height (p=0.0387), upper arm length (p=0.0114), age (p=0...
Latar Belakang: Status gizi memiliki peran yang penting terhadap proses pertumbuhan dan perkemban... more Latar Belakang: Status gizi memiliki peran yang penting terhadap proses pertumbuhan dan perkembangan anak usia prasekolah. Status gizi yang buruk pada anak memiliki hubungan terhadap gangguan pertumbuhan dan perkembangan fisik. Sedangkan status gizi yang berlebih dengan derajat berat akan menyebabkan gangguan pernapasan, hipertensi, dermatitis. Maka dari itu perlu adanya pengkajian suatu kondisi yang diduga mempengaruhi status gizi seperti pola asuh. Tujuan: Mengetahui hubungan antara pola asuh terhadap status gizi pada anak TK di kota Yogyakarta. Metode: Penelitian ini menggunakan analitik observasional dengan desain penelitian yaitu cross sectional. Populasi yang terlibat terdiri dari seluruh siswa atau siswi beserta ibu anak TK Bopkri Gondokusuman, TK Bina Putra dan TK Bopkri Ungaran yang berjumlah 50 sampel. Penilaian status gizi ditentukan dengan pengukuran berat badan dan tinggi badan kemudian dikategorikan berdasarkan indikator Indeks Massa Tubuh (IMT/U) pada grafik CDC tahun...
Abstract: Elderly population which continues to increase in number every year causes various soci... more Abstract: Elderly population which continues to increase in number every year causes various social, economic, and health problems inter alia cognitive dysfunction. One of the efforts that can prevent and slow down the decline in cognitive function is consuming caffeinated beverages. This study was aimed to evaluate the relationship between the pattern of caffeinated beverage consumption and cognitive function among the elderly at GKJ Gondokusuman in Yogyakarta. This was an analytical observational study with a cross-sectional design. We used the modified Food Frequency Questionnaire (FFQ) to measure the consumption patterns of caffeinated beverage meanwhile the cognitive function was measured by using the Mini Mental State Examination (MMSE) and the Clock Drawing Test (CDT). Sample size was determined by using the total sampling method. There were 54 samples of elderly population. Data were analyzed by using the Spearman correlation test which obtained (p=0.023; r=-0.309) for the r...
Berkala Ilmiah Kedokteran Duta Wacana
Background: Childhood obesity is related to chronic diseases in the future, which could be preven... more Background: Childhood obesity is related to chronic diseases in the future, which could be prevented through changes in eating habit. Strategy in eating behaviour needs an in-depth understanding on contributing factors to unhealthy eating habits in school-age children. Meanwhile, evidence on those factors, especially related increased calorie intake, is still scarce in Indonesia. Objective: This study is aimed to explore the eating habit of primary school students with obesity in a private school in Yogyakarta. Method: A qualitative interview involving parents of obese children was performed at Sekolah Dasar Budya Wacana in January 2020. The transcripts were analysed using a thematic approach to acquire major themes related to the cause of unhealthy eating habits. Results: From 11 parents, there are two major themes developed, which are unhealthy eating habits and parental influences. There are two unhealthy eating habits discovered in this study, which are irregular mealtime and un...
Global, regional, and national progress towards Sustainable Development Goal 3.2 for neonatal and child health: all-cause and cause-specific mortality findings from the Global Burden of Disease Study 2019, 2021
Background Sustainable Development Goal 3.2 has targeted elimination of preventable child mortali... more Background Sustainable Development Goal 3.2 has targeted elimination of preventable child mortality, reduction of neonatal death to less than 12 per 1000 livebirths, and reduction of death of children younger than 5 years to less than 25 per 1000 livebirths, for each country by 2030. To understand current rates, recent trends, and potential trajectories of child mortality for the next decade, we present the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 findings for all-cause mortality and cause-specific mortality in children younger than 5 years of age, with multiple scenarios for child mortality in 2030 that include the consideration of potential effects of COVID-19, and a novel framework for quantifying optimal child survival. Methods We completed all-cause mortality and cause-specific mortality analyses from 204 countries and territories for detailed age groups separately, with aggregated mortality probabilities per 1000 livebirths computed for neonatal m...
