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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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The Relationship between Age and Maternity Parity with Postterm Birth Nadhifa Anwar Maulinda; Tutik Rusdyati
Jurnal Berkala Epidemiologi Vol. 6 No. 1 (2018): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Background: Postterm birth is one of the causes of death of babies (0-6 years old) in Indonesia by 2,80%. There were risk factors for postterm birth, namely age and maternity parity. Purpose: This study aimed to investigate the relationship between age, maternity parity with the postterm birth in mother and child hospital (RSIA) Arafah Anwar Medika Sukodono Sidoarjo district. Methods: The design of this observational study was cross-sectional. Data were obtained from medical record of 218 women delivering baby RSIA Arafah Anwar Medika in 2013. Respondents were selected through random sampling. Data were analyzed through fisher exact statistical analysis. Results: The most of the respondents were aged 20-35 years old (86,70%), with the risk of parity (91,70%), and without posterm (85,32%). However, the post-term pregnancy was found in respondents aged below 20 and above 35 years old (2,75%) also in respondents with parity risk (3,21%). Conclusion: There was no correlation between mother’s age and post-term pregnancy (p = 0,23; RR = 1,50; 95% CI = 0,68 < RR < 3,34). Meanwhile, the parity risk was correlate to post-term pregnancy (p = 0,01; RR = 3,11; 95% CI = 1,57 < RR < 6,17).

The Characteristics and Knowledge Level of Mother in The Initial Handling of Toddlers’ Diarrhea Incidence Puspita Ayu Aryati; Margono Margono; Munica Rita
Jurnal Berkala Epidemiologi Vol. 6 No. 3 (2018): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Background:. One in five children die from diarrhea every year in Indonesia. Provision of replacement fluids or rehydration fluids as the initial treatment of diarrhea can reduce mortality due to dehydration but the behavior of the community in the initial management of diarrhea in households is not good enough (32.47%). Purpose: This study aimed to identify the level of mothers’ knowledge on the initial treatment of toddler’s diarrhea in Papringan Sleman hamlet in 2015. Methods: This study was a study that used a cross sectional descriptive study design. The subjects of this study were 54 mothers who had toddlers and lived in Citizen Association (RW) 02 and RW 05 in the Papringan hamlet. Data retrieval is done by interviewing the questionnaire guideline. The measuring instrument of this study uses a closed questionnaire (correct/ incorrect form). The level of knowledge in the initial treatment of toddlers’ diarrhea in this study is based on the correct score obtained by the mothers from the questionnaire sheets. Results: Characteristics of respondents mostly mothers are less then 45 years old, having secondary education, exposure to information, and sources of exposured-information are mostly from direct sources. The level of mother's knowledge is mostly sufficient (57.40%). Conclusion: Most respondents who are over the age of 45 years, have a secondary education, are exposed to information, and get information from direct sources have sufficient knowledge about early treatment of toddlers’ diarrhea.

The Relationship between Household Physical Condition with Incidence of Toddler’s Acute Respiratory Infection in Surabaya I Gusti Agung Putu Mahendra; Farapti Farapti
Jurnal Berkala Epidemiologi Vol. 6 No. 3 (2018): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Background : Acute Respiratory Infection (ARI) is one of the main causes of high rates of mobility and mortality in infants in developing countries in the world. In 2015 the death rate from respiratory problems was 920,136 people, the most common in South Asia and Africa. Purpose : This study aims to analyze the relationship between the physical condition of the house and the smoking behavior of family members with the incidence of ARI in infants in Sidotopo, Surabaya. Methods: This research was an observational analytic study using cross sectional design. The sample size uses simple random sampling technique where all existing data and meet the inclusion and exclusion criteria have the same opportunity to be selected as samples. This study used chi square statistical test to determine the relationship between the physical condition of the house and the incidence of ARI Results: There is a relationship between lighting (PR = 3.35; p-value = 0.01), ventilation (PR = 5.75; p-value = 0.01), kitchen smoke holes (PR = 4.05 ; p-value = 0.01), roof of the house (PR = 3.07; p-value = 0.02), smoking behavior (PR = 5.63; p-value = 0.01) with ARI incidence and not there was a relationship between the wall of the house (PR = 0.64; p-value = 0.68) with the incidence of ARI. Conclusion: There was an relationship between the physical conditions of the house (lighting, ventilation, kitchen smoke holes, roofs of houses) and smoking with incidence of ARI in infants at Sidotopo Village.

