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Jurnal Epidemiologi Kesehatan Komunitas
Published by Universitas Diponegoro
ISSN : -     EISSN : 26154854     DOI : -
Core Subject : 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 43 Documents
Faktor Risiko Kejadian Nefropati Diabetika pada Wanita Wahyuningsih, Sri; Nugroho, Heri; Suhartono, Suhartono; Hadisaputro, Suharyo; Adi, Mateus Sakundarno
Jurnal Epidemiologi Kesehatan Komunitas Vol 4, No 1: Februari 2019
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Original Source | Check in Google Scholar | Full PDF (257.799 KB) | DOI: 10.14710/jekk.v4i1.4426

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Background: Diabetic nephropathy was the most frequent complication in diabetics. The prevalence in women at South East Asia country was higher than men, that different than in Europe, American and African. It's a controversial thing. There was no research about the risk factors for diabetic nephropathy in women in Indonesia.Methods: The purpose of this study was to determine the risk factors for stage 3-5 diabetic nephropathy in women. This research used case-control study design. The cases were women with stage 3-5 diabetic nephropathy. Sampling by consecutive sampling technique by comparing the age of the case. Data were analyzed statistically by univariate, bivariate and multivariate using multiple logistic regression analysis.Results: The results of the analysis showed that the risk factors for stage 3-5 diabetic nephropathy were hyperuricemia (OR:9.6; 95%CI:1.870-45.799), lack of physical activity (OR:9.5; 95%CI:1.693-53,287), blood sugar level ≥126 mg/dl (OR:14.7; 95% CI:1.487-145.846), history of oral contraceptive use (OR:7.3; 95%CI:1.254-42.716) and history of obesity (OR:8.9; 95%CI:1.195-65.766).Conclusion: It is recommended for diabetics people to control uric acid levels, fasting blood glucose, body weight and does enough physical activity. For oral contraceptives users it is recommended to consult with a doctor during consumption.
Faktor Lingkungan dan Perilaku yang Berpengaruh terhadap Kejadian Filariasis di Daerah Endemis Kota Pekalongan Hamdan, Yusuf Lensa; Hadisaputro, Suharyo; Suwondo, Ari; Sofro, Muchlis AU; Adi, Mateus Sakundarno
Jurnal Epidemiologi Kesehatan Komunitas Vol 4, No 1: Februari 2019
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Original Source | Check in Google Scholar | Full PDF (533.299 KB) | DOI: 10.14710/jekk.v4i1.4424

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Background: Filariasis is a disease still become a health problem in Indonesia. South Pekalongan District is one of the endemic areas of filariasis. Filariasis is influenced by several factors such as environmental factors, socio economic and community behavior. The objective of this study was to determine the influence of environmental factors, socio economic factor and behavior that contributed to the incidence of filariasis cases in South Pekalongan District.Methods: This research was an observational research with a case-control approach. Case in this study was filariasis cases and for control was people suffer from filariasis. The number of each case and control is 40. Data was taken by observation and interview. Data collected was analyzed by using logistics regression.Results: Multivariate analysis shows that out of 11 (eleven) variables there is 1 variable which is proven to influence the incidence of filariasis in South Pekalongan District in July 2018, it was use of anti-mosquito drugs (OR = 29,231, CI 95% = 5,998 – 142,445).Conclusion: Not using mosquito repellent is the most dominant risk factor for the occurrence of filariasis transmission. People are advised to use mosquito repellent while sleeping or during activities at night. It is necessary to perform health promotion and extend the information related to filariasis in order to improve community knowledge.
Faktor-Faktor yang Berpengaruh terhadap Kejadian Leptospirosis (Studi Kasus Kontrol di Kabupaten Pati) Samekto, Marek; Hadisaputro, Suharyo; Adi, Mateus Sakundarno; Suhartono, Suhartono; Widjanarko, Bagoes
Jurnal Epidemiologi Kesehatan Komunitas Vol 4, No 1: Februari 2019
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Original Source | Check in Google Scholar | Full PDF (347.846 KB) | DOI: 10.14710/jekk.v4i1.4427

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Background: Limitations of data regarding risk factors that affect the incidence of leptospirosis in endemic areas make leptospirosis control in Leptospirosis endemic areas not effective. Therefore, a study is needed to determine the factors that influence the occurrence of Leptospirosis in an area.Methods: An observational analytic was conducted with case-control study design. The population in this study were all patients found at the Hospital in Pati Regency who showed clinical symptoms of Leptospirosis (fever >38 oC, severe headache, calf muscle pain, red/yellowish red eyes) and had a laboratory examination with Leptotek Lateral Flow and recorded on medical records. The sample in this study were 44 cases and 44 controls with consecutive sampling technique. Data were analyzed by chi-square and logistic regression.Results: Variables that influence the occurrence of leptospirosis are the characteristic of the non-ratproof house with OR = 3.14 (95% CI = 1.16-8.47), the existence of rats in and around the house with OR = 3.66 (95% CI = 1.67-12.28), the behavior of walking barefoot during outdoor activities with OR = 1.57 (95% CI = 1.31-10.28).Conclusion: Several factors that have been proven to have an effect on the occurrence of leptospirosis are the characteristic of the non-ratproof house, the existence of rats in and around the house and the behavior of walking barefoot during outdoor activities.
Faktor-Faktor yang Berpengaruh terhadap Kejadian Demam Berdarah Dengue pada Anak Usia 6-12 Tahun Di Kecamatan Tembalang Sandra, Tuti; Sofro, Muchlis AU; Suhartono, Suhartono; Martini, Martini; Hadisaputro, Suharyo
Jurnal Epidemiologi Kesehatan Komunitas Vol 4, No 1: Februari 2019
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Original Source | Check in Google Scholar | Full PDF (462.894 KB) | DOI: 10.14710/jekk.v4i1.4423

