?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=PENGEMBANGAN+MODEL+KEJADIAN+HIPERTENSI+BERBASIS+SOSIAL+EKONOMI%2C+RIWAYAT+HIPERTENSI+KELUARGA%2C+PELAYANAN+KESEHATAN%2C+KETAHANAN+TERHADAP+LINGKUNGAN+DAN+GAYA+HIDUP%3A+KOMPARASI+WILAYAH+URBAN+DENGAN+RURAL&rft.creator=SRI+%2C+ARYANTI&rft.subject=300+Ilmu+sosial&rft.subject=600+Teknologi+(ilmu+terapan)&rft.description=Hipertensi+merupakan+the+silent+killer+karena+faktor+risiko+dari+infark+miokard%2C+stroke%2C+gagal+ginjal+akut%2C+dan+dapat+menyebabkan+kematian+10%2C4+juta+jiwa+per+tahun.+Prevalensi+hipertensi+di+Indonesia+tahun+2013+dan+2018+naik+dari+25%2C8%25+menjadi+34%2C1%25.+Intervensi+selama+ini+fokus+pada+upaya+kuratif+dan+rehabilitatif+sehingga+perlu+strategi+upaya+pengendalian+preventiv%2Fpencegahan+agar+kejadian+hipertensi+dan+dampaknya+bisa+terkendali.+Pada+wilayah+urban+kepadatan+penduduk+lebih+tinggi+dari+wilayah+rural%2C+umumnya+bekerja+di+sektor+industri+dan+perkantoran%2C+sehingga+jarang+melakukan+aktifitas+fisik.+Sementara+penduduk+rural+lebih+banyak+bekerja+di+sektor+pertanian%2C+sehingga+lebih+banyak+melakukan+aktifitas+fisik.+Penduduk+urban+pola+gaya+hidupnya+banyak+mengonsumsi+makanan+padat+kalori%2C+sehingga+indeks+massa+tubuh+lebih+tinggi+dan+berisiko+mengalami+kejadian+hipertensi.+Sementara+di+wilayah+urban+pola+gaya+hidup+makan+sayur+dan+buah.+Tujuan+penelitian+adalah+mengembangkan+model+kejadian+hipertensi+berbasis+sosial+ekonomi%2C+riwayat+hipertensi+keluarga%2C+pelayanan+kesehatan%2C+ketahanan+terhadap+lingkungan+dan+gaya+hidup+%3A+komparasi+wilayah+urban+dengan+rural+secara+simultan.+Penelitian+ini+adalah+penelitian+survey+kuantitatif%2C+dengan+desain+case+control.+Populasi+pada+penelitian+ini+adalah+penduduk+usia+%E2%89%A518-65+tahun+di+Kabupaten+Lampung+Utara%2C+besar+sampel+adalah+300+kasus+dan+300+kontrol+dengan+kriteria+inklusi+pasien+baru+hipertensi+1+tahun+terakhir%2C+tinggal+di+wilayah+penelitian+minimal+5+tahun%2C+tidak+dengan+komplikasi.+Variabel+penelitian+terdiri+dari+variabel+laten+eksogen+(riwayat+hipertensi+pada+keluarga+dan+sosial+ekonomi)%2C+variabel+mediasi+(gaya+hidup%2C+pelayanan+kesehatan%2C+ketahanan+terhadap+lingkungan)%2C+dan+variabel+laten+endogen+(kejadian+hipertensi).+Teknik+sampling+multystage+random+sampling.+Hasil%3A+di+wilayah+urban+27+indikator+(14+valid+melalui+3+kali+eliminasi)%2C+daerah+rural+27+indikator+(10+valid+melalui+4+kali+eliminasi)+di+daerah%2C+validitas+dan+realibilitas+terpenuhi.+Pada+penelitian+ini+didapatkan+hasil+sosial+ekonomi+melalui%0D%0A+%0D%0Apelayanan+kesehatan+terhadap+kejadian+hipertensi+di+wilayah+urban+(p+value%3D0%2C151)+tidak+berpengaruh+signifikan%2C+wilayah+rural+(p+value%3D0.000)+berpengaruh+dan+signifikan.+Sosial+ekonomi+melalui+ketahanan+terhadap+lingkungan+terhadap+kejadian+hipertensi+wilayah+urban+(p+value%3D0%2C097)+dan+rural+(p+value%3D0.101)+tidak+berpengaruh+signifikan.+Sosial+ekonomi+melalui+gaya+hidup+terhadap+kejadian+hipertensi+di+wilayah+urban+(p+value%3D0.000)+dengan+rural+(p+value%3D0.004)+memiliki+pengaruh+signifikan.