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INDONESIA
Jurnal Kesehatan Masyarakat
Published by Universitas Negeri Semarang
ISSN : 18581196     EISSN : 23553596     DOI : -
Core Subject : Health,
Public Health
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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Articles 36 Documents
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Search results for , issue "Vol 15, No 1 (2019)" : 36 Documents clear
The Effectiveness of Circular Hip Massage and Knee Press Massage toward Intensity Change of Labor Pain
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.15783

Abstract

Pain due to labor contraction will cause discomfort therefore pain management is needed to avoid negative effects on both mothers and fetuses. There are some methods in pain management. Pharmacological method has side effects meanwhile non-pharmacological method is more efficient and has minimal side effects. Massage is a non-pharmacological method which may overcome the pain of delivery (p 0.05). There is an easy method to use and support the delivery assistance for Mother’s Day Care, namely Circular Hip and Knee Press Massage. The aim of this study is to know the effectiveness of Circular Hip Massage and Knee Press Massage on the intensity of labor pain with the experimental quasi design. Thr research subjects were 52 pregnant mothers in March to July 2018 at the Maternity Home (RB) and Practice Midwives (BPM) in the Kudus Regency.. Based on the Wilcoxon test, the Circular Hip and Knee Press Massage methods are effective to overcome the pain of delivery (p 0.05). From Mann-Whitney Test can be concluded that there is a difference in the effectiveness of Circular Hip and Knee Press Massage on the Intensity change of labor Pain. The intensity change of labor Pain with Circular Hip Massage (CHM) is 0.9, median of 1 (SD 0.445). Meanwhile, the intensity change of labor Pain with Knee Press Massage (KPM) is 0.38, median of 0.5 (SD 0.697). The results of the study are expected to be a reference for the development of scientific health knowledge for mothers and children related to labor pain management.
Smoking as Risk Factors to Dry Eye Syndrome
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.8611

Abstract

Cigarette smoke can damage the fat layer of the tear film lperoxidation. Dry eye syndromeis a cluster of disorders caused by an imbalance between production and excretionof tears, causing symptoms of discomfort in the eye. This study aims to related riskfactors smoke of dry eye syndrome. Analytic observational with cross sectional design,population of all visitors, officers and employees KAI Poncol station Semarang. Sampleof 60 respondents who meet the inclusion and exclusion criteria. Data about dry eye syndrome are examined using Schirmer I test, data on smoking were taken using a checklist.The data obtained were analyzed using chi-square test. Results of the respondentswho smoke and have dry eye syndrome was higher (80.6%) compared with non-smokers(25.0%). The results chi-square test p=0.000 (p0.05), PR = 3.222 (95%CI:1.582-6.562).Smoke who risk 3.222 times higher chance of developing dry eye syndrome comparedwith do not smoke.
Proximate Determinant of Adolescents Fertility in Central Java
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.21364

Abstract

Adolescent fertility is an important issue in terms of health and social care due to its relation to morbidity and mortality of mothers and children. The 2017 IDHS provided data regarding the percentage of women aged 15-19 who already became mothers or pregnant with their first child according to background characteristics. The 2017 IDHS results showed 7 percent of women aged 15-19 were mothers: 5 percent had given birth and 2 percent were pregnant with their first child. This study used a quantitative secondary data analysis approach. The secondary data used were the results of the Central Java IDHS 2017. The population of this study was all adolescent girls aged 15-19 years in Central Java. The unit analysis in the study were women of childbearing age which were 15-19 years from the analysis unit of Central Java IDHS in 2017 with a total sample of 4,560 respondents. From the results of the study, we noted that factors related to adolescent fertility in Central Java were age, education, use of contraception, marital status, status of living with a partner, and practice of sexual relations. Factors which were not related to adolescent fertility in Central Java were occupation, wealth, type of residential area, insurance ownership, duration of abstinence, partner's age, partner's level of education, and partner's occupation.
Dating and Premarital Sexual Inisiation on Adolescence in Indonesia
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.17270