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Background : The Dengue Fever is an infectious disease that still becomes a serious health issue since it is endemic. This research aims to explain the various factors influencing the occurrences of the dengue fever in the children age 6 to 12 years old.Methods : This research used both quantitative and qualitative methods. The quantitative research specification was the observational analytic case control design while the indept interview technique was used as the qualitative research method. The population of the study were all children age 6 to 12 years old who lived in the Semarang City. The number of the subjects were 70 cases and 70 controls and they were taken by consecutive sampling method. The data were analyzed using the bivariate and multivariate with the regression logistic method.Results : The factors proven to influence the dengue fever occurrences in the children 6 to 12 years old were the lack of the mother’s education (OR 3.031; 95%CI 1.4281-6.434; p= 0.004;), the habit of not using the insect repellent use (OR 4.293; 95%CI 1.935-9.526; p= 0.001) and the habit of not wearing long clothes (OR 2.759; 95%CI 1.240-6.138; p= 0.013).Conclusion : The factors recognized as the significant risk factors for the occurrences of the dengue fever in the children age 6 to 12 years old were the lack of the mother’s education, the habit of not using the insect repellent and the habit of not wearing long clothes. Those factors contribute 85,3% to the occurrence of dengue fever.
Beberapa Faktor yang Berisiko Terhadap Hipertensi pada Pegawai di Wilayah Perimeter Pelabuhan (Studi Kasus Kontrol di Kantor Kesehatan Pelabuhan Kelas II Semarang) Oktaviarini, Eka; Hadisaputro, Suharyo; Suwondo, Ari; Setyawan, Henry
Jurnal Epidemiologi Kesehatan Komunitas Vol 4, No 1: Februari 2019
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Original Source | Check in Google Scholar | Full PDF (464.557 KB) | DOI: 10.14710/jekk.v4i1.4428

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Background: Hypertension is an increase in arterial blood pressure where systolic blood pressure is ≥140 mmHg or diastolic blood pressure ≥90 mmHg. Hypertension is often called the silent killer because it does not cause symptoms so the treatment is often late. Occupational-related diseases one of which is hypertension. The type of work, work environment, lifestyle and individual characteristics can be a factor of hypertension.Methods: An analytical observational study using a case-control design with 76 samples consisting of 38 cases and 38 controls taken by consecutive sampling. The variables studied were age, gender, family history, type of work, years of work, workload, work schedule, sedentary behavior, coffee drinking habits, and smoking habits. Data were analyzed by bivariate and multivariate with logistic regression method.Results: Significant factors for hypertension were sex (p=0,012; OR adjusted 6,582; 95% CI 1,522-28,456) and the work type (p=0,020; OR adjusted 5,248; 95%CI 1,292-21,316) as risk factors, while sedentary behavior (p=0,030; OR adjusted 0,311; 95% CI 0,108-0,895) as a protective factor. The factors that are not significant at risk are age, family history, years of work, workload, work schedule, coffee drinking habits and smoking habits.Conclusion: Male and structural work type are risk factors, while sedentary behavior ≥ 6 hours/day is a protective factor. Probability at risk of hypertension is 75%. 
Beberapa Faktor Kejadian Perdarahan Postpartum Ibu Bersalin yang Dirawat Di Rumah Sakit Yuliati, Asif; Soejoenoes, Ariawan; Suwondo, Ari; Anies, Anies; Kartasurya, Martha Irene
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Sekolah Pascasarjana Universitas Diponegoro Semarang

Show Abstract | Original Source | Check in Google Scholar | Full PDF (145.321 KB)

Abstract

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 Arianto, Mostang; Setiawati, Mexitalia; Adi, Mateus Sakundarno; Hadisaputro, Suharyo; Budhi, Kamilah
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Sekolah Pascasarjana Universitas Diponegoro Semarang

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Abstract

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; Lukmono, Djoko Tri Hadi; Suhartono, Suhartono; Suwondo, Ari; Martini, Martini
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Original Source | Check in Google Scholar | Full PDF (156.896 KB) | DOI: 10.14710/jekk.v3i1.3128

Abstract

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) Ulfah, Maria; Anies, Anies; Adi, Mateus Sakundarno; Setyawan, Henry; Suwondo, Ari
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Sekolah Pascasarjana Universitas Diponegoro Semarang

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Abstract

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) Ikawati, Kartika; Chasani, Shofa; Suhartono, Suhartono; Hadisaputro, Suharyo; Budijitno, Selamat
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Original Source | Check in Google Scholar | Full PDF (358.439 KB) | DOI: 10.14710/jekk.v3i1.3123

Abstract

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.