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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Berkala Epidemiologi Jurnal Administrasi Kesehatan Indonesia JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) The Indonesian Journal of Public Health Jurnal Penelitian Pendidikan IPA (JPPIPA) Biomolecular and Health Science Journal Journal of Community Empowerment for Health AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Ministrate: Jurnal Birokrasi dan Pemerintahan Daerah Media Gizi Kesmas Jurnal Pengabdian Masyarakat dalam Kesehatan Jurnal Kesehatan Tambusai Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Public Health and Preventive Medicine Archive Unnes Journal of Public Health Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Kurnia Dwi Artanti
Department Epidemiology, Faculty Of Public Health, Universitas Airlangga
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences

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THE INFLUENCE OF BODY MASS INDEX ON THE MENSTRUAL CYCLE IN ADOLESCENTS: Pengaruh Indeks Massa Tubuh terhadap Siklus Menstruasi pada Remaja Dwi Artanti, Kurnia; Sutera Dewangga, Angelinasyarga; Azrielda Munib, Tazkia; Hidayat, Taufiq
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.118-125

Abstract

Background: Imbalanced nutritional status in adolescents can affect the menstrual cycle. In 2018, the WHO stated that as many as 80% of women in the world have irregular menstrual cycles. More specifically, this condition is experienced by 11.70% of adolescents aged 15-19 years and 14.90% of women in urban areas. Purpose: To analyze the effect of body mass index (BMI) on the menstrual cycle in adolescents at Junior High School State 19 Surabaya. Methods: This quantitative research employed an observational analytic method with a case-control design at SMP Negeri 19 Surabaya. As many as 104 participants (52 cases with irregular menstrual cycles and 52 controls with regular cycles) were randomly selected in a 1:1 ratio. Data collection occurred from February to May 2024, and bivariate analysis was conducted using the Chi-square test. Results: This study showed that overall BMI had a significant effect on menstrual cycle regularity (p = 0.001). Students with normal BMI have a greater chance of experiencing regular menstruation than overweight/obese (OR = 4.694; 95% CI = 1.536 - 14.344; p = 0.007). Meanwhile, the categories of very thin (OR = 0.985; 95% CI = 0.235 - 4.127; p = 0.983) and underweight (OR = 0.433; 95% CI = 0.072 - 2.622; p = 0.363) did not show a significant influence on menstrual regularity (p > 0.05). Conclusion: Body mass index affects menstrual cycle regularity in adolescents. Maintaining nutritional status is important to minimize the risk of menstrual cycle disorders and ensure reproductive health.
SPATIAL ANALYSIS FOR MICROPLANNING TO ADDRESS IMMUNIZATION INEQUALITIES IN INDONESIA Astutik, Erni; Hargono, Arief; Artanti, Kurnia Dwi; Hidajah, Atik Choirul; Husnina, Zida; Sari, Siti Shofiya Novita; Sitohang, R. Vensya; Surya, Asik; Hapsari, Ratna Budi; Feletto, Marta
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i1.2025.68-81

Abstract

Background: To achieve high and equitable immunization coverage, it is important to understand the access and utilization barriers, as well as the influencing determinants among population groups. Aims: This study aims to identify high-risk regencies and explore the application of spatial analysis to support microplanning in immunization programs. Methods: This study employed an implementation research design conducted in Aceh Province, Indonesia. Secondary datasets on immunization coverage, health human resources, facilities, and socio-economic parameters were analyzed. Focus group discussions (FGDs) and training sessions were conducted with health workers. Results: The average coverage of universal child immunization (UCI) across villages was 24.18%, while complete basic immunization (CBI) reached 55.85%. In general, regencies with low UCI and CBI often had limited human resources, inadequate health facilities, and a high proportion of high-risk populations. This study identified hot spots and cold spots in the study area. Additionally, participants reported that mapping using the application was easier and beneficial for supporting the preparation of immunization micro-planning. Conclusion: Spatial analysis can help address inequalities in immunization services and support resources during immunization. Qualitative approaches provided a deeper understanding of undocumented information. The use of mapping applications facilitated more effective microplanning in immunization programs. Keywords: Child mortality, health risk, immunization, microplanning, vaccine.
Gambaran Kadar HbA1c pada Pasien Diabetes Melitus di Rumah Sakit Husada Utama Surabaya Permatasari, Tika Aprilia; Artanti, Kurnia Dwi
Media Gizi Kesmas Vol 14 No 1 (2025): MEDIA GIZI KESMAS (JUNE 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i1.2025.104-110

