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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 7 Documents
Search results for , issue "Vol 24, No 4 (2008)" : 7 Documents clear
Perbandingan Kejadian dan Faktor Risiko Hipertensi antara RW 18 Kelurahan Panembahan dan RW 1 Kelurahan Patehan Cindy Cekti, Adiguno S.W., Sarah A.H., Khoirul A., Mohammad E.P., Datu R., Dyah A.R., Ika
Berita Kedokteran Masyarakat (BKM) Vol 24, No 4 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (240.62 KB) | DOI: 10.22146/bkm.3578

Abstract

Background: The elderly makes up  10.9% and 15.5% of 720  residents  in RW  18 Kelurahan Panembahan and 645  residents  in RW  1  Kelurahan Patehan,  respectively. Most  of  the  elderly  in  both RW  districts  suffer  from hypertension and  ranks at  third place among  the 10 most prevalent diseases  in Puskesmas Kraton  in 2006. The prevalence  of  hypertension  cases always  increases year  after year  in both  kelurahan. Therefore,  hypertension gets more  concern  and  support  from  stakeholders  (the  government,  puskesmas,  LSM)  in  the  attempts  of prevention  and control,  both  in  the  form  of health  promotions and  therapy.Objective: To  determine  the  incidence  of  hypertension,  the  level  of  awareness  of  the  residents,  and  the  risk factors  that  affect  the elderly  in RW  18 Kelurahan  Panembahan and RW  1  Kelurahan Patehan, Kecamatan Kraton.Method: This  research  is a  descriptive observational  study, with  cross-sectional study  design. The  research subjects  are  the  people within  the society  of Kelurahan  Patehan  and Kelurahan panembahan  aged >60  years old. The numbers  of  samples  obtained are  110  respondents. The  instruments  of  this  research  are:  calibrated aneroid sphygnomanometer, weighing  scale, measuring  tape,  and  questionnaires. Data analysis  is  done with the Chi-square  test method and Fisher Exact  test by  using  crosstabs,  in addition  to  using  the  compare mean independent T-test.Results: Hypertension  is  found  to  affect  59.3%  of  the  elderly  population  in RW  1 Patehan and  55.36% of  thepopulation  in RW  18 Panembahan.  Interestingly,  this  corresponds  to  the prevalence  data collected  by JNC  VII which states  that half  of  the  population  aged  60-69  years  old suffers  from hypertension. Further analysis  done within  this  research  shows  that  there  is  no  significant  correlation between  the  incidence  of  hypertension  and the  risk  factors  of BMI,  smoking,  exercise,  diets with  high  salt  content,  and  coffee.  In RW  18  Kelurahan Panembahan,  the  p  values  for  the  risk  factors mentioned  above  are  0.159;  1.000;  1.000;  0.367;  and  0.446 respectively. In RW 1 Kelurahan Patehan,  the p values are 0.181; 1.000; 0.901; 1.000; and not analyzable. Based on  interview,  the  amount of  salt consumption  in both RW  is  somewhat difficult  to determine  in  the  field, as  the food is cooked and prepared in each household for several family members at a time. It is difficult for the subjects to  estimate how many  tablespoonfuls  of salt  is  used  in  the  dishes  because  subjects  are   accustomed  to  use rough hand measurements  in  taking salt.  In addition  to  that, parts of  the society  in  the  target environment prefer to  buy  instant  foods. The  same applies  to  coffee  consumption;  it  is hard  to estimate  the amount  consumed because  it  is not  a  routine  activity, and  each  individual  differs  in  the sense  of how much coffee  taken each  day and which  type  of  coffee  is  used. The  consumption of  cigarettes everyday  also  differs  between  one  individual and  the  other and  the average  amount  is  below  that which  can  cause  increase  in blood  pressure.Conclusion: The quantitative  study  in  this  research,   supported with  a  qualitative  study,  shows  that aspects  of behavior  are not  risk  factors  that can  cause hypertension.  The  incidence  of hypertension  in Kelurahan Patehan and Panemahan  is  related  to age. Therefore,  research  is  done  regarding age  distribution and  hypertension incidence  in  the  region, preceded  by  improvements  in  the  instruments used  to determine  the  levels  of salt  and caffein consumption  and  levels  of  stress. The  residents  of RW  1, Kelurahan Patehan  and RW  18,  Kelurahan Panembahan,  Kecamatan Kraton may  serve  as models  to  illustrate  that  there  is  no  correlation  between  risk factors  and  incidence of  hypertension  in  an urban  area with  high  levels  of stress. Therefore,  there  is  the  need to do  further  research  regarding cultural  (Kraton)  influences  city  toward  another city  center  settlements  stress factors  that are  related  to  hypertension.Keywords: elderly,  hypertension,  risk  factors, Kelurahan Patehan and Panembahan, Kecamatan Kraton
Hubungan antara Ekspresi Emosi Keluarga Pasien dengan Kekambuhan Penderita Skizofrenia di RS Dr. Sardjito Yogyakarta Carla R Marchira, Sumarni P., Lusia P.W
Berita Kedokteran Masyarakat (BKM) Vol 24, No 4 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (113.232 KB) | DOI: 10.22146/bkm.3579

