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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
Digital Therapy Versus Traditional Care for Maternal Mental Health: Meta-Analysis of Psychotherapy RCTs Audina, Angelina; Trias Mahmudiono; Siti Rahayu Nadhiroh; Emyr Reisha Isaura
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.v21i1.14477

Abstract

Perinatal mental health issues, particularly depression and anxiety, pose critical challenges to maternal and children’s well-being. It has been reported that psychological distress affects approximately 20.7% of prenatal and 17% of postnatal mothers, attributed to multifaceted emotional, physiological, social, and interpersonal transitions during the perinatal period. Accessibility of digital technologies has increased, prompting innovative approaches to prevention and treatment. This study aims to evaluate the effectiveness of digital psychotherapy interventions compared to traditional care in addressing perinatal mental health outcomes. A comprehensive literature search conducted between September and October 2023 across Scopus, PubMed, and Web of Science databases yielded eleven eligible randomized controlled trials (2017-2023). Meta-analytic findings using Review Manager 5.4 demonstrated significant reductions in anxiety (SMD: -0.41; 95% CI: -0.67 to -0.15; p = 0.002) and depressive symptoms (SMD: -0.41; 95% CI: -0.54 to -0.27; p < 0.00001) through digital interventions compared to traditional care. Future research directions should prioritize developing engaging interventions, possibly incorporating animation and virtual environments, while considering population-specific factors and optimal intervention duration.
Benzene, Toluene, Xylene Levels and Subjective Complaints in Shoe Workshops Ashar, Taufik; Santi, Devi Nuraini; Naria, Evi
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.v21i1.14960

Abstract

The demand for shoes must be met by the worldwide shoe manufacturing business, but the inhalation dangers associated with its chemical processes—which use benzene, toluene, and xylene (BTX)—raise health issues for workers. Initial surveys showed that most shoe manufacturing workshops do not have adequate ventilation. Most workers often complain of symptoms such as coughing, shortness of breath, and headaches. This study examined the relationships between worker symptoms and chemical levels at shoe factories in Medan, Indonesia, in 2017. This was an observational cross-sectional study. The total population was 72 workers in shoe workshops in the small industrial center area in Medan city. The sample size in this study was 47 people in seven shoe workshops. BTX concentrations were measured in seven workshops. Statistical tests used in this study were chi-square test and Fisher’s exact test with a significance level of p<0.05. According to the findings, the most common symptoms among employees were coughing (40.4%), dizziness (55.3%), and eye discomfort (55.3% of respondents). The range values were 0.09 ppm to 2.83 ppm, 1.20 ppm to 178.98 ppm, and 0.11 ppm to 50 ppm for benzene, toluene, and xylene, respectively. The two compounds most commonly exposed to levels exceeding the ACGIH (American Conference of Governmental Industrial Hygienists) threshold level value were toluene (55.3%) and benzene (25.5%), according to ambient readings. Of the workshops that were inspected, only two (28.57%) had a functional ventilation system. Exposure to benzene exceeding the quality standard showed a significant association with dizziness (p = 0.003) and watery eyes (p = 0.003). Meanwhile, exposure to toluene exceeding the permissible limit was significantly associated with dyspnea (p = 0.005). Our research showed that over half of the workforce reported subjective complaints and that levels of benzene and toluene exceeded recommendations for occupational exposure.
Infertilization of dengue vector (Aedes aegypti) with Bromelin Solution and Extract From Ananas comosus Isnawati, Isnawati; Muhammad Ir'fai; Ferry Kriswandana; Wanti Wanti; Muhammad Pahruddin; Ridha, Muhammad Rasyid
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.v21i1.15261

Abstract

Dengue fever remains a significant public health problem in the tropics, with Aedes aegypti as the primary vector. Insecticide resistance among mosquitoes has been increasing, so an environmentally friendly alternative approach with biolarvicides is needed. This study aimed to evaluate the effects of bromelain and pineapple (Ananas comosus) extracts on the reproductive parameters of Aedes aegypti. Experiments were conducted in a controlled laboratory, where mosquitoes were exposed to various concentrations (0% to 10%) of bromelain and pineapple extracts. The number of egg production, hatching rate, and lifespan of adult mosquitoes were measured. Our results showed Bromelain, especially at higher concentrations, significantly reduced egg production, hatching rate, and longevity compared to the control and pineapple extract. At 6% and 8% bromelain concentrations, egg production and hatchability were very low, and mosquito lifespan was reduced. Pineapple extract also showed an inhibitory effect on egg production, although less consistently than bromelain. The sugar solution used as a control produced more eggs and live longer. In conclusion, bromelain from Ananas comosus showed promising insecticidal potential by reducing mosquito fertility and longevity, indicating its utility as an alternative vector control strategy for managing dengue outbreaks.
Multifactorial Risk Factors of Hypertension in Patients Aged 45-55 Years in Kota Kotamobagu: A Cross-Sectional Study Ake Royke Calvin Langingi; Grace Irene Viodyta Watung; Sudirman, Sudirman; Mareyke Yolanda Lusia Sepang; Sibua, Siska; Ignatia Yohana Rembet
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.v21i1.20561

