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Contact Name
Dewi Susanna
Contact Email
jurnalkesmas.ui@gmail.com
Phone
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Journal Mail Official
jurnalkesmas.ui@gmail.com
Editorial Address
G301 Building G 3th Floor Faculty of Public Health Universitas Indonesia Kampus Baru UI Depok 16424
Location
Kota depok,
Jawa barat
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,
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.
Articles 928 Documents
The Effect of Health Promotion Program on Perceived Self-Efficacy and Self-Care Practices among Elderly with Multimorbidity in Chiang Mai, Thailand Wungrath, Jukkrit; Khumai, Nuttida; Phrommasen, Phinphot
Kesmas Vol. 17, No. 3
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Abstract

Multimorbidity in the elderly is a major public health issue with serious consequences. This study investigated the effects of health promotion programs on perceived self-efficacy and self-care practices among the elderly with multimorbidity using a quasi-experimental study design from February to July 2021. The study samples were the elderly from Doi Saket District, Chiang Mai Province, Thailand, selected by a multistage random sampling technique. The experimental and control groups each comprised 40 elderlies with multimorbidity. All elderly participants took part in a 12-week health promotion program. The perceived self-efficacy and self-care practices of the study samples were assessed using interviews, and the group results were compared using the independent t-test. Repeated measures analysis of variance (ANOVA) was applied at a significance level of 0.05 for three different periods. Follow-up results after the intervention showed that the experimental group had significantly higher mean scores of perceived self-efficacy and self-care practice than the control group (p-value<0.05). The health promotion program enhanced perceived self-efficacy and self-care practices in the elderly with multimorbidity. It can also be applied to improve the quality of life of people in other age groups.
Predictors of Anxiety toward COVID-19 Delta Variant: A Cross- Sectional Study among Healthcare Providers in Java and Bali, Indonesia Swarjana, I Ketut; Putu Darma Suyasa, I Gede; Nuryanto, I Kadek
Kesmas Vol. 17, No. 3
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Abstract

Health facilities are experiencing overcapacity, oxygen scarcity, and a limited number of healthcare providers due to the coronavirus disease 2019 (COVID-19), thus impacted on anxiety. This study aimed to determine predictors of anxiety among healthcare providers toward the Delta variant of COVID-19 in Indonesia. A cross-sectional study was conducted with 371 healthcare providers in Java and Bali Islands, and the snowball sampling technique was used. Data were collected using a questionnaire and distributed through social media (WhatsApp), then analyzed using univariate analysis, bivariate analysis (Chi-square test), and multivariate analysis (multiple logistic regression). The results showed that 81 (21.8%) respondents experienced anxiety. The workplace (AOR: = 0.617; p-value = 0.011), a history of confirmed positive for COVID-19 (AOR = 2.965; p-value<0.001), and the respondent's comorbidities (AOR = 8.753; p-value<0.001) were significantly associated with anxiety toward the Delta variant. Healthcare managers must regularly evaluate the psychological condition of their subordinates during the COVID-19 pandemic so that anxiety can be detected and overcome early through constructive self-adaptation and positive coping mechanisms.
Perspectives on Reproductive Health Education among Javanese Parents Widjanarko, Bagoes; Indraswari, Ratih; Kusumawati, Aditya; Handayani, Novia
Kesmas Vol. 17, No. 3
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Abstract

This study aimed to investigate the perspectives of reproductive health education among Javanese parents of children aged 9-11 years. This cross-sectional study was conducted with 12,306 parents in Semarang City, Central Java Province, Indonesia, using a purposive sampling technique. Some parents agreed that reproductive health education at home was unnecessary (29.5%), taboo (45%), difficult (73.1%), and awkward (41.5%). Most parents (72.7%) were not transparent in providing reproductive health information to their children by using other terms to name the genitals, considering the politeness aspect. Good practices of providing reproductive health information are slightly more common in mothers (54.2%), unemployed parents (52.9%), those with a higher education level (69.5%), and those with a family income above the regional minimum wage (59.8%). As many as 76.9% of parents intensely monitor their children; however, 60.63% of parents have poor communications with their children. Parents believe that reproductive health information is essential for their children, but parents find the topic difficult with their children due to taboos and awkward feelings. Accordingly, the Indonesian Ministry of Health should empower parents to discuss reproductive health issues with their children openly.
Spatial Analysis of Seven Islands in Indonesia to Determine Stunting Hotspots Sipahutar, Tiopan; Eryando, Tris; Budiharsana, Meiwita
Kesmas Vol. 17, No. 3
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Abstract

