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Kesmas: Jurnal Kesehatan Masyarakat Nasional
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : 10.21109
Core Subject : Health,
Public Health
Kesmas: National Public Health Journal is on public health as discipline and practices related to preventive and promotive measures to enhance health of the public through scientific approach applying variety of technique. This focus includes area and scope such as biostatistics, epidemiology, health education and promotion, health policy and administration, environmental health, public health nutrition, sexual and reproductive health, and occupational health and safety.
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Articles 1,119 Documents
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Determinants of Stunted Children in Indonesia: A Multilevel Analysis at the Individual, Household, and Community Levels Wicaksono, Febri; Harsanti, Titik
Jurnal Kesehatan Masyarakat Nasional Vol 15, No 1 (2020): Volume 15, Issue 1, February 2020
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v15i1.2771

Abstract

This study aimed to examine the risk factors of childhood undernutrition in Indonesia. Determinants of childhood stunting were examined by using the 2013 Indonesia Basic Health Research Survey dataset. A total of 76,165 children aged under 5 years were included in this study. The analysis used multivariate multilevel logistic regression to determine adjusted odds ratios (aORs). The prevalence of stunting in the sample population was 36.7%. The odds of stunting increased significantly among the under-five boys, children living in slum area, and the increase of household member (aOR = 1.11, 95 %CI: 1.06–1.15; 1.09, 95%CI: 1.04–1.15; and 1.03, 95%CI: 1.02–1.04 respectively). The odds of stunting decreased significantly among children whose parents more educated (aOR = 0.87, 95 %CI: 0.83–0.91 and 0.87, 95%CI: 0.83–0.9, respectively), who live in urban area, in a province with higher Gross Domestic Product (GDP) per capita, and in a province with higher ratio of professional health worker per 1,000 population aged 0-4 years (aOR = 0.85, 95%CI: 0.81–0.89; 0.89; 95%CI: 0.79–1.00; and 0.99; 95%CI: 0.99–1.00, respectively). The study found that stunting was resulted from a complex interaction of factors, not only at the individual level, but also at household and community levels. The study findings indicate that interventions should implement multi-level approaches to address various factors from the community to the individual level.
Qualitative Exploration of Experiences and Consequences of Health-related Stigma among Indonesians with HIV, Leprosy, Schizophrenia and Diabetes Rai, Sarju Sing; Irwanto, Irwanto; Peters, Ruth M.H.; Syurina, Elena V.; Putri, Annisa Ika; Mikhakhanova, Altana; Naniche, Denise; Zweekhorst, Marjolein B.M.
Jurnal Kesehatan Masyarakat Nasional Vol 15, No 1 (2020): Volume 15, Issue 1, February 2020
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v15i1.3306

Abstract

Health-related stigma causes a negative impact on the lives of affected people and undermines the effectiveness of public health programs. This study aimedto explore experiences and consequences of stigma among people affected by four health conditions relevant in Indonesia– HIV (Human ImmunodeficiencyVirus), leprosy, schizophrenia and diabetes. In this qualitative study 40 people affected by the four health conditions in Jakarta and West Java, Indonesia–,were interviewed between March and June 2018. Data were analyzed thematically by following an integrative inductive-deductive approach. The experiencesand consequences of people with stigma were similar, but such experience were more severe among people affected by HIV, leprosy, and schizophrenia.Those with diabetes either experienced no or less severe stigma. The participants revealed that they experienced enacted stigma in healthcare, employment,and social interactions in the structural and interpersonal levels. They also experience the stigma in the form of internalized and anticipated stigma at an individual level. Incidences of human rights violations were evident. Social, behavioral, psychological, and medical consequences were also reported.
Utilization of Family Planning Contraceptives among Women inthe Coastal Area of South Buru District, Maluku, 2017 Titaley, Christiana Rialine; Sallatalohy, Ninik
Jurnal Kesehatan Masyarakat Nasional Vol 15, No 1 (2020): Volume 15, Issue 1, February 2020
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v15i1.2542

