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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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ANALYSIS OF COMMUNITY HEALTH VOLUNTEER (CHV) BEHAVIOR IN DETECTING PRESUMPTIVE PULMONARY TB IN BANJARNEGARA: Analisis Perilaku Kader Kesehatan dalam Penemuan Suspek TBC Paru di Kabupaten Banjarnegara Saroh, Saroh; Widjanarko, Bagoes; Shaluhiyah, Zahroh
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.V13I32025.280-288

Abstract

Background: Pulmonary TB case detection in Banjarnegara Regency from 202 to 2023 has fallen short of the target. As of June 2024, only 21% of suspected pulmonary TB cases have been identified. The behavior of community health volunteers (CHV) who actively seek out TB cases in the community starting from conducting visits, providing basic education to at least 20 close contacts of the index TB case, screening symptoms through interviews using the National TB 16K form, to encouraging symptomatic contact to undergo sputum examination at the health center is closely linked to the detection of pulmonary presumptive TB. Purpose: To analyze the behavior of CHV and to identify the factors influencing CHV behavior to identify presumptive TB pulmonary.   Methods: The research design used was quantitative with a cross-sectional and observational design. The sampling technique used was total sampling with a total of 136 respondents. Results: Based on research conducted, 77 demonstrated good behavior in presumptive identification, while 59 exhibited less favorable behavior. The majority of respondents had excellent knowledge (92.65%), a supportive attitude towards presumptive detection (65.44%), and good motivation (60.29%). There is a relationship between knowledge (P=0.015), attitude (P=0.006), and motivation (P=0.000) with the behavior of community health volunteers in identifying pulmonary TB presumptive in Banjarnegara Regency. Conclusion: 56.62% of respondents exhibited good behavior in detecting pulmonary TB presumptives. Further training with an interactive learning approach is necessary to enhance the capacity of community health volunteers.
RISK FACTORS OF CHRONIC KIDNEY DISEASE AMONG INDONESIAN PROSPECTIVE HAJJ PILGRIMS (DATA ANALYSIS OF SISKOHATKES 2024): Faktor Risiko Gagal Ginjal Kronis pada Calon Jemaah Haji Indonesia (Analisis Data Siskohatkes 2024) Kusumastuti, Istyarahma Kansya; Simanjorang, Chandrayani; Laily Hanifah; Budianto, Heri
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.V13I32025.238-245

Abstract

Background: Chronic Kidney Disease (CKD) is an escalating global public health issue. By 2024, CKD ranked sixth among the top ten causes of death among Indonesian hajj pilgrims and served as a comorbidity for the two leading causes of mortality, hypertension and cardiovascular diseases. Purpose: This study aims to identify the risk factors of CKD among Indonesian prospective hajj pilgrims in 2024. Methods: A cross-sectional design was utilized using secondary data from the Integrated Hajj Computerized System for Health Sector (Siskohatkes) for all registered pilgrims in 2024. A total of 217,476 participants were enrolled using purposive sampling. Data were analyzed using multivariate logistic regression. Results: The prevalence of CKD among prospective Indonesian hajj pilgrims was 0.2%. Multivariate analysis revealed significant risk factors, including family history of CKD (aPOR = 3.51; 95% CI: 1.30–9.48), diabetes mellitus (aPOR = 2.25; 95% CI: 1.82–2.78) male (aPOR = 2.10; 95% CI: 1.71–2.57), age ≥ 60 years (aPOR = 1.93; 95% CI: 1.48–2.52), and hypertension (aPOR = 1,90; 95% CI: 1,48–2,44). Conclusions: This study highlights risk factors for CKD among prospective Indonesian hajj pilgrims, with a family history of CKD being the most dominant risk factor. The Indonesian Hajj Health Center is advised to standardize the diagnostic methods for CKD and integrate health information systems to serve as a reference for comparison of examination results.
GEOSPATIAL ANALYSIS TO IDENTIFY TUBERCULOSIS HOTSPOTS IN BANYUMAS REGENCY (2023) THROUGH SPATIAL AUTOCORRELATION: Analisis Geospasial untuk Mengidentifikasi Titik Rawan Tuberkulosis di Kabupaten Banyumas (2023) Melalui Autokorelasi Spasial Daniswara, Sabrina; Muh, Fauzi; Adi, Mateus Sakundarno; Martini, Martini; Sutiningsih, Dwi; Rahayu, Misti
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.V13I32025.246-254

Abstract

Background: Banyumas Regency had the second-highest number of TBC cases in Central Java Province in 2023, totaling 7,060 cases. The incidence of TBC increased by approximately 27.27% from 2022 to 2023. Despite various TB control efforts, conventional epidemiological methods often fail to capture the spatial patterns of disease transmission, making it challenging to identify localized hotspots and effectively allocate resources. Purpose: This study aimed to analyze the spatial relationship between HIV prevalence, population density, healthy living behaviors, and housing conditions in relation to TBC incidence. Additionally, it sought to identify tuberculosis hotspots in Banyumas Regency. Methods: The data were obtained from the Banyumas Tuberculosis System Information in August 2024. Total of 4,853 registered patients who sought treatment and resided in Banyumas Regency in 2023 was assessed. TBC distribution patterns were analyzed using the spatial autocorrelation method through the Moran Index and Local Indicators of Spatial Associations (LISA). Results: The analysis revealed significant clustering of TBC incidence with HIV prevalence, clean and healthy living behavior, and population density. The significant dispersion was noted with healthy houses. Notably, six 27 subdistricts—Kembaran, North Purwokerto, South Purwokerto, East Purwokerto, Sokaraja, and Sumbang—demonstrated significant local spatial autocorrelation. Conclusion: The study found TBC incidence was clustered in areas with high HIV prevalence, poor living conditions, and high population density, while healthy houses showed a dispersed pattern, highlighting the importance of prioritizing interventions, policy changes, and resource allocation.
THE CORRELATION BETWEEN POOR ORAL HYGIENE AND ORAL HEALTH-RELATED QUALITY OF LIFE AMONG DRUG USERS: Hubungan Antara Kebersihan Gigi dan Mulut Terhadap Kualitas Hidup Pada Pengguna Narkoba Riky Hamdani; Sitepu, Alexander; Wahyu Pertiwi, Indraswari
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.V13I32025.255-263

Abstract

Background: The quality of life among drug users has become an increasingly important public health issue. One of the factors suspected to contribute to this is poor oral hygiene, which may result from reduced saliva production due to long-term use of psychotropic substances. This condition warrants special attention, particularly in Banjarbaru City, which has the highest rate of drug abuse in South Kalimantan Province, with a proportion of 26.64%. Purpose: The purpose of this study is to analyze the correlation between drug users' quality of life and their dental and oral hygiene. Methods: This study employed a cross-sectional design and was conducted on a representative sample of drug users undergoing rehabilitation. A total of 38 respondents were selected using a simple random sampling method. Data on dental and oral hygiene were collected using the Oral Hygiene Index Simplified, while quality of life was measured using the OHIP-14 questionnaire. The data were then analyzed using appropriate statistical methods to determine the correlation between the variables.   Results: Dental and oral hygiene for drug abusers have an average score of 3.38 and an average quality of life score of 21.25. Poor oral hygiene is associated with poor quality of life in drug abusers (r = 0.572, p-value <0.000). Regression analysis showed that poor oral hygiene was a predictor of poor quality of life (β: 3.936; R2: 0.328; p <0.000). Conclusion: This study emphasizes how crucial it is to practice proper dental hygiene in order to improve drug users' quality of life.
EVALUATION OF DIARRHEA SURVEILLANCE SYSTEM IN MAGETAN REGENCY HEALTH OFFICE 2023 USING SURVEILLANCE ATTRIBUTES: Evaluasi Sistem Surveilans Diare di Dinas Kesehatan Kabupaten Magetan Tahun 2023 Berdasarkan Atribut Surveilans Tajuddin AT, Nur Afdaliah; Isfandiari, Muhammad Atoillah; Yudi Purnomo, Agoes
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.V13I32025.229-237

