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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 25 Documents
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Search results for , issue "Vol 20, No 2 (2024)" : 25 Documents clear
The Severity Level of Knee Osteoarthritis is a Predictor of Falls Among the Elderly Rosidah, Nikmatur; Rosita Mudhari, Dewi Nanda; Ika Wardojo, Sri Sunaringsih
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
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.v20i2.48215

Abstract

Knee osteoarthritis is the most common degenerative disease that leads to the disability in elderly. Changes in the joint structure that cause pain, functional limitations, and decreased the quality of elderly life. Muscle weakness and decreased proprioception associated with the decrease of balance can cause someone with Knee OA to have an increase the risk of falling. This study aimed to determine whether the severity level of knee OA is interdependent with the risk of falls among the elderly. Cross-sectional study an observational analytic approach, carried out at University Hospital of Muhammadiyah Malang, in May 2023. The sample consisted of 30 elderly subjects recruited and used purposive sampling for a clinical trial. Oxford Knee Score (OKS) is used to measure the severity of KOA and the Morse Falls Scale (MFS) is used to measure the risk of falls of the elderly. The correlation between the severity of knee OA and the risk of falls was identified through the Fisher exact test. Among 30 subjects with knee OA. The prevalence of knee OA with poor joint function was 20%. There is a relationship between the degree of KOA and the level of fall risk. The results of this study show that there is a relationship between the degree of KOA and the level of risk of falls in the elderly at UMM Hospital where, the higher the degree of KOA, the higher the level of risk of falls in the elderly.
Referral Flow for Maternal and Child Health in Central Java Province during Health Crises Management Handayani, Novia; Sriatmi, Ayun; Martini, Martini; Jati, Sutopo Patria; Kusumawati, Aditya; Budiyono, Budiyono; Armunanto, Armunanto; Friska, Erlin; Asfiya, Nissa Atul
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
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.v20i2.48874

Abstract

Central Java Province is one of the provinces that often experiences disasters. During the period 1 May 2023 – 31 May 2023, 72 incidents of strong winds, 8 incidents of land moving, 107 incidents of flooding, 94 incidents of landslides, 6 volcanic eruptions, and 2 incidents of fire were recorded. In disaster emergencies, the health needs of mothers and children are often overlooked. This study aims to analyze the flow of maternal and child health referrals in health crisis management in the focus location regencies in Central Java Province. This research is descriptive research with a qualitative approach. Data was collected through Focus Group Discussion (FGD) in March 2023. The research locations were Semarang Regency, Brebes Regency, Grobogan Regency, and Klaten Regency. The sample selection technique used was purposive sampling. The integrated referral system is not yet running optimally. The health referral flow carried out is not yet specialized in treating mothers and children. Pentahelix collaboration is carried out in managing health crises. The supporting factors in disaster management are the existence of policies, the availability of infrastructure for evacuating victims, as well as coordination from various sectors. Meanwhile, the inhibiting factors are the lack of trained human resources, limited logistics, and low public awareness regarding disasters. Thus, there is a need to develop a special referral pathway for maternal and child health involving multi-sectors, increase public awareness of disaster management, and strengthen Pentahelix collaboration in health crisis management.
Self-Efficacy About Sexual Behavior Among Islamic Boarding School Students Prabamurti, Priyadi Nugraha; Suryoputro, Antono; Shaluhiyah, Zahroh; Margawati, Ani; Kusumawati, Aditya; Indraswari, Ratih; Handayani, Novia; Husodo, Besar Tirto
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
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.v20i2.49162

Abstract

Having premarital sexual intercourse has a broad risk impact on health. This is in accordance with the teachings of Islam that should be upheld by all Muslims, with no exception for students living in Islamic boarding schools. To Islamic values and culture, students should have strong self-efficacy to prevent them from engaging in sexual behavior. This study aims to determine the effect of self-efficacy on the sexual behavior of students living in Islamic boarding schools. This cross-sectional study sampled 150 students who lived in Islamic boarding school in Semarang, Indonesia. Students at Islamic boarding schools who had premarital sex were more likely to be found in adolescents aged 19 years (15.2%), male (9.5%), had low self-efficacy (18.2%), and ever accessed pornography (23.1%). Accessing pornography was influenced by sex (p = 0.021, OR = 0.235), while premarital sexual intercourse behavior was influenced by age (p = 0.013, OR = 10.716) and self-efficacy (p = 0.043, OR = 4.602). Younger students with low self-efficacy are more likely to practice premarital sexual intercourse. This study found that accessing pornography had no effect on the practice of sex carried out by students in Islamic boarding schools. The health ministry needs to work with the religious affairs ministry to design programs aimed at increasing self-efficacy among students in Islamic boarding schools.
Giving Baby Porridge Made From Moringa Leaves and Snakehead Fish to Toddlers in Yogyakarta Indonesia Fitriahadi, Enny; Rosida, Luluk; Syagata, Anindhita Syahbi; Makbul, Ika Aida Aprilini binti; Intarti, Wiwit Desi
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
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.v20i2.48489

Abstract

Problems in toddlers who are inadequate in consuming MP-ASI cause one of them is stunting. Stunting is a major health problem in communities in developing countries. The purpose of this study was to determine the effect of providing MPASI baby porridge made from moringa leaves and snakehead fish on body weight. The research method used This study design used a randomized controlled trial (RCT) which investigated the effect of providing MPASI baby porridge made from moringa leaves and snakehead fish on toddler body weight. The sample size calculated was 30 respondents. The sample size of 30 toddlers aged 1-12 months was divided into 15 toddlers who were given treatment and 15 toddlers who were not given treatment. The results showed that the percentage of toddlers with underweight in the intervention group decreased from a mean of 6513.33 to 6706.67 while in the control group it only decreased from a mean of 6500.00 to 6586.67. Overall, the weight status of toddlers in the intervention group changed significantly (p 0.000).
Identifying Malnutrition Risk Factors In Vulnerable Groups: A Fundamental Approach To Implementing Complementary Therapy In Health Crisis Mitigation Muflih, Muflih; Widaryanti, Rahayu; Erwanto, Rizky
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
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.v20i2.48886

Abstract

Malnutrition is a pressing global health issue affecting vulnerable communities, including children and elderly populations. This research aimed to identify the risk factors associated with malnutrition in these groups and explore the potential of complementary therapy in mitigating health crises caused by malnutrition. A comprehensive survey was conducted, collecting data from diverse vulnerable communities. The survey design included structured questionnaires, open-ended questions, and focus group discussions to gather quantitative and qualitative data. The findings revealed that food insecurity, limited access to healthcare, low socio-economic status, insufficient dietary diversity, and inadequate micronutrient intake were significant risk factors contributing to malnutrition. Moreover, participants expressed positive perspectives on the potential efficacy of complementary therapy in nutrition support and emphasized the importance of community engagement and integration with existing healthcare systems. The study concludes that evidence-based strategies and targeted interventions are crucial to address malnutrition and improve the health outcomes of vulnerable populations. The research findings contribute to a better understanding of malnutrition and lay the groundwork for sustainable solutions to mitigate health crises related to malnutrition.
Health Service Seeking Behavior in Suburban Communities Pakaya, Nasrun; Hadjarati, Hartono; Abdulkadir, Widy Susanti; Duhe, Edy Dharma Putra; Handayani, Oktia Woro Kasmini; Budiono, Irwan
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
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.v20i2.50330

Abstract

Health problems in Indonesia today are the low health status of the community, among others, marked by high maternal mortality rates and infant mortality rates, on the other hand the use of health services is an important factor in determining health, which is influenced by geographical, economic and social aspects. The purpose of the study was to analyze the relationship between health service access factors and the determination of decisions on choosing family health services in suburban communities in Java and Outside Java. The method with a quantitative approach and support from qualitative data. The instrument consists of a questionnaire related to access to health services (geographic access, economic access, social access) related to the choice of health services. The population of families in the Sub-urban areas of Semarang and Gorontalo. Samples were taken using the accidental sampling technique, as many as 100 families. Data analysis with univariate, bivariate and multivariate analysis. The results of the study obtained significant differences in the decision to choose health services between the suburban communities of Semarang (Java) and Gorontalo (Outside Java), with a t-value of 4.284 and a sig value of 0.000. The difference lies in economic access. The choice of health services in suburban families in Java is more oriented towards choosing medical services such as hospitals and community health centers, while outside Java there are still quite a lot of families who choose traditional medicine as their health services.
Wisdom of Local Food Ingredients as an Enhancer to Food Supply for Diabetes Mellitus Prevention Handayani, Oktia Woro Kasmini; Hasbullah, Maisarah; Mardiana, Mardiana; Budiono, Irwan; Nugroho, Efa
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
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.v20i2.50329

Abstract

The increase in cases and prevalence of children with DM increased 70 times (2010 - January 2023). The dominant factor is unhealthy food consumption, which is exacerbated by the limited diversity of healthy foods available on the market. The objectives of the study were 1) to obtain local food ingredients and food products to be utilized, 2) to obtain product prototypes, 3) to obtain selected products for DM prevention. Activities consisted of: 1) Determining local food ingredients with a qualitative approach, 2) Obtaining selected product formulas for limited environmental testing, with Formula testing through expert design, Selected formula production testing, Proximate testing, organoleptic testing, 3) obtaining products ready for field testing, with hedonic testing, Anova testing and Post Hoc testing. The results obtained: 1) local food ingredients to be utilized are large white sweet potatoes (Ipomoema Batatas) with food products in the form of sweet potato pie. The selected product is F5 (45% sweet potato, 20% wheat and 5% tapioca), based on laboratory results, the lowest carbohydrate, total fat and total energy content (average 47.82%, 21.23%, 397.89) and the highest fiber content (9.64%). In addition, there are differences in overall values (F: 6.033, sig 0.003), color values (F: 4.252, sig 0.016), aroma values (F: 6.247, sig 0.002) and taste values (F: 1.841, sig 0.162). Furthermore, the results of the Post Hoc test concluded that there were differences related to overall values, color, aroma and taste between products F5 and F6.
Climate Factors with the Incidence of Dengue Hemorrhagic Fever in Semarang, Indonesia Cahyati, Widya Hary; Marpid, Adrin Daila; Nugroho, Efa; Suharyo, Suharyo
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
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.v20i2.50328

Abstract

In Indonesia, Dengue Hemorrhagic Fever (DHF) remains a public health issue that can lead to extraordinary events. Indonesia ranks fourth in the world for the highest incidence of DHF. This is evident from the fluctuating morbidity and mortality rates due to DHF in Indonesia, including in Semarang. The purpose of this study is to determine the relationship between climatic factors and the incidence of DHF in Semarang from 2018 to 2022. This type of research is descriptive observational with an ecological study design. The data sources for the study are secondary data from the Semarang City Health Office and the Semarang City Meteorology, Climatology, and Geophysics Agency (BMKG) from 2018 to 2022. Data analysis was conducted using the Spearman Rank test. The results showed that rainfall (p= 0,004; r= 0,37), air humidity (p= 0,0001; r= 0,47), temperature (p= 0,016; r= -0,31), wind speed (p= 0,0001; r= -0,48), and duration of sunshine (p= 0,015; r= -0,31) were associated with the incidence of DHF. The conclusion of this study indicates that there is a correlation between climatic factors, such as rainfall, air humidity, temperature, wind speed, and duration of sunshine with the incidence of DHF in Semarang from 2018 to 2022.
Impact Sanitation, Childbearing Age, Number of Children, Mother's Age with the Risk of Stunting in Children Najib, Najib; Giyarsih, Sri Rum; Listyaningsih, Umi; Nawawi, Nawawi
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
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.v20i2.50327

Abstract

Sanitation, childbearing age, number of children, and mother's age adequate is still the main challenge that has an impact on increasing the risk of stunting. This study aims to identify factors that affect the risk of stunting in children in Semarang City, Central Java Province, Indonesia, with a special focus on sanitation, childbearing age, number of children, and mother's age. The study used a linear regression research design with a sample of 383 mothers and their children in 2022. Data analysis was carried out using the ANOVA technique to evaluate the influence of independent variables on stunting risk. The results showed that sanitation (B = 1,060, p 0.001), age of delivery (B = 0.149, p = 0.018), and number of children (B = 1,027, p 0.001) had a significant positive relationship with stunting risk. In contrast, maternal age (B = -0.511, p 0.001) showed a significant negative association with stunting risk. These findings have important implications for the development of public health policies and practices, particularly in improving sanitation and nutritional interventions in young mothers and families with many children. This study makes a unique contribution by identifying specific variables that affect stunting risk in Indonesia, which can be used to develop more effective prevention strategies.
Analysis of Respondents’ Characteristics with Tuberculosis and Adherence Using Morisky Medication Adherence Scale Ratnasari, Nita Yunianti; Hastuti, Weni; Soares, Domingos; Carvalho, Joaquim Gregorio de; Ximenes, Jose Dionisio; Gaio, Eduardo C
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
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.v20i2.50326

Abstract

Tuberculosis (TB), an infectious disease caused by Mycobacterium tuberculosis, results in approximately 10 million new cases and 1.5 million deaths annually worldwide. This research method is an observational analytical study using a cross sectional design. The target population of this study were all patients with Pulmonary TB who completed the intensive stage of treatment and participated in the DOTS program at selected health centers during the three months, namely patients diagnosed with Tuberculosis and registered as outpatients at the Hospital Nacional Guido Valadares ( HNGV) Dili, Klibur Domin Tibar, Liquiça and at the Hospital Sentru Saúde Bairro Pite, Dili, Timor-Leste. The inclusion criteria in this study involved tuberculosis patients who were receiving anti-tuberculosis drug therapy for at least four weeks since the initial stage of treatment, aged more or equal to 17 years and able to understand oral and written instructions. Data collection took place between September and November 2023, involving a sample of 69 respondents. These results provide an overview of respondent characteristics that are significant in analyzing treatment adherence in patients with pulmonary TB. Tuberculosis is a contagious disease caused by infection with the Mycobacterium tuberculosis germ, usually affecting not only the lungs but also other organs.

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