Abstract

Maluku Province is one among provinces in Indonesia with a contraceptive prevalence rate (CPR) lower than the national average. This study aimed toexamine factors associated with the utilization of family planning contraceptives among women of reproductive age living in the coastal area of South BuruDistrict, Maluku, Indonesia. Data were derived from a household health survey conducted in five subdistricts in South Buru, e.g., Namrole, Leksula, Waesama,Kapala Madan and Ambalau Subdistricts on November 2017 by the Faculty of Medicine, Pattimura University in Ambon. Information on contraceptive usewere collected from 390 married women aged 20 - 49 years. Bivariate and multivariate logistic regression analysis were employed to examine the factorsassociated with utilization of family planning contraceptives. This study found a low rate of utilization of family planning contraceptives (38.5%). The odds ofutilization modern contraceptive significantly reduced among women living in Ambalau and Leksula Subdistricts, aged 41 - 49 years, those who intend to havemore number of children, and with a low level of knowledge about family planning contraceptive methods.
Effects of Diabetes on The Output of Farmer and Its Policy Implications Naqvi, Syed Asif Ali; Hussain, Bilal; Shah, Syed Ale Raza; Makhdum, Muhammad Sohail Amjad
Jurnal Kesehatan Masyarakat Nasional Vol 15, No 1 (2020): Volume 15, Issue 1, February 2020
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v15i1.3085

Abstract

This study investigated the impact of diabetes on work performance of different farming communities from Punjab, Pakistan. This study was based on cross-sectional data. A representative sample of 374 farmers was collected from five selected districts. Three types of respondents were analyzed in the study e.g.,laborer, small and large growers. Poisson and logistic regression techniques were used for the sake of analysis. According to the investigated results for thelabor category, respondents with more age, less qualification, low earning per month (Rupees), and having positive record of family diabetes, would havemore leave per month. In the same way, findings for small farmers revealed that education, family size, family with diabetic records, marital status and availability at farm (hour/day) were significant. In case of third category, study outcome highlighted that age, education, marital status, having positive record offamily diabetes and number of hours spent at farm would be positively correlated with the reduction in working efficiency at farm due to diabetes. It can beconcluded that diabetes have negative influence on the work performance of selected farming groups.
Entomological Index and Home Environment Contribution­ ­to Dengue Hemorrhagic Fever in Mataram City, Indonesia Satoto, Tri Baskoro Tunggul; Pascawati, Nur Alvira; Wibawa, Tri; Frutos, Roger; Maguin, Sylvie; Mulyawan, I Kadek; Wardana, Ali
Jurnal Kesehatan Masyarakat Nasional Vol 15, No 1 (2020): Volume 15, Issue 1, February 2020
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v15i1.3294

Abstract

Indonesia is a member of Southeast Asia Regional Office (SEARO) ranked the first in dengue hemorrhagic fever (DHF) problem based on incidence rate (IR) and case fatality rate (CFR). Several provinces in Indonesia experience an outbreak, one of which is the Mataram City in West Nusa Tenggara Province. Mataram City is an endemic area of DHF because the DHF cases are always found in three consecutive years with the number of cases that fluctuate and tend to increase. This study aimed to obtain factors that could be used to improve early warning systems in controlling DHF. This study used a case control design with a ratio of 1:1 to 180 house holds. The results showed that home environmental factors, such as no ceiling, indoor and outdoor temperature that had the potential for breeding places for mosquitoes, no wire net in ventilation, low lighting and high humidity, related to DHF transmission. Vector distibution with entomology index showed that the existence of larvae, eggs and mosquitoes played a role in dengue transmission. The dominant factors affecting the transmission of dengue in Mataram City are the condition of the ceiling and the existence of mosquito eggs in the house.
Health Risk Behaviors: Smoking, Alcohol, Drugs, and Dating among Youths in Rural Central Java Shaluhiyah, Zahroh; Musthofa, Syamsulhuda Budi; Indraswari, Ratih; Kusumawati, Aditya
Jurnal Kesehatan Masyarakat Nasional Vol 15, No 1 (2020): Volume 15, Issue 1, February 2020
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v15i1.2864

Abstract

Adolescents are more likely to adopt risky health behaviors, such as smoking, alcohol use, and sexual activity. This study examined the links betweensmoking, alcohol use, and risky dating behavior and analyzed how these factors influenced risky dating and other behaviors. It is expected that this studywould be used as a foundation for developing appropriate integrated intervention for multiple risk behaviors among youths. This study was an explanatory research study with a cross-sectional approach. It involved 160 youths aged 15-24 years randomly selected from purposive villages. Participants completedself-administrated questionnaires with an enumerator present. Data were analyzed using univariate, chi-square, and multiple logistic regression. Smoking behavior, leisure activity, and self-efficacy were predictors of risky dating behavior. The self-efficacy variable also influenced multiple risk behaviors. A strong association was found between smoking, risky dating behavior, and alcohol use. One-third of the participants had dated and smoked recently, but only 10% ofthem had experienced high-risk dating activity, including petting and intercourse. Only 5% had experienced alcohol use (in particular, traditional alcohol), andno one admitted being involved with drug abuse.
Evaluation of Program for Overcoming Intestinal Worm Infections among Children Febriyanti, Henny; Idris, Haerawati
Jurnal Kesehatan Masyarakat Nasional Vol 15, No 1 (2020): Volume 15, Issue 1, February 2020
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v15i1.2737

Abstract

Prevalence of intestinal worm infection in generall is extremely high in Indonesia among the poor population with poor sanitation. One of the government programs to address this problem is the distribution of medicines to prevent intestinal worm infections. However, the coverage of the achievement for this program is still low in several areas of public health centers in Palembang. Therefore, this study was conducted to evaluate the efficacy of the national program for preventing intestinal worm infections. The qualitative research design used evaluation model approach Context, Input, Process, and Product (CIPP) model. This study was conducted in one of health centers in Palembang City. The informants were selected using purposive sampling method. Data collection was done via in-depth interviews, document reviews, and observations. Descriptive content analysis was used to examine and process the collected data. Results showed that, from situational factor, the program is held by the government because of the high prevalence of intestinal worm infection. The study found the input component, limited staff that handles this program. There were limited facilities for the extension of the infrastructure. In the process component, the distribution of the drug albendazole was not optimal in all elementary schools. Four elementary schools did not receive albendazole. This study demonstrated that the implementation of the program was not optimal
Pola Konsumsi dengan Terjadinya Sindrom Metabolik Suhaema, Suhaema; Masthalina, Herta
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 4 Mei 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.298 KB) | DOI: 10.21109/kesmas.v9i4.741

