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Jurnal Epidemiologi Kesehatan Komunitas

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Published by Universitas Diponegoro

ISSN : - EISSN : 26154854 DOI : -

Core Subject : Health,

Health Professions Public Health

Jurnal Epidemiologi Kesehatan Komunitas (e-ISSN:2615-4854) provides publication of full-length papers, short communication and review articles describing of new finding or theory in epidemiology, health and life science and related areas. JEKK has 1 volume with 2 issues per year. This journal was published by the Master of Epidemiology, School of Postgraduate Studies, Diponegoro University.

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Articles 142 Documents

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Beberapa Faktor Kejadian Perdarahan Postpartum Ibu Bersalin yang Dirawat Di Rumah Sakit Asif Yuliati; Ariawan Soejoenoes; Ari Suwondo; Anies Anies; Martha Irene Kartasurya
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality in both developed and developing countries. To prevent postpartum hemorrhage, knowledge of the risk factors were needed.Method: Methos of the research is a case control study. Study population were hospitalized mothers who delivered in three hospitals on January 2015 – July 2016. The subjects were 55 patients who suffered from PPH (as cases) and 55 patients who were not suffered from PPH (as control). Sampling method for cases was consecutive sampling and purposive for controls. Data were analysed by Odds Ratio calculation and logistic regression.Results: The risks factor significantly for PPH are midwife as birth attendant (OR=7.10; 95% CI 2.2 –22.81; p=0.001), poor of obstetric history (OR=5.37; 95%CI 1.53–18.86; p=0.009), pregnancy interval (< 2 years or > 5 years) (OR =4.04; 95%CI 1.48 –11.07; p= 0,007), anaemia trimester III (OR =3,58; 95%CI 1.23-10.43; p=0.019), history of abortion (OR=4.93; 95% CI 1.20-20.31; p=0,027).Conclusion: The risk factors for PPH were midwife as birth attendant, poor of obstetric history, pregnancy interval (<2 years and >5 years), anaemia trimester III, and history of abortion.

Beberapa Faktor Risiko Kejadian Campak Pada Balita di Kabupaten Sarolangun Mostang Arianto; Mexitalia Setiawati; Mateus Sakundarno Adi; Suharyo Hadisaputro; Kamilah Budhi
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Measles is a highly infectious disease caused by the measles virus and is still a health problem in Indonesia. Based on data the communicable disease surveillance system from 2014 to January 2016 have been reported cases of measles as many as 200 cases. This study aims to explain host and environment factors as risk factors for occurrence of measles in children under five years old.Method: A case control study, involving 56 cases children under five years old suffer from measles were registered in form C1 of health center, with 56 sex matched neighborhood controls. Studied variables were analyzed by multivariate.Result: Risk factors for measles occurrence were living at unhealthy house (OR=7.5; 95 % CI=2.64 to 21.19), low of mother’s knowledge (OR=5.7; 95 % CI=2.22 to 14.85), and never received immunization (OR=3.7; 95 % CI=1.45 to 9.39). Risk factors not proved with measles occurrence were malnutrition, lack of vitamin A, never had measles, contact history, breast-fed < 2 years, maternal age < 20 years, low of socio-economic, number of children under five years old at home > 1 and less parenting.Conclusion: Risk factors associated with measles were living at unhealthy house, low ofmother’s knowledge and never received vaccination. For elimination, measles vaccination, home inspection, communication, information and education of measles is required.

Faktor-Faktor yang Berpengaruh terhadap Kejadian Tuberkulosis pada Wanita (Studi Kasus di RSUD Kabupaten Brebes) Muslih Muslih; Djoko Tri Hadi Lukmono; Suhartono Suhartono; Ari Suwondo; Martini Martini
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Tuberculosis (TB) risk in women increased during the productive age. Various problems can arise if a woman suffering from TB given the role of women, especially married, pregnant, and have children. Her role as a housewife who must carry out the task of physical and mental care of children at the same time taking care of her husband will be disrupted. To determine the chances of marital status, pregnancy, parity, physical activity, level of education, level of knowledge, the kitchen smoke pollution, household contact history, history of comorbidities DM, population density, and spacious house ventilation of TB incidence in women.Methods: The study was observational analytic study with case control design. The sample size is as much as 128 people, consisting of 64 cases and 64 controls. Sampling was done by proportional random sampling technique. Data were analyzed with univariable, bivariable, and multivariable.Results: The results of multivariate analysis, parity (OR 5.9, 95% CI 2.40-14.89, p 0.0001), contact history (OR 4.9, 95% CI 1.75-14.14, p 0.003), pollution kitchen smoke (OR 4.2, 95% CI 1.71-10.67, p 0.002), ventilation (OR 4.2, 95% CI 1.72- 10.44, p 0.002) as a risk factor for TB in women.Conclusion: The incidence of tuberculosis in women in Brebes chance or greater risk inwomen with high parity, a history of contacts, exposure to cooking smoke pollution is high and stay at home with ventilation that do not qualify health requirements.

