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Kesmas : Public Health Journal
Number of Followers: 4

This is an Open Access Journal

Open Access journal
ISSN (Print) 1907-7505 - ISSN (Online) 2460-0601
Published by Universitas Indonesia

[20 journals]

Geographic Accessibility towards Primary Health Care in Karawang District
- Authors: Nabila Ramadina, Mulya Nurmansyah Ardisasmita, Budi Sujatmiko
  Abstract: Health accessibility refers to the availability of health care services accessible to the community as required. However, the convenience of accessing such services vary throughout regions due to geography. Hence differences in geographic accessibility can be an obstacle to accessing health care. This study characterized the influence of geographic accessibility on primary health care (PHC) in Karawang District. A cross-sectional study was conducted in November 2019 in five sub-districts of Karawang District. Respondents were interviewed using questionnaires to collect geographic (mileage and travel time from respondents’ house to nearest PHC) and transportation (mode of transportation and transportation cost) data. In total, the study involved 513 randomly selected households, of which 11% had far to travel to the PHC, 22% had a long traveling time, and 23% had expensive transportation costs, with motorcycles being the most common means of transport. Therefore, PHCs in several sub-districts in Karawang District are less accessible due to geographic barriers.
  PubDate: 2021-08-01
  DOI: 10.21109/kesmas.v16i3.4352
  Issue No: Vol. 16, No. 3 (2021)
King Bhumibol Adulyadej’s Sufficiency Economy Philosophy and
Post-Traumatic Stress Disorder among Higher-Education Students from the
Armed Conflict Region of Thailand
- Authors: Chonnakarn Jatchavala, Arnont Vittayanont
  Abstract: This cross-sectional survey assessed the association between post-traumatic stress disorder symptoms and perceived self-sufficiency, reflecting the Sufficiency Economy Philosophy (SEP), conceived by H.M. King Bhumibol Adulyadej (King Rama IX). It was conducted among university students on one campus located within the area affected by the Southern Thailand insurgency and another campus located in a nearby province outside of the restive area. All self-administered questionnaires consisted of questions related to personal information, the Thai version of the PTSD checklist, and a questionnaire aimed at measuring the perceived self-sufficiency according to H.M. King Bhumibol Adulyadej’s SEP. The study found that most university students in the restive area affected by the Southern Thailand insurgency perceived to live sufficiently according to H.M. King Bhumibol Adulyadej’s SEP. The rate of perceived self-sufficiency was also higher than reported by the students from the other campus in a nearby province. Moreover, self-sufficiency exhibited a significant inverse association with PTSD symptoms.
  PubDate: 2021-08-01
  DOI: 10.21109/kesmas.v16i3.4746
  Issue No: Vol. 16, No. 3 (2021)
COVID-19 Preparedness and the Anxiety of Thai Citizens
- Authors: Afifi Lateh, Prasopchai Pasunon, Kiflan Dolah, Panida Kongjam, Saminee Chemae, Phanupong Panomwan, Alawee Lateh
  Abstract: The outbreak of COVID-19 has brought sickness and fatality to Thai citizens. In addition, it left a tremendous psychological impact on mental health as they experienced panic and anxiety about controlling situations and preserving their physical and mental well-being. This study aimed to analyze the factors influencing COVID-19 preparedness and anxiety based on groups of Thai citizens. Online questionnaires were employed to collect data from 2,768 respondents selected through convenience sampling and snowball sampling on Facebook, having shared questionnaires with 190 other users. Data were collected from March 29 to April 3, 2020. The acquired data were analyzed using percentage and logistic regression analyses. It found that the influencing factors of preparedness included citizens’ sex, residing province, and work or off-house conditions. In contrast, the influencing factors of anxiety included their sex, age, residing province, and income adequacy. The results conveyed that Thai citizens were anxious about the pandemic and had been attempting to cope. In addition, issued policies should respond to the public promptly to prevent unnecessary panic and to maximize public cooperation against future situations put forth by the pandemic.
  PubDate: 2021-08-01
  DOI: 10.21109/kesmas.v16i3.4375
  Issue No: Vol. 16, No. 3 (2021)
Correlation between Dental Environment and Perceived Stress Scale among
Dental Students during the COVID-19 Pandemic in Indonesia
- Authors: Tri Erri Astoeti, Howis Josephine, Armelia Sari Widyarman, Widijanto Sudhana
  Abstract: Academic stressors in a medical educational environment are related to two factors. This study was carried out in order to analyze the correlation between the dental environment and perceived stress among dental students during the COVID-19 pandemic. The respondents were 422 undergraduate dental students and the validated Modified Dental Environmental Stress (DES) and Perceived Stress Scale (PSS) questionnaires were used. Furthermore, the Spearman correlation analysis was used to measure the correlation between DES and PSS score. The result showed that five dental stressors were noted to have the strongest correlations with PSS (p-value >0.40). They include expectation towards dental school (p-value = 0.431), lack of confidence to be a successful dentist (p-value = 0.424), lack of confidence to become a successful dental student (p-value = 0.408), dental school regulations (p-value = 0.401) and criticism of school work (p-value = 0.400). In addition, all six DES categories showed a positive correlation with the PSS. Therefore, the dental students collectively displayed moderate perceived stress scores. The overall discoveries from this study showed a positive correlation between the DES and PSS among dental students during the COVID-19 pandemic.
