Latar belakang: Populasi lansia di Indonesia meningkat, sebagian ada yang hidup di PSTW binaan Pemerintah Provinsi DKI Jakarta. Pemerintah memiliki wewenang untuk menjamin ketersediaan fasilitas kesehatan dan pendampingan bagi lansia. Namun hanya sedikit penelitian mengenai lesi mulut pada lansia di Indonesia. Tujuan: Untuk menganalisis kondisi rongga mulut dan penyakit sistemik pada lansia di PSTW DKI Jakarta. Metode: Subjek penelitian didapat melalui metode consecutive sampling pada populasi lansia di 5 PSTW di 3 wilayah DKI Jakarta. Dari 1185 penghuni PSTW diperoleh 273 yang memenuhi kriteria inklusi. Data sosiodemografi dan riwayat penyakit sistemik diambil dari rekam medis di panti. Semua subjek dilakukan pemeriksaan oral, yaitu Oral Hygiene Index-Simplified (OHI-S), Papilary Bleeding Index (PBI), Decay, Missing, Filling-Teeth (DMF-T), Skor Indeks Mukosa Plak (MPS), dan pemeriksaan laju alir dan pH saliva, lesi mulut dan topografi lesi mulut. Subjek diwawancarai tentang kebiasaan yang berhubungan dengan kesehatan mulut. Hasil: Prevalensi lesi mulut terbanyak adalah gingivitis dan prevalensi penyakit sistemik terbanyak adalah hipertensi. Kategori OHI-S buruk, kategori PBI baik, kategori DMF-T sangat tinggi, kategori indeks MPS baik. Terdapat hubungan antara jenis kelamin dan jenis pekerjaan dengan penyakit sistemik pada lansia. Lansia dengan kebiasaan merokok, menyirih, dan minum alkohol cenderung memiliki penyakit sistemik. Lansia dengan penyakit sistemik cenderung memiliki lesi mulut. Kesimpulan: Kondisi mulut dan penyakit sistemik pada lansia yang tinggal di PSTW DKI Jakarta dalam keadaan tidak baik.
Background: The population of elderly in Indonesia is increasing, some are living on government institutions in Jakarta. The government has the authority to ensure the availability of health facilities and assistance for the elderly. There are only a few studies on oral lesions of elderly in Indonesia. Objective: To analyze the condition of the oral lesion and systemic disease of elderly on government institutions in Jakarta. Method: Subjects were obtained through consecutive sampling method of elderly population in 5 governent institutions in 3 areas of Jakarta. Of the 1185 residents, 273 were obtained inclusion criteria. Sociodemographic data and history of systemic diseases were taken from medical records in the institution. All subjects had oral examinations, which are Simplified Oral Hygiene Index (OHI-S), Papilary Bleeding Index (PBI), Decay, Missing, Filling-Teeth (DMF-T), Mucosal Plaque Index Score (MPS), and examination of flow rate and salivary pH, oral lesions and oral lesions topography. Subjects were interviewed about oral health related habits. Results: The most common oral lesions was gingivitis and most common systemic diseases was hypertension. OHI-Scategory is bad, PBI category is good, DMF-T category is very high, MPS index category is good. There is a relationship between gender and type of work with systemic diseases in the elderly. Elderly with the habit of smoking, snacking, and drinking alcohol tend to have systemic diseases. Elderly with systemic diseases tend to have oral lesions. Conclusion: Oral conditions and systemic diseases in elderly who living in institution in Jakarta are not good.
"Tujuan: Mengetahui keterkaitan antara faktor risiko perilaku seksual dan temuan oral dengan kejadian sifilis pada populasi lelaki seks lelaki (LSL) yang berkunjung di Puskesmas Cibodasari Kota Tangerang.
Metode: Penelitian ini merupakan penelitian analitik observasional dengan desain case control. Data jumlah responden LSL dengan status penyakit sifilis dan tidak sifilis dari Januari – Desember 2017 dikumpulkan. Kemudian di recall oleh tenaga penjangkau program Voluntary Counselling Testing (VCT) yang menyetujui ikut serta dalam penelitian. Responden mengisi kuesioner terkait data pribadi dan perilaku seksual mereka yang telah dilakukan selama 12 bulan terakhir, mengingat kelainan di genital, anal dan oral selama 12 bulan terakhir yang serupa dengan gambar yang disiapkan, dilanjutkan pemeriksaan rongga mulut.
Hasil: LSL dengan riwayat sifilis 80 orang sedangkan tidak terinfeksi IMS sebanyak 175 orang. Namun yang menjadi resposden untuk kelompok kasus 44 orang dan kelompok kontrol 52 orang. Sekitar 60-80% responden adalah yang berusia < 30 tahun, belum menikah, pendidikan terakhir SMA, dan bekerja sebagai pegawai swasta. Analisis bivariat menunjukkan terdapat hubungan yang signifikan beberapa perilaku seksual dengan kejadian sifilis yaitu perilaku seks oral-anal, oral-penis, pesta seks, seks berbayar, menyikat gigi dan berkumur sebelum dan sesudah hubungan seksual, serta penggunaan kondom dan pelumas. Analisis multivariat diketahui 7 variabel yang mempunyai peluang terhadap kejadian sifilis yaitu oral-penis (B. 4,116; sig. 0,019; OR 61,306), seks berbayar (B. 4,116; sig. 0,002; OR 61,296), penggunaan sabun antiseptik (B. -3,160; sig. 0,068; OR 0,042), konsumsi antibiotik (B. 3,290; sig. 0,009; OR 26,853), penggunaan obat kumur (B. 2,449; sig. 0,048; OR 11,581), ulkus traumatik (B. 2,983; sig. 0,061; OR 19,752), dan status sunat (B. -2,699; sig. 0,086; OR 0,067).
Kesimpulan: Terdapat perilaku seksual yang berisiko menular sifilis serta temuan oral yang terkait sifilis dan tidak sifilis.
Objectives : This thesis aims to determine the correlation risk factors of seksual behavior and oral findings of syphilis disease in man who have seks with man (MSM) who visited the Cibodasari Public Health Center Tangerang City.
Methods : This is an observational analytical research and case control design. We had collected MSM with syphilis history from January to December 2017. We had support by the Voluntary Counseling Testing (VCT) program to recall and asked them to join in our research. Subjects were asked to answers the question about personal informasion and seksual behavior and history diseases that similar to the prepared picture during the last 12 months, and then followed by oral examination.
Results : About 60-80% of respondents are aged <30 years old, unmarried, senior high school, and mployees. Bivariate analysis showed a significant association of some seksual behaviors with syphilis, oral-anal, oral-penis, seks party, seks commercial, brushing teeth and gargling before and after seksual intercourse, and the using condoms and lubricants. A multivariate analysis was known to be 7 variables that had an opportunity to syphilis incidence of oral-penis (B. 4,116 sig, 0.019 OR 61,306), seks commercial (B. 4,116 sig 0,002 OR 61,296), using antiseptic soap (B. -3,160 sig. OR 0.042), concumsing antibiotic (B. 3,290 sig .009 OR 26,853), using mouthwash (B. 2.449 sig .048 OR 11,581), and traumatic ulcers (B. 2.983 sig 0.061 OR 19.752).
Conclusion : There are seksual behaviors that are at risk of transmitting syphilis and oral findings related to syphilis and not syphilis.
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