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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. 2 (2025)" : 25 Documents clear
Screen Time, Anthropometric Parameter, Insulin and HOMA IR in Adolescents Widjaja, Nur Aisiyah; Arifani, Rizka; Noviyanti, Tausiyah Rohmah; Alexander, Yoppi Yeremia; Hermanto, Edi; Iitdrie, Iitdrie; Ardianah, Eva; Keya, Rino Tryanto
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.6265

Abstract

The rapid integration of digital technology into daily life, particularly among adolescents, has generated increased screen time exposure. This study investigates the effect of screen time on anthropometric parameters, insulin levels, and HOMA IR in adolescents, regarding the increasing concerns about its potential health implications. Methods: A cross-sectional study involving 131 healthy adolescents (aged 12-18) was conducted to assess an anthropometric measurements, blood investigations (lipid profile, fasting blood glucose, fasting insulin), blood pressure, and screen time assessments. Screen time was categorized as recommended, moderate, and heavy. Results and Discussion: The moderate screen time was associated with a higher risk of overweight (OR=5.643), obesity (OR=3.737), insulin resistance (OR=4.116), and metabolic syndrome (OR=2.185). Heavy screen time showed higher risks for being overweight and metabolic syndrome (OR=32.421), but did not correlate significantly with overweight or obesity. The findings suggest a significant association between screen time and adverse health outcomes in adolescents, particularly for moderate and heavy screen time. Heavy screen time demonstrated substantial risks, emphasizing the need for interventions to mitigate potential health consequences. Conclusion: Screen time has noteworthy implications on the health of adolescents, with significant associations observed on anthropometric parameters, insulin resistance, and metabolic syndrome.
Environmental Factors and Efficacy of Castor Seed Influencing Aedes aegypti Larval Presence Chahaya, Indra; Tumanggor, Winni R. E.; Arde, Lanova Dwi; Khairunnisa; Shadrina, Najwa; Purba, Lyra Caroline D
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.16069

Abstract

Dengue hemorrhagic fever (DHF) is a major global health challenge, especially in areas endemic to Aedes aegypti mosquito. This study analyzes the environmental factors influencing larval presence and investigates the effectiveness of natural larvicides from castor seed (Ricinus communis) in controlling Ae. aegypti mosquito larvae. Using a cross-sectional survey of households by purposive sampling between those located near and far from public places and a quasi-experimental study compared households in the intervention group (using castor seed powder larvicide) with those in the comparison group (not using castor seed powder larvicide) were conducted in Medan Amplas District, Medan City. The study found that location significantly impacts mosquito larvae (p = 0.045, OR 3.26, 95% CI), with households near public places at higher risk. Applying castor seed-based natural larvicide at 100 mg/L of water (p = 0.0001, OR 37.76, 95% CI 17.9-79.2) significantly reduced larvae, with a 37.76-fold higher likelihood of larval absence than the comparison group. Notably, the use of castor seed powder demonstrated exceptional effectiveness in reducing the presence of Ae. aegypti mosquito larvae. These findings highlight the potential of castor seed natural larvicides as a sustainable and environmentally friendly alternative to chemical larvicides, particularly for households near public places.
hpmA Gene as a Detection Method of Proteus mirabilis Bacteria using real-time Polymerase Chain Reaction Nurjayadi, Muktiningsih; Putri, Gladys Indira; Fitriyanti, Anisa; Declan, Jefferson Lynford; Novitasari; Abomoelak, Bassam
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.16214

Abstract

Proteus mirabilis is pathogenic bacteria that can cause gastrointestinal infections, bacteremia, and Urinary Tract Infections (UTI). Therefore, it is necessary to have a fast, sensitive, specific, and accurate detection method to identify Proteus mirabilis. This study aims to determine the confirmation, specificity, and sensitivity test of the hpmA gene primer to detect Proteus mirabilis quick and precise using the real-time Polymerase Chain Reaction method. Gradient Polymerase Chain Reaction results showed the hpmA primer has an amplicons length of 195 bp and the optimum annealing temperature at 60°C. The primer pair produced Ct value of 10.40±0.18 and showed one peak in the melting curve with Tm value of 81.84°C±0.02 by real-time PCR. Furthermore, the hpmA primer was also able to distinguish target and non-target bacteria based on the difference in Ct and Tm value formed. Based on these results, the concentration of bacterial DNA that can be detected by primers reached 3.2 pg/μL, equivalent to the concentration of target bacteria that can be detected by primers is 10.24×102 CFU. In the next step, hmpA primer will be developed to detect Proteus mirabilis in artificial contaminated samples using real-time PCR.
Work-Related Factors, Exercise Habits, and Individual Characteristics on Musculoskeletal Disorders among Indonesian Young Dentists Arti, Dwi Windu Kinanti; Prachaiboon, Tiwakron; Aprillia, Zita; Prasetio, Diki Bima
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.17220

Abstract

MSDs disorders among dentists are one of the most common complaints. This study aims to explore risk factors that can increase the incidence of MSDs among young dentists. Methods: This study used a cross-sectional design with a population of 162 who will be used as the entire sample. The questionnaire instrument contains questions about gender, age, weight, height, smoking habits, how long to sleep in a day, exercise habits, length of work and length of service. There is also a standard questionnaire , namely the Nordic Body Map to evaluate musculoskeletal disorders in individuals. Data analysis used the chi-square test and multiple logistic regression test. Results: The highest MSDs were reported to occur in the upper back (69.8 % ) followed by the lower back (67.3%) and neck (63.6%) while the lowest prevalence was reported in the ankle (8.6%). Gender, length of service, length of service and exercise habits are associated with the occurrence of MSDs. Conclusion: The prevalence of MSDs among young dentists is still high. Length of service is the most influential risk factor.  
Breeding Site Preferences and Resistance Status of Aedes aegypti in Malang City Nuryady, Moh Mirza; Purwanti, Elly; Permana, Tutut Indria; Ariesaka, Kiky Martha
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.21666

Abstract

Dengue Hemorrhagic Fever (DHF) remains a significant health challenge in urban and semi-urban regions, including Malang City, Indonesia, where Aedes aegypti is the primary vector. This study aimed to identify the breeding site preferences of Ae. aegypti and assess its resistance to 0.8% malathion and 0.05% cypermethrin insecticides. Using a descriptive observational design, ovitraps were deployed in three districts to collect mosquito larvae and eggs, and interviews with residents provided additional data on breeding site preferences. Resistance tests followed WHO guidelines, with mortality rates analysed after insecticide exposure. Results indicated that Ae. aegypti larvae were predominantly found in bathroom water tanks (45%) and flower vases (35%). Resistance status revealed geographical variability: Ae. aegypti in District 1 were resistant to cypermethrin, while populations in Districts 2 and 3 were susceptible, with average status of Ae. Aegypti to cypermethrin is tolerant. For malathion, resistance was widespread, particularly in District 3, with average status of Ae. Aegypti to malathion is resistant. These findings suggest that the use of malathion for vector control in Malang is no longer effective, while cypermethrin remains viable under strict monitoring to prevent future resistance. This study underscores the need for targeted insecticide use and regular monitoring to optimize vector control strategies and minimize DHF transmission.
Vitamin D and Lifestyle Factors in Active Smoker in Indonesia Lorensia, Amelia; Suryadinata, Rivan Virlando; Jalmav, Marthy Meliana Ariyanti; Aprianti, Pande Made Ayu; Wati, Angela Nofvianti Cahyo; Dhiba, Zahwa
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.22618

Abstract

Smoking can affect vitamin D levels in the blood. Decrease in vitamin D levels are also influenced by a person's lifestyle habits, such as smoking habits, sun exposure, food intake and physical activity. This study aimed to determine relationship between vitamin D with lifestyle factors in active smoker. This research used cross-sectional design. The subjects were adult male active smokers in Rungkut Subdistrict, Surabaya City, from October 2023 to February 2024. The sampling method was purposive sampling technique. Data collection by measurement of smoking severity (Brinkman Index (BI)), vitamin D levels in blood (serum 25(OH)D), food intake (by SQ-FFQ (semi-quantitative food frequency questionnaire) and 24 hour food recall), and physical activity (by IPAQ (International Physical Activity Questionnaire)). The relationship using Spearman method (ordinal scale). There were 47 respondents. The majority of research respondents were moderate smokers, namely 38 people (80.85%). The respondents had an average 25(OH)D level of 23.19±8.86 ng/mL. The risk of vitamin D deficiency due to lack of sun exposure were 26 people (55.32%). The average consumption of foods containing vitamin D by SQ-FFQ was 5.75±5.68 mcg/day, and 24 hour food recall was 5.77±5.72 mcg/day. Most respondents had high physical activity (70.21%) and total mean was 8210.23±4955.89. The Spearman correlation coefficient was 0.742 (smoking severity), 0.117 (sun exposure), and 0.726 (food intake by FFQ), 0.742 (food intake by 24 hours recall), and 0.824 (physical activity). Vitamin D levels had significant association on severity smoking, food intake and physical activity. However, were not related to sun exposure.
Health Beliefs and Husband’s Preparedness in Supporting Postpartum Contraceptive Use Feriani, Pipit; Krisnawati, Komang Menik Sri; Ernawati, Rini; Winarti, Yuliani
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.24085

Abstract

Use of postpartum contraceptives is critical to the prevention of unwanted pregnancies and enhancing maternal and child health. Yet, husbands’ support for the use of contraceptives is still low based on cultural beliefs and inadequate knowledge. It is important to understand how health belief influences husbands’ readiness in order to improve family planning. This study will analyze the association between health beliefs and husbands’ readiness to support postpartum contraceptive use. A cross-sectional correlational descriptive design was employed with 170 husbands of postpartum women in Samarinda, Indonesia. Consecutive sampling was used, and data were collected using validated tools modeled after the Health Belief Model (HBM) and a scale of a husband’s preparedness. The tools were found to have high reliability, with Cronbach’s alpha values ranging from 0.761 to 0.988. Data analysis included univariate descriptive statistics and Spearman’s rank correlation to quantify the relationship between preparedness and the health beliefs of husbands. Researchers found a significant positive relationship between preparedness and health beliefs of husbands in support of postpartum use of contraceptives (p = 0.01, r = 0.745). The greatest correlation was between perceived susceptibility and concern (r = 0.548, p = 0.00), then self-efficacy and concern (r = 0.534, p = 0.00). Husbands’ health beliefs play a crucial role in their willingness to support postpartum contraceptive use. Anchoring on education programs that reinforce health beliefs will enhance husbands’ participation in family planning.
Moringa Leaves-Added Food, Baby Massage, and Tui Na Massage to Reduce Stunting Rate on Young Children in Indonesia Sutrisna, Eka; Maulida, Husna; Saputra, Fauzan; Yunitasari; Ardila, Arista; Suriani; Ristiani
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.24094

Abstract

Stunting remains a significant public health issue in Indonesia, particularly in Aceh Province, where the prevalence reached 33.18% in 2021 exceeding the WHO threshold. In North Aceh District, 14.3% of children under five were stunted, with Simpang Keramat District reporting one of the highest rates (35%). This study aimed to evaluate the effectiveness of a combined intervention Moringa leaf-supplemented food within a balanced diet, baby massage, and Tui Na massage in improving the nutritional status of stunted children aged 0–2 years. A quasi-experimental pre-post design was used, involving 50 stunted children divided equally into treatment and control groups. The intervention was conducted over 2.5 months. Paired t-test results showed significant increases in weight (t24 = -6.656, p < .000) and height (t24 = -3.244, p < .003) in the treatment group compared to the control group. These findings suggest that combining dietary fortification using locally available Moringa leaves with physical stimulation through massage therapy can effectively enhance growth outcomes. Given the multifactorial nature of stunting, this study recommends that nurses and health practitioners incorporate both nutrition-based interventions and sensory-stimulating therapies to address growth delays in young children, particularly in high-risk areas such as Aceh.
Quality of Life Among Women at Menopause Marni, Marni; Farida, Siti; Husna, Putri halimu; Wahyuningsih, Wahyuningsih; Soares, Domingos; Yudhianto, Kresna Agung
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.24246

Abstract

This study aimed to examine factors related to the quality of life in women at menopause. This cross-sectional study included 53 women aged 45 to 65 who were at menopause, with self-reported good general health and not receiving hospital treatment, and were willing to participate as respondents. The Menopause-Specific Quality of Life (MENQOL) questionnaire assessed quality of life across four domains: vasomotor, psychosocial, physical, and sexual. Data analysis involved univariate analysis using frequency tables and crosstabs, bivariate analysis using correlation tests, and multivariate analysis using chi-square tests. The bivariate analysis revealed a significant association between education and quality of life (p = 0.000). Additionally, the age of menarche (p = 0.022) and income (p = 0.006) were significant factors. The multivariate analysis confirmed that both income (p = 0.021) and frequency of sexual activity (p = 0.032) significantly impacted the quality of life. The quality of life among women at menopause was influenced by factors such as education, age of menarche, income, and early menopause. Income and the frequency of sexual activity particularly affected the quality of life, specifically in the sexual domain. This research holds implications highlighting the need for targeted interventions to help women prepare for menopause and mitigate physical complaints.
Telemonitoring-Based Cardiac Care to Reduce Readmissions in Coronary Heart Disease Patients Hariyono, Hariyono; Madyawati, Sri Pantja; Romli, Leo Yosdimyati; Tan, Chin Xuan; Fauziyah, Shifa; Sucipto, Teguh Hari
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.24553

Abstract

Coronary heart disease (CHD) continues to be a leading cause of hospital readmissions, especially among elderly individuals with low educational attainment and limited understanding of health information. This research aimed to evaluate how cardiac care management influences the frequency of hospital readmission in patients diagnosed with CHD. Employing a quasi-experimental method with a one-group pretest-posttest design, the study involved 100 participants at Jombang Hospital, chosen through purposive sampling. Information regarding readmission rates was gathered before and after the intervention using structured questionnaires and assessed through the Wilcoxon signed-rank test. Before receiving the intervention, 25% of patients had been readmitted more than twice, while none avoided readmission altogether. Following the management program, only 5% experienced multiple readmissions, and 25% reported none. The statistical outcome demonstrated a significant difference (p = 0.002), proving that cardiac care interventions consisting of educational support, family involvement, and consistent follow-up effectively decreased patient readmission. Most participants were aged between 61 and 75, male, and had only completed elementary school, all of which are factors associated with poor disease self-management. This trial confirms that integrated cardiac care management greatly improves the outcomes of recovery and decreases the risk of rehospitalization in CHD patients.

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