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INDONESIA
Jurnal Berkala Epidemiologi
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 EFFECT OF COMORBIDITIES ON MORTALITY IN COVID-19 PATIENTS IN dr RADEN SOEDARSONO HOSPITAL PASURUAN: Pengaruh Komorbid Terhadap Mortalitas Pada Pasien COVID-19 yang di RSUD dr. Raden Soedarsono Kota Pasuruan Lidia Puspita Kencana; Eka Diah Kartiningrum; Elyana Mafticha
Jurnal Berkala Epidemiologi Vol. 11 No. 3 (2023): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V11I32023.240-248

Abstract

Background: COVID-19 patients with comorbidities have the highest mortality risk in Indonesia during the pandemic. Purpose: This study purposed to determine the prevalence of comorbidities on mortality of COVID-19 patients at RSUD dr. Raden Soedarsono, Pasuruan.  Methods: This study used a case-control design with 560 samples collected from January until December 2021. The samples consisted of 140 COVID-19 patients who were treated at RSUD dr. Raden Soedarsono, Pasuruan, in 2021 and declared dead as a case group, as well as 420 COVID-19 patients treated at RSUD dr. Raden Soedarsono, Pasuruan, in 2021 but did not die as a control group. The data were then analyzed using a logistic regression test with SPSS 22.0. Results: The results show that almost all COVID-19 patients did not have comorbidities of diabetes mellitus (85.50%), autoimmune (98.60%), kidney disease (98.20%), gastrointestinal diseases (92.10%), thrombosis and coagulation disorders (93.60%), myocardial injury (99.30%), heart failure (94.30%), hypertension (95.20%), and tuberculosis (5.70%). Also, almost all COVID-19 patients did not have comorbidities of geriatrics (71.60%), COPD (64.10%), and mortality status (25.00%). The results of the logistic regression test show that comorbidities of diabetes mellitus (P-value 0.01; OR 1.99) and geriatrics (P-value 0.00; OR 2.82) affect mortality in COVID-19 patients. Whereas comorbidities of autoimmune (P-value 0.84), kidney disease (P-value 0.37), gastrointestinal diseases (P-value 0.73), thrombosis and coagulation disorders (P-value 0.24), myocardial injury (P-value 0.84), heart failure (P-value 0.43), hypertension (P-value 0.93), COPD (P-value 0.86), and tuberculosis (P-value 0.15) do not affect mortality inCOVID-19 patients. Conclusion: Diabetes Mellitus and geriatrics are the most significant comorbidities in causing the death of COVID-19 patients at RSUD dr. Raden Soedarsono, Pasuruan.
ANALYSIS OF DOMINANT RISK FACTORS FOR HYPERTENSIVE DISEASE: Analisis Faktor Risiko Dominan terhadap Penyakit Hipertensi (Data Sekunder Puskesmas Kecamatan Johar Baru, Jakarta Pusat Tahun 2021) Johannes Bastira Ginting; Tri Suci
Jurnal Berkala Epidemiologi Vol. 11 No. 3 (2023): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V11I32023.231-239

Abstract

Background: Hypertension is a non-communicable disease with a high morbidity and mortality rate. This disease frequently triggers the iceberg phenomenon as numerous individuals remain unaware of the affliction. Aim: This study determines the most dominant risk factors for the incidence of hypertension. Methods: The quantitative study method used was conducted in September 2022. The study population utilized secondary data sourced from the Visit data at the Johar Baru Health Center in South Jakarta during 2021. The initial dataset consisted of 102,647 patients, out of which 13,946 had hypertension. Furthermore, data analysis involved employing the Chi-square test and Multiple Logistic Regression, with a significance level of 95%. Results: The Chi-Square test yielded significant results, indicating a relationship between risk factors for hypertension and seven out of the nine free variables examined. These variables included Body Mass Index (BMI) (p-value=0.000), excess salt consumption (p-value=0.000), underfeeding fruits and vegetables (p-value=.000), lack of physical activity (p-value=0.000), excess fat consumption (p-value=0.000), gender (p-value=0.000), and age (p-value=0.000), with a p-value of <0.05. Meanwhile, smoking (p-value=0.516) and drinking alcohol (p-value=0.859) variables, with a p-value of >0.05 had no relationship. Conclusion: The result showed that BMI was the most dominant risk factors for hypertension, with an OR of 1,610. Therefore, people with an abnormal BMI have a 1,610 times risk of developing hypertension.
AN EPIDEMIOLOGICAL OVERVIEW OF DENGUE HEMORRHAGIC FEVER (DHF) CASES IN KEDIRI REGENCY DURING 2017-2021: Gambaran Epidemiologi Kasus Demam Berdarah Dengue (DBD) di Kabupaten Kediri Tahun 2017-2021 Faradillah Amalia Febrianti; Eny Qurniyawati; Muhammad Atoillah Isfandiari; Nayla Mohamed Gomaa Nasr
Jurnal Berkala Epidemiologi Vol. 11 No. 3 (2023): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V11I32023.215-223

Abstract

Background: Dengue Hemorrhagic Fever (DHF) is a communicable disease with rapid spread and the potential to cause death. In 2019, Kediri District had the fourth-highest number of DHF cases in East Java Province and was reported to have experienced a DHF outbreak. Objective: This study aimed to describe dengue cases in Kediri District in 2017-2021 under non-pandemic and COVID-19 pandemic conditions. Methods: Using a total sampling technique, descriptive research with a case series design was conducted using secondary data from the Health Profiles and the Central Bureau of Statistics of Kediri District in 2017-2021. The studied variables included the number of dengue cases, sex, age, area, population, population density, morbidity rate, Lateral Flow Immunoassay (LFI), and rainfall. Data were analyzed using an epidemiological approach based on people, places, and times and visualized with tables and diagrams. Results: The majority of DHF cases occurred in males and the 5-14 years age group in both the COVID-19 non-pandemic (52.88%; 55.96%) and COVID-19 pandemic conditions (51.14%; 58.56%). The incidence rate (IR) increased with population density and the number of dengue cases in the non-COVID-19 pandemic. It decreased with a decrease in dengue cases when the population density increased during the COVID-19 pandemic. Under all conditions, high dengue cases were found in months with high rainfall. Conclusion: The pattern of DHF incidence in Kediri District in 2017-2021 is mostly in males and the age group of 5-14 years, when there is an increase in population density, and in January.
CASE STUDY OF HOST AND ENVIRONMENT FACTORS ON DHF INCIDENCE IN LIMA PULUH DISTRICT: Studi Kasus Faktor Host dan Lingkungan Terhadap Kejadian DBD di Kecamatan Lima Puluh Tarianna Ginting; Putri Yunita Pane; Eka Lolita Eliyanti Pakpahan; Dameria Gultom; Sari Indriyani
Jurnal Berkala Epidemiologi Vol. 11 No. 3 (2023): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V11I32023.295-304

Abstract

Background: In the last fifty years, dengue hemorrhagic fever (DHF) has increased 30 times in 100 endemic countries. As a tropical country, Indonesia is one of the endemic countries for DHF cases, which often cause "extraordinary events". Purpose: This research aims to analyze the factors contributing to DHF, including individual and environmental factors. Methods: In November 2022, the unmatched case-control research method was retrospectively used. All DHF cases in Lima Puluh District between January and August 2022, totalling 26 cases, made up the population of this study. The sample in this study was taken based on the total sampling method. The sample consisted of 26 respondents in the case group (those affected by DHF) and 52 respondents in the control group with inclusion criteria (not affected by DHF, distance from house ± 50 meters, age criteria, sex according to the case group) and exclusion criteria (not willing to be a respondent, not in place). The total sample size is 78 respondents, consisting of 26 respondents in the case group and 52 respondents in the control group, with a ratio of 1:2. Results: Based on the results of the chi-square analysis conducted. There was no significant relationship between gender (p = 0.09) and the habit of hanging clothes (p = 0.06) with the occurrence of DHF in Lima Puluh District in 2022. The results of the logistic regression test stated that all host and environmental factors did not have the most dominant variable in the incidence of DHF in Lima Puluh District in 2022. Conclusion: The variable of the existence of breeding places is a dominant factor in the occurrence of DHF in Lima Puluh District in 2022.
MATERNAL DEATH DETERMINANT AND HEALTH SERVICE DELIVERY DURING COVID-19: WHAT'S THE DIFFERENCE? Determinan Kematian Ibu dan Pelayanan Kesehatan Selama Pandemi COVID-19: Adakah Perbedaan? Moch Jazil Ainul Yaqin; Danik Iga Prasiska; Nur Aini Fatah
Jurnal Berkala Epidemiologi Vol. 11 No. 3 (2023): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V11I32023.224-230

Abstract

Background: The COVID-19 pandemic has provided a new challenge for the delivery of health system in Indonesia. Maternal health services were no exception, as the reduction in antenatal unscheduled home visits were the main issues found in maternal health service disruption during the COVID-19 pandemic. In the last few decades, Indonesia has adopted a range of health strategies to reduce maternal mortality rates. Nganjuk is one of the regencies that enforce the reduction of maternal mortality, which successfully reducing maternal mortality rates from 212 per 100.000 live births in 2010 to 57 per 100.000 live births in 2018. With the emergence of COVID-19, the health system's capacity and access are once again being shaken. Purpose: This research aimed to analyze the determinants of maternal death before the COVID-19 pandemic situation and during the COVID-19 pandemic. Method: This type of research is non-reactive research using secondary data from maternal mortality reports, Nganjuk Regional Health Office. Analysis was carried out with a chi-Square test using Statistical Package for the Social Sciences (SPSS) version 26.0. Results: A significant increase in maternal deaths (85.29%) was observed during the COVID-19 pandemic. Determinants of maternal death, such as the age of the mother (p<0.00), number of pregnancies (p<0.00), period of death (p=0.02), healthcare referral (p=0.01), and cause of death (p<0.00) showed a significant increase during COVID-19. Conclusion: COVID-19 pandemic contributed to the increase in maternal deaths in Nganjuk Regency. This study has implications for the priority setting in policy development and implementation at reducing maternal mortality.
EARLY DETECTION OF TUBERCULOSIS APPLICATION (E-TIBI): A NEW PARADIGM TO DETECT NEW CASE OF TUBERCULOSIS: Aplikasi Deteksi Dini Tuberkulosis (E-TIBI): Paradigma Baru untuk Menemukan Kasus Baru Tuberkulosis Erwin Astha Triyono; MVS Mahanani; Sulvy Dwi Anggraini; Hafidh Maulana; Wahyu Dian Pratiwi; Christian Yochanan; Feriawan Tan; Lilis Masyfufah
Jurnal Berkala Epidemiologi Vol. 11 No. 3 (2023): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V11I32023.267-276

Abstract

Background: Tuberculosis (TB) is still one of the major health problems in the world, especially in countries with dense populations. Indonesia is listed among the top three countries with the highest burden of tuberculosis worldwide. The low coverage of case detection in Indonesia is one of the reasons for ineffective TB control. Therefore, this disease remains a threat to spread in today's Indonesian society. Digital technology can be used to increase the effectiveness and efficiency of case detection. This study aims to create a new paradigm for detecting new cases of tuberculosis using a self-assessment website-based application. Methods: This descriptive quantitative research used univariate analysis. Respondents for this research were sampled from all East Java people who filled out the E-TIBI application. Result: In total, there were 4,658 E-TIBI users in East Java, with 20.80% suspected of tuberculosis. The most frequent symptoms found in the respondents were fatigue, cough for > 2 weeks, and weight loss. Discussion: A self-assessment paradigm based on digital technology was applied to the design of this E-TIBI application. From this application, the public can quickly determine whether they or others are suspected of having tuberculosis. This result shows that the whole community can easily access the E-TIBI application for initial tuberculosis screening. Conclusion: Through this application, direct community participation can increase the detection of new cases to support the government and WHO programs in eliminating tuberculosis by 2030.
KNOWLEDGE AND ATTITUDE OF FARMERS TOWARDS ANTIMICROBIAL RESISTANCE IN ASIA: A SYSTEMATIC REVIEW AND META-ANALYSIS: Pengetahuan dan Sikap Peternak terhadap Resistensi Antimikroba di Asia: Tinjauan Sistematis dan Meta-Analisis Muhammad Mikail Athif Zhafir Asyura; Novia Angela
Jurnal Berkala Epidemiologi Vol. 11 No. 3 (2023): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V11I32023.277-286

Abstract

Background: Antimicrobial resistance is a severe threat to public and environmental health. The agricultural sector contributes significantly to resistance, where antimicrobials are used as prophylaxis, growth promoters, and for treatment. A series of studies have been conducted to assess farmers' knowledge and attitude levels with varying results, particularly in Asia, one of the world's largest producers of livestock products. Purpose: To review the pooled estimated level of knowledge and attitude towards antimicrobial use and resistance in Asia. Methods: A literature search was conducted according to PRISMA in Scopus, PubMed, Google Scholar, and Embase for studies up to 30 April 2023. Quality was assessed using the Newcastle-Ottawa Scale (NOS) for cross-sectional studies. Outcomes were further categorized into constructs under knowledge and attitude. Random-effect meta-analysis was conducted using STATA 17. Results: 11 studies and 2131 subjects were included with fair to excellent quality. From the meta-analysis, the following knowledge and attitude levels were estimated: definition [55.7% (95%CI: 37.3%-74%)] and cause [60.6% (95%CI: 40.5%-80.6%)] of antimicrobial resistance; the negative impact of antimicrobials [62.6% (95%CI: 16.9%-100.0%)]; use of antimicrobials for treatment [47.8% (95%CI: 6.1%-89. 4%)], prophylaxis [58.5% (95%CI: 28.5%-88.5%)], growth promoter [39% (95%CI: 23.1%-54.9%)]; discontinuation of antimicrobials upon improving conditions [42.5% (95%CI: 15.4%-69.5%)]. Conclusions: Farmers in Asia have moderate knowledge of antimicrobial resistance but still exhibit attitudes that support resistance.
TODDLER FECES MANAGEMENT AND BASIC IMMUNIZATION ON THE INCIDENCE OF DIARRHEA: A SPATIAL ANALYSIS: Pengelolaan Feses Balita dan Imunisasi Dasar Terhadap Kejadian Diare Balita: Analisis Spasial Rahmawati, Nur Anisah; Mahmudah, Mahmudah; Wibowo, Arief; Indriani, Diah; Rosita Dewi, Erni; Firmanty Mustofa, Vina
Jurnal Berkala Epidemiologi Vol. 12 No. 1 (2024): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V12I12024.18-25

Abstract

Background: Diarrhea is one of the leading causes of child morbidity and mortality in low and middle-income countries. 23.8% prevalence of diarrhea was found among children under five years of age. Area-based management is required to address and provide specific interventions. Purpose: The study aims to analyze the effect of unsafe toddler feces management and incomplete primary immunization on the incidence of diarrhea using a spatial analysis in East Java, Indonesia. Methods: The data used is the 2018 Basic Health Research data. The measurement of the relationship between region and diarrhea was carried out by studying Moran's I index. Lisa Cluster Map and the Lisa Significance Map were also studied to understand distribution and significance. The regression used is OLS regression, spatial lag, and spatial error. The best model is assessed by comparing various parameters. Data were analyzed using GeoDA. Results: Moran's I result shows an index value of 0.489 with a pseudo-value of 0.001 (p <0.05) and a z-value of 3.7515. Lisa Cluster Map shows seven high-high category areas, five low-low category areas, and one high-low category area. Lisa's Significance Map shows six areas p=0.05, three areas p=0.01, and four areas p=0.001. The unsafe management of toddler feces and incomplete primary immunization related to diarrhea shows a significance of p<0.05. By comparing the R square, log-likelihood, p(sign), and sigma square values, the better model is the spatial lag model. Conclusion: The unsafe toddler feces management and incomplete primary immunization related to diarrhea.
A SYSTEMATIC REVIEW AND META-ANALYSIS: RISK FACTORS OF MORTALITY COVID-19: Sistematik Review dan Meta-Analisis: Faktor Risiko Kematian COVID-19 Febrianti, Thresya; Falmuriat, Qurratu
Jurnal Berkala Epidemiologi Vol. 12 No. 2 (2024): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V12I22024.203-213

Abstract

Background: COVID-19 is still a threat throughout the world because of its high morbidity and mortality. Comorbid diseases like hypertension, diabetes mellitus, and heart disease are some of the factors in the high severity and mortality of COVID-19 patients. Purpose: The study aims to analyze the effect of risk factors on COVID-19 mortality using a systematic review and meta-analysis. Methods: Articles were taken from online journal portals Pubmed, Garuda, and Google Cendekia, and all were published from October 2019 to December 2021 in full text and with an observational study design. The keywords used in searching the articles were "COVID-19", "sars cov 2", "2019-nCoV", "2019 novel coronavirus", "COVID-19 deaths", and "COVID-19 mortality". The articles were collected using a PRISMA diagram; then, data extraction was carried out in a systematic review. The data was synthesized by using a meta-analysis technique using the RevMan application. Results: This study analyzed 59 articles and found that age, hypertension OR=3.09 (2.69-3.56), sex OR= 1.29 (1.08-1.53), and diabetes mellitus OR=3.03 (2.66-3.44) are the risk factors for COVID-19 death. Conclusion: The death in COVID-19 patients is influenced by elderly age, gender, and comorbid disease (diabetes and hypertension). These COVID-19-death-related factors can help health workers recognize and prevent a more severe stage of the disease through more appropriate handling and treatment.  
THE DETERMINANTS OF REPRODUCTIVE HEALTH CARE BEHAVIOR IN ADOLESCENT: A CROSS-SECTIONAL STUDY: Determinan Perilaku Pemeliharaan Kesehatan Reproduksi Pada Remaja; Cross Sectional Study Manurung, Imelda Februati Ester; Takaeb, Afrona E. Lelan; Cruz, Jermias da
Jurnal Berkala Epidemiologi Vol. 12 No. 1 (2024): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V12I12024.9-17

Abstract

Background: The quality of reproductive health during adolescence determines the quality of reproductive health in adulthood. The 2018 National Socioeconomic Survey found that 11% of adolescents were married before the age of 18, and 0.56% were married before the age of 15. Adolescent reproductive health issues continue to increase every year. Purpose: The study aims to analyze the determinants of reproductive health care (RHC) behavior in adolescents. Methods: This study is an analytic observational research using a cross-sectional design. The research was conducted at SMPN 20 Kupang City in 2022. The sample size are 82 students selected using a random sampling technique. The research variables are the characteristics of respondents, health literacy, parental support, teacher support, perceived vulnerability, seriousness, benefits, barriers, cue to act and RHC behavior. Bivariate data analysis used chi-square, and multivariate data analysis used logistic binary regression. Results: The results show that 57% of the respondents have a deficient reproductive health care behavior. The most dominant variable influencing RHC behavior was living with parents (PR= 4.86; CI= 1.22-19.27). Adolescents who live with their parents are 4.86 times more likely to do RHC compared to adolescents who do not live with their parents. Conclusion: These findings recommend the importance of optimizing the role of parents as peers in providing RHC education for adolescents. Parents who do not live with their children have to pay attention and remind their children to keep doing RHC.

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