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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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Kejadian Pertusis di Kelurahan Jatingaleh, Kecamatan Candisari, Kota Semarang Tahun 2024 Tristanti, Wita Istiqomah; Muh, Fauzi; Adi, Mateus Sakundarno; Martini, Martini; Suhartono, Suhartono
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.v10i3.26769

Abstract

Background: Pertussis is a respiratory disease caused by the bacteria Bordetella pertussis. In Semarang City, from 2022-2023, no cases of pertussis were found. On June 18, 2024, the Semarang City Health Office received a report of 2 pertussis suspects from the primary health center with complaints of coughing for two weeks accompanied by vomiting, and a "whoop" sound after taking a breath. The purpose of this epidemiological investigation is to comprehensively describe the incidence of pertussis in Semarang City in 2024 and prevent wider spread. Methods: The type of research in the investigation of pertussis incidents in Semarang City in 2024 is a descriptive case study. The population of this study were children aged 1 to 5 years who lived in the Karangpanas RW 1 Jatingaleh, Candisari, Semarang City. The sample of this study was children aged 1 to 5 years who were confirmed positive for pertussis. The variables studied were gender, history of coughing, vomiting, and DPT immunization. Data were collected through direct observation and interviews with parents/guardians. Data analysis is presented descriptively to determine the distribution of frequency of occurrence. Results: PCR results stated that both suspects were positive for Bordotella sp. bacteria. The highest attack rate value was respondents who did not have a history of DPT immunization. Conclusion: H and Y were confirmed as pertussis cases based on PCR examination. A history of never receiving DPT immunization was the cause of the highest attack rate in the pertussis incident in Semarang City in 2024.Keywords: Pertussis, immunization, children, Semarang.
Faktor Yang Mempengaruhi Ketidakpatuhan Minum Obat Antihipertensi di Wilayah Kerja Puskesmas Nguter Kabupaten Sukoharjo Sirait, Chronika Kesya; Adi, Mateus Sakundarno; Suhartono, Suhartono; Muh, Fauzi; Hudayani, Rina
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.v10i2.26705

Abstract

Background: Adherence to treatment is crucial for those with hypertension, particularly in order to avoid consequences. Although there is no treatment for hypertension, it must always be managed to prevent it from becoming worse and becoming a condition that can lead to death and disability.Methods: Studi case-control was used in this research. Patients with hypertension who had been diagnosed by a doctor in Nguter Sub-district constituted the study population. The total sample was 220 with a ratio 1:1. Accidental sampling was used in the sampling procedure according to the predetermined inclusion and exclusion criteria. Questionnaires were used to collect data. The chi square test was used for bivariat, and logistic regression for multivariate analysis.Result: Based on the results of the analysis, it was found that there were three factors that had a significant impact on the level of non-adherence of hypertension patients in taking medication in the Nguter District area: a low motivation to seek treatment (p=0,000), a lack of support from family (p=0,009), and a lack of active role of health workers (p=0,042).Conclusion: Treatment motivation is the most influential factor on non-adherence to taking antihypertensive medication (p= 0,000; OR= 3,49; 95% CI= 1,81–6,73).
Kepatuhan Diet dan Olahraga Pada Penderita Diabetes Mellitus Tipe 2 : Studi Kasus Kontrol di Puskesmas Tlogosari Wetan Janardani, Andini Talitha; Widjanarko, Bagoes; Sutiningsih, Dwi; Muh, Fauzi; Suwandi, Amad
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.v10i2.26703

