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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 501 Documents
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FACTORS AFFECTING SUSPECTED MEASLES IN TODDLERS IN KEDUNGWARU DISTRICT, TULUNGAGUNG REGENCY IN 2023: Faktor-faktor yang Mempengaruhi Suspek Campak pada Balita di Kecamatan Kedungwaru Kabupaten Tulungagung Tahun 2023 Rokhma, Bella Ainur; Azzahro, Qiara Hasna; Hendrati, Lucia Yovita
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.90-97

Abstract

Background: Measles cases worldwide are still a serious concern, especially the increasing mortality rate. In 2021, 128,000 people lost their lives due to measles, and the number increased to 136,000 in 2023, with the highest death rate in toddlers. Purpose: To determine the relationship between the timeliness of measles immunization, maternal knowledge, and maternal attitudes towards suspected measles in toddlers in Kedungwaru District, Tulungagung Regency. Methods: A case-control study design was used, with a sample of 42 toddlers: 12 in the case group (measles suspects) and 30 in the control group (not measles suspects). Data were analyzed using bivariate binary logistic regression to examine the relationship between each independent variable and the dependent variable, and multivariate analysis to identify the variables most strongly associated with the incidence of measles suspects. Results: There is a significant effect between the timeliness of measles immunization, maternal knowledge, and maternal attitudes towards the incidence of measles suspects (p-value=0.02; OR=6.00 for timeliness of immunization; p-value=0.03; OR=5.18 for maternal knowledge; p-value=0.02; OR=5.50 for maternal attitudes). However, the children's room density variable (p = 0.31) and ​​the ventilation area in children's rooms (p=0.50) do not show a significant effect. Conclusion: The timeliness of measles immunization, maternal knowledge, and maternal attitude have a significant effect on suspected measles in toddlers, with the timeliness of immunization as the most dominant factor, while child's room density and the width of the room's ventilation do not have a significant effect.
META-ANALYSIS: THE IMPACT OF BCG IMMUNIZATION, CONTACT HISTORY AND PARENTAL KNOWLEDGE ON CHILDHOOD PULMONARY TB: Meta-Analisis: Pengaruh Imunisasi BCG, Riwayat Kontak dan Pengetahuan Orang Tua Terhadap TBC Paru pada Anak Kalsum, Ummi; Paradiba, Anggia; Butar Butar, Marta; Nugraha, Fathan Iman
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.52-61

Abstract

Background: The problem of childhood pulmonary TB is still high worldwide and in Indonesia. Several studies have found various risk factors that contribute to the incidence of pulmonary TB in children. Purpose: To analyze the results of research related to BCG immunization, contact history, and parental knowledge with the incidence of childhood pulmonary TB. Methods: The study design was a systematic review with meta-analysis. Journal sources from 3 databases, namely Google Scholar, Pubmed, and Scopus using Publish or Perish Software with keywords using boolean operators. The inclusion criteria were full text from 2019 to 2023, articles in Indonesian or English, observational studies, the population was children, using multiple logistic regression multivariate analysis with adjusted odds ratio. Ten articles qualified for inclusion out of 11,471 identified. Data analysis using RevMan 5.4. Results: The pooled proportion of childhood pulmonary TB from four primary studies was 16.35% (95%CI: 4.34-24.52). Contact history (SMD=9.52; 95% CI=3.61-25.09; p-value=0.05) was statistically significant”while BCG immunization and parental knowledge were not significant. No publication bias was detected. Conclusion: A history of contract increases the risk of pulmonary TB in children. It is recommended that parents prevent their children from contact with TB sufferers through implementation of appropriate health protocols to reduce the risk of TB transmission.
FACTORS ASSOCIATED WITH STUNTING AMONG TODDLERS AGED 6-24 MONTHS IN TANIMULYA VILLAGE, WEST BANDUNG DISTRICT: Faktor-Faktor yang Berhubungan dengan Kejadian Stunting di Desa Tanimulya Kabupaten Bandung Barat Utami Ainunnisa, Rista; Kumalasari, Isti; Astuti, Widya; Rahayu Fitrianingsih, Asti Dewi; Septia Rosdiana, Delita
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.98-106

