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INDONESIA
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 1,573 Documents
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A multilevel analysis of the double burden of malnutrition among under-five children within the same household in Indonesia Agnes Boenardy; Fumihiko Yokota; Anak Agung Sagung Indriani Oka; Megan Chong Hueh Zan; Minh Anh Nguyen; Ahnav Bil Auvaq; Ahmad Putra Hadaetana; Intan Aziizah; Nurholis Majid
Berita Kedokteran Masyarakat Vol 42 No 05 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i05.28747

Abstract

Purpose: Indonesia faces a persistent double burden of malnutrition (DBM), in which undernutrition and overnutrition coexist within populations. Although national stunting rates have declined, other nutritional challenges persist across provinces, with moderate-to-high rates indicating a complex nutritional transition. This study aims to identify individual, household, and contextual factors influencing the DBM among children in the same household and to provide evidence-based recommendations for region-specific, sustainable interventions. Methods: Using cross-sectional data from the Indonesian Nutrition Status Survey (SSGI) 2024, we analyzed 0-59-month-old children using multilevel logistic regression. Progressive models examined individual, household, and contextual (district or provincial) determinants of DBM, defined as the coexistence of undernutrition and overnutrition within households. Results: The prevalence of household-level DBM was 0.08%. In adjusted models, residing in Java–Bali was associated with significantly lower odds of DBM (OR = 0.39; 95% CI: 0.27–0.57). Children without birth certificates had significantly higher odds of experiencing DBM (OR=1.70; 95% CI: 1.48–1.95). Exclusive breastfeeding was associated with lower odds of DBM (OR = 0.54; 95% CI: 0.48–0.61). Households having more than one child under five showed substantially higher odds of DBM (OR = 3.30; 95% CI: 2.93–3.71), and district-level DBM remained a strong contextual predictor (OR = 2.01; 95% CI: 1.66–2.45). At the contextual level, the district-level DBM index remained strong contextual predictor. Conclusion: Household-level DBM among children in Indonesia exists but remains rare, yet it signals emerging intra-household nutritional inequalities and complexity. Key determinants include household structure, exclusive breastfeeding, birth certificate ownership, region disparities, and district-level contextual factors. These findings highlight the need for integrated, multilevel interventions that address both undernutrition and overnutrition, particularly in vulnerable households and underserved areas.
Work-related quality of life and its predictors among mining industry workers: a cross-sectional study Galuh Saraesti Ardhianingrum; Aprilia Alua; Jan Sert; Evan Yulandreano; Ari Prayogo Pribadi; Annisa Utami Rauf; Aris Bastian Lahay
Berita Kedokteran Masyarakat Vol 42 No 05 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i05.28935

Abstract

Purpose: This study aimed to examine the associations between Work-Related Quality of Life (WRQoL) domains and overall Quality of Work Life (QoWL) among mining employees and to assess the relative contribution of each domain to QoWL. Methods: A cross-sectional study was conducted among 187 Dump Truck (DT) operators in a coal mining site in East Kalimantan, Indonesia. Data were collected using the standardized WRQoL instrument. QoWL was analyzed as a continuous variable. Bivariate analysis was performed using Pearson correlation, and multivariate analysis was conducted using multiple linear regression to examine the associations between WRQoL domains and QoWL. Results: Five WRQoL domains, consisting of general well–being, home–work interface, job and career satisfaction, control at work, and working conditions, were significantly associated with overall QoWL (all p < 0.001). Stress at work was not significantly associated with QoWL (p = 0.345). In the multivariate model (R² = 0.727), all five domains remained significantly associated with QoWL, with control at work (β = 4.085), job and career satisfaction (β = 3.917), and home–work interface (β = 3.848) demonstrating the strongest relative contributions. Conclusion: QoWL among mining employees is shaped by both structural and psychosocial factors, with work–life balance, autonomy, and career satisfaction playing key roles. These findings highlight the importance of organizational strategies that enhance working conditions, support work–life integration, and promote career development to improve workforce well–being in high-risk industries.
Identifying critical behavioral gaps in standard precautions among healthcare workers: a CSPS-based study at an academic hospital in Yogyakarta Marselinus Edwin Widyanto Daniwijaya; Anwar Rovik; Nesti Desi Ari; Purwadi Sujalmo; Ratna Dewi Puspita
Berita Kedokteran Masyarakat Vol 42 No 05 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i05.29314

