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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. 4 (2025)" : 25 Documents clear
Artificial Intelligence in Type II Diabetes Mellitus: Screening, Treatment, and Complication Lians, Airine Stefanie; Tunru, Andi Miyanza Rezkyawan Lakipadada; Chindia, Chindia; Prasetyo, Juan Alexandra; Kie, Justin; Christian, Raffael; Sean, Sherlyn; Larasati, Victoria; Yen, Liauw Djai
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (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.v20i4.1138

Abstract

Type II diabetes mellitus is one of the chronic metabolic diseases that are associated with insulin resistance. Type II diabetes mellitus incidence continues to increase each year and may cause various health complications, even death. Addressing early detection and appropriate treatment is important in decreasing the incidence of type II diabetes mellitus and improving the quality of life in diabetic patients. The potential of artificial intelligence in healthcare is expected to assist in screening, therapy management, and even detection of type II diabetes mellitus complications. Despite limited literature, this study aims to understand the benefit of AI in assisting health workers in screening and managing type II diabetes mellitus. Searches are conducted with search engines, such as PubMed, Science Direct, and Google Scholar, with the keywords “Artificial Intelligence” and “Diabetes Mellitus Type 2”, as well as their synonyms. The search results in twenty English and Indonesian studies were published in the last ten years. These various studies found that many Artificial intelligence models developed to assist in screening, therapy management, and detect complications in patients with type II diabetes mellitus.
Red Ginger Essential Oil (Zingiber officinale var. Rubrum) as a Biolarvicide in the Control of Aedes Aegypti Mosquitoes Denai Wahyuni; Sari, Wulan; Jasril, Jasril; Syahri, Jufrizal
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (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.v20i4.1558

Abstract

Synthetic larvicides are often used to control Aedes aegypti mosquitoes, but they are detrimental to humans, the environment, and the occurrence of resistance. The purpose of the study was to determine the influence and effectiveness of red ginger essential oil (Zingiber officinale var. Rubrum) as the biolarvicide of Ae. Aegypti and the most effective concentration (LC50). A total of 25 instar 3 larvae with concentrations of 200, 400, 600, and 800 ppm and K+(temephos), K-(aquaade), four repetitions every 30 minutes of observation for 3 HSPs. The results of the study showed that red ginger essential oil affected the death of Ae. Aegypti larvae. There was a significant difference in mortality rates between concentrations (Kruskal-Wallis test, p = 0.001). Likewise, there was a moderate but significant correlation between concentration and mortality (Spearman correlation: r = +0.503, p = 0.001). The probit analysis, LC50 was 257.89 ppm, most effectively influencing mortality in Ae. Aegypti larvae based on LC50. Red ginger essential oil (Zingiber officinale var. Rubrum) is effective and effective as a bio-larvicide to control Ae. aegypti so that it can reduce dengue fever cases.
Blood Pressure and Oxygen Saturation Post Deep Breathing Exercise and Head Up in Stroke Patients Nirmalasari, Novita; Wahyu Hidayati, Rizqi
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (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.v20i4.2893

Abstract

According to Basic Health Research (Riskesdas) data from the last 12 years, the prevalence of strokes in Indonesia is still relatively high. Hypertension prevention aims to keep blood pressure under control. Non-pharmacological management is also required to supplement pharmacological therapy. Deep breathing exercises and head-up 30 degrees are two interventions that can be implemented. This study aimed to measure the influence of deep breathing exercises and head up 30 degrees on stroke patients’ oxygen saturation and blood pressure. This research used a quasi-experiment with a pretest-posttest control group design involving the recruitment of 60 respondents using a consecutive sampling technique. Head-up 30-degree positions and continuous deep breathing were measured using a digital sphygmomanometer, protractor, and oximeter. Data were analyzed using Wilcoxon and Mann-Whitney. The results showed that there was a significant difference in systolic blood pressure which was p=0.000 (p <0.005), and oxygen saturation showed p=0.001 (p <0.005). But there was no significant difference in diastolic blood pressure which was p=0.836 (p> 0.005). Deep breathing exercises and head-ups 30 degrees help control blood pressure in stroke patients.
Central Obesity in Children and Adolescent: Current Themes and Future Potential Researches Moelyo, Annang Giri; Ferdian, Hanum; Wiyono, Nanang
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (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.v20i4.2898

