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Kesmas: Jurnal Kesehatan Masyarakat Nasional
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : 10.21109
Core Subject : 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 750 Documents
Perilaku Seks Pranikah Remaja Komang Yuni Rahyani; Adi Utarini; Siswanto Agus Wilopo; Mohammad Hakimi
Jurnal Kesehatan Masyarakat Nasional Vol. 7 No. 4 November 2012
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v7i4.53

Abstract

Hubungan seksual sebelum nikah pada remaja merupakan masalah yang serius, berhubungan dengan peningkatan penularan penyakit menular seksual, mempunyai pasangan lebih dari satu, dan kehamilan dini. Suatu kerangka kerja model perilaku terintegrasi (Integrated Behavioral Model, IBM) digunakan untuk menilai berbagai faktor prediktor hubungan seksual prematur pada remaja. Tujuan penelitian ini adalah mengeksplorasi inisiasi hubungan seksual sebelum nikah pada remaja level 10 dan 11 berdasarkan kerangka kerja IBM, meliputi komunikasi tentang seks kelompok peers, orang tua, paparan perilaku pornografi, kepercayaan normatif, agen personal, dan keinginan hubungan seksual. Metode yang digunakan adalah menyertakan 626 responden dalam survei awal. Responden adalah siswa sekolah menengah atas level 10 – 11 di kota Denpasar. Data dikumpulkan dengan kuesioner laporan sendiri khususnya prediktor inisiasi hubungan seksual sebelum menikah. Penelitian ini menemukan bahwa pajanan pornografi, perilaku langsung dan tidak langsung berhubungan secara signifikan dengan inisiasi hubungan seksual sebelum nikah (nilai p < 0,05). Remaja laki-laki tampaknya melakukan lebih banyak aktivitas seksual daripada remaja perempuan. Penelitian ini berimplikasi terhadap pemahaman perilaku langsung dan pajanan pornografi mungkin digunakan dalam meningkatkan program kesehatan dan kesehatan remaja.Kata kunci: Hubungan seksual sebelum nikah, penyakit menular seksual, remajaAbstract Premarital sexual inisiation on adolescence is a serious problem, associated with increased transmition sexually transmitted disease/STD, had having more partners, and early pregnancy. An Integrated Behavioral Model (IBM) framework used to assess predictors of premarital sexual on adolescents. The purpose of this research is to explore predictors of premarital sexual inisiation in adolescents grade 10 and 11 based on IBM framework, includes: communication about sex with peers, parents, pornography exposure, attitude, normative belief, personal agency, and intention to have sex. Method that used is 626 respondent included in earlier survey, and respondent were students of senior high school grade 10 – 11 in Denpasar City. Data collected with self reported questionaire particularly predictor of premarital sexual initiation. The result found that pornography exposure, indirectly attitude, and directly attitude were significantly associated with premarital sexual initiation (p < 0,05). Male adolescents engage in more sexual activity like premarital sexual inisiation than female adolescents. This study has implications for understanding how directly attitude and pornography exposure may be used in intervention to promoting adolescents health program and adolescents ressiliency.Keywords: Premarital sexual, sexually transmitted disease, adolescence
Kualitas Lingkungan Kerja dan Kinerja Bidan Puskesmas dalam Pelayanan Kesehatan Ibu Sri Purnama Rezeki; Dumilah Ayuningtyas
Jurnal Kesehatan Masyarakat Nasional Vol. 8 No. 6 Januari 2014
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v0i0.379

