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All Journal Jurnal Epidemiologi Kesehatan Komunitas Jurnal Sains dan Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Epidemiologi Kesehatan Indonesia
Gayatri, Dwi
Departemen Epidemiologi Fakultas Kesehatan Masyarakat, Universitas Indonesia, Depok, Jawa Barat, Indonesia
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Overweight and Obesity Status with Dental Caries among Children Aged 7–12 Years Old in Badung District, Bali 2018 Rafitha, Hariani; Machmud, Putri Bungsu; Djuwita, Ratna; Gayatri, Dwi; Ariani Ayub, Fakhrana
Kesmas Vol. 14, No. 2
Publisher : UI Scholars Hub

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Dental caries is an infectious disease that Dental is characterized by the dental damage resulting from microorganism products in carbohydrate fermentation. Dental caries and obesity in children are multifactorial diseases associated with eating habits and certain lifestyle factors. This study aimed to assess the association between overweightness, obesity, and dental caries among children aged 7–12 years in Badung district, Bali province in 2018. The total sample of 426 children and their mothers were recruited from all first to fifth elementary grade students in three schools selected by simple random sampling. The logistic regression analysis has demonstrated a significant association between obesity and dental caries (OR: 1.830; 95% CI: 1.230–2.722) and showed that after controlling for the confounding variables, obese children have a twice higher chance of experiencing dental caries than non-obese children. Therefore, strengthening the existing health education programs in schools, including those on healthy food or snack components, and improving the efficiency of physical activities for preventing obesity could be a short-term strategy to protect school children from childhood obesity and dental caries.
Perceived Stigma in People Affected by Leprosy in Leprosy Village of Sinatala, Tangerang District, Banten Province, Indonesia Astutik, Erni; Gayatri, Dwi
Kesmas Vol. 12, No. 4
Publisher : UI Scholars Hub

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Leprosy is a disease of neglected tropical diseases (NTDs) which becomes a global problem and causes the perceived stigma in people affected by leprosy. This study aimed to determine most dominant factors affecting perceived stigma in people affected by leprosy in leprosy village of Sitanala, Tangerang District, Banten Province, Indonesia. The data used was secondary data taken from cross-sectional survey of a thesis which determined factors related to perceived stigma of leprosy in leprosy village of Sitanala, Tangerang, Indonesia. Samples were selected by purposive sampling. The results of the study showed that factors related to perceived stigma were level of education, perception of knowledge about leprosy, level of disability, and cultural values. There was modification effect between the level of disability and perception of knowledge about leprosy, OR1=4.82 (95% CI 1.26-18,34) and OR2=1.18 (95% CI 0.2-6.98). The dominant factor is level of education with PAR% = 38.8%.
Complete Dose of Hepatitis B Vaccination Among Children in Indonesia and Factors Associated: A Community-Based Study Machmud, Putri Bungsu; Gayatri, Dwi; Astutik, Erni
Kesmas Vol. 19, No. 3
Publisher : UI Scholars Hub

