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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 151 Documents
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Factors Associated with Stunting among Children Aged 6 – 59 Months Attending Integrated Health Post (Posyandu) in Selapajang and Kedaung Wetan Villages, Neglasari Sub-District, Tangerang City: A Matched Case-Control Study Solang, Michael Alexander; Trixie, Joue Abraham; Semula, Gloria; Simamora, Tiona; Tanjung, Conny
Jurnal Epidemiologi Kesehatan Indonesia Vol. 10, No. 1
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Abstract

Stunting is a problem in Indonesia. In 2022, Kedaung Wetan and Selapajang Villages in Neglasari sub-district, Tangerang City, were identified as a priority. This study aimed to identify factors associated with stunting among children (6 – 59 months) in these villages. A matched case-control study consisting of 214 children (107 cases and 107 controls) was conducted, with individual matching based on age, sex, and prematurity at birth. Cases were children with height-for-age (H/A) measurement less than -2SD (according to WHO standard), while controls were children with H/A equal to or greater than -2SD. Conditional logistic regression was used for the multivariable analysis. No statistically significant associations were identified between the factors analyzed and the risk of stunting. However, higher maternal education was associated with higher odds of stunting compared to lower maternal education (OR 4.04, 95% CI 0.96 – 16.95), and among children with low birth weight (LBW) compared to non-LBW (OR 4.02, 95% CI 0.38 – 42.25) Nevertheless, the wide confidence intervals indicate statistical uncertainty. Conversely, lower odds of stunting were found among children not exclusively breastfed compared to those exclusively breastfed (OR 0.39, 95% CI 0.07 – 2.17) and among those with low birth length compared to normal length (OR 0.66, 95% CI 0.43 – 1.01), although none reached statistical significance. The only related variable was clean water (OR 1.06, 95% CI 0.03 – 0.75). In conclusion, several factors were explored as potential determinants, although no statistically associations. Future study procedures should be improved to minimize flaws and improve reliability. Keywords: Birth length, Breastfeeding, Exposure to smoke, Maternal education, Stunting
Risk Factors of Leptospirosis among Agricultural Workers in Southeast Asia: Literature Review Wibowo, Ronggo Adi; Nurzakia, Wawa Najwa; Kirana, Meirany Sasitha; Wijaya, Yulia Arthemisia; Sekaryudha, Jasmine Ayumaharani; Rejeki, Dwi Sarwani Sri; Jayanti, Rosita Dwi
Jurnal Epidemiologi Kesehatan Indonesia Vol. 10, No. 1
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Abstract

The agricultural sector is the primary source of livelihood for communities in Southeast Asia; however, these activities increase the risk of exposure to zoonotic diseases, particularly leptospirosis. Southeast Asia is one of the regions with the highest incidence of leptospirosis in the world. This literature review aims to identify risk factors for leptospirosis among agricultural workers in Southeast Asia. The search for research articles utilized three databases (Google Scholar, PubMed, and ScienceDirect) using a descriptive approach based on literature review and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. A total of 9,800 articles were screened for duplicates, publication year (2016–2025), open access, English language, and analytical study design, leaving 459 articles. These articles were then screened based on exclusion criteria (review articles and those irrelevant to the keywords), resulting in 253 articles that met the inclusion and exclusion criteria. These articles were further reviewed based on relevant populations and outcomes, resulting in 10 articles to be included in the literature review. The findings of this study revealed variations in risk factors across countries, including the presence of livestock, the presence of waste in the work environment, and the habit of not using Personal Protective Equipment (PPE). Based on the findings, there is a publication gap in Southeast Asian countries regarding leptospirosis risk factors among agricultural workers, thus necessitating further research in other Southeast Asian countries. Keywords: Risk Factors, Leptospirosis, Farmers, Livestock Farmers, Planters, Southeast Asia
Characteristics of Leprosy Chemoprophylaxis Recipeints in The Tirtayasa Public Health Center Area, 2023–2024 Imaroh, Rifa; Lumaksono, Maria Angela; Imani, Izzah; Widasmara, Dhelya
Jurnal Epidemiologi Kesehatan Indonesia Vol. 10, No. 1
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Abstract

Leprosy remains a public health problem in Indonesia. In 2023, Indonesia ranked third globally in the number of leprosy cases, with 14,376 reported cases, after India (107,851 cases) and Brazil (22,773 cases). One of the key strategies for leprosy control in Indonesia is the implementation of preventive measures, including home visits and the administration of chemoprophylaxis using single-dose rifampicin (SDR). Post-exposure prophylaxis plays an important role in preventing leprosy transmission among contacts of confirmed patients. This study aimed to describe the characteristics of leprosy chemoprophylaxis recipients in the Tirtayasa Public Health Center area during 2023–2024. This study was an descriptive observational study. A total of 381 respondents were included using total sampling from close contacts of leprosy patients who received chemoprophylaxis. Data were analyzed descriptively. The majority of chemoprophylaxis recipients were aged ≥15 years (328 individuals; 86.1%). Most recipients were female (198 individuals; 52.0%). The highest number of recipients was found in Tirtayasa Village (81 individuals; 21.3%). Based on the type of contact, most recipients had neighbor contact (237 individuals; 62.2%). The most commonly administered rifampicin dose was 600 mg (326 individuals; 85.6%). No adverse effects were reported among all recipients following rifampicin administration. Most leprosy chemoprophylaxis recipients were aged ≥15 years and female. The majority of recipients resided in Tirtayasa Village and had neighbor contact with leprosy patients. Rifampicin at a dose of 600 mg was the most frequently administered, and no adverse effects were observed among all recipients. Keywords: Characteristics, Chemoprophylaxis, Leprosy
Analysis of Priority Vaccine-Preventable Diseases Using the PAHO-Adapted Hanlon Method in Bogor City in 2024 Ketaren, Sonia Annisa Br; Wahyono, Tri Yunis Miko; Kusnadi, Bai
Jurnal Epidemiologi Kesehatan Indonesia
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Abstract

Vaccine-preventable diseases (VPDs) remain a major public health challenge despite substantial progress in immunization programs. In Indonesia, routine immunization coverage has shown a post-pandemic recovery trend; however, disparities in access to health services and surveillance quality persist across regions. This study aimed to determine priority VPD problems in Bogor City and identify factors contributing to the highest-ranked disease. A mixed-methods study was conducted in Bogor City from October 2024 to January 2025. Quantitative prioritization was performed using the Pan American Health Organization (PAHO)-adapted Hanlon method across eight VPDs. Qualitative data were collected through in-depth interviews with key informants and analyzed thematically. Findings were presented using an Ishikawa diagram. Hepatitis B was identified as the highest-priority VPD (10.91), followed by cervical cancer (9.21) and measles (6.44). Factors contributing to the persistence of hepatitis B included limited public awareness, incomplete surveillance and contact tracing, suboptimal intersectoral coordination, inadequate monitoring and reporting systems, and insufficient program support. The PAHO-adapted Hanlon method provides a structured framework for evidence-based priority setting. Strengthening hepatitis B control requires improved health literacy, strengthened surveillance systems, enhanced intersectoral collaboration, and optimized monitoring and evaluation. Keywords: Vaccine-preventable diseases, Health priority setting, Hepatitis B, Hanlon method, Public health surveillance
Patterns and Determinants of Measles Among Suspected Cases in Jakarta: Insight from Surveillance Data 2022-2024 Inayah, Widya; Prihartono, Nurhayati Adnan; Henderiawati, Retno; Nugraheni, Oktaviana; Gayatri, Dwi
Jurnal Epidemiologi Kesehatan Indonesia
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Abstract

Measles remains a public health concern in Indonesia, including Jakarta, contributing to the country’s disease burden. Sustained transmission during 2022-2024, despite reported vaccination coverage above  90%, suggests the presence of vulnerable groups. This study aimed to describe patterns and identify factors associated with laboratory-confirmed measles in Jakarta during 2022-2024. A cross-sectional study was conducted using routine surveillance data from all individuals reported as suspected measles cases during the study period. Descriptive analysis summarizes the distribution, while multivariable analysis identifies associated factors. Of the 4,194 suspected cases of measles, 22.8% were laboratory-confirmed positive. Showed a fluctuating temporal pattern, increasing from 20.6 % in 2022 to 42% in 2023, followed by a sharp decline to 3.5% in 2024. Among reported suspected measles cases, children aged ≤ 5 years had higher odds of laboratory-confirmed measles than those aged >5 years (aPOR 1.38; 95% CI 1.17-1.63). Unvaccinated individuals had a higher odds of laboratory-confirmed measles than fully vaccinated individuals (aPOR 2.53; 95% CI 2.09-3.06). Sex and travel history were not associated. Measles transmission in Jakarta persisted with a fluctuating pattern and was associated with children aged 5 and younger and unvaccinated individuals. Strengthening routine measles immunization and prioritizing susceptible groups identified through surveillance data are needed. Keywords: Measles, Surveillance, Risk Factors, Vaccine-Preventable Disease
Activities of Daily Living Limitations in Middle-aged and Older Adults with Joint Disorders and Osteoporosis: Indonesia Longitudinal Aging Survey 2023 Aryani, Desfalina; M. Irzal, Mufti As Siddiq As Siddiq; Sianipar, Agustina
Jurnal Epidemiologi Kesehatan Indonesia
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Abstract

Population ageing is associated with an increasing prevalence of limitations in activities of daily living. Joint disorders and osteoporosis are common health problems among older adults and may begin to emerge during middle age, potentially accelerating functional decline. However, studies examining the association between these conditions and limitations in activities of daily living in Indonesia remain limited. This study aimed to analyse the association between joint disorders and osteoporosis and limitations in activities of daily living among middle-aged and older adults in Indonesia. This study employed a cross-sectional design using data from the Indonesia Longitudinal Aging Survey (ILAS) 2023. The sample consisted of 4,084 respondents aged ≥45 years from nine provinces in Indonesia. Limitations in activities of daily living were assessed using the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) instruments, whereas the main independent variables, joint disorders and osteoporosis, were identified through doctor-confirmed self-reported diagnoses. Data were analysed using logistic regression models. The prevalence of ADL limitations was 9.4%, while IADL limitations were reported in 65.4% of respondents. After adjusting for sociodemographic factors, joint disorders (adjusted odds ratio [aOR] = 1.91; 95% CI: 1.46-2.51) and osteoporosis (aOR = 4.11; 95% CI: 2.41-7.01) remained associated with ADL limitations. However, both conditions were no longer associated with IADL limitations. Lower educational attainment and unemployment status were associated with IADL limitations.Joint disorders and osteoporosis are associated with limitations in basic functioning (ADL), whereas limitations in instrumental functioning (IADL) are more influenced by sociodemographic factors. Disability prevention strategies should integrate clinical management and social interventions to maintain independence among older adults. Keywords: Older Adults, Joint Disorders, Osteoporosis, Activities Of Daily Living, Instrumental Activities Of Daily Living
Associated Factors of Quality of Life in Hypertensive Patients: A Cross-Sectional Study in Riau Province, Indonesia Maybelliano, Dhimas; Rajunitrigo, Rajunitrigo; Lita, Lita; hamid, abdurrahman; Rasyid, T Abdur
Jurnal Epidemiologi Kesehatan Indonesia
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Hypertension is a chronic condition that adversely affects quality of life (QoL). Identifying factors associated with QoL is essential for improving hypertension management. This study aimed to identify factors associated with QoL among hypertensive patients in Riau Province, Indonesia. A cross-sectional study was conducted from December 2024 to January 2025 at two public health centers in Riau Province: Puskesmas Rejosari in Pekanbaru City and Puskesmas Bagansiapi-api in Rokan Hilir Regency. A total of 150 hypertensive patients aged 25-59 years were enrolled. QoL was assessed using the WHOQOL-BREF questionnaire. Independent variables included sociodemographic characteristics, comorbidities, dietary patterns, and physical activity. Data were analyzed using univariate analysis, Chi-square test for bivariate associations, and modified Cox regression for multivariable analysis. Among the respondents, 52.0% had poor QoL. Bivariate analysis showed that comorbidities (PR = 1.61; 95% CI: 1.00-2.59), unhealthy dietary patterns (PR = 2.08; 95% CI: 1.21–3.56), and insufficient physical activity (PR = 2.70; 95% CI: 1.68–4.34) were significantly associated with poor QoL. In the multivariable analysis, insufficient physical activity remained the only independent determinant of poor QoL (aPR = 2.45; 95% CI: 1.51–3.97), whereas dietary patterns showed a borderline association (aPR = 1.72; 95% CI: 0.99–2.97). Insufficient physical activity was the only independent determinant of poor QoL among hypertensive patients. Promoting regular physical activity may improve QoL, while the independent role of dietary pattern requires further investigation. Keywords: Hypertension, Quality Of Life, Comorbidities, Dietary Pattern, Physical Activity
Urban-Rural Differences in The Association Between Physical Activity and Overweight/Obesity Among Indonesian Adolescents: A Cross-Sectional Study Wulandari, Wahyu; M. Irzal, Mufti As Siddiq; Fatmawati, Lady Farah
Jurnal Epidemiologi Kesehatan Indonesia
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Abstract

Adolescent overweight/obesity is an increasing public health concern and contributes to the risk of non-communicable diseases later in life. Physical activity plays an important role in weight regulation. However, its association with overweight/obesity may vary according to residential setting. This study aimed to examine the association between physical activity and overweight/obesity among adolescents living in rural and urban areas of Indonesia. A cross-sectional study was conducted using data from the 2023 Indonesian Health Survey. The study included 115,372 adolescents aged 10–18 years. Physical activity was classified based on total Metabolic Equivalent of Task (MET)-minutes per week (≥600 MET-minutes/week), while nutritional status was assessed using body mass index-for-age Z-scores. Complex samples logistic regression analyses were performed separately for rural and urban adolescents, adjusting for sex, unhealthy food consumption, and parental metabolic syndrome risk factors. The prevalence of overweight/obesity was higher among urban than rural adolescents. Adolescents with insufficient physical activity had higher odds of overweight/obesity in both settings. After adjustment, insufficient physical activity remained significantly associated with overweight/obesity among rural adolescents (aOR:1.29;95%CI:1.04–1.61), whereas the association was not statistically significant among urban adolescents (aOR:1.13;95%CI:0.98–1.29). The association between physical activity and overweight/obesity differed according by residential setting. Insufficient physical activity was associated with overweight/obesity among rural but not urban adolescents. These findings highlight the importance of considering rural–urban differences when developing adolescent overweight/obesity prevention strategies in Indonesia. Keywords: Adolescents, Physical Activity, Overweight/Obesity, Urban-Rural Differences
Determinants of Hypertension Status among Patients with Type 2 Diabetes Mellitus at Menteng Primary Health Center, 2024–2025 Haryoso, Ira Susanti; Radityadana, Yudha; Mufallahah, Muthik Hanim; Rahmartani, Lhuri Dwianti
Jurnal Epidemiologi Kesehatan Indonesia
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Hypertension is a common comorbidity in patients with type 2 diabetes mellitus (T2DM) and substantially increases the risk of both macrovascular and microvascular complications. Data on the determinants of hypertension status among T2DM patients in primary healthcare settings remain limited. This study aimed to analyze the determinants of hypertension status in T2DM patients at Puskesmas Menteng during 2024–2025. This was an analytic observational study employing a cross-sectional design. Study subjects comprised T2DM patients registered and undergoing examinations at Puskesmas Menteng over the 2024– 2025 period. Data were extracted from electronic medical records, included age, sex, occupation, socioeconomic status, blood pressure, hypertension status, diabetes duration, body mass index (BMI), kidney function (estimated glomerular filtration rate; eGFR), total cholesterol, low-density lipoprotein cholesterol, triglycerides, and urinary albumin. Hypertension status was classified as hypertensive or non-hypertensive. Multivariable logistic regression analysis was performed, and the results were reported as adjusted odds ratios (aORs) with 95% confidence intervals (CIs). A total of 462 patients with T2DM were analyzed, including 349 patients (75.5%) with hypertension and 113 patients without hypertension. In the multivariable analysis, obesity was significantly associated with increased odds of hypertension (aOR 2.36; 95% CI:1.17–4.78;p=0.017). Microalbuminuria (aOR 1.82;95%CI:1.11–3.00;p=0.019) and macroalbuminuria (aOR 3.47;95%CI:1.29–9.32;p=0.014) were also significantly associated with hypertension. HbA1c levels <7% were positively associated with hypertension status, whereas associations with eGFR categories should be interpreted with caution due to limited sample size and wide confidence intervals in advanced kidney function categories. These findings highlight the importance of weight control, monitoring kidney function monitoring, and early detection of albuminuria in preventing and controlling hypertension among patients with type 2 diabetes mellitus in primary healthcare settings.Keywords: Type 2 diabetes mellitus, Hypertension,  Glycemic Control, Hemoglobin  A1c, Primary Health Care
Clinical Epidemiology of Stroke in the Productive Age Population in Indonesia: a Scoping Review Asmara, Satria Akbar Putra; Habibah, Ulil Albab
Jurnal Epidemiologi Kesehatan Indonesia
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Data from the 2018 Indonesian Basic Health Research (Riskesdas) demonstrates a marked increase in stroke prevalence, rising from 7% in 2013 to 10% in 2018. This upward trend is accompanied by a notable epidemiological shift, with stroke no longer predominantly affecting older adults ≥65 years, but increasingly occurring among the productive-age population (15–64 years). This scoping review was conducted in February 2026 in accordance with the JBI methodological guidelines and PRISMA-ScR. Searches were conducted in Google Scholar, PubMed, Garuda, and ScienceDirect. Inclusion criteria include articles published within the last 10 years (2016–2026), articles discussing the characteristics of stroke patients in the productive age group in Indonesia, observational studies, and articles published in English or Indonesian. Data extraction includes author, year of publication, study design, location, sample size, age range, and main findings. Six studies met the inclusion criteria. Ischemic stroke was the predominant subtype, and most young stroke patients in Indonesia were male. The majority of patients had a history of hypertension, hyperlipidemia, gout, and diabetes mellitus. Stroke in the productive age in Indonesia, predominantly ischemic, shows an increasing trend with age (18–59 years) and a higher prevalence in males, though housewives emerge as a highly vulnerable female subgroup. Patients exhibit heterogeneous BMI profiles clustering with a high descriptive prevalence of metabolic comorbidities. Given the reliance on six hospital-based descriptive studies, these findings represent preliminary regional trends rather than a definitive national profile, emphasizing the urgent need for a centralized national stroke registry and future community-based analytical studies. Keywords: Productive age, Stroke, Indonesia

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