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Abstract
Non-communicable diseases (NCDs) contribute to approximately 74 percent of global deaths, with cardiovascular diseases related to hypertension being the most significant, accounting for 17.9 million deaths each year. In Bali, the prevalence of hypertension has shown a steady increase, reaching 47.7 percent in Karangasem Regency. Existing epidemiological approaches remain insufficient as they focus predominantly on biological and behavioral determinants while overlooking cultural factors that influence health behaviors. This study aims to explore how shared knowledge within the Tenganan Pegringsingan community shapes and reinforces cultural practices that increase the risk of hypertension. Using a qualitative method with an ethnographic approach, data were collected through in-depth interviews and participant observation involving village officials, community elders, leaders of social drinking groups known as sekehe, and individuals participating in metuakan rituals. The findings demonstrate that the interaction between environmental, biological, and cultural factors sustains the practice of metuakan, a communal activity involving the consumption of palm wine (tuak), which is deeply embedded in local religious and social rituals. Long-term alcohol exposure through these practices influences biological processes and psychosocial conditions that affect heart rate and blood pressure. The study concludes that culturally embedded behaviors must be considered in the development of effective hypertension prevention strategies that are contextually grounded in local knowledge and practice.
References
Algharably, E. A., Meinert, F., Januszewicz, A., & Kreutz, R. (2024). Understanding the impact of alcohol on blood pressure and hypertension: From moderate to excessive drinking. Kardiologia Polska, 82(1), 10–18. https://doi.org/10.33963/v.kp.98704
Aryasa, I. W. T., Artini, N. P. R., Vidika A., D. P. R., & Hendrayana, I. M. D. (2020). Kadar Alkohol Pada Minuman Tuak Desa Sanda Kecamatan Pupuan Kabupaten Tabanan Bali Menggunakan Metode Kromatografi Gas. Jurnal Ilmiah Medicamento, 5(1), 33–38. https://doi.org/10.36733/medicamento.v5i1.837
Blair, A. (2006). Handbook of Epidemiology. Biometrics, 62(2), 627–628. https://doi.org/10.1111/j.1541-0420.2006.00589_4.x
Brunner, E. J. (2000). Toward a New Social Biology. In L. Berkman (Ed.), Social Epidemiology (pp. 306–331). Oxford University PressNew York, NY. https://doi.org/10.1093/oso/9780195083316.003.0013
Cassel, J. (2017). The Contribution of the Social Environment to Host Resistence: The Fourth Wade Hampton Frost Lecture. American Journal of Epidemiology, 185(11), 1015–1031. https://doi.org/10.1093/aje/kwx100
Crews, F. T., Vetreno, R. P., Broadwater, M. A., & Robinson, D. L. (2016). Adolescent Alcohol Exposure Persistently Impacts Adult Neurobiology and Behavior. Pharmacological Reviews, 68(4), 1074–1109. https://doi.org/10.1124/pr.115.012138
Crozier, G., Denzin, N., & Lincoln, Y. (1994). Handbook of Qualitative Research. British Journal of Educational Studies, 42(4), 409. https://doi.org/10.2307/3121684
Diferdinando, G. (1999). Emerging infectious diseases: biology and behavior in the inner city. In L. . U. Scell S. (Ed.), Urbanism, Health and Human Biology in Industrialised Countries (pp. 87–110). Cambridge University Press. https://doi.org/10.1017/CBO9780511525698.005
Dinas Kesehatan Provinsi Bali. (2019). Profil Karangasem 2018. Dinas Kesehatan Provinsi Bali.
Ember, C. R., Ember, M., & Peregrine, P. N. (2007). Anthropology (12th ed.). Pearson Education.
Farid, M. (2022). Kekuasaan: Determinan Sosial dan Kebudayaan Penyakit Tuberkulosis Paru di Cinangka Serang Banten. Jurnal Antropologi: Isu-Isu Sosial Budaya, 24(2), 148–156. https://doi.org/10.25077/jantro.v24.n2.p148-156.2022
Fenner, F. (1980). Sociocultural Change and Environmental Diseases. In N. . J. Stanley R. (Ed.), Changing Disease Patterns and Human Behavior (pp. 7–26). Academic Press.
Fuchs, F. D., & Whelton, P. K. (2020). High Blood Pressure and Cardiovascular Disease. Hypertension, 75(2), 285–292. https://doi.org/10.1161/HYPERTENSIONAHA.119.14240
Geertz, C. (1973). The Interpretation of Culture. Basic Book.
Henrich, J. (2015). Culture and social behavior. Current Opinion in Behavioral Sciences, 3, 84–89. https://doi.org/10.1016/j.cobeha.2015.02.001
Herawati, E., & Sofiatin, Y. (2021). Socio-cultural aspects of non-communicable disease prevention in three villages in the West Java. Masyarakat, Kebudayaan Dan Politik, 34(3), 340. https://doi.org/10.20473/mkp.V34I32021.340-354
Husna, A. R. (2021). Hubungan Cultural Value dengan Kejadian Hipertensi Pada Lansia. Jurnal Keperawatan Muhammadiyah, 6(3), 183–187. https://repository.um-surabaya.ac.id/6790/1/7. Hubungan Cultural Value dengan Kejadian Hipertensi Pada Lansia.pdf
Iqbal, M. F., & Handayani, S. (2022). Terapi Non Farmakologi pada Hipertensi. Jurnal Untuk Masyarakat Sehat (JUKMAS), 6(1), 41–51. https://doi.org/10.52643/jukmas.v6i1.2113
Jayanti, I. G. A. N., Wiradnyani, N. K., & Ariyasa, I. G. (2017). Hubungan pola konsumsi minuman beralkohol terhadap kejadian hipertensi pada tenaga kerja pariwisata di Kelurahan Legian. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 6(1), 65–70. https://doi.org/10.14710/jgi.6.1.65-70
Kementerian Kesehatan Republik Indonesia. (2018). Riset Kesehatan Dasar. Kemenkes.
Kementerian Kesehatan Republik Indonesia. (2019). Hari Hipertensi Dunia 2019 : “Know Your Number, Kendalikan Tekanan Darahmu dengan CERDIK.” Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2024). Pedoman Pengendalian Hipertensi di Fasilitas Kesehatan Tingkat Pertama 2024. Kementerian Kesehatan Republik Indonesia.
Komaling, J. K., Suba, B., & Wongkar, D. (2013). Hubungan mengonsumsi alkohol dengan kejadian hipertensi pada laki-laki di desa Tompasobaru II kecamatan Tompasobaru kabupaten Minahasa Selatan. Jurnal Keperawatan UNSRAT, 1(1), 107709.
Krieger, N. (1994). Epidemiology and the web of causation: Has anyone seen the spider? Social Science & Medicine, 39(7), 887–903. https://doi.org/10.1016/0277-9536(94)90202-X
Krieger, N. (2001). Theories for social epidemiology in the 21st century: an ecosocial perspective. International Journal of Epidemiology, 30(4), 668–677. https://doi.org/10.1093/ije/30.4.668
Liang, Y., Mente, A., Yusuf, S., Gao, P., Sleight, P., Zhu, J., Fagard, R., Lonn, E., & Teo, K. K. (2012). Alcohol consumption and the risk of incident atrial fibrillation among people with cardiovascular disease. Canadian Medical Association Journal, 184(16), E857–E866. https://doi.org/10.1503/cmaj.120412
Link, B. G., & Phelan, J. (1995). Social Conditions As Fundamental Causes of Disease. Journal of Health and Social Behavior, 35(Extra Issue), 80. https://doi.org/10.2307/2626958
Lukito, A. A. (2023). Panduan Promotif dan Preventif Hipertensi 2023 (A. A. Lukito (ed.)). Indonesian Society of Hypertension.
Macleod, J. (2003). Psychosocial factors and public health: a suitable case for treatment? Journal of Epidemiology & Community Health, 57(8), 565–570. https://doi.org/10.1136/jech.57.8.565
McElroy, A., & Townsend, P. K. (2018). Medical Anthropology in Ecological Perspective (5th ed.). Routledge. https://doi.org/10.4324/9780429493478
McKinlay, J. B., & Marceau, L. D. (2000). Public Health Matters. American Journal of Public Health, 90(1), 25–53. https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.90.1.25
Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223–237. https://doi.org/10.1038/s41581-019-0244-2
Musdalifah, Indriastuti M., D., & Syahwal. (2020). Budaya Makan Masyarakat Pesisir Yang Beresiko Terjadi Hipertensi Pada Lansia Dini Kabupaten Konawe. Jurnal Keperawatan, 4(2), 1–8.
