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Jurnal Berkala Epidemiologi

JBE
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Published by Universitas Airlangga

ISSN : 23017171 EISSN : 2541092X DOI : -

Core Subject : Health, Science,

Immunology & microbiology Public Health

The scope of JBE are Epidemiology of Communicable Disease, Epidemiology of Non-communicable Disease, Tropical Disease, Epidemiology Surveillance, Management Outbreak, Epidemiology of Preventable Disease, and Epidemiology of Cancer.

Arjuna Subject : -

Articles 13 Documents

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Search results for , issue "Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi" : 13 Documents clear

Anxiety Level Differences Between The Face Of Labour And Multigravida Primigravida Eka Roisa Shodiqoh; Fahriani Syahrul
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Condition before childbirth is one thing that can cause anxiety. The process of giving birth is not always only somatic, but also psychosomatic. It is because many psychological elements affect the process of giving birth. This study aimed to analyze the differences in the level of anxiety in facing childbirth between primigravida and multigravida. The research was conducted with a cross-sectional design using questionnaires and Hamilton Rating Scale Anxiety (HRS-A). Interviews were conducted on 43 primigravida and multigravidae pregnant women on 3rd trimester who checkup at Public Health Center (PHC) of Talango, Sumenep. The sample was taken by simple random sampling. Independent variables in this study were maternal characteristics, internal and external factors which cause anxiety. The dependent variable was the level of anxiety in facing labor. The testing difference in the level anxiety in the face of labor between primigravida and multigravida with Wilcoxon Mann-Whitney U test, where statistic values sig. (2-tailed) is 0,006 or p<0,05 indicating that there were differences in anxiety levels between primigravida and multigravida. The conclusion that can be drawn is that there are differences in the level of anxiety in facing childbirth between primigravida and multigravida. It is recommended for health workers to concern not only on the pregnancy but also on the mother’s psychology condition. Health workers should inform husbands to accompany their wives from pregnancy to childbirth.

Correlation between Knowledge and Family Support with Active Cadre’s Role Ida Bagus Made Dwi Indrawan; Chatarina Umbul Wahjuni
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

One factor that can help 100% achievement of Universal Child Immunization (UCI) village status at Public health center (PHC) is depend on cadre’s role in promoting the importance of immunization to baby mothers and to motivate baby mothers to follow immunization program. The research objective was to analysis factors that related with active cadres roles in UCI village status achievement. This was a cross sectional study with sample size used in this research was 63 cadres of Integrated health care post (Posyandu) which is selected by stratified random sampling from UCI village and non UCI village. Result of this research showed there were no significant correlation between age ( p = 0,523 ), level of education ( p = 0,459 ), years of being cadre ( p =0,818 ), work status ( p = 0,766 ), attitude ( p = 1,000 ), and Posyandu’s access ( p = 0,713 ) with active cadres role. However, chi-square test showed there were correlation between knowledge ( p =0,000) and family support (p = 0,001) with active role cadres. There was no difference of cadre’s role in UCI village and non UCI village ( p = 1,000 ). It can be concluded that there were a significant correlation between knowledge and family support with cadre’s role in UCI village achievement. The suggestion for department of health Surabaya and PHC is to do refreshing cadres by training regularly to increase cadre’s knowledge about immunization.

Relationship with the Regularity of Visits Complications of Hypertension in Patients more than 45 Years Old Wahyu Wijayanto; Prijono Satyabakti
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Hypertension is a risk factor for various degenerative diseases, including coronary heart disease, stroke, and other vascular diseases. One of the risk factors that can increase hypertension is a poor lifestyle such as smoking, excessive salt consumption in food, and lack of exercise. This research was conducted to determine the relationship of the level of knowledge about hypertension complications with regular visits to patients with hypertension aged 45 years and over at the Public Health Center (PHC) of Tembok Dukuh, Surabaya. This type of research is observational with cross-sectional research design. The sample size was 48 people, namely hypertension patients aged 45 years and over who were taking treatment at PHC of Tembok Dukuh. The independent variable is the patient's knowledge of hypertension complications and the dependent variable is the regularity of the hypertension patient's visit to the PHC of Tembok Dukuh. Data analysis uses cross-tabulation. The results of the study with cross tabulation showed that 30 people from 48 respondents have less knowledge and affect the regularity of visits to the PHC of Tembok Dukuh. The conclusion that can be drawn is that most of the hypertensive patients aged 45 years and over who visit the PHC of Tembok Dukuh have less knowledge about the complications of hypertension which results in regular visits by hypertensive patients.

