Category: Research

Author : Nurjanah, Sri Soenaryati, Enny Rachmani   Latar Belakang: Internet memudahkan orang untuk mengakses informasi, khususnya informasi kesehatan. Namun demikian, banyaknya informasi yang tersedia harus diikuti dengankemampuan oranguntuk bisa memilih dan mengevaluasi kebenaran informasi tersebut. Mahasiswa kesehatan yang mempunyai kemudahan akses terhadap informasi di internet belum tentu memiliki kemampuan untuk menilai kebenaran informasi tersebut, padahal kemampuan itu akan sangat penting sebagai bekal mereka menjadi petugas kesehatan. Norman dan Skinner telah membuat instrument penilaian health literacy yang lebih sering disebut eHealth Literacy Scale (eHEALS).Penelitian ini akan menilai bagaimana kemampuan eHEALS mahasiswa Prodi Kesehatan Masyarakat FakultasKesehatan Universitas Dian Nuswantoro. Metode:Penelitian ini adalah survey dengan metode pengisian angket. Selain kuesioner standar eHEALS dengan 8 pertanyaan, pada penelitian ini dipakai juga kuesioner Health Literacy 16-EU. Data diolah dengan SPSS dan disajikan dalam tabel frekuensi eHEALS dan uji korelasi dengan menggunakan spearman rank. Hasil:Dari total 8 pertanyaan eHEALS dengan skala likert (1-5) mendapatkan hasil rata-rata 30 (min 23, maks 40, SD 3,2).Sebagian besar jawaban responden tentang eHEALS mengarah ke skor yang baik, namun demikian masih sulit dan tidak bisa memutuskan apakah memiliki ketrampilan untuk mengevaluasi informasi kesehatan yang ditemukan di internet (35,4%). Kesulitan yang lebih besar dialami oleh responden untuk menentukan informasi kesehatan yang berkualitas dan yang tidak berkualitas di internet (48,8%). Bahkan, 54,8% responden sulit untuk merasa yakin menggunakan informasi dari internet untuk membuat keputusan tentang kesehatan.Skor eHEALS berhubungan signifikan denganhealth literacy....

Author : Nurjanah, Sri Soenaryati, and Enny Rachmani   Background: Health Literacy is an ability of people to gain access, understand, appraise and use information to promote and maintain good health. Research on adolescent health literacy is very important considering health literacy will help them maintain their health and get a good quality of life in the future. This paper provides evidences of the correlation between media use and health literacy. Methods: This study was a cross sectional survey on 140 respondents. The study population was the X and XI grade of two high schools in Semarang. The questionnaire of health literacy consisted of HLS-EU-16 and eHEALS (eHealth Literacy Scale). Spearman Rank and Chi Square were used for data analysis. Results: Factors associated to health literacy on high school students were health information access from internet (p=0008, Rho=0.224), mobile phone (p=0012, Rho 0.213), social media (p-value 0.000, Rho 0.399) attending extracurricular activity (p-value 0.043), medical/health training in family (p-value 0.001), and eHEALS (p-value 0.000, Rho 0.421). Conclusion: Low health literacy still be a problem on high school students. They were very easy to access online health information but had difficulties to evaluate the right and trusted health information. It is suggested to improve the health literacy of students through social media and give the capacity to choose the right information.   Link...

Author : Nurjanah, Yusthin Merianti Manglapy, Sri Handayani   Background: Indonesia has the second-highest smoking prevalence among adult males in the world, with over 61.4 million current smokers. However, there is no national regulation on outdoor tobacco advertising. Objective: The study aims to assess the density and hotspots of outdoor tobacco advertisements around schools in Indonesia with Semarang city as an example. Methods: We conducted geospatial analyses using buffer and hotspot analyses using advertisement and school data in ArcMap 10.6. We statistically test the significance of different densities, including between area 100 meter and 100-300-meter buffers from schools using Stata 15.1. Results: We found a total of 3,453 advertisements, of which 3,026 (87%) were at least medium in size (1.3×l.9 meters), and 2,556 (74%) were within 300 meters from schools. We also found a 45% higher density of advertisements within 100-meter around schools (compared to within 100-300 meters). There were 378 schools (39%) were in the advertisement hotspots. Conclusion: There were high density and significant hotspots of outdoor tobacco advertising around schools in Semarang city. Policy implications were discussed.   Link...

