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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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Psychosocial Distress in Chronic Disease Patients in Salatiga Muninggar, Jodelin; Sudarmi, Sudarmi; Setyaningrum, Juli
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 2 (2021)
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.v17i2.21541

Abstract

Patients of hypertension (HT), diabetes mellitus (DM), and mixed (DM-HT) have a vulnerability to stress due to illness and psychosocial responses. Research aimed to identify psychosocial distress, the components, and their relationship to levels of GDP, systole/diastole, and cholesterol in three groups. The quantitative survey research was designed for 42 people, with purposive sampling at the Manunggal Clinic. The collection of psychosocial distress data was by a standard questionnaire. While systole/diastole, GDP, and cholesterol levels with an examination in the laboratory, in April-May 2018. Analysis with ANOVA and Pearson test, α0.05. Shows sufferers have low distress, moderate distress, and high distress. The average score of emotional component (3.2), chronic disease management difficulties (3.2), difficulties with doctors (3.0), and difficulties with friends/people around (2.6). ANOVA test showed no significant difference in psychosocial distress scores (p=0,079). The Pearson test showed a weak correlation between psychosocial distress and systole; diastole; GDP and cholesterol. Conclusion: Psychosocial distress of chronic disease sufferers in Salatiga is included in the category of moderate and high. The highest score on the emotional burden component and the difficulty of chronic disease management. There were no significant differences in psychosocial distress scores, blood pressure, blood sugar levels, and cholesterol in the three groups.
Understanding Perinatal Mortality Causes in Indramayu Indonesia Sukriani, Wahidah; Hilmanto, Dany; Susanto, Herman
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 3 (2022)
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.v17i3.24727

Abstract

Perinatal mortality is a useful indicator for assessing pregnancy and delivery care. Indramayu was the fourth-highest perinatal mortality in West Java province in 2015. The cause of death can be prevented from several factors including health workers, patients, referrals, and the availability of healthcare facilities. This study aimed to analyze the causes of perinatal mortality in Indramayu. The Study found 375 perinatal deaths but only 296 cases have documents according to the inclusion criteria. Statistical analysis showed there was an association between maternal disease and referral delays with preventable perinatal mortality (p≤0.05). Maternal disease in Indramayu cannot early be detected due to the lack of antenatal care services and behavioral factors on choosing a helper contributed to referral delays. It is necessary to improve the quality of antenatal care services by doing minimum standard of antenatal care for early detection of maternal disease and improving health promotion about danger sign of pregnancy and choosing birth attendants to reduce referral delays.
Dynamics of Contraception Use in Indonesia Based on Service Sources at Health Facilities Ekoriano, Mario; Ardiana, Irma; Rahmadhony, Aditya
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 2 (2021)
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.v17i2.27965

Abstract

The current use of contraception is dominated by short term methods with a one month drop out rate for contraception pills and injections that contribute 30.6 percent and 46.3 percent, respectively, for women aged 15-49. The high use of short term contraceptives can result in gaps for acceptors to stop using contraception. The analysis aims to investigate switching behaviour among contraceptive users by different source of health facilities both for modern and traditional methods and the analysis also intends to identify sociodemographic factors characterizing switchers. This analysis resulted in four models of sociodemographic factors and their relationship with the possibility of transferring to another contraceptive method which were analyzed using logistic regression in each unit of analysis based on the source of the health facility. Short term contraception is still the favorite, namely injections (50.5 percent) and pills (19.1 percent) are still the main choice for couple of childbearing age. Around 61.2 percent of acceptors who use injectable contraception survive compared to other contraception use in private and community based health facilities. The pattern of family planning use in health facilities in the government sector is at least able to intervene in acceptors in the use of long term contraception which effectively has a lower dropout rate than the dropout rate for short term contraceptives. 
Analysis of Accident and Occupational Diseases with HAZOP Method and The Risk Control of Batik Papringan Workers, Banyumas Parmasari, Damairia Hayu; Suryanto, Suryanto
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 2 (2021)
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.v17i2.26345

Abstract

An industry that has danger is Batik Papringan, Banyumas. Workers have not implemented Occupational Safety and Health (OSH) at work. It can be seen from the physical environment with poor lighting, workplaces that do not apply Ringkas, Rapi, Resik, Rawat, Rajin (5R), not using Personal Protective Equipment, unergonomic position, and feeling anxious due to decreased demand. Therefore, it is necessary to analyze occupational accidents and diseases and their control. The study took time in August 2020. The population was 200 people. The sample was obtained with the inclusion criteria, namely all Batik workers who were actively working until August 2020, while the exclusion criteria were workers who changed professions so that 190 people were obtained. The research design was cross-sectional with mixed-method analysis. The research was conducted using the HAZOP (Hazards and Operability Studies) sheet instrument. HAZOP sheet consists of job observation, hazard identification, Likelihood, and Consequences scoring, risk categorization, and control. The calculation results show that there is an extreme risk of three hazards (exposure to chemicals from wax, cloth dye, wood dust; bending attitude, static position; not applying 5R). The three extreme risks are respiratory disorders, dermatitis, fatigue, low back pain, Carpal Tunnel Syndrome (CTS), effectiveness, and efficiency of work decrease. The conclusion is that workers are at extreme risk. Employees need to be committed to risk management through disciplined risk control.
Metabolic Risk Factors with Stroke Among Indonesians Nissa, Eldha An; Sari, Indah Purnama
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 3 (2022)
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.v17i3.28087

Abstract

Stroke is one of the leading causes of death. It is not only in the world but also in Indonesia. Various factors that trigger the incidence of stroke are known as metabolic risk factors. This study aims to determine the risk of stroke caused by one or more metabolic risk factors. This study used a retrospective cohort design from secondary data from the 2007 and 2014 Indonesia Family Life Survey (IFLS). The population was the population aged 15 years and over. The sample was the population who did not experience a stroke in 2007 as many as 7,707 people. The sampling technique used was multistage random sampling. The results showed that as much as 1.8% of Indonesia’s population aged at least 15 years had a stroke. People with three metabolic risk factors had a 39.9 times higher risk of having a stroke than people without metabolic risk factors (95% CI: 29.3-54.4) after controlling for age, sex, and physical activity. Hypertension was a metabolic risk factor with the greatest risk for having a stroke. Therefore, preventive practices such as controlling and monitoring blood pressure, blood glucose levels and body weight can be carried out through regulating food consumption and engaging in regular physical activity.
Stunting Incidence in Infant Related to Mother’s History During Pregnancy Wati, Erna Kusuma; Wahyurin, Izka Sofiyya; Sari, Hesti Permata; Zaki, Ibnu; Dardjito, Endo
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 4 (2022)
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.v17i4.29179

Abstract

Stunting in an infant aged under two years old will affect the health and well-being of the children in the future. Banyumas Regency has 10 stunting locus villages with various nutritional problems that could lead to the incidence of stunting. Diet, nutritional status, and mother’s history during pregnancy will affect stunting in infants aged under two. This study aims to determine the relationship between the incidence of stunting in under-two infants related to parenting styles and mother’s history during pregnancy in stunting locus villages in Banyumas Regency. This study used a case-control design using a total sampling technique with 181 respondents. This type of data was collected through interviews using a questionnaire to mothers of the infants aged under two. While the measurement of body height and weight of under-five children was derived from the latest weighing data conducted by research enumerators using infatometers and digital baby scales. There was no relationship between maternal age (p = 0.21), birth spacing (p = 0.63), nutritional status (p = 0.40) with the incidence of stunting, and there was a significant relationship between maternal parenting styles and the incidence of stunting (p = 0.04). 
Obesity in Indonesian and Taiwanese Adolescents Related to Self Perception, Diet, Exercise, and Body Image Fauzi, Lukman; Handayani, Oktia Woro Kasmini; Susilo, Mursid Tri; Kurnia, Arif Rahmat; Rahayu, Sri Ratna; Irawan, Fajar Awang; Jing-Horng Lu, Frank; Lin, Cenyi; Lai, Mei Fen; Chiao Yu, Ya
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 3 (2022)
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.v17i3.34396

Abstract

Obesity prevalence in Asia was raising. Self-perception became an increasingly determinant predictor of a healthier lifestyle. The purpose of this study was to investigate the relationship between self-perception and actual BMI among Indonesian and Taiwanese teenagers. This research was cross sectional and using participatory sampling of 415 participants from 6 high schools in Indonesia, and 717 participants from 7 high schools in Taiwan. The data was taken by enumerator using the Obesity Impact on the Quality of Life Perception Questionnaire (ObI-Q) and the Projective Test. Self-perception was statistically associated with actual BMI which state that obesity might be treated by hospital, clinics, or specialist (p0.001). Self-perception was also related to degenerative disease (p = 0.003) and social life (p = 0.04). Self-perception about sports stated that obese people could be as good as normal people (p=0.11). Most teenagers had the correct perception regarding ideal body image (p=0.04). The multivariable analysis showed that teenagers who did not have self-perception of desire to lose weight were 6.37 times more likely to have overweight than teenagers who had self-perception of desire to lose weight. Self-perception of desire to lose weight was a variable with major contribution to actual BMI among teenagers. 
The Determinant of Lung Function Disorders of The Textile Industry Spinning Section Suryadi, Iwan; Nugraha, Aditama Putra; Fitriani, Nurlaila; Rachmawati, Siti
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 4 (2022)
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.v17i4.25069

Abstract

Many factors affect lung function capacity in textile industry workers. This research aims to determine the factors that affect the vital role of pulmonary spinning workers in the textile industry. This research used an analytic observational research design with a cross-sectional approach. The sampling technique used total sampling and getting the sample was 96 people, and measurement of lung vital capacity used spirometry. The Low Volume Sampler was applied to measure dust concentration, and the questionnaire was used to assess the individual characteristics. Bivariate analysis of the variables is the working environment dust, exercise habits, smoking behavior, and gender are significant. The result of multivariate analysis of dust is the most affecting to the lung vital capacity. In conclusion, dust concentrations are classified above the Threshold Limit Value (TLV), so the company should control the source of dust exposure.
The Affecting Factors of Compliance Diabetes Mellitus Type 2 Treatment in Pandemic Era Febrinasari, Ratih Puspita; Solikah, Tri Agusti; Nasirochmi, Dyonisa; Dilma’aarij, Dilma’aarij
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 4 (2022)
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.v17i4.29885

Abstract

Diabetes mellitus (DM) is one of the non-communicable diseases that cause serious health problems. This chronic disease requires lifelong treatment to prevent complications and death. In the pandemic era, DM became comorbid that contributed to the death rate in Covid-19 cases, so that patients with type 2 DM become important to comply with the treatment underway. Aim: This study aimed to evaluate the treatment compliance in patients with DM type 2 at the Purwodiningratan primary health care, Surakarta. Method: This study was conducted in 2020 used an analytical method with crosssectional design. Populations were all of the patients who experience DM type 2, sampling techniques used total sampling with 108 respondents. Univariate, bivariate analysis, and logistic regression were used in this study. Compliance levels measured used the MMAS-8 questionnaire. Result:  The results of this study were obtained from several independent variables that related to compliance with DM type 2 treatment. The descriptive analysis result of patient compliance showed that 70.4% of patients were obedient. The significant variable was the side effects on DM drugs with (OR = -0.44; 95% CI = -0.74 - 0.15; p = 0.003). Conclusion: Most of the patients were adherent to the treatment and the most influencing factor was the side effect of the drug.
Detection of Dengue Virus Transovarial Transmission in Dengue Hemorrhagic Fever Endemic Areas Saepudin, Malik; Kasjono, Heru Subaris; Martini, Martini
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 4 (2022)
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.v17i4.28007

Abstract

Dengue virus is a group of RNA viruses that are highly pathogenic in humans and spread quickly through the bites of Aedes aegypti and Aedes albopictus mosquitoes, especially in tropical countries. More than half a billion out of 100 countries worldwide are at serious risk of dengue virus infection. Vector surveillance activities with Ovitrap and detection of dengue virus types in Aedes aegypti and Aedes albopictus have never been carried out in Pontianak City. It is important in early alert systems at transmission foci. The purpose of this study was to prove the transovarial transmission of dengue virus in Aedes aegypti and Aedes albopictus mosquitoes with a transovarial transmission index (TTI) in endemic areas in Pontianak City, West Kalimantan. The method used in this research is descriptive observational, viral examination method with immunocytochemistry streptavidin-biotin peroxidase complex (ISBPC) and Polymerase Chain Reaction Transcription Reaction (PCR) aimed at proving the presence of transovarial transmission of dengue virus in the same period. The conclusion in this study is that there is evidence of transovarial transmission of dengue virus in Aedes mosquitoes in endemic areas by 29.3% in Sungai Jawi Dalam sub-district, West Pontianak sub-district, and 39.6% in Batu Layang sub-district, North Pontianak sub-district, mosquito density from the results of the Ovitrap Index measurement (OI) in Batu Layang Village is denser, namely 41.3%, compared to Sungai Jawi Village, which is 38.22% and has succeeded in identifying the type of dengue virus, namely the Dengue virus strain, in the two research locations.

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