Indonesia is a vast country struggling to reduce its stunting prevalence. Hence, identifying priority areas is urgent. In determining areas to prioritize, one needs to consider geographical issues, particularly correlations among areas. This study aimed to discover whether stunting prevalence in Indonesia occurs randomly or in clusters; and, if it occurs in clusters, which areas are the hotspots. This ecological study used aggregate data from the 2018 National Basic Health Research and Poverty Data and Information Report from the Statistics Indonesia. This study analyzed 514 districts/cities across 34 provinces on seven main islands in Indonesia. The method used was the Euclidean distance to define the spatial weight. Moran's index test was used to identify autocorrelation, while a Moran scatter plot was applied to identify stunting hotspots. Autocorrelation was found among districts/cities in Sumatra, Java, Sulawesi, and Bali East Nusa Tenggara West Nusa Tenggara Islands, resulting in 133 districts/cities identified as stunting hotspots on four major islands. Autocorrelation proves that stunting in Indonesia does not occur randomly.
Junk Food Consumption and Symptoms of Mental Health Problems: A Meta-Analysis for Public Health Awareness Hafizurrachman, Muhammad; Hartono, Risky Kusuma
Kesmas Vol. 16, No. 1
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Junk food consumption increases the risk of having symptoms of mental health problems. This study aimed to conduct a meta-analysis to assess the association between junk food and symptoms of mental health problems. Six researchers, two primary researchers, and four assistant researchers, from October to December 2020 conducted a systematic literature review. The data sources were selected from Pubmed and Science Direct articles published from 2010 to 2020. Those websites were check-marked for text availability for original articles, using keywords for junk foods and mental health. This study had inclusion criteria for selecting and organizing articles using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. The full-text articles were selected for conducting a meta-analysis using R Studio Software. The 5,079 article titles were obtained, seven of which met the relevant requirements for meta-analysis. The range of respondents who experienced symptoms of mental illness was 1.38%–79.8%. There was no heterogeneity based on the Tau-square test. The correlation coefficient was 0.11 (95% CI 0.09–0.14), with no publication bias based on Egger’s Regression test (0.6023 or p-value>0.05). The frequent consumption of junk food can contribute to mental illness symptoms, even with minimal effects.
Evaluation of Added Sugar and Sugar-Sweetened Beverage Consumption by University Students Meric, Çağdaş Salih; Ayhan, Nurcan Yabanci; Yilmaz, Hacı Ömer
Kesmas Vol. 16, No. 1
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Abstract