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Hepatitis B vaccination is widely recognized as the most effective way to prevent hepatitis B infection, yet the rate of complete vaccination among Indonesian children remains low. This study aimed to evaluate the extent of hepatitis B vaccination coverage among children and identify potential associated factors in Indonesia. A community-based cross-sectional study was conducted. The study involved 7,860 Indonesian mothers of children aged 12-59 months, providing data on their children's hepatitis B vaccination status and other relevant factors from the 2017 Indonesian Demographic Health Survey. Overall, the rate of complete hepatitis B vaccination among children was relatively high (89.8%). Several factors were found to be associated with complete hepatitis B vaccination among children: living in Java, the Lesser Sunda Islands, Kalimantan, and Sulawesi compared to Sumatra; having an older mother; having parents with secondary or higher education compared to no education; having an employed mother; belonging to middle or high economic status compared to low economic status; having mothers using media irregularly or regularly, as opposed to never using media; having health insurance; and having a larger family size. These findings highlight the need for further interventions to optimize childhood hepatic vaccination coverage, which health policymakers should support.
Determinant of Timely First-shot Hepatitis B Immunization in East Lombok, West Nusa Tenggara, Indonesia Machmud, Putri Bungsu; Gayatri, Dwi; Miko Wahyono, Tri Yunis
Jurnal Epidemiologi Kesehatan Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Hepatitis B remains as one of health problems in the world. The results of several studies related to factors in predicting of the timely first-shot hepatitis B immunization were still inconsistent. Aim of this study is to identify determinant factors of the timely first-shot hepatitis B immunization in East Lombok, Indonesia. We used a cross sectional design study, and data derived from immunization coverage survey at six districts/ cities in 2013. A Total of 227 children aged 12 to 23 months who already got immunization of a first-shot hepatitis B vaccineand well documented were included as samples in this study. Timely first-shot hepatitis B immunization was defined as the first-shot of hepatitis B immunization within 24 hours after birth. Data were analyzed by using a logistic regression analysis. The result of this study showed only 60.4% of infants who got the timely first-shot hepatitis B immunization. Mother’s behavior was the only factor that had a statistically association with the timely first-shot hepatitis B immunization (P-value 0.007 CI 95% 1.94-3.62). Meanwhile, other factors i.e. sex, socio-economic status, parent’s education, knowledge and attitude of mother and place of immunization service had no statistically association with the first-shot of hepatitis B immunization
The Relationship between Antenatal Care with Childbirth Complication in Indonesian’s Mothers (Data Analysis of The Indonesia Demographic and Health Survey 2012) Bantas, Krisnawati; Aryastuti, Nurul; Gayatri, Dwi
Jurnal Epidemiologi Kesehatan Indonesia Vol. 2, No. 2
Publisher : UI Scholars Hub

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Labor complications often lead to maternal death. A good antenatal care can reduce maternal and infant mortality. The purpose of this study was to analyze the relationship between antenatal care and labor complica tion among Indonesian’s mothers. Data of the Indonesia Demographic and Health Survey (IDHS) 2012 from 33 Provinces were used in this study. Samples consisted of 11.803 women aged 15-49 years who deliv ered baby at sometimes during the last 5 years before survey. A cross sectional design was used. Variables in the study consisted of dependent variable (labor complication), main independent variable (antenatal care) and potential confounder variables including maternal age in the last labor, mother’s education, number of parity, preceding birth interval, birth attendance, place of delivery, a history of pregnancy complications, history of previous labor complication and multiple pregnancies. A logis tic regression was used for analyzing data. Results of this study showed that the prevalence of labor complications was 49.2% and the preva lence of poor antenatal cares (do not use a standard criteria recom mended by Indonesian Health Ministry) was 91.2%. After controlling for all potential confounder variables, this study showed that, mothers with a poor antenatal care had a 1.3 times higher risk of labor complications than mothers with a good antenatal care (POR 1.3, 95% CI: 1.1 - 1.4)
Gender and Hypertantion (Data analysis of The Indonesia Basic Health Research 2007) Bantas, Krisnawati; Gayatri, Dwi
Jurnal Epidemiologi Kesehatan Indonesia
Publisher : UI Scholars Hub

