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INDONESIA
Berita Kedokteran Masyarakat
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : Health,
Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope related to aspects of: - Epidemiology - Infectious diseases control - Clinical Epidemiology - Environmental Health - Occupational Health - Healthy City - Public Health and Primary Health Care - School of Health Promotion - Healthy lifestyles - Health promotion - Health and Social Behavior - Tobacco and smoking - Adolescent Health - Public Health Nutrition - Maternal and Child Health - Reproductive Health - Population Health - Health of Vulnerable People - Social Determinants of Health - Water, Sanitation and Hygiene - Human Resource Management
Articles 8 Documents
Search results for , issue "Vol 23, No 1 (2007)" : 8 Documents clear
Pengaruh Faktor-Faktor Psikososial dan Insomnia terhadap Depresi pada Lansia di Kota Yogyakarta Carla R. Marchira, Ronny T. Wirasto, Sumarni DW
Berita Kedokteran Masyarakat (BKM) Vol 23, No 1 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (49.315 KB) | DOI: 10.22146/bkm.3630

Abstract

Background: Even though depression among elderly is a common psychosociogeriatric problems, it needs to be taken seriously from the public health point of view. Many factors contributed to depression, among which are psychosocial factors (i.e. age, educational level, marital status, stressor, religious level, and social support) and physical and psychological problems.Objectives: The study was aimed to observe the influence of psychosocial factors (psychosocial stressor, social support, and religious level) and insomnia toward depression among elderly in Yogyakarta City.Material and Methods: The cross sectional study was conducted among elderly in Yogyakarta City. Instrument used in the study included: the Geriatric Depression Scale, the Psychosocial Stressor Study Instrument (IPSP), the Social Support questionnaire, the Mini Mental State Examination for cognitive screening; the KSPBJ InsomniaRating Scale; and praying instrument from KPDRY. Univariate analysis and multivariate stepwise logistic regression were used for this study.Results: A total of 128 elderly people were recruited into this study.  Mean age of respondent was 70.23 years (range: 60-88 years), with 32.8% respondents were male. Significant risk factors for depression included sex (p<0.05), age (p<0.05), education level (p=0.001), psychosocial stressor (p<0.001), religiousity level (p=0.001), insomnia (p<0.001), and social support (p<0.001). In the multivariate logistic regression, social support was identified as a significant factor with ap<0.001 and r2 of 61.9%.Conclusions: Social support is amongst the most important factors of depression among elderly in Yogyakarta CityKeywords: psychosocial factors, insomnia, depression, elderly people
Obesitas sebagai Faktor Risiko Terjadinya Premenstrual Syndrome pada Mahasiswa Akademi Kebidanan Pemerintah Kabupaten Kudus Magdalena Dyah Puspitorini, Mohammad Hakimi, Ova Emilia
Berita Kedokteran Masyarakat (BKM) Vol 23, No 1 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (49.322 KB) | DOI: 10.22146/bkm.3631

Abstract

Background: Emotional changes and physical disorders at premenstrual period are common among reproductive- age females. The problem might lead to decrease inworking productivity and ininterpersonal problems. Obese females (BMI> 30) are at higher risk of experiencing premenstrual syndromes. A preliminary study at Midwifery Academy in Kudus District had revealed the overweight and obesity prevalence of 13.72% and 11.87%. The figures were higher than the predicted obesity prevalence of 4.7% in the year 2000.Aim: The study was conducted to identify the relationship between body mass index and premenstrual syndrome.Methods: Cross sectional research was conducted to collect data from 371 students from Midwifery Academy in Kudus District.  Univariate analysis was used to describe the frequency distribution. Bivariate analysis using chi-square for trend and chi square tests, as well as multivariate analysis with applied logistic regression model were used to assess the association between risk factors and premenstrual syndrome.Result: The chi-square for trend test showed odds ratios for premenstrual syndrome of 1.72 (95%CI=0.84-3.57), 3.96 (95%CI=1.62-9.80), and 9.78 (95%CI=3.53-27.94) among normal, overweight and obese students, respectively. There were odds ratios of 1.08 (95%CI=0,63-1,86) and 2.66 (95% CI=1,24-5,76) in middle adult women and older adult women, respectively. Contraceptive usage and stress level were also identified as significant factors of premenstrual syndrome.  Logistic model using age, contraceptive usage and stress levelmade the best model in showing significant relationships between BMI and stress level and premenstrualsyndrome.Conclusion: There was a significant relationship between body mass index and premenstrual syndrome, and obesity is a risk factor of premenstrual syndrome.Keywords: obesity, body mass index, premenstrual syndrome
Hubungan Antara Intensitas Kebisingan Aktivitas Penerbangan di Bandara Adi Sucipto dengan Nilai Ambang Pendengaran pada Anak Mieng Nova Sutopo, B.U. Djoko Rianto, Nawi Ng
Berita Kedokteran Masyarakat (BKM) Vol 23, No 1 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (73.46 KB) | DOI: 10.22146/bkm.3632

