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Jurnal Epidemiologi Kesehatan Komunitas
Published by Universitas Diponegoro
ISSN : -     EISSN : 26154854     DOI : -
Core Subject : Health,
Health Professions Public 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
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Search results for , issue "Vol 10, No 3: Agustus 2025" : 13 Documents clear
KLB Keracunan Makanan Di Dusun Kacepit, Desa Wulungsari, Kecamatan Selomerto, Kabupaten Wonosobo, 2024 Gosari, Kevin Rayes; Adi, Mateus Sakundarno; Martini, Martini; Misinem, Misinem
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.v10i3.26833

Abstract

Background: A food poisoning incident occurred on Saturday, February 24, 2024, during a religious gathering in Kecapit Hamlet, Wulungsari Village, Selomerto Sub-district, with a total of 44 cases. The objective of this investigation was to identify the source of the outbreak and the risk factors associated with the food poisoning incident.Methods: Food poisoning was defined as a condition in individuals experiencing illness with symptoms and signs of poisoning caused by consuming food suspected of containing biological or chemical contaminants. An outbreak investigation using a cross-sectional study design was conducted. Research questionnaires were used to collect data on risk factors as well as signs and symptoms. A total of 58 individuals who attended the event were included as samples. These factors were analyzed descriptively, and attack rates were calculated for each factor. Fecal samples from clinically ill cases were collected for laboratory testing.Results and Discussion: Out of the 58 individuals, 44 experienced symptoms of diarrhea >3 times (72.4%), abdominal cramps (69%), fever (62.1%), vomiting (22.4%), and nausea (58.4%). More cases were detected in males (52%) with an age range of 5-81 years (average 41.7 years). The incubation period ranged from 6-15 hours (average 11.41 hours). The investigation results indicated that individuals who consumed durian coconut syrup became ill (44/58; Attack Rate 93.6%). Stool laboratory test results showed positive for Salmonella. However, laboratory testing for the durian coconut syrup was not conducted in this study due to the unavailability of samples.Conclusion: Based on the findings of the investigation, it can be concluded that the cause of the food poisoning was durian coconut syrup contaminated with Salmonella bacteria. This contamination may have occurred because the food spoiled as it was prepared at 8:00 AM and served in the afternoon (3:00 PM).
Faktor Risiko Terjadinya Pneumonia Pada Balita Di Puskesmas Sruweng Kabupaten Kebumen Falah, Yanuar Fajrul; Suhartono, Suhartono; Adi, Mateus Sakundarno; Mukhibin, Akhmad
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.v10i3.26735

Abstract

Background: Pneumonia causes 23% of deaths in children under five and about 1.17 million deaths in toddlers worldwide. The Sruweng Health Center in Kebumen Regency in the last five years has experienced a fluctuating trend of pneumonia cases and infant deaths due to pneumonia in 2020 and 2024 with one case each.Methods: Using a case control study with a ratio of 1:1. The total sample was 150 (75 samples for each group). Cases are based on positive clinical symptoms who has been diagnosed by a doctor. Controls were selected using simple random sampling. Interviews and observations using questionnaires to collect the data. Data analysis was carried out univariately with frequency distribution tables, bivariate with chi square test, and multivariate with binary logistic regression test.Results: The difference in the proportion of family smoking behavior in the case group was higher (57.3%) than the control group only (3.33%). The final results were multivariate with binary logistic regression tests there were three significant variables, namely smoking behavior (OR= 3.7 ; 95% CI= 1.68-8.54; p= 0.001), waste burning behavior (OR= 2.4 ; 95% CI= 1.17-5.14 ; p= 0.017), and use of firewood (OR= 2.4 ; 95% CI= 1.13-5.21 ; p= 0.022).Conclusion: Smoking behavior is the main risk factor for the triggering of pneumonia in toddlers at the Sruweng Public Health Center, Kebumen Regency.Keywords: Pneumonia, Toddlers, Risk Factor, Kebumen Regency
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.
Analisis Determinan Kejadian Hipertensi : Studi di Wilayah Urban Kabupaten Wonogiri Latar, Zulfikar Sakti; Suhartono, Suhartono; Martini, Martini; Harriyani, Ika
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.v10i3.26828

Abstract

Background: Hypertension, known as the silent killer, has a morbidity rate of 40% in developing countries, with Indonesia reporting a prevalence of 34%. Urban areas show the highest rates. In 2018, the prevalence of hypertension in Wonogiri Regency was 45.9% (Riskesdas). In 2023, data from the Wonogiri Health Office recorded 69,663 urban and 48,223 rural hypertension cases. The objective of this study is to identify key determinants contributing to the prevalence of hypertension in urban communities within Wonogiri Regency.Methods: This was a non-experimental quantitative study with a case-control and survey design. A total 175 cases : 175 controls aged 15–65 years were selected using multistage random sampling. Analyze data using Chi-square and multiple logistic regression tests.Results: the study found Significant factors associated with hypertension included: family history of hypertension (OR 5,6; 95% CI: 3,2–9,6), age ≥ 45 years (OR 3,9; 95% CI: 2,2–6.8), low education level (OR 2,8; 95% CI: 1,6–4,8), frequent consumption of salty foods (OR 2,6; 95% CI: 1,5–4,4), obesity (OR 2,4; 95% CI: 1,4–4,3), and low physical activity (OR 1,9; 95% CI: 1,2–3,0). The R² value of 0.404 indicates that these variables contribute 40.4% to the incidence of hypertension in urban areas, while the remaining 59.6% is attributed to other factors not examined in this study.Conclusion: The risk of hypertension in the urban areas of Wonogiri Regency is significantly associated with having a family history of hypertension, being aged ≥ 45 years, low educational level, frequent consumption of salty foods, obesity, and low levels of physical activity.
Analisis Ditribusi Spasial Kasus Tuberkulosis Di Wilayah Denpasar Timur Dengan Pendekatan Sistem Informasi Geografis Budiartana, Wayan; Mulana, Viktorinus Alfred Saptiono; Farmani, Putu Ika
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.v10i3.24173

Abstract

Background: The East Denpasar area has shown an increasing trend in TB cases from 2021 to 2023, with a significant rise noted in 2023. This study aims to analyse the spatial distribution of TB cases in East Denpasar using a Geographic Information System (GIS).Methods: The descriptive quantitative with a GIS approach conducted using 68 patients, focusing on socio demographic variables, TB classification, treatment outcomes, and treatment history. TB case data in East Denpasar for 2023 was collected from two PHC of East Denpasar and analysed by ArcMap. The analysis includes colour gradient maps, dot maps, and graphic maps. The study identifies, and maps high-cluster locations of TB cases based on treatment history and outcomes.Result: The characteristic responden are private employees (42,65%), 26-45 y.o (47,06%), and female (52.94%). The colour gradient map analysis shows that Kesiman Kertalangu has the highest distribution. Based on the dot map, a high concentration is seen in Kesiman Kertalangu and Penatih. The graphic map analysis shows a comparison of TB treatment history, where most patients are new patients, and a comparison of treatment outcomes shows that most patients have recovered.Conclusion: This study concludes that the productive age group (26-45 years) and private employees are the most vulnerable population to TB. Kesiman Kertalangu has the highest number of TB cases, with a higher distribution of pulmonary TB compared to extrapulmonary TB. This area also has the highest number of new patients and patients who have not completed treatment.
Determinan Kejadian Loss to Follow Up Pengobatan Antiretroviral (ARV) Pada Pasien HIV/AIDS di RSUD Khidmat Sehat Afiat Kota Depok Tahun 2025 Putri, Novia Fatmawati; Tanesib, Amran Julianto; Herdayanti, Mila
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.v10i3.26901

Abstract

Background: RS “X” Depok City recorded that around 13,054 people living with HIV (PLWHA) have accessed antiretroviral (ARV) services until 2025. However, until now there has been no research related to Lost to Follow Up (LTFU) in Depok City Hospital “X”. Research is needed to determine the determinants of the incidence of LTFU of ARV treatment, especially in HIV/AIDS patients at “X” Depok City Hospital.Methods: T This study used a quantitative approach with a cross-sectional design. The population in this study were all patients who had accessed ARV treatment services at “X” Hospital in Depok City in 2024. The sample in this study was 312 PLWHA obtained using simple random sampling technique. The dependent variable in this study was the incidence of LTFU, while the independent variables included age, gender, place of residence, referral origin, duration of ARV consumption and population group. Data were analyzed using univariate, bivariate and multivariate analysis with p<0.05 and 95% confidence level.Results: The results showed that 44.2% of HIV/AIDS patients at RS “X” Depok City experienced LTFU. The variables of residence and referral origin were significant predictors of the incidence of LTFU in HIV/AIDS patients at RSUD “X” Depok City.Conclusion: There needs to be assistance for HIV/AIDS patients who live in Depok City and HIV/AIDS patients who come alone without a referral so that they can continue to undergo ARV treatment continuously.Keywords: Antiretroviral, HIV, AIDS, Loss to Follow Up
Factors Contributing to Rising Diabetes Cases in Indonesia: Insights from the 2023 Indonesian Health Survey S.K.M., M. Epid., Mivtahurrahimah; Sevtiyani, Imaniar
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.v10i3.28184

