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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 151 Documents
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Can Sleep Quality Be the Intervening Factor of Personality Data to Occupational Fatigue? David Kusmawan; M.Doddy Izhar; Fatma Lestari; Budi Aswin
Jurnal Kesehatan Masyarakat Vol. 21 No. 4 (2026)
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.v21i4.3787

Abstract

 Fatigue during work among oil and gas employees can have dangerous effects on well-being, economics, safety, and health. This cross-sectional survey was conducted in July and August of 2022 at two national oil and gas companies located in Muara Jambi and Jambi City. A convenience sample of 116 respondents was selected in total. To address the study hypotheses, partial least squares-structured equation modelling (PLSSEM) was employed. This study aims to determine the relationship between the risk of job weariness among Indonesian oil and gas workers in Jambi Province and the direct and indirect impacts of mental workload, sociodemographic characteristics, and sleep quality. Personality data has a significant and negative direct impact on occupational weariness at alpha 5% and with a path value of -0.203 (p-value: 0.047), corroborating the earlier hypothesis. For the second hypothesis, the path coefficient value of 0.462 (p-value: 0.000) clearly shows that sleep quality has an impact on occupational weariness. In order to improve sleep hygiene and address personality factors like age and length of employment, fatigue risk management strategies can be combined with those that are currently being used to control job tiredness. 
Malaria Cases in Jayapura District, Mimika District, and Jayapura City, Papua 2023 Nisa Fauziah; Leonard H Jososudarmo; Budi Sujatmiko; Naufal Fakhri Nugraha; Jontari Hutagalung
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
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.v21i3.18045

Abstract

Papua has been known as the highest number of cases of malaria in indonesia; however, there has been a little shortage of studies on the distribution of the malarian cases in the area. Lack of studies on distribution and proportion of malaria cases in Papua region can affect the surveilance of malaria, therefore this study is carried out. This is a descriptive study with explorative research design, observation approach on secondary data, and analysis with the help of Geographic Information System (GIS). Population of the study is all malaria patients recorded in 8 health facilities in Mimika District, Jayapura District, Jayapura City between March and May 2023. The results shown total malaria patients is 128 people with various proportion of demographics aspects including age, sex, ethnicity, duration of stay, health care facilities. Propotion of malarian cases by the Plasmodium species, health care facilities distribution, and months recorded was also obtain with the highest number of malaria cases is caused by Plasmodium falciparum (44,53%), found in Mimika District and according in healthcare facilities is Primary Health Care (PHC) Mimika, and found in March. It is also found there is an increase of cases from March to May in Mimika District. The distribution of cases vary can be caused by difference of geographical condition, sanitary condition of the area, area’s climate, proportion of ethinic, people’s activities, and risk factors.
A Systematic Review Of The Factors Influencing Successful Vaginal Birth After Cesarean Fatimah Azzahra; Sri Endah Rahayuningsih; Anita Rachmawati; QORINAH ESTININGTYAS SAKILAH ADNANI; VICTOR ABIOLA ADEPOJU
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
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.v21i3.22873

Abstract

Background: This systematic review explores factors influencing the success of Vaginal Birth After Cesarean (VBAC) in response to increasing global cesarean rates. VBAC reduces the need for repeat cesareans and associated risks. Purpose: To identify key medical, psychological, and institutional factors affecting VBAC outcomes. Methods: A total of 21 studies were reviewed from PubMed, ScienceDirect, and Google Scholar using PRISMA-ScR criteria. The analysis focused on maternal age, previous vaginal birth, cervical dilatation, healthcare access, and psychosocial support. Results: Successful VBAC was linked to younger maternal age, prior vaginal birth experience, spontaneous labor onset, and adequate cervical dilatation at admission. Psychosocial support, including family encouragement and professional guidance, significantly influenced VBAC decisions. Hospital policies promoting VBAC and ensuring access to emergency services further enhanced success rates. Conclusion: Medical, social, and institutional factors significantly affect VBAC success. Establishing standardized guidelines and providing improved counseling are essential to support women’s choices during childbirth. Future research should focus on large, diverse populations to confirm predictors and assess long-term outcomes compared to repeat cesareans.
Enhancing Digital Health Services in ASEAN Countries: Comparison of Indonesia, Singapore, and Thailand Milla Herdayati; Popy Yuniar
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
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.v21i3.23162

Abstract

Digital health is transforming healthcare globally, with ASEAN nations like Singapore, Thailand, and Indonesia showing diverse progress. This study analyzes and compares their digital health services to pinpoint best practices and improvement areas. Employing a mixed-methods approach involving literature reviews, policy analysis, and data gathering on infrastructure and service adoption from government and academic sources, the research focuses on governance, investment, infrastructure, and service uptake. Findings reveal Singapore as a digital health frontrunner due to its strong governance, substantial investment, advanced infrastructure, and high adoption. Thailand shows progress but grapples with decentralized governance and urban-rural divides. Indonesia's developing sector faces fragmented governance, limited investment, and infrastructure deficits. The study underscores the importance of centralized governance and robust investment for successful digital health implementation, highlighting Singapore's cohesive strategy as a beneficial model. Thailand and Indonesia need to enhance policy consistency and infrastructure development to improve the effectiveness of digital health services in ASEAN. Ultimately, advancing digital health in ASEAN necessitates a comprehensive strategy encompassing strengthened governance, increased investment, better infrastructure, and greater public awareness, drawing lessons from successful models to improve regional healthcare access and quality.
Malnutrition Due to Climate Change in West Sumatra using Structural Equation Modeling with Partial Least Square Approach Defriani Dwiyanti; Eri Barlian; Abdul Razak; Indang Dewata; Nurhasan Syah; Muchsin Riviwanto; Abdi Iswahyudi Yasril
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
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.v21i3.23931

Abstract

The Climate change exacerbates people’s access to nutritious food and the risk ofmalnutrition, especially for vulnerable groups. West Sumatra’s stunting rate in2022 is above the national average. It is necessary to know the factors that influencemalnutrition. The study uses primary data with a questionnaire on heads of farmerand fisher families in areas vulnerable to climate change in West Sumatra, Indonesia,in 2024. We took a probability proportionate size sample of 305 and analysed it using Structural Equation Modelling with Partial Least Squares. The results showed a malnutritionincidence of 76.4%. Environmental health directly influenced infectious diseases,which in turn affected malnutrition, resulting in a large total effect of 0.113 (11.3%).Environmental health indirectly impacts malnutrition through disease, resulting in asubstantial total effect of 0.309 (30.9%). Adaptation had a direct effect on malnutritionand a large total effect of 0.197 (19.7%). Dietary patterns do not have a significant effect onmalnutrition. Adaptation to change includes reducing the incidence of infectiousdiseases and improving access to sanitation.  We need adaptation strategies to enhanceenvironmental health and manage infectious diseases.
Towards Interprofessional Education and Collaboration to Improve Students’ Competences RR Sri Endang Pujiastuti; Emy Rianti; Oktia Woro Kasmini Handayani; Irma Muslimin; Madiha Mukhtar; Runjati; Sherly Meitasari; Ike Puspitaningrum
Jurnal Kesehatan Masyarakat Vol. 21 No. 4 (2026)
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.v21i4.29508

Abstract

Interprofessional education collaboration (IPE/C) among undergraduate students is a pivotal learning experience to build comprehensive competencies in a better understanding of communication, teamwork, and the roles of different professions. This study aimed to investigate the interprofessional education collaboration among nursing students in clinical nursing practices, with a descriptive quantitative research design. A total of 69 undergraduate nursing students participated who had experienced interprofessional practices in 2024. Data were collected using a structured, selfadministered questionnaire adopted from the Psychometric Evaluation of Interprofessional education collaboration Competency Tool (PEIEC). The result of this study showed the highest professional identity, 43 (62%), and other competences 38% regarding teamwork, roles, responsibility, and communication. The findings revealed generally positive exploring very good competences (54%) for doing team collaboration and good competences for others, including communication (26%) and 20% (professional identity). IPE/C has been widely studied and recognized for its benefits in healthcare education and practice. IPE/C has been reported as pivotal in preparing students for the health workforce, where teamwork is an essential competency required for practice. Numerous studies have demonstrated that IPE/C fosters interprofessional collaboration, reduces barriers and preconceptions among different healthcare student groups, and enhances professional competencies. In conclusion, the Interprofessional education collaboration is essential to advancing competencies, enhancing collaboration, and contributing to better patient care outcomes 
Quickly Understanding of Hypertension Incident in Rural Populations: A Cross-Sectional Study Niluh Desy Purnamasari; I Wayan Supetran; Desak Eka Susianawati
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
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.v21i3.29683

Abstract

Abstract: This study aims to identify the main determinants of hypertension in rural areas by looking at the influence of diet, age, gender, and employment status in the community of Tagolu Village, Lage Sub district, Poso District. Hypertension, known as the “silent killer”, is one of the leading causes of death globally, with more than 1.13 billion sufferers. This is a quantitative study with a cross-sectional design in 2022. 57 respondents from 134 populations were randomly drawn. The research instrument used a validated questionnaire. Data analysis was performed using the Chi-square test with a significance level of 95% using SPSS. The main results of the study indicate a significant association between dietary patterns and the incidence of hypertension (p = 0.001; OR = 50,000; 95% CI: 9,175–272,466), with poor dietary patterns having a prevalence of hyperten-sion of. Although the variables of age (OR = 1.579), gender (OR = 1.429), and employment status (OR = 0.700) did not show statistical significance (p > 0.05), the OR values indicate a trend toward increased risk of hypertension in the elderly and male groups, while employment status did not have a significant effect. Research findings indicate that poor dietary patterns are strongly associated with hypertension. .
Methanol Extract of Rue Leaves on Body Fat Composition, Insulin Resistance, and Leptin Gene Expression Florensia Syntesa Haryta; Shanti Listyawati; Dono Indarto
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
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.v21i3.29957

Abstract

Obesity is a multifactorial and complex disorder characterized by excessive accumulation of adipose tissue, with negative health outcomes. Rue leaves (Ruta graveolens) contain active compounds that have activity as anti-obesity, such as rutacridone. Therefore, this study aims to determine the effect of Rue Leaves Methanol Extract (MER) on Obesity Index (OI), Body Fat Content (BFC), Wet Fat Weight (WFW), Insulin level (IL), Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), Homeostatic Model Assessment for β-cell Function (HOMA-β) and Leptin Gene Expression (LGE) in obesity model rats (OR). This study was an experimental animal study with a pretest-posttest control group design using 24 male Sprague-Dawley rats, which were randomly divided into six groups. The normal group (N) was male rats + standard rat feed (BR-2). The negative and positive groups (NC and PC) were OR + BR-2 + 1 mL 0.9% NaCl or 0.6 mg/kgBW pure rutacridone, respectively. Treatment groups (T1-T3) were OR + BR-2 + 80, 100, or 200 mg/kg BW MERL for 30 days. Our results demonstrated that MER administration significantly reduced OI, BFC, IL and HOMA-IR also significantly increased HOMA-β level with p ˂ 0.05, compared to the NC group in a dose-dependent manner. Our data also showed low expression of leptin gene and WFW in all treatment groups. In conclusion, MER administration reduces OI, BFC, WFW, IL, HOMA-IR and LGE while increasing HOMA-β in male obese rats.  
Gender Differences in Biochemical ExaminationAmong Paint Industry Workers Purwati; Indah Tri Susilowati; Noviana Dewi; Chusnul Chotimah; Ratna Setyaningrum; Tri Harningsih; Dewi Saroh
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
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.v21i3.30675

Abstract

The production of paint involves the use of volatile organic compounds (VOCs) and heavy metals, which can impact health. Gender differences play a significant role in toxicokinetics and toxicodynamics. Variations in sex hormones, xenobiotic-metabolizing enzymes, and distribution volumes influence the body's response to toxins. This study aims to investigate biochemical parameters—including ALP, AST, ALT, Gamma-GT, total cholesterol, creatinine, cholinesterase, total bilirubin, fasting glucose, N Urea, eLFG, and uric acid—in paint industry workers, stratified by gender. An analytical observational study with a cross-sectional design was conducted on 89 workers engaged in production, research and development, and logistics within a paint manufacturing facility. Demographic data were obtained via questionnaires, and laboratory test results were analyzed. Statistical evaluation was performed using the chi-square test to determine the association between gender and biochemical abnormalities, with an odds ratio (OR), 95% confidence interval (CI), and significance level set at p<0.05. The assessment of paint exposure among workers, based on biochemical test results stratified by gender, demonstrated that gender significantly influences these parameters (p<0.05). The findings of alkaline phosphatase (ALP) (OR: 7.500, 95% CI: 1.146–49.100), total cholesterol (OR: 3.841, 95% CI: 1.142–12.916), and creatinine (OR: 30.179, 95% CI: 7.706–118.193) suggest that exposure to paint substances impacts liver function (as indicated by ALP), total cholesterol, and renal function (creatinine). These outcomes may be attributed to physiological, hormonal, enzymatic, and genetic differences between male and female individuals in their toxicological responses, as supported by biochemical examination results.
Assessing Patient-Centered Care in Indonesia: Patients’ Perceptions and Key Factors in Private vs Public Hospitals Johanes Polla; Harjanto Prabowo; Sutoto; Sri Bramantoro Abdinagoro
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
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.v21i3.31086

Abstract

Patient‑Centered Care (PCC) improves health literacy, adherence, and satisfaction, yet its implementation across Indonesian hospital types remains unclear. The reseaech aim to compare patients’ perceptions of PCC and identify associated determinants in public versus private hospitals in Jakarta and its suburbs. A multi‑centre cross‑sectional survey was administered in September 2024 to 500 in‑patients (250 public, 250 private) selected via multistage random sampling from three public and two private hospitals. The validated Picker‑Harvard 34‑item tool measured eight PCC dimensions; provider‑ and institution‑related factors were captured through 15 supplementary items. Data were analysed using descriptive statistics and multivariable logistic regression (α = 0.05). Private hospitals outperformed public hospitals on all structural and process indicators, yielding higher aggregate Patient‑Centered Healthcare Performance (PCHCP) scores (90.8 % vs 78.4 %). The largest gaps concerned access to services (OR 3.4; 95 % CI 2.3–5.0) and respect for patient preferences (OR 3.1; 95 % CI 2.1–4.6). In public hospitals, poor PCC was independently predicted by low education (AOR 2.8), suburban residence (AOR 2.1), limited involvement in decision‑making (AOR 2.7), and difficult access (AOR 5.1). In private hospitals, inadequate care‑plan information (AOR 4.1) and restricted privacy (AOR 3.2) were key drivers of dissatisfaction. While private facilities demonstrate superior PCC, critical deficiencies in communication and shared decision‑making persist in both sectors. Targeted interventions—information transparency, structured medication counselling, streamlined access, and privacy enhancement—are essential for elevating PCHCP scores, particularly in public hospitals, and should be embedded within national hospital quality regulations.

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