Abstract

Background: With its increasing status as international airport, the intensifying flight activities at Adi Sucipto Airport in Yogyakarta City poses a public health problem to its surrounding community. A preliminary study conducted by the Directorate of Environmental Sanitation, Directorate General of Disease Control and Environmental Sanitation of the Ministry of Health and Environmental Health Engineering Council of Yogyakarta, at an elementary school located in the Noise Area Limit II showed the noise level of 71.4 dBA, and subjective complaints from respondents included difficulty to sleep (46.5%), frequent waking up at night (45.1%), and lack of sleep (42.2%). Forty three out of 70 students studied experienced decrease of hearing capability.Objective: The objective of the study was to identify relationship between noise intensity and level of hearing limit among elementary school students at Noise Area Limit II of Adi Sutjipto Airport, Yogyakarta. The study was conducted at two elementary schools within the Noise Area Limit II, one situated closely to the airport and the other one at the outer ring of the area.Method: The study was analytical with cross sectional study design.Result: The airplane noise intensity, either measured at school or subject residence, showed no significant differences between Kali Ajir Lor and Perumnas Condong Catur Elementary School. The duration of exposure is amongst the important factor which might explain the difference of hearing impairment observed in this study.Conclusion: Length of exposure to noise intensity is statistically significant to the level of hearing impairment among students studied.Keywords: noise area limit, noise intensity, hearing disorder
Faktor-Faktor yang Berhubungan dengan Pemberian Imunisasi Hepatitis B 0-7 Hari Laila Kusumawati, Nenny Sri Mulyani, Dibyo Pramono
Berita Kedokteran Masyarakat (BKM) Vol 23, No 1 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (49.749 KB) | DOI: 10.22146/bkm.3633

Abstract

Background: According to WHO, Indonesia is a middle and high hepatitis B endemic country with children as its most common carriers. The risk of developing chronic hepatitis is higher (90%) if children are infected in their early age. Early hepatitis B immunization program by providing first dose within 7 days after birth was implemented in Bantul District, but the coverage was still lower (68,17%) than expected.Objective: To identify factors associated with providing hepatitis B immunization first dose 0-7 days after birth.Methods: This cross sectional study was conducted in Bantul District. Interview was conducted among 213 mothers who have babies of 8 days to 23 months old. Subjects were recruited using with stratified random sampling method at 3 subdistricts with different immunization coverage. Chi square and logistic regressions were used for data analysis.Results: The univariate analysis showed factors that have significant relationship: birth attendants (OR:4,01, 95% CI:1,49-10,85), birth place (OR:2,25, 95% CI:1,00-5,02), perceived severity of disease (OR:2,27,   95%CI:1,06-4,95) and health worker services (OR:2,34, 95% CI:1,20-4,57). Multivariate analysis with logistic regression model showed that only birth attendant, health worker services and perceived severity of disease have significant relationship with providing hepatitis B immunization on 0-7 days.Conclusions: Birth attendants, health worker services and perceived severity of disease are associated with providing hepatitis B immunization first dose within seven days after birth.Keywords: immunization, hepatitis B, first dose within 7 days
Analisis Risiko Penularan Tuberculosis Paru Akibat Faktor Perilaku dan Faktor Lingkungan pada Tenaga Kerja di Industri Tri Martiana, M.Atoillah Isfandiari, Muji Sulistyowati, Ira Nurmala
Berita Kedokteran Masyarakat (BKM) Vol 23, No 1 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (49.309 KB) | DOI: 10.22146/bkm.3634

Abstract

Background:  Tuberculosis, with its increasing burden of morbidity and mortality, remains a major health problem in Indonesian community. Patients with droplet nuclei and their environment are two important infectious factors. Unhealthy working environment has become a promoting factor of TB infection in industry. One study revealed that TB prevalence among industrial worker was as high as 0.9%, and this suggests probable contagious agents (TB) circulating at workplacesObjective: This study was conducted to analyze the risk of TB infection among industrial workers in Gresik Subdistrict, East Java Province.Method: This study is an analytic observational study with case-control design. A total of 125 respondents were recruited in the study, 25 cases and 100 controls. Cases were industrial workers who suffered from TB and being treated on TB medication in primary health center  (Puskesmas). Controls were healthy industrial workers. Cases and controls were matched by age, working place and duration of working. Variables studied included smoking habit, use of mask, exposure to sunlight, and dust at work place.Result: Risk factors of TB infection included not using mask (OR=2.01), absence of sunlight at workplace (OR=1.195), and exposure to dust at work place (OR=1.338). However, none of the factors were statistically significant.Conclusion: Despite the statistical insignificant results of this study, several factors were identified as probable factors of TB infection at work place. Further research with larger sample size is warranted.Keywords: risk analysis, TB infection, industry
Kejadian Anemia pada Bayi Usia 6 Bulan yang Berhubungan dengan Sosial Ekonomi Keluarga dan Usia Pemberian Makanan Pendamping Asi Siti Helmyati, Hamam Hadi, Wiryatun Lestariana
Berita Kedokteran Masyarakat (BKM) Vol 23, No 1 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (50.418 KB) | DOI: 10.22146/bkm.3635