Abstract

Background:   Schizophrenia  is considered  as severe mental disorder which  causes  big  burden  in one’s  life. After being hospitalized, schizophrenic patients will  live with  their  family while do  regular visitation  to  the hospital to get medical  treatment  under doctor’s  supervision. Schizophrenic  patient’s care  often  becomes  a burden  for the  family,  either  financially,  physically, and  emotionally. Studies  showed  that many  families  have high  expressed emotion due  to  high  relapse  rate on schizophrenic  patient. Sex difference also affects  course and schizophrenic prognosis. There are  still  limited  data about  these  issues  available  in  the  field  of mental  health.Objective: To  observe  correlation  between  families  expressed  emotion  and  relapse  rate  of  schizophrenia patients at Dr. Sardjito Hospital. We  observed drug  compliance and  activity daily  living of  schizophrenia patients as well.Method: This  study  used  cross  sectional  design. Subjects  were  schizophrenic  patients who were  being treated at Dr Sardjito Hospital  and  their  families. The sample size was 31.  Instruments  used  in  this  study were: Expressed emotion  instrument by Soekarto  (2001), Compliance Scale by  Widiyanto  (2002), and ADL  instrument. Data were  analyzed with Chi-Square  and Pearson Correlation  test. We  performed  linear  regression  test  to determine  the contribution  of expressed  emotion  towards  patient’s  relapse  rate.Result  : Data  collection  showed  that  61.3%  schizophrenic  patient’s  families  had  high  expressed  emotion, meanwhile  74.2%  schizophrenic  patients were  relapse. Chi-Square  test  showed  significant correlation  between patient  family’s expressed emotion and schizophrenic patients  relapse  rate(X2=8,22; p<0,05). Pearson Correlation test  also  showed positive  correlation between  patient  family’s  expressed  emotion  and schizophrenic  patients’ relapse  rate  (C=0,59). We  found  the  r2=24,2%.Conclusion: There  is  a  significant  correlation  between  patient’s  family  expressed  emotion with  patient’s relapse  rate. High  expressed  emotion  of  the  family  has  contribution  on  increasing  schizophrenic  patients’ relapse  rate.Keywords  :  expressed  emotion,  relapse, schizophrenia,  drug  compliance, ADL
Hubungan antara Kecemasan dengan Aktivitas dan Fungsi Seksual pada Wanita Usia Lanjut di Kabupaten Purworejo Lidia Hastuti, Muhammad Hakimi, Djaswadi Dasuki
Berita Kedokteran Masyarakat (BKM) Vol 24, No 4 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2036.54 KB) | DOI: 10.22146/bkm.3580