Abstract

Background: Indonesia faces a triple burden of disease, with rising non-communicable diseases (NCDs) like diabetes mellitus (DM) increasing health costs and mortality. DM ranks among the top causes of death, especially in Central Java and Semarang. DM a chronic metabolic condition, is on the rise worldwide, including in Indonesia. This research examines dietary adherence in productive-age type 2 DM patients at Tlogosari Wetan Public Health Center, Semarang..Methods:  Case-control quantitative analytic observational research was used. The target population was 44,154 productive-age type 2 diabetes mellitus patients in Tlogosari Wetan Public Health Center's operating region in 2023. Total 21 respondents, 108 diabetic diet adherent and 108 non-adherent patients were involved in this study. Univariate, bivariate, and multivariate analysis were used.Result: Based on multivariate analysis, it was found the knowledge (OR 4.05 p-value 0.000), self-motivation (OR 2.49 p-value 0.007), perception (OR 5.48 p-value 0.000), participation in nutrion counseling (OR 2.45 p-value 0.013), and the role of health workers (OR 2.37 p-value 0.012) are significant risk factors influencing dietary adherence among productive-age individuals with diabetes mellitus at Tlogosari Wetan Public Health CenterConclusion : Non-adherence among patients with diabetes mellitus is influenced by various factors including lack of knowledge, low motivation, economic constraints, and limited family support. Improving patient education, increasing healthcare support, and engaging families are important strategies to improve adherence and health outcomesKeywords : diabetes mellitus; diet; compliance, exercise
Analisis Masalah Kesehatan Pada Program Hipetensi di Dinas Kesehatan Kota Kediri Tahun 2024 Sari, Maulidina; Wahyuni, Chatarina Umbul; Rahayu, Tiwuk Puji
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.v10i2.24478

Abstract

Background: The prevalence of hypertension in Indonesia in 2023 reached 30.8%, but only 18.9% of cases were under control, still below the national target of 63%. In Kediri City, although the coverage of hypertension services reached 100%, only 33% of patients managed to control hypertension. This study aims to identify problems, determine priorities, analyze causes, and formulate alternative solutions for hypertension programs.Methods: This descriptive observational study was conducted from July 8 to August 2, 2024. The study subjects were 30 people consisting of staff of the Health Office, Puskesmas and health cadres in Kediri City. Data were collected through brainstorming, in-depth interviews, and document studies. Problem prioritization was conducted using Urgency, Seriousness, Growth (USG) method, root cause analysis using epidemiological model, and alternative solutions using CARL (Capability, Accessibility, Readiness, Leverage) methodResults: Prioritization with the USG method that has the highest score is the low achievement of controlled hypertension. In 2023, the achievement in Kediri City was 33% increasing to 48% in January-June 2024, but still below the national target of 90%. The South Region health center has the lowest achievement of 31.8%. The main causes are low patient participation in routine control, high workload of health workers, and lack of family support. Alternative solutions include routine socialization, family assistance, and monitoring of control schedules through WhatsApp groups.Conclusion: The Kediri City Health Service is expected to conduct socialization with family support assistance. Keywords: Controlled Hypertension, Kediri, Problem Analysis.
Faktor-Faktor yang Berhubungan dengan Ketidaklengkapan Imunisasi Dasar Pada Anak Umur < 5 Tahun di Kotamadya Viqueque, Timor Leste Pinto, João Menezes; Sutiningsih, Dwi; Adi, Mateus Sakundarno; Muh, Fauzi; Martini, Martini
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.v10i2.26748

Abstract

Background: Immunization is an effective way to prevent infectious diseases in children through vaccination, there are still some children aged <5 years in Viqueque Municipality who have not received complete basic immunization, the purpose of this study is to determine the determinants of incomplete basic immunization in children aged <5 years in Viqueque Municipality, Timor Leste.Methods: Observational analysis was used in this study with cross-sectional design. All parents/caregivers of children <5 years were the research subjects, the sample was obtained by accidental sampling technique, the independent variables were education, knowledge, distance to health facilities, place of born, parenting and ownership of LISIO, the dependent variable was incomplete basic immunization, data collection through interviews from the results of validity and reliability test of the questionnaire. Analysis using Chi-square test and multiple logistic regression.Results: The results showed that the variables of knowledge (p-value 0.001), distance to health facilities (p-value 0.027), place of birth (p-value 0.000) and ownership of LISIO (p-value 0.004) were associated with incomplete primary immunisation. The most influential variable was place of birth (OR=6.52, 95%CI:3.23-13.17), followed by knowledge (OR=2.91, 95%CI:1.50-5.61) and distance to health facilities (OR=2.74, 95%CI:1.22-6.14).Conclusion: The variables of place of birth in non-health facilities, distance from health facilities and low knowledge affect the incompleteness of basic immunisation of children, the importance of health education and promotion by health professionals in the community to give birth in health facilities and community participation in all health service programmes in the community.  
Utilization of Kenar (Kleinhovia Hospita) Leaf Extract as Eye Drops in the Treatment of Malaria: A Case Study in Manusa Village LATTU, JOMA CHYNTIA; Adi, Mateus Sakundarno; Sutiningsih, Dwi
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.v10i2.26688

Abstract

Background: Malaria remains a public health challenge in eastern Indonesia, especially in remote areas like Manusa Village, where access to healthcare is limited. The community relies on traditional treatment using eye drops made from Kenar leaves (Kleinhovia hospita L.). The purpose of this study is to explore, from an epidemiological perspective, the use of Kenar leaves as a primary component in the formulation of traditional malaria remedies within the community of Manusa Village is lacking.Methods: This study employed a quantitative descriptive design with a cross-sectional approach. Data were obtained through structured questionnaires and phytochemical analysis of Kenar leaves. A total of 102 respondents voluntarily participated in the study.Results: Among respondents from 102 respondents, 67,6% had experienced malaria, and 68,6% reported using Kenar leaf eye-drops. Use was significantly associated with prior malaria history (POR = 15,057; p < 0,001) and age group 26-45 years (POR = 17,813; p < 0,001). Conversely, respondents with current malaria symptoms were less likely to use the drops (POR = 0,042; p = 0,002). Twice-weekly use was associated with better recovery outcomes (POR = 0,168; p = 0,003). The majority (84,3%) reported mild side effects, such as transient eye irritation. Phytochemical analysis confirmed the presence of alkaloids, flavonoids, steroids, and tannins compounds with known antimalarial properties.Conclusion: This study provides new evidence linking traditional knowledge and community-based practices with malaria self-treatment, highlighting implications for health promotion strategies.
Diet – Related Risk Factors for Incident Hypertension in Malawili, Sorong, West Papua, Indonesia Asmuruf, Mersy Marselina; Martini, Martini; Setyawan, Henry; Widjanarko, Bagoes; Musthofa, Syamsulhuda Budi
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.v10i2.22173

Abstract

Backgrounds:Hypertension sufferers in Aimas District in 2022 (31,3%) due to unhealthy lifestyle consumption behavior, namely liking or often eating stir-fried vegetables (water spinach, cassava leaves), fried fish or cooked in yellow sauce and sports or physical activity less than 150 minutes/week. in addition to supporting factors of a hereditary history of hypertension.Methods: The study used cross-sectional quantitative Observational and deskriptive analytic by non-random sample accidental sampling. In total, 200 populations (100 cases) were included in the study. Variable were fruit & vegetable diets, unhealthy fatty food, alcohol and cigarette consumption, and exercises. Data wereResult: Variables contribute to hypertensions were; Poor vegetable consumption behavior (53,0%) analysed Univariad, Consume vegetables (p= 0,019), Excessive fat consumption (p= 0,004), Exercise (p= 0,007), body mass index (p= 0,029); Genetic (p= 0,002); Cholestrol (p= 0,004); Stir-fry water spinach (p= 0,000); and . Hence, fruits, alcohol & cigarette consumptions were not correlated as contributing factors for incident hyperthension (p= 0,396; p-value=0,228; p-value=0,767).Conclusions: Risk factors for hypertension could be controlled and/or avoidable through healthy diet and lifestyle especially for those with unavoidable hereditary risk factorsKeywords : Behavior,Healthy,Consumption Hypertension
Analisis Determinan Kejadian Hipertensi : Studi di Wilayah Urban Kabupaten Wonogiri Latar, Zulfikar Sakti; Suhartono, Suhartono; Martini, Martini; Harriyani, Ika
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.v10i3.26828

