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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 30 Documents
 1   2   3 
Development of a Mobile App for Smoking Cessation: a Qualitative Study Hargono, Arief; Ni, Zhao; Artanti, Kurnia Dwi; Nastiti, Rizma Dwi; Martini, Santi
Unnes Journal of Public Health Vol. 13 No. 2 (2024)
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.v13i2.5335

Abstract

Smoking is a public health concern in Indonesia. A challenge facing Indonesian healthcare system is that the use rate of in-person smoking cessation counseling is low due to smokers’ concerns about their privacy. This challenge has limited the ability of Indonesian health researchers and policy makers to develop and implement evidence-based practices to prevent smoking. The development of digital technologies in Indonesia has offered various opportunities to address this issue. Mobile devices are ubiquitous in Indonesia and have the potential to deliver counseling services for smokers. This study was part of the Mobile Application System for Smoking Cessation program and aimed to investigate the culturally-tailored features of mobile apps to prevent smoking in Indonesia. Data were collected through structured interviews and Focus Group Discussions (FGDs) among Indonesian policy makers and experts from universities and NGOs. We also reviewed relevant documents recommended by participants. We found that to develop a culturally-tailored mobile app for smoking cessation in Indonesia, it is important to understand smokers’ characteristics, smoking status, smoking behavior, and level of motivation to quitting smoking. We also found that following the World Health Organization’s 5A (Ask, Assess, Advise, Assist, Arrange) and 5R (Relevance, Risk, Reward, Roadblocks, Repetition) strategies is a key to improve the feasibility and acceptability of a smoking-cessation mobile app. App-based interventions need to be integrated with the practices performed by counselors and health workers and should be easily accessed by smokers.
A Systematic Approach Utilizing the System Engineering Initiative for Patient Safety 2.0 Model to Mitigate Fatigue in ER Dian, Restuputri; Ananda, Zayra; Wardana, Rahmat; Masudin, Ilyas; Hidayati, Ika
Unnes Journal of Public Health Vol. 14 No. 1 (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.v14i1.5796

Abstract

The study focuses on addressing fatigue among healthcare workers in Emergency Room (ER), vital in delivering health services but prone to worker fatigue. Using objective measures like cardiovascular load (%CVL) and Bourdon Wiersma test, it evaluates physical and mental fatigue. Leveraging the System Engineering Initiative for Patient Safety 2.0 (SEIPS 2.0) model, it comprehensively analyzes factors affecting fatigue. Data collection includes surveys and statistical analysis through Structural Equation Modeling-Partial Least Squares (SEM-PLS). Results show all workers experience fatigue, with physical fatigue affected by age and gender, and mental fatigue influenced by workload. The outer model analysis confirms convergent and discriminant validity, and reliability of the constructs. The inner model analysis reveals the work system significantly affects fatigue, while the process does not. The study emphasizes the importance of addressing fatigue to improve worker well-being and enhance patient care in ER, providing actionable insights for healthcare organizations.
Environmental Health Risk Assessment of Consumption of Foodstuffs Containing Organophosphate Residues among Farmers Imelda Gernauli Purba, Imelda; Kusnoputranto, Haryoto; Wulandari, Ririn Arminsih; Hartono, Budi
Unnes Journal of Public Health Vol. 14 No. 1 (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.v14i1.5929

Abstract

The use of pesticides in the agricultural sector results in contamination of foodstuffs by pesticide residues, thus becoming a source of exposure to the body and resulting in health problems. The purpose of this study was to analyse the health risks due to the consumption of foodstuffs containing organophosphate residues in farmers. The design of this study was cross-sectional, employing the Environmental Health Risk Assessment (EHRA). The study population was farmers in the North Dempo District of Pagar Alam. A total of 117 farmers were sampled randomly. Environmental samples consisted of five red chilies and five tomatoes, which were selected purposively. Organophosphate residues were quantified using liquid Chromatography Tandem Mass Spectrometry. Body weight was measured using calibrated body scales. Activity pattern data were collected through interviews using a questionnaire. Data analysis was conducted using the  EHRA formulas. The results demonstrated the presence of Chlorpyriphos in red chillies  at a concentration of 3,05 mg/kg, while Profenofos was found at 0.0731 mg/kg and 0.0118 mg/kg.  The presence of Chlorpyriphos in tomatoes samples at a concentration of 0.4439 mg/kg, while Profenofos was found at 0.0112 mg/kg and 0.2043 mg/kg. The risk quotient  for consumption of red chillies containing Chlorpyriphos was found to be 0.0447, while that for Profenofos was 0.2476. The risk quotient for consumption of tomatoes containing Chlorpyriphos was found to be 0.0302, while that for Profenofos was 2.92. It can be concluded that respondents were at non-carcinogenic health risk due to consumption of tomatoes containing Profenofos.
Healthy Lifestyle Components and  Mental Health among Undergraduate Students Ab Rahman, Zarizi; Razali, Salmi; Shahibi, Mohd Sazili; Mohd Amin, Mohd Nazrul; Ahmad Kamal, Azlan; Asih, Sali Rahadi; Rashidi, Haaris Hakimi; Shahril, Mohd Izwan Bin
Unnes Journal of Public Health Vol. 14 No. 1 (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.v14i1.6267

Abstract

 Background: Mental health issues among undergraduates have gained attention inrecent years due to their rising incidence. Healthy lifestyle components like sleepquality, diet, physical activity, substance abuse, and social support may affect mentalhealth. Thus, recognizing the most important components of a healthy lifestyle allows relevant parties to execute suitable treatments. Objective: This study aims toidentify predictors of a healthy lifestyle on mental health. A cross-sectional studywas carried out on a randomly selected sample of 180 undergraduate students aged18 to 30. Significant predictors of healthy lifestyle components were identified usingAHLQ and DASS 21 instruments. Methods: This research is quantitative researchwith a nested case-control study design, using electronic medical record (EMR) datafrom the Central Java Provincial Hospital in 2023. The variables in this study weregender, age, education level, employment status, marital status, health insurancestatus, BMI, DM diet, duration of DM, hypertension, other diseases, current bloodglucose, and HbA1c. The analysis used was univariate, bivariate, and multivariateanalysis (logistic regression). Results: The findings indicate a significant relationship between a healthy diet and mental health, and a healthy diet contributes 25% ofvariances, while 29% of mental health variance was attributed to the combinationof a healthy diet and PA. Furthermore, 31% of mental health variance is attributedto sleep quality variables, and a combination of healthy diet, PA, sleep quality, andsubstance abuse contributes to 34% of mental health variance. Conclusion: Thisstudy provides insights to stakeholders in terms of incorporating healthy lifestylecomponents in mental health intervention strategies for undergraduate students. Itwas concluded that such interventions should focus on promoting a healthy dietsince it is the most significant measure of good mental health. 
The Relationship Between Burnout and Violence Tendencies of Caregivers of Patients with Schizophrenia Ömer Faruk Cantekin; İpen İlknur Ünlü
Unnes Journal of Public Health Vol. 13 No. 2 (2024)
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.v13i2.11736

Abstract

 The importance of family has increased with the adoption of the community-based approach in the treatment of patients with schizophrenia and returning them to their social environments. Schizophrenia is a chronic mental illness, that affects not only the individual but also the family’s life because 10% of suffered individuals with illness need such long-term care and needed support from their families. This study aims to examine the relationship between burnout and violent tendencies among caregivers of schizophrenia patients. The study was a correlational and cross-sectional survey and followedquantitative methodology. The population consisted of 60 caregivers who took primary responsibility and spent the most time with patients diagnosed with “schizophrenia” according to DSM-V-TR diagnostic criteria, who were registered in a health center. In line with the purpose of the research, data collection tools are the Personal Information Form, Maslach Burnout Scale, and Violence Tendency Scale. The study found that there was a positive significant relationship between burnout and violence tendency among caregivers (r=0.539; p=0.000<0.05). In other words, burnout of caregivers increases violence tendency. In addition, the sub-dimensions of burnout significantly affected thepropensity to violence (F=8,657; p=0.000<0.05). The severity of illness in schizophrenia patients impairs their caregivers’ mental health. Families caring for persons with schizophrenia have difficulty tolerating them if the families have a feeling of burnout. Dissemination of psychosocial practices among caregivers of schizophrenia patients in adjunct to treatment will help families reduce their level of burnout and depression. 
Unlocking the Link: Sleep Deprivation and Cognitive Performance in Working-age Women - A Systematic Review Jabade, Mangesh; Nadaf, Husain; Kaur, Jasneet; Singh, Shivcharan; Deshmukh, Jaya
Unnes Journal of Public Health Vol. 14 No. 1 (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.v14i1.14246

