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Gema Lingkungan Kesehatan
Published by Polilteknik Kesehatan Kemenkes Surabaya
ISSN : 16933761     EISSN : 24078948     DOI : 10.36568
Core Subject : Health, Science, Social,
Environmental Science Health Professions Immunology & microbiology Public Health
Jurnal GEMA Lingkungan Kesehatan [e-ISSN: 2407-8948 | DOI: 10.36568] is a journal aims to be a leading peer-reviewed platform and an authoritative source of information. We publish original research papers, review articles and case studies focused on environmental health or public health as well as related topics that has neither been published elsewhere in any language, nor is it under review for publication anywhere. This following statement clarifies ethical behavior of all parties involved in the act of publishing an article in this journal, including the author, the editor, the reviewer, and the publisher (Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Surabaya).
Arjuna Subject : Ilmu Lingkungan (semua ketegori) - Kesehatan, Toksikologi dan Mutasi Gen
Articles 172 Documents
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Potential of Glycine max-Based Cream in Restoring Skin Structure Through PDGF and Collagen Modulation After UVB Exposure Bayu Murdalin; Agung Putra; Eko Setiawan
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.209

Abstract

Premature aging is caused by excessive activity in the sun, causing oxidative stress and inflammatory reactions, which include changes in skin structure such as shortening and thickening of collagen fibers, damage to elastic fibers, and changes in the proportion of collagen types in the dermis. The purpose of this study was to determine the effect of administering soy extract cream (Glycine max (L.) Merr) on PDGF concentration and collagen density in BALB/c mice exposed to UVB rays. The experimental study used a Post Test Only Control Group Design with 30 BALB/c mice divided into five treatment groups: a group of healthy mice (K1), a negative group without exposure to UVB rays (K2), a positive group exposed to UVB rays and smeared with vitamin E cream (K3), and a treatment group with a dose of soy extract cream (KEKD) 10% (K4) and 20% (K5). Data analysis used the One Way Anova statistical test. The results of the study showed significant differences in the average PDGF levels in each group: (K1) 149.5±7.1 ng/mL, (K2) 40.4±4.4 ng/mL, (K3) 88.6±41.7 ng/mL, (K4) 323.2±86.1 ng/mL, and (K5) 330.2±34.3 ng/mL, with the One Way Anova test obtaining a p value = 0.001 (p<0.05). The average collagen density of group (K1) was 50.10±12.33%, (K2) 32.75±6.6%, (K3) 33.07±7.48%, (K4) 41.07±10.8%, and (K5) 41.9±13.4%, with One Way Anova test showing p=0.088 (p>0.05), which means there is no significant difference in collagen density between groups. Administration of soy extract cream (KEKD) affected PDGF levels, but did not show a significant difference in collagen density in BALB/c mice exposed to UVB light.
The Impact of Parenting Patterns, Waste Management, and Sanitation Facilities on Stunting M. Ainul Fikrih; Firdawsyi Nuzula; Roshinta Sony Anggari
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.215

Abstract

Indonesia is still facing serious nutritional problems, with stunting being a major problem that has a significant impact on children's physical and cognitive development. This research aims to identify the influence of parenting patterns, waste management, and sanitation facilities. Sanitation facilities regarding stunting incidents in Wonoasri Village, Tempurejo District, Jember Regency. Methodology used is quantitative analytical correlation research with a cross-sectional study approach. Samples are taken sequentially or successively from the population over a certain period until the desired sample size is reached; the period for this research is one month. Data were analyzed using the Chi-Square statistical test for bivariate analysis and ordinal logistic regression for multivariate analysis. The results of the bivariate analysis showed that the highest incidence of stunting was very short, with 81 cases (62%). Statistically, there is a significant correlation between parenting style with p value=0.017, waste management p value=0.000, and sanitation facilities p value=0.017 with the incidence of stunting. Multivariate analysis shows that waste management significantly negatively influences nutritional status, with p value of 0.000 and OR 29.168; sanitation facililities OR 3.823; and parenting OR 1.926. These results indicate that the prevalence of stunting is strongly influenced by inadequate waste management and reduces the possibility of better nutritional status. Local government efforts to reduce stunting prevalnces rates by improving sanitation with the community-based total sanitation program, because stunting problem is caused by multifactorial so the role of the community is very important. 
The Influence of Nutrition, Clean Water, and Hand Hygiene on Stunting Incidences Maulida Nurfazriah Oktaviana; Fiqi Khoirur Roziqin; Firdawsyi Nuzula
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.220

