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INDONESIA
Jurnal Berkala Epidemiologi
Published by Universitas Airlangga
ISSN : 23017171     EISSN : 2541092X     DOI : -
Core Subject : Health, Science,
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
IDENTIFYING UNHEALTHY HOUSES IN KERINCI DISTRICT, INDONESIA Yudha Gusti Wibowo; Bimasatyaji Surya Ramadhan; Ummi Kalsum
Jurnal Berkala Epidemiologi Vol. 8 No. 2 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I22020.190-199

Abstract

Background: Healthy houses in developing countries are a critical factor in human health, as the increase in population is not balanced by improvements in local community welfare. This has negative impacts on the environment and human health. Purpose: The aim of this study was to identify unhealthy houses in Kerinci, Indonesia. Method: This research used a descriptive cross-sectional approach. A survey of 122 houses was conducted to determine the characteristics of houses in Kerinci District, Jambi Province, Indonesia. Stratified random sampling was used to obtain representative healthy house data, by using four repetitions on each single question to minimize errors. Results: The results showed that 90% of respondents had a high occupant density. A high number of diseases were already experienced by residents in the area. These diseases were an indication that the area could be classified as unhealthy and included diarrhea (20%), acute respiratory infections (ARI; 13%), malaria (10%), skin diseases (15%), and other diseases (29%). Only 12% of the total respondents reported having no diseases. Conclusion: In the Kerinci District, 98% of houses were classified as unhealthy and as having potentially negative impacts on the health of residents. We recommend the government establish regulations to improve the health of houses and increase economic growth in Kerinci District, Indonesia.
RELATIONSHIP BETWEEN DEGREE OF STRESS AND PHYSICAL ACTIVITY OF FEMALE STUDENTS WITH PREMENSTRUAL SYNDROME Rina Wahyu Andani
Jurnal Berkala Epidemiologi Vol. 8 No. 2 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I22020.125-133

Abstract

Background: Premenstrual syndrome (PMS) is a group of symptoms consisting of physical, psychological, and behavioral disorders that can occur in women before menstruation and can be triggered or aggravated by factors such as their degree of stress and physical activity. Purpose: This research aimed to analyze the relationship between degree of stress and physical activity and premenstrual syndrome occurrence in female students. Method: This study used analytical observational research with a cross-sectional research design. Female students of the S1 Public Health class of 2016-2019 were used as the sample (n = 93) in this research. Sampling was conducted via the simple random sampling technique. A bivariate analysis was conducted using chi-square testing. The research was conducted between August and September of 2019 at the Faculty of Public Health, Universitas Airlangga. Results: Severe to extreme symptoms felt most often by respondents were muscle and joint pain, abdominal pain, and irritability. The prevalence of premenstrual syndrome with moderate to severe symptoms in female students of the S1 Public Health class was 46.24% and the prevalence of stressed female students was 70.97%. Statistical test results showed a relationship between the degree of stress and premenstrual syndrome occurrence (p = 0.01) and a relationship between physical activity and premenstrual syndrome occurrence (p = 0.04). Statistical tests also showed no relationship between the age of menarche and premenstrual syndrome occurrence (p = 0.50). Conclusion: There was a significant relationship between degree of stress and physical activity and premenstrual syndrome occurrence.
AN OVERVIEW OF BREAKFAST PATTERNS AND LIFESTYLES ASSOCIATED WITH BODY MASS INDEX IN MALAYSIA Noorul Faiza Binti Mohamed Bharuddin; Ezza Fazlen
Jurnal Berkala Epidemiologi Vol. 8 No. 2 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I22020.134-140