Abstract

Background: the decline of physical functions in older women specially the organs regarding to their sexuality functions causes the changes on sexual responses at all phases (desire, plateau, orgasms and resolution phases). Despite physiological factors, psychological factors such as anxiety can result in disorders in their sexual activity and function. Until recently, studies on sexual activity and function in old women are still rare so that a good study on the issue is needed.Objective: this study was undertaken to know the association between anxiety and sexual activity and function among older women.Method:  it was an observational study with cross-sectional design. The subjects selected by cluster random sampling were 6,698 women over 50 years of age obtained from the data of  longitudinal surveillance from CHN-RL, Faculty of Medicine, GMU in Purworejo District. The study instrument used was SAGE developed by WHO and the data analysis used was Stata program version 8. The hypothesis test was done by using multinominal logistic regression test.Results: from the respondents observed, the women that still did sexual activity were 38.52% with the sexual dysfunction prevalence of 45.20% and the anxiety prevalence of 34.92%. Anxiety increased the risk of sexual dysfunction 1.5 times (OR=1.5 95%CI 1.4 – 1.9). Anxiety also increased the dissatisfaction in older women’s sexual life 1.1 times (OR=1.5 95%CI 1 – 1.3). Anxiety old women experienced declining of sexual frequency with OR of 1.2 for the activity frequency ‘occasionally’ and 0.7 for the activity frequency ‘often’.Conclusion: anxiety in older women increased the risk of sexual dysfunction, dissatisfaction in sexual life and decreased the frequency of sexual activity. Other factor such as age, educational level, marital status, parity, heart disease and diabetes mellitus were other risk factors in old women’s sexual dysfunction.Keywords: anxiety, activity and sexual function, older woman
Review Penggunaan Obat Rawat Jalan Peserta Askes Sosial di RSMH Palembang selama Tahun 2007 Pemberdayaan Masyarakat Bidang Kesehatan di Era Otonomi Daerah Sarmalina S., Sonlimar M.
Berita Kedokteran Masyarakat (BKM) Vol 24, No 4 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (139.556 KB) | DOI: 10.22146/bkm.3581

Abstract

Background: Since  1987 PT Askes  has  been  implementing  the  drug  usage  guideline which  is called DPHO (Daftar dan  Plafon Harga Obat).In  order    to encourage  drug  services  efficiently  and  related  to medical  needs. In addition    PT Askes has got benefits in medicine expenses that can lower  it up to 40%. Although it has    better guidence  as  long  as  implementations without being  control continuously      the aim  of  it      can  be  far  from  hope. Through  this study we want  to  examine  how extent  the  drug  usage  in  social  health  insurance.Method:  In  this  paper we  used  cross-sectional  study,  using entry  data  base  prescriptions      from  the  entire social  health  insurance  participant  related  in  to  the  first  care outpatient  and advanced  care outpatient. All of  the patients originally  based on  polyclinics hospital  services  in RSMH during  2007. All  of prescriptions we used  as data  resources. All  these data were  observed  and  analyzed  performed  in  descriptive and  tabulation.Results: The  result of  this  study  shows  that we  got 140.256  pieces of  per  encounter during  2007 with  total cost Rp10.657.075.126,00.  The  average  cost  per  encounter  is Rp75.983,00    range    from     Rp231,00  to Rp5.151.227,00. The  average number  of drug  per encounter  is 4,4  and  the  percentage drug  used of  antibiotics is  10,81%.Conclusion: This  study comes  to conclusion  that  the  prescriptions  costs    in social  health  insurance  outpatient was  high  enough.  It  is  cost  by    certain  prescriptions,  polifarmacy,  and  diverse    drugs  usage  in  overuse prescribing  category such  as vitamin  neurotropic and  drug used  in AH2    receptor  blocker    like    as  ranitidin  that has    been    prescribed    for alleviating   gastrointestinal  effect.Keywords:  drug  utilities, social  health  insurance,  health care,  outpatient
Hubungan Tipe Kepribadian dengan Sikap Remaja Pria Tentang Merokok di SMK 2 Yogyakarta Nur Indah Febriliana, Purwanta, Dwi Harjanta
Berita Kedokteran Masyarakat (BKM) Vol 24, No 4 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (181.347 KB) | DOI: 10.22146/bkm.3582