+Riwayat+hipertensi+keluarga+melalui+ketahanan+terhadap+lingkungan+terhadap+kejadian+hipertensi+di+wilayah+urban+(p+value%3D0.009)+dan+rural+(p+value%3D0.011)+memiliki+pengaruh+signifikan.+Riwayat+hipertensi+keluarga+melalui+gaya+hidup+terhadap+kejadian+hipertensi+di+wilayah+urban+(p+value%3D0.000)+dan+rural+(p+value%3D0.000)+memiliki+pengaruh+signifikan.+Riwayat+hipertensi+keluarga+terhadap+kejadian+hipertensi+di+wilayah+urban+(p+value%3D0.000)+dan+rural+(p+value%3D0.009)+ada+pengaruh+signifikan.+Secara+simultan+sosial+ekonomi+melalui+pelayanan+kesehatan%2C+ketahanan+terhadap+lingkungan%2C+dan+gaya+hidup+terhadap+kejadian+hipertensi+di+wilayah+urban+(p+value%3D0.000)+dengan+rural+(p+value%3D0.000)+memiliki+pengaruh+signifikan.+Secara+simultan+riwayat+hipertensi+keluarga+melalui+ketahanan+terhadap+lingkungan+dan+gaya+hidup+terhadap+kejadian+hipertensi+di+wilayah+urban+(p+value%3D0.000)+dengan+rural+(p+value%3D0.000)+berpengaruh+signifikan.+Di+wilayah+urban+kejadian+hipertensi+berpengaruh+kuat+sebesar+(R+square)+73%2C8%25+dengan+prediksi+kuat+(Q+square)+72%2C7%25.+Hasil+persamaan+model+didapatkan+sosial+ekonomi+melalui+gaya+hidup+dapat+menurunkan+kejadian+hipertensi+sebesar+73.28%25+sedangkan+riwayat+hipertensi+keluarga+melalui+gaya+hidup+menurunkan+kejadian+hipertensi+sebesar+78.92%25.+Di+wilayah+rural+kejadian+hipertensi+berpengaruh+kuat+sebesar+(R+square)+81%2C8%25+dengan+prediksi+kuat+(Q+square)+79%2C9%25.+Hasil+persamaan+model+sosial+ekonomi+melalui+pelayanan+kesehatan+dapat+menurunkan+kejadian+hipertensi+sebesar+82.75%25.+Riwayat+hipertensi+keluarga+melalui+gaya+hidup+dapat+menurunkan+kejadian+hipertensi+sebesar+69.27%25.+Nilai+Goodness+of+Fit+Index+(GoF+Index)+membuktikan+bahwa+model+penelitian+secara+kualitas+terbukti+secara+empiris+dan+fakta+bisa+diterapkan+sebagai+model+dalam+upaya+intervensi+dan+pengendalian+kejadian+hipertensi.+Saran+pada+wilayah+urban+perlu+perbaikan+sosial+ekonomi%2C+riwayat+hipertensi+pada+keluarga+dan+gaya+hidup%2C+sementara+di+wilayah+rural+perlu+perbaikan+sosial+ekonomi+dan+perbaikan+utility+yankes+dan+mengetahui+riwayat+hipertensi+keluarga+lewat+skrining+deteksi+serta+memperbaikan+gaya+hidup+dengan+cara+membuat+regulasi+kebijakan+dan+pelaksanaan+program+yang+lebih+efektif+dalam+upaya+intervensi+preventif%2Fpencegahan+dengan+berkolaborasi+melibatkan+stakeholder+terkait%2C+mulai+dari+kegiatan+promosi%2Fedukasi%2C+screening+deteksi+untuk+mengembalikan+kepada+gaya+hidup+yang+lebih+sehat+dengan+mempertimbangkan+faktor+sosial+ekonomi%2C+riwayat+hipertensi+pada+keluarga%2C+ketahanan+terhadap+lingkungan%2C+pelayanan+kesehatan+dengan+menggunakana+model+pada+penelitian+ini.%0D%0A%0D%0AKata+Kunci%3A+model+hipertensi%2C+determinan+faktor+risiko%2C+urban+rural%2C+SEM+SmartPLS%0D%0A%0D%0A%0D%0A%0D%0A%0D%0A%0D%0A%0D%0A%0D%0A%0D%0AABSTRACT%0D%0A%0D%0AHypertension+is+known+as+the+silent+killer+due+to+its+association+with+the+risk+factors+of+myocardial+infarction%2C+stroke%2C+acute+kidney+failure%2C+resulting+in+approximately+10.4+million+deaths+annually.