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INDONESIA
Berita Kedokteran Masyarakat
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : 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
Articles 1,532 Documents
Determinan pemberantasan sarang nyamuk pada ibu rumah tangga di Bogor Mayumi Nitami; Sri Tjahyani Budiutami
Berita Kedokteran Masyarakat (BKM) Vol 32, No 6 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (356.757 KB) | DOI: 10.22146/bkm.12170

Abstract

Determinants of dengue mosquito eradication (PSN) in the households in Bogor in 2016PurposeThis study aimed to determine the factors that affect of PSN on housewives in Cibinong and the factors found that influence were: job, knowledge, attitude, behavior of housewife, counselling, active jumantik, giving abatement and the number of container.MethodsA cross-sectional study was conducted using 125 housewifes in Cibinong sub-district. The statistical analysis used chi-square and multiple logistic regression tests.ResultsThis study showed that counseling and the existence of jumantik cadre were the determinants of the application of mosquito nest eradication. Counseling was the most influential factor on the application of mosquito nest eradication.Conclusion Dengue control and prevention counseling should be given to all age groups in the community regularly and it is recommended to reactivate jumantik cadres.
The Effect of ginger essential oil (Zingiber Officinale) as repellent towards Aedes aegypti Ery Agus Mardiansyah; Sitti Rahmah Umniyati; Susi Iravati
Berita Kedokteran Masyarakat (BKM) Vol 32, No 10 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (418.26 KB) | DOI: 10.22146/bkm.12234

Abstract

The effect of ginger essential oil (Zingiber officinale) as an effective repellent  against the Aedes aegypti mosquitoPurposeThe purpose of this paper was to determine the ability of ginger essential oil (Zingiber officinale) as a repellent towards Aedes aegypti. MethodsThis research was a true experimental study. The tests performed in this study were negative control tests, with protective ability test of telon plus oil and ginger essential oil 4% in telon oil involving 25 Aedes aegypti adult female mosquitoes. ResultsThe study found that the average protective ability of ginger essential oil 4 % in telon oil was 100% at minute 5, 10, and 15, while telon oil plus (positive control) was 5%, 36%, and 33%. In the protective ability test of ginger essential oil 4% in telon oil has the better repellent ability or protective ability compared to telon plus, which can provide protective ability up to 60 minutes at 91.95% while telon plus oil provides protective ability around 59.51%. In the length of protection test ginger essential oil 4% in telon oil gave an average of protection from biting until 61.67 minutes, while telon oil gives 8.33 minutes and 11.67 minutes of telon plus oil. Based on Probit analysis ginger essential oil 4% in telon oil can repel 90% of experimental mosquitoes up to 89.87 minutes. ConclusionGinger essential oil 4% in telon oil has the better repellent ability and length of protection compared to telon plus oil. Ginger essential oil 4% in telon can be used as a repellent active ingredient.
Analysis of the dominant factor of hypercholesterolemia at 45-59 years old elderly in working area of Puskesmas Rangkapanjaya Kota Depok 2016 Widya Asih Lestari; Diah Mulyawati Utari
Berita Kedokteran Masyarakat (BKM) Vol 33, No 6 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (561.487 KB) | DOI: 10.22146/bkm.12293

Abstract

Background: Hypercholesterolemia is a condition characterized by very high levels of cholesterol in the body (>200 mg/dl). Hypercholesterolemia becomes the main priority health concern in the developed and developing countries. In the late 20 years, atherosclerosis  as the cause of coronary heart shows a very significant epidemic,  in Indonesia itself, this desease ranked in 7th (5.5%). This study is aimed at analyzing the dominant factor of hypercholesterolemia at 45-59 years old pre elderly in the working area of Puskesmas Rangkapanjaya Kota Depok. Method: This study also using cross sectional design. The sample in this study is taken from 160 elderlies aged 45-49 years old in Rangkapanjaya. The data collection uses Accutrend GC, BoneScan QUS, questionnaire, food recall, and FFQ.  The data collecting techniques used in this study are chi-square and logistic regression. Result: The result of this research shows 66,25% of hypercholesterolemia proportion. The factor influencing hypercholesterolemia are vegetable intake frequency (P-value = 0,014), body mass index (P-value = 0,02), physical activity (P- value = 0,012) and bone mass  density (P-value = 0,018). It shows that the dominant factor toward hypercholesterlemia is bone mass density with OR 3,033 means man and woman with low total bone mass density has 3,033 times risk of getting hypercholesterolemia.Conclusion: Women and men with low bone density are at greater risk of developing hypercholesterolemia.
Faktor prediksi keberadaan jentik di Kecamatan Jonggol Kabupaten Bogor tahun 2016 (Studi di wilayah pedesaan endemis demam berdarah dengue ) Fajrin Nur Azizah; Ema Hermawati; Dewi Susanna
Berita Kedokteran Masyarakat (BKM) Vol 34, No 6 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (224.456 KB) | DOI: 10.22146/bkm.12303

Abstract

Latar belakang: Penyakit berbasis menular vektor menjadi salah satu masalah di Kecamatan Jonggol. Kecamatan Jonggol merupakan kecamatan bersatatus endemis Demam Berdarah Dengue (DBD) di Kabupaten Bogor  dan satu-satunya dari 10 kecamatan dengan kasus DBD terbanyak yaitu 197 orang sepanjang 3 tahun (2013 –2015) terakhir yang wilayahnya berkarakteristik pedesaan. Kasus DBD mengindikasikan adanya keberadaaan jentik Aedes Aegypti yang dipengarui oleh perilaku masyarakat serta kondisi kontainer. Angka bebas jentik Kecamatan Jonggol sebesar 68,45% masih dibawah target nasional sebesar 95%. Penelitian ini bertujuan mengetahui determinan faktor yang mempengaruhi keberadaan jentik.Metode: Penelitian menggunakan desain studi cross sectional dengan populasi adalah  semua rumah tangga  yang memiliki kontainer dan sampel berjumlah 180 orang dengan tehnik multistage random sampling.Hasil: Hasil uji statistic menunjukkan terdapat keberadaan jentik berhubungan dengan tindakan menutup (p= 0041) dan menguras ( p=0,032) kontainer. Adapun variabel yang tidak berhubungan adalah pengetahuan, tindakan menggunakan abate, memelihara ikan pemakan jentik, mengubur barang bekas, letak kontainer, keberadaan penutup kontainer, jumlah kontainer, dan sumber air (p>0,05).. Faktor yang paling berpengaruh terhadap keberadaan jentik adalah tindakan menguras kontainer dengan koef B=0,889 OR = 2,457 (95% CI 1,212 – 4,981).Kesimpulan: Masyarakat disarankan untuk menguras kontainer minimal seminggu sekali dan menutup rapat kontainer setelah digunakan. Pihak puskesmas beserta pemerintah kecamatan Jonggol diharapkan meningkatkan koordinasi dengan mayarakat dan kader daam pengecekan jentik nyamuk sebagai upaya dini dalam pemberanratasan vector dan pencegahan DBD.
Pajanan pestisida dan kejadian anemia pada petani holtikultura di Garut Nella Mutia Arwin; Suyud Suyud
Berita Kedokteran Masyarakat (BKM) Vol 32, No 7 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (417.834 KB) | DOI: 10.22146/bkm.12313

Abstract

Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan pajanan pestisida dengan kejadian anemia.Metode: Desain cross sectional digunakan pada penelitian ini. Adapun populasi pada penelitian ini adalah petani holtikultura yang berjenis kelamin laki-laki yang berdomisili di Kecamatan Cikajang, Kabupaten Garut. Sebanyak 106 orang petani terpilih sebagai sampel dan dilakukan pengambilan sampel darah untuk mengetahui kadar Hb.Hasil: Analisis sampel darah menunjukkan rata-rata kadar Hb petani adalah 16,65 gr/dL. Sedangkan analisis bivariat menunjukkan tidak adanya hubungan antara pajanan pestisida yang terdiri dari masa kerja (nilai p=0,440, OR=1,944, CI 95%=0,51-7,325), lama penyemprotan (nilai p=1,000), waktu penyemprotan (nilai p=1,000), frekuensi penyemprotan (nilai p=1,000, OR=0,698, CI 95%=0,091-5,334), takaran pestisida (nilai p=1,000, OR=1,244, CI 95%=0,164-9,444), dan pencampuran pestisida (nilai p=1,000, OR=1,337, CI 95%=0,176-10,181) dengan kejadian anemia. Pada analisis multivariat, diketahui bahwasanya masa kerja merupakan faktor dominan yang memengaruhi kejadian anemia pada petani holtikultura.Kesimpulan: Pajanan pestisida tidak berhubungan dengan kejadian anemia. Oleh karena itu, pada penelitian selanjutnya, diharapkan untuk melakukan pengujian biomarker yang sesuai untuk mendeteksi adanya efek konis pajanan pestisida pada kesehatan petani.
Determinan Persalinan oleh Tenaga Kesehatan di Indonesia Asep Hermawan; Yayi Suryo Prabandari; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 7 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (460.91 KB) | DOI: 10.22146/bkm.12320

Abstract

Determinants of skilled birth attendance in IndonesiaPurposeThis study aimed to find the relationship between health worker ratio with skilled birth attendants (SBA). MethodsThis research was a cross-sectional study using data from Rifaskes 2011 (a nationwide survey of healthcare facilities), SP 2010 (population census), and Riskesdas 2013 (a nationwide survey based on community for basic health). The sample was total population of the district/city as many as 497 districts/cities. The unit of analysis of this study was the district/city in Indonesia. Statistical analysis used univariate analysis, bivariate analysis and generalized linear model (GLM).ResultsThere was no correlation between the ratio of health workers with SBA coverage. But, the GLM analyses showed positive correlation of midwives ratio in the population and SBA when regressed with physicians, nurses, accessibility to community health center (puskesmas) with OR 1.07 (95% CI: 1-1.14), status of region (remote, borderland or islands area) 1.07 (95% CI: 1.01-1.15), and administrative status (district/city) with OR 1.11 (95% CI: 1.03-1.19).ConclusionThe midwives ratio has a strong correlation with SBA after improving accessibility to primary health centers.
Leprosy's risk factors and distribution pattern in Yogyakarta Efrizal Efrizal; Lutfan Lazuardi; Hardyanto Soebono
Berita Kedokteran Masyarakat (BKM) Vol 32, No 10 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (387.367 KB) | DOI: 10.22146/bkm.12345

Abstract

Risk factors and distribution of leprosy in YogyakartaPurposeThe purpose of this paper was to identify risk factors and distribution pattern of leprosy in Yogyakarta. MethodsA case-control study was conducted involving 112 samples which consisted of 56 cases and 56 controls. ResultsThe study found three risk factors of leprosy: BCG vaccination, humidity and lighting. BCG vaccination was the most dominant risk factor of leprosy. The study also showed that the distribution pattern of leprosy in Yogyakarta was clustered. BCG vaccination was the most dominant risk factor for leprosy occurrence. Distribution of leprosy events were wide-spread and dispersed in the city of Yogyakarta, Sleman, Bantul and Kulon Progo, and only in Gunung Kidul Regency were clustered, and overall in Yogyakarta Special Region was clustered. The existence of cases of leprosy was largely distant with primary health care, away from roads and rivers as well as more dominant in settlements in mountainous areas.ConclusionActive case finding of leprosy by health workers, especially in clustered areas to decide the transmission of leprosy either from humans or the environment, with training of leprosy and counseling officers to remove leprosy-related stigma needs to be done. These efforts need to be coordinated between the Health Office and community health centers so that the number of cases in each region can be known.
Hyperuricemia and hypertension in primary health care center in Kulon Progo Nor Anita Ulfah; Hari Kusnanto; Cornelia Wahyu Danawati
Berita Kedokteran Masyarakat (BKM) Vol 32, No 5 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (432.387 KB) | DOI: 10.22146/bkm.12353

Abstract

Hyperuricemia and hypertension in Wates primary health care centerPurposeThe purpose of this paper was to determine the relationship between hyperuricemia and hypertension occurrence in Wates primary health care center.MethodA cross-sectional study was conducted using medical records of 220 patients with the age of 18 years or older who met the inclusion criteria in Wates primary health care center in 2015.ResultsThe study found that hyperuricemia was associated with hypertension occurrence in Wates primary health care center in 2015, while age and dyslipidemia were confounders in the hyperuricemia and hypertension relationship. ConclusionIt was found that hyperuricemia had some influence on hypertension occurrence. There are many etiological factors associated with hypertension causing the difficulty of predicting the most common causes of hypertension. A cohort study should be done for further study. Early detection of elevated serum uric acid levels as a risk factor for hypertension needs to be done, in order to prevent hypertension.
Kasus Hipertensi pada Kehamilan di Indonesia Novi Kartika Sari; Theodola Baning Rahayujati; Mohammad Hakimi
Berita Kedokteran Masyarakat (BKM) Vol 32, No 9 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (504.939 KB) | DOI: 10.22146/bkm.12414

Abstract

Determinants of pregnancy hypertensive disorders in Indonesia PurposeThis study aimed to assess the determinant factors of gestational hypertension (HDP) in Indonesia.MethodsThis research was an observational analytic study using a cross-sectional design. Sampling was calculated using consecutive sampling technique. The subjects were all pregnant women aged 15-54 years old in 33 provinces in Indonesia and 9024 women were selected as subjects. Chi-square and binomial regression tests were used to analyze the determinants of HDP to see the value of the Ratio Prevalence (RP). ResultsThe prevalence of hypertension among pregnant women was 6.18% (558 people) after being adjusted with external variables which were potentially confounders. The highest of hypertension was found in West Java with 59 pregnant women (10.57%). Overweight and chronic hypertension were related to hypertensive disorders in pregnancy with RP: 2.13 (95% CI: 1.80-2.51); and in overweight with RP: 4.36 (95% CI: 3.6-5.26) in hypertension assessments. The use of contraceptives was not a risk factor for hypertensive disorders in Indonesia with RP 0.92 (95% CI: 0.76-1.10). ConclusionOverweight and chronic hypertension are risk factors for the incidence of hypertensive disorders in pregnancy in Indonesia.
The influence of health education with peer education and interactive diaskusi on knowledge of pregnancy problems is not desirable Dwi Juwartini; Djauhar Ismail; Ova Emilia
Berita Kedokteran Masyarakat (BKM) Vol 32, No 10 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (379.723 KB) | DOI: 10.22146/bkm.12415

Abstract

Effects of peer education and interactive group discussion on cognitive ability in dealing with unwanted pregnancy PurposeThis study aimed to determine the effectiveness of peer education methods and interactive discussions through audiovisual media on cognitive ability change in solving the problem of unwanted pregnancy.MethodsThis quasi-experimental study used a randomized control trial design involving 99 students. The instrument used was a questionnaire, with the module method of peer education and interactive discussions through audiovisual media, agency and facilitator.ResultsAdolescent reproductive health education after considering living with family consistently had a significant effect on increasing the average value of cognitive ability to solve the problem of unwanted pregnancy. Living with family can predict the cognitive ability of teenagers in solving the problem of unwanted pregnancy by 15%.ConclusionInteractive discussions through audiovisual media and peer education modules enhance adolescents’ cognitive ability to solve unwanted pregnancy problems, and are significantly influenced by family factors.

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