Abstract

AbstrakTerjadinya sindrom metabolik diduga berhubungan dengan pergeserangaya hidup masyarakat yang berubah menuju masyarakat modern, darimengonsumsi makanan tradisional beralih ke makanan instan dan kebaratbaratan. Penelitian ini bertujuan untuk mengetahui prevalensi sindrom metabolik dan determinannya dari pola konsumsi, meliputi konsumsi sayur dan buah serta pola makan makanan manis, asin, berlemak, lauk hewani berpengawet, dan penggunaan penyedap. Penelitian ini merupakan bagian dari analisis lanjut data Riset Kesehatan Dasar tahun 2013 dengan desain potong lintang. Jumlah sampel setelah pembobotan adalah 1.878.578 orang dengan kriteria berusia 18 tahun ke atas. Pengumpulan data pola konsumsi, antropometri, klinis, dan biomedis telah dilakukan. Analisis data menggunakan kai kuadrat dan regresi logistik biner. Prevalensi sindrom metabolik di Indonesia sebesar 23%, pada perempuan 26,6% dan pada laki-laki 18,3%. Konsumsi makanan manis lebih dari satu kali per hari sebanyak 43,5% dan kurang dari satu kali per hari 10,5% dengan peluang mengalami sindrom metabolik sebesar 6,567 kali. Konsumsi makanan asin yang termasuk dalam kategori sering memiliki proporsi sindrom metabolik sebesar 100% dengan risiko mengalami sindrom metabolik sebanyak 6,363 kali. Terdapat hubungan yang signifikan (nilai p < 0,05) antara pola konsumsisayur dan buah, frekuensi konsumsi makanan manis, asin, berlemak,lauk hewani yang diawetkan, penggunaan penyedap, dan mi instan dengan kejadian sindrom metabolik pada usia produktif.AbstractOccurrence of metabolic syndrome is assumedly related to the changing ofpeople’s lifestyle into modern society, from consuming traditional food to instant food and be westernized. This study aimed to determine metabolicsyndrome prevalence and its determinants from consumption patterns including vegetable and fruit consumption as well as consumption patterns of sweet, salty, fatty food, preserved animal side dishes and use of seasonings. This study was a part of advanced 2013 Basic Health Research data analysis by cross sectional design. A total of sample after weighting was 1,878,578 people on aged 18 years old and older. Collecting consumption pattern, anthropometry, clinic and biomedic data had been conducted. Data analysis used chi square and binary logistic regression. Metabolic syndrome prevalence in Indonesia is 23%, 26.6% on women and 18.3% on men. Consuming sweet food more than once a day was 43.5% and less than once a day was 10.5% with opportunity of suffering metabolic syndrome was 6.567 times. Salty food consumption included into often category had metabolic syndrome proportion worth 100% with 6.363 times risk of suffering metabolic syndrome. There was a significant relation (p value < 0.05) between the pattern of vegetable and fruit consumption, frequency of sweet, salty, fatty food, preserved animal side dishes, the seasoning use and instant noodle with metabolic syndrome occurrence in productive age.
Studi Intervensi Klaster Kawasan Tanpa Rokok pada Tingkat Rumah Tangga Najmah, Najmah; Etrawati, Fenny; Yeni, Yeni; Utama, Feranita
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 4 Mei 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.227 KB) | DOI: 10.21109/kesmas.v9i4.752

Abstract

AbstrakPerilaku merokok memberikan dampak negatif, baik bagi perokok aktifmaupun pasif, ditinjau dari sudut pandang kesehatan maupun ekonomi.Regulasi mengenai Kawasan Tanpa Rokok (KTR) yang telah diterbitkanbelum ada yang mengatur mengenai penerapan KTR di tingkat rumah tangga. Penelitian ini bertujuan untuk mengidentifikasi perubahan perilaku melalui intervensi terpadu KTR pada tingkat rumah tangga. Penelitian dilakukan pada bulan Juli - September 2014 menggunakan desain cluster trial pada empat desa di Kabupaten Ogan Ilir, Sumatera Selatan. Selanjutnya, 200 sampel kepala keluarga dipilih melalui metode cluster random sampling. Intervensi yang dilakukan meliputi konseling terpadu, pemberian permen pengganti rokok, dan tabungan sehat. Hasil penelitian menunjukkan bahwa proporsi responden yang merokok setiap hari dalam sebulan terakhir dan komitmen untuk tidak akan merokok di masa yang akan datang mencapai 71,6% dan 62% pada kelompok intervensi serta 91% dan 38% pada kelompok non-intervensi. Intervensi ini berpeluang 46% mengurangi perilaku merokok responden (RP = 0,46) setelah dikontrol oleh variabel pendidikan (RP = 0,152) dan sikap (RP = 0,216) dengan nilai p < 0,0001. Intervensi terpadu ini terbukti berhasil mengubah perilaku merokok pada kawasan rumah tangga sehingga diperlukan partisipasi masyarakat dan dinas kesehatan setempat untuk menindaklanjuti penerapan intervensi ini dalam jangka panjang.AbstractSmoking behavior has negative impacts, both for active and passive smokers, as reviewed from health and economic perspectives. Regulation concerning non-smoking area issued has not yet arranged implementation of non-smoking area at household level. This study aimed to identify any behavior change through integrated intervention of non-smoking area athousehold level. This study was conducted on July - September 2014 usingcluster trial design in four villages at Ogan Ilir District, South Sumatra.Then 200 household head samples were selected through cluster randomsampling method. The intervention included integrated counseling, distribution of candy as substitute for cigarette, and healthy saving. Results of study showed that proportion of respondents who smoked every day in a recent month and had a commitment not to smoke in the future reached 71.6% and 62% in the intervention group, then 91% and 38% in the non-intervention group respectively. This intervension had opportunity worth 46% reducing the smoking behavior of the respondents (RP= 0.46) after controlled by the variable of education (RP = 0.152) and attitude (RP = 0.216) with p value < 0.0001. This integrated intervention was profoundly successful changing smoking behavior at household level. So that, public participation and health agency need to follow up the implementation of this intervention in a long term.
Sociodemographic Factors to Dengue Hemmorrhagic Fever Case in Indonesia Nuryunarsih, Desy
Jurnal Kesehatan Masyarakat Nasional Vol. 10 No. 1 Agustus 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (834.328 KB) | DOI: 10.21109/kesmas.v10i1.813

