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All Journal Jurnal Kesehatan Masyarakat HIGEIA (Journal of Public Health Research and Development) Unnes Journal of Public Health Indonesian Journal of Public Health and Nutrition Prosiding Seminar Nasional Pascasarjana Proceeding of International Conference on Science, Education, and Technology Unnes Journal of Public Health JHE (Journal of Health Education) Jurnal Kesehatan Masyarakat Journal of Creativity Student Public Health Perspective Journal
Dina Nur Anggraini Ningrum
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Education Health Professions Public Health Social Sciences

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Factors of Diabetic Retinopathy among Type 2 Diabetes Mellitus Patients in Central Java Province, Indonesia Casmuti, Casmuti; Zainafree, Intan; Cahyati, Widya Hary; Ningrum, Dina Nur Anggraini; Saefurrohim, Muhamad Zakki; Hakam, Abdul; Zaimatuddunia, Irma; Prasetya, Henky Yoga; Jusran, Alek; Irsam, Muhamad
Unnes Journal of Public Health Vol. 14 No. 1 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i1.16126

Abstract

One of the microvascular complications of type 2 diabetes mellitus is diabetic retinopathy. The prevalence of diabetes mellitus in Central Java Province in 2022 by 10% increased to 12.52% in the third quarter of 2023. This prevalence rate has not reached the SDG's target, namely there is no increase in diabetes prevalence by 0%. The purpose of this study is to analyze factors associated the incidence of diabetic retinopathy in type 2 DM patients at Central Java Provincial Hospital in 2023. This research is quantitative research with a nested case control study design, using electronic medical record data from the Central Java Provincial Hospital in 2023. The variables in this study were gender, age, education level, employment status, marital status, health insurance status, BMI, DM diet, duration of DM, hypertension, other diseases, current blood glucose, and HbA1c. The analysis used was univariate, bivariate, and multivariate analysis (logistic regression). The results showed that there was association between age ≥70 years (p=0.006), DM diet (p<0.0001, OR=20.914), duration of DM (p=0.003, OR=3.010), hypertension (p=0.013, OR=2.619), other diseases including cataracts (p=0.040, OR=9.00), glaucoma (p=0.007), CHD (p=0.040, OR=9.00), and cardiomegaly (p=0.016), current blood glucose (p=0.045, OR=2.478), and HbA1c (p<0.0001, OR=6.152). DM diet is the most dominant factor associated with diabetic retinopathy in type 2 DM patients. 
Mortality Among Dengue Infection Patients in Bandung City 2022 Salsabila, Diyana; Ningrum, Dina Nur Anggraini; Khasanah, Amelia Fitra; Alwi, Luqman; Andar, Nadiya Arawinda; Palgunadi, Palgunadi
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.10694

Abstract

Dengue infection is caused by the dengue virus. In 2021 in Indonesia, 705 mortalities were due to dengue infection, while in 2022, 1,232 mortalities. The CFR in 2019 was 0.67%, in 2020 it was 0.69%, and in 2021 it was 0.96%. Bandung City is one of the endemic areas. In 2022, found 21 reported mortality, with a CFR of 0.47% in 2020, 0.35% in 2021, and 0.19% in 2022. Risk factors for death due to dengue infection are old age, delay in treatment, platelet count, incidence of DSS, and hematocrit value. This is a quantitative observational study using a nested case-control research design. Uses secondary data from the Bandung City Health Service. The results of this study confirmed association of mortality with age above 40 years (p-value: 0.008, OR: 6.320), high hematocrit value (p-value: 0.005, OR: 11.111), long gap between onset and diagnosis (p-value: 0.025, OR: 13.833), prolonged hospitalization (p-value: <0.001, OR: 8.125), and incidence of DSS (p-value <0.001, OR: 39.500). Low platelet count (p-value: 0.033, OR: 0.263) found to be protective. Age, hematocrit value, gap between onset and diagnosis, length of hospitalization, and incidence of DSS are risk factors for mortality among dengue infection patients.
Hypertension in Pregnancy: A Nested Case-Control Study Hidayah, Noor; Handayani, Oktia Woro Kasmini; Yuniastuti, Ari; Ningrum, Dina Nur Anggraini
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i1.27483