Abstract

Hypertension in adults aged 45-55 years has a significant impact on heart health and morbidity. Hypertension is estimated to affect 1.56 billion people by 2025 and become a leading cause of death. In Indonesia, the prevalence is 18.7% in the 45-54 age group, with North Sulawesi ranking third highest. In Kotamobagu, hypertension ranks second among non-communicable diseases with 24,956 cases. This high number emphasizes the importance of prevention and control. A deep understanding of modifiable risk factors is needed to develop effective prevention strategies. This study aims to identify the primary risk factors that influence the prevalence of hypertension in the adult population of Kotamobagu City. This descriptive-quantitative study used an analytical observational study design with a cross-sectional technique. The study was conducted in Kotamobagu City, North Sulawesi Province, Indonesia, from July to August 2024. This study used an analytical observational design with a cross-sectional method, data collection using a digital sphygmomanometer to measure blood pressure, an Easy Touch GCU Meter to analyze dyslipidemia and blood sugar levels, and a questionnaire to assess physical activity, diet, salt consumption, alcohol consumption, and smoking habits. The sample consisted of 388 hypertensive patients selected using the Slovin Formula, and the statistical analysis used was chi-square. The results showed that diet, dyslipidemia, obesity, high salt consumption, alcohol, and smoking were significantly correlated with hypertension. Based on the odds ratio, the factors that had the strongest relationship with the incidence of hypertension were poor diet (OR = 1.53), dyslipidemia (OR = 1.49), and excessive salt consumption (OR = 1.46).
Families at Risk of Stunting and the Prevalence of Stunting in Indonesia: An Ecological Study Rico Kurniawan; Lina Widyastuti; Sudibyo Alimoeso; Siti Fathonah; Diaini, Meindy; Muhammad Kodir; Welcy Fine; Okky Assetya Pratiwi; Fadhilah, Hafsah Farah
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.v21i1.20978

Abstract

Stunting remains a critical public health challenge in Indonesia, impacting child growth, cognitive development, and long-term productivity. The government has prioritized interventions targeting families at risk of stunting to reduce its prevalence. This study examines the relationship between families at risk of stunting and stunting prevalence in Indonesia by an ecological study design. Data were analyzed at the district/city level using correlation analysis to assess key risk factors. The findings indicate that inadequate access to safe drinking water, poor sanitation, substandard housing, and reproductive health risks among women of reproductive age are significantly correlated with higher stunting prevalence (p<0.05). The correlation coefficients for these factors are 0.14, 0.19, 0.17, and 0.33, respectively. Furthermore, a one percent reduction in families at risk of stunting is associated with a 0.19 percent decrease in stunting prevalence (R² = 16%). These results highlight the need for comprehensive interventions addressing environmental, socio-economic, and maternal health factors. Strengthening policies that improve access to clean water, sanitation, and maternal health services is crucial to accelerating stunting reduction efforts in Indonesia. Prioritizing families at risk can enhance the effectiveness of government strategies in achieving national stunting decrease targets.
Strategies to Improve the Performance of Medical Record Officers Through Structural Equation Model Analysis Tawil, Muhamad Risal; Anita, Anita; Leo, Muarif; Kuswinton, Kuswinton; Teheni, Muhammad Tasjidin; Fatmala, Wilda; Sinta, Niska Salsiani; Rongre, Yohanis
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.v21i1.21183

Abstract

This study intends to develop a performance model for hospital medical staff by analyzing the influence of work meaning and servant leadership on job performance, as well as testing the mediation role of employee gratitude and work engagement, including measuring the impact of all variables if tested simultaneously. Some previous empirical studies have stated that servant leadership has a 67% effect on improving employee performance, but other studies show the opposite. The respondents of this study were 323 medical record officers from private hospitals in Makassar City. This study uses a factorial correlation design that was tested using the Statistical Program for Social Science (SPSS) and Analysis of Moment Structure (AMOS) version 22. The study results show that employee gratitude significantly strengthens the relationship between servant leadership and job performance. In addition, work engagement has proven to be a suitable catalyst for the relationship between meaningful work and job performance. Developing dimensions and indicators of servant leadership, meaningful work, employee gratitude, work engagement, and job performance from the perspective of employee interaction with the organization is valuable in strengthening social exchange theory in the health sector. This study also suggests that hospital management should always maintain employee gratitude and employee work engagement as an effective strategy for improving the performance of hospital medical record officers.
Sociodemographic Factors and Adolescent Attitudes Towards Family Planning Programs Related to Adolescent Marriage in Bali Province Seri Ani, Luh; Sumiati, Luh Nyoman; Ayu Dwi Utami Ds, Ni Kadek
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.v21i1.22328

Abstract

Adolescent marriages in Bali Province are reported to be increasing. Sociodemographic factors and adolescents’ attitudes toward family planning programs are suspected to be related to adolescent marriage. Therefore, this study aims to analyze the relationship between demographic factors of adolescents’ attitudes toward family planning programs and the ideal age of marriage for adolescents. This study uses secondary data from the Program Performance and Accountability Survey of the National Population and Family Planning Agency of Bali Province in 2019. Cross-sectional studies were conducted among adolescents aged 10-24 years. The probability of selecting 668 adolescents for this study was determined using the proportional-to-size method. An adolescent’s marriage is determined based on the adolescent’s perceptions of the age of marriage before 21 years. Logistic regression tests were conducted to determine the relationship between access to information and the perception of marriage among adolescents. It was found that 87.9% of the adolescents perceive the age of marriage for women as≥ 21 years. Based on the results of the multivariate analysis, gender, rural residence, and access to information on family planning programs, adolescents’ attitudes toward FPPs and attitudes toward marriage before 21 years of age were associated with adolescents’ marriage. Factor demographic factors and adolescent attitudes increased the perception of the ideal age for marriage among adolescents. This finding suggests that demographic factors should be considered to increase the ideal age for adolescent marriage to further prevent the incidence of health and social problems resulting from child marriages.
Anemia in Pregnancy Based on Rural and Urban Areas Wulandari, Catur; Putri, Pratiwi Hariyani; Mutiarani, Anugrah Linda; Nuriannisa, Farah; Hisbullah, Farda Jamalia; Mabruroh, Farah Nur Laily; Lu'luah, Jauharotul; Solekha, Miftakhul
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.v21i1.22585

Abstract

From 2013 to 2018, the proportion of anemia in pregnant women in urban and rural areas increased from 37.1% to 48.9%. This study aims to analyze the differences in determinants of anemia in pregnancy based on place of residence. Research was conducted in 2024. The research sample in rural areas was 39 pregnant women with anemia, and in urban areas was 31 pregnant women with anemia. Ratio scale data, including nutritional intake, is tested for normality with the Kolmogorov-Smirnov test, then tested using the t-independent test. Other variables are tested using the Mann-Whitney test. Regarding the various determinant factors studied, including the age of pregnant women, nutritional status, and gravida status, there is no significant difference (p-value > 0.05) in pregnant women with anemia in rural and urban areas. There is a significant difference (p-value < 0.05) between nutritional knowledge, food expenditure, and nutritional intake in pregnant women with anemia in rural and urban areas. Based on the determinant factors of anemia in pregnancy studied, food expenditure, nutritional knowledge of pregnant women, protein, iron, and vitamin C intake in pregnant women with anemia in rural and urban areas differ significantly.
Building a Culture of Patient-Centered Care and Its Impact on Hospital Performance Polla, Johanes; Prabowo, Harjanto; Sutoto, Sutoto; Abdinagoro, Sri Bramantoro
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.v21i1.23396

Abstract

The objective of this research is to examine the connection between hospital performance and customer centricity, focusing on the adoption of Patient-Centered Care (PCC) practices. This study explores how customer-centric approaches influence key performance indicators (KPIs) in healthcare organizations to highlight the benefits of fostering a patient-centered care culture. A mixed-methods approach combines qualitative case studies with quantitative data analysis. Data were collected through questionnaires and interviews with patients, administrators, and healthcare providers from selected hospitals. The quantitative aspect involved statistical analysis of financial performance, readmission rates, and patient satisfaction scores. The qualitative component included in-depth interviews capturing the perspectives of those implementing PCC. Findings reveal a significant positive correlation between hospital performance and customer-centric strategies. Hospitals that actively adopted PCC had lower readmission rates, higher satisfaction scores, and better financial outcomes. Qualitative insights further underscore the importance of organizational culture, staff development, and leadership commitment in successful PCC implementation. The research concludes by offering specific strategies healthcare organizations can adopt to enhance customer-centricity and achieve improved performance outcomes.
Community Engagement Approach to Successful Malaria Elimination in Kulon Progo District Heru Subaris Kasjono; Yamtana; Sugianto; Ratna Etika Sintawati
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.v21i1.24999

Abstract

This study, conducted in October–November 2024 in Kulon Progo Regency, Indonesia, explores a model of community engagement in supporting malaria elimination in high-case areas. Although malaria remains prevalent in eastern Indonesia, cases continue to occur in Java, including Kulon Progo. Using mixed-methods sequential exploratory design, this study combined qualitative and quantitative approaches. Data was collected through observations, interviews, focus group discussions (FGDs), and questionnaires, involving 200 participants—comprising 100 village officials and 100 community health cadres and members. Quantitative data were analyzed using univariate analysis and path analysis. Findings revealed that knowledge and attitudes significantly affect community participation in malaria elimination activities, such as mosquito breeding site eradication and clean-up programs. The path coefficient score (13.93) indicates that community engagement has a strong influence on environmental improvement. Moreover, cross-sector collaboration enhances program effectiveness. This engagement model demonstrates significant potential in strengthening sustainable malaria elimination efforts in endemic-prone areas.

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