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Jurnal Epidemiologi Kesehatan Komunitas
Published by Universitas Diponegoro
ISSN : -     EISSN : 26154854     DOI : -
Core Subject : 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 229 Documents
Factors Contributing to Rising Diabetes Cases in Indonesia: Insights from the 2023 Indonesian Health Survey S.K.M., M. Epid., Mivtahurrahimah; Sevtiyani, Imaniar
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.v10i3.28184

Abstract

Background: The 2023 Indonesian Health Survey (SKI) revealed an increase in diabetes mellitus (DM) prevalence among individuals aged ≥15 years from 2.0% in 2018 to 2.2% in 2023, potentially linked to post-COVID-19 lifestyle changes. This study explored factors contributing to the rising diabetes cases in Indonesia using 2023 SKI data.Methods: This cross-sectional study utilized aggregate data from the 2023 SKI, collected between March and May 2025. The study selected 34,500 census blocks using proportional stratified sampling. Data collection involved interviews and physical examinations. Spearman's correlation and linear regression identified diabetes-related risk factors.Result: Positive correlations were found between DM and daily smoking, former smoking, high-fat food consumption, body weight monitoring, telemedicine use, and obesity. Negative correlations were observed for occasional smoking exposure, tobacco use, sweet food consumption, and normal nutritional status. Physical activity showed no significant association. Multivariate analysis revealed that individuals with blood pressure checks less than once a year had an 8.63-fold higher DM risk. Telemedicine use, low-frequency starchy tuber intake, and BPJS PBI membership were associated with increased risk, while nut consumption (1–6 times/week) reduced the risk by 26%.Conclusion : Behavioral and healthcare access factors significantly influenced diabetes risk. Smoking, unhealthy diet, and limited health monitoring increased this risk. Further research using individual-level data is recommended to better understand these associations and inform targeted interventions.Keywords: Diabetes prevalence, Risk factors, Indonesian Health Survey 2023, Lifestyle Behaviors, Healthcare access.
Analisis Faktor Risiko Kejadian Diabetes Melitus Tipe 2 Di Wilayah Kerja Puskesmas Miroto, Kota Semarang Seleky, Resty Natasya; Muh, Fauzi; Martini, Martini; Lattu, Joma Chyntia
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.v10i3.27919

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a growing global health concern. In Semarang City, the prevalence increased from 5.97% to 6.58% between 2023 and 2024 at Miroto Public Health Center, with Miroto Subdistrict having the highest rate (6.44%). Identifying dominant risk factors is essential for targeted prevention..Methods: A cross-sectional study was conducted among 107 respondents aged ≥30 years using accidental sampling. Data were collected through structured questionnaires. The dependent variable was T2DM incidence (diagnosed by health professionals), while independent variables included age, sex, BMI, blood pressure, history of hypertension and heart disease, smoking, alcohol use, physical activity, and dietary habits. Bivariate analysis was conducted using Chi-square tests, followed by multivariate analysis using binary logistic regression. Prevalence Odds Ratios (POR) and 95% confidence intervals were reported.Result: Significant associations were found between T2DM and history of hypertension (POR=11.389), physical activity duration <30 minutes (POR=8.167), and smoking (POR=2.688). These variables remained significant in the multivariate model, indicating their dominant influence.Conclusion : Modifiable factors such as hypertension, low physical activity, and smoking are key contributors to T2DM in this urban setting. Integrated community-based interventions including hypertension screening, structured exercise programs, smoking cessation support, and dietary education should be strengthened at the primary care level. Future research should consider longitudinal approaches to better establish causality and explore sociocultural determinants.
Hubungan Perokok Aktif Dan Pasif Terhadap Risiko Hipertensi Pada Remaja Laki – Laki Di Wilayah Pedesaan Kabupaten Buton Tengah : Cross Sectional Study Nurbaiti, Nurbaiti
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.v10i3.28387