Books by Yoseph Samodra
Trends in medical research, Apr 17, 2024
Narra J, Mar 20, 2024
Persistent symptoms after the coronavirus disease 2019 (COVID-19, known as post-COVID syndrome (P... more Persistent symptoms after the coronavirus disease 2019 (COVID-19, known as post-COVID syndrome (PCS), presented an ongoing health burden among COVID-19 survivors, including health workers. The existence of fatigue in mild COVID-19 survivors has not been widely reported. The aim of this study was to present the symptoms of fatigue in healthcare workers who experienced mild COVID-19 and the factors associated with fatigue. A cross-sectional study was conducted at H. Adam Malik General Hospital in Medan, Indonesia, from September to December 2022, included doctors, nurses, ancillary workers, and medical support workers who experienced mild COVID-19. Fatigue was measured by a fatigue assessment scale (FAS). The assessed possible risk factors were gender, age, vaccination history, comorbid, presence of PCS, duration of PCS symptoms, and number of PCS symptoms. The Chi-squared or Fisher's exact tests were used to assess the association between the incidence of fatigue and risk factors. A total of 100 healthcare workers of mild COVID-19 survivors were included. Most of them were nurses (58%), women (81%), and aged 19−30 years old (36%). The majority had incomplete vaccination history (64%), experienced PCS (71%), no comorbidities (61%), and experienced <3 months of PCS symptoms (55%). Mild to moderate fatigue was found in 23% of healthcare workers and only 1% experienced severe fatigue. No significant association was found between gender, vaccination history, and comorbidities with the incidence of fatigue. However, a significant association was observed between age (p=0.021), the presence of PCS (p=0.041), and the number of PCS symptoms (p=0.047) with fatigue incidence. Furthermore, there were significant associations between symptoms of PCS (confusion (p=0.004), insomnia (p=0.001), myalgia (p=0.035), arthralgia (p=0.028), throat pain (p=0.042), headache (p=0.042), and chest pain (p=0.011)) with fatigue. These findings can contribute to providing the necessary support for mild COVID-19 survivors and persistent fatigue.
Preventive Medicine Reports
The Lancet Global Health
Background Analysing trends and levels of the burden of disease at the national level can mask in... more Background Analysing trends and levels of the burden of disease at the national level can mask inequalities in healthrelated progress in lower administrative units such as provinces and districts. We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to analyse health patterns in Indonesia at the provincial level between 1990 and 2019. Long-term analyses of disease burden provide insights on Indonesia's advance to universal health coverage and its ability to meet the United Nations Sustainable Development Goals by 2030. Methods We analysed GBD 2019 estimated cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life-years (DALYs), life expectancy at birth, healthy life expectancy, and risk factors for 286 causes of death, 369 causes of non-fatal health loss, and 87 risk factors by year, age, and sex for Indonesia and its 34 provinces from 1990 to 2019. To generate estimates for Indonesia at the national level, we used 138 location-years of data to estimate Indonesia-specific demographic indicators, 317 location-years of data for Indonesia-specific causes of death, 689 location-years of data for Indonesia-specific non-fatal outcomes, 250 location-years of data for Indonesiaspecific risk factors, and 1641 location-years of data for Indonesia-specific covariates. For subnational estimates, we used the following source counts: 138 location-years of data to estimate Indonesia-specific demographic indicators; 5848 location-years of data for Indonesia-specific causes of death; 1534 location-years of data for Indonesia-specific non-fatal outcomes; 650 location-years of data for Indonesia-specific risk factors; and 16 016 location-years of data for Indonesia-specific covariates. We generated our GBD 2019 estimates for Indonesia by including 1 915 207 total source metadata rows, and we used 821 total citations. Findings Life expectancy for males across Indonesia increased from 62•5 years (95% uncertainty interval 61•3-63•7) to 69•4 years (67•2-71•6) between 1990 and 2019, a positive change of 6•9 years. For females during the same period, life expectancy increased from 65•7 years (64•5-66•8) to 73•5 years (71•6-75•6), an increase of 7•8 years. There were large disparities in health outcomes among provinces. In 2019, Bali had the highest life expectancy at birth for