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INDONESIA
Jurnal Ilmu Kesehatan Masyarakat
Published by Universitas Sriwijaya
ISSN : 20866380     EISSN : 25487949     DOI : -
Core Subject : Health,
Health Professions Public Health
Jurnal Ilmu Kesehatan Masyarakat (JIKM) is a scientific peer-reviewed journal. Its aims are to share out, to develop, to facilitate research findings in Public Health that it will give benefit to managers, decision makers, public health officer, health problem practitioners, lecturers, as well as students. The content of the journal includes literature review, research-based article dealing with: 1. Health policy and administration 2. Environmental health 3. Occupational health and safety 4. Public health nutrition 5. Health promotion and behavioral sciences 6. Epidemiology & Biostatistics 7. Others related to public health challenges
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 460 Documents
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Risk Factors Affecting Pulmonary Disorders of Workers In Indonesia: Literature Review 2017-2022 Dessy Widiyaristi; Elvi Sunarsih; Rostika Flora; Yuanita Windusari; Mohammad Zulkarnain; Suheryanto Suheryanto
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 3 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.3.263-280

Abstract

Pulmonary disorders in 2018 entered the 5th rank as a disease that causes death. Dust and gas are air pollutants that have a high level of toxicity in the environment when entering and accumulating in human respiratory organs for a long time can cause lung function disorders. The purpose of this study was to determine the factors for impaired function in workers in Indonesia. This study used the literature review method with Google Scholar, PubMed, and BioMed Central databases. Search for articles according to topics published from 2017 to 2022 with a working population and research locations in Indonesia. The results of the study obtained a total of 4648 articles, after screening 30 articles were obtained for analysis. From the research it was found that dust exposure and gas exposure were the types of pollutants that caused lung function disorders. The factors that can be modified are setting the length of exposure so that it can affect the working period per year, nutritional status, exercise, smoking habits and the use of Personal Protective Equipment (PPE). Age and gender variables are risk factors that cannot be modified. The longer a person works, the greater the potential hazards that accumulate into the body, especially workers who are in a dusty environment. Therefore, efforts are needed to manage exposure to air pollution in the work environment and routinely conduct medical check-ups for workers, exercise regularly, use PPE, eliminate smoking habits to minimize the occurrence of lung function disorders.
Non-Disclosure of Sexual Orientation of Men Having Sex With Men (MSM): A Hidden Threat of HIV Transmission in Palembang, Indonesia Namirah Adelliani; Najmah Najmah; Zico Ariesandi; Fenty Aprina; Yudhi Setiawan; Misnaniarti Misnaniarti; Yulyana Kusuma Dewi; Adeleine Silva Vanessa; Sari Andajani
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 2 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.2.147-161

Abstract

Men who engage in sexual relationships with other men (MSM) are consider a high-risk group for HIV transmission, with MSM in Indonesia accounting for 17.9% cases of HIV in 2020. This qualitative study aimed to understand better the factors determining MSMs' motivation to disclose their sexual orientation. This research employed a phenomenological approach to explore the disclosure experiences of MSM in Palembang City. In-depth interviews and observations were conducted with 11 purposively recruited MSM informants and five MSM outreach workers to ensure data triangulation. Documentation and observations of the participants were conducted during various activities at the Intan Maharani Foundation (IMF). MSM participants observed extreme caution when disclosing their sexual orientation and only chose to reveal their sexual orientation to a very limited network, such as close friends, who are  MSM, and at risk of HIV transmission. The hesitation to disclosing sexual orientation may be linked to the fact that only a few MSM had ever undergone an HIV test. MSMs, if they choose to, could share their status with Field Outreach (FO) during routine health check-ups. Findings of this study call for further research on barriers that hinder MSM from openly discussing their sexual orientation. Such research can inform policy and program developers on how to improve services, promote health literacy, foster confidence and trust among MSMs, hence facilitating their access to HIV services, enabling them to disclose their HIV status confidentially, safely, and in a respectful environment.
Mental Health Status and its Determinants Among Older People in Rural Area in the District of Banyumas Central Java Budi Aji; Siti Masfiah; Siwi Pramatama Mars Wijayanti; Dian Anandari; Chalermpol Chamchan
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 1 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.1.88-97

Abstract

Elderly people experience several health problems due to their vulnerability to many diseases, which may affect their mental health. This study aims to assess mental health status among older people and its determinants in rural areas. It is a cross-sectional study design and involves 412 respondents from 9 villages in the district of Banyumas, Central Java, Indonesia. The data was analyzed by using a logistic regression model. The findings showed that older people with a large number of family members were four times more likely to have a mental health problem than those with a small number. Older people with a history of chronic disease had a threefold greater risk of experiencing mental health problems than older people without chronic disease. Three times as many elderly people with middle economic status reported having mental health issues. Older people with lower education have fewer mental health problems compared to older people who graduated from higher education levels. Health check-up was discovered to influence mental health problems, with older people who did checkups even if irregularly having fewer mental health problems than older people who never did. The study concludes that family size, chronic disease history, economic condition, education, and health check-up are determinants of mental health problems in rural Indonesia.
Analysis of the Efficiency of Maternal and Child Health Services (MCH) at Public Health Centers in the Banyumas District Yuditha Nindya Kartika Rizqi; Arif Kurniawan; Lu’lu Nafisah
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 2 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.2.162-173

Abstract

Maternal and Child Health (MCH) service programs as an indicator of the status of community's health status are available at every Public Health Center (PHC) in Banyumas District. However, these services are still inadequate to improve the health status of mothers and children. The condition of the COVID-19 pandemic in early 2020 caused several MCH services not to run as previously planned. This study aimed to describe the implementation and efficiency of MCH services in PHC in Banyumas Regency. The method used in this study was a quantitative approach using secondary data on health workers and the output of MCH services at the PHC. Data were analyzed using the Data Envelopment Analysis (DEA) method, with the unit of analysis being aggregate data at 10 selected PHCs using a purposive sampling technique. The results showed that 60% of the PHCs were technically efficient (VRS value 1,0), and 40% of the PHCs were technically inefficient (VRS value < 1,0). The analysis's findings indicated there were differences between efficient and inefficient PHCs in terms of the input (health personnel) and output (service use). The inefficiency of the PHC is caused by the less optimal utilization of health workers and the low utilization of PHC health services by the community. Additionally, to meet the coverage of service criteria set by the government, MCH services at the PHC in the Banyumas Regency region have been provided following the current standard operating procedures. Public Health Centers must maximize the utilization of health personnel to improve technical efficiency and condition service activities during the pandemic by adjusting regional policies while still complying with health protocols.
The Factors Related to the Incident of Diarrhea in Elementary School Children in Muara Burnai Village II Ditha Effriyanda; Dini Arista Putri; Imelda Gernauli Purba; Rahmatillah Razak; Amrina Rosyada
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 1 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.1.45-56

Abstract

Poor snack food habits with a diversity of snacks encourages children's snack habits at school, because they can spend a third of their time at school. However, there are still many children who have the habit of consuming snacks and poor hand and nail hygiene habits The purpose of this study was to determine the factors associated with the incidence of diarrhea in elementary school. This research was quantitative with the Cross Sectional method. The sample in this study amounted to 118 respondents, which were determined by simple random sampling technique. Respondents were dominated by women as many as 77 respondents (65.3%), and the age of the respondents was dominated by the age category 11-12 years as many as 60 respondents (50.8%). Bivariate analysis resulted that there was a significant relationship between the frequency of snack food consumption, the choice of snack foods, the habit of washing hands, and cleanliness of nails with the incidence of diarrhea, while the habit of carrying lunch had no significant relationship with the incidence of diarrhea in elementary school in Muara Burnai Village II. The results of the multivariate analysis showed that the selection of snack foods was the most dominant variable influencing the incidence of diarrhea in elementary school children with (p-value=0.030; PR=29.291; CI 95%)=1.393-615.854) after controlling for the variable frequency of snack food consumption, washing habits hand and nail hygiene. The schools should make regulations related to standards for traders so that they become healthy canteens in school.
Predictors of Prediabetes and Undiagnosed Diabetes Mellitus Based on HbA1c Levels in Indonesia Irma Surya Kusuma; Syahrizal Syarif
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 2 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.2.185-197

Abstract

Prediabetes and Undiagnosed Diabetes Mellitus (UDDM) are associated with an increased risk of diabetes complications and other cardiovascular diseases. Early detection of both health problems is expected to reduce the burden of non-communicable diseases in the future. The purpose of this study is to investigate predictors of prediabetes and UDDM based on HbA1c levels among population ≥ 15 years old in Indonesia. This cross-sectional study involved 6,065 respondents of Indonesian Family Life Survey 5 (IFLS 5) who met the inclusion and exclusion criteria. Data associated with sociodemographic characteristics, lifestyle risk factors, hypertension, and obesity were obtained. Prediabetes was defined as HbA1c between 5.7-6.4%, while diabetes was defined as HbA1c ≥ 6.5%. Multinomial logistic regression analysis was performed to estimate adjusted Odds Ratio (aOR). The results showed that predictors of prediabetes were age, gender, marital status, and obesity, while predictors of UDDM were age, hypertension, and obesity. Identification of risk factors and early detection of prediabetes and UDDM is important, so that appropriate intervention can be given immediately to prevent complications.
Hospital Health Promotion Program Influence on Stroke Patients’ Motivation for Medical Rehabilitation Agnes Zendrato; Arni Marlinda Zai; Chrismis Ginting; Santy Deasy Siregar
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 2 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.2.174-184

Abstract

Stroke is the second leading cause of death and the third leading cause of disability. World Health Organization in 2021 found that around 70% of disability and 87% of deaths due to stroke occur in low- and middle-income countries. One of Indonesia’s efforts to minimize disability in post-stroke patients is medical rehabilitation. In an effort to maintain the patients’ motivation to adhere to medical rehabilitation, hospitals employ the hospital health promotion program. The purpose of this study is to analyze the effect of the hospital health promotion program on stroke patients' motivation for medical rehabilitation. This quantitative analytic study with a cross-sectional approach was conducted at Haji Adam Malik Central General Hospital and Medan Haji General Hospital. The research population was 124 post-stroke patients (48 patients from Haji Adam Malik Central General Hospital and 76 patients from Medan Haji General Hospital) and all of them were used as samples (total sampling). Data collection was conducted using a valid and reliable questionnaire (validity and reliability test carried out). Analysis was carried out using frequency distribution, chi-square, and double-log regression analysis. This study found that 90 out of 124 participants had high motivation for medical rehabilitation, while the rest had low motivation. The results showed that the hospital health promotion program had a significant effect on the motivation of stroke patients for medical rehabilitation, namely empowerment (OR=2.842), atmosphere building (OR=2.937), advocacy (OR=3.028), and partnerships (OR=2.738). Advocacy has the most impact on the patient’s motivation with OR=3.028. It can be concluded that hospital health promotion program has a positive influence on stroke patients’ motivation to undergo medical rehabilitation. Hence, implementation of similar health promotion program on other hospitals are highly encouraged to influence stroke patients’ motivation for medical rehabilitation.
The Correlation Between the Household Food Security and the Incidence of Stunting in Toddlers 6-59 Months in Seberang Ulu I Palembang Indah Purnama Sari; Windi Indah Fajar Ningsih; Desri Maulina Sari
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 2 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.2.198-209

Abstract

Toddlers are one of the vulnerable groups experiencing stunting nutritional problems. Households with good food security can prevent toddlers from nutritional problems such as stunting. The purpose of this study was to analyze the relationship between food security and the incidence of stunting in toddlers in Palembang City, especially in the Seberang Ulu 1 area. The cross-sectional study designs with a sample of 200 toddlers aged 6-59 months in Seberang Ulu I District who were taken by purposive sampling. Data were analyzed of bivariate used the Chi-Square Test (crude) and multiple logistic regression analysis was used as a multivariate analysis (adjusted). The incidence of stunting under five occurs more in households with food insecure conditions, high food expenditure, low income and low maternal education. There was a relationship between household food security and the incidence of stunting (p<0.05) and there was no relationship between food expenditure, family income and mother's education with the incidence of stunting in toddlers in Seberang Ulu I District (p>0.05). Multivariate analysis showed that toddlers in households in food insecure conditions had a 1.7 times higher risk of experiencing stunting than toddlers in households in food secure conditions after controlling for family income. Food insecurity is a risk factor for stunting in toddlers. Based on the results of this study, it is suggested that the government provide guidance to increase family income through improving entrepreneurship skills for families in Seberang Ulu 1 to prevent stunting.
Physical Activities of Working Communities During the COVID-19 Pandemic With Hypertension Incidence in Indralaya District Solin Pratama; Yeni Yeni
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 2 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.2.253-262

Abstract

According to WHO, one in three people in the world suffers from hypertension. Riskesdas results showed that the prevalence of hypertension in Indonesia has increased to 34.1% in 2018. In Ogan Ilir Regency, there had been an increase in cases of hypertension during the Covid-19 pandemic. One important factor was physical activity. The purpose of this study aimed to determine the relationship between physical activity and the incidence of hypertension in workers. The design of this research was a quantitative study with a cross-sectional study design. The population was all workers aged over 25 years in Ogan Ilir district. The sample in this study were workers aged 25 years and lived in Indralaya, namely 100 respondents. The sampling technique was purposive sampling. Data analysis used the chi square test and multiple logistic regression risk factor models. The results of the bivariate analysis showed a relationship between physical activity variables, age, consumption of salty foods, consumption of fatty foods, central obesity, sleep quality, and stress variable with hypertension (p-value <0.05). The results of the multivariate analysis showed a significant relationship between physical activity and hypertension after controlling for the consumption of fatty foods, central obesity and sleep quality (PR 2 4.29; 95% CI: 4.68 – 125.98). Lack of physical activity was a risk factor for hypertension in workers. It was important to prevent hypertension by getting used to moderate-intensity physical activity for at least 30 minutes a day such as cleaning the house, walking, and exercising.
Low Sun Exposure as a Dominant Risk Factor of Hypertension Among Adolescents in SMPN 21 South Tangerang Novita Harumsari; Firlia Ayu Arini; Aimmatul Fauziyah; Utami Wahyuningsih
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 2 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.2.223-238

Abstract

Hypertension is a global health problem that can occur in adolescents. According to Riskesdas 2018, the national prevalence of hypertension is 34.1%. In Banten Province, it stands at 29.4%, and in South Tangerang City, it’s 27.5%. This study was aimed to determine the association between age, sex, vitamin D intake, fat intake, and sun exposure with the incidence of hypertension among adolescents at SMPN 21 South Tangerang and the dominant factor among these variables that is a risk factor of hypertension. This study used a cross-sectional design with a sample of 102 respondents taken using a stratified random sampling technique. Data were collected through blood pressure measurements, the Sun Exposure Questionnaire (SEQ), and the Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). Association analysis was conducted using the chi-square test and Fisher's exact test, showing that there was an association between sun exposure (<0.05; OR = 7.902) with the incidence of hypertension, and there were no association between age (p = 0.556), sex (p = 0.386), vitamin D intake (p = 0.760), and fat intake (p = 1.000) with the incidence of hypertension among adolescents at SMPN 21 South Tangerang. The result of multivariate analysis using the regression logistic test showed that sun exposure was the most correlated factor of hypertension among adolescents at SMPN 21 South Tangerang (p = <0.05; OR = 7.949). Respondents should have more sun exposure to prevent hypertension.

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