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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 525 Documents
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ANALYSIS OF THE VULNERABILITY AREAS FOR DENGUE FEVER IN BONDOWOSO DISTRICT IN 2024: Analisis Kerawanan Wilayah Kejadian DBD di Kabupaten Bondowoso Tahun 2024 Tiari Eveline Waruwu; Atik Choirul Hidajah; Nur Ali Mas’ud
Jurnal Berkala Epidemiologi Vol. 14 No. 3 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I32026.247-255

Abstract

Background: The number of dengue fever cases increased significantly in 2024 in East Java Province, including in Bondowoso District. The IR rate in Bondowoso District in 2024 was 120.19 per 100,000 population with a CFR of 0.21%. Environmental and socio-demographic factors led to differences in vulnerability across regions. Purpose: to analyze the vulnerability of the region to dengue fever in order to determine the priorities for dengue fever prevention and control interventions in Bondowoso District. Methods: An analytical observational study with an ecological study design using secondary data from the Bondowoso District Health Office, BPS, and Google Earth Engine. The unit of analysis was 23 subdistricts. Cluster analysis was performed using the K-Means method on seven risk variables. Results: The study shows three vulnerability clusters: high vulnerability (2 subdistricts), moderate vulnerability (9 subdistricts), and low vulnerability (12 subdistricts). Four variables significantly differentiate vulnerability between clusters (p<0.05): the percentage of the male population, population density, rainfall, and the percentage of the productive-age population. The high-risk cluster is concentrated in Bondowoso and Tenggarang sub-districts. Conclusion: The Bondowoso District is divided into three levels of dengue fever risk. Population density, rainfall, and the percentage of the productive age group vary across regions, differentiating risk levels. It is necessary to intervene in dengue fever control based on the level of risk in each region, focusing on high-risk clusters and vigilance in areas with the potential for increased risk in medium-risk clusters.
TRENDS IN MORTALITY ATTRIBUTABLE TO METABOLIC RISKS IN INDONESIA (2019-2023): A GLOBAL BURDEN OF DISEASE STUDY: Tren Kematian Teratribusi Akibat Risiko Metabolik di Indonesia (2019-2023): Studi Global Burden of Disease Maulida Rahmah; Vita Widyasari; Yaltafit Abror Jeem
Jurnal Berkala Epidemiologi Vol. 14 No. 3 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I32026.314-323

Abstract

Introduction: Metabolic risks are major contributors to the burden of non-communicable diseases, but recent patterns of metabolic risk-attributable mortality in Indonesia have not been well characterized. Purpose: This study described national trends in metabolic risk-attributable mortality from 2019 to 2023, selected component risks, and the age distribution of attributable deaths. Methods: A descriptive trend analysis was conducted using aggregate estimates from the Global Burden of Disease Study 2023. Absolute deaths and age-standardized death rates (ASDRs) were examined annually, five selected metabolic risks were ranked in 2019 and 2023, and attributable deaths were assessed across age groups. No statistical trend modeling or causal inference was performed. Results: Metabolic risk-attributable deaths increased from 637,490 (95% uncertainty interval [UI]: 565,765–705,015) in 2019 to 713,661 (612,990–818,742) in 2023 (+11.95%), whereas the ASDR declined by 2.11%, from 296.53 to 290.27 deaths per 100,000 population. High systolic blood pressure remained the leading selected risk, while high body mass index showed the largest relative increase (+17.29%). In 2023, 14.99%, 50.07%, and 34.82% of attributable deaths occurred among those aged 15–49, 50–69, and ≥70 years, respectively. Conclusion: Absolute metabolic risk-attributable mortality increased despite a modest decline in the ASDR, with the burden concentrated among adults aged ≥50 years. These descriptive patterns do not establish causal effects of the COVID-19 pandemic or other contextual factors.
TRAVEL BURDEN AND DRUG-RESISTANT TUBERCULOSIS TREATMENT OUTCOMES AT DOKTER SOEDARSO REGIONAL PUBLIC HOSPITAL, PONTIANAK: Beban Perjalanan dan Hasil Akhir Pengobatan Tuberkulosis Resisten Obat di RSUD Dokter Soedarso Pontianak Rusli Parante Tandiabang; Dedi Alamsyah; Andri Dwi Hernawan
Jurnal Berkala Epidemiologi Vol. 14 No. 3 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I32026.238-246

