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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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Hubungan Perilaku Hygiene dengan Infeksi Soil Transmitted Helminth pada Balita di Wilayah Kerja Puskesmas Bandarharjo Kota Semarang Rachmawati, Aulia Noor; Sutiningsih, Dwi; Martini, Martini
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.v10i4.23652

Abstract

Background : The prevalence of STH in Central Java reached 33.8%, with Ascaris lumbricoides found in toddlers living in areas with poor sanitation. The Bandarharjo Community Health Center is one of the community health centers in Semarang City that serves coastal areas. The objective of this study was to determine the correlation between STH infection and personal hygiene in children under five years of age at the Bandarharjo Community Health Center in Semarang.Methods : This was an observational study using the cross-sectional design. A total of 150 subject were obtained from children under five years in the field area of Bandarharjo Primary Healthcare. STH examination was conducted through kato-katz method, while the personal hygiene was observing by diung an interview to the children parents. Statistic analyzed used Chi-Square test.Result: The prevalence of soil-transmitted helminths (STH) in the Bandarharjo Community Health Center working area reached 82.6%, with hookworm and Ascaris lumbricoides due to poor sanitation. There is a correlation between the habit of wearing sandals and washing hands with soap and STH infection (p-value > 0.000) & (p-value > 0.038). Respondents who did not wash their hands with soap and wore sandals were 5.6 and 2.44 times more likely to be infected, respectively.Conclusion: Poor personal hygiene can increase the risk of STH infection in children under five years of age. Therefore, parents have a role to play in teaching, educating, and accustoming children to always practice healthy behaviors.
Dog Ecological Characteristics and Their Association with Rabies-Transmitting Animal Bites in the Sajingan and Entikong Border West Kalimantan: A Cross-Sectional Study Linta, Sonia Nur; Hernawan, Andri Dwi; Saleh, Ismael; Arfan, Iskandar
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 1: Februari 2026
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.v11i1.28958

Abstract

Background: Rabies endemicity in the border regions of West Kalimantan (Sajingan and Entikong) poses a significant public health risk, yet data on local risk factors remain limited. Understanding the ecological determinants of dogs associated with rabies-transmitting animal bites (GHPR) is crucial for effective control. This study aimed to identify dog ecological factors associated with GHPR incidents in these border areas.Methods: This study utilized an analytical cross-sectional design, conducted from January to March 2024. A sample of 348 respondents (dog owners or heads of households) in the Sajingan and Entikong regions was selected using a purposive sampling technique based on GHPR case high-risk areas. Data were collected through structured questionnaires and analyzed using the chi-square test and multivariate logistic regression.Result: The analysis revealed significant associations between dog sex (p=0.002), ownership status/origin (p=0.001), and dog function (p<0.001) with GHPR incidents. Male dogs, stray (unowned) dogs, and dogs used for hunting were identified as having a significantly higher risk of involvement in bite incidents.Conclusion: Ecological factors are key determinants of GHPR in this border region. This finding implies that generalized rabies control strategies are insufficient. Public health interventions, including targeted mass vaccination and population management (e.g., sterilization), must be specifically prioritized for the sub-populations of male, stray, and hunting dogs to interrupt the transmission chain in this high-risk transboundary area.
Analysis of Leptospirosis Incidence Based on Occupation and Knowledge in the Work Area of the Tulakan Community Health Center, Pacitan Regency in 2025 Trianto, Agung; Hargono, Arief; Arini, Ratih Dwi
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 1: Februari 2026
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.v11i1.29915

Abstract

Introduction: Leptospirosis is a zoonotic disease caused by the bacteria Leptospira interrogans and which is transmitted from animals to humans through direct contact with the urine of infected animals or contaminated environments, the main transmitting animals are rats. This study aimed to analyze the risk factors of sex, age, occupation, and knowledge and whether they influenced the incidence of leptospirosis. in the working area of the Tulakan Community Health Center, Pacitan Regency in 2025.Method: This type of research is a quantitative analytical research with a cross-sectional design. The sample in this study comprised the entire population of 152 participannt. Data were collected using secondary data observation techniques, leptospirosis case data, and primary data, including sex, age, occupation, and knowledge. Further data analysis was performed using univariate (frequency distribution) and bivariate (chi-square test) analyses.Results: The results of the bivariate analysis show only occupation variables is associated with the incidence of leptospirosis (P-value= 0.000 PR= 15.054; 95% CI= 5.763-39.323) and also the knowledge variable is statistically significant with the incidence of leptospirosis (P-value= 0.005 PR= 3.689; 95% CI= 1.432-9.504). Age and sex did not significantly influence the incidence of leptospirosis.Conclusion: Occupation and knowledge significantly influenced the incidence of leptospirosis in the area served by the Tulakan Community Health Center, Pacitan Regency in 2025.
Spatial Risk Model for Mapping Tuberculosis (TB) Hotspot Areas in West Lombok Regency Yulianti, Mega Sara; Sadli, Muhamad; Syukri, Muhammad; Farida, Warni; Apriani, Lia
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 1: Februari 2026
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.v11i1.30126

Abstract

Background: Tuberculosis (TB) is a global public health problem. Conventional approaches often overlook the spatial components that influence transmission dynamics, highlighting the need for more accurate area-based surveillance. This study aims to identify spatial risk patterns using a geo-targeting approach and map vulnerable areas to support sustainable precision control strategies.Methods: This study applied a quantitative design integrating spatial ecological analysis with a case–control approach. A total of 1,658 registered TB cases were geocoded and analyzed to detect spatial clustering patterns. Based on hotspot and non-hotspot classifications, a case–control survey involving 226 respondents (113 cases and 113 controls) assessed environmental, socioeconomic, and behavioral determinants. Data were collected through structured interviews, household environmental observations, and secondary health records. Analysis used spatial statistical techniques and multivariable logistic regression.Result: Significant spatial clustering of TB was identified, with hotspots located in Gerung, Lembar, Kuripan, and Sekotong, West Lombok. Increased TB risk was associated with high household humidity (OR 5.40), low income (OR 5.42), low education level (OR 4.26), and elevated indoor temperature (OR 2.87). Inverse associations were observed for smoking, infrequent health-facility visits, and male sex, likely reflecting information bias rather than protective effects.Conclusion: Integrating spatial hotspot mapping with epidemiological assessment improves identification of TB transmission risk. In West Lombok, hotspot areas were linked to adverse environmental and socioeconomic conditions, supporting geo-targeted TB interventions focusing on housing improvement, socioeconomic support, and education-based risk communication.
Rapid Response to Underweight: Effectiveness of a Short-Term Community-Based Intensive Nutritional Intervention Muharani, Filly; Febriany, Sekar Elok; Rahmawati, Santi Deliani; Yamin, Imam Syahputra; Mahwati, Yeni; Wisastra, Danan Panggih
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 1: Februari 2026
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.v11i1.30548

Abstract

Background: Childhood stunting and undernutrition remain critical global health challenges. While long-term interventions are common, the efficacy of short-term, community-based intensive nutritional interventions (Pos Gizi) requires further empirical evaluation.Objective: This study aimed to analyze the clinical effectiveness of a 12-day intensive nutritional package on weight and height gain among underweight children under five in Garut District, West Java, using a quasi-experimental one-group pretest-posttest design.Methods: The study included 69 children (aged 10–55 months) meeting the inclusion criteria, who received supplementary feeding and intensive health education over 12 days. Anthropometric data were collected at baseline and endline using standardized instruments. Data were analyzed using the Paired t-test and Cohen’s d effect size calculation.Results: Significant improvements were observed in both weight (p < 0.001) and height (p < 0.001) post-intervention. The mean weight gain was 0.20 kg (95% CI: 0.16–0.25), and the mean height gain was 0.65 cm (95% CI: 0.42–0.88). Effect size analysis indicated a large clinical impact on weight     (d = 1.01) and a medium-to-large impact on height (d = 0.68).Conclusion: Short-term intensive nutritional interventions are effective in stimulating rapid weight rehabilitation. While linear growth showed statistical improvement, this likely reflects acute physical recovery rather than permanent structural growth. This model is recommended as an initial acceleration strategy to manage undernutrition.
Faktor Risiko Kejadian Mikosis Superfisialis pada Nelayan di TPI Puger Aldi, Muhammad Fauzi; Bumi, Candra; Noveyani, Adistha Eka
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 1: Februari 2026
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.v11i1.30692

Abstract

Background: Superficial mycoses are a common global health problem among fishermen, particularly in tropical regions. Factors such as personal hygiene, length of employment, and obesity have been associated with superficial mycoses, while continuous exposure to high-salt seawater in fishermen’s occupational environments has been hypothesized as a potential protective factor. This study aimed to analyze the risk factors for the incidence of superficial mycoses among fishermen at the Puger Fish Auction Place (FAP) in Jember Regency.Methods: This cross‑sectional analytic study included 97 fishermen selected through quota sampling at Puger Primary Healthcare (PHC). Data on personal hygiene and length of employment were collected using validated questionnaires; obesity status was determined by Body Mass Index (BMI); and superficial mycoses were diagnosed by clinical examination. Univariable analysis described the distribution of all variables, and bivariable analysis using the Chi‑square test assessed associations between risk factors and superficial mycoses.Result: The prevalence of superficial mycoses was 10.3% (10/97). There were no statistically significant associations between personal hygiene (prevalence ratio/PR 1.88; 95% CI 0.42–8.33; p=0.494), length of employment (PR 0.88; 95% CI 0.81–0.95; p=0.353), or obesity (PR 0.36; 95% CI 0.10–1.30; p=0.178) and superficial mycoses.Conclusion: In this cross-sectional study, personal hygiene, length of employment, and obesity were not significantly associated with superficial mycoses among fishermen at Puger Primary Health Care. The relatively low prevalence of infection despite high exposure to conventional risk factors suggests that occupational environmental factors may contribute to reduced susceptibility to infection.
Prevalence and Risk Factors of Trichuris trichiura Infection among Elementary School Students in Palipi District, Samosir Regency, North Sumatera, Indonesia Sembiring, Elly Susanti Br.; Siahaan, Lambok; Lubis, Inke Nadia Diniyanti; Carolina, Yoan; Adriztina, Indri
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 1: Februari 2026
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.v11i1.31287

Abstract

Background: Infection with Trichuris trichiura continues to affect populations in tropical and subtropical regions, particularly school-aged children living in environments with inadequate sanitation. This study was conducted to estimate the prevalence of T. trichiura infection and to identify associated risk factors among elementary school students in Palipi District, Samosir Regency, North Sumatra, Indonesia.Methods: This cross-sectional study was conducted from January to March 2025 in five elementary schools in Palipi District, Samosir Regency. A total of 109 students who met the inclusion and exclusion criteria and agreed to participate were recruited through school-based screening. Stool samples were examined using the Kato–Katz method at the Parasitology Laboratory, Universitas Sumatera Utara. Data on handwashing habits, diarrhea history, stunting status, and nail hygiene were collected using structured assessments. Anthropometric measurements and hematological parameters were also recorded. The data analysis involved descriptive statistical methods and chi-square testing, with statistical significance set at p < 0.05.Result: The prevalence of trichuris trichiura infection was 14.7%. Diarrhea was significantly associated with infection (p = 0.010), while stunting, handwashing with soap, and nail hygiene were not significantly associated (p > 0.05). Infected children showed slightly lower mean height, BMI, and hemoglobin levels; however, these differences were not statistically significant..Conclusion : Trichuris trichiura infection remains a public health concern among elementary school students in Palipi District. Diarrhea was significantly associated with infection. Strengthening hygiene promotion and sanitation programs at the school and community levels may help reduce transmission.
Risk Factors for Tuberculosis Among Livestock Farmers in Geyer and Toroh Districts, Grobogan Regency Purnomosari, Aisyah; Martini, Martini
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 1: Februari 2026
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.v11i1.31054

Abstract

Background: Tuberculosis (TB) remains a major global public health problem. The World Health Organization (WHO) estimated 10.8 million new TB cases and 1.2 million deaths worldwide in 2023. Indonesia is among the countries with the highest TB burden. Livestock farmers may face additional occupational exposure risks due to prolonged exposure to enclosed barn environments characterized by high humidity, organic dust, ammonia accumulation, and limited ventilation. However, evidence regarding TB risk factors in livestock farming communities remains limited.Methods: A retrospective case–control study was conducted among 156 livestock farmers in Geyer and Toroh Districts, Grobogan Regency (78 TB cases and 78 controls matched by village). Cases were individuals aged ≥18 years with confirmed TB diagnoses documented in medical records. Controls were farmers without TB history from the same communities. Data were collected using structured interviews and environmental observation checklists. Associations were examined using chi-square tests and multivariable logistic regression, with adjusted odds ratios (AORs) and 95% confidence intervals (CIs).Results: Eight variables were associated with TB in bivariate analysis. After adjustment, age remained the only independent predictor. Farmers aged >50 years demonstrated a 3.6-fold higher likelihood of TB compared with younger farmers (AOR=3.612; 95% CI: 1.689–7.684). The final model accounted for 23.6% of variance (Nagelkerke R²=0.236).Conclusion: Age >50 years is the dominant risk factor for TB among livestock farmers. Targeted TB screening and occupational health integration are urgently needed in rural farming communities
Pengaruh Pendidikan, Paritas, dan Pemanfaatan BPJS dengan Pemilihan Metode Kontrasepsi pada Akseptor KB di Puskesmas X Kota Depok Krisnafi, Zhafira Alya Putri; Damayanti, Rita
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 1: Februari 2026
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.v11i1.30296

Abstract

Background: The use of Long-Acting Reversible Contraception (LARC) in Indonesia is still far from the national target. A similar thing was observed at Community Health Center “X” Depok City where LARC use remained low in 2023 (22.75%). Education, parity, and BPJS utilization are factors that can influence the low use of MKJP. This study aims to analyze the relationship between these three factors and contraceptive choice at Community Health Center “X” Depok City.Methods: This quantitative study employed a cross-sectional design. This study uses secondary data from family planning register records at Community Health Center “X” Depok City in 2024 with a total of 247 family planning acceptors. Data were analyzed using univariate, bivariate, and multivariate methods.Result: The distribution of contraceptive use showed that 50.6% of acceptors used non-LARC methods, while 49.4% used LARC. Multivariate analysis indicated a significant association between parity and LARC use (p = 0.002; OR = 1.9; CI = 1.2–2.9). In contrast, education (p = 0.956; OR = 0.9; CI = 0.6–1.5) and BPJS utilization (p = 0.678; OR = 1.1; CI = 0.7–1.7) were not significantly associated with LARC use.Conclusion: Parity is the most influential factor in the choice of contraceptive methods among family planning acceptors at Community Health Center “X” Depok City in 2024. These findings imply the importance of improving outreach and the quality of services provided by healthcare workers to building public trust in the use of LARC and BPJS.

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