males (74•4 years, 70•90-77•9) and North Kalimantan had the highest life expectancy at birth for females (77•7 years, 74•7-81•2), whereas Papua had the lowest life expectancy at birth for males (64•5 years, 60•9-68•2) and North Maluku had the lowest life expectancy at birth for females (64•0 years, 60•7-67•3). The difference in life expectancy for males between the highest-ranked and lowest-ranked provinces was 9•9 years and the difference in life expectacy for females between the highest-ranked and lowest-ranked provinces was 13•7 years. Age-standardised death, YLL, and YLD rates also varied widely among the provinces in 2019. High systolic blood pressure, tobacco, dietary risks, high fasting plasma glucose, and high BMI were the five leading risks contributing to health loss measured as DALYs in 2019. Interpretation Our findings highlight that Indonesia faces a double burden of communicable and non-communicable diseases that varies across provinces. From 1990 to 2019, Indonesia witnessed a decline in the infectious disease burden, although communicable diseases such as tuberculosis, diarrhoeal diseases, and lower respiratory infections have remained a main source of DALYs in Indonesia. During that same period, however, all-ages death and disability rates from non-communicable diseases and exposure to their risk factors accounted for larger shares of health loss. The differences in health outcomes between the highest-performing and lowest-performing provinces have also widened since 1990. Our findings support a comprehensive process to revisit current health policies, examine the root causes of variation in the burden of disease among provinces, and strengthen programmes and policies aimed at reducing disparities across the country. Funding The Bill & Melinda Gates Foundation and the Government of Indonesia.
Indonesian Scholars Scientific Summit Taiwan Proceeding
Youth and students are one component in society that can play an important role and continue the ... more Youth and students are one component in society that can play an important role and continue the relay of Indonesia's sustainable development in the future. Success in building education will significantly contribute to the achievement of overall national development goals. Indonesia's development plan also mentions Sustainable Development Goals (SDGs). The SDGs describe a universal agenda that applies and must be implemented by all countries, including Indonesia. The 17 goals are:
The Lancet
Background Understanding the magnitude of cancer burden attributable to potentially modifiable ri... more Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk-outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. Findings Globally, in 2019, the risk factors included in this analysis accounted for 4•45 million (95% uncertainty interval 4•01-4•94) deaths and 105 million (95•0-116) DALYs for both sexes combined, representing 44•4% (41•3-48•4) of all cancer deaths and 42•0% (39•1-45•6) of all DALYs. There were 2•88 million (2•60-3•18) risk-attributable cancer deaths in males (50•6% [47•8-54•1] of all male cancer deaths) and 1•58 million (1•36-1•84) risk-attributable cancer deaths in females (36•3% [32•5-41•3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20•4% (12•6-28•4) and DALYs by 16•8% (8•8-25•0), with the greatest percentage increase in metabolic risks (34•7% [27•9-42•8] and 33•3% [25•8-42•0]). Interpretation The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden. Funding Bill & Melinda Gates Foundation.
Indonesian Scholars Scientific Summit Taiwan Proceeding
Background: Many factors have been reported to contribute to a decrease in the use of pharmacothe... more Background: Many factors have been reported to contribute to a decrease in the use of pharmacotherapy to control pain, including the complexity of the medication regime, lack of efficacy, side effects, and cost considerations. Objective: The purpose of this study was to identify the significant factors associated with the use of pharmacotherapy in pain relief among Indonesian population. Methods: The data was obtained from the fifth wave of the Indonesian Family Life Survey (IFLS-5). The sample size was 11,516 persons aged 21-60 years with recent pain. Logistic regressions were utilized to explore the associations between independent characteristics and the outcome of medication use for pain complaints. Results: The majority of the participants were females between the ages of 31 and 40, had a high school diploma or less, were working, practiced Islam, and had no restrictions on their daily activities. The proportions of pharmacotherapy users and non- pharmacotherapy users were 51.4...
