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Public Health Perspective Journal
Published by Universitas Negeri Semarang
ISSN : 22526609     EISSN : 25026852     DOI : https://doi.org/10.15294/phpj
Core Subject : Health,
Public Health
Public Health Perspective Journal [p-ISSN 2528-5998 | e-ISSN 2540-7945] publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health. It is aimed at all public health practitioners and researchers and those who manage and deliver public health services and systems. It will also be of interest to anyone involved in provision of public health programmes, the care of populations or communities and those who contribute to public health systems in any way (see Focus and Scope).
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 19 Documents
 1   2 
Uncontrolled Blood Pressure in Hypertension Patients in Semarang City Sari, Emi Yela Utami; Cahyati, Widya Hary; Ningrum, Dina Nur Anggraini
Public Health Perspective Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i2.14127

Abstract

Hypertension is blood pressure above the normal threshold of 120/80 mmHg. Uncontrolled blood pressure is blood pressure >140/90 mmHg. The purpose of this study was to analyze factors related to uncontrolled blood pressure. Controlled in Hypertension Patients in Semarang City. This study used a cross-sectional method, the research sample was 400 people with convenience sampling technique. Data collection techniques using questionnaires and medical records. Data analysis was carried out using the chi-square test and logistic regression. The results showed that there was a significant relationship between the variables of age p value 0.043 <0.05; PR1.141, drug consumption compliance 0.027 <0.05; PR 0.864, obesity incidence p value 0.023 <0.05; PR1.157 , education level p value 0.020 <0.05; PR1,190, smoking status p value 0.017<0.05; PR1,271, exercise habits p value 0.012<0.05; PR1,186, stress events p value 0.036<0.05; PR1,146, marital status p value 0.39<0.05; PR0,865, and there is no relationship between gender p value 0.151>0.05 , with uncontrolled blood pressure in hypertensive patients in Semarang City. The obesity variable (p value 0.023<0.05) is the most risky variable or the most related to uncontrolled blood pressure in hypertensive patients in Semarang City. The conclusion of the results of this study is that there is a relationship between age, drug compliance, obesity events, education level, smoking status, exercise habits, stress events and marital status with uncontrolled blood pressure in hypertensive patients in Semarang City.
Analysis of Characteristics of Toddlers, Mothers, and Living Environment on the Incidence of Diarrhea in Toddlers in Samarinda City in 2024 Nadila Lupita Puteri; Oktia Woro Kasmini Handayani; Yuni Wijayanti
Public Health Perspective Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i2.14985

Abstract

Diarrhea is still a challenging health problem for children under five years of age in Indonesia. Diarrhea due to waterborne diseases is still prevalent in Samarinda, and this environmental health problem could trigger outbreaks in multiple regions. The objective of this study was to analyze the effect of child characteristics, mother characteristics, and environmental characteristics in Samarinda. The research method used a case-control design with a sample of 124 (62 cases and 62 controls), and the data was obtained by interview using a questionnaire. The sampling technique was consecutive sampling. Data analysis was carried out, including univariate and bivariate, by chi-square statistical tests. And multivariate analysis by multiple logistic regression. The results showed that the incidence of diarrhea with nutritional status P = 0.027 (OR = 2.292; 95% CI: 1.092-4.807); history of exclusive breast-feeding P = 0.040 (OR = 2.180; 95% CI: 1.030-4.612); history of immunization status P = 0.014 (OR = 2.860; 95% CI: 1.218-6.716); worker mother P = 0.08 (OR = 0.354; 95% CI: 0.163-0.771); and clean water source P = 0.09 (OR = 2.754; 95% CI: 1.280-5.923); and drinking water management P = 0.017 (OR = 2.444, 95% CI: 1.166-5.127). The factors that did not relate significantly in this research were the child’s age (P = 0.402), mother’s age (P = 0.467), mother’s education (P = 0.534), and family income (P = 0.579). The result from the multivariate shows the variable that had the most significant association with diarrhea was the mother’s occupation. The accessibility to clean water sources was an intervening variable that played an important role in diarrhea cases in Samarinda. Health institutions also need to conduct periodic water quality checks and increase community knowledge about water quality and diarrhea prevention. This study could provide valuable input for diarrhea prevention and control programs.
Determinants of Anemia in Pregnant Women in Semarang City in 2023 Rahmawati, Siska; Azam, Mahalul; Rahayu, RR. Sri Ratna
Public Health Perspective Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i2.16430

