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Jurnal Epidemiologi Kesehatan Komunitas

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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 208 Documents

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Faktor yang Berpengaruh terhadap Kegagalan Pengendalian Diabetes Melitus Tipe 2 pada Pasien yang Berobat di PT. Askes Cabang Sampit Kabupaten Kotawaringin Timur Diana Diana; Heri Nugroho; Suharyo Hadisaputro
Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 1: Februari 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Diabetes mellitus is a chronic disease characterized by blood glucose levels than normal, impaired metabolism of carbohydrates, fats and proteins caused by a deﬁciency of the hormone insulin relative or absolute. Control of blood sugar in people with DMT 2 is an essential requirement for delaying complications, in the community. DMT 2 risk factor is age, long- suffering, sex, education, socio-economic, knowledge, attitudes, practices, patterns of diet, obesity, how to take medication, exercise, family support, educate physicians and nutritionists. The purpose ofthe study describes some of the factors that inﬂuence the DMT2 control failure.Methods: The study used a case-control design is reinforced by the qualitative study. The number of respondents was 122, including 61 cases and 61controls taken by consecutive sampling. Analysis ofthe data using univariate, bivariate (chi-square) and multivariate (logistic regression).Results: Analysis of some factors that inﬂuence the attitude control DMT 2 (OR 34.4), exercise (OR 8.7), knowledge (OR 8,4), age (OR 5.9), family support (OR 5.2), how totake medication (OR 3.5). Various factors were not shown to signiﬁcantly affect the failure to control type 2 diabetes mellitus are: Long suffering, sex, smoking, education, socio-economic, diet, obesity, stress/depression, education of physicians and nutritionists.Conclusion: Several factors were shown to inﬂuence the incidence of DMT 2 control attitude, exercise, knowledge, age, family support, and how to take the medicine.

Faktor Risiko Kejadian Stroke Iskemik pada Penderita Diabetes Mellitus Tipe 2 (Studi Kasus di RSUP Dr Kariadi Semarang) Ratna Muliawati; Tjokorda Gde Dalem Pemayun; Suharyo Hadisaputro; Widiastuti Samekto; Hari Peni Juliati
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 1: Februari 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background : Stroke is the second leading cause of death and a major cause of long term disability. The prevalence of stroke in type 2 diabetes mellitus patients were increased. Diabetic patients have 3-4 times greater risk for ischemic stroke than non-diabetic. Information regarding risk factors for ischemic stroke in patients with type 2 diabetes mellitus is still limited. This study propose to determine risk factors of ischemic stroke in type 2 diabetes patients.Methods : Observational-analytic with case-control design study and qualitative data. Two groups of patients were include in this study, 48 ischemic stroke patient s with type 2 diabetes mellitus and 48 ischemic stroke without diabetes mellitus in Kariadi hospital, used by consecutive sampling. Data were collected by medical records and indepth interview. Data were analyzed by multiple logistic regression and content analysis.Results : Risk factors of ischemic stroke in patients with type 2 diabetes mellitus are hypertension (OR 5.42; 95% CI 1.40 to 20.93), fasting blood glucose levels ≥ 100 mg/dL(OR=2.72; 95%CI=1.13 to 6.56), and microalbuminuria (OR=10.92; 95%CI= 1.46 to 81.66). Age,sex, working status, cholesterol levels, triglycerid levels, HDL levels, LDL levels, total cholesterol/HDL ratio, triglyceride/HDL ratio, LDL/HDL ratio, and hyperuricemia are not statistically significant as a risk factors of ischemic stroke in type 2 diabetes mellitus patients. Conclusion: Hipertension, fasting blood glucose levels ≥ 100 mg/dL and microalbuminuria are significantly risk factors of ischemic stroke in type 2 diabetes mellitus patients. Microalbuminuria is the most dominant risk factor in stroke patients with type 2 diabetes mellitus.

Faktor Somatogenik, Psikogenik, Sosiogenik yang Merupakan Faktor Risiko Kejadian Skizofrenia Usia < 25 Tahun (Studi di Kecamatan Kepil Kabupaten Wonosobo) Dhian Ika Prihananto; Suharyo Hadisaputro; Mateus Sakundarno Adi
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 2: Agustus 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Schizophrenia is a clinical syndrom of several disturbing psichological condition, involving process of thinking, emotion, perception, and attitude. Risks factors contributing to the appearance of schizophrenia <25 years old are factors of somatogenic, psychogenic, and sociogenic. The aim of the reaearch was to povide evidence that factors of somatogenic, psychogenic, and sociogenic are contributing factors to schizophrenia <25 years old.Methods: This research is a research of mix method, design of case-control study reinforced by indepht interview. The population of study was people with schizophrenia <25 years old in Kepil Subdistrict, Wonosobo Regency. The sample consisted of 55 cases and 55 controls based on consecutive samplung. The research instrument was guided interview. Data were then analyzed using chi square (univariate, bivariate) and logistic regression (multivariate).Result: Contributing factors to risk factors of schizophrenia observed on people <25 years old are family with schizophrenia (OR=8,016; 95%CI=2,342-27,433; p=0,001), bad temper (OR=3,223; 95%CI=1,159-8,961; p=0,025), early deprivation (OR=5,356; 95%CI=1,180-24,309; p=0,030), experiencing stress (OR=5,451; 95%CI=1,739-17,083; p=0,004), low social development (OR=3,363; 95%CI=1,072-10,552; p=0,038), low economic condition (OR=5,294; 95%CI=1,696-16,524; p=0,004).Conclusion: Somatogenic factor that proved to be a risk factor for schizophrenia <25 years old is having a family history of schizophrenia, has a bad temper. Psychogenic factors are experiencing early deprivation, experiencing stress. Sociogenic factor is bad social development, low economic level.

Beberapa Faktor Risiko Gizi Kurang dan Gizi Buruk pada Balita 12-59 Bulan (Studi Kasus di Kota Pontianak) Dedi Alamsyah; Maria Mexitalia; Ani Margawati; Suharyo Hadisaputro; Henry Setyawan
Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 1: Februari 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Moderate and severe malnutrition cases in Pontianak City increases each year although a nutritional improvement program has been held by the Health Department of Pontianak City.Method: The type of research was observational using the quantitative study design of case control study and the qualitative study through in-depth interview (mixed method). The number of samples was 80 people consisting of 40 people from case and 40 people from control. Assessment of nutritional using anthropometry measurement based on weight for height. Height measurement using microtoise and measure weighting scale.Results: The multivariate analysis found 2 variables signiﬁcantly associated with the prevalence of moderate and severe malnutrition in children under ﬁve years old aged 12-59 months, i.e.: poor of attitude toward food (OR = 6.980) and poor environmental health (OR =5.033). There were 9 variables which were not associated with nutritional status, not given exclusive breastfeeding, energy intake is less, protein intake is less, frequency of Severe Acute Respiratory Infection equal to over three times in the last two months, frequency of diarrhea equal to over three times in the last two months, low monthly family income, number of children more than two, low mother's education, and frequency of watching TV more than two hours a day.Conclusion: Based on the results above, it can be concluded that the risk factors associated with the prevalence of moderate and severe malnutrition are poor of mother's attitude toward food is poor health and poor environmental.

Faktor Risiko Kejadian Diare Akut pada Anak Balita (Studi Epidemiologis di Puskesmas Baamang Unit I Kabupaten Kotawaringin Timur) Herry Poernomo; Mexitalia Setiawati; Suharyo Hadisaputro; Kamilah Budhi; Mateus Sakundarno Adi
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 2: Agustus 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background : Report from UNICEF, WHO data in 2010, there was 801.000 children aged under five was died because of diarrhea. Diarrhea cases in children aged under five in East Kotawaringin District in 3 years ago (2010-2012) increased significantly: 14,6% (2010),17,0% (2011) and 18,6% (2012), while diarrhea in 2013 decreased about 9,3%, but causing 6 deaths in children aged under five with Crude Fatality Rate (CFR) about 0,17%. Host and environment factors (age of children, exclusive breastfeeding, nutritional status, caregiver education level, caregiver knowledge level, personal hygiene, types of water facilities, types of drinking water, physical condition of latrine, chewing the food, the level of family income) are closely related to acute diarrhea. Covered: healthy house 37,32%, use of clean water facilities 65,12%, family latrine 41,3%. The purpose of this research is to explain some of hostand environment factors which is risk factors to acute diarrhea in children aged under five. Methods : This research was an observational study using case control design. Sample case are 43 children aged under five who seek treatment suffer from acute diarrhea in Public Health Centre of Baamang Unit I in East Kotawaringin District. Sample control are 43 children aged under five who seek treatment do not suffer from acute diarrhea in PublicHealth Centre of Baamang Unit I in East Kotawaringin District with consecutive sampling.Results : Age of children < 2 years (aOR=2,617; 95%CI=1,063-6,444; p=0,036); types of water facilities was not from PDAM (aOR=2,892; 95%CI=1,173-7,127; p=0,021) was risk factors to acute diarrhea with probability event together amounted was 73,6%.Conclusion : The risk factors to acute diarrhea in children aged under five was aged < 2 years and type of water facilities was not from PDAM.

Faktor-Faktor yang Mempengaruhi Kejadian Kusta Pasca Kemoprofilaksis (Studi pada Kontak Penderita Kusta di Kabupaten Sampang) Elhamangto Zuhdan; Kabulrachman Kabulrachman; Suharyo Hadisaputro
Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 2: Agustus 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background : Leprosy (Morbus Hansen) is a chronic infectious disease caused by the bacterium Mycobacterium leprae. This disease is a type of granulomatous disease in the peripheral nerves and mucosa of the upper respiratory tract; and skin lesions are signs that can be observed from the outside. If left untreated, leprosy can be very progressive, causing damage to the skin, nerves, limbs, and eyes.Methods : This research used case control study design 248 subjects selected by simple random sampling. The variables studied were age, sex, education level, occupation, BCG vaccination status, nutritional status, open wound history, chemoprophylaxis drug adherence, family economic condition, personal hygiene and home conditions. Data were analyzed using chi square test for bivariate test and multiple logistic regression.Results : Duration of contact with patient (p=0,050; OR=1,88; 95%CI=1,000-3,534), BCG vaccination status (p=0,014; OR=2,12; 95% CI=1,161-3,881), nutritional status less (p=0,000; OR=6.01; 95%CI=3,188-11,331), open wound (p=0,002; OR=0,37; 95%CI=0,200-0,699), economic condition of low income family (p=0,000; OR=3.07; 95% CI=1,653-5,715). poor personal hygiene (p= 0.001; OR= 2.99; 95% CI= 1.583-5.569).Conclusion : Factors that have been proven to have an effect on the incidence of leprosy after chemoprophylaxis are low education level, ≥1 year contact duration, poor nutritional status, poor family income economic condition and poor personal hygiene. Factors ≥1 year contact duration, no grated BCG vaccination status, poor nutritional status, history of open wounds, poor family income economic condition and poor personal hygiene have probability of incidence leprosy were 90%.

Faktor Risiko yang Mempengaruhi Kepatuhaan Terapi Antiretroviral (ARV) pada Pasien HIV/AIDS di RSUD Abepura Jayapura Konstantina Pariaribo; Suharyo Hadisaputro; Bagoes Widjanarko; Muchlis Achsan Udji Sofro
Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 1: Februari 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: HIV/AIDS is a major problem in many countries. Antiretroviral (ARV) has become the solution for preventing the pandemic disease. This research aimed to ﬁnd out risk factors, which affected the HIV/AIDS patients adherence to the antiretroviral (ARV) therapy. The research took place at RSUD Abepura in Jayapura.Method: The research applied an analytical observational design with a case control, which was supported by qualitative data. There were 86 respondents involved, consisting of 43 case and 43 control respondents. Samples collection used a Simple Random Sampling. Instruments used for this study were questioners and indepth interviews. Data analysis included univariate and bivariate analyses using a chi-square test. In addition, it also performed a multivariate analysis using logistic regression test.Results: The research found three risk factors that affected the HIV/AIDS patients adherence to ARV: occupation (p = 0.005; OR = 4.472; 95% CI = 1.633-12.245), inaccessibility to health care center (p = 0.008; OR = 3.675; 95% CI = 1.476-9.146), lacking family supports (p=0.013; OR =3.606; 95% CI = 1.398-9.146). Other factors, sex, age, knowledge, apathetic manner,side-effect history, therapeutic tenure, ethnic background, counseling personnel, health care provider attitude, religious approach, alternative medicine intake, and herbal medicine use, did not have signiﬁcant affects.Conclusion: Factors that affected the ARV therapy adherence were occupation, inaccessibility to health care center, and lacking family supports.

Faktor yang Mempengaruhi Kepatuhan Bidan Desa Melaksanakan Rujukan Kehamilan Risiko Tinggi (Studi Kasus di Kabupaten Kudus) Stanislaus Kristiyanto; Henry Setyawan; Ariawan Soejoenoes; Suharyo Hadisaputro; Budi Palarto
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 1: Februari 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Pregnancy is a high risk of having a high probability of experiencing maternal mortality events. In the procedure management of high risk pregnant women, midwives are required to perform high-risk pregnant women referral to higher care unit. The purpose of this study was to determine some of the factors that affect adherence midwives in performing high-risk pregnancy referrals.Methods: The study was observational analytic cross-sectional design. Sampling proportionate stratified random sampling. Total sample is 60 midwives. The research instrument was a questionnaire. Data analysis using univariate, bivariate (chi-square) and multivariate (logistic regression).Results: The variables that proved influential is the detection of high-risk pregnancy competence good (PR = 0.2; p = 0.023) and age midwife more than 28 years (PR = 0.2; p =0.024). Variables that are not proven effect is the level of education, years of service, supervision supervisor, employment status, work motivation, perceptions of workload, perceived benefits, leadership perceptions and perceptions of the profession midwife.Conclusion: Factors that influence the adherence proved midwives carry out the referral of high-risk pregnancy is high risk pregnancy detection competence good and village midwives age more than 28 years with a probability of 66.0% to obey.

Beberapa Faktor yang Berpengaruh terhadap Kejadian Diabetes Mellitus Tipe 2 pada Wanita Usia Subur (WUS) di RSUD Kota Madiun Hanifah Ardiani; Suharyo Hadisaputro; Djoko Trihadi Lukmono; Heri Nugroho; Antono Suryosaputro
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 2: Agustus 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background : Women of reproductive age with Diabetes Mellitus (DM) who were married having a risk complications of pregnancy, either on mother and her baby. Study on risk factors of DM in women of reproductive age was a rare, they have never done on women of reproductive age that married. The objective of this study was to prove some variables that inﬂuence to DM in women of reproductive age.Method : An observasional analytic was conducted with case-control study design. Populations in this study were women of reproductive age 20-49 years that check blood sugar at Madiun Regional Hospital. The samples in this study were 54 cases and 54 controls by consecutive sampling. Data were analyzed by chi-square and logistic regression.Results : Women of reproductive age with 2 and 3 quartile stress scores had risk 4,12 (95% CI=1,42-11,92) and 5,64 (95% CI=1,19-16,55) greater for DM than the comparison group. Women of reproductive age with physical activity <600 MET had risk 4,33 times greater for DM than ≥ 600 MET (95% CI = 1,71-10,96).Conclusion : Variables levels of carbohydrate and fat consumption were not associated with DM. Physical activity and stress levels were evident inﬂuece DM occurence in women of reproductive age.

Faktor Risiko yang Berpengaruh terhadap Terjadinya Hipertensi pada Penderita Diabetes Melitus Tipe II di Wilayah Puskesmas Kabupaten Pati Gracilaria Puspa Sari; Shofa Chasani; Tjokorda Gde Dalem Pemayun; Suharyo Hadisaputro; Heri Nugroho
Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 2: Agustus 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: The prevalence of hypertension in type 2 diabetic patients is 1,5-3 times higher than it is in nondiabetic individuals This chronic condition accelerates macrovascular complications. Research about risk factors of hypertension in type 2 diabetic patients is still rare because its causes multifactorial. The objectives of this research is to explain the risk factors affecting hypertension in type 2 diabetic patients.Methods: An observational studies with case-control study design in Primary Healthcare Centers patients in Pati District. Patients with hypertension in type 2 diabetes are the case, while the type 2 diabetes patients without hypertension are the control. There were 57 cases and 57 controls included. Data were obtained from medical records and qualitative interviews. Chi-square test in bivariate and multiple logistic regression in multivariate analysis.Results: Factors that influence hypertension in type 2 diabetic patients were physical activity (OR=6,4; 95% CI: 2,18 - 18,77; p=0,001), diabetes duration ≥ 5 years (OR=5,4; 95% CI: 1,97 - 14,704; p=0,001), and medication adherence (OR=3,6; 95% CI: 1,32 - 9,83; p=0,012). Other risk factors i.e age ≥45 years, male, diet compliance, history of hypertension, smoking, salt consumption, coffee consumption, and sleep duration were not significantly influenced.Conclusion: In this study, physical activity, diabetes duration, and DM medication adherence are risk factors that influence of hypertension in type 2 diabetic patients.

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