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Unnes Journal of Public Health
Published by Universitas Negeri Semarang
ISSN : -     EISSN : 25487604     DOI : https://doi.org/10.15294/ujph
Core Subject : Health,
Public Health
Unnes Journal of Public Health contains articles about health epidemiology, biostatistics health, health administration, public health nutrition, environmental health, occupational health and safety, health promotion, reproductive health, maternal and child health, and other related articles health. The journal can be used by health practitioners, health caregivers, teachers, medical students, and people who interested in health issues.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 10 Documents
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Search results for , issue "Vol. 14 No. 2 (2025)" : 10 Documents clear
Survival Analysis of the Risk Factors Affecting the Survival Time of Diabetic Patients Nithya Jayaseeli; Kannadasan Karupaiah; Idhris, Mohamed; Ajayan Kamalasanan; Prabu Neethidoss; Sivasankar Prabaharan; Palanivel R.M; Vinoth Raman
Unnes Journal of Public Health Vol. 14 No. 2 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i2.2230

Abstract

This study aimed to analyze the risk factors that affect the survival time of diabetic patients. It used the diabetes health indicators dataset (2015) collected from the American population by the “Centers for Disease Control and Prevention,” United States, through the “Behavioral Risk Factor Surveillance System” in 2015. The dataset comprised 70,692 responses, among which every 320th sample was selected to get the estimated sample size of 221 using the systematic sampling method. The collected data was analyzed through a statistical package for the social sciences (SPSS) software 27.0. The outcomes found that risk factors such as age, high cholesterol, smoking, heavy alcohol consumption, physical activity, high blood pressure, heart disease or attack, general health, serious difficulty in walking or climbing stairs, and stroke were significantly associated with the risk of diabetes. General health was a significant predictor of the risk of diabetes. The estimated survival probability of diabetic patients decreases as their age progresses due to risk factors such as smoking, heavy alcohol consumption, stroke, high blood pressure, and heart disease or attack. Also, it decreases with their age if those patients are physically inactive. These findings highlight that more active strategies are required to comprehensively control risk factors to reduce the burden of diabetes among the general inhabitants.  
Birth Interval and Twins Birth on Maternal Mortality in Indonesia: Cross-Sectional Study Diva, Putri Royan; Fauzi, Lukman
Unnes Journal of Public Health Vol. 14 No. 2 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i2.8177

Abstract

Maternal mortality is a global-scaled health problem to indicate how good a health system is in a region. Indonesia reached 305 per 100.000 live birth as per 2017. That rate is still far from SDGs 2030 which suggests that every country has accomplished 70 per 100.000 livebirth. There are factor risks that caused maternal mortality. Those factors can be divided into individual character-related factors, socioeconomy-related factors, and healthcare-related factors. This study is an analytical study using cross-sectional design data from the DHS program 2017. Data were analyzed using bivariate analysis and multivariate analysis to fiigure out which variables that associate with  maternal mortality. Preceding birth interval, succeeding birth interval, and twin birth status are the three main factor risks that associate with maternal mortality. It is recommended that Indonesian family needs to participate in family planning, including birth control in order to control the factor risks of maternal mortality.
Exclusive Breastfeeding as the Foundation for Complementary Feeding: A 2022 Analysis of  Nutrition Status Survey (NSS) Lampung Province, Lampung Nuryati, Elmi; Sisma Novebri
Unnes Journal of Public Health Vol. 14 No. 2 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i2.10660

Abstract

In Indonesia, supplemental foods are provided to almost 40% of newborns before they are six months old. This study aimed to identify the factors influencing complementary feeding practices in Lampung Province. A cross-sectional design was used, drawing on secondary data from the 2022 Nutrition Status Survey (NSS) of Lampung Province. Data were collected from all districts and cities in the province, consisting of 13 districts and 2 cities, and included children aged 6–23 months. The final sample comprised 2,310 respondents. Data collection involved interviews, anthropometric assessments and physical checks using household and individual questions carried out by qualified local enumerators. The physical examinations assessed nutritional status, including breastfeeding and complementary feeding practices. Anthropometric measurements included body weight, length/height, and mid-upper arm circumference. Multivariate logistic regression was used for data analysis. The results showed that the variable most strongly associated with complementary feeding practices was breastfeeding history (p = 0.001; OR = 2.244; 95% CI: 1.377–3.658). These findings highlight the importance of optimising exclusive breastfeeding up to six months of age, as it supports infants in developing preferences for a wider variety of foods.  
Experiences of Working with Parents with Mental Disabilities in Private Education Institutions: A Qualitative Focus Group Study Mustafa Karatas; Sultan Güçlü
Unnes Journal of Public Health Vol. 14 No. 2 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i2.13446

Abstract

The purpose of this study is to understand the experiences of parents with intellectual disabilities employees whom working in official private education institutions and the contribution to the scientific field. A qualitative method was used in this research. The study adopted a phenomenological design, highlighting the exploratory nature of qualitative research. Six focus groups were formed in this  study. -These six focus group sessions were conducted, with total of 36 participants. Coding analyses were done using the MAXQDA 2022 program. Then,content analyses  from the focus groups were conducted focusing to answer the research questions.This study recommended that counseling services should be provided specifically to intellectually disabled parents, focusing particularly specific on the social work profession. In addition, this study recommended for competent authorities to conduct further close monitoring and  case follow-ups for involved families to observe the ongoing situations between parents and children.
Prevalence of Fear of Falling and Its Association with Frailty Among Community-Dwelling Older Adults in Northern Thailand Juwa , Somkid; Sadjapong, Uratcha; Silangirn, Pongsaton; Juwa, Busarin; Vongruang, Patipat; Thongtip, Sakesun
Unnes Journal of Public Health Vol. 14 No. 2 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i2.14387

Abstract

Frailty in the elderly population is a known risk factor for common geriatric syndromes, contributing significantly to adverse health outcomes. Therefore, we examined the relationship between prevalence of fear of falling and frailty among older adults. A cross-sectional design was employed, and data were collected through in-person interviews conducted between April and May 2024. Participants were selected through simple random sampling from a total of 409 individuals aged 60 years or older, who were included in the analysis.  The fear of falling (FOF) was evaluated using the Short Falls Efficacy Scale International (Short FES-I). Frailty was evaluated using the Thai version of the Simple Frailty Questionnaire (T-FRAIL). The mean age was 69.5 years, and 58.7% were female. The prevalence rates were 47.4% for non-frailty, 39.1% for pre-frailty, and 13.4% for frailty among older adults. Multinomial logistic regression analysis revealed that pre-frail adults had significantly higher odds of high FOF (OR: 5.27; 95% CI: 3.16-8.80, p-value < 0.001), whereas frail adults had significantly higher odds of moderate FOF (OR: 4.37; 95% CI: 1.55-12.32, p-value = 0.005) and high FOF (OR: 17.36; 95% CI: 6.79-44.39, p-value < 0.001) compared to a reference group of non-frail participants. Preventing frailty and pre-frailty among older adults could involve interventions that target various risk factors, such as demographic characteristics, and FOF.
Association Between Heat Stress Exposure, Physical Activity, and Nutritional Status with Occupational Fatigue: Pilot Study Kusmawan, David; Perdana, Silvia M.; S., Putri Irwanti; Gustina, Ira; Bowolaksono, Anom; Firmansyah, Ardi
Unnes Journal of Public Health Vol. 14 No. 2 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i2.16192

Abstract

Global economic losses from workplace heat and reduced labor productivity are projected to reach nearly US$2 trillion by 2030. The rubber processing industry is particularly vulnerable to heat exposure. This study aimed to describe worker sociodemographic characteristics and assess the relationship between perceived heat stress, nutritional status, physical activity, and occupational fatigue among employees at PT. X in Jambi Province. A cross-sectional design with purposive sampling involved 74 workers across three production areas. Fatigue was measured using the Swedish Occupational Fatigue Inventory (SOFI), while perceived heat stress was assessed with the Heat Stress Perception Index (HSSI). Data were analyzed with univariate and multivariate methods, including multiple linear regression. Participants had a mean age of 34.03 years, BMI of 25.88, and oxygen saturation of 98.01%. The mean heat stress perception score was 50.31, and occupational fatigue averaged 40.55. Lack of energy was the most reported fatigue dimension (mean = 49.23), whereas lack of motivation was the least (mean = 29.92). Regression analysis identified gender (p = 0.003), physical activity (p = 0.031), and perceived heat stress (p = 0.035) as significant predictors. These findings highlight the need for targeted occupational health interventions to mitigate fatigue in the rubber processing industry
Factors Associated with the Quality of Life of People Living in Saltwater Intrusion Areas Chaiyarit, Jitjira; Tuvayanond, Wiput; Intarasaksit, Prat
Unnes Journal of Public Health Vol. 14 No. 2 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i2.17177

Abstract

Saltwater intrusion adversely affects both agriculture and mental health, yet its impact on quality of life (QoL) is underexplored. To understand the profound implications of saltwater intrusion on mental health and quality of life (QoL), especially when combined with other stress factors. The study aims to explore this underexplored relationship in saltwater intrusion-affected zones of Thailand. We investigated the QoL of 417 Thai agriculturists in saltwater-affected areas using the WHOQOL-BREF survey and multiple linear regression. Results indicated that a majority, 61.63%, experienced a moderate QoL, and a significant 83.69% reported tasting salinity in their water. A key finding was that individuals aware of their water’s salinity had notably lower QoL scores. Influential factors on QoL included gender, age, household size, education, and occupation. Specifically, the detection of salinity in drinking water was linked to a 3.16-point reduction in QoL scores (Adjusted Mean Difference: -3.16, 95% CI: -5.08 to -1.25). Furthermore, those with an awareness of water salinity saw an additional QoL decrease of 4.40 points (Adjusted Mean Difference: -4.40, 95% CI: -6.84 to -1.96). The findings underscore the urgency for targeted government interventions to address the repercussions of saltwater intrusion. Strategies including the implementation of real-time alert systems and the establishment of protected freshwater reserves are vital for preserving agricultural productivity, ensuring water security, and enhancing the well-being of affected communities.
Dietary Quality and Body Composition on Lipid Profile in Endurance Athletes Aged 13-18 Years in Central Java Province Mardiana, Mardiana; Safrina Oksidriyani; Farida Dwi Rokhmah; Safira Chairani Dimarti; Rsyad, Ula Saza Bayli; Faizin, Miftahul; Nareswara, Anastu Regita
Unnes Journal of Public Health Vol. 14 No. 2 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i2.17473