Abstract

Background:  The high prevalence of iron deficiency among infant after six months of age, especially in developing country need to be aware because of their long-term consequences for the infant. Iron deficiency in infancy has been shown to delay cognitive and psychomotor development.Objective of the study: The study was conducted to assess the association between maternal hemoglobin concentration at 6 month postpartum, complementary breastfeeding and maternal socioeconomic status at 6 mo with infant hemoglobin concentration at 6 mo.Methods: The study was designed as a cross sectional study. Sample recruited in this study included women at six month postpartum who still breastfeed their baby. Mother’s hemoglobin concentration was analyzed using cyanmethemoglobin method and their infant’s haemoglobin by azidimethemoglobin with HemoCue tool.Results: This study showed that the prevalence of anemia among infants at 6 month of age was very high (75.32%). Complementary breastfeeding and socioeconomic status were associated with infant haemoglobin concentrationsConclusions: Although no significant association between maternal and infant anemia were identified, there was a tendency for anemic mother to have infant with lower haemoglobin concentration.  A longitudinal study is needed to assess this association.Keywords:  infant, lactating mother, hemoglobin status, socioeconomic status, complementary breastfeeding
Hubungan Antara Kejadian Malaria dengan Status Gizi Balita Muhammad Tarmidzi, Soesanto Tjokrosonto, Toto Sudargo
Berita Kedokteran Masyarakat (BKM) Vol 23, No 1 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (46.847 KB) | DOI: 10.22146/bkm.3636

Abstract

Background: Malaria is one amongst the major health problems in Kulonprogo District of Yogyakarta Province. The district itself is high case incidence (HCI) area, particularly in Kokap and Samigaluh Subdistricts. Even though malaria might affect nutritional status, their relationship is still controversial, particularly among children under five years old.Methods: This study was designed as a retrospective nested case control study. The study was conducted in Kokap and Samigaluh Subdistricts over 3 months period starting on August 2004. Cases were children under five years old who suffered under nutrition and severe malnutrition. Controls were healthy children who did not suffer malnutrition. Data were processed by computer program. Bivariate analysis was conducted to assessthe association between nutritional status and malaria.Results: The study showed that there were no association between malaria and nutritional status among children under five years old in Kokap and Samigaluh Subdistricts of Kulonprogo Region, Daerah Istimewa Yogyakarta Province (p=0.308). The odds ratio of having malaria among cases was 1.54 (95%CI=0.62 - 3.87).Conclusión: There were no association between malaria and nutritional status among children under five in Kokap and Samigaluh Subdistricts of Kulonprogo Region, Daerah Istimewa Yogyakarta Province.Keywords: malaria, incidence, nutritional status, under five year children
Mengapa Masyarakat Atas tidak Memilih Puskesmas? Studi Kasus di Sleman Said Muntahaza; Upiek Sumanti; Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat (BKM) Vol 23, No 1 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.288 KB) | DOI: 10.22146/bkm.25339

Abstract

Tiga alasan paling penting mengapa layanan swasta dipilih dibandingkan puskesmas adalah karena ada „kelas“ layanan yang sesuai dengan status sosial, layanan oleh dokter, dan citra layanan yang bagus. Program perbaikan mutu puskesmas tampaknya belum bisa membuat orang kaya datang. Masyarakat kaya masih mendapat kepuasan dari layanan swasta daripada puskesmas. Puskesmas belum bisa menjadi bagian dari tempat petugas kesehatan bekerja yang lebih kompetitif dibandingkan dengan lembaga swasta. Ketika tenaga kesehatan merasa lebih suka membuka praktik swasta, maka puskesmas hanya sekadar memperbaiki mutu.Jika puskesmas dapat memberikan pelayanan yang kompetitif dengan pelayanan lain, ia akan dikunjungi pasien kaya. Puskesmas yang ingin bergairah perlu mengembangkan diri seperti lembaga swasta yang melayani masyarakat menengah ke atas. Sisi customer penting bagi mereka. Puskesmas yang hanya memiliki visi perbaikan mutu tanpa menghitung alasan pemilihan layanan swasta tidak cukup sebagai sebuah strategi. Pemerintah tidak boleh ragu mengambil keputusan puskesmas sebagai lembaga mandiri. Puskesmas yang akhirnya melayani penduduk miskin saja hanya membuat petugas kesehatan lebih suka membangun sistem swasta di luar jam kerja pemerintah mereka.Puskesmas yang memperbaiki mutu selama ini mungkin perlu berorientasi pada sistem pengelolaan tenaga kesehatan berbasis kinerja. Perbaikan internal organisasi puskesmas ini difasilitasi oleh peraturan dan posisi pemerintah daerah dalam memahami bagaimana pengelolaan puskesmas dan kebutuhan masyarakat secara efisien dan efektif berdasarkan misi pemerintah mereka.

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