Seminar Hasil Penelitian Bagi Civitas Akademika 2017, 2017
Plant-based diet is a dietary pattern that prioritizes the high consumption of plant products and... more Plant-based diet is a dietary pattern that prioritizes the high consumption of plant products and avoids consuming various types of animal products. Plant-based diet as a sustainable diet has a low environmental impact, maintains health and wellbeing, and preserves resources for future generations [1]. Vegetarian is a form of a plant-based diet that focuses on reducing the consumption of various animal products (meat, fish, and poultry) and has been shown to reduce the risk of various diseases, such as ischemic heart disease, type II diabetes mellitus, hypertension, some types of cancer, and obesity [2]. Each attempt to improve energy balance and dietary changes towards predominantly plant-based diets that are in line with evidence on healthy eating is a suitable approach for sustainable diet [3]. Diets high in plants and low in animal contents are associated with a reduced risk of cardiovascular disease morbidity and mortality. Cardiovascular disease is one of the leading causes of...
JHE: Journal of Health Education, 2019
Background: ARI is one of the most causes child mortality in Indonesia due to their immature defe... more Background: ARI is one of the most causes child mortality in Indonesia due to their immature defense systems compared to adults. Intake of a toddler can affect the level of immunity against diseases, one of which is ARI. The aim of this study is to find out the correlation between exclusive breast feeding with the Incidence of Acute Respiration Infection in children. Methods: This study was performed by observational analysis experimental design with crosssectional method. The number of sample in this study was 70 children and the sample took from children that visit Puskesmas Tabanan III. Data were collected by Musfardi Rustam's (2010) questionnaire. Results: Statistical bivariate analysis by the chi-square test show a correlation between exclusive breastfeeding with the Incidence of Acute Respiration Infection in children (p<0,01). There were no correlations between age of the children (p = 0,567), mother's education level (p = 0,601), and children's gender (p = 0,1...
The Lancet
Summary Background Sustainable Development Goal 3.2 has targeted elimination of preventable child... more Summary Background Sustainable Development Goal 3.2 has targeted elimination of preventable child mortality, reduction of neonatal death to less than 12 per 1000 livebirths, and reduction of death of children younger than 5 years to less than 25 per 1000 livebirths, for each country by 2030. To understand current rates, recent trends, and potential trajectories of child mortality for the next decade, we present the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 findings for all-cause mortality and cause-specific mortality in children younger than 5 years of age, with multiple scenarios for child mortality in 2030 that include the consideration of potential effects of COVID-19, and a novel framework for quantifying optimal child survival. Methods We completed all-cause mortality and cause-specific mortality analyses from 204 countries and territories for detailed age groups separately, with aggregated mortality probabilities per 1000 livebirths computed for ne...
Journal of Health Education
Background: Nutritional components contained in fish like ssential fatty acid might support the g... more Background: Nutritional components contained in fish like ssential fatty acid might support the growth and development of children’s brain. Therefore, it’s better to give it as early as possible at the age of 6-24 months as complementary food because this age is the ideal age for the growth and development of…
Indonesian Journal of Human Nutrition
Abstrak Di Indonesia terdapat 40% anak yang melewatkan sarapan. Melewatkan sarapan dapat memengar... more Abstrak Di Indonesia terdapat 40% anak yang melewatkan sarapan. Melewatkan sarapan dapat memengaruhi penurunan aktivitas fisik. Kurangnya aktivitas fisik ini berdampak pada penurunan kebugaran jasmani, sehingga seseorang akan lebih mudah lelah dan kurang optimal dalam melakukan aktivitas harian. Penelitian ini bertujuan untuk mengetahui hubungan antara kebiasaan sarapan dengan tingkat kebugaran jasmani pada anak usia sekolah dasar di SD Budya Wacana Yogyakarta. Penelitian menggunakan metode cross sectional dengan subjek penelitian adalah anak usia sekolah dasar kelas IV, V, dan VI di SD Budya Wacana Yogyakarta, yang diambil dengan metode total sampling, yaitu sebesar 157 siswa. Pengambilan data menggunakan kuisioner sarapan dan tingkat kebugaran jasmani dengan lari jarak menengah (1000 meter). Analisis statistik menggunakan spearman rank, dengan tingkat kepercayaan 95%. Hasil analisis menunjukkan terdapat hubungan antara kebiasaan sarapan dengan tingkat kebugaran jasmani (p=0.023), serta adanya hubungan antara status gizi dengan tingkat kebugaran jasmani (p=0.000). Tidak terdapat hubungan antara jenis kelamin (p=0.682), usia (p=0.021), penyakit kardiovaskular respirasi (p=0.781) dengan tingkat kebugaran jasmani. Hasil analisis multivariat dengan uji regresi logistik hubungan status gizi (p= 0.000) dengan tingkat kebugaran jasmani memiliki hubungan yang lebih besar dibandingkan dengan kebiasaan sarapan (p= 0.011). Status gizi dapat mempengaruhi 11,9% dari kebugaran jasmani siswa dalam penelitian ini.
Berkala Ilmiah Kedokteran Duta Wacana
UKK Nutrisi dan Penyakit Metabolik Ikatan Dokter Anak Indonesia pada tahun 2018 menerbitkan bukle... more UKK Nutrisi dan Penyakit Metabolik Ikatan Dokter Anak Indonesia pada tahun 2018 menerbitkan buklet berjudul Pemberian Makanan Pendamping Air Susu Ibu (MPASI). Dalam publikasi tersebut disampaikan bahwa MPASI diberikan ketika air susu ibu (ASI) saja tidak cukup untuk memenuhi kebutuhan gizi bayi. Batasan waktu yang dipakai untuk memulai pemberian MPASI adalah ketika bayi berusia enam bula
Jurnal Gizi Klinik Indonesia
Background: Elderly (>60 years old) population is growing in Indonesia. It is important to pre... more Background: Elderly (>60 years old) population is growing in Indonesia. It is important to prevent degradation of cognitive capacity by risk factor identification and treatment.Objective: To identify the relationship between anthropometric status and cognitive capacity on elderly population.Method: This is an analysis of The Fifth Wave of the Indonesia Family Life Survey (IFLS5) data with cross-sectional design. Anthropometric status is consisted of: body weight, body height, body mass index (BMI), knee height, upper arm length, waist circumference, hip circumference, and waist-hip ratio (WHR). Cognitive capacity is measured by modified telephone survey of cognitive status (TICS). Chi-Square and Mann-Whitney test are used for bivariate analysis, logistic regression is used for multivariate analysis.Results: Variables with significant relationship to cognitive capacity are body weight (p=0.0002), body height (p=0.0001), knee height (p=0.0387), upper arm length (p=0.0114), age (p=0...
Latar Belakang: Status gizi memiliki peran yang penting terhadap proses pertumbuhan dan perkemban... more Latar Belakang: Status gizi memiliki peran yang penting terhadap proses pertumbuhan dan perkembangan anak usia prasekolah. Status gizi yang buruk pada anak memiliki hubungan terhadap gangguan pertumbuhan dan perkembangan fisik. Sedangkan status gizi yang berlebih dengan derajat berat akan menyebabkan gangguan pernapasan, hipertensi, dermatitis. Maka dari itu perlu adanya pengkajian suatu kondisi yang diduga mempengaruhi status gizi seperti pola asuh. Tujuan: Mengetahui hubungan antara pola asuh terhadap status gizi pada anak TK di kota Yogyakarta. Metode: Penelitian ini menggunakan analitik observasional dengan desain penelitian yaitu cross sectional. Populasi yang terlibat terdiri dari seluruh siswa atau siswi beserta ibu anak TK Bopkri Gondokusuman, TK Bina Putra dan TK Bopkri Ungaran yang berjumlah 50 sampel. Penilaian status gizi ditentukan dengan pengukuran berat badan dan tinggi badan kemudian dikategorikan berdasarkan indikator Indeks Massa Tubuh (IMT/U) pada grafik CDC tahun...
Abstract: Elderly population which continues to increase in number every year causes various soci... more Abstract: Elderly population which continues to increase in number every year causes various social, economic, and health problems inter alia cognitive dysfunction. One of the efforts that can prevent and slow down the decline in cognitive function is consuming caffeinated beverages. This study was aimed to evaluate the relationship between the pattern of caffeinated beverage consumption and cognitive function among the elderly at GKJ Gondokusuman in Yogyakarta. This was an analytical observational study with a cross-sectional design. We used the modified Food Frequency Questionnaire (FFQ) to measure the consumption patterns of caffeinated beverage meanwhile the cognitive function was measured by using the Mini Mental State Examination (MMSE) and the Clock Drawing Test (CDT). Sample size was determined by using the total sampling method. There were 54 samples of elderly population. Data were analyzed by using the Spearman correlation test which obtained (p=0.023; r=-0.309) for the r...
