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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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Promotion of Exclusive Breastfeeding through Drinking “Uyup-Uyup” Herbal Sistiarani, Colti; Wati, Erna Kusuma; Rahardjo, Setiyowati
Jurnal Kesehatan Masyarakat Vol 19, No 3 (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.v19i3.34093

Abstract

Tradition mother after delivery baby ussually drinks uyup-uyup herbal. Uyup-uyup herbal is believed to smooth milk, so many mothers do traditional drink called uyup-uyup herbal in the postpartum period. This study aims treatment role of herbalist to be agents of change in promoting exclusive breastfeeding. This study intervension train uyup-uyup herbalist. Uyup-uyup herbalist who have been trained and then required to practice the promotion of exclusive breastfeeding to lactating mothers. Quantitative study used quasi-experimental research design to determine the effect of treatment exclusive breastfeeding promotion. The treatment group was located in the Bojongsari District and the control group in the Padamara district. The number of samples the treatment group and the control group respectively by 40 lactation mothers The results showed the differences knowledge and attitudes about exclusive breastfeeding in the treatment group. From these results exclusive breastfeeding promotion efforts can be done through intermediaries uyup-uyup herbalist to mothers.
The Effect of Smoking Habit on Vitamin D Status in Adults in Indonesia Lorensia, Amelia; Suryadinata, Rivan Virlando
Jurnal Kesehatan Masyarakat Vol 19, No 3 (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.v19i3.46823

Abstract

Smoking will reduce the metabolism of vitamin d in the body. Indonesia, as a tropical country that has a high level of sun exposure, is one with a high prevalence of smokers. Early identification of vitamin D status can be used as a preventive measure for risks associated with vitamin D deficiency. This study aimed to determine the smoking behaviour with vitamin D status. This research was conducted in April -November 2021. The research design was cross-sectional, using purposive sampling method. Variable was smoker behaviour, vitamin D status, and vitamin D deficiency. The differences between vitamin D status and smoker behaviour in smoker and non-smoker group used chi-square test and the relationship used contingency coefficient. This study involved 144 subjects, consisting of 73 non-smokers and 71 smokers. The groups at risk for vitamin D deficiency were 17 non-smokers (23.29%) and 31 smokers (43.66%). The smokers group had 2,553 times higher risk of vitamin d deficiency than non-smokers. There was a significant difference between smokers and non-smokers on 25(OH)D level vitamin D status. And there was a significant relationship between vitamin D status in smokers and non-smokers. There was a weak relationship between smokers and non-smokers on vitamin D status.
Food Calory Intake and Physical Activity in Obesity Risk among College Students in Surabaya City Lorensia, Amelia; Suryadinata, Rivan Virlando; Tinaka, Adela Juana
Jurnal Kesehatan Masyarakat Vol 19, No 4 (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.v19i4.43970

Abstract

Productive age is at the peak of its activities, physical activities carried out tend to be heavier than other ages and one of the characteristics of developed countries is a country that has a high level of health, intelligence, and work productivity, which is influenced by nutritional intake and diet. Diet, excess tend to be owned by obesity, obesity is also included in the condition of malnutrition.The research aimed knowing effect of diet and physical activity on the risk of obesity in students at a university in Surabaya.The method used in this study is case control with 152 obese and non obese adult respondents at a university in Surabaya using a 24-hour recall questionnaire, IPAQ for physical activity, and measurement of BMI (body mass index). The results of the study on average food calorie intake in obese adult respondents were higher than non-obese. The most consumed type of food obesity group (60 people) is chicken meat (mean: 348.55 kcal), while the most consumed food non-obese group (60 people) is white rice (mean: 753.71 kcal). The biggest calories consumed in obese groups (34 people) are pizza (1,925.48 kcal), while those that are most consumed by non-obese groups are white rice. The results of statistical analysis using the chi-square test showed that there were significant differences in food intake between obese adult groups and non-obese adult groups (p=0.000). The results of the analysis of physical activity obtained in the obese group showed that most of them had low physical activity (61.84%). Meanwhile, in the non-obese group, most of them had moderate physical activity (55.26%). Based on the results of the analysis with the Chi-Square Test, with P value of 0.047 was obtained (p value 0.05) so that it could be concluded that there was a significant difference in physical activity between the non-obese and obese respondent groups. The average level of physical activity in non-obese is higher than the obese group. By increasing physical activity and reducing food calorie intake, the risk of obesity in adulthood can be reduced.
Medical Students Vulnerability on Anxiety: Its Frequency and Associated Factors Kusumadewi, Andrian Fajar; Marchira, Carla Raymondalexas; Widyandana, Doni; Wirasto, Ronny Tri; Dwidjoyono, Bernadeta Dinda Larasati; Phillabertha, Paulin Surya
Jurnal Kesehatan Masyarakat Vol 19, No 4 (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.v19i4.47566