Abstract

Background: Diabetes Mellitus (DM) is a chronic disease characterized by elevated blood glucose levels and can lead to serious health complications if not properly managed. HbA1c measurement is an accurate method for assessing glycemic control over the past 2–3 months and evaluating long-term blood glucose levels. Objectives: To analyze the description of HbA1c levels in patients with DM at Husada Utama Hospital Surabaya. Methods: A descriptive design with a cross-sectional approach was used. The sample consisted of 118 patients with DM who had checked their HbA1c, selected using the accidental sampling method. Secondary data were obtained from the patient's medical records recorded at Husada Utama Hospital. Results: The results showed that 73.7% of the respondents had uncontrolled HbA1c levels (≥6.5%) with an average HbA1c value of 8.18%. The majority of uncontrolled HbA1c levels were found in the elderly (62.1%), female patients (70.1%), patients who had suffered from diabetes mellitus for ≥5 years (57.5%), and those using a combination of oral antidiabetic drugs (39.1%). Conclusion: Based on the findings, it can be concluded that most respondents with uncontrolled HbA1c levels were elderly, female, had been living with DM for ≥5 years, and were using a combination of oral antidiabetic drugs. This indicates that diabetes management still needs improvement.
Communicating Smoke-Free Messages to Children and Women in Rural and Urban Indonesia Widati, Sri; Susy Katikana Sebayang; Ira Nurmala; Kurnia Dwi Artanti; Nur Alifia Hera; Reza Fajrinmuha; Janni Leung; Carmen Lim; Caitlin McClure-Thomas; Fitri Fausiah; Ghea Farassania
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025): October 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8056

Abstract

Introduction: The increase in cigarette production use in Indonesia has contributed to the rise of non-communicable diseases, affecting both active and passive smokers. Based on the 2023 Indonesian Health Survey around 70 million people in Indonesia smoke actively, with 7.4% of them being between the ages of 10 and 18 years old. Effective tobacco control and public education communications are essential to protect vulnerable populations from the dangers of passive smoking. Objective: To increase awareness among active smokers, this study analyzed communication messages about the impact of smoking on children and women regarding communication messages as tobacco-free education. Method: This qualitative study employed Focus Group Discussions (FGDs) involving active smokers from rural and urban areas in Indonesia. Participants were recruited from urban university students living in Surabaya and rural areas of Banyuwangi through online brochures distributed at multiple universities in each region. Eligible participants were both female and male active smokers who had been smoking for the last 3 years, consumed more than five conventional cigarettes, and had used electronic cigarettes more than five times. The study included two discussion groups, each with six participants. Data analysis was using thematic analysis. Result: Six types of media communications were conducted for each child and woman. The respondents in rural East Java equally favored messages A and C. Regarding the children communication in Urban East Java, most participants preferred message C, whereas one selected message B. Regarding the women’s communication, most urban participants chose message C, with two selecting message C and one choosing message B. Most participants acknowledged the adverse health impacts of cigarette smoking on passive smokers. Both rural and urban participants selected communication messages on children’s and women’s mortality data as impactful for tobacco-free education for active smokers. Conclusion: Communication messages focusing on children and women can effectively influence the perceptions and emotions of active smokers as tobacco-free education. Media development is needed to convey educational messages that inform both active and passive smokers, encouraging awareness and behavior change.
Determinants of Type 2 Diabetes Mellitus among Passive Smokers Triyaniarta, Adinda Rahma; Martini, Santi; Artanti, Kurnia Dwi; Widati, Sri; Nastiti, Rizma Dwi
Kesmas Vol. 17, No. 3
Publisher : UI Scholars Hub

