The influence of social environment and facility support on smoking in adolescent males in Indonesia.

Background: The high number of smokers in Indonesia, including adolescents, causes high morbidity due to smoking. Reducing the incidence of smoking-related disease in Indonesia needs to be done by reducing the number of smokers. This can be done by preventing smoking as early as possible, including during adolescence. The study aimed to assess the prevalence of adolescent male smokers and determine the social environment and facility support that influences smoking behavior in adolescent males aged 15-18 years in Surabaya, Indonesia. Design and method: A cross-sectional study was performed from 1st October 2021 to 31st January 2022 on adolescent males aged 15 to 18 from senior high schools in Surabaya. 369 respondents completed a self-administered questionnaire about social environment and facility support that influence smoking behavior. The questionnaire result of the questionnaire was computed using bivariate analysis to examine the relationship between social environment, facility support, and smoking behavior. Result: Of the 369 eligible participants, 95 (25.7%) were smokers, while the remaining 274 were not. The factors affecting smoking among adolescents were families influence (p = 0.000; PR = 4.805; CI = 2.923-7.900), friends influence (p = 0.000; RP = 3.987; CI = 2.4906.383), and advertisements influence (p = 0.000; RP = 3.137; CI = 2.275-4.325). Facility support was not found to be too influential (p = 0.399; RP = 0.767; CI = 0.472-1.245). Familia influence was the strongest factor in smoking among adolescent males aged 15 to 18. Conclusions: Integrated programs and policies are needed to prevent and rehabilitate adolescents from smoking behavior. Improving their understanding of the health impacts of smoking is also needed.

Relationship between disaster awareness and disaster preparedness: online survey of the community in Indonesia.

Indonesia is a country that is classified as prone to disasters because of its territory that has a lot of tectonic activity and is located between the ring of fire. Given the urgency of improving people's preparedness for disasters, studies are needed to provide a comprehensive understanding of the factors associated with disasters. One of which is disaster preparedness, that is influenced by public awareness of disasters. The aim of this study was to analyze the relationship between current awareness level of the community towards disaster and Community preparedness for disaster preparedness efforts in Indonesia. The design of this study was cross-sectional. Data were collected by a self-administered online survey. The study respondents were community that are accessible and were willing to fill out questionnaires voluntarily. The research was conducted in March-October 2021 with the nation as the research location. The size of the sample was 400 respondents obtained from the calculation of estimation in finite population. Respondents with lower current awareness level of the community towards disaster had higher risk 1.49 times to have lower community preparedness for disaster preparedness efforts compared to respondents with higher community preparedness for disaster preparedness efforts (PR=1.49, 95%CI=1.25-1.76, P#x003C;0.001). Increasing public awareness about disaster preparedness is very important. The government can work with non-governmental organizations and community leaders to provide understanding and training to the community to deal with disasters.

The Relationship between Capital Domains and Resilience in Facing the COVID-19 Pandemic in Indonesia.

Background: Strengthening disaster resilience is important to protect existing development and in anticipation of various disasters and risks due to disasters such as the COVID-19 pandemic. This study aims to determine resilience among individuals in dealing with the COVID-19 pandemic in Indonesia based on the capital domains. Methods: This study used a cross-sectional design with 97 Indonesian people and was conducted using an online survey in May-December 2020. Data were analysed using multivariable logistic regression. Result: The results showed that 45.36% of the respondents had low resilience. Respondents whose expenses increased had 6.36 times higher odds of good resilience compared to respondents whose expenses decreased (AOR=6.36,95%CI=1.26-32,p=0.025). Respondents whose expenses were not affected had 12.32 times higher odds of having good resilience than respondents whose expenses were reduced (AOR=12.32,95%CI=1.82-83.40, p=0.01). Respondents with larger families had 32% lower odds of having good resilience than those with fewer family members (AOR=0.68, 95%CI=0.47-0.98, p=0.038). Respondents with no quarantine facilities had 65% lower odds of good resilience than those with quarantine facilities (AOR=0.35, 95%CI 0.13-0.95, p=0.04). Conclusion: Economic and physical capital as the part of capital domains showed a significant association with resilience during COVID-19 pandemics. Economic capital variables that had association with resilience were money expenses and the number of family members in household. Physical capital had a relationship with resilience were the availability of quarantine facilities. Government could encourage cooperation within the community to share economic resources. Local government could provide isolation facilities in local area.

