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INDONESIA
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.
Arjuna Subject : -
Articles 319 Documents
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Detection of a relationship between Osteoporosis and Helicobacter pylori infection and Vitamin D3 deficiency M. Al-Omari, Raad; M. Al-Rawi, Amera
Public Health of Indonesia Vol. 11 No. 1 (2025): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i1.915

Abstract

Background:Helicobacter pylori (H. pylori) is a gram-negative bacterium that has been implicated in influencing bone metabolism and potentially promoting the development and incidence of osteoporosis (OP). OP is characterized by low bone mineral density, which is associated with an increased risk of fractures. Emerging evidence suggests that H. pylori positivity rates appear to be higher among individuals with vitamin D deficiency. Vitamin D3 plays a crucial role in maintaining bone health, and its deficiency is often linked to compromised bone strength and density. Objectives:This study aims to investigate the relationship between H. pylori infection and osteoporosis, the association between H. pylori infection and vitamin D3 levels, and the correlation between osteoporosis and vitamin D3 levels. Methods:A total of 120 samples were collected and divided into two groups: 60 samples from osteoporosis patients (30 fecal samples and 30 blood samples) and 60 samples from healthy individuals (30 fecal samples and 30 blood samples). Fecal samples were used to detect H. pylori antigen (Ag), while blood samples were analyzed for H. pylori antibody (Ab) and vitamin D3 levels. Results:Among osteoporosis patients, 75% tested positive for H. pylori Ag, while 25% were negative. In the healthy group, 20% were positive and 80% were negative for H. pylori Ag. Furthermore, 93.33% of osteoporosis patients who were positive for H. pylori Ag had vitamin D3 levels ≤29 ng/ml, and only 6.66% had vitamin D3 levels ≥30 ng/ml. Among the healthy individuals positive for H. pylori Ag, 100% had vitamin D3 levels ≤29 ng/ml. In the healthy group negative for H. pylori Ag, 53.33% had vitamin D3 levels ≤29 ng/ml, while 46.66% had levels ≥30 ng/ml. Additionally, 55% of osteoporosis patients had severe vitamin D3 deficiency (≤20 ng/ml), 35% had moderate deficiency (21–29 ng/ml), and 10% had sufficient levels (≥30 ng/ml). Among healthy individuals, 25% had severe deficiency (≤20 ng/ml), 40% had moderate deficiency (21–29 ng/ml), and 35% had sufficient levels (≥30 ng/ml). Conclusion:The findings of this study indicate a strong association between H. pylori infection and osteoporosis, with a higher prevalence of H. pylori infection observed among osteoporosis patients. Moreover, both H. pylori infection and osteoporosis were associated with lower vitamin D3 levels, highlighting the potential role of H. pylori in contributing to vitamin D3 deficiency and impaired bone health. These results underscore the importance of screening for H. pylori infection and monitoring vitamin D3 levels in patients at risk for osteoporosis.  Keywords: H. pyloriinfection; OP; Vitamin D3 level; DEXA; fecal; blood
Differences of Maternal Sociodemographic Characteristics with Term and Preterm Birth Among 17 Hospitals In South Sulawesi Herman, Sriyana; Syamsuriati; Handayani, Rika; Fitrianingsih, Julia; Alanti; Andriani; Marzila, Mariani; Lestari, Eka; Rusli
Public Health of Indonesia Vol. 11 No. 1 (2025): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i1.917

Abstract

Background:Maternal sociodemographic characteristics play a crucial role in identifying preterm labor, enabling early intervention to prevent its occurrence and recurrence. Understanding these characteristics can support the development of preventive strategies and improve maternal and neonatal health outcomes. Objective:This study aims to determine whether there are significant differences in the sociodemographic characteristics of mothers experiencing term and preterm labor across hospitals in Makassar City. Method:This study employed an observational analytical design involving 257 mothers who had undergone term and preterm labor in 17 hospitals. Data were collected using the Health Card for Preterm Pregnant Women (KASIHKU) instrument and analyzed through an independent samples t-test to compare means between the two groups. Results:Significant differences were observed in the sociodemographic characteristics between term and preterm labor groups across 11 variables, with five variables showing a p-value < 0.05: Body Mass Index (BMI) (CI95%: 0.44–0.66, p < 0.000), history of preterm labor (CI95%: 0.08–0.23, p < 0.000), presence of flour albus (CI95%: 0.32–0.54, p < 0.000), HIV/AIDS status (CI95%: 0.07–0.00, p < 0.039), and Edinburgh Postnatal Depression Scale (EPDS) score (CI95%: 0.02–0.18, p < 0.009). Conclusion:Maternal sociodemographic characteristics, specifically BMI, history of preterm labor, presence of flour albus, HIV/AIDS status, and EPDS score, show significant differences between term and preterm labor groups. These findings provide a foundation for future research and the development of targeted interventions to prevent preterm labor based on maternal sociodemographic factors.  Keywords:Preterm labor; Sociodemographic characteristics; Hospital
Cultural adaptation and feasibility of a multimodal cognitive intervention for older adults with Mild Cognitive Impairment Karim, Mani Abdul; Jonnadula, Venkatachalam
Public Health of Indonesia Vol. 11 No. 1 (2025): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i1.920

Abstract

Background:Non-pharmacological interventions have shown considerable promise in alleviating the symptoms of Mild Cognitive Impairment (MCI). Among these, a multicomponent or multimodal approach that integrates cognitive and compensatory strategies has demonstrated effectiveness in slowing cognitive decline. Objectives:This study aimed to evaluate the feasibility of the Indian Adapted Motivationally Enhanced Compensatory Cognitive Training for Mild Cognitive Impairment (IAME-CCT-MCI) intervention for older adults. Methods:This preliminary study focused on assessing the content validity of the IAME-CCT-MCI intervention. A panel of field experts, comprising clinical psychologists and rehabilitation specialists (N=7), evaluated the intervention modules based on their relevance, effectiveness, and appropriateness for the target population. Results:Expert evaluations indicated a high level of agreement regarding the intervention’s suitability. The modules were rated as highly relevant to the target population (M=3.87), effective in addressing cognitive targets (M=3.84), and appropriate for older adults with MCI (M=3.87). Conclusions:These findings support the feasibility and relevance of the IAME-CCT-MCI intervention for older adults with MCI. Further research is needed to evaluate the usability and efficacy of this intervention in larger and more diverse samples.  Keywords:feasibility; IAME-CCT-MCI intervention; older adults; mild cognitive impairment
Effectiveness Test of Granulated Bioinsecticide Formulation from Avocado Seed Extract Against Aedes aegypti Larvae Amir, Rahmi; Amrin; Bastiana; Tatiana; Fitriana; Nirwana; Syarief , Faisal
Public Health of Indonesia Vol. 11 No. 1 (2025): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i1.940

