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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 27, No 4 (2011)" : 7 Documents clear
Analisis Spasial Pupa Ae. Aegypti dan Temporal Faktor Iklim yang Mempengaruhi Insidensi Demam Berdarah Andreas Purwanto Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 27, No 4 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (627.97 KB) | DOI: 10.22146/bkm.3391

Abstract

Background: Dengue Haemorrhagic Fever (DHF) is still a health problem in Gowa Regency. The effective way to reduce the incidence of DHF is reducing the vector population. Using the new relatively of vector index, i.e. pupae/person index, is regarded well than some indices to measure the vector density. Yet, a Stegomyia index is still commonly used in present because of practice and simple. Then, all of indices need to be tested by correlate the vector indices with the incidence of DHF. In this study, demographic/pupae survey is used to knowing each of vector indices. Besides, mapping is done to know the disperse pattern of Aedes vector, then knowing the correlation of climate and the incidence of DHF.Objective: Examining the vector indices that can be trusted for routine survey, understanding the epidemiology of Aedes vector by knowing their disperse pattern, and predicting the early season of dengue transmission to prevent increasing of DHF casesMethod: This was an analytic study with cross-sectional design, using the demographic/pupae survey to know pupae/person index and Stegomyia indices by 496 houses. Index score is correlated by the incidence of DHF in RT’s. Tools of ArcGIS are used to testing the spatial analysis, i.e. Average Nearest Neighbor Distance, to know the tendency of pupae clustering. Pearson correlation is used to testing the incidence of DHF by climate.Results and conclusions: There are significantly positive correlations in BI and CI by the incidence of DHF (p<0,05), there are no correlation in HI and pupae/person index by the incidence of DHF. The pupae spots that mapped tend to cluster (p<0,05). There are negative correlations in range of minimum-maximum temperature by the incidence of DHF.Keywords: stegomyia indices, pupae/person index, cluster, climate, Gowa Regency
Perilaku Kesehatan Gigi dan Mulut pada Anak Sekolah Dasar Ida Rahmawati Julita Hendrartini Agus Priyanto
Berita Kedokteran Masyarakat (BKM) Vol 27, No 4 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (250.582 KB) | DOI: 10.22146/bkm.3392

Abstract

Background: The issue of dental and oral health is a vulnerable issue faced by groups of elementary school age children. Dental Health National Data (2006) showed that the prevalence of dental caries in Indonesia was about 90% of the 238 million of Indonesian population and the number of children aged 15 years and under who sufferred from dental caries reached 76.5%. The data in 2008 from Banjar Municipal Health Office showed that the number of elementary students in Banjar District who suffered dental caries was by 65% which caused students often not to attend school.Objective: To know the factors that influence dental and oral health behaviors in elementary school children in BanjarDistrictMethods: This was an observational quantitative research using a cross sectional design. The study was conducted in Banjar District, South Kalimantan Province in two subdistricts ie Astambul and Martapura subdis-tricts. The population of this study was the mothers and elementary school age children in Banjar District. Study sample was the mothers and elementary school children in grade III aged 6-12 years old. The total sample was 126 people. The bivariate data analysis used chi-square test and logistic regression for multivariable analysis.Results: Distribution of knowledge level about dental health of elementary school children was good (54.8%); attitude of the mothers was in moderate category (45.2%); behavior of the mothers was also in moderate category (42.9%); neighborhood of elementary school children in the District Banjar was in good category (56.3%), and most of elementary school children in Banjar District had the correct behavior towards dental and oral health, with a frequency of 61.1%. The bivariate analysis showed that the variables of knowledge, attitudes, environment and behavior were significant to the children’s behavior with p-value of 0.0001, and the children’s behavior was significant with dental and oral health status with p-value of 0.0001. These results were followed with the multivariable analysis showing significance to dental health status (knowledge OR = 2.5 and p = 0.025; attitudes OR = 2.7 and p = 0.032; mother’s behavior OR = 2.9 and p = 0.027; environment OR = 3.2 and p = 0.007; children’s behavior OR = 4.6 and p = 0.018).Conclusion: The majority of mothers in Banjar District had good knowledge, attitudes, and behavior on children’s dental and oral health status. The environment of elementary school children in Banjar District was also quite positive in supporting the children’s behavior to maintain the dental and oral health status.Keywords: dental and oral health, knowledge, attitudes, behavior and environment
Kurang Energi Kronis Ibu Hamil sebagai Faktor Risiko Bayi Berat Lahir Rendah Virdaus Syarifuddin Muhammad Hakimi Berty Murtiningsih
Berita Kedokteran Masyarakat (BKM) Vol 27, No 4 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (493.666 KB) | DOI: 10.22146/bkm.3393

Abstract

Background: Infants of low birth weight (LBW) is associated with high infant mortality rate. In 2009 the infant mortality rate in the Bantul district reached 11.49 per 1000 KH of which 36.6% are caused by low birth weight. Chronic Energy Deficiency (CED) and maternal age are risk factors for the dominant cause of LBW in 2009.Objectives: To know the description of the case of CED, LBW and the magnitude of the risk of CED on the incidence of LBW in Bantul district.Methods: The study design is Matched case-control study. The study population was the mother who gave birth during the year 2010 and 2011, the study site sub-divided based on the cluster. The case is the mother who gave birth to babies with weight <2500 grams, the control is the mother who gave birth to a baby weighing > 2500 grams. Large sample of cases was 149 people, with a 1:1 ratio of cases and controls were then obtained a total sample of 298 people. Sampling controls through matching on parity and maternal age. The data obtained were analyzed by univariate, bivariate and multivariable, then presented in tables and graphs.Results: In multivariable analysis, there are two significant variables related to LBW: CED (OR = 3.95; 95% CI = 2.147 to 7.299, p <0.001) and anemia (OR = 3.17; 95% CI = 1.660 to 6.051; p <0.001).Conclusion: CED was suffer from 69,1% respondents. Mother who gave birth to babies with LBW, 83,2% suffer from CED and 94,6% lack of iron intake. Pregnant women with CED-risk gave birth to babies with LBW. Pregnant women who suffer from CED and anemia predicated 75.53% will give birth to babies with LBW.Keywords: KEK, low birth weight, matched case control study
Positive Deviance pada Status Gizi Balita Pepi Hapitria Djaswadi Dasuki Djauhar Ismail
Berita Kedokteran Masyarakat (BKM) Vol 27, No 4 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.226 KB) | DOI: 10.22146/bkm.3394

Abstract

Background: Positive Deviance (PD) is a ‘power’ based approach having a belief that in each community there are certain individuals as the actors of ‘positive deviance’ that own specific habit and behavior. They might find out better ways to prevent nutritional deficiency compared to their surroundings that possess the same resource and face the same risk as well.Objective: To find out PD behavior in poor family towards under-five children’s nutritional status in Astanajapura Health Center working area of Cirebon District.Method: The study used a case control study design and in-depth interview. Subjects were under-five children 6-59 months of age. Data collection used a questioner and interview. Data analysis used univariate, bivariate, and multivariate analysis with logistic regression to determine OR and 95% CI of the effect of PD behavior towards under-five good nutritional status.Result: Under-five good nutritional status was significantly related to PDbehavior (OR=7.43; 95% CI=1.89–29.17). The other factors affecting under-five good nutritional status were maternal education (OR=6.63; 95%CI=1.63–23.90) and under-five age (OR=4.05; 95% CI=1.16–14.10).Conclusion: Under-five good nutritional status had a significant relationship with PD behavior.Keywords: nutritional status, positive deviance behavior, under-five children
Perbedaan Keakraban Suami-istri Berdasarkan Adanya Anak Dengan Kecenderungan Attention Deficit/Hyperactivity Disorder Sari Dewi A Carla R. Marchira Soewadi
Berita Kedokteran Masyarakat (BKM) Vol 27, No 4 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.247 KB) | DOI: 10.22146/bkm.3395

Abstract

Background: Prevalence of children with Attention Deficit/ Hyperactivity Disorder (ADHD) tendency often funding at school-age. Children with ADHD often make parent feel stress full. Parent will through some energies and time to control children behavior and to find best treatment for children. As a consequence, spouse feels neglected and its will disturb husband-and-wife relationship and threat marriage stability. Husband-and-wife relationship can influence by another socio-demographic factors.Objective: To analyze the difference of husband-and-wife relationship based on children with ADHD tendency existence and another factor i.e communication, sexual intercourse, spouse personality/ temperament, education, occupation, monthly income, marital-age and number of child those give influence heaviness to husband-and-wife relationship.Method: The type of this study is observational with cross sectional analytic design. The subject is parent of student at elementary school of Karangwuni 1 Yogyakarta representatitively by husband or wife by incidental sampling. ADHD tendency is valued by IOWA Conner’s Rating Scale instrument. The husband-and-wife relationship is valued by Husband-and-Wife Questioner. Hypothesis tests use chi-square and logistic regression.Result: There is no significant difference of husband-and-wife relationship and children with ADHD tendency (X2 = 1,996; p > 0,05). There is significant difference of education factor and husband-and-wife relationship (p < 0,05; OR = 2,79; CI 1,05-7,47).Conclusion: There is no significant difference of husband-and-wife relationship based on children with ADHD tendency existence for parent of student at elementary school of Karangwuni 1 Yogyakarta. Education factor gives significant influence heaviness to husband-and-wife relationship.Keywords: children with tendency attention deficit/ hyperactivity disorder, husband-and-wife relationship
Hubungan Tingkat Kepatuhan Minum Obat Hipoglikemik Oral dengan Kadar Glukosa Darah pada Pasien Diabetes Melitus Tipe 2 Wiwik Salistyaningsih Theresia Puspitawati Dwi Kurniawan Nugroho
Berita Kedokteran Masyarakat (BKM) Vol 27, No 4 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.617 KB) | DOI: 10.22146/bkm.3396

Abstract

Background: Diabetes mellitus (DM) is a major health problem in the world and predicted a substantial increase of people with DM in the next years. In Public Health Center, the number of type 2 DM patient visits in 2010 increased compared to that in 2009 i.e 2.078 become 2.354 visits. The main goal of treatment of DM is keeping blood glucose contens within normal limits, an effort that can be done is to take oral hypoglycemic drugs (OHO) regularly.Aim: To know the correlation between the level of adherence to take OHO and blood glucose contens in type 2 DM patients in Umbulharjo II Public Health Center Yogyakarta.Method: This study used cross-sectional design with a population of 45 respondents, using a total sampling techniq.Results: The level of adherence to take OHO showed 31.1% proportion of non-adherent and 68.9% of adherent. Blood glucose contens showed 37.8% proportion of high and 62.2% of normal. From the analytical results obtained OR = 8.571  (CI95%: 2.045 to 35.923) meaning that non-adherent patients to take OHO have 8.6 times higher risk of blood increased glucose contens compared with patients who dutifully take OHO.Conclusion: There is a significant relationship between the level of adherence to take OHO and blood glucose contens in patients of type 2 DM.Keywords: the level of adherence to take OHO, blood glucose contens, type 2 DM.
Studi Komparasi Perilaku Masyarakat dalam Upaya Pencegahan Demam Berdarah Dengue terhadap Keberadaan Nyamuk sebagai Vektor Briliana Nur Rohima, Sutami Budi Fitriawan, Puti Neila Kharisma Abbas,; Kusuma Dewi, Hanif, Karttegayen,Nabilah, Rizka Aries Putranti,Laxmiprita Pusparani Rahardjo,; Ayu Wikan Sayekti Agung Prasetyo Wicaksono Wahyudi Istiono
Berita Kedokteran Masyarakat (BKM) Vol 27, No 4 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.403 KB) | DOI: 10.22146/bkm.3397

Abstract

Background: Dengue Hemorrhagic Fever (DHF) is one of the main public health problems in Indonesia. It canaffect all age groups and may lead to death especially in children. The data shows that DHF cases in KecamatanMantrijeron between January-June 2010 have reached the highest number of cases in past seven years, about94 cases. Kecamatan Mantrijeron has an increasing trend of DHF which make it possible for the occurrence ofan outbreak of DHF when no preventions are done. RW 17 Kelurahan Suryodiningratan and RW 02 KelurahanGedongkiwo are areas with highest prevalence. There are 8 and 9 cases in each area respectively.Objective: To compare community behavior in preventing the existence of mosquitoes that is a DHF vector in theenvironment of Kelurahan Suryodiningratan and Gedongkiwo, Kecamatan Mantrijeron.Method: This research was a descriptive observational study, with cross-sectional retrospective study designin July-August 2010 in RW 17 Kelurahan Suryodiningratan and RW 02 Gedongkiwo, Kecamatan Mantrijeron,Kotamadya Yogyakarta. The research target population was 379 head of family (HF) from RW 17 KelurahanSuryodiningratan and 360 HF from RW 02 Kelurahan Gedongkiwo. Samples used was 60 HF from RW 17Kelurahan Suryodiningratan and 66 HF from RW 02 Kelurahan Gedongkiwo (minimal sampling with P=0.5 were58 HF for RW 17 and 57 HF for RW 02). Sampling was done by random sampling with milestone technique, thebehavior questionnaire, and observational checklist of mosquito existence as the instrument. Independentvariables were six behavioral criteria; dependent variable was the existence of mosquitoes. Data analysis wasdone with bivariate analysis using relative risk (RR) and odds-ratio (OR).Results: Analysis result of correlation between behavior to existence of mosquitoes in RW 17 with RR andOR>1 are: 1. Not routinely inspecting larvae in water reservoir (RR=1.38 and OR=1.89) and 2. Not cleaning thebathtub once a week (RR=1.32 and OR=1.74). Analysis result of correlation between behavior to existence ofmosquitoes in RW 02 with RR and OR>1 are: 1. Not getting rid of bottles and cans (RR=1.66 and OR=3.89); 2. Notclosing all water reservoir (RR=3.21 and OR=17.55); 3. Not routinely inspecting larvae in water reservoir(RR=2.36 and OR=-); 4. The behavior of not cleaning the bathtub once a week (RR=2.07 and OR=-); 5. Thebehavior of not draining-up the bath tub when cleaning (RR=2.03 and OR=-); 6. The behavior of not brushingwater reservoir when cleaning (RR=1.94 and OR=-). The difference between both districts is the characteristicof RW 17 Kelurahan Suryodingratan that is abundant in trees as the rest area for mosquitoes and the riverbanksof RW 02 Kelurahan Gedungkiwo are filled with household wastes.Conclusion: There are differences in behavior in preventing mosquito existence in both RW 17 KelurahanSuryodiningratan and RW 02 Kelurahan Gedongkiwo. The population of Kelurahan Gedongkiwo regularly disposesbottles and cans, drains the bath tub when cleaning, brushes water reservoir when cleaning, closes all waterreservoir, inspects larvae in water reservoir and cleans the bathtub once a week to prevent mosquitoes. Thepopulation of Kelurahan Suryodiningratan inspects larvae in water reservoir and cleans the bathtub once aweek to prevent mosquitoes.Keywords: Dengue Hemorrhagic Fever, behavior, RW 17 Kelurahan Suryodiningratan and RW 02 KelurahanGedongkiwo, Kecamatan Mantrijeron

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