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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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Individual characteristics, psychosocial factors, and sleep quality with work fatigue among technical service employees in the National Electricity Company, Bantul Artha, Dian Parama; Surono, Agus; Pribadi, Ari Prayogo
BKM Public Health and Community Medicine Vol 40 No 08 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i08.12749

Abstract

Purpose: This study aims to determine the relationship between individual characteristic factors, psychosocial factors, and sleep quality on work fatigue among Yantek employees at National Electricity Company (PLN), Unit (ULP) Bantul. Methods: The method used in this study is a quantitative method with a cross-sectional design. The population in this study used a total sample of 55. The research instruments used the IFRC, COPSOQ III, and PSQI. Data analysis uses univariate tests, chi-square tests, and field observations. Results: Work fatigue among Yantek employees was categorized as mild in 47.27%, moderate in 40%, and severe in 12.73%. There was a significant relationship between individual characteristics such as age (<0.001), water consumption (0.004), smoking status (0.008), exercise habits (0.005), shift work (0.003), and work duration (<0.001). There was a significant relationship between psychosocial factors and work fatigue in the demand domain in the workplace (0.003), content and job organization (0.003), interpersonal relationships and leadership (0.007), and individual and job interactions (0.003). There was a significant relationship between sleep quality (p = 0.001) and work fatigue. Conclusion: Individual characteristics were associated with work fatigue. Psychosocial factors were associated with work fatigue. Sleep quality also had a significant relationship with work fatigue.
Factors related to food safety behavior in the safe food village program in Yogyakarta Lestari, Puji; Padmawati , Retna Siwi; Lestari, Lily Arsanti
BKM Public Health and Community Medicine Vol 40 No 10 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i10.13208

Abstract

Purpose: Food safety is a prerequisite that must be met to prevent foodborne diseases. The Indonesian Food and Drug Authority has initiated the Safe Village Food Program in rural communities as one of the solutions to address food safety issues. The objective of this research is to investigate the relationship between knowledge, attitudes, community origin, and sociodemographic factors (age, marital status, gender, level of education) with food safety behaviors. Methods: This study uses secondary data with a cross-sectional design. The number of samples analyzed was 737 respondents. Results: The results show that the variables of community origin and attitude are associated with food safety behavior among the total respondents. Conclusion: The determining factors of behavior that need to be considered in the formulation of programs related to food safety are community characteristics and strengthening positive attitudes to encourage appropriate food safety behaviors.
Determinant of healthcare-seeking behavior for follow-up of toddler pneumonia in Kulon Progo District, 2023 Sulastri, Yayu; Oktaria, Vicka; Arisanti, Risalia Reni; Sugiarto
BKM Public Health and Community Medicine Vol 40 No 10 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i10.14833

Abstract

Purpose: Follow-up visits are crucial to the management of toddler pneumonia. The purpose of this study is to determine the healthcare-seeking behavior (HSB) follow-up visit for toddler pneumonia in the Kulon Progo District. Method: This was an observational study with a cross-sectional study design and a sample size of 185 mothers or caregivers of toddler pneumonia in Kulon Progo District. Data were obtained through interviews using questionnaires. Univariate, bivariate, and multivariate analysis using logistic regression tests. Results: A total of 185 mothers or caregivers were successfully interviewed with a response rate of 96.9%. The percentage of follow-up visits for toddler pneumonia was 65.9%. The multivariate analysis showed that support from healthcare providers (aOR = 7.36 95% CI: 2.38-22.73) and degree of severity (aOR = 3.56, 95% CI: 1.42-8.93) were significantly associated with HSB follow-up visit in toddlers with pneumonia, which was adjusted to family support, caregivers’ knowledge, access to health facilities, number of children, occupation, education of caregivers and toddler sex. Conclusion: Good support from healthcare providers may improve HSB follow-up visits for toddler pneumonia compared to those with less support, with a 7.36 times higher rate. Recommendations for healthcare providers to provide appropriate care, especially those with limited knowledge, in order of increasing caregivers’ knowledge about the necessity of follow-up visits.
The midwife said “It’s okay” – a qualitative study on the causes of delayed retinoblastoma treatment Darajati, Irene Titin; Sulistyoningrum, Evy; Wardhani, Yulia; Supriyati, Endah; Maharani, Erika; Kurniawati, Herlin Fitriana; Panggabean, Andre Stefanus; Aulia, Afkar; Muttaqqin, Habib Zahar Zaki; Puspitawati, Ira; Supriyati, Supriyati
BKM Public Health and Community Medicine Vol 41 No 08 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i08.18401

Abstract

Purpose: Retinoblastoma is the most common primary intraocular tumour in children. Its prognosis varies depending on the stage of diagnosis. However, in developing countries such as Indonesia, retinoblastoma still has a poor prognosis as most patients present at advanced stages. This research aims to explore the factors influencing the delay in patients with retinoblastoma reaching referral health facilities from the perspective of their families. Methods: A qualitative study using a phenomenological approach was conducted to gather family perspectives through in-depth interviews via WhatsApp calls. Each interview lasted 20-25 minutes and included families of retinoblastoma patients who had visited the eye clinic at Sardjito General Hospital at a late hour. “Late” was defined as tumour spread beyond the eyeball (intraorbital, spread to the optic nerve, or intracranial spread) or involvement of more than one eye. Audio was transcribed verbatim using a mobile phone voice recorder, and open coding was performed using Open Code 4.02 software to identify meaning units, codes, and categories. Triangulation and peer debriefing were used to ensure validity and trustworthiness. Results: Several categories emerged, including reasons for seeking help, trust in medical professionals, family compassion, and challenges in health facilities. Challenges in health facilities, particularly diagnostic capabilities, communication, and education about eye tumours, along with negative emotions like denial from families, contributed to delays in seeking treatment for retinoblastoma patients. Conclusion: Family compassion plays a positive role in encouraging families to seek medical help. However, challenges in health facilities, particularly in diagnosis, communication, and education about eye tumors, as well as family denial, contribute to the delays in retinoblastoma patients reaching referral health facilities.
Determinant factors influencing the nutrition status of adolescents with intellectual disabilities: a scoping review Suwito, Maria Rebecca; Widyastuti, Nurmasari; Rahadiyanti, Ayu; Anjani, Gemala; Nurhidayati, Lisa Rosyida
BKM Public Health and Community Medicine Vol 41 No 10 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i10.19257

Abstract

Purpose: This scoping review aims to explore the determinants influencing the nutritional status of adolescents with intellectual disabilities, including macronutrient intake, family income, and other contributing factors. Methods: A systematic search was conducted for articles published from 2012 to 2022 in PubMed, ScienceDirect, and Scopus databases, using keywords such as "nutritional status," "dietary intake," "family income," "intellectual disability," and "adolescent". Relevant studies were selected through title and abstract screening, followed by full-text review, resulting in nine articles for analysis. Results: The review found that inadequate dietary intake, particularly high consumption of unhealthy foods, significantly impacts the nutritional status of adolescents with intellectual disabilities. Family income, while affecting food security, does not independently determine dietary outcomes. Comorbid conditions like Down syndrome, autism spectrum disorder (ASD), and cerebral palsy, along with physical limitations and the use of psychotropic medications, further contribute to malnutrition risks. Conclusion: Adolescents with intellectual disabilities are at increased risk of malnutrition due to poor food intake. While family income influences food security, it is not the sole factor. The presence of comorbid conditions, physical limitations, and psychotropic medication use is also a key determinant of their nutritional status.
Trends and diversity of Japanese encephalitis videos on YouTube: an analysis of Indonesian-language health promotion content Najiyati, Ifa; Maysarah, Amalia; Muqarohmah, Nia Lestari; Kusumaningrum, Fitrina Mahardani; Firdaus, Amalia; Yulyana, Yana; Ramadona, Aditya Lia
BKM Public Health and Community Medicine Vol 41 No 10 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i10.19718

Abstract

Purpose: This study aims to analyze trends and diversity in Japanese encephalitis videos on YouTube to promote health information in Indonesia. Methods: We collected the videos on YouTube by searching with the keyword “Japanese encephalitis”. The search results were identified to confirm their relevance to Japanese Encephalitis, and the videos were then classified for use in Indonesia. We analyze trends by examining the frequency of videos over time. For the videos identified as Indonesian-language content, further categorization was conducted based on their thematic content type. Results: We retrieved 586 videos and excluded 44 videos that were not related to Japanese encephalitis. The videos were published from January 6, 2008, to August 3, 2024. There was a global increase in the production of Japanese encephalitis content videos on YouTube, particularly in 2019, from 3.5% to 11.4%. However, only 22 (4.31%) Japanese encephalitis-related videos used Indonesian, with the most common content category being educational (22.7%). Conclusion: An increase in Japanese encephalitis-related content videos on YouTube in 2019, yet Indonesian-language videos remain limited. This highlights the need for more Indonesian-language content and more diverse information on Japanese encephalitis, targeted to Indonesian audiences, to improve public awareness and preventive measures.
Determinants of non-prescription antibiotic use and knowledge gaps in Indonesia: findings from the Indonesian Health Survey 2023 Kusumaratna, Rina; Farsyah, Muhammad Athar
BKM Public Health and Community Medicine Vol 41 No 10 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i10.20658

Abstract

Purpose: This study examines the key determinants influencing non-prescription antibiotic use and identifies knowledge gaps in Indonesia, based on the 2023 National Health Survey (SKI 2023). Using national data, the research examines education, healthcare access, gender, and age-related trends, comparing these trends across rural and urban populations. Methods: The study utilizes SKI 2023 national data to analyze antibiotic usage patterns and examine trends related to education, healthcare access, public awareness, gender, and age. A comparative analysis of urban and rural areas reveals disparities, with Pearson Chi-Square and Multinomial Logistic Regression tests applied at p≤0.05 for statistical significance. Results: The study shows that lower education levels are significantly associated with higher antibiotic misuse (p<0.001). Younger individuals and males also tend to misuse antibiotics more frequently and have lower knowledge levels (p<0.001). In urban areas, 58.4% of males and 54.3% of females report using antibiotics without a prescription. Limited access to healthcare is also significantly linked to increased self-medication (p<0.001). Additionally, 73.5% of respondents hold misconceptions about antimicrobial resistance (AMR), underscoring the urgent need for improved public awareness and education. Conclusion: According to the Indonesian Health Survey 2023, non-prescription antibiotic use is more prevalent among individuals with lower educational attainment, younger age, male gender, urban residence, and limited access to healthcare. To address this issue, public policies should prioritize health education, school-based awareness programs, improved access to healthcare, and stricter regulation of antibiotic sales.
Psychosocial hazard in medical residents at RSUP Dr. Sardjito Praditia, Irsa Gusninda; Hasanbasri, Mubasysyir; Effendy, Christantie
BKM Public Health and Community Medicine Vol 37 No 06 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i06.21634

Abstract

Purpose: This study aims to identify psychosocial hazards by examining the history of physical and non-physical violence, as well as the concerns experienced by residents enrolled in the specialist medical education program at Dr. Sardjito General Hospital. Methods: This research employs a descriptive-analytical design using a cross-sectional approach, in which data are collected at a single point in time. The sampling technique used is proportional stratified random sampling, where the sample is drawn in proportion to the size of each stratum within the population. Results: The majority of respondents were over 30 years old (56.03%), male (58.87%), and held a bachelor's degree (87.94%). The most commonly reported psychosocial hazard among respondents at Dr. Sardjito General Hospital was verbal non-physical violence. A significant relationship was found between demographic characteristics—specifically age—and the history of physical violence among specialist medical education students. Additionally, a relationship was observed between work shift patterns and the history of non-physical violence. Furthermore, non-physical violence was found to be associated with anxiety among the specialist medical education students at Dr. Sardjito General Hospital. Conclusion: Health organizations must establish and prioritize policies against workplace violence through educational training programs and safety protocols.
Telehealth acceptance among health workers as a digital health strategy Gita, Anggi Putri Aria; Pinto, Sufina; Goncalves, Livia Babo; Prasastin, Oliva Virvizat; Soares, Domingos
BKM Public Health and Community Medicine Vol 41 No 10 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i10.21870

Abstract

Purpose: This study analyzes the acceptance of telehealth among health workers at Gondangrejo Community Health Center, Indonesia, and at Sentro De Saude Becora Timor Leste, as a digital health strategy. Methods: This study employed an analytical observational research design with a cross-sectional approach using the Technology Acceptance Model questionnaire. The sample in this study comprised 30 health workers from the Gondangrejo Health Center in Indonesia and the Sentro De Saude Becora in Timor Leste. Data analysis and statistical tests used Pearson correlation. Results: There was a positive and significant relationship between perceived ease of use and perceived usefulness (p-value < 0.001; r=0.972), perceived usefulness and attitude toward using (p-value=0.015; r=0.359), perceived ease of use and attitude toward using (p-value=0.042; r=0.305), attitude toward using and behavioral intention to use (p-value < 0.001; r = 0.888), perceived usefulness and behavioral intention to use (p-value < 0.016; r=0.356), behavioral intention to use and actual system use (p-value < 0.022; r=0.342). Conclusion: Acceptance of telehealth by healthcare workers is influenced by perceived usefulness, perceived ease of use, attitude toward using, behavioral intention to use, and actual system use.
Risk of hepatitis B occurrence in pregnant women in Kulon Progo Regency, 2017-2018 Nurjanna; Kusnanto, Hari
BKM Public Health and Community Medicine Vol 37 No 06 (2021)
Publisher : Universitas Gadjah Mada

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

Abstract

Purpose: This study aimed to identify risk factors related to the incidence of hepatitis B among pregnant women in Kulon Progo District. Methods: This study used a case-control design with a ratio of 1: 1. The sample size was 132 respondents with 66 cases and 66 controls. Data collected through interviews with mothers was recorded in the hepatitis B screening surveillance report of pregnant women in Kulon Progo District 2017 to 2018. The data were analyzed using Fisher’s exact test, chi-square test, and multiple logistic regression. Results: The results showed that the average age of respondents was 30.75±6.07, 71.2% were housewives and 64.4% had high school education. Bivariate analysis showed that age, parity, history of miscarriage, surgical history, family history of hepatitis and shared personal hygiene items had relationships with the incidence of hepatitis B. The results of multivariate analysis in the final model showed parity (OR=4.41) and family history of hepatitis (OR = 20.23) as significant risk factors for the incidence of Hepatitis B among pregnant women. Conclusion: High parity and a family history of hepatitis were found to increase the risk of hepatitis B among pregnant women. Efforts to prevent household transmission of hepatitis B should include increasing knowledge through education and counseling, as well as screening family members or other individuals living in the same household as mothers with hepatitis B.

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