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Public Health of Indonesia
Published by Ikatan Ahli Kesehatan Masyarakat Indonesia
ISSN : 24771570     EISSN : 24771570     DOI : -
Core Subject : Health,
Public Health
Public Health of Indonesia is an International, peer-reviewed, and open access journal emphasizing on original research findings that are relevant for developing country perspectives including Indonesia. The journal considers publication of articles as original article, review article, short communication / brief reports, Education forum, letters to editor, case reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are preferred.
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Articles 24 Documents
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Search results for , issue "Vol. 11 No. 2 (2025): April - June" : 24 Documents clear
Prevalence of Scabies and Its Associated Risk Factors Among Cat Owners in West Nusa Tenggara, Indonesia: A Cross-Sectional Study Aini; Halid, Musparlin; Susilo, Beny Binarto Budi
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.867

Abstract

Background: Mange, a skin disease caused by the Sarcoptes scabiei mite, poses a serious threat to the health and well-being of both cats and their owners. Clinical manifestations of mange include intense pruritus, erythema, and skin rashes, which may lead to considerable discomfort and psychological distress. In urban environments with high pet density, such as Mataram City, West Nusa Tenggara, Indonesia, the risk of mange transmission increases significantly, especially through close contact with infested animals. Objective: This study aimed to identify factors associated with the incidence of mange among cat owners in Mataram City. Methods: A cross-sectional analytical study was conducted from September 2023 to February 2024 across six sub-districts of Mataram City (Ampenan, Cakranegara, Mataram, Sandubaya, Selaparang, and Sekarbela) in West Nusa Tenggara Province, Indonesia. A total of 269 cat owners were selected using a simple random sampling technique. The independent variables included demographic characteristics (age, gender), behavioral and environmental factors (handwashing practices, home hygiene, history of sharing personal items, pet grooming habits, number of pet cats, history of cat mange, and family history of scabies). Data were analyzed using descriptive statistics, Chi-square tests, and binary logistic regression with a significance level of p < 0.05 and 95% confidence interval (CI), utilizing IBM SPSS version 26. Results: Statistical analysis revealed no significant association between gender and mange infection among cat owners (p = 0.921). However, significant associations were found between mange infection and other variables, including age, handwashing practices, home environmental hygiene, sharing of personal items, pet grooming history, history of cat mange, number of pet cats, and family history of scabies (all with p < 0.001). Conclusion: The incidence of mange infection among cat owners was significantly associated with various socio-behavioral and environmental factors. These findings underscore the importance of integrated public health strategies to improve awareness, facilitate early diagnosis and treatment, and promote effective preventive measures against mange transmission. Keywords: prevalence; cat owner; Sarcoptes scabiei; scabies
Responses and coping mechanism among diabetic foot ulcer patients: A Qualitative Study Jiu, Cau Kim; Parliani; Aryadi, Deni
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.871

Abstract

Background: Diabetic foot ulcers (DFUs) pose serious threats to the physical and psychological well-being of affected individuals, often requiring prolonged and multidimensional care. These wounds not only impact mobility and quality of life but also present emotional burdens that influence treatment adherence. Objective: This qualitative study aims to explore the lived experiences of patients with DFUs by examining their understanding of the condition, emotional and behavioral responses, and the coping strategies employed during wound management. Method: A qualitative approach was applied through semi-structured interviews with a purposively selected sample of patients diagnosed with DFUs. Data were analyzed thematically to identify patterns in patient narratives related to adaptation, support, and self-care. Results: The analysis revealed key themes, including emotional distress, adaptive coping mechanisms, and the role of healthcare providers in facilitating patient education. Participants expressed the need for personalized support and continuous guidance to maintain effective wound care and psychological resilience. Conclusion: Enhancing patient-centered care, improving health literacy, and integrating emotional support into routine treatment are essential in optimizing outcomes for individuals living with DFUs. Keywords: diabetic foot; self-care; quality of life; healthcare delivery; adaptation
Risk Factors of Monkeypox Outbreak in Indonesia: A Case-Control Study Simanjorang, Chandrayani; Karima, Ulya Qoulan; Wangsawinangun, Rana Zahra Raniyah; Ariantini, Anggrahita Dwi; Fitri, Asti Elysia Rahmatul
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.922