Today, increased intake of sugar and sugar-sweetened beverages is seen today as an important factor in the growing prevalence of chronic diseases, such as obesity, obesity-related diabetes, and coronary heart diseases. This study involved 214 university students from the Department of Nutrition and Dietetics of Ankara University, Faculty of Health Science, which was intended to evaluate the consumption of sugar and sugar-sweetened beverages. The frequency of student consumption of beverages and the quantities and amounts of sugar taken with beverages were questioned. The average total amount of sugar added to drinks by the students was 4.69 ± 6.35 gram, while the average total amount of sugar taken with sugar-sweetened beverages was 11.34 ± 15.32 gram. Female students relative to male students, students in grade 4 compared to grades 2 and 3, and students who had daily breakfast compared to those who did not had lower average sugar consumption (p-value < 0.05). As class grades increase, the amount of sugar added to beverages and fruit juice and sweetened soft drinks and carbonated beverages decreased (p-value < 0.05). The consumption of herbal teas and dietary beverages increased and eating habits of students generally changed positively (p-value > 0.05). It is important to educate university students about the reduction in sugar intake and sugar-containing food in order to avoid many chronic diseases that may be seen in older ages.
Assessment of Characteristics and Conditions before the End of Lockdown San-Martín-Roldán, David; Rojo-Lazo, Francisca; Calzadilla-Núñez, Aracelis; San-Martín-Roldán, Pablo; Díaz-Calzadilla, Patricia; Díaz-Narváez, Víctor P
Kesmas Vol. 16, No. 1
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After months of blockades and restriction, the decision of the best time to end the lockdown after the first wave of the COVID-19 pandemic is the big question for health rectors. This study aimed to evaluate the characteristics and conditions for ending the blockade after the first wave of COVID-19. Data on the variables of interest were subjected to linear and non-linear regression studies to determine the curve that best explains the data. The coefficient of determination, the standard deviation of y in x, and the observed curve of the confidence interval were estimated. Regression which was estimated subsequently revealed the trend curve. The study found that all dependent variables tend to decrease over time in a quadratic fashion, except for the variable for new cases. In general, the R2 and mean absolute percentage error (MAPE) estimates were satisfactory: gradual and cautious steps should be taken before ending the lockdown. The results suggested that a surveillance of crucial indicators (e.g., incidence, prevalence, and PCR test positivity) should be maintained before lockdown is terminated. Moreover, the findings indicated that long-term preparations should be made to contain future waves of new cases.
Analysis of Measles Vaccination Refusal on Social Media (Facebook) among Anti-Vaccine Communities in Indonesia Meilani, Dwi; Martha, Evi; Pratomo, Hadi; Hasanah, Indah Jamiatun; Rungreangkulkij, Somporn
Kesmas Vol. 16, No. 1
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Measles is one of the main causes of global mortality in the under-fives. The existence of groups that reject immunization caused a decrease in immunization coverage. Anti-vaccine messages are widely delivered on social media. Identification of vaccine rejection behavior can be used as the basis to formulate effective program strategies. The design of this study used rapid assessment procedures (RAP). The informants were from two anti-vaccine communities in the Facebook group. In-depth interviews and observations were done for data collection, and data analysis was performed using the Framework Method. The results found that determinants, such as knowledge, beliefs in health behavior and disease prevention, religion, culture, and government policies play a role in shaping informants’ perceptions of vaccines and disease risks. The design factors of vaccination programs and the reliability of vaccine producing sources were found to be inhibiting factors for informants to receive vaccines. Also, experience with vaccines, health workers' role, and lobbying by anti vaccine groups strengthened informants' attitude who initially doubted vaccines, causing them to reject vaccines ultimately. It is suggested to the Ministry of Health to improve vaccination campaigns through social media, conduct vaccine development study, and increase health workers' knowledge related to vaccines and make their communication techniques more effective.
Exclusive Breastfeeding History Risk Factor Associated with Stunting of Children Aged 12–23 Months Sari, Nurhalina; Manjorang, Marlida Yuliza; Zakiyah, Zakiyah; Randell, Madeleine
Kesmas Vol. 16, No. 1
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Stunting (low height-for-age) remains a global and national health problem because it increases the risk of disturbances in growth and development and mortality. Banjar Margo District, Tulang Bawang Regency, has the second-highest prevalence in Lampung Province, Indonesia. This study aimed to analyze the association of exclusive breastfeeding history and stunting in children aged 12–23 months in Banjar Margo District. This study used a cross-sectional design on 193 children aged 12–23 months. It was primary data conducted between April and May 2018 with a questionnaire. Data analysis was performed using the chi-square test and multiple logistic regression. The result showed that of 193 children, 29.5% were stunted. Children who were not exclusively breastfed were 3.1 times (95%CI = 1.5–6.4) more at risk of stunting than those exclusively breastfed, after controlling for mothers with low education and unemployment factors as confounding variables. Health promotion activities in primary/integrated health care should be focused not only on mothers but also on other people involved in child care, such as grandparents, at-home caregivers, and day carers.
Parity and Marital Status as Factors Influencing Contraceptive Use among Adolescents in Indonesia Mas'udah, Anni Fithriyatul; Pristya, Terry YR; Andarmoyo, Sulistyo
Kesmas Vol. 16, No. 1
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Adolescent pregnancy has a higher health risk compared to adult pregnancy. One approach to control pregnancy among adolescents is through contraceptive use. The data on contraceptive use has increased in 2018 and is still controversial among adolescents. Thus, it is necessary to determine the factors encou - rag ing the use of contraceptives among adolescents. This study aimed to determine the relation of parity and marital status on contraceptive use among adolescents. This quantitative study used a cross-sectional design. The population of this study was adolescents aged 15–19 years in Indonesia. The total sample of 936 adolescents was selected from the 2017 Indonesia Demographic and Health Survey (IDHS). Multivariate analysis using binary logistic regression was used to analyze the independent variables (parity and marital status) on the dependent variable (contraceptive use) with education, work status, region, and economic status as controls. The results showed relationship association between marital status and parity on contraceptive use in adolescents after being controlled by confounding variables , namely work status, economic status and region. The use of contraceptives was one way to control adolescent pregnancy. Counseling and guidance concerning the use of contraceptives should be provided to adolescents.

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