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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 928 Documents
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The Climate Effect on COVID-19: Lessons Learned from the Pandemic in Jakarta Saki, Vernonia Yora; Deniati, Ema Novita; Saputra, Yoerdy Agusmal; Susanna, Dewi; Efendi, Efendi
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

The global COVID-19 pandemic has presented humanity with difficult and unforeseeable hurdles. Among these challenges is understanding how climate-related aspects impact the survival of the SARS-CoV-2 virus. This study aimed to investigate the relationship between environmental factors, such as temperature, humidity, and rainfall, and the spread of COVID-19 cases in different regions. A time-and-place-based ecological study design was adopted, integrating geographic information systems and statistical techniques. Statistical testing revealed a significant association between humidity (p-value = 0.000; r = -0.777) and rainfall (p-value = 0.001; r = -0.561) with COVID-19 instances. However, no statistically significant relationship was found between temperature variables and COVID-19 cases. Due to the impact of changing weather conditions, governments may become concerned about developing tailored preventive and control measures, considering the varying risk levels associated with different locations.
Improving Adolescent Mental Health Through Experiential Learning During the COVID-19 Pandemic Yulinda, Yulinda; Hufad, Ahmad; Permana, Elih Sudia; Robandi, Babang; Wahyudin, Uyu; Kamil, Mustofa
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

Good adolescent mental health is a good investment for a country. During the COVID-19 pandemic, many adolescents did not carry out productive activities, possibly changing their mental health. Experiential learning facilitates metacognition, shapes adolescent cognitive processes, improves performance and problem-solving, and makes learning more meaningful and authentic. This study aimed to explore adolescents' mental health conditions and how experiential learning affects adolescents' mental health. Using a qualitative approach, the data collection through Google Forms questionnaire, FGDs, and interviews using the HEADSS instrument was conducted in September 2022 in Kebon Gedang Village, Batununggal Subdistrict, Bandung City, West Java Province, Indonesia. This study involved 73 adolescents aged 10-19 years as population. Still, only 59 participants were valid as a sample and willing to participate in making oil-based soap as a change for the monthly activity held by Integrated Health Care. The results showed that experiential learning by making oil-based soap at home improved adolescents' mental health by 80%. Following the learning objectives, this activity developed adolescents into healthy and economically successful individuals while significantly contributing to their community.
Knowledge and Pattern of Preventive Behaviors Among Relatives of Breast Cancer Patients in Yogyakarta Pre and During the COVID-19 Pandemic Triratnawati, Atik; Mulyasari, Runavia
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

Breast cancer is still one of the leading causes of death in Indonesia. The multifactorial causes of breast cancer, including heredity, carries a risk for the sufferers’ relatives. Vigilance in female relatives of breast cancer patients increases due to hereditary risk factors for having the same disease. This anthropological study aimed to reveal the mosaic of breast cancer patients’ female relatives’ knowledge of such a risk and their efforts to prevent it. Qualitative data collection through interviews was conducted with 13 female family members of breast cancer patients in Yogyakarta aged 17-65 years. The data analysis was done through an emic approach by examining the informants’ views on the situation and their solutions. All of the informants believed that breast cancer is a malignant and deadly disease if it is not detected early and not properly treated. They were all fully aware of their risk as a family member to have the same disease. Their preventive measures included medical (early examination, breast self-examination, laboratory check, or consultation with the doctor) and non-medical (changes in eating and drinking behavior, reducing stress, exercising, and wearing masks). Besides, they also made religious efforts by praying to God to be given a healthy life and for the patients to be healed and their offspring to be free from this disease.
Workers’ Characteristics of Hearing Loss at Soekarno-Hatta International Airport, Indonesia Timanta, Andrew Ebeneizer; Haryanto, Budi; Wulandari, Ririn Arminsih
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

This study aimed to analyze the characteristics and factors of worker behavior, including age, the use of ear protection, work duration, a record of diabetes mellitus or hypertension, work rotation, and noise hazards involved in hearing loss in PT. X at Soekarno-Hatta International Airport, Indonesia. A cross-sectional study from May 2017 to June 2017 involved 73 workers in the power service area (TZ Unit) exposed to noise levels ≥85 dBA, using an audiometry test for hearing loss and Sound Level Meter for noise hazards was conducted. The Chi-square test showed a significant correlation between age (OR 8.4, 95% Cl = 1.6-44.1), work duration (OR 7.6, 95% Cl = 0.9-67.2), and the use of ear protection (OR 7.8, 95% Cl = 1.4-44.2) with hearing loss in workers in the power service area. The multivariate analysis revealed that workers exposed to a noise level of 85 dBA had a 1.7 times greater risk of hearing loss than workers exposed to a noise level of age, work duration, use of ear protection, medical history, and work rotation.
Access to Social Media, Knowledge, and Acceptance of COVID-19 Post-Vaccination Health Protocols: A Cross-Sectional Study Armini, Ni Luh Gde; Lubis, Dinar Saurmauli; Widarini, Ni Putu
Kesmas Vol. 18, No. 5
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Abstract

The health protocols recommended by the health authorities still need to be practiced after having the COVID-19 vaccine. Education on the prevention of COVID-19 infection needs to continue to protect people from the disease. This study aimed to determine the factors associated with adhering to COVID-19post-vaccination health protocols in people aged 18 years and over in the South Denpasar Subdistrict. This cross-sectional study comprised a sample of 147 people who were selected by incidental sampling. The data were obtained using questionnaires from July to August 2022 and examined with bivariate and multivariate analysis. Most participants were female, private employees, went to senior high school, accessed social media, had high knowledge of COVID-19, and properly followed health protocols post-vaccination. However, only 34.7% of participants accepted the government’s policy for preventing COVID-19. Multivariate analysis showed that good social media access (aOR = 11.9; 95% CI = 3.6–39.8; p-value<0.001), high knowledge of COVID-19 infection (aOR= 2.6; 95% CI = 1.0–7.4; p-value = 0.044) and high acceptance of government policies (aOR = 4.1; 95% CI = 1.5–11.6; p-value = 0.006) were associated with the application of health protocols post-vaccination in people aged 18 years and over. In the studied group, having access to trusted social media, knowledge, and public acceptance of government policies led to adhering to the recommended health protocols post-vaccination.
Occupational Stress among Academicians between Two Selected Universities in Malaysia and Indonesia During the COVID-19 Pandemic: A Comparative Study Rusli, Nur Husna; Anua, Siti Marwanis; Endarti, Ajeng Tias; Wan Mohd Amin, Wan Siti Hajar; Mazlan, Nurzafirah; E Ibrahim, Tengku Azmina
Kesmas Vol. 18, No. 5
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Abstract

Occupational stress has become a major concern for both employees and employers globally. Stress leads to a loss of interest among workers as well as unproductive and valueless outputs if not managed well. The education sector is one work setting dominated by stress. This comparative cross-sectional study aimed to determine the levels of depression, anxiety, and stress among academicians as well as their work-related stressors and coping strategies between a selected public university in Malaysia and a private university in Indonesia. A total of 82 academicians from universities in Malaysia and 52 from Indonesia were recruited using convenience sampling. Data was collected using a validated self-reported questionnaire via Google Forms. The prevalence of depression, anxiety, and stress among Malaysian academicians was 19.5%, 29.5%, and 12.2%, respectively. In contrast, the prevalence of depression, anxiety, and stress among Indonesian academicians was 15.7%, 33.3%, and 9.8%. Career development, research, teaching, and interpersonal relationships significantly contributed to stress at both universities (p-value<0.05). Participants from both universities reported using active coping, planning, venting, self-distraction, positive reframing, acceptance, and religion as coping strategies. In conclusion, determining depression, anxiety, and stress prevalence; major work-related stressors; and coping strategies are essential to maintaining the safety, health, and well-being of academicians, which eventually can encourage university administrators to provide support in enhancing their quality of life.
Utilizing Rapid Molecular Tests (RMT/RIF) in Tuberculosis Drug-Sensitive/Resistant Discovery in Indonesia: A Pilot Study Herawati, Maria Holly; Dasuki, Dasuki; Lolong, Dina Bisara; Widiyanti, Mirna; Roosihermiatie, Betty; Permata, Ria Yuda; Raflizar, Raflizar; Ahmadi, Ferry; Supratikta, Hadi; Veruswati, Meita
Kesmas Vol. 18, No. 5
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Abstract

The underdiagnosis and underreporting of tuberculosis (TB) indicators are unresolved problems. The rapid molecular test (RMT) is one of the breakthroughs for TB case finding by using safer and more sensitive equipment; it is even believed to help find drug-resistant TB. The results of several webinars held regularly by a TB program as well as its evaluation and the use of RMT formed the basis of this study. This initial pilot study aimed to provide an overview of case finding for both drug-sensitive and drug-resistant TB using RMT. A cross-sectional study was conducted on samples in several provinces in Indonesia that have used RMT, both in remote or non-remote island borders areas and fiscal capacity. Regarding the use of RMT for drug-sensitive TB case finding, the largest contributors were males aged above 15 years, while in the drug-resistant TB case finding group, the biggest contributor was the use of RMT in 2017 and 2018. Overall, the findings could only describe the situation in the study area. The use of RMT in drug-sensitive TB case finding would be maximized if the detected cases are males aged above 15 years, while RMT can help find cases of drug-resistant TB.
Clinical and Functional Outcomes of COVID-19 Survivors After Hospitalization Nazir, Arnengsih; Putri, Salsabila S S; Bashari, Muhammad Hasan
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

Coronavirus disease 2019 (COVID-19) causes various clinical manifestations during acute infection and at the post-acute phase with persistent symptoms called long COVID. It occurs in mild and moderate to severe cases which require hospitalization. In patients needing hospitalization, especially intensive care unit admission, the risk of long COVID increases. Many hospitalized patients exhibited more symptoms in 60 days after the illness than non-hospitalized patients. This review aimed to identify the clinical and functional outcomes in COVID-19 survivors after hospitalization. The articles in the PubMed database published in 2019-2021 were reviewed and found 20 be eligible. The clinical outcomes were the appearance or persistence of general and multi-organ symptoms, nutritional disorders, and decreased lung function. The functional outcomes found were decreased muscle strength, physical, psychological, and cognitive functions, increased disability and dependencies, as well as decreased vocational status and quality of life. The incidence of each outcome could not be determined due to the variety of methods used to examine and present outcomes. To conclude, COVID-19 causes long-term clinical and functional outcomes that need to be identified to prevent and manage long-term physical and functional disorders.
Rehabilitation Management to Improve Respiratory Function in Severe and Critical COVID-19 Survivors: A Literature Review Wijaya, Sergio Aldira; Nazir, Arnengsih; Nusjirwan, Rama
Kesmas Vol. 18, No. 5
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Reshaping Healthcare: A Bibliometric Analysis of Lessons Learned in Post-COVID-19 Health Policy Azizan, Azliyana; Abdullah, Khairul Hafezad; Rahayu, Sri Ratna; Rusli, Nadia Safirah; Tarmidzi, Nornajehah
Kesmas Vol. 18, No. 5
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Abstract

The COVID-19 pandemic has profoundly impacted health policy globally, leading to heightened concern and urgency. However, previous studies have been hampered by limited resources and insufficient discussions on the long-term implications for health policies following multiple COVID-19 waves. Thus, this study examined the evolution of international studies on post-COVID-19 health policy. A comprehensive analysis used well-known literature databases Scopus and Web of Science to explore parameters including publication growth, participating countries, areas of interest, and keyword analysis of topics such as"COVID-19" and "Health Policy." The United States emerged as an active participant, focusing on "Computer science." Key themes included "COVID-19 Pandemic," "Public health policy," and "Epidemiology," highlighting current trends. It emphasized the significance of global cooperation and knowledge exchange in addressing the complex challenges posed by the pandemic and shaping resilient health policies for the future. The contribution of this study lies in providing a comprehensive overview of post-COVID-19 health policy research and its implications for the health field.

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