Jurnal Epidemiologi Kesehatan Komunitas
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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<![CDATA[Evaluasi Konsumsi Makan dan Kepatuhan Konsumsi TTD terhadap Tingkat Kecukupan Zat Besi pada Remaja Putri di SMKN 1 Salatiga ]]>
<![CDATA[Gelora Mangalik]]>;
<![CDATA[Debora Brian Santika Wijayanti]]>;
<![CDATA[Rifatolistia Tampubolon]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i2.12824
<![CDATA[Background: Anemia is a nutritional problem, the 2018 Riskesdas data shows 48.9% of adolescent girls experience iron deficiency anemia. The government has made efforts to overcome the problem of anemia in adolescent girls through the provision of blood-supplementation tablets (TTD).Methods: This research used is descriptive with a quantitative approach, using a 2x24 hour instrument record, and the SQ-FFQ form. This study assesses the level of iron adequacy by looking at the data from the evaluation of food consumption which is expressed by the value of MAR (Mean Adequacy Ratio).Result: The results showed that respondents in consuming iron tablets were in the non-adherent category as much as 65%, the level of iron adequacy in the very poor category was 42.5%, the level of macronutrient intake in 42.5% of respondents experienced a severe level of deficit and the food intake of respondents was less varied.Conclusion : The conclusion of this study is an evaluation of food consumption average has a weight deficit, the food consumed does not vary, iron intake is not sufficient according to the AKG, and is not obedient in consuming TTD.]]>
<![CDATA[Stage at Diagnosis of Stomach Cancer Amongst Selected East African Countries: A Mini Systematic Review ]]>
<![CDATA[Cyuzuzo Callixte]]>;
<![CDATA[Dwi Sutiningsih]]>;
<![CDATA[Suhartono Suhartono]]>;
<![CDATA[Selamat Budijitno]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i2.17627
<![CDATA[Background: Stomach cancer is one of the leading cause of death globally due to its ability to hide clinical manifestations at early stage. This review was mainly aimed to assess the stage at diagnosis of the stomach malignancy among the selected East African countries.Methods: In this review, we retrieved 61 resources composed of 57 papers and 4 reports that were published between the year of 2005 and 2023, however only 22 papers that satisfy the inclusion criteria were considered.Result: The results revealed of this review disclosed that the stomach cancers are diagnosed at advanced stages, specifically stage III and stage IV and this was found to negatively affects the patients’ clinical outcomes and overall survival rate.Conclusion: The present review concludes that the stomach cancer cases that are diagnosed in the selected East African countries are diagnosed late and recommend early diagnosis, improvement of health facilities and diagnostic modalities and capacity development of the oncologists, cancer focal persons and other health professionals.]]>
<![CDATA[Faktor Sosio-Demografi yang Berhubungan dengan Penggunaan Suplemen dan Jamu selama Pandemi: Studi Kasus pada Mahasiswa UNIPMA Tahun 2022 ]]>
<![CDATA[Puri Ratna Kartini]]>;
<![CDATA[Desi Kusumawati]]>;
<![CDATA[Ajeng Probo Kusuma]]>;
<![CDATA[Agung Prabowo Wisnubroto]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i2.18975
<![CDATA[Background: Corona Virus Disease 19 (COVID-19) is a global pandemic declared in 2020 by WHO. The high incidence and death rates of COVID-19 affect human social activities in all countries, including Indonesia. This pandemic has had an impact on various sectors including education. Students are one of the groups prone to contracting COVID-19 from the campus cluster. So it is necessary to strengthen one's immunity by consuming supplements and herbs. This study aims to analyze socio-demographic factors related to the use of supplements and herbs in UNIPMA students.Methods: This research is an analytic observational study (cross-sectional design) in which the researcher conducted indirect interviews using a questionnaire instrument distributed through the media google form. This study involved 361 UNIPMA students using a purposive sampling technique. Then the results of the study were analyzed using the chi square test.Result: Based on statistical tests, the results obtained for the gender variable were p = 0.014, the type of study program variable was p = 0.011, the income variable of both parents was p = 0.679 and the access variable to pharmacies and drug stores was p = 0.193.Conclusion : Based on the research results, it can be concluded that socio-demographic factors related to the use of supplements and herbs in UNIPMA students are gender and type of study program. Meanwhile, socio-demographic factors such as the income of both parents and access to pharmacies and drug stores are not related to the use of supplements and herbs in UNIPMA students.]]>
