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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 8 Documents
 1 
Search results for , issue "Vol. 13, No. 4" : 8 Documents clear
Obesity as Type 2 Diabetes Common Comorbidity: Study of Type 2 Diabetes Patients’ Eating Behaviour and Other Determinants in Jakarta, Indonesia Fajarini, Isna Aulia; Sartika, Ratu Ayu Dewi
Kesmas Vol. 13, No. 4
Publisher : UI Scholars Hub

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Abstract

Obesity is one of the comorbidities widely occurred among type 2 diabetes patients. It is one of the most modifiable risk factors for the prevention of other comorbid conditions such as diabetic nephropathy and cardiovascular disease. The aim of this study was to recognize eating behaviour, physical activity, and other related factors, also their correlation with obesity as comorbidity among type 2 diabetes patients. Using cross-sectional design, data were collected from purposively selected 133 members of “PROLANIS” in Jatinegara Primary Health Care, East Jakarta. Food intake was assessed by 1x24 hours food recall and FFQ, physical activity by GPAQ. The result showed 63,9% of adult with type 2 diabetes were obese (BMI ≥25 kg/m2), fat intake was higher than recommendation (30,77±9,06%), but mean energy intake was insufficient compared to energy requirement (62,06±23,67%). The prevalence of obesity among adults with type 2 diabetes is found associated with nutrition knowledge, level of education, and length of suffering type 2 diabetes. Nutrition education is important to reduce the prevalence of obesity among adults with type 2 diabetes.
Post Hypertension and Stroke: A Case Control Study Imanda, Aulia; Martini, Santi; Artanti, Kurnia Dwi
Kesmas Vol. 13, No. 4
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Abstract

The purpose of this study was to determine the factors that influence the incidence of stroke including smoking status, past hypertension , past diabetes, diet, physical activity, alcohol consumption. The design of this study is case control with a ratio of 1: 1. The total number of respondents is 132 people. Research subjects were selected using systematic random sampling. This research was conducted at Ngudi Waluyo Hospital in Wlingi. Blitar, Indonesia in October till November 2017. Bivariate analysis showed that factors significantly related to stroke were smoking status (p=0.011, OR=2.6), history of past hypertension (p=0.00, OR= 6), past diabetes (p=0.015 ; OR=5,7), and unhealthy diet (p= 0,00; OR = 5,7). Multivariate analysis showed that factors that significantly influence stroke are smoking, having hypertension in the past, and unhealthy diet. Conclusion of this study was smoking, having hypertension in the past, and unhealthy diet are factors that influence the incidence of stroke. Maintaining normal blood pressure, maintaining a diet, and not smoking are precautions should be taken in order to prevent stroke.
Type 2 Diabetes Patients’ Need for Physical Activity Programming: A Qualitative Study at a Yogyakarta Hospital Clini Arovah, Novita Intan; Kushartanti, Bernadeta Wara; Washington, Tracy L; Heesch, Kristiann C
Kesmas Vol. 13, No. 4
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Abstract

Physical activity programs offered in Indonesian hospitals are often inadequate to help type 2 diabetes (T2D) patients meet international physical activity recommendations. This study aimed to identify T2D patients’ physical activity enablers and barriers, their preferences for, and experiences with, physical activity programming, with a view to developing future programs that are suited to these patients’ needs and preferences. Four focus groups were conducted with 28 patients (50% female) of the T2D clinic at the Local General Hospital of Yogyakarta. Discussions were thematically analysed in NVivo 10. The most reported types of physical activity were walking and participation in the hospital-based exercise program. Participants were motivated to be physically active for the health benefits and for social interactions. The main barriers to physical activity were a lack of enjoyment, the absence of knowledge about appropriate activities for T2D patients, and a shortage of time due to social and family obligations. Based on study participants’ preferences, future physical activity programs need to include educational components, regular clinical evaluations, consultations with health educators, and efforts to increase the reach of the programs. This study provides practical suggestions for physical activity programming that meet the needs of T2D patients in Indonesia.
Dengue Haemorrhagic Fever and House Conditions in Kupang City, East Nusa Tenggara Province Wanti, Wanti; Yudhastuti, Ririh; Notobroto, Hari Basuki; Subekti, Sri; Sila, Oktofianus; Kristina, Ragu Harming; Dwirahmadi, Feby
Kesmas Vol. 13, No. 4
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Kupang City has the highest Incidence of DHF in East Nusa Tenggara and also higher than the national figure. This study aims to analyze the relationship between housing conditions and the DHF incidence in the Kupang City. This observational study uses a case-control study in 25 villages with a total sample of 500 people. Data is analyzed using t test and chi square test. The house conditions were significantly related to the DHF incidence (p≤0.05), namely house lighting, water usage, wall construction, ventilation area and ownership of clean water facilities. People are advised to ventilate the house ≥10% of the floor area and often open the house ventilation as a place for air exchange and for entering the light into the house. Construction of the wall is expected to be repaired to be more permanent or close the open part so not as a mosquitoes path into the house. The government is advised to increase access to clean water for the community and promote to always clean water reservoirs and not hold water for a long time.
Risk Factor Analysis of Overnutrition Among Elementary School Children in Pekanbaru: An Urban-rural Perspective Arfianti, Arfianti
Kesmas Vol. 13, No. 4
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Abstract

The prevalence of childhood overnutrition is increasing in many parts of the world including Indonesia. National basic health research (RISKESDAS) 2010 showed that over-nutrition in urban children (10.4%) was greater than in rural areas (8.1%). The purpose of this study was to analyse risk factors for overnutrition on elementary students in urban and rural areas in Pekanbaru. This was an observasional analytical study with cross-sectional design. This study involved 137 urban and 113 rural students from six elementary schools in Pekanbaru recruited by quota sampling technique. This study was conducted between April-May 2018. The results showed that the proportions of overweight and obesity in urban Pekanbaru were 16.1% and 16.8% respectively, while in rural areas were 12.4% and 9.7%, respectively. Furthermore, outdoor activity and snacking habit were significant contributors of childhood overnutrition in urban area whereas frequency of main meal was associated with childhood overnutrition in rural area. In conclusion, there was no difference in the incidence of overnutrition among elementary students in urban and rural areas in Pekanbaru. This study indicated that obesity risk factors may be different between urban and rural areas in Pekanbaru.
Occurrence of Natural Vertical Transmission of “Zika like Virus” in Aedes aegypti Mosquito in Jambi City Satoto, Tri Baskoro; Pasca Wati, Nur Alvira; Purwaningsih, Wida; Josef, Hari Kusnanto; Purwono, Purwono; Rumbiwati, Rumbiwati; Hermanto, Hermanto; Frutos, Roger
Kesmas Vol. 13, No. 4
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Abstract

Zika virus can be transmitted through mosquitoes such as Aedes aegypti and Ae. albopictus. During the transition period of 2014–2015, an outbreak of dengue was reported in Jambi City, during which several sufferers were screened positive for Zika virus infection by the Eijkman Institute. It was interesting to note that all of those positive for Zika virus infection were indigenous residents and none of them had a history of international travel. This descriptive analytic study with a cross-sectional design study was conducted to present an overview of Aedes spp. population using ovitrap and egg colonization methods and to detect the presence of Zika virus. Samples were analyzed using reverse transcription polymerase chain reaction for detection of Zika “like” virus and the mapping results were described. The Ovitrap Index was 44.74%, and examination of egg colonization collected from 40 neighborhoods revealed the presence of Zika “like” virus in samples obtained from the fourth neighborhood in Talang Bakung village. This result indicates the occurrence of natural vertical transmission of Zika “like” virus in A. aegypti mosquito in Jambi City, which potentially resulted in an outbreak.
Factors Related to Adolescent Behavior towards HIV/AIDS Prevention Purnamaningrum, Yuliasti Eka; Nugrahawati, Ratyas Ekartika Puspita Candra; Hernayanti, Munica Rita; Vajee, Anne
Kesmas Vol. 13, No. 4
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Abstract

In 2016 Special Region of Yogyakarta was ranked 9th as the province with the highest number of people suffered from HIV/AIDS especially at Sleman regency. Globally, AIDS was the second leading cause of adolescents’s death aged of 10-19 years. The purpose of this study was to find out factors affecting the behaviour of the adolescents towards HIV/AIDS prevention. This research using with cross sectional study design. The sampling technique which used was stratified random sampling resulted in 59 respondents from 11th grade students at SMA Negeri 2 Sleman were selected as sample. Data were collected using questionnaire and analyzed using Chi-Square test and Multiple Logistic Regression. The result showed that most respondents 66,1% had sufficient knowledge. Students who showed supportive attitude was 54,2%. Information obtained were mostly from electronic media. Thirty one students (52,5%) showed a positive behaviour toward HIV/AIDS prevention. Chi-Square test’s result showed that factors significantly related to adolescent’s behaviour toward HIV/AIDS prevention were knowledge and attitude. Variables most affecting was attitude (p-value=0,008; PR=4,4; 95% CI=1,4-13,1).
Risk Assesment of Air Pollution Exposure (NO2, SO2, Total Suspended Particulate, and Particulate Matter 10 micron) and Smoking Habits on the Lung Function of Bus Drivers in Palembang City Sunarsih, Elvi; Suheryanto, Suheryanto; Mutahar, Rini; Garmini, Rahmi
Kesmas Vol. 13, No. 4
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Nitrogen dioxide (NO2), carbon monoxide (CO), sulfur dioxide (SO2), Particulate Matter (PM10) and TSP are the most common and harmful air pollutants to humans. In short period, air pollution exposure at 5 ppm for 10 minutes to humans causes dyspnea, and when the level is increase to 800 ppm could cause 100% mortality in animals. This study was an analytical research, with cross sectional design and risk analysis. One hundred subjects were analyzed in this study. The results showed that non-cancer Hazard Index (HI) for realtime exposure with mean value was NO2: 1.85; SO2: 2.92; TSP: 7.09; and PM10: 11.7 (HI value ≥1). The results of the analysis test for FVC lung capacity to non-cancer risk estimation of NO2, SO2, TSP and PM10 indicated that there was no significant relationship (p > 0,05). Variable of smoking habit is the most dominant variable (OR = 12,542) which affect respiratory disorders. The exposure of NO2, SO2, TSP and PM10 in Palembang City bus drivers is considered risky to non-cancer health subjects, so control is needed. This control could be performed by lowering the level of inhalation intake (I) of the RfC and the first simulation model for exposure could start from the second year to the sixth year.

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