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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.
Arjuna Subject : -
Articles 229 Documents
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Strategi Penyandang Disabilitas dalam Mengakses Pangan dengan Keterbatasan Finansial di Kota Ambon Sopacua, Maria M
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 1: Februari 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.v10i1.13873

Abstract

Background: In Ambon, improving the quality of life of people with physical disabilities is still largely ignored by the local government and beyond. The gap is widening because they are stigmatized as “helpless”. This causes them to experience social discrimination and to be “othered”.  As a result, it is difficult to meet their financial needs and this affects how they access food.Methods: This research uses a qualitative method conducted on the people of Ambon City from February - April 2021. Data collection techniques used observation and in-depth interviews.Results: I interviewed seven male participants based on their experiences to look at the relationship between “disabled bodies” and food miles and how the two can be intertwined. Physical geographical constraints and unfriendly constructions for people with disabilities are barriers for them to reach food destinations. On the other hand, income insecurity also makes it more difficult for them to obtain good and safe food. However, this does not mean that they have no power. To reduce the inequality of food access, they do gardening or borrow money from relatives.Conclusion: The results of this study can inform that the local government's concern is not enough to help people with physical disabilities in accessing food, but also requires support from the environment and the community.
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.
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).
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 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
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.

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