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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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The Impact Langgams Music Instrumental of Javanese Style to Reduce Anxiety and Labor Pain
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (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.v16i3.23876

Abstract

Anxiety is a psychological factor that contributes to labor pain. The prevalence of mothers who experience anxiety before labor is 10-50%. Intervention to reduce anxiety and increase relaxation by listening to music. The research purpose is to analyze labor anxiety and pain to the group given intervention Langgam, music instrumental of Javanese style, with midwifery care routine. The research method used by Randomized Controlled Trial Experimental is an experimental study using random procedure to allocate various research factors to the research subject, so only the chance factor places the research subject into the intervention or control groups. There are 60 research subjects, the primiparous mothers, in the labor phase in Surakarta Hospital from December 2nd, 2019 - February 27th, 2020, with simple random sampling. Data analysis by Mann Whitney test and independent simple T-test. Result: For anxiety level, there is a significant difference between Javanese style Instrumental music (mean: 33.9) and midwifery care routine (mean: 37.9) with p value = 0.000. For labor pain, there is a significant difference between Javanese style Instrumental music (mean: 64.83) and midwifery care routine (mean: 76.13) with p value = 0.000. Conclusion: Langgam Music Instrumental of Javanese Style can reduce labor anxiety and pain in primiparous mothers in the first phase of active labor.
Proximate Determinant of Adolescents Fertility in Central Java
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (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.v15i1.21364

Abstract

Adolescent fertility is an important issue in terms of health and social care due to its relation to morbidity and mortality of mothers and children. The 2017 IDHS provided data regarding the percentage of women aged 15-19 who already became mothers or pregnant with their first child according to background characteristics. The 2017 IDHS results showed 7 percent of women aged 15-19 were mothers: 5 percent had given birth and 2 percent were pregnant with their first child. This study used a quantitative secondary data analysis approach. The secondary data used were the results of the Central Java IDHS 2017. The population of this study was all adolescent girls aged 15-19 years in Central Java. The unit analysis in the study were women of childbearing age which were 15-19 years from the analysis unit of Central Java IDHS in 2017 with a total sample of 4,560 respondents. From the results of the study, we noted that factors related to adolescent fertility in Central Java were age, education, use of contraception, marital status, status of living with a partner, and practice of sexual relations. Factors which were not related to adolescent fertility in Central Java were occupation, wealth, type of residential area, insurance ownership, duration of abstinence, partner's age, partner's level of education, and partner's occupation.
Soil Transmitted Helminths Infection in Elementary School Students in Highland and Lowland Areas of Gianyar Regency
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 3 (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.v13i3.6507

Abstract

Soil-Transmitted Helminths (STH) Infection is a worm infection which is transmitted through soil. STH is still a public health problems around the world, including Indonesia. The tropical climates of Indonesia is a suitable environment for viability of STH. The prevalence of STH in Bali since 2003-2007 reached 40.94%-92.4%. The altitude of an area may affect the rate of STH infection. The rate of STH infection is higher on population in highland area compared to lowland area. This study aimed to identify risk factors of STH infection in elementary school students in highland and lowland area in Gianyar Regency. This study used cross sectional analytic design and was conducted in 2016. The total samples of this study were 104 students which were consisted of 53 students in highland area and 51 students in lowland area. The samples were collected using cluster random sampling technique. The specimens were examined using Kato-katz method. The results showed that the prevalence of STH infection in elementary school students in highland area (28.31%) was higher than in lowland area (1.96%). In lowland area, the risk factor could not be clearly identified because there was only one student with a positive STH infection. Meanwhile, the identified dominants risk factors which influence STH infection in highland area were habit of washing hands using soap (AOR=24.99), fingernails cleanliness (AOR= 13.19) and parents income (AOR=18.83).
ANALISIS SITUASI PERMASALAHAN SAMPAH KOTA YOGYAKARTA DAN KEBIJAKAN PENANGGULANGANNYA
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.v11i2.3989

Abstract

Kontak langsung dengan sampah dapat berisiko mengalami gangguan kesehatan. Volu-me sampah dipengaruhi oleh jumlah penduduk, aktivitas, dan gaya hidup. Pemerintah daerah memberlakukan berbagai kebijakan untuk mengatasi permasalahan sampah sebagai bentuk tanggung jawab pelayanan publik. Tujuan dari penelitian ini adalah untuk mengetahui permasalahan sampah dan upaya penanganan di Kota Yogyakarta. Metode penelitian adalah deskriptif kualitatif. Teknik pengambilan sampel dengan cara purposive sampling. Informan merupakan stakeholder pengelolaan sampah di Yogyakarta. Data diolah dan disajikan dengan metode explanation building. Sampah di TPA Piyungan tertinggi pada Maret 2014 dan terendah pada Juli 2014. Kota Yogyakarta penyumbang sampah terbanyak di TPA Piyungan, kemudian Kabupaten Sleman dan Bantul. Volume sampah tertinggi pada 2012 dan terus menurun sampai tahun 2014. Semua permasalahan ada dari sisi hilir (masyarakat), proses (pengelola sampah) dan hulu (TPA). Setelah semua diidentifikasi, dibuat suatu kebijakan pengelolaan sampah secara optimal dengan melibatkan semua lintas sektoral dan program-program pemberdayaan oleh stakeholder terkait.Direct contact with the waste can be increasing health problems risk. The volume of waste is affected by population, population activities, and lifestyle. Government enforces many policy in order to address the waste problems. The purpose of this study was to find out the waste problem in the Yogyakarta Municipality and to know the strategy to handling it. Qualiative study was applied in this research. The informant was a delegation of stakeholder regarding waste management, with purposive sampling. Analysis data were performed by using explanantion building using content analysis. The highest number of waste was produced on March 2014 and the lowest on July 2014.. In Yogyakarta municipality,  TPA Piyungan gave biggest waste contribution. . The peak of waste volume was in 2012 and tend to decrease until 2014. All the waste problems started from the downstream (community) , process (government who manage waste) and upstream (TPA). All problem were identified and government made a policy about manage waste that involved all sectoral empowering program by stakeholder on waste management.
FAKTOR RISIKO CHOLINESTERASE RENDAH PADA PETANI BAWANG MERAH
KEMAS: Jurnal Kesehatan Masyarakat Vol 8, No 2 (2013)
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.v8i2.2822

Abstract

Penggunaan pestisida yang tidak sesuai dengan prosedur mengakibatkan gangguan kesehatan pada petani. Salah satu indicator keracunan pestisida adalah melihat aktivitas Cholinesterase pada tubuh petani. Tujuan penelitian ini untuk mengetahui faktor yang berhubungan dengan Cholinesterase pada petani bawang merah di Ngurensiti Pati. Penelitian dilakukan pada tahun 2012, jenis penelitian ini Explanatory Research dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah kelompok tani bawang merah “Ngudi Makmur”. Sampel berjumlah 50 petani. Instrumen yang digunakan yaitu kuesioner dan pemeriksaan Cholinesterase  Analisis data dilakukan secara univariat dan bivariat (Chi-Square).  Hasil pemeriksaan pada petani Desa Ngurensiti Pati didapat hasil 50% petani dengan Cholinesterase di bawah normal. Simpulan penelitian ini adalah ada hubungan antara frekuensi penyemprotan (p-value 0,011) pemakaian APD (p-value 0,047), status kesehatan (p-value 0,01) sikap (p-value 0,024), pengetahuan (p-value 0,02), dengan Cholinesterase, dan tidak ada hubungan antara lama penyemprotan (p-value 1,000), hygiene perorangan petani (p-value 0,774), masa kerja (p-value 1,000), dengan Cholinesterase. Pesticide was not used in accordance with the procedures can cause health problems to farmers. One indicator of pesticide poisoning was seem in Cholinesterase activity in the body of farmers. The purpose of this study to determine the factors associated with cholinesterase on onion farmers in Ngurensiti Pati. The research was used explanatory research with cross-sectional. The population in this study was the onion farmer groups “Ngudi Prosperous”. The sample amounted to 50 farmers. The research instruments was questionnaire and examination data were analyzed by cholinesterase univariate and bivariate (Chi-Square). Examination results in farmers Ngurensiti Pati village got the result 50% of farmers with below normal cholinesterase. The conclutions of this study was no relationship between the frequency of spraying (p-value 0.011) Personal Protective Equipment use (p-value 0.047), health status (p-value 0.01) attitude (p-value 0.024), knowledge (p-value 0.02), a cholinesterase, and no association between duration of spraying (p-value 1.000), personal hygiene farmers (p-value 0.774), year (p-value 1.000), with cholinesterase.
Risk Factors for Malaria in Pregnant Women
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.v14i3.13443

Abstract

Malaria is a major worldwide contagious disease, including Indonesia, and is an important public health issue. Prevalence of malaria among pregnant women and its risk factors in Pesawaran, Lampung Province are currently unknown. This study was a cross-sectional study using rapid survey method. Data was analyzed with chi square and logistic regression. Malaria prevalence was 47.6 per mile, spread over 5 out of 11 sub-districts. One important information was the discovery of pregnant women with malaria in non-endemic districts. The result of bivariate analysis proved a relationship between knowledge and malaria with p-value 0.007 and Odds Ratio (OR) 10. Maternal behavior had p-value of 0.009, OR 9, while usage of mosquito nets had p-value of 0.01, OR 5. The multivariate analysis model formula found was Y (pregnant woman with malaria) = -7.546 + 2.353 (knowledge) + 2.270 (usage of mosquito net) + 2.250 (house condition), and pregnant woman probability of malaria 33.9%. Prevention efforts should be done through strengthening of integrated maternal class groups into malaria programs in all areas. 
The Positive Deviance of Feeding Practices and Carring With Nutritional Status of Toddler Among Poor Families
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.v13i1.7919

Abstract

There are poor families with income less than minimum wage (IDR 1,900,000 / month) In Baru Village, Sarolangun Jambi. However, in reality the majority of toddler in the village have a relatively good nutritional status. The purpose of this study was to know the positive deviance of feeding practices and carring with nutritional status of toddler among poor families. This study used a cross-sectional study design. This research was conducted on April until August, 2016 in Village’s Baru, Sarolangun, Jambi. The sampling technique in this study was total sampling. The samples was 84 under five age children from poor families. Determination of nutritional status using indicators of Weight for Age, which refers to the standard Kemenkes RI. The data of positive deviance taken using a questionnaire tools. The data collected was analyzed by univariate and bivariat test(chi-square test). The results showed that the positive deviance of infant feeding practice habits (91,7%), toddler’s care (85,7%), nutritional status of toddler (90,5%) categorized was good. The conclusion, the are relationship between positive deviance of feeding practices and carring with nutritional status of toddler among poor families (p0,05).
FAKTOR RISIKO KANKER PAYUDARA WANITA
KEMAS: Jurnal Kesehatan Masyarakat Vol 8, No 2 (2013)
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.v8i2.2635

Abstract

Masalah penelitian adalah faktor risiko apa saja yang berhubungan dengan kejadian kanker payudara. Tujuan penelitian ini adalah untuk mengetahui faktor risiko yang berhubungan dengan kejadian kanker payudara di RSUD Kudus Tahun 2010. Metode penelitian adalah analitik obsevasional dengan rancangan kasus kontrol. Sampel kasus dalam penelitian ini adalah penderita kanker payudara pasien RSUD Kudus dan sampel kontrol adalah wanita bukan penderita kanker payudara yang merupakan tetangga dari penderita kanker payudara, sejumlah 59 kasus dan 59 kontrol yang diperoleh dengan teknik total sampling. Instrumen yang digunakan dalam penelitian ini adalah kuesioner. Analisis data dilakukan menggunakan uji Chi-Square (α=0,05). Hasil penelitian menunjukkan faktor yang berhubungan dengan kejadian kanker payudara adalah obesitas (p=0,00; OR=4,49; CI=2,01-10,02), usia melahirkan anak pertama (p=0,00; OR=4,99; CI=1,90-13,87), riwayat pemberian ASI (p=0,00; OR=5,49; CI=2,05-14,74), dan usia menarche (p=0,00; OR=6,66; CI=2,84-15,65). Simpulan penelitian adalah faktor yang berhubungan dengan kejadian kanker payudara adalah obesitas, usia melahirkan anak pertama, riwayat pemberian ASI, dan usia menarche. Research problem was what the risk factors of breast cancer. Research purpose was to determine the risk factors of breast cancer in Kudus hospitals Year 2010. The method was analytic observational study with case-control design. Sample cases were hospital patients with breast cancer and control samples were women without breast cancer who was neighbor of breast cancer patients, a number of 59 cases and 59 controls were obtained with a total sampling technique. The instrument used a questionnaire. Data analysis by Chi-square test (α=0.05). The results showed that there were correlation the incidence of breast cancer with obesity (p=0.00; OR=4.49 CI= 2.01 to 10.02), the first child bearing age (p=0.00; OR=4.99 CI=1.90 to 13.87), history of breast feeding (p=0.00; OR=5.49 CI=2.05 to 14.74), and the age of menarche (p=0,00; OR=6.66 CI=2.84 to 15.65). Research conclusion, obesity, age of first child, breastfeeding history, and age of menarche were risk factors of breast cancer.
The Role of Caregivers in Elder Care during Coronavirus Disease-2019 Outbreaks
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.v17i1.26134

Abstract

The elderly and their caregivers are at higher risk from Coronavirus Disease-2019, particularly for elderly with chronic health conditions. To prevent the transmission of the virus, those elderly issued strict physical distance, restricting most interactions between the elderly and their caregivers. On the other side, caregivers can serve as crucial and trusted partners in the elderly’s care to curb the spread of the COVID-19 virus. Hence, this study aims to analyze the knowledge, attitudes, practices (KAP), and the role of caregivers in providing services to the elderly during the outbreaks. A descriptive quantitative study was conducted from May to June 2020. The survey was utilizing Google Forms in four cities in Indonesia. A total of 317 out of 400 participants had completed the survey. The knowledge of the COVID-19 score was 79.50%, attitude 92.11%, and practice 90.54%. The caregivers’ role in protecting the elderly from COVID’s infection was about 98.42%. They could continue their routine activities during physical distancing 84.54%, treated elderly by not going to the hospital (60.04%), not visited any crowded place, wore masks and washed their hand after activity (87.38%). They agreed that government would finally successfully control COVID-19 (90.22%). This study concluded that the knowledge, attitude, practice and role of caregivers on COVID-19 effectively prevents the caregivers neglecting the elderly during the COVID-19 outbreak. Future information on elderly care need to consider not just the risks of the virus, but also the healthy lifestyle.
Consumption Pattern by Improving Blood Glucose Levels of Family Planning Acceptors of Injection Depo-Medroxy Progesterone Acetate
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 3 (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.v15i3.20799

Abstract

The most popular injection contraception in Kupang city is injection contraception. The use of injectable birth control, especially depo-medroxy progesterone acetate (DMPA) more than 4 times, will potentially increase weight. This weight gain, if not balanced with a healthy diet, will potentially increase blood glucose levels. The purpose of this study is to determine the relationship of consumption patterns with an increase in blood glucose levels in DMPA injection acceptor family planning in Kupang city. This study uses a cross-sectional design. 200 respondents selected using a purposive sampling technique with inclusion criteria have used DMPA injection family planning for more than 1 year and gained weight. Data collection uses a questionnaire and measurement of glucose levels uses auto-check. Data are analyzed bivariate and multivariate. The results of blood glucose level measurements showed that 32 (16%) of respondents have glucose levels above normal. The results of the analysis showed that the habit of consuming fatty foods significantly affected the increase in blood sugar of DMPA injection acceptor family planning.

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