Berkala Ilmiah Kedokteran Duta Wacana
Background: Childhood obesity is related to chronic diseases in the future, which could be preven... more Background: Childhood obesity is related to chronic diseases in the future, which could be prevented through changes in eating habit. Strategy in eating behaviour needs an in-depth understanding on contributing factors to unhealthy eating habits in school-age children. Meanwhile, evidence on those factors, especially related increased calorie intake, is still scarce in Indonesia. Objective: This study is aimed to explore the eating habit of primary school students with obesity in a private school in Yogyakarta. Method: A qualitative interview involving parents of obese children was performed at Sekolah Dasar Budya Wacana in January 2020. The transcripts were analysed using a thematic approach to acquire major themes related to the cause of unhealthy eating habits. Results: From 11 parents, there are two major themes developed, which are unhealthy eating habits and parental influences. There are two unhealthy eating habits discovered in this study, which are irregular mealtime and un...
Global, regional, and national progress towards Sustainable Development Goal 3.2 for neonatal and child health: all-cause and cause-specific mortality findings from the Global Burden of Disease Study 2019, 2021
Background Sustainable Development Goal 3.2 has targeted elimination of preventable child mortali... more Background Sustainable Development Goal 3.2 has targeted elimination of preventable child mortality, reduction of neonatal death to less than 12 per 1000 livebirths, and reduction of death of children younger than 5 years to less than 25 per 1000 livebirths, for each country by 2030. To understand current rates, recent trends, and potential trajectories of child mortality for the next decade, we present the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 findings for all-cause mortality and cause-specific mortality in children younger than 5 years of age, with multiple scenarios for child mortality in 2030 that include the consideration of potential effects of COVID-19, and a novel framework for quantifying optimal child survival. Methods We completed all-cause mortality and cause-specific mortality analyses from 204 countries and territories for detailed age groups separately, with aggregated mortality probabilities per 1000 livebirths computed for neonatal m...
Malaria telah menginfeksi manusia selama lebih dari 50.000 tahun, dan mungkin telah menjadi patog... more Malaria telah menginfeksi manusia selama lebih dari 50.000 tahun, dan mungkin telah menjadi patogen pada manusia sepanjang sejarah kehidupan manusia. 1 Malaria menyebabkan sekitar 350-500 juta infeksi pada manusia dan sekitar satu hingga tiga juta kematian per tahun di seluruh dunia.
Artikel tahun 2007.
Walau kini belum tersedia obat atau vaksin yang benar-benar dikhususkan untuk HMPV, kemajuan pene... more Walau kini belum tersedia obat atau vaksin yang benar-benar dikhususkan untuk HMPV, kemajuan penelitian seputar vaksin berbasis protein fusi (Pre-F) dan antibodi monoklonal memberikan harapan baru bagi pencegahan dan penanganan virus ini. Sambil menunggu ketersediaan solusi medis tersebut, kita tetap harus menerapkan prinsip pencegahan dasar—seperti menjaga kebersihan tangan, menggunakan masker di keramaian, dan membatasi interaksi jika sedang sakit.
Pajak konsumsi seperti PPN memang cepat menambah kas negara, tetapi bersifat regresif dan cenderu... more Pajak konsumsi seperti PPN memang cepat menambah kas negara, tetapi bersifat regresif dan cenderung membebani masyarakat berpenghasilan rendah. Di sektor kesehatan, dampaknya dapat merembet kepada rumah sakit dan pasien. Kenaikan harga barang dan jasa membuat biaya operasional meroket, lalu memicu peningkatan tanggungan klaim tanpa penyesuaian tarif. Beban ini diperparah oleh menurunnya kemampuan masyarakat membayar iuran, sebab kenaikan PPN turut menekan daya beli.