Hubungan Karakteristik Demografi, Faktor Keselamatan Dan Kesehatan Kerja (K3) Dan Lingkungan Terhadap Kejadian Leptospirosis (Studi Pada Pekerja Sektor Informal di Kota Semarang Tahun 2013-2016) Maria Ulfah; Anies Anies; Mateus Sakundarno Adi; Henry Setyawan; Ari Suwondo
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Leptospirosis is a disease caused by pathogenic bacteria called Leptospira, which is transmitted directly or indirectly. There were many of Leptospirosis study. However, the relation between demographic characteristic, occupational health and safety, and environmental factors foccusing on the workers of informal sectors was unclear. The objectives of study were to measure the association between demographic characteristics, Occupational, Health and Safety, and environmental factors with Leptospirosis in the workers of informal sectors.Methods: An observational study with case-control design. Popupation of the study were all of workers of the informal sectors in Semarang City, it is including, but not limited to farmers, cleaning worker, laborers (farming, construction, handyman) and traditional market worker. Sample of the study were 82 persons, consist of 41 cases and 41 controls. Sample were taking by consecutive sampling. Data analysis perform by univariant, bivariant, and multivariant.Results: The main risk factors were age (18–40 years old) p=0,017; aOR=42,22;95%CI=1,96- 906,55; Gender (male) p=0,017; aOR=37,01, 95%CI=1,9- 718,6; history of open wound during working p=0,042; aOR=10,85; 95%CI=1,08-108,24; home sanitation (poor, with score <60%) p=0,025; aOR=25,25; 95%CI=1,5-423,3; and history of contact with the source of infection p=0,003; aOR=56,98; 95%CI=3,8-849,2.Conclusion: Demographic characteristics, Occupational, Health and Safety, and environmental factors were associated with Leptospirosis.

Komponen Sindrom Metabolik sebagai Faktor Risiko Penyakit Ginjal Kronik Stadium Terminal (Studi di RSUP Dr.Kariadi dan RSUD Kota Semarang) Kartika Ikawati; Shofa Chasani; Suhartono Suhartono; Suharyo Hadisaputro; Selamat Budijitno
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: End Stage Renal Disease (ESRD) has been among the top ten list of non infectious diseases frequently found at RSUP dr. Kariadi and RSUD Kota Semarang. Risk factors for ESRD are metabolic syndrome components, which are having an upward trend. This study had an objective to provided an evidence of metabolic syndrome factors that became risk factors for ESRD.Method: This study applied an analytical observational method with a case control study design. The study used 90 respondents as samples, divided into two different groups: 45 respondents as case samples and 45 respondents as control samples with consecutive sampling. Variables in this study ware the individual characteristics and history of suffering from metabolic syndrome components. Data were collected by interview, medical record, and indepth interview. These data were subject to analyses using univariat, bivariate, and multivariate tests.Results: The study found the risk factors for ESRD as the followings: hypertension term of> 5 years (OR=10,89 and 95% CI=3,08-38,59; p=0,000), diabetes mellitus term of > 5 years (OR=3,84; 95% CI=1,20-12,30; p=0,023), and low HDL-cholesterol history of < 35 mg/dL(men) and < 40 mg/dL(women) with (OR=3.123, 95% CI=1.08-9.04; p=0,04). The indepth interview resulted in adequate knowledge of the respondents about the risk factors for ESRD.Conclusion: Risk factors for ESRD found during the observation were hypertension term of >5 years, diabetes mellitus term of >5 years, and low cholesterol HDL. To prevent theprogression of chronik kidney disease required strict control of metabolic syndrome.