<![CDATA[Hubungan Literasi Kesehatan Dengan Perilaku Hidup Bersih Dan Sehat Rumah Tangga di Wilayah Kerja Puskesmas I Tabanan, Bali ]]>
<![CDATA[Putu Ika Farmani]]>;
<![CDATA[Putu Ayu Laksmini]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i2.17463
<![CDATA[Background: Health literacy is the knowledge, motivation, and competence used to understand, assess, and use information to decide about health, including Healthy and Clean-Living Behaviour among household. The Healthy and Clean-Living Behaviour among household is the effort of family empower to know, wants, and could be practice in community. This study aims to determine the relationship of health literacy and Healthy and Clean-Living Behaviour among households in the Area of PHC I Tabanan.Methods: The cross-sectional analytic design study was conducted to collect data by interview using The HLS-EU-Q16 and Healthy and Clean-Living Behaviour’s questionaire. Sample was 200 families in the area of PHC I Tabanan that chosed by cluster random sampling. The variable research’s was socio demographic, health literacy, and Healthy and Clean-Living Behaviour. Data was analysed descreptively and analytic using Gamma test.Results: Research result show socio demographic of responden were female (63%), age average 48 y.o, married (90.5%), history of education was senior high school (49%), and 53.5% was enterpreuner. 51.5% Respondent with high level of health literacy and 84.5% respondent with level of Healthy and Clean-Living Behaviour with "sehat utama" category. Gamma test showed that strong positive relationship of health literacy and Healthy and Clean-Living Behaviour among household in the area of PHC I Tabanan (coefisient correlation = 0,372 and p value = 0,047).Conclusion: There is strong relationship between health literacy and Healthy and Clean-Living Behaviour among household so imporvement health literacy among household could be implementation from health promotion program.]]>
<![CDATA[Defisiensi Vitamin D sebagai Salah Satu Faktor Risiko Kematian pada Pasien COVID-19: Studi Tinjauan Pustaka ]]>
<![CDATA[Syafarudin Nur]]>;
<![CDATA[Mondastri Korib Sudaryo]]>;
<![CDATA[Nurul Fajri Widyasari]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i2.11930
<![CDATA[Background: Coronavirus Disease 2019 (COVID-19) is a new infectious disease and to date become a global pandemic. COVID-19 has symptoms varies in severity from mild to severe and can be fatal. Vitamin D deficiency could affect individual's immunity and increase the risk of mortality in COVID-19 patients.Methods: We did a literature review study to describe the association between vitamin D deficiency and mortality in COVID-19 patients. Literature search was done using PubMed database with keyword “COVID-19†AND “Vitamin D Deficiency†AND “Outcomeâ€. Articles published before June 30th 2021 and published in English language were included in this study. Inclusion criteria is case control or cohort study which evaluate association between vitamin D deficiency and mortality in COVID-19 patients.Result: 13 eligible articles which met inclusion and exclusion criteria were included in this study. All subjects in included studies were COVID-19 patients confirmed by laboratory RT-PCR. Mean age of the subjects in included studies were range from 55-79 years old, with proportion of male more than female in most of the studies. 25(OH)D level <20 ng/ml was definition of vitamin D deficiency most often used. Vitamin D deficiency were significantly associated with COVID-19 mortality, with OR in 3 studies range from 3,87-6,84 and HR in 3 studies range from 4,15-14,73.Conclusion: This literature review concluded that vitamin D deficiency had the potency to be risk factor for mortality in COVID-19 patients.]]>
<![CDATA[Kualitas Tidur Buruk Memperlambat Waktu Reaksi Visual pada Mahasiswa Program Studi Sarjana Fisioterapi Fakultas Kedokteran Universitas Udayana ]]>
<![CDATA[Hafizh Marin]]>;
<![CDATA[Agung Wiwiek Indrayani]]>;
<![CDATA[Made Hendra Satria Nugraha]]>;
<![CDATA[I Made Krisna Dinata]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i2.18047
