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Jurnal Ilmu Kesehatan Masyarakat
Published by Universitas Sriwijaya
ISSN : 20866380     EISSN : 25487949     DOI : -
Core Subject : Health,
Public Health
Jurnal Ilmu Kesehatan Masyarakat (JIKM) is a scientific peer-reviewed journal. Its aims are to share out, to develop, to facilitate research findings in Public Health that it will give benefit to managers, decision makers, public health officer, health problem practitioners, lecturers, as well as students. The content of the journal includes literature review, research-based article dealing with: 1. Health policy and administration 2. Environmental health 3. Occupational health and safety 4. Public health nutrition 5. Health promotion and behavioral sciences 6. Epidemiology & Biostatistics 7. Others related to public health challenges
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 426 Documents
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Coping Mechanisms and Quality of Life Among the Elderly in Gandus Sub-District, Palembang City Sartika Sari, Yona Wia; Martha, Evi; Kamso, Sudijanto; Erwandi, Dadan Erwandi; Sandra, Dedi
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.1.74-85

Abstract

The decline in the physical and mental condition of the elderly, along with age, resulted in the elderly being very vulnerable to various diseases. The use of coping mechanisms has a crucial role in influencing both individual physical and psychological well-being. This study aimed to investigate the relationship between coping mechanisms and quality of life among the elderly. This research was conducted in the Gandus District of Palembang City. This quantitative study employs a cross-sectional design, utilizing simple random sampling as the sampling technique. Data collection was conducted through interviews with questionnaires administered to 110 elderly respondents. This study found that of respondents with a good quality of life, 75% used adaptive coping. The logistic regression results showed a significant correlation between coping mechanisms (p-value = 0.001) with OR (95% CI) = 5.540 (2.068-14.844), education (p-value = 0.003 with OR (95% CI) = 4.497 (1.646-12.285), employment (p-value = 0.005) with OR (95% CI) = 4.976 (1.644-15.059) with quality of life of the elderly. Adaptive coping mechanisms play a role in enhancing quality of life. This association was stronger among elderly individuals with higher education and employment.
History of Low Birth Weight and Cigarette Smoke Exposure on the Incidence of Stunting in Toddlers Aged 24-59 Months Azhari, Rakhmi Aliffiyah; Ningtyias, Farida Wahyu; Ratnawati, leesia Yusi
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.1.32-45

Abstract

Stunting is chronic malnutrition in children under the age of five, especially during the first 1000 days of life, which, if not properly addressed, can increase morbidity and mortality rates. The prevalence of stunting in Jember Regency in 2022 was higher than in East Java (34.9%). So far, several studies on risk factors for stunting have only focused on nutritional issues, but other more complex issues, such as exposure to cigarette smoke, have rarely been studied. The aim of this study was to determine the relationship between a history of Low Birth Weight (LBW) and stunting, and exposure to cigarette smoke and stunting. Cigarette smoke exposure factors included the number of smoking family members, their smoking status, smoking duration, smoking locations, cigarette types, and the number of smoking consumed. This study used a case-control design and was conducted in 3 stunting loci with a sample size of 134, comprising 67 stunting and 67 non-stunting children, matched for sex, age, and area of residence. The sampling technique used was proportional random sampling. Data, were collected using a modified Secondhand Smoke Exposure Scale (SHES) questionnaire, and bivariate analysis with chi-squared and multivariate analysis with logistic regression. The results showed no association between a history of LBW and stunting. However, there was a most significant association between exposure to cigarette smoke and stunting in terms of smoking location and number of cigarettes consumed. It is recommended that health centers address this issue by providing education on the dangers of smoking in the home.
Ergonomic Hazard Control Modeling for Informal Welding Workers in Greater Bandung: A Study on Musculoskeletal Disorders (MSDs) Suherdin, Suherdin; Kartadarma, Supriyatni
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.1.18-31

Abstract

Ergonomic hazards are one of the causes of health problems in workers, including causing Musculoskeletal Disorders (MSDs) complaints. MSDs in workers affect physical fitness, reduce working days/hours, and ultimately are unable to work. WHO states that around 1.71 billion people have musculoskeletal conditions worldwide. MSDs complaints in Indonesia are a separate focus, research on MSDs complaints in the informal sector shows that 66% of workers experience MSDs complaints. One industry that has a high risk of MSDs is welding. The purpose of this study was to create an ergonomic hazard control model for informal welding sector workers in Greater Bandung. The research approach is quantitative, the type of analytical observational research with a cross-sectional design. The study population was informal welding sector workers in Greater Bandung, sample was taken using a purposive sampling technique, and the total number of samples in this study was 100 workers. The analysis used in this study was the chi-square test to see the relationship between variables. Modeling in this study will use binary logistic regression. The results of the study showed that working climate, working posture, workload, and physical fitness simultaneously influenced MSDs complaints of informal welding workers (p-value < 0.05). Based on these findings, the control of MSDs complaints can be achieved by effectively managing work climate, working posture, workload, and physical fitness. 
Emotional Regulation on People Living With HIV/AIDS: Case Study in Pelangi Peer Supporting Group Nabila, Ichda Naila; Dewi Rokhmah; Iken Nafikadini
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.1.46-61

Abstract

People Living with HIV/AIDS (PLWHA) face various challenges, including physical health issues, social stigma, time constraints, and the need to balance physical and emotional well-being. These challenges often lead to emotional distress as PLWHA strive to maintain stability. This study aimed to analyze the emotion regulation strategies employed by PLWHA using the process model of emotion regulation, specifically examining the application of situation selection, situation modification, attentional deployment, cognitive change, and response modulation in regulating emotions. This study employed a qualitative method with a case study approach. Data were collected through in-depth interviews with eight key informants, five key informant companions, and one expert informant, as well as Focus Group Discussions (FGDs) involving four peer companions. Data triangulation, both by source and technique, was used to ensure validity, and thematic content analysis was applied for data interpretation. Findings revealed that PLWHA sought supportive environments to minimize negative emotions, used distraction strategies, and employed perspective-taking and emotional reassessment to manage emotions. However, response modulation produced mixed outcomes, with some informants engaged in maladaptive behaviors such as excessive coffee and cigarette consumption, alcohol use, and same-sex relationships, while others turned to religious practices. This study highlights that emotional instability occasionally leads to risky behaviors, including sexual activities aimed at intentionally spreading the virus. These results emphasize the urgent need for targeted emotional support interventions to improve the PLWHA’s well-being, helping them develop healthier emotion regulation strategies to strengthen resilience and quality of life.
Male Participation Factors in Antenatal Care for Maternal Health in Rural Areas: Systematic Review Safitri, Yolanda; Elda, Frima
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.1.1-17

Abstract

Maternal health remains a critical global health priority, especially in rural areas where Antenatal Care (ANC) services often face significant challenges, including limited resources, low awareness, and cultural barriers. Male involvement plays a vital role in improving maternal health outcomes. This systematic review examines factors influencing male participation in ANC services in rural settings. A literature search was conducted using PubMed, ProQuest, and Scopus databases from 2019 to 2024. Keywords included "pregnant woman," "rural population," "antenatal care," "patriarchal culture," and "men involvement". After filtering, 17 relevant articles were selected based on CEBM study quality. The study included qualitative, quantitative, and mixed-method research on male participation in ANC at both community and facility levels. Only studies published in English within the specified timeframe were included, while duplicates, non-English articles, and studies outside the rural context were excluded. Among the selected studies, eight were quantitative, six qualitative, and three employed mixed methods. Findings reveal that education, social norms, economic factors, and policies significantly influence husbands' involvement in ANC, aligning with previous research. However, this review highlights key differences, particularly in the impact of social changes that promote greater male participation and the role of concrete policies in enhancing their access to ANC. To improve husband involvement, targeted interventions are necessary, including couple-based educational programs, enhanced accessibility and affordability of health services, and shifts in community attitudes toward men's roles during pregnancy. Addressing these factors is essential for improving maternal health outcomes in rural settings.
Factors Influencing the Behavioral Intention to Perform Breast Self-Examination in Young Indonesian Adolescents Hafizhah, Nur; Kusumaningrum, Tanjung Anitasari Indah
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.1.62-73

Abstract

In Indonesia, breast cancer has the highest incidence among all cancer types. The high prevalence of breast cancer cases in adult women. Breast Self-Examination (BSE) is a crucial method for early breast cancer detection. This research aimed to determine the factors that influence the intention of young women aged 15-20 years to carry out BSE behavior in the Penumping Surakarta Health Center Work Area. This research used a cross-sectional approach. The research was carried out in March – April 2024. The sampling technique used quota sampling on 140 young women aged 15-20. Data analysis used the Chi-square test and multiple logistic regression test. The research results showed that there was a relationship between attitude (p-value = 0.001), subjective norms (p-value = 0.001), and perceived behavioral control (p-value = 0.002) to carry out BSE behavior. Attitude was a higher predictor factor in young women's intention to do BSE (p-value = 0.022; OR = 6.1; 95% CI (1.3-28.9). Attitude and perceived behavioral control significantly influence young women’s intention to engage in BSE. Young women with a positive attitude towards BSE are 6.1 times more likely to perform BSE compared to young women who have a negative attitude. We recommend health workers at the Penumping Community Health Center implement health promotion to enhance positive attitudes toward BSE among young women.
Comparing the Effectiveness of Health Promotion With Lecture Method and Small Group Discussion (SGD) Method on Breast Self-Examination (BSE) Knowledge in Adolescents: IN PRESS Rofifah, Khairunnisa Nabilatun; Sukaesih, Nunung Siti; Sejati, Amanda Puspanditaning
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Breast cancer is the leading cause of death among women-related diseases. A delay in diagnosis and treatment contributes to the high fatality rate from breast cancer. Many women remain unaware of BSE (Breast Self-Examination) as an early detection method for breast cancer. Health promotion is essential to increase awareness and knowledge about early detection efforts. Two commonly used health promotion methods are lectures and Small Group Discussions (SGD). This study aimed to evaluate the effectiveness of these methods in improving adolescents' understanding of BSE. A pre-experimental study design (intact group comparison) with a two-group pre-test and post-test approach was conducted. A total of 188 participants were included in the study. Data were collected using a self-developed questionnaire designed to assess adolescents' knowledge of BSE. The Wilcoxon Signed-Rank Test was used to analyze pre-test and post-test results. The findings revealed a significant difference in the effectiveness of health promotion between the lecture method and the SGD method in enhancing BSE knowledge among adolescents, with a p-value of 0.002. Both methods improved BSE knowledge, but the lecture method was more effective.
Spatial Analysis of Pneumonia Distribution in Children Under Five in West Java: Relationships with Individual and Environmental Determinants Suchery, Puput Leni Yuliani; Hastono, Sutanto Priyo
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.1.118-134

Abstract

Pneumonia is a major cause of mortality among children under five, especially in developing countries like Indonesia. In 2023, West Java recorded over 18,000 cases, making it one of the provinces with the highest burden. This study analyzes the spatial distribution of pneumonia in children under five across 27 districts/cities in West Java and examines its association with individual and environmental determinants. Data were obtained from the 2023 Indonesia Health Survey (Survei Kesehatan Indonesia or SKI), Statistics Indonesia (Badan Pusat Statistik or BPS), and the West Java Health Office. Descriptive analysis (mean, median, standard deviation) was conducted using SPSS, and geospatial mapping was performed using QGIS. The results revealed notable spatial clusters of pneumonia incidence among children under five in several districts. High-High clusters, indicating areas with high pneumonia rates surrounded by similarly high-risk districts, were prominently observed in regions with elevated prevalence of household tobacco smoking and use of wood fuel for cooking, such as Bogor, Sukabumi, Cianjur, and Garut. Conversely, Low-Low clusters, representing low pneumonia incidence surrounded by similarly low-risk districts, were identified in areas with better population density management and lower tobacco exposure, such as Majalengka, Cirebon, and Kuningan. Significant gaps in basic immunization coverage and exclusive breastfeeding practices were also spatially evident. Districts like Karawang and Purwakarta demonstrated Low-Low clusters for basic immunization, highlighting regional disparities potentially due to limited healthcare accessibility. Likewise, Majalengka and Indramayu showed Low-Low clusters for exclusive breastfeeding practices, signaling inadequate maternal and community support. This spatial epidemiological analysis highlights critical hotspots and underscores the importance of geographically targeted health policies, including intensified immunization campaigns, promotion of exclusive breastfeeding, and tobacco control initiatives, to effectively reduce pneumonia risks among vulnerable children in West Java.
Determinant of Long-Term Contraceptive Method Use Among Married Women of Reproductive Age: Cross-Sectional Study in Urban Area of South Sumatra Idris, Haerawati; Sari, Indah Purnama; Ningsih, Nining Ade
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.1.104-117

Abstract

The Sustainable Development Goals (SDGs) emphasize the integration of reproductive health into national strategies and programs, including universal access to sexual and reproductive health services such as Family Planning (FP). This study aims to examine the factors influencing the use of long-term contraceptive methods among married women of reproductive age in urban areas of South Sumatra. A quantitative approach with a cross-sectional design was employed, using secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). The sample consisted of 247 married women. Data were analyzed using logistic regression. In urban areas of South Sumatra, 13.8% of married women of reproductive age used long-term contraceptive methods. The use of these methods was significantly associated with the number of living children and employment status (p < 0.05). Among all variables, education was found to be the most strongly associated factor with the use of long-term contraceptive methods (p = 0.04; PR = 4.238, 95% CI: 1.070–16.779). Education plays a pivotal role in the use of long-term contraceptive methods. Enhancing knowledge and awareness about these methods significantly influences women’s decisions to adopt them.
Pornographic Media, Parental Roles, and Adolescent Sexuality Rahmawati, Imanah; Etrawati, Fenny; Agustina, Lisa
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.1.135-152

Abstract

Access to pornography among adolescents can inflict various threats such as pornography addiction, risky sexual behaviour, Sexually Transmitted Diseases (STDs), unplanned pregnancies, and illegal abortions. Thus, this study aimed to identify exposure to pornographic media and the role of parents in adolescent sexual behaviour. This study used a qualitative approach with a purposive sampling technique to select informants, including 12 adolescents as key informants, 12 parents and 4 teachers as expert key informants. Data were collected using 2 methods: in-depth interviews with expert key informants and Focus Group Discussions (FGD) with adolescents as key informants. The data were analyzed using thematic analysis technique. The data validity, were assessed using a triangulation method, mainly the source, method, and data itself. This study found that low self-control in adolescents drives them to engage in risky sexual behaviour, such as holding hands, kissing, and touching their partner's sensitive areas. Exposure to pornography encouraged them to imitate the acts in such videos, ranging from masturbation to sexual stimulation of a partner. Lack of reproductive health information and parental supervision often makes adolescents make sexual decisions without careful consideration. Providing comprehensive sex education accompanied by parental supervision can be a preventive effort against deviant sexual behaviour among adolescents.

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