Nugraha, D. F., & Wiadnya, I. B. R. (2015). Pengaruh lama penyimpanan minuman tuak (Arenga pinnata) terhadap kadar alkohol dan kadar asam cuka. Jurnal Analis Medika Biosains (JAMBS), 2(1), 37–44. https://jambs.poltekkes-mataram.ac.id/index.php/home/article/view/32/27
Nurbaya, S. . B. (2020). Hubungan Antara Perilaku Budaya Dengan Kualitas Hidup Penderita Hipertensi Pada Etnis Dayak Di Desa Pampang Samarinda. Borneo Student Research, 1(3), 1463–1467. https://journals.umkt.ac.id/index.php/bsr/issue/view/32
Okojie, O. M., Javed, F., Chiwome, L., & Hamid, P. (2020). Hypertension and Alcohol: A Mechanistic Approach. Cureus, 12(8), 2–7. https://doi.org/10.7759/cureus.10086
Pradani, R. P. (2024). Budaya Hipertensi dan Karakteristik Masyarakat Pesisir Pantai P ditinjau dari Dinamika. PSIKOSTUDIA: Jurnal Psikologi, 13(1), 36–41. https://e-journals.unmul.ac.id/index.php/PSIKO/article/view/12461/pdf
Rosenberg, C. E. (1989). Disease in History: Frames and Framers. The Milbank Quarterly, 67, 1. https://doi.org/10.2307/3350182
Sahar, S. (2019). Kebudayaan Simbolik; Etnografi Religi Victor Turner. Sosioreligius Jurnal Ilmiah Sosiologi Agama, 4(2), 2–12. https://doi.org/https://doi.org/10.24252/sosioreligius.v4i2.13320
Setiadi, M. D., & Martha, E. (2023). Social Cultural Factors Affecting Quality of Life Hypertension Patients: Literature Review. The Indonesian Journal of Health Promotion - MPPKI, 6(4), 582–587.
Sima, I. S. (2024). Cultural Influence on the Incidence of Hypertension in Developing Countries: A Systematic Review. In The Second NANI Hasanudin International Health Conference (NHIHC) (Vol. 2, Issue 1, pp. 86–93). STIKES Nani Hasanudin Makasar. https://jurnal.stikesnh.ac.id/index.php/nhihc/article/view/1847/1121
Tomaszewski, E. (2018). Addressing the Social and Cultural Norms That Underlie the Acceptance of Violence. In Workshop in Brief (pp. 50–62). National Academies Press (US).
Trostle, A. J. (2005). Epidemiology and Culture. Cambridge University Press.
Turner, V., & Abrahams, R. D. (2017). The Ritual Process. In The Ritual Process: Structure and Anti-Structure. Routledge. https://doi.org/10.4324/9781315134666
White, K. (2011). Pengantar Sosiologi Kesehatan dan Penyakit. Rajawali Press.
WHO. (2022). The Global Health Observatory: Explore the World of Health Data. WHO.
Wijaya, L., Sumerta, I. N., Napitupulu, T. P., Kanti, A., Keim, A. P., Howell, K., & Sudiana, I. M. (2024). Cultural, nutritional and microbial perspectives of tuak, a traditional Balinese beverage. Journal of Ethnic Foods, 11(1), 4. https://doi.org/10.1186/s42779-024-00221-x
Williams, B., Mancia, G., Spiering, W., Agabiti Rosei, E., Azizi, M., Burnier, M., Clement, D. L., Coca, A., de Simone, G., Dominiczak, A., Kahan, T., Mahfoud, F., Redon, J., Ruilope, L., Zanchetti, A., Kerins, M., Kjeldsen, S. E., Kreutz, R., Laurent, S., … Brady, A. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension. European Heart Journal, 39(33), 3021–3104. https://doi.org/10.1093/eurheartj/ehy339
Winkelman, M. (2009). Culture and Health Applying Medical Anthropology. Jossey-Bass.
Yang, W., Singla, R., Maheshwari, O., Fontaine, C. J., & Gil-Mohapel, J. (2022). Alcohol Use Disorder: Neurobiology and Therapeutics. Biomedicines, 10(5), 1192. https://doi.org/10.3390/biomedicines10051192
Yetti R., E., Tombeg, Z., & J. Hadi, A. (2023). Hubungan Sosial Budaya Dengan Upaya Pencegahan TBC di Puskesmas Makale Kabupaten Tana Toraja. Jurnal Ners, 7(2), 1364–1373. https://doi.org/10.31004/jn.v7i2.16393
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