Abstract

Background: Over the past two decades, a high body mass index (BMI) has become the world’s largest public health concern. There have been numerous studies suggesting that breakfast patterns and lifestyle choices are associated with an individual’s BMI. Purpose: This research aims to describe the distribution of breakfast patterns and lifestyle choices according to BMI in Shah Alam, Malaysia. Method: This is a descriptive study with a cross-sectional design. The respondents in this study are people who live in Shah Alam, Malaysia, and are between the ages of 18 and 35 years old. The instrument used is a questionnaire. Results: The data shows that the majority of respondents who were obese (28.24%) were non-smokers (14.62%), never drank alcohol (15.95%), had not exercised in the past two weeks (17.28%), slept six to eight hours per day (17.28%), and had a pattern of skipping breakfast (23.92%). On other hand, the majority of respondents who were in the normal BMI range (34.55%) were non-smokers (29.57%), never drank alcohol (30.56%), slept six to eight hours per day (18.94%), and had a pattern of eating breakfast (20.60%). Conclusion: Obesity is more common in people who skip breakfast, as weight gain occurs because of unhealthy food choices made to replace breakfast. An unhealthy lifestyle also contributes to a high BMI, including smoking, alcohol consumption, and a sedentary lifestyle.
TREATMENT OUTCOMES OF MULTIDRUG RESISTANT TUBERCULOSIS PATIENTS IN EAST JAVA FROM 2014 TO 2017 Lailatul Fitriya; Kurnia Dwi Artanti
Jurnal Berkala Epidemiologi Vol. 8 No. 2 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I22020.141-148

Abstract

Background: Multidrug resistant tuberculosis (MDR TB) is a major public health problem marked by the Mycobacterium tuberculosis strain that is resistant to first line anti TB drugs, including rifampicin and isoniazid simultaneously. A patient confirmed as having MDR TB can transmit this form of TB to other individuals. Therefore, treatment success is the main target when addressing MDR TB. Purpose: This study aimed to assess the treatment outcomes of MDR TB patients in East Java Province from 2014 to 2017. Method: This is a quantitative-descriptive study using the secondary data of drug resistant TB patients sourced from the e-TB Manager website in the East Java Province Health Office. Results: The results show that the average MDR TB patients was 47 years old, 57.44% were male, 37.52% had a negative HIV status, 44.87% were relapse patients, 71.95% had undergone two or less previous treatments, and 69.24% had sputum culture conversion. The treatment outcomes included 161 patients (31.14%) confirmed as cured, 27 patients (5.22%) completing treatment, 174 patients (33.65%) defaulting, two patients (0.38%) confirmed as having failed treatment, and 59 patients (11.41%) dying during the treatment period. Conclusion: The treatment success rate was low and the number of defaults was high. Therefore, it is hoped that there will be support from those closest to the patient and health workers who will maintain and increase the patient's motivation to complete the treatment.
ENVIRONMENTAL AND BEHAVIORAL CONDITIONS THAT AFFECT MALARIA EVENTS IN PADANG CITY Masrizal Masrizal; Tria Syananda Putri; Imraatul Hasni
Jurnal Berkala Epidemiologi Vol. 8 No. 2 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I22020.164-171

Abstract

Background: West Sumatra is a target area for malaria elimination in 2020; the Annual Parasite Incidence (API) in Padang City increased from 0.12 per 1000 inhabitants to 0.13 per 1000 inhabitants between 2015 and 2016. Purpose: This study aimed to analyze the effect of factors contributing to malaria events based on the environmental and behavioral conditions of people in Padang City. Method: This is a quantitative study using a case-control approach. The research was conducted in Padang from August 2017 until January 2018. The case-control study was conducted on a sample of 62 people, consisting of 31 cases and 31 controls. Cases were identified through random sampling and controls were selected by purposive sampling. Data collection was via observation and questionnaires and both univariate and bivariate analyses were conducted. Results: Descriptively, malaria patients were more likely to live in at-risk physical conditions at home (74.12%), had a history of visiting endemic areas (41.90%), did not use mosquito repellent equipment (58%), and had the habit of being outdoors at night (32.28%). Statistical tests showed the risk factors for the incidence of malaria were the physical condition of the house (OR = 3.43; 95% CI 1.20–9.20) and a history of visiting endemic areas (OR = 9; 95% CI 1.20–394). Conclusion: Environmental and behavioral factors affect the incidence of malaria. It is recommended that the Padang City Health Office provide counseling through health promotion officers about healthy homes and advise people not to go to endemic areas.
HOW CAN THE PUBLIC BE BETTER PROTECTED AGAINST COVID-19? Connie CR Gan; Febi Dwirahmadi
Jurnal Berkala Epidemiologi Vol. 8 No. 2 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I22020.97-99

Abstract

INTRODUCTIONThe response to the COVID-19 pandemic is a tragic aberration gripping the world. As the disease evolves, uncertainty and fear of harm rise, which can significantly diminish community health and wellbeing. This article stresses the importance of public health preparedness in overcoming social and health risks associated with public panic.Since the COVID-19 outbreak began in late 2019, the numbers of people affected and fatalities continue to mount, causing panic and crippling vital economic and social activities. Authorities have failed to prevent inaccurate and misleading headlines that agitate the public and impinge on public communication. Fake news and rumors about magical products claiming to cure the virus abound. Additionally, people assumed emergency preparation meant stockpiling resources. Amid growing fears, consumers raided supermarkets and pharmacies for supplies, from masks to hygiene products, and people have fought over protective gear as tensions flared among anxious customers.When general panic starts driving political decision-making, public health professionals may be unable to implement strategies based on informed decisions. Researchers argue that government secrecy and non-transparency diminish people’s confidence and trust, creating panic (Wilson et al., 2007). Even naming the disease possibly triggered epidemic-related trauma and the ensuing public mistrust and disbelief of authorities; the panic has also sparked a wave of racial prejudice (Titanji, 2020). Although a series of emerging and re-emerging infectious diseases, from Avian flu to Zika virus, may have created more public awareness, whether leaders can translate this newfound awareness into meaningful policies and action is debatable.Globally, attention is growing on responses from state leaders, as some try to downplay the epidemic’s severity to maintain “business as usual”. In early March 2020, the Indonesian government was still in a state of denial and was attempting to convince the general public that the country was free from COVID-19 (Lindsey & Mann, 2020) Instead, currently confirmed cases are growing rapidly, suspected cases are far above the testing capacity, and case fatality is at an alarming rate.In contrast, several countries took drastic action by declaring travel restrictions and locking down cities. As an example, New Zealand decided to implement level-4 measures, with strict movement restrictions, not long after they confirmed their first case on 28 February 2020; they have recently begun a gradual exit from coronavirus lockdown (Knight, 2020).The public expects leaders to curb the spread of COVID-19 responsibly, appropriately, effectively, and proactively. Meanwhile, leaders are urging the public to stay calm and adopt new norms during this rapidly evolving situation. This crisis is not limited to any individual and requires cooperation rather than a unilateral response. DISCUSSIONHow to do this?A critical approach to pandemics is to ensure the preparedness of both healthcare capacity and public health systems (Jain, Duse, & Bausch, 2018). To respond to emergency needs—to have the capacity to treat rapidly increasing numbers of COVID-19 patients—it is important for each country to have existing policies and action plans for healthcare facilities to temporarily expand service capacity, cancel or postpone elective procedures, and engage in rapid intervention to conserve medical supplies, including personal protective equipment (Gan, Tseng, & Lee, 2020). Measures including recalling recently retired healthcare workers and providing drive-through services for chronic disease medications have been implemented to lessen pressures on hospitals (Wang, Ng, & Brook, 2020).While healthcare capacity is the ability to care for patients with COVID-19, the public health system aims to prevent people from being infected and mitigating the health risks associated with COVID-19. The public health system is important for strengthening community vigilance by promoting effective sanitation, a healthy lifestyle, and food safety, and preventing injuries, inequality, and violence. This involves not only healthcare professionals, but also well-planned strategies that consider various stakeholders’ perspectives and concerns (Glik, 2007). Despite the lockdown, we have seen healthcare workers and people in the community providing the basic essentials for those in need—from food, Personal Protective Equipment (PPE), mental health support, and evidence-based research communication, to virtual musical performances and concerts. Organizations in the virtual sphere, including WhatsApp (WhatsApp Inc, 2020) and TikTok, are partnering with health agencies to increase accessibility to health information.The best outbreak response is a collective response (Gille & Brall, 2020), which could effectively contain the disease and the panic caused by the disease. People naturally experience fear when dealing with a catastrophic event. This unprecedented threat triggered panic purchasing or falling for viral hoaxes, which reflects misconceptions about the problem, most likely because people lack trust in the measures taken (Heide, 2004), When designing and implementing public health measures, we must ensure we do not just acknowledge that, but actively engage relevant stakeholders. In an age of uncertainty, community solidarity and collective action are key to maintaining community vigilance against the crisis (Aldrich et al., 2015).
THE ASSOCIATION BETWEEN BODY MASS INDEX AND HANDGRIP STRENGTH AMONG HIV AND AIDS INPATIENTS Ananda Zahrah Sectio Nugraheny; Farapti Farapti
Jurnal Berkala Epidemiologi Vol. 8 No. 2 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I22020.109-116

Abstract

Background: Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) patients are vulnerable to a decreasing nutritional status. Nutritional status is one of the factors that can affect body mass, which correlates with handgrip strength. Purpose: This study aims to describe the body mass index (BMI) and handgrip strength profiles of HIV and AIDS inpatients. Method: A cross-sectional design was used in this observational study. The population were HIV and AIDS inpatients between August and September 2018. The patients were selected using a purposive sampling technique; 16 patients met the inclusion criteria of the study. Primary data were collected via questionnaire and measuring handgrip strength, while secondary data were collected from the patients’ medical records. A descriptive test was used for the analysis. Results: Most of the HIV and AIDS inpatients were male (81.25%), were between 20 and 39 years old (75.00%), were employed (50.00%), had a middle education level (62.50%), had been hospitalized for four to five days (categorized as a short length of stay; 75.00%), had been diagnosed with HIV for five years or more (87.50%), and were in the third HIV clinical stage (68.75%). The HIV and AIDS inpatients had an average BMI of 19.19±2.48 kg/m2; with 18.75% severely underweight patients, 25% mildly underweight patients, and no overweight patients. The average handgrip strength was 20.58±10.6 kg and 43.75% of patients were classified as having a low handgrip strength. Conclusion: Malnutrition still leads to nutritional problems in HIV and AIDS inpatients.
RISK FACTORS INFLUENCING ENTEROCOLITIS DEVELOPMENT IN PEDIATRIC PATIENTS WITH HIRSCHSPRUNG’S DISEASE Andro Pramana Witarto; Alpha Fardah Athiyyah; I.G.B. Adria Hariastawa; I Gusti Made Reza Gunadi Ranuh
Jurnal Berkala Epidemiologi Vol. 8 No. 3 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I32020.218-227

Abstract

Background: Hirschsprung-associated enterocolitis (HAEC) is one of the worst and most common complications of Hirschsprung’s disease (HD). The mortality rate of HD patients with enterocolitis is still considered to be higher compared to that of those without enterocolitis. Purpose: This study aimed to identify and evaluate potential risk factors for HAEC development. Methods: A cross-sectional study was conducted using secondary data from the medical records of HD patients treated from January 2015 to September 2018 at Regional Public Hospital (RSUD) Dr. Soetomo, Surabaya. The inclusion criteria were HD patients who had or had not experienced enterocolitis. The analysis was done by comparing the presence of risk factors between groups of HD patients with and without preoperative and/or postoperative HAEC. The results were presented as the median value and frequency. To evaluate further, a prevalence ratio (PR) with a 95% confidence interval was performed. The Mann–Whitney U test was also performed with a significance level of p < 0.05 for one factor: length of aganglionic intestinal segments. Results: This study showed that 12 of the 40 HD patients studied (30%) had experienced enterocolitis. The risk of developing HAEC was associated with patients who had a history of previous enterocolitis (PR 6.60 [2.94 < PR < 14.80]). Regarding surgical details, patients who had had surgery only once (31.30% compared to 14.30%), surgery with one surgical method (29.40% compared to 20.00%), and a primary procedure had a higher incidence of HAEC (29.40% compared to 27.30%). Conclusion: HD patients with a history of previous enterocolitis were found to have a higher risk of developing HAEC.
Risk Factors of Needlestick and Sharp Injuries among Health Care Workers at Sanglah Tertiary Hospital I Komang Widarma Atmaja; I Made Ady Wirawan; I Ketut Suarjana
Jurnal Berkala Epidemiologi Vol. 9 No. 1 (2021): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I12021.36-43

Abstract

Background: Needlestick and sharp injuries (NSIs) remain one of the main occupational hazards among health care workers (HCWs) that lead to blood-borne pathogen exposure. Purpose: This study examined the risk factors for NSIs among HCWs at a tertiary referral hospital in Bali. Methods: A case-control study was conducted at Sanglah General Hospital, Bali, involving 171 HCWs, divided into 81 cases and 90 control subjects. The sample was selected using a simple random sampling technique. Data were collected using questionnaires and analyzed using multiple logistic regression. Results: The majority of respondents had experienced NSIs once, in the morning shift, and had affected an individual’s hands. The most frequent activity leading to NSIs was giving an injection and most of the situations causing NSIs involved accidental self-action, and recapping needles. Factors associated with the incidence of NSIs were work career or experience of <5 years (p < 0.01; adjusted odds ratio [AOR]=5.04; 95% confidence interval [CI] = 2.04–12.42), non-compliance with working procedures (p = 0.01; AOR = 2.47; 95%CI= 1.26–4.82), female HCWs (p = 0.03; AOR = 2.21; 95% CI = 1.01–4.55), and unsafe workplace conditions (p = 0.04; AOR = 2.23; 95% CI = 1.01–4.92). Conclusion: Personal and environmental factors such as gender, work experience, compliance with working procedures, and workplace conditions are among the risk factors for NSIs. Occupational health and safety policies and programs focusing on the relevant factors, accompanied by adequate supervision, are necessary to reduce the risk of NSIs occurring.
AN OVERVIEW OF DENGUE HEMORRHAGIC FEVER CASES AND ENVIRONMENTAL FACTORS IN SUMENEP DISTRICT IN 2018 Ainun Jaria; Chatarina Umbul Wahjuni
Jurnal Berkala Epidemiologi Vol. 8 No. 3 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I32020.293-300

Abstract

Background: Dengue hemorrhagic fever (DHF) has been occurring in Indonesia for more than 50 years, and there were 65,602 cases of it in 2018 alone. Sumenep District reported the 12th highest number of DHF cases (292) in East Java Province in 2018. Purpose: This research aims to describe DHF in Sumenep District in 2018. Methods: This research is a descriptive study employing a cross-sectional design. The data used in this research were secondary data gathered from the Sumenep Health Office in 2018. The variables observed in this research were the epidemiological characteristics included in the epidemiological triangle—people, place (region), and time. Descriptive analysis was conducted to examine the DHF case distribution, using a frequency table, among the people, place (region), and time variables. Results: Sumenep District is home to 1,085,227 citizens, with a population density of 518 people/km2. The number of DHF cases in Sumenep District was 292, with the highest concentration of cases in the age range of 5–14 years (47.30%); the most cases were also male (57.19%). DHF often occurred in sub-districts with high population density, and more commonly in January. Conclusion: Most of the Sumenep District’s DHF cases in 2018 were males in the age group of 5–14 years old.

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