Association between percentage of smokers and prevalence of smoking attributable morbidity in Indonesia: one decade after implementation of smoke-free area regulation.

BACKGROUND: For more than ten years, Indonesia has health law, one of which states that local governments are mandated to establish Smoke Free Area (SFA). The results of 2018 National Basic Health Research shows tobacco consumption is still quite high and increasing compared to the results of 2007 and 2013 National Basic Health Research. The burden of disease in Indonesia is increasing every year.  METHODS: This study aims to describe SFA regulation and analyze the relationship between the percentage of smokers and the prevalence of smoking attributable morbidity. Data from the 2018 Basic Health Research in Indonesia with the number of units of analysis were 514 districts and cities level. The design of the study was cross-sectional study. The variables analyzed were the percentage of smokers, the prevalence of diabetes, hypertension, upper respiratory tract infections (URTI), pneumonia, lung tuberculosis, asthma, and mental emotional disorders. Geographical mapping of the distribution of District/City with Smoking-Free Areas was made using QGIS 3·16.  RESULTS: Around 72% of districts/cities in Indonesia already had local regulations of SFA after more than ten years implementation of the regulation of the health law. There was a significant relationship between the high percentage of smokers and the high prevalence of diabetes (p value: 0·000, PR: 1·342, 95%CI 1·135 to 1·587), hypertension (p value: 0·000, PR 1·631, 95%CI 1·252 to 2·124), and lung tuberculosis (p value: 0·008, PR 1·219, 95%CI 1·049 to 1·417) at the District/City level. However, there was no significant association between URTI, pneumonia, asthma, and mental emotional disorders. CONCLUSION: The percentage of smokers in an area was associated with diabetes, hypertension, and lung tuberculosis. The implementation of Smoke Free Area should be evaluated.

Death risk among COVID-19 patients with diabetes mellitus.

Deaths from COVID-19 are increasing in patients with comorbidities. One of the most common comorbidities is diabetes mellitus. The researchers wanted to see how having diabetes affected the mortality rate of COVID-19 participants. This investigation is a case control observational analytical study. Different types of people, called "cases," and "controls," complete the research sample. Each group had 68 responders, for a grand total of 136. Medical records from COVID-19 patients treated at Airlangga University Hospital, Surabaya, between March 2020 and September 2021 serve as the study's secondary data source. The purpose of this study's data analysis is to calculate an odds ratio. Patients with COVID-19 with concomitant diabetes mellitus had an increased risk of death, and this risk increased with age, gender, and COVID-19 symptoms. In contrast, education, occupation, and laboratory results were not significantly related to mortality among COVID-19 individuals with concomitant diabetes mellitus (GDA status). The results of this study show that COVID-19 patients with concomitant diabetes mellitus are at a higher risk of death if they are over the age of 65, if they are male, and if they have severe symptoms.

Smoking from a Younger Age Is the Dominant Factor in the Incidence of Chronic Obstructive Pulmonary Disease: Case-Control Study.

BACKGROUND: Indonesia ranks 7th highest in the world for the number of deaths caused by tobacco use including those caused by Chronic Obstructive Pulmonary Disease (COPD). The purpose of this study was to determine the influence of initial smoking age and habit on the incidence of COPD. METHODS: This research was a case-control study. The sampling in this research took a systematic random sampling method. The samples of this study were 56 respondents of a case group and 56 respondents of a control group. This study was conducted at Ngudi Waluyo Hospital, Wlingi, Blitar from October to November 2017. RESULTS: The factors that influenced the incidence of COPD were being male (p = 0.00; OR = 6.333; 95%CI = 2.776-14.450), a smoker (p = 0.00050; OR = 5.1318; 95%CI = 1.9004-13.8958), initially smoking at <15 years old (p = 0.00; OR = 11,769; 95%CI = 4.086-33.903), initially getting into a smoking habit at the age of <15 years old (OR = 12; CI = 1346-106,950), initially getting into a smoking habit at the age of ≥15 years old (OR = 3647; CI = 1625-8183) and having smoked for ≥30 years (OR = 8857; CI = 3298-23,787). CONCLUSION: There are three factors of smoking behavior that influence COPD: smoking habit, initial smoking age and smoking duration. Of all factors, forming a smoking habit at the age of <15 years old has the biggest risk (OR = 12; CI = 1346-106,950).