Abstract

Background: Stunting is a public health issue that remains a serious concern in Indonesia, including in West Bandung Regency, where the prevalence was 26.90% in 2022. This condition not only reflects physical growth disorders but also poses risks to children's cognitive development and future productivity. Purpose: This study aims to identify factors associated with stunting in toddlers in Tanimulya Village, West Bandung Regency. Methods: A cross-sectional study was conducted involving 83 toddlers and their parents selected through cluster random sampling. The study included children aged 6–24 months living in Tanimulya Village, excluding those with genetic disorders or chronic illnesses. Data were collected using questionnaires, WHO-standard anthropometric measurements, and 24-hour food recall, and analyzed using multivariate logistic regression with SPSS 21. Results: Of 83 toddlers, 43 were classified as stunted. Further analysis revealed that protein intake (OR: 5.14), parental role (OR: 0.35), and history of infection (OR: 0.47) were significantly associated with stunting. Multivariate analysis identified protein intake as the dominant factor influencing stunting among toddlers. Conclusion: These findings indicate that stunting prevention efforts should focus on nutrition education for families, increased parental involvement in childcare, and regular monitoring of child growth.
DESCRIPTIVE EPIDEMIOLOGY OF DIPHTHERIA CASES IN JEMBER REGENCY, INDONESIA, 2023–2024: Epidemiologi Deskriptif Kasus Difteri di Kabupaten Jember Tahun 2023-2024 Khusnia, Esa Hidayatul; Noveyani, Adistha Eka; Ariyanto, Yunus
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.25-33

Abstract

Background:  Diphtheria remains a significant public health concern in several regions of Indonesia, including Jember Regency, where periodic outbreaks persist. Purpose:  This study aimed to describe the distribution of diphtheria cases in Jember Regency from 2023 to 2024 based on person, place, and time. Methods:  A descriptive epidemiological study was conducted using secondary data from the Jember District Health Office, including all reported diphtheria cases from January 2023 to December 2024. The study population comprised all confirmed diphtheria cases during the study period, with data sources including case investigation forms, immunization records, and surveillance reports. Data were collected using a standardized extraction form and analyzed using descriptive statistics. Temporal trends were assessed through epidemic curves, while spatial distribution was mapped using Geographic Information System (GIS) software to visualize the relationship between immunization coverage and case occurrence. Results:  A total of 27 diphtheria cases, or approximately 1.04 cases per 100,000 population, were reported. Most cases occurred among children aged 14 years or older, and clusters of cases were observed in subdistricts with low immunization coverage. The epidemic curve revealed distinct peaks in 2023 during weeks 23–27 and 28–31, while in 2024, peaks occurred during weeks 1–5 and 23–27. While GIS mapping demonstrated a clear spatial distribution between under-immunized areas and increased diphtheria incidence. Conclusion:  Diphtheria cases were predominantly concentrated in areas with low immunization coverage, highlighting the need to strengthen immunization programs in vulnerable communities.
FACTORS ASSOCIATED WITH PNEUMONIA AMONG UNDER-FIVE CHILDREN IN HOUSEHOLDS WITH SMOKERS AROUND GETASAN HEALTH CENTER: Faktor yang Berhubungan dengan Pneumonia Balita pada Keluarga Perokok di Wilayah Puskesmas Getasan A'syifa, Nurul; Hestiningsih, Retno; Yuliawati, Sri; Sutiningsih, Dwi
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.44-51

Abstract

Background: Pneumonia is a severe lung infection that affects the respiratory system and continues to pose a major global health issue for children under five. In the service area of Getasan Public Health Center—where 66% of households have active smokers—the annual incidence of pneumonia in children under five is consistently higher than other primary healthcare centers in Semarang Regency. This pattern highlights the influence of environmental factors, especially exposure to cigarette smoke. Purpose: This study examines the factors associated with pneumonia among children under five from smoker households. Methods: A case-control design was involved, involving 57 respondents from households with active smokers. Data were collected through a structured interview using a standardized questionnaire. Analytical methods applied in this study comprised univariate, bivariate, and multivariate tests. Results: Duration of exposure to cigarette smoke (p=0.01; AOR=5.80; 95% CI=1.50–22.44) and household cleaning habits (p=0.02; AOR=5.56; 95%CI=1.38–22.38) showed statistically significant results. Conclusion: Prolonged exposure to cigarette smoke and poor household cleaning habits were strongly linked to pneumonia among children under five in smoker households. Strengthening health education and preventive programs at the community level is recommended to promote smoke-free environments and safeguard child health.
EPIDEMIOLOGICAL ASSESSMENT OF SMOKING-RELATED HEALTH BURDEN AND CESSATION EFFORTS IN WEST KALIMANTAN: Kajian Epidemiologi Terhadap Beban Kesehatan Akibat Merokok dan Upaya Berhenti Merokok di Kalimantan Barat Fitriangga, Agus; Alex, Alex
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.16-24

Abstract

Background: Indonesia has one of the highest smoking prevalence rates in Southeast Asia, reaching at least 65%, with notable regional differences. Some areas, such as West Kalimantan, continue to exhibit high smoking rates alongside limited cessation services. Purpose: This study aims to evaluate the health risks associated with smoking and determine factors that motivate smokers to quit among residents of Pontianak City and Kubu Raya District in West Kalimantan. Methods: A cross-sectional survey was conducted from June to November 2024 using multistage cluster random sampling. Participants included 385 adults aged 18 years and older who were surveyed regarding their smoking habits and health conditions. Important factors were identified and assessed using logistic regression and ROC curve analyses. Results: The prevalence of smoking was higher in Kubu Raya than in Pontianak (41.18% vs. 36.13%). Chronic respiratory symptoms (aOR=3.91; 95% CI: 2.24–6.81) and cardiovascular disease (aOR=3.76; 95% CI: 1.98–7.14) were strong quit attempt predictors. Receiving healthcare advice (aOR=2.33) and holding a higher educational degree (aOR=1.82) also positively affected cessation. The AUC of the model was 0.71, suggesting strong predictive ability. Conclusion: While the focus on smoking-related illnesses helps motivate cessation attempts, it emphasizes the need to integrate tobacco cessation services within chronic disease frameworks to advance Sustainable Development Goals 3: Good health and well-being. Strengthening community-specific public health initiatives is essential to enhance understanding and availability of cessation support in underserved areas.
DEPRESSION-RELATED FACTORS IN PULMONARY TUBERCULOSIS PATIENTS: SECONDARY ANALYSIS OF THE INDONESIAN HEALTH SURVEY 2023: Faktor Terkait Depresi pada Kasus Tuberkulosis Paru: Analisis Sekunder Survei Kesehatan Indonesia 2023 Regina, Agave; Nasution, Helmi Suryani; Syukri, Muhammad; Halim, Rd.; Putra, Ashar Nuzulul; Pratiwi, Dessy; Yuliana, Roma
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.62-71

Abstract

Background: Depression is highly prevalent among tuberculosis (TB) patients, with reported rates reaching 31-61%, and it is strongly associated with poor medication adherence and adverse treatment outcomes. Despite this considerable burden, mental health screening for TB patients has not yet been integrated into routine TB care. Purpose: This study aimed to identify factors associated with depression among TB patients. Methods: This secondary data analysis used the Survei Kesehatan Indonesia (SKI) or Indonesian Health Survey 2023 with a cross-sectional design. A total sampling approach was applied, to all TB patients who met the inclusion criteria, resulting in 1,163 respondents. Statistical analyses included the chi-square test and multiple logistic regression, with a significance level of p < 0.05. Results: The prevalence of depression among TB patients was 5.38% (95% CI: 3.26–8.76%). Multivariate analysis showed that being female [aPOR = 15.90, 95% CI (1.99-143.09)], age 15-40 years [aPOR = 5.80, 95% CI (1.17-28.67)], TB treatment duration ≤6 months [aPOR = 5.22, 95% CI (1.67-16.34)], smoking [aPOR = 11.33, 95% CI (2.07-61.97)], and stress [aPOR = 39.04, 95% CI (11.23-135.66)] were significantly associated with depression in TB patients. Stress was identified as the most influential factor. Conclusion: Depression remains a relevant issue among TB patients in Indonesia, with stress emerging as the strongest associated factor. Routine depression screening and integrated mental health support within TB programs are strongly warranted, particularly for high-risk groups such as women, younger adults, patients in the early phase of treatment, smokers, and those experiencing stress.
THE RELATIONSHIP BETWEEN SALTED FISH AND HYPERTENSION IN COASTAL AREAS: A SCOPING REVIEW: Hubungan Antara Ikan Asin dan Hipertensi di Wilayah Pesisir: Sebuah Tinjauan Cakupan Aliyah, Ira Nur; Aditya Nugraha, Bambang; Ulfah Rifa'atul Fitri, Siti
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.80-89

Abstract

Background: Hypertension is a major public health issue worldwide, and its prevalence is higher in coastal areas with significant contribution from high dietary sodium such as salted fish. It is salted and dried fish that still BYs part of their daily diet in these parts, because of its very keeping-qualities and abundance. Purpose:  The purpose was to systematically map the scientific evidence on the relationship among salted fish consumption and hypertension in coastal regions. Methods: A scoping review method was used in this study based on the PRISMA-ScR guidelines. PCC were perBYed on five databases including: PubMed, Scopus, Science Direct, Cambridge Core and Google Scholar using the PCC framework with key search terms; "hypertensive patients OR hypertension patient OR hypertension sufferer" AND "salted fish OR saltwater fish" AND "coastal area". Articles were selected through strict inclusion and exclusion criteria and appraised using the Joanna Briggs Institute (JBI) guidelines. Results: A total of 376,619 articles were initially identified. After removing 75,312 duplicates, title and abstract screening excluded 330,997 articles, leaving 43 articles for full-text review. Of that 33 articles were eliminated because they did not meet methodological feasibility, and finally 10 articles with a JBI quality assessment score of ≥75% were declared eligible. Most studies reported a significant association among salted fish consumption and the incidence of hypertension, primarily based on observational study designs. The only one that did not report significant associations was a study by Williams et al. Conclusion: High intake of salted fish is significantly associated with an increased risk of hypertension among coastal populations, that may inBY on culturally appropriate interventions and community-based health promotion.
THE RELATIONSHIP BETWEEN INDIVIDUAL CHARACTERISTICS AND STRESS LEVELS WITH GASTRITIS INCIDENCE AMONG HIGH SCHOOL ADOLESCENTS: Hubungan Karakteristik Individu dan Tingkat Stres Terhadap Kejadian Gastritis Pada Remaja Sekolah Menengah Atas Rosyidah, Aisyatur; Navika Yamani, Laura; Abdul Manas, Nor Hasmaliana
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.8-15

Abstract

Background: Adolescents are at risk of developing gastritis due to their busy schedules, which often lead to poor eating habits and high stress levels. Gastritis has a high prevalence in Indonesia, particularly in the working area of the Alun-Alun Public Health Center in Gresik. Purpose: To analyze the relationship between individual characteristics and stress levels with the incidence of gastritis among high school adolescents in the working area of Alun-Alun Public Health Center, Gresik. Methods: Quantitative, analytical, observational, with a cross-sectional design, using a sample of 287 students, selected by proportionate stratified random sampling and simple random sampling. Data were collected through a questionnaire survey, including individual characteristics, DASS, and a recall of gastritis symptoms. The data were analyzed using univariate methods and chi-square tests to determine relationships among variables. Results: The results showed significant associations between age (p = 0.02; PR = 1.51; 95% CI = 1.08 < PR < 2.10), gender (p=0.01; PR = 2.03; 95% CI = 1.26 < PR < 3.26), history of pain reliever use (p=0.09; PR = 1.55; 95% CI = 0.94 < PR < 2.57), and stress levels (p<0.01) with the incidence of gastritis. The analysis of variables such as the history of medication use and mild, moderate, and extremely severe stress levels did not yield statistically significant results, making the estimated effects uncertain. Conclusion: Early adolescence, being female, and experiencing severe stress significantly increase the risk of developing gastritis.
PREVALENCE AND RISK FACTORS OF HPV INFECTION AMONG WOMEN OF REPRODUCTIVE AGE IN SURABAYA: Prevalensi dan Faktor Risiko Infeksi HPV Pada Wanita Usia Reproduksi di Surabaya Widayati, Umi; Qurniyawati, Eny; ElKhalil, Rouwida
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.1-7

Abstract

Background: Human Papillomavirus (HPV) is a group of viruses that can infect the genital tract and cause various health conditions, including malignant cervical cancer. According to data from the Global Burden of Cancer (GLOBOCAN) 2022, cervical cancer ranks as the second most common cancer among women in Indonesia after breast cancer, with approximately 36,964 cases. Purpose: This study aimed to determine the prevalence and identify the risk factors of HPV infection among women of reproductive age. Methods: A quantitative, cross-sectional study was conducted, involving 300 vaginal swab samples collected via self-sampling. HPV detection was performed using Polymerase Chain Reaction (PCR) to identify HPV DNA and determine its genotypes. Chi-square tests were applied to analyze the effects of age, age at first sexual intercourse, age at first pregnancy, number of deliveries, and contraceptive use, particularly hormonal contraceptives, on the incidence of HPV infection. Results: A total sampling of 300 women of reproductive age, predominantly other subtypes (8.33%), subtype 16 (1.33%) and subtype 18 (1.00%). Significant associations were found between age at first pregnancy (OR = 0.006, 95% CI = 0.001–0.045, p = 0.000) and hormonal contraceptive use (OR = 0.653, 95% CI = 0.250–1.709, p = 0.030). with HPV infection. Conclusion: These findings indicate that age at first pregnancy and hormonal contraceptive use are significantly associated with HPV infection, highlighting the urgent need for expanded HPV vaccination programs, routine screening, and targeted education on HPV risk, contraceptive choices, and pregnancy planning in Surabaya.

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