Abstract

Purpose: Compliance with standard precautions is essential to mitigate healthcare-associated infections (HAIs) and occupational hazards. However, behavioral gaps often persist despite institutional policies. This study aimed to evaluate compliance with standard precautions among healthcare workers at Universitas Gadjah Mada (UGM) Academic Hospital. Methods: This cross-sectional study was conducted in 2024 among 120 healthcare workers across the outpatient, inpatient, and emergency units at UGM Academic Hospital in Yogyakarta. Participants were selected according to predefined inclusion and exclusion criteria. Adherence was assessed using the 20-item Compliance with Standard Precautions Scale (CSPS), with responses recorded on a 4-point Likert scale (ranging from never to always). Data were analyzed using descriptive statistics and the Kruskal-Wallis test to assess the significance of demographic factors. Results: The mean compliance score was 80.458, and 66.67% of participants were categorized as having "Moderate" compliance. Critical deficits were identified in needle recapping (Item 4; score 67/120) and ocular protection (Item 13; score 67/120). Work duration had no significant effect (p > 0.05), whereas educational background significantly influenced compliance (p < 0.05), with Diploma IV and Bachelor-graduated staff outperforming those with advanced specialist or doctoral degrees. Compliance levels were consistent across all workplace units, with no statistically significant differences (p > 0.05). Conclusion: Selective compliance remains a challenge in clinical settings. Institutional interventions should move beyond theoretical training to prioritize targeted behavioral reinforcement for staff at all educational levels.
Determinants and contextual barriers of childhood stunting in rural Indonesia: a mixed-methods study in Sengonwetan Village Fadhilah Apriliandri; Danny Yovita Maharani; Amelina Ratih Listyaningrum
Berita Kedokteran Masyarakat Vol 42 No 05 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i05.29535

Abstract

Purpose: Stunting continues to pose a significant child health burden in Indonesia, particularly in rural settings where healthcare access, maternal education, and dietary quality remain limited. Addressing these community-level determinants is crucial to accelerating progress in reducing stunting. This study aimed to identify the determinants and explore contextual barriers of childhood stunting among children under five in Sengonwetan Village, Grobogan Regency, Indonesia. Methods: A mixed-methods cross-sectional study was conducted in March 2025 involving 120 children aged 6–59 months selected through stratified random sampling. Anthropometric measurements followed World Health Organization standards. Household food security, dietary diversity, and maternal characteristics were assessed using structured questionnaires, while qualitative interviews explored contextual barriers. Quantitative data were analyzed using logistic regression, and qualitative data were analyzed thematically. Results: Stunting prevalence was 21.7%. Children of mothers with lower education had higher odds of being stunted (AOR 2.10; 95% CI 1.05–4.20). Household food insecurity (AOR 1.80; 95% CI 1.02–3.22) and low dietary diversity (AOR 1.95; 95% CI 1.10–3.48) were also associated with increased odds of stunting. Recurrent diarrheal episodes emerged as the strongest determinant (AOR 3.20; 95% CI 1.30–7.85). Qualitative findings highlighted limited dietary diversity, economic constraints, and inadequate sanitation as key contextual barriers. Conclusion: Childhood stunting in this rural setting is influenced by both measurable determinants and contextual barriers, particularly maternal education, household food security, dietary diversity, and recurrent infections. Integrated, community-based interventions that address both behavioral and structural factors are essential to accelerate reductions in stunting.
Implementation challenges of community-based total sanitation in wetland areas: a case study from Tanjung Jabung Barat Widya Ayu Pratiningsih; Supriyati; Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat Vol 40 No 12 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i12.6699

