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INDONESIA
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 100 Documents
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The Nexus of Cancer Patient Experiential Satisfaction on the Intention to Recommend Harjono, Eko Ivan; Antonio, Ferdi
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (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.v20i3.3405

Abstract

This research aims to test and analyze the relationship of antecedents of patient experience measured by the CPEQ (The Cancer Patient Experience Questionnaire) instrument which consists of service by ward nurse, service by specialist, service by ward doctor, information, and hospital staff coordination. Further its impact on the intention to recommend the respective private hospital. This research was accomplished with a quantitative survey and using a cross-sectional approach. Respondents were taken by purposive sampling who had been treated at a private special cancer hospital in Jakarta. A total of 192 respondents met the requirements and were analyzed using PLS-SEM. The results showed that the six antecedents have a significant and positive relationship with cancer patient experiential satisfaction and encouraging patient intention to recommend the hospital. The strongest relation was found in the service by specialist doctors followed by hospital standards, service by nurse wards, and information. The findings in this study establish the positive relation between cancer experiential satisfaction and the intention to recommend the hospital.
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.
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.
The Neurotoxic Impact Of Lead On The Appearance Of Antisocial Behavior In Batik Dye Workers Susilowati, Indah Tri; Dewi, Noviana; Saroh, Dewi
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (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.v20i3.3666

Abstract

Batik home industry waste not managed with standardized WWTP can lead to environmental pollution. This is caused by the remaining synthetic batik dyes containing heavy metal lead. The remaining dyeing waste is disposed of into the river, a water source in the surrounding environment. Waste containing heavy metals causes a neurotoxic effect on the human body. Furthermore, exposure to heavy metals due to synthetic batik dyes is more at risk for workers who do coloring since they do not use personal protective equipment while working and do not live a clean and healthy lifestyle. One of the behavioral disorders associated with the effects of accumulated lead exposure is an antisocial personality disorder. In this study, blood lead levels were checked for batik dye workers by taking blood samples using a 3 ml purple vacuum tube and placing them in an ice box to be sent to the Yogyakarta Health Laboratory Center (BLK). The blood sample was then wet destroyed, and the Pb levels were read using an AAS tool. Antisocial tendency scale data was measured using STAB (Subtypes of Antisocial Behavior), where the validity test had previously been carried out with the Pearson product-moment of 0.327-0.786 and the reliability test with the Cronbach alpha technique of 0.936. The results of the data analysis showed a correlation between blood lead levels and antisocial disorder tendencies of 0.690, but no correlation was found between blood lead levels and body mass index (BMI)
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.
Serum Clusterin Level Associated with Post-ischemic Stroke Cognitive Dysfunction Harahap, Herpan Syafii; Indriyana, Yanna; Rianawati, Sri Budhi; Arisetijono, Eko; Rivarti, Arina Windri
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (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.v20i3.4401

Abstract

The exploration of potential blood-based biomarkers that could be useful in the early detection of cognitive impairment associated with ischemic stroke is still being studied. The objective of this study was to examine the correlation between serum clusterin levels and the prevalence of cognitive impairment in individuals with ischemic stroke. A total of 86 outpatients with mild ischemic stroke within the first three months of its onset were recruited from three primary hospitals in Mataram, Indonesia. ELISA was used to measure the serum clusterin level. Patients’ sociodemographic and clinical data were also collected as covariates. The Montreal Cognitive Assessment-Indonesian version (MoCA-INA) instrument was used to evaluate cognitive status. The study used multivariate logistic regression analysis to investigate the effect of clusterin on the occurrence of cognitive impairment associated with ischemic stroke while controlling for other variables. Results: The multivariate logistic regression analysis revealed a significant correlation between elevated serum clusterin levels and a higher prevalence of cognitive impairment in ischemic stroke patients (odds ratio [OR] 3.56, 95% confidence interval [CI] 1.04-12.16, p = 0.043). Conclusion: Elevated serum clusterin levels have been associated with a higher occurrence of cognitive impairment in ischemic stroke patients.
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).
Influence of Selenium Supplementation on Oxidative Stress and Inflammatory Response in High Intensity Exercise Irawan, Roy; Wahyudi , Heri; Bawono, Mokhamad; Roepajadi, Joesoef; Rimawati, Nanda; Wijayanto, Adi
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (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.v20i3.4619

Abstract

Exhaustive exercise could increase oxygen consumption 10 to 20 times folds which can then increase oxidative stress which is characterized by an increase in Reactive Oxygen Species (ROS). Increased oxidative stress (ROS) during exercise could cause cell damage. Selenium is a trace element that is believed to have antioxidant and anti-inflammatory activity. Objectives: This study aimed to determine the effectiveness of a 28-day supplementation period on plasma MDA and HMGB1 levels after high-intensity exercise activities. Methods: This study was experimental, with a pretest-posttest control group design approach. A total of 28 Sports Science Department students at Universitas Negeri Surabaya who met the inclusion and exclusion criteria participated in the study. Through simple random sampling, participation was divided into 2 groups, namely the selenium group (SG) and the placebo (PL) group. Selenium supplements for SG were 200 mcg/day, and PL was 100mg corn starch capsules, both groups consumed in 28 days. Participants performed bench-stepping by Newham with 10 sets x 10 repetitions, with 1-minute intervals. Plasma MDA and HMGB1 measurements were carried out immediately after, 24 hours after, and 48 hours after bench-stepping. Data on changes in plasma levels of MDA and HMGB1 were tested using repeated measures ANOVA with a significance level of P<0.05. Result: there was a significant difference in the plasma MDA and HMGB1 between each group with the significance value of MDA that was p = 0.000 and the significance value of HMGB1 that was p = 0.000. Selenium supplementation for 28 days reduces the increase in oxidative stress (MDA) and increase in HMGB1 after high-intensity exercise activities.
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).

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