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Journal : Jurnal Epidemiologi Kesehatan Komunitas

FAKTOR RISIKO TERJADINYA HEPATITIS B PADA IBU HAMIL DI KABUPATEN PURBALINGGA : CASE CONTROL STUDY Shalsabilla, Zulfa; Rini, Bekti Aribawanti; Suhartono, Suhartono; Muh, Fauzi
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 2: Mei 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.v10i2.26704

Abstract

Background: Hepatitis B is a liver infection with the potential to become chronic and lead to death. The prevalence of Hepatitis B in Purbalingga Regency remains above the targets set by the 2020-2024 RPJMN and SDGs 3.3.4, which aim to reduce the incidence of Hepatitis B to 0.1% by 2030. This study analyze the risk factors for Hepatitis B among pregnant women in Purbalingga Regency.Methods: This study employed a case-control design with an accessible population. The accessible population comprised all pregnant women, both HBsAg reactive and non-reactive, recorded in the SIHEPI application of the Purbalingga District Health Office between January 2023 and September 2024, totaling 112 pregnant women. The sample in this study consisted of the entire accessible population. Data were analyzed using the Chi-Square test and logistic regression. Results: This study identified four variables significantly associated with the occurrence of Hepatitis B in pregnant women: maternal knowledge (p-value = 0.032, OR = 2.33 [1.08-5.05]), family history of Hepatitis B (p-value = 0.001, OR = 2.331 [1.076-5.049]), sharing nail clippers (p-value = 0.022, OR = 2.35 [1.13-4.89]), and sharing razors (p-value = 0.011, OR = 2.469 [1.228-4.963]).Conclusion: Risk factors for Hepatitis B among pregnant women include maternal knowledge, a family history of Hepatitis B, sharing nail clippers, and sharing razors. To prevent Hepatitis B transmission, policymakers should implement early detection for family members of HBsAg-reactive pregnant women.
Kejadian Pertusis di Kelurahan Jatingaleh, Kecamatan Candisari, Kota Semarang Tahun 2024 Tristanti, Wita Istiqomah; Muh, Fauzi; Adi, Mateus Sakundarno; Martini, Martini; Suhartono, Suhartono
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 3: Agustus 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.v10i3.26769

Abstract

Background: Pertussis is a respiratory disease caused by the bacteria Bordetella pertussis. In Semarang City, from 2022-2023, no cases of pertussis were found. On June 18, 2024, the Semarang City Health Office received a report of 2 pertussis suspects from the primary health center with complaints of coughing for two weeks accompanied by vomiting, and a "whoop" sound after taking a breath. The purpose of this epidemiological investigation is to comprehensively describe the incidence of pertussis in Semarang City in 2024 and prevent wider spread. Methods: The type of research in the investigation of pertussis incidents in Semarang City in 2024 is a descriptive case study. The population of this study were children aged 1 to 5 years who lived in the Karangpanas RW 1 Jatingaleh, Candisari, Semarang City. The sample of this study was children aged 1 to 5 years who were confirmed positive for pertussis. The variables studied were gender, history of coughing, vomiting, and DPT immunization. Data were collected through direct observation and interviews with parents/guardians. Data analysis is presented descriptively to determine the distribution of frequency of occurrence. Results: PCR results stated that both suspects were positive for Bordotella sp. bacteria. The highest attack rate value was respondents who did not have a history of DPT immunization. Conclusion: H and Y were confirmed as pertussis cases based on PCR examination. A history of never receiving DPT immunization was the cause of the highest attack rate in the pertussis incident in Semarang City in 2024.Keywords: Pertussis, immunization, children, Semarang.
Faktor Yang Mempengaruhi Ketidakpatuhan Minum Obat Antihipertensi di Wilayah Kerja Puskesmas Nguter Kabupaten Sukoharjo Sirait, Chronika Kesya; Adi, Mateus Sakundarno; Suhartono, Suhartono; Muh, Fauzi; Hudayani, Rina
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 2: Mei 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.v10i2.26705

Abstract

Background: Adherence to treatment is crucial for those with hypertension, particularly in order to avoid consequences. Although there is no treatment for hypertension, it must always be managed to prevent it from becoming worse and becoming a condition that can lead to death and disability.Methods: Studi case-control was used in this research. Patients with hypertension who had been diagnosed by a doctor in Nguter Sub-district constituted the study population. The total sample was 220 with a ratio 1:1. Accidental sampling was used in the sampling procedure according to the predetermined inclusion and exclusion criteria. Questionnaires were used to collect data. The chi square test was used for bivariat, and logistic regression for multivariate analysis.Result: Based on the results of the analysis, it was found that there were three factors that had a significant impact on the level of non-adherence of hypertension patients in taking medication in the Nguter District area: a low motivation to seek treatment (p=0,000), a lack of support from family (p=0,009), and a lack of active role of health workers (p=0,042).Conclusion: Treatment motivation is the most influential factor on non-adherence to taking antihypertensive medication (p= 0,000; OR= 3,49; 95% CI= 1,81–6,73).
Kepatuhan Diet dan Olahraga Pada Penderita Diabetes Mellitus Tipe 2 : Studi Kasus Kontrol di Puskesmas Tlogosari Wetan Janardani, Andini Talitha; Widjanarko, Bagoes; Sutiningsih, Dwi; Muh, Fauzi; Suwandi, Amad
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 2: Mei 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.v10i2.26703