Abstract

Background: According to the 2023 Basic Health Survey (Riskesdas), 7.4% of adolescents aged 10–18 years were classified as active smokers, with a higher prevalence in rural areas. This study contributes scientifically by focusing its analysis on male adolescents in rural areas, as they constitute a high-risk population that is rarely the subject of research on hypertension risk factors.Methods: This study is an analytical observational study with a cross-sectional design, which aims to determine the relationship between exposure and disease incidence. The study sample totalled 78 respondents selected from a total population of 352 students. The sampling technique used was probability sampling with systematic random sampling method. Data analysis was conducted using non-parametric test, namely Spearman's rho test.Result: The results showed a Spearman correlation coefficient value of ρ = 0.567 (p = 0.000) in active smokers, while in passive smokers the correlation value was higher at ρ = 0.736 (p = 0.000). So that both active and passive smokers have a significant relationship with the incidence of hypertension. However, the correlation between passive smoking and hypertension is stronger than that of active smokers, indicating that indirect exposure to cigarette smoke also has a serious impact on the incidence of hypertension.Conclusion : Cigarette smoke exposure, particularly passive smoking in rural households, strongly correlates with adolescent hypertension, highlighting the need for targeted prevention and smoke-free policies involving families, schools, and policymakers.Keywords: Active smoking; Passive smoking; Adolescent males; Rural; Hypertension
Profil Morbiditas Pasien Lansia Di Kota Bandar Lampung : Studi Cross Sectional Multicenter Windari, Nurul Irna; Dirga, Dirga; Hidayaturahmah, Rizky; Rooswita, Putri Amelia
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.v10i3.25567

Abstract

Background: The elderly population in Indonesia has increased, including Lampung Province. Total 97.5% of elderly experience at least one chronic disease and experience multimorbid conditions whose prevalence increases with age. Only 57.7% of elderly with chronic diseases had examinations at least once every 6 months. This research is an effort to study the morbidity profile in a group of elderly patients which can be used as basic data to help planning health services.Methods: A descriptive, cross-sectional multicenter observational study with purposive sampling was conducted at three hospitals in Bandar Lampung. This study involved elderly people with chronic diseases who were undergoing outpatient treatment and met the inclusion criteria, namely age ≥ 60 years, had complete medical records, have filled out informed consent, and can communicate verbally in Bahasa. Data analysis were carried out descriptively.Result: The majority of elderly patients are pre-elderly 60.21%, male 52.25%, unemployed 77.85%, primary/junior high school education 56.06%, married 96.19%, had BPJS insurance 69.20% and low income 58.48%. The profile of morbidity were Congestive Heart Failure (CHF) 33.00%, diabetes mellitus 14.30%, hypertension 12.58%, Chronic Kidney Disease (CKD) 7.48% and stroke 5.78%. Elderly patients predominantly had 73.70% comorbidities and total 60.21% were within the normal BMI range.Conclusion : High morbidity in elderly patients requires treatment efforts to minimize it and prevent mortality. Efforts need to be made to suppress risk factors for chronic disease in the elderly.
Pengaruh Makanan Dan Minuman Probiotik Terhadap Penanganan Diare Pada Anak : Tinjauan Sistematis Marisa, Marisa; Hijratul, Disa; Firdaus, Zaskia Amirosa; Cicelia, Christara; Nur, Fatima; Firdaus, Ghina; Arfi, Alzikra
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.v10i3.26883

Abstract

Background: A study in Vietnam showed that consumption of probiotic beverages reduced the incidence of diarrhea in children from 7.9% to 4.9%, with OR = 0.60 (95% CI: 0.35–1.01; p = 0.068). The risk of diarrhea was also significantly reduced in the probiotic group (75.6%) compared to the placebo group (95.0%; p < 0.001). This indicates that probiotic beverages and foods significantly reduce the incidence of diarrhea in children.Methods: The databases used by the researchers were PubMed, Scopus, and Web of Science Database. The search and selection process was carried out using inclusion and exclusion criteria in accordance with PRISMA, resulting in 10 articles with the keywords (Probiotics OR food) AND diarrhea AND children.Result: A study in Vietnam showed that consumption of probiotic beverages reduced the incidence of diarrhea in children from 7.9% to 4.9%, with OR = 0.60 (95% CI: 0.35–1.01; p = 0.068). A study in the Congo using probiotic RUTF showed a reduction in the duration of diarrhea from 6.68 days to 4.11 days. The risk of diarrhea was also significantly reduced in the probiotic group (75.6%) compared to the placebo group (95.0%; p < 0.001). This indicates that probiotic beverages and foods significantly reduce the incidence of diarrhea in children.Conclusion : This systematic review concludes that probiotic foods and beverages are effective in treating diarrhea in children. Further research is needed to evaluate the effectiveness of traditional Indonesian foods containing probiotics, such as tempeh, tape, dadih, and others, in treating diarrhea in children.
Pengaruh Iklan Makanan dan Minuman di Berbagai Media Terhadap Preferensi dan Konsumsi Makanan Anak-Anak: Tinjauan Sistematis Rahma, Aurellia; Yarna, Nafisah Shakira Putri; Rahma, Nurul; Maulaya, Najmah; J, Dea Fadhillah Ramanda; Yunaningsih, Septia; Pulungan, Rafiah Maharani
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.v10i3.26881

