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Jurnal Berkala Epidemiologi

JBE
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Published by Universitas Airlangga

ISSN : 23017171 EISSN : 2541092X DOI : -

Core Subject : Health, Science,

Immunology & microbiology Public Health

The scope of JBE are Epidemiology of Communicable Disease, Epidemiology of Non-communicable Disease, Tropical Disease, Epidemiology Surveillance, Management Outbreak, Epidemiology of Preventable Disease, and Epidemiology of Cancer.

Arjuna Subject : -

Articles 489 Documents

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Measles Surveillance Attributes Assessment Based on Surveillance Officers’ Perception of Public Health Center in Surabaya Bilqis Elfira Maharani; Arief Hargono
Jurnal Berkala Epidemiologi Vol. 2 No. 2 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Measles is one of infectious diseases that potentially lead to death when complications occur. Surabaya is the area where the most measles cases occur in East Java. Surveillance as one of measles controlling efforts expected to provide qualified data and information as the basis for any decision making for a treatment or intervention. This study is a descriptive research aiming at evaluating the attributes of measles epidemiology surveillance system in Surabaya on 2012. The evaluation was done by assessing the attributes of surveillance then compared to technical guide for measles surveillance 2012, the decree of the health ministry of The Republic of Indonesia at 2003 about conducting surveillance system of health epidemiology guideline, and guidelines for evaluating surveillance systems from center for disease control and prevention 2001. The data collection method employed interview and observation or study documentation. The respondents of this study were 39 surveillance officers at 39 Public health center (PHC) in Health Department Surabaya working area. The variables of this study were simplicity, flexibility, data quality, acceptability, sensitivity, predictive value positive, representativeness, timeliness, and stability. The results of this study showed that the simplicity is complicated. The flexibility from case based measles surveillance is not flexible whereas the flexibility from early warning alert and response system is flexible. The data quality, acceptability, sensitivity and representativeness are low. The predictive value positive has not been able to be scored. The stability is high and the timeliness is punctual.

The Risk Factors of Pneumonia Disesase at Babies Under Five Years Old Based on Measles Imune Status and Breast Freeding Exclusive Status Dian Eka Puspitasari; Fariani Syahrul
Jurnal Berkala Epidemiologi Vol. 3 No. 1 (2015): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Pneumonia in infants is included in the top 10 most illnesses in children aged 1-5 years in the hospitalization of children at the Regional Public Hospital of Bhakti Dharma Husada (RSUD Bhakti Dharma Husada) Surabaya in the period 2011-2013. This study aims to analyze the risk factors for pneumonia in infants based on measles immunization status and the status of exclusive breastfeeding (ASI). The type of research is analytic observational with a case-control design. This research was conducted in the inpatient ward of the RSUD Bhakti Dharma Husada Surabaya in January - April 2014. The study sample consisted of 20 samples of cases of toddlers suffering from pneumonia taken in total populations and 40 control samples of toddlers taken from neighboring cases and had no history of pneumonia or other respiratory diseases. The independent variables studied included measles immunization status and exclusive breastfeeding status, while the dependent variables studied included pneumonia in infants. Data analysis using StatCalc by calculating the odds ratio The results showed that most toddlers with pneumonia were male and aged 1 to less than 2 years. Measles immunization (OR = 10.23; 95% CI = 1.60-107.95) and exclusive breastfeeding (OR = 7.00; 96% CI = 1.82 - 29.49) affect the incidence of pneumonia. The importance of increasing parental awareness about measles immunization and exclusive breastfeeding can prevent the incidence of pneumonia in infants.

Analysis Risk Factors of Asphyxia Neonatorum Agustin Dwi Syalfina; Shrimarti Rukmini Devy
Jurnal Berkala Epidemiologi Vol. 3 No. 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Antenatal care is an effort to promote, protect, and maintain maternal health during pregnancy and reduce maternal and infant mortality. The scope of antenatal care also includes the detection and treatment of pregnant women with high-risk cases and the detection and prevention of complications of pregnancy and childbirth. Complications of pregnancy and childbirth result in asphyxia neonatorum. The number of cases of asphyxia neonatorum in Mojokerto District was 46.9% in 2010 and 39.7% in 2014. The purpose of this study was to analyze the effect of antenatal care quality on asphyxia neonatorum in Mojokerto district. This type of observational analytic study was a case-control design with a large sample of cases and controls of 80 infants. Data were analyzed using univariate, bivariate, and multivariate analysis with logistic regression tests. The results of this study indicate that the quality of antenatal care has a significant effect on neonatal asphyxia (OR = 8,556; 95% CI: 2,777-26,358). Confounding variables that affect neonatal asphyxia are maternal occupation (OR = 4,558; 95% CI: 1,391–14,298), basic education (OR = 21,620; 95% CI: 1,932–241,886), secondary education (OR = 20,977; 95% CI : 1,819–241,872). Conclusion The quality of antenatal care influences neonatal asphyxia. A suggestion based on the results of this study is that health workers are expected to conduct health education to the community and family about the importance of antenatal care checks and antenatal care services that must be obtained from health workers.

Association Between Family Support and Post-Stroke Activity of Daily Living Autonomy Esa Karunia
Jurnal Berkala Epidemiologi Vol. 4 No. 2 (2016): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

The number of stroke patients in Indonesia has increased every year. Stroke has several impacts, namely disability that can affect or interfere with someone in conducting Activity of Daily Living (ADL). Stroke can also cause depression, so family support is needed so that stroke patients can do activities. This study aims to analyze the relationship between family support and independence in conducting ADL post-stroke. This study was an analytic observational study, with a research design that is a cross-sectional design. The sampling method uses simple random sampling with 47 respondents. The study was conducted at the Medical Rehabilitation Installation of the Haji Public Hospital, Surabaya in June-July 2015. The independent variables in this study were age, sex, work, and family support, while the dependent variable was ADL independence after stroke. The results of the study mentioned that the majority of post-stroke respondents were 43-61 years old, were male, and did not work. Most respondents get good family support so that respondents can be more independent in their activities. Based on the analysis using Chi-square, there is a relationship between family support and independence in performing ADL post-stroke, p-value = 0.018 with α = 0.05), but there is no relationship between age, sex, and occupation with ADL post-stroke independence. It is expected that the family creates a calm situation, as well as creating activities that are useful for the independence of people after stroke.

Correlations Between Physical Activity, Smoking Habit And Attitude In Elderly With Incidence of Osteoporosis Kiki Familia Dimyati
Jurnal Berkala Epidemiologi Vol. 5 No. 1 (2017): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Osteoporosis is a degenerative disease that mostly affects elderly people. There are several risk factors for osteoporosis, two of which are physical activity and smoking habits. This study aims to analyze the effect of physical activity, smoking habits, and attitudes of the elderly on the incidence of osteoporosis. This research is an observational study with a case-control study design. The number of samples in this study was 66 elderly who visited the osteoporosis clinic of the Husada Utama Specialist Hospital in Surabaya in August - December 2015. A systematic random method was chosen as a way to determine the study sample. The independent variables in this study are physical activity, smoking habits, and attitudes, while the dependent variable is osteoporosis. Data analysis using a logistic regression test. The results showed that physical activity (p = 0.003; OR = 6.824; 95% CI = 1,958–23,782), smoking habits (p = 0.047; OR = 3,121; 95% CI = 1,133–8,603), and attitude (p = 0.026 ; OR = 3,538; 95% CI = 1,277 - 9,805) affect the incidence of osteoporosis. The conclusion of this study is that physical activity is the most influential risk factor for the incidence of osteoporosis after controlled smoking and elderly attitudes, so it is advisable to do physical activity at least 3 times a week, consume food or drinks with balanced nutrition, adequate rest, and avoid stressors and stop smoking.

The Association of Socioeconomic and Nutritional with Risk of Tuberculosis in DM Type 2 Patient Pantaria Noor Fitri; Muhammad Atoillah Isfandiari
Jurnal Berkala Epidemiologi Vol. 5 No. 2 (2017): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Diabetes mellitus (DM) is a disease caused by the ineffective use of insulin. East Java is a province with the top 10 prevalence of DM in Indonesia. DM patients have a higher risk of developing tuberculosis (TB). This study aims to determine the socioeconomic relationship and nutritional status with the risk of TB in patients with type 2 DM in Tambaksari Sub-district, Surabaya. This research is a retrospective quantitative research with case-control study design matching age and gender. The sample in this study was calculated by matching the formula found in 38 patients with DM for TB and 38 DM for controls. This research was conducted at a Public health center (PHC) located in the Tambaksari sub-district area in January - December 2016. The sampling technique using simple random sampling. The results showed that the majority of people with DM with TB aged between 56-65 years (50%), male (60.5%), came from the Javanese (73.7%), had the last education below the senior high school level (76.3%), not working (51.3%), earning below the Regional Minimum Wage (UMK) (97.4%), and included in the thin nutritional status category or Body Mass Index (BMI) <18.5 (60.5%). Employment status (p = 0.022; OR = 3.297; 95% CI = 1,288-8,440), income level (p = 0.009; OR = 13,214; 95% CI = 1,597-109,370), and nutritional status (p = 0,000; OR = 17,889; 95% CI = 4,653-68,772) associated with the risk of TB in type 2 DM patients. The conclusion of this study is socioeconomic factors that are not working and income <UMK, and the nutritional status of BMI <18.5 is related to the incidence of TB in DM Patients type 2, so it is necessary to socialize dietary settings in patients with type 2 diabetes. It is necessary to screen TB in patients with type 2 diabetes who have a nutritional status of BMI <18.5.

The Relationship Analysis Between Husband’s Knowledge, Attitude And Practice for Maternal Health Novina Eka Muji; Arief Hargono
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Pasuruan district was one of many areas which capable to decrease Maternal Mortality Ratio (MMR) up to the targeted level number by MDGs 2015. Maternal health was also one of the husband’s duties as a decision-maker in the family. The purpose of this research was to analyze a relationship among knowledge, attitude and the husband’s practice for maternal health. This research was done in May until June 2013 at Puspo sub-district of Pasuruan District. A research design was a cross sectional of the population from all of the couples who had a child from the second month to 2 years old, lived in a roof. The total of respondent was 115 couples. The sample selection was systematically done by random sampling. The variable of this research was characteristic, knowledge, attitude and the husband’s action. The result showed that most respondents had lower knowledge about maternal health (72,2%), a positive attitude (73,9) and the unsupported action in maternal health (68,7). A chi-square test showed that there was no relationship between knowledge and action, neither between attitude nor action on maternal health. The conclusion of this research was there is no correlation between knowledge and attitude of the husband with the husband in the act of giving support to maternal health became pregnant wife until the election of contraception.

Contraception and Sexsual Activity as Factor Influenced Leucorrhea Sari Priyanti; Agustin Dwi Syalfina
Jurnal Berkala Epidemiologi Vol. 5 No. 3 (2017): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V5I32017.371-382

Cervical cancer is a non-communicable disease that is worrying for the public and causes an increase in mortality in women. One of the earliest signs of cervical cancer is leucorrhoea. The incidence of leucorrhoea in Indonesian women is 90% of which > 75% of women experience leucorrhoea once and another 25% have leucorrhoea ≥ 2 times. The research aims to analyze the factors that influence the incidence of leucorrhoea. This study was an observational analytic study with cross-sectional study design. The population studied was all women of childbearing age who used contraceptives in Karang Jeruk Village, Jatirejo Sub-district, Mojokerto district in March 2017. The sample in this study was 33 people. Data collection using interview techniques with questionnaire guidelines. Data analysis uses logistic regression. The majority of respondents aged 20-35 years (75.8%), had primary-secondary education (45.8%), did not have a job (60.6), and multipara (54.5%). Birth control (PR = 10,000; 95% CI = 1,732-57,722) and sexual activity (PR = 8,750; 95% CI = 1,466-52,232) have a significant effect on the incidence of leucorrhea, so it is advisable to get married and first sexual behavior at the age of ≥ 20 years, limiting the number of children no more than 2 because the more the number of children, the greater the risk of leucorrhoea and not using hormonal contraception for a long period of time, which is more than 2 years.

Factors Associated with Diarrheal Dehydration in Toddlers at Kalijudan Health Center Work Area Meivi Yusinta Christy
Jurnal Berkala Epidemiologi Vol. 2 No. 3 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

One of the health problems of toddlers in Indonesia that still often occurs is diarrhea. Diarrhea is a disease that can cause death. The main cause of diarrhea death is dehydration due to loss of fluid and electrolytes through feces. Based on the monthly diarrhea report Public health center (PHC) of Kalijudan in 2013 found toddlers aged 1-4 years who suffered dehydration due to diarrhea. This study aims to analyze the relationship between characteristics and knowledge of mothers of children under five with the incidence of diarrhea dehydration in children under five in the PHC of Kalijudan’s working area, Surabaya. This research included analytic observational with a case-control design. Research subjects were drawn from the population by simple random sampling. Samples obtained were 30 case groups and 30 control groups. The independent variables of the study are the characteristics of mothers of children under five (age, education, work status, family income) and mother's knowledge. Primary data collection was carried out using a questionnaire. Data analysis uses Chi-square statistical tests. The results of the bivariate analysis revealed that the variables associated with the incidence of diarrhea dehydration in toddlers were working status of toddlers (p = 0.010), and knowledge of toddlers (p = 0.002). There was no relationship between the age of the mother of children under five (p = 0.779), education of mother of children under five (p = 0.797), and family income (p = 0.430). The conclusion that can be drawn is the working status and knowledge of toddler mothers significantly related to the incidence of diarrhea dehydration in toddlers. There is a need for education or health promotion for mothers of children under five about the proper management of diarrhea with seven diarrhea prevention interventions.

Breast Cancer Risk Analysis by the Use of Hormonal Contraceptives and Age of Menarche Gusti Ayu Triara Dewi; Lucia Yovita Hendrati
Jurnal Berkala Epidemiologi Vol. 3 No. 1 (2015): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

The incidence of breast cancer continues to increase and is a serious health problem in the world, including in Indonesia. High estrogen exposure is one factor that can increase the risk of breast cancer in women. This study was conducted to determine the relationship of estrogen exposure through the use of hormonal contraceptives and the age of menarche with the incidence of breast cancer in women. This type of research is observational analytic and uses a case-control research design. The case population in this study was all female patients who were diagnosed with breast cancer by a doctor at Regional Public Hospital of Dr. Soetomo (RSUD Dr. Soetomo) in 2013. The control population in this study was all female patients who performed breast examinations at RSUD Dr. Soetomo in 2013 but was not diagnosed with breast cancer by a doctor. The number of respondents in this study was 90 respondents drawn from the population using the simple random sampling method. The variables studied were the use of hormonal contraception and the age of menarche. The results of the analysis using multiple logistic regression tests (α = 5%) showed that the use of hormonal contraceptives (p = 0.028; OR = 3.266) and the age of menarche (p = 0.031; OR = 3.492) had a significant relationship to the incidence of breast cancer in women in RSUD Dr. Soetomo in 2013. It is hoped that the community can be more careful in determining the duration of using hormonal contraception and avoiding lifestyles that can accelerate the occurrence of menarche.

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