Abstract

Background: The age  for  the  initiation of smoking  tends  to  be younger every year. The  result of a study shows that  the  initiation of smoking  tends  to be  less  than 20  years of age. Whereas according  to another study  in  four of  Senior  high  schools  of Yogyakarta  randomly  chosen,  the  proportion  of  male  smokers  (trial  and  active smokers)    is equal,  i.e. 28.3%. There  are  factors which  cause  teenagers  to smoke,  one of which  is  personality factor. This  study  observes  the  relationship between  types  of  personality  (extrovert,  introvert  and  ambivert) and  attitude  about smoking  among male  teenagers.Objective: To  identify  the  relationship  between  types  of  personality  and  attitude  of male  teenagers  about smoking  at SMK  2 of Yogyakarta.Method: This was a  survey with  cross sectional  design. There were  as many  as 59  respondents consisted  of 30  respondents of grade  I and 29  respondents of grade  II chosen using proportionate stratified  random sampling technique.  Instruments  of  the  study were  questionnaires  and  data analysis  used  chi  square at  deviation=2.Result: There were  31  students of  ambivert  personality  (52.5 %).  The majority  of  respondents  had  positive attitude about  smoking,  i.e.  33  respondents  (55.9%). Students  of  introvert  personality  tended  to  have  positive attitude  as many  as 14.625  times higher  than  those  of extrovert  personality. The  result of  data analysis  showed that X2=9.323  and  p=0.009with N=59,  deviation=2. When  p<0.05 CI95%, HO was  denied. Therefore  since p=0.009  and p<0.05, HO was  denied. Accordingly  it could  be concluded  that  there was  relationship  between types  of personality  and attitude  of male  teenagers  about  smoking.Conclusion: There  was  relationship  between  types  of   personality  and  attitude  of male  teenagers  about smoking  at SMK  2 of Yogyakarta.Keywords:  extrovert,  introvert,  ambivert, attitude,  smoking,  teenagers
Penerapan Pedoman Umum Gizi Seimbang dalam Pemeliharaan Kesehatan Jantung pada Ibu Peserta dan Bukan Peserta Klub Jantung Sehat di Kalurahan Pleret Bantul Yogyakarta Rizqie Auliana, Hainur Fardatin
Berita Kedokteran Masyarakat (BKM) Vol 24, No 4 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.556 KB) | DOI: 10.22146/bkm.3583

Abstract

Background:  This  study  aims  to  see  1)  knowledge  concerning  nutrition  2)  knowledge  concerning  heart sickness  and  applying 13 message of  base  in  everyday  life mothers’  participant  of active  healthy heart  club which have  done effort  operation of  heart sickness  risk.Method: Research  type  is survey with  location  research  of Kalurahan Pleret District of Pleret Sub-Province  of Bantul  Yogyakarta. Population  Research  is  homogen with  housewife  criterion  have  age  20-55  year  with consideration of  risk  factor  at woman  happened age  55  year  so  that  before age  are  they  have prepared  herself healthy  life. Research Sample  selected by  simple sampling  random counted  30 housewife  people participant  of active healthy heart club  ( gymnastic group) and 30 housewife people  is not participant of healthy heart club  (not gymnastic group). Research data collected use 3  instruments  that are knowledge  test of nutrition,  test knowledge of  heart sickness  and  questioner  applying  13 messages  of  PUGS. Validity  and  reliability  instrument as  data collectors with  correlation  product moment  test  and  kruder-richardson  technique.Result and  conclusion: Result of  research show  1)  knowledge  of nutrition  between gymnastic  group and  not gymnastic group have difference 0,6.  In gymnastic group 29 people  is good and   not gymnastic group 27 people is good, with mean  assess  gymnastic  group 14,97  and not  gymnastic group   14,37, meaning most  researches sampel  have  owned  knowledge  of  good  gizi,  2)  knowledge  concerning  heart  sickness  between group  have difference  0,27,  all  sample have  good  knowledge  of heart  sickness with mean assess  gymnastic  group  13,75 and  not  gymnastic  group 13,1,  and  3)  all sampel  have  good  applied  13 message  of  base  of  PUGS better  in everyday  life,  this matter  for  gymnastic  group have  as according  to behavioral  theory  that  good  knowledge  is basis  for  behavior.Keywords  : PUGS, heart disease, SJS
A Study on Hypertension Among Population Living Underneath Suteti and Its Related Factors Jakarta 2009 Corrie Wawolumaya
Berita Kedokteran Masyarakat (BKM) Vol 24, No 4 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.892 KB) | DOI: 10.22146/bkm.3584

Abstract

Background: Hypertension  is one  of  the  degenerative  diseases which  killed  about 7,2 mill people,  about 13 % of the total death worldly.  In Indonesia  the disease has become more popular, It was  reported  that Indonesia had got a quite high prevalence of hypertension , among  male 24,9%, female 23,6% , elderly 33,3 % , SUTETI 500 kV is  the  Extra High  Electrical Energy  Transmission  lines    transferring    the   energy  from  the Electrical Power Installation   to the consumers via  the connection of Power   Relay station.  The  SUTETI electromagnetic exposure many  times  has  been  connected with  diseases  and mental  emotional  disorders  used  to  be experienced  by patients with hypertension  such as  head ache,  dizziness, easily  get angry,  heavy neck  as well  as stroke. These health disturbances  have been  considered by many  people  as SUTETI’s  negative health  impact among  people living underneath.   Most of the times were used by public as the major reasons against the installation of SUTETI wire  network.Method: The aim of study  is  to  identify  the  relation between SUTETI exposure and hypertension, and  its  related factors  among population  living underneath. Another objective  of study  is  to  identify  the  relation between mental emotional  factors and hypertension. The population was people living underneath SUTETI 0-100 ms  right and  left away  from  the  towers. The number  of  samples  collected was  about 2000  people with  the calculated  sample size 753 and were stratified  into  three zones, zone 1  , 0-30 ms  right and  left  from  the  tower, zone 2  , 30-70 ms and  zone 3  ,70-100 ms.  The  independent  variables   were sociodemographic  factors  i.e.,  age,  sex,  education, income  ,  length of stay at home, duration of stay at  the  location, besides smoking habit, annoyance, satisfaction, electrical  field dose  , magnetic  field dose  and zone  .   Blood chemistry examined were  cholesterol and nutritional status  besides melatonin, mental emotional  and  sleeping  disorders.Result  and  conclusions: Study  results  reported  that  the  highest  outside  the  house measurements  of  the electric  field was  in zone 1  ,   3,2 kV/m   and magnetic  field   was     6,7 X 10-² mT  , both were still  lower  than  the National Standard of SUTETI in  Indonesia  – SNI 2003 , 5 kV/m and 0,1 mT. The prevalence of hypertension based on  zone were  significant  ,  zone 1,  14,14%, zone  2  ,   11,31%  and zone  3,  5,66 %  (   p  =  0,004)   The  logistic regression  function analysis  identified  two determinants, duration of  stay  ( p =  0,044  )  ; OR 3,85  (95 %CI  :1,04 – 14, 12) ; income ( p = 0,019 , OR  15, 891 ( 95% CI: 1,578 – 169,97). People living > 30 years under the SUTETI towers  (0  – 100ms  ) will  be  risky  3,85  times  to get  hypertension  than  people  living  less  than  30  years. Also people with less income had the risk 16 times to get hypertension compared to middle income. The results did not reveal  any  specific  evidence  of  association  between  the  electromagnetic  exposure  and  hypertension.  The logistic  regression  function  also  did  not  identify  any  association  between mental  emotional  disorders  and sleeping  disorders  towards  hypertension.Keywords:    hypertension, SUTETI, mental emotional  disorders

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