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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 1,573 Documents
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Sleep quality and social media use: implications for stress and depression among medical students Hesti Yuningrum; M. Syairaji; Suryani Agustina Daulay; Bayu Anggileo Pramesona
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.v42i06.28093

Abstract

Purpose: This study aims to analyze the relationship between sleep quality and social media use on stress and depression levels in medical students. Methods: This is a quantitative, cross-sectional study. This study was conducted at FK Unila from June to October 2025. The population in this study was all medical students at FK Unila from the 2022, 2023, and 2024 cohorts, totaling 624 students. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) questionnaire to assess sleep quality, the Bergen Social Media Addiction Scale (BSMAS) to measure social media use, and the Depression Anxiety Stress Scale-21 (DASS-21) to assess stress and depression levels. Data analysis using linear regression. Results: Social media use is a factor that is consistently associated with stress (β = 0.061; p < 0.001). Gender is a significant factor after adjusting for other variables (β = 1.268; p < 0.001), whereas sleep quality is not significantly associated with the outcome (β = 0.078; p = 0.235). Stress is the primary determinant of depression (β = 0.580; p < 0.001), and gender remains a significant covariate after adjustment (β = −0.504; p = 0.042), whereas social media use (β = −0.012; p = 0.181) and sleep quality (β = 0.041; p = 0.381) remained not significantly related to depression both before and after adjusting for confounding variables. Conclusion: Social media use is associated with stress levels among medical students, whereas sleep quality is not. In addition, sleep quality and social media use do not show a significant relationship with depression among medical students.
Educational interventions for diabetes prevention knowledge and behavior in children: a systematic review and meta-analysis Mariana Ulfa; Okki Dhona Laksmita; Nur Agustini; Happy Hayati; Imamah Indah Cahyani; Mega Hasanul Huda
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.v42i06.29453

Abstract

Purpose: This systematic review and meta-analysis evaluated educational interventions for improving type 2 diabetes prevention knowledge and preventive behaviors among children. Methods: A systematic search was conducted in PubMed, ScienceDirect, SAGE Journals, Scopus, ProQuest, MEDLINE, and the Cochrane Library for studies published between 2015 and 2025. Eligible studies were RCTs, cluster RCTs, and quasi-experimental studies evaluating diabetes prevention education among children aged approximately 6–18 years without diabetes and reporting knowledge or preventive behavior outcomes. Risk of bias was assessed using RoB 2 and ROBINS-I. Random-effects meta-analyses calculated standardized mean differences (SMDs) with 95% confidence intervals (CIs). Results: Thirteen studies were included; six were eligible for knowledge meta-analysis and four for preventive behavior meta-analysis, while the remaining studies were summarized narratively. Pooled analyses suggested that educational interventions were associated with improvements in diabetes prevention knowledge (SMD = 1.597; 95% CI: 0.796–2.398; p < 0.001) and preventive behaviors (SMD = 0.625; 95% CI: 0.162–1.089; p = 0.008). Interventions with more than four sessions and cluster RCTs appeared to show stronger effects. Substantial heterogeneity was observed, likely reflecting differences in study design, intervention duration, delivery methods, and outcome measures. Conclusion: Educational interventions appear to be associated with improved knowledge of type 2 diabetes prevention and may support preventive behaviors among children, but findings should be interpreted with caution given heterogeneity and methodological limitations. Multi-session school-based interventions, particularly those with more than four sessions, may be more promising. More rigorous studies with longer follow-up are needed.
Priority of vaccine-preventable diseases (VPDs) based on routine VPD surveillance using a PAHO-adapted Hanlon method based on Depok City, 2024 Yuni Kartika; Asri C Adisasmita; Hidayat Nuh Ghazali Djadjuli
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.v42i06.27942

Abstract

Purpose: This situational analysis aimed to identify priority vaccine-preventable diseases (VPDs) in Depok City based on local epidemiological conditions. Methods: Secondary routine data from the Depok City Health Office for 2023–2024 were analyzed, including surveillance reports, immunization coverage data, and outbreak records. Priority setting was conducted using a PAHO-adapted Hanlon based on disease magnitude, seriousness, effectiveness of interventions, inequity, and institutional capacity. Scoring was carried out through discussions with surveillance staff and heads of primary health centers (the five highest and five lowest reported cases among the primary health centers), as well as five representatives from the Depok City Health Office. Results: Diphtheria was identified as the highest-priority VPD with a basic priority rating (BPR) score of 15.49, followed by pertussis (13.61) and rubella (10.37). During 2023-2024, pertussis incidence increased from 7.26 to 14.92 per 1,000,000 population, while rubella incidence rose from 4.15 to 5.97 per 1,000,000 population. Although immunization coverage was relatively high (95.5% in 2023 and 104.91% in 2024), 28.60% of villages did not achieve UCI status in 2023. VPD surveillance system performance in Depok City during 2023–2024 showed mixed results, with improvements in several indicators but persistent gaps in adequate measles–rubella investigation and acute flaccid paralysis (AFP) specimen adequacy. Discussions identified challenges, including staff turnover, health service capacity, workload constraints, training, delayed case follow-up, and delayed recognition of early pertussis symptoms at the primary health care level. Conclusion: Diphtheria, pertussis, and rubella were identified as the highest-priority VPDs in Depok. Context-specific strategies are needed to strengthen surveillance sensitivity, improve immunization equity, and enhance outbreak prevention.
Factors affecting physical activity in premarital women of childbearing age in Semarang City Hema Dewi Anggraheny; Aisyah Lahdji; Merry Tiyas Anggrainy; Tessa Rahma Adila
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.v41i12.21166

