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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.
Arjuna Subject : -
Articles 1,403 Documents
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Community Awareness for Screening Non-Communicable Diseases Prihanti, Gita Sekar; Wilyani, Dwi; Isnaini, Faradila; Ailani, Achmad Fauzan; Humaira, Azkia Akbari; Kurniawan, Iga Karisma; Rahayu, Kartika Puji; Hadiyanti, Lisa Aprilia; Santoso, Shabrina Rahma
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2022)
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.v18i2.35039

Abstract

Non-Communicable Diseases (NCD), also known as chronic diseases such as hypertension, diabetes, and obesity, are from combined genetic, physiological, environmental, and behavioral factors. The number of NCD screening visits at Ngletih Public Health Center (PHC) Kediri decreased in 2018 was 29% and became 24% in 2019, with a target of 10,718 people. This study aimed to know the factors affecting community awareness for screening NCD. The respondents are people aged 15-59 years who live in the working area of Ngletih PHC and have never been diagnosed with hypertension, diabetes, and obesity. This research used an analytical observational study with a cross-sectional design. The number of samples taken is 1,000 with purposive sampling; then, respondents filled out 27 questionnaires self-administered. The data analysis was implemented univariate, bivariate using chi-square, and multivariate using multiple logistic regression. The chi-square test showed eight variables that increase awareness for screening NCD: age, gender, education level, marital status, family history, source of health information, knowledge, and attitude. The multiple logistic regression tests showed five factors that increase awareness for screening NCD: age, gender, marital status, sources of health information, and knowledge. The dominant factor affecting community awareness for screening NCD is a source of health information (p=0.023; OR=4.353; CI=1.220-15.537). 
Analysis of Maternal Predisposing Factors with The Incidence of LBW in Central Java Kujariningrum, Oktavia Beni; Winarni, Sri; Mawarni, Atik; Najib, Najib
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (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.v18i3.32644

Abstract

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.
COVID-19 Vaccination Status and Pregnant Women’s Perceptions of Pandemic Omicron COVID-19 Wave in Indonesia
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (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.v18i3.37946

Abstract

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.
The Utilization of Voluntary Counseling and Testing by Women of Reproductive Age in West Papua
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (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.v18i3.34942

Abstract

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.
Determinants of Unplanned Pregnancy in Married Women in North Sumatra Province
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (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.v18i3.39110

Abstract

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.
Level of Knowledge and Self Efficacy Improve Breast Self-Examination (BSE) Behaviors
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (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.v18i3.32899

Abstract

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.
Knowledge and Calcium Intake to the Risk of Scoliosis at Boarding School Students
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (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.v18i3.39231

Abstract

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.
Directly Observed Treatment for Iron Tablet Supplements Consumption Among Female Senior High School Students
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (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.v18i3.38594

Abstract

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.
Spatial Analysis of Lymphatic Filariasis Case and Mosquito Resting Place in Rural Area of Brebes Regency, Indonesia Siwiendrayanti, Arum; Anggoro, Sutrisno; Nurjazuli, Nurjazuli
Jurnal Kesehatan Masyarakat Vol 19, No 1 (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.v18i3.40561

Abstract

Brebes Regency is an endemic area of Lymphatic Filariasis (LF) and has the highest number of LF cases in Central Java Province, Indonesia. Despite it is located in the coastal region, which is already known as one of the risk factors of LF, the LF case is distributed more in rural areas, away from the shoreline. Adult mosquitoes need a particular site, called a resting place, to rest after and before biting for a blood meal. The purpose of this study was to analyze spatially the distribution of LF cases and mosquito resting places in three subdistricts whose highest LF case is in the Brebes Regency. The three subdistricts are rural areas. The observed resting places were cattle pens, unmaintained bushes, and maintained bushes. The data of LF patients were obtained from the Health Office of Brebes Regency, which stood at 14 patients. Spatial mapping of LF case and mosquito resting place distribution was composed. 4 patients were located in the mosquito flight radius from unmaintained bushes, 3 patients were located in the mosquito flight radius from cattle pen, and 7 patients were located in the mosquito flight radius from both unmaintained bushes and cattle pen. It indicated unmaintained bushes, together with cattle pen, are the favorable resting place contributing to LF transmission.
Decision Tree Prediction Model in Patient Mortality Rate based on Risk Factors
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 3 (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.v18i3.36701

Abstract

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.

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