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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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Relationship between workplace conflict, job certainty, job opportunities, and job stress Siwidati, Anggit Wirama; Dwiyanti, Endang; Astutik, Ratna Hafitri; Ardhianingrum, Galuh Saraesti; Astrini, Nahdia Retno; Deismawaranti, Asri; Damayanti, Dwi; Hapsari, Maria Saraswati Kinasih
Berita Kedokteran Masyarakat Vol 41 No 12 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i12.21271

Abstract

Purpose: This study analyzes the influence of individual capacity and task demands on Job stress levels.Methods: This study uses an observational, cross-sectional design. All 33 workers who became the population were included as research samples. Data were collected through questionnaires and observations and analyzed using the gamma coefficient to measure the strength and direction of relationships among individual capacity, task demands, and job stress.Results: Most workers reported mild to moderate stress levels. Workplace conflict demonstrated a strong, positive relationship with job stress (γ = 0.622), indicating that higher workplace conflict is associated with greater job stress. Job certainty showed a moderate, negative relationship with job stress (γ = -0.543), indicating that lower job certainty is associated with higher job stress. Job opportunities had a powerful and negative relationship with job stress (γ = -0.907), indicating that limited employment opportunities significantly increase stress levels.Conclusion: Mental workload and job opportunities have the most substantial relationship with job stress, followed by education, tenure, physical workload, and work conflict. Therefore, interventions to address this issue by strengthening job security policies are needed to minimize stress and improve overall employee well-being.
Strategies to increase community participation in controlling dengue mosquito breeding sites: a scoping review Isnaeni, Rizka Nur; Musthofa, Syamsulhuda Budi; Indraswari, Ratih
Berita Kedokteran Masyarakat Vol 41 No 12 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i12.22283

Abstract

Purpose: Dengue Hemorrhagic Fever (DHF) is a growing global public health problem, particularly in low- and middle-income countries, and is influenced by social, environmental, and behavioral factors. Community participation plays a crucial role in the success and sustainability of dengue prevention. However, limited governance, weak cross-sectoral coordination, the dominance of top-down approaches, and a lack of resource support often hinder optimal community involvement. This study aims to identify literature on strategies to increase community participa- tion in dengue prevention practices. Methods: This scoping review used the methodological framework by Arksey and O'Malley. A scoping review was conducted by searching the Scopus, PubMed, and ScienceDirect databases using keywords related to community participation, prevention, and dengue fever. Original English-language research articles published between 2015 and 2025 and relevant to community-based dengue prevention were selected using the PRISMA process. Results: Eight articles met the inclusion criteria. The review results indicate that strong multi- sectoral governance, a bottom-up, participatory approach, and the use of social capital and local leadership are key to effective dengue prevention. Health education through schools, youth engagement, incentives, and innovative, contextualized interventions contribute to increasing the sus- tainability of prevention practices. Conclusion: Dengue fever prevention requires an integrated approach that positions the community as the pri- mary partner, supported by cross-sectoral collaboration, strengthening social capital, and sustainable resource support so that the impact of pre- vention can be sustained in the long term.
Household food waste and food security: a review of behavioral, socioeconomic, and educational determinants Aisy, Nabilah Rihadatul; Rahmawati, Widya; Rahmawati, Irma Sarita
Berita Kedokteran Masyarakat Vol 41 No 12 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i12.22480

Abstract

Purpose: This systematic review examines the relationship between household food waste and food security, exploring key behavioral, socio- economic, and educational determinants that shape this interconnection in domestic settings. Methods: The review adhered to PRISMA guidelines and applied Covidence software to screen items obtained from Scopus, Pub- Med, and Web of Science, from 2015 to 2025. Search terms used included "household", "food waste", "food security", and "waste management". Inclusion criteria were based on the PICOS framework, targeting studies that investigated household food waste and food security outcomes using qualitative or quantitative designs. Results: Out of 263 identified articles, 12 met the eligibility criteria. The findings revealed that higher food waste is generally associated with food-secure and high-income households due to excessive purchasing and poor planning. However, food-insecure house- holds also contributed significantly to food waste due to inadequate storage practices and limited food literacy. Behavioral and educational factors, including purchasing habits and levels of awareness, were significant indicators of food waste. Several studies emphasized the role of food and nutrition literacy, proper storage, and community engagement in minimizing food loss and improving food availability. Register of Systematic Reviews (PROSPERO) under registration number CRD420251271753.Conclusion: Household food waste negatively impacts all four dimensions of food secu- rity. Effective strategies should integrate educational interventions, decen- tralized storage technologies, and community-based initiatives to enhance food system resilience. Reducing food waste is necessary to foster ecological health, economic success, and reliable household food security.
Evaluation of cervical cancer screening program implementation in Boyolali District in 2024 Fatikha, Amira Nada; Prawitasari, Shinta; Ahmad, Riris Andono; Kuncoro, Teguh Tri
Berita Kedokteran Masyarakat Vol 41 No 12 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i12.22721

Abstract

Purpose: The Boyolali district has never reached the cervical cancer screening coverage target for women of childbearing age, aged 30-50 years. In 2023, cervical cancer screening coverage reached 1.7% of the target of 63%. So this study aims to evaluate the implementation of the cervical cancer screening program in Boyolali District in 2024. Methods: This study used a descriptive, observational, quantitative design, with analysis using a logic model that included the program implementation components of inputs, activities, and outputs. Sampling was purposive, with 28 respondents selected for their roles in the cervical cancer screening program. Primary data were collected using a questionnaire instrument. All data obtained were then processed and analyzed descriptively using Microsoft Excel. Results: The evaluation of the cervical cancer screening program in Boyolali District shows that the input components, particularly regulations and human resources, remain inadequate. In terms of activities, passive and active services, socialization, advocacy, and monitoring and evaluation are still limited. As for cervical cancer screening in Boyolali District in 2024, coverage was only 2.44% of the target, with 6.53% of tests returning positive results. Conclusion: The implementation of the cervical cancer screening program in Boyolali District in 2024 was not optimal. Improvement efforts are needed in regulations, resources, and the intensity of activities to increase screening coverage.
The role of inflammatory biomarkers in adolescent major depressive disorder: a systematic review Kwarta, Cityta Putri; Sari, Mike Permata; Suharti; Sundjaya, Tonny; Novitasari, Prihatini Dini; Taufik, Kumar
Berita Kedokteran Masyarakat Vol 42 No 01 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i01.23244

Abstract

Purpose: Major Depressive Disorder (MDD) in adolescents is an escalating mental health problem with underlying biological pathways. Increasing evi- dence highlights the role of inflammatory response and immune dysregulation in its development and progression. This study aims to explore the role of inflammatory biomarkers in Major Depressive Disorder (MDD) among adolescent populations, elucidating their potential utility for more effective treatment strategies. Methods: A systematic review was conducted using Ebsco, PubMed, Scopus, Web of Science, and Google Scholar databases. Studies published between 2019 and 2025 that focused on adolescent MDD (aged 10-19 years) and inflammation were included. Study quality was evaluated using the Joanna Briggs Institute (JBI) tool, and narrative analyses were conducted for data synthesis. The PICOS (Population, Intervention, Comparison, Outcome, and Study Design) framework is used to ensure clarity in defining the research question and inclusion criteria. The systematic review was registered in PROSPERO (CRD420251129403). Results: A total of 29 articles met the inclusion criteria for this study. Across the included studies, elevated levels of pro-inflammatory cytokines, particularly inter- leukin-6 (IL-6) and Tumor Necrosis Factor-Alpha (TNF-α), were consistently associated with MDD in adolescents. Dysregulation of the Hypothalamic- Pituitary-Adrenal (HPA) axis and alterations in anti-inflammatory cytokines such as IL-10 were also observed. These biomarkers were linked to changes in stress hormone regulation. Conclusion: Inflammatory biomarkers play a significant role in the pathophysiology of MDD among adolescents, offering promising avenues for early detection and personalised intervention. Integrating biomarker assessment into clinical practice may improve diag- nosis and guide targeted treatments.
The hospital environment as an ecological driver of multidrug-resistant organisms: evidence from intensive isolation and operating rooms Widyasari, Domas Fitria; Daniwijaya, Edwin Widyanto; Purnomo, Galih Santo; Rahayu, Ayu; Nuryastuti, Titik
Berita Kedokteran Masyarakat Vol 42 No 01 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i01.24745

Abstract

Purpose: Multidrug-resistant organisms (MDROs) present a significant challenge for hospital infection control, with environmental surfaces acting as key reservoirs. This study sought to identify MDRO species, evaluate their biofilm-forming capacity, and quantify microbial bioburden in intensive care isolation and operating rooms. Methods: Environmental sampling was conducted in 16 rooms. Air and surface samples, including floors, walls, and bedside monitors, were collected using a microbiological air sampler and sterile swabs. Samples were cultured to determine total bioburden and detect MDROs, with bacterial identification performed using VITEK 2. Antimicrobial resistance was assessed using the Kirby-Bauer disc diffusion test, and bioburden levels were compared to national standards. Results: Forty-nine MDRO isolates were identified: 3 methicillin-resistant Staphylococcus aureus (MRSA, 6.12%), 19 methicillin-resistant coagulase-negative staphylococci (MRCONS, 38.78%), 24 carbapenem-resistant Acinetobacter spp. (CRA, 48.98%), and 3 extended-spectrum β-lactamase (ESBL)-producing Enterobacterales (6.12%). Mean microbial bioburden remained within acceptable limits for air (57.44 CFU/m³), walls (70.63 CFU/100 cm²), and bedside monitors (22.63 CFU/100 cm²), but exceeded thresholds on floors (753.75 CFU/100 cm²). Biofilm-forming capacity varied: MRCONS (26.32% strong biofilm), CRA (8.33% strong biofilm), and ESBL-producing Enterobacterales (66.67% weak biofilm). Conclusion: MDROs were detected in all sampled rooms, with CRA as the predominant species. Floors exhibited microbial loads above acceptable standards, highlighting the necessity for improved cleaning protocols. Enhanced environmental infection control strategies are essential to reduce MDRO transmission in healthcare settings.
Inequality dimensions of childhood vaccination coverage in Indonesia: a scoping review Pramudita, Bianda Dwida; Haposan, Jonathan Hasian; Niyibitegeka, Fulgence
Berita Kedokteran Masyarakat Vol 42 No 01 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i01.28048

Abstract

Purpose: To map existing evidence on inequalities in childhood immunization coverage in Indonesia using the Social Determinants of Health and PROGRESS-Plus frameworks. Methods: This scoping review included original studies published between 2015 and 2025 that examined inequalities in childhood vaccination coverage in Indonesia. Searches were conducted in PubMed, Scopus, Google Scholar, and Garuda. The review followed PRISMA-ScR with consideration of the PRISMA-Equity extension. Data were charted using a standardized extraction form and synthesized descriptively using narrative and tabular approaches. Results: Of 910 records identified, ten studies met the inclusion criteria. All were cross-sectional, and most used nationally representative data from household surveys or administrative sources (n = 9). Inequalities related to parental socioeconomic characteristics were most frequently examined. No studies assessed disparities related to race, ethnicity, culture, or language, indicating substantial gaps across key equity dimensions. Conclusion: Evidence on childhood vaccination inequalities in Indonesia remains limited in scope and depth. Expanding equity-focused research, particularly on underexplored social and cultural determinants, is essential to support targeted policies and advance equitable immunization coverage in Indonesia.
Weight faltering and its association with wasting and stunting in Indonesian infants Dinari, Rizka; Oktaria, Vicka; Julia, Madarina; Danchin, Margaret
Berita Kedokteran Masyarakat Vol 42 No 02 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i02.28058

Abstract

Purpose: To describe the prevalence of weight faltering, wasting, and stunting in infancy and explore their associations. Methods: This secondary analysis used a 2015-2017 birth-longitudinal cohort study in Yogyakarta, Indonesia. Mean Z-scores for weight-for-age (WAZ), length-for-age (LAZ), and weight-for-length (WLZ) were presented. Weight faltering, wasting, and stunting were assessed. Weight faltering refers to a deceleration in weight that crosses two major percentiles relative to the 2006 WHO Child Growth Standards, evaluated at 0-6 and 6-12 months. Wasting is defined as WLZ<-2 SD, while stunting is LAZ<-2 SD. The association between weight faltering and undernutrition at 6 and 12 months was explored using logistic regression. Results: This study included 294 of 422 participants from the original cohort study. The prevalence of wasting and stunting peaked at 7 months (13%, 6/45) and at 12 months (17%, 25/150), respectively. Weight faltering at 0-6 months (10%, 28/293) was higher than in 6-12 months (4%, 10/250). Bivariate analysis showed that weight faltering at 0-6 months was significantly associated with wasting at 6 months (OR 10.89, 95% CI 3.41-34.80, p-value<0.001) and at 12 months (OR 7.17, 95% CI 1.53-33.49, p-value=0.027), but not with stunting. Conclusion: The prevalence of weight faltering and wasting was higher at 6-7 months of life, whereas stunting was higher at 12 months. Despite showing no significant association with stunting, infants with weight faltering have a higher risk of wasting. Identification of weight faltering is essential to signal the need for further clinical investigation and to enable early intervention to prevent the onset of wasting.

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