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Jurnal Kesmas Jambi
Published by Universitas Jambi
ISSN : 25498053     EISSN : 25805894     DOI : https://doi.org/10.22437/jkmj.v4i2
Core Subject : Health, Social,
Environmental Science Health Professions Medicine & Pharmacology Public Health
Jurnal kesmas Jambi (JKMJ) merupakan jurnal yang nantinya diterbitkan dua kali setahun, dengan topik keilmuan kesehatan masyarakat. Pengelola JKMJ adalah Prodi Kesmas FKM Universitas Jambi. Diharapkan dengan adanya JKMJ ini menjadi sarana publikasi keilmuan kesehatan masyarakat terbaik di Provinsi Jambi dan diharapkan bisa dikembangkan ke arah yang lebih baik kedepannya.JKMJ saat ini sudah mendapatkan nomor ISNN, direncanakan akan dikembangkan menjadi e-jurnal.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 178 Documents
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Triple Burden of Malnutrition and Nutrition Literacy Among Female Senior High School Students: A Systematic Review Harahap, Huntari; Asyhar, Rayandra; Wicaksana, Ervan Johan; Marzal, Jefri; Rey Ugsang Acob, Joel
Jurnal Kesmas Jambi Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER 2 - July 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i2.55059

Abstract

Indonesia is experiencing a triple burden of malnutrition (TBM), characterized by the coexistence of undernutrition (stunting, chronic energy deficiency/CED), overnutrition (overweight/obesity), and micronutrient deficiencies, particularly iron-deficiency anemia among adolescents. Female senior high school students represent a critical target group for preconception stunting prevention; however, evidence on TBM and nutrition literacy in this population has not been systematically synthesised. This systematic review examines the prevalence of TBM and the effectiveness of nutrition literacy interventions among female senior high school students in preventing preconception stunting during 2021–2025. The review adhered to PRISMA 2020 guidelines and employed the PICOS framework. Literature searches were conducted in PubMed, ScienceDirect, Scopus, Google Scholar, Garuda, and SINTA for articles published between January 2021 and October 2025. Study quality was appraised using Joanna Briggs Institute tools, the strength of evidence was assessed using the GRADE approach, and narrative-thematic synthesis was performed in accordance with SWiM guidelines. Of 1,247 screened articles, 28 met the inclusion criteria. Among Indonesian female senior high school students, pooled prevalence ranges were stunting 17.9–25%, CED 8.7–36.3%, anemia 23.9–42.1%, and overweight/obesity 9.5–18.6%. Nutrition literacy was insufficient to moderate in 46–68% of respondents. Interventions using video, booklets, digital media, and peer education consistently improved knowledge scores (Δ = 12–35 points), although their effects on behavior and nutritional status were limited. The GRADE assessment indicated moderate certainty for nutrition literacy and education-related determinants and low certainty for single-component interventions. The prevalence of TBM among Indonesian female senior high school students requires urgent attention; multicomponent interventions integrated with iron-folate supplementation and cross-sectoral policies are recommended.
Association Between Digital Health Literacy and Anemia Prevention Behavior Among Junior High School Girls in Bandung City, Indonesia Fuadah, Fahmi
Jurnal Kesmas Jambi Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER 2 - July 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i2.56681

Abstract

Anemia remains a major public health problem among adolescent girls, associated with impaired physical growth, reduced cognitive performance, poor academic achievement, and long-term reproductive health risks. Although digital technology has become a primary source of health information for adolescents, evidence on the association between digital health literacy and anemia prevention behavior among Indonesian adolescent girls remains limited. This study aimed to analyze the association between digital health literacy and anemia prevention behavior among adolescent girls in Bandung City, Indonesia. A school-based cross-sectional study was conducted among 124 adolescent girls selected using simple random sampling from a junior high school in Bandung City. Data were collected using a structured questionnaire covering respondents' characteristics, the eHealth Literacy Scale (eHEALS), and an anemia prevention behavior questionnaire. Descriptive statistics, chi-square analysis, and multivariable logistic regression were performed, with significance set at p<0.05. Results showed that 67.7% of respondents had good digital health literacy and 71.8% demonstrated good anemia prevention behavior. Digital health literacy was significantly associated with anemia prevention behavior (p=0.002). After adjusting for age and grade level, girls with good digital health literacy were more likely to demonstrate good anemia prevention behavior than those with lower literacy (AOR=2.84; 95% CI=1.41–5.73; p=0.003). Digital health literacy is thus independently associated with anemia prevention behavior. Strengthening digital health literacy through school-based health education, digital health promotion, and collaboration between schools and primary healthcare centers is recommended to support anemia prevention efforts among adolescent girls.
Evaluation of Knowledge Levels and Comparative Quality of Life (OHIP-14) Between Denture Wearers and Non-Wearers among the Elderly at Panti Sosial Tresna Werdha Budi Luhur Jambi City Maqdisa, Siti Risa; Mardhian, Deby Fajar; Febrida, Renny
Jurnal Kesmas Jambi Vol. 10 No. 3 (2026): VOLUME 10 - NUMBER 3 - November 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i3.56965

