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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 513 Documents
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THE EPIDEMIOLOGICAL FACTORS INFLUENCING PULMONARY TUBERCULOSIS INCIDENCE AMONG MIDLIFE ADULTS IN WEST JAVA 2023: Faktor Epidemiologi yang Memengaruhi Kejadian Tuberkulosis Paru Dewasa Paruh Baya di Jawa Barat Tahun 2023 Hafsari, Kurnianty Indah; Ekaria, Ekaria
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.V14I12026.72-79

Abstract

Background: Tuberculosis (TB) remains a challenge in achieving the third goal of the SDGs. Indonesia ranks second globally in TB cases, with West Java Province recording the highest numbers since 2019 and primarily affects midlife adults (45–64 years old). The number of TB cases in this province tends to increase each year, despite the TB case detection target having been surpassed. Purpose: This study aims to identify variables from host, agent, and environment factors influencing pulmonary TB incidence among midlife adults in West Java Province in 2023. Methods: Data were obtained from the 2023 Indonesian Health Survey. The analysis method applied was binary logistic regression with the Penalized Maximum Likelihood Estimation (PMLE) in a sample of 13,157 midlife adults. Results: This research showed that significant variables include the interaction of smoking history (host factor), pulmonary TB contact (agent factor), and exposure to cigarette smoke (environment factor) (p = 0.00, OR = 12.21), followed by host factor such as nutritional status (p = 0.00, OR = 6.72), history of Diabetes Mellitus (DM) (p = 0.00, OR = 4.66), sex (p = 0.01, OR = 2.20), and employment status (p = 0.03, OR = 2.04). Conclusion: The pulmonary TB incidence among midlife adults is most at risk for those who have smoked and are accompanied by pulmonary TB contact and exposure to cigarette smoke. Local governments need to provide outreach on the dangers of active and passive tobacco smoke, particularly for households with TB patients, to reduce the risk of transmission.
SPATIAL CLUSTERING, AUTOCORRELATION, AND HOTSPOT ANALYSIS OF PULMONARY TUBERCULOSIS INCIDENCE IN BANDA ACEH, INDONESIA: Analisis Klaster Spasial, Autokorelasi, dan Hotspot Kejadian Tuberkulosis Paru di Banda Aceh, Indonesia Mudatsir; Farrah Fahdhienie; Taufik Fuadi Abidin; Nurjannah Nurjannah
Jurnal Berkala Epidemiologi Vol. 14 No. 2 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I22026.185-192

Abstract

Background:  Pulmonary tuberculosis (TB) remains one of the most significant fatal infectious diseases, affecting millions of individuals worldwide. Mitigating and managing TB requires identifying risk factors and conducting geographical analysis using Geographic Information System (GIS) methodology. In Banda Aceh, which has a relatively high TB burden in Aceh Province, understanding the spatial distribution of TB is essential for targeted intervention. Purpose:  This research aims to examine the geographical patterns (clustering, autocorrelation, and hotspots) of pulmonary TB incidence in Banda Aceh, Indonesia. Methods:  An analytical descriptive study of 196 patients with pulmonary tuberculosis was conducted using a GIS approach. Clustering analysis techniques were performed using SatScan, while autocorrelation and hotspot analyses were conducted using GeoDa. Furthermore, the results were visualized geographically using QGIS. Results:  The results indicate a Most Likely Cluster located in Meuraxa, Kuta Raja, Kuta Alam, Baiturrahman, Jaya Baru, Banda Raya, and Lueng Bata subdistricts, with a Log Likelihood Ratio (LLR) of 14.12, a Relative Risk (RR) of 2.28, and a clustering radius of 4.71 kilometers. Moran’s I analysis shows a negative value (-0.17), indicating a dispersed pattern. One subdistrict, Meuraxa, was identified as a coldspot (Low category) with a p-value of 0.05. Conclusion:  Pulmonary TB incidence in Banda Aceh shows a significant cluster in seven subdistricts, a dispersed pattern (negative Moran’s I), and a Low-category coldspot in Meuraxa, indicating the need for targeted interventions in clustered areas and equitable TB control across regions.
PREVALENCE OF DRY EYE LINKED TO SCREEN TIME: A CROSS-SECTIONAL STUDY IN MEDICAL STUDENTS: Prevalensi Dry Eye dan Hubungannya dengan Paparan Layar Digital: Sebuah Penelitian Cross-sectional Pada Mahasiwa Kedokteran Nisa Amira Ibrahim; Fithria Aldy; Fauzan Azmi Hasti Habibi Samosir; Mustafa Mahmud Amin; Hilma Putri Lubis; Muhammad Rizky Try Ashadi
Jurnal Berkala Epidemiologi Vol. 14 No. 2 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I22026.150-157