The Relation of Obesity and Individual Factors with Knee Osteoarthritis Niken Enestasia Anggraini; Lucia Yovita Hendrati
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Osteoarthritis represent disease at most found in the world, including in Indonesia. This disease cause pain in bone and disability at patient so disturb everyday activity. One of removed occurrence of knee Osteoarthritis was obesity. Other factors like age, gender, physical activity, and habit smoke were risk factors of knee Osteoarthritis . This research was the relationship of obesitas and individuals factors with occurrence knee osteoarthritis at Surabaya Islamic Hospital. The methods of this research was an observation with case control design. Level of sampel was 64 which consist of 32 case group and 32 control group from incomed patient to radiology unit Islamic Hospital Surabaya for X-Ray photo. The dependent variable was occurence of knee osteoarthritis . The independent variables were obesity, gender, age, physical activity, habit smoke. The instrument used was a questionnaire and form Body Mass Index (BMI/IMT) measurement. Data analysis used Chi-Square test with α=0,05 and to know Odds Ratio (OR) used statclac. The results showed significant relationship between occurence of knee osteoarthritis with obesity (p = 0,001, OR = 7,20), age (p = 0,012; OR=3,67), gender (p=0,005,OR=4,69). For the characteristic of habit smoke (p=0,268,OR=0,56), and physical activity (p=0.919,OR=0,71) weren’t associated with the occurence of knee steoarthritis at Surabaya Islamic Hospital. The conclusion there is relationship between obesity and another risk factor knee osteoarthritis like gender and age with knee osteoarthritis at Surabaya Islamic Hospital.

Description The Activities of Recording and Reporting Maternal Health Monitoring in PWS-KIA Based on Surveillance Attributes Ika Arma Rani; Arief Hargono
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Maternal Mortality Ratio (MMR/AKI) in East Java Province tends to increase every year. Jember District had the highest number of maternal deaths during the 2009-2011 period and the second-highest in East Java in 2012. Public health center (PHC) of Kaliwates for 3 years in a row had the highest number of maternal deaths in Jember District. This study aims to describe the recording and reporting of maternal health monitoring activities in the Local Area Monitoring System on Maternal and Child Health (PWS-KIA) at the PHC of Kaliwates, Jember District, in 2012 using the surveillance attribute. The research design used is descriptive. The results showed that the current system was classified as complicated, lacked flexibility, low data quality, high acceptability, low sensitivity, low Positive Predictive Value (PPV/NPP), low representativeness, uncertain timelines, and low data stability. Alternative solutions offered are making routine follow-up plans from analysis of monitoring results, improving the quality of routine checks on the completeness and accuracy of data filling, standardizing all forms in the PWS-KIA and increasing the simplicity of forms, completing the PWS KIA manual at the PHC, making instructions technical form filling, taking notes on the mothers' cohort register by month, developing other surveillance systems for more specific cases, forming a Maternal and Child Health (MCH/KIA) surveillance team, perfecting attendance formats and using computerization.

Analysis Determinants of Postpartum Maternal Mortality at Sidoarjo Regency in 2012 Puspita Rahmawati; Santi Martini; Chatarina Umbul Wahjuni
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

The Maternal Mortality Ratio (MMR) in Indonesia remains high, i.e approximately 359 per 100.000 life birth (IDHS 2012). MMR is an indicator of mother’s health, especially the risk of being death for a mother while pregnant and delivery. Mostly the majority of MMR is occurring in the first two days after delivery and care after giving birth services required to manage complication. Sidoarjo regency has high postpartum maternal mortality case, so it is necessary to study determinants influencing postpartum maternal mortality in that regency. This research aimed to analyze the determinants that influence postpartum maternal mortality. This research was an observational research using case control study. Number of samples was 21 cases and 43 controls. Data were analyzed by univariate analysis, bivariate analysis with chi-square test, and multivariate analysis with multiple logistic regressions. The result showed that the determinants which influence postpartum maternal mortality according to multivariate analysis were pre-eclampsia / eclampsia (OR = 20,98; 95%CI : 2,250 – 323,416; p = 0,008) and delivery complication (OR = 5,47; 95%CI=1,356 – 22,022; p = 0,017). Probability of mother to have risk of postpartum maternal mortality with all those risk factors above was 92,9%. This research recommended are need to detect early sign of pregnancy, delivery, and post delivery complication, especially danger sign of pre-eclampsia/eclampsia, referral preparation, and pregnancy planning.