Abstract

Among the nutritional problems affecting toddlers that have not yet been fully resolved, they can result in failure to grow and develop, which can lead to stunting. The prevalence of stunting tends to decrease every year, but the decline is still not substantial. This research aims to identify the influence of nutrition, clean water, and hand hygiene on the incidence of stunting. The research used was an analytical correlation. The research design was cross-sectional. There were 130 participants in this research sample. The Chi-square bivariate analysis data and multivariate analysis using ordinal logistic regression. The results of the bivariate analysis showed that the most frequent cases of stunting were very short, with 81 cases (62%). Statistically, there is a significant relationship between nutrition (p = 0.000), clean water (p = 0.000), and hand hygiene (p = 0.004) with the incidence of stunting. Multivariate analysis shows that clean water has a most dominant effect on nutritional status with a Wald value of 17.290. Insufficient nutritional intake, unavailability of clean water, improper hand hygiene can cause stunting. Improvement in these three factors is very important to reduce the prevalence of Stunting and improve the nutritional status of children in the study area. The government and health organizations must increase public awareness with nutritional programs, clean water sanitation and getting used to hand hygiene.
Analysis of Risk Factors for Tuberculosis Incidence in the Awaru Awangpone Public Health Center Working Area, Bone: An Analytical Observational Study Ronny; Zulfikar Ali Hasan; Jasman; RH Kristina; Albina Bare
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.223

Abstract

Tuberculosis (TB) remains a global health challenge, particularly in regions with inadequate environmental conditions. This study aims to analyze the association between lighting, humidity, ventilation area, and residential density with TB incidence in the working area of Awaru Awangpone Public Health Center, Bone Regency. This analytical observational study used a cross-sectional design. Data were collected through direct observation and interviews, and statistical analysis was conducted using the Chi-Square test with a 95% confidence level (α = 0.05). The relationship between risk factors and TB incidence was measured using the Odds Ratio (OR) and 95% Confidence Interval (CI). The result show inadequate lighting was significantly associated with TB incidence (p = 0.032, OR = 1.10, 95% CI: 0.55–2.22). Ventilation area also showed a significant relationship with TB incidence (p = 0.031, OR = 5.25, 95% CI: 1.17–26.02). However, no significant association was found between humidity and TB incidence (p = 0.946, OR = 0.97, 95% CI: 0.45–2.11). Residential density was significantly related to TB incidence (p = 0.038, OR = 0.44, 95% CI: 0.76–3.08). Environmental factors, particularly lighting, ventilation, and residential density, play a crucial role in TB transmission.  These findings highlight the need for targeted interventions to improve living environments in high risk areas.
Factors that determine the success of self-isolation: A Qualitative Approach Reni Aprinawaty Sirait; Putri Chairani Eyanoer
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.228

Abstract

The global challenges the during pandemic have created an urgent need for effective self-isolation programs to control the virus's spread. This study aims to identify the determinant factors of an Effective Self Isolation Program through a qualitative approach. The research is crucial as it provides insights into developing effective isolation strategies to handle the pandemic. Through qualitative data analysis, patterns were identified and it was found that factors such as public understanding of the importance of isolation, easy access to isolation facilities, and social support have a significant impact on the effectiveness of the Self Isolation Program. The research methodology involved in-depth interviews and qualitative data analysis. The findings of this research provide a deep understanding of the key success factors of the Effective Self Isolation Program. These findings are expected to guide policymakers in developing effective self-isolation programs and help suppress virus spread more effectively. The research results have demonstrated several determinant factors of an Effective Self Isolation Program as well as their important strategies and for minimizing the impact of a pandemic on the community. Patient understanding of self-isolation is still inadequate because patients tend to be more comfortable with self-isolation at home. Patient perception is also still lacking in realizing their health condition. Some patients feel dissatisfied with the attention and care provided by health workers so it is hoped that there will be increased communication and support from health workers that are more intense. Effective communication and caring family behavior are also needed to support the success of self-isolation.
The Evaluation of Dengue Surveillance System Depok City, 2023 Khairiah; Helda; Hidayat Nuh Ghazali
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.234