Abstract

Purpose: Community-Based Total Sanitation or STBM is an empowerment-based approach promoting hygienic behavior without subsidies. However, implementation in geographically challenging areas, such as wetlands, remains problematic, with limited research on context-specific adaptations. This study aimed to analyze the implementation of STBM in wetland areas by examining implementation protocols, monitoring mechanisms, and post-Open Defecation Free (ODF) sustainability in Tanjung Jabung Barat Regency, Indonesia. Methods: This qualitative case study employed purposive sampling to select 12 key informants across multiple sectors (health department, public works, primary health centers, village officials, and community members). Data were collected through in-depth interviews (25 to 80 minutes), participant observation, and document review. Thematic analysis, employing open coding, was conducted with source triangulation to ensure validity. Results: STBM implementation remains focused on Pillar 1 (Stop Open Defecation) with uneven achievement across subdistricts (ODF declaration in only 16.4% of villages despite 74.6% being triggered). Key implementation barriers included: (1) absence of village facilitators and formal STBM working groups; (2) weak post-triggering monitoring systems lacking formal community-to-health center reporting mechanisms; and (3) geographic constraints with conventional sanitation technologies proving unsuitable for wetland conditions. Additionally, a subsidy-oriented community culture hindered the adoption of behavior change. Conclusion: Effective CLTS implementation in wetland areas requires context-specific adaptations, including strengthened village-level institutions, locally adapted sanitation technologies, and formal post-ODF regulations. These findings contribute to understanding the geographical determinants of sanitation program effectiveness and highlight the importance of place-based approaches to achieve sustainable sanitation goals.
Assessing the undergraduate medical students’ acceptance and barriers of community-based education in population and Puskesmas levels: A preliminary study Matilda Stella Pradnya; Perigrinus H Sebong
Berita Kedokteran Masyarakat Vol 40 No 12 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i12.13169

Abstract

Purpose: This study aims to identify aspects of acceptance and barriers to implementing community-based education (CBE) at the population and Puskesmas levels. Methods: A preliminary study was conducted in the Faculty of Medicine, Soegijapranata Catholic University, Semarang, in April 2024. Data were collected using a Likert-scale questionnaire, which surveyed 95 medical students participating in the CBE program at both the population and Puskesmas settings. Data analysis was carried out descriptively. Results: The distribution of respondents' experiential learning perceptions from the category "good" was a majority in the cycle of concrete experience aspect (100% at the population level and 89,58% at the Puskesmas level) and reflective observation (100% at the population level and 87,5% at the Puskesmas level). However, the percentage of 'disagree' and 'strongly disagree' ratings was found to be more frequent in Puskesmas when it came to accepting CBE benefits for students. Conclusion: Students benefit from the overall implementation of CBE at the population and Puskesmas levels. Further action research is needed to accommodate student learning styles in community-based education programs.
Exploration of food risk containing nitrosamine on potential public health implications: A descriptive literature review Ariska Nandia Andriyani; Laila Fitria; Dewi Susanna
Berita Kedokteran Masyarakat 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.
Underprivileged families and the incidence of stunted at birth in Sleman Regency based on the 2018-2019 Sleman Health and Demographic Surveillance System: a cohort study Fifit Khistiyarini; Siti Helmyati; Digna Niken Purwaningrum
Berita Kedokteran Masyarakat Vol 40 No 12 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i12.18088

Abstract

Purpose: The incidence of stunting is a problem that needs to be resolved immediately. Stunting in children contributes to causing significant state losses, because the state must bear the costs of degenerative diseases as a result of the long-term impact of stunting. The family's economic status plays a role in the nutritional status of newborns. The purpose of this study was to determine the risk of stunted babies being born in underprivileged families. Methods: This study utilizes data from the 2019 Sleman Health Demographic Surveillance System (HDSS), employing a cohort method. The data used in this study went through the data-cleaning stage. The analysis carried out consisted of three things: descriptive, bivariate, and multivariable analysis. The number of samples used was 168. Results: The prevalence of stunting was 28.6%, and the prevalence of underprivileged families was 31.5%. The analysis revealed that babies born to disadvantaged families were 1.72 times more likely to be born stunted compared to babies born to prosperous families, as indicated by the multivariable analysis. Conclusion: The birth weight of babies is a significant factor influencing the incidence of stunted babies. Based on multivariable modeling, babies born to underprivileged families have a higher risk of being stunted, but this is not statistically significant. The same model shows that other variables that increase the risk of babies being born stunted are low birth weight (LBW).
Attempts to quit smoking among Indonesian male smokers: findings from the 2011 and 2021 global adult tobacco survey (GATS) Nohan Arum Romadlona; Siti Fatimah; Meirina Nur Asih Susanti; Muhammad Shaddam Naufal Alim
Berita Kedokteran Masyarakat Vol 42 No 06 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i06.27715