Abstract

Background: Drug-Resistant Tuberculosis (DR-TB) remains a major public health concern in West Kalimantan, with treatment success falling short of the national target. Travel burden, including distance and travel time, may limit access to repeated treatment services. Purpose: This study aimed to analyze the association between travel burden and treatment outcomes among DR-TB patients at Dokter Soedarso Regional Public Hospital, Pontianak, for the 2021-2024 period. Methods: A retrospective observational cohort study used records of 138 eligible patients from 250 pulmonary DR-TB patients registered during 2021-2024. Patients who died during treatment were excluded. Orutego, integrated with the Google Geocoding API and Google Distance Matrix API, estimates road distance and travel time. Equal-frequency tertiles were analyzed using Pearson Chi-Square and Linear-by-Linear Association tests; prevalence ratios (PRs) with 95% confidence intervals (CIs) were reported. Results: The study found an overall treatment success rate of 66.67%. Travel distance was associated with treatment outcome (p = 0.04); the Far category (≥ 72.7 km) had a higher prevalence of unsuccessful treatment than the Near category (PR = 1.95; 95% CI: 1.10-3.48). For travel time, Pearson's chi-square was not significant (p = 0.05), but the linear-by-linear association showed a significant trend (p = 0.02). The Long category (≥ 1.94 hours) had a higher prevalence of unsuccessful treatment than the Short category (PR = 1.98; 95% CI: 1.10-3.56). Conclusion: Higher travel burden was associated with unsuccessful DR-TB treatment outcomes. The findings support consideration of geographic access in service planning but do not establish causality.
DETERMINANTS OF VIRAL LOAD NON-SUPPRESSION AMONG HIV PATIENTS ON ART IN BLITAR REGENCY: Determinan Viral Load Tidak Tersupresi pada Pasien HIV yang Menjalani ART di Kabupaten Blitar Rismawati Rismawati; Fariani Syahrul; Siti Shofiya Novita Sari; Endro Pramono
Jurnal Berkala Epidemiologi Vol. 14 No. 3 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I32026.211-218

Abstract

Background: The success of antiretroviral therapy (ART) in PLHIV is assessed by the achievement of viral load (VL) suppression. SIHA data for June 2025 in Blitar Regency show that the incidence of VL non-suppression reached 17.45%, up from the previous year's 10.70%. The presence of VL non-suppression cases confirms that therapy success problems persist and require further attention. Purpose: This study aims to analyze the determinants of VL non-suppression in PLHIV undergoing ART in Blitar Regency in 2025. Methods: An analytical observational study with a cross-sectional design was conducted in January-February 2026 at four community health centers in Blitar Regency. The study population consisted of 90 PLHIV from four community health centers, and 54 respondents were selected using consecutive sampling. Data on VL examination results, respondent characteristics, employment status, duration of therapy, and opportunistic infections were obtained from the HIV/AIDS Information System (SIHA). Meanwhile, data on medication adherence were collected using the Morisky Medication Adherence Scale (MMAS-8) questionnaire. Data were analyzed using the chi-square test and binary logistic regression. Results: Binary logistic regression analysis showed that medication adherence was the most influential variable for VL non-suppression (aOR=21.32; 95% CI: 3.42–132.96; p=0.00). Respondents who were not adherent to ARTs had a 21.320 times greater risk of experiencing VL non-suppression than adherent respondents. Conclusion: Age ≥50 years and medication adherence were significantly associated with viral load (VL) non-suppression among PLHIV in Blitar Regency. Therefore, medication adherence should be improved, particularly among PLHIV aged ≥50 years.
NON-TUBERCULOUS MYCOBACTERIA RESEARCH IN INDONESIA (2015–2025): GLOBAL COLLABORATION AND THEMATIC TRENDS: Non-Tuberculous Mycobacteria (NTM) di Indonesia (2015–2025): Kolaborasi Global dan Tren Tematik Dian Ayu Eka Pitaloka; Hilman Maulana Praja; Rizanty Amalia; Sharifah Shakirah Syed Omar; Ikhwan Yuda Kusuma; Shota Nakamura
Jurnal Berkala Epidemiologi Vol. 14 No. 3 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I32026.228-237

Abstract

Background: Non-tuberculous Mycobacteria (NTM) infections are an emerging public health challenge in Indonesia, where overlapping clinical presentations may cause misdiagnosis as tuberculosis (TB), inappropriate treatment, and challenges in TB control. Purpose: To provide the first bibliometric mapping of Indonesian NTM research (2015–2025), assessing productivity, impact, thematic evolution, and research gaps relevant to national diagnostic and surveillance policy. Methods: A systematic search of the Web of Science Core Collection (January 2015–December 2025) combined NTM, atypical mycobacteria, major species, and Indonesia. Following PRISMA-guided screening, 25 primary research articles were analyzed. Total publications (TP), total citations (TC), and H-index were analyzed using VOSviewer (v.1.6.20) and Microsoft Excel to map publication trends, collaboration, and keyword networks. Results: Output increased from fewer than one article annually in 2015–2017, rising from 2018 and peaking at seven articles in 2023, reflecting increased focus on molecular identification. International Journal of Mycobacteriology was the most prolific journal, while Scientific Reports and BMC Microbiology had the highest citation impact (ACP 21 and 9.5, respectively). Japan dominated international collaboration, while Universitas Airlangga led domestic contributions. Five thematic clusters emerged: TB-related infections and assay sensitivity; sputum-based molecular assays; NTM species and susceptibility; diagnosis and disease differentiation; and pulmonary TB with Mycobacterium avium complex features. Conclusion: Indonesian NTM research is shifting toward advanced diagnostics and resistance monitoring, yet remains dependent on international collaboration, underscoring the need for a National NTM Research Consortium to harmonize diagnostic standards and strengthen domestic research capacity.

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