Abstract

Background: Diarrhea prevalence in 2023 in Magetan Regency was reported for all age groups at 59.40% and for children under five at 96.53%. The preliminary study found several problems in the recording and reporting system of Diarrhea in the Magetan Regency. Purpose: To describe the quality of the diarrhea surveillance system implemented in Magetan Regency Health Office based on surveillance system attributes assessment. Methods: Descriptive research with an evaluation study design. An evaluation was conducted on the diarrhea surveillance system in 2023 in the Magetan Regency Health Office. The respondents of this study were 23 people. Data was collected using questionnaires through Google Forms, interviews, and document studies. Data analysis was carried out and presented descriptively using tables and narratives. Results: Evaluation of the diarrhea surveillance system based on the assessment of surveillance attributes shows that the diarrhea surveillance system in Magetan Regency is simple, flexible, of high data quality, sensitive, highly acceptable, timely, and highly stable. However, the system is not representative, and the positive predictive value cannot be calculated. Conclusion: The implementation of the diarrhea surveillance system in Magetan Regency has been running well, mostly supported by the completeness of surveillance attributes. The evaluation results show that the system is simple, flexible, has high data quality and acceptability, is sensitive, timely, and highly stable. However, the system is not representative, and the PVT cannot be calculated.
ATTRIBUTE-BASED EVALUATION OF DENGUE SURVEILLANCE IN SUMENEP REGENCY: ASSESSING EFFECTIVENESS AND RECOMMENDATIONS FOR IMPROVEMENT: Evaluasi Surveilans Demam Berdarah Dengue Berbasis Atribut di Kabupaten Sumenep: Menilai Efektivitas dan Rekomendasi Perbaikan Yuliani, Cahya; Hidajah, Atik Choirul; Susilastuti, Fransisca; Suryadinata, Mohammad Agus; Soares, Virgilio
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.V13I32025.201-210

Abstract

Background: Dengue Hemorrhagic Fever remains a significant public health concern in Sumenep Regency, with cases and fatalities reported annually. In 2023, both the incidence rate (27.74/100,000 population) and the case fatality rate (1.96%) exceeded the national targets (IR ≤10; CFR ≤0.6%). Therefore, evaluating the dengue surveillance system is essential to assess its performance and support effective control measures. Purpose: This study evaluates the dengue surveillance system in Sumenep Regency in 2023 based on surveillance system attributes to provide recommendations for improvement. Methods: The study was conducted at a public health center (puskesmas) and the Regency Health Office, involving 17 informants, including surveillance officers and DHF program managers. Data were collected through interviews, document reviews, and observations using questionnaires and sheets. Analysis was based on surveillance system attributes aligned with Indonesia’s DHF prevention and control guidelines, with results presented in tables and narratives. Results: The surveillance system demonstrated good data stability and timeliness, but remains complex, inflexible, has low user acceptance, is not yet representative, and is not yet sensitive. Conclusion: The dengue surveillance system in Sumenep needs improvements in simplicity, user acceptance, representativeness, sensitivity, and data quality. Efforts should simplify processes, integrate active and passive surveillance, standardize procedures, and strengthen coordination to improve system effectiveness.
DETERMINANTS OF THE INCIDENCE OF DIARRHEA IN TODDLERS AGED 12-59 MONTHS IN JAYAPURA CITY: Determinan Kejadian Diare Pada Balita Usia 12-59 Bulan di Kota Jayapura Irmanto, Maxsi; Irjayanti, Apriyana; Fatiah, Mona Safitri; Ilmidin, Ilmidin
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.V13I32025.264-271

Abstract

Background:  Diarrhea in toddlers can be more deadly compared to other ages because the percentage of fluid in the baby’s body is greater. In 2023, data from 14 health centers in Jayapura City showed that diarrhea consistently ranked among the top 10 diseases, particularly at Abepura and North Jayapura Health Centers. Purpose:  This study aims to analyze the determinants of diarrhea incidence, including risk factors, among toddlers in Jayapura City. Methods:  A cross-sectional design was applied with a sample of 192 toddlers aged 12–59 months selected through accidental sampling. Inclusion criteria were mothers of toddlers aged 12–59 months, residing in the community health center working area, and willing to participate. Exclusion criteria included toddlers with congenital or chronic diseases, mothers not serving as primary caregivers, and uncooperative respondents. Data were collected using questionnaires and processed with SPSS software. Univariate and bivariate analyses employed the chi-square test, while multivariate analysis used multiple logistic regression.   Results:  Exclusive breastfeeding (p = 0.00) and maternal attitude (p=0.01) were significantly related to diarrhea incidence. Exclusive breastfeeding was identified as the main determinant, with p = 0.00 and an Exp(B) value of 4.32. Conclusion:  Exclusive breastfeeding is the key determinant of diarrhea incidence among toddlers aged 12–59 months in Jayapura City.
ANALYSIS DETERMINANTS OF TYPE 2 DIABETES MELLITUS: A CASE CONTROL STUDY: Analisis Determinan Kejadian Diabetes Mellitus Tipe 2: Studi Case Control Sirait, Reni Aprinawaty; Hulu, Victor Trismanjaya; Sitorus, Rotua Sumihar; Susanti, Dewi; Handayani, Sri; Sinambela, Megawati; Rahmi, Nurfadhilah
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.V13I32025.272-279

Abstract

Background: Type 2 Diabetes Mellitus (type 2 DM) is a chronic disease in adults due to the body's resistance to insulin. Purpose: This study aims to analyze the determinants of the incidence of type 2 DM. Methods: The study design was a case-control study. The case population in this study was patients with type 2 DM who had been diagnosed by doctors based on data available in the medical records of Bintang Bayu Health Center. In contrast, the control population was patients who did not suffer from type 2 DM. The study's sample size was 138 people, with a ratio of cases to controls of 1:2. The case group consisted of 46 people, and the control group comprised 92 people. The sampling technique used was nonprobability sampling, namely, consecutive sampling. Questionnaire distribution was the primary method of data collection. The frequency distribution of each variable was calculated before analyzing the data using Chi-square and logistic regression. Results: Diet (p=0.001; OR=4.7; 2.231–10.154), knowledge (p=0.033; OR=2.3; 1.129–4.785), physical activity p = 0.010; OR = 2.8; 1.342 – 6.032), hypertension (p=<0.001; OR=4.9; 2.089–11.784) were significant to the incidence of type 2 DM. The most dominant variable was hypertension, p=<0.001; OR=7.3 (2.581-20.680). Conclusions: Poor diet, poor knowledge, light physical activity, and hypertension were significant factors in the incidence of type 2 DM.
SOCIAL MEDIA USE INTENSITY AND ADOLESCENT ANTISOCIAL BEHAVIOR: A CROSS-SECTIONAL STUDY IN SIDOARJO: Intensitas Penggunaan Media Sosial dan Perilaku Anti Sosial Remaja: Studi Cross Sectional di Kabupaten Sidoarjo Nur Budiarti, Tamara; Andriani, Linda; Dewanti, Nisa; Rizka Rohmawati, Nina; Muthmainnah; Wagiu Basrowi, Ray; Tenrisau, Dhihram; Mohammed Ali Aldubaeiu, Haitham Taleb Salem
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.V13I32025.219-228

Abstract

Background: Social media usage is rapidly increasing and has become integral to everyone. The increased use of social media among adolescents has generated substantial concerns regarding its potential effects on mental health disorders. Purpose: This study investigates how the intensity of social media use influences antisocial behavior. Methods: The research was conducted in Sidoarjo Regency, held from March to April 2025, as an analytical observational method with a cross-sectional design. The population consisted of adolescents aged 17 to 25, with a total sample of 384 respondents selected through simple random sampling based on defined inclusion and exclusion criteria. Variables assessed included social media usage intensity, sleep disorder, self-confidence, anxiety regarding the future, and antisocial behavior. Data were collected using a self-reporting questionnaire and path analysis. Results: Findings indicated that 21.40% of respondents had low social media usage intensity, 7.00% experienced low sleep disorder, 24.20% had high self-confidence, and 18.20% did not experience anxiety about the future. Antisocial behavior was predominantly low among respondents (69.50%). The intensity of social media use was found to influence antisocial behavior directly and indirectly. Conclusion: Adolescents in Sidoarjo Regency displayed mental health disorder symptoms such as sleep disorder, reduced self-confidence, anxiety about the future, and antisocial tendencies. These findings highlight the importance of responsible social media use education, digital literacy programs, stress management initiatives, and increased involvement from families and educational institutions to create supportive environments promoting adolescent emotional stability.

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