Abstract

Abstract. Medical students are vulnerable populations at risk of mental health problems, particularly anxiety. Specifically during COVID-19, prevalence of anxiety among medical students increased rapidly and several factors affected its causes. This study aimed to find out the frequency of anxiety among medical students by using the TMAS questionnaire and factors that significantly contribute to anxiety levels. This cross-sectional study used simple random sampling of undergraduate medical students. The correlation between TMAS scores and several variables was analyzed with Spearman and Kruskall-Wallis correlation test and also multiple linear regressions. Among 275 respondents, the average age is 18.81 (SD 1.18), dominated by females (62.2%), in their first year (84.4%), non-scholarship (96.7%), lived in boarding houses (57.8%), and academic problem as the dominant cause of anxiety (46.5%). Later, 40.7% were anxious, then age and the year of study were found to be negatively correlated to their anxiety. A survey regarding the preferred form of anxiety therapy by medical students showed that 27.4% of respondents chose relaxation. These results are expected to help the development of future anxiety therapy based on the specific needs of medical students.Keywords: medical students, anxiety, demographic factors, TMAS, mental health
Prevalence and Determinants of the Double Burden of Malnutrition at Household Level: A Systematic Review Sufyan, Dian Luthfiana; Soe, Le Thandar; Hasan Syah, Muhammad Nur; Wahyuningsih, Utami; Marjan, Avliya Quratul; Noor, Sutamara Lasurdi
Jurnal Kesehatan Masyarakat Vol 19, No 4 (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.v19i4.47245

Abstract

  The persistent problem of undernutrition and the emerging prevalence of overnutrition hints at a new term for the double burden of malnutrition among children globally. This study aims to provide a review of the published studies concerning the prevalence of double burden of malnutrition at the household level and the associated factors. Articles were identified from the electronic databases of PubMed, Nature, SAGE, Scopus, and SpringerLink, using the same search terms for all. A total of fourteen articles were eligible and sixteen sets of prevalence values were obtained. Most articles were published in 2018 – 2020. Fourteen articles used secondary data from the Demographic and Health Survey. Most articles studied under five children and mothers 15-49 years. Mother’s nutritional status was identified using BMI, while for children height for age z-score was commonly used. The reported prevalence of double burden at the household level varied from 1.0 to 28.0% by country. Frequently assessed factors observed that older children and older mothers were likely to develop a household double burden of malnutrition. A negative association was found when households possessed access to mass media. Overall, the media should have been channels for health promotion. Intervention concerning the nutrition of mothers and children at the household level is required to be intensified through nutrition-specific and nutrition-sensitive programs.
Socioeconomic and Public Health Impacts of Waste Management in Piyungan Landfill, Bantul-Indonesia Astuti, Farida Afriani; Syafrudin, Syafrudin; Susilowati, Indah
Jurnal Kesehatan Masyarakat Vol 19, No 4 (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.v19i4.47181

Abstract

Piyungan Landfill in Bantul, Indonesia, still uses an open dumping system, leaving environmental impacts. This research examined the effects of open dumping on the socioeconomic and health conditions of nearby populations. Surveys and interviews using questionnaires were employed with households as the analysis unit. From four sub-villages (Ngablak, Banyakan III, Sentulrejo, and Baruwan I), 128 respondents were sampled randomly. Statistical quantitative analysis was employed to analyze the research data. Descriptive statistics were selected to describe sample data. Data were then expressed as percentages and presented in pie charts. Results show that for people who salvaged recyclables, the landfill was their primary source of livelihood. More than half (62.5%) earned an average of IDR1,093,095 (approximately USD70) per month as waste pickers. However, open dumping lowered the environment’s aesthetic value due to the unpleasant view and smell, and large populations of animals like rats, flies, cats, and mosquitoes attracted to waste piles. Nearly all respondents (90.6%) expressed their anxiety about these adverse effects, triggering social conflicts. It was claimed that property values and public health were, however, unaffected. Most respondents stated that the landfill did not lower the property values (96.9%) and did not cause health concerns (71.9%).  
Covid-19 After Effect: School-Age Visual Acuity Analysis with Secondary Data Kristiawan, Ayik Sudiat; Wulandari, Ratna Dwi
Jurnal Kesehatan Masyarakat Vol 19, No 4 (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.v19i4.46560

Abstract

Students' ability to see clearly is crucial for learning and helps them achieve more. Normal visual acuity enables students to read the writing on the blackboard clearly, which improves their comprehension of the information the teacher is providing. With the online learning system, students spend more time using a computer or phone, which impairs their visual acuity, hinders their understanding of the material, and lowers their academic performance. The purpose of this study was to ascertain how online learning affected elementary school students' visual acuity. A Snellen chart and a questionnaire are used in this observational analytic research study with a cross-sectional design. 728 students from 7 elementary schools in Surabaya's Jeruk and Lakarsantri Districts made up the sample size. The results of the study showed that 184 of the 728 students who took part had deteriorated visual acuity during the observation period. These were divided into three categories: mild (166 cases), moderate (4 cases), and severe (14 cases). 79 pupils had recently seen a level increase in their eyesight, 27 had recently experienced a level increase in their vision, and 4 had experienced an additional level gain in their vision. There is a substantial difference in visual acuity between the pre- and post-online learning periods, according to the Wilcoxon signed-rank test results. The results of this study can support responsible use of computers and mobile devices by parents, educators, and students.Keywords: visual acuity, online learning, snellen chart
Maternal Characteristics and Nutritional Status among First Trimester Pregnant Women in West Sumatera Helmizar, Helmizar; Ferry, Ferdinal; Elda, Frima; Azrimaidaliza, Azrimaidaliza
Jurnal Kesehatan Masyarakat Vol 19, No 4 (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.v19i4.45895

Abstract

Optimizing the health and nutritional status of mothers during pregnancy can reduce the risk of stunting, with prevalence among children under five, in which the undernutrition condition was still high. It was about 24.4%. The research objective is to determine the association between maternal characteristics with nutritional status in the first trimester. This cross-sectional study involved 52 pregnant women in the first trimester. This study was conducted in the working area of health centers in Padang City 2022 which had a high prevalence of undernutrition problems. Data analysis was carried out using univariate tests and bivariate tests using chi-square with 95% CI and a significance level of p-value 0.05. The analysis results showed a significant relationship between BMI before pregnancy with nutritional status in the first trimester among pregnant women (p-value = 0.000). There is no relationship between education, occupation, age, and parity of the mother with nutritional status in the first trimester. Suggestions for pregnant women are to know their nutritional status, consume nutritious foods that are needed for fetal growth, and reduce the risk of low birth weight and stunting.
Factors Causing Decreasing Quality of Vaccines: A Systematic Review Naimah, Naimah; Setyaningsih, Wahyu; Mansur, Herawati; Agustia, Dilma'aarij; Maulidia, Miftakul Fira
Jurnal Kesehatan Masyarakat Vol 19, No 4 (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.v19i4.45531

Abstract

Abstract. Objectives. Vaccines were essential to prevent the spread of disease. The contents would be practical if the storage, distribution, handling, and delivery to the target were carried out correctly and following procedures. Methods. Using guidelines from the PROSPERO platform using the PRISMA flow diagram to select articles. The search keywords are observational studies, experiments, qualitative studies, and grey literature. Studies addressing factors affecting vaccine quality, published between 2009 and 2022 in English, were included.  Results. Of the 13 included studies, several factors were identified, all explained due to inaccurate vaccine storage temperature settings. From several studies, it is recommended to carry out consistent SOPs, supervision, training for staff involved in vaccines, innovation of vaccine distribution tools, and policies from local government stakeholders.
Rheumatoid Factor, C-Reactive Protein, Erythrocyte Sedimentation Rate Responses on Brisk Walking in Rheumatoid Arthritis Women Ali, Mohammad Arif; Kurniawati, Dewi Marfu'ah; Santillana, Leo Nacion; Guo, Ming Ming; Anam, Muhammad Saiful; Majid, Muhammad Faisal; Anggita, Gustiana Mega; Agustina, Azkia
Jurnal Kesehatan Masyarakat Vol 19, No 4 (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.v19i4.48847

Abstract

Modified Physical Exercise Program (MPEP) is necessary for people with rheumatoid arthritis (RA). This study aims to investigate the effects of MPEP on the Rheumatoid Factor (RF), C-Reactive Protein (CRP), and Erythrocyte Sedimentation Rate (ESR); to evaluate the correlation between CRP-ESR. This is a quasi-experimental study. Ten RA women who were recommended by the Dukuhseti PHC have participated. The procedure is ethically approved. The venous blood samples were used to measure the dependent variables. Eight-teen sessions of MPEP were done. A two-tailed paired t-test to elucidate the differences in pre-post data; the bivariate Pearson correlation test for CRP-ESR. The RF increased significantly (pre: 19,40±2,46 and post: 22,40±2,41). CRP increased (pre: 0,30±0,07 and post: 0,37±0,06; p 0,05). The change in ESR is not significant. There is a strong-positive, significant correlation (r: 0,831) between CRP-ESR. We concluded that MPEP is not able to lower the RA parameters, and there is a positive feedback correlation between CRP-ESR.

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