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Abstract

Type 2 diabetes mellitus (T2DM) leads to complications of other diseases. The modifiable risk factors for T2DM are overweight, physical activity, hypertension, unhealthy diet, and smoking. This study aimed to analyze determinants of T2DM incidence in passive smokers among various factors. This study was conducted at Hospital X in Surabaya City, East Java Province, Indonesia, from September 2019 to April 2020. The variables were univariate, bivariate, and multivariate. Case samples were T2DM patients and passive smokers, while control samples were non-T2DM patients and passive smokers, with 52 respondents per group, of 104 total respondents. Variables statistically significant related to the incidence of T2DM in passive smokers were age >45 years, level of education (not attaining primary school), lack of physical activity, and hypertension. While, the variables having no relation were sex, occupation, sedentary lifestyles, income, and genetics. The multivariate analysis showed that age was a major factor contributing to the incidence of T2DM in passive smokers at Hospital X Surabaya. In brief, age is the most dominant risk factor for the incidence of T2DM in passive smokers.
Post Hypertension and Stroke: A Case Control Study Imanda, Aulia; Martini, Santi; Artanti, Kurnia Dwi
Kesmas Vol. 13, No. 4
Publisher : UI Scholars Hub

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Abstract

The purpose of this study was to determine the factors that influence the incidence of stroke including smoking status, past hypertension , past diabetes, diet, physical activity, alcohol consumption. The design of this study is case control with a ratio of 1: 1. The total number of respondents is 132 people. Research subjects were selected using systematic random sampling. This research was conducted at Ngudi Waluyo Hospital in Wlingi. Blitar, Indonesia in October till November 2017. Bivariate analysis showed that factors significantly related to stroke were smoking status (p=0.011, OR=2.6), history of past hypertension (p=0.00, OR= 6), past diabetes (p=0.015 ; OR=5,7), and unhealthy diet (p= 0,00; OR = 5,7). Multivariate analysis showed that factors that significantly influence stroke are smoking, having hypertension in the past, and unhealthy diet. Conclusion of this study was smoking, having hypertension in the past, and unhealthy diet are factors that influence the incidence of stroke. Maintaining normal blood pressure, maintaining a diet, and not smoking are precautions should be taken in order to prevent stroke.
Pelatihan Kader Kesehatan untuk Penemuan Penderita Suspek Tuberkulosis Wahyuni, Chatarina Umbul; Artanti, Kurnia Dwi
Kesmas Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

Di Indonesia, kasus tuberkulosis (TB) yang dilaporkan pada tahun 2011 ter- deteksi lebih dari 70% dan cenderung terus meningkat. Di Kota Surabaya, cakupan penemuan penderita adalah sekitar 49,52% dengan jumlah suspek TB sebanyak 4.402 orang hingga tahun 2011. Keterlibatan masyarakat dalam penanggulangan TB tersebut sesuai dengan Kerangka Kerja Strategi Penanggulangan TB 2006-2010. Masyarakat berpeluang untuk berperan dalam penanggulangan TB, sumber daya di masyarakat dimanfaatkan untuk meningkatkan derajat kesehatan dan mengubah perilaku masyarakat. Penelitian ini bertujuan mengetahui pengaruh pelatihan terhadap pengetahuan kader kesehatan dalam penemuan suspek TB. Penelitian kuantitatif ini menggunakan rancangan studi kuasi eksperimental kelompok kontrol non-ekuivalen. Perlakuan pelatihan program pengendalian berupa penemuan suspek TB. Populasi penelitian adalah ibu rumah tangga di wilayah kerja Puskesmas Mojo di Kota Surabaya dengan jumlah sampel 90 ibu rumah tangga berumur rata-rata 48 tahun, tingkat pendidikan terbanyak adalah tamat SMA (58,9%). Setelah pelatihan, pengetahuan kader tentang penemuan suspek TB meningkat dari 67 (74,4%) menjadi 89 (98,9%). Perlu implementasi untuk melihat kemampuan kader menerapkan pengetahuan yang diperoleh dalam menemukan suspek penderita TB dengan pen- dampingan dan monitoring kader. Progress reports current situation of tuberculosis (TB) in Indonesia in 2011 showed Case Detection Rate (CDR) of over 70% and showed an increase from year to year. While the city of Surabaya figures coverage discovery Patients up to 2011 amounted to 49.52% with the number of 4,402 people suspected. Community involvement in TB control in accordance with the Tuberculosis Control Strategy Framework 2006-2010. The opportunities as well as public opportunities to participate in TB control to make the resources available in the community should be utilized to improve health status and change people’s behavior as a factor influencing health status. This study aimed to determine the effect of training on the knowledge of health cadres in the discovery of suspected tuberculosis. This study uses quantitative methods to the design of a Quasi Nonequivalent Experimental Control Group Design. Treatment will be given in the form of training on tuberculosis control program in the discovery suspected tuberculosis. The population in this study was a housewife in Puskesmas Mojo working in the city of Surabaya. Large sample taken as many as 90 respondents. Characteristics housewife with average age 48 years, female gender, and education all most 31.1%. Improvement occurred knowledge of 67 (74.4 %) health workers who have good knowledge before training to 89 (98.9 %). Based on the results of this study concluded increased knowledge of health workers after training in the discovery of suspected tuberculosis. Further implementation is needed to see the ability of the implementing cadres who have acquired knowledge in finding patients with suspected tuberculosis in the surrounding environment. In its application may be made to the guidance and monitoring of health cadres in the process of discovery with suspected tuberculosis.
Annalysis of Epidemiological Surveillance Activity of the COVID-19 at Surabaya Airport Indonesia on January 2020 Nastiti, Rizma Dwi; Artanti, Kurnia Dwi; Faqih, Achmad Faridy
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

