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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Improving Health Behavior Standard Through Modern Islamic Boarding School
Nugraha, Enung;
Syarifudin, Encep
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.23112
The purpose of this study is to explain health behavior standard of modern Islamic boarding school. The sample was determined purposively in Modern Islamic Boarding School in Banten Province, of Indonesia and respondents were 90 people with simple random techniques. This research uses descriptive quantitative method and data from the questionnaires. The results of this research showed that health behavior residents of Islamic boarding schools can be improved by predisposing factors such as (category of fairly good education and good income category), enabling factors (facilities for clinic/poskestren included: room/place, the medical and non-medical equipment and medicines in the good category) and strengthening factors (cadres of Poskestren, management aspect of clinic/poskestren, aspect of observation on the health and from the aspect of healthy behavior in the good category). A dominant factor to improving health behavior residents of Islamic boarding schools is the reinforcing factor.
Is there a Relationship Between Pregnant Women's Characteristics and Stunting Incidence In Indonesia?
Simbolon, Demsa;
Jumiyati, Jumiyati;
Ningsih, Lisma;
Riastuti, Frensi
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.23550
Teenage pregnancy has an impact on the outcomes. Teenage pregnancy is at risk of adverse health, an increased risk of domestic violence, poor nutrition, and sexual and reproductive health problems, lower levels of education, and higher levels of poverty compared to women who postpone marriage age. The study aims to determine the relationship between marriage and Adolescent pregnancy with the incidence of stunting in children under five years in Indoneasia. The study used a cross-sectional approach from 2014 IFLS (Indonesian Family Life Survey) data. The bivariate analysis used the Chi-Square Test when the multivariate analysis used logistic regression. The results found the prevalence of stunting in Indonesia in 2014 was 36.6%. The stunting prevalence is higher in toddlers of married mothers of adolescents (42.4%) compared to mothers of married mature (35%). The stunting prevalence was also higher in children under five years from adolescent pregnant women (44.4%) compared to mothers who were of sufficient age (35.6%). Teenage pregnancy is associated with the incidence of stunting. A married teenage woman is 1.2 times at risk, and a woman who is less than 20 years pregnant is 1.3 times at risk of having a stunting toddler. Teenage pregnancy increases the prevalence of stunting. Cross-sectoral integrated interventioans are needed to prevent adolescent pregnancy. It is required to decrease the prevalence of stunting. The various risks that occur in teenage pregnancy are the basis for the importance of pregnancy prevention efforts in this age group by involving the related sectors.
Risk of Pesticide Exposure on Impaired Level of Intelligence (IQ) of Children
Suwondo, Ari;
Widyawati, Melyana Nurul;
Kurniawan, Bina;
Dewi, Endah Kumala
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.29233
The shallot cropping pattern applied by farmers in the village of Pasir Demak is very likely to cause pollution. Pesticide contamination in pregnant women in the first trimester (3 months) can result in fetal death, low birth weight, and impaired intelligence (IQ). Preliminary research conducted in 2016 found that elementary schooler who came from Pasir Village, Demak had low learning achievement. It was an observational study with a cross-sectional approach; the respondents were Elementary Schooler grades 4, 5, and 6 (107 people) and the mothers of the students (107 people). Thus, the total respondents were 214 people. The IQ assessment instrument used the SPM and CPM instruments. The level of pesticide poisoning from the mother was to measure blood Cholin Esterase levels using a tintometer, the data were then statistically analyzed using Chi Square and Odd Ratio for risk factors. There were significant differences on the level of intelligence of children including the planting system p=0.002; room area p=0.047; ventilation area p=0.041; type of pesticide p=0.001; spraying before harvest p=0.007; spraying after harvest p=0.008; storage place for crop yields p=0.039, while the variables that did not show significant difference were the playing environment p=0.848; gestational age p=0.190; contact to pesticides p=0.105 and age p=0.418. Pesticide contamination in pregnant women in the 1st trimester which the time to process formation and development of the brain in the Temporal lobe and Frontal lobe will experience impaired learning and memory (IQ). Keywords : Elementary schooler; Pesticide exposure; Level of intelligence.
Parental Monitoring and Risk Behavior in Middle Adolescents
Shanti, Theresia Indira;
Gryselda, Chatarina Dara
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.23431
Friends played significant role due to middle adolescents tended to imitate behaviour of their friends including the risk behaviour. Parental monitoring could minimize the risk. However, the excessive unreasonable parental monitoring tended to increase risk behaviour of middle adolescents. Therefore, the purpose of this study was to know whether perceived parental monitoring had a significant relationship with risk behaviour among middle adolescents. This study used quantitative method with two measuring instruments in the form of a questionnaire, Parental Monitoring Questionnaire which consisted of 25 items to measure parental monitoring and Adolescence Risk Behaviour Questionnaire which consisted of 15 items to measure risk behaviour. The participants in this study were 105 male senior high school student age 15-17 years, who lived with both of their parents in Jakarta. Correlation test results showed that there was a significant relationship between perceived parental monitoring and substance use, premarital sex, and criminal behaviour among middle adolescents. Based on these results, the researcher presented some discussion materials and the suggestions that needed to be considered for further research.
Environmental Sanitation, Personal Hygiene, STH Co-infection in TB Patients
Fitri, Nadya Eka;
Mufida, Diana Chusna;
Hermansyah, Bagus;
Armiyanti, Yunita;
Agustina, Dini;
Suswanti, Enny
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.23639
Globally, helminthiasis is one of the infectious diseases that are often associated with the incidence of tuberculosis. Helminth co-infection modulates the immune system of TB patients by reducing Th-1 response that functions as protector against Mycobacterium tuberculosis. This condition disrupts the process of eliminating bacteria so that its development becomes more progressive. The impact is the activation of latent TB and the success of TB treatment. A Soil-transmitted Helminth (STH) is a group of intestinal worms that often infect humans. Previous studies prove that environmental sanitation and personal hygiene are risk factors associated with STH infection. The study to determine the relationship of environmental sanitation and personal hygiene with the incidence of STH co-infection in TB patients at Puskesmas Puger, Jember in September until December 2019. This study uses a cross-sectional design. The sampling technique uses total sampling. A total of 32 TB patients met the criteria as study sample. The data analysis uses Fisher Test. Results showed the prevalence of STH co-infection was relatively low (18.8%); most of the respondents had good environmental sanitation and personal hygiene conditions. Bivariate analysis showed p-value (0,476) for environmental sanitation and p-value (1,000) for personal hygiene. This study concludes that there is no correlation between environmental sanitation, personal hygiene, and STH co-infection in TB patients at Public health center in Puger.
Socioeconomic Status in Relation to Stunting and Motor Skill Development of Toddlers in Urban and Rural Areas
Syihab, Syifa F;
Stephani, Mesa Rahmi;
Kumalasari, Isti;
Suherman, Adang
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.24382
The development of child motor skills is closely related to nutritional status. Stunted children generally experience delays in motor development. The objective was to determine the relationship between stunting, socioeconomic status, and children’s motor skill development. This research was conducted in 2018 using a cross-sectional method. Respondents were 80 children aged 48-60 months in urban and rural areas of West Java. The researcher used a simple random technique data collection on anthropometric, socioeconomic, and motor skills development. Then it was analyzed using chi-square and Fisher exact methods. The researcher used a simple random technique data collection on anthropometric, socioeconomic, and motor skills development. Then it was analyzed using chi-square and Fisher exact methods. We found that stunting prevalence in rural areas was higher than in urban areas. As much as 30 % of children in rural areas and only 12.5 % of children in urban areas were categorized as stunted. There is no significant association between stunting with the family’s socioeconomic status and motor skill development. The weight for the age variable showed a significant association with stunting. Children who are malnourished have a stunting risk of 10.9 times greater than normal children (OR 10.9 p < 0.001).
Low and High Glycemic Load Diet on Immune Responses of Adolescent Football Athletes
Setyarsih, Liani;
Safitri, Iqlima;
Susanto, Hardhono;
Suhartono, Suhartono;
Fitranti, Deny Yudi
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.23553
High-intensity physical exercise causes physical stress that will suppress immune system in athlete’s body. Decreased immune system function can cause physiological and pathological changes such as fatigue, reduce athlete performance, and increase risk of infection. Regulation diets of glycemic index (GI) and glycemic load (GL) are known to help control blood glucose during exercise so the immune system can be maintained.The purpose of this study was to determine differences effects of low and high glycemic load diets on immune responses in adolescent football athletes. This study was a quasi experimental with multiple time series design, conducted on 22 adolescent football athletes aged 15-17 years old. The subjects were divided into two groups, low GL diet group was given carbohydrate-source foods with GL 9.15, high GL diet group was given foods with GL 27.29. Diet was given once in the morning and 2 hours later subjects doing RAST (Running-based Anaerobic Sprint Test) to trigger physical stress. Immune response was measure using total leukocytes and leukocytes differential count. There were no significant differences in blood glucose levels, leukocyte counts, and leukocytes differential count between low GL and high GL groups (p>0.05). Low GL diet causes an increase in blood glucose and total leukocytes smaller than high GL diet.ÂÂ
Chemical Composition and In vitro Antibacterial and Cytotoxic Effect of Nigella sativa L. Seed Extract
Cyuzuzo, Callixte;
Arwati, Heny;
Irene, Tuyishimire;
Shoukat, Shahzad
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.26799
Nigella sativa L. is a plant with high medicinal profile in the treatment of diseases. This study aimed to assess the chemical composition and in vitro antibacterial and cytotoxic effect of Nigella sativa L. seed extract. Seeds were purchased from supermarket and blended into powder using electric blender. The powder was macerated with 96% methanol. The extracts were then qualitatively screened to test the presence of secondary metabolites and agar well diffusion method was employed to study the antibacterial activity of extracts. In this evaluation, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay was used to examine the cytotoxic effect of extract on peripheral blood mononuclear cells (PBMCs). MTT assay was done on different extract concentrations for 3 days and the results were recorded daily. The findings revealed the presence of tannins, terpenoids, steroids, saponins, alkaloids, phenolic compounds and flavonoids. The antibacterial activity was observed with the inhibition zones ranging from 11.3 ±1.1 to 16.3 ±1.5mm while the minimum inhibitory concentration (MIC) values of extract ranged between 0.5 and 1.25 μg/mL. The black seed extracts contain bioactive substances with germicidal activity and in vitro administration of black seed extract up to the dose of 100 μg/mL resulted no cytotoxic effect on PBMCs.
The Correlation between Caries and Quality of Life of Mentally Disabled Learners
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.23973
Introduction. Mentally disabled learners have dental problems 30% more complex than the ordinary toddler. It is because they have intellectual function disorder and adaptive behavior. This condition caused limitations in cleaning teeth optimally. So it will increase the risk of caries. This study objective is to find the correlation between the quality of life and dental caries at mentally disabled learners. Method. An analytical observational study with a cross-sectional approach to 118 learners in Sidoarjo, Indonesia, by total sampling. The variables in this study were quality of life (was measured with WHOQL-BREF index) and dental caries (was measured with DMF-T index). Tools and materials used are dental kids, alcohol 70%, cotton pellet, cotton roll, tampon, and WHOQL-BREF sheet. The data were presented descriptively in the form of a frequency distribution table, continued by Spearman Correlation test to analyze the correlation between the quality of life and dental caries at mentally disabled learners. Results. Most of the respondents are male (61%), with a range of age is 16-20 years old. The average quality of life for mentally disabled learners is the moderate category ( 65%). The average dental caries is considered as high. Spearman correlation shows p≤α(0,05) means there is a correlation between dental caries and quality of life. Conclusion. There is a correlation between dental caries and the quality of life for mentally disabled learners.
The Early Vigilance of Dengue Hemorrhagic Fever Outbreak in the Community
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.24114
Early Awareness of Extraordinary Events of Dengue Hemorrhagic Fever (DHF) was asked to community (n= 130). Precautions were measured based on community knowledge, attitudes, and behavior. Knowledge, attitude, and behavior are constructs (in the form of a composite variable) from an early awareness of DHF outbreak. The result showed that the knowledge related to the transmission factor and the proliferation of dengue disease was quite good (72.3%). The DHF risk control was also good (93.9%) while the dengue fever eradication was still poor (67.7%). However, the attitude showed that it is still not ready to act on the basis of consciousness. Meanwhile, the results of the data analysis identified that the model of the early awareness measurement on DHF outbreak which consisted of construct variables (knowledge, attitude, and action) were a perfect fit. Based on the measurement model, the level of community awareness on DHF disease can be measured. This showed that the level of early awareness of DHF disease was good 76.2% and only 3.8% were less alert. This means although the less alert percentage is quite small, if people have an attitude of indifference to the prevention of DHF then the impact will affect a wider community.