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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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FACTORS RELATED TO MENTAL HEALTH PROBLEMS IN BACHELOR STUDENTS OF PUBLIC HEALTH: Faktor-Faktor Yang Berhubungan Dengan Masalah Kesehatan Mental Pada Mahasiswa Sarjana Kesehatan Masyarakat Bastira Ginting, Johannes; Karo-Karo, Styfani; Ayu Suntiarma Situmeang, Hasnita; Mustika Ananda, Putri; Hartono, Hartono
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.156-164

Abstract

Background: Mental health is the ability to realize one’s potential and cope with the usual demands of daily life. Students in Public Health programs are especially at risk of developing mental health problems while studying as a result of academic stress. This study explored the factors related to mental health problems among the Bachelor of Public Health students at Universitas Prima Indonesia. Methods: This survey research is quantitative, and a cross-sectional design was employed. The population of this study was all Bachelor of Public Health students in the even semester of the year 2023/2024 at FKKGIK, Universitas Prima Indonesia. Primary data were collected using questionnaires, and secondary data included scientific articles and research papers published within the last 5-10 years. Univariate, bivariate, and multivariate data analysis was done. Results: The study found a positive correlation between academic pressure, interpersonal relations, learning strategies, social relations, individual motivation, group interactions, psychological well-being, and the severity of mental health problems among undergraduate public health students (p-value ≤ 0.05). However, the study's findings showed that gender, semester, place of residence, and psychological pressure have no relationship (p-value > 0.05). Conclusion: These results indicate that social and academic factors should be considered to promote students' mental health. Therefore, universities should design strategies to address these essential factors to support students’ mental health and learning achievements.
ANALYSIS OF TUBERCULOSIS PATIENT CHARACTERISTICS OF GORONTALO CITY HOSPITAL USING K-MEANS CLUSTERING METHOD: Analisis Karakteristik Pasien Tuberkulosis Rumah Sakit Kota Gorontalo Menggunakan Metode K-Means Clustering Hariadi Wijaya, Made; Nur Rahmatiya Abas, Siti; Fahrian Hipmi, Ahmad; Darmawan, Endang; Supadmi, Woro; Surono, Sugiyarto
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.147-155

Abstract

Background: Tuberculosis (TBC) is a major health problem in Indonesia, especially in Gorontalo, with high spread due to poor ventilation, overcrowding, and unhealthy lifestyles. Purpose: To analyze the characteristics of TB patients in one of Gorontalo City's hospitals using K-Means Clustering. Methods: Data including age, gender, TBC history, HIV status, diabetes history, hypertension, drug resistance, drug side effects, and treatment results were analyzed for the number of clusters using the K-Means method because it is effective in grouping data based on similarity, easy to implement, and works well on large datasets. Results: The analysis resulted in three clusters. Cluster 0 (219 individuals): majority female (63.50%), mean age 45.37 years, low address score (0.49), low resistance and therapy (6.40%), no comorbidities, all experienced side effects (100%), and survival rate 4.10%. Cluster 1 (150 individuals): mean age 52.21 years, higher address score (0.77), resistance 7.30%, therapy 5.30%, comorbidities 100%, all experienced adverse events, and survival rate 4.70%. Cluster 2 (98 individuals): mean age 48.58 years, address score 0.65, very low resistance and therapy (2%), no side effects, 42.90% had comorbidities, and the highest survival rate (12.20%). Conclusion: Three clusters were obtained from the analysis using K-Means. Clustering supports specific interventions such as comorbidity management or intensive surveillance, improving TB control programs in Gorontalo.
ANALYSIS OF RISK FACTORS ASSOCIATED WITH DEPRESSION IN ELDERLY LEPROSY SURVIVORS IN TUBAN REGENCY: Analisis Faktor Risiko Yang Berhubungan Dengan Depresi Pada Lansia Penyintas Kusta di Kabupaten Tuban Jannatul Kamilah, Itsna; Mudia Sari, Ulfa; Yovita Hendrati, Lucia
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.174-183