Abstract

Background: The 2023 Indonesian Health Survey (SKI) revealed an increase in diabetes mellitus (DM) prevalence among individuals aged ≥15 years from 2.0% in 2018 to 2.2% in 2023, potentially linked to post-COVID-19 lifestyle changes. This study explored factors contributing to the rising diabetes cases in Indonesia using 2023 SKI data.Methods: This cross-sectional study utilized aggregate data from the 2023 SKI, collected between March and May 2025. The study selected 34,500 census blocks using proportional stratified sampling. Data collection involved interviews and physical examinations. Spearman's correlation and linear regression identified diabetes-related risk factors.Result: Positive correlations were found between DM and daily smoking, former smoking, high-fat food consumption, body weight monitoring, telemedicine use, and obesity. Negative correlations were observed for occasional smoking exposure, tobacco use, sweet food consumption, and normal nutritional status. Physical activity showed no significant association. Multivariate analysis revealed that individuals with blood pressure checks less than once a year had an 8.63-fold higher DM risk. Telemedicine use, low-frequency starchy tuber intake, and BPJS PBI membership were associated with increased risk, while nut consumption (1–6 times/week) reduced the risk by 26%.Conclusion : Behavioral and healthcare access factors significantly influenced diabetes risk. Smoking, unhealthy diet, and limited health monitoring increased this risk. Further research using individual-level data is recommended to better understand these associations and inform targeted interventions.Keywords: Diabetes prevalence, Risk factors, Indonesian Health Survey 2023, Lifestyle Behaviors, Healthcare access.
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.
Hubungan Perokok Aktif Dan Pasif Terhadap Risiko Hipertensi Pada Remaja Laki – Laki Di Wilayah Pedesaan Kabupaten Buton Tengah : Cross Sectional Study Nurbaiti, Nurbaiti
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.v10i3.28387

Abstract

Background: According to the 2023 Basic Health Survey (Riskesdas), 7.4% of adolescents aged 10–18 years were classified as active smokers, with a higher prevalence in rural areas. This study contributes scientifically by focusing its analysis on male adolescents in rural areas, as they constitute a high-risk population that is rarely the subject of research on hypertension risk factors.Methods: This study is an analytical observational study with a cross-sectional design, which aims to determine the relationship between exposure and disease incidence. The study sample totalled 78 respondents selected from a total population of 352 students. The sampling technique used was probability sampling with systematic random sampling method. Data analysis was conducted using non-parametric test, namely Spearman's rho test.Result: The results showed a Spearman correlation coefficient value of ρ = 0.567 (p = 0.000) in active smokers, while in passive smokers the correlation value was higher at ρ = 0.736 (p = 0.000). So that both active and passive smokers have a significant relationship with the incidence of hypertension. However, the correlation between passive smoking and hypertension is stronger than that of active smokers, indicating that indirect exposure to cigarette smoke also has a serious impact on the incidence of hypertension.Conclusion : Cigarette smoke exposure, particularly passive smoking in rural households, strongly correlates with adolescent hypertension, highlighting the need for targeted prevention and smoke-free policies involving families, schools, and policymakers.Keywords: Active smoking; Passive smoking; Adolescent males; Rural; Hypertension
Profil Morbiditas Pasien Lansia Di Kota Bandar Lampung : Studi Cross Sectional Multicenter Windari, Nurul Irna; Dirga, Dirga; Hidayaturahmah, Rizky; Rooswita, Putri Amelia
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.v10i3.25567

Abstract

Background: The elderly population in Indonesia has increased, including Lampung Province. Total 97.5% of elderly experience at least one chronic disease and experience multimorbid conditions whose prevalence increases with age. Only 57.7% of elderly with chronic diseases had examinations at least once every 6 months. This research is an effort to study the morbidity profile in a group of elderly patients which can be used as basic data to help planning health services.Methods: A descriptive, cross-sectional multicenter observational study with purposive sampling was conducted at three hospitals in Bandar Lampung. This study involved elderly people with chronic diseases who were undergoing outpatient treatment and met the inclusion criteria, namely age ≥ 60 years, had complete medical records, have filled out informed consent, and can communicate verbally in Bahasa. Data analysis were carried out descriptively.Result: The majority of elderly patients are pre-elderly 60.21%, male 52.25%, unemployed 77.85%, primary/junior high school education 56.06%, married 96.19%, had BPJS insurance 69.20% and low income 58.48%. The profile of morbidity were Congestive Heart Failure (CHF) 33.00%, diabetes mellitus 14.30%, hypertension 12.58%, Chronic Kidney Disease (CKD) 7.48% and stroke 5.78%. Elderly patients predominantly had 73.70% comorbidities and total 60.21% were within the normal BMI range.Conclusion : High morbidity in elderly patients requires treatment efforts to minimize it and prevent mortality. Efforts need to be made to suppress risk factors for chronic disease in the elderly.

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