Abstract

Purpose: This study examines attempts to quit smoking patterns among Indonesian males using 2011 and 2021 GATS data to identify influencing factors. Methods: The study conducted a secondary analysis on male respondents aged 15 years and older with a history of smoking, consisting of current smokers and former smokers, utilizing a weighted sample. The outcome variable was attempts to quit smoking among male ever smokers. Independent variables involved sociodemographic characteristics, awareness of health consequences, and exposure to information about the dangers of smoking through various media. Results: The prevalence of attempts to quit smoking among Indonesian males increased from 29.8% in 2011 to 43.6% in 2021. In 2011, quit attempts were significantly associated with urban residence (aOR 1.46; 95% CI: 1.02–2.10), health awareness (aOR 2.26; 95% CI: 1.63–3.13), exposure to anti-smoking information from radio (aOR 1.45; 95% CI: 1.13–1.86), and television (aOR 1.47; 95% CI: 1.04–2.09). In 2021, significant factors included urban residence (aOR 1.27; 95% CI: 1.02–1.59), health awareness (aOR 1.76; 95% CI: 1.40–2.20), unemployment (aOR 1.61; 95% CI: 1.25–2.07), exposure to anti-smoking information from billboards (aOR 1.35; 95% CI: 1.09–1.68), and the internet (aOR 1.62; 95% CI: 1.31–1.99). These findings highlight the role of place of residence, awareness of health, and exposure to information about the dangers of smoking through various media in attempts to quit smoking. Conclusion: Public health initiatives should enhance awareness campaigns, target rural and lower-educated populations, strengthen tobacco control policies, adopt media strategies, and increase encouragement of health awareness to quit smoking across different demographic groups.
Levels and mechanisms of insecticide resistance in Southeast Asian Aedes aegypti: a scoping review Indri Erisa; Nurlita Indah Arini; Henry Setyawan Susanto; Mateus Sakundarno Adi
Berita Kedokteran Masyarakat Vol 42 No 06 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i06.27810

Abstract

Purpose: To map published evidence on phenotypic insecticide resistance and resistance mechanisms in Aedes aegypti across Southeast Asia. Methods: This scoping review followed the JBI methodology and PRISMA-ScR reporting guidelines. PubMed, Scopus, and ProQuest were searched on September 11, 2025, for English-language primary studies published from January 1, 2015, to September 11, 2025. We included studies from Southeast Asian countries that used field or semi-field Aedes aegypti populations and reported WHO tube test or CDC bottle bioassay results, resistance mechanisms, or both. Results: We identified 416 records, removed 84 duplicates, screened 332 titles and abstracts, assessed 56 full texts, and included 26 studies from eight countries. Indonesia contributed 12 studies, and Malaysia, 6. Of the 20 studies that conducted WHO or CDC bioassays, all reported resistance to at least one insecticide, with outcomes varying by insecticide and site. Pyrethroids were the most frequently assessed class and the most commonly reported as resistant. Mechanisms were reported in 23 studies, most often VGSC kdr mutations V1016G (73.9%), F1534C (47.8%), and S989P (34.7%). Metabolic mechanisms were also reported, including elevated esterases (26.1%), oxidases or mixed-function oxidases (17.3%), cytochrome P450 monooxygenases (13%), and glutathione S-transferases (13%). No included studies reported cuticular or behavioral resistance. Conclusion: Insecticide resistance in Southeast Asian Aedes aegypti is widespread but heterogeneous, reflecting both target-site and metabolic mechanisms. Standardized, routine surveillance that links bioassays with mechanism testing is needed to guide insecticide choice, rotation, and integrated vector management.

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