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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.
Arjuna Subject : -
Articles 208 Documents
Hubungan Paparan Asap dengan Kejadian Infeksi Saluran Pernapasan Akut (ISPA) pada Anak Usia 0-5 Tahun di Wilayah Pertanian Kecamatan Panti Kabupaten Jember Vivi Oktaviana Wulandari; Latifa Aini Susumaningrum; Tantut Susanto; Abdul Kholis
Jurnal Epidemiologi Kesehatan Komunitas Vol 5, No 2: Agustus 2020
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.v5i2.7152

Abstract

Background: Acute respiratory infections (ARI) in developing countries at the age of under five have a fairly high prevalence, which relates to air pollution at home, such smoke as firewood, cigarette and mosquito coils.Methods: The purpose of this study was to examine the relationship between smoke exposure of ARI in age child 0-5 year in agricultural area Panti District, Jember Regency. A case control study design was conducted among grup control 120 and case grup 120 of respondent using stratified random sampling. A self administered questionnaire was used to interview indoor air quality. Chi Square test was perform to analyze the relationship between smoke exposure of ARI.Result: The result identified as exposure to firewood smoke 63.3%, exposure to cigarette smoke 75.8% and exposure to smoke from mosquito coils 68.3%. There were significantly relationship between firewood (χ2 = 5.813; p-value = 0.016), exposure to cigarette smoke (χ2 = 9.094; p-value = 0.004), can immediately bring mosquito coils (χ2 = 4.929; p-value = 0.037). Smoke exposure is relationship with ARI in age child 0-5 year.Conclusion : Therefore, efforts to ARI can be prevented by family who maintain air quality at home.  
Diabetic Status of People Affected by Leprosy in Donorojo Leprosy Recovered Village: A Cross Sectional Study Nadhila Beladina; Asri Adisasmita
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.v6i1.9235

Abstract

Background: Just like diabetes, leprosy also cause painless neuropathic ulcers which process is mediated by Schwann-cell. Biochemical changes on leprosy patients presumed to have role on pathogenesis of diabetes mellitus.  Methods: This study is cross-sectional study aimed to know further about diabetic status on population of people affected by leprosy, as the preliminary study to prove the association between diabetes mellitus and leprosy.  Data, such as diabetic status, type of leprosy, grade of disability, and other variables are collected from 127 people affected by leprosy in Donorojo leprosy recovered village.Result: Result showed that 19.7% are having diabetes mellitus, and other 23.6% are in pre-diabetic condition. This number is higher than prevalence of diabetes mellitus in Central Java (2.09%) and Indonesia (2%).Conclusion : Further research is needed to prove the association between leprosy and diabetic status.  All leprosy patients should be recommended to be routinely screened for diabetes mellitus.
Status Gizi dan Perilaku Makan Ibu Selama Kehamilan Trimester Pertama Ambar Kusuma Dewi; Dary Dary; Rifatolistia Tampubolon
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.v6i1.10413

Abstract

Background: Nutritional problems in Indonesia are one of the indirect causes of maternal and child mortality. The low nutritional status of mothers before pregnancy and during the first trimester of pregnancy results in babies with low birth weight, stunting and prematurity, pregnancy in the first trimester is the most vulnerable period, where the process of forming very important organs such as the central nerve, heart and hearing is enhanced in the next trimester.Methods: This research uses descriptive quantitative design. Respondents of the study were 50 pregnant women in the first trimester in the Salatiga Primary Health Care. Nutritional status was determined by weight gain of respondents during pregnancy, while eating behavior was measured using the SQ-FFQ Form. The 2x24 hour food recall was used to determine the level of nutritional intake of respondents.Result: The results showed that the respondents experienced a deficit of TKP, TKE, and TKK and TKL excess, while the abnormal weight gain was 44%, and KEK was 20%.Conclusion : Respondents experienced nutritional problems because their daily food intakes were less than their needs  
Hubungan Pengetahuan Dan Kepatuhan Ibu Hamil Konsumsi Tablet Tambah Darah Dengan Kejadian Anemia Di Kecamatan Leitimur Selatan Dan Teluk Ambon Elpira Asmin; Armando Salulinggi; Christiana Rialine Titaley; Johan Bension
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.v6i1.10180

Abstract

Background: Anemia is a public health nutritional problem, especially for pregnant women. Anemia in pregnancy can adversely affect the morbidity and mortality of both mother and baby. According to the WHO, the prevalence of anemia in Indonesia was 40.5% in 2015, and 42% in 2016. One of the government's efforts to reduce the rate of anemia is the provision of iron tablets. In Indonesia, the coverage of giving at least 90 tablets during pregnancy in 2017 reached 80.81%. However, in Maluku Province, the coverage of iron supplementation (47.35%) was included amongst the four lowest provinces. This study aims to examine the relationship between pregnant women's knowledge and consumption of iron tablets and anemia in the Districts of South Leitimur and Teluk Ambon. Methods: This research is an analytical study with a cross-sectional approach. The subjects of this study were 165 pregnant women who were taken by purposive sampling.Result: The results showed 50.3% of pregnant women had anemia and only 21.8% complied with taking iron tablets. We found that there was no statistically significant association between pregnant women's knowledge of iron supplementation (p=0.443), as well as compliance with taking iron supplements (p=0.135), and anemia. Nevertheless, the percentage of women with anemia was lower in pregnant women who complied with taking iron supplements than those who did not comply. Conclusion : This study shows that efforts are still required to reduce the prevalence of anemia in Ambon City, including increasing women's compliance to take iron tablets.
Deteksi Dini Faktor Risiko Penyakit Jantung dan Pembuluh Darah, Hubungan Antara Obesitas, Aktivitas Fisik dan Kolesterol Total di Kecamatan Kertapati, Kota Palembang Achmad Ridwanmo; Mariatul Fadillah; Tri Hari Irfani
Jurnal Epidemiologi Kesehatan Komunitas Vol 5, No 2: Agustus 2020
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.v5i2.6729

Abstract

Background: Cardiovascular disease is the first cause of death in Indonesia. The prevalence of stroke based on diagnosis rose from 7 (2013) to 10.9 per mil (2018), The prevalence of cardiovascular disease is 1.5 per mil. Research on the detection of risk factors for cardiovascular disease using a cardiovascular risk score according to WHO and the Jakarta Score has never been conducted in Palembang. The purpose of this study is to conduct early detection of risk factors to predict cardiovascular disease in the next 10 years, and find out the relationship between obesity, physical activity to reduce cholesterol.Methods: This research was conducted using an observational analytic study with cross sectional design and multistage sampling method. Samples in this study were 126 people from 3 village in Kertapati district in Palembang City.Result: The research showed that high level risk to cardiovascular disease in 10 years by using WHO non laboratory, laboratory and Jakarta Score was 4,8%, 6,7%, 61,9% respectively. Whereas, the moderate risk was 20%, 26,2% and 25,4%. There was no association between obesity and total cholesterol (p=0.682), but there was an association between physical activity and total cholesterol (p=0.030, OR 3,1). Moreover, there was a total cholesterol’s mean difference between none/mild, moderate, and severe physical activity that is 36,6 mg/dl (t test, p-value: 0,005).Conclusion: Lack of physical activity could be the one of cholesterol risk factor. Therefore, doing the physical activity could prevent the cardiovascular disease.
Gambaran Profil dan Infeksi Cacing Usus pada Pekerja di Tiga Rumah Potong Hewan Provinsi Riau Esy Maryanti; Yola Zenia; Afrinaldi Aldi; Fadly Mulia; Mislindawati Linda
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.v6i1.9337

Abstract

Background: Intestinal worm infestation is still a health problem in Indonesia that is often neglected. This disease is chronic in nature and is strongly influenced by factors of environmental hygiene and sanitation. Slaughterhouses are places where animals in the form of cows, goat/ sheep and pigs are slaughtered to be distributed to meat sellers or to reataurants. This study aims to determine the profil description and incidence of intestinal worm infestations in workers in three slaughterhouses in Riau Province.Methods: This study was a cross-sectional descriptive study in August – October 2020 in three slaughterhouses in Riau Province ( Pekanbaru, Duri and Dumai city). Stool examination was carried out using the Kato Katz Method at the Parasitology Laboratory Medical Faculty, Universitas Riau. Result: Do A total 37 workers who were examined found 35 men, age range 21 – 30 yo as much as 38% with latest education 46% was high school, length of work 1 – 5 years as much as 57% and as much as 41% have normal nutriotional status. Six workers found positive for intestinal worm infections (16%), there were three hookworm infections and one each to Trichuris trichiura, Oxyuris vermicularis and Hymenolepis diminuta.Conclusion : There were still intestinal worm infections among workers in the three slaughterhouses. Intestinal worm infection usually occurs in children and rarely occurs in adults and if it occurs in adults this may be due to poor hygiene and sanitation of the slaughterhouse workers.
Faktor yang Berhubungan dengan Praktik Manajemen Terpadu Bayi Muda oleh Gasurkes KIA di Kota Semarang Sinta Wati; Apoina Kartini; Martini Martini; Ayun Sriatmi
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.v6i1.9048

Abstract

Background: The main causes of neonatal deaths in Semarang city were low birth weight (LBW) approximately 38%, birth asphyxia (23%), congenital defect (8%), infections such as sepsis (3%), jaundice (3%), and others (25%). The most common causes of mortality were considered preventable and treatable at an affordable, easily-to-implement, and efficient through integrated management of  young  infants (IMYI) performed during neonatal visits. It has previously been observed that IMYI has contributed to reducing the neonatal mortality rate by 30-60%. This study aims to investigate the factors that determine the integrated management of young infants carried by maternal and perinatal death surveillance and response (MPDSR) workers in Semarang city.Methods: Quantitative research designs were adopted to provide the correlation between independent variables and dependent variables using statistical hypothesis testing. A cross-sectional approach was utilized to collect the data, both independent dan dependent variables simultaneously. The data were analyzed using chi-square, Fisher exact test, and logistic regression.Results: The result suggests that knowledge, work period, attitude, workload, recording system, supervision had an association toward the practice of IMYI conducted by MPDSR workers in Semarang City. No significant correlation was found on the availability of tools and appraisal toward the practice of IMYI. Work periods was the most dominant factor affecting IMYI practice.Conclusion: these results indicate that knowledge, work period, attitude, workload, recording system, supervision has an important role to increase the practice of IMYI performed by maternal and perinatal death surveillance and response (MPDSR) workers in Semarang city. 
Faktor – Faktor yang Berhubungan dengan Status Gizi pada Anak Usia 0-23 Bulan Berdasarkan Composite Index of Anthropometric Failure (CIAF) di Wilayah Kerja Puskesmas Karangayu Kota Semarang Erlita Nur Andini; Ari Udiyono; Dwi Sutiningsih; Moh Arie Wuryanto
Jurnal Epidemiologi Kesehatan Komunitas Vol 5, No 2: Agustus 2020
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.v5i2.5898

Abstract

Background: According to UNICEF, half of all deaths of children are caused by malnutrition. The conventional anthropometric index to measure nutritional status is unable to measure the overall prevalence of malnutrition and multiple malnutrition. The solution is to measure it using the Composite Index of Anthropomeric Failure (CIAF). The aim of the study was to analyze the factors that affect the nutritional status of children aged 0-23 months based on Composite Index of Anthropomeric Failure (CIAF).Methods: This research was an observational analytic study with cross-sectional study design. This research was conducted in the working area of Karangayu Health Center with 231 study sample of mothers who have 0-23 months old children (population used as sample). Chi-square and fisher exact test were used as statistical test.Result: Factors associated with the nutritional status of children aged 0-23 months based on the Composite Index of Anthropometric Failure (CIAF) were the age of the child (p=0,029); birth length (p=0.005); maternal age during pregnancy (p=0.002); maternal height (p=0.025); gestational age of maternal (p=0.049). While factors unassociated were gender (p=0.997), birth weight (p=0.316), nutritional status of the mother during pregnancy (p=0.232), maternal employment (p=0.614), and education level (p=0.951).Conclusion: Age of child, birth length, maternal age during pregnancy, mother’s height, and gestational age of maternity mothers were factors associated with nutritional status of 0-23 months old children based on CIAF. A dominant factor that affected the nutritional status of children aged 0-23 months was the mother's age during pregnancy.
Correlation Between Total Cholesterol Level with Blood Pressure of Hypertensive Patients in Kalidoni, Palembang Tungki Pratama Umar; Mariana Mariana
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.v6i1.8398

Abstract

Background: Hypertension is the main problem worldwide. It has strong relationship with other component of metabolic syndrome, namely dyslipidemi. Authors are analyzing the correlation between total cholesterol level and blood pressure in the hypertensive patient at Kalidoni Primary Health Center, Palembang, Indonesia.Methods: This was a cross-sectional study involving 82 adult hypertensive patients. Data were collected from the medical record of patients who are visiting Kalidoni Primary Health Center in December 2019-January 2020. Demographic data, blood pressure, and total cholesterol level were gained. Obtained data are analyzed descriptively (frequency distribution) and analytically (correlation using Pearson or Spearman method).Result: Significant positive correlations were observed between total cholesterol level and systolic blood pressure (r=0.509, p=0.000) in addition to body weight and diastolic blood pressure (r=0.279; p=0.011).Conclusion: Blood cholesterol level had a significant correlation with moderate strength for determining systolic blood pressure level in hypertensive patients.
Comparison of Antibacterial Activity of Sambiloto (Andrographis paniculata) Ethanol and Water Stem Extract Against Methicillin-Resistant Staphylococcus aureus (MRSA) ATCC 3351 In Vitro Ni Wayan Sinta Devi Arini; Bagus Komang Satriyasa; I Made Jawi; Agung Wiwiek Indrayani
Jurnal Epidemiologi Kesehatan Komunitas Vol 5, No 2: Agustus 2020
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.v5i2.6908

Abstract

Background: Methicillin-resistant Staphylococcus aureus (MRSA) is penicillin and cephalosporine resistant Staphylococcus aureus which is a major cause of nosocomial infection. Various studies have been conducted for resistant cases, especially herbs which have antibacterial activity. Sambiloto (Andrographis paniculata) is an example of herb which has antibacterial activity due to the presence of andrographolide. Andrographolide soluble in ethanol and poorly in water, while extraction with alcohol causes andrographolide’s degradation. This study aimed to investigate the antimicrobial activity of ethanol and water stem extract and compare them against MRSA ATCC 3351 in vitro.Methods: This is an experimental study with a post-test only control group design and conducted by disc diffusion technique to obtain an inhibition zone against MRSA.Result: The result of this study showed the mean inhibitory zone of ethanol stem extract was 5,87mm, 6,77mm, 7,87mm respectively for 25%, 50%, and 100% concentrations, while 1% concentration did not show antibacterial activity. Water stem extract at 1%, 25%, 50%, and 100% concentrations showed mean inhibitory zone was at 4,57mm, 7,17mm, 8,67mm, and 9,67mm respectively.Conclusion: Ethanol and water stem extract showed antibacterial activity against MRSA. The independent sample t-test didn’t show a difference between ethanol and water stem extract of Andrographis paniculata toward MRSA (p>0,05).

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