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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,
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 7 Documents
 1 
Search results for , issue "Vol. 14, No. 1" : 7 Documents clear
Hematological Indices of Pesticide Exposure Rice Farmers in Southern Thailand Kwanhian, Wiyada; Yimthiang, Supabhorn; Jawjit, Siriuma; Mahaboon, Junjira; Vattanasit, Udomratana; Thirarattanasunthon, Phiman
Kesmas Vol. 14, No. 1
Publisher : UI Scholars Hub

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Abstract

The most common pesticides used in rice farming are organophosphates and carbamates. These pesticides inhibit acetylcholinesterase (AChE) activity, resulting in excessive levels of acetylcholine accumulation and disrupted neurotransmission. This study compared AChE activity and hematological parameters between pesticide-using rice farmers, non-pesticide using rice farmers, and non-agricultural occupational groups (non-farmers). Pesticide residues that accumulated in rice and the water and soil of the study area were also determined. AChE activity of all participants showed 10 from 87 samples (11.49%) as borderline depressed, with 50% of these being pesticide-using farmers. Most of the hematological parameters were normal in all samples. However, platelet numbers of pesticide self-spraying rice farmers were significantly lower than non-self-spraying rice farmers. The results suggested that the use of pesticides during rice farming affected AChE activity and some hematological cells. In addition, pesticide residues in soil, water and rice in rice fields using pesticides were higher than in non-pesticide use areas. Results confirmed that the exposure rates of farmers using pesticides were at higher risk than farmers who did not use pesticides
BEHAVIOR PROBLEM IMPACT TO DECREASING KIDNEY FUNCTION AMONG MIGRANT WORKERS isroin, laily; Suandika, Made
Kesmas Vol. 14, No. 1
Publisher : UI Scholars Hub

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Abstract

Indonesian Workers were undergoing 18% of hemodyalysis from the number of hemodyalysis patients. They did not know about CRF. The study aimed to analyze the behavior of migrant workers who were suffering hemodyalysis. The study used a qualitative design with a phenomenological approach, that is carried out on former migrant workers who suffer from chronic kidney failure. Indepth interview used as data collection. While data validation used triangulation and confirmability. Data analysis techniques was done by reducing and interpreting the data. The study show migrant workers behavior before becoming migrant workers were very pathetic. They often drunk kind of energy drinks. Further, following the lifestyles of migrant countries such as drinking alcohol, soft drinks, fast food becoming their routine activities as lack of drinking water, vegetables, fruit, and also rarely did exercises. Migran workers activities influenced by the work system and individual interests to get excess income, then they chose to work overtime as their priority. In conclusion, the problem of migrant workers' behavior and hypertensive hereditary disease has an impact on decreasing kidney function. Migrant workers have no knowledge of healthy lifestyles and CRF. Wrong perceptions and attitudes of migrant workers to support culture in migrant countries.
Effects of Son Preference on Contraceptive Use in Bangladesh Hoq, Mohammad Nazmul
Kesmas Vol. 14, No. 1
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Abstract