Abstract

Background: Dry eye syndrome is a multifaceted ocular surface disorder characterized by tear film instability and hyperosmolarity, frequently manifesting as irritation and visual impairment. Recent epidemiological surveillance indicates that approximately 50.4% of high school students engage in four or more hours of daily screen time. Purpose: This study explored the association between digital screen exposure and dry eye prevalence. Methods: This study employed an analytical cross-sectional design to assess medical students at Universitas Sumatera Utara (classes 2021–2023). Using non-probability consecutive sampling based on defined eligibility criteria, data were collected via structured surveys and the Ocular Surface Disease Index (OSDI) to evaluate symptoms in relation to daily screen habits. Statistical correlation was analyzed using the Chi-square test. Results: The majority of respondents (87.50%) used smartphones, with 70.50% reporting daily screen time exceeding 8 hours. Consequently, severe dry eye was observed in 55.70% of the study population. Findings indicated that extended screen duration is a significant determinant in the development of dry eye symptoms (p=0.00). Conclusion: There is a significant statistical association between prolonged digital device usage and the incidence of dry eye disease.
THE INFLUENCE OF ENVIRONMENTAL FACTORS ON THE OCCURRENCE OF SPEECH DELAY IN CHILDREN: Pengaruh Faktor Lingkungan terhadap Terjadinya Keterlambatan Bicara pada Anak Ulfatul Latifah; Riska Arsita; Seventina Nurul Hidayah
Jurnal Berkala Epidemiologi Vol. 14 No. 2 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I22026.202-210

Abstract

Introduction: Speech delay is one of the most common developmental disorders in children and may adversely affect communication skills, academic performance, and social development if not identified and addressed early. Environmental factors, including language stimulation, social interaction, and parental involvement, are considered important determinants of speech development. Purpose: This study aimed to analyze the relationship between environmental factors and maternal characteristics and the occurrence of speech delay in children. Methods: An analytic case-control study was conducted involving parents of children aged 2–6 years with speech delay (case group) and without speech delay (control group). Independent variables included language stimulation, communication and social interaction, gadget use, and maternal characteristics, while speech delay served as the dependent variable. Data were analyzed using the chi-square test and multivariate logistic regression with the enter method. Results: Language stimulation and communication and social interaction were significantly associated with speech delay, whereas gadget use showed no significant independent association. However, logistic regression analysis demonstrated that all variables collectively contributed to the occurrence of speech delay. Conclusion: Although gadget use alone was not directly associated with speech delay, its interaction with inadequate language stimulation, communication, and social interaction may contribute to speech delay in children. Early interventions focusing on supportive environmental factors are therefore essential.
RISK FACTORS ASSOCIATED WITH SUSPECTED TUBERCULOSIS IN A DENSELY POPULATED URBAN COMMUNITY IN BANDUNG: Faktor Risiko yang Berhubungan dengan Suspek Tuberkulosis di Komunitas Padat Penduduk Kota Bandung July Ivone; Cindra Paskaria; Dani
Jurnal Berkala Epidemiologi Vol. 14 No. 2 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I22026.142-149

Abstract

Background: Tuberculosis (TB) remains a major health problem both globally and nationally, particularly in densely populated areas with high social and metabolic risk factors. Early detection of suspected TB is crucial to interrupt transmission chains and to support the 2030 TB elimination target. Purpose: This study aimed to identify risk factors associated with suspected TB in a densely populated community in Babakan Sari, Bandung City. Methods: This cross-sectional study analyzed secondary data from a community-based survey conducted in Babakan Sari, Bandung City, in December 2024. Data were collected through household interviews using a structured questionnaire from 4,172 respondents selected through convenience sampling. Descriptive analysis and chi-square tests were used to examine associations between suspected TB and related risk factors. Results: Significant associated risk factors included a history of previous suspected TB (OR=13.41; p=0.001), incomplete treatment (OR=11.88; p=0.001), poor nutritional status (OR=4.56; p=0.001), exposure to passive smoking (OR=1.73; p=0.001), and a history of diabetes mellitus (OR=1.86; p=0.03). Other factors, such as active smoking, HIV, older age, and cardiovascular disease, were not significantly associated. Conclusion: The most dominant risk factors were a history of TB, incomplete treatment, poor nutritional status, passive smoking exposure, and diabetes mellitus.
THE ROLE OF LIFESTYLE FACTORS AND HEALTH STATUS IN HYPERTENSION IN WAJO REGENCY, SOUTH SULAWESI, INDONESIA: Asupan Tinggi Garam dan Riwayat Keluarga Berkaitan dengan Hipertensi di Kabupaten Wajo, Indonesia Asmaul Husna; Andi Zulkifli; Indra Dwinata; Santi Martini; Firman Suryadi Rahman
Jurnal Berkala Epidemiologi Vol. 14 No. 2 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I22026.158-167