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The objective of this study was to examine whether there was a gender difference in the occurrence of hypertension in Indonesian people, after controlling for individual and environment factors. Data were ob tained from the Indonesia Basic Health Research 2007 and a cross sectional design was used. Samples consisted of 13.262 men and women age 15 years or more. A multilevel logistic regression was used to ana lyze the data. There was a statistically significant association between gender and hypertension. Women were less likely to have hypertension than men (OR 0.86 P value < 0.0033). There was an interaction between variable of gender and variable of age. It suggested that the probability of having hypertension in women and men was varied by the strata of age. In the strata of age more than 60 years, women were more likely to have hypertension than men (OR 1.25, P value 0.0065); in strata of age 30-59 years, there was no difference of having hypertension between women and men (P value > 0.05); in strata of age <30 years, women were less likely to have hypertension than men (OR 0.67 Pvalue 0.0000). Among women, there was an increased of having hypertension with age. Age of e” 60 years was the highest risk of having hypertension. Among men, there was an increased of having hypertension with age, but at in the age of e” 60 years the increased risk of having hypertension was not as high as in women.
Faktor-faktor yang Mempengaruhi Kejadian Infeksi Saluran Pernapasan Akut (ISPA) pada Anak Berumur 12-59 Bulan di Puskesmas Kelurahan Tebet Barat, Kecamatan Tebet, Jakarta Selatan, Tahun 2013 Syahidi, Muhammad Habibi; Gayatri, Dwi; Bantas, Krisnawati
Jurnal Epidemiologi Kesehatan Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Kejadian ISPA pada anak berumur 12 – 59 bulan di Puskesmas Kecamatan Tebet, Jakarta selatan mencapai angka 42,95% dan Puskesmas Kelurahan Tebet Barat merupakan Kelurahan yang memiliki prevalensi penderita ISPA yang berumur 12 – 59 bulan terbanyak dengan proporsi tertinggi dari lima puskesmas kelurahan yang lain yaitu sebesar 23,20%. Penelitian ini bertujuan untuk mengetahui faktor-faktor apa saja yang mempengaruhi kejadian ISPA anak berumur 12-59 bulan di Puskesmas Kelurahan Tebet Barat. Penelitian menggunakan desain studi cross-sectional dengan 104 sampel. Sampel yang dimaksud disini adalah anak berusia 12-59 bulan yang pernah melakukan kunjungan di Puskesmas Kelurahan Tebet Barat pada tahun 2013. Data yang digunakan berupa data primer dari hasil wawancara kuesioner. Hasil menunjukkan bahwa dari 11 variabel yang dilakukan uji bivariat, variabel yang diketahui memiliki hubungan yang bermakna (P value < 0,05) dengan kejadian ISPA pada anak berusia 12 59 bulan adalah pendidikan (OR=3,16 : 95% CI 1,20–8,31), pengetahuan (OR=2,76 : 95% CI 1,12-6,79), pendapatan keluarga (OR=2,75 : 95% CI 1,10-6,86), kepadatan hunian (OR=5,59 : 95% CI 2,16-14,50), perilaku merokok keluarga dalam rumah (OR= 8,02 : 95% CI (2,42-26.57) dan perilaku merokok keluarga di luar rumah (OR=5,12 : 95% CI 1,24-21,19). Dari penelitian ini dapat disimpulkan bahwa yang mempengaruhi kejadian ISPA pada balita di wilayah Puskesmas Tebet Barat adalah pendidikan dan pengetahuan pengawas anak, pendapatan keluarga, kepadatan hunian, dan perilaku merokok anggota keluarga.
Determinan Sosial Kesehatan dan Prevalensi Hipertensi: Studi Ekologi di Provinsi Jawa Barat, Indonesia Aulia Safitri Hanifa; Dwi Gayatri
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 2: Mei 2026
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.v11i2.31655

Abstract

Background: Hypertension remains a major global health problem, particularly in low- and middle-income countries. West Java Province has a higher hypertension prevalence than the national average and a low rate of blood pressure control. Because socioeconomic and healthcare conditions vary across districts/cities, an ecological approach is needed to assess area-level social determinants of health associated with hypertension. This study analyzed the correlation between SDoH and hypertension prevalence at the district/city level in West Java.Methods: This ecological study used aggregated secondary data from 27 districts/cities in West Java. The exposure variables included SDoH, namely proportion of the elderly population, sex ratio, Human Development Index (HDI), average years of schooling (AYS), poverty rate, and health insurance coverage. The outcome variable was hypertension prevalence. Associations were assessed using Spearman’s correlation.Result: There was a positive correlation between HDI (r = 0,609; 95% CI = 0,329 – 0,791; p = 0,001) and AYS (r = 0,475; 95% CI = 0,162 – 0,701; p = 0,012) with the prevalence of hypertension. Conversely, the poverty rate showed a negative correlation with hypertension prevalence (r = −0,473; 95% CI = −0,803 – −0,024; p = 0,013).Conclusion: At the district/city level, areas with higher HDI and AYS were associated with higher hypertension prevalence, while areas with higher poverty rates were associated with lower prevalence in West Java. These findings suggest that hypertension control strategies should be tailored to regional characteristics, including strengthening lifestyle modification promotion, improving access to healthcare services, and active screening.
Aksesibilitas Geografis Layanan Diagnosis dan Pengobatan Tuberkulosis Resistan Obat dan Hubungannya dengan Cakupan Penemuan Kasus dan Loss to Follow-Up di Provinsi Jawa Barat, Indonesia Putu Wahyuni Wulandari Karnawati; Dwi Gayatri
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 2: Mei 2026
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.v11i2.31578

Abstract

Background: Diagnosis and treatment services for drug-resistant tuberculosis (DR-TB) in West Java expanded in 2024. However, evidence on geographic accessibility and its relationship with program indicators remains limited. This study assessed geographic accessibility of DR-TB services in West Java by examining the proportion of the population within a 5-km radius of service facilities, median travel distance, and their associations with case notification rates and loss to follow-up (LTFU).Methods: This ecological study used 27 districts/cities in West Java as the units of analysis. Geographic accessibility was assessed through spatial analysis using two indicators, including the median Euclidean distance to the nearest DR-TB facility and the proportion of the population residing within a ≤5 km service radius. Spearman’s rank correlation was used to examine the relationships between these accessibility measures, case notification rates, and LTFU.Result: DR-TB diagnostic facilities were concentrated in urban areas, with >50% of the population within a ≤5 km radius and median distances <5 km. Treatment services showed a similar pattern, although several districts had lower coverage and longer travel distances (>15 km). Distance to diagnostic facilities was negatively associated with case notification rates (ρ = −0,5606; p = 0,0024), whereas distance to treatment facilities was not associated with LTFU (ρ = −0,0323; p = 0,8728).Conclusion: DR-TB services in West Java remain concentrated in urban areas. Greater distance to diagnostic services is associated with lower case notification rates. Improving service distribution based on geographic characteristics may strengthen DR-TB control.
Perbedaan Tekanan Darah berdasarkan Karakteristik Demografi dan Klinis pada Peserta Program Cek Kesehatan Gratis Vivin Desy Kurniawati; Dwi Gayatri
Jurnal Sains & Kesehatan Vol 5 No 1 (2026): Jurnal Sains dan Kesehatan
Publisher : Politeknik Baubau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57151/jsika.v5i1.1696

Abstract

Introduction: Hypertension is a non-communicable disease that remains a global health challenge. This study aims to analyze differences in blood pressure (BP) based on demographic and clinical characteristics among adult participants of Free Health Check (Cek Kesehatan Gratis). Methods: This study employed a cross-sectional design involving 172 adult (≥18 years) CKG participants at Talangjambe Community Health Center Palembang City, South Sumatera Province from February to November 2025. Independent variabels were sex, age, body mass index, random blood glucose, and total cholesterol. Non-parametric Mann-Whitney U Test was used to analyze differences in BP. Results: The majority of participants were female (71,50%), aged 45-59 years (69,80%), non-obese (51,20%), with normal RBG (66,30%) and total cholesterol (84,30%). The mean systolic BP (SBP) was 138,62 ± 24,25 mmHg and diastolic BP (DBP) 85,07 ± 13,23 mmHg. Participants aged 45-59 years had higher BP compared to <45 years (SBP 142,78 ± 25,67; 95% CI 138,14-147,42 mmHg and DBP 86,68 ± 13,78; 95% CI 84,18-89,17 mmHg). Obese participants had higher DBP compared to non-obese (88,26 ± 14,40; 95% CI 85,14-91,39 mmHg). High RBG was associated with higher SBP compared to normal RBG normal (145,29 ± 27,25; 95% CI 138,13-152,46 mmHg). No differences in BP were found by sex or total cholesterol, nor in SBP by BMI, and DBP by RBG. Conclusion: Age, BMI, and RBG show differences in blood pressure in this population, therefore they can be considered as parameters for early detection of hypertension risk at community health centers.
Co-Authors Ariani Ayub, Fakhrana Aryastuti, Nurul Astutik, Erni Aulia Safitri Hanifa Henderiawati, Retno Inayah, Widya Krisnawati Bantas Krisnawati Bantas Krisnawati Bantas Muhammad Habibi Syahidi Nugraheni, Oktaviana Prihartono, Nurhayati Adnan Putri Bungsu Machmud Putu Wahyuni Wulandari Karnawati Rafitha, Hariani Ratna Djuwita Syahidi, Muhammad Habibi Tri Yunis Miko Wahyono Vivin Desy Kurniawati