Abstract

Background: Advertising exposure that directly or indirectly targets children as consumers can influence children's food preferences, especially for unhealthy foods and beverages. This systematic review was conducted to determine the effect of exposure to food and beverage advertisements on children's consumption preferences.Methods: A systematic review was conducted to determine the effect of exposure to food and beverage advertisements on children's consumption preferences. Article extraction was conducted on three databases (PubMed, Science Direct, Wiley), resulting in 11 articles for analysis.Result: As a result, children who watch TV >1.5 hours/day tend to choose cariogenic foods (OR=2.38). Food and beverage advertisements influence children's preferences in consuming unhealthy food and beverages, through the images and labels in the advertisement.Conclusion: Therefore, there is a need for regulations governing content standards in advertisements. Further research on the relationship of advertising airtime with children can be conducted to find out more about the aspects of advertising influence on children's food preferences.
Gambaran Kasus Gondongan pada Siswa SD Normal Islam Samarinda Wardani, Nunuk Kusuma; Saputri, Deby Indah; Nugraha, Purwa; Nozomi, Alwan Zakki; Noor, Muhammad; Wisnuwardani, Ratih Wirapuspita; Pakki, Irfansyah Baharuddin
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.v10i3.25482

Abstract

Background: Mumps is a contagious disease caused by paramyxovirus infection that primarily affects children and adolescents. In 2024, a surge of mumps cases was reported in Samarinda, particularly at Sekolah Dasar Normal Islam Samarinda. This study aimed to describe the characteristics of mumps cases based on age, sex, and epidemiological distribution at the school during October–November 2024.Methods: This descriptive observational study utilized primary and secondary data. Purposive sampling was applied to include students who met the clinical diagnostic criteria for mumps, identified through school health reports and direct observation. Data collection covered number of cases, age, sex, symptoms, and transmission patterns. Analysis was performed descriptively using Microsoft Excel. A total of 78 students were identified with mumps symptoms. The index case was reported on October 3, 2024, in a male fifth-grade student presenting parotid gland swelling, fever, and history of close contact within the past 25 days.Results: The majority of cases occurred among male students (61.5%), particularly those in grades 5 and 6, with 11 years old being the most affected group. The most common clinical manifestations included fever and parotid gland swelling. Notably, none of the students had received the MMR vaccination. The epidemic curve showed a sharp increase in October 2024, followed by a decline in November, with an overall attack rate of 12.5%.Conclusion: Low immunization coverage, overcrowded classrooms, and delays in early detection played a significant role in facilitating transmission within the school. Strengthening vaccination programs, implementing health education, improving hygiene protocols, and ensuring early isolation of suspected cases are recommended to control and prevent further mumps outbreaks in school settings. Keywords: Mumps; epidemiology; imunization; disease prevention; school children
Analisis Mutu Pelayanan dengan Kepuasan Pasien Rawat Jalan di UPT Puskesmas Sangatta Utara (Studi : Potong Lintang) Noriah, Noriah; Adrianto, Ratno; Ramdan, Iwan Muhamad
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 4: November 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.v10i4.28333

