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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,
Health Professions Public 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.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 9 Documents
 1 
Search results for , issue "Vol. 13, No. 2" : 9 Documents clear
Pizza and Hamburger Consumption to Overweight among Adolescents in Jambi City Kalsum, Ummi; Nainggolan, Sahridayanti; Ng, Nawi
Kesmas Vol. 13, No. 2
Publisher : UI Scholars Hub

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Abstract

Junk food is unhealthy and poor in nutrient quality, and may result in weight gain, obesity, and coronary heart disease, if consumed regularly. The prevalence of overweight in adolescents is 5-10% higher in urban areas. Adolescents undergo lifestyle changes, including in food consumption behavior. This study aimed to determine relation between junk food consumption patterns and overweight in adolescents. This study was conducted based on a cross-sectional design. A total of 137 high school students in Jambi City were involved in this study. Patterns of junk food consumption were assessed using food frequency questionnaires that examined the eating habits of study subjects. The variables were sex, maternal education, parents’s occupation, and family’s socio-economic level. Analysis was conducted using the chi-square test and multiple logistic regression. Nutritional status was measured using body mass index-forage with WHO Antro software. The results of this study indicated a 23.4% prevalence of overweight in adolescents. After controlling for maternal education, father’s occupation, instant noodle eating habits, and tea, coffee and cookies consumption, final model showed that consumption of pizza and hamburgers among adolescents was the dominant determinant for overweight (OR=3.55). Consumption of pizza and hamburger was related to overweight among adolescents in Jambi City.
Work-Related Skin Diseases among Workers in the Sewing Section at PT. X Shoe Company in West Java Hendra, Hendra; Nirwana, Eva; Isahak, Marzuki
Kesmas Vol. 13, No. 2
Publisher : UI Scholars Hub

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Abstract

Occupational skin diseases are the most common work-related diseases in many countries. Shoe industry workers are potential to be affected by work-related skin diseases (WRSDs). This study aimed to analyze the risk factors associated with WRSDs among workers in the sewing section at a shoe company in West Java. A total of 477 workers were examined and interviewed using the modified Nordic Occupational Skin Questionnaire-2002/LONG from May 2016 to July 2016. Chi-square test and logistic regression were used to analyze the risk factors related to WRSDs. The results showed that 57.7% of the workers suffered from WRSDs. Most of the workers (71.7%) did not wear gloves while working; however, they washed their hands adequately at work (67.1%). Multivariate analysis indicated that a term of work, allergy records, organic dust exposure and duration of exposure per day, handwashing habits, and use of gloves while working were significant to WRSDs. Having allergy records and not wearing gloves were the two dominant factors associated with WRSDs (odds ratio: 6.743 and 6.224, respectively). Understanding the importance of using chemical protective gloves while working and washing hands with running water are essential for the proper implementation of protective measures to ensure worker's safety and health.
Adolescents' Attitude toward HIV/AIDS Prevention in Yogyakarta Tiranda, Meysa; Setiyawati, Nanik; Rahmawati, Anita
Kesmas Vol. 13, No. 2
Publisher : UI Scholars Hub

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Abstract

Acquired immunodeficiency syndrome (AIDS) is the second leading cause of death in adolescent groups in the world. In Indonesia, the rate of human immunodeficiency virus (HIV)-infected adolescents increases annually. Yogyakarta, well-known as the education city, has the highest number of HIV/AIDS cases in the productive age group of 20–29 years old, which means that they have been already infected with HIV since teen age. This study aimed to determine influential factors that affect adolescents' attitude toward HIV/AIDS prevention. The study was an analytic survey research with a cross-sectional design. Stratified random sampling was applied to select a sample size of 128 respondents of class XI at Muhammadiyah 3 Yogyakarta Senior High School in 2017. Data were taken by using questionnaires that had been tested for validity and reliability. Data were analyzed by chi-square test and logistic regression. The results revealed that most of the respondents received information on HIV/AIDS from media (47.7%), have a good knowledge level (82%), and support the prevention of HIV/AIDS (96.9%). The source of information and knowledge level had a statistically significant relation with adolescents' attitude toward HIV/AIDS prevention. Knowledge level is the most influential factor to adolescents' attitude toward HIV/AIDS prevention (p value = 0.006, PR = 1.199; 95% confidence interval = 1052–1367).
Health Promotion toward Knowledge and Intention for Early Detection of Cervical Cancer in Commercial Sex Workers Rusmiati, Desi; Silitonga, Tiurlan Yunetty; Warendi, Warendi
Kesmas Vol. 13, No. 2
Publisher : UI Scholars Hub

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Abstract

Cervical cancer is one of the cancer types that become a haunting danger for many women in the world. In Indonesia, the prevalence rate reached 0.8% or an estimated 98,692 patients. Its prevalence increased to 10% in the commercial sex worker group. This study aimed to explain the effect of health promotion on knowledge and intention for early detection of cervical cancer using the inspection of visual acetate method in the commercial sex workers. This study was quantitative with a quasi-experimental type, one group of pretest and posttest design. The population sample included the commercial sex workers at Genteng Subvillage, Patimban Village, Pusakanegara Subdistrict, Subang District and was determined by using an accidental sampling technique with 35 respondents. Data analysis used McNemar's test. The results showed that there was an increase in knowledge after the health promotion activity and a significant change in intention to perform early detection of cervical cancer. From the statistical test, a p value of 0.000 was obtained for each variable. In conclusion, health promotion has a significant effect on the improvement in the knowledge and intention of the respondents.
Risk Factors Associated with Low Birth Weight Rahfiludin, Mohammad Zen; Dharmawan, Yudhy
Kesmas Vol. 13, No. 2
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Abstract

Neonatal deaths are associated with preterm birth complications. The aim of this study was to analyze risk factors associated with LBW. This was a crosssectional study held in Bulu Primary Health Care, Temanggung, Central Java, Indonesia. The sample size required for this study was 69 based on the Slovin formula. Data were collected using questionnaires and semi-quantitative Food Frequency Questionnaire forms. Data on infant birth weight was taken from midwives’ delivery cohort records. Mid upper arm circumference (MUAC), hemoglobin level, blood pressure, maternal age, parity, nutritional intake, and serum transferrin receptor data were taken from the infant’s mother using a MUAC tape, automatic blood pressure monitor and blood laboratory analysis by Prodia. Data analysis procedures were carried out with quantitative methods. Descriptive statistics were analyzed as means and standard deviations. Inferential statistics used the chi-square test for bivariate analysis and binary logistic regression for multivariate analysis. The results of this study showed that mean infant birth weight was 2917.68 ± 374.673 kg. Inferential analysis showed that MUAC and pregnancy at a risky age were significant risk factors associated with LBW, while serum transferrin receptor levels, anemia, parity, energy and protein consumption levels, and systolic and diastolic blood pressure were nonsignificant risk factors. The probability of LBW in pregnant women with LILA under 23.5 cm and pregnancy at a risky age was 68.9%.
Role Stress, Personality Type, Burnout, and Performance of Midwives towards Postnatal Care Program Achievement in Surabaya City Halimsetiono, Elita; Rochmah, Thinni Nurul; Suminar, Dewi Retno
Kesmas Vol. 13, No. 2
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Abstract

The coverage of postnatal care program in Surabaya City had declined since 2011–2013 and could not reach the target. This analytic observational study used a cross-sectional design and was conducted during April–May 2015 to analyze the effect of role stress, personality type, and burnout on midwives’ performance towards postnatal care program achievement in Surabaya City. A total sample of 45 midwives was collected from eight primary health care centers in Surabaya City with basic emergency obstetric and neonatal care services. Accidental sampling was used for sample selection. This study indicated that most of the midwives were aged 20–30 years and had an diploma level of education in midwifery. Majority of them were married and were predominantly contract workers with However, majority of them had mild burnout and showed medium performance level. There was no influence of demographic characteristics, role stress, and personality type on burnout, whereas the performance was affected by role stress and personality type. The midwives’ performance was more influenced by personality type than by role stress.
Family Perception Towards Health Role in Filariasis Countermeasures Using the Health Belief Model Approach in Aceh Besar District Elvin, Said Devi; Yusuf, Mutia; Hayati, Wirda; Alamsyah, Teuku
Kesmas Vol. 13, No. 2
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Abstract

Aceh Besar District is a filariasis endemic area. This endemic state is strongly influenced by people’s perception of filariasis countermeasures. This study aimed to determine relation between family perceptions towards health role in filariasis countermeasures using the Health Belief Model. An analytical survey was applied with a cross-sectional study approach. The study population was families at three villages that are Lambaro Bileu, Lambaet, and Cot Preh of Kuta Baro Primary Health Care. This represents 1,113 families with a sample of 92 families that were selected using a proportionate stratified random sampling technique. The study instrument was a questionnaire and data were analyzed in a univariate, bivariate, and multivariate. This study showed that the families’ perceived susceptibility to filariasis disease and the families’ perception of the benefits from filariasis preventive actions are influenced the health role in filariasis countermeasures (p value = 0.012 and 0.0001). However, the families’ perception of the seriousness of filariasis disease and the families’ perception of barriers in filariasis preventive action did not influence the health role in filariasis countermeasures (p value = 0.259 and 0.230). The families’ perceived benefits of preventive action were the dominant factor related to the families’ health role in filariasis countermeasures (OR = 12.863; 95% CI = 2.566–93.537) after adjusting with perceived susceptibility to diseases (OR = 8.316; 95% CI = 1.769–26.949).
Impact of Budget Increase on Primary Health Care Performance in the Era of National Health Insurance: Case Study in Buleleng District Suranugraha, Kadek; Nopiyani, Ni Made Sri; Januraga, Pande Putu
Kesmas Vol. 13, No. 2
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Since 2014, there has been an increase in funds for primary health care (PHC) coming from the National Health Insurance program capitation funds and the Health Operational Assistance Fund. This study aimed to explore the effect of this budget increase on the health care services at PHC. The case study used a qualitative approach and interviews from 19 PHC health workers with the highest and lowest budget. Data were analyzed using thematic analysis and supported by quantitative data. The positive impact of the increasing PHC budget was felt by PHC staff due to the addition of operational equipment and incentives provided. Nevertheless, there was also a negative impact such as feeling overwhelmed due to an increase in the quantity of PHC activities and additional administrative affairs. It also triggered a negative interaction between staff due to the number of incentives received. The regulation on the use of budget empowers PHC to better arrange the schedule of activities and manage human resources. However, these regulations are considered restrictive and the administrative flow of funds is too long that hinder the optimal use of the budget.
Utilization of Styrofoam as Soundproofing Material with Auditory Frequency Range Nasri, Sjahrul Meizar; Shofwati, Iting
Kesmas Vol. 13, No. 2
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The utilization of bricks made of styrofoam is expectedly able to be a soundproof for noise control and as a preventive action to reduce the steadily increasing prevalence of hearing loss. This study aimed to assess the use of sound absorption material in which styrofoam was utilized to reduce the noise exposure. In this study, fine aggregates (sand and styrofoam) were made with a mixture of cement with a composition of 1:4 and 1:6, also the addition of polystyrene waste with a percentage of 0%, 20%, 40%, 60%, and 80%. Determination of acoustical property of the mixture was done by testing the sound absorption coefficient (α) using Four Microphones Impedance Tube (ISO 140-3). The results showed that the highest value of absorption coefficient was at a frequency of 800 Hz with an additional 80% styrofoam for the composition of 1:4 at 0.4100 dB and at a frequency of 800 Hz with an additional 40% styrofoam for the composition of 1:6 at 0.5870 dB.

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