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Devi Savitri Effendy, SKM, M.Kes, PhD
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ycab2007@gmail.com
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Perumahan Kendari Permai Blok P2 Nomor 1, Kelurahan Padaleu, Kecamatan Kambu, Kota Kendari, Sulawesi Tenggara
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INDONESIA
Journal of Epidemiology and Health Sciences
ISSN : -     EISSN : 30892732     DOI : -
Core Subject : Health, Social,
Journal of Epidemiology and Health Sciences (JEHS) adalah jurnal ilmiah hasil kolaborasi antara Yayasan Cipta Anak Bangsa (YCAB) Publisher dan Politeknik Baubau Sulawesi Tenggara. Jurnal ini menerbitkan hasil penelitian dan studi tentang epidemiologi dan isu-isu ilmu kesehatan. Jurnal ini bertujuan untuk berkontribusi pada pemahaman yang lebih mendalam tentang distribusi, penentu, dan pencegahan penyakit di tingkat populasi. Selain itu, JEHS juga memuat artikel yang mengeksplorasi pendekatan inovatif untuk promosi kesehatan, evaluasi intervensi kesehatan masyarakat, dan analisis faktor risiko yang memengaruhi kesehatan global dan lokal. Setiap artikel yang diterbitkan melalui proses peer-review untuk memastikan kualitas dan relevansi ilmiah. Dengan demikian, JEHS menjadi forum bagi para peneliti, praktisi, dan akademisi untuk menyebarluaskan pengetahuan dan temuan terbaru yang dapat memengaruhi kebijakan kesehatan dan praktik epidemiologi di berbagai konteks geografis dan populasi.
Articles 67 Documents
The Relationship Between Climate Change and the Prevalence of Environmentally Based Diseases in Coastal Fishermen Communities in Sorue Jaya Village, Soropia District Hariati Lestari; Wa Ode Liska Nur Aurin; Nurmut Maemuna; Sabrina Wahyuni Meyitia; Sakriani; Siti Nurselfina Wati; Uci Ndariani; Dewi Faridah
Journal of Epidemiology and Health Science Vol. 2 No. 1 (2025): January - April
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Background: Climate change exerts significant impacts on coastal communities, particularly fishing populations, who are highly vulnerable to environment-related diseases such as diarrhea, malaria, skin infections, and acute respiratory infections (ARI). Objective: This study aims to analyze the relationship between climate change and the prevalence of environmental-based diseases among coastal fishing communities in Sorue Jaya Village, Soropia District, Konawe Regency. Methods: This quantitative study utilized a cross-sectional design involving 210 respondents. Data were collected using structured questionnaires that explored perceptions of climate change and the occurrence of environmental-based diseases. Statistical analysis was conducted using the Chi-Square test via SPSS version 25.0. Results: The analysis revealed a statistically significant relationship between irregular rainfall patterns and the incidence of diarrhea (p = 0.030). However, other climatic variables such as increased air temperature, strong winds, and high sea waves did not show significant associations with the incidence of diarrhea or other environmental-based diseases. Similarly, no significant relationships were found between climate change and the incidence of dengue fever, malaria, skin diseases, or ARI. Conclusion: Climate change influences the prevalence of certain environmental-based diseases. In Sorue Jaya Village, erratic rainfall was significantly associated with the incidence of diarrhea. However, other climate-related factors such as temperature fluctuations, strong winds, and high sea waves were not significantly related to the prevalence of dengue fever, malaria, skin diseases, or ARI. Despite these findings, environmental changes driven by climate variability remain important determinants of health risk in coastal communities and warrant continued attention in public health planning. Keywords: Climate Change, Diarrhea, Fishing Communities, Disease Incidence, Prevalence  
Analysis of Coastal Community Health Vulnerability in Facing Climate Change in Coastal Areas in Tapulaga Village, Soropia Subdistrict Hartati Bahar; Yulinar Rana Rossalina; Andi Abelia; Annisa Nurisati Pratiwi; Augri Aprianingtias; Heni Delfita Maharani; Ulan; Yulinar Rini Rossalina
Journal of Epidemiology and Health Science Vol. 2 No. 1 (2025): January - April
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Abstract Background: Tapulaga Village, located in Soropia Subdistrict, Konawe District, is a coastal community increasingly facing challenges related to climate change. Environmental sanitation plays a vital role in safeguarding the health and well-being of its residents. This study focuses on assessing the community’s vulnerability to health issues exacerbated by environmental factors, particularly in relation to sanitation, access to clean water, and solid waste management practices. Objective: The primary objective of this study is to evaluate the environmental health conditions of the coastal community in Tapulaga Village and to identify key factors contributing to their vulnerability to the impacts of climate change. Methods: A quantitative analytical method with a cross-sectional design was employed. Data were collected from 200 respondents using structured questionnaires distributed through the Epicollect application. The analysis was conducted using SPSS version 16.0, applying univariate and bivariate techniques to examine the relationships between health vulnerabilities and adaptation measures to climate change. Results: The demographic profile of respondents revealed that the majority were female (53.5%) and within the age group of 31–44 years (36.0%). In terms of sanitation, 90% of households had access to latrines, yet only 36% met the criteria for a healthy home environment. Regarding water access, most residents relied on dug wells; however, 77% of respondents did not boil their drinking water, posing a health risk. In the past six months, 37.5% of respondents reported experiencing illness 1–2 times, with diarrhea being the most prevalent condition. Additionally, respondents expressed significant concern about environmental threats such as coastal erosion and extreme weather events, indicating heightened vulnerability. Conclusion: The overall environmental sanitation conditions in Tapulaga Village are moderately adequate. Nevertheless, areas such as wastewater management and the safety of drinking water remain pressing concerns. Strategic interventions including community-based education and improvements to public health infrastructure are essential to reduce health risks associated with climate change and enhance the resilience of coastal populations. Keywords: Climate Change, Environmental Sanitation, Public Health, Demographic Vulnerability, Coastal Communities, Indonesia
Relationship between Climate Change and Prevalence of Environmentally Based Diseases in Coastal Fishing Communities in Sambuli Village, Nambo District Pitrah Asfian; Rifdah Nabiilah; Fitra Sawfla Insani; Keisya Amalia Maharani; Sitti Nurhaliza; Selfin Dwiyanti; ⁠Nur Hidayat; Aulia Mutmainna; Intan Wahid Ingrat; Putri Mentary
Journal of Epidemiology and Health Science Vol. 2 No. 1 (2025): January - April
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Background: Climate change has emerged as a critical global issue, influencing various dimensions of human life, including public health. Its manifestations such as rising temperatures, irregular rainfall patterns, and the increasing frequency of natural disasters like tidal flooding, coastal erosion, and drought pose significant threats to the health and well-being of communities. Coastal populations, particularly those in Sambuli Village, are especially vulnerable due to environmental conditions that are less conducive to health, limited access to clean water, and a general lack of awareness regarding climate change adaptation strategies. Furthermore, the local economy and livelihoods, which predominantly rely on marine resources, are also adversely affected by seasonal and weather-related changes. This study seeks to examine the correlation between climate change and the prevalence of environment-related diseases among coastal fishing communities. Objective: To assess the impact of climate change on the prevalence of environmental-based diseases in coastal fishing communities in Sambuli Village. Methods: This study employed a quantitative analytical approach with a cross-sectional design. Data were obtained from 200 respondents through the administration of structured questionnaires. The collected data were analyzed using univariate and bivariate statistical methods to identify significant associations. Results: Findings revealed that 32.5% of respondents identified erratic rainfall as the most prominent impact of climate change. The most frequently reported illness was fever or influenza, affecting 56.5% of participants. Statistical analysis demonstrated a significant association between perceptions of climate change and the quality of clean water used (p-value < 0.05), suggesting that changes in climate patterns may influence water-related health outcomes. Conclusion: Climate change has a demonstrable effect on the health status of coastal communities. Therefore, adaptive strategies particularly those focusing on environmental hygiene and access to safe water must be strengthened to mitigate health risks and enhance community resilience in the face of ongoing climatic shifts. Keywords: Climate Change, Environmental-Based Diseases, Coastal Communities, Public Health, Adaptation Strategies, Indonesia
The Influence of Physical Environmental Conditions and Maternal Practices on Acute Respiratory Infections in Toddlers: Evidence from Lailangga Community Health Center, Indonesia Hamlia Kasmadi; Ramadhan Tosepu; Yasnani
Journal of Epidemiology and Health Science Vol. 2 No. 1 (2025): January - April
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Background: Acute Respiratory Tract Infection (ARI), or Infeksi Saluran Pernapasan Akut (ISPA), remains one of the primary causes of morbidity and mortality among children under five, particularly in developing countries. ARI is a common childhood infectious disease marked by the involvement of the respiratory tract, an acute clinical course, and the presence of infection. Its high incidence in toddlers is strongly associated with environmental exposures and behavioral factors, especially in resource-limited settings. Objective: This study aims to investigate the relationship between physical environmental factors and maternal behaviors with the incidence of ARI among toddlers in the service area of the Lailangga Health Center, Wadaga District, West Muna Regency, in 2023. Methods: This quantitative study applied a cross-sectional design. The population comprised 47 mothers with toddlers residing in the Lailangga Health Center catchment area. Data were collected through structured interviews and direct environmental observation. Analysis was conducted using univariate methods to describe respondent characteristics and bivariate methods to test the statistical associations between variables. Results: The study showed that over 64% of toddlers had inadequate intake of essential nutrients such as energy, protein, fat, and carbohydrates. While 54.9% of mothers had moderate to high educational attainment, 69.5% of households were categorized as having poor environmental conditions. Statistically significant relationships were identified between ARI and various factors, including nutritional intake (energy, protein, fat, carbohydrates), vitamin A, iron, zinc, maternal education (p=0.004), and environmental conditions (p=0.000). Conclusion: ARI incidence in toddlers was significantly linked to poor environmental quality and maternal behavior. Poor air circulation, limited ventilation, and lack of maternal awareness were major contributing factors. Interventions focusing on improving household environments and enhancing maternal health literacy are recommended to reduce ARI risk in this population. Keywords: Toddlers, Acute Respiratory Tract Infection (ARI), Air Pollution, Maternal Knowledge, Attitudes, Practices, Ventilation.
Epidemiological Study of Tropical Diseases in Coastal Communities in the Context of Global Climate Change, in Tondonggeu Village, Nambo District, Kendari City Ramadhan Tosepu; Muhammad Arifin; Pitrah Asfian; Melia Pradita Rohadi; Wa Ode Intan Aprilia; Dian Sari Aristianty; Michelin Alfa Saruran; Dhira Fijri Yasmin; Intan Marchella; Susi Indasari
Journal of Epidemiology and Health Science Vol. 2 No. 1 (2025): January - April
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Background: Climate change has become a widely debated global issue due to its profound impact on multiple sectors of life, particularly public health. The potential risks posed by climate change to human health are increasingly recognized as a global challenge that threatens livelihoods and well-being. Climate change refers to alterations in climate patterns that occur directly or indirectly due to human activities, leading to changes in the global atmospheric composition. It also includes shifts in natural climate variability observed over comparable periods of time. Empirical data indicate that the vulnerabilities and risks associated with global climate change not only influence economic, social, and political spheres but also contribute to the emergence and exacerbation of various public health issues Objective: This study aims to examine the impact of global climate change on the incidence of tropical diseases specifically malaria, dengue fever, chikungunya, filariasis, and leptospirosis within coastal communities in Nambo District, particularly in Tondenggeu Village. Methods: This research employed a quantitative analytical approach with an observational design, using the cross-sectional method to assess the relationship between climate change and the prevalence of tropical diseases. Data were collected through structured questionnaires distributed to respondents residing in the study area. Results: Statistical analysis shows that there is no significant relationship between climate change variables and the incidence of tropical diseases with a P-value of 0.574 (P > 0.05). Conclusion: The results of this study indicate that there is no statistically significant relationship between climate change and the incidence of tropical diseases in the study population. Several limitations may have influenced the findings. Notably, inaccuracies in data collection may have occurred due to respondents’ reluctance to provide honest or accurate responses, which could compromise the validity of the results. These limitations should be taken into account in the interpretation of the study's findings and addressed in future research to improve data quality and reliability. Keywords: Chikungunya Fever, Cross-Sectional Studies, Leptospirosis, Filariasis, Climate Change, Public Health
Analysis of the Effect of Climate Change on Public Health in Coastal Areas in Lapulu Village, Abeli Subdistrict, Kendari City in 2024 Devi Savitri Effendy; Seltiona Tiku Rara; Sitti Amalia Nur; Sesy Dwi Prinita Jafarudin; Salwa Safitra; Siti Rahmawati; Setriyalin Putri Amir; Risti
Journal of Epidemiology and Health Science Vol. 2 No. 1 (2025): January - April
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Abstract Background: Climate change represents one of the most pressing global challenges of the present era. Anthropogenic activities, particularly the emission of greenhouse gases such as carbon dioxide (CO₂) and methane (CH₄), have significantly contributed to alterations in global weather and climate patterns. These climatic changes have direct and indirect implications for human health, including increased risks of disease outbreaks. Extreme and unpredictable climate conditions can lead to a higher incidence of illnesses such as dengue fever, skin diseases, and respiratory infections (e.g., coughs and colds). Methods: This study employed a descriptive observational approach with a cross-sectional design. The research was conducted in the coastal area of Lapulu Village, Abeli Subdistrict, Kendari City, from late November to early December 2024. The target population consisted of residents living in the coastal area of Lapulu Village, with a total sample of 370 individuals selected for participation. Results: The analysis revealed no statistically significant relationship between climate change and the incidence of illness (p = 0.301), quality