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Berita Kedokteran Masyarakat

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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 1,532 Documents

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Perilaku seksual promiskuitas pada remaja laki-laki Wirobrajan Kota Yogyakarta Hernawan Isnugroho; Atik Triratnawati; Supriyati Supriyati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 1 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Promiscuity in sexual behavior in adolescent boys in Wirobrajan, Yogyakarta cityPurposeThis study aimed to obtain a description of the factors that promote promiscuity in sexual behavior and its impact in adolescent boys in Wirobrajan.MethodThis qualitative research used a case study design, using snowball sampling. Data were analyzed by content analysis technique.ResultsThe permissiveness of sexual behavior of teenagers will have an impact, and is easily affected by promiscuity behavior. The influence of peer group or peers is very dominant in the behavior of teen promiscuity. Lack of adolescent awareness about the dangers of promiscuity, the orientation of seeking pleasure and curiosity triggers the behavior of teen promiscuity by exploiting loopholes of rules and lack of control. The confidence and experience of the impact of promiscuity behavior becomes the dominant factor so that teenagers who do not behave with promiscuity do not repeat the behavior. Impact of juvenile promiscuity behavior among others included being ostracized, gonorrhea, syphilis, and genital herpes and other sexually transmitted diseases.ConclusionGreater supervision is needed from various sectors and enforcement of the rules so that the behavior and impact of promiscuity can be minimized. The supervision of teenagers’ association will have an impact on adolescent behavior.

Dukungan sosial dan kualitas hidup orang dengan HIV/AIDS Mardia Mardia; Riris Andono Ahmad; Bambang Sigit Riyanto
Berita Kedokteran Masyarakat (BKM) Vol 33, No 3 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Quality of life among people living with HIV/AIDS based on criteria diagnosis and other factors in Surakarta PurposeThis study aimed to determine the quality of life among people living with HIV/AIDS based on the criteria for diagnosis and other factors.MethodsThis study was conducted in the VCT clinic hospital of Dr. Moewardi. The population was HIV-positive patients with antiretroviral therapy. Data collection conducted through medical records and interview to patients. ResultsOut of a total of 89 respondents, 66.29% were males and 71.91% were aged between 26-45 years. We found significant correlations for diagnosis of HIV/AIDS, opportunistic infections, time since HIV diagnosis, duration of ARV therapy, social support, modes of transport, sex, age, and marital status with the quality of life. Multivariate analysis obtained by each variable showed the strongest association with the quality of life was time since diagnosis, social support and duration of ARV therapy. ConclusionThe quality of life was better for those who have been diagnosed with HIV/AIDS ≥ 32 months, with social support, and who have been undergoing antiretroviral therapy ≥ 29 months. Improved counseling in the early days of ARV therapy is necessary to always maintain the treatment and provide support for their social life.

Faktor individu dalam prediksi diabetes mellitus tipe 2 di Salatiga Jawa Tengah Priscila Evangelin Asa; Dibyo Pramono; Suryono Yudha Patria
Berita Kedokteran Masyarakat (BKM) Vol 33, No 2 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Individual factors as predictors of diabetes mellitus in SalatigaPurposeThe purpose of this study was to determine the relationship of the individual factors with the incidence of diabetes mellitus in Salatiga.MethodsThe research was a case control study conducted from April to June 2016 around the existing health centers in the Salatiga. The total sample was 156 respondents. Data analysis used McNemar’s Chi-square and multiple logistic regression conditional tests.ResultsThe variables associated with the incidence of diabetes mellitus was a family history of diabetes. People who have a family history of diabetes have a risk 41 times more likely to develop diabetes mellitus compared with people who do not have a family history of diabetes mellitus in Salatiga.ConclusionThis study concluded that the incidence of diabetes mellitus is affected by family history. Primary health care is expected to cooperate with health office to conduct prevention efforts such as activities that encourage physical activity.

Depresi dan kualitas hidup pasien diabetes mellitus tipe 2 Elina Chrisniati; Carla Raymondalexas Marchira; Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 33, No 3 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Depression and the quality of life among patients with type 2 diabetes mellitus in Sardjito hospitalPurposeThe purpose of this study was to assess the association between depression and quality of life among patients with type 2 diabetes mellitus in Dr. Sardjito Hospital.MethodsTwo questionnaires were distributed among 152 patients between May and June 2016 using the Beck depression inventory and diabetes quality of life clinical trial. Univariable, bivariable, and multivariable linear regression analyses were used to explore associations.ResultsThis study found quality of life was 67.37. There was association between depression and quality of life, while sex, complications, age and education level were not significantly correlated. The simultaneous influence of the variable of depression, work and duration of illness to mean of quality of life equaled to 28%.ConclusionComprehensive services are needed to reduce depression and improve the quality of life among patients with type 2 diabetes mellitus. People suffering from type 2 diabetes who do not experience depression have a better quality of life than people with type 2 diabetes who experience stress.

Indeks standar pencemar udara dan faktor meteorologi pada kejadian ISPA Angki Irawan; Adi Heru Sutomo; Sukandarrumidi Sukandarrumidi
Berita Kedokteran Masyarakat (BKM) Vol 33, No 5 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Latar belakang: ISPA merupakan suatu penyakit dengan gejala batuk bernapas cepat, dan pendek, kesulitan dalam bernapas yang bukan disebabkan hidung tersumbat. Tingginya kejadian ISPA di Provinsi Riau disebabkan oleh kabut asap. Pada tahun 2014 selama bulan Januari 2014 terdapat 22.000 warga terserang ISPA. Berdasarkan data Dinas Kesehatan Kota Pekanbaru jumlah penderita ISPA sebanyak 48.390 orang sejak ditetapkannya status tanggap darurat kabut asap. Sedangkan pada tahun 2015, laporan data Dinas Kesehatan secara online dilaporkan bahwa selama periode 29 juni sampai dengan 18 oktober 2015 jumlah penderita ISPA sebanyak 14.208 orang. Penelitian ini bertujuan untuk menjelaskan hubungan antara Indeks Standar Pencemar Udara (ISPU) dan faktor meteorologi dengan kejadian ISPA di Kota Pekanbaru mulai Januari 2011 sampai bulan Desember 2015Metode: Penelitian ini menggunakan desain studi ekologi. Populasi adalah kejadian ISPA selama tahun 2011-2015 di wilayah Kota Pekanbaru.Hasil: Terdapat hubungan antara variabel ISPU dan meteorologi dengan kejadian ISPA baik secara statistik maupun grafik/time-trend. Analisis dengan dua model regresi yaitu Regressi Poisson dan Binomial Negatif. Model terbaik dengan nilai AIC dan BIC terkecil dipilih untuk menjelaskan kontribusi variabel ISPU dan meteorologi terhadap kejadian ISPA. kejadian ISPA dengan kejadian ISPA satu bulan sebelumnya, PM10 pada bulan yang sama, SO2 satu bulan sebelumnya, CO pada bulan yang sama, CO satu bulan sebelumnya, O3 satu bulan sebelumnya, NO2 pada bulan yang sama, NO2 satu bulan sebelumnya, suhu pada bulan yang sama, kelembaban satu bulan sebelumnya, kecepatan angin pada bulan yang sama, radiasi matahari pada bulan yang sama, dan titik api pada bulan yang sama merupakan variabel prediktor yang berpengaruh terhadap kejadian ISPA.Kesimpulan: Pola kejadian ISPA mengikuti fluktuasi ISPU dan meteorologi. PM10 pada bulan yang sama, SO2 satu bulan sebelumnya, CO pada bulan yang sama, CO satu bulan sebelumnya, O3 pada bulan yang sama, NO2 pada bulan yang sama, NO2 satu bulan sebelumnya, kelembaban satu bulan sebelumnya, dan radiasi matahari pada bulan yang sama memiliki pola hubungan positif dengan peningkatan kejadian ISPA di Kota Pekanbaru. Hasil penelitian ini menunjukkan bahwa perlunya Dinas Kesehatan Kota Pekanbaru mempertimbangkan faktor kualitas udara (ISPU) dan meteorologi dalam kegiatan program penanggulangan ISPA.

Kualitas air minum depot isi ulang di Banyumas Harry Abriandy; Dibyo Pramono; Susi Iravati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 1 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Drinking water quality of refill depots in BanyumasPurposeThis study was conducted to determine the association between water source, reservoir quality, environmental hygiene, hygiene behavioral handlers, filter size, filter quality, the use of disinfectants and the use of a coagulant with the microbiological quality of drinking water refill.MethodsThis analytic observational study used a cross-sectional design. The study population was drinking water depots that have implemented internal monitoring of drinking water quality, the selection of the sample using simple random sampling method, with the total sample of 162.ResultsA total of 140 DWD (86.42%) are eligible microbiological, 22 DWD (13.58%) are not eligible. The source of water that is the most widely used are water wells (53.09%), while the source of water from the taps and springs are used as much as 33.95% and 12.96%, respectively.ConclusionThere is no relationship between the water source, reservoir quality, environmental hygiene, hygiene behavioral handlers, the size of the filter, the use of disinfectants and the use of a coagulant with the microbiological quality of drinking water refill. There is a relationship between the quality of the filter with the microbiological quality of drinking water refill (p-value=0.0304 95%CI 1.006-10.525; PR=3.255).

Keberadaan jentik dan kejadian demam berdarah dengue Apriyani Apriyani; Adi Heru Sutomo; Sitti Rahmah Umniyati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 2 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Latar belakang: Penyakit demam berdarah dengue adalah penyakit yang disebabkan oleh virus dan ditularkan lewat nyamuk dan merupakan salah satu masalah kesehatan masyarakat di Indonesia, yang cenderung semakin luas penyebarannya sejalan dengan meningkatnya mobilitas dan kepadatan penduduk. Provinsi dengan IR demam berdarah dengue tertinggi tahun 2013 yaitu Bali sebesar 168,48, DKI Jakarta sebesar 104,04, dan DI Yogyakarta sebesar 95,99 per 100.000 penduduk. Selama dua tahun terakhir, kasus demam berdarah dengue tertinggi terdapat di Kabupaten Bantul yakni pada tahun 2014 sebanyak 622 kasus dan tahun 2015 sebanyak 1417 kasus. Salah satu kecamatan yang endemis demam berdarah dengueyaitu Kecamatan Banguntapan. Berdasarkan data Dinas Kesehatan Kabupaten Bantul, terjadi peningkatan kasus sebanyak tiga kali lipat dari tahun 2014 ke tahun 2015 yakni 93 kasus menjadi 282 kasus. Determinan penyakit demam berdarah dengue adalah sanitasi lingkungan dan keberadaan jentik Aedes Sp. Penelitian ini bertujuan untuk menganalisis hubungan antara sanitasi lingkungan dan keberadaan jentik Aedes Sp. dengan penyakit demam berdarah dengue di Kecamatan Banguntapan Kabupaten Bantul.Metode: Penelitian ini merupakan jenis penelitian observasional dengan rancangan case control yang mengkaji hubungan antara efek tertentu dengan faktor risiko. Jumlah sampel pada penelitian adalah 52 kelompok kasus dan 52 kelompok kontrol. Analisis data dilakukan dengan uji chi-square α = 0,05.Hasil: Hasil analisis bivariat didapatkan pengelolaan sampah padat (p=0,002 ; OR=3,73; CI 1,46-9,76), TPA (p=0,003; OR=3,6; CI 1,38-9,70), pengurasan TPA (p=0,001; OR=4,09; CI 1,54-11,4), keberadaan jentik Aedes sp (p=0,000; OR=4,42; CI 1,66-12,31), keberadaan jentik di dalam rumah (p=0,019; OR=3,12; CI 1,07-9,84), keberadaan jentik di luar rumah (p=0,038; OR=2,67; CI 1,94-7,96), keberadaan breeding place di luar rumah (p=0,005; OR=3,50; CI 1,31-9,81) berhubungan secara statistik terhadap kejadian demam berdarah dengue. Hasil analisis multivariat diperoleh variabel keberadaan jentik di luar rumah (p=0,020; OR=17,29; CI 1,57-190,07).Kesimpulan: Faktor risiko yang paling berhubungan dengan kejadian demam berdarah dengue adalah keberadaan jentik Aedes sp. di luar rumah.

