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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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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.
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.
Health Belief Model in The Prevention of Type-2 Diabetes Mellitus in Fertile Age Couple Achmad Lukman Hakim; Agustina Sari
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.v20i3.8900

Abstract

Sufferers with diabetes want to well recognize the threat of diabetic headaches and the shape of the Health Belief Model (HBM) with recognize to constructs suitable for intervention. This study aims to determine the effect of the health belief model on the prevention of type 2 diabetes mellitus in fertile age couple. The research design was cross sectional. The research sample was fertile age couple who are in the area of Depok City, West Java as many as 399 respondents. Data analysis used a structural equation modeling approach with the partial least squares method. The results showed that there was a perceived effect on the prevention of type-2 diabetes mellitus with a t-statistic of 13.331880, there was an effect of self-efficacy on the prevention of type-2 diabetes mellitus with a t-statistic of 2.221879, there was an effect of cues to action on the prevention of type-2 diabetes mellitus with a t-statistic of 2.482949, and the perceived indicator that has the most influence on the prevention of type-2 diabetes mellitus was barriers with a t-statistic of 180.528565. Based on the value of R2, the magnitude of the effect of perceived, self-efficacy, and cues to action on the prevention of type-2 diabetes mellitus was 89.52%. From the Q2 value, the model in this study has a relevant predictive value, where the model used can explain the information contained in the research data by 89.52%. There was an effect of health belief model on the prevention of type 2 diabetes mellitus in fertile age couple. Another dominant variable that influences the prevention of type 2 diabetes mellitus in fertile age couple was perceived and on indicators of barriers.
Unsuccessful Drug-Resistant TB Treatment Outcomes among Patients with Short-Term Regimen in Central Java, Indonesia Ardiani, Intan Henda; Rejeki, Dwi Sarwani Sri; Wijayanti , Siwi Pramatama Mars; Saefurrohim, Muhamad Zakki
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.v20i4.9483

Abstract

Tuberculosis which shows resistance to various types of drugs poses a significant burden in efforts to prevent and control tuberculosis globally. Since 2020, guidelines from the WHO have recommended a shorter treatment with an all-oral regimen for Drug Resistant Tuberculosis (DR-TB), with the inclusion of bedaquiline instead of an injectable agent. However, the treatment success rate for DR-TB in Indonesia is still low. This study aimed to determine factors contributing to unsuccessful DR-TB treatment using STR in Central Java. This was a nested case-control study of 412 DR-TB patients enrolled with a Short-Term Regimen, registered in 2021 to 2023 who had treatment results in a subset of the Tuberculosis Information System cohort data. Independent variables analyzed included age, gender, patient employment status, history of previous TB treatment, DM status, HIV status, resistance pattern, initial sputum examination results, drug side effects, treatment initiation interval, body mass index, and BPJS ownership status. Statistical analysis was done using SPSS version 22 software, with logistic regression analysis to identify the determinants. The determinant of unsuccessful treatment outcome in Central Java Province which is 51.04% was the positive results of initial sputum examination of treatment (aOR=10.501; 95%CI=5.056-21.807), drug side effects (aOR=1.853; 95%CI=1,000-3.436), obesity (aOR=3.115; 95%CI=1.188-8.166) and BPJS non-possession status (aOR=2.213; 95%CI=0.932-5.255). More strategies are needed to improve the success of treatment with STR.
Mortality Among Dengue Infection Patients in Bandung City 2022 Salsabila, Diyana; Ningrum, Dina Nur Anggraini; Khasanah, Amelia Fitra; Alwi, Luqman; Andar, Nadiya Arawinda; Palgunadi, Palgunadi
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.v20i4.10694

Abstract

Dengue infection is caused by the dengue virus. In 2021 in Indonesia, 705 mortalities were due to dengue infection, while in 2022, 1,232 mortalities. The CFR in 2019 was 0.67%, in 2020 it was 0.69%, and in 2021 it was 0.96%. Bandung City is one of the endemic areas. In 2022, found 21 reported mortality, with a CFR of 0.47% in 2020, 0.35% in 2021, and 0.19% in 2022. Risk factors for death due to dengue infection are old age, delay in treatment, platelet count, incidence of DSS, and hematocrit value. This is a quantitative observational study using a nested case-control research design. Uses secondary data from the Bandung City Health Service. The results of this study confirmed association of mortality with age above 40 years (p-value: 0.008, OR: 6.320), high hematocrit value (p-value: 0.005, OR: 11.111), long gap between onset and diagnosis (p-value: 0.025, OR: 13.833), prolonged hospitalization (p-value: <0.001, OR: 8.125), and incidence of DSS (p-value <0.001, OR: 39.500). Low platelet count (p-value: 0.033, OR: 0.263) found to be protective. Age, hematocrit value, gap between onset and diagnosis, length of hospitalization, and incidence of DSS are risk factors for mortality among dengue infection patients.
Malaria Infection Among Pregnant Women of Abau District in Papua New Guinea Yatapya, Susina; Rejeki, Dwi Sarwani Sri; Wijayanti, Siwi Pramatama Mars; Radi, Radi
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.v20i4.10714

Abstract

Malaria is a communicable disease that poses a serious problem in Papua New Guinea, with the country recording the highest incidence of malaria in the Asia-Pacific region each year. However, research on the risk factors for malaria in Papua New Guinea is still minimal, especially among pregnant women. This study aims to investigate the correlation between malaria incidence in pregnant women in Papua New Guinea. This study is an observational study with a cross-sectional approach conducted on 200 pregnant women from January to March 2024 in Abou District, Papua New Guinea. Data collection used questionnaires and Rapid Diagnostic Tests (RDT) to diagnose malaria infection in pregnant women. The independent variables in this study are healthcare-seeking behavior, prevention of malaria, knowledge of malaria, maternal age, marital status, occupation, education level, and residential location. The dependent variable in this study is the incidence of malaria in pregnant women. In this study, the data analysis used included univariate analysis, bivariate analysis with chi-square, and multivariate analysis with logistic regression. The results showed that the risk factors for malaria incidence in pregnant women in Papua New Guinea are malaria prevention (p-value 0.014; OR= 4.426) and healthcare-seeking behavior (p-value 0.033; OR= 4.033), meaning that pregnant women with poor malaria prevention behavior and poor healthcare-seeking behavior are four times more likely to suffer from malaria. It is hoped that pregnant women will increase their awareness of malaria prevention during pregnancy and make full use of healthcare facilities during pregnancy.
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.
Work-Related Factors and Individual Characteristics on Asthenopia Symptoms among “Pecanting Batik” Workers in Klaten, Indonesia Astutik, Risa Septi; Setyaningsih, Yuliani; Lestantyo, Daru
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.v20i4.11303

Abstract

Astenopia is associated with close work, such as blurred vision, diplopia, dry eyes, and headaches. The incidence of asthenopia is quite common among workers who perform intensive visual tasks. The goal is to analyze the risk factors that are most related to astenopia complaints. This type of observational research with a cross sectional study design was conducted in July 2024 on 155 batik canters in 45 batik-making home industries in Jarum Village, Klaten Regency, Central Java, Indonesia. Variables were measured using a general questionnaire containing questions on age, length of service, length of work, and length of rest. In addition, the Pittsburgh Sleep Quality Index (PSQI) questionnaire is used to measure sleep quality. The worker's awkward posture was measured using the Rapid Upper Limb Assessment Worksheet. And the distance to see the object is measured using the JOYKO brand 30cm Butterfly Iron Ruler between the object and the worker's eyes. The Visual Fatigue Index (VFI) questionnaire was used to measure astenopia complaints. The analysis of bivariate data with spearman rank and multivariate correlation was used multiple linear regression test. The results of this study showed that the majority of respondents were 44,368 years old on average, felt that their sleep quality was not good and had been working as a batik maker ≥ 10 years. And the risk factors most related to astenopia complaints are sleep quality (p=0.000), age (p=0.001), and working period (p=0.019).  
Diabetes Treatment Satisfaction on Hospital Outcome through Patient Empowerment Tjiptabudi, Vitta; 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.v20i3.12425

Abstract

This study examines the relationship between Patient Satisfaction with Diabetes Treatment and Hospital Reputation, with Patient Empowerment and Well-being acting as mediators. Additionally, this study includes Lifestyle as the moderating component. This quantitative, cross-sectional study employs a survey methodology using a structured questionnaire of respondents selected by quota sampling. A total of 160 respondents were obtained from two private hospitals. Data was analyzed using Partial Least Square Structural Equation Modelling (PLS-SEM). Diabetes Treatment Satisfaction is assessed as a higher-order construct (HOC) consisting of dimensions of Patient Empowerment as a lower-order construct (LOC). The three LOCs are Patient Control, Patient Participation, and Patient Support. This study employs a disjoint two-step methodology. The research findings indicate a strong and positive relationship between Diabetes Treatment Satisfaction and Hospital Reputation mediated by Patient Empowerment and Patient well-being. The indirect effect is statistically significant (p-value < 0.05, CI 95%). The analysis also reveals a strong relation between Patient Well Being and Hospital Reputation (β=0.842, f2=2.427). However, the Lifestyle variable did not substantially relate to the relationship between Diabetes Treatment Satisfaction and Patient well-being. This study model has been empirically validated to provide sufficient explanatory and predictive capacities for assessing hospital reputation.
The Evolution in The Field of Anticorruption in The Health Sector in Italy Tavone, Alessandro Mauro; Cammarano, Andrea; Ceccobelli, Giulia; Giuga, Gabriele; Marella, Gian Luca
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.v20i4.12696

Abstract

The fight against corruption within the healthcare sector in Italy has undergone significant transformation following the introduction of Law n. 190/2012. This legislation marked a pivotal step towards establishing a comprehensive system aimed at preventing corruption through a blend of preventive measures, transparency, and administrative reorganization. Central to these efforts is the Italian National Anti-Corruption Authority (ANAC) and the National Anti-Corruption Plan (PNA), which provide structured guidelines and strategies for public administrations, including healthcare entities. This study examines the evolution and impact of anti-corruption measures in the Italian healthcare sector, focusing on key legislative and regulatory frameworks, particularly the roles played by ANAC and the PNA. The commentary explores the implementation of these measures, highlighting the innovative approaches and the challenges encountered. Significant milestones include the legislative updates, such as the Legislative Decree n. 231/2001, which introduced administrative liability for corporate crimes, and the more recent resolution n. 605/2023, which reinforces digital procurement processes, real-time data analytics, and enhanced transparency in healthcare administration. These updates align with broader national recovery efforts post-COVID-19 and aim to foster a culture of integrity and accountability within the sector. Key findings reveal that while there has been considerable progress in enhancing transparency and reducing corruption risks, challenges remain. These include resource constraints, complexity of integrating new measures with existing systems, stakeholder engagement, and ensuring rigorous monitoring and enforcement. Addressing these challenges is critical for sustaining the progress achieved and further improving the effectiveness of anti-corruption strategies. The continuous refinement of the PNA and its application within the healthcare sector illustrates a robust commitment by Italian authorities to uphold public trust and prevent corruption.

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