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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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Quality of Life of Hypertensive Patients Undergoing Chronic Disease Management Program during the COVID-19 Pandemic Lolo, Widya Astuty; Citraningtyas, Gayatri; Mpila, Deby Afriani; Wijaya, Heri; Poddar, Sandeep
Kesmas Vol. 17, No. 4
Publisher : UI Scholars Hub

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Abstract

The COVID-19 pandemic has restricted some common activities for hypertensive patients undergoing the Chronic Disease Management Program/Program Pengelolaan Penyakit Kronis in primary health care, decreasing the quality of life. This study aimed to measure the quality of life of hypertensive patients undergoing the Chronic Disease Management Program at primary health care of Manado City, North Sulawesi Province, Indonesia, during the COVID-19 pandemic and determine the factors influencing hypertension such as sex, age, education, employment status, monthly income and duration of hypertension. This cross-sectional study was carried out on 150 hypertensive patients randomly sampled at primary health care from June to September 2021. The data were analyzed using the Mann-Whitney test. The quality of life of non-complicated hypertensive patients was higher than those with complications. The utility value and the visual analog scale of hypertensive patients with and without complications were 0.808±0.13 and 80.2±8.16 and 0.761±0.17 and 75.1±7.56, respectively. The quality of life of hypertensive patients without complication is better than that of hypertensive patients with complication.
Factors Associated with Depression among Type 2 Diabetes Mellitus Patients at a Tertiary Hospital during the COVID-19 Pandemic Mokoagow, Muhammad Ikhsan; Pitawati, Dian; Arisandy, Ditya Nona; Magfira, Nadya; Palupi, Pratiwi Indah; Nasarudin, Jerry; Epriliawati, Marina; Kshanti, Ida Ayu
Kesmas Vol. 17, No. 4
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Abstract

Diabetes mellitus is a metabolic disorder characterized by chronic hyperglycemia that can cause various complications, economic burdens, and psychosocial issues that eventually lead to depression. This study aimed to describe the prevalence of depression among type 2 diabetes mellitus patients in the Internal Medicine Outpatient Clinic of a South Jakarta tertiary hospital during the COVID-19 pandemic. This cross-sectional study was conducted from May to July 2021. The data were collected consecutively from 100 patients aged 18 years or older who came for regular consultation. The instrument used for determining depression is Beck Depression Inventory-II. The prevalence of depression, a correlation between depression and participants' characteristics, and multivariate analysis for risk factors were determined. The results showed that the prevalence of mild to severe depression based on the BDI-II classification was 17%. Screening showed mild to severe depression predominantly in females above 60 years old, with higher levels of education, obesity grade I, individuals with one or more comorbidities, and those who had diabetes for more than ten years. In this study, having one or more comorbidities was associated with an increased risk of depression in people with diabetes.
Impact of Instrumental Support from Family on Medication Adherence among Tuberculosis Patients Nursasi, Astuti Yuni; Huda, Mega Hasanul; Rahmasari, Syifa Widya
Kesmas Vol. 17, No. 4
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Abstract

Instrumental support is concrete and tangible, for instance, helping to provide food or accompanying patients to health care facilities. However, its impact on medication adherence among tuberculosis patients in Indonesia needs to be explored. This study aimed to examine the impact of instrumental support from family on tuberculosis patients’ adherence to medication in Bogor City, West Java Province, Indonesia. A cross-sectional study involving 106 participants with an age average of 39.7 (SD = 14.9) was conducted in 12 primary health care (PHC). The independent variables (age, sex, education, employment status, wealth index, and the distance between home and PHC) of instrumental support from family was assessed using MMAS-8. In contrast, the dependent variable of medication adherence was assessed using a self-reported instrument. Multivariate binary logistic regression was used in the analysis and indicated that participants receiving family support were more likely to adhere to medication protocol (95% CI = 1.1–6.3; p-value = 0.029). Instrumental support from family was associated with medication adherence among tuberculosis patients in Bogor City, West Java Province, Indonesia. It is necessary to design further comprehensive interventions in the community setting to encourage the family to support tuberculosis patients following medication protocol.
Breastfeeding Duration More than 18 Months Possibly Lowers the Risk of Language Development Delay in Children Aged 18–35 Months Faradilah, Andi; Rusyaidi, Andi Musafir; Jalaluddin, Syatirah; Savitri, Ary I
Kesmas Vol. 17, No. 4
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Abstract

