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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<![CDATA[Analysis of Maternal Predisposing Factors with The Incidence of LBW in Central Java ]]>
<![CDATA[Kujariningrum, Oktavia Beni]]>;
<![CDATA[Winarni, Sri]]>;
<![CDATA[Mawarni, Atik]]>;
<![CDATA[Najib, Najib]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v18i3.32644
<![CDATA[Abstract. In Central Java, the prevalence of LBW (Low Birth Weight) has increased from 4.3 (2018) to 4.7 (2019) and be the biggest cause of neonatal mortality (46.4%) and infant mortality (40.5%). The aim of this research is to analyze the relationship between quality of ANC (Antenatal Care), iron supplementation, pregnancy complications, and maternal smoking status with LBW in Central Java. This research was an analytical study used secondary data from the 2017 IDHS (Indonesian Demographic and Health Survey). The sampling design used purposive sampling.Population study was 1205 babies born in Central Java. The sample comprised 952 babies. Independent variables were the quality of ANC, iron supplementation, pregnancy complications, and maternal smoking status, with the incidence of LBW as dependent variable. Data analysis was performed by chi-square continuity correction and logistic regression. Pregnancy complications have been associated with the incidences of LBW in Central Java (p-value = 0.0001). Iron supplementation (OR = 2.474) and pregnancy complications (OR = 4.869) had an effect on the incidence of LBW in Central Java. Iron supplementation and pregnancy complications influenced the incidence of LBW in Central Java.]]>
<![CDATA[COVID-19 Vaccination Status and Pregnant Women’s Perceptions of Pandemic Omicron COVID-19 Wave in Indonesia ]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v18i3.37946
<![CDATA[Pregnant women are susceptible to COVID-19 infection. COVID-19 vaccination protects pregnant women. This study aims to determine their perception of COVID-19 vaccination and its relation to the Omicron Variant wave of the COVID-19 pandemic in Indonesia. This cross-sectional study took time from February to March 2022. Subjects were asked to sign an informed consent and fill out a questionnaire. Demographic data, vaccination status, and perception of the pandemic were collected and statistically analyzed. Of the 361 study subjects, 219 (60%) are vaccinated, and 142 (40%) are unvaccinated. The vaccinated pregnant women were less anxious about the COVID-19 pandemic (p0.001, OR 2.24). Pregnant women with higher education or those who work were also less anxious about the COVID-19 pandemic (p0.05; OR 1.58 and OR 1.6). Most unvaccinated subjects were afraid of the vaccine’s effects on the fetus (62%). The emergence of the Omicron variant is the most cause of anxiety (38%). The most reason for pregnant women who were not anxious is because they had received vaccination (55%). The COVID-19 vaccination can provide a sense of security for pregnant women facing the COVID-19 pandemic.]]>
<![CDATA[The Utilization of Voluntary Counseling and Testing by Women of Reproductive Age in West Papua ]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v18i3.34942
<![CDATA[Women of reproductive age living with the human immunodeficiency virus (WRALHIV) have many complex problems regarding their disease and status. They have to access Voluntary counseling and testing (VCT) as one of the health services where they would receive antiretroviral treatment to optimize their health and improve their quality of life. The study aims to analyze the factors which determine the utilization of VCT for accessing antiretroviral treatment by WRALHIV in West Papua. It was an observational, cross-sectional study. The subject was women of reproductive age (WRA) aged 15-49 years old, receiving antiretroviral treatment at VCT of Hospitals in Manokwari, Sorong, and Fakfak. The total was 140 respondents. Data collection was carried out by interviews using a questionnaire. The data were analyzed statistically using the chi-square and logistic regression tests. Most respondents with high intensity in the utilization of VCT services were aged 15-35 years, graduated from senior high school - university, unemployed, and married. Demographic and predisposing variables were not significantly associated, but there were significant associations between enabling factors (distance) with p value=0.00 and reinforcing factor (social support) with p value=0.03 in the utilization of VCT services by WRALHIV in West Papua, in which the distance was more significant than social support in the utilization of VCT services. The easily accessible distance increases their visitation to VCT. In addition, social support had an impact on increasing the utilization of VCT services, and finally, these may improve WRALHIV quality of life.]]>
<![CDATA[Determinants of Unplanned Pregnancy in Married Women in North Sumatra Province ]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v18i3.39110
<![CDATA[Unplanned pregnancy remains a public health problem as it negatively affects fetal development and adversely impacts the mother and child’s health. In the efforts to reduce maternal dan infant mortality, as well as improve maternal health, unplanned pregnancy occurs due to several factors such as age, knowledge, contraceptive failures, and finances. The study aimed to determine the factors associated with the incidence of unwanted pregnancy. This study implemented a cross-sectional design using secondary data from the 2019 Program Performance and Accountability Survey of North Sumatra Province. The bivariate analysis was performed through a simple logistic regression. Multiple logistic regression was performed in multivariate analysis. The result showed that there were 21.3% of women reported their last pregnancy as an unplanned pregnancy. The study concluded that factors associated with an unplanned pregnancy are age at the last pregnancy, wealth at a lower index, having two or more children, and not working. Having two or more children is the most dominant factor in an unplanned pregnancy.]]>
<![CDATA[Level of Knowledge and Self Efficacy Improve Breast Self-Examination (BSE) Behaviors ]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v18i3.32899
<![CDATA[The incidence of breast cancer is 40 per 100.000 women. BSE is a screening to detect breast cancer. The research objective is to determine the correlation between knowledge and self-efficacy with BSE behavior. This cross-sectional descriptive-analytic study utilized a sample of 20-65 women aged 100 years. Multistage random sampling was used as the sampling technique—univariate and bivariate analysis with a significance level of ρ 0.05 and CI of 95%. The analysis results showed a correlation between the level of knowledge and self-efficacy with BSE behavior (p-value = 0.026; 0.021) and PR values of 2.5 and 2.6 (CI 95%: 1.074-5.641; 1.100- 6.293). In conclusion, women who have a high level of knowledge and self-efficacy are three times more likely to do BSE compared to women with low levels of knowledge and self-efficacy.]]>
<![CDATA[Knowledge and Calcium Intake to the Risk of Scoliosis at Boarding School Students ]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v18i3.39231
<![CDATA[Teenagers in the modern era often have improper sitting positions, which will affect posture abnormalities, namely scoliosis. Scoliosis occurs due to many factors, such as information obtained from knowledge. In addition, there are nutritional factors obtained from calcium intake because a deficiency will affect bone density. This study aims to understand the relationship between knowledge and calcium intake with the risk of scoliosis in adolescents. The method used was an analytic observational study and a cross-sectional study design. Thirty-five students were chosen by purposive sampling. The respondent checked using Adam Forward Bending Test Checklist and the Food Frequency Questionnaire (FFQ). All data were processed using SPSS. The results of the correlation test from the Spearman-rho test on the knowledge variable with a significance value of 0.309 (p0.05) and the calcium intake variable of 0.624 (p0.05) concluded that H1 was rejected and H0 was accepted, which means there is no relationship between knowledge and calcium intake on the risk of scoliosis in adolescents. This study concluded that there is no relationship between knowledge and calcium intake on the risk of scoliosis in adolescents. But the long-term effects of insufficient calcium intake need further investigation.]]>
<![CDATA[Directly Observed Treatment for Iron Tablet Supplements Consumption Among Female Senior High School Students ]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v18i3.38594
<![CDATA[Anemia is one of the reproductive health problems in adolescents. The incidence of anemia is still high in Indonesia. Supplementation of Iron tablets per week is one of the policies to decrease the anemia incident. This study aims to determine the effectiveness of the implementation of Directly Observed Treatment (DOT) for Iron Tablet Supplements. Consumption was observed in high school students for 12 weeks. This study was a quantitative study with a quasi-experimental design, with the experiment group being peers as DOT and the control group being guidance counseling teachers. This research was conducted from July to October 2019 in Sleman and Bantul. Samples used for both groups were 70 respondents. Data analysis used univariate and bivariate. The results of this study showed that the incidence of anemia for both groups was still high at 51.4% before giving the iron tablets to 34.3% after the tablets were given. The implementation of DOT in the consumption of iron tablets in the teacher group showed non-adherence to drinking iron tablet only 2.9% and by peers up to 31.4%. Observed by the teacher showed an effect on the difference in Hemoglobin levels before and after treatment with p=0.037 and peer as observed with p=0.247.]]>
<![CDATA[Decision Tree Prediction Model in Patient Mortality Rate based on Risk Factors ]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v18i3.36701
<![CDATA[The Coronavirus disease (Covid-19) has become a global problem since WHO declared a pandemic in 2020. The number of deaths due to Covid-19 has increased significantly in many countries. This study aimed to implement decision tree modeling to represent the relationship between risk factors and the mortality rate of Covid-19 patients. This study analyzed secondary data of 83,024 Covid patients from January 2020 to June 2021. Data processing used data mining with the decision tree classification method. The results showed that comorbidity is the leading risk factor for death which is then influenced by age. The higher the age group with comorbidities, the higher the risk of death. Suggested that health services can utilize the results of this study to prevent the severity of Covid-19 infection. Such as the development of comorbid awareness programs and community-based education on managing patients with comorbidities.]]>
<![CDATA[Moving Education and Individual Education as of Communities Health Education Models in Health Emergency Conditions ]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v18i3.40567
<![CDATA[Health education in the community is a part that must receive special attention during health emergencies. The research objective was to obtain the results of the implementation of the Moving Education and Individual Education models as the basis for the model of health education in the community during health emergencies. Research using experimental research (pre-test and post-test group). It took place in Semarang City in 2022. The population is 3616 people. The sample is determined by an accidental sampling technique that meets the requirements (age over 40 years, willingness to be a respondent, participating in Moving Education or Individual education activities). The statistical test results for the difference in the behavior of respondents before and after the intervention with the Moving Education and Individual Education Models obtained a p-value = 0.002 (p 0.05), or there was a difference between the two extension methods. The Individual Education method is stated to be more effective than the Moving Education method in implementing health protocols, but the impact on other factors is an important consideration.]]>
<![CDATA[Fogging Effectiveness Based on Time and Location of DHF Cases (Study in Sleman Regency) ]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v18i3.39970
<![CDATA[Dengue fever is a viral infection transmitted through the bite of the Aedes mosquito. Dengue fever is a public health problem worldwide, including in Indonesia. The increase in dengue cases is closely related to the presence of mosquito vectors. The prevention of dengue outbreaks is by fogging focus. Until now, there is no method to evaluate the effectiveness of focal fogging, yet many suspect that fogging focus is less effective because the incidence of DHF tends to increase over several decades. The study aims to find a method to evaluate the effectiveness of fogging with a spatial-temporal approach. It is an observational study using data on the incidence of DHF along with the date of illness, coordinates of DHF patients, and the date of fogging obtained from the District Health Office. Data processing is by ArcMap 10.5. Determination of the time limit and extent of protective fogging is based on the provision that if in the buffer area within a radius of 200 meters, there is more than one case of DHF on days 4-21 after the patient has a fever, then fogging is declared ineffective. There were 1,070 cases of DHF in 2008-2013 in Sleman Regency. 773 (72.24%) cases were fogged, while 290 were not. Of the 773 fogged cases, 59 (7.63%) were within the time and place of fogging protection. It means that the effectiveness of fogging in Sleman Regency reached 92.37%. Overall, there were 59 of 1,070 (5.5%) DHF cases came from ineffective fogging. By spatio-temporal approach, the fogging focus has been quite successful in suppressing the incidence of DHF in the Sleman Regency. In the future, it is necessary to consider fogging is focused other than in the patient’s house and surroundings.]]>
