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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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Muscle Dysmorphia in Fitness Center Members: Its Affecting Factors and Impacts Fitranti, Deny Yudi; Widyastuti, Nurmasari; Noer, Etika Ratna; Rahadiyanti, Ayu; Dieny, Fillah Fithra; Purwanti, Rachma; Sandi, Dewi Kurnia; Destikasari, Widya
Kesmas Vol. 17, No. 2
Publisher : UI Scholars Hub

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Abstract

Muscle dysmorphia (MD) has several impacts on the decline in social and health functions. This study aimed to determine the correlation between MD with eating behaviors and exercise loading among fitness center members and analyze the factors affecting it. This study used a cross-sectional design with 100 subjects chosen by a consecutive sampling method at three fitness centers in Semarang City. The subjects were all male members of an active fitness center between 17 and 45 years. The data of MD were obtained using the Drive Muscular Scale (DMS), while eating behavior data were obtained using the Eating Attitude Test-40 (EAT-40) and the training load data, including the duration and frequency of weight training data. Social influence data, self-esteem data, and perfectionism data were obtained using a questionnaire. The findings revealed that 61% of the subjects experienced MD, 80% experienced impaired eating behavior, and 80% consumed supplements. There was a correlation between the occurrence of MD with eating behavior with PR = 2.56 and consumption of supplements with PR = 2.56. The most influential factor on MD was a social influence.
Determinants of the Coexistence Dual Form of Malnutrition in Pairs of Mother and Child Aged 6 – 59 Months in Bogor District 2019 Krismanita, Maulina Dwi; Triyanti, Triyanti; Syafiq, Ahmad; Sudiarti, Trini
Kesmas Vol. 17, No. 2
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Abstract

The dual form of malnutrition (DFM) is defined as multiple nutritional problems in the same household and time. This study aimed to determine the related factor to DFM incidence in pairs of mothers and children aged 6–59 months in Bogor District in 2019. This cross-sectional study used secondary data on the Nutrition and Health of Babakan Madang Subdistrict Toddlers in 2019 and Nutrition Intake and Stunting of Children Under-Five in Bogor District, West Java Province, involving a total sample of 274 households. The dependent variable in this study was DFM, while the independent variables were maternal age during pregnancy, maternal height, maternal breastfeeding history, parity, family income, mother's and father's education level. Bivariate analysis involving the Chi-square test and multivariate analysis with multiple logistic regression tests was used in this study. The results revealed that DFM incidence in the Babakan Madang Subdistrict in 2019 was 42%. The determinants of DFM that were significantly related were maternal height (p-value = 0.000), maternal breastfeeding history (p-value = 0.027), and parity (p-value = 0.049). The analysis results showed that the dominant factor in the prevalence of DFM was the maternal height (OR = 2.704; 95% CI = 1.615-4.528). It is recommended to improving nutrition in adolescence, especially in the case of girls in their role as future mothers.
The Influence of Intrapersonal Constraints on Travel Intention of People at High Risk from COVID-19 during the New Normal Widiyastuti, Dyah; Wardhani, Ikasari Kusuma
Kesmas Vol. 17, No. 2
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Abstract

Due to the COVID-19 pandemic, tourism constraints have created a challenge for inclusive tourism, especially for older people and people with comorbidities. This study examined intrapersonal constraints’ effect on the travel intentions of people facing fewer opportunities for tourism due to the COVID-19 pandemic, which could disrupt their well-being fulfillment. The data were collected through an online survey of Jakarta citizens aged 46 years and older from the end of June to September 2021, and a total of 337 responses were accumulated. This study applied partial least square structural equation modeling to test the moderating effect of intrapersonal constraints toward the theory of planned behavior and revealed that the travel intentions of people at high risk from COVID-19 were considered high and were directly influenced by subjective norms, perceived behavioral control, and intrapersonal constraints. High travel intention implies that intrapersonal constraints do not extensively weaken at-risk people’s desire to travel during the new normal.
Zoom Fatigue during the COVID-19 Pandemic: Is it Real? Lestari, Putri Winda; Fayasari, Adhila
Kesmas Vol. 17, No. 2
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Abstract

The coronavirus disease 2019 (COVID-19) pandemic has caused drastic changes to social lives moreover the activities done outside, such as work and school. The policy of large-scale social restrictions (LSRR)/Pembatasan Sosial Berskala Besar (PSBB), which makes people stay at home, also plays an important role in changing the face-to-face activity online. As a solution to the major change, people use video conferencing to keep in touch and still feel like doing "offline" activities. The increasing use of video conferencing has raised concerns about the resulting fatigue, termed "Zoom fatigue." This study aimed to describe Zoom fatigue during the COVID-19 pandemic and the factors contributing to it. This study used a cross-sectional design with 376 participants. Data were gathered by completing a 45-item online questionnaire, which was analyzed using univariate, bivariate (Chi-square), and multivariate (binomial logistic regression) analyses. It was found that 68.6% of respondents experienced Zoom fatigue at a moderate to a high level. Respondents complained of se - veral symptoms related to activity, motivation, and physical weakness after using the video platform. In brief, Zoom fatigue is real, and the frequency of video platform use is related to the incidence of Zoom fatigue.
Diabetes Mellitus and Mortality among COVID-19 Patients in Jakarta, March-August 2020 Wulandari, Endang Widuri; Rotnoatmodjo, Sudarto; Salama, Ngabila
Kesmas Vol. 17, No. 2
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Abstract

Diabetes mellitus (DM) comorbidity is one of the risk factors for coronavirus disease 2019 (COVID-19) mortality. This study aimed to determine the association of comorbid DM and mortality among COVID-19 confirmed cases in DKI Jakarta Province, controlled with confounding variables from March to August 2020. The study design was a retrospective cohort using cox proportional hazard regression, with a total sample of 1,480. The data consisted of 740 COVID-19 cases with and 740 without comorbid DM. The inclusion criteria were COVID-19 confirmed cases with polymerase chain reaction (PCR) laboratory testing reported to the DKI Jakarta Provincial Department of Health, and the exclusion criteria were pregnant women. The study result indicated that the Crude Hazard Ratio (CHR) of DM and mortality among COVID-19 confirmed cases was 7.4 (95% CI = 4.5-12.3, p-value50 years).
Spatial Analysis for Enhancing the Use of Health Data Availability from Different Sources to Help the Decision-Making Process Eryando, Tris
Kesmas Vol. 17, No. 3
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Abstract

Spatial analysis in public health has become a common method used by researchers to understand the distribution of public health aspects related to the surrounding environment. It can also be used to analyze individual information in the form of a dot and the location or line of aggregated information in a specific area of study. Another benefit is the possibility of using different data sources to be analyzed in one statistical model analysis, as long as the identification area is sufficiently clear as a key variable. Spatial analysis can show an object's distribution on a locational map and explain the distribution type, whether random, cluster, or uniform. The statistical analysis model can also develop different risk factors for each region of the research area. A specific model sometimes explains how to treat health issues differently in a specific location and can be used as an alternative approach to dealing with an intervention plan for public health issues based on specific local phenomena.
SARS-CoV-2 Antibody Seroprevalence in Jakarta, Indonesia Ariawan, Iwan; Jusril, Hafizah; N Farid, Muhammad; Riono, Pandu; Wahyuningsih, Wiji; Widyastuti, Widyastuti; Handayani, Dwi Oktavia T L; Wahyuningsih, Endang Sri; Daulay, Rebekka; Henderiawati, Retno; Malik, Safarina G; Noviyanti, Rintis; Trianty, Leily; Fadila, Nadia; Myint, Khin Saw Aye; Yudhaputri, Frilasita A.; Venkateswaran, Neeraja; Venkateswaran, Kodumudi; Udhayakumar, Venkatachalam; Hawley, William A.; Morgan, Juliette; Pronyk, Paul M
Kesmas Vol. 17, No. 3
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Abstract