Abstract

Background:Vector-borne diseases, notably Dengue Hemorrhagic Fever (DHF), represent a significant global health challenge, with the World Health Organization (WHO) estimating approximately 390 million infections annually. The Aedes aegypti mosquito, the primary vector of DHF, has developed resistance to conventional chemical insecticides, necessitating the exploration of eco-friendly alternatives. Avocado seed (Persea americana) extract, rich in insecticidal compounds such as flavonoids, tannins, and saponins, presents a promising source for bioinsecticides. Granulated formulations offer advantages over liquid formulations, including enhanced stability, controlled release, and greater practicality in field applications. Objectives:This study aims to investigate the sustainable application of health management information systems and the role of health information technology strategies in supporting the continued use of such systems. Specifically, the focus is on the implementation of granulated bioinsecticide formulations derived from avocado seed extract as a sustainable solution for controlling Aedes aegypti larvae. Methods:An experimental laboratory study was conducted at the Phytochemical Pharmacy Laboratory, ITKES Muhammadiyah Sidrap, in September 2024. Granulated bioinsecticides were prepared from avocado seed extract and evaluated for their efficacy in controlling Aedes aegypti larvae. A total of 25 third-instar larvae were included in both experimental and control groups, with concentrations of 10, 15, 20, and 25 ppm administered. Larval mortality was assessed at 24 and 48-hour intervals. Statistical analysis was performed using ANOVA, followed by post-hoc tests to determine significant differences. Results:The granulated bioinsecticide demonstrated a high level of efficacy, achieving a mortality rate of 94.2% at 25 ppm within 72 hours, compared to 58.5% at 10 ppm. ANOVA results indicated that both the concentration of the bioinsecticide and the exposure duration significantly affected larval mortality (p < 0.05). The granulated formulations exhibited prolonged effectiveness and a controlled release of active compounds, supporting their potential for large-scale applications. Conclusion:The granulated bioinsecticide formulated from avocado seed extract offers an eco-friendly and effective alternative for controlling Aedes aegypti larvae. The findings highlight its stability and scalability for use in vector control programs, contributing to sustainable public health initiatives. Further research should focus on optimizing the formulation, conducting field trials, and evaluating potential environmental impacts to maximize its practical applicability.  Keywords:avocado seed; Bioinsecticide; Aedes aegypti; Granules; Dengue vector control
The Perceptions of Husbands Regarding Early Marriage in Community Settings in Bengkulu, Indonesia: A Case-Control Study Suyanto, Jipri; Adiningsih, Steyo; Isnawati, Rina; Lystia Poetranto, Anna; Rahmaida Puetri, Nona; Ibrahim Desem, Muhammad; Andriani Lienggonegoro, Lisa; Tan, Suriyani; Bima Prasetio, Diki; Susanty, Sri
Public Health of Indonesia Vol. 11 No. 1 (2025): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i1.952

Abstract

Background:In Bengkulu, Indonesia, husbands’ views on early marriage are influenced by cultural norms. Many perceive early marriage as a rite of passage into adulthood, with family and community pressures encouraging them to marry young and assume the responsibility of providing for their families. However, young husbands often struggle to meet the financial and emotional demands of family life. Traditional gender roles further discourage them from seeking help, leading to increased stress. Engaging men in gender equality discussions and offering educational and career opportunities can help reduce the incidence of early marriage and foster healthier relationships. Objective:This study aims to examine the correlation between husbands’ perspectives and early marriage in the community setting of Bengkulu, Indonesia. Methods:This research employs a quantitative methodology with a case-control study design. Conducted in Bengkulu Province, the study included 892 respondents, divided into two groups: 669 in the case group and 223 in the control group, selected through multistage random sampling. The research was conducted over five months, from February to June 2024. Data were collected using questionnaires, and analysis was carried out through univariate, bivariate, and multivariate tests using Stata 17 as the analytical software. Results:In the case group, social stigma (COR: 6.4; 95%CI: 1.1-13.4; p-value: 0.0016) was significantly associated with husbands' perspectives. Other significant factors included ethnicity (COR: 6.3; 95%CI: 1.2-10.3; p-value: 0.026), quality of life (COR: 6.2; 95%CI: 2.1-13.2; p-value: 0.001), acceptable health literacy (COR: 5.7; 95%CI: 1.4-9.8; p-value: 0.001), and stress level (COR: 4.9; 95%CI: 1.3-7.9; p-value: 0.011). In the control group, the strongest correlation with husbands’ perspectives was stress (COR: 5.8; 95%CI: 2.1-12.5; p-value: 0.021), followed by quality of life (COR: 5.5; 95%CI: 1.2-12.7; p-value: 0.001), ethnicity (COR: 4.6; 95%CI: 1.3-11.2; p-value: 0.0003), moderate health literacy (COR: 4.5; 95%CI: 1.1-9.8; p-value: 0.001), and social stigma (COR: 4.3; 95%CI: 1.1-10.1; p-value: 0.013). Conclusion:In Bengkulu, Indonesia, young men face significant pressure to marry early due to cultural norms, societal expectations, and economic factors. While these early marriages fulfill traditional roles of providing and protecting, they often result in personal, emotional, and financial challenges for the husbands involved. Keywords:community; early marriage; husbands' perspectives; social stigma
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

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