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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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Maternal behavior in providing sweet foods and beverages to toddlers: A case study in Jembrana, Bali Dewi, Ni Made Putri Kusuma; Prabandari, Yayi Suryo
BKM Public Health and Community Medicine Vol 41 No 04 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i04.19462

Abstract

Purpose: This study aims to explore maternal behavior in providing sweet foods and beverages to toddlers in Jembrana, Bali. Method: A qualitative case study design was employed, guided by the Health Belief Model to structure data collection and analysis. Twenty participants, including mothers of toddlers and health workers, were selected using purposive sampling from two primary health centers. Data were collected through in-depth interviews and analyzed using qualitative content analysis supported by NVivo 12 Plus. Results: Maternal behavior varied in the frequency and types of sweet food and beverage provision, often influenced by perceptions of susceptibility, seriousness, benefits, and barriers. Some mothers showed low perceived susceptibility, believing their children were not at risk, while others recognized the negative health impacts. Perceived benefits included preventing illness and controlling eating habits, while barriers included limited supervision and environmental influences. Family communication, social media, and personal experiences shaped cues to action. Conclusion: Maternal behavior in feeding toddlers sweet foods and beverages is shaped by a combination of personal perceptions, family dynamics, and environmental context. Efforts to promote healthier feeding practices should address these multifaceted influences through community-based education and supportive family engagement.
Workload, interpersonal conflict, and work family conflict of events work stress on women workers sewing part Tunika, Puriwati; Rahmani, Noor Siti; Surono, Agus
BKM Public Health and Community Medicine Vol 37 No 03 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i03.21726

Abstract

Purpose: Stress is a global epidemic. In the decade, more than 50% of the population in many countries reported experiencing work-related stress. The percentage of female workers working in the formal sector in Indonesia has increased every year, and female workers tend to be more vulnerable to work stress. Some of the causes of work stress in the industrial world are workload, interpersonal conflict, and work-family conflict. Methods: This study employed a quantitative cross-sectional design. The research sample was 70 respondents. This research utilized the National Institute of Occupational Safety and Health's Generic Job Stress Questionnaire as a measurement tool. Results: Results of chi-square and Fisher's exact test showed a positive correlation between workload (p = 0.00), interpersonal conflict (p = 0.00), and work-family conflict (p = 0.00) with work stress. The results of the logistic regression test showed that conflicts between interpersonal and work-family conflict correlated significantly with work stress, with a Pseudo R² value of 0.3285, indicating that the variables of interpersonal conflict and work-family conflict correlate equally to 32.85% of work stress. While 0.6715, or 67.15%, of work stress on women workers sewing parts may be caused by other factors. Conclusions: Workload, interpersonal conflict, and work-family conflict have a positive relationship with events and work stress on women workers sewing part.
Do the poor living in Jakarta have better advantages than other cities in Indonesia? Analysis of economic status on utilization of primary health care Husna, Asmaul; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine Vol 37 No 03 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i03.21852

Abstract

Purpose: This study aims to examine whether primary health care (PHC) services in Indonesian cities are utilized exclusively by the poor or also by the non-poor. If both groups access PHC, it may indicate that the system promotes equity by providing inclusive, non-discriminatory services. Methods: This study analyzed the utilization of primary health care (PHC) among individuals aged 15 years and older in 13 major cities in Indonesia, using data from the Indonesian Family Life Survey 5 (IFLS5), conducted in 2014. The equity effect was assessed by comparing the proportion of PHC users between poor and non-poor population groups. Results: The proportion of the population utilizing primary health care (PHC) increased by 26% in the past four weeks. Among the five major urban areas in Indonesia, Jakarta demonstrated the most equitable utilization of PHC services between poor and non-poor groups. In Jakarta, the poor were more likely to use PHC services, with an odds ratio (OR) of 1.3 (95% confidence interval [CI]: 1.04–1.83). Conclusion: Jakarta demonstrates the most equitable access to health services between poor and non-poor populations among major Indonesian cities. These findings align with primary health care (PHC) reform efforts and support the policy objective of improving access to health facilities for the poor.
Toya Gama installation as plain water source of UGM students Migwa, Fathati Rizkiyani; Sofro, Zaenal Muttaqin; Penggalih, Mirza Hapsari Sakti Titis
BKM Public Health and Community Medicine Vol 37 No 04 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i04.21863

Abstract

Purpose: The installation of drinking water facilities in the school environment has been shown to increase students' water consumption. With the construction of the Toya Gama Drinking Water Supply System (SPAM Toya Gama) in 2014, the academic community at Universitas Gadjah Mada (UGM) gained improved access to clean drinking water, which is expected to impact overall health positively. This study aims to assess the effect of the SPAM Toya Gama installation as a drinking water source on the level of plain water consumption among UGM students in Yogyakarta. Methods: This was an observational study with a cross-sectional study design. The research was conducted on UGM undergraduate students in the 2018 class with a sample of 154 students taken by clustered sampling. Results: The average consumption of plain water was 1,665.76 ± 502.17 mL. Students who have used the SPAM Toya Gama facilities tend to have a higher level of plain water consumption, 14.9122 times that of those who have never used Toya Gama SPAM. The total liquid consumption also influences the level of plain water consumption. Conclusion: The average consumption of plain water was 1,665.76 ± 502.17 mL. The installation of SPAM Toya Gama affects the plain water consumption of UGM students. Their total fluid consumption also influences students' consumption of plain water.
Relationship between unintended pregnancy and the first antenatal care visit Cahyawati, Safitri Putri; Hakimi, Mohammad; Nurdiati, Detty Siti
BKM Public Health and Community Medicine Vol 37 No 04 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Purpose: The first timely antenatal care can detect complications during early pregnancy, such as hemorrhage, anemia, diabetes, and other infectious diseases. The province of Papua has the three lowest antenatal care K1 coverage areas, at 56.02%, and Jayapura city has an antenatal care K1 coverage of 51.49%. Methods: This research employed a mixed-methods approach using a sequential explanatory design. In the first stage, a quantitative approach was conducted using a cross-sectional research design. In the second stage, a qualitative approach was applied through in-depth interviews. Results: Multivariable analysis showed that unintended pregnancies were 2.8 times more likely to result in delayed first antenatal care visits compared to planned pregnancies (AOR 2.62; 95% CI: 1.23–6.25), after controlling for partner/spouse support, exposure to mass media, gestational interval, and education level. Interview findings revealed that other contributing factors to delayed first antenatal care visits included low awareness about the importance of timely care, being too busy, and a lack of knowledge regarding the benefits of antenatal care. Conclusion: The importance of family planning counseling for reproductive women is to manage and plan their pregnancies.
Is health promotion effective to control non-communicable disease? Dewi, Khaerani Arista; Supriyati
BKM Public Health and Community Medicine Vol 37 No 04 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i04.21890

Abstract

Purpose: This study aims to assess the effectiveness of health promotion in controlling NCDs. Methods: This study was conducted using a literature review method. A search was performed on PubMed using the keywords "effective," "health promotion," and "NCD." The initial search yielded 51 articles, which were then screened and narrowed down to 10 articles published within the last five years. These selected articles were further reviewed and analyzed. A narrative synthesis was conducted based on the types of findings to present evidence on the effectiveness of health promotion in addressing non-communicable diseases (NCDs). Results: Health promotion has proven to be effective in reducing NCD risk factors, which include unhealthy eating patterns, tobacco use, physical activity, and alcohol use. The health promotion methods used include the use of media (i.e., TV, magazines, and leaflets), social media (WeChat), policies (healthy food labels and healthy schools), education on the importance of early physical activity, peer education programs through cadres, and community empowerment. Health promotion programs were carried out in communities, workplaces, and schools. This review suggested that schools were ideal places to instill healthy behaviors from an early age. Health promotion interventions also need to consider gender. Conclusion: Health promotion was effective in reducing risk factors when implemented using multiple methods simultaneously. Schools were recommended as a place to start developing positive habits that reduce NCD risk factors.
Factors related to smoking status among male junior high school students in Kulon Progo Regency in 2016 Sinaga, Merlyn; Prabandari, Yayi Suryo; Ahmad, Riris Andono
BKM Public Health and Community Medicine Vol 37 No 04 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i04.21979

Abstract

Purpose: This study aims to identify factors associated with smoking status in junior high school students in Kulon Progo. Methods: This study was an observational analytic study with a cross-sectional design. A total of 397 male junior high school students in grades 7, 8, and 9 were the subjects in this study. Sampling in this study used a cluster random sampling technique. Data were collected using a structured questionnaire in November-December 2016. Data were analyzed with a simple Poisson regression and multiple Poisson regression with robust variance estimators. Results: Prevalence of smokers (ever smoker in last 30 days) among male junior high school students was 33.5%. Factors associated with smoking behavior in junior high school student was had one or more friends who smoke with aPR=16.43 (95% CI = 2.34 to 115.30; p-value = 0.005), had a positive attitude towards smoking by aPR= 1.90 (95% CI = 1.29 to 2.80; p-value = 0.001), had a positive subjective norm family towards smoking behavior with an aPR=1.53 (95% CI = 1.15 to 2, 04; p-value = 0.004), and have a low self-efficacy with an aPR=3.10 (95% CI = 1.88 to 5.11; p-value = 0.000). Conclusions: The role of parents, schools and education office and health office are necessary to shape the attitude toward smoking that smoking is harmful (bad) for adolescent, subjective norm that smoking behavior is not approved by their environment, and increase self-efficacy for not smoking by reducing the temptation to smoke from the home and school environment.
Maternal employment and exclusive breastfeeding in Indonesia: data analysis of IFLS 4 and 5 Rini, Ika Sulistya; Hasanbasri, Mubasysyir; Hakimi, Mohammad
BKM Public Health and Community Medicine Vol 37 No 05 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i05.21983

Abstract

Purpose: One of the key barriers to exclusive breastfeeding is the increasing number of mothers who work outside the home. This study aimed to analyze the relationship between maternal employment and exclusive breastfeeding in Indonesia using data from the Indonesian Family Life Survey (IFLS) 4 and 5. Methods: This study employed an analytic observational design with a cross-sectional approach. The sample consisted of women aged 15–49 years who were never married and currently breastfeeding. Data from IFLS 4 and 5 were analyzed using Chi-square tests and logistic regression to examine the relationship between maternal employment status and exclusive breastfeeding. Results: The percentage of exclusive breastfeeding increased by approximately 10% between 2007 and 2014 (from 10.4% to 22%). During the same period, the percentage of working mothers also increased by about 20% (from 70.3% to 95.2%). In 2007, the highest proportion of breastfeeding working mothers was among private employees (13.5%), while in 2014, it was among those working in informal agricultural jobs (39.3%). There was no statistically significant relationship between maternal employment status in general and exclusive breastfeeding (p>0.05). However, there was a significant association between knowledge of exclusive breastfeeding and exclusive breastfeeding practices (p<0.05). Conclusion: Exclusive breastfeeding rates in Indonesia are affected by maternal knowledge about exclusive breastfeeding.
Evaluation of the economic burden due to the measles outbreak in the household sector in West Java Province Maundeng, Agnes Caroline; Kusnanto, Hari; Ahmad, Riris Andono
BKM Public Health and Community Medicine Vol 37 No 05 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i05.22001

Abstract

Purpose: Measles remains a significant health issue in Indonesia, particularly in West Java, which experiences a high number and frequency of measles outbreaks. Efforts to control these outbreaks impose a substantial financial burden on households. This study aims to determine the economic burden of the measles outbreak from a household perspective in West Java Province. Methods: This descriptive study used a survey method. Data were collected through interviews with 210 households. The calculation of the economic burden included both direct and indirect costs. Results: The economic burden due to the measles outbreak in East Java Province in 2015 was Rp.92,302,499, including direct costs of Rp.42,282,500 and indirect costs of Rp.50,019,999. The highest economic burden is on households with high education levels, high incomes, and dense living conditions. As many as 39% of households experienced catastrophic financial consequences due to measles. Conclusion: The economic burden of measles in West Java has a significant impact on household economies. The Health Department and community health centers need to make efforts to control measles through increased immunization coverage and enhanced measles surveillance.
The relationship between coping strategies and quality of life in breast cancer patients undergoing chemotherapy Yuanita, Irma Linda; Sumarni; Dasuki, Djaswadi
BKM Public Health and Community Medicine Vol 37 No 05 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i05.22002

Abstract

Purpose: The purpose of this study is to determine the relationship between coping strategies and the quality of life of breast cancer patients undergoing chemotherapy at RSUD Prof. Dr. W.Z. Johannes Kupang, East Nusa Tenggara. Methods: This study used a cross-sectional design involving 59 breast cancer patients undergoing chemotherapy as respondents. The chi-square test was used for bivariate analysis, and logistic regression was used for multivariate analysis. Results: There is a relationship between emotion-focused coping strategies (p=0.000; PR=4.7; 95% CI: 1.87-11.9) and problem-focused coping strategies (p=0.000; PR=5.0; 95% CI: 2.0-12.7) with the quality of life of breast cancer patients undergoing chemotherapy at RSUD Prof. Dr. W.Z. Johannes Kupang, East Nusa Tenggara. After considering the variables of education, occupation, family income, and cancer stage, there is a relationship with quality of life, whereas age and marital status do not have a relationship with the quality of life of breast cancer patients undergoing chemotherapy. Conclusion: The quality of life of breast cancer patients undergoing chemotherapy at RSUD Prof. Dr. W.Z. Johannes Kupang, East Nusa Tenggara can be improved by maximizing coping strategies.

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