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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 1,528 Documents

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Indeks massa tubuh dan kejadian diabetes melitus pada penduduk dewasa di Indonesia: analisis data IFLS tahun 2015 Nine Luthansa; Dibyo Pramono
Berita Kedokteran Masyarakat (BKM) Vol 33, No 4 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Latar belakang: Diabetes melitus (DM) merupakan salah satu penyakit tidak menular yang prevalensinya makin meningkat dari tahun ke tahun. Salah satu faktor risiko yang cukup mendapat banyak perhatian adalah berat badan berlebih atau obesitas. Indeks Massa Tubuh (IMT) adalah salah satu metode untuk menentukan status gizi seseorang, dimana dapat menentukan apakah seseorang masuk kategori kurus, normal, berat berlebih, atau obesitas, sehingga dapat dilihat risikonya terhadap penyakit DM. Penelitian ini bertujuan untuk mengetahui hubungan antara IMT dengan kejadian DM pada penduduk usia dewasa di Indonesia.Metode: Penelitian cross sectional dilakukan menggunakan data Indonesia Family Life Survey gelombang ke-5 (IFLS5) yang merupakan kerjasama dari RAND corporation dan Survey Meter. Uji chi square dan regresi logistik digunakan untuk menganalisis hubungan antara IMT dengan kejadian DM. Indeks massa tubuh didapatkan melalui pengukuran berat badan dan tinggi badan pada responden berusia >18 tahun. Informasi mengenai kejadian DM diperoleh dari wawancara terhadap responden.Hasil: Terdapat 22.647 subyek yang memenuhi kriteria penelitian. Proporsi DM pada penelitian ini adalah 2,89%. Orang dengan IMT gemuk memiliki risiko lebih tinggi untuk mengalami DM dibanding orang dengan IMT kurang atau kurus (OR= 3,15; 95%CI=2,05- 4,82). Setelah dilakukan penyesuaian terhadap variabel jenis kelamin, umur, dan tingkat pendidikan, risiko tersebut tetap signifikan (OR= 3,29; 95%CI= 2,14-5.065).Kesimpulan: Indeks massa tubuh berhubungan dengan kejadian diabetes melitus, dimana orang dengan IMT berlebih atau gemuk memiliki risiko lebih besar mengalami DM dibandingkan orang dengan IMT kurang atau kurus.

Intensi fertilitas wanita usia subur Dan kehamilan tidak diinginkan di Indonesia: analisis performance monitoring and accountability 2020 Supriyatna Supriyatna; Fatwa Sari Tetra Dewi; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 34, No 5 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Fertility intention of reproductive age women and unique unintended pregnancy in Indonesia: an analysis of performance monitoring and accountability 2020Purpose: This research aimed to study the connection of fertility intention with unintended pregnancy of reproductive women in Indonesia. Methods: This cross-sectional study used performance monitoring and accountability data 2020 phase I of 2015. Subjects were 5,581 reproductive women of age 15-49, married, sexually active, ever pregnant and fecund. Analysis techniques used univariable (descriptive), bivariable (chi-square), while multilevel (general linear model) was used as last analysis technique for hierarchical data such as performance monitoring and accountability data. All tests used confidence interval (CI) 95% and significance rate p<0.05%. Results: Reproductive women with fertility intention who do not want any more children had 1.53 times greater probability to have unintended pregnancy, compared to those undecided about their fertility intention. The majority of low educated reproductive women in province level had risk probability to unintended pregnancy. However, the proportion of poor and poorest residents of province level had protective probability to unintended pregnancy. Relation variation between reproductive women’s fertility intention and unintended pregnancy in community level was statistically significant. Conclusion: Providers should target community groups to be given interventions on the prevention of unwanted pregnancies based on results of the target fertility intent analysis.AbstrakTujuan: Penelitian ini bertujuan untuk mempelajari hubungan intensi fertilitas dengan kehamilan ibu reproduktif yang tidak diinginkan di Indonesia. Metode: Penelitian ini merupakan penelitian cross-sectional dengan menggunakan data PMA 2020 tahap I tahun 2015. Subjek penelitian adalah 5.581 wanita usia subur usia 15-49 tahun, menikah, aktif secara seksual, hamil dan berkepanjangan. Teknik analisis yang digunakan univariable (deskriptif), bivariabel (chi-square), sedangkan multilevel (model linier umum) digunakan sebagai teknik analisis terakhir untuk data hirarkis seperti data PMA. Semua tes menggunakan confidence interval (CI) 95% dan tingkat signifikansi p<0,05. Hasil: Analisis multilevel menunjukkan bahwa wanita reproduktif dengan intensi fertilitas yang tidak menginginkan anak lagi berisiko 1,53 kali lebih besar mengalami kehamilan yang tidak diinginkan dibandingkan dengan mereka yang belum memutuskan tentang niat kesuburan. Mayoritas wanita usia subur yang berpendidikan rendah di tingkat provinsi memiliki probabilitas risiko untuk kehamilan yang tidak diinginkan (OR = 1,07; 95% CI: 1,04-1,09). Namun, proporsi penduduk miskin dan termiskin di tingkat provinsi memiliki probabilitas protektif untuk kehamilan yang tidak diinginkan (OR = 0,96; 95% CI: 0,95-0,98). Variasi hubungan antara niat kesuburan wanita reproduksi dan kehamilan yang tidak diinginkan di tingkat komunitas adalah signifikan secara statistik. Simpulan: Provider sebaiknya menargetkan kelompok masyarakat yang akan diberikan intervensi terhadap pencegahan kehamilan tidak diinginkan berdasarkan hasil analisis intensi fertilitas.

Hubungan penggunaan IUD (intrauterin device) dengan pola aktivitas seksual pada perempuan di Kota Kupang Koheresto G. Liufeto; Abdul Wahab; Ova Emilia
Berita Kedokteran Masyarakat (BKM) Vol 33, No 5 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

The use of intra uterine device (IUD) and sexual activity patterns in women in KupangPurposeThe purpose of this study was to know the influence of intra uterine device type contraceptive use to the pattern of sexual activity.MethodsThis research was an observational study with a cross-sectional design using questionnaires to collect data. The samples were 190 women of fertile age in the city of Kupang. The correlation of intra uterine device usage and sexual activities pattern was analyzed by using chi square tests, and continued with multivariate analysis using logistic regression tests, using confidence interval (CI) of 95% and a level of significance of p<0.05.ResultsThere was no significant difference in patterns of sexual activities of women using intra uterine device with those who were not using contraception. The variables that were statistically significant were age, parity, duration of marriage and effects of intra uterine device use. Meanwhile variables that were not statistically significant were working status and duration of intra uterine device use.ConclusionThe usage of intra uterine device contraception did not affect patterns of sexual activities of women in Kupang. However, the effect of intra uterine device usage did have influence toward sexual activity, but such effect would be reduced over time up to 1 year of using. The recommendations given in this research is that it is necessary to further analyze intra uterine device usage effects toward sexual activities patterns.

Aktivitas fisik dan screen based activity pada remaja di Wates Siti Nurfadilah H; Madarina Julia; Riris Andono Ahmad
Berita Kedokteran Masyarakat (BKM) Vol 33, No 7 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Physical activity and screen based activity with adolescent sleep patterns in Wates PurposeThe purpose of this study was to explore the relationship between physical activity and screen based activity with sleep patterns in adolescents.MethodsA cross-sectional study was conducted among junior high school students in August 2016. Samples were 536 respondents selected using stratified random sampling. Data were collected through interviews with a structured questionnaire, and measurements of height and waist circumference. Data analyses used chi-square, mann-whitney and logistic regression tests to explore factors associated with sleep pattern.ResultsOut off 536 respondents, poor sleep quality (34.5%) and short sleep duration (45.3%) happened among female adolescents. There was a significant correlation between screen based activity with sleep quality in adolescents. Physical activity had a significant relationship with sleep duration.ConclusionPhysical activity and SBA was associated with adolescent sleep patterns. Appropriate educational promotions by the Kulon Progo education authorities should be conducted to provide information about the importance of adequate sleep.

Pengaruh short message service (SMS) terhadap pengetahuan dan intensi menyusui di Kabupaten Purbalingga Provinsi Jawa Tengah Zly Wahyuni; Theodola Baning Rahayujati; Mohammad Hakimi
Berita Kedokteran Masyarakat (BKM) Vol 33, No 5 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Effect of short message service toward knowledge and breastfeeding intention in Purbalingga district, Central JavaPurposeThis study aimed to determine the effect of short message service on improving mother's knowledge and intention in breastfeeding.MethodsThis study used a quasi-experimental design with non equivalent control group and pretest and posttest conducted with 36 breastfeeding mothers who received a breastfeeding brochure with short message service in the intervention group and 32 breastfeeding mothers who received only the brochure in the control group. The breastfeeding mothers all had an infant less than 2 months old and had a handphone. Data were processed by stata 12.0 using paired t-test, unpaired t-test and linear regression tests.ResultsThe pretest-posttest scores showed increase of knowledge about breastfeeding after delivering information of breastfeeding through short message service (p<0.05). It showed no effect of increasing breastfeeding intention after delivering information of breastfeeding through short message service (p> 0.05).ConclusionShort message service was effective to improve knowledge of breastfeeding mothers, however it had no effect in improving breastfeeding intentions.

Faktor risiko servisitis pada wanita pekerja seks di kegiatan layanan infeksi menular seksual mobile Mayta Sari Dwianggimawati; Sunardi Radiono; Theodola Baning Rahayujati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 3 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Risk factors of cervicitis among female sex workers in sexual transmitted infection mobile servicePurposeThis study aimed to identify risk factors of cervicitis among female sex workers in the district of Cilacap. MethodsThis study used a cross-sectional design. Total of respondents were 147 female sex workers who participated in the mobile sexual transmitted infection services. Demographic characteristic and risk factor data were collected by interviews using a structured questionnaire. Diagnosis of cervicitis was obtained by laboratory test with cervix swab. Data were analyzed using Poisson regression test with robust variance estimators.ResultsPrevalence of cervicitis among female sex workers in the district of Cilacap were 70.75%. Multivariate analysis showed that the risk factors of cervicitis among female sex worker were: age ≤24 years old, income, childbirth history, number of clients per week, and inconsistent of condoms use.ConclusionsResults showed the need to increase awareness of condom use among female sex workers through health promotion and counseling in mobile sexual transmitted infection services by the teams of sexual transmitted infection clinics. Potential targets for outreach health promotions and counseling are younger female sex worker (≤30 years old).

ketepatan waktu vaksinasi campak sebagai faktor preventif kejadian campak di Kota Yogyakarta Anggraeni Budi Lestari; Mei Neni Sitaresmi; Tunjung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 5 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Timely measles vaccination as a preventive factor on measles occurrence in YogyakartaPurposeThis study aimed to see the relation of timely measles vaccination on measles occurrence.MethodsThis research was a matched case control study. A total of 33 cases and 33 controls were used as samples. Case subjects were toddlers aged 9-48 months with measles clinical symptoms (fever, rash and one of cough, cold/runny or conjunctivitis) who were diagnosed by clinic doctors and confirmed by laboratory (positive IgM) and children without measles (healthy) in the same period who came from the neighboring areas in the city of Yogyakarta as controls.ResultsBivariable analysis showed a significant correlation between timely measles vaccination with occurrence of measles disease where p = 0.0042 and OR = 7 (95% CI: 1.60-63.45). On multivariate analysis, after controlling by including gender and maternal education gained correlation between measles vaccination views of the value of p = 0.008, OR-8.2 (95% CI: 1.7-40.3), gender OR = 0.95 (95% CI = 0.3-2.7 ) and maternal education OR = 1.96 (95% CI = 0.4-9.5).ConclusionThere was a correlation between timely measles vaccination with the occurrence of the disease of measles in the city of Yogyakarta.

HUBUNGAN ANTARA PENGETAHUAN TENTANG BAHAYA MEROKOK DENGAN STATUS MEROKOK DI “RW DENGAN RUMAH BEBAS ASAP ROKOK” KOTA YOGYAKARTA TAHUN 2016 Agus Heri Setiawan; Yayi Suryo Prabandari; Riris Andono Ahmad
Berita Kedokteran Masyarakat (BKM) Vol 33, No 6 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Implementation of the smoke-free neighborhood program in YogyakartaPurposeThis study aimed to identify the successfulness of smoke-free neighborhood and to understand the relationship between the householders' knowledge and household smoking status. MethodsAn observational analytic study was conducted using cross-sectional surveys. Chi-square, Fisher exact and logistic regression tests were used to analyze the correlation between variables. ResultsFrom those numbers, qualified households which fulfill the program criteria were 76.1% and 75.9%, respectively. To be more specific, in smoke-free neighborhood, about 56.8% householders were under smoking status and 43.2% householders were identified as ex- or non-smoker. Bivariable analysis showed that there was a significant correlation between educational background, age, knowledge, and perception of householder with smoking status. The last model of multivariable analysis showed that knowledge, and age of householders was related to household smoking status. ConclusionThis study shows that smoke-free neighborhood program has not yet affected passive smoker protection significantly. A more specific controlling program to improve the knowledge especially for elderly (> 45 years old) has to be increased in smoke-free neighborhood of Yogyakarta.

Stres psikososial dan kejadian kandidiasis vulvovaginalis pada wanita pekerja seks di Banyumas Leyna Chunaifa; Yayi Suryo Prabandari; Baning Rahayujati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 7 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Psychosocial stress and vulvovaginal Candidiasis among female sex workers in Banyumas PurposeThis study aimed to determine the relationship between psychosocial stress with candidiasis vulvovaginalis (KVV) incidence in female sex workers (FSW).MethodsThe research design was a case control study conducted in health center clinics in the Banyumas District. The sample size was 164 FSW (82 cases & 82 control). The research instrument was structured questionnaires, Social Readjustment Rating Scale (SRRS), laboratory equipment and microscopes for inspection KVV. Data analysis used logistic regression tests to calculate odds ratios (OR), confidence interval (CI), and p value.ResultsThe multivariate analysis showed that stress was not KVV risk factors, and the risk factors that contribute to the occurrence of KVV in FSW were oral sex (OR = 3.31, 95% CI = 1.60 to 6.83, p-value = 0.001) and smoking more than 10 cigarettes/day (OR = 2.33, 95% CI = 1.2 to 4.59, p-value = 0.014).ConclusionsThe risk factors of KVV were oral sex and smoking ≥ ten cigarettes/day. We recommend to avoid oral sex and smoking < ten cigarettes/day to avoid the risk of KVV infection.

Peran program kelas ibu hamil terhadap pelaksanaan ASI eksklusif di Gunung Kidul Dwi Andayani; Ova Emilia; Djauhar Ismail
Berita Kedokteran Masyarakat (BKM) Vol 33, No 7 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

The influence of antenatal class implementation toward exclusive breastfeeding in Gunung Kidul Purpose This study aimed to determine the effect of the implementation of the antenatal class toward exclusive breastfeeding.Methods The research was a case-control study with a quantitative approach. This research was also supported by a qualitative approach which aimed to complement and reinforce the results obtained from the quantitative data. Sample cases were 135 exclusive breastfeeding infants aged 6-12 months, and the control sample were 135 not exclusive breastfeeding infants aged 6-12 month. Data analysis used the McNemar and conditional logistic regression tests with significance level of p = <0.05 and 95% confidence interval.Results Bivariate analysis showed that antenatal class affected exclusive breastfeeding p = 0.026 and OR = 1.80 (95% CI: 1.03 to 3.24). In the results of multivariate analysis after controlling by including support of her husband and the ANC p = 0.03 and OR = 1.86 (95% CI: 1.05 to 3.30). Mothers who attended antenatal class have exclusive breastfeeding rate 1.86 times higher compared to mothers who did not attend the antenatal class.Conclusion The antenatal class can directly affect exclusive breastfeeding, in spite of controlling the support of her husband and the ANC.

Page 38 of 153 | Total Record : 1528

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Home Page

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Contact Name Ika Kusumaningtyas

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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

Abstract

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Contact Name
Ika Kusumaningtyas

Contact Email
tyas.kusuma@ugm.ac.id

Phone
+628988833412

Journal Mail Official
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

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA