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Jurnal Epidemiologi Kesehatan Komunitas
Published by Universitas Diponegoro
ISSN : -     EISSN : 26154854     DOI : -
Core Subject : Health,
Jurnal Epidemiologi Kesehatan Komunitas (e-ISSN:2615-4854) provides publication of full-length papers, short communication and review articles describing of new finding or theory in epidemiology, health and life science and related areas. JEKK has 1 volume with 2 issues per year. This journal was published by the Master of Epidemiology, School of Postgraduate Studies, Diponegoro University.
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Articles 13 Documents
Search results for , issue "Vol 10, No 2: Mei 2025" : 13 Documents clear
Refractive Errors in Students Islamic Boarding School Islamic Association 31 Banjaran Bandung Pamungkas, Motris; Adi, Mateus Sakundarno; Sutiningsih, Dwi; Kartasurya, Martha Irene; Budijitno, Selamat
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.v10i2.23107

Abstract

Background: Refractive errors are one of the most common causes of visual impairment, covering all age groups including children. The purpose of this study was to determine the description of refractive errors and demographic characteristics that occur in students at the Islamic Boarding School Persatuan Islam 31 Banjaran, Bandung Regency.Methods: This study used a cross-sectional study conducted from January to February 2024 at Pondok Pesantren Persatuan Islam 31 Banjaran, Bandung Regency. The sample was selected by total sampling. Subjects were examined using optotype snellen chart, students with visual acuity worse than 6/9 underwent further examination using refractometry, and correction using trial set lenses.Result: The results showed that of the total 674 students who took part in the visual acuity examination, 173 students (25.67%) had visual impairment with refractive errors. Refractive errors were more common among female students (69.79%) than male students (31.21%). Refractive errors were more common in 14-15 year olds (21.38%) compared to other age groups. The most common types of refractive errors were myopia (45.67%), astigmatism (36.99%), myopic astigmatism (15.03%), and hyperopia (1.73%). In addition, there were also students suspected to have organic disorders (0.5%) who experienced lazy eye (amblyopia).Conclusion : Early detection efforts of visual impairment need to be carried out by parents, school teachers, health workers and the government by conducting regular visual acuity screening and refractive error examinations at all levels of society, especially school-age children
Peningkatan Risiko Prematuritas Pada Ibu Hamil Penderita Covid – 19 di Kabupaten Pringsewu Lampung Lazendra, Arien Delfi; Kartasurya, Martha Irene; Suhartono, Suhartono
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.v10i2.20342

Abstract

Background : Research on pregnant women with COVID-19 has shown an increased risk of preterm birth, raising significant concerns in maternal health due to prematurity being a leading cause of neonatal illness and death. These findings highlight the need for further investigation, particularly in primary health care settings, to better understand the impact of COVID-19 on pregnancy. This study focuses on analyzing the heightened risk of prematurity in pregnant women infected with COVID-19.Methods: This descriptive observational study with a case-control approach was conducted at the Pringsewu District Health Center, Lampung, from January-February 2023. A total of 180 samples were selected using the Lemeshow formula and divided into exposed and unexposed groups. Data were collected through questionnaires, medical records, pregnancy cohort books, and maternal and child health books. Analysis included univariate frequency distribution, bivariate chi-square test, and multivariate logistic regression methods.Results : Pregnant women who were infected with COVID-19 had a 2.27 times increased risk of preterm birth (OR = 2.27; 95% CI = 1.19-4.33) compared to those who were not infected. After controlling for <4 antenatal visits and underweight gain, pregnant women with a history of COVID-19 infection still had a 2.21 times higher risk of prematurity compared to uninfected pregnant womenConclusion : There is an increased risk of delivering premature births in pregnant women who are infected with COVID 19, even after controlling for the factors of antenatal care and weight gain during pregnancy.Keywords : Antenatal Care; COVID 19; Pregnancy; Premature.
Efektivitas Daya Bunuh Antiseptik Benzalkonium Klorida dibandingkan Dengan Alkohol 70% Putri, Septine Eka; Laksono, Budi; ., suhartono
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.v10i2.20251