+The+prevalence+of+hypertension+in+Indonesia+increased+from+25.8%25+in+2013+to+34.1%25+in+2018.+Current+interventions+have+primarily+focused+on+curative+and+rehabilitative+efforts%2C+necessitating+a+preventive+control+strategy+to+manage+hypertension+occurrences+and+their+impacts.+In+urban+areas%2C+where+population+density+is+higher+than+in+rural+areas%2C+individuals+often+work+in+industrial+and+office+sectors%2C+leading+to+limited+physical+activity.+Meanwhile%2C+rural+inhabitants+are+more+engaged+in+agricultural+activities%2C+resulting+in+higher+levels+of+physical+activity.+Urban+dwellers+tend+to+consume+high-calorie+foods%2C+leading+to+higher+body+mass+indexes+and+an+increased+risk+of+hypertension%2C+whereas+rural+residents+often+follow+healthier+dietary+patterns%2C+incorporating+fruits+and+vegetables.+The+research+aims+to+develop+a+comprehensive+model+of+hypertension+occurrence+based+on+socioeconomic+status%2C+family+history+of+hypertension%2C+health+services%2C+environmental+resilience%2C+and+lifestyle%2C+with+a+simultaneous+comparison+between+urban+and+rural+regions.+This+quantitative+survey+employs+a+case-control+design%2C+with+a+sample+size+of+300+cases+and+300+controls%2C+focusing+on+individuals+aged+%E2%89%A518-65+years+in+North+Lampung+Regency.+Inclusion+criteria+include+newly+diagnosed+hypertension+within+the+last+year%2C+residing+in+the+research+area+for+a+minimum+of+5+years%2C+and+no+complications.+The+research+variables+consist+of+exogenous+latent+variables+(family+history+of+hypertension+and+socioeconomic+status)%2C+mediating+variables+(lifestyle%2C+health+services%2C+environmental+resilience)%2C+and+endogenous+latent+variables+(hypertension+occurrence).+The+multistage+random+sampling+technique+is+applied.+Results+indicate+that+in+urban+areas%2C+27+indicators+(validated+through+three+eliminations)+and+in+rural+areas%2C+27+indicators+(validated+through+four+eliminations)+met+the+criteria+of+validity%0D%0A+%0D%0Aand+reliability.+In+this+study%2C+socioeconomic+status+through+health+services+in+urban+areas+(p+value%3D0.151)+showed+no+significant+influence%2C+whereas+in+rural+areas+(p+value%3D0.000)%2C+it+had+a+significant+effect.+Socioeconomic+status+through+environmental+resilience+on+hypertension+occurrence+in+urban+(p+value%3D0.097)+and+rural+(p+value%3D0.101)+areas+had+no+significant+impact.+Socioeconomic+status+through+lifestyle+on+hypertension+occurrence+in+urban+(p+value%3D0.000)+and+rural+(p+value%3D0.004)+areas+demonstrated+a+significant+influence.+Family+history+of+hypertension+through+environmental+resilience+on+hypertension+occurrence+in+urban+(p+value%3D0.009)+and+rural+(p+value%3D0.011)+areas+had+a+significant+impact.+Family+history+of+hypertension+through+lifestyle+on+hypertension+occurrence+in+urban+(p+value%3D0.000)+and+rural+(p+value%3D0.000)+areas+had+a+significant+influence.+Family+history+of+hypertension-on-hypertension+occurrence+in+urban+(p+value%3D0.000)+and+rural+(p+value%3D0.009)+areas+showed+a+significant+effect.+Simultaneously%2C+socioeconomic+status+through+health+services%2C+environmental+resilience%2C+and+lifestyle+on+hypertension+occurrence+in+urban+(p+value%3D0.000)+and+rural+(p+value%3D0.000)+areas+had+a+significant+impact.+Simultaneously%2C+family+history+of+hypertension+through+environmental+resilience+and+lifestyle+on+hypertension+occurrence+in+urban+(p+value%3D0.000)+and+rural+(p+value%3D0.000)+areas+had+a+significant+effect.+In+urban+areas%2C+the+hypertension+occurrence+had+a+strong+effect+with+an+R-square+of+73.8%25+and+a+strong+prediction+with+a+Q-square+of+72.7%25.+The+model+equation+revealed+that+socioeconomic+status+through+lifestyle+could+reduce+hypertension+occurrence+by+73.28%25%2C+while+family+history+of+hypertension+through+lifestyle+could+reduce+hypertension+occurrence+by+78.92%25.+In+rural+areas%2C+the+hypertension+occurrence+had+a+strong+effect+with+an+R-square+of+81.8%25+and+a+strong+prediction+with+a+Q-square+of+79.9%25.+The+model+equation+indicated+that+socioeconomic+status+through+health+services+could+reduce+hypertension+occurrence+by+82.75%25%2C+and+family+history+of+hypertension+through+lifestyle+could+reduce+hypertension+occurrence+by+69.27%25.+The+Goodness+of+Fit+Index+(GoF+Index)+values+confirm+that+the+research+model+is+empirically+validated+and+can+be+applied+as+an+intervention+and+control+model+for+hypertension+occurrences.+Suggestions+for+urban+areas+include+improving+socioeconomic+status%2C+family+history+of+hypertension%2C+and+lifestyle%2C+while+in+rural+areas%2C+it+is+essential+to+enhance+socioeconomic+status%2C+health+service+utility%2C+and+awareness+of+family+history+of+hypertension+through+screening+detection.+Improving+lifestyle+can+be+achieved+by+implementing+more+effective+policy+regulations+and+programs+in+preventive+interventions%2C+involving+relevant+stakeholders.+These+efforts+should+span+from+promotional%2Feducational+activities+to+screening+detection%2C+aiming+to+encourage+healthier+lifestyles+while+considering+socioeconomic+factors%2C+family+history+of+hypertension%2C+environmental+resilience%2C+and+health+services%2C+utilizing+the+model+established+in+this+research.%0D%0A%0D%0AKeywords%3A+hypertension+model%2C+determinan+risk+factors+urban+rural%2C+SEM+SmartPLS.&rft.publisher=PASCASARJANA&rft.date=2024-01-17&rft.type=Disertasi&rft.type=NonPeerReviewed&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F78142%2F3%2FABSTRAK.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F78142%2F1%2FDISERTASI%2520FULL.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F78142%2F2%2FDISERTASI%2520TANPA%2520BAB%2520PEMBAHASAN.pdf&rft.identifier=++SRI+%2C+ARYANTI++(2024)+PENGEMBANGAN+MODEL+KEJADIAN+HIPERTENSI+BERBASIS+SOSIAL+EKONOMI%2C+RIWAYAT+HIPERTENSI+KELUARGA%2C+PELAYANAN+KESEHATAN%2C+KETAHANAN+TERHADAP+LINGKUNGAN+DAN+GAYA+HIDUP%3A+KOMPARASI+WILAYAH+URBAN+DENGAN+RURAL.++%5BDisertasi%5D+++++&rft.relation=http%3A%2F%2Fdigilib.unila.ac.id%2F78142%2F