Son preference resulting from traditional beliefs, social customs and economic benefits including support of aging parents is widespread not only in Bangladesh but also in many Asian and African countries, which are believed for low levels of contraceptive use. To carry out the research task effectively and efficiently, the research work extracted 16,858 currently married women aged 15-49 out of 17,863 ever-married women from a nationally representative 2014 Bangladesh Demographic and Health Survey Data (BDHS, 2014) set. Levels of contraceptive prevalence rate of the respondents having only daughters is found only 48.4, which is remarkably lower than the national average (62.4) because of son preference. The analysis reveals that son preference is variant regarding of place of residence and socioeconomic background. Son preference is stronger among illiterate, nonworking women and women above 40 years of age. Moreover, Muslim women have a strong son preference than their Non-Muslim counterparts. The desire for sons can be reduced by making daughters and sons equally dear to parents and also in society.
ANALYSIS OF TRADITIONAL HEALTH CARE IN THREE COMMUNITY HEALTH CENTERS IN WEST JAVA PROVINCE, INDONESIA, 2018 Wibowo, Adik; Diniawati, Evita; Sein, Than Tun
Kesmas Vol. 14, No. 1
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The National Traditional Health Care set up three objectives for its implementation at the health centers, whereby health staff to be trained on traditional health and provide accupressure care, able to collect data, register and provide technical guidance to traditional healers and guide individuals in the use of traditional medicine and herbs. This qualitative research aimed to analyze the implementation of traditional health care at 3 subdistrict health centers Ciomas, Ciawi and Caringin in district Bogor. Data was collected through document analysis, observation and indepth inteview. Each health center has trained staff in accupressure but care is hindered by lack of room and community prefers to go to traditional masseur. Data collection, registration and technical guidance to traditional healers exist due to support from local funding. Individual guidance on the use of traditional medicine and herbs do not happen due to no fund for home visits. Traditional health care at health centers to focus on the activity that is working which is data collection, registration and technical guidance to traditional healers. District Health Office Bogor should develop local policy and Standard Operating Procedure for traditional health care at health centers.
The Risk of Hypertension in Adulthood as a Consequence of Adolescent Obesity Simbolon, Demsa; Yorita, Epti; Talib, Ruzita ABD
Kesmas Vol. 14, No. 1
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Population increase in adolescence are associated with increased overweight and obesity problems. If this problem not early intervention will have an impact on increasing hypertension prevalence and risk of death. This research aimed to explain the consequences of overweight and obesity in adolescent to hypertension in adults. The study used Indonesian Family Life Survey (IFLS) data with a retrospective cohort study. Adolescent BMI measurements on 2007 and the risk of hypertension on 2014. Population are all adolescents aged 10-20 years in 2007. Sample of 1,697 adolescent who randomly IFLS 2007 with the inclusion criteria: biological children and a single birth, children living with biological parents, children remain alive until adulthood on 2014. Multivariate analysis used logistic regression. The study found 8.1% women and 5.6% men were overweight and obes. In adulthood, there was a 45.4% incidence of hypertension. Incidence of hypertension in men (67.3%) more than women (26.8%). The multivariate model showed adolescence BMI affects the blood pressure after controlled the BMI adult, adolescence blood pressure, area of residence, and gender.Gender interacts with adolescence BMI. The risk of hypertension in adulthood based on overweight and obese in adolescent boys is 3 times and girls is 2 times.
Duration of Hormonal Contraception and Risk of Cervical Cancer Kusmiyati, Yuni; Prasistyami, Annisaputri; Wahyuningsih, Heni Puji; Widyasih, Hesty; Adnani, Qorinah Estiningtyas Sakilah
Kesmas Vol. 14, No. 1
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The use of long hormonal contraceptives can disrupt the balance of estrogen in the body, resulting in abnormal cell changes. This study aimed to determine a correlation between the duration of hormonal contraception and risk of cervical cancer. This study used a case-control design. The population were patients who had examined at a cancer installation and obstetrics-gynecology polyclinic Dr. Sardjito Hospital in 2018. Case samples were 95 women have cervical cancer diagnosis and control were 95 women with a negative pap smear. Sampling with random sampling. Dependent variable cervical cancer and independent variable the duration of hormonal contraception are obtained from medical records. Cervical cancer is assessed by doctor’s diagnosis. Data analysis used logistic regression. Results showed that 44.7% of samples used long-term hormonal contraception (over 5 years). Length of use of hormonal contraception had a significant correlation with the incidence of cervical cancer (p-value < 0.01). Hormonal contraceptive use more than 5 years have a risk 4.2 times (95% CI 1.01-5.69) of cervical cancer than using less than 5 years after being controlled with the first marriage age and parity
Private Midwives’ Perceptions on Barriers and Enabling Factors to Voluntary Counselling and HIV Test (VCT) in Bali, Indonesia Lubis, Dinar Saurmauli; Wulandari, LPL; Suariyani, Ni Luh Putu; Tresna Adhi, Kadek; Andajani, Sari
Kesmas Vol. 14, No. 1
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Abstract

In Indonesia, more than half of pregnant women seek antenatal care (ANC) at private midwifery clinics. The midwives play an important role in advocating for voluntary counseling and testing (VCT) uptake among pregnant women during ANC. This study examined midwives’ perception of barriers and enabling factors with regards to refer pregnant women for HIV testing. The study was conducted in Denpasar City and Badung District, two localities in Bali with high HIV prevalence. Two focus groups discussions with 15 private midwives and five in-depth interviews were conducted. Data were transcribed verbatim and thematic analysis methods were used to examine patterns emerging from the data. Results showed that private midwives face personal barriers in the form of stigma as well as institutional barriers such as VCT operational hours that limit how and when they refer women for VCT. Barriers are strengthened by lack of support or reward from the health office. However, opportunities for integrated and comprehensive support systems within the health system and supportive social environment which would make it easy and rewarding for midwives to refer women to VCT clinics were seen as enabling factors. Increasing uptake of VCT is a necessity for eliminating mother to child HIV transmission.

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