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All Journal Jurnal Epidemiologi Kesehatan Komunitas Journal of Public Health for Tropical and Coastal Region Journal of Public Health Research and Community Health Development (JPH RECODE) Jurnal Abdi Insani Indonesian Journal of Global Health research Jurnal Kedokteran Mulawarman Pancasakti Journal Of Public Health Science And Research Wal'afiat Hospital Journal BIOGRAPH-I: Journal of Biostatistics and Demographic Dynamic Berita Kedokteran Masyarakat Jurnal Sehat Indonesia (JUSINDO) WAL'AFIAT HOSPITAL JOURNAL Journal of Mestika Nusantara Satu Community Services Panakeia Journal of Epidemiology Proceeding Mulawarman International Conference on Tropical Public Health Symbiohealth Jurnal Epidemiologi Kesehatan Indonesia
Irfansyah Baharuddin Pakki
Department Of Epidemiology, Faculty Of Public Health, Mulawarman University
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Analysis of Risk Factors for Hypertension in Productive Age Communities in the Working Area of the North Sangatta Health Center Husna, Husna; Pakki, Irfansyah Baharuddin; Wisnuwardani, Ratih Wirapuspita
Symbiohealth Vol. 2 No. 1 (2024)
Publisher : Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/symbiohealth.v2i1.396

Abstract

Hypertension is one of the health problems whose prevalence continues to increase in society, especially among the productive age. This study aims to determine the risk factors for hypertension in the productive age community in the work area of the North Sangatta Health Center. The research method used in this study is obsevively analytical with a case control design. Data were obtained from demographic data questionnaires and observation sheets for blood pressure calculations with a sample of 138 people. The variables analyzed included demographic factors (age, gender, education, occupation, ethnicity), lifestyle (smoking), and medical factors (family history of hypertension and diabetes). The results of the analysis showed that there was a significant relationship between age (P = < 0.05), occupation (P = >0.008), diabetes mellitus (P<0.001), hereditary history of hypertension (P>0.009) and the incidence of hypertension, while sex (P = >0.85), education (P>0.069), ethnicity (P>0.067), and smoking habits (P>0.170) did not have a significant relationship with the incidence of hypertension in the productive age community. It is proven that age, occupation, diabetes mellitus, and a history of hypertension are risk factors for the increase in hypertension cases in the work area of the North Sangatta Health Center.
Spatial Analysis of Determinants of Dengue Hemorrhagic Fever Cases in the Working Area of UPT BLUD Kaliorang East Kutai Health Center Erwina, Brigita Win; Pakki, Irfansyah Baharuddin; Anggraeni, Ike
Symbiohealth Vol. 2 No. 1 (2024)
Publisher : Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/symbiohealth.v2i1.397

Abstract

Dengue hemorrhagic fever is one of the endemic diseases that continues to increase in various tropical regions, including Kaliorang East Kutai. This study is an observational analytical study with a control case approach, which was carried out from December 2023 to March 2024 in the work area of the UPT BLUD Kaliorang Health Center, East Kutai. The data used is secondary data from the 2021-2022 health report and the results of field observations. Data collection methods include environmental surveys, interviews, and spatial analysis using QGIS and GeoDa software. The results showed that there was a significant relationship between breeding place (OR = 8,636), resting place (OR = 4,000), and population density (OR = 5,921) with the incidence of dengue. In contrast, the 4M action did not show a significant relationship (OR = 1,000). The conclusion of this study emphasizes the importance of environmental management and increasing public awareness in the prevention of dengue fever in densely populated areas.
ASSOCIATED FACTORS OF FAMILY RESPONSE TO PATIENTS WITH SEVERE PSYCHIATRIC DISORDERS IN SANGATTA UTARA Sitorus, Rame; Pakki, Irfansyah Baharuddin; Anggraeni, Ike
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 4: November 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i4.27033

Abstract

Background: Mental disorders affect approximately 20% of Indonesia’s population, with East Kalimantan reporting 2,679 cases, including 130 in the Sangatta Utara area. Despite the growing awareness of the critical role families play in supporting individuals with mental disorders, there is a still lack of studies that specifically explore family responses, particularly in Indonesia. This study aims to fill this gap by examining the factors that are associated with family responses to individuals living with severe mental disorders in Sangatta Utara, East Kalimantan.Methods: This observational and cross-sectional study targeted 130 families of individuals diagnosed with severe mental disorders. Data were collected using structured questionnaires. Statistical analysis was performed using chi-square tests and binary logistic regression. This statistical model aimed to identify the factors most influential on family responses.Results: Significant associations were found between family burden, social support, and family responses to individuals with severe mental disorders. The analysis revealed that family burden was strongly associated with positive family responses (Exp(B) = 24.22, p = 0.002), indicating that higher caregiving burden significantly increased the likelihood of positive family responses. Similarly, social support showed a significant positive association with family responses (Exp(B) = 5.19, p = 0.040).Conclusion: Family burden and social support are important factors that influence family responses to severe mental disorders. This study emphasizes and suggests the importance of targeted family counseling and community-based support programs in North Sangatta. 
Gambaran Kasus Gondongan Pada Sekolah Dasar Negeri 010 Makroman, Samarinda Listiani, Dwi; Astuti, Ashri Budi; Jami'an, Jami'an; Budi, Eko Prasetya; Sumarianto, Arif; Pakki, Irfansyah Baharuddin
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