Abstract

Background: Leprosy is an infectious disease that has an impact on the physical, socioeconomic, spiritual, and psychological of sufferers with one example being depression. Purpose: This research aims to find the relationship between risk factors and depression in elderly leprosy survivors residing at the Leprosy Rehabilitation Center, Tuban. Methods: The research method used is analytical observational with a cross-sectional approach. The research population consists of 100 leprosy survivors at the Social Rehabilitation Unit for People with Chronic Illnesses, Nganget, Tuban. The total sample of the research is 64 respondents selected from the population using simple random sampling technique. The data analysis technique employed is the Chi-square test. Results: Most of the respondents had level 2 disability as much as 68.80% and as much as 65.50% experienced depression. The research findings indicate a relationship between the variables of gender (p=0.03; PR=1.49; 95% CI=1.00-2.21), level of disability (p=0.00; PR=2.26; 95% CI=1.08-4.71), disease perception (p=0.00; PR=2.05; 95% CI=1.27-3.31), self-stigma (p=0.00; PR=2.00; 95% CI=1.32-3.02), with depression among elderly leprosy survivors.  Conclusion: The conclusion indicates that the factors of gender, level of disability, self-stigma, and disease perception have a significant relationship with depression in elderly leprosy survivors, while the factors of age, education level, and caregiver support are not related to depression in elderly leprosy survivors.
STRESS AND INADEQUATE FRUIT-VEGETABLE INTAKE AS MODIFIABLE RISK FACTORS FOR TYPE 2 DIABETES IN YOGYAKARTA: Stres dan Konsumsi Buah-Sayur Kurang sebagai Faktor Risiko Modifiable Diabetes Tipe 2 di Yogyakarta Solikhah, Solikhah; Sulistiawan, Dedik; Matahari, Ratu; Rahmawati, Widya; Sarwani Sri Rejeki, Dwi
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.184-192

Abstract

Background: Type 2 diabetes mellitus (T2DM) remains a significant global public health issue, with rising prevalence, including in Indonesia. At the same time, numerous studies have investigated modifiable risk factors of T2DM. To date, stress, fruit, and green-leafy vegetable consumption as risk factors of T2DM remain limited. Purpose: This study investigated the association between stress, fruit, and green-leafy vegetable consumption with T2DM occurrence among individuals under the supervision of Kalasan Public Health Center, Sleman, Yogyakarta. Methods: A cross-sectional study was conducted among 356 registered outpatients selected through purposive sampling. Stress levels were measured using the WHO Self-Reporting Questionnaire, while fruit and vegetable consumption was assessed using the Indonesia Basic Health Research 2018 questionnaire. T2DM status was determined based on fasting blood sugar levels recorded in medical records and confirmed by a physician's diagnosis. Results: Stress was linked to a higher probability of T2DM (Adjusted Odds Ratio (AOR)=2.61; 95% CI=1.25–5.44). Consuming fruit and green-leafy vegetables 2–3 times per week was associated with a lower likelihood of having T2DM (AOR=0.27; 95%  CI=0.13–0.56 and AOR=0.07; 95%CI=0.03–0.20, respectively). Conclusion: Stress increases the probability of T2DM. Fruit and green-leafy vegetable consumption 2-3 times per week was associated with a reduced likelihood of T2DM. These findings emphasize the need for targeted public health interventions promoting stress management and healthy dietary patterns strategies to mitigate T2DM risk in primary healthcare settings.
THE INFLUENCE OF BODY MASS INDEX ON THE MENSTRUAL CYCLE IN ADOLESCENTS: Pengaruh Indeks Massa Tubuh terhadap Siklus Menstruasi pada Remaja Dwi Artanti, Kurnia; Sutera Dewangga, Angelinasyarga; Azrielda Munib, Tazkia; Hidayat, Taufiq
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.118-125

Abstract

Background: Imbalanced nutritional status in adolescents can affect the menstrual cycle. In 2018, the WHO stated that as many as 80% of women in the world have irregular menstrual cycles. More specifically, this condition is experienced by 11.70% of adolescents aged 15-19 years and 14.90% of women in urban areas. Purpose: To analyze the effect of body mass index (BMI) on the menstrual cycle in adolescents at Junior High School State 19 Surabaya. Methods: This quantitative research employed an observational analytic method with a case-control design at SMP Negeri 19 Surabaya. As many as 104 participants (52 cases with irregular menstrual cycles and 52 controls with regular cycles) were randomly selected in a 1:1 ratio. Data collection occurred from February to May 2024, and bivariate analysis was conducted using the Chi-square test. Results: This study showed that overall BMI had a significant effect on menstrual cycle regularity (p = 0.001). Students with normal BMI have a greater chance of experiencing regular menstruation than overweight/obese (OR = 4.694; 95% CI = 1.536 - 14.344; p = 0.007). Meanwhile, the categories of very thin (OR = 0.985; 95% CI = 0.235 - 4.127; p = 0.983) and underweight (OR = 0.433; 95% CI = 0.072 - 2.622; p = 0.363) did not show a significant influence on menstrual regularity (p > 0.05). Conclusion: Body mass index affects menstrual cycle regularity in adolescents. Maintaining nutritional status is important to minimize the risk of menstrual cycle disorders and ensure reproductive health.
EVALUATION OF DIPHTHERIA SURVEILLANCE SYSTEM IN PROBOLINGGO DISTRICT: STUDY OF SYSTEM APPROACH AND ATTRIBUTES: Evaluasi Sistem Surveilans Difteri di Kabupaten Probolinggo: Studi Pendekatan Sistem dan Atribut Nur Maulina, Lidya; Novita Sari, Siti Shofiya; Tarawally, Abubakar; Sholikah, Sholikah; Anjar, Retno
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.102-111

Abstract

Background: There is still an outbreak of diphtheria in the Probolinggo district in 2023. Diphtheria mainly affects children who are not immunized. Support through a surveillance system is needed to overcome the diphtheria problem. Purpose: This study aims to describe the quality of diphtheria surveillance systems based on system approach and surveillance attributes. Methods: Descriptive research was carried out on 17 samples with an evaluation study on the diphtheria surveillance system in 2023 at health centers in the working area of the Probolinggo District Health Office. Data were collected by interview and document study using questionnaires and check list sheets. Data analysis was carried out by describing the system components and attributes of the surveillance system in 17 respondents, compared with the Diphtheria control guideline book 2023, Indonesian Minister of Health Regulation No. 45 of 2014, and surveillance attributes from CDC. The information obtained was presented in the form of tables and narratives. Results: The evaluation of diphtheria surveillance system components (input, process, output) in Probolinggo District was done using surveillance guidelines. Meanwhile, the diphtheria surveillance system assessment based on attributes showed simplicity, flexibility, acceptability, representativeness, stability, and good data quality. However, the system is not yet sensitive, and timeliness is still low. Conclusion: The implementation of the diphtheria surveillance system has mainly been carried out well, supported by the completeness of several surveillance attributes. Optimizing the use of the  Early Warning and Response System (EWS) application is necessary to improve the current surveillance system.
TUBERCULOSIS PREVENTIVE THERAPY AS A STRATEGY TO PREVENT AND CONTROL TUBERCULOSIS INCIDENCE 2010-2024: A BIBLIOMETRIC ANALYSIS: Terapi Pencegahan Tuberkulosis sebagai Strategi Pencegahan dan Pengendalian Kejadian Tuberkulosis 2010-2024: Analisis Bibliometrik Sari, Yunita; Choirul Hidajah, Atik; Sahiral Layaly, Nur; Susilastuti, Fransisca
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.165-173

Abstract

Background: Tuberculosis Preventive Therapy (TPT) is important in TBC control and elimination strategies at the individual and community levels. However, few studies have systematically mapped developing scientific themes and trends related to TPT, primarily through bibliometric analyses. Therefore, a comprehensive bibliometric study is needed to identify key research foci and gaps in the current TPT knowledge pool. Purpose: This study aimed to identify global research trends in TPT as a preventive strategy to reduce TBC incidence. Methods: This study used a systematic literature review approach and bibliometric analysis using Scopus and PubMed databases through the Publish or Perish (PoP) platform, publications from 2010 to 2024. The initial search yielded 266 articles, which were screened using Mendeley for abstracts and keywords, resulting in 109 relevant publications. Bibliometric analyses were then conducted using VOSviewer version 1.6.20. Results: IPT (Isoniazid Preventive Therapy) has a close relationship with Preventive therapy, tuberculosis, child, contact, and HIV. Other results also show that the number of publications discussing TPT from 2020 to 2024 has decreased from 23 to 2, and the latest research topics related to TPT were only found in 2019. Conclusion: Publications related to TPT from 2020-2024 continue to decline; therefore, it is necessary to revitalize research related to TPT, especially by exploring issues that have not been widely discussed, such as the implementation of TPT in high-risk groups other than children and PLHIV, such as people with chronic diseases, the elderly, and populations with limited access to health services.
SMOKING, PHYSICAL INACTIVITY AND DIETARY WITH HYPERTENSION IN THE ELDERLY: A SYSTEMATIC REVIEW AND META-ANALYSIS: Merokok, Aktivitas Fisik, dan Pola Diet dengan Hipertensi pada Lansia: Sistematik Review dan Meta Analisis Nuraisyah, Fatma; Irjayanti, Apriyana; Irmanto, Maxsi; Noorkhalisah, Noorkhalisah
Jurnal Berkala Epidemiologi Vol. 13 No. 3 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I32025.289-298

Abstract

Background: The condition of the elderly can affect blood pressure because they may struggle to balance both psychologically and physiologically. Lifestyle can affect risk factors for hypertension. Purpose: To examine lifestyle risk factors for the incidence of hypertension in the elderly with a systematic review and meta-analysis. Methods: Eight electronic databases, including PubMed, Science PubMed, ScienceDirect, NCBI, ProQuest, and EBSCO Journals Online, were searched for studies published in English from 2017 to December 2023. Quality was assessed using the Joanna Briggs Institute (JBI) for cross-sectional and case-control studies. We further categorized the outcomes into smoking, physical activity, Diet, and hypertension in the elderly. We analyzed them using the Review Manager 5.3 application with both fixed-effect and random-effect models. Results: Eight studies and 30,821 subjects were included, with fair to excellent quality. Based on the meta-analysis, not dieting (AOR = 1.37; 95% CI = 1.17-1.61; p < 0.001) was a statistically significant risk factor for hypertension in the elderly. Conclusion: Not dieting is are risk factor for hypertension in the elderly.
THE INFLUENCE OF LIGHTING, FLOOR TYPE AND WALL TYPE ON THE PULMONARY TUBERCULOSIS IN FARMERS : Pengaruh Pencahayaan, Jenis Lantai dan Jenis Dinding terhadap Kejadian TBC Paru pada Petani Adha, Aziza Zahrotul; Kinanthi, Citra Anggun; Widati, Sri; Kwan Ching, Wong Arkers
Jurnal Berkala Epidemiologi Vol. 13 No. 3 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I32025.211-218

Abstract

Background: Mycobacterium tuberculosis is the bacterium responsible for tuberculosis (TB), a disease primarily spread through droplets from infected individuals. Ponorogo Regency ranks eighth in TB-related mortality in East Java, with Kauman Health Center recording the highest number of TB cases, most of which involve individuals working as farmers. This study aims to investigate how environmental factors such as lighting, floor type, and wall type contribute to the occurrence of pulmonary TB among farmers in the Kauman Health Center area. Methods: This research employed an analytical observational design with a case-control approach. A total of 78 who worked as farmers were included, consisting of 39 cases and 39 controls, selected through simple random sampling. Both primary and secondary data were collected using measurement and observation techniques. The study focused on pulmonary TB incidence as the dependent variable, while the independent variables included lighting, floor type, and wall type. Data analysis involved univariate and bivariate methods using logistic regression. Results: Findings showed that the majority of respondents lived in homes with inadequate lighting (72%), proper floor types (79%), and acceptable wall types (69%). A significant association was identified between poor lighting and TB incidence among farmers, OR = 3.659 (95% CI: 1.422–9.417). However, no significant relationship was found between TB incidence and either floor type (p=0.366) or wall type (p=0.113). Conclusion: Inadequate lighting is significantly associated with pulmonary TB in farmers. In contrast, the type of floor and wall materials did not significantly influence this study.
RISK FACTORS AND CHARACTERISTICS OF ACTIVE AND LATENT TUBERCULOSIS IN CHILDREN ≤ 14: ACTIVE CASE FINDING: Faktor Risiko dan Karakteristik Tuberkulosis Aktif dan Laten Pada Anak ≤ 14 Tahun: Penemuan Kasus Aktif Syahrul, Fariani; Catur Adi, Annis; Fajar Nuraidah, Lutfi; Mufida Ersanti, Arina; Tri Sulistijorini, Hinu; Lipu, Yanto; Salisa, Wizara; Shafira Putri, Maurilla; Al Himny Rusydy, Muhammad; Ghanynafi, Abdullah
Jurnal Berkala Epidemiologi Vol. 13 No. 3 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I32025.299-307

Abstract

Background: In 2024, 135,000 tuberculosis (TB) cases were reported in Indonesian children, accounting for part of the 885,000 total TB cases nationwide. Pediatric TB remains a concern due to children’s vulnerability from immature immunity, poor nutrition, and close contact with TB patients. Early detection through active case finding (ACF) is crucial for identifying active and latent TB in at-risk populations. Purpose: To determine the prevalence of active and latent TB and analyze associated risk factors among children screened through ACF. Methods: A cross-sectional study was conducted among 870 children in Sidoarjo Regency using ACF. Active TB was diagnosed through symptom interviews and sputum examination, while latent TB was determined by tuberculin skin test (TST). Nutritional status was assessed using body mass index (BMI). Bivariate analysis was performed to assess associations with active TB. Results: The prevalence of active TB was 4%, and that of latent TB was 4.7%. Among TB cases, 46% were active and 54% latent. Malnutrition was common in active (77%) and latent (46%) TB. Bivariate analysis showed no significant associations with gender, close contact, or passive smoking. Children aged <5 years had a higher risk than those aged 5–14 years (OR = 3.11; 95% CI: 0.99–9.79; p = 0.064). Nutritional status was significantly associated with active TB (χ² = 7.85; p = 0.049). Underweight children had nearly four times higher risk of active TB compared to those with normal nutrition (OR = 3.94; 95% CI: 1.32–11.76; p = 0.018). Conclusion: ACF was effective in detecting active and latent TB among children. Malnutrition was a significant risk factor, suggesting that nutritional interventions should be integrated into pediatric TB control strategies. Patients had close contact with active TB patients.

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