Abstract

Peningkatan angka kematian ibu dan kesenjangan cakupan pelayanan kesehatan ibu antar puskesmas, diasumsikan berhubungan dengan kinerja bidan yang dipengaruhi lingkungan tempat bekerja (puskesmas). Penelitian dengan desain potong lintang dengan metode kuantitatif dan kualitatif ini bertujuan mengetahui hubungan antara komponen quality of work life (QWL) dengan kinerja bidan puskesmas pada pelayanan kesehatan ibu. Studi ini dilaksanakan di 11 puskesmas wilayah kerja Kabupaten Bintan pada bulan Februari - Maret 2013. Data dikumpulkan dengan menggunakan kuesioner pada 67 responden dan wawancara pada 10 informan. Berdasarkan hasil penelitian, hanya 35,8% bidan puskesmas mempunyai skor kinerja di atas rata-rata, beberapa puskesmas mempunyai skor komponen QWL di bawah rata-rata. Hubungan yang signifikan ditemukan antara komponen keterlibatan karyawan (nilai p = 0,005) dan rasa bangga terhadap institusi (nilai p = 0,039) dengan kinerja bidan puskesmas dalam pelayanan kesehatan ibu.Increasing maternal mortality ratio and also gaps of the maternal health services scope among community health centers, assumed related to the performance of midwife clinics who is affected by the environment in which working (community health centers). This cross sectional study with quantitative and qualitative approaches aims to determine the relationship between Quality of Work Life (QWL) components with the midwives clinics performance in maternal health services. The study is implemented in 11 community health centers in working area Bintan Regency in February - March 2013. Data are collected by using questionnaires with 67 respondents and interview with 10 informants. Based on the study results, only 35.8% midwives clinics having performance scores above average, some community health center having component QWL scores below average. There is a relationship between employee engagement (p value = 0.005) and sense ofpride to the institution (p value = 0.039) with midwives clinics performance in maternal health services.
The Risk of Hypertension in Adulthood as a Consequence of Adolescent Obesity Demsa Simbolon; Epti Yorita; Ruzita ABD Talib
Jurnal Kesehatan Masyarakat Nasional Vol 14, No 1 (2019): Volume 14, Issue 1, August 2019
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v14i1.2723

Abstract

Population increase in adolescence are associated with increased overweight and obesity problems. If this problem not early intervention will have an impact on increasing hypertension prevalence and risk of death. This research aimed to explain the consequences of overweight and obesity in adolescent to hypertension in adults. The study used Indonesian Family Life Survey (IFLS) data with a retrospective cohort study. Adolescent BMI measurements on 2007 and the risk of hypertension on 2014. Population are all adolescents aged 10-20 years in 2007. Sample of 1,697 adolescent who randomly IFLS  2007 with the inclusion criteria: biological children and a single birth, children living with biological parents, children remain alive until adulthood on 2014. Multivariate analysis used logistic regression. The study found 8.1% women and 5.6% men were overweight and obes. In adulthood, there was a 45.4% incidence of hypertension. Incidence of hypertension in men (67.3%) more than women (26.8%). The multivariate model showed adolescence BMI affects the blood pressure after controlled the  BMI adult, adolescence blood pressure, area of residence, and gender.Gender interacts with adolescence BMI. The risk of hypertension in adulthood based on overweight and obese in adolescent boys is 3 times and girls is 2 times.
Bayi Berat Lahir Rendah di Rumah Sakit Umum Daerah Pasar Rebo dan Faktor-faktor yang Berhubungan Nur Asniati Djaali; Tris Eryando
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 2 Oktober 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v5i2.151