Abstract

Dengue hemorrhagic fever (DHF) is a leading cause of hospitalization and death among children. Indonesia is one of those countries categorized by World Health Organization (WHO) as hyperendemicity with four serotypes circulating in urban area. Sociodemographic factors are considered as factors affecting DHF in Indonesia. This study used secondary data downloaded from Province Health Database 2010 of Health Ministry Republic of Indonesia to determine correlation between three sociodemographic factors to DHF incidence. This study used quantitative descriptive correlational methods. Results showed the selected two sociodemographic factors had a linear impact on DHF incidence. Multiple regression multivariate analysis showed least correlation between DHF incidence and three selected sociodemographic factors. However, the univariate regression analysis showed that population density and poverty had significant correlation to DHF, respectively the population density r(4) = 0.843, p value < 0.05 and poverty r(4) = 0.897, p value < 0.05. Variable of age under 15 years old did not have any positive correlation to DHF. It is expected this study may have contribution to DHF prevention programs by helping public health practitioners develop more strategies with respect to the sociodemographic factors.Faktor-faktor Sosiodemografi terhadap Kasus Demam Berdarah diIndonesiaDemam berdarah dengue (DBD) adalah penyebab utama rawat inap dan kematian pada anak-anak. Indonesia adalah salah satu negara yang oleh WHO dikategorikan hyperendemicity dengan empat serotipe virus tersebar di daerah perkotaan. Faktor sosiodemografi dianggap sebagai faktor pendukung terjadinya DBD di Indonesia. Studi ini menggunakan data sekunder yang diunduh dari Basis Data Kesehatan Provinsi tahun 2010 Kementerian Kesehatan Republik Indonesia untuk menentukan korelasi antara ketiga faktor sosiodemografi dengan insiden DBD. Penelitian ini menggunakan metode kuantitatif deskripsi korelasi. Hasil penelitian menunjukkan bahwa dua faktor sosiodemografi terpilih memiliki korelasi linier dengan insiden DBD. Analisa regresi multivariat menunjukkan kecilnya korelasi antara insiden DBD dengan sekaligus tiga faktor sosiodemografi terpilih. Akan tetapi, hasil perhitungan analisa regresi univariat menunjukkan bahwa kepadatan penduduk dan kemiskinan memiliki korelasi yang signifikan terhadap DBD. Kepadatan penduduk r(4) = 0,843, nilai p < 0,05, sedangkan kemiskinan r(4)= 0,897, nilai p < 0,05. Variabel usia di bawah 15 tahun tidak memiliki korelasi positif terhadap insiden DBD. Diharapkan penelitian ini dapat memiliki kontribusi terhadap program pencegahan DBD dengan cara membantu praktisi kesehatan masyarakat mengembangkan strategi pencegahan DBD, terutama yang berhubungan dengan faktor sosiodemografi.

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