Faktor risiko loss to follow up terapi ARV pada pasien HIV Listy Handayani; Riris Andono Ahmad; Yanri Wijayanti Subronto
Berita Kedokteran Masyarakat (BKM) Vol 33, No 4 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Risk factors for loss to follow up of antiretroviral therapy in HIV patientsPurposeThis study aimed to determine risk factors for loss to follow-up of antiretroviral therapy among HIV-infected patients in Dr. Sardjito Yogyakarta, 2011-2014.MethodsA retrospective cohort study was conducted involving 499 HIV patients. Observations were conducted for four years using medical records. Data analysis was performed using Kaplan-Meier and Cox proportional hazards regression tests.ResultsThere were 190 loss to follow-up patients. Risk factors for loss to follow-up of ARV therapy were: a student (AHR = 2.42; 95% CI = 1.20-4.89), the distance ≥ 10 km (AHR = 1.58; 95% CI = 1:09 to 2:31), using health insurance (AHR = 1.67; 95% CI = 1:11 to 2:51) and homosexual as a protective factor of loss to follow-up of antiretroviral therapy (HR = 0:49; 95% CI = 0.30-0.80).ConclusionBeing a college student, the distance between home and ARV service ≥10 km and using health insurance were the risk factors for loss to follow-up of ARV treatment. Adherence counseling for students, cooperation with the drug taking supervisor and decentralization ARV service, as well as effective and efficient services for patients who use health insurance need to be strengthened.

The influence of physical environmental factors of Bima stilt house on pulmonary tuberculosis of Acid Fast Bacillii positive in Bima, Province of West Nusa Tenggara Elya Antariksana Bachmida; Yusrizal Djam’an Saleh; Titik Nuryastuti
Berita Kedokteran Masyarakat (BKM) Vol 32, No 2 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Physical environment factors of stilt houses affecting incidence of pulmonary tuberculosis in the district of Bima, West Nusa TenggaraPurposeThis research aimed to determine factors in the physical environment of typical houses on stilts affecting the incidence of pulmonary tuberculosis acid fast bacilli positive in the district of Bima, West Nusa Tenggara. MethodsThis study used a matched case control design to examine the relationship between specific effects with certain risk factors. There were 76 total respondents, with 38 in the case group and 38 in the control group. ResultsBivariate analysis showed that residential density (p=0.001; OR= 5.7), lighting in bedroom (p=0.029; OR=32), nutritional status (p=0.029; OR=3.2) were statistically associated with the incidence of smear-positive pulmonary tuberculosis at typical stilt houses in Bima. The most dominant risk factor in the incidence of smear-positive pulmonary tuberculosis in typical Bima stilts houses was the residential density.ConclusionResidential density, natural lighting in bedrooms were not risk factors, while malnutrition status increased the probability for prevalence of pulmonary tuberculosis acid fast bacilli positive in houses on stilts typical in the district of Bima.

Kebiasaan merokok keluarga serumah dan pneumonia pada balita Rony Darmawansyah Alnur; Djauhar Ismail; Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 3 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

The correlation of family smoking habits at home with the incidence of pneumonia among children in Bantul district in 2015PurposeThis study aimed to analyze the association between family smoking habits at home with the incidence of pneumonia in children.MethodsThis research was a case control study involving 160 children in the district of Bantul (80 with pneumonia and 80 without pneumonia).ResultsThere was an association between family smoking habits at home with the incidence of pneumonia in children at Bantul. Furthermore, it was found the other variables that had a association with the incidence of pneumonia in children at Bantul District included the use of mosquito coils, nutritional status of children and crowded household. The variables of maternal education, immunization status, income parents, history of exclusive breastfeeding, history of vitamin A, the type of household fuel, the location of the kitchen, the type of house walls and the activity of burning trash were not associated with the incidence of child pneumonia in the district of Bantul.ConclusionIt is necessary to conduct health promotion in all households about the impact of family smoking habits on children, especially in a crowded household. Also, there is need to supervise the family members who have the habit of smoking so the are not smoking inside the house, especially in families with children. It is equally important to repair any lowered nutrition status in children.

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Editorial Address Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

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Contact Name
Ika Kusumaningtyas

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tyas.kusuma@ugm.ac.id

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+628988833412

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bkm.fk@ugm.ac.id

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Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

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Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA