Jurnal Kesehatan Masyarakat
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.
Articles
1,403 Documents
Amount of Menstrual Blood and Nutrient Intake with Hemoglobin Level
Wahyurin, Izka Sofiyya;
Rahmah, Hiya Alfi
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v17i1.24540
The most influential factor in the anemia is severe menstrual bleeding on each cycle. Heavy menstrual bleeding that can periodically reduce iron stores in the body so that the body has an iron deficiency and lead to anemia. This study aimed to find out the relationship between menstrual blood counts and nutritional intake with hemoglobin (Hb) levels in girls. The study used a cross-sectional design with a sample of 169 young girls in middle school in Banyumas District, Central Java, Indonesia. The amount of menstrual blood was seen using a questionnaire menstrual pictogram. The nutritional intake studied was the intake of protein, fibre, iron, and vitamin C using an FFQ semi-quantitative questionnaire and Hb levels through the insertion of peripheral blood. Data analysis using is chi-square and Fisher exact tests. There was no significant relationship between the amount of menstrual blood with Hb levels (p = 0.54 CI 95% = 0.36-1.74), protein intake (p = 0.26), fibre intake (p = 0.78) and iron intake (p = 0.44). There was a significant relationship between vitamin C intake and Hb levels (p = 0.03 CI 95% = 1.04-4.10). There is a significant relationship between vitamin C intake and hemoglobin levels in young girls.Â
Teenage Pregnancy as a Risk Factor of Stunting and Wasting among Children Aged 6-23 Months in Indonesia (IFLS 5 Analysis Study)
Syah, Justiyulfah;
Wahab, Abdul;
Kandarina, BJ. Istiti
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 2 (2020)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i2.23655
Abstrak. Stunting dan wasting saling terkait dengan peningkatan mortalitas terutama ketika keduanya dialami oleh anak yang sama serta meningkatnya angka kematian dan kesakitan perinatal di Indonesia diakibatkan oleh kehamilan dan kelahiran pada usia remaja. Tujuan dari penelitian ini adalah untuk menganalisis besarnya risiko kehamilan usia remaja terhadap kejadian stunting dan wasting pada anak usia 6-24 bulan di Indonesia. Penelitian ini menggunakan desain nested case-control study dengan menganalisis data Indonesia Family Life Survey (IFLS) periode ke-5. Hasil analisis bivariabel kejadian stunting dan wasting  tidak berhubungan secara statistik terhadap kehamilan usia remaja dengan nilai p=0, 39 (OR=1, 30; CI 95 = 0, 67-2, 48). Hasil analisis multivariat kejadian stunting dan wasting dengan kehamilan usia remaja dengan mengikut sertakan variabel berat badan lahir, tinggi badan ibu, penyakit infeksi, dan lokasi tempat tinggal tidak berhubungan secara statistik dengan nilai p=0,47 (OR=1,25; 95% CI=0,67-2,35). Penelitian ini didapatkan bahwa tidak berhubungan secara statistik antara kehamilan usia remaja dengan kejadian stunting dan wasting, namun tetap di perlukan startegi untuk menurunkan angka kehamilan usia remaja melalui sosialisasi dan edukasi bahaya pernikahan dini guna mendapatkan generasi dengan status kesehatan yang lebih baik.
Additional Feeding Based on Local Food to Improve The Nutritional Status of Tooddlers
Ariesthi, Kadek Dwi;
Pattypeilohy, Aning;
Fitri, Hironima Niyati;
Paulus, Aysanti Yuliana
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v17i1.25862
East Nusa Tenggara (NTT) occupies the first position in the incidence of malnutrition in Indonesia, with Kupang City as the third highest position in cases of malnutrition in NTT Province. The purpose of this study was to see the effect of supplemental feeding based on local food (Moringa nuggets) on improving status. Nutrition for toddlers. This research was conducted in 2020, using a quasi experimental research method with a pretest-posttest control group design. A total of 90 respondents were selected using purposive sampling technique. The data were collected using a questionnaire, anthropometric measurements to measure nutritional status, and recording weight gain at the beginning and end of moringa nuggets. Each research subject in the case group was given Moringa nuggets for 30 days as many as 3 pieces of nuggets per day, where each piece contained 11.4% protein. Data analysis was performed bivariately using the Pearson correlation test with α = 0.05 and pre-post comparison analysis with paired samples T-test. The results showed that there was a significant difference in changes in nutritional status of children under five before and after giving Moringa nuggets to underweight children under the anthropometric index of weight / age indicated by p = 0.041 (p <0.05). Meanwhile, the anthropometric index weight / height did not show a significant difference with a value of p = 0.052.
Environmental Sanitation, Personal Hygiene, STH Co-infection in TB Patients
Fitri, Nadya Eka;
Mufida, Diana Chusna;
Hermansyah, Bagus;
Armiyanti, Yunita;
Agustina, Dini;
Suswanti, Enny
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.23639
Globally, helminthiasis is one of the infectious diseases that are often associated with the incidence of tuberculosis. Helminth co-infection modulates the immune system of TB patients by reducing Th-1 response that functions as protector against Mycobacterium tuberculosis. This condition disrupts the process of eliminating bacteria so that its development becomes more progressive. The impact is the activation of latent TB and the success of TB treatment. A Soil-transmitted Helminth (STH) is a group of intestinal worms that often infect humans. Previous studies prove that environmental sanitation and personal hygiene are risk factors associated with STH infection. The study to determine the relationship of environmental sanitation and personal hygiene with the incidence of STH co-infection in TB patients at Puskesmas Puger, Jember in September until December 2019. This study uses a cross-sectional design. The sampling technique uses total sampling. A total of 32 TB patients met the criteria as study sample. The data analysis uses Fisher Test. Results showed the prevalence of STH co-infection was relatively low (18.8%); most of the respondents had good environmental sanitation and personal hygiene conditions. Bivariate analysis showed p-value (0,476) for environmental sanitation and p-value (1,000) for personal hygiene. This study concludes that there is no correlation between environmental sanitation, personal hygiene, and STH co-infection in TB patients at Public health center in Puger.
Socioeconomic Status in Relation to Stunting and Motor Skill Development of Toddlers in Urban and Rural Areas
Syihab, Syifa F;
Stephani, Mesa Rahmi;
Kumalasari, Isti;
Suherman, Adang
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.24382
The development of child motor skills is closely related to nutritional status. Stunted children generally experience delays in motor development. The objective was to determine the relationship between stunting, socioeconomic status, and children’s motor skill development. This research was conducted in 2018 using a cross-sectional method. Respondents were 80 children aged 48-60 months in urban and rural areas of West Java. The researcher used a simple random technique data collection on anthropometric, socioeconomic, and motor skills development. Then it was analyzed using chi-square and Fisher exact methods. The researcher used a simple random technique data collection on anthropometric, socioeconomic, and motor skills development. Then it was analyzed using chi-square and Fisher exact methods. We found that stunting prevalence in rural areas was higher than in urban areas. As much as 30 % of children in rural areas and only 12.5 % of children in urban areas were categorized as stunted. There is no significant association between stunting with the family’s socioeconomic status and motor skill development. The weight for the age variable showed a significant association with stunting. Children who are malnourished have a stunting risk of 10.9 times greater than normal children (OR 10.9 p < 0.001).
Performance of Papua Petanque Athletes Facing Covid-19
Kurdi, Kurdi;
Qomarrullah, Rif'iy;
Putra, I Putu Eka Wijaya
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 2 (2020)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i2.25444
This research is a new paradigm mix method by combining grounded theory and case study construction, which involved 11 elite Papuan petanque athletes, data taken from March to May 2020. Data instruments using physical test data, observations, questionnaires, documents, and interviews . Data analysis combines two elements, namely: qualitative, and quantitative. Then the results and discussion in this study are: (1) The health quality of athletes experiencing problems, this is marked by an increase in the proportion of body weight; (2) The physical quality of the athlete experienced a decrease in physical quality before the occurrence of a pandemic above 81.80% and dropped to below 72.70%; (3) Psychologically, when viewed from the aspect of motivation (institutions and extrinsic), it is categorized as high during the pandemic. This research empirically provides a description of the impact received as a result of the Covid-19 outbreak in sports achievements.
Wet Cupping Therapy to The Arterial Baroreflex Sensitivity on Hypertensive Elderly
Fadli, Fadli;
Fatmawati, Fatmawati
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v17i1.24802
Wet cupping therapy can remove toxins and prevent atherosclerosis. This process will stimulate the sensitivity of the arterial baroreflex which will stimulate a decrease in blood pressure. This is to determine the impact of cupping therapy on the sensitivity of arterial baroreflex with blood pressure indicators in the elderly suffering from hypertension. Quasi-experimental research using pre and post-test and group control design approaches. The sampling technique was simple random sampling, consisting of 21 respondents which was carried out from January to April 2020. The statistics used the General Linear Model Repeated Measures (GLM-RM) test. There was a significant difference between the sensitivity of arterial baroreflex on blood pressure measurement indicators before and after 2 weeks of follow-up period at systolic BP p-value = 0.000 (24.29 ± 8.11 mmHg) and diastolic BP p-value = 0.001 (5.24 ± 6.02); between 2 weeks and 4 weeks at systolic BP p-value = 0.000 (10.95 ± 6.25 mmHg) and diastolic BP p-value = 0.000 (9.05 ± 6.25 mmHg); Between 4 weeks and 6 weeks there was no significant difference in the sensitivity of arterial baroreflex on the measurement indicator systolic BP p-value = 0.267 (-1.43 ± 5.73) and BP diastole p-value = 0.771 (-0.48 ± 7.40). Wet cupping therapy effectively increases the sensitivity of arterial baroreflex with an indicator of decreasing blood pressure in the elderly suffering from hypertension to a limit of 4 weeks after therapy and measurement after 6 weeks of having increased blood pressure.
Life Skills Education to Improvement of Teenager’s Knowledge, Attitude, Self-efficacy and Risk Health Behavior
Shaluhiyah, Zahroh;
Indraswari, Ratih;
Kusumawati, Aditya;
Musthofa, Syamsulhuda Budi
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v17i1.22474
IDHS data shows adolescent risky behaviors such as smoking, alcohol, drugs and free sex tend an increasing from year to year. The purpose of this study was to analyze the influence of life skills education on adolescents’ knowledge, attitudes, self-efficacy and prevention of health risk behaviors.This study was a quasi-experimental design with non-equivalent pre-test post-test control group. Of 28 and 60 adolescents at the villages of Sembukan and Sukoharjo, Wonogiri were selected purposively to participate in this study. Life skills education were conduted for 3 months, every week for 6 hours. At the end of the intervention adolescent’s ambassadors were formed called â€Narsis†to share and educate their peers. Data were analyzed by univariate, independent t-test mann whitney and paired t-test. The findings show that there was significant influence on providing lifeskills education to adolescent’s knowledge, attitudes, self efficacy and prevention health risk behaviour at the intervention group. Whilst, there was only a slight increase on knowledge and significantly decrease in attitudes and self-efficacy including the prevention risk behaviors of adolescents at control group. It is recommended that adolescents are necessary to provide intensive and comprehensive life skills education to prevent their risk behaviours.
The Implementation of Healthy Food Diet for High-Risk Pregnant Woman (Amaris) Class on The Level of Knowledge and Attitude of Pregnant Woman
Rina, Diyah Alva;
Meliati, Linda
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 2 (2020)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i2.22579
High-risk pregnant women is a period where pregnant women can experience a variety of risks that are influenced by various factors. If a pregnant woman has more knowledge about the high risk of pregnancy then it is likely that mothers will think of overcoming the problem of risk of pregnancy. High-risk pregnant class mothers with a Healthy Food Diet High Risk Pregnant Women (AMARIS). is one of the means to increase mothers' knowledge and attitudes about pregnancy care. The purpose of this study was to determine the effect of high-risk classes of pregnant women on the level of knowledge and attitudes of mothers about pregnancy care. This study used a pre-experimental research design with one group pretest-posttest, with a total sample of 30 people. The results of the study showed an increase in the average score of knowledge and attitudes after being given a class of resting pregnant women. The average knowledge score before resti pregnant women class was 71.77, while thereafter increased to 88.22. The average score before resting pregnant women for attitude was 72.66, while after that it increased to 77.83. There is an influence of AMARIS class on the level of knowledge and attitudes of high risk pregnant women with p value = 0,000. There is an influence of the Amaris class on the level of knowledge and attitudes of high-risk pregnant women.
Low and High Glycemic Load Diet on Immune Responses of Adolescent Football Athletes
Setyarsih, Liani;
Safitri, Iqlima;
Susanto, Hardhono;
Suhartono, Suhartono;
Fitranti, Deny Yudi
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang
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DOI: 10.15294/kemas.v16i3.23553
High-intensity physical exercise causes physical stress that will suppress immune system in athlete’s body. Decreased immune system function can cause physiological and pathological changes such as fatigue, reduce athlete performance, and increase risk of infection. Regulation diets of glycemic index (GI) and glycemic load (GL) are known to help control blood glucose during exercise so the immune system can be maintained.The purpose of this study was to determine differences effects of low and high glycemic load diets on immune responses in adolescent football athletes. This study was a quasi experimental with multiple time series design, conducted on 22 adolescent football athletes aged 15-17 years old. The subjects were divided into two groups, low GL diet group was given carbohydrate-source foods with GL 9.15, high GL diet group was given foods with GL 27.29. Diet was given once in the morning and 2 hours later subjects doing RAST (Running-based Anaerobic Sprint Test) to trigger physical stress. Immune response was measure using total leukocytes and leukocytes differential count. There were no significant differences in blood glucose levels, leukocyte counts, and leukocytes differential count between low GL and high GL groups (p>0.05). Low GL diet causes an increase in blood glucose and total leukocytes smaller than high GL diet.ÂÂ