Author : Nurjanah dan Kismi Mubarokah   Health literacy is a very important skill to navigate people doing health behavior and achieving good quality of life. Peopl ewho live in rural area potentially have lower health literacy since they have limited access to health information and healthcare. the study aims to assess the health literacy and health behavior of family leader (father or mother) of limbangan residents. The was a survey with cross-sectional design conducted in November 2015 over 583 respondents, with HLS-EU-Q16 as an instrument. The chi-square test was used to analyze data. The most respondents having low health literacy, 19.2% of them had inadequate health literacy level, while 44.3% in problematic category and only 36,5% had sufficient health literacy. The health behavior factors related to health literacy were: toothbrushing (p value 0.004, PR 2.017), washing hand before eating (p value0.002, PR 2.175) and after defecation (p value 0.002, PR 2.175). The people who had low health literacy turn out to be a smoker although it is not correlated significantly. Health literacy had an important role to health behavior that contributed to health status.The access of health information and health care should be improved.   Link...

Author : Nurjanah, Enny Rachmani, Yusthin M. Manglapy   Introduction: Health literacy is new term in Indonesia but it has become a health determinant in the world. Health education institutions, such as the Faculty of Health Sciences yields graduates who eventually became a health provider. Assessment of health literacy on students is very important because they come from different high schools, different regions, who have different social backgrounds, cultures and access to information and health services. Methods: This was cross sectional study, used online questionnaire. The study population was first semester 285 students at Faculty of Health Sciences of Dian Nuswantoro University, until the end of the study period, 69 students filled out the online questionnaire form. The questionnaire of health literacy consisted of HLS-EU-16 (Health Literacy Survey-Europe-16 Questions), eHEALS (eHealth Literacy Scale) and NVS (The Newest Vital Sign). Results: Low health literacy problems were happened on 31.9% of respondents. Factors associated with health literacy on student were age, frequency of access to health information through TV and radio, access to health information through the internet and mobile phones, eHEALS, functional health information / NVS. Respondents who had good health literacy tended to use health services actively and more likely to ask questions during a consultation with a doctor. Health literacy correlated with general health conditions.   Link...

Author : Nurjannah   Background: No comprehensive short-form health literacy (HL) survey tool has been available for general use across Asia. Objective: This study aimed to develop and validate a short-form HL instrument derived from the 47-item European Health Literacy Questionnaire (HLS-EU-Q47). Methods: A population survey (N = 10,024) was conducted from 2013 to 2015 using the HLS-EU-Q47 in 1,029 participants from Indonesia, 1,845 from Kazakhstan, 462 from Malaysia, 1,600 from Myanmar, 3,015 from Taiwan, and 2,073 from Vietnam. Validation of the short form was evaluated by principle component analysis, internal consistency, Pearson correlation, and regression analysis. Key Results: Based on responses from six countries, a 12-item short-form HL questionnaire (HLS-SF12) was developed, retaining the conceptual framework of the HLS-EU-Q47 and accounting for the high variance of the full-form (i.e., 90% in Indonesia, 91% in Myanmar, 93% in Malaysia, 94% in Taiwan, and 95% in both Kazakhstan and Vietnam). The HLS-SF12 was demonstrated to have adequate psychometric properties, including high reliability (Cronbach’s alpha = .85), good criterion-related validity, a moderate and high level of item-scale convergent validity, no floor or ceiling effect, and good model-data-fit throughout the populations in these countries. Conclusions: The HLS-SF12 was shown to be a valid and reliable tool for HL surveys in the general public in six Asian countries. [HLRP: Health Literacy Research and Practice. 2019;3(2):e90-e102.]   Link...

Author : Enny Rachmani   The enactment of the national social security program in 2014 requires Health Information Technology in the health facilities to work efficiently and effectively. Studies found that the success and the failure of the implementation of an eHealth most depend on the PHC staff skill, including physicians, nurse, etc. PHC’s workers should have digital health literacy so that they could adopt eHealth in daily activities. This study aims to describe internet behavior and the digital health literacy of PHC staff in Kendal District to explore the correlation with the perception of eHealth in PHC’s work environment. This study conducted in Kendal District, Central Java, Indonesia that has PHCs distributes in rural and urban areas. This study assigned 281 PHC’s staff from 13 PHC. This study used a questionnaire to collect data on internet behavior and perception of eHealth while digital health literacy was measured with PHIC4PHC (Public Health Informatics Competence for Primary Health Care) questionnaire. Most of the respondents are female (86.1%) and have vocation education (82.9%), and 37.7% of respondents have range age at 31-40 years old. Some of PHC staff still never use the internet (7.5%) and computer (15.7%). Only 18.9% respondent ever get training, and 64.4% have computer/laptop. Male had better internet behavior and digital health literacy but lowered in the perception of eHealth. PHC staff in urban area had higher digital...