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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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Angraini Model as Effort to Early Detection of Chronic Energy Deficiency in Pregnancy Dian Isti Angraini; Delmi Sulastri; Hardisman Hardisman; Yusrawati Yusrawati
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.v19i1.42212

Abstract

The prevalence of chronic energy deficiency in pregnant women in Indonesia is still high. This condition is one of the unresolved nutritional problems such as stunting. This study aims to develop the Angraini Model, as an effort to early detection of chronic energy deficiency in pregnancy. This research is a quantitative study with a case-control design on 190 CED and non-CED pregnant women in the city of Bandar Lampung. The research took time from October 2018 to July 2021. The data used in this study are 18 indicators and 7 latent variables. Latent variables consist of socioeconomic (education, employment, income, knowledge), culture (age, parity, food taboo), BMI (prepregnancy BMI), laboratory (anemia, iron status, protein status), food intake (energy, protein, fat carbohydrates, iron), weight gain during pregnancy (pregnancy weight gain), and CED (chronic energy deficiency). Data were analyzed using a structural equation model (SEM) with Lisrel software and then built into a web-based expert system. The results of the SEM analysis stated that food intake, laboratory values, and weight gain during pregnancy directly affect the incidence of CED. socioeconomic variables (knowledge, education, employment, and income), culture (age, parity, and food taboo), and prepregnancy BMI indirectly affect the incidence of CED through food intake variables. The model obtained based on SEM analysis is then built in a web-based expert system with the address modelangraini.com. The Angraini model is a web-based expert system that can be used to detect early CED in pregnant women for health workers in primary healthcare facilities.
Analysis of Nurse Work Stress Factors During the COVID-19 Pandemic Umi Fatikhatul Luthfiyah; Chriswardani Suryawati; Antono Suryoputro
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.v19i1.42912

Abstract

Based on the preliminary study at Prof dr. Soekandar Hospital, it was found that out of 30 nurses, 50% of them found it often difficult to relax and feel tired often. In addition, the results show that 76.90% of them feel very drained of energy. This study aimed to determine the relationship between personal and organizational factors and the occurrence of work stress for nurses during the COVID-19 pandemic at Prof. dr. Soekandar Hospital. This research was a quantitative observational study using a cross-sectional study design. The number of samples in this study amounted to 145 respondents using a purposive sampling technique. Data analysis used the Pearson test and linear regression. The events of work stress for nurses were unaffected by work shifts. The variables that affect the incidence of work stress are social support, workload, work shift, and the policies on the use of PPE. Based on the results of the multivariate test, 41.2% of nurses’ work stress was influenced by social support, workload, work shifts, and policies on the use of PPE. Variables that simultaneously affect the incidence of work stress for nurses are workload and nurses’ work shifts.
Isolated Systolic Hypertension among Diabetes Mellitus Subjects; a national cross-sectional study in Indonesia Mahalul Azam; Fetty Nur Hidayati; Arulita Ika Fibriana; Udin Bahrudin; Syed Mohamed Aljunid
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.v19i1.40548

Abstract

Isolated systolic hypertension (ISH) reflects atherosclerosis. Studies reported hypertension prevalence among diabetes mellitus (DM); however, limited studies provided community prevalence. The present study aimed to explore ISH prevalence among DM in Indonesia. This study obtained data from the 2018 Indonesia Basic Health Survey. The DM category was determined by fasting plasma glucose (PG) level ≥126 mg/dL or 2 hours postprandial and random PG level ≥200 mg/dL or previously diagnosed by a doctor. ISH is categorized if systolic blood pressure is≥140 mmHg and diastolic blood pressure is 90 mmHg. This study also explored the subject’s determinants, i.e., compliance, demography, and lipid profile. A Chi-square and Binary logistic regression were used to determine the association. The study included 3,911 DM individuals and disclosed the prevalence of ISH at 17.5%. ≥65 years old (OR=13.61 95%CI: 3.297-19.365) and 45-64 years old OR=4.59 95%CI: 3.297-6.383)), high HDL-cholesterol (OR=0.77; 95%CI: 0.626-0.936), and longer DM duration (OR=2.89; 95%CI: 2.405-3.474), all together were related to the ISH. Subjects with the oldest age category, i.e., ≥65 years old, had the highest OR. Older DM individuals with low HDL-C and longer DM duration were related to the ISH, suggesting lipid profile treatments, mainly the HDL-C, is a pivotal effort to delay ISH.
The Incidence of Hypertension in Internal Polyclinic in Latemmamala Hospital Soppeng Ida Leida Maria; Maftur Al Rafi; Rismayanti Hafidz; Firman Firman
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.v19i1.42869

Abstract

Hypertension, otherwise known as high blood pressure, is a condition that describes blood pressure significantly in the interval above 140/90 mmHG, which results in the death of 9.4 million people every year worldwide, with the incidence of the problem increasing over time. According to WHO, it is predicted that 1.28 billion or about 42% of people worldwide are diagnosed with hypertension, and the results of the 2018 Riskesdas suggest that the prevalence of hypertension in Indonesia increased to 34.1% from 25.8% in 2013. The type of research used is analytic observational with a cross-sectional study approach. The population in this study were all visitors recorded in the Internal Medicine Clinic register book at Latemmamala Hospital from January to December 2021, namely 707 people. The sampling technique used was simple random sampling with a total sample size of 148 people. This study finds that nutritional status (p=0.002), total cholesterol levels (p=0.000), abdominal circumference size (=0.000), and family history (p=0.000) had a relationship with the incidence of hypertension. As well as, type of work (p=0.078), marital status (p=0.916), stress level (p=0.079), smoking habits (p=0.261), and physical activity (p=0.376) have no relationship with the incidence of hypertension. This study shows a relationship between nutritional status, cholesterol levels, abdominal circumference size, and family history of hypertension. It is highly recommended for people with hypertension adopt a healthy lifestyle, such as maintaining a diet and regular physical activity to keep their blood pressure under control.
Mental Health Education for Pregnant Women during the COVID-19 Pandemic in Surakarta, Indonesia Yuli Kusumawati; Widyawati Widyawati; Fatwa Sari Tetra Dewi
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.v19i1.42211

Abstract

The main factors increasing the risk of depression are pregnant women’s lack of knowledge about recognizing signs and symptoms, early detection, and prevention efforts. The purpose of this study is to examine the impact of mental health education on pregnant Indonesian women’s knowledge and self-efficacy during the COVID-19 pandemic. A quasi-experimental study was conducted. Pregnant women in four Surakarta primary health care facilities received antenatal care using Basic Emergency Obstetric Neonatal Care. The inclusion criteria for the sample were 127 pregnant women with a gestational age of 24-36 weeks, no family history of mental disorders, a singleton pregnancy, and participation in the intervention from beginning to end. The study excluded pregnant women who experienced complications during their pregnancy. Sample sizes for the intervention and control groups were 67 and 60 pregnant women, respectively. Personal psychoeducation intervention was provided by trained midwives during antenatal care. During the intervention, materials were presented in modules, and videos were shared through WhatsApp groups and discussions. The Edinburgh Postpartum Depression Scale was used to assess depressive symptoms. The data were analyzed using the paired t-test and independent t-test. Following the intervention, the mean score for knowledge and self-efficacy increased. Depressive symptom scores decreased following the intervention and were significantly different from the control group. Mental health education interventions for pregnant women using modules and videos can improve pregnant women’s knowledge and self-efficacy in preventing antenatal and postnatal depression.
Assessment of Self-Care Activities Using Diabetes Self-Management Questionnaire in Diabetes Patients Balgis Balgis; Selfi Handayani; Sumardiyono Sumardiyono; Nur Kholifah Putri Taufan
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.v19i1.40355

Abstract

One of the non-communicable diseases found in all regions of the world, including rural areas, is Diabetes Mellitus, caused by a chronic metabolic disorder characterized by increased glucose levels in the blood due to impaired insulin secretion. Diabetic neuropathy is damage to peripheral nerves or peripheral nerves commonly experienced by people with type 2 diabetes mellitus, characterized by excessive pain and decreased sensitivity to touch. The purpose of this study was to determine the self-management carried out by diabetic patients in the city of Surakarta. This study is cross-sectional with a sample of 99 respondents using a purposive sampling technique with inclusion criteria of 40-60 years of age and type 2 DM patients. The tests carried out were the inter-class intercorrelation coefficient test and the Kruskal–Wallis test using SPSS. The results of this study mean the highest interclass correlation coefficient was the diabetic foot care subclass with a value of 0.773 representing the homogeneity of the DMSQ questions and a confidence interval of 0.687-0.839 at 95% with a significance of p 0.05 in each subclass.
The roles of Tuha Peut Gampong in healthcare services for pregnant women Farisni, Teungku Nih; Fitriani, Fitriani; Indriasari, Rahayu; Yarmaliza, Yarmaliza; Putra, Onetusfifsi
Jurnal Kesehatan Masyarakat Vol 19, No 2 (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.v19i2.45312

Abstract

This research was aimed to identify the roles of Tuha Peut in healthcare service for pregnant women. This study was also examined the obstacles of Tuha Peut in implementing the roles and identified the efforts taken to strengthen the roles. This research employed quantitative and qualitative approaches. The quantitative approach using a questionnaire to collect data was used to provide indicators for maternal healthcare and the knowledge of Tuha Peut towards maternal health care. Meanwhile, the qualitative approach using open-ended interview guide and focus group discussion (FGD) was employed to explore the constraints and efforts in improving maternal healthcare. The research location was in Nagan Raya, Aceh Province. A total of 48 respondents was recruited in this study. The result shows there is a relevance between the health care achievement and TuhaPeut knowledge as the legislative assembly in decision making regarding the village fund (p 0.001). Concerning the decision-making, most Tuha Peut were not involved in decision-making related to the health sector. Some of them were only passively involved, and some could not provide considerations for maternal healthcare. Unfortunately, efforts to maximize their roles in improving maternal healthcare had not been carried out. It is recommended that TuhaPeut can be more involved in every planning process of maternal healthcare service, such as arranging Qanun as the jurisdictional basis. Tuha Peut’s roles can be maximized to increase the health care for pregnant mothers.
Health Promotion Model through Peer Group Education on Health Behavior Change Lufthiani, Lufthiani; Zahara, Siti; Sitepu, Nunung Febriany
Jurnal Kesehatan Masyarakat Vol 19, No 2 (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.v19i2.38300

Abstract

Adolescence is also a period of mental change that can fluctuate. This pandemic results in changes in any behavior related to adolescents. The psychological condition of adolescents, who are generally still vulnerable and easily disturbed, is further exacerbated by conditions in the surrounding environment that do not support them in carrying out their usual activities. The purpose of the study was to determine the effect of the health promotion model through the peer group education method on changes in health behavior intentions in adolescents during the Covid-19 pandemic in Medan City. The research method used a quasi-experimental pretest and post-test design with one control group with a sample of 65 adolescents aged 13-18 years using purposive sampling technique. Data analysis was carried out using the Paired t test (p = 0.000). The results of the analysis stated that there was an effect of providing education using the peer group education method given to adolescents on changes in adolescent behavior during the covid 19 pandemic which was seen from the aspect of reproductive health, adolescent psychological disorders and the impact of using gadgets that must be supervised by parents
Physical Domain of Quality of Life in Premenopause and Post Menopause Women in Central of Java Marni, Marni; Husna, Putri Halimu
Jurnal Kesehatan Masyarakat Vol 19, No 2 (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.v19i2.45253

Abstract

Abstract. Background: Premenopause and menopause would affect changes in a woman's body. Physical changes during premenopause and menopause would affect a woman's quality of life. Physical changes also caused physical symptoms that were very disturbing in daily activities. This study analyzes the factors that influence physical symptoms on the quality of life of premenopausal and postmenopausal women. Methods: This research method was a descriptive study with a cross sectional study approach. This research was conducted in Central Java province from March to December 2022. The population in this study were premenopausal and postmenopausal women in Central Java. The sampling technique was carried out using the clustered random sampling method. Respondents to this study were taken from 4 districts from 4 corners of Central Java province, namely Kudus Regency, Sukoharjo Regency, Tegal Regency and Semarang Regency. Each district taken 25 respondents. Respondents' quality of life was measured using the Menopause Specific Quality of Life (MENQOL) questionnaire. This study was analyzed using chi square. Results: education, religion, occupation, age at menarche, parity, income, history of illness, current activity, history of sexual intercourse, frequency of sexual intercourse significantly influence the physical domain of quality of life of postmenopausal women with a p-value 0.005. Age, education, occupation, age at menarche, marital status, parity, income, medical history, current activity, history of sexual intercourse, frequency of sexual intercourse significantly influence the physical domain of quality of life of premenopausal women with a p-value 0.005. Conclusion: The physical domain of quality of life for postmenopausal and premenopausal women is influenced by the same factors, namely education, occupation, age at menarche, parity, income, medical history, current activity, history of sexual intercourse, and frequency of sexual intercourse. Physical symptoms in postmenopausal women are in the mild category, while premenopausal women have severe physical symptoms
Analysis of Feeding Behavior and Family Food Security as a Stunting Risk Factor in Semarang City Najib, Najib; Giyarsih, Sri Rum; Listyaningsih, Umi; Nawawi, Nawawi
Jurnal Kesehatan Masyarakat Vol 19, No 2 (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.v19i2.43144

Abstract

Stunting can be caused by many factors, including how a mother feeds her child. How much a family eats and how secure their food supply affects the number of short toddlers. This study examines feeding behavior, family food security, and stunting in Semarang. Quantitative observational analytic case-control study of 83,397 stunting-risk families. This study included 100 Semarang families at risk of stunting, with 50 cases (cases) and 50 controls (controls). This study used univariate and bivariate analysis. The results of the bivariate analysis showed that there was a relationship between feeding behavior and the incidence of stunting in Semarang City (p value = 0.002, OR = 4.030, 95% CI 1.712–9.488). Children who are cared for with inappropriate feeding behavior have a significantly greater risk of experiencing stunting compared to children who are cared for with appropriate feeding behavior. In addition, the relationship between family food security and the incidence of stunting in the city of Semarang was also confirmed to be statistically significant (p value = 0.000, OR = 6.833, 95% CI 2.732-17.093). Children who are cared for in food-insecure families are six times more at risk of experiencing stunting compared to children who are cared for in food-secure families. Based on the research data, it can be concluded that there is a relationship between feeding behavior and family food security and the incidence of stunting in the city of Semarang.

Page 131 of 141 | Total Record : 1403

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