Community Medicine and Education Journal
CMEJ covers all subjects regarding community medicine and education. The covered research areas as follows community medicine, public health, epidemiology and biostatistics, health policy and administration, public health nutrition, environmental health, occupational health and safety, health promotion, reproductive health, maternal and child health, quality of life, health literacy and communication and their role in developing new healthcare programs, Arts of teaching, Case studies from schools around the world, Change management and education quality, Citizenship education, Classroom management, Computers in educational administration, Differing cultural perceptions of management in education, Distance education and multimedia environments, Early Childhood Education, Economics of education, Educational administration, Education environments (political, social, legal, cultural), Educational leadership, Educational policy and management, Educational systems planning/strategic planning, E-education / E-learning, Entrepreneurial development, Equity and education, Finance and accountability in education, Globalization and education, Human resources management, Individual professional learning portfolio, Information Communication Technologies (ICT) in Education, Special Education and Theories of educational management.
Articles
107 Documents
<![CDATA[Analysis of the Impact of Coffee Consumption on Adolescent Cardiovascular Performance: An Observational Study in the Adolescent Community in Jakarta, Indonesia ]]>
<![CDATA[Muhammad Dzakwan Dwi Putra]]>;
<![CDATA[Lontoh, Susy Olivia]]>
<![CDATA[ Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal ]]>
Publisher : <![CDATA[HM Publisher ]]>
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DOI: 10.37275/cmej.v5i2.578
<![CDATA[Introduction: Coffee is a popular drink among adolescents. However, its effect on cardiovascular performance in this population remains unclear. This study aims to analyze the relationship between coffee consumption and cardiovascular performance in adolescents in Jakarta, Indonesia. Methods: Cross-sectional observational research was conducted on 350 adolescents aged 15-18 years in Jakarta. Coffee consumption data was collected through a structured questionnaire, while cardiovascular performance was assessed through measurements of blood pressure, heart rate and body mass index (BMI). Logistic regression analysis was used to identify the association between coffee consumption and cardiovascular performance, with adjustment for potential confounding factors. Results: The results of this study provide evidence that excessive coffee consumption (>2 cups/day) can increase blood pressure and resting heart rate in adolescents. However, moderate coffee consumption (1-2 cups/day) does not appear to have a significant negative impact on cardiovascular performance. Conclusion: Excessive coffee consumption (>2 cups/day) has a significant negative impact on adolescents' cardiovascular performance, namely increasing blood pressure and resting heart rate. However, further research is needed to understand the long-term effects and mechanisms underlying this relationship.]]>
<![CDATA[The Effect of Exercise on Adolescent Lung Function Performance: An Observational Study in the Adolescent Community in Jakarta, Indonesia ]]>
<![CDATA[Anthony Jason Raharjo]]>;
<![CDATA[Lontoh, Susy Olivia]]>
<![CDATA[ Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal ]]>
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DOI: 10.37275/cmej.v5i2.580
<![CDATA[Optimal lung function is a crucial health indicator, especially in adolescents who are in the growth and development phase. Exercise is known to have a positive impact on lung function, but research evidence on adolescents in Indonesia, especially Jakarta, is still limited. This study aims to examine the effect of exercise on the lung function performance of adolescents in Jakarta, considering the urban context with high levels of air pollution. This cross-sectional observational study involved 350 adolescents aged 12-18 years in Jakarta, randomly selected from various schools. Data collection included a physical activity questionnaire (IPAQ short version), anthropometric measurements (height, weight, waist circumference), and spirometry to assess lung function (FEV1, FVC, FEV1/FVC). Multiple linear regression analysis was used to identify associations between exercise and lung function parameters, with adjustment for confounding factors. The results showed that physically active adolescents had significantly higher FEV1, FVC, and FEV1/FVC values compared to less active adolescents (p < 0.001). These results remained significant after adjusting for age, gender, body mass index (BMI), and smoking status. There was no significant relationship between age and lung function parameters. Adolescent boys have higher FEV1, FVC, and FEV1/FVC values than girls. Height and weight are positively correlated with FEV1 and FVC. Exercise has a significant positive effect on the lung function performance of adolescents in Jakarta. These findings support the importance of promoting physical activity in adolescents to improve lung health, especially in urban environments with exposure to air pollution. Further longitudinal studies are needed to confirm these findings and evaluate the long-term effects of exercise on adolescent lung function.]]>