Abstract

Hypertension during pregnancy is the leading cause of maternal and neonatal morbidity and mortality. In Indonesia, 30 % of deaths are caused by hypertension. This study was conducted to analyze the risk factors for hypertension in pregnancy in mothers with high pregnancy risk. A nested case-control study design was employed, with data sourced from secondary records of obstetric medical documents from Gondosari Health Centre, Kudus Regency, Central Java Province, Indonesia, for the years 2021, 2022, and 2023. The number of hypertension cases was 46, and the number of controls was 92. The technique for collecting case data was based on reviewing the medical records of mothers with hypertension. In contrast, control data was taken by random sampling from mothers with high risk but who did not have hypertension. Statistical analysis used the chi-square (bivariate) and logistic regression (multivariate) tests. The study’s results stated that significant factors for hypertension in pregnancy were gestational age of 20 weeks, obesity, and primigravida with p 0.037, p 0.044, and p 0.010. Pregnant women > 20 weeks have a risk of 2.267 times to experience pregnancy hypertension, obesity has a risk of 4.288 times to experience hypertension in pregnancy, and non-primigravida status is at a higher risk of hypertension in pregnancy than primigravida mothers by 0.252 times. Mothers who have these three factors together have a probability of 80.79% of experiencing hypertension during pregnancy. This study concluded that gestational age > 20 weeks, obesity, and non-primigravida were related to the risk of hypertension in pregnancy at the study site; mothers who had gestational conditions > 20 weeks, obesity, and non-primigravida had the highest likelihood of developing hypertension in pregnancy.
Maternal Characteristics, Malnutrition, and Pregnancy Complications with the Incidence of Low Birth Weight in an Industrial Environment Khayati, Yulia Nur; Rahayu, Tandiyo; Handayani, Oktia Woro Kasmini; Widowati, Evi; Ningrum, Dina Nur Anggraini
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i1.27768

Abstract

Low Birth Weight is one of the leading causes of under-five deaths during the neonatal period. In Indonesia, the infant mortality rate is in the top 7 in the world. The industrial environment, where air pollution is high, is one of the factors causing LBW. The study aimed to identify the factors that influence the incidence of LBW in an industrial environment. Using data from a cohort of pregnant women in 2023, the study used a nested case-control design at Bergas Community Health Centre. The study population included all mothers who delivered live infants in 2023, totalling 832 respondents. Data from the study were analysed using Chi-Square for bivariate analysis and logistic regression for multivariate analysis. The results showed a relationship between maternal age, parity, maternal nutritional status, hypertension, preeclampsia, and anaemia with the occurrence of LBW with p < 0.0001. The multivariate analysis indicated a significant relationship between maternal age (OR 3.233, 95% CI 1.557 – 6.714), parity (OR 2.567, 95% CI 1.382 – 4.767), maternal nutritional status (OR 7.905, 95% CI 3.472 – 17.998), preeclampsia (OR 28.090, 95% CI 9.894 – 84.468), and maternal hemoglobin levels (OR 10.883, 95% CI 5.736 – 20.649) with the incidence of LBW. The most influential factor in LBW is the occurrence of preeclampsia in mothers.
Climate Variability and Its Impact on Acute Respiratory Infections: A Case Study Suhito, Hanif Pandu; Cahyati, Widya Hary; Ningrum, Dina Nur Anggraini; Sholikun, Sholikun
Journal of Creativity Student Vol. 8 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jcs.v8i1.25290

Abstract

This study aims to analyze the relationship between climate variability and acute respiratory infection (ARI) cases in Semarang City over the period 2015-2023. This issue is becoming increasingly relevant as climate change continues to influence weather patterns and environmental conditions, potentially affecting public health outcomes, particularly respiratory health. Method: The research method used is descriptive observational with an ecological study approach according to time which aims to see climate variability with ARI cases. Analyses were conducted to test the correlation between ARI cases and various climatic parameters, so as to obtain a comprehensive understanding of climatic factors that can affect the incidence of ARI. Results: The results of univariate analysis showed that during the period 2015 - 2023 the average ARI cases amounted to 9,815 cases / month, the average temperature was 28.31˚C, the average humidity was 73.49%, the average rainfall was 12.52 mm / month, the average length of sunshine was 7.42 hours, and the average wind speed was 2.55 km / hour. The correlation test results show that, maximum temperature (p = 0.002), average temperature (p = 0.003), average humidity (p = 0.008), wind direction with maximum speed (p = 0.000) have a significant relationship with ARI cases in Semarang City. While the average rainfall parameter (p = 0.681) and the length of sunshine parameter (p = 0.752) have no relationship with ARI cases in Semarang City in 2015 – 2023. Conclusion: Maximum temperature parameter, average temperature parameter, average humidity parameter, and wind direction parameter at maximum speed have a significant relationship with ARI cases. Promotive and preventive efforts need to be made to reduce the risk of ARI transmission, especially at the turn of the season and the density of activities carried out in the community.
Association of Headache Syndromes with Hypertension Incidence (Data from SIMPUS Semarang City 2010-2015) Amalia Augustina Fadlilah; Budiono, Irwan; Ningrum, Dina Nur Anggraini; Alwi, Luqman; Andar, Nadiya Arawinda
Public Health Perspective Journal Vol. 8 No. 1 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i1.10695

Abstract

Hypertension is one of the serious public health problems facing the world. The prevalence of hypertension in Semarang City increased in 2013 by 27.1% to 37.02% in 2018. This prevalence rate has not reached the target of the Semarang City SDG's related to the hypertension prevalence rate, which is 25%. Hypertension becomes very dangerous when it is not controlled, because if it occurs for a long time, it can cause complications of the disease. One of the most common comorbidities of primary headache disorders is hypertension. The purpose of this study is to analyze the epidemiological pattern of hypertension and headache syndromes, as well as the association of headache syndromes with hypertension incidence by gender and age group. This study is a quantitative research with a nested case control study research design, using data from SIMPUS Semarang City from 2010-2015. The variables in this study were hypertension and headache syndromes. The analysis used was univariate (frequency distribution) and bivariate analysis (chi square test). The results of the study show that hypertension is more experienced in women than men. The most cases of hypertension occur in the age group of 50-59 years (men and women). There was a significant relationship between headache syndromes and the incidence of hypertension in the Puskesmas area throughout Semarang City.
Uncontrolled Blood Pressure in Hypertension Patients in Semarang City Sari, Emi Yela Utami; Cahyati, Widya Hary; Ningrum, Dina Nur Anggraini
Public Health Perspective Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i2.14127

Abstract

Hypertension is blood pressure above the normal threshold of 120/80 mmHg. Uncontrolled blood pressure is blood pressure >140/90 mmHg. The purpose of this study was to analyze factors related to uncontrolled blood pressure. Controlled in Hypertension Patients in Semarang City. This study used a cross-sectional method, the research sample was 400 people with convenience sampling technique. Data collection techniques using questionnaires and medical records. Data analysis was carried out using the chi-square test and logistic regression. The results showed that there was a significant relationship between the variables of age p value 0.043 <0.05; PR1.141, drug consumption compliance 0.027 <0.05; PR 0.864, obesity incidence p value 0.023 <0.05; PR1.157 , education level p value 0.020 <0.05; PR1,190, smoking status p value 0.017<0.05; PR1,271, exercise habits p value 0.012<0.05; PR1,186, stress events p value 0.036<0.05; PR1,146, marital status p value 0.39<0.05; PR0,865, and there is no relationship between gender p value 0.151>0.05 , with uncontrolled blood pressure in hypertensive patients in Semarang City. The obesity variable (p value 0.023<0.05) is the most risky variable or the most related to uncontrolled blood pressure in hypertensive patients in Semarang City. The conclusion of the results of this study is that there is a relationship between age, drug compliance, obesity events, education level, smoking status, exercise habits, stress events and marital status with uncontrolled blood pressure in hypertensive patients in Semarang City.
Co-Authors Abdul Hakam Adeliani, Melia Alwi, Luqman Amalia Augustina Fadlilah Andar, Nadiya Arawinda Arfiana Arfiana Ari Yuniastuti Azizah, Agtika Yasyfa Nur Bambang Budi Raharjo Casmuti, Casmuti Dartini Dartini Dessi Aryani Dessi Aryani Efa Nugroho Eko Haris Adrianto Evi Widowati Evi Widowati Fatimah Fatimah Intan Zaenafree Intan Zainafree, Intan Irsam, Muhamad Irwan Irwan Isti Mulyawati Jeffri Ardiyanto Jusran, Alek Khasanah, Amelia Fitra Kinanti, Anastasia Kukilowati, Novita Listianingrum, Devy Mahalul Azam Maharani, Silvie Sasria Mardiana - Mardiana Mardiana Miarso, Dani Nathaniela, Regina Marsha Noor Hidayah Noor Hidayah Oktia Woro Kasmini Handayani Palgunadi Palgunadi Prasetya, Henky Yoga Qimamayah, Asih Satut Damul Rahmat, Sultan Aulia Rasajati, Qorry Putri Rizqiya, Mala Saefurrohim, Muhamad Zakki Salsabila, Diyana Sari, Emi Yela Utami Sarifah, Mar’atul Sholikun, Sholikun Suharna Suharna, Suharna Suhito, Hanif Pandu Sutarjo, Puji Tandiyo Rahayu Trisnaningsih, Asyifa Rahma Tyas, Lintang Wening Ing Ulfah, Natijatul Utomo, Ocbrivianita Mulyaningtyas Wahyuningsih, Siti Endah Widya Hary Cahyati Yulia Nur Khayati Yuswantoro, Rico Novian Zaimatuddunia, Irma