Waist Circumference as The Strongest Factor Related to Blood Glucose Level Nenni Septyaningrum; Santi Martini
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Increased prevalence of overweight and obesity is associated with an increased incidence of type 2 Diabetes Mellitus (DM). Abdominal obesity is an important risk factor for the onset of DM. This study aims to determine the relationship between body mass index, abdominal circumference, and the ratio of hip waist circumference with blood sugar levels. The study design was cross-sectional. The study population was members of Integrated Health Posts for the elderly (Posyandu lansia) aged 45 to 70 years in the working area of the Public health center (PHC) of Menur registered in the Posyandu activities in May 2013. The number of respondents was 60 respondents taken using the simple random sampling method. The variables studied were respondent characteristics, body mass index, abdominal circumference, hip waist circumference ratio, and fasting blood sugar levels. The results showed that respondents were overweight (38%), obesity (33.3%), abdominal obesity based on abdominal circumference (77.8%), abdominal obesity based on the hip waist circumference ratio (81.7%), and blood sugar levels of125 mg/dl (8.3%). Pearson correlation test shows that body mass index has a relationship with blood sugar levels (p = 0.007; r = 0.345), abdominal circumference has a relationship with blood sugar levels (p = 0.001; r = 0.424,) and hip waist circumference ratio is related to blood sugar levels (p = 0.002;r = 0.392). The abdominal circumference has the strongest relationship with blood sugar levels. Abdominal circumference measurements should be used in elderly Posyandu activities to detect individuals at high risk of diabetes.

The Relationship Analysis Between Husband’s Knowledge, Attitude And Practice for Maternal Health Novina Eka Muji; Arief Hargono
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Pasuruan district was one of many areas which capable to decrease Maternal Mortality Ratio (MMR) up to the targeted level number by MDGs 2015. Maternal health was also one of the husband’s duties as a decision-maker in the family. The purpose of this research was to analyze a relationship among knowledge, attitude and the husband’s practice for maternal health. This research was done in May until June 2013 at Puspo sub-district of Pasuruan District. A research design was a cross sectional of the population from all of the couples who had a child from the second month to 2 years old, lived in a roof. The total of respondent was 115 couples. The sample selection was systematically done by random sampling. The variable of this research was characteristic, knowledge, attitude and the husband’s action. The result showed that most respondents had lower knowledge about maternal health (72,2%), a positive attitude (73,9) and the unsupported action in maternal health (68,7). A chi-square test showed that there was no relationship between knowledge and action, neither between attitude nor action on maternal health. The conclusion of this research was there is no correlation between knowledge and attitude of the husband with the husband in the act of giving support to maternal health became pregnant wife until the election of contraception.

Factors Affecting Completeness Basic Immunization Village District of North Krembangan Adzaniyah Isyani Rahmawati; Chatarina Umbul Wahjuni
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Basic immunization is one way to prevent and manage infectious diseases. This study was conducted to analyze the factors that influence the completeness of basic immunization in infants or toddlers in North Krembangan District, Surabaya as prevention of vaccine preventable diseases. The design of the study used a case-control study with a total sample of 22 respondents and a total of 44 respondents. The research subjects were taken by simple random sampling. The variables studied in this study were the respondent's age, level of education, income level, employment status, knowledge about immunization, traditions and beliefs, and family support, attendance, location of immunization and attitude of officers. The results of this study indicate the completeness of immunization status is influenced by tradition (p = 0.015) and family support (p = 0.001). The completeness of basic immunization in toddlers as an effort to prevent vaccine preventable diseases is influenced by family traditions that are accustomed to giving immunizations to infants or their toddlers having a baby chance or their toddlers will get complete immunizations and families who support infant immunization or their toddlers have the opportunity to get complete immunizations. Researchers suggest that there needs to be an approach to health promotion to the community in order to change the tradition of not being accustomed to giving immunizations to being supportive for giving immunizations and giving understanding to family decision-makers that immunization benefits for the infants or toddler.

Family Support and Glucose Control Related to Microvascular Complications Symptoms Alfiah Kusuma Wardani; Muhammad Atoillah Isfandiari
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Diabetes Mellitus (DM) is a chronic disease whose prevalence continues to increase. WHO predicts that DM will be 7 major diseases that will cause death in 2030. Many people don’t realize early that they have DM, so they suffer complications. An increase in the number of people with DM who experience complications can be caused by poor blood sugar control and a lack of support from the family. The complication that was observed in this study is micro-vascular complications. This study aims to analyze family support and control blood sugar levels with the incidence of micro-vascular complications in patients with DM in the Public Health Center (PHC) of Jagir Surabaya. This research uses an analytic observational study sample of patients who had DM not less than 5 years as many as 34 samples. The sampling was done by simple random sampling, while the data analysis uses the chi-square test. The results showed that there was no relationship between family support with symptoms of micro-vascular complications (p=0.069),but there is a relationship between the control of blood sugar levels with symptoms of micro-vascular complications (p=0.002). The micro-vascular symptoms that are often experienced by people with DM in the PHC of Jagir is symptomatic neuropathy complications. The proportion of patients with DM who received family support at 55.9%, while the patients with DM who control the blood sugar levels well were 17 respondents. It is expected that people with DM to control eating diet and regular exercise.

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