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Ika Kusumaningtyas
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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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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 1,519 Documents
Meningkatkan Sikap Positif Terhadap Perilaku Tidak Merokok dan Kecenderungan untuk Berhenti Merokok Melalui Pelatihan T. Cut Lizam, Yayi Suryo Prabandari, Amitya Kumara
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.617 KB) | DOI: 10.22146/bkm.3567

Abstract

Background: Almost  everybody knows  that  smoke could  endangered smoker’s  health  and  people  surrounding (passive  smoker). The  influence  of  peer, self  appearance,  curiosity,  stress, boring, masculinity and  rebelience are some of major  issues  that could contribute  teenagers  to start smoking. Therefore, health education  is needed to  improve positive  attitude  toward  non smoking  behavior and  tendency  to  quit  smoking  by empowering  their own  emotional  through  emotional  intelligence  training.Objective: This  research was  aimed  to  find out  the  influence  of  training on  emotional  intelligence  in  order  to improve  positive attitude  toward non  smoking behavior  and  tendency  to quit  smoking  in  intervention  group  and the difference  on attitude  as well  as  intention  to quit  smoking  in  intervention group with control  group.Method: Quasi  experimental study was conducted with pre-test  and  post-test with  control design. Experiment group was  given  training  on  emotional  intelligence with  lecture method  and  sensitivity  training. The  research subjects were 43  in  intervention  group  and  41  in  control  group with  research  population was  boys who  smoke in  grade  II of  social science majoring  class. Data  analysis was conducted with  paired  t-test  for  one group  and independent  t-test  in  different  group with  significance  level of  5% or  p<0.05.Result: There was a  significant  positive  improvement  on  attitude  toward  non  smoking  behavior  especially  in pretest and  posttest-1, pretest  and  posttest  2  (p<0.05)  and  there was  an  improvement  on  tendency  to  quit smoking  in  intervention group. There was  a significant  difference  (p<0.05)  on attitude  in  intervention and  control groups. Furthermore,  there was  not  an  improvement  on  positive  attitude  toward  non  smoking  behavior  in intervention  group  especially  in  the  indicator of  self motivation  and  in  posttest 1  and posttest  2.Conclusion: Health  education  through  training  on  emotional  intelligence  could  improve  positive attitude  toward non  smoking  behavior  and  tendency  to quit  smoking  in  teenager.Keywords:  training  on emotional  intelligence, attitude  toward smoking  and  tendency  to quit  smoking
Analisis Kondisi Rumah, Sosial Ekonomi dan Perilaku sebagai Faktor Risiko Kejadian Frambusia di Kota Jayapura Tahun 2007 R. Indra Boedisusanto, Fajar Waskito, Haripurnomo Kushadiwijaya
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.101 KB) | DOI: 10.22146/bkm.3568

Abstract

Background:     Yaws  is caused by     spiral bacillus  called  treponema perteneu.  It  is a human  infectious disease which  commonly attacks  skin  and  bones. The  prevalence  of  yaws  in  Indonesia was  less  than  1  per  10,000 people  but  there were places with high  prevalence  such  as Provinces  of West  Papua, Papua, South East  of Sulawesi, Nusa Tenggara Timur  and Maluku. The prevalence  of yaws  in Jayapura Municipality  in  2007 was  5.4 per 10,000  people.Objective: To  identify  risk  factors  of house  condition,  social  economic  factors  and  behavioral  factors  of  the occurence  of  yaws  at Jayapura Municipality.Method: The  study was  observational with  case  control  study  design. Sample  of  the  study  consisted of  84 cases  and  84  control  subjects. Data were  analyzed  using  computer with  2  x  2  tables  and multiple  logistic regression  tests at  95%  significant  level.Result: Multivariable  analysis  showed  that  three  variables were  significant  risk  factors  for  the  occurence  of yaws:  house condition  (occupancy  density, OR=2,5, availability  of  clean water, OR=5.9),  and behavior  (taking a bath, OR=3.8).Conclusion: Factors  of  house  condition  (occupancy  density,  availability  of  clean water),  social  economy (knowledge)  and  behavior  (taking  a  bath)  are  dominant  risk  factors  for  the  occurence  hence  prevalence  of yaws  at  Jayapura Municipality.Keywords: Yaws,  risk  factors,  Jayapura Municipality
Hubungan Antara Akses KB dengan Pemilihan Kontrasepsi Hormonal dan Non Hormonal di Kabupaten Purworejo Sri Panuntun, Siswanto Agus Wilopo, Lina Kurniawati
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.128 KB) | DOI: 10.22146/bkm.3569

Abstract

Background: The  report of  2002-2003  Indonesia’s  Demographic and Health Survey  (IDHS)  suggests  that  the prevalence  of  family  planning  in  Indonesia  reach  60   percent with  the  hormonal  contraceptive  increase  by  16 percent  and  the  non hormonal  contraceptive  decrease  by 7  percent. Generally,  the  choice  of contraceptives  is based  on  clear  reasons  to  regulate  the  birth  spacing or  to  limit  births. Factors  determining  the  choice  of  non hormonal contraceptives  include  physical  access  (distance),  economy  (cost),  administration  (service  resource) and  cognitive  accesses  (knowledge).Objective: To  investigate  the  relationship between  contraceptive  accesses and  the  choice of  hormonal and  non hormonal  contraceptives  in Purworejo District.Method:  This was  an observational  study with  a  case  control study  design.Subject: Samples were married women 20-35  years  of  age  that  became  the new  acceptors with  the choice  of non hormonal contraceptives  (IUD) as  the case  (133 women) and of hormonal contraceptives  (pill and  injectable) as  the  control  (133 women)  from  1 January  2004  to  31 December  2004.Data analysis: The  qualitative data  analyses used were univariable,  bivariable and multivariable. Statistical  test used  chi-square  and  logistic  regression.Results: The  bivariable  and multivariable  analyses  showed  that  there was  a  relationship  between  family planning demand  and  the  choice of  non hormonal  contraceptives. Respondent  residing  far  from  family  planning services  tended  to choose non hormonal contraceptives with a chance of 1.9  times higher  (OR=9.5;CI95%=1.16-3.19). The variable  that had  the greatest chance  to  influence  respondents  to choose non hormonal contraceptives was cost  that was  7.5  times  (OR=7.5; CI  95%  =  2.60-21.87). The  respondents  that  utilized  private  facilities tended  to  choose  non  hormonal  contraceptives.Conclusion: Respondents with  family  planning  demand  to  limit  births were  likely  to  choose  non  hormonal contraceptives. Other  factors  affecting  the  choice  of  non hormonal  contraceptives were  income.Keywords:  family  planning  accesses,  family  planning  demand,  choice  of   hormonal  and  non  hormonalcontraceptives,  case  control
Hubungan Status Pekerjaan Ibu dengan Berat Lahir Bayi di RSUP Dr. M. Djamil Padang Yuliva Djauhar Ismail, Diah Rumekti
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.062 KB) | DOI: 10.22146/bkm.3570

Abstract

Background: According  to 2002-2003  Indonesia Demography Health Survey  (IDHS),  the percentage distribution of women based  on  job  status  in  the  past  12 months  in West  Sumatera showed  that  57,5%  of woman was working,  2,4%  of woman was  not working  and 40,1%  of  the women  did  not work  at  all.  From  the  data,  it  is shown  that  the  percentage  of woman who working was  bigger  than woman who was  not working. Based  on various  researches,  a  job  that will  be  done  by  a woman  especially while  pregnant,  had  influence  toward  the weight  of  the  infant who will be  delivered.Objective: This  research was aimed  to  find out  the  relationship of  job status and  job  type of mother with  infant’s birth weight in RSUP Dr. M. Djamil Padang.Method: This was  an observational  research  that  used Prospective Cohort design.  The data was collected  in antenatal polyclinic  of RSUP Dr.M. Djamil Padang. The  population was  all pregnant women who  came  to  check their  pregnancies  to  antenatal  polyclinic  and  they were  clustered  based  on  job  status  and  job  type.  Every pregnant woman was observed  and  their  pregnancy  development  that was  started  in  the week  32 of  pregnancy until delivery was continually monitored. The  sample was  taken with  non probability  sampling and  consecutive sampling. The  independent variables were  job  status and  job  type  and  the  dependent variable was  infant’s  birth weight. The  confounding  variable were  education,  social  economy  status, women’s age,  parity,  gestation  age, women’s height, weight  gain,  nutrition  intake,  children  sex  and mother’s  disease during  pregnancy.Result: The  dif ference  of  birth weight  in  a mother works with  heavy  physical  activity  was  196.44  gram (p=0.000) which was  lower  than mother who  did  not work with  heavy  physical  activity,  and  the difference  of infant’s  birth weight  in  the  group  of mother who were  ill  during  pregnancy with  those who were  not  ill  in  their pregnancy period was 243.92  gram  (p=0.001). Male  infant who was  born had  difference  on  the  average of  birth weight  that was  97.24  gram  (p=0.015) which was  heavier  than  female  infant. The  increasing  gestation  age every  one week will  increase  infant’s  birth weight  45.34 gram  (p=0.021) and  increasing  of mother’s weight will increase  infant’s  birth weight with  47.12 gram  (p=0.000). The  increasing  nutrition  intake  every one  kilocalories will  increase  infant’s birth weight 0.56 gram  (p=0.000). R2 was 0.2729 which mean  that model  2 as  the  result of double  linear  regression  analysis  could explain  the  relationship  and predicted  infant’s birth weight with  27.29%.Conclusion: There was a  relationship between mother’s  job  status  (working or  not working)  and mother’s  job type  (heavy  physical activity  and  low  physical activity) with  infant’s  birth weight,  in which  infant’s  birth weight in working mother with  heavy  physical  activity was  lower  than  infant   with mothers who  did  not work with heavy  physical  activity.Keywords: job  status,  job  type and  infant’s birth weight
Hubungan Tingkat Depresi dengan Kualitas Hidup pada Masyarakat Daerah Bencana Pasca Gempa Bumi di Kabupaten Sleman Tahun 2008 Nurhasanah Haripurnomo Kushadiwijaya, Carla Marchira
Berita Kedokteran Masyarakat (BKM) Vol 25, No 1 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (202.686 KB) | DOI: 10.22146/bkm.3571

Abstract

Background: The problem of mental health  in  the community are complex and greatly varied and complex.They do not only  include mental disorder but also numerous psychosocial problems, quality of  life and harmony  in  life. Earthquake brings  both physical  damages  and  psychological  trauma  elationship  if  it  goes  far  beyond  coping capacity of  the community  that becomes  the victim. The prevalence of mental disorder of  the community  that can survive  is  about 0.2%  -  7.2% with major  depression 6.4%. Quality  of  life  of  the community  that  suffers  from major  depression  is  lower  than  that of  healthy people  and  those  that have  other mental  disorder. Sub-district  of Berbah, Kalasan and Prambanan  feel  the magnitude  of earthquake  and serious  damages.Objective: To  identify  the  relationship  between  level  of  depression  and  quality  of  life  of  the  community at  the disaster area  post earthquake  in  the District  for Sleman.Method: The  study used  cross  sectional  design.  Subject  of  the  study  consisted  of  721  people. Data were obtained  through  interview  and observation.  Instruments  of medical outcomes  Short Form  36  (SF-36) were used  to measure quality of  life and Beck Depression  Inventory  (BDI) were used  to measure  level  of depression. Data were  analyzed  using bivariable  and multivariable method with  simple  linear  regression and multivariate linear  regression.Result: The  result  of  bivariable  analysis showed  that variables  statistically had  relationship with  quality  of  life at District of Sleman were  level  of  depression  (r=0.561, R2=0.314), sex  (r=0.042, R2=0.002), marital  status (r=0.126; R2=0.016),  income  (r=0.092, R2=0.008)  and  social  interaction  (r=0.171, R2=0.029).  The  result  of multivariable  analysis  showed  that  there were  three  variables statistically  significant,  i.e.  level of  depression, social  interaction and  sex  (Adjusted R2=0.334).Conclusion:  level of  depression, social  interaction and  sex were  risk  factors  of quality  of  life  of  the  community post earthquake  in  the District of  Sleman  and  they were  statistically significant  (p<0.05).Keywords: quality  of  life,  level  of  depression,  risk  factors
Korelasi Antara Kadar Vitamin C dengan Kadar Methemoglobin Darah Lansia di Kecamatan Pakem Kabupaten Sleman Prasetyastuti Prasetyastuti
Berita Kedokteran Masyarakat (BKM) Vol 25, No 1 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.427 KB) | DOI: 10.22146/bkm.3572

Abstract

Background: Oxidative damage  by  free  radical can  cause  aging  process. Erythrocyte  as an  oxygen –  carrying agent  has high  risk  of  oxidative  injury which can  inducemethemoglobin  production.  Vitamin C  is  an  exogen antioxidant  that work  in  aqueous  phase  like  blood  and  can  react   with    free  radical before  they  initiate  the oxidative  injury.Objectives: The  aim of  this study was  to  find out whether  there  is possibility  of correlation  between  vitamin C and methemoglobin  level  in blood of elderly  living  in Pakem DistrictMethod:  This was  an observational  research with  cross  sectional  design,  in which  32  elderly  from  Pakem District were  subjects.  The  blood  sample was  taken  from  cubital  vein.  Determination  of   vitamin C  and methemoglobin  level  used  spectrophotometer. Pearson Correlation was  employed  to  analyze  the  data.Results: The vitamin C and methemoglobin level of the elderly 0,43 + 0,25 mg/dl  and  0,035 +  0.02% respectively. The  correlation between  vitamin C  and methemoglobin  level was  not significant    (  p =  0.771).Conclusion: The  vitamin C was not  correlated with  the methemoglobin  level.Keywords: vitamin C, methemoglobin,  elderly,  free  radica
Hubungan Pengetahuan, Sikap dan Perilaku Ibu dalam Pemberian Imunisasi Hepatitis B 0-7 Hari di Kota Banjarmasin Ahmad Rizani, Mohammad Hakimi, Djauhar Ismail
Berita Kedokteran Masyarakat (BKM) Vol 25, No 1 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.838 KB) | DOI: 10.22146/bkm.3573

Abstract

Background:  Indonesia  belongs  to medium and  high  endemic country of  hepatitis B  (HB) with  the prevalence  as much as 8% - 20% of the population. The risk for the  prevalence of chronic HB is much more higher among  infants infected during birth 90%, among children of  1 – 5 years  30%  - 60%, and  among adults  2%-6%.  If  infants of  0-7 days old are given  the  first dosage of HB  immunization,  the prevalence of being HB chronic patients  is 23% and  if the  first dosage is given when  infants are one months old,  the prevalence of being HB chronic patients is 40%. The coverage of HB  immunization  for  infants of  0-7 days  old at Banjarmasin Municipality  in 2006 was only  41%.Objective: The  study  aimed  to  identify  the  relationship  between  knowledge,  attitude,  and  behavior  of mothers in giving HB  immunization  to  infants of 0-7 days old at Banjarmasin Municipality.Method: The  study was  observational  and  used  cross  sectional  design. Subject  of   the  study were  170 mothers  having  infants  of  0-12 months chosen  using consecutive  sampling  technique  at 5  health  centers with different  coverage  of HB  immunization  of  infant  of  0-7  days  old. Data analysis  used chi  square  and  logistic regression. Strength  of  relationship was calculated  using  prevalence  ratio with CI  95%.Result:  The  result  of  bivariable  analysis  showed  that  there was  relationship  between  behavior  of mothers  in giving 0-7 day HB  in  immunization and knowledge RP=1.61  (CI 95%=1.35-191), attitude RP=1.49  (CI95%= 1.22-1.62),  education RP=1.56  (CI95%=1.24-1.96),  occupation RP=1.44  (CI95%=1.01-2.05)  and  birth  assistants RP=1.48  (CI95%=1.21-1.82). The  result  of multivariable analysis  using  logistic  regression showed  that only  2 variables,  i.e.  knowledge  and  education  statistically  had  significant  relationship with  behavior  of mothers  in giving 0-7 day HB  immunization.Conclusion: There was  relationship  between  knowledge  and  education  and  behavior  of mothers  in giving  0-7 day HB  immunization.Keywords:  knowledge, attitude,  behavior,  hepatitis B
Estimasi Pengaruh Vaksin DPT pada Kematian Anak: Analisis Multivariabel data Survailan Demografi dan Kesehatan di Kabupaten Purworejo Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 25, No 1 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.102 KB) | DOI: 10.22146/bkm.3574

Abstract

Background: Recent  controversial  reports  suggest  that  recipients  of  one dose  of DTP  vaccines had  higher mortality  than  children who  had  received  no DTP  vaccine. We   reanalyzed data  on vaccination  and  child  survival collected  from demographic  and health  surveillance  to  challenge previous  findings.Objectives: To estimate specific and non-specific effects of DTP vaccination on child mortality age 1-24 months under  routine vaccination  program  in  Indonesia.Methods: A  longitudinal  surveillance  data  provided  information  on 5647  children  below  24 months  of age who received DTP and  other vaccinations. The main  outcome measure was all-cause mortality. Background  factors associated with mortality were  collected,  such as:  sex,  birth  order, dead  sibling, mother’s  education and  family size. We assessed DTP vaccinations  as an  independent  factor with other  variables  in Cox’s  regression models with  time  dependent  covariates.Results: There  is  no  sex  differential  of mortality  among  children  in  Purworejo  even  after  considering  other factors using Cox  regression  analysis. Mortality was  lower  in  the  group  vaccinated with DTP vaccine  compared with  those  not  vaccinated,  the  relative  risk  of mortality  (RR)  being  0.56 with  95%  confidence  interval  (CI)  is 0.453–0.690. After controlling  for  the  background  factors,  recipient of DPT vaccines  continued  to  have  a  lower mortality with RR=0.74  (95% CI:  0.586–0.925). BCG  and measles  vaccines have  stronger  non-specific  effects compared  to  effects  of DTP  vaccines.Conclusion:    Through  specific  effect  against  targeted  diseases  and  a  non-specific  benefit  against  others illnesses,  the study  showed  reduced mortality among  children who  received DTP  vaccine. There  is no  reason to  change current  vaccination policy  because DTP was not  associated with  any  harmful  effect  among  girls.Keywords: non-specific  effects, DTP  Vaccine,  child  survival, Cox’s Regression
Perbedaan Perilaku Pasien Diabetes Mellitus Pria dan Wanita dalam Mematuhi Pelaksanaan Diet Darusman Darusman
Berita Kedokteran Masyarakat (BKM) Vol 25, No 1 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.061 KB) | DOI: 10.22146/bkm.3575

Abstract

Background: Diabetes melitus  is  one  of  the  degenerative  disease, which  is  the  amount will  increase  in  the future  and needs  serious  treatment  because  of  complications cause  it. Diet  is  the main  therapy  to  improve  and maintain  the  blood sugar  in normal  rate. For helping  the diabetic  patient doing  the  new diet  therapy  in  their daily living  is depend  on  their  attitude and  behavior. The  long  lasting  obedience  in  preparing  the meals  is  one of  the most challenge  in diet  therapy.Method: The  aim  of  this  research  is  for  identificated  the  differences  of  behavior and  the  obedience  between male  and  female who have  diabetes melitus  in diet  therapy with  descriptive comparative  and  independent  t-test with SPSS  version  12.0,Result: The  result of  this  research shows 55,0% males and 70,0%  females have bad behavior of  the obedience in  diet  therapy. Beside  that  80,0% males  and  70,0%  females are  obey  to  follow diet  therapyConclusion: From the  result of  this research shows P = 0,093, because P > 0,05,  the conclusions  is there  is no differences of  behavior  in  obedience diet  therapy between male  and  female.Keywords:  behavior,  obedience,  diet, diabetes melitus
Determinan Perilaku Suami yang Mempengaruhi Pilihan Penolong Persalinan bagi Istri Sodikin Ova Emilia, Koentjoro
Berita Kedokteran Masyarakat (BKM) Vol 25, No 1 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.147 KB) | DOI: 10.22146/bkm.3577

Abstract

Background: Culture often gives  limitation  for women  in decision  taking  regarding  their health.  In  fact, husbands play an  absolute  role  to determine who will  attend and  help  the  delivery.Objective: To  explore  husbands’  behavior  in  choosing and  determining  that will  help  their wife’s  delivery.Methods: This  is  a  survey study  using  cross-sectional design. The samples were  110  husbands who had  a wife  delivering  in Pekuncen  Sub District’s  primary  health  center, Banyumas District, Central  Java, during  the period of  1 January  2005 –  31 December  2005.Results:  The  variables  that  had  significant  relationship  in  choosing  and  determining  birth  attendant were husbands’ education OR  =  7.57  (95% Cl: 2.11  – 27.15),  delivery cost OR =  6.77  (95% Cl: 2.06  – 22.28)  and husbands’  trust OR = 0.15  (95% Cl: 0.04 – 0.55). Husbands with higher  level of education had an opportunity of 7.5  times  increased  to choose and determine  the birth attendant compared  to  those with  lower  lever of education. Husbands’  trust had  an opportunity of 7  times decreased  to choose and determine  the  birth attendant compared to those with no trust to the birth attendant. Expensive delivery cost would be 6.7 times increased the determination of  the birth  attendant by  health provider  compared  to  cheap  delivery  cost.  It was  because  of some  additional cost  for  the  health  provider  that was  relatively  high. As  a  result, mean distribution  curve of  the birth  attendant cost would  tend  to go  to  the  right.Conclusions: Husbands’  education,  cost,  and  trust  factors were  the  determinant  factors  in choosing  and determining who would  attend  the  delivery.Keywords:    health  reproduction,  husband,  determining  of  child-birth  assistant

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