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Background: The number of prehypertension patients will always be higher than hypertension patients; this is supported by the prevalence of prehypertension being 48.40% according to JNC 7, and hypertension being 34.10% according to Basic Health Research in 2018. Coffee consumption and sleep quality were risk factors that are closely related to the lifestyle of students, this is also reinforced by the number of 24-hour coffee outlets that are open around Universitas Airlangga. Purpose: This aim of this study is to analyze the relationship between coffee consumption and sleep quality on the incidence of prehypertension in final year Universitas Airlangga students. Methods: This type of research is a quantitative study with a cross-sectional study design and uses the Chi-square test. The samples consisted of 146 people, which were taken using a simple random sampling method. Data collection was carried out through an online questionnaire. This study involved coffee consumption and sleep quality as independent variables and the incidence of prehypertension in final year Universitas Airlangga students as the dependent variable. Results: There is a correlation between coffee consumption (p=0.00) and sleep quality (p=0.01) with prehypertension in final year Universitas Airlangga students. Coffee consumption has a 2,47 times greater risk and sleep quality has a 2,09 times greater risk of prehypertension in final year Universitas Airlangga students. Conclusion: Poor coffee consumption and sleep quality are related with prehypertension in final year Universitas Airlangga students.

Background: In 2020, the World Health Organization (WHO) stated that as many as 10 million people suffered from tuberculosis and 1.5 million died, making it the 13th cause of death in the world's top infectious killer number two after COVID-19. The incidence of Acid-fast bacillus (AFB)+ Tuberculosis TB in Surabaya increased from 2018 to 2020. Purpose: This study aimed to describe the distribution of TB AFB+ incidence in Surabaya by mapping and to analyze the relationship between population density, TB AFB+ cure rates, and death rates during TB AFB+ treatment with AFB + TB incidence in 31 sub-districts of Surabaya City from 2018 to 2020. Methods: This was a descriptive study with secondary data processing obtained from the Surabaya Health Profile Book 2018-2020 using the Pearson Correlation Product Moment statistical test. Results: There was a correlation between population density and the incidence of TB AFB+ in 2018 (0.61), 2019 (0.65), and 2020 (0.62). Then there was a correlation between TB AFB+ cure rate and TB AFB+ incidence in 2018 (0.98), 2019 (0.96), and 2020 (0.91). There was a correlation between the mortality rate during TB AFB+ treatment and the incidence of TB AFB+ in 2018 (0.31), 2019 (0.71), and 2020 (0.88). Conclusion: There is a relationship between population density, TB AFB + cure rate, the mortality rate during AFB + TB treatment, and the incidence of AFB + TB in Surabaya.

Background: Dengue Hemorrhagic Fever (DHF) is one of the endemic diseases throughout the tropics and parts of the subtropics. One of the provinces that felt the impact of the dengue outbreak was East Java. Overall, villages implementing STBM coverage in East Java Province is good but incidence of DHF is still found in all districts or cities in the last 3-year period. Purpose: This study aims to analyze the relationship and the inclination tendency of Dengue Hemorrhagic Fever in East Java). Methods: This type of research is an observational study with a cross-sectional study design. The sample population used 38 regencies/cities in East Java Province. The data used are the health profile data of East Java Province in 2018, 2019, and 2020. The data analysis technique used descriptive by utilizing the Health Mapper application version 4.3.0.0 with product version 4.03. Results: The distribution of DHF incidence with the coverage of villages implementing STBM East Java in 2018, 2019, 2020 showed decrease the coverage of villages implementing STBM is also followed by an increase DHF cases every year. The coverage of villages that implement Community Based Total Sanitation (STBM) fluctuates every year. Conclusion: Areas with STBM villages cannot guarantee DHF-free zones but can prevent the transmission of Dengue Hemorrhagic Fever (DHF) by changing hygiene and sanitation behavior through community empowerment to create a good sanitation.

Background: Based on the Global Tuberculosis (TB) Report, Indonesia is one of the countries with a triple burden of TB, and TB disease can attack all age groups, including children. East Java Province in 2019 was ranked third in the highest number of pediatric TB cases in Indonesia. Purpose: This study aims to describe the distribution trend of tuberculosis cases in children in East Java Province in 2017-2018 based on BCG immunization coverage, cases of malnutrition, amount of healthy houses, and households with PHBS. Methods: The research design was a descriptive study with a correlation study design. The populations were all districts/cities in East Java Province, with as many as 38 districts. The data analysis technique to describe the trend distribution of tuberculosis in children was the health mapper software on a computer developed by World Health Organization (WHO). Results: The distribution of the incidence of tuberculosis in children in East Java from 2017 to 2018 tends to increase. The city of Surabaya became the area with the highest incidence of tuberculosis in children from 2017 to 2018. Based on a spatial map, most districts or cities with BCG immunization coverage, cases of malnutrition, several healthy homes, and high PHBS households experience tuberculosis incidence in children is high. Conclusion: Based on the map, spatially, districts or cities with high cases of tuberculosis in children mainly occur in areas with cases of malnutrition, the number of healthy home environments, and high coverage of BCG immunization as well.

Background: A large proportion of cancer deaths are caused by patient delay in accessing hospital treatment. One of the causes of such delays is the use of alternative medicine. Purpose: This research is conducted to determine the characteristics and factors related to the behavior of seeking treatment in the form of alternative medicine among cancer patients at the Indonesian Cancer Foundation (Yayasan Kanker Indonesia). Methods: This research is a quantitative descriptive research with a cross-sectional study design. The target of the research is all patients who temporarily stayed at the Yayasan Kanker Indonesia from February–April 2020, a total of 45 patients aged ≥ 17 years who had been diagnosed with cancer. The data was obtained via questionnaires and interviews. The variables examined are the predisposition factors (sex, age, education, occupation, stage of cancer, time ranges for accessing health services after symptom onset, prior illness, family history), enabling factors (distance to health services, income, health insurance), and reinforcing factors (family support and information resources). Analysis of research data was conducted using frequency tables and Chi-Square or Fisher's Exact test. Results: The factors related to the behavior of seeking treatment via alternative medicine in cancer patients at Yayasan Kanker Indonesia are the stage of cancer (p=0.04), the time span between symptom onset and checking into health services (p=0.02), and length of illness (p=0.03). Conclusion: Alternative treatment search behavior is influenced by several factors, namely the stage of cancer, the time span between symptom onset and checking into health services, and the length of illness.

Background: Jombang District is an endemic area of dengue hemorrhagic fever (DHF). Purpose: The aim of this study was to spatially analyze various factors simultaneously (multivariate analysis) in relation to the incidence of DHF in Jombang District during the period 2014–2018. The factors studied were population density, larvae free index, rainfall, coverage of healthy homes, and healthy lifestyle coverage. Methods: The research was conducted as an observational study with an ecology research design. The data were secondary data from the Health Office and Statistic Central Bureau of Jombang District. The population consisted of 21 sub-districts in Jombang District in 2014–2018. The sample used the total population. The data analysis tool used in this study was GeoDa regression Moran's I software. Results: The bivariate analysis showed that there was a correlation between larvae free index (p = 0.04), healthy lifestyle coverage (p = 0.02), rainfall intensity (p = 0.20), population density (p = 0.07), and coverage of healthy houses (p = 0.22) with DHF incidence. According to Moran's I for spatial dependence (multivariate analysis), showed that there was a correlation between all the variables and DHF (p = 0.03). Conclusions: The variables of larvae free index and healthy lifestyle coverage related to the Incidence Rate (IR) of DHF cases. There was no correlation between IR and variable population density, rainfall, or coverage of healthy homes. Various spatial factors are simultaneously related to IR, even though only two variables are shown to be related to IR in the bivariate analysis.

Background: According to the World Health Organization (WHO), Indonesia is one of the ten countries with the most significant number of measles cases in the world. Immunization coverage in Trenggalek Regency has reached the target of prevention of measles in the elimination stage, namely measles immunization coverage> 95%, the incidence of measles persists and increases in the last three years, from 2013 to 2015. Purpose: This study aimed to evaluate the trends between measles immunization status and the provision of vitamin A with the incidence of measles in Trenggalek Regency. Methods: This type of research is an observational study with a cross-sectional study design. The sample population is consist of 14 sub-districts in Trenggalek Regency. Data was taken from the health profile of Trenggalek Regency in 2013, 2014, and 2015. In this study, data processing were analysed by Health Mapper application version 4.3.0.0 with product version 4.03 to determine data descriptively. Results: Distribution of measles incidence with immunization coverage in Trenggalek Regency in 2013, 2014, and 2015 showed that measles incidence tended to increase followed with the decreasing number of measles immunization coverage each year. Ironically, the distribution of measles incidence with vitamin A administration in 2013, 2014, and 2015 showed the incidence of measles had increased because of the inconsistent amount of vitamin A administration. Conclusion: Measles incidence tends to occur in low immunization coverage areas and has decreased from the previous year. Giving vitamin A does not prevent the occurrence of measles, but serves to reduce compilation.

Plague which is the zoonosis quarantine disease remains occur in Pasuruan Regency. Plague suspect was still found until year 2013. Plague surveillance that still actively conducted in Pasuruan Regency is probably the only one plague surveillance in Indonesia. Plague surveillance consist of human and rodent surveillance. Evaluation of surveillance system is needed to improve its quality, efficiency, and usefulness. This research aimed to assess the quality of plague surveillance system in Pasuruan Regency year 2014 based on attributes which are simplicity, flexibility, acceptability, data quality, sensitivity, predictive value positive, representativeness, timeliness, and stability. The research design was evaluation study. Subjecct was plague surveillance system in Pasuruan Regency year 2014. Data were collected by interviews, observations, and document study. The obtained data and information were compared to the guidelines and recent theories then presented in narrations, tables, and figures. The research showed that the surveillance system was simple and flexible, lack of data quality and acceptability, unmeasurable sensitivity and predictive value positive, low representativeness and timeliness, and high stability. This research concluded that quality of plague surveillance system in Pasuruan Regency based on its attributes was not good enough. The suggestion given are conduct training, supply a sufficient budgetary fund, do monitoring and evaluation periodically, disseminate information to another program and sector, also to the community, send surveillance report by e-mail, use spreadsheet software for surveillance rodent reporting, improve the report by including information about damage serum, serum less than the total of captured rodent, and report about the missing trap. Keyword: plague, human surveillance, rodent surveillance, surveillance attributes, evaluation

Traffic accidents are a health problem in both developed and developing countries including Indonesia. Number of traffic accidents each year has increased and traffic accidents in Indonesia is considered by WHO as the third biggest killer after coronary heart disease and tuberculosis. Most traffic accidents involving motorcyclists and the current junior high school students are also involved as a perpetrator of the accident. This study was conducted to determine the relationship of knowledge, the use of traffic lane and the driving speed with the incidence of traffic accidents in junior high school students motorcyclists. Type of research is analytic observational cross-sectional study design. The study population was all junior high school students in Wonokromo Surabaya in 2015. The number of respondents in this study of 100 respondents drawn from the population by using two stage cluster random sampling. The variables studied were knowledge, the use of traffic lane and the driving speed. Results of analysis using chi square test (α = 5%) indicate that knowledge (p = 0,027; RR = 1,966), the use of traffic lane (p = 0,005; RR = 1,894) and the driving speed (p = 0,017; RR = 1,941) has a significantly relationship to the incidence of traffic accidents to junior high school students motorcyclists in Wonokromo sub-district Surabaya 2015. Especially under age children of junior high school student are encouraged to not ride a motorcycle before age sufficient and have a driver’s licence. Beside that, the role of parents to prevent underage motorcyclists is needed to support the efforts of the police and schools in minimizing the number of accident to reduce the number of junir high school student involved in a motorcycle accident. Keywords: traffic accident, risk factors, knowledge, traffic lane, speed

The number of cases of breast cancer is increasing every year and it’s a serious health problem in the world, including in Indonesia. Breast cancer is type of cancer that is most dominant in Indonesia. High estrogen exposure is one of factor that can increase the risk of breast cancer in women. This study was conducted to determine the relationship of estrogen exposure through the use of hormonal contraceptives and age of menarche with breast cancer incidence in women. Type of this study is observational analytic and use case control design. All of women breast cancer patients of Dr. Soetomo Hospital in 2013 were the population of case. All of woman non breast cancer patients who done breast examination at Dr Soetomo Hospital in 2013 were the population of control. The number of respondents in this study were 90 respondents were drawn from population using simple random sampling method. The variables studied were the use of hormonal contraceptives and age of menarche. The results of the analysis used binary logistic regression (α = 5%) indicated that the use of hormonal contraceptives (p = 0,028; OR = 3,266) and age of menarche (p =0,031; OR = 3,492) has an significant correlation with incidence of breast cancer in women at Dr. Soetomo Hospital in 2013. It is expected that the community can be more accurate in determining the duration of hormonal contraception usage and avoid lifestyle can accelerate the occurrence of menarche. Keywords: breast cancer, risk factor, hormonal contraceptives, age of menarche, estrogen

ABSTRACT Malaria is a public health problem that can affect infant mortality, under five, pregnant women and can reduce productivity. The annual parasite incidence from 2008 antil 2011showed malaria morbidity in Sumbawa district remain high. The Purpose of this study was to describe the implementation of Malaria Surveillance System at the District Health Office Lombok Sumbawa Besar. This study used a descriptive survey method. Subjects were malaria surveillance officer in district Health office, health centers, and hospitals. Research object is a document epidemiological surveillance report of malaria in 2013. Variables of this study is the implementation of malaria surveillance system (input, process, output) and surveillance system attributes. Data obtained from interviews and observations were analyzed descriptively. The results showed that the data type on input stage was not yet complete, the quantity of labor was complete but insufficient quality of human resources, facilities and sufficient funds were available. At stage of the data collection process employed W2 weekly report format and monthly report format, report formats and reporting lines were simple, completeness and monthly reports 100% W2, W2 reporting time liness was > 80% and monthly reports was > 90%, Analysis and interpretation of the data was done However the analysis of relationshif was conducted by 20% of primary health care. The resulting output is a description of endemicity areas, API and SPR are presented in tabular form, graph and maps. Dissemination of information is done in the form of reports, workshops and profiles. Feedback is done each month through coordination meeting, regular meetings and regular supervision. Surveillance evaluation system based on attributed surveillance showed its simplicity and acceptability, however sensitivity can not be assessed yet, low NPP 1.75%, report punctuality was > 80%. It is necessary the existence of expert epidemiologists (S2) and skilled epidemiologists (S1), training officer, coordination, and the role of public institutions and budgetary surveillance of malaria increased in all areas Sumbawa district health offices. Keywords: malaria surveillance systems, evaluation, surveillance attributes

ABSTRACT Osteoarthritis represent disease at most found in the world, including in Indonesia. This disease cause pain in bone and disability at patient so disturb everyday activity. One of removed occurrence of knee Osteoarthritis was obesity. Other factors like age, gender, physical activity, and habit smoke were risk factors of knee Osteoarthritis . This research was the relationship of obesitas and individuals factors with occurrence knee osteoarthritis at Surabaya Islamic Hospital. The methods of this research was an observation with case control design. Level of sampel was 64 which consist of 32 case group and 32 control group from incomed patient to radiology unit Islamic Hospital Surabaya for X-Ray photo. The dependent variable was occurence of knee osteoarthritis . The independent variables were obesity, gender, age, physical activity, habit smoke. The instrument used was a questionnaire and form BMI measurement. Data analysis used Chi-Square test with α=0,05 and to know oods ratio (OR) used statclac. The results showed significant relationship between occurence of knee osteoartritis with obesity (p=0,001,OR=7,20), age (p=0,012,OR=3,67) , gender (p=0,005,OR=4,69). For the characteristic of habit smoke (p=0,268,OR=0,56) and physical activity (p=0.919,OR=0,71) were’nt associated with occurence of knee Osteoarthritis at Surabaya Islamic Hospital. The conclusion there is relationship between obesity with knee osteoarthritis at Surabaya Islamic Hospital. Risk factor knee osteoarthritis like gender and age also there were relation with occurence of knee osteoarthritis , for the risk factor of physical activity and habit smoke were’nt relation with occurence of knee osteoarthritis. Keyword : Knee osteoarthritis, obesity, individual factors