Beberapa Faktor Risiko Kejadian Penyakit Ginjal Kronik (PGK) Stadium V pada Kelompok Usia Kurang dari 50 Tahun (Studi di RSUD dr.H.Soewondo Kendal dan RSUD dr.Adhyatma,MPH Semarang) Ariyanto Ariyanto; Suharyo Hadisaputro; Lestariningsih Lestariningsih; Mateus Sakundarno Adi
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Chronic Kidney Disease (CKD) stage V is an end-stage chronic kidney disease characterized by glomerular filtration rate less than 15 mL /min /1.73 m2 and require dialysis therapy. The purpose of this study to prove risk factors the occurrence of CKD Vin the age group of less than 50 years. Method: This study was a mixed method, case-control studies design were inforced with indepht interview. Total respondents were 124 (62 cases and 62 controls) that taken by consecutive sampling. Research instrument was a questionnaire interview. Data analysis using univariate, bivariate (chi-square) and multivariate (logistic regression). Result: The variables that proved to be a risk factor for CKD V in the age group of less than 50 years were supplement energy drink consumption > 4 times/week (p=0.038; 95%CI = 1.063-7.944; OR=2.905), smoking ≥ 10 ciggarets/day (p=0.011; 95%CI=1.384-11.920; OR=4.061), and herbal medicine consumption > 4 times/week (p=0.007; 95%CI=1.431-9.949; OR=3.773). Variables that not proved were the consumption of coffee, supplements of vitamin C, soft drinks, alcohol, and NSAIDs. Qualitative results stated that the respondents consumed energy drink supplements to increase their stamina, smoke because it has become a habit, and consume herbal medicines because seen more natural and cure the sciatica fastly.Conclusion: Risk factors for the occurrence of CKD V in the age group of less than 50 years were the supplement energy drink consumption> 4 times/week, smoking ≥ 10 ciggarets/day, and the consumption of herbal medicine> 4 times/week.

Faktor Risiko yang Berpengaruh terhadap Kejadian HIV/AIDS pada Pengguna Napza Suntik (Studi Epidemiologi Di Kota Pontianak) Sumini Sumini; Suharyo Hadisaputro; Anies Anies; Budi Laksono; Muchlis AU Sofro
Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 1: Februari 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Injecting drug users (IDUs) are play role of high risk of HIV infection due to sexual behaviors that do not use condoms and use of unsterile needles. The high productive age group affected by HIV/AIDS and death, then the lower life expectancy, availability and productivity of the workforce. The purpose of the study proved that individual and environmental factors are risk factors for the incidence of HIV / AIDS among injecting drug users.Method: This observational analytic study, with the design of the case control study equipped with a qualitative approach of risk factors retrospectively. The target population of the study were IDUs in Pontianak with a sample of 96 people consisting of 48 cases of HIV/AIDS and 48 were IDUs not control HIV/AIDS. The sampling method is non-probability sampling study with consecutive sampling manner. Data analysis included univariate, bivariate using chi- square test and multivariate logistic regression test.Results: Multivariate analysis of four variables associated with the incidence of HIV/AIDSamong IDUs is married status (OR = 5,57), had sexual intercourse more than two people (OR =4,13), frequency of injecting drugs > 6 time / week yet (OR = 3,71), and not / do not work (OR= 3,28)Conclusion: Risk factors were shown to inﬂuence: the married status, had sexual intercourse more than ≥ 2 people, frequency of injecting drugs > 6 times / week and not/do not work yet.

Kebiasaan Tidak Memakai Celana/Rok Panjang Merupakan Faktor Risiko Kejadian Demam Berdarah Dengue (Studi pada Siswa SD di Kota Semarang) Mada Gautama; Suharyo Hadisaputro; Mateus Sakundarno Adi; Muchlis Achsan Udji Sofro; Suhartono Suhartono
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 2: Agustus 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background : Dengue Haemorrhagic Fever is still remains a health problem in Indonesia, especially in the city of Semarang. Based on data for the year 2014 from the Semarang City Health Office, DBD many experienced by the age group 1-14 years as many sufferers of1,065 (65%), in children ages 6 – 12 years old recorded 336 sufferers (ITP 20.6%). Some protective factors that affect mosquito bite incident DBD in children is wearing pants/skirt length, the use of repellent, the installation of netting on the bed, the installation of ram mosquitoes.Methods : The design was a case control study. The total sample was 160 children (80 children per group) selected by proportional random sampling with due regard to inclusion and exclusion criteria. Data analysis was bivariate with chi-square test and multivariatelogistic regression.Results : There are two variables that may prevent the incidence of Dengue HaemorraghicFever in school children, that is wearing pants/long skirts at home (p = 0.003; Or = 2,781;95% CI = 1,412-5,476), installation of ram mosquitoes in the windows (p = 0,018; Or =2,462; 95% CI = 1,166-5,200).Conclusion : The occurrence of DHF in children can be prevented by wearing pants/long skirts at home, and the installation of ram mosquitoes in the windows home. Probability to experience the occurrence of Dengue Haemorrhagic Fever is 78,72%.

Faktor Risiko Penyakit Ginjal Kronik Diabetes (PGK-DM) pada Diabetes Mellitus Tipe-2 (Studi di RSUD DR Soedarso Kota Pontianak Provinsi Kalimantan Barat) Sulistio Rini; Suharyo Hadisaputro; Lestariningsih Lestariningsih; Heri Nugroho; Selamat Budijitno
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 2: Agustus 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background: Prevalence of type-2 diabetes mellitus have increased signiﬁcantly. The increasing number of people with diabetes has a major impact on the development of chronic diabetic kidney disease. The research was aimed to clarify several risk factors of chronic diabetic kidney disease on type-2 diabetes mellitus (CDK-DM).Method: The research was based on case control study design. The number of respondents was 140 respondents consisting 70 cases and 70 controls that met the criteria of inclusion and exclusion. The cases were patients with type-2 chronic diabetic kidney disease stadium 2-5. The controls were patients with type-2 chronic diabetic kidney disease with blood sugar levels ≥ 200 mg / dL. The data were then analyzed using logistic regression.Results: The result shows that risk factors of chronic diabetic kidney disease in type-2 diabetes mellitus are diabetes in family (OR = 6,732; 95% CI = 2,623- 17,276), high blood pressure (OR = 6,760; 95% CI = 2,190- 20,867), lack of physical activities (OR = 4,367 95% CI = 1,823-10,462) and lack of family support (OR = 4,203; 95% CI = 1,437-12,295). The probability of chronic diabetic kidney disease occurrence in type-2 diabetes mellitus when four risk factors exist are 96,71%.Conclusion: The host factors have important role of chronic diabetic kidney disease in type 2 diabetes mellitus . The factors proven to be risk factors for occurrence of chronic diabetic kidney disease in type 2 diabetes mellitus were diabetic in the family, Hipertension, poor physical exercise and family Support.

Faktor-Faktor Risiko Status Imunisasi Dasar Tidak Lengkap pada Anak (Studi di Wilayah Kerja Puskesmas II Kuala Tungkal) Yundri Yundri; Mexitalia Setiawati; Suhartono Suhartono; Henry Setyawan; Kamilah Budhi
Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 2: Agustus 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Background : Basic immunization is a program conducted to protect the body from disease. Mother behavior, health care and environmental factor serve as a benchmark in the basic immunization status. This study aimed to analyze the risk factors of incomplete basic immunization in children.Methods : The research used observational analytic and cross sectional studynsupported by qualitative approach of in-depth interview method. The research population was all mothers with children aged 12 to 24 months with sample size of 92 respondents. Sampling method was conducted by purposive random sampling. Data collection was done by interviewing and the measuring instrument used is an questionaire. Data was analyzed by univariate, bivariate and multivariate.Results : Multivariate analysis showed poor maternal knowledge (p=0.0001) and lack of supportive attitudes of mothers toward immunization (p=0.0001), is a risk factor for incomplete basic immunization status in children. While mother's age, mother's education, mother's occupation, mother's perception of health facility condition, mother's perception on immunization staff role, number of child in the household and information media are not the risk factors of incomplete basic immunization status in children. A qualitative approach with in-depth interviews indicates that poor knowledge of immunization and the lack of supportive attitude of mothers toward immunization resulting in an incomplete basic immunization status.Conclusion : Risk factors for incomplete basic immunization status in children are poor mother's knowledge and lack of supportive attitudes of mothers toward immunization

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