<![CDATA[The Role of Exercise on Sleep Quality: An Observational Study in the Medical Student Community in Jakarta, Indonesia ]]>
<![CDATA[Muhammad Naufal Razaan]]>;
<![CDATA[Lontoh, Susy Olivia]]>
<![CDATA[ Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal ]]>
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DOI: 10.37275/cmej.v5i2.581
<![CDATA[Optimal sleep quality is very important for the health and academic performance of medical students. However, high academic demands often cause lack of sleep and sleep disorders. Exercise has been shown to have a positive effect on sleep quality in the general population, but research on the role of exercise on sleep quality in medical students is still limited. This study aims to identify the relationship between the level of physical activity (exercise) and sleep quality among medical students in Jakarta. This cross-sectional observational study involved 350 medical students from various universities in Jakarta. Physical activity data was collected using the International Physical Activity Questionnaire (IPAQ), while sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Logistic regression analysis was used to identify the relationship between physical activity and sleep quality, by controlling for confounding variables such as age, gender and stress level. The results showed that medical students who were physically active had a lower risk of experiencing sleep disorders compared to students who were less active. Logistic regression analysis showed that moderate to vigorous physical activity was significantly associated with better sleep quality (OR = 0.56; 95% CI: 0.35-0.88; p = 0.012). Exercise has an important role in improving sleep quality in medical students. Exercise-based interventions may be an effective strategy to address sleep problems in this population.]]>
<![CDATA[The Effect of Counseling Intervention on Adolescents' Knowledge Regarding Sunscreen Use and the Incidence of Acne Vulgaris: An Experimental Study in the Adolescent Population in Jakarta, Indonesia ]]>
<![CDATA[Shelma Tria Amanda]]>;
<![CDATA[Tansil Tan, Sukmawati]]>
<![CDATA[ Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal ]]>
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DOI: 10.37275/cmej.v5i2.588
<![CDATA[Acne vulgaris is a common skin problem in adolescents, often exacerbated by a lack of knowledge about proper skin care, including the use of sunscreen. This study aims to evaluate the effectiveness of counseling interventions in increasing adolescents' knowledge about sunscreen use and reducing the incidence of acne vulgaris. This experimental research involved 150 adolescents aged 15-18 years in Jakarta who were randomly divided into an intervention group (receiving counseling) and a control group. The intervention group received structured counseling sessions on sunscreen use and skin care for 8 weeks. Knowledge about sunscreen and the incidence of acne vulgaris were assessed before and after the intervention using a validated questionnaire and clinical examination. There was a significant increase in knowledge about sunscreen in the intervention group after counseling (p < 0.001). The intervention group also showed a significant reduction in the incidence of acne vulgaris compared to the control group (p = 0.023). Counseling interventions are effective in increasing adolescents' knowledge about sunscreen use and reducing the incidence of acne vulgaris. This intervention can be considered as a public health strategy to address skin problems in adolescents.]]>
<![CDATA[Analysis of the Role of Sebum Levels in the Incidence of Acne Vulgaris in Adolescents: An Observational Study on Adolescents in Jakarta, Indonesia ]]>
<![CDATA[Arni Ismi Fadhila]]>;
<![CDATA[Tansil Tan, Sukmawati]]>
<![CDATA[ Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal ]]>
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DOI: 10.37275/cmej.v5i2.589
<![CDATA[Acne vulgaris (AV) is a chronic inflammatory skin condition common in adolescents, with excess sebum production considered a major risk factor. This study aims to analyze the relationship between sebum levels and the incidence of AV in adolescents in Jakarta, Indonesia. Cross-sectional observational research was conducted on 300 adolescents aged 12-18 years in Jakarta. Sebum levels were measured using Sebumeter, and AV incidence was assessed based on Global Acne Grading System (GAGS) criteria. Statistical analysis was carried out using the chi-square test, independent t-test, and logistic regression. There is a significant relationship between high sebum levels and the incidence of AV (p < 0.001). Adolescents with high sebum levels have a 3.9 times higher risk of experiencing AV compared to adolescents with normal sebum levels (OR = 3.9; 95% CI = 2.4-6.3). Other factors such as age, gender, socioeconomic status, body mass index (BMI), face washing habits, use of cosmetics, and family history of AV do not have a significant effect on the incidence of AV. Sebum level is an independent risk factor for the incidence of AV in adolescents in Jakarta. Early detection and effective management of sebum levels can be an important strategy in the prevention and treatment of AV.]]>
<![CDATA[Effectiveness of the Education Program on Using Iodine Mouthwash on Dental and Oral Health in Adolescents: An Intervention Study in the Adolescent Community in Batusangkar City, Indonesia ]]>
<![CDATA[Aini, Rahmatul]]>;
<![CDATA[Harfindo Nismal]]>;
<![CDATA[Desy Purnama Sari]]>;
<![CDATA[Dyana Putri]]>
<![CDATA[ Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal ]]>
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DOI: 10.37275/cmej.v5i2.592
<![CDATA[Poor oral health in adolescents is a significant public health problem in Indonesia. Iodine-based mouthwash has been proven effective in reducing plaque and gingivitis, but its use is not optimal among adolescents. This study aims to evaluate the effectiveness of an educational program on the use of iodine-based mouthwash on dental and oral health among adolescents in Batusangkar City. This research is an experimental study with a pre-post test design involving 150 adolescents aged 12-18 years in Batusangkar City. Participants were randomly divided into an intervention group (receiving an educational program and iodine mouthwash) and a control group (receiving an iodine mouthwash). Plaque index, gingival index, and knowledge about dental and oral health were measured before and after the intervention for 6 months. Data analysis was carried out using paired t-tests and independent t-tests. There was a significant reduction in plaque index and gingival index in the intervention group after 6 months of intervention (p < 0.05). The increase in knowledge about dental and oral health was also significant in the intervention group (p < 0.05). There were no significant differences between the two groups at the start of the study. The educational program on the use of iodine-based mouthwash is effective in improving dental and oral health among adolescents in Batusangkar City. This program can be recommended as part of efforts to prevent dental and oral diseases in adolescents.]]>
<![CDATA[Analysis of the Implementation of Minimum Service Standards (SPM) on the Minimum Service Quality of Hospitals: A Case Study at Mentawai Islands Regional Hospital, West Sumatera, Indonesia ]]>
<![CDATA[Fadlika, Avissa]]>;
<![CDATA[Rizanda Machmud]]>;
<![CDATA[Abdi Setya]]>
<![CDATA[ Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal ]]>
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DOI: 10.37275/cmej.v5i2.593
<![CDATA[Minimum service standards (SPM) are an important instrument in ensuring the quality of health services in hospitals. This research aims to analyze the implementation of SPM on minimum service quality at the Mentawai Islands Regional Hospital, West Sumatera, Indonesia. This research uses a mixed-method design with a sequential explanatory approach. The quantitative phase involved collecting secondary data from medical records and patient satisfaction surveys (n=300). Logistic regression analysis is used to identify the relationship between SPM implementation and service quality. The qualitative stage involved in-depth interviews with hospital management (n=5) and health workers (n=10) to explore factors influencing SPM implementation. The results of the quantitative analysis show that the implementation of SPM is significantly associated with an increase in minimum service quality, especially in the aspects of patient safety, clinical effectiveness and patient experience. Qualitative interviews revealed that factors such as resource availability, management commitment, and staff training influence the success of SPM implementation. Effective implementation of SPM contributes to improving the minimum service quality at the Mentawai Islands Regional Hospital. To optimize the implementation of SPM, increasing the availability of resources, strengthening management commitment and ongoing training programs for staff is needed.]]>
<![CDATA[Lipid Profile as a Predictor of HbA1c in Women with Gestational Diabetes Mellitus ]]>
<![CDATA[Amirah , Amirah]]>;
<![CDATA[Yudistira , Yudistira]]>;
<![CDATA[Arlitha Deka Yana]]>
<![CDATA[ Community Medicine and Education Journal Vol. 5 No. 3 (2024): Community Medicine and Education Journal ]]>
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DOI: 10.37275/cmej.v5i3.610
<![CDATA[Gestational diabetes mellitus (GDM) is associated with adverse maternal and fetal outcomes. While glycemic control is paramount, the role of lipid profiles in predicting HbA1c levels, a marker of long-term glycemic control, remains under-investigated in Indonesian populations. This observational study enrolled 250 women diagnosed with GDM at the primary healthcare centers in Soppeng Regency. Fasting lipid profiles (total cholesterol, triglycerides, LDL-cholesterol, HDL-cholesterol) and HbA1c levels were measured at diagnosis and at 24-28 weeks gestation. Statistical analyses included correlations, regression models, and receiver operating characteristic (ROC) curve analysis. HbA1c levels were significantly correlated with triglyceride and LDL-cholesterol levels at both time points. Regression analysis revealed that triglycerides were the strongest independent predictor of HbA1c. ROC curve analysis showed moderate discriminatory power for triglycerides in predicting elevated HbA1c (AUC 0.72). Lipid profiles, particularly triglycerides, may serve as early predictors of HbA1c levels in women with GDM. These findings underscore the importance of monitoring lipid profiles alongside glucose control in this population.]]>
<![CDATA[Enhancing Type 2 Diabetes Management: The Role of Pharmacist-Led Education and Booklets ]]>
<![CDATA[Lusiana, Ika]]>;
<![CDATA[Yosef Wijoyo]]>
<![CDATA[ Community Medicine and Education Journal Vol. 5 No. 3 (2024): Community Medicine and Education Journal ]]>
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DOI: 10.37275/cmej.v5i3.618
<![CDATA[Type 2 diabetes mellitus (T2DM) is a global health concern, necessitating effective management to prevent complications. Pharmacists, as accessible healthcare professionals, can play a pivotal role in patient education and self-management support. This study aimed to evaluate the impact of pharmacist-led education and booklets on glycemic control and self-management behaviors in patients with T2DM. A quasi-experimental study was conducted at a hospital in Central Java, Indonesia. Patients diagnosed with T2DM for at least six months were recruited. The intervention group received pharmacist-led education and a booklet, while the control group received standard care. Fasting blood glucose (FBG) and self-management behaviors were assessed at baseline and after three months. The intervention group demonstrated a significant reduction in FBG levels compared to the control group (p < 0.05). Additionally, the intervention group showed improvements in self-management behaviors, including medication adherence, dietary control, and physical activity. Pharmacist-led education and booklets are effective in improving glycemic control and self-management behaviors in patients with T2DM. This intervention can be integrated into routine diabetes care to enhance patient outcomes.]]>
<![CDATA[The Role of Systemic Inflammation in COPD Severity: Insights from FEV1 and hs-CRP ]]>
<![CDATA[Julike, Katarina]]>;
<![CDATA[Mery Silvia Harahap]]>
<![CDATA[ Community Medicine and Education Journal Vol. 5 No. 3 (2024): Community Medicine and Education Journal ]]>
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DOI: 10.37275/cmej.v5i3.620
<![CDATA[Chronic obstructive pulmonary disease (COPD) is a complex inflammatory disease characterized by progressive airflow limitation. While pulmonary inflammation is a hallmark, the role of systemic inflammation in COPD severity remains an area of active investigation. This study aimed to explore the relationship between lung function, assessed by Forced Expiratory Volume in 1 second (FEV1), and systemic inflammation, measured by high-sensitivity C-reactive protein (hs-CRP), in patients with stable COPD. A cross-sectional study was conducted involving 51 patients with stable COPD. Lung function was assessed using spirometry, and hs-CRP levels were measured using the Architect tool. The relationship between FEV1 and hs-CRP was analyzed using Spearman's rank correlation test. The study population consisted predominantly of older males (mean age 64.05 ± 8.05 years) with moderate to severe airflow limitation (mean FEV1 33.65 ± 15.78%). All patients had hs-CRP levels within the normal range (<10 mg/L), with a median of 0.34 mg/L. A significant negative correlation was observed between FEV1 and hs-CRP (r = -0.260, p = 0.032), indicating that patients with worse lung function tended to have higher levels of systemic inflammation. The findings suggest that even in stable COPD, systemic inflammation, as reflected by hs-CRP, is associated with lung function impairment. This highlights the potential role of systemic inflammation in COPD progression and underscores the need for further research to elucidate the complex interplay between pulmonary and systemic inflammation in this disease.]]>
