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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. 21 No. 1 (2025)" : 25 Documents clear
In Silico and In Vitro Approach of Preeclampsia Prophylaxis from Water of Kalianda Kopyor Fitriana, Fitriana; Soetrisno, Soetrisno; Sulistyowati, Sri; Indarto, Dono
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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.v21i1.3468

Abstract

Preeclampsia (PE) stands as a prominent cause of maternal mortality in developing nations, yet a standardized therapy for PE has not been established. Some pregnant women in Lampung have consumed the water of young kopyor coconut fruit from the Kalianda variety (WKK), although its therapeutic effects remain unexplored. This study aimed to investigate WKK phytochemicals through in vitro and silico analyses. Liquid Chromatography-Mass Spectrometry (LCMS) was employed for phytochemical analysis, while an in silico study involved Autodock, Autodock Tools, Autodock Vina, Biovia Discovery Studio 2020, and Open Babel GUI, alongside pharmacokinetics prediction using the pkCSM strategy. The study assessed the inhibitory potential of WKK on Gentiatibetine and curcumenolacto C, targeting the PE ACE2 receptor (1R24) through molecular docking with the 3D structure. Post-docking analysis, including binding affinities, hydrophobic interactions, and pharmacokinetic predictions, was conducted. WKK exhibited relatively low binding affinities for Gentiatibetine (-4.86 kcal/mol), curcumenolactone C (-2.96 kcal/mol), and aspirin (-5.12 kcal/mol). Multiple hydrophobic interactions were observed, such as Van der Waals, Salt Bridge, Conventional Hydrogen Bond, Alkyl, 162, and Lys 129. The receptor IR displayed a high bond-free energy, like aspirin docked with the same gene receptor. Pharmacokinetics predictions indicated that WKK possesses a favorable profile. In conclusion, WKK phytochemicals demonstrated a notable docking score comparable to aspirin, suggesting its potential for preventive therapy use.
Demographic Factors and BMI on Declined Lung Function and Vitamin D Levels in Active Smokers Laksono, Pandu; Lorensia, Amelia; Wijono, Heru
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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.v21i1.4547

Abstract

Cigarettes are one of the causes of health problems in the world. Smoking has been known to have a direct impact on reducing lung function. Smoking increases the risk of vitamin D deficiency. Vitamin D is a vital nutrient as a lung immunomodulator. Deficient levels will cause problems with lung health, especially in active smokers. This cross-sectional research using multivariate path analysis and the SEM-PLS method has three objectives. The direct influence of three independent variables, including obesity, smoking, and demographics. Regarding vitamin D status and lung function, analyzing the direct effect of vitamin D on lung function, and thirdly, analyzing the indirect one of the three independent variables on lung function through vitamin D levels. This research took time from October 2023 to January 2024 and involved 47 active smoker respondents whose vitamin D level status and lung function were measured. There was a significant direct effect of obesity level on vitamin D levels in the active smoker population (p<0.05;f-square=2.889). While demographic factors (p>0.05;f-square=0.030) and smoking frequency (p>0.05;f-square=0.003) did not have a direct significant effect. Demographic factors, obesity, and smoking frequency don’t have significant direct effect on lung function in active smokers (p>0.05).
Household Wood Fuel Usage and Lung Cancer Predictor Symptoms in Primary Care: A Retrospective Cross-Sectional Study for Lung Cancer Early Detection Wangsa, Adriel Wiemputra; Pamungkasih, Wahyu
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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: 10.15294/0c6ksf18

Abstract

Biomass fuel combustion is a major contributor to household air pollution, posing risks to various health concerns, including lung cancer (LC). In Yogyakarta, 13.68% of households still depend on firewood as their primary source of cooking fuel. This retrospective cross-sectional study involved 302 patients attending the outpatient department at Pundong District Health Centre between July and August 2023. The primary outcomes were the number of reported LC predictor symptoms and LC suspicion referral status, based on the NG12 referral criteria. Wood fuel usage (WFU), respiratory disease history, and smoking history were the independent factors. Significant symptoms associated with high-risk WFU were cough (OR = 3.16, p < 0.001), dyspnoea (OR = 3.66, p = 0.001), fatigue (OR = 2.26, p = 0.016), and weight loss (OR = 4.46, p = 0.043). WFU and respiratory disease history were significantly associated with the number of LC predictor symptoms (p < 0.001). WFU, respiratory disease history, and smoking history demonstrated a significant relationship with LC suspicion referral status (p < 0.001). This study highlights the association between WFU and LC predictor symptoms, as well as the need for LC suspicion referral in limited resources settings. Further research is needed to validate the LC predictor symptoms with radiologic findings and final diagnosis.
The Double Burden: A Bibliometric Analysis on Tuberculosis with Diabetes Mellitus Comorbidity Machrumnizar, Machrumnizar; Bachtiar, Adang; K. Kusumaratna, Rina
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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.v21i1.10742