Ownership of mother and children's health book and complete basic immunization status in slums and poor population.

Background: The percentage of complete immunization in urban areas is higher than rural areas. The purpose of the study was to analyze the relationship between ownership of Maternal and Child Health (MCH) books with Complete Basic Immunization (CBI) coverage in slums and poor areas. Design and Methods: A rapid survey was conducted in selected slums and poor groups based on medical records from Public Health Center. Informants were mothers with a sample of 325 infants aged 12 to 23 months. Results: The lowest coverage of CBI for slum and poor residents is Pasuruan, which is 55.4%. The results of statistical analysis showed that there was a significant relationship between ownership of MCH books and the complete coverage of basic immunization in Malang (P = 0.000; PR = 3.682); Pasuruan (P = 0.002; PR = 1.854); Sidoarjo (P = 0.000; PR = 4.042); Surabaya (P = 0.000; PR = 2.425). Conclusions: It is recommended that the government should improve access to complete immunization programs in slums and poor population.

Risk of Injury and Mortality among Driver Victims Involved in Single-Vehicle Crashes in Taiwan: Comparisons between Vehicle Types.

Vehicle-type specific injury severity has rarely been investigated mainly because of a lack of such information in hospital-based studies that normally exclude those who are severely injured and die on the scene. No study has been conducted either on driver characteristics in single vehicle crashes in Taiwan according to vehicle type. This was the first population-based study aiming to describe demographic characteristics in association with vehicle-specific rates of injury and fatality among driver victims involved in single-vehicle crashes in Taiwan. We presented sex and age-specific number and proportion of driver victims according to vehicle type. We calculated sex and age-specific rates of injury and fatality. Injury and fatality rates were also graphically presented. Bicycle and motorcycle rider victims generally had higher injury rates but lower fatality rates. However, older (45+) bicycle rider victims had greater fatality risk. By contrast, truck and car driver victims were generally associated with lower injury rates but with higher fatality rates. Elderly (65+ years) truck driver victims suffered from higher rates of injury and fatality. Male victims were found to have a higher fatality rate than female victims regardless of vehicle type. The vehicle-type-specific analyses of injury and fatality are considered useful in identifying single-vehicle crash victims at greater risks of injury and fatality.

Highlighting of Urinary Sodium and Potassium among Indonesian Schoolchildren Aged 9-12 Years: The Contribution of School Food.

BACKGROUND: Sodium (Na) and potassium (K), the essential nutrients, have vital role in promoting cellular growth including growth and development of children. Excessive Na intake and inadequate K consumption, which consequently increases the risk of cardiovascular disease, have been reported. Spot electrolyte urine was highly correlated and validated with gold standard to estimate electrolyte dietary intake. This study aimed at predicting sodium and potassium intake using morning spot urine among Indonesian schoolchildren. METHODS: A cross-sectional study was carried out in 155 healthy elementary students aged 9-12 years. Spot urine samples were collected and analyzed for Na, K, and creatinine. Predicted 24 h Na and K excretions were compared to the Indonesian recommendation dietary allowances. The Na and K contribution from school food was reported by observing directly and the dietary recall method. RESULTS: A total of 80 boys and 75 girls recruited as samples in this study demonstrated that their estimated urinary Na and K were 105.42 ± 66.05 mmol/day and 16.39 ± 12.57 mmol/day, respectively. Na intake was on average higher than recommended; meanwhile, almost all subjects showed very low compliance of K intake recommendation. Furthermore, food intake at school contributed to those conditions. Na and K content of school food contributed 33% and 29% of the daily intake of each nutrient and contributed 125% and 25% higher than the Na and K school standard, respectively. CONCLUSIONS: Indonesian schoolchildren aged 9-12 years are categorized by excessive Na intake and very deficient K intake. The present study highlights the need for policies in the environmental school setting to reduce Na intake and K intake.