Abstract

Background: Monkeypox (Mpox) was declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO), and the first case in Indonesia was reported in 2022. Subsequently, there has been a significant increase in cases in 2023. Although global research on Mpox has expanded, particularly in regions like Europe and the Americas, there is a lack of studies focusing on the epidemiology and risk factors of Mpox in Southeast Asia, particularly in Indonesia. Objective: This study aimed to identify risk factors for the outbreak of Mpox in Indonesia. Methods: This study uses a case-control design method with purposive sampling. The study population was all people recorded in the Mpox screening system in Indonesia. All samples originated from the Mpox surveillance report for the Ministry of Health, Republic of Indonesia. The sample size was calculated using the Lemeshow formula with a 1:2 ratio. The total sample was 371 divided into 82 cases and 289 control groups. Results: The average age of participants was 30 years and most cases (96.3%) were male. Multivariate analysis revealed that individuals identifying as bisexual had a 10.8 times higher risk (OR: 10.87, 95% CI: 2.950–39.952) of contracting Mpox, and those identifying as gay had a 3.9 times higher risk (OR: 3.96, 95% CI: 1.238–12.671) compared to heterosexuals. Conclusion: This study concluded that sexual orientation was a significant risk factor in the incidence of Mpox in Indonesia. It is important to increase the uptake of Mpox vaccination among high-risk groups such as gays, bisexuals, and those in close contact with them. Keywords: risk factors; monkeypox; case-control; Indonesia
Assessing the Health Risks of Annual Concentrations of Volatile Organic Compounds (VOCs) in Thailand Laemun, Nuttapong; Kliengchuay, Wissanupong; Srimanus, Wechapraan; Niampradit, Sarima; Aung, Htoo Wai; Limpanont, Yanin; Kiangkoo, Nuttapohn; Mingkwan, Rachaneekorn; Laor, Pussadee; Phonphan, Walaiporn; Niemmanee, Talisa; Suwanmanee, San; Tantrakarnapa, Ph.D, Assoc. Prof. Kraichat
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.925

Abstract

Background: Volatile organic compounds (VOCs) are a critical pollutant in Thailand. Children and the elderly are vulnerable to VOCs detected in outdoor environments. Exposure to VOCs might lead to health effects such as sensory irritation, disorders of the nervous system, asthma, and cancer. The volatile organic compound data from twenty-four air permanent monitoring stations covering seven provinces obtained from the Pollution Control Department of Thailand (PCD) showed four out of 9 VOCs to be higher than the criteria level. Objective: This study aimed to assess the quantitative health risk from exposure to four selected VOCs, benzene, 1,3-butadiene, chloroform, and 1,2-dichloroethane, via inhalation. Method: We performed the quantitative health risk assessment for the risk groups, including babies, children, and adults, who lived and worked near air monitoring stations via the inhalation route, following the US Environmental Protection Agency's (EPA) method. We calculated the HQ (hazard quotient) for non-carcinogenic and the inhalation cancer risk for VOCs. Results: The HQ of 1,3-butadiene in Rayong ranged from 0.023 to 4.96 and 0.008 to 1.69 in adults and children, respectively. The calculated HQ was more significant than 1, indicating adverse health effects likely to occur in adults. Whereas the HQ of 1,3-butadiene in other areas is lower than 1, the risk is acceptable. Likewise, the HQ of benzene, chloroform, and 1,2-dichloroethane in all areas is less than 1. The carcinogenic risk assessment of 1,3-butadiene and benzene was 10-6 to 10-4 for both adults and children in Rayong (RY), Khon Kaen (KK), and Bangkok (BKK). Considering the other remaining chemicals, the carcinogenic risks were lower than 10-6 in all areas, which means the cancer risk is negligible. Conclusion: The findings from this study revealed that 1,3-butadiene in ambient air was associated with high non-cancer risk and possible adverse health effects likely to affect human life in Rayong Province. Keywords: VOCs, Health Impact in Thailand, Hazard quotient, non-cancer risk
Peer Relationships with Achievement Events: Cross Sectional Approach Pipitcahyani, Tatarini; Husni, Ervi; Isfentiani, Dina; Hafid, Fahmi; Sa’diyah, Halimatus Sa’diyah
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.926

Abstract

Background: Peer relationships are formed through interactions that occur both at home and in educational settings. Adolescents often function as sources of advice, motivation, and behavioral modeling for their peers, which can significantly influence individual attitudes and behaviors. The quality of these peer relationships is closely associated with students' academic achievement. Adolescents are expected to develop self-regulatory skills to minimize learning gaps and avoid negative learning attitudes. Objective: This study aims to examine the influence of peer relationships on the academic achievement of female students. Method: The study employed an analytical survey design with a cross-sectional approach, involving 70 respondents. Data were analyzed using the Chi-Square test, with a significance level set at p < 0.05. Results: The Fisher's Exact Test yielded p-values of 0.023 and 0.05, indicating a statistically significant association between peer relationships and the academic achievement of female students. Conclusion: This study recommends the inclusion of additional variables and a broader research scope in future studies to strengthen the findings. Female students are encouraged to build peer relationships with individuals who can serve as academic motivators, thereby fostering continuous improvement in their academic performance. Keywords: peer relationships; academic achievement; female students; Indonesia
Serum Zinc, Calcium, Vitamin D and Ferritin level in Chronic Telogen Effluvium Among Women in Mosul: A Case- Control Study F.K. Alamory, Nagham; M.M. Alsabaawy, Osama; AH. Jasim, Shaymaa; B. Fathi, Haitham
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.932

Abstract

Background: Investigation into the role of nutrient factors in alopecia is an exciting and expanding field. Despite the vast amount of evidence, their conclusions are conflicting. Objectives: to estimate the differences in micronutrients (zinc, calcium, vitamin D and ferritin) between women with chronic telogen effluvium and healthy alopecia-free women. Methods: Thirty age-matched healthy women and thirty telogen effluvium female patients were recruited from a private dermatology clinic in Mosul for this case-control research. To measure the zinc, calcium, vitamin D and ferritin, ten milliliters of blood were extracted. The independent two sample t-test was applied to examine the groups' differences of these nutrient factors. Results: TE patients had a zinc level of 60.78±28.79 µg/dl, which was 17.78 g/dl lower than the alopecia-free control group (95% CI of the Difference: 5.16 to 30.39 mg/dl) (p = 0.01). The patient group's calcium was 8.56±0.28 mg/dl, compared to 9.36±0.59 mg/dl in the control group. This difference was statistically significant (p<0.0001). The vitamin D levels of both the healthy control group and the TE patients were found to be 41.56±13.26 g/ml and 14.97±8.56 g/ml, respectively. This difference was statistically significant (p =0.01). Ferritin levels were 29.75±31.02 ng/ml in the sick group and 47.33±26.84 ng/ml in a control group. The alopecia group's average ferritin was 17.57 ng/ml less than that of the normal group, and this difference was statistically significant (p =0.02). Conclusions: Monitoring and restoration of hair follicle micronutrients (Zinc, Calcium, Vitamin D & Ferritin) is an important step in the management of women with diffuse chronic TE. Keywords: Telogen effluvium; Zinc; Calcium; Vitamin D; Ferritin
Consequences of Cyberbullying Experienced on Psychological Wellbeing and Appetite Disturbance among University Students Nugroho, Purwo Setiyo; Samutachak, Bhubate; Jirapramukpitak, Tawanchai; Ghozali; Chamratrithirong, Aphichat
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.939

Abstract

Background: The rising internet use among Indonesian university students has amplified the risk of cyberbullying, severely affecting their psychological well-being. This issue can trigger anxiety, depression, and self-harm. These psychological issues can lead to negative behaviors, such as appetite disturbance. Promoting awareness, online safety education, mental health support, and collaboration among institutions, families, and policymakers is crucial to creating a safer digital environment. Objective: This study examined the relationship between experiences of cyberbullying, psychological well-being, and appetite disturbance. Method: This study used a cross-sectional design with 700 undergraduate students from Universitas Muhammadiyah Kalimantan Timur, selected via proportional stratified and random sampling from January to March 2024. Participants spanned all academic years. Data were collected using self-administered standard questionnaires. The association between variables was analyzed using Structural Equation Modeling (SEM). Ethical approval was granted by the Institutional Review Board IPSR, Mahidol University, Thailand, and participants received information sheets. Results: The result showed significant associations between cyberbullying experience and psychological well-being and between psychological well-being and appetite disturbance. No significant direct link was found between cyberbullying experience and appetite disturbance. Psychological well-being fully mediated the relationship between cyberbullying experience and appetite disturbance (p-value < 0.000). Coping capacity did not moderate the relationship between cyberbullying experience and psychological well-being. Conclusion: In conclusion, our study highlights the significant association between cyberbullying and psychological well-being and appetite disturbance. It suggests enhancing psychological well-being to mitigate these effects. Future research should refine the study design, expand the population scope, and explore positive coping strategies to improve psychological issues. Keywords: Cyberbullying experience; psychological well-being; appetite disturbance; structural equation model; university students.
Diphtheria Incidence is a Public Health Challenge in Low- and Middle-Income Countries (LMICs) Dwi Hartanti, Monica; Sari Dewi Panjaitan, Novaria; Hidayat, Syarif; Fitriana, Fitriana; Sunarno, Sunarno; Susanty, Sri
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.953

Abstract

Background: Diphtheria remains a persistent public health issue, especially in low- and middle-income countries (LMICs), where vaccination coverage is often inadequate. Recent outbreaks, such as those in the 1990s, highlight the ongoing threat posed by this vaccine-preventable disease. The World Health Organization (WHO) provides data for monitoring the global trends in diphtheria cases, helping countries remain vigilant against its resurgence. Objective: This study aims to analyze the trend of diphtheria cases and incidence rates in 10 countries with the highest disease burden as a public health challenge in Low- and Middle-Income Countries (LMIC), with a focus on the impact of vaccination coverage. Methods: Longitudinal study was utilized in this research. G-power was performed to calculate the sample size. In accordance with the goal year that was being investigated, the research ranked the nations that were chosen into the top ten countries that had the largest number of cases of diphtheria. Our analysis was based on secondary data obtained from the WHO and included the years 2017 through 2021. In order to assess the distribution of healthcare access and vaccine coverage, we conducted a descriptive analysis of all of the data. This served the purpose of identifying significant public health concerns that contribute to diphtheria epidemics. We used the Stata 16 application to perform analysis on all of the data. Results: The majority of diphtheria cases occur in African and Asian countries, especially in areas with lower DTP-3 vaccination coverage. Yemen, Ethiopia, and Nigeria have high diphtheria rates due to disparities in access to health services and immunization programs. Countries with higher vaccination rates, such as India and Indonesia, report lower rates despite having high numbers of cases. This suggests that strong immunization programs are essential to control the disease. Conclusion: Diphtheria continues to be a significant public health challenge in LMICs, exacerbated by geographic and socioeconomic disparities in vaccination coverage. Global cooperation, including support from high-income countries, is essential to strengthen immunization programs and prevent future outbreaks. Diphtheria should be recognized as a global health threat, requiring comprehensive and coordinated efforts to achieve eradication. Keywords: Diphtheria; incidence rate; reported cases; vaccinated
A Systematic Literature Review: The Effect of Health Education Concepts of Cervical Cancer in Community Based Bando, Epina Felizita; Mohamed Saifulaman Mohamed Said; Tukimin bin Sansuwito; Jipri Suyanto
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.957

Abstract

Background: Cervical cancer remains a major global public health issue, particularly as a leading cause of mortality among women of reproductive age in low- and middle-income countries. The disease is predominantly associated with infection by the human papillomavirus (HPV). Despite its preventable nature, cervical cancer continues to pose a significant health burden due to limited access to screening and treatment services. Early detection through regular screening, such as Pap smears, and increased awareness of risk factors and early symptoms are critical in reducing morbidity and mortality. However, a key barrier to early detection and prevention is limited health literacy among women. Therefore, there is a pressing need for targeted health promotion and education interventions aimed at enhancing knowledge, awareness, and preventive practices related to cervical cancer. Objectives: This study aims to investigate the impact of health education interventions on the prevention of cervical cancer using a systematic literature review approach. Methods: A systematic search of peer-reviewed literature was conducted using indexed databases, including ScienceDirect, PubMed, and Google Scholar. Studies published between 2019 and 2024 were screened based on relevance to the topic, study design, type of intervention, and reported outcomes. Fourteen studies that met the inclusion criteria were selected for review. Data extraction focused on identifying key findings related to the effectiveness of health education, which were subsequently analyzed using a narrative synthesis approach. Results: Analysis of the included studies revealed that health education interventions have a significant positive impact on knowledge, attitudes, and behaviors related to cervical cancer prevention. Whether implemented through community-based programs, professional healthcare training, or digital platforms, these interventions consistently improved participants’ awareness and engagement in preventive practices. Notably, the integration of traditional educational strategies with innovative technologies, such as mobile health applications, demonstrated enhanced effectiveness in increasing health literacy and participation. Conclusion: Health education represents a fundamental strategy in global efforts to reduce the incidence and mortality of cervical cancer. However, the effectiveness of these interventions varies depending on the population, cultural context, and delivery method. Tailoring educational programs to local needs and incorporating technology may optimize their reach and impact. Keywords: health literacy; awareness; attitude; cervical cancer prevention; health education
The Effectiveness of Health Education to Enhance Community Perception and Preferences Towards Honey for Healthcare Widiyanto, Aris; Acob, Joel Rey Acob; Adriani, Rita Benya; Yuniarti, Tri; Halimah, Trisakti; Atmojo, Joko Tri
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.959

Abstract

Background: Understanding the health benefits of honey has the potential to influence individual and family decision-making related to wellness and healthcare. Enhancing public knowledge through structured health education is therefore essential in shaping positive attitudes and informed choices regarding natural health remedies, such as honey. Objectives: This study aims to evaluate the effectiveness of health education in improving community perceptions and preferences regarding the use of honey in healthcare. Methods: This quantitative study was conducted in February 2024 in Ngargoyoso Village, Karanganyar Regency, using a quasi-experimental one-group pre-test and post-test design. An accidental sampling method was employed, resulting in a total of 40 respondents. Data analysis was performed using the Wilcoxon signed-rank test in SPSS version 22. The mean score of participants’ attitudes and preferences increased significantly from 15.22 ± 5.79 before the intervention to 21.87 ± 1.92 after the intervention. Results: The statistical analysis revealed a significant difference in scores between the pre- and post-intervention phases (p-value = 0.0001), indicating a positive impact of health education on participants’ perceptions and preferences regarding the use of honey in healthcare. Conclusion: The findings suggest that health education significantly enhances public understanding and acceptance of honey's health benefits, demonstrating its effectiveness in influencing perceptions and health-related choices within the community. Keywords: health education; honey; healthcare; perception; preference

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