Abstract

Adolescent is the generation that will determine the future of the nation. Indonesia has many adolescents with excellent achievement in national and international level. However, there are still many adolescents who have negative and deviant behavior such as smoking, drinking, using drugs, even to the behavior of free sex. The purpose of this analysis was to examine dating and sexual behavior of adolescents in Indonesia. This analysis was using secondary data from the Survey of Performance Indicators of National Medium Term Development Plan Program of the National Population and Family Planning Year 2015. The survey was conducted in 34 provinces throughout Indonesia. The number of the samples for this analysis were 41.885, who were adolescents aged 15-24 years and have not married yet. The analysis showed that male respondents who had girlfriend were higher than girls who had boyfriends. On average, the first dating age is 15.5 years. The most frequent activities during dating are holding hands, kissing lips, touching and stimulating the sensitive part of body. Boys were more permissive related premarital sex than adolescent girls. Furthermore, boys admitted have had sexual intercourse three times higher than girls. Adolescents who were on dating had higher chances of having premarital sex than those who were not on dating. The chance of premarital sex was likely to increase if the adolescents holding hands, kissing lips, and touching sensitive parts of body while having date.
Study of Contraceptive Management in National Health Insurance Era at Central Java
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.15820

Abstract

Healthcare facilities partners of BPJS have not been synchronized with registered healthcare facilities. Empty stock of contraceptives, excessive storage of contraceptives, and disruption in distribution chain are still seen in the last three years. The purpose of this study was to identify issues related to the management of contraceptives (planning, acceptance and storage). The research used mixed method (quantitative and qualitative approach). The samples were 30 first-level healthcare facilities in Jepara and Wonosobo regencies. There was no planning at provincial level because contraceptive planning activities was regulated by the central health office. Planning of contraceptive requirement at regency/city level was conducted by provincial health office. The acceptance mechanism in the Province involved inventory officer while at health facilities it was performed by Family Planning program manager. Observation of storage rooms for contraceptive in Jepara found that there was no temperature recording device, excess stock of contraceptive injections and pills, absence of thermometer in the storage room, non-functional air conditioning, no separation between storage of hormonal and non-hormonal contraceptive, and there was no distance between pallet and the wall. Meanwhile, contraceptive storage space in Wonosobo has met the Standard Operating Procedure (SOP).
Occupational Respiratory Symptoms Caused by Chemical Hazard on Hairdresser Workers in Palembang
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.12111

Abstract

Respiratory Disease is the leading cause of death in the majority of people and is among the top 10 causes of death in the world. Factors causing respiratory disease are occupational exposure, smoking and lung infections. According to WHO, 65 million people have respiratory illnesses ranging from moderate to severe. Nearly 90% of deaths from respiratory illness occur in low- and middle-income countries. Hairdressers are exposed to many chemicals in the use of many hair products such as shampoos, curling products, hair dyes, and hair sprays. This study aims to obtain risk factor related to occupational respiratory symptoms on hairdresser workers in Palembang. Cross sectional study design was chosen with a sample size of 150 respondents. The result showed that the prevalence of Occupational Respiratory Symptoms was 40%, female hairdresser were 85.3%, 64.7% were less than 35 years old, those with contact duration of eight hours a day was 78.7%, and those with contact frequency of more than three times a day was 86.6%.There were no significant relationship between sex, age and duration of contact with Occupational Respiratory Symptoms. There was a significant relationship between frequency of contact with Occupational Respiratory Symptoms.
Factors Affecting the Use of Contraceptive in Indonesia: Analysis from the National Socioeconomic Survey (Susenas)
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.14098

Abstract

Rapid population growth has become a major concern and attention of many national governments and international community. Most developing countries have acknowledged the role of family planning as an effective way to improve maternal/child health and suppress population growth. This study aimed to investigate the socioeconomic and demographic factors that influence the use of contraceptives in Indonesia. This was a cross-sectional study using secondary data derived from National Socio-Economic Survey (SUSENAS) in 2014. A sample of 286,695 married women was selected for this study. Multiple logistic regression analyses were used to estimate the effects of socio-economic and demographic variables on contraceptive use. Only 42% of married women in Indonesia used contraceptive method. The most popular contraceptive method was injection (55%). Factors affecting contraceptive use were maternal age of 30-34 year, living in the urban area, family wealth status in the 4th quintile, secondary school, working women, residing in Java/Bali, and the number of living children 2. Family planning policy information, education, and communication program should consider these determinants of contraceptive use.
Predisposing, Enabling and Reinforcing Factors of Premarital Sex Behavior in School Adolescents
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.14226

Abstract

Nowadays, 60% adolescents in Indonesia admitted that had practiced premarital sexbehavior and 50% of people living with HIV and AIDS are adolescent age group. Thenegative consequences of sex behavior which causes an Indonesian adolescent disruptedopportunities continue study at school, enter the work force, starting become a familyand become a member of society as well. Premarital intercourse makes unintendedpregnancy rates still high. Based on data obtained from the Pekanbaru City HIV-AIDSManagement Commission (KPA) in April 2017, it was found that HIV-AIDS caseshave always increased from year to year. The purpose of this study was to determinethe correlation between predisposing, enabling, and reinforcing factors with premaritalsex behavior in adolescents. The design was cross sectional study. This study was conductedAugust 2017 with multistage random cluster sampling and with 481 adolescentrespondents in 18 SMA in Yogyakarta City, which were analyzed using Chi Square test.There were a relationship of knowledge (p = 0.000, RP = 3.893), attitude (p = 0.000, RP= 7.240), self-esteem (p = 0.000, RP = 3.502), source of information (p = 0.003) and peerroles (p = 0.000, RP = 11.660) with premarital sex behavior. Meanwhile, there were norelation of family role (p = 0.436, RP = 0.823) and teacher role (p = 0.053 RP = 1.596)with premarital sex behavior. Knowledge, attitudes, self-esteem, information source andthe role of peers are related to premarital sex behavior. The role of the family and the roleof the teacher are not related to premarital sex in adolescents.
Social Determinants of Health of Child Marriage (Analysis of IFLS 2000, 2007, 2014)
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.16514

Abstract

Early marriage is defined as a marriage of women aged 18 years old. The current world prevalence is declining, but when compared with the growth in population, the total number of married children tends to increase. Today, early marriage reaches 41.000 every day, especially in Sub-Saharan Africa and South Asia. This research aims to identify the social determinants of health that encourage early marriage. This research used a quantitative observational analytic study with cross-sectional design. The number of 18 year-old married women were 1.96% (IFLS5), 18 year-old married men were 0.15% (IFLS5). The average age at first birth was 22.96 years old. The economic status of early marriage was mostly in Quintile 1, and the majority of residences were in rural area. The ratio of married women and men aged 18 years old was 11-14: 1. Employment, education, residence and poverty were associated with early marriage and were statistically significant.
Effectiveness of Early Exercise Against Uterine Involution in Spontaneous Postpartum Patients
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.11936

Abstract

It is estimated that 50% of puerperal mortality occur within the first 24 hours. At thistime the involution process occured. Involutionary disorders cause complications whichis the leading cause of maternal mortality. Most of postpartum women do not obtainexercise guidance after giving birth. They are only advised to do simple mobilizationwithout planned guidance. The purpose of this study was to determine the effectivenessof early exercise against uterine involution (fundus and lochea). The research methodused Quasi Experimental (pre-post test non equivalent control group design). It wasconducted from May to August 2017. The samples were 40 respondents spontaneousprimiparous postpartum mother. The study was started by 1) divided the samples intocontrol group and treatment group, 2) measured the fundus and lochea, 3) providedearly exercise on treatment group, 4) re-measured fundus and lochea in both groups, 5)analyzed the effectiveness of early exercise to fundus and lochea expenditure decrease.The data analysis used Mann Whitney with α = 0.05. The results showed p value is 0.000(fundus) and p value are 0.001 (lochea). It means that early exercise is effective againstuterine involution (fundus and lochea). The results can provide positive contribution inpreventing maternal mortality caused by puerperal complications.

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