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Jurnal Kesehatan Masyarakat
ISSN : 18581196     EISSN : 23553596     DOI : -
Core Subject : 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 1,403 Documents
Nutritional Literacy as An Effect Modifier on Undernutrition Incidence among Poor Urban Family in Semarang City Budiono, Irwan; Hermawati, Bertakalswa; Rochmayani, Dewi Sari; Fauzi, Lukman
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.v19i3.49965

Abstract

Kemiskinan merupakan akar dari penyebab masalah gizi kurang. Wilayah Gunung Brintik Kelurahan Randusari Kota Semarang merupakan wilyah kantung kemiskinan di pusat Kota Semarang dengan jumlah penduduk miskin sebesar 28.48% serta prevalensi gizi kurang sebesar 60%. Penelitian ini dilakukan untuk menganalisis faktor risiko gizi kurang serta menganalisis literasi gizi ibu sebagai efek modifikasi kejadian gizi kurang pada balita. Penelitian dilakukan dengan desain cross sectional melibatkan 97 balita di wilayah Gunung Brintik RW III dan IV Kelurahan  Randusari Kota Semarang. Pengumpulan data dilakukan dengan observasi dan wawancara responden ibu balita. Analisis bivariat dilakukan menggunakan uji chi square, sedangkan analisis multivariat menggunakan multiple logistic regression. Hasil penelitian menunjukkan terdapat 12 variabel yang memiliki asosiasi dengan kejadian gizi kurang pada balita, yaitu jenis kelamin, riwayat IMD, riwayat imunisasi, riwayat penyakit infeksi, asupan energi, asupan protein, asupan lemak, asupan karbohidrat, pendidikan ibu, pendidikan ayah, pendapatn keluarga, dan literasi gizi. Hasil analisis multivariat menunjukkan adanya interaksi antara pendapatan keluarga dengan literasi gizi sebagai variabel interaksi (nilai p: 0,044). OR adjusted pendapatan keluarga dan literasi gizi terhadap kejadian gizi kurang diperoleh OR = 2,37 (1,07-9,38). Keluarga yang mampu secara ekonomi, tetapi memiliki literasi gizi yang kurang berisiko sebesar 2,37 kali lebih besar untuk memiliki balita yang mengalami gizi kurang daripada keluarga yang mampu secara ekonomi dan memiliki literasi gizi yang baik. Dengan demikian, efek risiko pendapatan keluarga yang kurang terhadap kejadian gizi kurang termodifikasi oleh literasi gizi sebagai effect modifier.
Smoking and Alcohol Consumption Behavior Among Male Senior High School Students Meilani, Niken; Hariadi, Sunarru Samsi; Haryadi, Fransiskus Trisakti
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.v19i3.47405

Abstract

Smoking and alcohol consumption behavior prevailed greater among adolescents period. These behavior could cause health risks. About 1 of every 4 adolescents in Indonesia were smokers and 3% of adolescents were drinking alcohol. This study aimed to analyze the association between self-efficacy with smoking and alcohol consumption among adolescents. This was a cross-sectional study carried out in July-September 2022. The study population was high school male students in Yogyakarta. A multistage random sampling technique was employed, involving 163 respondents. The instrument used was a questionnaire that has been tested. Data was analyzed in chi-square. Almost half of males had smoking behavior (39,3%). Males who were smoking started their behavior at the mean age of 15 years old. Most of them had low self-efficacy (70,6%). All male adolescents who had high self-efficacy do not have alcohol drink behavior. There was a relationship between self-efficacy with smoking behavior (p=0,001) and alcohol consumption (p=0,004). Strengthening self-efficacy is essential for adolescents. The government, family, and peers have an important role in increasing self-efficacy
Vaccination with the Incidence of Post-Acute Sequelae COVID-19 Aurelia, Daisy; En Masrika, Nur Upik; Rahman, Ismail
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.v19i3.46447

Abstract

Post-acute sequelae COVID-19 (PASC) symptoms are present in the vast majority of COVID-19 survivors, even those who have received the COVID-19 vaccine. Until now, vaccines against PASC are still controversial. Some previous findings suggest that vaccines can reduce or worsen PASC symptoms. In addition, there has been no related research in North Maluku Province, especially in Ternate City. This study aims to determine the relationship between vaccine administration and PASC based on the total dose and type of vaccine obtained using a questionnaire-based cross-sectional design questionnaire. The study population was COVID-19 patients diagnosed with RT-PCR or RDT-Ag in 2020–2022, domiciled in Ternate City. The respondents were 133 people. Bivariate analysis showed no effect of vaccine dose administration on the incidence of PASC (P=0.111). Similarly, the type and dose of vaccine based on the did not affect (first dose, P = 1.000), (second dose P = 0.732), and (booster P = 0.434) PASC. In terms of the timing of booster doses, pre- and post-COVID-19, there was no significant effect (P=0.384). However, there was a higher incidence of PASC in responders who received the booster dose post-COVID-19. There is no association between vaccine administration and the incidence of PASC.
Education with Animation Video and Flyer Improving Pregnant Women Behavior of Sleep Hygiene: Which One More Effective? Asih, Fransisca Retno; Pondaang, Mytha Febriany; I’anah, Fauzah Cholashotul
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.v19i3.45813

Abstract

No study related to sleep hygiene education with digital technology for pregnant women in Indonesia has been conducted. This study aims to determine the differences in the effect of education with animated videos and digital flyers on increasing pregnant women's sleep hygiene behavior. This quasi-experimental study was conducted on 108 who pregnant women were selected and assigned consecutively to the animation video and flyer groups and received education on sleep hygiene for 18 days. The validated behavior questionnaires was completed by both groups. Mann-Whitney U and Wilcoxon tests were used for the analysis. The mean (SD) behavior score was 69 (13.3) and 86.2 (11) in the video group and 68 (8.7) and 76.8 (10.5) in the flyer group on the first and 19th days, so there was a significant difference in terms of sleep hygiene behavior between the animation video and flyer group on the 18th day (p 0.000). Pregnant women who had sleep hygiene education with an animation video had more behavioral enhancement than flyer (20.5 11.5). Sleep hygiene education with an animation video as a first-line strategy is important and more effective in preventing insomnia.
Improving Pandemic Integrated Care Using Digital Technology for Health Care Organisation: A Qualitative Study Eryando, Tris; Afrizal, Sandra Hakiem
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.v19i3.43554

Abstract

Study for exploring the pandemic integrated care through the implementation of health information system using digital technology is very limited. Thus, the research findings provide genuine information regarding the system integration assessment for the regulators and provide an integrated COVID-19 as the system design sample as a robust solution. The authors evaluated the implementation of the current COVID-19 information system to explore and describe the barriers and challenges from the perspective of the COVID-19 Task Force Team of the South Tangerang District, Indonesia and to propose an effective design of COVID-19 functional integrated system. A qualitative form of research was conducted in the South Tangerang District during May 2020. The area was selected as it was the only red zone in Banten Province during the Coronavirus pandemic in Indonesia. In-depth interviews were applied to explore the barriers during the implementation of functional integrated system for the COVID-19 pandemic. Three (3) themes of barriers were identified as involved in functional integration through the implementation of the COVID-19 information system, namely individual behavior, data governance in the organisation, and communication and networks.
Kencur Supplementation for Attenuating Exercise-Induced Muscle Damage and Delayed-Onset Muscle Soreness Irawan, Roy Januardi; Sulistyarto, Soni; Rimawati, Nanda
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.v19i3.42151

Abstract

Delayed Onset Muscle Soreness (DOMS) is a pain that occurs after uncustomized eccentric exercise and can happen to anyone, both those who are athletes and other individuals. DOMS is usually felt 24-72 hours after exercise or activities that use eccentric movements, which interfere with the athlete’s training activities and other individuals’ daily activities. This study aimed to determine the effectiveness of kencur extract supplementation (kaempferia galanga linn) on DOMS and creatine kinase (CK) plasma levels after eccentric exercise. This research is quasi-experimental, using a randomized control group design as the design in this study. Research subjects (n = 28) were randomly divided into 2 groups, namely the kencur extract group (200 mg/day) and the placebo group (corn flour). The supplementation process in both groups was carried out for 5 days (3 days before and 2 days after) the eccentric exercise. DOMS pain (VAS) and blood samples (CK plasma) were taken 24 hours (pre) and 48 hours (post) after eccentric exercise. The destructive drill uses the 5 x 20 Eccentric depth jump drill. The data obtained in the form of changes in DOMS pain and CK plasma were then analyzed using ANOVA with sig. 0.005. Supplementation of galingale extract was effective in reducing DOMS pain with p = 0.008 (0.05) and CK plasma value p = 0.000 (0.05) compared to placebo after eccentric exercise. Supplementation of galingale extract (Kaempferia Galanga Linn) for 5 days is effective as an effort to reduce the risk of DOMS pain sensation and reduce the increase in muscle damage with CK as a marker after eccentric exercise.
Sociodemographic Factors Affecting Diabetic Dietary Behavior in People with Type 2 Diabetes Mellitus Rondhianto, Rondhianto; Ridla, Akhmad Zainur; Hasan, Hafifah
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.v19i3.37856

Abstract

Dietary behavior is one of the components of self-care that is difficult for people with type 2 diabetes mellitus (T2DM) to perform. The study aimed to determine the sociodemographic factors that influence the dietary behavior of people with T2DM. The study method is an analytic observational study with a cross-sectional design. The subjects of this study were people with T2DM in Jember Regency, with a sample size was 130 respondents using a multistage random sampling technique. This study had two variables: dietary behavior as a dependent variable, measured using Self-Management Dietary Behavior Questionnaire (SMDBQ, and sociodemographic factors (age, gender, marital status, income level, education level, ethnicity, and family type) as an independent variable measured using a sociodemographic questionnaire. Data were analyzed using a multiple logistic regression test (α = 0.05). The results of the study showed that most of the respondents were  55 – 65 years old (51.5%), female (71.5%), married (85.4%), a primary education level (50.8%), low-income level (73.1%), Madurese (54.6%), and nuclear family type (37.7%). Most of the respondents had dietary behavior in the medium category (66.9%), and the sociodemographic factors that influenced diabetes diet behavior were education level (p = 0.001) and family type (p = 0.001) with R2 = 0.241. Efforts to improve self-care regarding adherence to diabetes diet behavior must pay attention to sociodemographic factors to prevent complications and improve the quality of life of people with T2DM.
Effects of Exposure to the Hormone Cortisol in Pregnant Women on Body Weight and Length at Birth of Babies: A Prospective Study Sudirman, Jumrah; Sampara, Nurqalbi; Muzakkir, Muzakkir; K, Hairuddin; Darmiati, Darmiati; K, Rahayu Eryanti; Anwar, Khalidatul Khair; Saleng, Hasriani
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.v19i3.45992

Abstract

Other mental disorders with a reasonably high prevalence are pregnancy stress of 92.8% and anxiety of 32.6%. Pregnancy pressure can potentially cause low birth weight and small head circumference. In addition, stress during pregnancy will affect neurobehavioral development, ACTH, cortisol, norepinephrine, and epinephrine levels in neonates. This study aims to assess cortisol exposure in pregnancy with birth weight and birth length in infants. This study uses a cohort study approach. The sample in this study was the third-trimester pregnant women many as 152 respondents. The research instrument used checklist sheets and laboratory tests using the ELISA method. The resulting data were processed using the unpaired t-test and the Pearson correlation test. The results showed a correlation between cortisol levels and birth weight with a value of p = 0.004 0.05 and a value of r = -0.230, indicating that both variables had a low correlation and a negative relationship. This means the higher the cortisol level, the lower the baby's birth weight. There is a correlation between cortisol levels and the baby's birth length with a value of p = 0.003 0.05 and r = -0.239, showing that both variables have a low correlation and a negative relationship. The higher the cortisol level, the shorter the baby's birth length. Maintaining the mental health of pregnant women, primarily through family support and health workers, is essential to avoid excessive stress and depression during pregnancy.
Long-Term Effects of Exercise on Balance and Fear of Falling in Elderly Widagdo, The Maria Meiwati; Laurentia, Claudia Bella; Suryadiningrat, Bagus Anggawaisna Anggawaisna; Perdamaian, Teguh Kristian
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.v19i3.44079

Abstract

Falls is the main cause of injuries in elderly. Studies on the long-term effects of balance training are still limited. This study aimed to assess the long-term impact of a physical exercise on the balance and fear of falling in community dwelling elderly. This was a quasi-experimental study with pre-post design. The participants were older people ≥60 years with balance problems. They received a one-month physical exercise. The instruments included Functional Reach Test (FRT) to assess balance and Falls Efficacy Scale-International (FES-I) to assess fear for falling. Assessment was conducted at pre- and post-intervention and two years later. Data were analysed using Wilcoxon Signed-Rank Test and linear mixed model regression. Data of 23 participants were analysed. There were significant differences inn FRT and FES-I between pre-and post-intervention, pre-intervention and two years later. There was no significant difference in FRT and FES-I between post-intervention and two years after. There was significant improvement in the balance and fear of falling one month and two years after the program. The balance program had long-term effect that lasted at least for two years. Inclusion of the balance program in community-based health program for elderly can improve balance and prevent falls.
Effect of Accompaniment Trained Peer Neighbor on Exclusive Breastfeeding Duration and Prevalence: A Quasi-Experimental Study Irmawati, Irmawati; Nugraheni, Sri Achadi; Sulistiyani, Sulistiyani; Sriatmi, Ayun
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.v19i3.47597

Abstract

Introduction: Postpartum care in the hospital was very short, while the breastfeeding period was very long. On returning home, mother need the closest, affordable and ongoing supporting of trained neighbors for exclusive breastfeeding up to 6 months. This study aimed to examine the effect of accompaniment by trained peer neighbor (ATPN) on exclusive breastfeeding (EBF) duration and prevalence. Methods: The experimental quasi-design was used to compare duration of EBF in the intervention group (n=49) and the control group (n=49). The intervention group received ATPN by scheduled home visits 15 times with providing informational and practical support. The control group received the postpartum care-standard. Duration of EBF was measured weekly to 24th week postpartum. Survival analysis was used to compare duration of EBF between groups. A Cox proportional hazards regression analysis was used to estimate adjusted hazard ratios for cessation of EBF. Results: The intervention increases the duration of EBF. Median duration of EBF in the intervention and control group were 21.63 weeks and 15.85 weeks respectively (p0.001).  The prevalence of EBF at 12, 20, 24 weeks for the intervention versus control groups were (93.8% vs 69.3 %) (79.5% vs 44.8%), (59.1% vs 12.2%) respectively. Mothers in the control group were four times more likely to cessation EBF each of time than were mothers in the intervention group (HR 4.24; 95% CI: 2.56, 6.99). Conclusion: The ATPN effectively increases exclusive breastfeeding duration. It was easy to implement at a lower cost, sustainable, and effective.

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