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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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Nutrition Webinars for Students and Health Professionals: Indonesian Study During Covid-19 Pandemic Wisnuwardani, Ratih Wirapuspita; Afiah, Nurul; Noviasty, Reny; Faisal, Muhammad; Kurniawati, Eva R
Jurnal Kesehatan Masyarakat Vol 20, No 1 (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.v20i1.41020

Abstract

Recently, there has been an increase in obesity cases among adolescents in Indonesia with a prevalence rate of 19%, which exceeds the national prevalence of 16%. This was caused by the decrease in physical activities and consumption of fruit and vegetables by 95% of the population during the COVID-19 pandemic. This study aimed to foster the development of a Nutrition Education Center (Nutrecent) as a distance learning to promote the consumption of plant-based foods containing polyphenols such as vegetables and fruits. This was a quasi-experiment with three Nutrecent (Nutrition Education Centre) Webinar series and an international webinar. Participants were high school and college students, health workers, and the general public. A total of 654 participants were included in the analysis. The statistical results showed no significant improvement in knowledge due to the Nutrecent webinar series activities, but there was a significant improvement due to the international webinar (p-value 0.001). Online learning is only effective for students and adults with previous knowledge of the webinar topic. Consequently, there is a need to include the importance of consuming plant-based foods in the school curriculum.
Survival Analysis of Tuberculosis Patients Based on Diabetes Mellitus Status in West Sumatra Basra, Mega Utami; Djafri, Defriman; Fadila, Zurayya
Jurnal Kesehatan Masyarakat Vol 20, No 1 (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.v20i1.40946

Abstract

Tuberculosis (TB) is still one of the main problems in tropical countries, especially in Indonesia. The existence of conditions that cause decreased immune systems, such as Diabetes Mellitus (DM), can lead to an increased risk of death in people with Tuberculosis. This study aimed to analyze the survival of Tuberculosis patients with a history of DM in West Sumatra Province. This research was conducted from April to October 2022. It is a retrospective cohort study with all TB patients recorded in the TB03 SO data register in West Sumatra Province in 2021 (N=8,299). The samples were all candidates who met the research criteria in the data (n=1,125 TB patients). Data analysis was performed using survival analysis. The results showed that 177 TB patients (15.73%) had a history of DM, and 948 (84.27%) did not. The cumulative probability of survival for TB patients based on non-DM cases on day 150 is 0.95. In contrast, the cumulative probability of survival for patients with a history of DM is lower, namely 0.90. The group of TB patients who suffered from DM, male and more than 45 years old, experienced a more significant decrease in survival. 
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.
Energy Consumption and Nutritional to Status Emotional Eating Behavior Among Pregnant Women in Malang, Indonesia Nashih, Nadia Fauziyah; Paramita, Farah; Kurniawan, Agung; Santre, Siriporn; Nasih, Ahmad Munjin
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.v%vi%i.50325

Abstract

Emotional eating behavior and increased food intake during emotional conditions are some factors that can contribute to obesity in pregnant women. This study examined the relationship between emotional eating behavior with energy consumption and nutritional status of pregnant women. This study was conducted from January to March 2024 and used an analytical observational method with a cross-sectional study. The subjects were 59 pregnant women in the second and third trimesters at Kedungkandang Community Health Center, Malang, Indonesia. Emotional eating, energy consumption, and nutritional status was tested with correlation rank spearman test. In this study, 45.7% of respondents were high emotional eaters, 40.7% had sufficient energy intake, and 72.9% had a normal nutritional status. Spearman correlation test showed p0.05 for energy consumption (p=0.008) and p0.05 for nutritional status (p=0.548). We concluded that emotional eating behavior has a significant relationship with energy consumption but has no relationship with nutritional status. It is important to consider the larger context in which emotional eating behaviors take place to comprehend nutritional status during pregnancy. Therefore, future studies should examine other different populations or areas. 
Severe Malaria Risk Factors in Lupane District, Zimbabwe. A Retrospective Cohort Study Batera, Same; Nyamukondiwa, Melisa; Susanna, Dewi; Wispriyono, Bambang
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.v20i2.50324

Abstract

Zimbabwe envisions becoming a malaria-free country. However, a malaria resurgence has been reported in some of the elimination districts. This cohort study, guided by the Health Belief Model, aimed to examine risk factors associated with malaria severity in Lupane districts. Using proportionate stratified sampling, the study recruited 1207 individuals, comprising 1056 individuals who acquired malaria locally and 151 individuals who acquired malaria outside Lupane as captured in the DHIS2 electronic malaria-tracker database. The study used IBM SPSS 29.0.2.0(20)] for data analysis and odds ratios (ORs) were used to estimate relative risk (RR; 95% C.I; p0.05). The study revealed relative risk for individuals who had not traveled 29.7 (8.74; 100.0), no Long-Lasting Insecticidal Nets 12.3 (7.02; 21.4), possessed LLINs but not used 7.83 (4.29; 14.3), hosted visitors 6.19 (4.16; 9.22), lived in rural residence 1.94 (1.35; 2.79), slept outdoors during the night 1.93 (1.36; 2.74), and adults 0.22(0.13; 0.36) compared to the corresponding reference groups. As the country continues to fight against malaria, it is critical to address perceived risk factors that can reintroduce the disease and sustain the gains made in malaria elimination districts.

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