  PubDate: 2021-08-01
  DOI: 10.21109/kesmas.v16i3.4653
  Issue No: Vol. 16, No. 3 (2021)
Accelerating the Provision of Safe Water Supply in Urban and Rural Areas
of Indonesia
- Authors: Sumengen Sutomo, Salord Sagala, Bebi Sutomo, Sri Winarti, Gelant Sanjaya
  Abstract: Over the past 100 years, the provision of a safe water supply to drink in Indonesia has been slowly progressed with low coverage. The majority of the population does not have access to safe water. Morbidity and mortality of water-related diseases, including diarrhea, are very high. The provision of safe water is not a technological issue but good water management that comprises content, institutional, and communication layer. This paper provided information for strategic and operational decisions to accelerate the provision of safe water services in urban and rural areas. Benchmarking good water management with the characteristics of the water supply location is required to improve the health status of the population, mainly the poor urban and rural areas with limited resources, including time and cost.
  PubDate: 2021-08-01
  DOI: 10.21109/kesmas.v16i3.5225
  Issue No: Vol. 16, No. 3 (2021)
Association between Self-Reported Fatigue and Sarcopenia Measures among
Elderly in Selangor, Malaysia
- Authors: Maria Justine, Aliff Latir, Nadhirah Noor, Angelbeth Joanny, Izzaty Iskandar, Maisarah Sakinah Amirul Faizi, Dzulhelmi Edinan
  Abstract: The association between fatigue and sarcopenia is not well understood, therefore, this study aimed to compare the sarcopenia measures among elderly with mild and severe fatigue and to determine whether fatigue severity is associated with sarcopenia measures. This was a cross-sectional study conducted on201 elderly (age = 68.45±6.30 years). The elderly was classified into either mild or severe fatigue based on the Fatigue Severity Scale (FSS), meanwhile, sarcopenia measures include SARC-F score, muscle mass (ASM/height2), calf circumference (CC), upper (handgrip) and lower limb muscle strength, as well as physical performance (gait speed). Data were analyzed using independent t-tests and logistic regression. The results showed that elderly with severe fatigue were significantly older, with lower muscle strength, and slower gait speed (all p-value <0.05). After adjusting for age, fatigue severity remained significantly associated with SARC-F score (OR = 1.583, 95% CI = 1.262-1.986, p-value = 0.001) and CC (OR = 1.103, 95% CI = 1.014-1.200, p-value = 0.022). Moreover,when the SARC-F score was removed from the regression model, fatigue severity was significantly associated with CC (OR = 1.088, 95% CI = 1.006-1.178, p-value = 0.036) and gait speed (OR = 0.011, 95% CI = 0.001-0.168, p-value = 0.001). Based on the results, fatigue severity is associated with SARC-F score, CC, and gait speed, therefore, interventions targeted at sarcopenia measures is recommended to optimize physical endurance in the elderly.
  PubDate: 2021-08-01
  DOI: 10.21109/kesmas.v16i3.4384
  Issue No: Vol. 16, No. 3 (2021)
Strategy for Diagnosing Breast Cancer in Indonesia during the COVID-19
Pandemic: Switching to Ultrasound-Guided Percutaneous Core Needle Biopsy
- Authors: Farida Briani Sobri, Adang Bachtiar, Sonar Soni Panigoro, Juwita Cresti Rahmaania, Patria Wardana Yuswar, Ening Krisnuhoni, Nelly Tandiari
  Abstract: In this era of COVID-19, suspected breast cancer patients experience delay in diagnosis due to the fear of contracting the virus and reduction of non-COVID-19 health services. Furthermore, it may lead to potential increase in the incidence of advanced cancers in the future. Ultrasound-guided (US-guided) percutaneous core needle biopsy (CNB) is a great option for the diagnosis of cancer but it is poorly utilized. This study aimed to prove that the US-guided CNBis accurate when performed in a local setting and a potential solution for diagnosing breast cancer patients in this pandemic. In addition, it was a single health center cross-sectional study, and the participants were all breast cancer patients that had US-guided CNB from 2013-2019. The pathology results from US-guided CNB were compared to specimens from post-CNB surgeries. The data were collected from medical records and the immunohistochemistry (IHC) examinations were carried out for malignancy. There were 163 patients who were included in this study, 86 had malignancies and 77 had benign tumor reported in their CNB results. The US-guided CNB had 100% sensitivity and specificity compared to surgery. With its lower cost, time usage, and patient exposure to the hospital environment, US-guided CNB should replace open surgery biopsy for diagnosing suspicious breast cancers during the pandemic in Indonesia.