Abstract

Background: Indonesia faces a triple burden of disease, with rising non-communicable diseases (NCDs) like diabetes mellitus (DM) increasing health costs and mortality. DM ranks among the top causes of death, especially in Central Java and Semarang. DM a chronic metabolic condition, is on the rise worldwide, including in Indonesia. This research examines dietary adherence in productive-age type 2 DM patients at Tlogosari Wetan Public Health Center, Semarang..Methods:  Case-control quantitative analytic observational research was used. The target population was 44,154 productive-age type 2 diabetes mellitus patients in Tlogosari Wetan Public Health Center's operating region in 2023. Total 21 respondents, 108 diabetic diet adherent and 108 non-adherent patients were involved in this study. Univariate, bivariate, and multivariate analysis were used.Result: Based on multivariate analysis, it was found the knowledge (OR 4.05 p-value 0.000), self-motivation (OR 2.49 p-value 0.007), perception (OR 5.48 p-value 0.000), participation in nutrion counseling (OR 2.45 p-value 0.013), and the role of health workers (OR 2.37 p-value 0.012) are significant risk factors influencing dietary adherence among productive-age individuals with diabetes mellitus at Tlogosari Wetan Public Health CenterConclusion : Non-adherence among patients with diabetes mellitus is influenced by various factors including lack of knowledge, low motivation, economic constraints, and limited family support. Improving patient education, increasing healthcare support, and engaging families are important strategies to improve adherence and health outcomesKeywords : diabetes mellitus; diet; compliance, exercise
Faktor-Faktor yang Berhubungan dengan Ketidaklengkapan Imunisasi Dasar Pada Anak Umur < 5 Tahun di Kotamadya Viqueque, Timor Leste Pinto, João Menezes; Sutiningsih, Dwi; Adi, Mateus Sakundarno; Muh, Fauzi; Martini, Martini
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 2: Mei 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.v10i2.26748

Abstract

Background: Immunization is an effective way to prevent infectious diseases in children through vaccination, there are still some children aged <5 years in Viqueque Municipality who have not received complete basic immunization, the purpose of this study is to determine the determinants of incomplete basic immunization in children aged <5 years in Viqueque Municipality, Timor Leste.Methods: Observational analysis was used in this study with cross-sectional design. All parents/caregivers of children <5 years were the research subjects, the sample was obtained by accidental sampling technique, the independent variables were education, knowledge, distance to health facilities, place of born, parenting and ownership of LISIO, the dependent variable was incomplete basic immunization, data collection through interviews from the results of validity and reliability test of the questionnaire. Analysis using Chi-square test and multiple logistic regression.Results: The results showed that the variables of knowledge (p-value 0.001), distance to health facilities (p-value 0.027), place of birth (p-value 0.000) and ownership of LISIO (p-value 0.004) were associated with incomplete primary immunisation. The most influential variable was place of birth (OR=6.52, 95%CI:3.23-13.17), followed by knowledge (OR=2.91, 95%CI:1.50-5.61) and distance to health facilities (OR=2.74, 95%CI:1.22-6.14).Conclusion: The variables of place of birth in non-health facilities, distance from health facilities and low knowledge affect the incompleteness of basic immunisation of children, the importance of health education and promotion by health professionals in the community to give birth in health facilities and community participation in all health service programmes in the community.  
Analisis Faktor Risiko Kejadian Diabetes Melitus Tipe 2 Di Wilayah Kerja Puskesmas Miroto, Kota Semarang Seleky, Resty Natasya; Muh, Fauzi; Martini, Martini; Lattu, Joma Chyntia
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 3: Agustus 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.v10i3.27919

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a growing global health concern. In Semarang City, the prevalence increased from 5.97% to 6.58% between 2023 and 2024 at Miroto Public Health Center, with Miroto Subdistrict having the highest rate (6.44%). Identifying dominant risk factors is essential for targeted prevention..Methods: A cross-sectional study was conducted among 107 respondents aged ≥30 years using accidental sampling. Data were collected through structured questionnaires. The dependent variable was T2DM incidence (diagnosed by health professionals), while independent variables included age, sex, BMI, blood pressure, history of hypertension and heart disease, smoking, alcohol use, physical activity, and dietary habits. Bivariate analysis was conducted using Chi-square tests, followed by multivariate analysis using binary logistic regression. Prevalence Odds Ratios (POR) and 95% confidence intervals were reported.Result: Significant associations were found between T2DM and history of hypertension (POR=11.389), physical activity duration <30 minutes (POR=8.167), and smoking (POR=2.688). These variables remained significant in the multivariate model, indicating their dominant influence.Conclusion : Modifiable factors such as hypertension, low physical activity, and smoking are key contributors to T2DM in this urban setting. Integrated community-based interventions including hypertension screening, structured exercise programs, smoking cessation support, and dietary education should be strengthened at the primary care level. Future research should consider longitudinal approaches to better establish causality and explore sociocultural determinants.