Studies have demonstrated the benefits of breastfeeding (BF) on children’s cognitive function and language development. However, most cognitive and language tools used in these studies have limited ability to identify children’s language development delays. The Language Development Survey (LDS) is expected to provide detailed information on children’s language development. This study aimed to examine the association between BF duration and children’s LDS. A questionnaire was administered to 286 BF mothers to obtain information on their BF duration, and LDS was employed to assess children’s language development. Language delays were detected in 91 (31.8%) children (LDS-vocabulary) and 35.7% children (LDS-phrase). This study also found that children who were breastfed for ≤6 months and 7–18 months had an adjusted OR (AOR) of 0.86 of LDS-vocabulary, and 0.8 of LDS-phrase, whereas children who were breastfed for >18 months had AOR’s LDS-vocabulary of 0.57 and LDS-phrase of 0.46. This study found no significant association between BF duration and LDS score. Nevertheless, BF duration of >18 months possibly lowers the risk of children’s language development delay. More studies are required to investigate this observation’s relationship with children’s language development.
Factors Influencing Handwriting Development among Preschool Children: A Systematic Review Achymy, Zati Izny; Kadar, Masne; Razaob, Nor Afifi; Wan Yunus, Farahiyah
Kesmas Vol. 17, No. 4
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Abstract

Handwriting development is essential for academic performance, yet the research on the factors contributing to it is scant. This systematic review aimed to provide a comprehensive overview of the factors contributing to handwriting development among preschool children that may benefit public health knowledge, especially among teachers, parents, and therapists. A systematic search was conducted using four databases: PubMed, ERIC, CINAHL, and Google Scholar. During the preliminary search, 565 relevant studies were found. Screening, review selection, and characterization were performed based on the inclusion and exclusion criteria. The inclusion criteria included preschool children, quantitative, written in English, and published in January 2012 – January 2022. The exclusion criteria were studies involving children with specific diagnoses. A consensus agreement was obtained, and ten studies were eventually selected for the comprehensive review. Executive function, letter knowledge, motor skills, and writing surface were identified. These factors indicated that handwriting was not an independent process, as its acquisition involved numerous components. This systematic review confirmed that executive function, letter knowledge, motor skills, and writing surface influenced handwriting development. More randomized controlled trials should be conducted to provide more conclusive and exhaustive evidence.
Knowledge, Attitudes, and Behaviors of Students at Islamic Boarding School X toward COVID-19 Incidence in 2022 Haninda, Aisyah Raisa; Susanna, Dewi; Kusuma, Aria; Fitria, Laila
Kesmas Vol. 17, No. 3
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Abstract

The spread of COVID-19 can occur in various settings but most notably in gathering places. Health protocols to avoid the spread of COVID-19 may be influenced by the knowledge and attitude of individuals. This study examined the relationship between knowledge, attitudes, and behaviors of students at the Islamic Boarding School X in Serang City, Banten Province, Indonesia, with the COVID-19 incidence. A quantitative approach with a cross-sectional study design was used. The study population consisted of 994 students, from which (via the Slovin’s formula) a minimum sample size of 285 students was obtained. Data collection was carried out using an online validated questionnaire. The data collected related to age, sex, education level, knowledge level, attitude, behavior, and the COVID-19 incidence as experienced by the respondents. The results showed that most students had low-level knowledge (71.9%), negative attitudes (51.3%), and poor behaviors (53.2%) regarding the COVID-19. Most of the students were infected by the COVID-19 (88%). Statistically, knowledge, attitude, and behavior had no significant relationship with the COVID-19 incidence (p-value>0.05). This study concludes that knowledge, attitude, and behavior are not related to the COVID-19 incidence.
Factors Related to Cafe Worker’s Lung Capacity in Pontianak, Indonesia Sunarsieh, Sunarsieh; Repelita, Felina; Akhmadi, Zainal
Kesmas Vol. 17, No. 1
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Abstract

Exposure to cigarette smoke in public places affects the human population lung capacity. Cafe workers are a population susceptible to cigarette smoke exposure. This study aimed to analyze the risk factors associated with the lung capacity of cafe workers. This study used an observational method with a cross-sectional approach. The sample was composed of 74 participants. Data collection was carried out by interviewing and observing respondents. Exposure to inhaled smoke was measured using interviews and a spirometer checking lung capacity. The Chi-square test was used to determine the relationship between risk factors and lung capacity. The results showed a significant relationship between age (p-value = 0.006) and the lung capacity of cafe workers. The older person had, the greater the risk of decreased lung function. There was a significant relationship between cigarette smoke exposure, age, and the lung capacity of cafe workers. The intervention needs to be done to make a preventive measure by establishing non-smoking area regulations in public spaces and monitoring the workplace environment.
COVID-19 Preparedness and the Anxiety of Thai Citizens Lateh, Afifi; Pasunon, Prasopchai; Dolah, Kiflan; Kongjam, Panida; Chemae, Saminee; Panomwan, Phanupong; Lateh, Alawee
Kesmas Vol. 16, No. 3
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Abstract

The outbreak of COVID-19 has brought sickness and fatality to Thai citizens. In addition, it left a tremendous psychological impact on mental health as they experienced panic and anxiety about controlling situations and preserving their physical and mental well-being. This study aimed to analyze the factors influencing COVID-19 preparedness and anxiety based on groups of Thai citizens. Online questionnaires were employed to collect data from 2,768 respondents selected through convenience sampling and snowball sampling on Facebook, having shared questionnaires with 190 other users. Data were collected from March 29 to April 3, 2020. The acquired data were analyzed using percentage and logistic regression analyses. It found that the influencing factors of preparedness included citizens’ sex, residing province, and work or off-house conditions. In contrast, the influencing factors of anxiety included their sex, age, residing province, and income adequacy. The results conveyed that Thai citizens were anxious about the pandemic and had been attempting to cope. In addition, issued policies should respond to the public promptly to prevent unnecessary panic and to maximize public cooperation against future situations put forth by the pandemic.
King Bhumibol Adulyadej’s Sufficiency Economy Philosophy and Post-Traumatic Stress Disorder among Higher-Education Students from the Armed Conflict Region of Thailand Jatchavala, Chonnakarn; Vittayanont, Arnont
Kesmas Vol. 16, No. 3
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This cross-sectional survey assessed the association between post-traumatic stress disorder symptoms and perceived self-sufficiency, reflecting the Sufficiency Economy Philosophy (SEP), conceived by H.M. King Bhumibol Adulyadej (King Rama IX). It was conducted among university students on one campus located within the area affected by the Southern Thailand insurgency and another campus located in a nearby province outside of the restive area. All self-administered questionnaires consisted of questions related to personal information, the Thai version of the PTSD checklist, and a questionnaire aimed at measuring the perceived self-sufficiency according to H.M. King Bhumibol Adulyadej’s SEP. The study found that most university students in the restive area affected by the Southern Thailand insurgency perceived to live sufficiently according to H.M. King Bhumibol Adulyadej’s SEP. The rate of perceived self-sufficiency was also higher than reported by the students from the other campus in a nearby province. Moreover, self-sufficiency exhibited a significant inverse association with PTSD symptoms.
Geographic Accessibility towards Primary Health Care in Karawang District Ramadina, Nabila; Ardisasmita, Mulya Nurmansyah; Sujatmiko, Budi
Kesmas Vol. 16, No. 3
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Abstract

Health accessibility refers to the availability of health care services accessible to the community as required. However, the convenience of accessing such services vary throughout regions due to geography. Hence differences in geographic accessibility can be an obstacle to accessing health care. This study characterized the influence of geographic accessibility on primary health care (PHC) in Karawang District. A cross-sectional study was conducted in November 2019 in five sub-districts of Karawang District. Respondents were interviewed using questionnaires to collect geographic (mileage and travel time from respondents’ house to nearest PHC) and transportation (mode of transportation and transportation cost) data. In total, the study involved 513 randomly selected households, of which 11% had far to travel to the PHC, 22% had a long traveling time, and 23% had expensive transportation costs, with motorcycles being the most common means of transport. Therefore, PHCs in several sub-districts in Karawang District are less accessible due to geographic barriers.

Page 44 of 93 | Total Record : 928

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