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INDONESIA
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
Health Belief Model in The Prevention of Type-2 Diabetes Mellitus in Fertile Age Couple Achmad Lukman Hakim; Agustina Sari
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.v20i3.8900

Abstract

Sufferers with diabetes want to well recognize the threat of diabetic headaches and the shape of the Health Belief Model (HBM) with recognize to constructs suitable for intervention. This study aims to determine the effect of the health belief model on the prevention of type 2 diabetes mellitus in fertile age couple. The research design was cross sectional. The research sample was fertile age couple who are in the area of Depok City, West Java as many as 399 respondents. Data analysis used a structural equation modeling approach with the partial least squares method. The results showed that there was a perceived effect on the prevention of type-2 diabetes mellitus with a t-statistic of 13.331880, there was an effect of self-efficacy on the prevention of type-2 diabetes mellitus with a t-statistic of 2.221879, there was an effect of cues to action on the prevention of type-2 diabetes mellitus with a t-statistic of 2.482949, and the perceived indicator that has the most influence on the prevention of type-2 diabetes mellitus was barriers with a t-statistic of 180.528565. Based on the value of R2, the magnitude of the effect of perceived, self-efficacy, and cues to action on the prevention of type-2 diabetes mellitus was 89.52%. From the Q2 value, the model in this study has a relevant predictive value, where the model used can explain the information contained in the research data by 89.52%. There was an effect of health belief model on the prevention of type 2 diabetes mellitus in fertile age couple. Another dominant variable that influences the prevention of type 2 diabetes mellitus in fertile age couple was perceived and on indicators of barriers.
Diabetes Treatment Satisfaction on Hospital Outcome through Patient Empowerment Tjiptabudi, Vitta; 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.v20i3.12425

Abstract

This study examines the relationship between Patient Satisfaction with Diabetes Treatment and Hospital Reputation, with Patient Empowerment and Well-being acting as mediators. Additionally, this study includes Lifestyle as the moderating component. This quantitative, cross-sectional study employs a survey methodology using a structured questionnaire of respondents selected by quota sampling. A total of 160 respondents were obtained from two private hospitals. Data was analyzed using Partial Least Square Structural Equation Modelling (PLS-SEM). Diabetes Treatment Satisfaction is assessed as a higher-order construct (HOC) consisting of dimensions of Patient Empowerment as a lower-order construct (LOC). The three LOCs are Patient Control, Patient Participation, and Patient Support. This study employs a disjoint two-step methodology. The research findings indicate a strong and positive relationship between Diabetes Treatment Satisfaction and Hospital Reputation mediated by Patient Empowerment and Patient well-being. The indirect effect is statistically significant (p-value < 0.05, CI 95%). The analysis also reveals a strong relation between Patient Well Being and Hospital Reputation (β=0.842, f2=2.427). However, the Lifestyle variable did not substantially relate to the relationship between Diabetes Treatment Satisfaction and Patient well-being. This study model has been empirically validated to provide sufficient explanatory and predictive capacities for assessing hospital reputation.
Stunting Among Children Aged 6-59 Months in Gorontalo, Indonesia Z, Sri Nurlaily; Agustini, Rahma Dewi; Nurhidayah
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.v20i3.13539

Abstract

Stunting remains a significant public health challenge in Indonesia, particularly among children aged 6-59 months. Stunting, defined as low height-for-age, results from chronic undernutrition during the most critical periods of growth and development. This study aims to analyze the sociodemographic and socio-cultural factors associated with stunting in Gorontalo, Indonesia, to inform targeted interventions. A cross-sectional study was conducted with 325 children aged 6-59 months, selected consecutively. Data were collected using a structured questionnaire covering seven sociodemographic and two sociocultural factors, alongside the Individual Dietary Diversity Score (IDDS) questionnaire. Bivariate analysis was performed using Chi-Square tests, while multivariate analysis employed Logistic Regression to identify significant predictors of stunting. The prevalence of stunting among the sample was 35.7%. Bivariate analysis identified Birth Length, Birth Weight, Family Income, Exclusive Breastfeeding, Complementary Foods, Food Diversity, and Parenting as factors associated with stunting. Multivariate analysis revealed that Birth Length (OR=0.377; 95% CI: 0.188-0.754), Birth Weight (OR=0.231; 95% CI: 0.095-0.561), Exclusive Breastfeeding (OR=0.307; 95% CI: 0.164-0.575), and Food Diversity (OR=0.064; 95% CI: 0.033-0.123) were significant protective factors against stunting. Conversely, Family Income and Education were identified as confounding factors. The findings underscore the critical importance of the first 1000 days of life in preventing stunting. Efforts should improve maternal nutrition to ensure optimal birth weight and length, promote exclusive breastfeeding, and enhance dietary diversity among young children. Addressing these factors can significantly reduce the prevalence of stunting and improve child health outcomes in Gorontalo.
Stunting Prevention and First 1,000 Days of Life Optimisation Programme in Gunungkidul Astuti, Andari Wuri; Fatimah, Siti; Anisa, Lulu; Aprilia, Resya; Febrianti, Cindy Putri; Arifin, Siti Roshaidai Mohd; Suryani, Ita; Savitri, Mila
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.v20i3.13706

