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BKM Public Health and Community Medicine

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Published by Universitas Gadjah Mada

ISSN : 02151936 EISSN : 26148412 DOI : https://doi.org/10.22146/bkm.v37i2.2320

Core Subject : Health,

Nursing Public Health

Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope related to aspects of: - Epidemiology - Infectious diseases control - Clinical Epidemiology - Environmental Health - Occupational Health - Healthy City - Public Health and Primary Health Care - School of Health Promotion - Healthy lifestyles - Health promotion - Health and Social Behavior - Tobacco and smoking - Adolescent Health - Public Health Nutrition - Maternal and Child Health - Reproductive Health - Population Health - Health of Vulnerable People - Social Determinants of Health - Water, Sanitation and Hygiene - Human Resource Management

Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan

Articles 1,012 Documents

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Akseptabilitas dan Pemanfaatan Pusat Informasi dan Konsultasi Kesehatan Reproduksi Remaja pada Siswa Sekolah Menengah Umum Arie Afrima Djauhar Ismail Ova Emilia
Berita Kedokteran Masyarakat (BKM) Vol 27, No 3 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Adolescent period is a transition period from childhood to adulthood. One sixth of people on earth are adolescents and 85% of them live in developing countries. Adolescents often encounter risks of reproductive health so that reproductive health service becomes necessary for adolescents. School is a center of the dissemination of reproductive health information. The problem is that PIK-KRR in schools is underutilized. Factors causing underutilization are access to service, needs of adolescents, and acceptability of students to PIK-KRR.Objectives: To study the relationship between acceptability to PIK-KRR and utilization to PIK-KRR in schools by senior high school students at Bima Municipality Nusa Tenggara Barat.Method: The study used cross sectional with quantitative as well as qualitative approaches. Subjects were 312 high school students. Data were obtained through questionnaire and in-depth interview and analyzed using univariate, bivariate with chi-square and multivariate with logistic regression.Result: The result of bivariate analysis showed there was significant association between utilization and acceptability, need and attitude toward reproductive health (p<0.05). The result of multivariate analysis showed there was significant association between the utilization and acceptability (RP=1.5; CI95%=1.21-1.91). There was significant association between the utilization and acceptability after the control of variable of need (RP=1.4; CI95%=1.18-1.85) and with the control of variable of attitude consistently there was significant association between the utilization and acceptability (RP=1.4; CI95%=1.11-1.95). This mean that students accepting PIK-KRR had positive attitude toward reproductive health than those not accepting PIK-KRR.Conclusion: The utilization of PIK-KRR in school was associated with acceptability, need and attitude toward reproductive health.Keywords: acceptability, reproductive health, utilization, adolescents

Interaksi 13 Faktor Risiko Leptospirosis Bambang Supraptono, Bambang Sumiarto, Dibyo Pramono
Berita Kedokteran Masyarakat (BKM) Vol 27, No 2 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Interaction 13 Risk Factors In LeptospirosisBackground: Leptospirosis is a zoonotic disease, caused by infection with spiral-shaped bacteria of the genus Leptospira. Leptospirosis attacks the animal and human pathogens. Efforts to scale baseline mapping problem of leptospirosis in the city of Semarang is necessary because since 2005, continues to increase. Identify risk factors that influenced the incidence of leptospirosis is the purpose of this study.Method: The method used in this study is case control. Categories leptospirosis cases were patients who recorded at the hospital in Semarang, 2009, while the control is a person who does not suffer from leptospirosis, proven by the results of teck dry lepto negative dot and for 2 times the incubation period (60 days) showed no clinical symptoms of leptospirosis since the respondents states participated in the studyResult:The results showed the respondents included in the exclusion criteria for both case and control sample of 255 respondents found out. Interaction of risk factors in multivariate showed that only 4 variables that showed statistically significance. a). The probability is not always wear PPE will boost the 266.3 times the incidence of leptospirosis. b). Communities with low education would increase the probability of leptospirosis incidence of 255.2 times, c). Contact with the flesh or body parts of dead animals increase the probability ofleptospirosis incidence of 77.8 tim es. d). The probability of incidence of leptospirosis increased 44.3 times if the respondent contact with standing water. The probability of occurrence of leptospirosis can be described by the equation: Conclusion: From the results of this study concluded priority cope with leptospirosis in the city of Semarang is the problem; a). Use personal protective equipment (PPE); b). Problems caused by low public education; c). Contact with meat or body parts of dead animals and d). Contact with stagnant water.Keywords: leptospirosis, case control, binary logistic regression, multivariate

Promosi Kesehatan dalam Meningkatkan Pengetahuan, Sikap dan Perilaku Deteksi Dini Kanker Serviks pada Ibu-Ibu Anggota Pengajian Ismarwati I.M. Sunarsih Sutaryo, Rendra Widyatama
Berita Kedokteran Masyarakat (BKM) Vol 27, No 2 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Health Promotion in Improving Knowledge, Attitude and Behavior on Early Detection of Cervical Cancer in Women MemberBackground: As many as 80%-90% of cervical cancers tend to occur in women aged 30-55 years. Most cervical cancer are detected already in a late stage. Servical cancer prevention efforts can be done through health promotion using interactive discussions and audio visual media aid to promote an individual early detection efforts by pap smear or visual inspection with acetic acid (VIA).Objective: To determine the effect of health promotion through the media of audio-visual aid and interactive discussion in improving knowledge, attitude and behavior of As-Sakinah Recitation member in Banguntapan Subdistrict on an effort of cervical cancer early detection.Methods: Qualitative research used action research approached. The sampling method applied by the purposivesampling with women’s criteria are As Sakinah recitation members who had never undergone a hysterectomy (surgical removal of the uterus), had married (ever married), willing to become as an informant. Data was collected by in-depth interview to reveal in detail the opinions of someone about cervical cancer and its early detection efforts. Data analysis used was open code program.Results: Health promotion using the audio-visual film and interactive discussions on the forum are limited and have personal ties among the participants, effective for increasing knowledge and positive attitudes towards cervical cancer and early detection. The behavior of mothers early detection of cervical cancer by an individual (alone) is not ready (unfavorable) because they feel shame and no sense of worry about the results of early detection if it turns out the results tested positive. They are willing to (favorable) early detection collectively. Efforts to maintain reproductive health is done by avoiding risk factors pray and worship (prayers).Conclusions: The audio visual media and also interactive discussion in health promotion could improve knowledge and positive attitude towards early detection of cervical cancer on the women’s member of As Sakinah recitation. Knowledge and positive attitude toward the urgency of cervical cancer early detection could not guarantee the occurring of early detection behavior. The member of As Sakinah recitation was had no early detection personally because shy and afraid with the result of early detection. They are willing to do a joint (collective) and facilitated in the neighborhood.Keywords: health promotion, audio visual and interactive discussions, early detection of cervical cancer

Perilaku Makan dengan Kejadian Sindrom Premenstruasi pada Remaja Nurmiaty Siswanto Agus Wilopo, Toto Sudargo
Berita Kedokteran Masyarakat (BKM) Vol 27, No 2 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Eating Behavior and the Prevalence of Premenstrual Syndrome in TeenagersBackground: Problems commonly encountered by teenagers in relation to menstruation are dysmenorrheal and premenstrual syndrome. Some recent studies reveal that micronutrients (calcium, magnesium and vitamin D) have an important role in causing disorder of mood and behavior during premenstruation. Teenagers generally consume foods with low nutrients and have a diet that causes lack of nutrient intake leading to menstrualdisorder.Objective: To identify the association between eating behavior and the prevalence of premenstrual syndrome in teenagers at District of Purworejo.Method: This was a case control study with quantitative approach. Subject of the study were students of SMKN 3 and SMAN I Purworejo. Analysis stage I was made to identify the prevalence of premenstrual syndrome (n=749). Analysis stage II was made to identify the association between eating behavior and the prevalence of premenstrual syndrome; the comparison between samples of cases and control was 1:1 (n=160).Result: The prevalence of premenstrual syndrome in teenagers was 24.6%. The test in eating behavior and premenstrual syndrome showed the result was statistically significant. When variable of stress was controlled, the risk for premenstrual syndrome was 2.3 times greater. The result of logistic regression analysis on nutrient intake showed that fat and potassium had the most dominant effect to the incidence of premenstrual syndrome with standardized coefficient value as much as 0.7982 and 0.7834 subsequently.Conclusion: Unhealthy eating behavior increased risk for premenstrual syndrome 2.3 times greater. Intake of fat and potassium most dominantly affected premenstrual syndrome.Keywords: eating behavior, premenstrual syndrome, teenagers

Peran Petugas Puskesmas dalam Promosi Kesehatan Berhenti Merokok pada Pasien dan Masyarakat Muhammad Daroji, Yayi Suryo Prabandari, Ira Paramastri
Berita Kedokteran Masyarakat (BKM) Vol 27, No 2 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Role of Health Center Staff in Health Promotion of Smoking Cessation of Patients and The CommunityBackgrounds: Smoking is a complex and global problem. Its impact to health is undeniable. Nevertheless, the prevalence of smoking increases in developing countries, whereas in developed countries the prevalence decreases. The prevalence of smoking in population always increases. In the Sleman district the prevalence of smoking in the population of above 10 years old reaches 26.7%, the prevalence of smoking household is 55.74%. Data of 8 major diseases causing mortality in hospitals at District of Sleman shows that 4 of them are diseases related to cigarettes. Health staffshave a very strategic role to promote smoking cessation in patientsand the community.Objectives: To identify the role of health center staff promoting healthty smoking cessation in patients and community and aspects related to it.Methods: The study used qualitative approach and phenomenological design. The main subject of the studywas staff of public health promotion, clinical coordinator and heads of health center. The supporting subjects were patients and the community and the officials of the health office. Selection of health centers were based on coverage of the highest and the lowest smoke free household, each representing one respondent. Data were obtained through indepth interview and observation.Results: Role of health center staff in the promotion of smoking cessation includes patient and family education,community and school children education, giving advices and medical instructions, providing information, becoming non smoking role model, creating a model of smoke free area, collaborating clinical services with psychologists. Aspects related to these comprised were staff’s attitudes, understanding of the need to quit smoking, responsibility, staff’s competence, community’s expectation, constraints and belief in success.Conclusions: Role of health center staff in the promotion of smoking cessation was not yet optimum due to limited competence, internal and external constraints, poor belief in success.Keywords: role of staff, health promotion, smoking cessation

Pengendara sebagai Faktor Risiko Terjadinya Kecelakaan Lalu Lintas Sepeda Motor Tahun 2010 Sahabudin Hendro Wartatmo, Susy Kuschitawati
Berita Kedokteran Masyarakat (BKM) Vol 27, No 2 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Motor Riders as Risk Factor for the Incidence of Motor Cycle Traffic Accident Municipality 2010Background: Traffic accident (TA) has become a public health problem nowadays. Everyday more than 3,000 people die due to TA worldwide. As much as 80% of TA happens in low income countries and 90% in medium income countries annually causing disability-adjusted life years (DALYs). In 2020 it is estimated that TA will be in the third rank after cardiac ischemia and depression worldwide. Vehicles on the road in Yogyakarta Municipality have changed the transport mode from bicycle to motorcycle. Three factors that often because motorcycles TAare human, vehicle and road factors. More than 80% of TA rate is due to human factor. Within the past five years there has been an increase in motorcycle TA cases in Yogyakarta Municipality.Objective: The study aimed to identify exposure to risk factor associated with motorcycle TA in Yogyakarta Municipality.Method: The study was observational that used case control study design. Samples consisted of 266 people comprising 133 cases and 133 controls purposively taken. Cases were riders that had motorcycle TA in Yogyakarta. Data of cases were taken from Polwiltabes and hospitals in Yogyakarta Municipality, whereas data of the control group were obtained from relatives and or neighbours of the case group.Result: The result of multivariate analysis showed that there was association between use of mobile phone during the drive OR=2.24 (p=0.044), speed > 50 km/hour OR=1.974 (p=0.025) and ownership of driving license type C OR=1.956 (p=0.009) and the incidence of motorcycle TA.Conclusion: Use of mobile phone during driving, speed > 50 km/hour and non ownership of driving license type C were risk factors for the incidence of motorcycle TA in Yogyakarta Municipality.Keywords: driver, risk factors, traffic accident, motorcycle

Hubungan antara Pemberian Informasi dengan Pemilihan Metode atau Alat Kontrasepsi Rasional (Kajian Data Proyek SM-PFA di Jawa Tengah dan Jawa Timur Tahun 2002) Sri Subiyatun, Djaswadi Dasuki, Budi Wahyuni
Berita Kedokteran Masyarakat (BKM) Vol 27, No 2 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Relationship between Information Giving and the Contraceptive Choice or Rational Contraception (Study Used SM-PFA Project Data in Central Java and East Java in 2002)Background: Family Planning programs in Indonesia have been admitted both nationally and internationally to be successful programs in decreasing birth rate. The number of contraceptive acceptors is increasing and it reflects that Family Planning programs have become the society’s need. One option of SM-PFA project conducted in 10 districts in East and Central Java aimed at increasing the Quality of Family Planning services with respect to giving information by the provider as one of important factors in the decision taking on contraceptive choice.Objective: To find out the correlation between information giving and contraceptive choice and rational contraception.Methods: It was an analytic study using cross-sectional based on the secondary data from SM-PFA project in 2002-2003 involving 1588 fertile married couples. The data analysis used was univariable with frequency distribution, bivariable with chi-square, and multivariable with logistic regression on significance level of 0.05.Results: The proportion of rational contraceptive choice in informed samples was higher than that in uniformed samples (75% and 65.3%, respectively). Factors related to this difference were maternal age less than 20 or more than 35 years, low education level, parity more than 4 children, working mothers, and women lived in urban area.Conclusion: There was significant correlation between information giving and the contraceptive choice or rational contraception. The factors affecting the choice were maternal age, maternal education, parity, maternal occupation and the place of live.Keywords: Family Planning Program, information giving, rational contraception

Status Kebersihan Gigi dan Mulut dengan Status Karies Gigi (Kajian pada Murid Kelompok Umur 12 Tahun di Sekolah Dasar Negeri Kota Bukittinggi) Syukra Alhamda
Berita Kedokteran Masyarakat (BKM) Vol 27, No 2 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Dental and Oral Hygiene Status with Dental Caries Status(Study in Student Age Group 12 Years in Elementary School City of Bukittinggi)Background: Teeth and mouth disease has the first ranked at 77% of the population disease prevalence of 10 complained of by the community. Dental caries in 12th aged group ends to increase from year to year. In general teeth and mouth disease that affect many people of Indonesia relating to oral hygiene. According to expert opinion one of the factors that are directly related to the occurrence of caries is oral hygiene. The purpose of this study was to correlate the status of oral hygiene with dental caries status.Method: This study used Cross-sectional design and conducted in elementary school city of Bukittinggi. The subjects were all students in 12th aged group which are permanent teeths all. Measuring tools used is the OHI-S (Oral Hygiene Index-Simplified) for dental and oral hygiene status, and Decay Missing Filling (DMF)- index for dental caries status with the analysis Pearson’s correlation test and simple linear regression based on significance level at 0.05.Result: Oral and hygiene status of the students in 12th aged group elementary school city of Bukittinggi is in goodcategory, with the high caries prevalence 55,68% and the average of DMF-T 1.35. Statical analysis showed a significant and positive relationship between status of oral hygiene with dental caries status as the indicated by the value of ß = 0.685 and p = 0.01. The result also showed that the mean DMF-T of female students is higher than male students indicated by the value of p = 0.00 < 0.05.Conclusions: The better oral hygiene status of the students the better also the status of dental caries.Keywords: oral hygiene and dental caries, DMFT (Dental, Missing, Filling-Teeth), dental caries, Oral Hygiene Index Simplified (OHI-S)

Persepsi Remaja Putri di Kota Ambon Tentang Risiko Terpapar Kosmetik Berbahaya dan Perilakunya dalam Memilih dan Menggunakan Kosmetik Bidan Tringani Damanik, Kristiana Etnawati, Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 27, No 1 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Perception of Female Teenagers In Ambon About Hazardous Cosmetics Exposure Risk and Their Behavior of Choosing and Using CosmeticsBackground: Cosmetics are products that frequently used by female teenagers to attain and maintain beauty instantly according to their beauty concept. There are many cosmetics in the markets unregistered and contain hazardous substances. The wide distribution of unregistered cosmetics becomes a risk factor for hazardous cosmetics exposure. Thus a research is needed to study the perception of female teenager about hazardous cosmetics exposure risk and their behavior of choosing and using them.Objective: This research intended to study the perception of female teenagers about hazardous cosmetics, the perception of female teenagers in Ambon about hazardous cosmetics exposure risk and the behavior of choosing and using cosmetics.Method: This research was a survey combined with qualitative method using descriptive explorative approach. Survey was conducted in in 6 private and 6 public High Schools in Ambon. There were 394 female students as responden which is recruited by multistage cluster sampling method. The methods of data collection were descriptive and Focus Group Description (FGD). The participant of FGD was recruited with purposive sampling method, in which 3 to 4 students from each school recruited as participants of FGD yielding a total of 44 respondents who were split in 6 group discussion. Thematic was then used for data analysis.Results: More than half of 394 students (57,9%) experienced skin problem after using their cosmetics. The evidence of some skin problems such as peeled off the skin, reddish skin and burned skin was perceptioned as procedures to make skin become white, but the black spot and acne after using cosmetics was perceptioned as the cosmetics is dangerous.Conclusion: The wrong perception that some skin problems are the procedure to make skin white in teenagers in Ambon, lead them to have the risky behaviour in choosing and using cosmetics. The National Agency of Food and Drug Control especially the Institute of Food and Drug Control in Ambon should actively conduct the health promotion about cosmetics and problems in the high schools and household in to reduce the potential risk of the exposure to hazardous cosmetics.Keywords: beauty concept, perception, cosmetics, hazardous cosmetics, the behavior of choosing and using cosmetics

Faktor Risiko Diare Akut pada Balita Hannif Nenny Sri Mulyani, Susy Kuscithawati
Berita Kedokteran Masyarakat (BKM) Vol 27, No 1 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Risk Factors of Acute Diarrhea in Under fivesBackground: Diarrhea is a health problem particularly in developing countries such as Indonesia. The disease is the main cause of mortality in fewer than fives after perinatal and acute respiratory tract infection (ARI). Data of Basic Health Research 2007 showed diarrhea caused mortality in fewer than fives as much as 25.2%. In Yogyakarta Municipality the prevalence of diarrhea at health centers and hospitals in 2009 was in the second rank after ARI with as many as 16,604 cases and the prevalence was 3.6%. Diarrhea is a disease transmittedoro-faecal; therefore it can be transmitted in many ways among others is through polluted water (water borne).Objective: To identify association between bacteriological qualities of clean water, clean water facilities, family toilet, individual hygiene of mother (caregiver) and behavior in boiling drinking water and acute diarrhea in under fives at Yogyakarta Municipality.Method: The study is a case control study undertaken at Yogyakarta Municipality with as many as 250 people comprising 125 cases and 125 controls, were used to univariate, bivariate and multivariate analysis techniques.Results: The result of multivariate analysis showed that individual hygiene (OR=2.16; p=0.010) and clean water facilities (OR=2.10, p=0.022) were the factorsConclusion: There was association between individual hygiene, risk of clean water facilities and the prevalence of acute diarrhea in under fives.Keywords: acute diarrhea, risk factors, underfives

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Home Page

OAI Link

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Contact Name Ika Kusumaningtyas

Contact Email tyas.kusuma@ugm.ac.id

Phone +628988833412

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Editorial Address Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

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Contact Name
Ika Kusumaningtyas

Contact Email
tyas.kusuma@ugm.ac.id

Phone
+628988833412

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bkm.fk@ugm.ac.id

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Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

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Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA