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.
Articles
229 Documents
<![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[Seroepidemiologi Antibodi Anti HIV berdasarkan Karakteristik Demografi pada Pendonor Darah di UDD PMI Kabupaten Probolinggo ]]>
<![CDATA[Ni'mah, Ana Masfurotin]]>;
<![CDATA[Prasetyowati, Irma]]>;
<![CDATA[Bumi, Candra]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 1 : Februari 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i1.7165
<![CDATA[Background: One of the indicators of HIV virus contamination in donor blood is the presence of anti-HIV antibodies. According to Probolinggo Blood Transfusion Unit, there are 55 blood donors screened reactive for anti-HIV antibodies in 2013-2018. Infected Blood by HIV virus causes a risk to donor recipients, especially the transmission of infection through blood transfusions. The purpose of this study is to describe the seroepidemiological trends of anti-HIV antibodies in blood donors. Methods: Descriptive research using annual data from Probolinggo Blood Transfusion Unit. The samples used in this study were all blood donors in 2013-2019 (29,421 blood donors). Blood donors were screened using Murex Ab/Ag Combination Diasorin UK Branch. Data were analyzed using descriptive statistics. Result: There were 0.19% anti-HIV antibodies reactive in the blood of donors with the characteristics of blood donors were males, O blood types, voluntary and recurrent donors and conducting blood donor Kraksaan District. Conclusion: Based on the results of this study, Probolinggo has a relatively low number of anti-HIV antibody findings. Nonetheless, the results show there has been an increase in the results of reactive screening for anti-HIV antibodies over the past 6 years in Probolinggo. Therefore, it is very necessary to maintain the quality of the screening that has been done and coordinate with the Probolinggo DHO to follow up on this problem. ]]>
<![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 Efek Gabungan Hipertensi dan Obesitas dengan Penyakit Jantung Koroner Pada Analisis Data IFLS 5 Tahun 2014 ]]>
<![CDATA[Pramono, Alana Arumsari]]>;
<![CDATA[Djuwita, Ratna]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 1 : Februari 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i1.11911
<![CDATA[Background: Coronary heart disease is a non-communicable disease. Risk factors for coronary heart disease include hypertension, smoking, high cholesterol, obesity, and low consumption of fruits and vegetables.Methods: The aim of this study was to determine the relationship between the combined effects of hypertension and obesity and the incidence of coronary heart disease. This study uses the 2014 Indonesia Family Life Survey (IFLS). This analysis uses univariate analysis to determine the proportion of research variables, bivariate analysis to determine the relationship between variables, and stratification analysis to determine the presence of confounding and modification effects. Multivariate analysis to determine the final model. This study used a cross-sectional design.Results: coronary heart disease variable 1.44%, hypertension and obesity 9.77%, hypertension and not obesity 9.64%, not hypertension and obesity 22.04%, not hypertension and not obesity 58.55%. And the relationship of hypertension and obesity to coronary heart disease after controlling for age and gender variables.Conclusion: The relationship of the combined effect of hypertension and obesity with the incidence of coronary heart disease after controlling for age and gender variables.]]>
<![CDATA[Profil Penggunaan Antibiotik untuk Pengobatan Pasien COVID-19 di Salah Satu Rumah Sakit Kota Bitung ]]>
<![CDATA[Tampa'i, Randy]]>;
<![CDATA[Lumepaa, Destine Daity]]>;
<![CDATA[Mangangantung, Devita Kristianty Johana]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 1 : Februari 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i1.14198
<![CDATA[Background: The overuse and misuse of antibiotics during the COVID-19 pandemic is one of the biggest concern that needs attention, considering antimicrobioal resistance has been a major threat to global health. According to WHO, this condition can make the infection difficult to treat, increasing the risk of disease spread and mortality. The significant increase in the number of COVID-19 cases in North Sulawesi and the excessive use of antibiotics in COVID-19 patients, shows that research that aims to describe the use of antibiotics in COVID-19 is needed as an early detection of irrational use of antibiotics.Methods: This study was carried out in one of the COVID-19 Referral Hospital in the city of Bitung. The data of this study was collected by purposive sampling and conducted retrospectively. Sources of secondary data is from the patient medical records and patient treatment records. In this study 148 samples that meet the inclusion criteria are used. The inclusion criteria is hospitalized patients which is confirmed with COVID-19 during the period of July-December 2021, received antibiotic therapy during the treatment period, and medical record data.Result: The result shows that the mostly used antibiotics for COVID-19 theraphy are Azithromycin tablets 47.97% from the macrolide groups; Ceftriaxone injection 20.32% and Cefixime tablets 16.67% from the cephalosporin groups; and Levofloxacin infusion 8.94% from the fluoroquinolones group.Conclusion : Patients at the productive age is most likely to get exposed with COVID-19. The clinical symptoms frequently occur in the mild category (68.92%). The use of antibiotics in COVID-19 patients at one of the COVID-19 Referral Hospitals in Bitung City is in accordance with the 3rd edition of the COVID-19 Management Guidelines, and the mostly used antibiotics is Azithromycin tablets as many as 118 patients (47.97%).]]>
<![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[Gambaran Kasus Difteri di Provinsi DKI Jakarta Tahun 2015-17 Desember 2017 ]]>
<![CDATA[Oktaviannoor, Husda]]>;
<![CDATA[Djuwita, Ratna]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 1 : Februari 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i1.6495
<![CDATA[Background: Diphtheria is a contagious disease whose transmission is very fast and can cause death especially in children. In 2017 it was reported, there were 11 provinces in Indonesia experiencing diphtheria outbreaks, one of which is DKI Jakarta Province. This study aims to see an overview of diphtheria cases in DKI Jakarta in 2015 - December 17, 2017.Methods: This research is a descriptive study with a case report design. The sample in this study amounted to 59 cases. The implementation was carried out on 25 to 29 December 2017.Result: DKI Jakarta Province reported 7 diphtheria cases in 2015, 14 new cases in 2016 and 38 cases in January to 17 December 2017. Where the highest cases were in East Jakarta with the number of 18 cases from 2015 – December 17, 2017. And the number of diphtheria cases is more common in men, especially in children aged 0 - 9 years. In the 46th week of 2017 was the peak report on the incidence of diphtheria as many as 12 new cases in 1 week so that DKI Jakarta Province was declared to have an outbreak of diphtheria.Conclusion : Cases of diphtheria in DKI Jakarta from 2015 - December 17, 2017 continue to increase so special efforts are needed to prevent transmission of this disease. ]]>
<![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[Efek Antidiabetes Kombinasi Ekstrak Mengkudu (Morinda citrifolia) dan Kunyit (Curcuma longa) pada Tikus yang dibuat Hiperglikemik ]]>
<![CDATA[Iddahan, Viqi]]>;
<![CDATA[Sutiningsih, Dwi]]>;
<![CDATA[Martini, Martini]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 1 : Februari 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i1.8190
<![CDATA[Background: Diabetes Mellitus is a disease characterized by hyperglycemia in a long time can cause the damage of pancreatic beta cells. Morinda citrifolia contains xeronine that can regenerate damaged pancreatic beta cells. While Curcuma longa contains curcumin which acts as an antioxidant will stabilize free radicals so it can inhibit pancreatic beta cell damage and stimulate insulin secretion.Methods: The study aim to analyze the effect of a combination of Morinda Citrifolia and Curcuma Longa in reducing blood glucose levels, increasing body weight and pancreatic histopathology in hyperglycemic mice. This type of research is an experiment with the Post Test Only Control Group. A total of 25 mice were divided into 5 groups namely PI (250 mg/dL), PII (500 mg/dL), PIII (750 mg/dL), K(+), and K(-). Blood glucose level was observed for 21 days followed by observation of pancreatic histopathology.Result: The results showed the percentage of glucose blood reduction occurred in the PI group (56.11%) and significantly different from negative controls (35.05%). There was no difference in body weight (p=0.7) and number of langerhans islet (p=0.360) in all treatment groups. The diameter of the Langerhans islet of the PI group (200.8 μm) was significantly different from the negative control (114.8 μm). (p<0.05Conclusion : The combination of Morinda citrifolia and Curcuma longa extract can reduce blood glucose levels and increase body weight but not be able to optimally repair pancreatic islet damage.]]>
<![CDATA[Analisis Spasial Faktor-Faktor yang Mempengaruhi Kejadian Tuberkulosis di Malang Raya Tahun 2020-2021 ]]>
<![CDATA[Olivionita, Vita]]>;
<![CDATA[Wardani, Hartati Eko]]>;
<![CDATA[Alma, Lucky Radita]]>;
<![CDATA[Gayatri, Rara Warih]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 1 : Februari 2024 ]]>
Publisher : <![CDATA[Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v9i1.19427
<![CDATA[Background: Indonesia is the second country with the highest TB burden in the world. The government continues to strive for TB prevention and control to reduce TB rates. One of the efforts that can help in the TB program is by utilizing a Geographic Information System (GIS)Methods: The study is an ecological study; GIS as an approach. Data was obtained from the Health Service in Malang Raya and the Central Bureau of Statistics’ websiteResult: Study results are the pattern of distribution of TB incidence that tends to be high occurs in areas that have low coverage of healthy houses, low coverage of houses with healthy lifestyle, high population density, low air temperature, high air humidity, and high rainfall.Conclusion : The pattern of distribution of TB incidence that tends to be high occurs in areas that have low coverage of healthy houses, low coverage of houses with PHBS, high population density, high air temperature, high air humidity, and high rainfall.]]>