<![CDATA[Background: College students are one of the groups that have a high risk of experiencing sleep deprivation and sleep disorders. In medical students, this is due to the high duration and intensity of education. Poor sleep quality causes impaired cognitive function, one of which is decreased reaction time. Students with faster reaction times have better cognitive status and academic performance. This study aims to determine how the relationship of sleep quality to reaction time with the type of simple reaction time (SRT) and choice reaction time (CRT) experiment in physiotherapy student at faculty of medicine, university of udayana.Methods: The cross-sectional study was conducted with simple random sampling technique. 45 students participated in this study. Sleep quality was measured with Pittsburgh Sleep Quality Index (PSQI) and reaction time using Deary-Liewald reaction time task with SRT and CRT types of experiment. Bivariate analysis was performed using the Spearman rho test.Result: 21 people (46.7%) had good sleep quality and 24 people (53.3%) had poor sleep quality. The results showed that there was a relationship between sleep quality and reaction time using CRT (p = 0.003) and there was no relationship between sleep quality and reaction time using SRT (p = 0.084).Conclusion: Poor sleep quality resulted in decreased reaction time with the CRT experiment type. The authors suggests research with different methods and populations, also add more control variables.]]>
<![CDATA[Distribution and Prevalence of Multidrug-Resistant Organisms (MDROs) Among MDRO-Positive Individuals at Dr. Kariadi Hospital ]]>
<![CDATA[Saidi Ntambi]]>;
<![CDATA[Dwi Sutiningsih]]>;
<![CDATA[Maiga Ayub Hussein]]>;
<![CDATA[Budi Laksono]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i2.18530
<![CDATA[Background: Multidrug-resistant organisms (MDRO) pose a significant challenge to healthcare facilities globally, impacting patient outcomes and healthcare costs. Understanding the distribution and prevalence of MDRO is crucial for effective infection control and prevention strategies. This study aimed to investigate the distribution and prevalence of MDROs, among MDRO-positive individuals at Dr. Kariadi Hospital.Methods: A retrospective analysis of secondary data was conducted, encompassing a diverse range of MDROs, including ESBL, carbapenem-resistant Enterobacteriaceae (CRE), methicillin-resistant Staphylococcus aureus (MRSA), and vancomycin-resistant Staphylococcus aureus (VRSA). The study population consisted of individuals who tested positive for MDRO within the hospital.Results: A total of 100 MDRO-positive cases were identified during the study period. The most prevalent MDRO identified was ESBL-producing organisms, accounting for 59% of all cases. Other significant findings included the presence of carbapenem-resistant Enterobacteriaceae (CRE) and MRSA, which constituted 4% and 3% of the MDRO-positive cases, respectively. Notably, a diverse range of MDRO species, such as MRCoNS (methicillin-resistant coagulase-negative Staphylococci), was also detected.Conclusion: This study provides valuable insights into the distribution and prevalence of MDRO at Dr. Kariadi Hospital. The findings underscore the urgent need for robust infection control measures and targeted interventions to mitigate the spread of MDRO. Implementing effective surveillance, promoting antibiotic stewardship, and enhancing preventive strategies are crucial for controlling MDRO infections. Future research should focus on exploring the molecular characteristics and resistance mechanisms of the identified MDRO to inform tailored prevention and treatment approaches. ]]>
<![CDATA[Pengaruh Kadar Gula Darah terhadap Hipertensi di RSUD Rantauprapat ]]>
<![CDATA[Uli Syahri Rizki]]>;
<![CDATA[Zata Ismah]]>;
<![CDATA[Reni Agustina]]>;
<![CDATA[Wasiyem Wasiyem]]>;
<![CDATA[Hery Sahputra]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i2.19899
<![CDATA[Background: T2DM is a background for other diseases, one of which is hypertension. Hypertension can be triggered from T2DM through the mechanism of insulin resistance which then causes hyperinsulinemia, dyslipidemia, and hyperglycemia. The purpose of this study was to determine the effect of blood sugar levels on hypertension in patients with type 2 diabetes mellitus at RSUD Rantauprapat.Methods: Quantitative research with an analytic cross-sectional approach conducted in December 2022-June 2023. There were 205 respondents aged 20-79 years who were taken through simple random sampling. Using data collection sheet instruments. With the analysis used is Univariate, bivariate (Chi-square), and Confounding Mantel Haenszel.Results: Chi-square analysis states that blood sugar levels are significantly associated with hypertension with OR 10.800 (95%CI: 5.410-21.560). Where the confounding analysis of Mantel Haenszel age, gender and occupation are confounding factors that affect blood sugar levels and hypertension with risk difference (OR>10%).Conclusion: The study states that there is an influence between blood sugar levels and hypertension. The government is expected to provide education to change the patient's unhealthy lifestyle so as not to lead to other complications.]]>
<![CDATA[Mengukur Perilaku Manusia dalam Skala Besar dan Secara Real-time: Studi Kasus Pola Mobilitas Penduduk dan Fase Awal Pandemi COVID-19 di Indonesia ]]>
<![CDATA[Aditya Lia Ramadona]]>;
<![CDATA[Risalia Reni Arisanti]]>;
<![CDATA[Anis Fuad]]>;
<![CDATA[Muhammad Ali Imron]]>;
<![CDATA[Citra Indriani]]>;
<![CDATA[Riris Andono Ahmad]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i2.16646
<![CDATA[Background: Good decisions in policy-making rely on acquiring the best possible understanding at the fast pace of what is happening and what might happen next in the population. Immediate measurements and predictions of disease spread would help authorities take necessary action to mitigate the rapid geographical spread of potential emerging infectious diseases. Unfortunately, measuring human behavior in nearly real-time, specifically at a large scale, has been labor-intensive, time-consuming, and expensive. Consequently, measurements are often unfeasible or delayed in developing in-time policy decisions. The increasing use of online services such as Twitter generates vast volumes and varieties of data, often available at high speed. These datasets might provide the opportunity to obtain immediate measurements of human behavior. Here we describe how the patterns of population mobility can be associated with the number of COVID-19 cases and, subsequently, could be used to simulate the potential path of disease spreading.Methods: Our analysis of country-scale population mobility networks is based on a proxy network from geotagged Twitter data, which we incorporated into a model to reproduce the spatial spread of the early phase COVID-19 pandemic in Indonesia. We used aggregated province-level mobility data from January through December 2019 for the baseline mobility patterns from DKI Jakarta as the origin of the 33 provinces' destinations in Indonesia.Result: We found that population mobility patterns explain 62 percent of the variation in the occurrence of COVID-19 cases in the early phases of the pandemic. In addition, we confirm that online services have the potential to measure human behavior in nearly real time.Conclusion: We believe that our work contributes to previous research by developing a scalable early warning system for public health decision-makers in charge of developing mitigation policies for the potential spread of emerging infectious diseases.]]>
<![CDATA[Factors of Severity Dengue Hemorrhagic Fever during the Covid-19 Pandemic; A Case Control Study in Buleleng, Bali ]]>
<![CDATA[I Gede Peri Arista]]>;
<![CDATA[Anak Agung Sagung Sawitri]]>;
<![CDATA[I Made Suganda Yatra]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i2.16463
<![CDATA[Background: The incidence of severe Dengue Hemorrhagic Fever (DHF) in Buleleng District during the COVID-19 pandemic was very high. Our study aimed to analyze the relationship between age, sex, area of residence, type of hospital, season of occurrence and time period with the incidence of severe DHF.Methods: We conducted a case-control study. Our study sample was 135 with a ratio of cases to controls of 1:2. We collected secondary data obtained from the DHF register data of the Buleleng District Health Office in 2019 to 2020. We performed data processing and analysis using the SPSS version 22. Descriptive analysis using a cross-table distribution and inferential analysis using Chi-Square or Fisher-Exact tests with p values <0.05 or Confident Interval (CI) is 95%.Result: We found more severe cases of DHF in the group aged 1-12 years, male, living in rural areas, undergoing hospitalization in private hospitals, during the rainy season and during the COVID-19 pandemic period. Age group 1-12 years (OR: 4.3 95%CI: 1.9-9.4, p value=0,000) and rainy season (OR: 2.4 95%CI: 1.1-5.2, p value=0,025) were significantly associated with the severity of DHF.Conclusion: The age group of 1-12 years and the rainy season are risk factors for the severity of DHF during the COVID-19 pandemic. It is necessary to disseminate early awareness of DHF at the elementary school level and empower parents in maintaining the health condition of their children.]]>