Abstract

Anemia during pregnancy can lead to serious complications, such as bleeding and premature birth. The prevalence of anemia in Semarang in 2022 reached 15.4%, exceeding the WHO target. This study aims to analyze factors influencing the occurrence of anemia among pregnant women in Semarang in 2023. The study was conducted at five public health centers in Semarang with 183 pregnant women, consisting of 61 with anemia and 122 without anemia. Data were collected from January to July 2024, with analysis using Chi-Square and logistic regression tests. Significant factors associated with anemia included age (p=0.006), employment status (p=0.005), gravidity (p=0.047), ANC history (p=0.036), compliance with iron supplementation (p=0.003), tea/coffee consumption habits (p=0.024), iron intake from food (p=0.033), nutritional status (KEK) (p=0.041), and knowledge about anemia (p=0.009). Multivariate analysis showed that age (OR=3.09), employment status (OR=0.395), and KEK status (OR=2.99) were higher risks for anemia. Age, employment status, and nutritional status (KEK) are significant factors affecting anemia in pregnant women in Semarang, highlighting the importance of nutritional interventions and health education for pregnant women.
Correlation between The Level of Independence of Elderly and Dementia in West Java Faridho, Fikrifar Rizki; Yuniastuti, Ari; Zainafree, Intan
Public Health Perspective Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i2.16626

Abstract

Dementia, which the sufferer is estimated to be 153 million people in 2050, is a public health problem, especially for the elderly, which will slowly make the sufferers more dependent on other people to do daily activities. The aim of this study is to analyze the correlation between the level of independence of the elderly and dementia in West Java. This study used a cross-sectional design using primary data from 68 elderly people in Sentra Terpadu Pangudi Luhur based on the inclusion and exclusion criteria. Univariate analysis showed that most respondents were young elderly (48.5%), males (55.9%), had no history of smoking (52.9%), no history of consuming alcohol (91.2%), had normal body mass index (58.8%), had hypertension (69.1%), did not have diabetes mellitus (92.6%), did not have depression (75%), had mild dependence (50%), and did not have dementia (50%). The results of the hypothesis test of the Rank Spearman correlation between the level of independence of the elderly and dementia showed a strong correlation in a significant positive direction with a correlation coefficient of 0.561. Daily physical activities with moderate intensity are required to prevent dementia.
Related Factors in Exclusive Breastfeeding of Plywood Workers of PT. X Kranggan District, Temanggung Regency Kariyanti, Maidira; Budiono, Irwan; Maharani, Chatila
Public Health Perspective Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i2.16902

Abstract

Exclusive breastfeeding is the best nutrition for babies, but its coverage in Indonesia remains low, including in Temanggung Regency. Working mothers, especially in large industries like PT. X, often face challenges due to facility constraints, company policies, and other factors. This study aims to identify factors related to exclusive breastfeeding among working mothers at PT. X, Kranggan District, Temanggung Regency. It is an observational quantitative study with a crosssectional design conducted via direct interviews with 56 plywood worker respondents at PT. X using a validated questionnaire. The results showed a significant relationship between exclusive breastfeeding and educational attainment (p=0.028), parity (p=0.042), duration of work (p=0.024) and family support (p=0.004). However, no significant relationship was found with knowledge (p= 0.080), maternal attitudes towards exclusive breastfeeding (p=0.086), maternal age (p=0.367), availability of breastfeeding facilities (p=0.091), distance traveled from home to work (p=0.104), travel time from home to workplace (p=0.280), husband support (p=0.086), co-worker support (p=0.080) and health worker support at work (p=0.101). The multivariate model revealed that education level (p=0.019), length of work (p=0.035), and occupational health workforce support (p=0.050) were the most influential factors. This study concludes that education, length of employment, and support of health workers in the workplace have a significant effect on exclusive breastfeeding at PT. X, Kranggan District, Temanggung Regency.
The Relationship between Adolescent Girls' Lifestyle and the Incidence of Anemia in High School Students in Cirebon City Anggie Puspitasari; Handayani, Oktia Woro Kasmini; Indarjo, Sofwan
Public Health Perspective Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i2.19700

Abstract

Anemia is still one of the health problems in society, especially adolescent girls. The prevalence of anemia in adolescent girls in Cirebon City in 2023 was 36.6%. This study aims to determine the relationship between the lifestyle of adolescent girls and the incidence of anemia in high school students in Cirebon City. The method used in this study is observational analytic using a cross-sectional design. The sample used in this study was 116 adolescent girls. Data collection was carried out by means of structured interviews using questionnaires and checking Hb levels using auto check. Data analysis used includes univariate and bivariate analysis using the chi-square test and multivariate analysis using the logistic regression test. This study shows the results of a significant relationship between dietary patterns including energy consumption p = (0.001), protein consumption p = (0.009), iron consumption p = (0.001), rest patterns p (0.010) with the incidence of anemia and there is no significant relationship between physical activity patterns p = (0.331) with the incidence of anemia. Logistic regression test in multivariate analysis showed that the most influential factor on anemia was the energy consumption diet with OR 7.305. From the results of the study, it can be concluded that there is a significant relationship between diet including energy, protein and iron consumption and rest patterns with the incidence of anemia and the most influential factor on the incidence of anemia is energy consumption.
Evaluation of the Implementation of Antenatal Care Services at the Grobogan Regency Health Center Muhamad Syaiful Bachri Al Yunus; Raharjo, Bambang Budi; Zainafree, Intan
Public Health Perspective Journal Vol. 9 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v9i1.19765

Abstract

The Maternal Mortality Rate (MMR) in Grobogan Regency remains high, with Antenatal Care (ANC) coverage falling short of national targets. The Wirosari II Health Center reports particularly low K6 coverage at 37.92%. This study evaluates ANC service implementation at Purwodadi I and Wirosari II Health Centers to provide improvement recommendations. Using a descriptive qualitative approach with a phenomenological design, data were collected through in-depth interviews, observations, and documentation with midwives, maternal and child health workers, and pregnant women. Data validation was conducted via triangulation, and analysis followed the Miles and Huberman model. Findings reveal adequate human resources, but uneven health worker training. Infrastructure is sufficient, though equipment damage hinders Wirosari II. Service procedures align with standards, but SOP violations and limited nutrition personnel were noted in Purwodadi I. While K1 and K4 targets are achieved in Purwodadi I, Wirosari II struggles with recording and networking issues. Overall, ANC implementation in Purwodadi I is effective, while Wirosari II requires improvements in data recording, health worker training, and resource management. These findings provide actionable recommendations to enhance maternal health services in Grobogan Regency.
Transformation of Stroke Rehabilitation through Occupational Game Consoles: A Quasi-Experimental Study at RSUD Dr. Adhyatma, MPH, Semarang Daniswari, Aruna; Azam, Mahalul; Rahayu, Sri Ratna
Public Health Perspective Journal Vol. 9 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v9i1.19981

Abstract

Stroke is a leading cause of long-term disability worldwide, often resulting in impaired motor function and reduced independence in daily activities. Innovative and engaging rehabilitation strategies are urgently needed to improve patient outcomes and adherence. This study aimed to evaluate the effectiveness of an occupational game console in improving functional abilities among stroke patients. A quasi-experimental study was conducted at RSUD Dr. Adhyatma, MPH, Semarang, between March and June 2024, involving 30 stroke patients aged 30–70 years. All participants completed in a 4-week rehabilitation program without a control group. They received structured therapy using an occupational game console designed to enhance motor coordination, muscle strength, and independence. Functional improvements were measured using the Barthel Index (BI), Manual Muscle Test (MMT), and Nine Hole Peg Test (NHPT). Data were analyzed using paired sample t-tests with a significance level set at p < 0.05. The participants included 18 males (60%) and 12 females (40%). Most were in the 51 60 years age group (40.0%), followed by 41–50 years (26.7%), and smaller proportions in 30–40 years (16.7%) and 61–70 years (16.7%). In term of stroke duration, 56.7% had experienced a stroke for 5–8 months, 23.3% for 0–4 months, and 20.0% for 9–12 months. The results showed significant improvements in functional outcomes, with BI scores increasing from 45 (moderate dependence) to 65 (mild dependence), MMT scores improving from 3/5 to 4/5, and NHPT times decreasing from 120 to 90 seconds (p < 0.01). Additionally, 85% of patients reported higher motivation and engagement due to the console’s interactive and gamified features. Occupational game consoles demonstrate promising potential as innovative and accessible tools to support stroke rehabilitation by enhancing motor function, independence, and patient engagement. Future studies should include randomized controlled trials with larger samples and longer durations to assess long-term effectiveness and broader clinical applications.
Analysis of Factors Related to Stroke Occurrence at William Booth Hospital Semarang Hadinata, Kwik Vida Arianti; Cahyati, Widya Hari; Wijayanti, Yuni
Public Health Perspective Journal Vol. 9 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v9i1.21842

Abstract

Stroke is a serious disease that occurs when blood flow to the brain is disrupted, either due to a blockage in the blood vessels (ischemic stroke) or a rupture of the blood vessels (hemorrhagic stroke). This condition can cause brain cell death in a short period of time and is at risk of causing permanent disability. This study aims to analyze the factors associated with the occurrence of stroke in hypertensive patients at RSU William Booth Semarang. This research is a quantitative study with a nested case-control design, using electronic medical record data from RSU William Booth Semarang in 2023. The variables in this study are age, gender, blood sugar levels, total cholesterol levels, triglyceride levels, HDL levels, LDL levels, uric acid levels, and a history of heart disease. The analysis used includes univariate analysis, bivariate analysis with chi-square test. The variables that are statistically significant are age (p=0.005), gender (p=0.021), random blood sugar levels (p=0.010), total cholesterol levels (p=0.009), triglyceride levels (p=0.034), HDL blood levels (p=0.049), LDL blood levels (p=0.034), and history of heart disease (p=0.023). The conclusion of this study is that early detection and management of risk factors, especially blood pressure control and cholesterol levels, are very important in preventing stroke. Educating the public about healthy lifestyles can also help reduce the incidence of strokes in the future.

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