Abstract

Background: Sleep deprivation is a prevalent issue among working women, often resulting from a combination of professional, familial, as well as societal demands. Objective: This systematic review aims to summarize the body of research on the effects of sleep deprivation on cognitive function, focusing on working women in particular. Method: A comprehensive search was conducted across several databases to locate pertinent studies released between January 2014 and January 2024. Research has examined the relationship between sleep deprivation and executive function, memory, attention, and decision-making, among other cognitive abilities. The chosen studies' methodological quality was assessed, and relevant data were located and compiled. Results: The results indicate that sleep deprivation has a major negative impact on working women's cognitive function, with deficiencies noted in a number of domains. Age, workload, and family obligations may also increase these effects. Conclusion: To develop targeted therapies that can lessen the detrimental impacts of sleep deprivation and improve the wellbeing of women in the profession, a thorough understanding of how sleep deprivation affects cognitive performance is crucial.
Access to Sanitation and Its Impact on Stunting in Toddlers in EastNusa Tenggara, Indonesia Puteri, Nia Junia; Fitria, Laila
Unnes Journal of Public Health Vol. 14 No. 1 (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.v14i1.15938

Abstract

 Background: Stunting is still one of the focuses of health problems in the world.Stunting is caused by many factors, including access to sanitation. Inadequate access to sanitation can cause infectious diseases that impair nutritional absorption intoddlers during digestion, leading to stunting. Objective: This study examines theconnection between sanitation access and stunting in East Nusa Tenggara Provincealong with its confounding variables consisting of access to drinking water, toddlerage, gender, and residence. Method: The study design was cross-sectional with asample size of 4,224 children aged 0-59 months analyzed from the 2023 Indonesian Health Survey (IHS) data. Data were analyzed using univariate, bivariate (ChiSquare test), and multivariate (multiple logistic regression analyses with a risk factormodel). Results: Studies showed households with inadequate sanitation access canincrease the risk of stunting by 1.56 compared to those with adequate sanitation access. Other factors significantly associated with stunting included toddler age, gender, and residence. The problem of access to sanitation is related to residence anddefecation behavior. Conclusion: Increasing indiscriminate defecation behavior canincrease exposure to pathogens from feces which can cause diseases such as diarrhea, resulting in malnutrition and stunted growth. To reduce stunting in East NusaTenggara Province, the government is suggested to enhance programs to expandaccess to sanitation, especially in rural areas. 
Sarcopenia in Indonesian Community-Dwelling Elderly: The Prevalence and Influencing Factors within the Primary Care Setting Rahayu, Sri Ratna; Putriningtyas, Natalia Desy; Candra, Adiska Rani Ditya; Azizan, Azliyana; Azmi, Alia; Mohamad Shaifuddin, Siti Norashikin; Merzistya, Aufiena Nur Ayu; Affandi, Mustafa Daru; Muflikhah, Zuyyinatun; Pranindita, Salsabila Kinaya
Unnes Journal of Public Health Vol. 14 No. 1 (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.v14i1.16058

