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Jurnal Kesehatan Masyarakat
Published by Universitas Negeri Semarang
ISSN : 18581196     EISSN : 23553596     DOI : https://doi.org/10.15294/kemas
Core Subject : Health, Education,
Education Public Health
KEMAS publishes the article based on research or equivalent to research results in public health or other disciplines related to public health that has not been loaded/published by other media. The journal contains articles about epidemiology and biostatistics, health policy and administration, public health nutrition, environmental health, occupational health and safety, health promotion, reproductive health, maternal and child health, and other related articles in public health. The journal can be used by health practitioners, health caregivers, teachers, medical students, and people who are interested in public health issues
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 25 Documents
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Search results for , issue "Vol. 20 No. 3 (2025)" : 25 Documents clear
Electronic-Module Range of Motion on Family Caregivers in Increasing Muscle Strength in Stroke Sufferers Miftafu Darussalam; Ferianto, Ferianto
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.94

Abstract

The level of dependence of stroke sufferers on family caregivers will increase along with the complications experienced by stroke sufferers. The role of the family is to contribute to the rehabilitation process at home in the form of physical and psychosocial benefits. One effort can be made by providing Range of Motion exercises to stroke sufferers. Different family backgrounds and the importance of empowering the role of family caregivers require media that is informative and can be accessed anywhere. This study aimed to test the effectiveness of the Electronic-Module Range of Motion (E-ROM) for family caregivers in carrying out ROM and assessing muscle strength in stroke sufferers—a quasi-experimental research design with a pretest-posttest control group design. Research analysis used the Wilcoxon Test and Mann-Whitney Test. The sample consisted of 46 respondents for the treatment group and control group. The intervention providing E-Module ROM exercises was given to family caregivers, and assistance was provided. ROM exercises for stroke sufferers are carried out twice daily for two weeks. Health education with Electronic-Module Range of Motion (E-ROM) can increase muscle strength in stroke sufferers.
The Social Cognitive Theory Model in Predicting Maternal Behavior for Healthy Child Development in Yogyakarta Indonesia Nursanti, Ida; Murti, Bhisma; Mulyani, Sri
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.581

Abstract

Early childhood development determines the quality of future generations. A mother is crucial in encouraging a child’s growth and development. This research aims to determine the influence of social psychological factors that influence maternal behavior on healthy child growth and development using the Social Cognitive Theory (SCT) model. This cross-sectional study was conducted from July to October 2023 in Yogyakarta, Indonesia. A sample of 400 mothers with children under five (12-59 months). The dependent variable is the maternal behavior in child development, and the independent variables are observational learning, outcome expectations, self-efficacy, and family support. All variables were measured by questionnaire, and the data were analyzed by path analysis using Stata 13 statistical software. A maternal’s behavior is directly and positively related to observational learning (b= 0.28, p<0.001), outcome expectations (b= 0.24, p<0.001), self-efficacy (b= 0.37, p<0.001), and family support (b= 0.09, p=0.005). The goodness of fit path analysis indicates p > 0.05, RSME< 0.001, TFI= 1.00, TLI= 1.00, and SRMR< 0.001. A maternal’s behavior is directly and positively related to observational learning, outcome expectations, self-efficacy, and family support. Interventions to improve mothers’ healthy behavior in accelerated child development should prioritize efforts to increase self-efficacy.
Community Participation in Urban Sanitation Programs at Koja, Jakarta, Indonesia Aji, Angga Dheta Shirajjudin; Suhardono, Sapta; Sofiyah, Evi Siti; Ridhosari, Betanti; Nastiti, Almira Davina; Prayogo, Wisnu; Suryawan, I Wayan Koko
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.1990

Abstract

Urban sanitation remains a critical public health issue, with community participation recognized as a key factor in the success of sanitation programs. This study aims to explore the multi-dimensional factors influencing community participation in the urban setting of Koja. Through a mixed-methods approach, including surveys, interviews, and observational studies, we investigated how socio-demographic factors such as age, gender, income, and occupation, as well as aspects of sanitation governance, infrastructure, and educational interventions, interplay to affect community engagement. The study revealed that while infrastructure and access are crucial, socio-economic and gender-related barriers significantly impact participation levels. Educational level emerged as a strong predictor of engagement, indicating that awareness and knowledge play a critical role in motivating community involvement. Furthermore, sanitation governance and the quality of policies and monitoring were found to be instrumental in shaping public attitudes towards participation. The research highlights the necessity for integrated and inclusive sanitation policies that address the local context and socio-economic diversity of urban populations. The findings underscore the importance of targeted educational campaigns and the fostering of collaborative community relationships to enhance participation in sanitation programs. This study contributes to the discourse on urban sanitation by providing a nuanced understanding of the complex factors at play in community-based sanitation efforts, offering insights for policymakers to improve public health outcomes.
Sleep Quality and Skin Type as Factors Associated with the Incidence of Acne Vulgaris Jhonvini, Lessya; Lonah; Wijaya, Meiliyana; Irawan, Robi; Santosa, Mariani
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.2063

Abstract

Acne vulgaris is a skin disease caused by chronic inflammation in the pilosebaceous unit, which produces sebum. The factors causing acne vulgaris are multifactorial and interact with each other. Medical students are a subgroup of society who are vulnerable to experiencing sleep disorders. Therefore, this study aims to explore the relationship between acne and sex, sleep quality, and skin type, especially in medical students. This research uses survey methods and analytical observation with a cross-sectional approach. The sampling technique is stratified random sampling. Validated questionnaires were used to assess sleep quality and skin type. Univariate analysis showed that of the 85 participants, the majority were female and aged 20 years. The prevalence of acne in this study was 52.9%. Most respondents had poor sleep quality (63.5%) and oily skin (69.4%). Based on bivariate analysis, acne vulgaris was significantly related to sleep quality (p=0.046) and skin type (p=0.025). Multivariate analysis showed that skin type had the most robust relationship with acne vulgaris (OR = 2.876; 95% CI = 1.077-7.685).
Changes Physical Activities of Daily Living Elderly Individuals Involved in Interdisciplinary Care Wantonoro; Sugiantoro, Hari Akbar; Nguyen, Tuan Van
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.2679

Abstract

The populations of all countries, including Indonesia, are aging, leading to an increasing elderly population with a greater number of health issues and comorbidities. The aim was to determine whether involvement in an interdisciplinary care program can help elderly individuals maintain physical activities of daily living. This was a quantitative longitudinal study with a quasiexperimental one-group pretest–posttest design. Fifteen participants were included, and one participant died before the 6-month follow-up. The Indonesian version of the Barthel Index was used to measure physical activities of daily living (PADLs) before and at one, three and six months after the intervention. Linear regression models using the generalized estimating equation approach were used to determine significant PADLs changes and predictive factors. The mean total PADL score at T1, T2 and T3 increased significantly compared to that at T0 (p<.001). Age (β=-0.33; p=.001), diabetes mellitus (β=-2.16; p=.001), stroke (β=-5.78; p=.001) and congestive heart failure (β=-10.68; p=.001) were the strongest predictors of PADLs. Interdisciplinary team care may help elderly individuals maintain PADLs. The risk factors for PADLs deterioration were older age and comorbidities, including diabetes mellitus, stroke and heart failure. A subsequent investigation of homogeneous participants with a control group is suggested for future studies.
A.galanga (L.)-Willd Rhizome and O.sanctum L. Leave Essential Oils as Culex sp. Larvicide Puradisastra, Sugiarto; Limijaya, Regina Aurellia; Hartono, Angelica Rosa Septiana; Tjahjani, Susy
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.3388

Abstract

Culex sp. can transmit diseases such as encephalitis and filariasis which is a public health problem because of elephantiasis, disability, and a neglected tropical disease. To prevent these diseases, the mosquitoes need to be eradicated and larvicides are considered to control them at their early stage. Temephos, a synthetic larvicide, could cause several disadvantage, such as potential toxicity against non-target organisms and easierto-develop mosquito resistance. Botanical sources from Indonesian spices i.e. galangal (Alpinia galanga (L.) Willd.) and basil (Ocimum sanctum L.) are potentially used as larvicide. This study aimed to explore the larvicidal effect of their essential oils compared against temephos against Culex sp. A true experimental study was done using several concentrations and replications of these essential oils in each container, consisting of 25 third instar of Culex sp larvae for 24 hours at room temperature according to WHO procedure. The percentage of dead larvae was analyzed by ANOVA/ Kruskal Wallis. The study showed that Alpinia galanga ( L.) Willd. and Ocimum sanctum L. essential oils had larvicide activity and their activity starting from 140 ppm and 400 ppm consecutively was the same as temephos 1 ppm.
The Nexus of Cancer Patient Experiential Satisfaction on the Intention to Recommend Harjono, Eko Ivan; Antonio, Ferdi
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.3405

Abstract

This research aims to test and analyze the relationship of antecedents of patient experience measured by the CPEQ (The Cancer Patient Experience Questionnaire) instrument which consists of service by ward nurse, service by specialist, service by ward doctor, information, and hospital staff coordination. Further its impact on the intention to recommend the respective private hospital. This research was accomplished with a quantitative survey and using a cross-sectional approach. Respondents were taken by purposive sampling who had been treated at a private special cancer hospital in Jakarta. A total of 192 respondents met the requirements and were analyzed using PLS-SEM. The results showed that the six antecedents have a significant and positive relationship with cancer patient experiential satisfaction and encouraging patient intention to recommend the hospital. The strongest relation was found in the service by specialist doctors followed by hospital standards, service by nurse wards, and information. The findings in this study establish the positive relation between cancer experiential satisfaction and the intention to recommend the hospital.
The Neurotoxic Impact Of Lead On The Appearance Of Antisocial Behavior In Batik Dye Workers Susilowati, Indah Tri; Dewi, Noviana; Saroh, Dewi
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.3666