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Abstract

The Surabaya Port Health Office (PHO) Class I is tasked with the disease prevention by detection, response and protection at entrance gates for the sea and airports and over the state cross-border posts regarding the situation of COVID-19 pandemic. This analysis aimed to assess activities of early warning alert and response system to COVID-19 at Juanda International Airport on January 2020. The method used includes interviewing four informants, studying of docu - ments and directing field-observation by following activities of PHO, who supervise, inspect General Declarations, distribute, and collect the Health Alert Card (HAC) and monitor body temperature of travelers. The analysis uses a system approach and 4M model with modification by adding time, technology and information variables. Activities in the early warning alert and response system of COVID-19 are in accordance with the Preparedness Guidelines by the Indonesian Goverment. The outputs of reported activities have been classified as appropriate. The HAC form is lacking as a source of COVID-19 surveillance, address information part is often being misinterpreted by travelers. It is necessary to add additional questions regarding the destination address of travelers, and to educate on how to fill HAC correctly so that the effectiveness of HAC can be maximized.
TWO DECADES OF CHANGE IN ISCHEMIC HEART DISEASE BURDEN IN INDONESIA BASED ON RISK FACTORS Safaryna, Alifia Merza; Artanti, Kurnia Dwi; Indriani, Diah
Jurnal Biometrika dan Kependudukan Vol. 14 No. 2 (2025): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v14i2.2025.114-124

Abstract

The burden of ischemic heart disease (IHD), measured in disability-adjusted life years (DALYs), has significantly increased in Indonesia over the past two decades, indicating that current policies and programs have not been fully effective. This study aimed to analyze changes in the burden of IHD and its associated risk factors from 2002 to 2021 across 34 provinces in Indonesia, using secondary data from the Global Burden of Disease 2021. This cross-sectional analytical study used IHD-related DALYs as the dependent variable, and independent variables included non-optimal temperature, low physical activity, tobacco use, risky dietary patterns, air pollution, obesity, hypertension, high LDL cholesterol, and high fasting glucose. Descriptive statistics and linear regression were used, with Principal Component Analysis (PCA) applied to reduce multicollinearity. Separate regressions were conducted for 2002 and 2021 to assess changes over time. The results showed a 10.5% increase in IHD-related DALYs, from 2,753.87 per 100,000 population in 2002 to 3,043.08 in 2021. Hypertension emerged as the leading risk factor, followed by risky dietary patterns. Tobacco use and a principal component (low physical activity, risky dietary patterns, obesity, high LDL cholesterol, hypertension, and high fasting glucose) significantly contributed to the burden of IHD in both years. Environmental factors such as non-optimal temperature and air pollution did not show significant effects. Health programs must be strengthened with a focus on seven key risk factors contributing to IHD-related DALYs, especially modifiable ones like low physical activity, risky dietary patterns, and tobacco use to reduce IHD burden in Indonesia.
Hubungan Perilaku Merokok Terhadap Kualitas Hidup Pasien Penyakit Paru Obstruktif Kronis (PPOK) Fazmi, Tatu Indira Khairunnisa; Artanti, Kurnia Dwi; Setiawan, Herley Windo
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Vol.9 No.1 Mei 2023
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/averrous.v9i1.11036

Abstract

COPD mengacu pada serangkaian gangguan di mana aliran udara terbatas karena kelainan saluran napas atau alveolar dan di mana gejala pernapasan bertahan dari waktu ke waktu. Penyakit ini hasil dari kontak yang terlalu lama dengan zat beracun. Ketika peradangan terus-menerus hadir, saluran udara menyempit, mengurangi recoil paru. Berkurangnya partisipasi dalam aktivitas sehari-hari dikaitkan dengan kualitas hidup yang lebih rendah bagi penderita COPD, dan kondisi yang disebutkan di atas dapat berkontribusi pada hal ini. Para peneliti di Rumah Sakit Universitas Airlangga ingin mengetahui seberapa besar dampak merokok terhadap kualitas hidup pasien PPOK. Penelitian ini menggunakan pendekatan penelitian analitik observasional cross-sectional. Pengambilan sampel berturut-turut digunakan untuk memilih 90 peserta yang memenuhi kriteria inklusi dan eksklusi penelitian. Data sekunder dikumpulkan dari rekam medis, sedangkan data primer dikumpulkan melalui kuesioner yang diberikan kepada pasien di Klinik Paru RSUA. Dalam penelitian ini, kebiasaan merokok partisipan dijadikan sebagai variabel bebas. Sementara kualitas hidup menjadi fokus penelitian ini yang merupakan variabel dependen. Uji chi-square dilakukan pada data. Di Rumah Sakit Universitas Airlangga, pasien dengan penyakit paru obstruktif kronik memiliki kualitas hidup yang lebih buruk secara signifikan jika mereka merokok (p=0,023). Oleh karena itu, kecenderungan seseorang untuk merokok berpotensi berdampak negatif pada kualitas hidup mereka jika mereka menderita PPOK. Oleh karena itu diperlukan peningkatan pengetahuan kepada pasien PPOK terkait dengan akibat perilaku merokok kepada kualitas hidup.
Co-Authors Achmad Faridy Faqih Acub Zaenal Acub Zaenal, Acub Adinda Rahma Triyaniarta Adita Puspitasari Swastya Putri Amer Siddiq Amer Nordin Aqso Ampri Harahap Arief Hargono Astutik, Erni Atik Choirul Hidajah Atikasari, Fitri Atina Husnayain Atina Husnayain, Atina Aulia Imanda Ayunda Solehan, Zahra Azrielda Munib, Tazkia Azzahra, Asma Banatul Banatul Lariza Caitlin McClure-Thomas Carmen Lim Chatarina Umbul Wahjuni Chatarina Umbul Wahyuni Christanto, Daniel Chung-Yi Li Citra Rachmawati Dessy Arumsari Diah Indriani Dimas Agung Trisliatanto Dwiono Mudjianto Effendi, Wiwin Is Erina Krisnawati Erren Silvia Erren Silvia Herdiyani Faqih, Achmad Faridy Farah Fadhilah Fazmi, Tatu Indira Khairunnisa Feletto, Marta Fitri Fausiah Fitriani, Hari Ghea Farassania Hapsari, Ratna Budi Hario Megatsari Herawati, Jenny Dwi Herley Windo Setiawan Imanda, Aulia Inara Salsabilla Ira Nurmala Janni Leung Lailatul Fitriya Laura Navika Yamani Li, Chung-Yi Luluk Lady Laily Maharani Dyah Pertiwi Mayla Renata Sandi Muhammad Azis Rahman Muhammad Aziz Rahman Muhammad Nur Qosim Nastiti, Rizma Dwi Nasywa, Shofia Ayu Hilda Atha Neil Harris Ni, Zhao Nicola Wiseman Nur Alifia Hera Nur Baiti Nurbaittrisna, Fatya Nurul Habibah Umar Nurul Layly Firdausi Permatasari, Tika Aprilia Prastuti Asta Wulaningrum Priyono Adi Nugroho Rana Nadiyah Adwinda Reza Fajrinmuha Rizma Dwi Nastiti Rizma Dwi Nastiti Rizma Dwi Nastiti Rosaline Dinda Arista Safaryna, Alifia Merza Santi Martini Sebayang, Susy Katikana Setijawan, Danella Athaillah Putri Siti Shofiya Novita Sari Sitohang, R. Vensya Sri Widati Sri Widati Surya, Asik Sutera Dewangga, Angelinasyarga Swadana, Nicholas Fransida Taufiq Hidayat Taufiq Hidayat Hasan Taufiq Taufiq Hidayat Triyaniarta, Adinda Rahma Wardani, Yuniar Putri Yi Li, Chung Zida Husnina