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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 18 Documents
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Search results for , issue "Vol 18, No 4 (2023)" : 18 Documents clear
Knowledge and Perceptions Role Towards Modern Male Contraceptives Use in Indonesia Titis Risti Yulianti; Kemal Nazarudin Siregar; Milla Herdayati; Indra Supradewi
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
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.v18i3.38234

Abstract

The use of men's modern contraceptives is much lower than among women in Indonesia and there are quite large differences when compared to several countries in Asia because the use of men's modern contraceptives from 2002-2012 in Indonesia was always low due to a lack of knowledge and negative perception about Family Planning. This study aimed to determine the role of knowledge and perceptions of family planning for use of men's modern contraceptives in Indonesia. This research method used a cross-sectional design on a secondary basis based on the 2017 IDHS. The result of this study is that there is a relationship between knowledge and perception of family planning in the use of men's modern contraceptives after being controlled by education level, area of residence, and fertility preferences. This study concludes that married men who use modern contraceptives are those who have good knowledge and positive perceptions about family planning, which are found in married men who have a high level of education, live in urban areas, and do not want to have children anymore. This study recommends a special male family planning program based on gender justice by prioritizing special substances regarding family planning knowledge and perceptions.
Stunting in Toddlers (6-60 Months): Parenting Pattern, Mother's Education Level, Infectious Diseases, and Breastfeeding Kasmita Kasmita; Nabila Tasrif; Titen Darlis Santi
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
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.v18i4.41433

Abstract

Stunting is a form of failure to thrive which reflects chronic and multidimensional nutritional problems. This study aims to analyze the relationship between a mother's education level, exclusive breastfeeding, and a history of infectious disease on stunting at the age of toddlers (6-60) months. The research design was cross-sectional with a purposive sampling technique. This study was conducted on mothers who have toddlers aged (6-60) months in the working area of the Seberang Padang Health Center as many as 60 people. Data collection techniques in this study were through survey methods and direct interviews with mothers who have toddlers. Data were analyzed using the chi-square test. The results showed a significant relationship between exclusive breastfeeding (p-value = 0.001; 0.067) and a history of infectious disease (p-value = 0.028; 0.218) with stunting. However, there is no significant relationship between a mother’s education level and stunting. This research can be said that exclusive breastfeeding and a history of the disease are the risks of stunting. The need for special attention and improvement of health promotion and education programs for the Seberang Padang Health Center in preventing stunting in toddlers.
Nutrition Intake, Physical Activity, and Sleep Quality in the Month of Fast During Covid-19 Pandemic Widya Hary Cahyati; Natalia Desy Putriningtyas; Wara Dyah Pita Rengga; Suharyo Suharyo
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
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.v18i4.40547

Abstract

Central Java is one of the provinces with the highest number of positive Covid-19 cases in Indonesia, with 46,903 positive infected cases, with a death rate of 2,110 people (4.49%).  During the COVID-19 pandemic, community activities decrease, especially during the fasting month.  Their diet has also changed.  This study aimed to describe and analyse the relationship between nutritional intake and physical activity on people's sleep quality during the fasting month during the COVID-19 pandemic.  The benefit of this research is to provide information on factors related to people's sleep quality, so as to improve public health. The novelty of this research is on aspects of physical activity, and people's sleep quality during the fasting month during the covid-19 pandemic. This research method is observational using a cross-sectional approach. The research was conducted during the fasting month (Ramadan 2021) to find out the nutritional intake, physical activity, and quality of people's sleep while fasting amid the COVID-19 pandemic. This study was attended by 520 respondents who were willing to fill out a questionnaire distributed via Googleform. Respondents in this study were limited to people who live in Central Java. The selection of respondents using the cluster sampling technique and then the snowball method.  The questionnaires were the Pittsburgh Sleep Quality Index (PSQI), IPAQ and DQI.  The results showed no relationship between physical activity and slept quality during the fasting month (p : 0.402).  There is a relationship between food consumption, sleep quality (p: 0.0001), and physical activity (0.007) during the fasting month.
Types and Sources of Antioxidants that Role in Determining Fertility Level Sri Winarni; Ari Udijono; Atik Mawarni; Dharminto Dharminto; Oktavia Beni Kujariningrum; Waviq Azizah
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
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.v18i4.39261

Abstract

Lifestyle and exposure of free radicals affect in a person’s fertility. ROS (Reactive Oxygen Species) in excess can caused oxidative stress and DNA damage (deoxyribonucleic acid). Adequate intake of antioxidants is needed to maintain ROS level. This review’s aim is determine the types and sources of antioxidants that play a role in determining a person’s fertility level. This research is a narrative review using a literature review method by collecting and concluding data from previous studies. The search for previous research articles was carried out on the Scopus, Science Direct, Clinical Key, SpringerLink, BMC and Google Schoolar portals with keywords in the form is foodstuffs, antioxidants, and infertility which found 8,745 articles. Total of 75 articles met the inclusion-exclusion criteria for used in writing this article. The research was conducted in  2022. Most antioxidants take a role in determining male fertility, such as glutathione, selenium, carotenoids (beta-cryptoxanthin, lycopene, beta-carotene and lutein), zinc, vitamin C, vitamin E, and flavonoids. NAM (Nicotinamide) and carvacrol play a role in determining female fertility. These antioxidants can be found in fruits, vegetables, protein sources and several other plants. Consumption of antioxidant sources is highly recommended to increase fertility, especially for infertile couples.
Sleep Quality Affects Humoral Response in Recipients of Two-Dose Sinovac Vaccines Hananta, Linawati; Larasati, Victoria; Surilena, Surilena
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
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.v18i4.41950

Abstract

To curb the COVID-19 pandemic, the government distributed Sinovac vaccines. Sleep mediates immune function, including post-vaccination antibody response. This study aimed to analyze whether there was a difference in post-vaccination antibody levels in Sinovac vaccine recipients with poor and good sleep quality. This study used analytical observations of recipients of the two-dose Sinovac vaccine in 2021. Primary data included age, sex, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and post-vaccination IgG-SARS-CoV-2 antibody levels. The PSQI and IgG SARS-CoV-2 antibody levels were measured a month after the second vaccination. Participants with non-reactive antibody levels before the first vaccination were included, and participants with incomplete data were excluded. The Mann-Whitney test was used to look for associations between sleep quality and post-vaccination IgG SARS-CoV-2 levels. Univariate analysis showed that of 54 participants, 37 (68.5%) were male, and 28 (51.9%) had poor sleep quality. 15 participants (27.78%) were in the 36-45 age group, and median antibody levels in participants who received the second Sinovac Vaccine was 223.5 (199.01) units/mL. Post-vaccination IgG SARS-CoV-2 antibody levels were significantly associated with sleep quality (p=0.036).
Social Determinants of Stunting in Indonesia Efa Nugroho; Puput Arisma Wanti; Cahyani Wulan Suci; Bambang Budi Raharjo; Najib Najib
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
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.v18i4.40875

Abstract

Stunting is a form of malnutrition that causes growth disorders characterized by height that is not in accordance with age. Around 8.9 million Indonesian children experience suboptimal growth. This study aimed to determine the social factors associated with the incidence of stunting in Indonesia. The method used were secondary data processing from Indonesian family data collection in 2021. The population of this data collection were 66.207.139 families from 33 provinces in Indonesia. The research sample were 38.886.147 families. The variables analyzed were indicators of pre-prosperous families, environmental facilities, high risk pregnancy in couples of childbearing age, with the risk of stunting. Data were analyzed using linear regression. The results showed that the determinants of stunting are maternal education, parental occupation and income, environment, social and family support, and health service factors. Based on the analysis, there is a relationship between the social determinants of health according to healthy people and the increase in stunting cases in Indonesia.
Community-Based Sanitation Management Model Using Local Aspects of Coastal Areas Susilawati Susilawati; Nefi Darmayanti; Reinpal Falefi; Yusuf Hanafi Lubis
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
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.v18i4.40889

Abstract

Previous findings showed that there are only a few studies on the core problem of environmental sanitation in coastal areas. The study Mawar and Wahidah (2018), the coastal community of Percut Sei Tuan only uses 20% clean water, does not have a latrine 42.9%, and does not have a SPAL of 46.7%. Therefore, this study aims to examine the cultural, gender, and stakeholder aspects of community-based sanitation management (CBSM). A cross-sectional design was used, and the sample population consists of family heads in the Percut Sei Tuan Sub-district. The sample size was calculated using a category survey formula of 414 households from the population. The samples were selected using a simple random sampling technique, and a questionnaire instrument, which was tested for its validity and reliability was used for data collection. The data were then analyzed using CFA (Confirmatory Factor Analysis) to assess the factors that influence CBSM. The results showed that gender roles have a significant effect on environmental sanitation management in coastal areas with a P0.001, and culture has a significant effect on CBSM with a P0.001. However, the role of stakeholders was insignificant in this study. CBSM in coastal areas was still very low in terms of participation in planning, implementation, and utilization. The involvement of women as an aspect of gender in the formation of a disciplined culture in sanitation management is very necessary to mobilize family members.
Maternal Anxiety and Sleep Quality Affects of Neonatal Brain-Derived Neurotrophic Factor Amel Yanis; Rahmi Andrita Yuda; Hudila Rifa Karmia
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
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.v18i4.40241

Abstract

Anxiety conditions and sleep disorders in pregnant women will affect theBrain-Derived Neurotrophic Factor (BDNF) level of the baby's umbilical cord blood, which will then affect the growth and development of the baby. This study aims to assess the relationship between maternal anxiety and sleep quality with neonates' BDNF levels. The research design was a cross-sectional study. Pregnant Women who gave birth by cesarean delivery method with a gestational age of ≥ 37 weeks, Totally 78 pregnant women were recruited. Anxiety levels and sleep quality were assessed by questionnaire, and BDNF levels were taken from the umbilical cord blood and then checked using the ELISA method. Data were analyzed by One-Way-Anova and Independent T-test. There was a significant association between anxiety levels and sleep quality with Neonatal BDNF levels (p = 0.000). The results obtained for pregnant women without anxiety, the mean level of BDNF is 2.017 ± 0.138 ng /ml, mild anxiety the mean value of BDNF level is 1.792 ±0.134 ng/ml, moderate anxiety the mean value of BDNF level is 1.708±0.177 ng/ ml, severe anxiety the mean value of BDNF levels was 1.585±0.257 ng/ml . Pregnant women with good sleep quality had the mean BDNF level of 1.969±0.211 ng/ml, while the mean BDNF level of poor sleep quality was 1.673 ±0.188 ng/ml. Conclusion: The higher the anxiety level of pregnant women, the lower the average Neonatal BDNF level is. The worse the sleep quality of pregnant women, the lower the average Neonatal BDNF level is.
Tuberculin Skin Test and T-SPOT.TB for Latent Tuberculosis Infection detection in healthcare workers Yusup Subagio Sutanto; Paulus Arka Triyoga; Harsini Harsini; Reviono Reviono; Hendra Kurniawan
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
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.v18i4.39528

Abstract

Healthcare Workers (HCWs) have a higher risk of getting Tuberculosis (TB) than the general population. This study analyzed effectiveness of Tuberculin Skin Test (TST) and T-SPOT.TB for detection prevalence of Latent Tuberculosis Infection (LTBI) among HCWs and the correlation between work locations and HCW duties. A trial study with a cross-sectional study design in Dr. Moewardi Hospital, Surakarta, in December 2018. The sampling technique used consecutive sampling with 30 subjects. Data analysis was performed using SPSS 21 for Windows. The appropriate levels of TST and T-SPOT indicated substantial TB (K = 0.603, p 0.001). The sensitivity and specificity of T-SPOT.TB with close contact was 60% and 86.7%. The sensitivity and specificity of TST with close contact were 33.3% and 93.3%. T-SPOT.TB was a significant correlation between the work location, the pulmonary care ward r = 0.436 and p = 0.008 (p 0.05). T-SPOT.TB has a slightly better sensitivity than TST.
The Levels of Cholinesterase Enzyme and Hemoglobin in Linggasari Village’s Farmers Siti Munfiah; Yudhi Wibowo; Octavia Permata Sari; Diah Krisnansari; Muhammad Zaenuri Syamsu Hidayat
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
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.v18i4.40451

Abstract

Farmers in Linggasari Village often mix pesticides, did not use pesticides that follow the dose, did not use PPE completely, eat, drink or smoke did not clean themselves after spraying. Some types of pesticides can reduce cholinesterase enzyme and hemoglobin levels. The study aimed to analyze the factors that correlated with cholinesterase enzyme and hemoglobin levels of spraying farmers. This was a cross-sectional study conducted from March to April 2022. The population of this study was all farmers who use pesticides, as many as 30 farmers qualify the inclusion criteria, namely male spraying farmers aged over 18 years, the maximum last contact time with pesticides was two months before the study was conducted. The independent variables were age, BMI, working period, frequency of spraying, duration of spraying, and PPE usage score. The dependent variables included cholinesterase and hemoglobin levels. Bivariate analysis was assessed with Pearson Correlation Test or Spearman Correlation Test, while multivariate analysis used linear regression. The results showed that age (p=0,032, r=0,391) and BMI (p=0,036, r= 0,385) correlated with cholinesterase enzyme, and age (p=0,000, r=0,615) correlated with farmers' hemoglobin levels. The results of multivariate analysis that the most influential factor on cholinesterase enzyme and hemoglobin levels was age.

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