Abstract

Salah satu penyebab utama angka kematian bayi yang tinggi adalah masalah berat badan lahir di bawah 2500 gram (berat badan lahir rendah). Berdasarkan data dari Statistik Rumah Sakit Indonesia tahun 2005, sekitar 40,7% kematian bayi disebabkan oleh berat lahir rendah, pertumbuhan janin yang lambat, malnutrisi janin, dan gangguan yang berhubungandengan kecukupan masa kehamilan. Angka BBLR di RSUD Pasar Rebo pada tahun 2007 mencapai 8,7%. Tujuan penelitian ini adalah mengetahui berbagai faktor yang mempengaruhi berat lahir menggunakan data rekam medis RSUD Pasar Rebo. Studi ini menggunakan desain crosseksional dan data retrospektif rekam medis rumah sakit. Populasi penelitian adalah seluruh ibu yang melahirkan di RSUD Pasar Rebo, Sampel diperoleh dengan teknik simple random sampling, dan jumlah sampel dihitung menggunakanrumus sample size uji hipotesis koefisien korelasi dengan variabel kontinyu/ numerik. Hasil analisis dan pengolahan data menunjukkan berat lahir berdistribusi normal dengan rata-rata sebesar 3126,6 gram dan standar deviasi sebesar 453,65 gram. Tingkat pendidikan, usia kehamilan, dankenaikan berat badan ibu selama hamil berhubungan signifikan dengan berat badan bayi lahir. Berdasarkan hasil analisis regresi linier ganda, didapatkan bahwa ketiga variabel tersebut berkontribusi pada berat lahir dan tingkat pendidikan berkontribusi paling besar.Kata kunci: Berat lahir, berat lahir rendahAbstractOf the main causes of high infant mortality rate is birth weight under 2500 gram (low birth weight/LBW). Base on data from Indonesian Hospital Statistic in 2005 =, as much as 40,7% baby’s death was caused by low birth weight, intrauterine growth restriction, fetal malnutrition, and problem relatedwith term of pregnancy. Base on data from sample, LBW in RSUD Pasar Rebo in 2007 reached 8,7%.This study is aimed to know the factors that influence infant birth weight as observed from medical record in Pasar Rebo Public General Hospital, Jakarta, and to identify what factor influence most  in predicting infant birth weight. A cross-sectional study was designed using retrospective data of hospital medical record. The population of this study was all mothers who gave birth in this hospital, had complete registration and data containing variables observed, such as infant birth weight, and at least performed antenatal care visit in the first trimester. Simple random sampling was administered. The amount of samples were obtained using correlation coefficient hypothesis testing sample size formula with continuous variable. Data processing and analysis showed that infant birth weight are distributed normally with mean 3126.6 grams and 453.655 grams standard deviation. Further analysis showed that educational level, term of pregnancy, and weight-gained during pregnancy were significantly related with infant birth weight. Using double linear regression analysis, those three variables contributed in predicting infant birth weight, where the educational level contributed most.Key words: Infant birth weight, low birth weight.
Peranan Pelatihan Learning Organization pada Perubahan Individu dan Institusi: Pengalaman Kabupaten Cianjur Ede Surya Darmawan
Jurnal Kesehatan Masyarakat Nasional Vol. 2 No. 6 Juni 2008
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v2i6.247

