cover
Contact Name
Dewi Susanna
Contact Email
jurnalkesmas.ui@gmail.com
Phone
-
Journal Mail Official
jurnalkesmas.ui@gmail.com
Editorial Address
G301 Building G 3th Floor Faculty of Public Health Universitas Indonesia Kampus Baru UI Depok 16424
Location
Kota depok,
Jawa barat
INDONESIA
Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : https://doi.org/10.7454/kesmas
Core Subject : Health,
The focus of Kesmas is on public health as discipline and practices related to preventive and promotive measures to enhance the public health through a scientific approach applying a variety of technique. This focus includes areas and scopes such as Biostatistics, Environmental Public Health, Epidemiology, Health Policy, Health Services Research, Nutrition, Occupational Health and Industrial Hygiene, Public Health, Public Health Education and Promotion, Women Health.
Articles 928 Documents
Characteristic and Survival Analysis of Infants with Critical Congenital Heart Disease Talib, Suprohaita Rusdi; Siswanto, Johanes Edy; Djer, Mulyadi M; Safanta, Nurzalia; Nurhakiki, Syifa; Taufiqurahman, Khobir Abdul Karim; Adisasmita, Asri
Kesmas Vol. 20, No. 1
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Abstract

Congenital heart disease (CHD) is a major health concern worldwide. This study focused on survival analysis and the factors influencing survival in infants with critical congenital heart disease (CCHD). A total of 79 infants diagnosed with CCHD were identified, with 48.1% (n=38) exhibiting duct-dependent pulmonary circulation, 35.6% (n=28) exhibiting duct-dependent systemic circulation, 6.3% (n=5) exhibiting critical non-duct-dependent, and 10.2% (n=8) exhibiting parallel circulation issues. Of the infants studied, 55.7% (n=44) were male, 78.5% (n=62) had a gestational age of ≥37 weeks, 62% (n=49) had a birth weight of ≥2,500 grams, 59.5% (n=47) exhibited normal fetal growth, 93.7% (n=74) experienced no asphyxia, 91.1% (n=72) had no other congenital disabilities, 87.3% (n=69) had no history of fetal distress, 58.2% (n=46) maintained normal oxygen saturation, and 88.6% (n=70) had an extended stay in the neonatal intensive care unit. The survival analysis indicated that the prognosis of newborns with CCHD was markedly affected by gestational age, birth weight, desaturation, respiratory distress, and hereditary abnormalities. Additional study is required to assess the risk factors influencing the survival of newborns with CCHD.
Prevalence of Low Back Pain Among Office Workers During the COVID-19 Pandemic in Various Countries: A Systematic Review Intan, Yosephine Roma; Wulandari, Ririn Arminsih; Yuniar, Popy
Kesmas Vol. 20, No. 1
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Abstract

The COVID-19 pandemic has led to the implementation of work from home policies in almost all parts of the world. This policy has increased the onset of musculoskeletal disorders in workers, such as low back pain (LBP). This study aimed to examine the prevalence of LBP among office workers during the COVID-19 pandemic after implementing WFH policies. This study was performed using data from various countries to determine the relationship between LBP and several risk factors, specifically age, sex, physical activity, ergonomic factors, as well as work environment factors such as temperature, humidity, lighting, noise, and work duration. A systematic review was conducted using sub-population studies published from 2020 to 2022. The data was obtained from six electronic databases: ProQuest, ScienceDirect, Embase, Scopus, Ebsco Medline, and Cambridge Core. The prevalence of LBP in office workers was associated with age, ergonomics, and environmental factors: air temperature, humidity, and lighting. There was no specific relationship between sex, physical activity, and working duration when working from home during the COVID-19 pandemic.
Thai Sugar-Sweetened Beverage Tax: Does It Really Help? Suriya, Sitaporn; Torut, Buraskorn
Kesmas Vol. 20, No. 1
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Abstract

A solution recommended by the World Health Organization to prevent and control noncommunicable diseases is the Sugar-Sweetened Beverage (SSB) tax. This study aimed to evaluate the Thai SSB tax efficiency affecting the change in post-tax individual-level consumption and find causal explanations for the people’s consumption behavior after the SSB tax was implemented. This study used a Productivity Model, and stratified random sampling was conducted by selecting 1,200 people. An in-depth interview was conducted to seek causal explanations for post-SSB tax consumption behavior with 15 key informants. The results revealed the SSB tax’s efficiency in terms of perception and understanding at 6.75% and in terms of awareness and compliance at 2.83%. Several reasons for the failure of such a policy included no price differences for products with and without sugar, lack of coverage in regulatory enforcement, addiction to sweet tastes, insufficient food literacy, and the dangers of artificial sweeteners. Therefore, a careful and comprehensive review and revision of the tax implementation is necessary. The integration of complementary policy instruments alongside the tax is also required.
Exploring Physician Well-Being: A Bibliometric Analysis of Mental Health Kumareswaran, Suriya; Sundram, Bala Murali; Thurairasu, Vanitha
Kesmas Vol. 20, No. 1
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Abstract

This bibliometric study examined the evolving research landscape on physician mental health from 2010 to 2023, analyzing key themes, publication trends, and global contributions. A total of 3,360 articles, including 3,137 original research and 223 reviews, were sourced from Web of Science and Scopus. Findings revealed a significant increase in research output, particularly during the COVID-19 pandemic, with burnout, depression, and anxiety emerging as dominant themes. The US accounted for most publications, while research from low- and middle-income countries remains limited, indicating a substantial global disparity. Thematic analysis highlighted variations in burnout assessment methodologies, underscoring the need for standardized evaluation tools. This study also identified systemic challenges, including excessive workload, hierarchical workplace structures, and inadequate institutional support, as major contributors to physician distress. Technological inefficiencies, particularly in electronic health record systems, exacerbated administrative burdens and physician dissatisfaction. Recommendations include developing standardized mental health assessment frameworks, expanding study in underrepresented regions, and implementing organizational policies to enhance physician well-being. This review provides critical insights for policymakers, healthcare institutions, and researchers, offering a foundation for targeted interventions and evidence-based reforms to improve physician mental health globally.
Determinants of Adolescent Resilience Levels in Surabaya City, East Java Province, Indonesia Rachmayanti, Riris Diana; Dewi, Fatwa Sari Tetra; Setiyawati, Diana; Izhar, M Dody; Ramani, Andrei
Kesmas Vol. 20, No. 1
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Abstract

Assessing adolescent resilience may provide valuable insights into adult resilience. This study aimed to analyze the relationship between determinants and adolescent resilience in Surabaya City. The participants of this cross-sectional study were 277 adolescents aged 12–19 years who were in senior high school. The outcome was the resilience levels. This study's findings indicated relationships between resilience levels and stress experience (p-value = 0.01), access to mental health information (p-value = 0.00), life satisfaction (p-value = 0.00), family harmony (p-value = 0.03), presence of adults to share (p-value = 0.04), feeling safe at home, school, and community (p-value = 0.00), perception of ideal body image (p-value = 0.03), and suicidal urges (p-value = 0.00). The multivariate analysis showed that a variable related to resilience was satisfaction with life (p-value = 0.04, 95% CI 1.07–24.22). Adolescents dissatisfied with their lives had a 5.09-fold greater risk of developing into established categories of resilience. Therefore, intervention efforts are necessary to increase adolescents’ resilience levels.
Five-Year Journey of Technical Assistance in Health Governance Reforms: A Case Report Yuniar, Popy; Trihandini, Indang; Muyassar, Ibnu; Khoiriyah, Latifatul; Minawati, Minawati; Birjaman, Fathiyya Aliyah; Diana, Tyra Septi; Serafina, Annabel; Putri, Hertina Raisa; Maimunah, Rana; Setiawan, Riko; Ramadhianisa, Nadazaira Alifia; Diyanto, Aris
Kesmas Vol. 20, No. 1
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Abstract

Many districts and cities in Indonesia continue to have Public Health Development Index scores below the national average, highlighting the need for improved health governance. This study assessed the five-year impact (2019–2023) of a mentoring program for 149 District Health Offices in preparing annual work plans, focusing on stagnation or performance declines. Using a qualitative approach, the study analyzed annual work plan scores before and after technical assistance, conducted focus group discussions, and carried out in-depth interviews to identify challenges. Key barriers included data management issues, weak advocacy, knowledge transfer gaps, and poor cross-sectoral coordination, which hindered decision-making and program sustainability. Findings suggested that structured technical assistance enhanced data-driven planning and intersectoral collaboration at the district level. Strengthening governance frameworks through capacity-building programs and integrating mentorship models into national health strategies can improve regional health performance.
Socio-Epidemiological Perspectives of Sexual Trauma Experiences and Influential Factors on Sexual Orientation in Men Who Have Sex with Men Sitorus, Rico Januar; Misnaniarti, Misnaniarti; Legiran, Legiran; Syakurah, Rizma Adlia; Sartika, Diana Dewi; Maharani, Asri; Patresia, Retta
Kesmas Vol. 20, No. 1
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Abstract

The complexity of sexuality and sexual trauma experiences, including harassment, unwanted touching, sexual urges, and forced sexual intercourse, should not be underestimated because of the tendency to initiate adverse psychosocial impacts. Sexual harassment can increase mental health risks, which may influence sexual orientation decisions. This quantitative study, using a cross-sectional design, aimed to determine a relationship between sexual trauma experiences and sexual orientation in men who have sex with men (MSM). This study population was MSM living in Palembang and Prabumulih City, with a sample size of 216 respondents. The proportion of respondents with homosexual orientation was 57.1%, and the proportion having sexual trauma experiences was 42.3%. The multiple logistic regression identified a significant relationship between sexual trauma experiences and sexual orientation in MSM with a pvalue of 0.02, an adjusted odds ratio of 2.71, and a 95% CI of 1.17-6.26. These results suggested a higher risk of a different sexual orientation among traumatized MSM compared to MSM without one after controlling access to pornographic content and correcting parenting patterns. Sexual trauma has been shown to affect individual sexual orientation; therefore, special attention is needed due to the impact on future life behavior.
Adolescent Reproductive Health Promotion for Senior High School Students Meilani, Niken; Hariadi, Sunarru Samsi; Haryadi, Fransiskus Trisakti
Kesmas Vol. 20, No. 1
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Adolescence is a vulnerable period to reproductive health problems, especially regarding issues of sexuality. Healthy adolescent behavior is needed to achieve the SDGs targets by 2030. This study aimed to analyze personal factors such as attitudes, perceptions, and self-efficacy, as well as environmental factors like family, school, friends, community, and social media's role in adolescent reproductive health behavior and health promotion models. This quantitative analysis was conducted using the survey method with 326 respondents at 32 senior high schools, involving 159 male and 167 female adolescents, as samples taken through a multistage random sampling technique. This study used a questionnaire that was pre-tested for validity and reliability. Data were analyzed using path analysis. The results showed that adolescent perceptions, attitudes, self-efficacy, and the role of parents and social media positively influenced reproductive health behavior. The role of parents is the most influential variable among female adolescents. Social media directly affects male adolescents' behavior and indirectly influences female adolescents. This study recommends integrating social media campaigns with parental involvement to enhance reproductive health literacy. Moreover, health interventions should be sex-specific and consider different ways through which social media influence adolescents.
Help-Seeking Behavior and Related Mental Health Promotion Programs in Southeast Asian Youth: A Systematic Literature Review Octavia, Gladys; Doorbar, James A; Chan, Kallista
Kesmas Vol. 20, No. 1
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Mental health issues are a prominent burden among adolescents and young adults in Southeast Asia, compounded by reluctance to seek help and low treatment rates. This mixed-method systematic review analyzed help-seeking profiles (preference, facilitators, and barriers) and evaluated implemented help-seeking programs. Data were sourced from electronic databases, hand-searched local databases, conference proceedings, and grey literature. Study selection followed PRISMA 2020 guidelines, focusing on 1) adolescents (10–19 years) and young adults (18–26 years) in Southeast Asia who were not receiving mental health care, 2) assessing help-seeking behavior, and 3) evaluating programs to increase help-seeking. A total of 16 articles were identified. Help-seeking behavior in Southeast Asian youth was shaped by mental health literacy and stigma (including attitudes from family, peers, and the wider community). Program effectiveness was mixed, with improvement often lacking significant differences from control groups or failing to persist at follow-up. These findings emphasized the need for more community-level and upstream policy interventions alongside individual-level interventions to improve mental health literacy and stigma. Developing interventions requires methodological improvements in help-seeking research, and ultimately, accessible and trustworthy mental health services are crucial to sustaining progress.
Public Health Entrepreneurship in Indonesia: What is Next? Pratomo, Hadi; Darmawan, Roy; Samaria, Karina
Kesmas Vol. 20, No. 1
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Abstract

Public health has been demanded to search for ways to improve well-being by tackling societal and ecological factors that influence health through cooperative strategies and partnerships across various fields. More interdisciplinary, interprofessional, and action-oriented approaches toward sustainable public health programs are recommended to be made. Therefore, public health entrepreneurship is an indispensable approach to creating new interventions that address future public health problems. The Indonesian Ministry of Health conceptualized five public health entrepreneurship skills as standard competence for public health personnel. In addition, the Association of Indonesian Public Health Higher Education Institutions has identified several study materials and learning outcomes for undergraduate public health personnel. To enrich the currently available approaches, a similar concept of entrepreneurship training, including three course areas: systems of laws and regulations, advertising and public outreach, and financial oversight, consumer insights, and assessment, is presented. The Public Health Entrepreneurship and Intrapreneurship Framework is also presented in this study. Researchers, government, private sectors, experienced entrepreneurs and intrapreneurs, and other stakeholders should collaborate to formulate the best entrepreneurship curriculum for Indonesia. This curriculum can initially be piloted, evaluated, and finally adopted by public health educational institutions in the country.

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