The SARS-CoV-2 transmission dynamics in low- and middle-income countries remain poorly understood. This study aimed to estimate the SARS-CoV-2 antibodies seroprevalence in Jakarta, Indonesia, and to increase knowledge of SARS-CoV-2 transmission in urban settings. A population-based serosurvey among individuals aged one year or older was conducted in Jakarta. Employing a multistage sampling design, samples were stratified by district, slum, and non-slum residency, sex, and age group. Blood samples were tested for IgG against three different SARS-CoV-2 antigens. Seroprevalence was estimated after applying sample weights and adjusting for cluster characteristics. In March 2021, this study collected 4,919 respondents. The weighted estimate of seroprevalence was 44.5% (95% CI = 42.5-46.5). Seroprevalence was highest among adults aged 30-49 years, with higher seroprevalence in women and the overweight/obese group. Respondents residing in slum areas were 1.3-fold more likely to be seropositive than non-slum residents. It was estimated that4,717,000 of Jakarta's 10.6 million residents had prior SARS-CoV-2 infection. This suggests that approximately 10 infections were undiagnosed/underreported for every reported case. About one year after the first COVID-19 case was confirmed, close to half of Jakarta's residents have been infected by SARS-CoV-2.
A Stunting Prevention Risk Factors Pathway Model for Indonesian Districts/Cities with a Stunting Prevalence of ≥30% Fentiana, Nina; Achadi, Endang L; Besral, Besral; Kamiza, Abram; Sudiarti, Trini
Kesmas Vol. 17, No. 3
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The prevalence of stunting in Indonesian children aged 0-23 months is a public health problem caused by direct and indirect factors. This study aimed to discover the path of the relationship between various risk factors and the stunting prevalence of ≥30% in 165 districts/cities in Indonesia. Data were obtained from the 2018 National Basic Health Research, National Socioeconomic Survey, and the Statistics Indonesia with a cross-sectional approach. The secondary data on stunting and risk factors were aggregated at the district/city level from individual data; children aged 0-23 months. The path analysis used to determine a stunting prevention model showed that antenatal care at the district/city level decreased stunting rates by at least 2.56% (b = -0.16; p-value = 0.04). A contraceptive user at the district/city level decreased stunting rates by 2.25% (b = -0.15; p-value = 0.05), and handwashing with soap at the district/city level by5.76%, (b = -0.24; p-value = 0.003). Antenatal care, contraceptive use, and handwashing with soap contributed to the reduction of stunting prevalence by18.18%. The study results suggested that districts/cities can play an important role in reducing stunting.
Model Autonomy of Self-Finance Management for Primary Health Care to Enhance Workers’ Satisfaction Alamin, Ahmad Jet; Issac, Ossama; Teo, Lina; Adyas, Atikah
Kesmas Vol. 17, No. 3
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Abstract

This study aimed to find an appropriate model of autonomous self-finance management in primary health care (PHC) to enhance workers' satisfaction. This was a cross-sectional study in which data were collected through self-administered questionnaires from 204 workers in ten Regional Public Service Agency for Primary Health Care (RPSAPHC)/Badan Layanan Umum Daerah Pusat Kesehatan Masyarakat (BLUD Puskesmas) in Tangerang District, Banten Province, Indonesia using the partial least squares and structural equation model (PLS-SEM). A total of 73 indicators were used to examine the PHC transformation process to enhance workers' satisfaction. The indicators were grouped into three variables depending on workers' satisfaction: intrinsic, extrinsic, and general satisfaction. In addition, there were five independent variables: financial accountability, generating income, structuring human resources, increasing service quality, and consumer satisfaction. Model autonomy was reflected by all the indicators (cross-loading > 0.70, Cronbach’s alpha > 0.70, average variance extracted > 0.5) affecting workers’ satisfaction (path coefficient = 0.196, p-value = 0.002). The management should apply five indicators (financial accountability, increasing income, structuring human resources, improving service quality, and customer satisfaction) affecting workers' satisfaction to transform the PHC.
Determinants of Type 2 Diabetes Mellitus among Passive Smokers Triyaniarta, Adinda Rahma; Martini, Santi; Artanti, Kurnia Dwi; Widati, Sri; Nastiti, Rizma Dwi
Kesmas Vol. 17, No. 3
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Abstract

Type 2 diabetes mellitus (T2DM) leads to complications of other diseases. The modifiable risk factors for T2DM are overweight, physical activity, hypertension, unhealthy diet, and smoking. This study aimed to analyze determinants of T2DM incidence in passive smokers among various factors. This study was conducted at Hospital X in Surabaya City, East Java Province, Indonesia, from September 2019 to April 2020. The variables were univariate, bivariate, and multivariate. Case samples were T2DM patients and passive smokers, while control samples were non-T2DM patients and passive smokers, with 52 respondents per group, of 104 total respondents. Variables statistically significant related to the incidence of T2DM in passive smokers were age >45 years, level of education (not attaining primary school), lack of physical activity, and hypertension. While, the variables having no relation were sex, occupation, sedentary lifestyles, income, and genetics. The multivariate analysis showed that age was a major factor contributing to the incidence of T2DM in passive smokers at Hospital X Surabaya. In brief, age is the most dominant risk factor for the incidence of T2DM in passive smokers.

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