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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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Hubungan antara Pola Asuh Keluarga dengan Kejadian Balita Stunting pada Keluarga Miskin di Palembang Febriani Dwi Bella; Nur Alam Fajar; M Misnaniarti
Jurnal Epidemiologi Kesehatan Komunitas Vol 5, No 1: Februari 2020
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Stunting is a result of a malnutrition state that accumulates for an extended time and is a threat to the future of Indonesian children. The incidence of toddler’s stunting is indirectly related to the role of parenting in the family, namely feeding, nurturing, hygiene and getting health services. The aim of the study was to analyze the correlation of parenting to the incidence of toddler’s stunting on poor families in Palembang.Methods: This research was an observational study which using a quantitative approach with a Cross Sectional Study design on March 2019. Data samples of 100 mothers who had children aged 24-59 months from poor families in Palembang were chosen by proportional random sampling.Result: The results showed that the proportion of toddler’s stunting in poor families in Palembang was 29%. The results of bivariate analysis showed that there was a relationship between feeding habits (p = 0,000); parenting habits (p = 0.001); hygiene habits (p = 0.021); and the habit of getting health services (p = 0,000) with the incidence of stunting for toddlers.Conclusion : Normal height (not stunting) toddlers have parenting habits such as feeding habits, nurturing habits, hygiene habits and the habit of getting health services better than stunting toddlers in the same economic backgrounds family.

Faktor Faktor yang Mempengaruhi Kebugaran Calon Jemaah Haji Kota Palembang Tahun 2019 Y Yusri; M Zulkarnain; Rico Januar Sitorus
Jurnal Epidemiologi Kesehatan Komunitas Vol 5, No 1: Februari 2020
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Physical fitness status of hajj pylgrime candidate in Palembang in 2018 has low and very low category. The category is still relative high and the score is 23.3 %. The research objective is to analyze the factors that influence physical fitness of hajj pylgrime candidate in Palembang City.Methods: An analitycal study was conducted with a cross sectional design on Juli - Agustus 2019. The study population is 2444 hajj pylgrims candidate of Palembang City in 2019 who have done checking physical health and physical fitness test by eight Puskesmas of Hajj Checking Health. 313 samples choosen by means of proportional random sampling. Data collection instrument was a data calecting paper that contains research variables. Tthe data taken from health checking form and physical fitness test form which is available in the puskesmas. The data were analyzed using chi-square and logistic regression.Result: 107 respondens ( 34,2% ) have physical fitness status is not fit. Statistical test showed that age ≥ 60 years variable (p=0,000. PR = 3,601), gender variable (p=0,024. PR=2,113), Hypertension (p=0,001. PR=2,565), waist circumstance variable (p=0,003. PR=3,173), Body Mass Indeks (BMI) variable (p=0,000. PR=3.567) and Diabetes Mellitus (DM) variable (p=0,042. PR=2,360) influence the physical fitness. Age variable is the variable that has the greatest influence the physical fitness of hajj pylgrime candidates. The researcher suggests that physical activity excirse by regularly and rotine in waiting periode will increase physical fitness.Conclusion: There are relationship age, gender, Hipertension, waist circumstance, Body Mass Indeks (BMI) and Diabetes Mellitus with physical fitness status.

Optimasi Kualitas Citra Radiografi Abdomen Berdasarkan Body Mass Index dan Tegangan Tabung pada Computed Radiography Siti Rosidah; Ari Soewondo; Mateus Sakundarno Adi
Jurnal Epidemiologi Kesehatan Komunitas Vol 5, No 1: Februari 2020
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Computed Radiography is a modality of radiographic processing that has wide-exposure latitude. So that in radiographic examination with CR modality is less concerned with the accuracy of the exposure factor especially in the use of tube voltage that can affect the image quality. Image quality determines the accuracy of diagnosis of an illness. Abdominal examination is often done in the radiological installation of Hospital, with different patient conditions especially in Body Mass Index the use of tube voltages tends to vary so as to affect the quality of radiograph and received dose PatientsMethods: This type of research is analytical observational research with cross sectional research draft. Samples in research amounted to 108 distributed in each group of Body mass Index (underweight, normal, overweight) respectively 36 samples. Each body mass index group sample is taken from the use of tube voltages that are often used in RS 75 kV, 80kV, 85 kV and 90 kV respectively as much as 9. Assessments include the value of the exposure index, Noise and anatomical information. Statistical data analysis with Spearman test and univariat.Result: There is a significant connection between the use of cylinder voltage with an index exposure, noise and anatomical imageryConclusion : Optimised tube voltage for Body Mass index Under 75 kV, normal BMI 80 kV and BMI over 85 kV

Hubungan Status Merokok dengan Kejadian Ulkus Diabetikum pada Laki-Laki Penderita Diabetes Melitus Shofia Aji Hidayatillah; Nugroho Heri; Mateus Sakundarno Adi
Jurnal Epidemiologi Kesehatan Komunitas Vol 5, No 1: Februari 2020
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: The incidence of diabetic ulcers in Indonesia is 12% and the risk of diabetic ulcers is 55.4% .10 Cases of diabetic ulcers and gangrene in Indonesia are the most known cases in hospitals. Mortality due to ulcers and gangrene ranges from 17-23%, while the amputation rate starts at 15-30%. Diabetic ulcers are the most common complication in people with Diabetes Mellitus (DM). The purpose of this study is to study the relationship of smoking with the incidence of diabetic ulcers in men with DM. The study design in this study is case control.Methods: This research was conducted in the outpatient and inpatient installation of RSUD dr. Loekmono Hadi Kudus Regency and RSI Sunan Kudus on August - September 2019. The population in this study were men with DM who received 25−80 years who had a health examination at dr. Loekmono Hadi Kudus Regency and RSI Sunan Kudus. A total of 35 cases and 35 controls were selected using consecutive sampling. Data were analyzed with chi square.Result: The results showed a significant relationship between smoking and the incidence of diabetic ulcers in men with DM (p = 0.030; 95% CI = 1,235-8,997) and physical activity (p = 0.015; 95% CI = 1,401-10,590).Conclusion: In this study, smoking and physical activity are related with the incidence of diabetic ulcers in men who are diabetic patients.

Antibacterial Activity from Temulawak Extract (Curcuma xanthorrhiza Roxb) on Growth Inhibition of Staphylococcus epidermidis In Vitro Ni Wayan Mutiara Warmasari; Desak Ketut Ernawati; Agung Wiwiek Indrayani; Ni Wayan Sucindra Dewi; I Made Jawi
Jurnal Epidemiologi Kesehatan Komunitas Vol 5, No 1: Februari 2020
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Infection is one of the main causes of disease in tropical regions like Indonesia. One of them can be caused by bacterial infection of Staphylococcus epidermidis. Staphylococcus epidermidis is an opportunistic bacterium that attacks individuals when the body's immune system is weak. The incidence of bacterial resistance to antibiotics that already exist so that requires an alternative treatment, one of which is the use of temulawak rhizome extract (Curcuma xanthorrhiza Roxb). Temulawak rhizome is one of the spices which is still often used as traditional medicine among Indonesian people. Temulawak rhizome extract is known to have a variety of chemical contents with active compounds in the form of essential oils xanthorrhizol and curcumin which can affect the rate of bacterial growth.Methods: This study aims to determine the antibacterial activity of temulawak rhizome extract on the growth of Staphylococcus epidermidis bacteria in vitro. The method used in this study is the true experimental post test only control group design. Samples were divided into four treatment concentrations such as the extract concentration of 25%, 50%, 75%, and 100% of temulawak rhizome which was tested by agar diffusion method (Kirby-Bauer).Result: The results of the analyze of variant (ANOVA) test showed a significant difference (p = 0,000). The temulawak extract could inhibit bacterial growth with a medium inhibitory response (5-10 mm). Temulawak rhizome extract showed the greatest inhibition at 100% concentration with an average inhibition zone diameter of 9.20 mm.Conclusion : The extract of temulawak rhizome has antibacterial activity. The higher concentration of temulawak rhizome extract (Curcuma xanthorrhiza Roxb), the greater ability to inhibit the growth of Staphylococcus epidermidis bacteria.

Persepsi dan Partisipasi Wisatawan terhadap Sampah di Pantai Pasir Padi Pulau Bangka Eka Sari; Fika Dewi Pratiwi
Jurnal Epidemiologi Kesehatan Komunitas Vol 5, No 1: Februari 2020
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: The amount of rubbish in Pasir Padi Beach is about the assessment of public awareness, understanding of the assessment and participation of tourists visiting the beach about rubbish. Therefore, this study discusses the perception and participation of tourists related to trash cans in Pasir Padi Beach.Methods: The instrument used consisted of questionnaires with a Likert scale. The validity and reliability testing of each instrument uses the product valuation and Cronbach's alpha method, respectively and both were analyzed by Microsoft Excel.Result: The value of r count (1,688 – 14,099) > r table value (1,661) on the validity test, while the Cronbach’s Alpha value on the reliability test (perception = 0,888; participation = 0,937) > 0,66. The percentage who answered quite agree until agree on the instrument of perception and participation were 63% -100% and 55% -78%, respectivelyConclusion : The instrument proved to be valid and reliable so that it was good and feasible to be used in research. Related to the perception of Coastal waste as follows: the most distribution in Coastal and Coastal settlements, the largest source of food stalls, has no place to move garbage around the coast and there are no definite regulations which are the main causative factors, the main impact of waste is human health. The most important participation of the community in the action of reducing Coastal waste in Pasir Padi Beach is disposing of garbage in existing rubbish bins. All groups and levels of society have responsibility for beach cleanliness. In realizing the cleanliness of the Pangkal Pinang Coastal City, Bangka Island

Protective Effect of Lemon (Citrus limon L.) Ethanol Extract Cream as an Antioxidant Against Exposure to Ultraviolet B Rays in the Skin of Male Wistar (Rattus norvegicus) Rats Dewa Ayu Putu Sri Ista Dewanti; Desak Ketut Ernawati; Agung Wiwiek Indrayani; Ni Wayan Sucindra Dewi; I Made Jawi
Jurnal Epidemiologi Kesehatan Komunitas Vol 5, No 1: Februari 2020
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Indonesia is an archipelagic country and one of the tropical countries that get sun exposure all the time. Sun exposure can have beneficial and detrimental effects in life. Exposure to radiation can cause acute effects in the form of erythema through the inflammatory process. Antioxidants are substances that can protect the body from damage caused by ROS. Natural antioxidants can be found in vegetables and fruits, one of which comes from lemon extract (Citrus limon L.). Lemon extract is known to have various chemical contents with active compounds in the form of flavonoids and phenols which can act as antioxidants. The aim of this research was to determine the protective effect that can be produced by lemons on UVB exposure in the skin of male wistar rats.Methods: This research uses the true experimental post test only control group design method. Samples were divided into three treatment concentrations, namely ethanol extract of lemon 5%, 10%, and 20%.Result: After testing for normality, the significance value was obtained (p <0.05). Based on the results of the normality and homogeneity test, the results of the data distribution are not normal and the homogeneous tests of the hypotheses used are the Kruskal-Wallis non-parametric test. Kruskal-Wallis non-parametric test results showed a significant difference with the significance value (p = 0.001). The best degree of erythema score was found in the cream of 10% ethanol extract of lemon with an average of 0.8 ± 0.84.Conclusion : The ethanol extract of lemon (Citrus limon L.) cream in a certain dosage has a significant effect on reducing the erythema degree score in the back skin of male Wistar rats (Rattus norvegicus) after exposure to UVB rays.

Analisis Faktor Predisposing Terhadap Pemanfaatan Posyandu Balita di Wilayah Kerja Puskesmas Tegal Binangun Kota Palembang Citrasari Syarkowi; Misnaniarti Misnaniarti; M. Zulkarnain
Jurnal Epidemiologi Kesehatan Komunitas Vol 6, No 1: Februari 2021
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v6i1.8126

Background: The proportion of Posyandu utilization by infants decreases with age of the child. Tegal Binangun Puskesmas has the lowest coverage of posyandu visits (D / S), amounting to 66.30% of 41 puskesmas in Palembang..Methods: An analytical research was conducted with cross sectional design in December 2019 - February 2020. The population of the study was 1,909 children under five years old in the working area of Tegal Binangun Public Health Center in Palembang. The research sample was mothers of toddlers 12 - 59 months in the working area of the Tegal Binangun Public Health Center in Palembang. 189 samples were selected by proportional random sampling. Data collection instruments are data collection papers that contain research variables. Data is taken from questionnaires about respondents' predisposing factors and direct observation of posyandu register books and KIA books. Data were analyzed using chi-square and logistic regression.Result: 153 respondents (81%) with low use of posyandu (0 - 7 times). Statistical tests showed that the age variable <30 years (p = 001. PR = 3,464), variable number of children under five (p = 0.041, PR = 3.509), under five age variables (p = 0.029, PR = 2.806), mother employment status variable ( p = 0.030, PR = 4.675), the mother's last education variable (p = 0.033, PR = 2,421), the mother's knowledge level variable (p = 0,000, PR = 9,100), and the mother's attitude variable (p = 0.005, PR = 3,077) . The knowledge level variable is the most dominant variable influencing the use of posyandu by toddlers aged 12-59 months. The researcher suggests that increasing the participation of all sectors in optimizing the implementation of posyandu.Conclusion : There is a relationship between maternal age, number of toddlers, toddler age, maternal employment status, last education, mother's level of knowledge and mother's attitude towards the use of posyandu

Gambaran Activity Daily Living (ADL) Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis di RS Setia Mitra Jakarta Farahdina Bachtiar; Purnamadyawati Purnamadyawati
Jurnal Epidemiologi Kesehatan Komunitas Vol 6, No 1: Februari 2021
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v6i1.9993

Background: In many studies, patients with Chronic Kidney Disease (CKD) who undergoing Hemodialysis (HD) have been evident to have low levels of physical functioning as well as difficulty performing activities of daily living (ADL) compared to the healthy population. This study aims to describe the activities of daily living performance among CKD patients with HD. Methods: Subjects were 42 CKD outpatients (27 men, 15 women; mean age 50 ± SD=9,49) undergoing maintenance HD one to two times a week. This study employed a cross-sectional descriptive study design. Data were collected from September to October 2020 in Setia Mitra Hospital, Jakarta, Indonesia. Assessment of Activity Daily Living (ADL) was administered using the Katz Index.Result: In this study, we assessed six items of patient’s functional status including bathing, dressing, toileting, transferring, continence, and feeding. The majority of participants (33 people, 79%) had complete independence in performing activities of daily living. However, there were 9 participants (21%) who still need assistance in performing activities of daily living. Conclusion: Although this study found that most participants did not have difficulty in ADL, some participants reported that they needed assistance while performing ADL. Physiotherapy is an important element in the management of CKD patients with HD. The physiotherapy program can help to improve patient’s health, independence in carrying out activities of daily living, reduce stress and depression, improve self-esteem as well as quality of life.

Hubungan Pengetahuan dan Jumlah Pasangan Seksual dengan Risiko HIV pada Wanita Pekerja Seksual (WPS) di Kota Ternate Nita Anggerina Putri Hi Setiawan; Dwi Sutiningsih; Bagoes Widjanarko
Jurnal Epidemiologi Kesehatan Komunitas Vol 6, No 1: Februari 2021
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v6i1.10078

Background: The number of HIV/AIDS cases in Ternate is increasing, until now there are 472 cases reported and in 2019 there were 46 new cases. FSW is one of the key population at risk of HIV.Methods: The purpose of this study was to identify the correlation between knowledge and number of sexual partner with HIV risk among female sex workers (FSW) in Ternate. This study used a cross sectional design. The number of respondents was 92 respondents. The instrument used in this study was a questionnaire. Data analysis was univariate, and bivariate with chi-square.Result: There were correlation between knowledge (p= 0,013; PR 1,363; 95% CI 1,069-1,704), and the number of sexual partners (p= 0.030; PR 1,497; 95% CI 0,961-2,331) with HIV risk among FSW in Ternate.Conclusion : FSW who had poor knowledge and had ≥3 clients, was correlated with HIV risk.

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