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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.
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Articles 1,403 Documents
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FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KEJADIAN PENDEK PADA ANAK USIA 6-24 BULAN
KEMAS: Jurnal Kesehatan Masyarakat Vol 11, No 2 (2016)
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.v11i2.4512

Abstract

Berdasarkan data Riskesdas (2013) menunjukkan prevalensi kejadian pendek di Indonesia mencapai 36,8%, Kalimantan Selatan 45%, dan Kabupaten Amuntai Tengah 51% dimana ini sudah menjadi masalah kesehatan masyarakat (≥ 20%). Tujuan dari penelitian ini adalah mengidentifikasi faktor risiko kejadian pendek pada anak usia 6-24 bulan yang dilakukan pada tahun 2014. Desain penelitian adalah cross-sectional dengan besar sampel sejumlah 117, populasinya merupakan ibu-ibu yang memiliki anak berusia 6-24 bulan dan sampel terdiri dari anak yang berusia 6-24 bulan. Analisis data bivariat menggunakan uji chi square dengan Confidance Interval (CI) 95%. Hasil analisis menunjukkan tidak ada hubungan antara status pekerjaan ibu (p=0,873), tinggi badan ayah (p=0,880), dan tinggi badan ibu (p=0,123), serta terdapat hubungan antara riwayat status BBLR (p=0,015) dengan kejadian pendek pada anak usia 6-24 bulan. Anak dengan berat badan lahir yang rendah memiliki risiko 5,87 kali untuk mengalami kejadian pendek.Berdasarkan data Riskesdas (2013) menunjukkan prevalensi kejadian pendek di Indonesia mencapai 36,8%, Kalimantan Selatan 45%, dan Kabupaten Amuntai Tengah 51% dimana ini sudah menjadi masalah kesehatan masyarakat (≥ 20%). Tujuan dari penelitian ini adalah mengidentifikasi faktor risiko kejadian pendek pada anak usia 6-24 bulan yang dilakukan pada tahun 2014. Desain penelitian adalah cross-sectional dengan besar sampel sejumlah 117, populasinya merupakan ibu-ibu yang memiliki anak berusia 6-24 bulan dan sampel terdiri dari anak yang berusia 6-24 bulan. Analisis data bivariat menggunakan uji chi square dengan Confidance Interval (CI) 95%. Hasil analisis menunjukkan tidak ada hubungan antara status pekerjaan ibu (p=0,873), tinggi badan ayah (p=0,880), dan tinggi badan ibu (p=0,123), serta terdapat hubungan antara riwayat status BBLR (p=0,015) dengan kejadian pendek pada anak usia 6-24 bulan. Anak dengan berat badan lahir yang rendah memiliki risiko 5,87 kali untuk mengalami kejadian pendek.
TINGKAT KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK TERAPI HEMODIALISIS
KEMAS: Jurnal Kesehatan Masyarakat Vol 6, No 2 (2011)
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.v6i2.1760

Abstract

Gagal ginjal kronik (GGK) menjadi masalah besar dunia karena sulit disembuhkan, biaya perawatan dan pengobatannya mahal. Hemodialisa (HD) merupakan salah satu terapi pengganti fungsi ginjal yang rusak. Tujuan penelitian ini untuk mengetahui adanya  perbedaan kualitas hidup pasien GGK sebelum dan sesudah menjalani terapi HD di RSUD Kota Semarang, dilihat dari empat dimensi (fisik, psikologis, sosial, dan lingkungan). Penelitian ini menggunakan desain eksperimen semu melalui pendekatan one group pre-post test design.  Pengambilan sampel menggunakan consecutive sampling, dengan jumlah sampel 30 responden. Alat pengambilan data menggunakan kuesioner WHO QoL-BREF. Terdapat  perbedaan yang signifikan pada kualitas hidup pasien GGK sebelum dan sesudah menjalani terapi HD (dimensi fisik p= 0,0001; dimensi psikologis p= 0,001; dimensi sosial p= 0,001; dimensi lingkungan p= 0,001). AbstractChronic kidney disease (CKD) is still a major problem in the world. In addition to difficult to cure, care and treatment costs were expensive. Hemodialisis (HD) is one of the replacement therapy of damaged renal function. The purpose of this study was to detect differences in CKD patients’s quality of life before and after undergoing HD therapy viewed from the four domains / dimensions (physical, psychological, social and environmental). This research design was a quasy-experiment with one group pre-post test design. Sampling technique was consecutive sampling, and we collected a number of 30 respondents. Data retrieval tool was using WHO QoL-BREF questionnaire. We find sygnificant life quality differences of patients before and after have HD theraphy (physical dimension p= 0.0001; psychology dimension p = 0.001; social dimension p = 0.001, and environment dimension p = 0.001).Keywords: Quality of Life; Chronic Kidney Disease; Hemodialisis
PENERIMAAN MASYARAKAT TERHADAP LARVASIDA ALAMI
KEMAS: Jurnal Kesehatan Masyarakat Vol 8, No 1 (2012)
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.v8i1.2817