Abstract

Background: Hypertension, known as the silent killer, has a morbidity rate of 40% in developing countries, with Indonesia reporting a prevalence of 34%. Urban areas show the highest rates. In 2018, the prevalence of hypertension in Wonogiri Regency was 45.9% (Riskesdas). In 2023, data from the Wonogiri Health Office recorded 69,663 urban and 48,223 rural hypertension cases. The objective of this study is to identify key determinants contributing to the prevalence of hypertension in urban communities within Wonogiri Regency.Methods: This was a non-experimental quantitative study with a case-control and survey design. A total 175 cases : 175 controls aged 15–65 years were selected using multistage random sampling. Analyze data using Chi-square and multiple logistic regression tests.Results: the study found Significant factors associated with hypertension included: family history of hypertension (OR 5,6; 95% CI: 3,2–9,6), age ≥ 45 years (OR 3,9; 95% CI: 2,2–6.8), low education level (OR 2,8; 95% CI: 1,6–4,8), frequent consumption of salty foods (OR 2,6; 95% CI: 1,5–4,4), obesity (OR 2,4; 95% CI: 1,4–4,3), and low physical activity (OR 1,9; 95% CI: 1,2–3,0). The R² value of 0.404 indicates that these variables contribute 40.4% to the incidence of hypertension in urban areas, while the remaining 59.6% is attributed to other factors not examined in this study.Conclusion: The risk of hypertension in the urban areas of Wonogiri Regency is significantly associated with having a family history of hypertension, being aged ≥ 45 years, low educational level, frequent consumption of salty foods, obesity, and low levels of physical activity.
Analisis Ditribusi Spasial Kasus Tuberkulosis Di Wilayah Denpasar Timur Dengan Pendekatan Sistem Informasi Geografis Budiartana, Wayan; Mulana, Viktorinus Alfred Saptiono; Farmani, Putu Ika
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.v10i3.24173

Abstract

Background: The East Denpasar area has shown an increasing trend in TB cases from 2021 to 2023, with a significant rise noted in 2023. This study aims to analyse the spatial distribution of TB cases in East Denpasar using a Geographic Information System (GIS).Methods: The descriptive quantitative with a GIS approach conducted using 68 patients, focusing on socio demographic variables, TB classification, treatment outcomes, and treatment history. TB case data in East Denpasar for 2023 was collected from two PHC of East Denpasar and analysed by ArcMap. The analysis includes colour gradient maps, dot maps, and graphic maps. The study identifies, and maps high-cluster locations of TB cases based on treatment history and outcomes.Result: The characteristic responden are private employees (42,65%), 26-45 y.o (47,06%), and female (52.94%). The colour gradient map analysis shows that Kesiman Kertalangu has the highest distribution. Based on the dot map, a high concentration is seen in Kesiman Kertalangu and Penatih. The graphic map analysis shows a comparison of TB treatment history, where most patients are new patients, and a comparison of treatment outcomes shows that most patients have recovered.Conclusion: This study concludes that the productive age group (26-45 years) and private employees are the most vulnerable population to TB. Kesiman Kertalangu has the highest number of TB cases, with a higher distribution of pulmonary TB compared to extrapulmonary TB. This area also has the highest number of new patients and patients who have not completed treatment.
Determinan Kejadian Loss to Follow Up Pengobatan Antiretroviral (ARV) Pada Pasien HIV/AIDS di RSUD Khidmat Sehat Afiat Kota Depok Tahun 2025 Putri, Novia Fatmawati; Tanesib, Amran Julianto; Herdayanti, Mila
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.v10i3.26901

Abstract

Background: RS “X” Depok City recorded that around 13,054 people living with HIV (PLWHA) have accessed antiretroviral (ARV) services until 2025. However, until now there has been no research related to Lost to Follow Up (LTFU) in Depok City Hospital “X”. Research is needed to determine the determinants of the incidence of LTFU of ARV treatment, especially in HIV/AIDS patients at “X” Depok City Hospital.Methods: T This study used a quantitative approach with a cross-sectional design. The population in this study were all patients who had accessed ARV treatment services at “X” Hospital in Depok City in 2024. The sample in this study was 312 PLWHA obtained using simple random sampling technique. The dependent variable in this study was the incidence of LTFU, while the independent variables included age, gender, place of residence, referral origin, duration of ARV consumption and population group. Data were analyzed using univariate, bivariate and multivariate analysis with p<0.05 and 95% confidence level.Results: The results showed that 44.2% of HIV/AIDS patients at RS “X” Depok City experienced LTFU. The variables of residence and referral origin were significant predictors of the incidence of LTFU in HIV/AIDS patients at RSUD “X” Depok City.Conclusion: There needs to be assistance for HIV/AIDS patients who live in Depok City and HIV/AIDS patients who come alone without a referral so that they can continue to undergo ARV treatment continuously.Keywords: Antiretroviral, HIV, AIDS, Loss to Follow Up

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