Abstract

Tooth loss in the elderly significantly impacts their quality of life. Low oral health literacy often acts as a major barrier to prosthetic rehabilitation. This study aimed to analyze the effect of an educational intervention on oral health literacy and to compare oral health-related quality of life between denture wearers and non-wearers among the elderly at Panti Sosial Tresna Werdha (PSTW) Budi Luhur, Jambi. A pre-experimental study with a one-group pretest-posttest design was conducted on 45 elderly participants. Oral health literacy levels were measured before and after an educational intervention and analyzed using the Wilcoxon Signed-Rank Test, while quality of life was evaluated using the Oral Health Impact Profile-14 (OHIP-14) instrument and compared between denture wearers and non-wearers using the Independent Samples t-test/Mann-Whitney U Test. The mean oral health literacy score increased significantly from 3.98 to 6.27 (p=0.000). A significant difference in quality of life was found between denture wearers (score 6.33) and non-wearers (score 39.68) with p=0.000, though this cross-sectional comparison cannot establish a causal relationship. The educational intervention is effective in improving elderly oral health literacy, and denture use is strongly correlated with a better quality of life. Integrated prosthetic rehabilitation programs are highly recommended to enhance the well-being of the elderly.
Psychosocial and Clinical Determination of Quality of Life of Breast Cancer Patients at dr. Adnaan WD Payakumbuh Regional Hospital in 2026 Iwan Gusmana, Azzahra; Gusta Anggraini Nursal, Dien; Widoyo, Ratno
Jurnal Kesmas Jambi Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER 2 - July 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i2.57061

Abstract

Breast cancer is a leading cause of female mortality in Indonesia. The majority of women with breast cancer face physical and psychological pressures such as the fear of death, changes in body image, and fatigue during treatment, which seriously impact their psychological health and quality of life. Globally, the prevalence of depression among women with breast cancer is estimated to be around 30.2%, and breast cancer patients have a higher incidence of depression compared to patients with other malignant tumors. This study aims to determine the association between depression and quality of life (QoL) in 40 patients at RSUD dr. Adnaan WD Payakumbuh. This cross-sectional study employed non-probability sampling and structured interviews. We performed univariate, bivariate (chi-square), and multivariate (logistic regression) analysis. Results indicate significant associations between QoL and depression (p<0.001), age (p=0.003), occupation (p=0.028), stage (p=0.019), and treatment duration (p=0.037). Conversely, education (p=0.811) and treatment type (p=0.970) show no significant relationship. Duration and age emerged as dominant predictors in the relationship between depression and QoL of breast cancer patients at RSUD dr. Adnaan WD Payakumbuh in 2026. We recommend routine depression screenings for early psychological intervention. In addition, continuous health education regarding the disease, treatment, and ways to manage therapy side effects is necessary so that patients are better prepared for long-term treatment.
Peer Supporters of Yayasan Sebaya Lancang Kuning Supporting Antiretroviral Therapy Adherence Among People Living With HIV In Padang City 2026 Azzahra, Hasya Tsania; Markolinda, Yessy; Triana, Vivi
Jurnal Kesmas Jambi Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER 2 - July 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i2.57499

Abstract

Antiretroviral therapy (ART) adherence remains a critical gap in HIV care, with Indonesia falling short of the 95-95-95 targets and a 26% loss-to-follow-up rate. Community-based peer support is recommended to improve adherence, yet most studies emphasize quantifiable outcomes rather than the subjective experiences involved. This study explored the role of Peer Supporters from Yayasan Sebaya Lancang Kuning in supporting ART adherence among people living with HIV (PLHIV) in Padang City in 2026, across four social support dimensions: emotional, appraisal, instrumental, and informational. A qualitative phenomenological design was employed. Data were collected through in-depth interviews with nine purposively selected informants (four peer supporters, one program coordinator, and four PLHIV clients), supplemented by non-participatory observation and document review, and analyzed using the Miles and Huberman interactive model with source and method triangulation. Emotional support — built through confidentiality assurance, non-judgmental attitudes, and supporters' self-disclosure as fellow PLHIV — served as the foundation enabling other forms of support. Appraisal support was delivered through motivation, recognition of achievements, and supporters acting as role models. Instrumental support encompassed healthcare navigation, administrative assistance, medication delivery, and advocacy against discrimination, despite persisting stigma and client dependency. Informational support was provided progressively, from service access guidance to correcting health misinformation using concrete evidence. Peer supporters also reported substantial emotional burden. Peer support plays a multidimensional role in sustaining ART adherence, though sustainability requires attention to supporters' psychological wellbeing, clearer assistance guidelines, and stronger capacity to counter misinformation.
Spatial Distribution and Spatial Determinants of Stunting Among Under-Five Children in West Sumatra Province Ramadanti, Aztika; Djafri, Defriman; Pradipta, Yudi
Jurnal Kesmas Jambi Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER 2 - July 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i2.57612

Abstract

Stunting remains a major public health challenge because of its long-term impacts on growth, cognitive development, productivity, and future health. Marked differences in stunting prevalence across districts and municipalities in West Sumatra suggest spatial heterogeneity that cannot be adequately explained using conventional ecological approaches. This study aimed to examine the spatial distribution, spatial autocorrelation and spatial association between stunting among children under five and its ecological determinants in West Sumatra Province in 2024. An ecological study was conducted using secondary data from the West Sumatra Provincial Health Office and the Central Bureau of Statistics, covering all 19 districts and municipalities. Spatial patterns were analyzed using Global Moran's I and Bivariate Local Indicators of Spatial Association (LISA). The findings showed that stunting prevalence was predominantly moderate across the province. Global Moran's I indicated significant negative spatial autocorrelation (Moran's I = −0.245; p < 0.05), reflecting a dispersed spatial pattern. Bivariate LISA identified limited significant local associations, with clusters mainly classified as Low-Low and High-Low. These results suggest that stunting is influenced more by local contextual conditions than by geographic clustering, highlighting the need for geographically targeted and context-specific interventions to strengthen stunting prevention and control.
Spatial Distribution, Clustering, and Factors Associated with Measles Cases in Padang City, Indonesia, 2022–2025 Marja, Utari; Triana, Vivi; Pradipta, Yudi
Jurnal Kesmas Jambi Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER 2 - July 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i2.58399

Abstract

Measles remains a major vaccine-preventable disease and continues to cause outbreaks in Indonesia despite routine immunization programs. Understanding its spatial distribution and associated factors is important for guiding targeted public health interventions. This ecological study analyzed the spatial distribution, spatial clustering, and factors associated with measles cases across 11 sub-districts in Padang City, Indonesia, from 2022 to 2025 (44 sub-district-year observations) using secondary surveillance and program data. The outcome variable was the annual number of reported measles cases, while explanatory variables included first-dose measles-containing vaccine (MCV1) coverage, second-dose measles-containing vaccine (MCV2) coverage, population density, the ratio of primary healthcare centers, and healthy house coverage. Global Moran's I assessed spatial autocorrelation, and Local Indicators of Spatial Association (LISA) identified localized spatial clusters. Associations between explanatory variables and reported measles cases were examined using a log-transformed Ordinary Least Squares (OLS) regression model. No significant global spatial autocorrelation was detected, although LISA identified localized hotspot and coldspot areas. The regression model explained 30.8% of the variation in reported measles cases. Higher MCV2 coverage was positively associated with measles cases, whereas healthy house coverage was inversely associated. MCV1 coverage, population density, and the ratio of primary healthcare centers were not significantly associated with reported measles cases. The positive association between MCV2 coverage and reported measles cases may reflect enhanced surveillance, outbreak response, or ecological bias rather than causality. Strengthening immunization coverage data validation, identifying pockets of under-immunized children, and prioritizing interventions in sub-districts with localized spatial clusters may improve measles control in Padang City.
Association of Air Pollution and Climatic Factors with Pneumonia in Children Under Five, Padang, West Sumatera: Ecological and Spatial Analysis Yusra, Aldy; Alfian, Azyyati Ridha; Azmi, Fadilla; Novirsa, Randy
Jurnal Kesmas Jambi Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER 2 - July 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i2.58467

Abstract

Pneumonia remains one of the leading causes of mortality among children under five in Indonesia. Air pollution and climatic factors may increase the risk of pneumonia in this vulnerable population. This study aimed to examine the associations between air pollution, climatic factors, and pneumonia incidence among children under five in Padang City during 2023–2024. An ecological study was conducted using secondary data collected within a 5-km radius of an Air Quality Monitoring Station (AQMS). Air Quality Index (AQI) data were obtained from the West Sumatra Environmental Agency, while daily pneumonia surveillance data were obtained from the Padang City Health Office. Data were analyzed using simple linear regression, multiple linear regression, and descriptive spatial analysis. In the adjusted multiple regression model, carbon monoxide (CO) (β = 0.00, p = 0.027) and ozone (O₃) (β = 0.28, p = 0.039) were positively associated with pneumonia incidence, with O₃ identified as the strongest predictor. In unadjusted analyses, each 1 µg/Nm³ increase in CO and O₃ concentrations was associated with increases of 0.01 and 0.43 daily pneumonia cases, respectively. Together, both pollutants explained 27% of the variation in pneumonia incidence (R² = 0.27). Spatial analysis showed that areas with higher CO and O₃ concentrations tended to have higher pneumonia incidence. Strengthening air pollution control and targeted public health interventions are essential to reduce the burden of childhood pneumonia.

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