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Jurnal Epidemiologi Kesehatan Indonesia
Published by Universitas Indonesia
ISSN : -     EISSN : 2548513X     DOI : https://doi.org/10.7454/epidkes
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
The article published on this journal can be editorial, research result and article review in public health, specifically epidemiology fields (Epidemiology of Infectious Disease, Epidemiology of Non-Communicable Disease, Epidemiology of Occupational Health and Safety, Epidemiology of Enviromental Health ond Biomarkers, Social and Behavioral Epidemiology, Epidemiology of Health Care, Epidemiology of Injury, Cancer Epidemiology, Epidemiology of Reproductive Health, Nutritional Epidemiology, Perinatal Epidemiology and Disaster Epidemiology). Epidemiology Health Promotion and Behavior Occupational Health and Safety Health Administration & Policy Environmental Health Health Communication Public Health Nutrition Biostatistics Reproductive Health Population Studies Health Informatics
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 8 Documents
 1 
Search results for , issue "Vol. 9, No. 2" : 8 Documents clear
Gambaran Kasus Parotitis Anak Sekolah Dasar di Wilayah Kerja Puskesmas Loa Bakung Pakki, Irfansyah Baharuddin; Herliani, Resda; Noorhayaty, Noorhayaty; Insany, Vicca Yulia; Yuniasih, Arista Dian; Sigit, Ratih Fianni
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
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Parotitis is a disease caused by mumps virus infection. The infection attacks the parotid glands, causing symptoms such as fever, swelling on the side of the face accompanied by pain. Data from the Samarinda City Health Office shows that there were 380 cases of mumps from September to early October 2024. The increase in cases also occurred among elementary school children, but there is no definitive data yet that illustrates the number and distribution of parotitis cases. The aim of this study is to identify the risk factors for mumps in elementary school children in the Loa Bakung working area. This study is a descriptive study. The sample was 5154 students. Data collection was done by distributing questionnaires online in the form of Google Forms and interviews to teachers during field visits. The number of schools that filled out the Google form was 11 schools (91.7%), and the number of classes that filled out the Google form was 55 classes (31.9%). Analysis was conducted on the incidence data of cases, patient characteristics, and school intervention efforts. The study showed the incidence of mumps cases among 238 students, with the highest number at SD Muhammadiyah 5 (37.82%) and the highest attack rate at MI Tijanul Jawahir (13.89%). The majority of the patients were 9 years old (27.94%) and male (53.36%). The main symptoms experienced are swelling in the cheeks (85.5%) and fever (67.3%). The preventive measures taken by the school include the use of masks, provision of handwashing facilities, and granting dispensations. The incidence of mumps cases shows a significant increase in the elementary school environment. Further investigation is needed regarding the factors influencing the high attack rate and prevention strategies. Keywords : Parotitis, attack rate, elementary school, prevention, Samarinda
Gambaran Faktor Risiko Waktu Terapi Radiasi yang Berkepanjangan pada Pasein kanker Payudara: Studi Cross-sectional di RSUP Dr. Kariadi Tahun 2023 Muchtar, Zahra Zetira; Adisasmita, Asri C.; Bramantyo, Dion Firli
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
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In Indonesia, there were more than 58,000 new breast cancer cases with nearly 23,000 deaths in 2020. Radiotherapy is one of the adjuvant therapy modalities for breast cancer. Interruptions of more than five days increase the risk of local recurrence. This study aimed to describe the risk factors associated with prolonged overall treatment time (OTT) in breast cancer patients at Dr. Kariadi General Hospital during 2023. This was a cross-sectional study using bivariate logistic regression analysis to examine the association between national holidays, deterioration of general condition, age, residence, and type of surgery prior to radiation therapy with prolonged OTT. Data were obtained from electronic medical records, and a total population sampling method was applied, resulting in 261 post-surgical breast cancer patients who met the inclusion criteria, namely newly diagnosed breast cancer patients who had undergone breast-conserving surgery (BCS) or modified radical mastectomy (MRM) followed by adjuvant radiotherapy. Patients were considered to have prolonged OTT if the interruption exceeded the number of recorded national holidays. Among the 261 patients, 21.8% (n = 57) experienced prolonged OTT. The highest proportion of prolonged OTT occurred in patients aged 50–59 years (43.9%), residing outside Semarang City/Regency (64.9%), undergoing MRM (77.2%), affected by national holidays (78.9%), and without deterioration of general condition (82.5%). Bivariate analysis showed that only national holidays and machine maintenance were statistically significantly associated with prolonged OTT (p < 0.001). As an effort to improve treatment outcomes, hospitals need to implement strategies to prevent prolonged OTT, including ensuring continuous access to radiotherapy without interruption due to machine maintenance. Keywords : Breast Cancer, Overall Treatment Time (OTT), Radiotherapy Interruption
Determinan Ketidakpatuhan Kunjungan Pengambilan Obat Antiretroviral Pasien HIV/AIDS di Kabupaten Bekasi Tahun 2023-2024 Sihombing, Intan Ully Athalia; Sudaryo, Mondastri Korib; Helda, Helda; Umniyati, Helwiah; Hasyim, Irva Zulviya
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
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Abstract

Non-adherence to scheduled antiretroviral (ARV) medication pickup can reduce treatment effectiveness, increase the risk of drug resistance, and contribute to poor HIV infection control. This study aimed to identify factors associated with missed ARV pickup appointments among people living with HIV/AIDS in Bekasi District. An analytical cross-sectional study was conducted using secondary data from HIV/AIDS patients undergoing ARV therapy in 2023–2024. Data were analyzed descriptively (univariate), using Chi-square tests (bivariate), and log-binomial regression (multivariate). Among 811 patients, 341 (42%) were recorded as non-adherent to their medication pickup schedule. The results showed that having an unsuppressed viral load (>50 copies/ml) significantly increased the risk of non-adherence (PR: 2.23; 95% CI: 1.74–2.86; p<0.001). Additionally, patients who had been on treatment for more than five years showed a higher tendency for non-adherence, although this was not statistically significant (PR: 1.17; 95% CI: 0.91–1.49; p=0.214). These findings highlight the importance of regular viral load monitoring and sustained support for long-term ARV patients to improve adherence. Keywords : HIV/AIDS, Adherence of Appointment, Viral Load, Antiretroviral Therapy, Treatment Duration
Hubungan Kualitas Pemeriksaan Kehamilan Terhadap Kejadian Stunting Pada Anak Usia 6-23 Bulan di Indonesia (Analisis SKI 2023) Audila, Hanna; Helda, Helda; Ronoatmodjo, Sudarto
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
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Abstract

Stunting is still a nutritional problem and remains a major public health issue. Especially in Indonesia, the prevalence of stunting among children under two years old (toddlers) remains high, at 18.50%. The annual average rate of reduction of stunting among toddlers has been relatively slow for over the past 10 years. Therefore, optimizing stunting interventions-particularly during the first 1000 days of life is essential, including through antenatal care (ANC). This study aims to analyze the relationship between the quality of antenatal care and the incidence of stunting among children aged 6-23 months-old in Indonesia, after being controlled by the other variables, such are; sociodemographic factors, pregnancy’s health, and child’s health. This is a cross-sectional study, in which both of the exposures and the outcome were being measured at the same point of time. The data used are from the Indonesia Health Survey in 2023. There are 18.898 weighted-children aged 6-23 months-old and fulfilled the inclusion criteria. The analysis of association was conducted by cox-regression while the time-dependent methods and backward elimination were performed to control the covariate factors. Findings: Children aged 6-23 months-old in Indonesia, whose mothers receive low quality of antenatal care have a 1.23 times higher risk (aPR=1.23, 95%CI: 1.11-1.36, p-value = 0.000) of experiencing stunting, after controlling for the other covariate variables. Receiving at least four antenatal care (ANC) visits and accessing 10 cares can reduce the risk of stunting among children aged 6-23 months old in Indonesia. Keywords : Antenatal Care, ANC, Stunting, Toddlers, The Quality of ANC
Intervensi Booklet Bermarkah terhadap Peningkatan Perilaku Pencegahan Leptospirosis pada Ibu Rumah Tangga Nurmalytasari, Na'wa; Kasjono, Heru Subaris; Rois, Ibnu; Sugianto, Sugianto
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
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Leptospirosis remains a public health concern in Indonesia, including in Bantul Regency. Data from Sewon I Public Health Center (Puskesmas) indicate a high incidence of cases, particularly among housewives who are considered a high-risk group. Effective education is essential to improve leptospirosis prevention behavior. This study aimed to determine the effect of a marked booklet as an innovative health education medium on improving knowledge, attitudes, and preventive actions against leptospirosis among housewives. The study used a quasi-experimental design with a pre-test and post-test control group approach. A total of 60 respondents were divided into two groups, namely the experimental group, which received education using the marked booklet, and the control group, which received education through lectures. Instruments used included questionnaires and checklists. The results showed no significant differences in baseline characteristics between the two groups (p > 0.05). After the intervention, the experimental group showed significant improvements in knowledge (100% in the good category), attitude (increased to 70% in the good category), and preventive action (100% in the good category), with p-values < 0.05. In conclusion, the marked booklet was effective in improving leptospirosis prevention behavior and is recommended as an effective educational medium. Keywords : Marked Booklet, Health Education, Leptospirosis Prevention
Analisis Potensial Kejadian Luar Biasa DBD Berdasarkan Kasus DBD 5 Tahun Terakhir 2019-2024 : Studi Ekologi di Kota Lubuklinggau Provinsi Sumatera Selatan Anggraini, Sely; Wahyono, Tri Yunis Miko; Fitria, Fitria; Putri, Nadia
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
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Dengue Hemorrhagic Fever (DHF) is an endemic disease in Indonesia, with a high potential for outbreaks, particularly in tropical and densely populated regions such as Lubuklinggau City. This study aimed to assess the outbreak potential of DHF in Lubuklinggau by analyzing the five-year trend of minimum and maximum case numbers (2019–2023) and comparing them with 2024 data using the epidemic threshold approach. A descriptive ecological study design was employed, with all primary health centers (puskesmas) in the city as units of analysis. Data sources included annual DHF surveillance reports from the District Health Office, field observations, demographic data from the Central Bureau of Statistics (BPS), and rainfall distribution maps from the South Sumatra Meteorological Agency (BMKG). The findings revealed a significant increase in DHF cases in 2024, with a total of 284 cases and a monthly average of 23.67, exceeding the epidemic threshold of 16.85. Outbreak conditions were identified in six months: April, May, July, August, November, and December. Exceptionally high rainfall in November 2024 is suspected to have contributed to the spike in cases observed in December. The highest number of cases occurred in the service area of the Citra Medika Health Center, which has the second-highest population density in the city. The main risk factors identified included inadequate mosquito breeding site control (PSN) practices and limited laboratory diagnostic capacity. These results underscore the need to strengthen active surveillance at the primary healthcare level, implement widespread public education on the 3M Plus strategy, enhance community participation in larval monitoring and vector control activities, and improve laboratory capacity to support early diagnosis and effective outbreak response. Keywords : Dengue Hemorrhagic Fever, Outbreak, Surveillance, Lubuklinggau, Ecological Study
Hubungan Karakteristik Kontak Erat dengan Pengetahuan, Sikap, dan Perilaku Pencegahan Tuberkulosis: Studi Potong Lintang di Puskesmas Kenarilang, Alor, Nusa Tenggara Timur Abadi, Hanif; Lily, Ezra Maraben
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
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Indonesia ranks second globally in the number of tuberculosis (TB) cases, accounting for 10% of all global cases. In the working area of Kenarilang Public Health Center, 951 confirmed TB cases were recorded as of October 2024. Close contacts of TB patients are at high risk of infection and may become new sources of transmission if not properly managed. Knowledge, attitudes, and practices (KAP) among close contacts play a crucial role in TB prevention, aligning with the target of TB elimination by 2030. This study aims to determine the relationship between the characteristics of close contacts and their KAP levels in TB prevention. This quantitative study used a cross-sectional design involving 26 respondents in the working area of Kenarilang Public Health Center in November 2024. Data were collected using a structured KAP questionnaire and analyzed descriptively and bivariately. Chi-square test, Fisher’s exact test, and logistic regression test were used according to data type and distribution. A total of 65.38% of respondents demonstrated good knowledge. Attitudes were evenly split between positive and negative (50%), with the highest agreement on the importance of preventive therapy (89.74%). Meanwhile, 57.69% showed good preventive practices. Bivariate analysis revealed significant associations between age and practices (OR=1,244; p=0,017), income and attitude (p=0.048), residence and practices (p=0.014), and marital status and practices (p=0.020). Demographic factors play a role in shaping responses to KAP aspects of TB prevention, although several gaps remain. Data-driven interventions targeting specific demographic groups may be effective strategies for TB control. Keywords : Knowledge, Attitude, Practice, Close Contact, Tuberculosis Prevention
An Epidemiological Exploration of Binge Eating Disorder and Its Emotional Roots among Youth in Greater Jakarta Kurniati, Henny; Asy'ari, Yudha; Helmi, Tri Amelia Rahmitha; Sundjaya, Tonny
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
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The rising prevalence of mental disorders among youth, including depression, anxiety, stress, and binge eating disorder (BED), has become a major concern in the context of global mental health. BED, as a form of eating disorder, often occurs with psychological conditions such as anxiety and depression, complicating diagnosis and treatment. This study aimed to investigate the prevalence and association between depression, anxiety, stress, and BED among youth in Greater Jakarta. Using a cross-sectional online design, data were collected from 231 participants aged 18-25 years through the Binge Eating Scale (BES) and Depression Anxiety Stress Scale-21 (DASS-21). Statistical analysis involved bivariate testing and logistic regression to identify risk factors and association among variables. This study indicated that BED prevalence was higher among female respondents and individuals with a BMI ≥25. Anxiety emerged as the primary factor increasing the risk of BED by up to four times, while stress was not a significant predictor. These findings emphasized the importance of early detection and psychological interventions, as well as preventive approaches such as routine screening and improved access to mental health services for youth. In conclusion, anxiety and obesity were key factors that need comprehensive management to reduce BED occurrence and enhance adolescent mental health. Keywords : Anxiety, Binge Eating Disorder, Depression, Stress, Youth

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