Abstract

Dalam rangka mendukung peningkatan kapasitas aparat pemerintah daerah dalam melaksanakan peran dan fungsi setelah penerapan kebijakan desentralisasi, Unit Desentralisasi Departemen Kesehatan telah menyusun beberapa rencana strategis yang bertujuan mengantisipasi transisi desentralisasi, diantaranya adalah membangun organisasi pembelajar. Melihat bagaimana peranan pelatihan berpengaruh pada perubahan individu dan institusi pada lingkungan birokrasi yang lebih ketat pada tingkat pemerintah daerah. Penelitian ini adalah sebuah penelitian quasi-eksperimental dengan pre- dan post- intervensi, pengukuran yang berulang kali, dan kontrol yang tidak merata. Kelompok pertama akan menerima pelatihan SLLO (Xa) dan pendampingan (Xb). Kelompok kedua hanya akan berfungsi sebagai kelompok pengontrol. Penelitian ini menemukan: (1) Pelatihan LO efektif untuk meningkatkan pengetahuan, dan pemahaman peserta dalam perspektif kerja, masalah, keinginan mempebaiki diri dan menyebarkan kepada teman kerja. (2) Perubahan tingkat individu meliputi; keinginan memperbaiki perilaku kerja; keterbukaan dan kesiapan pencatatan perilaku; kesediaan menyediakan waktu; lebih banyak mempergunakan analisis penyebab masalah; lebih banyak dialog dan tidak terjebak dengan gejala; keinginan dan upaya menyebarkan LO dalam seminar dan pelatihan. (3) Bentuk perubahan kelompok dan institusi belum terlihat, berupa upaya untuk menyampaikan informasi pelatihan LO kepada peserta lintas sektor yang lebih luas. (4) Pengaruh lingkungan birokrasi pemerintah tingkat kabupaten mengakibatkan; perubahan individu berpengaruh pada perubahan kelompok sedikit; komunikasi membutuhkan waktu banyak; Sulit melakukan dialog antar anggota tim. Pada tingkat kecamatan keadaan berubah lebih baik; Perubahan individu yang berpengaruh pada perubahan kelompok lebih banyak; komunikasi antar anggota lebih cepat; dialog lebih mudah .Kata kunci : Pelatihan pembelajaran organisasi , perubahan individu dan institusiAbstractIn order to support local government capacity to implement their role and capacity after the implementation of decentralization policy, The Decentralization Unit of Ministry of Health RI has developed several strategic plans which directed to anticipate decentralization transition, such as learning organization. To objective of this study is to understand the effect of training program on individual and institutional changes in a more strict bureocratic environment. This study is a quasi-experimental study with pre and post intervention study design, several times measurements, and unequally distributed control. The first group receive SLLO training (Xa) and assistance (Xb). The second group is a control group. The study result show that: (1) the LO training is efective to increase knowledge and understanding of the trainees on job perspective, problem solving, self improvement need and distribution to group member (2) The individual level changes include the need to job behavioral improvement, the openness and readiness to record behaviour, more problem analysis, more dialogue and not trapped in surface symptoms, want and need to distribute LO in seminar and training (3) the group and institutional changes has not been seen yet (4) only small effect of individual changes to group level changes, communication needs plenty of time, difficult to conduct dialogue among team members. In sub-district level situation has chenged to a better situation, more effect of individual level cahnges to group level changes, faster communication between group members and easier dialogue.Keywords: Learning organization training, individual and institutional changes
Epidemiological Pattern of COVID-19 Infection from March to November 2020 in Situbondo District, East Java, Indonesia Mohmed Gesmalah; Atik Choirul Hidajah
Jurnal Kesehatan Masyarakat Nasional Volume 16, Special Issue No 1, 2021
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v0i0.5049

Abstract

The COVID-19 pandemic continues to pose a global threat. As of March 31, 2020, there were 1,528 confirmed COVID-19 cases with 136 deaths in Indonesia. This study aimed to describe the epidemiological features and clinical course of COVID-19 in Situbondo District, East Java Province, Indonesia, to facilitate understanding of the epidemiological situation and the spread of infection in the community to improve the control and prevention measures. This study examined the epidemiological features of COVID-19 cases in Situbondo using descriptive analysis. The results revealed that from March to November 2020, there were 1,622 suspected cases and 816 confirmed cases. Moreover, females (total case 470,58%) were more likely to be infected than males (total case 346,43%). Mainly, the cases of COVID-19 infection were in the age group of 19-37 years old (36.8%), and almost half of the confirmed cases (41 cases) were caused by the infection from close contact to confirmed cases, based on the epidemiological investigation report. People with comorbidities were more susceptible to being infected. Hypertension (8,7%), diabetes (8,6%), heart disease (3,7%), kidney failure, and COPD, each by (1%) were the highest reported comorbidities in COVID-19 patients. There was another disease with a low percentage like asthma, pulmonary TB, and cancer. This study opens the gate to further studies, which are needed to understand more about the epidemiological COVID-19 situation in the community.
Assessment of Nutrition Information System Using Health Metrics Network Framework Mochamad Iqbal Nurmansyah; Catur Rosidati; Riastuti Kusuma Wardani; Badra Al-Aufa
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 | DOI: 10.21109/kesmas.v10i1.814