Abstract

Determining the prevalence of sarcopenia and identifying associated factors can aid in early detection and treatment among community-dwelling elderly. This study aims to estimate the prevalence of sarcopenia and identify associated factors. This cross-sectional study was conducted in the elderly community within the two areas of Public Health Center, Semarang, Indonesia, through random sampling. Sarcopenia was defined based on the 2019 Asian Working Group for Sarcopenia (AWGS) criteria. Data on socio-demographics, clinical, and functional status were collected and associated factors analyzed using multivariable logistic regression. Of the 153 participants, the prevalence of severe sarcopenia was 50.33%, and overall sarcopenia prevalence was 44.44%. Elderly individuals with severe sarcopenia had a mean age of 69.45, with a higher occurrence in women (79.2%) compared to men. Age (p=0.003; APR: 1.105; 95% CI: 1.035-1.180), toilet type (p=0.002; APR: 4.194; 95% CI: 1.677-10.493), and being female (p=0.049; APR: 2.341; 95% CI: 1.003-5.460) were identified as risk factors for severe sarcopenia. The prevalence of severe sarcopenia is elevated among community-dwelling elderly. Sarcopenia was defined as low muscle mass with low handgrip strength and/or low gait speed. Routine check-ups are needed to detect sarcopenia and its risk factors in primary health care to enable early intervention for sarcopenia in the elderly.
Factors of Diabetic Retinopathy among Type 2 Diabetes Mellitus Patients in Central Java Province, Indonesia Casmuti, Casmuti; Zainafree, Intan; Cahyati, Widya Hary; Ningrum, Dina Nur Anggraini; Saefurrohim, Muhamad Zakki; Hakam, Abdul; Zaimatuddunia, Irma; Prasetya, Henky Yoga; Jusran, Alek; Irsam, Muhamad
Unnes Journal of Public Health Vol. 14 No. 1 (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.v14i1.16126

Abstract

One of the microvascular complications of type 2 diabetes mellitus is diabetic retinopathy. The prevalence of diabetes mellitus in Central Java Province in 2022 by 10% increased to 12.52% in the third quarter of 2023. This prevalence rate has not reached the SDG's target, namely there is no increase in diabetes prevalence by 0%. The purpose of this study is to analyze factors associated the incidence of diabetic retinopathy in type 2 DM patients at Central Java Provincial Hospital in 2023. This research is quantitative research with a nested case control study design, using electronic medical record data from the Central Java Provincial Hospital in 2023. The variables in this study were gender, age, education level, employment status, marital status, health insurance status, BMI, DM diet, duration of DM, hypertension, other diseases, current blood glucose, and HbA1c. The analysis used was univariate, bivariate, and multivariate analysis (logistic regression). The results showed that there was association between age ≥70 years (p=0.006), DM diet (p<0.0001, OR=20.914), duration of DM (p=0.003, OR=3.010), hypertension (p=0.013, OR=2.619), other diseases including cataracts (p=0.040, OR=9.00), glaucoma (p=0.007), CHD (p=0.040, OR=9.00), and cardiomegaly (p=0.016), current blood glucose (p=0.045, OR=2.478), and HbA1c (p<0.0001, OR=6.152). DM diet is the most dominant factor associated with diabetic retinopathy in type 2 DM patients. 
Health Education to Improve Maternal Awareness on Soy-Based Infant Formula for Individuals with Cow’s Milk Allergy in Indonesia Setiabudiawan, Budi; Surapsari, Juwalita; Kartjito, Melissa Stephanie; Sitorus, Nova; Dilantika, Charisma; Basrowi, Ray Wagiu; Jo, Juandy
Unnes Journal of Public Health Vol. 14 No. 1 (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.v14i1.23239

Abstract

Background: Cow’s milk allergy is relatively common among Indonesian infantswho are not exclusively breastfed. Despite extensive hydrolyzed formula and aminoacid-based formula are the recommended nutrition for infants with moderate-tosevere illness, not all parents could provide those specialized formulas, presumablydue to the high cost, low availability and poor palatability. In that case, soy-basedinfant formula could be an alternative nutrition. However, it was unknown whetherIndonesian mothers were aware on that alternative nutrition. Objective: We therefore assessed the knowledge levels of mothers who participated in an online platform of PrimaKu on the usefulness of soy-based infant formula to support growthand development of children with cow’s milk allergy. Methods: The study subjectsappeared to have sufficient levels of knowledge on the usefulness of soy-based infant formula for children with cow’s milk allergy. Results: In addition, by increasing their knowledge on iron and fiber fortification in soy-based infant formula, e.g.,through regular academic presentations, mothers could be more selective in choosing alternative nutrition for children with cow’s milk allergy. Conclusion: Our studysuggested that Indonesian mothers who were active in the online platform of Primaku had sufficient levels of knowledge on the usefulness of soy-based protein formanaging children with cow’s milk allergy.

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