Abstract

Batik home industry waste not managed with standardized WWTP can lead to environmental pollution. This is caused by the remaining synthetic batik dyes containing heavy metal lead. The remaining dyeing waste is disposed of into the river, a water source in the surrounding environment. Waste containing heavy metals causes a neurotoxic effect on the human body. Furthermore, exposure to heavy metals due to synthetic batik dyes is more at risk for workers who do coloring since they do not use personal protective equipment while working and do not live a clean and healthy lifestyle. One of the behavioral disorders associated with the effects of accumulated lead exposure is an antisocial personality disorder. In this study, blood lead levels were checked for batik dye workers by taking blood samples using a 3 ml purple vacuum tube and placing them in an ice box to be sent to the Yogyakarta Health Laboratory Center (BLK). The blood sample was then wet destroyed, and the Pb levels were read using an AAS tool. Antisocial tendency scale data was measured using STAB (Subtypes of Antisocial Behavior), where the validity test had previously been carried out with the Pearson product-moment of 0.327-0.786 and the reliability test with the Cronbach alpha technique of 0.936. The results of the data analysis showed a correlation between blood lead levels and antisocial disorder tendencies of 0.690, but no correlation was found between blood lead levels and body mass index (BMI)
Serum Clusterin Level Associated with Post-ischemic Stroke Cognitive Dysfunction Harahap, Herpan Syafii; Indriyana, Yanna; Rianawati, Sri Budhi; Arisetijono, Eko; Rivarti, Arina Windri
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.4401

Abstract

The exploration of potential blood-based biomarkers that could be useful in the early detection of cognitive impairment associated with ischemic stroke is still being studied. The objective of this study was to examine the correlation between serum clusterin levels and the prevalence of cognitive impairment in individuals with ischemic stroke. A total of 86 outpatients with mild ischemic stroke within the first three months of its onset were recruited from three primary hospitals in Mataram, Indonesia. ELISA was used to measure the serum clusterin level. Patients’ sociodemographic and clinical data were also collected as covariates. The Montreal Cognitive Assessment-Indonesian version (MoCA-INA) instrument was used to evaluate cognitive status. The study used multivariate logistic regression analysis to investigate the effect of clusterin on the occurrence of cognitive impairment associated with ischemic stroke while controlling for other variables. Results: The multivariate logistic regression analysis revealed a significant correlation between elevated serum clusterin levels and a higher prevalence of cognitive impairment in ischemic stroke patients (odds ratio [OR] 3.56, 95% confidence interval [CI] 1.04-12.16, p = 0.043). Conclusion: Elevated serum clusterin levels have been associated with a higher occurrence of cognitive impairment in ischemic stroke patients.
Influence of Selenium Supplementation on Oxidative Stress and Inflammatory Response in High Intensity Exercise Irawan, Roy; Wahyudi , Heri; Bawono, Mokhamad; Roepajadi, Joesoef; Rimawati, Nanda; Wijayanto, Adi
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.4619

Abstract

Exhaustive exercise could increase oxygen consumption 10 to 20 times folds which can then increase oxidative stress which is characterized by an increase in Reactive Oxygen Species (ROS). Increased oxidative stress (ROS) during exercise could cause cell damage. Selenium is a trace element that is believed to have antioxidant and anti-inflammatory activity. Objectives: This study aimed to determine the effectiveness of a 28-day supplementation period on plasma MDA and HMGB1 levels after high-intensity exercise activities. Methods: This study was experimental, with a pretest-posttest control group design approach. A total of 28 Sports Science Department students at Universitas Negeri Surabaya who met the inclusion and exclusion criteria participated in the study. Through simple random sampling, participation was divided into 2 groups, namely the selenium group (SG) and the placebo (PL) group. Selenium supplements for SG were 200 mcg/day, and PL was 100mg corn starch capsules, both groups consumed in 28 days. Participants performed bench-stepping by Newham with 10 sets x 10 repetitions, with 1-minute intervals. Plasma MDA and HMGB1 measurements were carried out immediately after, 24 hours after, and 48 hours after bench-stepping. Data on changes in plasma levels of MDA and HMGB1 were tested using repeated measures ANOVA with a significance level of P<0.05. Result: there was a significant difference in the plasma MDA and HMGB1 between each group with the significance value of MDA that was p = 0.000 and the significance value of HMGB1 that was p = 0.000. Selenium supplementation for 28 days reduces the increase in oxidative stress (MDA) and increase in HMGB1 after high-intensity exercise activities.

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