Abstract

Nutrition Information System (NIS) developed by Heath Ministry’s Nutritional Development Directorate since 2011 covers data of toddler assessment in integrated health care, malnutrition case, coverages of Fe tablet among pregnant mothers, iodized salt consumption, vitamin A distribution and exclusive breastfeeding. This study aimed to assess NIS performance in South Tangerang City Health Agency using WHO’s Health Metrics Network 2008 framework. NIS is national level information system with gradual reporting mechanism starting from 508 districts/cities to 34 provinces ended at national level. Eight districts/cities over Banten Province have conducted NIS. This study had six informants namely nutrition section, health resources and health information system section, two nutrition duties and two integrated health care workers. Data was collected on January - April 2013 using interview, observation and document analysis guidelines. Data analysis used interpretation analysis. The result showed no any policy and training implemented regarding nutrition surveillance. Monitoring activity was already conducted. Facilities were adequate, but the maintenance was deficient. There are six nutritional development indicators according to MDGs. Data grouping and dictionaries were available. Data reporting was conducted every month. Graphics and maps were used for presenting data. The data served was used for monitoring and making a decision on nutritional development programs at integrated health care, primary health care and health agency levels. Generally, NIS implementation in South Tangerang City. Health agency was already adequate.AbstrakSistem informasi gizi (Sigizi) dikembangkan oleh Direktorat Bina Gizi Kementerian Kesehatan sejak 2011. Data Sigizi mencakup data penimbangan balita di posyandu, kasus gizi buruk, cakupan pemberian tablet Fe pada ibu hamil, konsumsi garam beryodium, pemberian vitamin A, dan ASI eksklusif. Penelitian ini bertujuan untuk mengukur kinerja pengelolaan Sigizi di Dinas Kesehatan Kota Tangerang Selatan menggunakan kerangka Health Metrics Network yang dikeluarkan oleh WHO tahun 2008. Sigizi merupakan sistem informasi yang diaplikasikan pada tingkat nasional dengan mekanisme pelaporan berjenjang, dari 508 kabupaten/kota menuju 34 provinsi dan bermuara di tingkat nasional. Di Provinsi Banten, terdapat delapan kabupaten/kota yang menjalankan Sigizi. Informan penelitian berjumlah enam orang, yaitu seksi gizi, seksi sumber daya kesehatan dan sistem informasi kesehatan, dua tenaga pelaksana gizi, dan dua kader posyandu. Pengumpulan data dilakukan Januari – April 2013 menggunakan pedoman wawancara, observasi, dan telaah dokumen. Analisis interpretasi digunakan dalam menganalisis data. Hasil penelitian menunjukan belum ada kebijakan serta pelatihan mengenai pengawasan gizi. Kegiatan pemantauan telah dilakukan. Sarana dinilai cukup, namun terdapat kekurangan dalam upaya perawatannya. Terdapat enam indikator dalam pembinaan gizi yang mengacu pada MDGs. Terdapat pengelompokan dan kamus data. Pelaporan data dilakukan setiap bulan. Grafik dan peta digunakan untuk menyajikan data. Data yang tersedia digunakan untuk pemonitoran dan pengambilan keputusan dalam kegiatan pembinaan gizi, baik di tingkat posyandu, puskesmas maupun dinkes. Secara umum, pelaksanaan Sigizi di Dinas Kesehatan Kota Tangerang Selatan telah memadai.
Kehamilan yang Tidak Diinginkan dan Berat Badan Lahir Bayi Devinita Ayu Nurcahyani; Indang Trihandini
Jurnal Kesehatan Masyarakat Nasional Vol. 7 No. 8 Maret 2013
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v7i8.21