Abstract

Background: The increasing burden of hypertension highlights the need to identify modifiable and non-modifiable risk factors, particularly at the primary healthcare level, where prevention strategies are implemented. Purpose:  This study aimed to identify the most influential risk factors for hypertension in the Sabbangparu Primary Health Center service area. Methods: A case–control study was conducted in 2023 among patients aged ≥35 years who accessed services at Sabbangparu Primary Health Center from September 2022 to February 2023. A total of 162 participants (54 cases and 108 controls) were selected using systematic random sampling from medical records. Data were collected through interviews and medical records. Bivariate analysis used the chi-square test, and multivariable analysis used logistic regression. Results: Family history (OR 13.64; 95% CI 5.71–33.52), high-salt intake (OR 4.85; 95% CI 2.32–10.67), and diabetes mellitus (OR 5.04; 95% CI 2.12–11.54) were significantly associated with hypertension. In the multivariable model, family history (aOR 14.45; 95% CI 5.20–40.64; p<0.001) and high-salt intake (aOR 6.96; 95% CI 2.44–20.56; p<0.001) remained the strongest predictors, indicating substantial contributions of genetic predisposition and dietary factors. Conclusion: Family history and high-salt intake are the most dominant risk factors for hypertension. Strengthening early detection, routine screening, and dietary interventions at the primary healthcare level is essential to reduce hypertension risk and prevent long-term cardiovascular complications.
SPATIAL DISTRIBUTION AND DIARRHEA RISK FROM COLIFORM CONTAMINATED WATER IN SURABAYA, 2023: Distribusi Spasial dan Risiko Diare dari Air Terkontaminasi Koliform di Surabaya 2023 Asyifa Zahrany; Lucia Yovita Hendrati
Jurnal Berkala Epidemiologi Vol. 14 No. 2 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I22026.168-177

Abstract

Background: Diarrheal diseases remain a major public health problem worldwide, contributing significantly to morbidity and mortality. One of the major contributing factors to diarrhea is exposure to contaminated water. The presence of coliform bacteria is used as a primary indicator of water quality. Therefore, detecting coliform is essential for assessing water safety and guiding sanitation measures. Purpose: This study aims to analyze the spatial distribution of coliform-contaminated water sources and assess the epidemiological risks of diarrhea caused by them, using a Geographic Information System (GIS) approach in the City of Surabaya in 2023.  Methods: This study employed a quantitative approach using 693 secondary water source data points and diarrhea prevalence data in Surabaya. The analysis includes descriptive spatial analysis and spatial statistics to assess the distribution of coliforms and their epidemiological risk for diarrhea. Results: Clean water was the most contaminated with coliforms (43%), concentrated in Simokerto, Kenjeran, and Mulyorejo. Spatial analysis showed that high coliform percentages were associated with higher diarrhea prevalence, but Moran’s I indicated weak yet significant spatial autocorrelation (I=0.156; p=0.04). LISA and Bivariate LISA identified a Low-High (p<0.001) cluster in the northeast.  Conclusion: The spatial distribution of coliform-contaminated water sources in Surabaya is concentrated in the central and northeastern regions, which are also characterized by a high prevalence of diarrhea. Therefore, continuous water quality monitoring and spatially targeted risk assessment are essential to support effective preventive public health interventions.
HOUSEHOLD RESILIENCE IN COPING FLOOD OF BENGAWAN SOLO RIVER WATERSHED IN KANOR SUB DISTRICT-BOJONEGORO REGENCY: Resiliensi Rumah Tangga dalam Menghadapi Banjir di Daerah Aliran Sungai Bengawan Solo di Kecamatan Kanor Kabupaten Bojonegoro Siti Shofiya Novita Sari; Atik Choirul Hidajah; Chatarina Umbul Wahyuni; Abubakar Tarawally; Alden Henderson
Jurnal Berkala Epidemiologi Vol. 14 No. 2 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I22026.116-124

