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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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Mineral Content and Antioxidant Capacity of Cookies Formulated with Spinach and Pangas Catfish Mashar, Harlyanti Muthma'innah; Mahalia, Lamia Diang; Damiti, Sukmawati Ahmad
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/qh9vdp63

Abstract

Spinach is a leafy green vegetable that contains various nutrients and antioxidant compounds. Meanwhile, Pangas catfish contains calcium and minerals that are very good for health. Spinach and Pangas catfish can be utilized as raw ingredients to manufacture functional food products in the shape of cookies, increasing the nutritional value and antioxidant content of the cookies to increase the fulfillment of food and public health needs. This research was conducted from February to July 2024. Cookies were prepared with three variations of spinach flour to Pangas catfish flour ratio designated as F1 (45:15), F2 (30:30), and F3 (15:45). Analysis of mineral, vitamin C, TPC, TFC, and antioxidant activity was performed on each cookie formula. The study results showed that the mineral content in terms of potassium and calcium was in the range of 323.538 to 671.186 mg/100g and 44.307 to 93.006 mg/100g, respectively. Meanwhile, the bioactive compounds in the form of vitamin C, TPC, and TFC were in the range of 9.92 to 20.02 mg/100g, 16.74 to 24.97 mg GAE/g, and 32.55 to 110.84 mg QE/g, respectively, and the antioxidant activity was 8.11-17.84%. The cookies prepared using the formula F1 showed significant content of minerals, i.e., potassium and calcium, vitamin C, TPC, TFC, and significant antioxidant activity. These cookies have the potential to be developed as a functional food product that is rich in nutrients and antioxidants to better meet the nutritional and public health needs.
Stunting Among Children Aged 6-59 Months in Gorontalo, Indonesia Z, Sri Nurlaily; Agustini, Rahma Dewi; Nurhidayah
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.v20i3.13539

Abstract

Stunting remains a significant public health challenge in Indonesia, particularly among children aged 6-59 months. Stunting, defined as low height-for-age, results from chronic undernutrition during the most critical periods of growth and development. This study aims to analyze the sociodemographic and socio-cultural factors associated with stunting in Gorontalo, Indonesia, to inform targeted interventions. A cross-sectional study was conducted with 325 children aged 6-59 months, selected consecutively. Data were collected using a structured questionnaire covering seven sociodemographic and two sociocultural factors, alongside the Individual Dietary Diversity Score (IDDS) questionnaire. Bivariate analysis was performed using Chi-Square tests, while multivariate analysis employed Logistic Regression to identify significant predictors of stunting. The prevalence of stunting among the sample was 35.7%. Bivariate analysis identified Birth Length, Birth Weight, Family Income, Exclusive Breastfeeding, Complementary Foods, Food Diversity, and Parenting as factors associated with stunting. Multivariate analysis revealed that Birth Length (OR=0.377; 95% CI: 0.188-0.754), Birth Weight (OR=0.231; 95% CI: 0.095-0.561), Exclusive Breastfeeding (OR=0.307; 95% CI: 0.164-0.575), and Food Diversity (OR=0.064; 95% CI: 0.033-0.123) were significant protective factors against stunting. Conversely, Family Income and Education were identified as confounding factors. The findings underscore the critical importance of the first 1000 days of life in preventing stunting. Efforts should improve maternal nutrition to ensure optimal birth weight and length, promote exclusive breastfeeding, and enhance dietary diversity among young children. Addressing these factors can significantly reduce the prevalence of stunting and improve child health outcomes in Gorontalo.
Stunting Prevention and First 1,000 Days of Life Optimisation Programme in Gunungkidul Astuti, Andari Wuri; Fatimah, Siti; Anisa, Lulu; Aprilia, Resya; Febrianti, Cindy Putri; Arifin, Siti Roshaidai Mohd; Suryani, Ita; Savitri, Mila
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.v20i3.13706

Abstract

Stunting is a significant public health issue and the prevalence of stunting in Indonesia was reported at 21.6% in 2022. This study used a mixed-methods approach. The qualitative component employed a single-case embedded study design, data were collected through semi-structured interviews involving 15 participants and analyzed by using a thematic approach using NVivo-12. Meanwhile, the quantitative component utilized a one-group pre-test post-test design involving 155 respondents, data were gathered using questionnaires and were analyzed using paired t-tests with SPSS-26.Participants had a lack of knowledge about stunting. However, they acknowledged various healthy nutrition and health programs for stunting prevention. There were also various programs managed by local government involving multisector bodies, and communities focusing on reducing stunting prevalence. However, there were expectations to strengthen the program strategies by providing home visits, online educational media, adequate facilities, and infrastructure within Integrated Community Services (ICS (Posyandu)). The paired t-test revealed a significant average difference between pre-test and post-test values, with a mean difference of 1.167 and a p-value of <0.008. The ongoing stunting alleviation program demonstrates the government’s commitment to multi-sectoral collaboration and the use of educational media, such as videos, significantly enhances respondents’ knowledge about stunting.
Gender-Based Violence against Men and Women Warsiti, Warsiti; Rosida, Luluk; Putri, Intan Mutiara; Fajarini, Nurbita
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.v21i1.13707

Abstract

Based on data from the Indonesian National Commission on Violence Against Women (INCVAW/Komnas Perempuan) from 2007 to 2019, there was a very significant increase in cases of Gender-Based Violence (GBV), reaching eightfold (792%). The majority of GBV victims are women, but men can also be potential victims. However, most research on GBV focuses only on women. Gender-based violence has short-term and long-term impacts on physical and mental health. Female victims of GBV usually experience anxiety, depression, post-traumatic stress disorder (PTSD), and even suicidal thoughts. This study aims to provide an overview of GBV that occurs in both men and women. This study is based on data on reported cases of violence obtained from the Women’s Empowerment and Child Protection Service (WECPS/DP3A) of Sleman Regency, Yogyakarta, for the period 2020-2024. Of the 1,001 reported GBV cases, 817 (81.6%) victims were women and 184 (18.4%) were men. The majority of female victims of GBV are of reproductive age (19-44 years), while the majority of male victims are adolescents (11-18 years). There is a significant relationship between gender, location of the incident, and the type of violence experienced. Currently, both men and women experience violence in the public sphere (50.5% and 53.2%, respectively). Psychological violence is the most common experience for both sexes. Men mostly experience neglect, exploitation, and other forms of violence. Meanwhile, women mostly experience physical, sexual, and human trafficking violence. Innovation in reporting forms that are easily accessible to the public is also needed to facilitate victims seeking help.
Soy Juice Is Effective in Reducing Hot Flush Symptoms in Premenopausal Mothers Wijhati, Ellyda Rizki Wijhati; Ferlina, Sandiya; Nuzuliana, Rosmita
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.v20i4.13709

Abstract

Hot flush occurs in 73.3% of premenopausal mothers and is often accompanied by sleep disturbances and mood swings. This study aims to determine the effectiveness of soy juice in reducing hot flush symptoms in premenopausal mothers. This study uses a pre-experimental method with a type of one-group pretest-posttest design, and data analysis is carried out with the Wilcoxon Signed Ranks Test statistical test. The sampling technique used was purposive sampling with a total sample of 31 premenopausal mothers. The results showed that the consumption of soy juice reduced hot flush symptoms in premenopausal mothers with a significance value of 0.000 (ρ < 0.05). This shows that there is a significant influence before and after the administration of soy juice. The isofla-vones in soybean juice have a biological activity similar to estrogen and bind to estrogen receptors (Ers) as agonists. The reaction of the stimulation of the estrogen receptor Erα by isoflavones results in an interaction that affects the transcription process of cells, so that there is a stimulation of neurons in the central nervous system and resulting in a decrease in hot flush symptoms.
Socioeconomic Status as a Root Cause of Child Malnutrition Nuzuliana, Rosmita; Wijhati, Ellyda Rizki
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.v20i4.13717

Abstract

Nutritional problems increase the prevalence of brain disorders and intellectual devel- opment disorders in underweight toddlers by 52%, severe stunting by 6.32%, and severe wasting by 1.22%. The type of qualitative research is related to problems in toddlers who experience nutritional issues. The primary informants were 9 mothers who had malnourished toddlers. Data triangulation involved nutritionists, health cadres, and health center midwives. The research location was in the working area of the Bantul Regency Health Center, Special Region of Yogyakarta. Data were taken by in-depth interviews and home observations. The instruments used were interview guidelines and Healthy Home assessment instruments. Data analysis used thematic analysis. The results obtained 5 themes, including low socio-economic status, health status, parenting style and feeding of toddlers with permissive and unresponsive parenting styles, low maternal education, and poverty resulting in low provision of quality food. Almost all malnourished toddlers experience health problems, and unhealthy housing conditions, and nutrition management carried out by the health center is good.
Strategies for Child Marriage Prevention in Indonesia: A Case Study Fitriahadi, Enny; Nguyen, Thuy Hong; Suryaningsih, Endang Koni; Wahyuntari, Evi; Satriyandari, Yekti
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.v20i3.13732

Abstract

Early marriage is a complex social problem, with many girls marrying before the age of 18. In Indonesia, child marriage data in 2021 increased by 30%. This figure indicates that early marriage remains a significant challenge in Indonesia, in terms of education and health. This study aims to explore perceptions about child marriage and provide insight into the dynamics of decision-making around child marriage in Dlingo and Dukun, Indonesia. Qualitative research methods were used to ensure an in-depth understanding of the reasons and processes behind child marriage. Data were collected through 12 focus group discussions (FGD), 20 in-depth interviews (IDI), and 6 semi-structured key interviews (KII) informants. The instrument used a semi-structured guideline, using individual interview techniques. Data analysis used Nvivo version 12. This study concluded that families use child marriage as a protection strategy in response to economic insecurity. In addition, this program is also used as a means to protect young women from sexual exploitation and prevent consensual sex before marriage. Early marriage is associated with the vulnerability of pregnancy complications, while the recommendation is to provide comprehensive education to adolescents about reproductive health and the dangers of early marriage.
Menopause: Mental Health, Health Issues, and Coping Strategies. A Qualitative Study Mamnuah, Mamnuah; Ramdani, Wawan Febri; Kartini, Farida; Astuti, Dhesi; Retnaningdiah, Dian; Wantonoro, Wantonoro
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.v21i1.13733

Abstract

Menopause marked a transformative phase in many women’s lives, often accompanied by complex physical, emotional, and social challenges. This study aimed to explore how women in Yogyakarta experienced and managed menopause, shedding light on their unique coping strategies and support systems. A qualitative design employed purposive sampling to recruit women aged 45 to 55, ensuring diverse and relevant experiences. In-depth, face-to-face interviews were conducted and analyzed thematically to uncover underlying patterns and meanings. Four major themes emerged: physical and emotional changes, adaptation strategies, social support dynamics, and shifts in sexuality. Women reported symptoms such as sleep disruption, fatigue, and mood instability, and adapted by seeking information and modifying their lifestyles, although resources were often insufficient. Family and community support provided essential emotional relief, while changes in intimacy required communication and adjustment. These findings highlighted the need for holistic menopause management that integrates physical, emotional, and relational support.
Organizational Factors Affecting Adoption of Electronic Medical Record (EMR) with Moderation of Openness to Experience Lee, Jemimah Kezia; Antonio, Ferdi
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.v21i1.13796

Abstract

Adopting electronic medical records (EMR) in type C hospitals is essential for improving patient quality and safety. However, resistance within the healthcare industry and reluctance to accept new technologies present significant barriers. This delay in EMR implementation affects the quality of patient care and public health. This research aims to analyze the organizational factors that influence the adoption of Electronic Medical Records (EMR). There are six independent variables related to the organization, namely Management Support, Adequate Training, Patient Safety Climate, Physician’s Involvement, Physician’s Autonomy, and Patient Relationship. These variables are related to two mediating variables from the Technological Acceptance Model (TAM) theory, Perceived Usefulness and Perceived Ease of Use, which directly influence EMR adoption, moderating by Openness to Experience. The method used in this research was a survey of medical health workers whose work was related to EMR. Cross-sectional data were taken from 205 respondents from two type C private hospitals in December 2023. The data analysis method used was Partial Least Squares-Structural Equation Modeling (PLS-SEM). The research findings show sufficient evidence to state that all independent variables have a significant and positive influence on Perceived Usefulness and Perceived Ease of Use (P-value <0.05, CI 95%). The strongest influence was found in Patient Relationship (β=0.501) and Patient Safety Climate (β=0.404). The results of this research can provide suggestions for improving patient conditions and illnesses, thereby enhancing the quality of care and benefiting the overall health of communities through the implementation of EMR.
Assessing Child Marriage in Indonesia: A Call for Educational Empowerment Kistiana, Sari; Fajarningtiyas, Desy Nuri; Riany, Yulina Eva
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.v20i3.14145

Abstract

Although the age of first marriage is generally increasing, many young women continue to marry as children in Indonesia. This study aims to assess the prevalence and predictors of child marriage in Indonesia. The data were obtained from the 2019 Performance and Accountability Survey of Population, Family Planning, and Family Development with a total sample of 46,220 married reproductive-age women. Multivariate binary logistic regression models were used to identify the significant associated predictors of child marriage. Overall, the prevalence of child marriage was 23.7 percent and ranged from only 0.1 percent in West Papua to 27.7 percent in West Java Province. Child marriage practice was found to be 54.80 (95%, CI: 41.01, 73.24) and 47.42 (95%, CI: 37.18, 60.49) times higher among uneducated women with primary education level compared to educated women with a university level of education. Those who live in Kalimantan islands were 2.13 (95%, CI: 1.73, 2.60) times more likely to experience child marriage compared to women who live in Maluku or Papua Islands. Child marriage was 1.28 (95%, CI: 1.22, 1.35) higher among rural residents compared to urban. The government, the private sector, and the community must continue empowering young girls, particularly regarding education.

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