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Berita Kedokteran Masyarakat

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Published by Universitas Gadjah Mada

ISSN : 02151936 EISSN : 26148412 DOI : https://doi.org/10.22146/bkm.v37i2.2320

Core Subject : Health,

Nursing Public 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

Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan

Articles 7 Documents

Search results for , issue "Vol 25, No 2 (2009)" : 7 Documents clear

Faktor-Faktor yang Berhubungan dengan Pernikahan Usia Dini di Kabupaten Purworejo Jawa Tengah Rafidah Ova Emilia, Budi Wahyuni
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Early marriage is common in developing countries including Indonesia. Factors related to early marriage are, among others; education, economic, and social aspects. The impacts of early marriage are dropout and teenage pregnancy which causes rejection to pregnancy. In District of Purworejo marriage below 20 years of age is still as much as 20.6% (Community Health and Nutrition Research Laboratory 2005).Objective: The study aimed to identify factors related to early marriage.Method: This was an observational study with cross sectional design using both qualitative and quantitative approaches. Data were obtained through questionnaires and interview guide. Samples of the study were 90 married women, who were systematically chosen, respondents of longitudinal surveillance of Community Health and Nutrition Research Laboratory, 90 parents of the respondent, 1 religious leader, 2 community leaders and 1 staff of office of Religious Affairs. Hypothetical test used chi square with p<0.05, CI 95%. Multivariable analysis used logistic regression.Results: Low perception about marriage showed the most related to the decision for early marriage. Other factors related to early marriage were low level of education (RP=2.90, CI 95%=1.30–6.49, p=0.000), low familyeconomic status (RP=1.75, CI 95%=1.05 – 2.91 p=0.017). Unemployed parents (RP=1.48, CI95%=0.88-2.49 p=0.23) and parents’ low perception about marriage (RP=1.5, CI95%=0.96-2.37 p=0.05) were not strongly related with early marriage.Conclusion: Factors related to early marriage were perception of respondents about marriage, education of respondents, family economic status, and unemployed parents.Keywords: early marriage, perception about marriage, family economic status, education

Faktor-Faktor yang Mempengaruhi Penemuan Penderita TB Paru di Kota Palu Provinsi Sulawesi Tengah Awusi RYE, Yusrizal Djam’an Saleh2, Yuwono Hadiwijoyo
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Every second Mycobacterium tuberculosis infected 1 person worldwide. Overall, one-third of the world’s population is currently infected with the TB bacillus. 5%-10% of people who are infected with TB bacilli become sick or infectious at some time during their life. Pulmonary TB is an important health problem in worldwide. World Health Organization (WHO) recommended controlling TB with DOTS strategy since 1995. Focus of global TB control with DOTS strategy is case detection and cure TB patients. Case detection rate in South East Asia is low (31%-54%) of the target global of CDR (70%). For the period 2006-2007 years CDR in Palu Municipalyti is very low (34%-35%). Therefore, it is important to find factors that influence for case detection of pulmonary TB.Objectives: To identify the relationship between independent variables of knowledge, length of work, work load, incentive, training of DOTS, access, service KIE about TB and screening suspect TB with case detection of pulmonary TBMaterial and Methods: This was an analytic observational study which used a cross sectional design with both quantitative and qualitative approaches. Subjects of the study were providers TB program of Community Health Center in Palu Municipality. Data were descriptively analyzed (univariate) and statistically analyzed (bivariate) using chi square test and logistic regression (multivariate) at confident interval 95%.and significant level 5%.Results: Variables that have significant statistically relationship (p< 0.05) with case detection of pulmonary TB is screening suspect TB (OR=8,92; 95%CI=2,36-38,65), service KIE about TB (OR=8,85; 95%CI=2,16-36,97), training of DOTS (OR=5,84; 95%CI=1,54-26,77).Conclusion: The factors to have significant influence of case detection pulmonary TB were screening suspect TB, service CIE TB and training of DOTS. Screening suspect TB was the most influencing case detection of pulmonary TB in Palu Municipality.Keywords: case detection of Pulmonary TB, screening of TB suspect, service CIE, training of DOTS, Palu municipality

Beda Persepsi Dokter Puskesmas Integrasi dan Non Integrasi di Kabupaten Klaten terhadap Penderita Skizofrenia Anisa Renang, Carla Marchira
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Mental disorder is a health problem commonly found in the community. Studies showed that mental disorder often undetected and not well managed in primary care. Primary care doctors perception towards severe mental disorder i.e. schizophrenia will influence the management of this disorder.Objective: To identify different perception between integration and non-integration primary care doctor in Klaten regency towards schizophrenia patient.Subject and Method: Subjects were primary care doctors in Klaten Regency. The figure of sample was 48. Data was collected using perception towards schizophrenia patient instrument. Data was analyzed with Chi-Square.Result: Data collection showed 75% primary care doctors stated that schizophrenia was a disease which could be recovered, 45.8% stated they did not like to treat schizophrenia patient, 83.3% stated that schizophrenia patient needed to be supervised continuously, and 16.7% primary care doctors stated that schizophrenia patient is dangerous; therefore they needed to be isolated. Chi-square test showed different perception between integration and non-integration primary care doctor towards recovery of schizophrenia patient (x²=7.759, p=0.005), using of new antipsychotic (x²=9,966, p=0,002), supervision of schizophrenia patient continuously (x²=12.448, p=0.00), giving diagnosis of schizophrenia (x²=5.828, p=0.016) and isolation of schizophrenia patient (x²=12.448, p=0.00).Conclusion: There’s a significant difference between integration and non-integration primary care doctor towards recovery of schizophrenia patient, using of new antipsychotic, supervision of schizophrenia patient continuously, giving diagnosis of schizophrenia, and isolation of schizophrenia patient.Keywords: perception, primary care doctor, schizophrenia

Meningkatkan Sikap Positif Terhadap Perilaku Tidak Merokok dan Kecenderungan untuk Berhenti Merokok Melalui Pelatihan T. Cut Lizam, Yayi Suryo Prabandari, Amitya Kumara
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Almost everybody knows that smoke could endangered smoker’s health and people surrounding (passive smoker). The influence of peer, self appearance, curiosity, stress, boring, masculinity and rebelience are some of major issues that could contribute teenagers to start smoking. Therefore, health education is needed to improve positive attitude toward non smoking behavior and tendency to quit smoking by empowering their own emotional through emotional intelligence training.Objective: This research was aimed to find out the influence of training on emotional intelligence in order to improve positive attitude toward non smoking behavior and tendency to quit smoking in intervention group and the difference on attitude as well as intention to quit smoking in intervention group with control group.Method: Quasi experimental study was conducted with pre-test and post-test with control design. Experiment group was given training on emotional intelligence with lecture method and sensitivity training. The research subjects were 43 in intervention group and 41 in control group with research population was boys who smoke in grade II of social science majoring class. Data analysis was conducted with paired t-test for one group and independent t-test in different group with significance level of 5% or p<0.05.Result: There was a significant positive improvement on attitude toward non smoking behavior especially in pretest and posttest-1, pretest and posttest 2 (p<0.05) and there was an improvement on tendency to quit smoking in intervention group. There was a significant difference (p<0.05) on attitude in intervention and control groups. Furthermore, there was not an improvement on positive attitude toward non smoking behavior in intervention group especially in the indicator of self motivation and in posttest 1 and posttest 2.Conclusion: Health education through training on emotional intelligence could improve positive attitude toward non smoking behavior and tendency to quit smoking in teenager.Keywords: training on emotional intelligence, attitude toward smoking and tendency to quit smoking

Analisis Kondisi Rumah, Sosial Ekonomi dan Perilaku sebagai Faktor Risiko Kejadian Frambusia di Kota Jayapura Tahun 2007 R. Indra Boedisusanto, Fajar Waskito, Haripurnomo Kushadiwijaya
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Yaws is caused by spiral bacillus called treponema perteneu. It is a human infectious disease which commonly attacks skin and bones. The prevalence of yaws in Indonesia was less than 1 per 10,000 people but there were places with high prevalence such as Provinces of West Papua, Papua, South East of Sulawesi, Nusa Tenggara Timur and Maluku. The prevalence of yaws in Jayapura Municipality in 2007 was 5.4 per 10,000 people.Objective: To identify risk factors of house condition, social economic factors and behavioral factors of the occurence of yaws at Jayapura Municipality.Method: The study was observational with case control study design. Sample of the study consisted of 84 cases and 84 control subjects. Data were analyzed using computer with 2 x 2 tables and multiple logistic regression tests at 95% significant level.Result: Multivariable analysis showed that three variables were significant risk factors for the occurence of yaws: house condition (occupancy density, OR=2,5, availability of clean water, OR=5.9), and behavior (taking a bath, OR=3.8).Conclusion: Factors of house condition (occupancy density, availability of clean water), social economy (knowledge) and behavior (taking a bath) are dominant risk factors for the occurence hence prevalence of yaws at Jayapura Municipality.Keywords: Yaws, risk factors, Jayapura Municipality

Hubungan Antara Akses KB dengan Pemilihan Kontrasepsi Hormonal dan Non Hormonal di Kabupaten Purworejo Sri Panuntun, Siswanto Agus Wilopo, Lina Kurniawati
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: The report of 2002-2003 Indonesia’s Demographic and Health Survey (IDHS) suggests that the prevalence of family planning in Indonesia reach 60 percent with the hormonal contraceptive increase by 16 percent and the non hormonal contraceptive decrease by 7 percent. Generally, the choice of contraceptives is based on clear reasons to regulate the birth spacing or to limit births. Factors determining the choice of non hormonal contraceptives include physical access (distance), economy (cost), administration (service resource) and cognitive accesses (knowledge).Objective: To investigate the relationship between contraceptive accesses and the choice of hormonal and non hormonal contraceptives in Purworejo District.Method: This was an observational study with a case control study design.Subject: Samples were married women 20-35 years of age that became the new acceptors with the choice of non hormonal contraceptives (IUD) as the case (133 women) and of hormonal contraceptives (pill and injectable) as the control (133 women) from 1 January 2004 to 31 December 2004.Data analysis: The qualitative data analyses used were univariable, bivariable and multivariable. Statistical test used chi-square and logistic regression.Results: The bivariable and multivariable analyses showed that there was a relationship between family planning demand and the choice of non hormonal contraceptives. Respondent residing far from family planning services tended to choose non hormonal contraceptives with a chance of 1.9 times higher (OR=9.5;CI95%=1.16-3.19). The variable that had the greatest chance to influence respondents to choose non hormonal contraceptives was cost that was 7.5 times (OR=7.5; CI 95% = 2.60-21.87). The respondents that utilized private facilities tended to choose non hormonal contraceptives.Conclusion: Respondents with family planning demand to limit births were likely to choose non hormonal contraceptives. Other factors affecting the choice of non hormonal contraceptives were income.Keywords: family planning accesses, family planning demand, choice of hormonal and non hormonalcontraceptives, case control

Hubungan Status Pekerjaan Ibu dengan Berat Lahir Bayi di RSUP Dr. M. Djamil Padang Yuliva Djauhar Ismail, Diah Rumekti
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: According to 2002-2003 Indonesia Demography Health Survey (IDHS), the percentage distribution of women based on job status in the past 12 months in West Sumatera showed that 57,5% of woman was working, 2,4% of woman was not working and 40,1% of the women did not work at all. From the data, it is shown that the percentage of woman who working was bigger than woman who was not working. Based on various researches, a job that will be done by a woman especially while pregnant, had influence toward the weight of the infant who will be delivered.Objective: This research was aimed to find out the relationship of job status and job type of mother with infant’s birth weight in RSUP Dr. M. Djamil Padang.Method: This was an observational research that used Prospective Cohort design. The data was collected in antenatal polyclinic of RSUP Dr.M. Djamil Padang. The population was all pregnant women who came to check their pregnancies to antenatal polyclinic and they were clustered based on job status and job type. Every pregnant woman was observed and their pregnancy development that was started in the week 32 of pregnancy until delivery was continually monitored. The sample was taken with non probability sampling and consecutive sampling. The independent variables were job status and job type and the dependent variable was infant’s birth weight. The confounding variable were education, social economy status, women’s age, parity, gestation age, women’s height, weight gain, nutrition intake, children sex and mother’s disease during pregnancy.Result: The dif ference of birth weight in a mother works with heavy physical activity was 196.44 gram (p=0.000) which was lower than mother who did not work with heavy physical activity, and the difference of infant’s birth weight in the group of mother who were ill during pregnancy with those who were not ill in their pregnancy period was 243.92 gram (p=0.001). Male infant who was born had difference on the average of birth weight that was 97.24 gram (p=0.015) which was heavier than female infant. The increasing gestation age every one week will increase infant’s birth weight 45.34 gram (p=0.021) and increasing of mother’s weight will increase infant’s birth weight with 47.12 gram (p=0.000). The increasing nutrition intake every one kilocalories will increase infant’s birth weight 0.56 gram (p=0.000). R2 was 0.2729 which mean that model 2 as the result of double linear regression analysis could explain the relationship and predicted infant’s birth weight with 27.29%.Conclusion: There was a relationship between mother’s job status (working or not working) and mother’s job type (heavy physical activity and low physical activity) with infant’s birth weight, in which infant’s birth weight in working mother with heavy physical activity was lower than infant with mothers who did not work with heavy physical activity.Keywords: job status, job type and infant’s birth weight

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Ika Kusumaningtyas

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Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA

Abstract

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Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Ika Kusumaningtyas

Contact Email tyas.kusuma@ugm.ac.id

Phone +628988833412

Journal Mail Official bkm.fk@ugm.ac.id

Editorial Address Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Ika Kusumaningtyas

Contact Email
tyas.kusuma@ugm.ac.id

Phone
+628988833412

Journal Mail Official
bkm.fk@ugm.ac.id

Editorial Address
Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA