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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 135 Documents
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Lama Rawat Inap Pasien Terkonfirmasi COVID-19 di Rumah Sakit Universitas Indonesia dan Faktor Yang Mempengaruhinya. Fahmia, Rizka; Helda, Helda
Jurnal Epidemiologi Kesehatan Indonesia Vol. 6, No. 1
Publisher : UI Scholars Hub

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Banyaknya kasus COVID-19 membuat daya tampung fasilitas kesehatan hampir tidak mencukupi untuk memberikan pelayanan medis rawat inap yang memadai pada pasien COVID- 19. Studi yang dilakukan di beberapa negara seperti China, Beijing, Vietnam, Amerika Serikat melaporkan durasi dan faktor risiko rawat inap pasien COVID-19 yang bervariasi. Namun, saat ini penelitian tentang durasi dan faktor risiko lama rawat inap pasien COVID-19 di Indonesia masih terbatas. Penelitian bertujuan mengetahui faktor risiko lama rawat inap pasien terkonfirmasi COVID-19 di Rumah Sakit Universitas Indonesia (RSUI). Desain studi potong lintang dilakukan pada 266 pasien terkonfirmasi COVID-19 yang dirawat inap di RSUI selama Maret sampai dengan September 2020. Studi ini menilai faktor resiko usia, jenis kelamin, area tinggal, gambaran radiologi, pekerjaan, gejala, keparahan penyakit, komorbiditas, jumlah obat pada hari pertama rawat, dan status PCR saat akhir rawat. Data berasal dari rekam medis elektronik RSUI. Analisa data melalui uji chi square, Kruskal-Walis dilakukan untuk melihat perbedaan variabel kategorik dan numerik. Analisa multivariat regresi logistik dilakukan untuk menentukan prediktor lama rawat inap pasien terkonfirmasi COVID-19 di RSUI. Hasil penelitian didapatkan bahwa median lama rawat inap adalah 13 hari (range 3 – 74 hari). Adapun prediktor rawat inap lebih panjang (>14 hari) adalah pada pria (OR 1,80, 95%CI 1,03 – 3,15), dan pasien dengan gambaran pneumonia (OR 1,68, 95%CI 0,95 – 3,00), diabetes mellitus (OR 3,48, 95%CI 1,11 – 10,92), demam (OR 2,30, 95%CI 1,31 – 4,05), anosmia (OR 4,10, 95%CI 1,60 – 10,48), keparahan sedang (OR 1,64, 95%CI 0,88 – 3,06), keparahan berat (OR 13,31, 95%CI 1,64 – 107,72). Disimpulkan bahwa tingkat keparahan berat, anosmia, diabetes mellitus, demam, pasien pria dan gambaran pneumonia merupakan faktor risiko signifikan yang berhubungan dengan lama rawat inap pasien terkonfirmasi COVID-19 di RSUI Depok. Pasien dengan faktor risiko tersebut diatas untuk lebih diprioritaskan dalam penanganan medis karena rentan terhadap lama rawat inap yang panjang
Faktor Determinan Kasus Diabetes Mellitus Tipe 2 di Kabupaten Administrasi Kepulauan Seribu Provinsi DKI Jakarta Tahun 2023 Darmawanti, Ulinuha Setya
Jurnal Epidemiologi Kesehatan Indonesia Vol. 8, No. 2
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Kepulauan Seribu Administrative District has the highest Diabetes Mellitus Incidence Rate compared to other areas in the DKI Jakarta Province, which is 317.4 per 10,000 residents. The purpose of this research is to identify the determinant factors that most influence cases of Type 2 Diabetes Mellitus in the Kepulauan Seribu in 2023, based on the relationship between factors such as Age, Gender, Occupation, History of Diabetes Mellitus, Body Mass Index (BMI), Excessive Sugar Consumption, Excessive Salt Consumption, Excessive Fat Consumption, Insufficient Fruit and Vegetable Intake, and Lack of Physical Activity. This research employs an analytical observational study method with a case-control study design using secondary data, involving a sample size of 329 individuals as cases and 329 individuals as controls. Data analysis was conducted using univariate, bivariate, and multivariate analyses. The research results indicate that the determinant factors with a risk of causing Type 2 Diabetes Mellitus are age, occupation, body mass index, diabetes history, and excessive sugar consumption. The variable with the highest risk probability is a history of diabetes (odds ratio [OR] 49.346 [95% CI 25.2–96.3]). In addition to promotional, preventive, curative, and rehabilitative efforts, a collaborative approach through also needed to tighten regulations on high-sugar food and beverages in order to reduce the prevalence of diabetes mellitus in the future.
Analisis Situasi Masalah Kesehatan Penyakit Tidak Menular di Kota Depok Tahun 2023 Simanjuntak, Elvi Nora; Adisasmita, Asri, Prof; Djajuli, Hidayat Nuh Ghazali
Jurnal Epidemiologi Kesehatan Indonesia Vol. 8, No. 2
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Indonesia faces one of the biggest health challenges stemming from non-communicable diseases (degenerative diseases). The incidence of this health problem has shone a spotlight on the international community of both modern and traditional societies in all parts of the world. The shift in lifestyle from traditional to modern living is one of the factors that has led to the high number of degenerative disease cases in Indonesia. Currently, the number of people sickened by these non-communicable diseases continues to increase even at a young age with stroke, heart disease, and diabetes. Depok City as one of the cities that has experienced rapid progress is also a concern by the local government for the high prevalence of non-communicable diseases among the community. With this health problem, it is important to take action in analyzing the situation of the health problem so that it can determine health priorities, especially non-communicable diseases. This activity uses descriptive observational research methods using qualitative and quantitative data. Determination of the main health problems with respondents, namely the Head of Division at the Health Office and the Head of Puskesmas at each selected health center with a total of twenty-three respondents. Scoring and ranking using the PAHO adopted Hanlon method based on the Basic Prioriy Rating (BPR). Through the results of the ranking order, the results of problem identification obtained nine health problems in non-communicable diseases, namely, Hypertension, Diabetes Mellitus, People with Mental Disorders, Chronic Renal Failure, Coronary Heart Disease, Pre-eclampsia Hypertension, Traffic Accidents, and Cancer. The results of the assessment of health problems with BPR scores placed the top three priority health problems in non-communicable diseases as Hypertension (38.69). Stunting (37.87), and Pre-eclampsia Hypertension (32.10) in Depok City.
Hubungan Antara Obesitas Abdominal Dengan Kejadian Stroke Pada Penduduk Usia Dewasa Dan Paruh Baya : Tinjauan Literatur Silalahi, Jessica Veronica; Ronoatmodjo, Sudarto
Jurnal Epidemiologi Kesehatan Indonesia Vol. 8, No. 2
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Stroke is a major and growing global health problem. Stroke is a leading cause of illness and death worldwide and can be broadly classified as hemorrhagic stroke or ischemic stroke. There are many risk factors for stroke, including modifiable and non-modifiable risk factors. This study aims to investigate the correlation between central obesity and stroke incidence in adults and middle-aged using a systematic review. This study was conducted through a comprehensive search of several electronic databases, including Scopus, Science Direct, Proquest, and Google Scholar from June 2024 - September 2024. A total of 2,482 articles were screened based on the suitability of title, abstract, and type (original or non-original research). The remaining 549 articles were read in full text and entered into the data chart for identification, resulting in 8 articles that met the inclusion criteria for review. Data analysis included study identification, objectives, location (country), methodology (PEO and PRISMA-ScR flowcharts), and study findings. The study findings showed an association between abdominal obesity and stroke incidence and that body fat distribution is closely associated with cardiovascular disease incidence. Understanding the underlying mechanisms, risk factors, and management strategies is critical in reducing the impact of this widespread neurological condition.
The Impact of Smoking Degree on One Year Survival of Non-Small Cell Lung Cancer (NSCLC) at Persahabatan Hospital Wicaksono, Arief; Adisasmita, Asri C.; Putra, Andika Chandra
Jurnal Epidemiologi Kesehatan Indonesia Vol. 8, No. 2
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Lung cancer is a major global mortality problem with the worst prognosis compared to other types of cancer. Non-small cell lung cancer (NSCLC) is the most common type of lung cancer and smoking is one of the main factors causing lung cancer. This study aims to determine the one-year survival of NSCLC patients with smoking levels and to determine what factors affect survival. This study is an observational study with a retrospective method, looking at medical record data of NSCLC patients both inpatients and outpatients at Persahabatan Hospital between January 2023 and December 2023 and then followed up until September 2024. Survival analysis using the Kaplan Meier method and the Log-Rank test was used to find the differences between variables. Based on 248 NSCLC patients, 105 patients had low-moderate degree of smoking, and 145 patients had severe degree of smoking. The average age are 57 years old. The highest level of education are high school/equivalent (178 patients). Employment status are workers (211 patients). Marital status are married (216 patients). Performance status are ECOG-PS >2 (137 patients). Clinical stage are stage IV (194 patients). The one-year survival probability was 28.13% in the low-moderate degree of smoking group and 39.82% in the severe degree of smoking group with a median 122 days and 234 days respectively. There was a statistically significant difference in survival probability between degree of smoking, employment status, marital status, performance status and clinical stage with p<0.05.
Hubungan Gangguan Mental Emosional dan Obesitas Sentral: Literature Review Rahmawati, Dwi; Djuwita, Ratna
Jurnal Epidemiologi Kesehatan Indonesia Vol. 8, No. 2
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The prevalence of central obesity, both globally and in Indonesia, continues to increase. Mental and emotional disorders are one of the contributing factors to central obesity. In previous studies, it was known that the relationship between emotional mental disorders and obesity can occur in bidirections, where emotional mental disorders can cause central obesity or vice versa. This literature review aims to find out more about the relationship between emotional mental disorders and central obesity from various countries. The searching for articles used 4 databases (Scopus, Science Direct, Proquest, and Pubmed) with the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) method. The keywords used to search for literature are (Emotional mental disorders) OR (Stress) AND (Central obesity) OR (Abdominal obesity) And (Adults). The analysis was carried out on 6 research articles from America, Finland, China, Iran, Brazil, and Mexico. The research articles used cohort, case-control, and cross-sectional study designs. This literature review resulted in emotional mental disorders associated with central obesity, and were more common in women. This relationship is influenced by other factors, such as age, gender, marital status, education, occupation, smoking status, physical activity, sedentary behavior, alcohol consumption, emotional eating and binge eating. In overcoming central obesity, it is necessary to consider a person's emotional mental condition, especially in women. In addition, further research is needed on other factors that may influence the relationship between emotional mental disorders and central obesity.
Faktor Risiko yang Berhubungan dengan Hipertensi pada Jemaah Haji Embarkasi Banjarmasin Kalimantan Selatan 2024 Nani, Nani; Helda, Helda; Raf Raf, Khansa
Jurnal Epidemiologi Kesehatan Indonesia Vol. 8, No. 2
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Hypertension is a silent killer that is a major contributor to deaths worldwide every year. Hypertension is identified as one of the comorbidities that are often found in pilgrims. Various risk factors can play a role in the occurrence of hypertension. The purpose of this study is to analyze the risk factors that most significantly contribute to hypertension in Banjarmasin embarkation pilgrims in 2024. The research was carried out with a cross sectional design that utilizes secondary data sourced from the Integrated Hajj Computerized System related to health services during Hajj. The proportion of hypertension in Banjarmasin embarkation pilgrims in 2024 is 41.75%.. Multivariate analysis using cox regression revealed that the most significant risk factors contributing to hypertension were the variables of age ≥80 years (Pvalue=0.000) and adjusted PR of 5.36 (95%CI: 3.92-7.33), age 60-79 years (Pvalue=0.000) and adjusted PR value of 4.63 (95%CI: 3.79-5.65), age 41-59 years (Pvalue=0.000) and adjusted PR value of 3.18 (95%CI: 2.62-3.85), The central obesity variable (p=0.000) and adjusted PR value of 61.25 (95%CI; 1.15-1.36), the diabetes mellitus variable (p=0.000) and the adjusted PR value of 1.22 (95%CI; 1.09-1.35), the family hypertension history variable (p=0.000) and the adjusted PR value of 1.52 (95%CI; 1.39-1.65). Understanding the risk factors associated with hypertension is very important as an optimal effort to prevent and control hypertension so that it can reduce the prevalence of hypertension among pilgrims.
Asosiasi antara Indeks Massa Tubuh dan Mortalitas pada Pasien Gagal Ginjal Kronis yang Menjalankan Hemodialisa Reguler: Meta-analisis dari Studi Kohort Latupeirissa, Joue Abraham Trixie; Sudaryo, Mondastri Korib; Gabriella, Dorothy, Ms.; Suryandari, Benedikta, Ms.; Putri, Vine Aprilianita Sri Indah, Ms.
Jurnal Epidemiologi Kesehatan Indonesia Vol. 8, No. 2
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Chronic kidney failure patients must undergo hemodialysis for life, therefore it is important to maximize hemodialysis services in every health facility. Accordingly, factors related to survival rates must be addressed. One of them is low Body Mass Index (BMI). This study assessed the relationship between low BMI and mortality in the patients. The study design used was meta-analysis. The articles involved were in the period 2012 - 2024. There are three literature sources: medical databases, previous studies, and ongoing research. Overall, 26 articles were obtained. Data analysis showed that BMI
Faktor-Faktor yang Berhubungan dengan Asfiksia Neonatus: Studi Kasus Kontrol di RSUD Kabupaten Serang, Banten, Indonesia Khotimah, Husnul; Khasanah, Yosi Yusrotul; Arofah, Nur
Jurnal Epidemiologi Kesehatan Indonesia Vol. 8, No. 2
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Asphyxia in newborns is a common and serious cause of neonatal morbidity and mortality nationally and internationally. Risk factors for asphyxia can be seen from maternal and infant factors. The purpose of this study was to determine the risk factors in mothers and infants and to analyze which factors have the most influence on asphyxia. This study is a quantitative analytical study with a case-control approach. The number of case samples was 53 infants who experienced asphyxia and 53 control (1:1) infants so that the total sample was 106 infants. The variables studied were parity, Low Birth Weight (LBW), preeclampsia, and Premature Rupture of Membranes (PROM). Bivariate data analysis used chi square and multivariate data analysis used multiple logistic regression. The association value measured was the adjusted odds ratio (AOR), where AOR> 1 was interpreted as a risk. An increased risk was found in parity 1 and > 4 (AOR 3.824; 95% CI 1.220-11.994), LBW (AOR 11.726; 95% CI 3.282-41.898), preeclampsia (AOR 24.498; 95% CI 5.604-107.098), and PROM (AOR 18.821; 95% CI 4.377-80.928) with neonatal asphyxia. The dominant factor influencing neonatal asphyxia was preeclampsia with a value of 24.498 (AOR 24.498; 95%CI; 5.604-107.098), meaning that infants with a history of maternal preeclampsia had a 24 times greater chance of experiencing neonatal asphyxia compared to those without preeclampsia. There is an urgent need to develop strategies for early identification and management of birth asphyxia involving beneficiaries, health professionals and policy makers. Health workers should be trained to perform emergency obstetric care especially management of preeclampsia, LBW, PROM.
The Correlation of COVID-19 Vaccination With COVID-19 Patient Mortality in Depok City, Indonesia Nugrahari, Dian; Adisasmita, Asri, Prof; Hamdah, Nurhanifah
Jurnal Epidemiologi Kesehatan Indonesia Vol. 8, No. 2
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Vaccination is a disease prevention method recommended by the WHO as it will reduce disease severity, mortality rate and risks. The objective of this study is to discover the impact of COVID-19 vaccination against COVID-19 mortality rate in Indonesia. This was a retrospective cohort research on the data from the NAR COVID-19 database and the KPCPEN COVID-19 Dashboard of the Depok City Health Department from May 2020-February 2023. We performed a Cox proportional hazard analysis to obtain the risk for death. We discovered that COVID-19 vaccination reduced the mortality until it was less than 10% of unvaccinated population (0,24% for vaccinated vs. 2,5% for unvaccinated). We found that vaccination reduced the risk of death for COVID-19 patients to 91% (AHR=0.09; 95% CI = 0.07-0.11; p

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