LAMPIRAN II FORMULIR ESTIMATED FOOD RECORDS

  LAMPIRAN

LAMPIRAN I

  Kuesioner Penelitian Tanggal wawancara : Nama kelayan : Tanggal lahir : Umur : Jenis narkoba : Lama pemakaian : Berat badan awal : Berat badan saat penelitian : Tinggi badan :

LAMPIRAN II FORMULIR ESTIMATED FOOD RECORDS

  Waktu Makan Makanan Bahan Makanan

  Cara Pengolahan URT Berat (gr)

LAMPIRAN III GAMBARAN POLA KONSUMSI MAKANAN PECANDU NARKOBA DI PANTI SOSIAL PAMARDI PUTRA INSYAF Formulir Metode Riwayat Makan Jenis Bahan Frekunsi Perkiraan Jumlah Asal Bahan Keterangan Makanan Konsumsi *) Setiap Makanan

  1= lebih dari sekali sehari

• )

  2= sekali sehari 3= 4-6 kali seminggu 4= 1-3 kali seminggu 5= sekali atau beberapa kali setahun

LAMPIRAN IV FORMULIR FREKUENSI MAKANAN MENURUT JENIS BAHAN-BAHAN MAKANAN Jenis Bahan Makanan Frekuensi Makan per Bulan ≥1x/hari 1-5x/minggu ≤2x/bulan Tidak Pernah

• Beras - Tepung Sumber Protein :
• Ayam - Daging - Ikan tongkol
• Ikan dencis
• Ikan lele
• Ikan teri
• Telur - Tempe - Tahu - Susu Sayuran :
• Bayam - Daun ubi
• Kacang panjang
• Kacang hijau
• Kacang tanah
• Kangkung - Kentang - Kol - Labu - Jipang - Buncis - Sawi - Tauge - Terong - Wortel Buah-buahan :
• Pisang - Pepaya - Semangka - Timun

Snack :

• Agar-agar
• Teh manis

• Kerupuk

Bahan makanan tambahan :

• Gula merah
• Santan

  Keterangan : Beri tanda (√ ) pada kolom yang sesuai

  Universitas Sumatera Utara

  Universitas Sumatera Utara

  Universitas Sumatera Utara

  Universitas Sumatera Utara

  Universitas Sumatera Utara

  Universitas Sumatera Utara

LAMPIRAN VIII OUTPUT Frequency Table

  

Umur

  Frequency Percent Valid Percent Cumulative Percent Valid 15-19 tahun

  41

  57.7

  57.7

  57.7 20-24 tahun

  22

  31.0

  31.0

  88.7 25-29 tahun

  6

  8.5

  8.5

  97.2 30-34 tahun

  2

  2.8 2.8 100.0 Total 71 100.0 100.0

  Lama Rehabilitasi

  Frequency Percent Valid Percent Cumulative Percent Valid

  1

  1

  1.4

  1.4

  1.4

  2

  5

  7.0

  7.0

  8.5

  3

  12

  16.9

  16.9

  25.4

  4

  25

  35.2

  35.2

  60.6

  5

  27

  38.0

  38.0

  98.6

  10

  1

  1.4 1.4 100.0 Total 71 100.0 100.0

  Ganja

  Frequency Percent Valid Percent Cumulative Percent Valid ya

  50

  70.4

  70.4

  70.4 tidak

  21

  29.6 29.6 100.0 Total 71 100.0 100.0

  Shabu

  Frequency Percent Valid Percent Cumulative Percent Valid ya

  35

  49.3

  49.3

  49.3 tidak

  36

  50.7 50.7 100.0 Total 71 100.0 100.0

  Inex

  Frequency Percent Valid Percent Cumulative Percent Valid ya

  3

  4.2

  4.2

  4.2 tidak

  68

  95.8 95.8 100.0 Total 71 100.0 100.0

  Lem

  Frequency Percent Valid Percent Cumulative Percent Valid ya

  9

  12.7

  12.7

  12.7 tidak

  62

  87.3 87.3 100.0 Total 71 100.0 100.0

  Minuman Keras

  Frequency Percent Valid Percent Cumulative Percent Valid ya

  26

  36.6

  36.6

  36.6 tidak

  45

  63.4 63.4 100.0 Total 71 100.0 100.0

  

Lama Pemakaian

  Frequency Percent Valid Percent Cumulative Percent Valid <=12 bulan

  24

  33.8

  33.8

  33.8 13-60 bulan

  41

  57.7

  57.7

  91.5 >=61 bulan

  6

  8.5 8.5 100.0 Total 71 100.0 100.0

  Nasi Putih

  Frequency Percent Valid Percent Cumulative Percent Valid >=1x/hari 71 100.0 100.0 100.0

  

Nasi Uduk

  Frequency Percent Valid Percent Cumulative Percent Valid <=2x/bulan 71 100.0 100.0 100.0

  

Ayam

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  2

  2.8

  2.8

  2.8 1-5x/minggu

  69

  97.2 97.2 100.0 Total 71 100.0 100.0

  

Telur

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  10

  14.1

  14.1

  14.1 1-5x/minggu

  61

  85.9 85.9 100.0 Total 71 100.0 100.0

  

Ikan Dencis

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  5

  7.0

  7.0

  7.0 1-5x/minggu

  66

  93.0 93.0 100.0 Total 71 100.0 100.0

  

Ikan Tongkol

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  6

  8.5

  8.5

  8.5 1-5x/minggu

  65

  91.5 91.5 100.0 Total 71 100.0 100.0

  

Ikan Lele

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  1

  1.4

  1.4

  1.4 <=2x/bulan

  70

  98.6 98.6 100.0 Total 71 100.0 100.0

  

Daging Lembu

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  5

  7.0

  7.0

  7.0 <=2x/bulan

  66

  93.0 93.0 100.0 Total 71 100.0 100.0

  

Kentang

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  4

  5.6

  5.6

  5.6 1-5x/minggu

  67

  94.4 94.4 100.0 Total 71 100.0 100.0

  

Tempe

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  1

  1.4

  1.4

  1.4 1-5x/minggu

  70

  98.6 98.6 100.0 Total 71 100.0 100.0

  

Tahu

  Frequency Percent Valid Percent Cumulative Percent Valid 1-5x/minggu 71 100.0 100.0 100.0

  

Wortel

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  5

  7.0

  7.0

  7.0 1-5x/minggu

  66

  93.0 93.0 100.0 Total 71 100.0 100.0

  

Sawi

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  8

  11.3

  11.3

  11.3 1-5x/minggu

  63

  88.7 88.7 100.0 Total 71 100.0 100.0

  

Ikan Teri

  Frequency Percent Valid Percent Cumulative Percent Valid 1-5x/minggu 71 100.0 100.0 100.0

  

Kacang Tanah

  Frequency Percent Valid Percent Cumulative Percent Valid 1-5x/minggu 71 100.0 100.0 100.0

  

Labu

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  10

  14.1

  14.1

  14.1 1-5x/minggu

  61

  85.9 85.9 100.0 Total 71 100.0 100.0

  

Jipang

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  11

  15.5

  15.5

  15.5 1-5x/minggu

  60

  84.5 84.5 100.0 Total 71 100.0 100.0

  

Daun Ubi

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  7

  9.9

  9.9

  9.9 1-5x/minggu

  64

  90.1 90.1 100.0 Total 71 100.0 100.0

  

Tauge

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  2

  2.8

  2.8

  2.8 1-5x/minggu

  69

  97.2 97.2 100.0 Total 71 100.0 100.0

  

Bayam

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  5

  7.0

  7.0

  7.0 1-5xminggu

  66

  93.0 93.0 100.0 Total 71 100.0 100.0

  

Kacang Panjang

  66

  

Bubur Sumsum

  Frequency Percent Valid Percent Cumulative Percent Valid 1-5x/minggu 71 100.0 100.0 100.0

  

Nagasari

  Frequency Percent Valid Percent Cumulative Percent Valid 1-5x/minggu 71 100.0 100.0 100.0

  

Agar-agar

  Frequency Percent Valid Percent Cumulative Percent Valid 1-5x/minggu 71 100.0 100.0 100.0

  

Teh

  Frequency Percent Valid Percent Cumulative Percent Valid 1-5x/minggu 71 100.0 100.0 100.0

  

Bubur Kacang Hijau

  93.0 93.0 100.0 Total 71 100.0 100.0

  7.0 <=2x/bulan

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  7.0

  7.0

  5

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  

Terong

  97.2 97.2 100.0 Total 71 100.0 100.0

  69

  2.8 <=2x/bulan

  2.8

  2.8

  2

  Frequency Percent Valid Percent Cumulative Percent Valid 1-5x/minggu 71 100.0 100.0 100.0

  

Semangka

  Frequency Percent Valid Percent Cumulative Percent Valid 1-5x/minggu 71 100.0 100.0 100.0

  

Pisang

  Frequency Percent Valid Percent Cumulative Percent Valid 1-5x/minggu 71 100.0 100.0 100.0

  

Timun

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  4

  5.6

  5.6

  5.6 1-5x/minggu

  67

  94.4 94.4 100.0 Total 71 100.0 100.0

  

Pepaya

  Frequency Percent Valid Percent Cumulative Percent Valid tidak pernah

  3

  4.2

  4.2

  4.2 1-5x/minggu

  68

  95.8 95.8 100.0 Total 71 100.0 100.0

  Kerupuk

  Frequency Percent Valid Percent Cumulative Percent Valid >=1x/hari 71 100.0 100.0 100.0

  

Susu

  Frequency Percent Valid Percent Cumulative Percent Valid 1-5x/minggu 71 100.0 100.0 100.0

  

Tingkat Kecukupan Energi

  Frequency Percent Valid Percent Cumulative Percent Valid sedang (80%-99%)

  38

  53.5

  53.5

  53.5 rendah (70%-79%)

  33

  46.5 46.5 100.0 Total 71 100.0 100.0

  

Tingkat Kecukupan Protein

  

Lama Rehabilitasi * Indeks Massa Tubuh Saat Penelitian Crosstabulation

  9.9

  9.9

  9.9 normal (18.5-25)

  59

  83.1

  83.1

  93.0 gemuk (>25)

  5

  7.0 7.0 100.0 Total 71 100.0 100.0

  Indeks Massa Tubuh Saat Penelitian Total kurus

  Frequency Percent Valid Percent Cumulative Percent Valid kurus (<18.5)

  (<18.5) normal (18.5-25) gemuk (>25) Lama Rehabilitasi

  1 Count

  1

  1 % within Lama Rehabilitasi .0% 100.0% .0% 100.0% % within Indeks Massa Tubuh Saat Penelitian

  .0% 1.7% .0% 1.4% % of Total .0% 1.4% .0% 1.4%

  2 Count

  4

  1

  5 % within Lama Rehabilitasi .0% 80.0% 20.0% 100.0% % within Indeks Massa Tubuh Saat Penelitian

  .0% 6.8% 20.0% 7.0%

  7

  

Indeks Massa Tubuh Saat Penelitian

  Frequency Percent Valid Percent Cumulative Percent Valid baik (>100%)

  1.4 1.4 100.0 Total 71 100.0 100.0

  67

  94.4

  94.4

  94.4 sedang (80%-99%)

  3

  4.2

  4.2

  98.6 rendah (70%-79%)

  1

  

Indeks Massa Tubuh Awal

  7.0 7.0 100.0 Total 71 100.0 100.0

  Frequency Percent Valid Percent Cumulative Percent Valid kurus (<18,5)

  16

  22.5

  22.5

  22.5 normal (18,5-25)

  50

  70.4

  70.4

  93.0 gemuk (>25)

  5

Crosstabs

  % of Total .0% 5.6% 1.4% 7.0%

  3 Count

  1

  9

  2

  12 % within Lama Rehabilitasi 8.3% 75.0% 16.7% 100.0% % within Indeks Massa 14.3% 15.3% 40.0% 16.9% Tubuh Saat Penelitian % of Total 1.4% 12.7% 2.8% 16.9%

  4 Count

  4

  19

  2

  25 % within Lama Rehabilitasi 16.0% 76.0% 8.0% 100.0% % within Indeks Massa 57.1% 32.2% 40.0% 35.2% Tubuh Saat Penelitian % of Total 5.6% 26.8% 2.8% 35.2%

  5 Count

  2

  25

  27 % within Lama Rehabilitasi 7.4% 92.6% .0% 100.0% % within Indeks Massa 28.6% 42.4% .0% 38.0% Tubuh Saat Penelitian % of Total 2.8% 35.2% .0% 38.0%

  10 Count

  1

  1 % within Lama Rehabilitasi .0% 100.0% .0% 100.0% % within Indeks Massa .0% 1.7% .0% 1.4% Tubuh Saat Penelitian % of Total .0% 1.4% .0% 1.4%

  Total Count

  7

  59

  5

  71 % within Lama Rehabilitasi 9.9% 83.1% 7.0% 100.0% % within Indeks Massa 100.0% 100.0% 100.0% 100.0% Tubuh Saat Penelitian % of Total 9.9% 83.1% 7.0% 100.0% Indeks Massa Tubuh Saat Penelitian kurus (<18.5) normal (18.5-25) gemuk (>25) Total