Abstract

Many studies have been conducted independently and collaboratively to find effective ways to control TB. However, the prevalence of TB continues to increase, especially in low- and middle-income countries. This study highlights the breadth of research conducted worldwide and collaborative networks over the past decade. Between 2003 and 2023, 410 research articles on TB with comorbid diabetes were analyzed using the Scopus database, with an annual growth rate of 7.18%, reaching its peak in 2022. The keywords “tuberculosis” and “diabetes mellitus” were found to have a total link strength of 2895 and 3101, respectively. The most published articles on TB-DM were published in the International Journal of Tuberculosis and Lung Disease (23). Babu, Subash (23) authored the most TB-DM article publications. The National Institute for Research in Tuberculosis is the most productive affiliation (12), making India the country with the most published articles. Still, the Netherlands led in average article citations (32.8%), and the United States has the most collaborative link country (324). Visualization of the co-occurrence and co-authorship networks was conducted using R-Studio and VOS-Viewer. The study highlights the rising tuberculosis and diabetes incidence, identifies research trends, disparities, and bidirectional control innovations, providing valuable insights for policy recommendations.
Mineral Content and Antioxidant Capacity of Cookies Formulated with Spinach and Pangas Catfish Mashar, Harlyanti Muthma'innah; Mahalia, Lamia Diang; Damiti, Sukmawati Ahmad
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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/qh9vdp63

Abstract

Spinach is a leafy green vegetable that contains various nutrients and antioxidant compounds. Meanwhile, Pangas catfish contains calcium and minerals that are very good for health. Spinach and Pangas catfish can be utilized as raw ingredients to manufacture functional food products in the shape of cookies, increasing the nutritional value and antioxidant content of the cookies to increase the fulfillment of food and public health needs. This research was conducted from February to July 2024. Cookies were prepared with three variations of spinach flour to Pangas catfish flour ratio designated as F1 (45:15), F2 (30:30), and F3 (15:45). Analysis of mineral, vitamin C, TPC, TFC, and antioxidant activity was performed on each cookie formula. The study results showed that the mineral content in terms of potassium and calcium was in the range of 323.538 to 671.186 mg/100g and 44.307 to 93.006 mg/100g, respectively. Meanwhile, the bioactive compounds in the form of vitamin C, TPC, and TFC were in the range of 9.92 to 20.02 mg/100g, 16.74 to 24.97 mg GAE/g, and 32.55 to 110.84 mg QE/g, respectively, and the antioxidant activity was 8.11-17.84%. The cookies prepared using the formula F1 showed significant content of minerals, i.e., potassium and calcium, vitamin C, TPC, TFC, and significant antioxidant activity. These cookies have the potential to be developed as a functional food product that is rich in nutrients and antioxidants to better meet the nutritional and public health needs.
Gender-Based Violence against Men and Women Warsiti, Warsiti; Rosida, Luluk; Putri, Intan Mutiara; Fajarini, Nurbita
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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.v21i1.13707

Abstract

Based on data from the Indonesian National Commission on Violence Against Women (INCVAW/Komnas Perempuan) from 2007 to 2019, there was a very significant increase in cases of Gender-Based Violence (GBV), reaching eightfold (792%). The majority of GBV victims are women, but men can also be potential victims. However, most research on GBV focuses only on women. Gender-based violence has short-term and long-term impacts on physical and mental health. Female victims of GBV usually experience anxiety, depression, post-traumatic stress disorder (PTSD), and even suicidal thoughts. This study aims to provide an overview of GBV that occurs in both men and women. This study is based on data on reported cases of violence obtained from the Women’s Empowerment and Child Protection Service (WECPS/DP3A) of Sleman Regency, Yogyakarta, for the period 2020-2024. Of the 1,001 reported GBV cases, 817 (81.6%) victims were women and 184 (18.4%) were men. The majority of female victims of GBV are of reproductive age (19-44 years), while the majority of male victims are adolescents (11-18 years). There is a significant relationship between gender, location of the incident, and the type of violence experienced. Currently, both men and women experience violence in the public sphere (50.5% and 53.2%, respectively). Psychological violence is the most common experience for both sexes. Men mostly experience neglect, exploitation, and other forms of violence. Meanwhile, women mostly experience physical, sexual, and human trafficking violence. Innovation in reporting forms that are easily accessible to the public is also needed to facilitate victims seeking help.
Strategies for Child Marriage Prevention in Indonesia: A Case Study Fitriahadi, Enny; Nguyen, Thuy Hong; Suryaningsih, Endang Koni; Wahyuntari, Evi; Satriyandari, Yekti
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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.v20i3.13732