Abstract

The increasing prevalence of central obesity among children and adolescents is a significant concern for public health, as it can lead to various health risks and complications. This study aimed to provide comprehensive updates using the keywords “central obesity,” and “children” or “adolescent”. The Scopus electronic database was searched for relevant articles to compile the basic publishing and citation data found in the article’s title, abstract, and keyword. The author, country, journal, and keyword networks were visualized using the bibliometric software program VOSviewer and biblioshiny. Of 1,190 articles, this study suggests the growth advancement with a 7.84% annual growth rate. The Plos One is the most international publication. The United States is the country leading in this topic. We find four theme clusters: obesity, central obesity, metabolic syndrome, and adolescents. The analysis shows that the diagnosis through anthropometric measurements, body fat assessment, metabolic syndrome, and complications were the major well-known research. The growing interest and future interest topics were waist-to-hip ratio, waist-to-height ratio, lifestyle, adiposity, and dyslipidemia. This bibliographic study showed the expanding publications of central obesity in children and adolescents and suggested several critical themes for future research.
Moringa Leaf Extract Capsules Enriched with Royal Jelly on Cortisol and Stress Dwi Kartika Sari; Hadju, Veni; Werna Nontji; Mardiana Ahmad; Aryadi Arsyad; Andi Nilawati Usman; Yudi Yanto; Taqwin, Taqwin
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (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.v20i4.3578

Abstract

During pregnancy, physiological and psychological changes often increase stress and cortisol levels. Administering moringa leaf extract capsules fortified with royal jelly presents a viable intervention to alleviate this stress. This study investigates the specific effects of these capsules on cortisol and stress levels in pregnant women. The study was conducted as a true experimental, single-blind, randomized controlled trial involving 61 pregnant women. The intervention group (n = 31) received moringa leaf extract capsules enriched with royal jelly, while the control group (n = 30) received multi-micronutrient supplements. The findings revealed a noteworthy reduction in cortisol levels within the intervention group (p = 0.030), from 26.61 ± 8.15 to 19.98 ± 14.00, as well as in the control group (p = 0.003), from 21.13 ± 7.76 to 13.26 ± 16.09. Likewise, stress levels exhibited a significant decrease within the intervention group (p = 0.016), decreasing from 18.68 ± 3.74 to 28.75 ± 15.02, and the control group (p = 0.000), declining from 19.17 ± 3.64 to 16.20 ± 3.38. Moringa leaf extract capsules enriched with royal jelly, as a natural remedy, merit the recommendation for inclusion in initiatives to enhance maternal and infant health.
Mapping the Landscape of Affirmative Healthcare for Transgender Communities through Bibliometric Analysis Dubey, Ashwani; Raj, Papia
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (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.v20i4.3910

Abstract

Gender-affirmative healthcare provides a supportive and safe space for individuals irrespective of their gender identity. Despite this, transgender individuals encounter discrimination when seeking equitable healthcare. Consequently, this research aims to examine the current state of transgender healthcare research and identify areas requiring further investigation. Employing the Preferred Reporting Item for Systematic Reviews and Meta-Analyses (PRISMA), the study initially identified 278 articles, with 48 meeting the inclusion criteria for analysis. Bibliometric analysis was conducted using Biblioshiny and Vos-viewer software. The review underscores the growing academic interest in gender affirmative care and emphasizes the necessity for increased scholarly focus. Analysis of document production by various countries reveals an uneven geographical distribution of research in this area. Additionally, the study identifies a trend towards a greater emphasis on affirmative approaches in addressing health disparities through term co-occurrence analysis, while thematic analysis emphasizes the importance of comprehensive adoption of gender-affirmative practices. This research holds potential in informing the development of inclusive policies and comprehensive strategies to improve the health outcomes of transgender populations, thus advancing health equity and contributing to the achievement of Sustainable Development Goals.
Non-Pharmacological Therapy to Reduce Pain Intensity in Patients Pakaya, Nasrun; Hadjarati, Hartono; Abdulkadir, Widy Susanti; Duhe, Edy Dharma Putra; Liputo, Gusti Pandi
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (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.v20i4.4805

Abstract

Pain is still the main problem for patients being treated in the treatment room. To overcome pain, analgesic drugs are often given. Even though the first step to help reduce pain can be to use non-pharmacological therapy. This study aims to see effect of non pharmacological therapy in reducing patient pain levels. The type of research is a quasi experiment with a one-group pre-test and post-test design approach. Sampling using accidental sampling technique over a period of 1 month obtained 50 respondents who matched the characteristics of the respondents in the research. Overall non- pharmacological therapy (beson relaxation, murotal, guide imagery, zikr, warm compresses, and hypnosis techniques) can reduce pain intensity in respondents who experience pain. Pain management in patients does not always involve immediate administration of medication. Non-pharmacological measures must always be prioritized to treat pain. Non-pharmacological therapy has been proven to be able to overcome or reduce pain levels.
Relation between Nose Scale and Sleep Disorder Breathing Among Spice Factory Workers in Semarang Dana, Indra Pratama; Yunika, Kanti
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (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.v20i4.5168

Abstract

Sleep-disorder breathing covers a broad spectrum of breathing-related sleep disorders. Nasal obstruction has been identified as a modifiable risk of sleep-disordered breathing and is a common complaint in sleep-disordered breathing patients. The nose scale is a simple standard instrument that can estimate those at risk of developing sleep-disordered breathing. To determine the relationship between nose scale and sleep disorder breathing in spice factory workers in Semarang. Analytical observational research with a cross-sectional design involving 530 spice factory workers in Semarang. The independent variable of the study was the risk of developing sleep-disordered breathing based on the body mass index value. The dependent variable of the research is the Nose Scale score. Analysis was by the Independent T-test, Mann- Whitney, Chi-square, and Fisher exact tests. Results are significant if p<0.05. Complaints of a blocked nose (6% vs 3%), blocked nose (8% vs 7%), difficulty breathing (4% vs 3%), difficulty sleeping due to nasal problems (5% vs 3%), and difficulty breathing air (6 % vs 4%) was more common in the high risk sleep disorder breathing group (BMI >25kg/m2) than in the low risk sleep disorder breathing group (BMI <25kg/m2), respectively. The high risk sleep disorder breathing group (BMI >25kg/m2) also reported a higher mean Nose Scale score than the low risk sleep disorder breathing group (BMI <25kg/m2), namely 5.81 vs 3.95. Individuals with high risk sleep disorder breathing (BMI >25kg/m2) have higher complaints of nasal problems than individuals with low risk sleep disorder breathing (BMI <25kg/m2).
Unsuccessful Drug-Resistant TB Treatment Outcomes among Patients with Short-Term Regimen in Central Java, Indonesia Ardiani, Intan Henda; Rejeki, Dwi Sarwani Sri; Wijayanti , Siwi Pramatama Mars; Saefurrohim, Muhamad Zakki
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (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.v20i4.9483

Abstract

Tuberculosis which shows resistance to various types of drugs poses a significant burden in efforts to prevent and control tuberculosis globally. Since 2020, guidelines from the WHO have recommended a shorter treatment with an all-oral regimen for Drug Resistant Tuberculosis (DR-TB), with the inclusion of bedaquiline instead of an injectable agent. However, the treatment success rate for DR-TB in Indonesia is still low. This study aimed to determine factors contributing to unsuccessful DR-TB treatment using STR in Central Java. This was a nested case-control study of 412 DR-TB patients enrolled with a Short-Term Regimen, registered in 2021 to 2023 who had treatment results in a subset of the Tuberculosis Information System cohort data. Independent variables analyzed included age, gender, patient employment status, history of previous TB treatment, DM status, HIV status, resistance pattern, initial sputum examination results, drug side effects, treatment initiation interval, body mass index, and BPJS ownership status. Statistical analysis was done using SPSS version 22 software, with logistic regression analysis to identify the determinants. The determinant of unsuccessful treatment outcome in Central Java Province which is 51.04% was the positive results of initial sputum examination of treatment (aOR=10.501; 95%CI=5.056-21.807), drug side effects (aOR=1.853; 95%CI=1,000-3.436), obesity (aOR=3.115; 95%CI=1.188-8.166) and BPJS non-possession status (aOR=2.213; 95%CI=0.932-5.255). More strategies are needed to improve the success of treatment with STR.
Mortality Among Dengue Infection Patients in Bandung City 2022 Salsabila, Diyana; Ningrum, Dina Nur Anggraini; Khasanah, Amelia Fitra; Alwi, Luqman; Andar, Nadiya Arawinda; Palgunadi, Palgunadi
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (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.v20i4.10694

Abstract

Dengue infection is caused by the dengue virus. In 2021 in Indonesia, 705 mortalities were due to dengue infection, while in 2022, 1,232 mortalities. The CFR in 2019 was 0.67%, in 2020 it was 0.69%, and in 2021 it was 0.96%. Bandung City is one of the endemic areas. In 2022, found 21 reported mortality, with a CFR of 0.47% in 2020, 0.35% in 2021, and 0.19% in 2022. Risk factors for death due to dengue infection are old age, delay in treatment, platelet count, incidence of DSS, and hematocrit value. This is a quantitative observational study using a nested case-control research design. Uses secondary data from the Bandung City Health Service. The results of this study confirmed association of mortality with age above 40 years (p-value: 0.008, OR: 6.320), high hematocrit value (p-value: 0.005, OR: 11.111), long gap between onset and diagnosis (p-value: 0.025, OR: 13.833), prolonged hospitalization (p-value: <0.001, OR: 8.125), and incidence of DSS (p-value <0.001, OR: 39.500). Low platelet count (p-value: 0.033, OR: 0.263) found to be protective. Age, hematocrit value, gap between onset and diagnosis, length of hospitalization, and incidence of DSS are risk factors for mortality among dengue infection patients.

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