Abstract

Background: One of the prevention of disease transmission can be done by maintaining hand hygiene, in addition to using soap, the use of hand sanitizer is an innovation to prevent disease transmission. Benzalkonium chloride is a chemical compound that can be used as a substitute for alcohol as an antiseptic.Method: This study is a true experiment with samples taken from inanimate objects in the surrounding environment using the swab method, sample identification using bacterial gram staining and effectiveness testing using the liquid dilution method to determine the MIC measured by a spectrometer and see the density of bacteria based on turbidity and solid dilution to determine MBC by looking at regrowth after 24 hours of exposureResults: The results of the study obtained MIC and MBC values in gram-positive and gram-negative bacterial samples occurred in 0.12% benzalkonium antiseptic which was marked by no bacterial growth and a decrease in turbidity after 24 hours of exposure. This is supported by statistical results stating that benzalkonium chloride has a different effect on inhibiting bacterial growth compared to 70% alcohol and from 130 bacterial test samples exposed to 70% alcohol, 14 samples (8 gram-negative bacteria and 6 gram-positive bacteria) experienced regrowth after 24 hours of exposureConclusion: This shows that 0.12% benzalkonium is more effective in inhibiting and killing gram-positive and gram-negative bacteria in the environment.
Faktor – Faktor Yang Mempengaruhi Derajat Keparahan Covid – 19 pada Pasien Hipertensi dan Diabetes Mellitus di RSUD Aji Batara Agung Dewa Sakti Kecamatan Samboja Kabupaten Kutai Kartanegara Martasiah, Martasiah; Sutiningsih, Dwi; Widisuseno, Iriyanto
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.v10i2.19214

Abstract

Background:  The high prevalence of Covid-19 affects the severity that leads to death, especially in patients who have comorbidities such as hypertension and diabetes mellitus. This study aims to determine the factors that influence the severity of Covid-19 in patients with hypertension and diabetes mellitus.Methods: Observational analytic research with a case control approach. The number of samples was 150 cases and 150 controls. The sampling technique was simple random sampling. Data analysis using chi square and multiple logistic regressionResults: Age (p=0.002), gender (p=0.033), smoking habit (p=0.004), central obesity (p=0.049), total cholesterol level (p=0.000), were found to be significant risk factors. While TB patients (p=797) was not a significant risk factor. Gender was found to be the most dominant risk factor with the highest OR of 14.55 (95% CI OR: 5.53-38.1).Conclusion: People infected with Covid-19 who have hypertension and diabetes mellitus can aggravate Covid-19. Men and women have the same chance of contracting Covid-19, but men have a higher risk due to hormonal influences and lifestyle. People should pay more attention to health protocols and organize a healthy lifestyle must be improved.Keywords: Covid 19, Degree of Severity, Comorbidities, Risk Factors
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.
Analisis Epidemiologi dan Penyebab Kejadian Luar Biasa (KLB) Keracunan Makanan di Puskesmas Ngombol: Studi Kasus Keracunan Makanan Akibat Staphylococcus aureus ikrila, ikrila; Widjanarko, Bagoes; fauzi, muh; Sutiningsih, Dwi; Chomariyah, Zumrotul
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.v10i2.26611

Abstract

Background : On Saturday, July 12, 2024, there was an Extraordinary Event (KLB) of food poisoning at a mini workshop event at Ngombol Community Health Center, Purworejo Regency. A total of 57 people experienced symptoms of poisoning after consuming the food provided. An investigation was conducted to identify the source of the outbreak and associated risk factors.Methods : The investigation was conducted using a cross-sectional study design. Data were collected through a questionnaire containing information on risk factors and clinical signs and symptoms. A total of 65 event participants were sampled in this investigation. Analysis was descriptive, and attack rates were calculated for each factor. Samples of food waste (rice, chicken rica-rica, pickles, noodles and crackers) were collected for laboratory examination.Result : Of the 65 people, 57 experienced symptoms of diarrhea (100%), abdominal cramps (100%), fever (52.1%), vomiting (72.4%), and nausea (68.4%). %). Most cases were detected in women (92.6%) with an age range of 26-56 years (average 28 years). The incubation period was between 6-10 hours (mean 8 hours). The investigation showed that people who ate rica-rica chicken were sick (57/65; Attack Rate 87.6%). Laboratory tests of feces showed positive Staphylococcus aureus.Conclusion : The cause of the food poisoning was chicken rica-rica contaminated with Staphylococcus aureus. The contamination may have occurred due to prolonged storage of the food, from processing on Thursday afternoon (6 p.m.) to serving on Friday afternoon (1 p.m.).
Analisis Masalah Kesehatan Pada Program Tuberkulosis di Dinas Kesehatan Kota Kediri Tahun 2024 Ramadhani, Nabhilah Suci; Wahyuni, Chatarina Umbul; Rahayu, Tiwuk Puji; Syam, Sadli
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.v10i2.24325

Abstract

Background: Tuberculosis remains a significant global public health challenge. Indonesia ranks second in the world for TB prevalence. In Kediri City, while CDR-TB and CNR-TB meet targets, TB enrollment remains inadequate, highlighting obstacles in accessing health services. This study aims to determine priorities, identify causes, and propose alternative solutions for the TB program. Additionally, it describes TB enrollment trends from 2021-2023 and January-June 2024 in Kediri City.Methods: This descriptive observational study was conducted at the Kediri City Health Office from July 8-August 2, 2024, involving 28 informants. Data were obtained through in-depth interviews and document analysis. Priorities were determined with the USG method, causes were analyzed using the web of causation, and alternative solutions were developed using the CARL method.Results: The results of the analysis show that TB enrollment rates in Kediri City have significantly decreased each year, with rates of 82.9% in 2021, 79.8% in 2022, and 72.6% in 2023. In 2024, the highest rate was 75.5% in February, and the lowest was 57.9% in April. Factors contributing to this decline include suboptimal coordination between health facilities, limited human resources, high public stigma towards TB, and patient absenteeism.Conclusions: The low TB enrollment rate in Kediri City is a priority issue. Recommendations include routine SITB monitoring, educational efforts to reduce TB stigma, improved coordination with private practitioners via WhatsApp groups, regular meetings, home visits, and increasing the number of competent staff for counseling, case finding, and patient support.
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
Analisis Masalah Kesehatan Pada Program Hipetensi di Dinas Kesehatan Kota Kediri Tahun 2024 Sari, Maulidina; Wahyuni, Chatarina Umbul; Rahayu, Tiwuk Puji
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.v10i2.24478

Abstract

Background: The prevalence of hypertension in Indonesia in 2023 reached 30.8%, but only 18.9% of cases were under control, still below the national target of 63%. In Kediri City, although the coverage of hypertension services reached 100%, only 33% of patients managed to control hypertension. This study aims to identify problems, determine priorities, analyze causes, and formulate alternative solutions for hypertension programs.Methods: This descriptive observational study was conducted from July 8 to August 2, 2024. The study subjects were 30 people consisting of staff of the Health Office, Puskesmas and health cadres in Kediri City. Data were collected through brainstorming, in-depth interviews, and document studies. Problem prioritization was conducted using Urgency, Seriousness, Growth (USG) method, root cause analysis using epidemiological model, and alternative solutions using CARL (Capability, Accessibility, Readiness, Leverage) methodResults: Prioritization with the USG method that has the highest score is the low achievement of controlled hypertension. In 2023, the achievement in Kediri City was 33% increasing to 48% in January-June 2024, but still below the national target of 90%. The South Region health center has the lowest achievement of 31.8%. The main causes are low patient participation in routine control, high workload of health workers, and lack of family support. Alternative solutions include routine socialization, family assistance, and monitoring of control schedules through WhatsApp groups.Conclusion: The Kediri City Health Service is expected to conduct socialization with family support assistance. Keywords: Controlled Hypertension, Kediri, Problem Analysis.

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