of drinking water (p = 0.875), access to health services (p = 0.746), or household income (p = 0.058). All p-values exceeded the significance threshold of 0.05, indicating that climate change was not significantly associated with these variables among residents of Lapulu Village. Conclusion: The findings from this study suggest that climate change does not have a statistically significant relationship with the incidence of illness, access to health services, quality of drinking water, or household income in the coastal area of Lapulu Village, Abeli Subdistrict, Kendari City. Despite the absence of significant associations, ongoing monitoring and further research are essential to better understand the long-term impacts of climate change on public health and socio-economic conditions in coastal communities. Keywords: Climate Change, Human Health, Access to Health Services, Disease Outbreaks, Dengue, Coastal Communities
Behavior of Consuming Blood Supplement Tablets Among Female Students of SMP Negeri 1 Kendari Hartati Bahar
Journal of Epidemiology and Health Science Vol. 2 No. 1 (2025): January - April
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Background: Anemia is a medical condition characterized by a decreased number of red blood cells or hemoglobin levels below the normal range. It is often caused by micronutrient deficiencies and is prevalent among adolescent girls. One of the primary preventive measures is the administration of iron and folic acid supplements, commonly referred to as blood supplement tablets. In 2018, the coverage of blood supplement tablet distribution among adolescents in Indonesia reached 48.52%, surpassing the target set in the 2018 Strategic Plan, which was 25%. However, Southeast Sulawesi ranked 18th nationally, with a coverage rate of only 22.0%. Objective: This study aims to assess the knowledge, attitudes, and practices related to the consumption of blood supplement tablets among female students at SMP Negeri 1 Kendari. Methods: This research employed a descriptive survey design. The population consisted of 134 female students at SMP Negeri 1 Kendari, from which a sample of 100 was selected using a simple random sampling technique. Results: The findings indicate that 46% of the respondents possessed good knowledge regarding the importance of consuming blood supplement tablets, while 42% demonstrated poor knowledge. In terms of attitude, 41% exhibited a positive attitude, whereas 59% showed a negative attitude. Regarding practices, 41% of the students reported consuming blood supplement tablets, while 59% did not. Conclusion: A majority of the students (59%) did not consume blood supplement tablets, despite the known benefits for anemia prevention. Therefore, it is recommended that continuous education and awareness programs be implemented to improve knowledge and promote the regular consumption of blood supplement tablets among adolescent girls. Keywords: Anemia, Adolescents, Iron and Folic Acid Supplementation, Blood Supplement Tablets
Environmental Sanitation Challenges and Opportunities in Indonesia Coastal Regions: A Review Abdul Rahman; Andi Isnaeni
Journal of Epidemiology and Health Science Vol. 2 No. 1 (2025): January - April
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Background: Coastal areas present distinct challenges and characteristics that differentiate them from inland regions. These include issues related to substandard housing, limited access to healthcare services, and environmental factors that contribute to both economic and public health problems. Environmental sanitation is a critical component, as poor sanitation in coastal communities often leads to increased vulnerability to disease and reduced quality of life. Monitoring environmental factors that influence human health is essential in these regions, where infrastructure and services are frequently inadequate. Objective: This study aims to provide a comprehensive overview of environmental sanitation conditions in coastal areas of Indonesia. Methods: A Systematic Literature Review (SLR) approach was employed to collect and analyze relevant scholarly articles from online databases, particularly Google Scholar and ResearchGate. The selection process followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Articles published between 2020 and 2024 were included, using keywords such as "sanitation," "environment," and "coastal." The analysis focused on identifying the status, challenges, and determinants of sanitation practices in coastal communities across Indonesia. Results: The findings from the reviewed literature indicate that basic environmental sanitation in Indonesia's coastal regions remains below national health standards. Common issues identified include the lack of proper latrine facilities, poor access to clean water, inadequate waste and wastewater management systems, and suboptimal community hygiene practices. These conditions are influenced by several contributing factors, such as low levels of public knowledge, limited economic capacity, and poor environmental infrastructure. Conclusion: The review concludes that environmental sanitation challenges in Indonesia’s coastal areas are significantly influenced by factors including community knowledge, income level, and ingrained behavioral practices. Long-standing cultural habits, passed down through generations, have resulted in insufficient attention to proper sanitation practices, thereby increasing susceptibility to preventable diseases. Efforts to improve sanitation in coastal areas should involve educational campaigns, infrastructure development, and behavior change interventions tailored to the local context. Keywords: Indonesia, coastal, environment, sanitation, public health
The Influence of Lifestyle in Coastal Communities on the Incidence of Hypertension in Southeast Sulawesi: A Review Febriana Muchtar; Thiufatin Terezky Brilyanti; Orin Widiarti
Journal of Epidemiology and Health Science Vol. 2 No. 1 (2025): January - April
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Background: According to the World Health Organization, lifestyle refers to a way of living that is shaped by identifiable behavioral patterns. It is influenced by a combination of social factors, individual characteristics, living environments, and socio-economic conditions. WHO has also identified a sedentary lifestyle as one of the leading risk factors for mortality worldwide, with hypertension being one of the most common health conditions associated with physical inactivity. Objective: This study aims to identify lifestyle factors that contribute to the incidence of hypertension in coastal communities of Central Sulawesi, Indonesia. Methods: This research employed a literature review approach, analyzing both Indonesian and international peer-reviewed journal articles. The selection focused on studies that explored the relationship between lifestyle and hypertension, particularly in coastal regions. Results: The analysis of the reviewed literature consistently demonstrates that lifestyle factors play a significant role in the development of hypertension. Across the selected studies, key risk factors identified include lack of physical activity, unhealthy dietary habits, alcohol consumption, and low levels of education. Conclusion: Based on the review of 21 relevant research articles, lifestyle emerges as a major determinant in the incidence of hypertension. Contributing factors include physical inactivity, poor nutrition, alcohol use, and educational level. In addition, age and family history are also influential in increasing hypertension risk. Importantly, the findings highlight that improved knowledge and better access to healthcare services can enhance efforts toward hypertension prevention, particularly in underserved coastal communities. Keywords: Sedentary Behavior, Lifestyle, Hypertension, Healthcare Access, Indonesia
Vitamin A Supplementation as an Intervention for Reducing Stunting in Young Children in Coastal Regions of Indonesia Listy Handayani; Muhammad Amin; Wartina Karamelka
Journal of Epidemiology and Health Science Vol. 2 No. 1 (2025): January - April
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Background: Stunting is a manifestation of impaired growth and development in children, primarily caused by chronic malnutrition, recurrent infections, and insufficient psychosocial stimulation. Vitamin A deficiency is recognized as a major contributing factor to stunting due to its critical role in supporting immune function and enhancing resistance to infections. Although global initiatives have aimed to combat vitamin A deficiency, its specific impact on reducing stunting particularly in coastal regions with limited access to nutritious food and healthcare remains insufficiently examined. Objective: This study aims to analyze the role of vitamin A supplementation as a public health intervention for reducing stunting in young children, with a particular focus on coastal areas where nutritional and healthcare challenges are more prevalent. Methods: This study utilized a systematic literature review methodology, employing the keywords "vitamin A," "stunting," and "supplementation" to search academic databases including Google Scholar, NCBI, PubMed, and Mendeley. Articles were screened for relevance and methodological rigor, focusing on studies that investigated the association between vitamin A supplementation and child growth, especially in relation to stunting. After applying defined inclusion and exclusion criteria, a total of 20 relevant articles 13 national and 7 international were selected for comprehensive analysis. Results: The review indicates that vitamin A supplementation has a protective effect against stunting, particularly in children not suffering from chronic malnutrition. Studies demonstrate a strong association between vitamin A deficiency and increased prevalence of stunting, especially among low-income and nutritionally vulnerable populations. Moreover, interventions combining vitamin A supplementation with a micronutrient-rich diet yield superior outcomes in reducing stunting incidence. However, research specifically focused on coastal populations remains limited, making it difficult to draw definitive conclusions about the effectiveness of vitamin A supplementation in these settings. Conclusion: Vitamin A supplementation contributes significantly to reducing the prevalence of stunting, particularly when integrated with comprehensive nutritional support. Nevertheless, its effectiveness is influenced by multiple factors, including socioeconomic status, parental education, food security, and healthcare accessibility. Further research is essential to assess the specific impact of vitamin A interventions in coastal areas, and to develop integrated strategies that incorporate nutrition education, dietary improvement, and strengthened health service delivery. Keywords: Vitamin A, Stunting, Supplementation, Child Nutrition, Coastal Areas, Indonesia.