Abstract

Berat badan lahir dianggap faktor penentu yang paling penting dari kesehatan dan kelangsungan hidup anak. Penelitian ini bertujuan untuk mempelajari besar risiko kehamilan tidak diinginkan terhadap berat bayi berdasarkan persepsi ibu di Indonesia tahun 2010 beserta faktor-faktor perancunya. Penelitian ini merupakan penelitian analitik dengan menggunakan data sekunder dari Riset Kesehatan Dasar tahun 2010. Namun, studi ini memiliki variabel dari hasil kehamilan sehingga memungkinkan menggunakan desain penelitian kohort retrospektif. Berdasarkan hasil analisis multivariat ditemukan bahwa ibu yang mengalami kehamilan tidak diinginkan berisiko melahirkan bayi dengan berat badan lahir rendah (BBLR) yang didasarkan pada persepsi ibu sekitar 1,27 kali lebih besar daripada ibu yang mengalami kehamilan diinginkan setelah dikontrol oleh usia ibu, usia kehamilan, frekuensi periksa kehamilan di pelayanan antenatal dan jumlah pil zat besi. Pada model probabilitas, risiko ibu dalam melahirkan BBLR pada kelompok kehamilan tidak diinginkan (4,42%), kelompok kehamilan diinginkan (3,52%) dengan kondisi usia ibu yang tidak berisiko (20 - 34 tahun), usia kehamilan cukup bulan, frekuensi pelayanan antenatal adekuat minimal 4 kali dan pil zat besi minimal 90 hari.Birth weight is considered to be one of the most important determinants of health and child survival. Therefore, this study aimed to study to explore the risk of unintended pregnancy on infant weight based on the perception of the mother in Indonesia in 2010 along with the risk of the counfonders. This study is analytical research and used data from Indonesia Basic Health Survey. This study had a variable pregnancy outcomes, therefore a retrospective cohort study design was performed in this study. Based on the multivariable analysis was found the risk ratio gave low birth weight on mothers who experiences unintended pregnancy 1,27 times compared mothers who have experienced desired pregnancy after adjustment by age of mother, age of pregnancy, antenatal care and the amount of iron tablets. The probability derived giving birth to LBW babies in mothers during her intended pregnancy is 4.42% compared 3.52% among mothers with desired pregnancy with certain conditions, such as age group (20 - 34 years), adequate of pregnancy age, four times antenatal care frequency, and adequate of the amount of zinc tablets minimum in 90 days.
Kondisi Sarana Air Bersih, Perilaku Hidup Bersih dan Sehat Terhadap Frambusia pada Anak-anak Wanti Wanti; Enni Rosida Sinaga; Irfan Irfan; Mitrawati Ganggar
Jurnal Kesehatan Masyarakat Nasional Vol 8. No. 2 September 2013
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v8i2.345

Abstract

Kasus frambusia yang tercatat di Puskesmas Bondo Kodi Kabupaten Sumba Barat Daya, Nusa Tenggara Timur (NTT) terus meningkat dari 174 kasus tahun 2009 menjadi 327 kasus pada tahun 2010 dan 369 kasus pada tahun 2011. Pada tahun 2012, frambusia tertinggi terjadi di Desa Mali Iha di Kecamatan Bondo Kodi dengan 43 kasus. Penelitian ini bertujuan untuk mengetahui faktor-faktor lingkungan, perilaku, dan pengetahuan masyarakat yang berhubungan dengan kejadian penyakit frambusia pada anak-anak. Penelitian observasional ini menggunakan rancangan studi kasus-kontrol, dengan kondisi sarana air bersih (SAB), perilaku hidup bersih dan sehat (PHBS), dan pengetahuan masyarakat tentang frambusia sebagai variabel bebas. Sampel penelitian adalah 30 orang anak yang menderita frambusia (kasus) dan 30 orang anak sehat (kontrol) yang diambil dengan metode purposive sampling. Data dan informasi mengenai SAB, praktik PHBS, dan pengetahuan masyarakat tentang frambusia didapatkan dengan observasi dan wawancara, kemudian dianalisis dengan uji kai kuadrat. Ditemukan, secara statistik kejadian frambusia berhubungan bermakna dengan kondisi SAB (OR = 15,16 dan nilai p = 0,035) dan PHBS (OR = 7 dan nilai p = 0,048), tetapi tidak berhubungan dengan pengetahuan masyarakat tentang frambusia (nilai p = 0,283). Penelitian ini menyimpulkan bahwa kondisi SAB dan PHBS merupakan faktor risiko frambusia.Frambusia cases recorded at Bondo Kodi Primary Health Care in Sumba Barat Daya District, East Nusa Tenggara (NTT) were continously increasing from 174 in 2009 to 327 in 2010 and 369 in 2011. In 2012, the highest frambusia occurred in Mali Iha Village with 43 cases. The present research was to define environmental, behavioural, and knowledge factors associated with the frambusia in children. This observational study employed case-control design with condition of clean water source, practices of personal hygiene and health behavior, and community knowledge about frambusia as independent variables. Samples were 30 children with frambusia (cases) and 30 healthy children (control) who were selected using purposive sampling. Data and information on environmental condition, behavioral practices, and community knowledge were collected by interview and direct observation and were analyzed using chi-square test. It was found that statistically the frambusia cases were associated significantly with the condition of clean water source (OR = 15.16, p value = 0.035) and personal hygiene and healthy behavior (OR = 7, p value = 0.048), but were not associated with community knowledge (p value = 0.283). It concludes that condition of clean water sources and personal hygiene and healthy behavior are risk factors of frambusia in children.
Influential Host Factors to the Incidence of HIV/AIDS in Key Populations in Pati District Dwi Murtono; Puguh Riyanto; Zahroh Shaluhiyah
Jurnal Kesehatan Masyarakat Nasional Volume 13, Issue 1, August 2018
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v13i1.1463