Abstract

Background: Flooding is one of the most frequent natural disasters in the Asia-Pacific region, particularly in Indonesia, which has extensive river systems. The Bengawan Solo River, the longest river in Java, frequently overflows and causes recurrent flooding in Bojonegoro Regency. However, evidence regarding household resilience in flood-prone areas, especially in dike-protected and dike-unprotected areas, remains limited. Purpose: This study aimed to assess household resilience among communities living in flood-prone areas of the Bengawan Solo River watershed in Kanor Subdistrict, Bojonegoro Regency. Methods: A cross-sectional study was conducted from October to November 2019 in three villages located in the Bengawan Solo River watershed. A total of 100 households were purposively selected, consisting of 50 households in dike-protected areas and 50 households in dike-unprotected areas. Household resilience was measured using the Community Disaster Resilience Index (CDRI-1), covering five dimensions: financial, human, natural, social, and physical capital. Resilience index scores were analyzed descriptively and compared between the two groups. Results:  Household resilience was classified into five categories, ranging from very low to very high. Households in dike-unprotected areas had lower resilience scores in financial capital (0.39), human capital (0.69), natural capital (0.80), and physical capital (0.43) compared with households in dike-protected areas. Both groups showed the same social capital resilience score (1.00). Conclusion:  Households in dike-unprotected areas tended to have lower resilience across several dimensions. Strengthening financial and physical capital is essential through public health and disaster risk reduction policies for communities in flood-prone areas.
CONTACT INVESTIGATION IN TUBERCULOSIS CONTROL IN MADIUN CITY: Investigasi Kontak dalam Penanggulangan Tuberkulosis di Kota Madiun Meilinda Alya' Putri Haryanik; Agung Nugroho; Arina Mufida Ersanti
Jurnal Berkala Epidemiologi Vol. 14 No. 2 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I22026.133-141

Abstract

Background: Tuberculosis (TB) remains a significant public health concern in Madiun City, with increasing cases from 2021 to 2024. Contact investigation (CI) is a crucial strategy, yet its performance in 2024 was low: only 23.30% CI coverage (target: 90%), 32.30% bacteriological CI (target: 90%), and 17.90% clinical diagnosis (target: 30%). These gaps suggest many undetected cases, risking further transmission. Purpose: This study aims to describe the implementation of contact investigations in TB control efforts in Madiun City. Methods: A quantitative descriptive cross-sectional study using secondary data from the 2024 TB.16RK Form was conducted. The sample included 672 recorded contacts of registered index TB cases in Madiun City from January to December 2024. A total sampling technique was applied, including all eligible cases and contacts during the study period. Variables analyzed were the type of healthcare facility, the number of contacts, the CI method, the CI status, and the TB outcomes. Results: Of 672 contacts, 60.30% had not undergone CI. Hospitals contributed the highest number of uninvestigated contacts (n=212), and all contacts from correctional facilities were uninvestigated. Most index cases had <8 contacts, with a CI ratio of 1:2, which is below the WHO's 5–10 recommendation. CI was primarily via home visits (91.40%). Only 1.87% of investigated contacts were diagnosed with TB, showing CI's potential in case finding. Conclusion: CI coverage in Madiun City remains low, with suboptimal contact ratios and facility performance. Strengthening CI implementation across all health facilities is vital to interrupt transmission and achieve TB elimination by 2030.
UNDERSTANDING THE DRIVERS OF ANEMIA AMONG PREGNANT WOMEN: A CROSS-SECTIONAL STUDY: Memahami Faktor-Faktor Penyebab Anemia pada Ibu Hamil: Studi Cross-Sectional Riaya Fauziah; Erni Gustina; Kania Valentia Febriana; Ardyawati Wira Oktaviana; Yuniar Wardani; Liena Sofiana; Suci Musvita Ayu; Baiq Qatrunnada Hariyanti
Jurnal Berkala Epidemiologi Vol. 14 No. 2 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I22026.178-184

Abstract

Background: Anemia is a global health issue, particularly among pregnant women in developing countries, with an estimated 35% of pregnant women worldwide expected to be anemic by 2023. This condition increases the risk of complications for both mother and fetus, such as fatigue, preterm birth, and low birth weight. It is influenced by maternal factors, including age, chronic energy deficiency (CED), and educational level. Purpose: This study aims to identify the relationship among maternal age, chronic energy deficiency, education level, and the occurrence of anemia in pregnant women. Methods: This cross-sectional study was conducted in the working area of the Pakuncen Community Health Center and involved 192 pregnant women selected using purposive random sampling. Data were collected using a structured questionnaire to determine the age, educational level, CED, and anemia status. Anemia status was determined by measuring hemoglobin levels using HemoCue, while CED status was assessed by upper-arm circumference (UAC). Data analysis used chi-square tests and logistic regression. Results: The prevalence of anemia was 40.60%. Maternal age, education level, and CED status were significantly associated with anemia incidence (p<0.05). Logistic regression showed that mothers with low education (AOR = 3.41; 95% CI: 1.77-6.53), experiencing CED (AOR = 2.17; 95% CI: 1.12-4.20), and aged <20 or >35 years (AOR = 2.35; 95% CI: 1.18-4.68) had a higher likelihood of anemia. Conclusion: Maternal age, nutritional status, and education level significantly affect anemia risk. Improving nutrition education and supporting empowerment can help reduce anemia and improve the health of mothers and infants.

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