Abstract

Stunting is a significant public health issue and the prevalence of stunting in Indonesia was reported at 21.6% in 2022. This study used a mixed-methods approach. The qualitative component employed a single-case embedded study design, data were collected through semi-structured interviews involving 15 participants and analyzed by using a thematic approach using NVivo-12. Meanwhile, the quantitative component utilized a one-group pre-test post-test design involving 155 respondents, data were gathered using questionnaires and were analyzed using paired t-tests with SPSS-26.Participants had a lack of knowledge about stunting. However, they acknowledged various healthy nutrition and health programs for stunting prevention. There were also various programs managed by local government involving multisector bodies, and communities focusing on reducing stunting prevalence. However, there were expectations to strengthen the program strategies by providing home visits, online educational media, adequate facilities, and infrastructure within Integrated Community Services (ICS (Posyandu)). The paired t-test revealed a significant average difference between pre-test and post-test values, with a mean difference of 1.167 and a p-value of <0.008. The ongoing stunting alleviation program demonstrates the government’s commitment to multi-sectoral collaboration and the use of educational media, such as videos, significantly enhances respondents’ knowledge about stunting.
Assessing Child Marriage in Indonesia: A Call for Educational Empowerment Kistiana, Sari; Fajarningtiyas, Desy Nuri; Riany, Yulina Eva
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.v20i3.14145

Abstract

Although the age of first marriage is generally increasing, many young women continue to marry as children in Indonesia. This study aims to assess the prevalence and predictors of child marriage in Indonesia. The data were obtained from the 2019 Performance and Accountability Survey of Population, Family Planning, and Family Development with a total sample of 46,220 married reproductive-age women. Multivariate binary logistic regression models were used to identify the significant associated predictors of child marriage. Overall, the prevalence of child marriage was 23.7 percent and ranged from only 0.1 percent in West Papua to 27.7 percent in West Java Province. Child marriage practice was found to be 54.80 (95%, CI: 41.01, 73.24) and 47.42 (95%, CI: 37.18, 60.49) times higher among uneducated women with primary education level compared to educated women with a university level of education. Those who live in Kalimantan islands were 2.13 (95%, CI: 1.73, 2.60) times more likely to experience child marriage compared to women who live in Maluku or Papua Islands. Child marriage was 1.28 (95%, CI: 1.22, 1.35) higher among rural residents compared to urban. The government, the private sector, and the community must continue empowering young girls, particularly regarding education.
The Key to Successful Care Coordination and Patient-Centeredness in Cardiac Surgery Satoto, Hari Hendriarti; Antonio, Ferdi; Widiastuti, Annisa Zakia
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.v20i3.16393

Abstract

In the healthcare sector, delivering patient-centered care is vital for enhancing results and ensuring favorable experiences for individuals. Coordinating care plays a critical part in attaining patient-centricity by enabling smooth and efficient interaction and partnership among healthcare professionals, patients, and their families. Efficient care coordination advances patient-centered care by guaranteeing that all aspects of a patient's medical journey are interconnected and tailored to address their specific requirements. This connectivity and personalization can be accomplished through various approaches such as evidence-based practice, electronic medical records utilization, promotion of patient safety, cross-functional teamwork, mutual communication, goal alignment, and shared accountability. Achieving efficient care coordination for cardiac surgery involves assembling a varied team that collaborates to develop personalized treatment plans for every patient. This approach ensures the smooth coordination of all elements of patient care, including pre-operative assessments, surgical procedures, and post-surgery rehabilitation plans. Prioritizing the significance of coordinated care in hospital administration can assist policymakers and healthcare systems in striving to deliver tailored, patient-focused care that contributes to enhanced health results for individuals. Through enhancing communication and teamwork, distributing tasks equitably, and advancing evidence-based practices among medical professionals, the overall coordination of care in cardiac surgery can be notably enhanced resulting in improved personalized patient care and ultimately better health outcomes.
Bloso Fish (Glossogobius giuris sp.) Biscuit in Increasing Albumin Levels in Tuberculosis Patients Anwar, M. Choiroel; Santjaka, Aris; Makruf, Fauzan
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.v20i3.16407

Abstract

Tuberculosis is a major global health threat. Tuberculosis patients frequently suffer hypoalbuminemia. Protein-rich foods like Bloso fish (Glossogobius giuris sp.) can improve patient outcomes by elevating albumin levels and nutritional status. This study aims to evaluate the impact of Bloso biscuit on albumin levels in Tuberculosis patients. This study used a cross-over randomized controlled trial design. Sixty participants were divided into two groups: the treatment group consuming Bloso biscuits and the control group consuming non-Bloso biscuits. Each group was monitored for four weeks, and albumin levels were checked before and after biscuit administration. The formula consists of 15% bloso fish flour, 35% low protein flour, 20% margarine, 7% butter, 10% cheese, 8% egg yolk, 3% cornstarch, and 1% sugar. The study statistically analyzed the albumin level in Tuberculosis patients. This study found that most patients were female (55%) and aged 26-35 (41.7%). The baseline albumin levels in both groups were 4.5 g/dL. The average albumin level in the treatment group increased to 5.07 mg/dL. Based on statistical tests, Bloso fish biscuits significantly increased albumin levels in the treatment group (p<0.05). We concluded that giving Bloso biscuits can increase albumin levels in Tuberculosis patients.
Adolescents and the Prostitution Industry: Changing Patterns of Prostitution, Motivations, Assessments, and Risks Faced Nugroho, Efa; Nisa, Alfiana Ainun; Hermawati, Bertakalswa; Raharjo, Bambang Budi; Kamka, Erry H; Saputri, Erina Slamet; Hermawan, Dwi Yunanto; Widyaningrum, Heny
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.v20i3.16651

Abstract

The phenomenon of adolescents involved in the prostitution industry was widespread globally, including in Indonesia. This study focused on the changing patterns of prostitution, motivations, perceptions, and risks faced by adolescent sex workers. The research used a mixed-method approach, employing both quantitative and qualitative designs. Data were collected through surveys involving adolescent sex workers and general adolescents, as well as in-depth interviews with adolescent sex workers. The quantitative study included 360 respondents, comprising 180 general adolescents and 180 adolescent sex workers, while the qualitative study involved 30 adolescent sex workers as informants. The research was conducted in Bali, South Kalimantan, West Java, North Sulawesi, North Sumatra, and Central Java provinces. The findings revealed a shift in prostitution patterns among adolescents from conventional (street-based) prostitution to online prostitution via digital platforms. Adolescents had greater opportunities to become online sex workers due to the diversity of social media platforms and service types available. Economic factors accounted for 81.7% of adolescents' reasons for becoming sex workers. There was a disparity in perceptions between general adolescents and the actual challenges faced by adolescent sex workers. Among adolescent sex workers, 80% had low reproductive health knowledge, 23% had experienced sexually transmitted infections (STIs), 16% had faced unwanted pregnancies, and 7% had undergone abortions. It was concluded that there were significant changes in the patterns, motivations, perceptions, and risks associated with adolescent sex work.
Variations of Ovitrap Autocidal Water for Controlling Aedes Aegypti Alhamda, Syukra; Cici Apriza , Yanti; Herawati, Nova; Kustanto, Debby Ratno; Susanti, Evi; Nurdin, Nurdin; Harisnal, Harisnal
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.v20i3.21152

Abstract

Dengue fever in Indonesia is still classified as a serious disease because it has increased yearly from 2011 to 2013. This study aims to determine the difference in the effectiveness of various types of water in the queue as a trap for eggs of Aedes aegypti mosquitoes in Bukittinggi. This type of research is experimental. The test used is the Anova test because the data is not normal using the Mann-Whitney test. The research sample used a sampling technique. This study uses primary data which can be seen from the number of trapped Aedes Aegypti mosquito eggs. The results showed that between the straw bales using well water and mineral water, the p-value was (0.421)> ɑ (0.05), meaning that there was no difference between the straw-soaked line with well water and water mineral. Meanwhile, after a statistical test was carried out between the straw bales using mineral water and rainwater, the p-value was (0.008)> ɑ (0.05), (Ho was rejected, Ha was accepted), meaning that there was a difference between the straw-soaked anthers and mineral water and rainwater. Based on the results of various types of attractants on the number of Aedes aegypti mosquito eggs trapped in the applied science laboratory of the University of Fort De Kock, Bukittinggi, the straw-soaked extract with rainwater is more effective because it produces more eggs than the extract soaked in straw with well water and extract soaked in straw with mineral water.
Intestinal Parasitic Infections and their Relationship with Healthy Living Behavior and Nutritional Status in Children Lalangpuling, Indra Elisabet; Sunati, Nurmila; Tumbol, Michael V.L.; Pascoal, Kevin G.; Jasman, Jasman
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.v20i3.21227

Abstract

Intestinal parasitic infection is an infectious disease still found in tropical countries with inadequate implementation of Clean and Healthy Living Behavior (PHBS). Parasites that generally infect the intestines are soil-borne worms and protozoa. The worms that infect a lot are Soil Transmitted Helminths (STH), namely Ascaris lumbricoides, Trichuris trichiura, and Hookworm. Cryptosporidiosis is an infectious disease caused by infection with the protozoan Cryptosporidium sp. that causes watery diarrhea. Nutritional status is an important factor in the immune system. The purpose of this study was to identify STH and Cryptosporidium sp infections and link them with the application of PHBS and nutritional status in elementary school students in Wori District, North Minahasa Regency. This type of research is descriptive-analytic with a cross-sectional design. The sample amounted to 160 respondents from six elementary schools taken by purposive sampling. STH examination using the native method and Cryptosporidium sp examination using Zn modification staining, nutritional status measurement was carried out based on BMI / U. This study concluded that 100% of respondents were not infected with cryptosporidium sp parasites, 8% of respondents were infected with Soil-Transmitted Helminth and there was no relationship with nutritional status respondents where 87% of respondents have normal nutritional status, 5% undernourished, 6% well-nourished and 2% obese.

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