Abstract

Early marriage is a complex social problem, with many girls marrying before the age of 18. In Indonesia, child marriage data in 2021 increased by 30%. This figure indicates that early marriage remains a significant challenge in Indonesia, in terms of education and health. This study aims to explore perceptions about child marriage and provide insight into the dynamics of decision-making around child marriage in Dlingo and Dukun, Indonesia. Qualitative research methods were used to ensure an in-depth understanding of the reasons and processes behind child marriage. Data were collected through 12 focus group discussions (FGD), 20 in-depth interviews (IDI), and 6 semi-structured key interviews (KII) informants. The instrument used a semi-structured guideline, using individual interview techniques. Data analysis used Nvivo version 12. This study concluded that families use child marriage as a protection strategy in response to economic insecurity. In addition, this program is also used as a means to protect young women from sexual exploitation and prevent consensual sex before marriage. Early marriage is associated with the vulnerability of pregnancy complications, while the recommendation is to provide comprehensive education to adolescents about reproductive health and the dangers of early marriage.
Menopause: Mental Health, Health Issues, and Coping Strategies. A Qualitative Study Mamnuah, Mamnuah; Ramdani, Wawan Febri; Kartini, Farida; Astuti, Dhesi; Retnaningdiah, Dian; Wantonoro, Wantonoro
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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.v21i1.13733

Abstract

Menopause marked a transformative phase in many women’s lives, often accompanied by complex physical, emotional, and social challenges. This study aimed to explore how women in Yogyakarta experienced and managed menopause, shedding light on their unique coping strategies and support systems. A qualitative design employed purposive sampling to recruit women aged 45 to 55, ensuring diverse and relevant experiences. In-depth, face-to-face interviews were conducted and analyzed thematically to uncover underlying patterns and meanings. Four major themes emerged: physical and emotional changes, adaptation strategies, social support dynamics, and shifts in sexuality. Women reported symptoms such as sleep disruption, fatigue, and mood instability, and adapted by seeking information and modifying their lifestyles, although resources were often insufficient. Family and community support provided essential emotional relief, while changes in intimacy required communication and adjustment. These findings highlighted the need for holistic menopause management that integrates physical, emotional, and relational support.
Organizational Factors Affecting Adoption of Electronic Medical Record (EMR) with Moderation of Openness to Experience Lee, Jemimah Kezia; Antonio, Ferdi
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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.v21i1.13796

Abstract

Adopting electronic medical records (EMR) in type C hospitals is essential for improving patient quality and safety. However, resistance within the healthcare industry and reluctance to accept new technologies present significant barriers. This delay in EMR implementation affects the quality of patient care and public health. This research aims to analyze the organizational factors that influence the adoption of Electronic Medical Records (EMR). There are six independent variables related to the organization, namely Management Support, Adequate Training, Patient Safety Climate, Physician’s Involvement, Physician’s Autonomy, and Patient Relationship. These variables are related to two mediating variables from the Technological Acceptance Model (TAM) theory, Perceived Usefulness and Perceived Ease of Use, which directly influence EMR adoption, moderating by Openness to Experience. The method used in this research was a survey of medical health workers whose work was related to EMR. Cross-sectional data were taken from 205 respondents from two type C private hospitals in December 2023. The data analysis method used was Partial Least Squares-Structural Equation Modeling (PLS-SEM). The research findings show sufficient evidence to state that all independent variables have a significant and positive influence on Perceived Usefulness and Perceived Ease of Use (P-value <0.05, CI 95%). The strongest influence was found in Patient Relationship (β=0.501) and Patient Safety Climate (β=0.404). The results of this research can provide suggestions for improving patient conditions and illnesses, thereby enhancing the quality of care and benefiting the overall health of communities through the implementation of EMR.
Identification and Treatment for Depressive Disorder: Descriptive Study from Indonesia Dharmady Agus; Hardi, Nicholas; Fransisca Theresia; Aila Johanna; Rima Sisca Fanuela; Ika Suswanti
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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.v21i1.14298

Abstract

Access to professional mental health services was low worldwide, especially in lower-middle-income countries. Indonesia encounters several challenges in providing adequate mental health care. Poor detection could reduce the treatment coverage. This study aimed to determine how many individuals with depression recognize their condition or receive an appropriate diagnosis, as well as the types of treatments they receive. We analyzed secondary data from the Indonesian Family Life Survey 5th edition (IFLS-5), which included socio-demographic data, levels of well-being, subjective experiences of mental health issues, and treatment information. We found that 6,645 respondents (22.8%) exhibited significant depressive symptoms, yet only 15 respondents (0.1%) reported having a lifetime psychiatric disorder that met the criteria for depression. Most lifetime psychiatric diagnoses (LPD) were made by doctors (93.3%). A significant portion of respondents with a history of psychiatric disorders did not receive any treatment (70.5%), and among those who did, medication was the most common approach. There was considerable gap between the identified significant depressive symptoms and LPD, warranting further exploration. Low detection rates and stigma, potentially linked to Indonesian culture and perceptions of mental health, may underlie these issues. A variety of treatment options must be available and accepted to be beneficial for patients.

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