Abstract

Dengue remains a global and national public health issue. In Depok City, the incidence rate (IR) is 53.53 per 100,000 population, higher than West Java’s IR of 38 and the national target of 10 per 100,000. This study uses a descriptive method that assesses structure, core functions, supporting functions, and system attributes to evaluate the dengue surveillance system based on its attributes. Primary data were collected through interviews with the Depok City Health Office, five public health offices, two hospitals, two clinics, two independent midwives, and one private laboratory. Secondary data were obtained from dengue report documents. The study examines surveillance structure, legal components, coordination, and strategies, which remain suboptimal. Core functions, including case detection, recording, confirmation, and reporting, are optimal, but data analysis, interpretation, and information dissemination are lacking. A feedback reporting mechanism is absent. Supporting functions like guidelines, supervision, monitoring, and evaluation are in place, but resource limitations persist. Surveillance attributes such as simplicity, completeness, timeliness, and flexibility are optimal. However, reporting representation remains incomplete despite good reporting acceptance, and its usefulness is not maximised. Overall, dengue surveillance has yet to fully achieve its goal of monitoring disease trends and enabling early outbreak detection. Resource and capacity constraints hinder effectiveness. Strengthening surveillance officers and healthcare providers, improving coordination, allocating funds, and implementing regular monitoring, evaluation, and weekly feedback bulletins are essential steps.
Factors influencing the prevalence of anaemia in teenage girls in the workplace of Abiansemal III Community Health Center, Bali Luh Putu Widiastini; I Gusti Agung Manik Karuniadi
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.252

Abstract

Anemia is a global health problem that has a serious impact, especially on children, adolescent girls, menstruating women, and pregnant and postpartum women. Approximately 30% of women aged 15-49 years in the world experience anemia. Efforts to prevent anemia are focused on vulnerable groups, including adolescent girls, one of which is through the provision of Blood Addition Tablets, although its implementation still faces various obstacles. In addition, other factors such as lack of knowledge, attitudes, and poor menstrual patterns also contribute to the high incidence of anemia. The purpose of this study was to analyze the factors that influence the incidence of anemia in adolescent girls. A quantitative research methodology with a cross-sectional approach was used. The sample selection technique was non-probability sampling, namely, purposive sampling. A total of 85 adolescent girls who attended adolescent posyandu were selected as the samples. The young women completed a questionnaire and had their hemoglobin levels measured. Spearman’s rho test and logistic regression were used for the analysis. Based on the results of Spearman’s rho analysis, 12 respondents were anemic, 9 respondents had a fair attitude, and 3 respondents had a good attitude. Logistic regression analysis showed that attitude was the dominant variable (p = 0.000). Based on the OR value obtained of 18.492, then the poor attitude of adolescent girls has an 18.492 times greater chance of causing anemia in adolescent girls
Test of The Effectiveness of Trigona Madu (Trigona sp.) on Healing of Burns and Leukosit LevelsIn White Rats (Rattus norvegicus) Fitrah Glora Sukma; Nasrudin Andi Mappaware; Andi Dhedie Prasatia Sam; Moch Erwin Rachman; Ekawati Mulyadi
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.266