  Lama <=12 bulan Count

  2

  21

  1

  24 Pemakaian % within Lama 8.3% 87.5% 4.2% 100.0% Pemakaian % within Indeks Massa 28.6% 35.6% 20.0% 33.8% Tubuh Saat Penelitian % of Total 2.8% 29.6% 1.4% 33.8%

  13-60 bulan Count

  5

  34

  2

  41 % within Lama 12.2% 82.9% 4.9% 100.0% Pemakaian % within Indeks Massa 71.4% 57.6% 40.0% 57.7% Tubuh Saat Penelitian % of Total 7.0% 47.9% 2.8% 57.7%

  >=61 bulan Count

  4

  2

  6 % within Lama .0% 66.7% 33.3% 100.0% Pemakaian % within Indeks Massa .0% 6.8% 40.0% 8.5% Tubuh Saat Penelitian % of Total .0% 5.6% 2.8% 8.5%

  Total Count

  7

  59

  5

  71 % within Lama 9.9% 83.1% 7.0% 100.0% Pemakaian % within Indeks Massa 100.0% 100.0% 100.0% 100.0% Tubuh Saat Penelitian % of Total 9.9% 83.1% 7.0% 100.0% Indeks Massa Tubuh Saat Penelitian kurus (<18.5) normal (18.5-25) gemuk (>25) Total Tingkat sedang (80%-99%) Count

  3

  34

  1

  38 Kecukupan % within Tingkat 7.9% 89.5% 2.6% 100.0%

  Energi Kecukupan Energi % within Indeks Massa 42.9% 57.6% 20.0% 53.5% Tubuh Saat Penelitian % of Total 4.2% 47.9% 1.4% 53.5% rendah (70%-79%) Count

  4

  25

  4

  33 % within Tingkat 12.1% 75.8% 12.1% 100.0% Kecukupan Energi % within Indeks Massa 57.1% 42.4% 80.0% 46.5% Tubuh Saat Penelitian % of Total 5.6% 35.2% 5.6% 46.5%

  Total Count

  7

  59

  5

  71 % within Tingkat 9.9% 83.1% 7.0% 100.0% Kecukupan Energi % within Indeks Massa 100.0% 100.0% 100.0% 100.0% Tubuh Saat Penelitian % of Total 9.9% 83.1% 7.0% 100.0%

  

Tingkat Kecukupan Protein * Indeks Massa Tubuh Saat Penelitian Crosstabulation

  Indeks Massa Tubuh Saat Penelitian kurus (<18.5) normal (18.5-25) gemuk (>25) Total Tingkat baik (>100%) Count

  6

  56

  5

  67 Kecukupan % within Tingkat Kecukupan 9.0% 83.6% 7.5% 100.0%

  Protein Protein % within Indeks Massa Tubuh 85.7% 94.9% 100.0% 94.4% Saat Penelitian % of Total 8.5% 78.9% 7.0% 94.4% sedang (80%- Count

  1

  2

  3 99%)

  % within Tingkat Kecukupan 33.3% 66.7% .0% 100.0% Protein % within Indeks Massa Tubuh 14.3% 3.4% .0% 4.2% Saat Penelitian % of Total 1.4% 2.8% .0% 4.2% rendah (70%- Count

  1

  1 79%)

  % within Tingkat Kecukupan .0% 100.0% .0% 100.0% Protein % within Indeks Massa Tubuh .0% 1.7% .0% 1.4% Saat Penelitian % of Total .0% 1.4% .0% 1.4%

  Total Count

  7

  59

  5

  71 % within Tingkat Kecukupan 9.9% 83.1% 7.0% 100.0% Protein

  

Ganja * Indeks Massa Tubuh Saat Penelitian Crosstabulation

  2

  2

  30

  3

  35 % within Shabu 5.7% 85.7% 8.6% 100.0% % within Indeks Massa Tubuh Saat Penelitian

  28.6% 50.8% 60.0% 49.3% % of Total 2.8% 42.3% 4.2% 49.3% tidak Count

  5

  29

  36 % within Shabu 13.9% 80.6% 5.6% 100.0% % within Indeks Massa Tubuh Saat Penelitian

  Indeks Massa Tubuh Saat Penelitian Total kurus (<18.5) normal (18.5-25) gemuk (>25)

  71.4% 49.2% 40.0% 50.7% % of Total 7.0% 40.8% 2.8% 50.7%

  Total Count

  7

  59

  5

  71 % within Shabu 9.9% 83.1% 7.0% 100.0% % within Indeks Massa Tubuh Saat Penelitian

  100.0% 100.0% 100.0% 100.0% % of Total 9.9% 83.1% 7.0% 100.0%

  Shabu ya Count

  

Shabu * Indeks Massa Tubuh Saat Penelitian Crosstabulation

  Indeks Massa Tubuh Saat Penelitian Total kurus (<18.5) normal (18.5-25) gemuk (>25)

  18

  Ganja ya Count

  6

  41

  3

  50 % within Ganja 12.0% 82.0% 6.0% 100.0% % within Indeks Massa Tubuh Saat Penelitian

  85.7% 69.5% 60.0% 70.4% % of Total 8.5% 57.7% 4.2% 70.4% tidak Count

  1

  2

  100.0% 100.0% 100.0% 100.0% % of Total 9.9% 83.1% 7.0% 100.0%

  21 % within Ganja 4.8% 85.7% 9.5% 100.0% % within Indeks Massa Tubuh Saat Penelitian

  14.3% 30.5% 40.0% 29.6% % of Total 1.4% 25.4% 2.8% 29.6%

  Total Count

  7

  59

  5

  71 % within Ganja 9.9% 83.1% 7.0% 100.0% % within Indeks Massa Tubuh Saat Penelitian

  

Inex * Indeks Massa Tubuh Saat Penelitian Crosstabulation

  Indeks Massa Tubuh Saat Penelitian kurus (<18.5) normal (18.5-25) gemuk (>25) Total Inex ya Count

  3

  3 % within Inex .0% 100.0% .0% 100.0% % within Indeks Massa .0% 5.1% .0% 4.2% Tubuh Saat Penelitian % of Total .0% 4.2% .0% 4.2% tidak Count

  7

  56

  5

  68 % within Inex 10.3% 82.4% 7.4% 100.0% % within Indeks Massa 100.0% 94.9% 100.0% 95.8% Tubuh Saat Penelitian % of Total 9.9% 78.9% 7.0% 95.8%

  Total Count

  7

  59

  5

  71 % within Inex 9.9% 83.1% 7.0% 100.0% % within Indeks Massa 100.0% 100.0% 100.0% 100.0% Tubuh Saat Penelitian % of Total 9.9% 83.1% 7.0% 100.0%

  Lem * Indeks Massa Tubuh Saat Penelitian Crosstabulation

  Indeks Massa Tubuh Saat Penelitian kurus (<18.5) normal (18.5-25) gemuk (>25) Total Lem ya Count

  1

  7

  1

  9 % within Lem 11.1% 77.8% 11.1% 100.0% % within Indeks Massa 14.3% 11.9% 20.0% 12.7% Tubuh Saat Penelitian % of Total 1.4% 9.9% 1.4% 12.7% tidak Count

  6

  52

  4

  62 % within Lem 9.7% 83.9% 6.5% 100.0% % within Indeks Massa 85.7% 88.1% 80.0% 87.3% Tubuh Saat Penelitian % of Total 8.5% 73.2% 5.6% 87.3%

  Total Count

  7

  59

  5

  71 % within Lem 9.9% 83.1% 7.0% 100.0% % within Indeks Massa 100.0% 100.0% 100.0% 100.0% Tubuh Saat Penelitian % of Total 9.9% 83.1% 7.0% 100.0%

  

Minuman Keras * Indeks Massa Tubuh Saat Penelitian Crosstabulation

  Indeks Massa Tubuh Saat Penelitian kurus (<18.5) normal (18.5-25) gemuk (>25) Total Minuman Keras ya Count

  3

  22

  1

  26 % within Minuman Keras 11.5% 84.6% 3.8% 100.0% % within Indeks Massa 42.9% 37.3% 20.0% 36.6% Tubuh Saat Penelitian % of Total 4.2% 31.0% 1.4% 36.6% tidak Count

  4

  37

  4

  45 % within Minuman Keras 8.9% 82.2% 8.9% 100.0% % within Indeks Massa 57.1% 62.7% 80.0% 63.4% Tubuh Saat Penelitian % of Total 5.6% 52.1% 5.6% 63.4%

  Total Count

  7

  59

  5

  71 % within Minuman Keras 9.9% 83.1% 7.0% 100.0% % within Indeks Massa 100.0% 100.0% 100.0% 100.0% Tubuh Saat Penelitian % of Total 9.9% 83.1% 7.0% 100.0%