Jurnal Kesehatan Masyarakat
KEMAS Journal: Research Study in Public Health publishes the article based on research or equivalent to research results in public health or other disciplines related to public health that has not been loaded/published by other media. The journal contains articles about epidemiology and biostatistics, health policy and administration, public health nutrition, environmental health, occupational health and safety, health promotion, reproductive health, maternal and child health, and other related articles in public health. The journal can be used by health practitioners, health caregivers, teachers, medical students, and people who are interested in public health issues. The journal was first published in July 2005 and subsequently published twice a year, in July and January. KEMAS Journal is a peer review journal and can be accessed in http://journal.unnes.ac.id/nju/index.php/kemas.
Semarang State University (Unnes) is a leading university in Indonesia with the vision to become a world-class conservation university. The conservation vision is closely related to the study of public health sciences. Unnes also published high quality e-journal from various disciplines, integrated, and managed through Open Access Journals that can be accessed in http://journal.unnes.ac.id.
The IAKMI (Ikatan Ahli Kesehatan Masyarakat Indonesia/The Association of Indonesian Public Health Expert) is a non-profit membership association dedicated to advance public health as a scientific discipline and profession that serves public good for Indonesia and humanity.
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Spatial Analysis of Leptospirosis Disease in Bantul Regency Yogyakarta
Sulistyawati, Sulistyawati;
Nirmalawati, Trias;
Mardenta, Ricadone Nita
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v12i1.4615
Leptospirosis has still become a public health problem in the world, especially in developing countries which have tropical and subtropical climate such as in Indonesia. This research aims at investigating the spread and analyzing the cluster of Leptospirosis cases by using GIS. This research was conducted in 2015 using descriptive qualitative method. The total cases were 35 cased during May-Dec 2014 in Bantul Regency, Yogyakarta. The data consisted of secondary and primary data collected by using GPS. Univariate and spatial analysis were performed through SaTScan, QGIS desktop 2.4.0 and ArcGIS 1.1.0. The result shows that the distribution of Leptospirosis case in Bantul Regency is equally distributed in all districts with plain topography. The highest case occurs in May (12 cases). Clustering pattern is significant with p value= 0,001 with 11 cases in the cluster.
Risk Factors and Predictive Model of Diarrhea in Kupang
Irfan, Irfan -
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v12i1.4013
Diarrhea is still endemic in NTT province and in Kupang City. The disease also includes as one of the 10 major diseases in Kupang City. Diarrhea prevention will work more effectively if it is conducted based on the knowledge of risk factors for diarrhea. The study aims at analyzing the risk factors of diarrhea and predictive models of diarrhea incidence in Kupang. The observational analytic research used case control design with case samples consisted of 62 patients with diarrhea in June 2015 taken by random sampling and control samples consisted of 62 children who were not listed as diarrhea patients in June 2015. The data was collected through interviews and observation. Bivariate and multivariate analyses were performed using logistic regression. Four variables that significant are age of stop getting breast milk (ASI) (OR 5.673), latrine type (OR 4.527), children age (OR 1.460) and number of family members (OR 0.484). The regression model resulted in the study is Ŷ = -0.630 + 1.736 age of stop drinking breast milk + 1.510 latrine type + 0.379 children age - 0.726 number of family members.
The Physical Indicators of Quality of Life for Hemodyalisis Patients
Isroin, Laily
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v12i1.4496
The measurement of quality of life using physical indicators is required to validate the use of quality of life questionnaire. Physical indicators of quality of life for hemodialysis patients include interdialytic weight gain, edema, muscle strength, upper arm circumference and blood pressure. This study used an experimental research design with pre-test post-test approach. Samples were divided into an intervention group consist of 6 people and a control group consisting of 5 people which were randomly assigned. The study concludes that all physical indicators of quality of life have improved although not all indicators reach significant values. Physical indicators which experience significant improvement are muscle strength, upper arm circumference and systolic blood pressure after hemodialysis. There are significant differences of physical indicators of quality of life of the circumference of the upper arm, ankle circumference, edema and systolic blood pressure after hemodialysis between the experimental group and the control group.
Adsorption of Carbon Monoxide (CO) in a Room by Coconut Shell and Durian Skin Activated Carbons
Nurullita, Ulfa;
Mifbakhuddin, Mifbakhuddin
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v12i1.4029
Cigarettes contain more than 4.000 elements, at least 200 of them are harmful to health. The main toxins are tar, nicotine, and carbon monoxide (CO). The purpose study was to know ability of coconut shell and durian skin activated carbon as adsorbent of CO. The study was pre-experimental with randomized control group only design. Independent variables are types of activated carbon, the dependent variable is concentration of CO. The results showed the lowest in durian skin activated carbon that 29 ppm. The average CO decreased on coconut shell is 68,7 ppm, durian skin is 77,478 ppm. One way anova test to see the difference CO in various of activated carbon p value 0,0001, independent t test to see the difference CO reduction between 2 types activated carbon with p value is 0,0001. Conclusion: there is a differences adsorbtion of CO between coconut shell and durian skin activated carbon.
The Relationship between Non-Communicable Diseases History and Health-Related Quality of Life
Endarti, Ajeng Tias;
Handito, Agus
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v12i1.4853
Disaster-prone population is vulnerable for suffering non-communicable diseases (NCDs) which become risk factors for poor quality of life (QoL). The study aims at investigating the effect of history of NCDs to the QoL. QoL was measured by WHODAS. NCDs with prevalence more than 1% were involved in analysis. Those NCDs included shortness of breath, diabetes, hypertension, joint disease and stroke. Among 1,872 respondents of Riskesdas, 7.7% of them have a poor QoL, suffering hypertension (8.7%), shortness of breath (7.3%) and asthma (6.9%). Risks of poor QoL six times higher among those with a history of PTM (PORadj 5.987; 95% CI 4.210-8.514) after adjusted by age, gender, education, socioeconomic status and region of residence. Stroke gives the greatest impact with POR 25.00 (95% CI 10.406 to 60.063). We recommend that the promotion and prevention of NCDs should be integrated with both mitigation-related and community resilience activities to disasters.
The Sexual Behavior of Male Sexual Partner of Tranvestite in the Prevention Efforts of HIV/AIDS Transmission
Azinar, Muhammad;
Mahardining, Anggipita Budi
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v12i1.6542
Transvestite is one of the high risk groups in HIV/AIDS. Integrated Biological and Behavioral Surveillance (IBBS) states that in 2011, the HIV prevalence among waria in Indonesia has reached 22%, increasing from 2009 (18.96%). Such occurrence is because transvestite usually has multiple partners in intercourse both oral and anal sex, and rarely use condoms. Similarly, the male regular partners of transvestite also have sex with multiple sexual partners. Therefore, they also have a high risk of spread of HIV/AIDS. The objective of this study is to analyze sexual behavior of male regular partner of transvestite in Efforts to prevent the spread of HIV/AIDS. The study was carried out in 2014 using qualitative approach. Data was collected by in-depth interview on 6 male regular partner of transvestite through purposive sampling and triangulation informants of peer educators. The result shows that the use of condom on male regular partners of transvestite is still low and they inconsistently use when having sex with transvestite, female sex workers and female girlfriend. Their knowledge about HIV/AIDS is not good, and some regular partner of transvestite also felt susceptibility to contracting HIV. However, the perceived severity and perceived of benefits male regular partner of transvestite is good about HIV /AIDS despite the barrier of perceived and perceived self-efficacy is low related access to condoms.
The Relationship between Non-Communicable Diseases History and Health-Related Quality of Life
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v12i1.4853
Disaster-prone population is vulnerable for suffering non-communicable diseases (NCDs) which become risk factors for poor quality of life (QoL). The study aims at investigating the effect of history of NCDs to the QoL. QoL was measured by WHODAS. NCDs with prevalence more than 1% were involved in analysis. Those NCDs included shortness of breath, diabetes, hypertension, joint disease and stroke. Among 1,872 respondents of Riskesdas, 7.7% of them have a poor QoL, suffering hypertension (8.7%), shortness of breath (7.3%) and asthma (6.9%). Risks of poor QoL six times higher among those with a history of PTM (PORadj 5.987; 95% CI 4.210-8.514) after adjusted by age, gender, education, socioeconomic status and region of residence. Stroke gives the greatest impact with POR 25.00 (95% CI 10.406 to 60.063). We recommend that the promotion and prevention of NCDs should be integrated with both mitigation-related and community resilience activities to disasters.
The Sexual Behavior of Male Sexual Partner of Tranvestite in the Prevention Efforts of HIV/AIDS Transmission
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v12i1.6542
Transvestite is one of the high risk groups in HIV/AIDS. Integrated Biological and Behavioral Surveillance (IBBS) states that in 2011, the HIV prevalence among waria in Indonesia has reached 22%, increasing from 2009 (18.96%). Such occurrence is because transvestite usually has multiple partners in intercourse both oral and anal sex, and rarely use condoms. Similarly, the male regular partners of transvestite also have sex with multiple sexual partners. Therefore, they also have a high risk of spread of HIV/AIDS. The objective of this study is to analyze sexual behavior of male regular partner of transvestite in Efforts to prevent the spread of HIV/AIDS. The study was carried out in 2014 using qualitative approach. Data was collected by in-depth interview on 6 male regular partner of transvestite through purposive sampling and triangulation informants of peer educators. The result shows that the use of condom on male regular partners of transvestite is still low and they inconsistently use when having sex with transvestite, female sex workers and female girlfriend. Their knowledge about HIV/AIDS is not good, and some regular partner of transvestite also felt susceptibility to contracting HIV. However, the perceived severity and perceived of benefits male regular partner of transvestite is good about HIV /AIDS despite the barrier of perceived and perceived self-efficacy is low related access to condoms.
Comparison Between Taichi Chuan and Jacobson’s Progressive Muscular Relaxation in Decreasing Cortisol Concentration on Pre-Hypertension Patients
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v12i1.3988
Nowadays, the prevalence of hypertension and its concomitant risk of cardiovascular and kidney disease development is increasing as the disability evidence in the society also rises. One of the potential risk factors of prehypertension is anxiety and it has already well-known that cortisol is a marker of anxiety. There are some nonpharmacologic methods to relieve anxiety: exercise and relaxation. Taichi Chuan is a low intensity aerobic exercise that also gives a relaxation effect.This study is organised to find out the effect of Taichi Chuan (TCC) and Jacobson’s Progressive Muscular Relaxation (JPMR) on cortisol level in pre hypertension patients. This is a pre and post-test design study with a total of 26 pre hypertension patients included. They were randomly divided into 2 groups. Group I performed Taichi Chuan exercise, while group II performed JPMR for 18 times. The intervention frequency was 3x/week for 6 weeks with 30 minutes duration for each session. In the study, which was held in April-June 2015, there was a decrease but no significant difference of cortisol concentration in both group.The comparison between groups also did not show statistical difference. However there were significant difference noted on the blood pressure before and after intervention in both groups.
The Determinants of Husband Behavior in The Care of Pregnant Women
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v12i1.3465
Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Banyumas District are still below The Minimum Service Standard (MSS), especially in Puskesmas (Public Health Center) I Ajibarang. The strategies for reducing maternal mortality are conducted by increasing mother’s health status during pregnancy. This study aims at determining the factors of husband’s role in women’s prenatal care. Cross-sectional method was used. The populations were all of the pregnant women in Puskesmas I Ajibarang. Proportional random sampling was applied to select 90 pregnant women. Logistic regression was used to determine factors. Theory of planned behavior was used to explore the determinants of husband’s role. The results show that the level of education, family income, the knowledge, the attitude, and subjective norm are not related to husband’s role in mother prenatal care. However, husband’s behavior control (p=0.045) and intention (p=0.000) have relation with husband’s role in women prenatal care. Variable of intention is the most dominant variable related to husband’s role in women’s prenatal care.