Abstract

Penggunaan insektisida khusunya larvasida kimia sintetik meninggalkan residu yang berdampak negatif bagi lingkungan, sehingga dikembangkan penelitian larvasida alami untuk menekan dampak negatif larvasida kimia. Penelitian tentang larvasida sebelumnya telah banyak dilakukan dilaboratorium namun penerapan dimasyarakat belum dilakukan. Penelitian ini bertujuan mengetahui gambaran penerimaan masyarakat terhadap larvasida serai. Penelitian dilakukan di Kota Semarang pada tahun 2011, dengan desain deskriptif study ini melibatkan 25 responden sebagai penilai untuk menilai penerimaan larvasida serai dalam aspek tampilan (warna dan bau), kemudahan penggunaan, penerapan di tempat perkembangbiakan nyamuk, dan ketersediaan bahan larvasida.  Dianalisis dengan metode deskriptif presentase. Ekstrak berpotensi untuk diterima di masyarakat sebagai larvasida, karena memiliki bau yang disukai oleh masyarakat dan ketersediaan bahan yang cukup melimpah di alam. Namun keraguan masyarakat untuk menerima ekstrak serai sebagai larvasida dikarenakan proses penggunaannya berkaitan dengan penggunaan air bersih untuk keperluan sehari-hari. Sehingga mengurangi minat masyarakat dan lebih cenderung untuk lebih memilih menguras bak mandi daripada menggunakan larvasida. The use of synthetic chemical insecticides especially larvacide leave residues that have a negative impact on the environment, so the natural larvacide research was developed to reduce the negative impact of chemical larvacide. Research on larvacide laboratory has previously done in the community, but the application has not been done. This study aims to reveal the public acceptance of larvacide lemongrass. Study design was descriptive study involving 25 respondents as assessor for acceptance larvacide lemongrass display aspect (color and odor), ease of use, application in mosquito breeding sites, and the availability of materials larvacide.  Analyzed with descriptive method percentage. Extract the potential to be accepted in society as larvacide, because it has the smell is liked by the community and the availability of materials are relatively abundant in nature. But doubts the public to accept as lemongrass extract larvacide use due process associated with the use of clean water for daily use. Thereby reducing the interest of the community and are more likely to prefer the bathtub drain instead of using larvacide.
Long Bean Leaf Extract for Improving Haematological Status of Female Adolescent with Anemia that Gets Fe Supplementation
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2020)
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.v16i1.23203

Abstract

The incidence of anemia among female adolescent in Indonesia is 48.9%, due to menstruation, poor nutrition intake and worm investment. Long-term effects of anemia in female adolescent can occur stunting. Pharmacological anemia management by taking Fe supplements but these supplements can cause nausea. Nausea can be avoided by non-pharmacological anemia treatment by consuming Fe-containing foods such as long bean leaves. Long bean leaf contains Fe which can accelerate the absorption process of it in the body. The objective of the research was to analyze the effect of long bean leaf extract on changes in anemia status of female adolescent given Fe supplementation. Quasy experiment research design with pretest posttest with control group design. Data was collected for 14 days with 38 respondents. The treatment group was given 200 mg / day long bean leaf extract and Fe supplement, while the control group was given Fe supplement. Hemoglobin, hematocrit and erythrocyte levels were measured before and after the intervention. Data analysis used paired and independent sample t tests. The results showed the treatment group experienced increased levels of hemoglobin, hematocrit and erythrocytes by 1.45 gr / dL (p: 0.02), 3.61% (p: 0.019) and 0.53 x 106 / µl (p: 0.013 ). 200 mg / day long bean leaf extract given to young women with anemia who received iron supplementation for 14 days improved hematological status as indicated by an increase in hemoglobin levels, hematocrit and erythrocyte counts.
The Effect of Counseling on Improving Knowledge, Attitude, and Behavior in Efforts to Prevent and Control Non-Communicable Diseases
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019)
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.v14i3.10469

Abstract

Non-communicable diseases in Bengkulu Province has been increasing from 2007 to 2013. Integrated non-communicable disease development post (Posbindu PTM) is a platform for community participation in early detection and monitoring of risk factors in an integrated and periodic manner. Counseling on Posbindu PTM activities is one of the factor that could improve knowledge, attitude and behavior towards prevention and control of non-infectious diseases (NCDs). The study aimed to investigate the influence of counseling on the improvement of knowledge, attitude and behavior towards NCDs prevention and control. Through a quantitative research with quasi-experimental design, counseling at Posbindu PTM Damai and Padang Harapan Kota Bengkulu was conducted. The population and samples were all 32 members of Posbindu PTM. We found a difference in knowledge, attitude, and behavior before and after counseling from dependent and independent t-test analysis. The Community Health Centers (Puskesmas) need to train their cadres so that they are capable to counsel Posbindu PTM members to improve their knowledge, attitudes, and behavior towards prevention and control of NCDs.
Differences in Risk Factor of Cardiovascular Disease Risk on Rural and Urban Population
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 1 (2017)
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.v13i1.4174

Abstract

Cardiovascular disease is a global threat. This study aimed to obtain a description of cardiovascular disease pattern among rural and urban population in Ponorogo. Two locations were chosen to represent rural and urban area through cluster sampling. Cross sectional study design was chosen with a sample size of 350 respondents. The research instrument was adopted from WHO STEPS. Difference in prevalence between the two clusters were analyzed with ?2 test, with ?=0.05. The result showed that the prevalence smoking and alcohol consumption among males were higher in rural than urban population (p= 0.04 and p=0.012 respectively). The prevalence of unhealthy fruit consumption was higher in both sexes from rural population (p =0.025 and p=0.012). Hypertension was higher among rural female compared to female living in urban area (p=0.024).
FAKTOR RISIKO MULTIDRUG RESISTANT TUBERCULOSIS (MDR-TB)
KEMAS: Jurnal Kesehatan Masyarakat Vol 8, No 1 (2012)
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.v8i1.2260

Abstract

Multi Drug Resistant (MDR-TB) merupakan masalah terbesar dalam pencegahan dan pemberantasan TB dunia. Indonesia berada di peringkat 8 dari 27 negara dengan MDR-TB terbanyak di dunia. WHO global report 2010, memperkirakan pasien MDR-TB di Indonesia berjumlah 8.900. MDR-TB adalah penyakit yang disebabkan Mycobacterium tuberkulosis yang resisten minimal terhadap rifampisin dan isoniazid. Masalah penelitian adalah faktor risiko apa yang berhubungan dengan MDR-TB. Penelitian ini bertujuan untuk mengetahui berbagai faktor risiko MDR-TB. Metode penelitian survei dengan  kasus kontrol. Populasi kasus adalah penderita TB yang terbukti resisten positif dan sampel kontrol adalah penderita yang terbukti resisten negatif. Perbandingan kasus:kontrol= 32:32. Analisis data dengan dengan regresi logistik. Hasil penelitian menunjukkan bahwa faktor risiko yang terbukti berpengaruh terhadap kejadian Multi Drug Resistant (MDR-TB) yaitu motivasi penderita yang rendah OR =4,2 (CI=1,478-11,94) dan ketidakteraturan berobat OR=2,3 (CI=1,38–10,28). Diperlukan berbagai dukungan khususnya yang berasal dari keluarga dan lingkungan pasien agar dapat memotivasi penderita TB paru bahwa penyakitnya dapat disembuhkan dan melakukan pengobatan dengan teratur. Simpulan penelitian adalah motivasi penderita yang rendah dan ketidakteraturan berobat berpengaruh terhadap kejadian Multi Drug Resistant. Multi Drug Resistant (MDR - TB ) is the biggest problem of TB prevention and eradication in world. Indonesia is ranked 8 of 27 countries with MDR-TB in the world. WHO global report 2010, estimated MDR-TB patients in Indonesia amounted to 8.900. MDR-TB is caused by Mycobacterium tuberculosis that resistant to at least rifampicin and isoniazid. The purpose of research was to determine MDR-TB risk factors. A survey method was conducted with case-control. The population were TB case patients who positive and control who negative resistance by test. Comparison case: control = 32:32. Data analyzed by multivariate logistic regression. The results showed that the risk factors of MDR-TB were low patient motivation OR=4.2 (CI=1.478 to 11.94) and treatment irregularity OR=2.3 (CI=1.38 to 10,28). Required a variety support, especially from family and environment in order to motivate patients with pulmonary tuberculosis that their disease can be cured and do the treatment regularly. Research conclusion, low motivation and irregularity treatment had effect to Multi Drug Resistant.
Altered Baseline of Plasma Glucagon Level in pre-Obese to very Obese Persons
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (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.v17i1.24703

Abstract

“Bihormonal hypothesis” is disturbances of both insulin and glucagon in diabetes mellitus. It resulted in a high blood glucose level. Interestingly, as one of Diabetes Mellitus’s risk factors and metabolic disorders, obesity may also play role in altering homeostasis and regulation of glucose metabolism in blood and its utilization in tissues. Unfortunately, there is limited information about the alteration of glucagon levels in various degrees of obesity. This research objective is to learn the plasma glucagon levels alteration in pre-obese, obese, and very obese persons in Jatinangor in 2015. We had observed 31 obese female subjects in one village. This study was conducted using descriptive quantitative with cross-sectional design. Blood vein samples from the left arm were collected, stored, and transferred to Dr.Hasan Sadikin General Hospital. Glucagon plasma was measured by the ELISA method. We discovered an interesting pattern that showed a correlation between glucose level and the glucagon level in a very obese group. We observed average glucose level is declined and linearly associate with the glucagon level from pre obese to obese and to very obese group. The average level of glucagon in the pre-obese group is 158.62 pg/mL, the obese group is 149.99 pg/mL, and the very obese group is 111.98 pg/mL.
Implementation of Hazard Analysis Critical Control Point Nutrition Service at Toto Kabila Regional Public Hospital, Bone Bolango
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 2 (2019)
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.v15i2.21222

Abstract

Hospitalized patients are very susceptible to various food-borne diseases. Food management in the hospital needs more careful attention. Hazard Analysis Critical Control Point (HACCP) is a preventive control system based on identification of critical points in the management and production of food as a way to ensure food safety. The objective of this study is to identify the implementation of HACCP principles in nutritional and dietetic service of RSUD Toto Kabila, Bone Bolango. This qualitative study employed descriptive survey method with HACCP as the study focus. The informants consist of eight people; three people as key informants and five people as triangulation informants obtained by purposive sampling. Data were analyzed using Miles and Huberman method, in which the collected data was written as matrix and then as checklist. The result revealed that nutrition and dietetics of RSUD Toto Kabila Bone Bolango was yet to implement HACCP according to the national standard (without documentation). This issue attributed lack of facilities and human resources at the department. It is suggested that the hospital implements HACCP according to the Indonesian National Standard as well as provides supporting facilities.
Canavalia ensiformis Protein Extract Effect Toward Serum Lipid Profile of Hypercholesterolemic Sprague Dawley Rat
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018)
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.v14i1.10678

Abstract

Riskesdas 2013 showed the prevalence of abnormal total cholesterol levels in Indonesia is 35.9%, low HDL cholesterol is 22.9%, high LDL cholesterol is 15.9%, and high triglyceride is 11.9%. This study aimed to prove the effect of jack bean protein extract toward serum lipid profile of a hypercholesterolemic rat. This was a true experimental study conducted in September 2016 with post-only control group design. Twenty four male Sprague Dawley rats were randomly classified into 4 different groups; control negative group (C-), control positive group (C+), first experimental group (X1) which was given jack bean extract 4g/200g of body weight of the rat per day, and second experimental group (X2) which was given jack bean extracts 6g/200g of body weight of the rat per day. Treatment for 2 weeks showed a significant effect. Total cholesterol, LDL cholesterol, and triglycerides levels of groups with protein jack bean extract administration were lower than the positive control group (p 0.05). Increasing doses of jack bean extracts was linear with serum lipid profile improvement of Sprague Dawley Rat. These result indicated the positive effect of jack bean protein extract toward serum lipid profile of hypercholesterolemic Sprague Dawley Rat.

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