Mumps is an infectious disease caused by a viral infection, often attacking the salivary glands, especially the parotid glands. This disease is self-limiting and common in elementary school children. This study aims to describe the prevalence, symptoms, and impact of mumps in students of SD Negeri 010 Makroman, Samarinda, as well as evaluate risk factors and relevant prevention efforts. With a descriptive research design, data was obtained from a population of 307 students through secondary data from the Makroman Health Center and direct on-site investigations. An attack rate of 3.58% indicates a limited impact on at-risk populations, but it is important to be aware of the potential for further transmission in the school environment. This study emphasizes the importance of preventive efforts, promotive measures, and continuous supervision These results provide insight for health policymakers to improve measures to prevent and control mumps in the school environment.
Gambaran Kasus Parotitis Anak Sekolah Dasar di Wilayah Kerja Puskesmas Loa Bakung Pakki, Irfansyah Baharuddin; Herliani, Resda; Noorhayaty, Noorhayaty; Insany, Vicca Yulia; Yuniasih, Arista Dian; Sigit, Ratih Fianni
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Parotitis is a disease caused by mumps virus infection. The infection attacks the parotid glands, causing symptoms such as fever, swelling on the side of the face accompanied by pain. Data from the Samarinda City Health Office shows that there were 380 cases of mumps from September to early October 2024. The increase in cases also occurred among elementary school children, but there is no definitive data yet that illustrates the number and distribution of parotitis cases. The aim of this study is to identify the risk factors for mumps in elementary school children in the Loa Bakung working area. This study is a descriptive study. The sample was 5154 students. Data collection was done by distributing questionnaires online in the form of Google Forms and interviews to teachers during field visits. The number of schools that filled out the Google form was 11 schools (91.7%), and the number of classes that filled out the Google form was 55 classes (31.9%). Analysis was conducted on the incidence data of cases, patient characteristics, and school intervention efforts. The study showed the incidence of mumps cases among 238 students, with the highest number at SD Muhammadiyah 5 (37.82%) and the highest attack rate at MI Tijanul Jawahir (13.89%). The majority of the patients were 9 years old (27.94%) and male (53.36%). The main symptoms experienced are swelling in the cheeks (85.5%) and fever (67.3%). The preventive measures taken by the school include the use of masks, provision of handwashing facilities, and granting dispensations. The incidence of mumps cases shows a significant increase in the elementary school environment. Further investigation is needed regarding the factors influencing the high attack rate and prevention strategies. Keywords : Parotitis, attack rate, elementary school, prevention, Samarinda
Kejadian Luar Biasa Gondongan di SD Islam X Samarinda, 2024 Riyanto, Rudy Agus; Pakki, Irfansyah Baharuddin; Sabena, Mela; Pasiakan, Meli; Erlina, Erlina; Andriani, Rima
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

Mumps outbreaks are a public health issue that still frequently occur in elementary school settings, particularly among children with low immunization coverage. Therefore, a comprehensive epidemiological understanding is needed as a basis for control. This research aims to describe the epidemiological picture and causative factors of the mumps outbreak that occurred at Islamic Elementary School X in Samarinda City in 2024, using a case series design. The outbreak occurred from April to October 2024, while epidemiological data collection and case verification were conducted from December 2nd to 8th, 2024. The analysis uses surveillance data, field observations, and questionnaires administered to parents and teachers A total of 33 confirmed cases of mumps were reported from 291 students during the observation period, with an attack rate of 11.33%. The dominant symptoms found included parotid gland swelling (100%), fever (78.8%), headache (63.6%), and malaise (42.4%). The main risk factors include low MMR immunization coverage (54.5%), close contact between students in classrooms and extracurricular activities, and a lack of public understanding about preventing infectious diseases. The control efforts undertaken include case isolation, classroom disinfection, personal hygiene education, and cross-sector coordination with the Samarinda City Health Office, increased vaccination coverage, and school health education to prevent future outbreaks of mumps, thru additional MMR vaccinations for students who have not completed their doses, monitoring immunization status at the beginning of each school year, and improving personal hygiene education in schools. Keywords : Mumps, outbreak, epidemiology, primary school, vaccination
Hypertension in the Kutai Community in Penyinggahan Village, West Kutai Regency. Is There a Relationship with Physical Activity? A Cross-Sectional Study Wahyudi, Wahyudi; Pakki, Irfansyah Baharuddin; Siswanto, Siswanto; Arfandi, Muh. Amri
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/7gn2xy19

Abstract

Hypertension is a major health problem in Indonesia, with a prevalence rate of 39.3% in East Kalimantan, including in West Kutai Regency. This study aims to analyze the relationship between consumption of high-risk foods and beverages and physical activity with the incidence of hypertension among the Kutai people in the working area of the Penyinggahan Health Center. A cross-sectional study was conducted in 2023 with a sample of 140 respondents aged 30–64 years selected by purposive sampling. Data were collected using FFQ and IPAQ questionnaires and analyzed using univariate, bivariate (Chi-Square and Fisher's Exact Test), and multivariate (Logistic Regression) methods. The results showed that 51.4% of respondents suffered from hypertension, with significant associations found with high-risk BMI (p=0.000; OR=3.699), moderate-to-vigorous physical activity (p<0.05), and consumption of fat, oil, salt, and sugar (p<0.05). No significant relationships were found with protein, fiber, potassium, fruits, vegetables, age, gender, or ethnicity. In conclusion, high-risk BMI, inadequate physical activity, and dietary patterns low in protein, fiber, and potassium are dominant risk factors for hypertension among the Kutai people.
Non-Communicable Disease Risk Factors Across Age Groups in Urban Indonesia: A WHO STEPS-Based Study Muh. Amri Arfandi; Saefurrohim, Muhamad Zakki; Azka, Arlina; Pakki, Irfansyah Baharuddin; Siswanto, Siswanto; Risva, Risva; Azmiardi, Akhmad
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/2h9dbt57

Abstract

Non-communicable diseases (NCDs) are a major public health concern, with risk factors increasingly observed among younger populations. To describe and compare behavioral and biological NCD risk factors among adolescents (15–19 years), young adults (20–24 years), and adults (25–59 years) in Samarinda, Indonesia. A cross-sectional study was conducted among 242 respondents using the WHO STEPS questionnaire, covering behavioral factors (tobacco, alcohol, physical activity, diet) and biological factors (BMI, blood pressure, blood glucose, cholesterol). Smoking was highest among young adults (22.2%) versus adolescents (9.3%) and adults (17.7%). Adolescents reported relatively higher alcohol use (12.4%). Young adults showed more sedentary behavior (40%). Fruit consumption was inadequate across all groups. Overweight/obesity prevalence increased with age: adolescents (19.4%), young adults (24.4%), adults (54.4%). Adults showed higher hypertension (44.1%) and high cholesterol (35.3%). Behavioral risks emerge during adolescence, while biological risks accumulate with age. Early prevention targeting youth through community-based education and health monitoring is essential.
Factors Influencing Compliance with Iron Supplementation Among Female Adolescents in Senior High Schools, Samarinda City, 2025 Indriani, Dilla C; Ramadhani, Reza W; Nurlela, Siti; Irirwanas, Intannia D; Zakki Saefurrohim, Muhamad; Azmiardi, Akhmad; Pakki, Irfansyah Baharuddin; Siswanto, Siswanto; Arfandi, Muh. Amri; Risva, Risva
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/kzn7n063

Abstract

Anemia in adolescent girls is a significant health problem due to increased iron requirements during puberty. Iron supplements are an important intervention, but previous studies have shown that 58.4% of adolescent girls have low compliance rates. This study aims to analyze the relationship between knowledge and attitudes toward iron supplement consumption among high school students in Samarinda City. This study used a cross-sectional design involving 466 respondents from three secondary schools. Data were collected through an online questionnaire covering knowledge, attitude, and TTD consumption variables. Results showed that 47.2% of respondents had very good knowledge and 90.3% had a positive attitude. Bivariate analysis showed no significant relationship between knowledge and TTD consumption (OR = 1.039; 95% CI: 0.680–1.587; p = 0.860). Conversely, attitude showed a significant relationship, where students with negative attitudes were less likely to consume TTD (OR = 1.613; 95% CI: 1.052–2.471; p = 0.028). These findings indicate that attitude has a greater influence than knowledge in promoting TTD consumption behavior. Interventions to improve TTD consumption compliance should focus on fostering positive attitudes among adolescent girls.
Understanding Toxoplasmosis in Reproductive-Age Women: Determinants of Infection and Evidence-Based Mitigation Approaches Azka, Arlina; Soviadi, Nabila Vebiana; Saefurrohim, Muhamad Zakki; Azmiardi, Akhmad; Pakki, Irfansyah Baharuddin; Siswanto; Arfandi, Muh. Amri; Risva
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/e53f1q84

Abstract

Toxoplasmosis remains a persistent public health concern among women of reproductive age due to the risk of congenital transmission and severe fetal outcomes. This narrative review aimed to synthesize recent evidence on infection determinants and evaluate evidence-based strategies to mitigate risks, addressing persistent gaps in awareness and intervention efficacy. A comprehensive literature search of PubMed and Google Scholar was conducted for studies published between 2016 and 2025. The findings reveal substantial geographic variation in seroprevalence, influenced by environmental conditions, cultural practices, and socioeconomic disparities. Higher infection rates were consistently reported among older, multiparous, rural, and less-educated women. Key risk factors included consumption of contaminated water, undercooked meat, and poor hygiene practices, while associations with cat ownership were inconsistent. Overall, knowledge and awareness of toxoplasmosis were low among women and healthcare providers. Although educational interventions and antenatal screening demonstrated potential benefits, their effectiveness remains insufficiently evaluated. Integrated, context-specific prevention strategies are urgently needed to reduce infection risk and prevent congenital toxoplasmosis.
Co-Authors Abdullah, Ahmad Fadhlil Azhim Adrianto, Ratno Afifah, Wiwin Vidiyastana Akhmad Azmiardi Akhmad Azmiardi Akmad Azmiardi Al Ahmadi, Khumairotul Zahroh Alwan Zakki Nozomi Andriani, Rima Anggreini, Putri Anita Sari Arfandi, Muh. Amri Arlina Azka Arlina Azka Asari, Sendila Ernesy Ashri Budi Astuti Asrianti, Tanti Astuti - Astuti, Ashri Budi Ayudhia Rachmawati Bahtiar, Rahmat Bakhtiar, Rahmat Basri, Samsinar Budi, Eko Prasetya Cahyana, Yudi Jaya Dwi Listiyani Dzikri, Akhmad Erlina Erlina Erlina Erlina Erri Larene Safika Erwina, Brigita Win Fahmi, Muhammad Maulana Fahrul Rozi Frisca Anggraeni Manik Hapsari, Palupi Setyo Hefi Kurniasih Herliani, Resda Hilda Hilda Husna Husna Ike Anggraeni Indriani, Dilla C Insany, Vicca Yulia Irirwanas, Intannia D Iriyani Iriyani Iriyani Kamaruddin, Iriyani Ismail AB, Ismail Iwan Muhamad Ramdan Jami'an, Jami'an Jenissa, Abel Junaidin, Junaidin K., Iriyani Kasih, Ketut Pilih Lestari, Ida Ayu Indira Dwika Listiani, Dwi Majiding, Chaidir Masyhuri Mochamad Makin, Mochamad Muh. Amri Arfandi Muh. Amri Arfandi Muhamad Zakki Saefurrohim Muhammad Noor Muhammad Noor Muhammad Nuzul Azhim Ash Siddiq Nabila Vebiana Soviadi Naim, Tanti Asrianti Nisaa, Nur Rezky Khairun Noorhayaty Noorhayaty Noorhayaty, Noorhayaty Norsehan, Norsehan Nozomi, Alwan Zakki Nugraha, Purwa Nunuk Kusuma Wardani Nur Asiyah Nurlianti Nurlianti Nursakti Nursakti Pasiakan, Meli Pasinggi, Miako Pradita, Adelia Putri Rachmawati, Ira Puspa Rahmadani, Aulia Tia Rahmadina, Andi Nur Nayla Rahmi Susanti Ramadhani, Irma Ramadhani, Reza W Ramdam, Iwan Muhammad Ramdan, Iwan M Ratih Fianni Sigit Ratih Wirapuspita Wisnuwardani Ratih Wirapuspita Wisnuwardani Relung Adiniah Permani Risdayanti, Rikha Nur Risva Risva Risva Riyanto, Rudy Agus S Siswanto Sabena, Mela Saefurrohim, Muhamad Zakki Saputri, Amelia Indah Saputri, Deby Indah Sari, Mila Warma Septiana, Lisa Setianingtyas, Endah Dwi Sigit, Ratih Fianni Sinthary, Venna Siswanto Siswanto Siswanto Siti Malikha Zalzabila Maharani siti nurlela Sitorus, Rame Sudarmiyati, Nunuk Suleman, Angellia Sumarianto, Arif Sungkono, Indari Yayuk Tasha Citra Purnama Tetra Hidayati Ummi Khuzaimah Vanessa Vanessa Vionita, Wanda Dila Wahyudi Wahyudi Wahyuni, Leny Eka Tyas Wardani, Nunuk Kusuma Wijayanti, Dwi Astuti Noor Wirawanti, Ika Wirya Yadi Yadi Yadi, Yadi Yuniasih, Arista Dian Zakki Saefurrohim, Muhamad