Abstract

Diet quality and body composition are critical determinants of lipid metabolism and cardiovascular health in adolescent athletes. However, the relationship between these factors and lipid profiles in this population remains underexplored. This study aimed to examine the association between anthropometric indicators, diet quality, and lipid profile parameters in adolescent athletes. A cross-sectional study was conducted on 72 adolescent athletes. Univariate analysis described participants’ characteristics, including anthropometric measures, diet quality using the Alternative Healthy Eating Index (AHEI), blood pressure, lipid profiles, and physical activity levels. Data normality was tested using the Kolmogorov–Smirnov test. Pearson or Spearman correlation tests were applied for bivariate analysis, and logistic regression was used for multivariate analysis. Statistical significance was set at p < 0.05. Participants had a mean BMI of 21.9 ± 2.1 kg/m², body fat percentage of 19.3 ± 5.5%, and AHEI score of 51.1 ± 10.6, indicating moderate diet quality. Most lipid parameters were within normal ranges. Bivariate analysis revealed no significant associations between BMI, waist circumference, or AHEI score with lipid parameters. Waist-to-hip ratio was positively associated with HDL (p = 0.017). Body fat percentage showed significant associations with total cholesterol (p = 0.001), HDL (p = 0.001), LDL (p = 0.007), and triglycerides (p = 0.010). Multivariate analysis confirmed body fat percentage as the strongest predictor of lipid profile alterations. Body fat percentage is a more sensitive indicator of lipid metabolism changes than BMI in adolescent athletes.
Establish The Policy Target to Reduce Stunting Among Indonesian Toddlers with Single Mothers Sandra, Christyana; Sandra, Ratna Dwi Wulandari; Laksono, Agung Dwi; Ningsi, Ningsi; Tumaji, Tumaji
Unnes Journal of Public Health Vol. 14 No. 2 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i2.20644

Abstract

Single mothers bear two significant burdens: domestic responsibilities and earning an income. The role of a mother determines the nutritional status of a toddler. Until now, policies about stunting have not focused on specific target areas. The study aims to establish a policy target for reducing stunting among Indonesian toddlers with single mothers. The cross-sectional study examined 5,387 toddlers. Eight independent factors were considered: place of residence, mother’s age, occupation, education, socioeconomic status, antenatal care (ANC), children’s age, and sex. A binary logistic regression test was used for data analysis. 20.0% of Indonesian toddlers who had single mothers were stunted. Rural youths were 1.171 times more likely to be stunted (95%CI 1.149-1.192). All maternal ages were more likely to have stunted kids than ≥45. Lower education increases the risk of stunted toddlers. Unemployed mothers were 1.170 times more likely to have stunted kids (95%CI 1.148-1.192). The wealthier the household, the less likely the under-fives are to be stunted. Mothers without ANC were 1.194 times more likely to have stunted toddlers (95%CI 1.116-1.278). Toddlers were more likely than infants (0-11 months) to be stunted, and girls had a higher risk of stunting. The policy targeted rural areas, low-income families with young, uneducated, unemployed mothers, no ANC, older toddlers, and girls.
Wealth Index Association with Elective or Choice of Pre-Labor Caesarean Section among Thai Women Ellyzabeth Sukmawati; Maretalinia, Maretalinia; Nuniek Tri Wahyuni; Supriatin, Supriatin
Unnes Journal of Public Health Vol. 14 No. 2 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i2.23454

Abstract

The prevalence of caesarean section in Thailand is increasing every year along with the growing capability of women to work. This study examined the correlation between wealth index and caesarean section decision (decided in advance or after labour). This study used secondary data from the Multiple Indicator Cluster Survey (MICS) Thailand in 2022. The sample consisted of women who had at least one child. The dependent variable is the caesarean section decision, and the main independent variable is the wealth index. The data was analyzed for univariate, bivariate (t-test and Chi-square), and multivariate (binary logistic regression). The findings revealed that around 70% of women decided to deliver by caesarean section in advance (not after labour). The multivariate analysis found the richest women were 2.88 times more likely to decide to deliver by caesarean section in advance compared to lower wealth index quantiles. This study contributed to the current phenomenon that the richest women tend to deliver by caesarean section as an elevated social status compared to vaginal birth.  

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