The Prevention Strategy against the Incidence of Diarrhea in Toddlers through Hygiene of Milk Bottles-Feeding Bella Putri Lanida; Farapti Farapti
Jurnal Berkala Epidemiologi Vol. 6 No. 3 (2018): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Background: Diarrhea is the fourth highest cause of death among children under five years. Interestingly, the most common causes of diarrheal diseases in toddlers is an unhygienic milk bottles-feeding. Purpose: This study aims to analyze how to maintain the hygiene of milk bottles-feeding to prevent the toddler’s diarrhea incidence in Sidotopo Village, Semampir Sub-district, Surabaya City. Methods: This experiment was an observational analytic study with a cross-sectional study design. The population in this study were mothers who had toddlers in Sidotopo Village, Semampir Sub-district, Surabaya City. In this study, the samples used were 60 toddlers. Accordingly, the research sample was taken by using a simple random sampling method based on Slovin formula calculation. Data collection was conducted from 2 January to 5 February 2018. Further, the data were obtained by questionnaires and in-depth interviews. Data analysis using chi-square test. Results: This present study shows that the technique of maintaining the hygiene of milk bottles can prevent the incidence of diarrhea in toddlers (p < 0.05). The results of the chi-square test showed a significant relationship between the technique of washing hands with soap and without soap on the toddlers’ mother toward the incidence of diarrhea (p = 0.03), but the results of behavior testing on hand washing habits of toddlers’ mothers toward diarrhea incidence showed insignificant results (p = 0.27). Conclusion: There is a technical relationship in maintaining the hygiene of milk bottles-feeding to prevent the occurrence of diarrhea in Sidotopo Village, Semampir Sub-district, Surabaya City.

Risk Factor Analysis of Recurrent Acute Coronary Syndrome Muhammad Aditya; Catharina Umbul Wahjuni; Muhammad Atoillah Isfandiari
Jurnal Berkala Epidemiologi Vol. 6 No. 3 (2018): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Background: Acute coronary syndrome (ACS) is a form of life-threatening coronary heart disease. Interestingly, this entity has the possibility to recurrence with prevalence reaches 21-30% in a year. Purpose: This study aims to analyse risk factors associated with recurrent ACS incident. Methods: The analytic observation research with the case-control design was applied in this present study. Furthermore, this research was conducted at the Dr. Mohamad Soewandhie General Hospital, Surabaya. This study carried from February to July 2018. The samples used in this study cover 43 cases and 43 controls in the consecutive admission to the ACS patients who came to the cardiac clinic of the Dr. Mohamad Soewandhie General Hospital, Surabaya that meets the research criteria. On the other hand, bivariable analysis was performed using simple logistic regression and multivariable analysis was performed using multiple logistic regression. This study showed that the most influential risk factor for ACS recurrent. Results: incident were including control of Low-Density Lipoprotein Cholesterol (LDL-C) ≥ 100 mg/dL (p= 0.03; adjusted OR= 3.35; 95% CI= 1.16 < OR < 9.68), irregular exercise schedule (p < 0.01; adjusted OR= 9.15; 95% CI= 2.83 <OR <29.58), and smoking history (p= 0.02; adjusted OR= 4.07; 95% CI= 1.29 <OR <12.84). Conclusion: The control of LDL Cholesterol levels below 100 mg/dL, regular exercise, and avoid smoking are beneficial for people with ACS to reduce the risk of recurrent ACS incident.

Analysis of Factors Related to The Incidence of Pediatric Pulmonary Tuberculosis in Sibuhuan General Hospital Fitriani Pramita Gurning; Eliska Eliska; Muchti Yuda Pratama
Jurnal Berkala Epidemiologi Vol. 6 No. 3 (2018): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Background: Pulmonary tuberculosis (TB) sufferers in Indonesia have dramatically increased from 1997 to 2014. The cases of pediatric pulmonary TB in Indonesia was firstly discovered in 2013, namely at the age of <1 year group about 2‰, 1-4 years group about 4‰, and 5-14 years group about 0.30‰. Purpose: This study aims to determine the factors associated with the incidence of pediatric pulmonary TB in Sibuhuan General Hospital. Methods: This study was conducted at Sibuhuan General Hospital, Padang Lawas Regency by using a cross-sectional study design. The population in this study were all children aged range from 0 to 5 years who came for treatment to the pulmonary clinic at Sibuhuan General Hospital which counting about 55 children. Data analysis in this study were used chi-square test. Results: The study showed that pediatric pulmonary TB patients occurred in the male group counting about 33 persons (60%), normal nutritional status group as many as 35 persons (63.60%), low socio-economic group counting about 32 persons (58.20%), never treated by BCG immunizations group counting about 32 persons (58.20%). Variables related to the incidence of pediatric pulmonary TB in Sibuhuan General Hospital were nutritional status (PR = 3.31; 95% CI = 1.83 <PR <5.98), socio-economic (PR = 5.51; 95% CI = 1.88 <PR <16.182) and BCG immunization (PR = 2.59; CI = 1.15 <PR <5.33). Conclusion: : Nutritional status, socio-economic status and BCG immunization significantly influence the incidence of pediatric pulmonary TB in Sibuhuan General Hospital.

Waist-Hip Circumference Ratio as Strongest Factor Correlation with Blood Glucose Level Mitha - Karimah
Jurnal Berkala Epidemiologi Vol. 6 No. 3 (2018): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Background: In the present time, the prevalence of obesity in Indonesia continues to increase, especially in the pre- to the elderly citizen. It has been revealed that the citizen with age group 55-64 years have the highest risk to obtain obesity. Moreover, the insulin resistance that occurs in overweight groups suppresses the insulin activity which in turn increase the blood glucose levels. Purpose: This study aims to determine the relationship between waist-hip ratio and body mass index toward blood glucose levels. Methods: This study was cross-sectional design. The respondents were 36 elderly citizens aged between 46-70 years who were registered as members of the Posyandu (integrated health service station) Bunga Kasih for elderly health care. Random sampling technique was used in this study. Furthermore, the variables examined were body mass index, waist-hip ratio and fasting blood glucose levels. Data were analyzed using the Pearson correlation test with a significance level (α) = 0.05. Results: The majority of respondents included in the category of overweight-two were accounting about 36.10%, abdominal obesity based on waist-hip ratio accounting about 63.90% and blood glucose levels of more than 125 mg/dl by 25%. Pearson correlation test showed that the waist-hip ratio has a significant relationship with blood glucose levels with p <0.05 (p = 0.01; r = 0.49). However, there was no relationship between body mass index and blood glucose level with p> 0.05 (p = 0.32; r = 0.17). Conclusion: Waist-hip ratio has a strong relationship with blood glucose levels compared to body mass index.

The Overview of Dengue Hemorrhagic Fever Cases in Blitar City from 2015 to 2017 Endah Tri Suryani
Jurnal Berkala Epidemiologi Vol. 6 No. 3 (2018): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Background: Dengue hemorrhagic fever (DHF) still become a serious health problem in Indonesia where the number of cases reported in 2015 was 129,650 incidence with total mortality of 1,071 persons. Blitar city is the region which considered as the 13th highest dengue fever cases in East Java Province. Purpose: This study aims to describe the dengue fever cases in Blitar City. Methods: This study is a descriptive observational study with a case series approach. The data used in this study is dengue fever data in the East Java Health Profile from 2015 to 2017. Results: The majority of dengue fever occurred in the age group 5-14 years (46.72%), and the most cases of dengue fever occur in men (51.19%). The Blitar City is considered as one of the areas with high cases of dengue fever every year with the Incidence Rate (IR) in 2016 reaching 189 per 100,000 persons. However, the data showed that the cases promotion of dengue fever were not in line with the increase in rainfall in Blitar City. Jumantik consists of 166 persons that spread across 21 regions, but the larvae free index from Blitar City is still low counting about 79% of 95%. Conclusion: Blitar City is an endemic area of DHF that has stratification of 20 hamlets. The pattern of dengue fever in Blitar City from 2015 to 2017 was the highest in men and the age group of 5-14 years.

The Influence of Exclusive Breastfeeding Toward The Occurrence of Childhood Pneumonia in East Java Risa Ayu Wulandari
Jurnal Berkala Epidemiologi Vol. 6 No. 3 (2018): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Background: East Java Province is the top three with the highest number of childhood pneumonia and the highest death from pneumonia in Indonesia. One of the factors that can prevent childhood pneumonia is to provide exclusive breastfeeding. Purpose: This study aimed to analyze the effect of giving exclusive breastfeeding on the incidence of childhood pneumonia in East Java Province in 2016. Methods: The design of this study used cross sectional method. This research is an observational analytic study using secondary data from the Health Profile of East Java Province publication in 2016. The population used is the East Java Province Health Profile data in 2012 to 2016, while the sample is the East Java Province Health Profile data in 2016. Data collection conducted in May 2018. The locations used in this study were 38 districts/ cities in East Java Province. Data analysis used a linear regression test with the dependent variable of childhood pneumonia cases and independent variables exclusive breastfeeding. Results: This study shows that there is an effect of exclusive breastfeeding on the incidence of childhood pneumonia with p value= 0.00 (p< 0.05). Exclusive breastfeeding has an effect of 34.70% on the incidence of childhood pneumonia with a strong moderate relationship. Conclusion: There is an influence between exclusive breastfeeding on the incidence of childhood pneumonia in East Java Province in 2016.

The Analysis of Cold Chain Management of Basic Immunization Vaccine in Health Service Centers, 2018 Wetra Fauza; Firdawati Firdawati; Rosfita Rasyid
Jurnal Berkala Epidemiologi Vol. 7 No. 1 (2019): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Background: Vaccines are biological products that promote immunity activation in children. Vaccines content are susceptible and need more treatment in temperature (20C-80C), storage, and use during the delivery process to health service centers. Purpose: This study aims to determine the cold chain management of basic immunization vaccine in health service centers, South Solok Regency. Method: This research is a qualitative study. The sampling is done by using purposive sampling technique. This research was carried out at the health service center in South Solok Regency. This study uses primary and secondary data sources. The source of primary data is taken by in-depth interviews, while secondary data comes from document review and observations of data in 2018. Source and methodological triangulation were performed in this study. Results: The availability of human resources, funds, facilities and infrastructure and work procedures are sufficient, although there is still one untrained health service center staff, lack of vaccine flasks in two health service centers, and lack of voltage stabilizers in seven health service centers. Almost all health service centers have been applied vaccine boxes 20C-80C in vaccine transportation system. Based on the evaluation, only one health service center that need to improve especially in temperature evaluation procedure by thermometer. The vaccine storage procedure has been applied by the health service center. However, the observation noticed three health service centers have problems in time delay in the melting process. Conclusion: The management of the cold chain vaccine in the health service center, South Solok Regency is good.

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