Abstract

Purpose: Physical activity is one of the pillars of implementing balanced nutrition, which is the foundation of healthy living, especially for women of childbearing age (WCA). This study analyzes the factors influencing physical activity in premarital WCA. Methods: This research employs a quantitative, cross-sectional design. The sample comprised 160 premarital women of childbearing age from 10 Semarang Health Centers across nine districts, and the study was conducted from November 2024 to January 2025. The tests conducted were the Mann-Whitney and Chi-square tests. Results: The prevalence of physical activity among premarital WCA included physical activity not adhering to the guidelines at 129 (80.6%) and those following the procedures at 31 (19.4%). The relationship between knowledge (p = 0.493), attitude (p = 0.980), education (p = 0.236), regular exercise patterns (p = 0.002), availability of facilities (p = 0.017), availability of transportation (p = 0.447), family support (p = 0.922), and friend support (p = 0.937) to physical activity was analyzed. Conclusion: Most WCA do not meet the physical activity standards according to the guidelines. The presence of a consistent exercise pattern and access to sports facilities are factors that influence meeting the physical activity standards in premarital women. Public health efforts should focus on facilitating regular exercise routines and improving access to safe, appropriate sports facilities for women.
Relationship between workplace conflict, job certainty, job opportunities, and job stress Anggit Wirama Siwidati; Endang Dwiyanti; Ratna Hafitri Astutik; Galuh Saraesti Ardhianingrum; Nahdia Retno Astrini; Asri Deismawaranti; Dwi Damayanti; Maria Saraswati Kinasih Hapsari
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 Rizka Nur Isnaeni; Syamsulhuda Budi Musthofa; Ratih Indraswari
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 Nabilah Rihadatul Aisy; Widya Rahmawati; Irma Sarita Rahmawati
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 Amira Nada Fatikha; Shinta Prawitasari; Riris Andono Ahmad; Teguh Tri Kuncoro
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.
A preliminary study on the utilization of health services among JKN-subsidized beneficiaries in West Tanjung Jabung District Annisa Putri S; Dwi Noerjoedianto; Lu'ai Hana Adilah
Berita Kedokteran Masyarakat Vol 42 No 07 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i07.28028

Abstract

Purpose: Despite the National Health Insurance (JKN) coverage, outpatient service utilization remains suboptimal. In 2023, only 48.20% of the Indonesian population utilized health insurance for primary care. This preliminary study aims to provide an initial exploration of the factors related to health service utilization among subsidized beneficiaries (PBI) at Public Health Centers (Puskesmas) in West Tanjung Jabung District. Methods: This quantitative study employed an analytical cross-sectional survey. The research was conducted at Merlung and Suban Puskesmas. A sample of 106 PBI participants was selected from a population of 26,043 using proportional random sampling. Data were collected using a validated and reliable questionnaire, then analyzed using univariate and bivariate (chi-square) tests. Results: The study found that 62.3% of respondents did not utilize health services in the last month (utilization rate 37.7%). Bivariate analysis revealed that significant factors associated with service utilization were JKN knowledge (p=0.001), employment status (p=0.003), perception of illness (p=0.035), history of chronic disease (p=0.000), and accessibility of information (p=0.041). Conversely, age (p=0.051), education level (p=0.18), and geographical distance (p=0.534) showed no significant correlation. Conclusion: The study identifies several significant factors related to utilization in a bivariate context. As a preliminary finding, these results provide a baseline for future multivariate research to determine the independent predictors of healthcare access among the PBI population.
Diffusion and effectiveness of TeleCTG in maternal care at primary health centers Adzka Fahma Rodliya; Dwi Agustian; Siska Bradinda Putri Sudirman; Siti Hanisa Khaira
Berita Kedokteran Masyarakat Vol 42 No 07 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i07.28103

Abstract

Purpose: Digital health innovations like telecardiotocography (TeleCTG) are promoted to strengthen maternal services in primary care, yet their diffusion and effectiveness within Indonesia’s health system remain underexplored. This study analyzed the diffusion of TeleCTG and maternal service outcomes at a primary health center. Methods: A concurrent embedded mixed- methods design was used. Qualitative data were obtained through in-depth interviews with nine stakeholders and were analyzed thematically using Rogers’ diffusion of innovation framework. Quantitative data were obtained from a retrospective cohort of 78 pregnant women (34 TeleCTG exposure; 44 standard care). Bivariate analysis used Chi-square or Fisher’s exact test, and multivariable analysis used a risk-ratio framework with log-binomial or modified Poisson regression, with robust variance estimates when sparse data limited convergence. Results: Four themes emerged from the qualita- tive analysis: innovation characteristics, communication channels, time, and social system. TeleCTG was perceived as advantageous for real-time monitoring and referral support, but its diffusion remained constrained by dependence on governance and policy. Quantitatively, no statistically significant adjusted association was observed between TeleCTG use and infant mortality, cesarean section, low APGAR score at 5–10 minutes, or planned early referral. Sparse events limited estimation for some outcomes, suggesting that TeleCTG functioned more as a service-support tool than as a determinant of measurable clinical outcomes in this sample. Conclusion: Health system readiness, not technology alone, drives TeleCTG adoption. Primary care managers should integrate TeleCTG workflows; district authorities should streamline procurement; and national policymakers should issue adoption guidelines.

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