Abstract

Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) are serious diseases in the world in which one of transmissionmethods is through sexual intercourse. This study aimed to explain the influential host factors to the incidence of HIV/AIDS in key populations. The study wasconducted in March-September 2016. The study was observational analytic with case-control design in key populations in Pati District. Cases were 53patients living with HIV/AIDS, while controls were 53 patients not living with HIV/AIDS. The sampling technique employed was consecutive sampling. Datawere obtained from medical records and interview questionaire. This study applied chi-square test to analyze bivariate data, and multiple logistic regressionto analyze multivariate data. Results indicated that the influential factors to the incidence of HIV/AIDS in key populations were inconsistent condom use behavior, records of suffering from sexually-transmitted infections (STIs), and forms of sexual activity. While, factors which were not influwntial to the incidenceof HIV/AIDS were multiple sex partner behavior, sex accessory use behavior, tattoo needle use behavior, injecting drug use behavior. In conclusion, severalinfluential factors to the incidence of HIV/AIDS in key populations are the inconsistent condom use behavior, records of suffering from STIs, and forms ofsexual activity.AbstrakHuman Immunodeficiency Virus (HIV) dan Acquired Immune Deficiency Syndrome (AIDS) merupakan penyakit berbahaya di dunia yang salah satu metodepenularannya adalah melalui hubungan seksual. Penelitian ini bertujuan menjelaskan faktor-faktor yang berpengaruh terhadap kejadian HIV/AIDS pada populasi kunci. Penelitian dilakukan dari bulan Maret sampai September 2016. Penelitian analitik observasional dengan rancangan kasus kontrol pada populasikunci di Kabupaten Pati. Kasus sebanyak 53 pasien positif HIV/AIDS, sedangkan kontrol sebanyak 53 pasien negatif HIV/AIDS.Pengambilan sampel menggunakan teknik consecutive sampling. Data diperoleh dari riwayat medis dan wawancara kuesioner. Penelitian ini menggunakan uji kai kuadrat pada analisisbivariat dan regresi logistik ganda pada analisis multivariat. Hasil penelitian menunjukkan bahwa faktor yang berpengaruh terhadap kejadian HIV/AIDS padapopulasi kunci dalam penelitian ini adalah perilaku pemakaian kondom, riwayat menderita infeksi menular seksual, dan bentuk aktifitas seks kombinasi.Faktor yang tidak berpengaruh adalah perilaku multi pasangan seks, perilaku penggunaan aksesoris seks, perilaku penggunaan jarum tato, dan perilakupenggunaan narkoba suntik. Sebagai kesimpulan, faktor yang berpengaruh terhadap kejadian HIV/AIDS yaitu perilaku pemakaian kondom yang tidak konsisten, riwayat menderita IMS dan bentuk aktivitas seks kombinasi.

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