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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 5 Documents
Search results for , issue "Vol 40 No 11 (2024)" : 5 Documents clear
Workplace bullying among doctors in residency training: a scoping review Fatmawati, Lady Farah; Siregar, Kemal Nazaruddin
BKM Public Health and Community Medicine Vol 40 No 11 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i11.16895

Abstract

Purpose: This study aims to determine the prevalence, risk factors, impacts, and response types to workplace bullying among resident doctors. Methods: The study was conducted using the scoping review method. An online search was performed across five databases, MEDLINE [PubMed], Cochrane Library, APA PsycArticles, Scopus, and Science Direct, using keyword developments from Medical Subheadings (MeSH). The selected articles were those published from 2013 to 2024. Results: A total of 1,402 articles that discussed workplace bullying were identified, and after screening based on inclusion and exclusion criteria, 19 articles were selected. The prevalence of workplace bullying ranged from 13% to 89% across various specialties. Additionally, a significant relationship was found between specialization type, residency year, age, gender, skin color, work shifts, organizational climate, and the mental condition of the resident doctors with the incidence of workplace bullying. Resident doctors who were victims of bullying were at risk of experiencing cognitive disorders, fatigue, job dissatisfaction, sleep difficulties, performance decline, weight changes, and even suicidal thoughts. Victims of bullying tended to respond to the behavior by sharing their experiences with family, friends, or close ones. Conclusions: Bullying among resident doctors shows a relatively high prevalence. Future research is expected to develop a confidential bullying reporting system as an initial mechanism for controlling workplace bullying.
Behavioral determinants related to the incidence of diarrhea among students in Samarinda City Rahayu, Eka Putri; Chifdillah, Nino Adib; Tonapa, Emelia
BKM Public Health and Community Medicine Vol 40 No 11 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i11.15966

Abstract

Purpose: This study aims to investigate behavioral determinants associated with the incidence of diarrhea among elementary school students in Samarinda City. Methods: This research employed a Cross-Sectional design. There was a population of 126 students in the 5th and 6th grades. The number of samples was calculated using the Slovin formula, resulting in 78 respondents selected through simple random sampling. Results: Behavioral determinants of diarrhea consist of hand washing with soap, toilet use, nail cleanliness, snack habits, and peer influence. Statistical analysis revealed significant findings. Snack habits and peer influence were found to have no significant effect on the incidence of diarrhea (ρ-value = 0.063 and ρ-value = 0.083). However, factors such as hand washing with soap (p-value = 0.023), toilet use (p-value = 0.000), and nail cleanliness (p-value = 0.002) had significant effects on the incidence of diarrhea. The use of toilets received an OR value of 35, indicating that respondents with toilet hygiene behaviors have a 35 times higher risk of experiencing diarrhea. Conclusion: Toilet use is the strongest predictor (35 times higher risk when proper toilet hygiene is not practiced).
Behavioral differences in early detection of cervical cancer through self-assessment using KarS-A (Aim scorecard) Nadhiroh, A’im Matun; Winarti, Eko; Saudah, Noer; Ramadhani, Firdausi
BKM Public Health and Community Medicine Vol 40 No 11 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i11.7762

Abstract

Purpose: To find cases of cervical cancer as early as possible by using self-assessment through KarS-A (Aim Score Card). Methods: The research design used a quasi-experimental approach with a pre-post test control group design. The number of samples at this stage was 230 WUS. The treatment group in the Sepulu subdistrict consisted of 115 WUS, while the control group in the Burneh subdistrict consisted of 115 WUS. The variables studied were self-assessment and WUS behavior. The statistical tests employed in the third stage are the chi-square test and logistic regression. Results: This research showed differences in the behavior of WUS with self-assessment and WUS without self-assessment, with a P value <0.05. In the behavioral variable, a p-value of 0.010 was obtained, which meant that there was an influence between self-assessment and the positive behavior of women of childbearing age for early detection of cervical cancer, with an OR of 7.200. Women who had conducted self-assessments and received a high-risk score had up to 7.2 times the chance of carrying out early detection compared to women who received a low-risk score, with a 95% CI value of 1.595-32.504. Conclusion: Self-assessment affects WUS behavior. Women with a high-risk score were 7.2 times more likely to undergo early detection as compared to women who got low scores.
Earplug usage routine with tinnitus and hearing loss among food processing factory workers Dewi, Julita Melisa; Marliyawati, Dwi; Muyassaroh
BKM Public Health and Community Medicine Vol 40 No 11 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i11.12334

Abstract

Purpose: The earplug usage routine for workers exposed to noise serves as a preventive measure against the adverse effects of noise. Approximately 76.9% of earplug usage routines that are not adhered to during work are associated with tinnitus and hearing loss among workers. To know the correlation between earplug usage routine and the incidence of tinnitus and hearing loss among production workers. Methods: Analytical descriptive research with a cross-sectional design. A sample of workers exposed to noise in the production section of the food processing factory (92-110 dB) reported experiencing tinnitus and hearing loss. Tinnitus and earplug usage routines were assessed from the anamnesis, hearing loss was evaluated based on audiometry results, and noise level was measured using a sound-level meter. Data analysis was done using the chi-square test. Results: All samples consisted of 80 males, with an age range of 28 to 54 years (mean age 47.78±8.74 years). The duration of occupation was>10 years for 62 (77.5%) and <10 years for 18 (22.5%). Tinnitus was present in 48 samples (60%), hearing loss in 61 samples (76.25%), and routine earplug use in 51 samples (63.75%). Notably, earplug usage routines correlate with both the incidence of tinnitus (p < 0.000) and hearing loss (p < 0.000). Conclusion: The routine use of earplugs correlates with tinnitus and hearing loss in workers exposed to noise.
Neonatal survival analysis: the relationship between neonatal mortality and the number of antenatal care visits (2017 Indonesia Demographic and Health Survey) Cahyanti, Betri; Ratrikaningtyas, Prima Dhewi; Wiratama, Bayu Satria
BKM Public Health and Community Medicine Vol 40 No 11 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i11.14461

Abstract

Purpose: In 2021, the number of under-five child deaths in Indonesia reached 27.566, with 28.158 (73,1%) of these being neonatal deaths. Indonesia implemented a minimum of four prenatal visits (K4) in 2019. The number of antenatal care (ANC) visits according to WHO standards has not been fully implemented nationwide in Indonesia. This study aims to analyze neonatal survival related to the number of ANC visits and neonatal death incidents based on the 2017 IDHS data. Methods: This study used a cross-sectional method with data from the 2017 IDHS. The sample included women of childbearing age (15-49 years) who had given birth within five years before the survey and had recorded ANC visits during their last pregnancy. Data analysis was performed using descriptive life-table and Kaplan-Meier Curve, bivariate analysis using Log Rank Test, and multivariate analysis using Cox Regression. Results: The study involved 13.826 women of childbearing age who were survey respondents. Univariate analysis showed that most respondents were at low risk during pregnancy (73.55%), belonged to the lowest wealth quintile (22.18%), and had a high education level (52.91%). Most babies were born with normal birth weight (92,89%) and were male (51,43%). The majority of ANC visits fell into the K6 category (47,59%). Kaplan-Meier survival analysis showed significant neonatal deaths within the first five days, with the survival probability dropping to 99,50% by the fifth day. Multivariate analysis identified maternal age, birth weight, baby's sex, and place of delivery as significant factors affecting neonatal mortality. Higher maternal age, lower birth weight, and male sex increased the risk of neonatal death, while delivering in a health facility was associated with higher neonatal mortality. Conclusion: The study found that ANC visits were significant in the K6 and K8 categories. However, when multivariate analysis was performed, the significance was lost when the birth weight variable was included. Most ANC visits were in the K6 category, which is Indonesia's standard for at least six antenatal visits. Maternal age, baby's sex, birth weight, and the number of babies significantly affected neonatal survival. The neonatal mortality rate was 6,4 per 1.000 live births.

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