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Berita Kedokteran Masyarakat
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 1,528 Documents
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Factors related to the occurrence of typhoid fever in the residential population of Musi River, Southern Sumatra Septina, Desy; Ardillah, Yustini
BKM Public Health and Community Medicine Vol 38 No 07 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i7.2125

Abstract

Purpose: This study aims to determine the factors related to typhoid fever occurrence in the Musi River residential area in Seberang Ulu Palembang. Methods: Using a proportional cluster sampling technique, this quantitative study uses a case-control design with a population of 106 samples in the Musi River suburb of Seberang Ulu. Data analysis carried out in this study was univariate, bivariate, and multivariate. Results: The results of the study of the incidence of typhoid fever in the population of the Musi River region in Seberang Ulu showed a low socioeconomic (p-value = 0.032), low education (p-value = 0.015), individual hygiene (p-value = 0,000), using the toilet (p-value 0.025), clean water quality (p-value = 0.034), garbage storage facility (p-value = 0.006), fecal leasing facility (pvalue = 0.018) is related to the incidence of typhoid fever, age, gender, occupancy density is not relationship with the incidence of typhoid fever Based on the results of multivariate analysis, the variable waste disposal facility is the most influential variable with the Odds Ratio 3.557; 95% CI 0.951-13,229. Conclusions: It can be concluded that the waste disposal facilities in the Musi River suburb in Seberang Ulu are still not good and have become a dominant factor influencing the incidence of typhoid fever. Hence, it is advisable to carry out outreach efforts to increase environmental awareness and provide garbage disposal infrastructure to meet the requirements of a healthy environment. We are also looking for trash transport officers to transport to temporary landfills.
Implementation of the use of plastic waste in Ecobricks for elderly school students in Bantul Afrezah; Padmawati, Retna Siwi; Qaimamunazzala, Hayu
BKM Public Health and Community Medicine Vol 38 No 07 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i7.2202

Abstract

Purpose: This study aimed to analyze activities related to using plastic waste in ecobricks for elderly school students. Methods: This type of research is qualitative and has a case study design. The sampling technique used is purposive sampling. The data analysis used is thematic research. Results: The description of implementing plastic waste into eco-bricks, as well as the preparation, implementation, monitoring, and evaluation stages. The results of this eco-brick-making activity are assessed from the quantity, three or four eco-bricks a month; the quality results are the weight of the eco-bricks according to the standard, and they are made in the form of tables, chairs, and decorations, so that they are more valuable. Environmental changes have occurred since the existence of eco-bricks; no plastic waste is thrown carelessly, and no plastic waste is burned. Conclusions: Elderly school students have carried out eco-bricks-making activities so that they impact environmental health for the better.
The assessment of mental health literacy and mental health factors among college students Asidik, Azip Hasbi; Prabandari, Yayi Suryo; Setiyawati, Diana
BKM Public Health and Community Medicine Vol 38 No 08 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i8.3742

Abstract

Purpose: To assess mental health literacy, mental health conditions, and mental health factors among college students to support the implementation of Health Promoting University. Methods: This research utilized Explanatory Sequential Mixed Methods using data collected from 431 college students and interviewed eight college students. The instrument used a self-report online questionnaire and a semi-structured interview guide. Data analysis used logistic regression and thematic analysis. Results: Almost half of the college students (48.96%) had low mental health literacy. In the amount of 61.95% of students had mental health problems. Factors that significantly had relationships with mental health were a child maltreatment history (AOR:2.46; 95%CI:1.62-3.73; p-value<0.001) and poor friends interaction (AOR:1.64; 95%CI:1.02-2.63; p-value=0.039) after adjusting for sex, mental health literacy, physical activity, allowance, habitation, and academic interaction. Mental health literacy in college students qualitatively does not recognize the specific types of mental health problems and mental health services. Qualitatively, mental health factors that were most mentioned were child maltreatment history, poor friend interaction, and environment. Conclusion: Almost half of the college students have low mental health literacy and do not recognize the types of mental health problems and mental health services. Mental health problems were common among college students. Campuses need to improve mental health literacy and an environment that supports mental health.
Evaluation of the occupational safety and health implementation in the informal sector fishermen in South Sumatra Province Erista, Yola; Prabandari, Yayi Suryo; Sutena, Marthinus
BKM Public Health and Community Medicine Vol 38 No 07 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i7.5016

Abstract

Purpose: This study evaluates the implementation of occupational safety and health (K3) in the informal sector of fishermen in Tanjung Kurung Village, Penukal Abab Lematang Ilir (PALI) Regency, South Sumatra Province. Methods: This qualitative research employs a case study approach. The research was conducted in Tanjung Kurung Village, PALI Regency. Informants included 22 individuals: nine fishermen, nine fishermen's wives, the head of the PALI regency health office, the manager of the UKK post program at the Health Office, the manager of the UKK Post Program at the Abab District Health Center, and the head of Tanjung Kurung Village. Data collection involved in-depth interviews, observations, and document reviews. Results: Implementing K3 in the informal sector of fishermen in Tanjung Kurung Village has been inadequate. Factors influencing this include the persistence of unsafe K3 practices among fishermen, lack of support from relevant parties for K3 management, high K3 risks fishermen face, and the pre-prosperous welfare status of fishermen's families. Common accidents include boat collisions, injuries from fish spines and branches, threats from crocodiles and venomous snakes, machete injuries, and boat sinking due to overloading. Occupational diseases among fishermen include wounds on feet and hands, dermatitis, gastritis, fever, acute respiratory infections (ARI), skin fungi, allergies, and skin irritation. Conclusion: The proper implementation of K3 among fishermen is lacking, and occupational health programs in the informal sector are not prioritized. Consequently, related parties have made no special efforts to address occupational health issues for fishermen. Cooperation between fishermen and relevant parties is essential for improving occupational health efforts in the informal fishing sector.
Analysis of diarrhea cases based on weather elements in Yogyakarta City 2017-2021 Ramadhanti, Inas Tri; Kusnanto, Hari; Ramadona, Aditya Lia
BKM Public Health and Community Medicine Vol 41 No 01 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i01.8273

Abstract

Purpose: The objective of this study is to determine the relationship between weather elements (such as rainfall, temperature, humidity, and sunshine duration) with cases of diarrhea, as well as to map the areas vulnerable to diarrhea in Yogyakarta City using data from 2017 to 2021. Methods: This study used an ecological study design with Graphical/Time Trend Analysis, correlations, non-linear analysis using the Generalized Additive Model (GAM), and spatial analysis. Results: Statistically, temperature lag of 0 - 3 months has a negative correlation (p-value < 0.05; rlag1= -0.672), and humidity lag of 0 - 3 months has a positive correlation (p-value < 0.05; rlag1= 0.414) with diarrhea. Severe cases of diarrhea, even during the COVID-19 pandemic, are still being brought to health services, suggesting a serious underlying cause, such as rotavirus infection. Further multivariate analysis showed that the most dominant weather element related to diarrhea was temperature lag for 3 months, with an R-squared value of 0.516. Diarrhea is distributed across sub-districts in Yogyakarta City, but there are six sub-districts with high vulnerability to diarrhea: Danurejan, Pakualaman, Jetis, Kotagede, Gedongtengen, and Gondomanan. Conclusions: The most dominant weather element related to diarrhea in Yogyakarta city is the temperature from the previous three months (lag 3). Danurejan, Pakualaman, Jetis, Kotagede, Gedongtengen, and Gondomanan sub-districts have high vulnerability to diarrhea.
Trends in patient visits before and during the COVID-19 pandemic: a case in a public health center Kusumastiwi, Pipiet Okti; Raharja, Giras Budi; Damayanti, Sella Shaquila; Azzahra, Nisriina Yusan Nindy
BKM Public Health and Community Medicine Vol 41 No 01 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i01.10444

Abstract

Purpose: This study examines changes in patient visits before and during the COVID-19 pandemic in a public health center. Methods: Employing longitudinal descriptive research, data were extracted from the clinic's register book using purposive sampling at the Dental Polyclinic Tepus II at the Public Health Center in Gunung Kidul, Yogyakarta. The study focused on patients receiving scaling, tooth extraction, and filling treatments, comparing data from ten months before and during the pandemic. Results: The analysis reveals a noticeable reduction in patient numbers during the pandemic, particularly for scaling treatments. Despite the decline, the clinic continued to offer dental services, with consistent visits for tooth extractions. Gender distribution and JKN payment methods remained unchanged. The most significant drop in patient visits occurred in the second month of the pandemic, with a gradual recovery to pre-pandemic levels by the 9th and 10th months. Conclusion: The COVID-19 pandemic decreased patient visits, with the most affected service being scaling. Despite these challenges, the clinic upheld its commitment to providing essential dental care, adapting to the new normal, and recovering patient volumes to pre-pandemic figures.
Obesity, dietary diversity, and hypertension among posyandu attended child-bearing age women in Bandung Astuti, Widya; Adha, As Syaffa Amalia; Anggraeni, Nuri
BKM Public Health and Community Medicine Vol 41 No 01 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i01.16300

Abstract

Purpose: This study explores the relationship between nutritional status and dietary diversity and the incidence of prehypertension and hypertension in women of reproductive age in Baleendah, Bandung Regency. Methods: The cross-sectional design, with primary data, was conducted from August to September 2023 in Baleendah Village, Bandung Regency, Indonesia. The study subjects were 50 women aged 15-49 years who registered at the Posyandu, had children aged 0-23 months, and had a history of hypertension, with the exclusion criteria being pregnant women. Nutritional status was measured using body weight with a digital scale and height with a SAGA multifunction tool. Food consumption data was collected through 24-hour dietary recall, and eating was assessed using a food frequency questionnaire (FFQ). Blood pressure was measured using a blood pressure monitor. The Minimum Dietary Diversity for Women (MDD-W) instrument measures dietary diversity diversity. The relationship between hypertension status and nutrient intake was analyzed using Spearman correlation tests applied due to non-normally distributed data. Results: There is a significant correlation between nutritional status and the incidence of prehypertension and hypertension in women of reproductive age (p-value=0.045). However, there is no significant correlation between dietary diversity and the incidence of prehypertension and hypertension in women of reproductive age (p-value=0.853). Conclusion: This study found a significant correlation between nutritional status, particularly obesity, and the incidence of prehypertension and hypertension in women of reproductive age, while dietary diversity showed no significant correlation. Economic and educational factors also played a role, with lower-income and less-educated respondents being more prone to hypertension. High consumption of fried snacks and high-sodium foods like salted fish and caffeine were associated with an increased risk of hypertension.
Nutritional parenting patterns and their determinants among PKH beneficiaries in Ruteng Sub-District Jehuman, Engelina Suryawaty; Padmawati, Retna Siwi; Daniel
BKM Public Health and Community Medicine Vol 40 No 06 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i06.13210

Abstract

Purpose: To explore the nutritional parenting practices and their determinant factors among beneficiaries of the Family Hope Program (PKH) in Ruteng Sub-District. Methods: This study is qualitative research with a case study design using a snowball sampling technique. The primary informants of the study are parents of toddlers who are beneficiaries of the Family Hope Program. Data is collected through focus group discussions, in-depth interviews, observations, and document studies. Results: Incorrect timing of complementary feeding is still common, and lack of dietary variety and insufficient protein consumption are prevalent issues in the community. The behaviour of proper waste disposal remains very low; the attendance rate of parents at posyandu and receiving immunizations still needs to improve, at 71% or below the standard. Regarding the determinant factors of parenting practices, it is known that most mothers are over 35 years old, parents have a low educational level, and parents' occupations consume their time, large families, and husbands' limited involvement in child care, cultural and habitual factors are also known to influence the parenting practices. Conclusion: The nutritional parenting practices for toddlers among PKH beneficiaries in the Ruteng Sub-District still need to be improved, particularly in providing complementary feeding, feeding practices, hygiene and sanitation, and child healthcare maintenance. Several determinants influence these nutritional parenting practices, such as the mother's age, low educational level, parents' occupations, large family size, cultural factors, and low support from husbands in the child-rearing process.
Factors associated with mosquito nest eradication behavior for DHF in Boyolali Regency in 2023 Rosmawati, Elly; Kuncoro, Teguh Tri; Indriani, Citra; Ahmad, Riris Andono
BKM Public Health and Community Medicine Vol 40 No 07 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i07.13848

Abstract

Purpose: DHF cases in Boyolali Regency have experienced an increase in cases over the last four years, and this has been accompanied by a decrease in the ABJ index by 89%, which is an indicator of the success of the Mosquito Nest Eradication (PSN) program. This research aims to identify factors that influence PSN behavior in society. Method: This research uses an observational analytical study design with a cross-sectional approach. Data was collected from 331 respondents in 30 cluster analyses, namely univariate, bivariate, and multivariate, using logistic regression. Results: 331 respondents were found to have good PSN behavior (59.8%). The results of the multivariate analysis showed that the influencing factors were high education level (aOR 2.80; 95%CI 1.31–6.00; p-value 0.008) and region of residence, live in urban areas (aOR 0.42; 95%CI 0.26-069; p-value <0.001), have good knowledge (aOR 1.67; 95%CI 1.01-2.76; p-value <0.042), and have a good attitude (aOR 1.75; 95%CI 1.07-2.86; p-value <0.025). Conclusion: Factors influencing PSN behavior in Boyolali Regency include education level, place of living, attitudes, and knowledge.
Exploration of food risk containing nitrosamine on potential public health implications: A descriptive literature review Andriyani, Ariska Nandia; Fitria, Laila; Susanna, Dewi
BKM Public Health and Community Medicine Vol 40 No 12 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i12.17043

Abstract

Purpose: Nitrosamines, chemical compounds formed from nitrites and amines, are gaining attention due to potential health risks. They are found in processed foods, such as cured meats, smoked fish, and fermented products, prompting a thorough examination of their sources and impact on health. This study aims to explore the nitrosamine content in food and its potential public health implications. Methods: This study employs a descriptive literature review methodology to investigate the impact of nitrosamine content in food on human health. It searches peer-reviewed journals, books, and online databases to identify relevant studies on food risk processing that contain nitrosamines and their impact on public health. Results: The review includes studies published over the past 20 years, focusing on nitrosamine content, nitrosamine formation processes, and health implications. Data from selected studies is systematically extracted and analyzed, focusing on patterns, risk factors, and health impacts, particularly in terms of cancer risk. Conclusion: This review found they pose significant public health risks, especially in meat products. Studies show a strong link between nitrosamine intake and increased risk of gastric and esophageal cancers. The detection and mitigation of nitrosamines are crucial, with more stringent regulations and improved testing techniques being needed in the food and pharmaceutical industries.

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