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[Factors Associated with Chlamydia Infection among Female Sex Workers in West Jakarta: Analysis of the 2018-2019 Integrated Biological and Behavioral Survey ]]>
<![CDATA[Karamy, Selma Eliana]]>;
<![CDATA[Sudaryo, Mondastri Korib]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i2.23070
<![CDATA[Background: Chlamydia is one of the most common sexually transmitted infections globally. Female sex workers (FSW), especially in urban areas, face a higher risk of infection due to their risky work environment and lifestyle. Jakarta is a city that has cosmopolitan and urban characteristics with an active sex industry. This research was conducted to determine the factors associated with the incidence of chlamydia infection among FSWs in West Jakarta.Methods: The research was conducted using a cross-sectional design by analyzing data from the 2018-2019 Integrated Biological and Behavioral Survey (IBBS). The data were analyzed using univariate and bivariate analysis with the chi-square test. Prevalence ratio (PR) was used as the measure of association.Results: Of the 283 FSWs involved in the study, the positivity rate of chlamydia infection in West Jakarta reached 42.8%. Significant risk factors for chlamydia infection among FSWs in West Jakarta include younger age, divorced status, recently becoming a sex worker, and having ≥ 5 customers per week.Conclusion: The high rate of chlamydia infection among FSWs in West Jakarta highlights the need to increase outreach to FSWs in order to educate them about STIs and encourage them to perform regular screenings, especially for young FSWs.]]>
<![CDATA[Kajian Perilaku Kepatuhan Medikasi Pasien Tuberculosis Paru di Kabupaten Ngawi: Sebuah Model Matematis ]]>
<![CDATA[Kartini, Puri Ratna]]>;
<![CDATA[Norachuriya, Zedny]]>;
<![CDATA[Novitasari, Karisma Surya]]>;
<![CDATA[Shintawati, Shefina]]>;
<![CDATA[Wisnubroto, Agung Praboow]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i2.20982
<![CDATA[Background: Tuberculosis (TB) is currently still a health issue in Indonesia. Indonesia is the country that contributes the second largest number of tuberculosis cases after India. Ngawi is one of the cities in East Java Province with a large number of tuberculosis cases. In 2022, tuberculosis cases in Ngawi Regency will double from the previous year with the death rate also increasing from the previous year. This shows that tuberculosis control in Ngawi Regency has not been effective. Efforts are needed to increase medication compliance in tuberculosis sufferers so that therapeutic success can be achieved so that the death rate and tuberculosis transmission rate can be reduced.Methods: This research is an analytical observational study with a cross sectional research design which aims to create a mathematical model of medication adherence in pulmonary TB sufferers in Ngawi Regency. This research involved 102 pulmonary TB sufferers at Dr. Soeroto Hospital, Widodo Hospital and Ngawi Regency Health Center. Pulmonary TB sufferers were selected using a purposive sampling technique. Data were analyzed using multiple logistic regression tests.Result: Based on interviews conducted with 102 respondents, the results obtained were that the variables age, length of treatment, motivation to recover, self-perception, knowledge, access to health facilities, medication assistance, family support, drug side effects and health facility administration were candidates for bivariate testing.Conclusion : The variables of self-perception, knowledge, family support and health facility administration are the dominant factors influencing medication compliance in pulmonary TB sufferers in Ngawi Regency in 2023.]]>
<![CDATA[Determinants of Pneumonia Status in Under-five Children in Indonesia ]]>
<![CDATA[Ananda, Intan Putri]]>;
<![CDATA[Budyanra, Budyanra]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i2.11775
<![CDATA[Background: Pneumonia is a communicable disease that causes the largest under-five children death in the world. Meanwhile, Indonesia contributed 19.000 cases of under-five deaths due to pneumonia in 2018. Pneumonia can inhibit the growth and development in under-five children, cause decreased lung function or even lead to death. The pneumonia symptoms is less specific and almost the same as the flu or a common cough, makes this disease difficult to detect and difficult to treat optimally. This study was aimed to determine variables that affect the pneumonia in under-five children in Indonesia in 2018.Methods: This study used descriptive analysis and multilevel binary logistic regression. It used secondary data from the Riskesdas 2018, publication of Profil Kesehatan Indonesia 2018, and official website of Badan Pusat StatistikResult: The results indicated that in 2018, there were about 6.4 percent of under-five children who experienced pneumonia. The age of under-five children, gender, nutritional status, maternal education level, type of residence, house’s ventilation, and poverty rate per province significantly affected the status of pneumonia in under-five children in Indonesia.Conclusion : This study was expected to be able to increase public awareness about pneumonia in under-five children and can prevent under-five deaths due to pneumonia. Further research can use more up-to-date primary data and can also focus on provinces that have high rates of pneumonia in under-five children.]]>
<![CDATA[Antibiotic Practices and The Rate of Surgical Site Infection Following Cesarean Section ]]>
<![CDATA[Hussein, Maiga Ayub]]>;
<![CDATA[Sutiningsih, Dwi]]>;
<![CDATA[Saidi, Ntambi]]>;
<![CDATA[Frida, Chebet]]>;
<![CDATA[Adi, Mateus Sakundarno]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i2.18878
<![CDATA[Background: Cesarean section (CS) is the most performed operation globally. It’s a clean-contaminated surgery with higher surgical site infections (SSIs) risk. The mortality rate associated with cesarean section in Africa is 50 times greater than in high income settings, 11 women die per 1000 CS in sub-Saharan Africa and 14% of women suffer complication (SSIs). Proper antibiotic use can reduce this burden however effective antibiotics are running out due to inappropriate use. This study aimed to assess the pre-cesarean and post-cesarean antibiotic practices and the rate of SSIs following CS at Mbale regional referral hospital (MRRH)Methods: The study was a retrospective and descriptive cross-sectional on CS mothers between 1st January 2020 and 31st December 2022 at MRRH. Out of the 2432 patient files reviewed, an equal number (104) of women who developed SSIs and those that did not develop SSIs (104) were selected by simple random sampling, total sample size of 208.Result: More than half (n=148; 71.2 %.) received antibiotic prophylaxis. Majority received I.V ceftriaxone (38.0%) within 15minutes (mean duration) before skin incision. 35.1% of 208 that received antibiotic prophylaxis developed SSIs. I.V Metronidazole and Ceftriaxone were the most administered after CS and Oral metronidazole was the most prescribed upon discharge.Conclusion : The rate of SSIs at MRRH was 3% similar to that of Mbarara regional referral hospital at 3.5%. Lack of antibiotics prophylaxis and poor antibiotic prophylaxix timing could explain this rateu underscoring compliance to International, National and Hospital surgical bundles.]]>
<![CDATA[Unveiling the Disease Patterns and Infection Categories in MDRO-Infected Patients: Insights from a Comprehensive Study at Dr. Kariadi Hospital, Semarang ]]>
<![CDATA[Ntambi, Saidi]]>;
<![CDATA[Sutiningsih, Dwi]]>;
<![CDATA[Laksono, Budi]]>;
<![CDATA[Maiga, Ayub Hussein]]>;
<![CDATA[Mujahidah, Mujahidah]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i2.18535
<![CDATA[Background: Multi-drug resistant organisms (MDRO) pose a significant challenge to healthcare systems worldwide, leading to increased morbidity, mortality, and healthcare costs. Understanding the disease patterns and infection categories associated with MDRO infections is crucial for effective management and prevention strategies. This study aims to unveil the prevalent diseases and infection categories among MDRO-infected patients at Dr. Kariadi Hospital, Semarang in Indonesia.Methods: A comprehensive retrospective analysis was conducted on medical records of patients diagnosed with MDRO infections. Clinical characteristics were collected and analyzed. The diseases were classified into broader categories based on their organ system or common medical classification.Result: The study included 100 MDRO-infected patients and they presented with 81 various medical conditions/diseases. The most common diseases associated with MDRO infections were Covid-19, and Bronchopneumonia. Among the infection categories, gastrointestinal disorders, and Neoplastic Diseases were the predominant categories. The study revealed a high prevalence of MDRO infections in patients with these conditions while as the category of Autoimmune and Rheumatic Diseases accounted for the smallest proportion of cases with only one case.Conclusion : This comprehensive study provides valuable insights into the disease patterns and infection categories in MDRO-infected patients at Dr. Kariadi Hospital, Semarang. The findings highlight the need for targeted surveillance, infection control measures, and antimicrobial stewardship programs to effectively manage MDRO infections. Understanding the most prevalent diseases and infection categories associated with MDROs can aid in early detection, appropriate treatment, and the development of preventive strategies.]]>