  PubDate: 2021-08-01
  DOI: 10.21109/kesmas.v16i3.4359
  Issue No: Vol. 16, No. 3 (2021)
Correlation between Care Burden and Mental Health with the Perceived
Social Support of Patients Relatives in Turkey
- Authors: Mehtap ŞAHİNGÖZ TAHTA, Elçin BALCI
  Abstract: The people providing care for relatives always need support and accompaniment from their families and friends. This study aimed to evaluate the correlation among the care burden, mental health and social support perceptions of the patients’ relatives that provide long-term care for patients receiving service from the home care service (HCS) unit in one city. This descriptive study was carried out with the relatives of patients receiving service from home health units. Among the relatives providing care for a total of 859 patients, those that did not comply with the inclusion criteria were excluded, which made a total population of 309 people. Individual information form, burden interview, brief symptom inventory and multidimensional scale of perceived social support were used for the assessment of the data. Descriptive statistics and Spearman’s correlation coefficient were used for data analysis. The result showed a positive moderate significant correlation among the burden score, brief symptom inventory subscale and global index scores while, a negative moderate significant correlation was discovered between the family, significant other and multidimensional scale of perceived social support scores. Consequently, as the perceived social support level in the patients’ relatives providing care increased, their care burden and mental health problems decreased.
  PubDate: 2021-08-01
  DOI: 10.21109/kesmas.v16i3.4508
  Issue No: Vol. 16, No. 3 (2021)
Characteristics of Cognitive Status in Sub-Population of Sub-Acute Stage
of Ischemic Stroke Patients in West Nusa Tenggara, Indonesia
- Authors: Herpan Syafii Harahap, Muhammad Akbar, Jumraini Tammasse, Andi Kurnia Bintang, Andi Alfian Zainuddin
  Abstract: Cognitive decline is a significant complication that affects most stroke survivors. Early detection of cognitive decline in ischemic stroke patients and identification of risk factors improves their clinical outcomes. This study aimed to determine the characteristics of cognitive status in the sub-acute phase of ischemic stroke. A cross-sectional study was conducted on 89 sub-acute ischemic stroke patients in three hospitals in West Nusa Tenggara recruited consecutively from August 2019 to April 2020. The data collected were demographic and clinical characteristics, cognitive status, and functional outcome. The association between clinical and demographic characteristics and cognitive decline was analyzed using logistic regression. In addition, the relationship between cognitive status and functional outcomes of these patients was examined using the chi-square test. This study revealed that the prevalence of cognitive decline in these subjects was 71.9%. Multiple logistic regression showed that age was the only characteristic associated with cognitive decline in the subjects (OR = 5.12,95% CI = 1.08-24.28). Furthermore, the frequency of cognitive decline in these subjects was significantly associated with functional outcomes (p-value =0.014). Thus, there was a high prevalence of cognitive decline in sub-acute ischemic stroke patients associated with increasing age and poor functional outcomes.
  PubDate: 2021-08-01
  DOI: 10.21109/kesmas.v16i3.4297
  Issue No: Vol. 16, No. 3 (2021)
Reasons for Unwanted Pregnancy among Women of Childbearing Age (15-19
Years) in Jambi Province
- Authors: Ummi Kalsum, Renny Listiawaty, Dato Noor Aziah Mohd Awal
  Abstract: The occurrence of unwanted pregnancy (UP) among women of childbearing age (WCA) has been reported to be increasing in various regions, however, this incidence has not been assessed among the adolescents of 15-19 years age group, in Jambi City. The factors influencing this occurrence includes individual, family, and environmental determinants. This study aimed to determine the prevalence of UP among WCA (15-19 years) in Jambi Province. A cross-sectional design was used, while the participants (307 women aged 15-19 years) were selected in Jambi City and West Tanjung Jabung District, using the Multistage Random Sampling. The analytical method used was the Multiple Logistic Regression of alpha 5%. The results showed that the prevalence of UP among WCA (age 15-19 years) was 1.6%, compared to 50% of those that were married. The dominant factor of UP includes the use of contraceptives with an adjusted-odds ratio of 74.5 (95% CI = 3.58-1,549.02), while the control used were the job of WCA, knowledge, dating behaviour, accesses to information media and health facilities, as well as family education. Therefore, it is suggested that creative, innovative, informative promotions, and education were needed via the social media. Besides, the optimization and strengthening of the Gen-Re go to school program should be carried out, as well as synergizing the cross-sectoral activities, government, private sector, and the community (especially parents).
  PubDate: 2021-08-01
  DOI: 10.21109/kesmas.v16i3.4771
  Issue No: Vol. 16, No. 3 (2021)