Abstract

Background: Health service quality reflects how well services meet patient satisfaction as it affects patient trust and adherence while also demonstrating the accountability of primary health care facilities. This study aims to examine the impact of service quality on outpatient satisfaction at UPT Puskesmas Sangatta Utara.Methods: This study utilized an analytical survey with a cross-sectional design. The population included community members seeking care at the North Sangatta Health Centre. A total of 271 respondents were selected based on the Lemeshow formula, using purposive sampling as the sampling method. Data were collected through a structured questionnaire that included demographic characteristics and research variables. Data analysis was conducted using a combination of univariate, Chi-square, and multiple logistic regression methods to explore the relationships and effects among the variables.Result: The results showed that variables significantly associated with outpatient satisfaction were technical competence, facility accessibility, service effectiveness, continuity, safety, comfort, information, timeliness, and interpersonal relations (p < 0.05). Service efficiency was not significantly associated with patient satisfaction (p > 0.05). The most influential factor was interpersonal relations, with the highest odds ratio of 2.294 (95% CI: 1.381–3.809).Conclusion : This study demonstrated that outpatient satisfaction at the North Sangatta Health Centre was influenced by multiple service aspects, with interpersonal relations emerging as the most dominant factor. These findings emphasized the importance of improving healthcare workers’ communication and interaction with patients to enhance overall satisfaction.
Identification of Malaria Receptive Areas to Support Elimination Maintenance in Gunungkidul District, Indonesia, 2023 Handika, Denis Oxy; Utama, Muhamad Imam; Ananda, Dwi Rizki; Sukoco, Sidig Hery; Ahmad, Riris Andono
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 4: November 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.v10i4.26641

Abstract

Background: The Gunungkidul District in Indonesia achieved malaria elimination status in 2014; however, the risk of reintroduction remains due to environmental suitability and population mobility. This study aimed to identify malaria-receptive areas in Gunungkidul District through spatial and environmental analyses to support the strategic maintenance of malaria elimination.Methods: A descriptive observational study was conducted using secondary data from a vector survey conducted in October 2023 across 18 sub-districts. Geographic Information System (GIS) mapping and larval habitat index (LHI) calculations were used to identify potential Anopheles breeding sites. Climate data from 2020 to 2023 were analyzed to assess environmental receptivity.Result: Rivers were the most common breeding sites for Anopheles mosquitoes (59.41%), followed by lakes and springs. Gedangsari and Karangmojo sub-districts showed the highest larval habitat indices, indicating localized malaria receptivity in these areas. Climatic factors, such as high rainfall and humidity during the wet season, support year-round mosquito breeding. In 2023, four imported malaria cases were reported, underscoring the district's continued vulnerability.Conclusion : Spatial identification of malaria-receptive areas provides operational evidence to support the maintenance of the elimination status in the Gunungkidul District. Targeted surveillance and vector control in high-risk sub-districts, along with a rapid response to imported cases, are essential to prevent malaria re-establishment.
Hubungan Pengetahuan dan Sikap dengan Perilaku Penggunaan Antibiotika (Studi pada kader Poslit AMIRA Boyolali) Sutiningsih, Dwi
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphi.v%vi%i.1-11

Abstract

Background: Antibiotics are used in phytosanitary care, fish farming, and as veterinary drugs, where they can also be used as preventative or curative treatments in livestock management. Inappropriate dosage and/or inappropriate use of antibiotics can result in residues. The purpose of this study was to determine the relationship between knowledge and attitudes of AMIRA postlit cadres regarding antibiotic use in livestock.Methods: This study is an analytical observational study with a cross-sectional design. The population in this study were all AMIRA Poslit cadres, totaling 55 respondents. The bivariate analysis used was the Chi-Square test to analyze the relationship between respondents' knowledge and attitudes with antibiotic use behavior.Result: A total of 92.7% of respondents had a good level of knowledge, while the remaining 7.3% of respondents had a poor level of knowledge in the use of antibiotics. A total of 49.1% of respondents had a good attitude while the remaining 50.9% of respondents had a bad attitude. 50.9% of respondents had a supportive attitude, while the remaining 49.1% of respondents had an unsupportive attitude. There was no relationship between respondents' knowledge and antibiotic use behavior (p = 0.282), while respondents' attitudes were related to antibiotic use behavior in livestock (p = 0.005).Conclusion : The knowledge of AMIRA Poslit cadres is not related to the behavior of antibiotic use in livestock farming, while the cadres' attitudes are related.