<![CDATA[The Influence of Parental Role on Adolescent Sexual Behaviour and HIV/AIDS in KwaZulu-Natal, South Africa. ]]>
<![CDATA[Ringisai, Lovemore]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i2.19269
<![CDATA[Background: HIV/AIDS risky behaviour remains a critical health concern for adolescents, specifically at high school level. In South Africa, the rapid increase of risky lifestyles and sexual behaviours among adolescents could be mainly attributed to poor parental skills and broken family structures. Four identified sexual risk behaviours that are of concern in South Africa are age at sexual debut, multiple sexual partners, condom use and transactional sex.Methods: Data was collected using a quantitative cross-sectional survey with samle consist with 450 male and female high school adolescents between 14 to 18 years from 3 different South African school settings. Collected data was analyzed using SPSS descriptive statistics procedure.Result: 79.7% of the respondents had only one parent still alive with 4.9 % of the respondents indicated to have lost both parents. Only 13.5% of the respondents were from a nuclear family. The majority of the respondents were (41.2%) living with grandparents. This high level of family disintegration, parental absence and poor parenting skills in South Africa exposed 73.3% (330) of the respondents to early sexual debut, transactional sex, unprotected sex and having multiple sexual partners. The study proved that there is a statistical association between guardianship and age at sexual debut; guardianship and multiple sexual partners; guardianship and condom use; guardianship and transactional sex.Conclusion : The revealed significant high risk sexual behaviour among adolescents in KwaZulu-Natal should inform Health and educational authorities to utilize these key findings to design more effective local strategies to train and assist parents and caregivers on parenting skills]]>
<![CDATA[Hubungan Pengetahuan, Kepercayaan dan Sikap Masyarakat Pesisir Pantai Kota Mataram dengan Perilaku Penerapan Protokol Kesehatan pada Era New Normal ]]>
<![CDATA[Zubair, M. Abdul Hamid]]>;
<![CDATA[Supingato, Agus]]>;
<![CDATA[Hadi, Irwan]]>;
<![CDATA[Arifin, Zaenal]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i2.12627
<![CDATA[Background: The implementation of health protocols in the new normal era is still not applied to the maximum, this is feared that it can cause a new cluster of Covid 19 spread. The purpose of this study is to know the factors related to people's behavior in implementing health protocols.Methods: This research design uses a correlational analytic design with a Cross Sectional approach. The study sample of 103 respondents used Purposive sampling techniques. Data collection using questionnaires that have been tested for validity and reliability. The data was analyzed using the spearman rank correlation test.Result: The results of this study showed a significant relationship between attitudes and public behavior in implementing health protocols with a value of 0.02<0.05.Conclusion : The better the attitude of the community, the better the behavior of the community in implementing health protocols. There needs to be a role for health workers to improve the socialization of Covid 19 prevention, so that it has an impact on good community behavior in implementing health protocols.]]>
<![CDATA[Factors Water Characteristic and Exclusive Breastfeeding as Predicting Diarrhea Under 5 Years ]]>
<![CDATA[Susanto, Nugroho]]>;
<![CDATA[Hidayani, Wuri Ratna]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jebt.%Y.9272
<![CDATA[Background: The incidence of death diarrheal disease for children under 5 years are 5 million. The prevalence of diarrhea up to 24.8%. The exclusive breastfeeding for infants up to 6 months will provide immunity to against various diseases such as diarrhea. The proportion of Infants not exclusive breastfeeding up to 65.8%. Factors such as washing hands, consumption of drinking water are factors caused diarrhea in children. The study aims to known at the prediction of the risk of diarrhea and the dominant factors related the incidence of diarrhea in Kebumen District.Methods: The study design used case control. The population is mothers who have toddlers 1-4 years in the working area of Berbah Health Center Services was estimated 3,407 toddlers. The sample of case is a toddler who suffers from diarrhea and the control is a toddler who does not suffer from diarrhea in the surrounding environment. The sample was estimated of 50 cases of diarrhea and 50 control without diarrhea who qualified inclusion and exclusion criteria. The instruments were used questionnaires and medical records of diarrhea. Data were analysis with chi square test and logistic regression with 95% confidence interval.Result: Based on bivariate analysis shown that the exclusive breastfeeding was significant risk of diarrhea incidence OR = 3.22 (1.41-7.35). Based on Handwashing that the handwashing variable has no significant risk of diarrhea incidence OR = 1.792 (0.80-4.01). Based on multivariate analysis that exclusive breastfeeding significant caused diarrhea for children OR = 2.76 (95%CI: 1.18-6.47) whereas hand washing did not significantly cause diarrhea in children OR = 1.15 (95% CI: 0.66-3.64) and drinking water did not significantly affect diarrhea in children OR 2.19 (95% CI: 0.91-5.27).Conclusion: The study concluded that the dominant risk factor significantly for diarrhea in toddlers is exclusive breastfeeding.]]>
<![CDATA[Telaah Kualitas Hidup Pasien Penyakit Kronik di Kalimantan Barat ]]>
<![CDATA[Untari, Eka Kartika]]>;
<![CDATA[Yuswar, Muhammad Akib]]>;
<![CDATA[Rizkifani, Shoma]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i2.12295
<![CDATA[Background: The long duration of chronic disease affecting the patient’s quality of life. Every disease including chronic disease has a different duration and prognosis. The instrument that being used in measuring the quality of life can be very important factor. Quality of life assessment has a benefit by evaluate the treatment of patients with chronic disease, moreover the good quality of life will also increase the patient's life expectancy. The purpose of this article are to describe and identify instruments that being used to measure quality of life patients with chronic disease in West Kalimantan.Methods: This study conduct to review the original research articles with the keywords "quality of life", "chronic disease", and "West Kalimantan". Twenty three research articles were obtained in Google Scholar and met the inclusion criteria. The generic instruments such as WHOQOL-BREF and EQ5D are the most widely used to measure the patient’s quality of life.Result: The distribution of chronic diseases that have been assessed were hypertension, chronic renal failure, diabetes mellitus, COPD, pulmonary tuberculosis, asthma, myocardial infarction, stroke, CHD, osteoarthritis, HIV / AIDS, and psoriasis. The disease with the most impact on quality of life is hypertension (6 of 23 articles). There were 53.07% patients has a good quality of life; 15.97% patients has a moderate quality of life; and 30.96% patients has a bad quality of life.Conclusion : Most of the hypertensive patients has a good quality of life compared to other disease groups. Health interventions were needed to improve the quality of life for patients with chronic diseases.]]>
<![CDATA[Hubungan Antara Tingkat Pengetahuan dan Perilaku Tentang Katarak Diabetika Penderita Diabetes Mellitus dengan Kejadian Katarak di Puskesmas Gunung Pati Semarang ]]>
<![CDATA[Dhaniswara, Andhika Adristia]]>;
<![CDATA[Saubig, Arnila Novitasari]]>;
<![CDATA[Pramono, Dodik]]>;
<![CDATA[Nugraheni, Arwinda]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i2.16396
<![CDATA[Background: Cataract is a degenerative disease that causes second highest visual impairment and the highest cause of blindness in the world which is multifactorial. The behavior and knowledge of people with diabetes mellitus in controlling their disease is important considering that diabetes mellitus is one of the significant factors causing cataracts especially if not treated properly.Methods: This research is an observational analytical with cross-sectional approach. The research data was obtained using consecutive sampling from patients with diabetes mellitus who come to the Gunungpati public health center. Research subjects used in this research were 53 patients who fulfill the inclusion and exclusion criteria, the data then analyzed using Chi-square test.Result: There is a significant relationship between the patient’s level of knowledge (p=0,004;OR=5,56;CI=1,67-17,54) and behavior (p=0,04;OR=3,19;CI=1,04-9,80) on the incidence of cataracts.Conclusion : There is a significant relationship between level of knowledge and behavior of people with diabetes mellitus regarding diabetic cataracts on the incidence of cataracts.]]>