Abstract

Burn injuries are complex conditions requiring effective treatment to accelerate healing and minimize complications. This study investigates the therapeutic potential of Trigona honey (Trigona sp.) in healing second-degree burn wounds and its effect on leukocyte levels in white rats (Rattus norvegicus). Using a true experimental design with a posttest control group, 24 male rats were divided into four groups: negative control (distilled water), positive control (povidone iodine), and two treatment groups receiving topical Trigona honey once or twice daily. Burn wound size was measured on days 1, 7, and 14 using a caliper, while leukocyte levels were assessed on day 7 using the improved Neubauer counting chamber. Data were analyzed with SPSS, employing normality tests, one-way ANOVA, and Repeated ANOVA tests as appropriate. Results indicated significant wound size reduction in all groups, with the twice-daily Trigona honey group showing the greatest improvement (1.12 cm² reduction after 14 days). However, leukocyte level changes were not statistically significant among groups. The therapeutic effects of Trigona honey are attributed to its bioactive compounds, including flavonoids and phenolics, which enhance re-epithelialization, angiogenesis, and granulation tissue formation. Despite insignificant leukocyte modulation, Trigona honey demonstrated notable efficacy in accelerating wound healing compared to control treatments. Further studies are recommended to optimize dosing, evaluate long-term effects, and conduct clinical trials in humans. Trigona honey holds promise as a natural alternative for burn treatment, particularly when formulated into easily applicable forms such as ointments or gels.
Evaluation of Manganese (Mn) and Cadmium (Cd) Heavy Metal Content in Staple Foods Based on Food Sources and Environmental Conditions in Pregnant Women in Sambas Regency, Indonesia Taufik Anwar; Slamet; Supriyanto; Cecep Dani Sucipto; Suharno
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.268

Abstract

Exposure to heavy metals, particularly Manganese (Mn) and Cadmium (Cd), in staple foods is a serious health issue for pregnant women in Sambas Regency, Indonesia. This study aims to evaluate the content of Mn and Cd in staple foods and environmental factors that influence exposure in pregnant women. The method used was an analytical observational design with a cross-sectional approach, involving 93 pregnant women selected by purposive sampling. Data were collected through structured interviews and laboratory analysis using atomic absorption spectrometry. The results showed that the average level of Mn in rice was 7.37 mg/kg, while the average level of Cd was 0.056 mg/kg. A total of 68.8% of respondents obtained their rice from local markets, potentially increasing the risk of heavy metal exposure. In addition, 87.1% of respondents reported using house paint, which could be an additional source of exposure. Conclusions from this study emphasise the need for closer monitoring of food quality and education on the dangers of heavy metal exposure for pregnant women, as well as the need for further research to understand the cumulative impact of multi-metal exposure in the context of pregnancy.
Evaluation of the Antimicrobial Efficacy of Red Ginger Extract (Zingiber Officinale Rosc. Var Rubrum) Against Staphylococcus aureus Using the Kirby-Bauer Disc Diffusion Method Sitti Qonitah; Nasrudin Andi Mappaware; Muh. Wirawan Harahap; Ida Royani; Nurfachanti Fattah
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.277

Abstract

The increasing prevalence of antibiotic-resistant bacteria, particularly Staphylococcus aureus, necessitates the exploration of alternative treatments. This study investigates the antibacterial efficacy of red ginger extract (Zingiber officinale Rosc. var. Rubrum) against Staphylococcus aureus using the Kirby-Bauer disc diffusion method. Fresh red ginger was extracted using 96% ethanol, and varying concentrations (50%, 75%, and 100%) were tested for their ability to inhibit bacterial growth. The results indicated that at 50% and 75% concentrations, the inhibition zones ranged from 6.2 mm to 9.5 mm, categorizing them as resistant. In contrast, the 100% concentration yielded inhibition zones between 14.2 mm and 16.9 mm, classified as intermediate. These findings suggest that red ginger extract possesses significant antibacterial properties, particularly at higher concentrations, although it remains less effective than standard antibiotics like chloramphenicol. The study highlights the potential of red ginger extract as a natural alternative for treating Staphylococcus aureus infections, emphasizing the need for further research on dosage variations, solvent types, and toxicity assessments to optimize its therapeutic application. Overall, red ginger extract could serve as a promising candidate in the fight against antibiotic-resistant bacterial infections.

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