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Kesmas : Public Health Journal
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1907-7505 - ISSN (Online) 2460-0601
Published by Universitas Indonesia Homepage  [19 journals]
  • Presidential Vote Share and COVID-19 Vaccination Rate in Indonesia: A
           District-level Cross-Sectional Ecological Study

    • Authors: Gede Benny Setia Wirawan, Ni Luh Zallila Gustina, Ivy Cerelia Valerie, I Gusti Ayu Indah Pradnyani RS, Muchamad Zaenal Arifin, Pande Putu Januraga
      Pages: 1 - 8
      Abstract: Political affiliation has been reported as a determinant of COVID-19 vaccine acceptance in some countries, although few studies have examined the Asian context. This study aims to fill this gap by employing an ecological study design using Indonesian regions as data points. Political affiliation was represented by incumbent President Jokowi’s vote share in the 2019 presidential election. Potential confounders included population density, human development index, availability of hospitals and primary health care, 2019–2020 economic growth, COVID-19 mortality rate, and proportion of Muslims in the population. The final analysis included 201 out of 501 districts and cities in Indonesia. Controlling for confounders, multivariate regression found that Jokowi’s vote share was an independent predictor of vaccination rate, with standardized β and R2 values of 0.350 and 0.734 for the first dose vaccination rates and 0.251 and 0.782 for the second dose, respectively. This association may be underpinned by differences in religiosity, public trust, and vulnerability to misinformation between Jokowi’s supporters and the opposition. Improving public trust in a politically polarizing society is crucial to improving future coverage of COVID-19 and other vaccines.
      PubDate: 2023-02-27
      DOI: 10.21109/kesmas.v18i1.6438
      Issue No: Vol. 18, No. 1 (2023)
       
  • Information-Motivation-Behavioral Skill in Diabetes Self-management Using
           Structural Equation Modeling Analysis

    • Authors: Dien Kurtanty, Adang Bachtiar, Cicilya Candi, Alya Pramesti, Almira Fanny Rahmasari
      Pages: 16 - 23
      Abstract: Diabetes is the “mother” of various diseases increasing the risk of morbidity and mortality. Diabetes self-management, an effort made by patients to control blood sugar levels, is an important part of the management strategy. Therefore, this study analyzed information, motivation, and behavioral skills associated with diabetes self-management. Data were collected in the Special Capital Region of Jakarta, with 277 diabetic patients selected using a questionnaire by a systematic random sampling method. The analyzed variables were information (with indicator variables of information on physical activity, nutritional intake, drug consumption, and blood sugar monitoring); sociodemographic (age, sex, occupation, education level, and duration of diabetes); motivation (barrier, benefit, self-efficacy, severity, and susceptibility); and behavioral skills (new motor, self-regulatory, and social skills), which were analyzed to identify their influence on diabetes self-management using structural equation modeling. The results indicated that information and motivation significantly and positively affected behavioral skills; while, sociodemographic did not. Behavioral skills had a significant and positive effect on diabetes self-management. Accordingly, people with diabetes information, motivation, and behavioral skills need to be improved to increase the success of diabetes self-management.
      PubDate: 2023-02-27
      DOI: 10.21109/kesmas.v18i1.6255
      Issue No: Vol. 18, No. 1 (2023)
       
  • Job Satisfaction Model of Primary Health Care Midwives Based on Indonesian
           Workforce Research in the Health Sector

    • Authors: Mieska Despitasari, Adang Bachtiar, Harimat Hendarwan, Besral Besral, Yuyun Yuniar
      Pages: 24 - 31
      Abstract: Promotive, preventive, curative, and rehabilitative efforts that are comprehensive, integrated, and sustainable are employed to enhance the health state of the global population. Within this context, however, the quality of primary health care depends on job satisfaction, which leads to the happiness of human resources in the health sector. Therefore, this study aimed to analyze and formulate a job satisfaction model among primary health care midwives in Indonesia. This study was an advanced secondary data analysis of a cross-sectional study conducted in 2017 by the National Institute of Health Research and Development, Ministry of Health of the Republic of Indonesia. A total of 87,341 midwives from all 9,669 primary health cares in Indonesia participated in this study. Data were collected by distributing the Minnesota Satisfaction Questionnaire, elaborating on the satisfaction level and relevant contributing factors. The prefilled Likert scale questionnaire was analyzed using logistic regression. The findings suggested a model indicating that motivation, work area (region), history of salary delay, and training received were important for their job satisfaction, whereas the motivation aspect contributed the most. Therefore, the local and central governments must consider these factors in the human resource policymaking process.
      PubDate: 2023-02-27
      DOI: 10.21109/kesmas.v18i1.6355
      Issue No: Vol. 18, No. 1 (2023)
       
  • The Determinants of Stunting in the Under-five in Three Municipalities in
           the Special Capital Region of Jakarta

    • Authors: Tria Astika Endah Permatasari, Chairunnisa Chairunnisa, Hernani Djarir, Lily Herlina, Munaya Fauziah, Andriyani Andriyani, Yudi Chadirin
      Pages: 32 - 40
      Abstract: The COVID-19 pandemic has impacted the global decline in public health status. This study aimed to analyze the determinants of stunting in the under-five in three municipalities in the Special Capital Region of Jakarta, Indonesia. A cross-sectional study was conducted in August-December 2020 with 460 pairs of mothers and children selected by simple random sampling. Stunting was measured using a conventional anthropometric index (length/height-for-age), and anthropometric failure was measured using the Composite Index of Anthropometric Failure. The prevalence of stunting, underweight, and wasting was 41.5%,35%, and 19.8%, respectively, and 62% of the under-five experienced anthropometric failure. The dominant factor associated with stunting was immunization record (p-value = 0.011; AOR = 2.360; 95%CI = 1.218–4.573). Children who did not receive complete basic immunization were at a 2.4 times greater risk of stunting than children who received complete basic immunization. The dominant factors associated with underweight, wasting, and anthropometric failure were the father's educational level, mother's occupation, and balanced nutrition practice. Increasing coverage of complete basic immunization, improving balanced nutrition practices and socioeconomic conditions is necessary to prevent undernutrition, especially stunting.
      PubDate: 2023-02-27
      DOI: 10.21109/kesmas.v18i1.6405
      Issue No: Vol. 18, No. 1 (2023)
       
  • Developing a New Tool for Early Detection of the Nutritional and Health
           Risk Factors of Urban Workers’ Productivity

    • Authors: Hildagardis Meliyani Erista Nai, Arimbi Karunia Estri, Christina Ririn Widianti
      Pages: 41 - 49
      Abstract: Nutrition and health play vital roles in work productivity. This study aimed to develop a risk self-assessment tool called Early Detection of the Nutritional and Health Risk Factors on the productivity of urban workers. This study was conducted in two stages: 1) the development of the tool to determine the nutritional and health risk factors that affect productivity based on literature reviews and scoring systems and 2) the testing of validity and reliability. Finally, the tool contained 63 items, including 28 items on nutritional risk factors and 35 on health risk factors. The validity of the tool was assessed using the content validity index (CVI): item-level CVI (I-CVI) and scale-level CVI (S-CVI), and face validity index (FVI) and reliability using Cronbach’s alpha coefficient. Preliminary versions of this tool showed a high content validity (I-CVI = 1.00; S-CVI based on the average method = 1). The face validity index among urban workers was at least 0.90, and the overall Cronbach’s alpha coefficient was 0.70. The tool developed is acceptable, but revisions are still needed, and sample sizes must be increased.
      PubDate: 2023-02-27
      DOI: 10.21109/kesmas.v18i1.6359
      Issue No: Vol. 18, No. 1 (2023)
       
  • The Effect of COVID-19-related Occupational Stress and Burnout in Referral
           Hospital Nurses

    • Authors: Yulastri Arif, Masyithah Fadhani
      Pages: 50 - 57
      Abstract: Nurses' continuous contribution to patient health makes them prone to occupational stress, which has been exacerbated during the COVID-19 pandemic. Occupational stress that lasts for a long time and is not resolved may cause burnout. Burnout experienced by nurses can impact patients, hospital services, and themselves. This study aimed to determine the effect of occupational stress on the incidence of nurse burnout during the COVID-19 pandemic. It used a quantitative approach with a cross-sectional design. The study sample was 235 nurses in six COVID-19 referral hospitals in West Sumatra from a proportional random sampling technique. Data were collected using a digital questionnaire distributed via a Google Forms link from February to April 2022. The results showed that the stress level of nurses was most commonly moderate (68.1%), and the burnout level was most commonly low (82.1%), with a significant effect of occupational stress on burnout. This study reveals the effect of occupational stress on the burnout of nurses treating COVID-19 patients.
      PubDate: 2023-02-27
      DOI: 10.21109/kesmas.v18i1.6372
      Issue No: Vol. 18, No. 1 (2023)
       
  • Obesity and Asthma Risk in Indonesian Adults: Findings from the 2018
           Indonesia Basic Health Research

    • Authors: Hoirun Nisa
      Pages: 58 - 64
      Abstract: Obesity and asthma are both global public health challenges. Mounting evidence suggests that obesity may increase asthma risk in adults; however, the association by sex remains uncertain. This study examined the association of obesity with asthma risk in Indonesian adult men and women. Data were obtained from the 2018 Indonesia Basic Health Research. The analysis included 299,837 men and 333,218 women aged ≥18 years. Asthma was identified by the self-report of a doctor’s diagnosis. Obesity was defined as a body mass index ≥30 kg/m2. A logistic regression was used for data analysis. Asthma prevalence was 2.7% (2.5% in men and 2.8% in women) and was higher in obese than non-obese adults. The adjusted odds ratio (aOR) of having asthma-related obesity was 1.22, 95% Confidence Interval (CI) = 1.17–1.28 (aOR = 1.25, 95% CI = 1.21–1.34 in women and aOR = 1.14, 95% CI = 1.05–1.25 in men). In conclusion, asthma prevalence was relatively low in Indonesian adults and slightly higher in women than men. Both men and women had a slight increase in the odds of having asthma-related obesity. Longitudinal studies are needed to understand better the causality association of obesity with asthma in adults.
      PubDate: 2023-02-27
      DOI: 10.21109/kesmas.v18i1.6608
      Issue No: Vol. 18, No. 1 (2023)
       
  • Maternal and Child Health Handbook Utilization, Quantity and Quality of
           Antenatal Services, and Maternal Emergency Rates in Padang City in 2022

    • Authors: Rena Afri Ningsih, Yusrawati Yusrawati, Joserizal Serudji
      Pages: 65 - 72
      Abstract: This study analyzed the relationship between the utilization of the Indonesian Ministry of Health’s Maternal and Child Health Handbook and the quantity and quality of antenatal care to maternal emergency levels. This study applied mixed methods with a consecutive sampling technique and included 108 mothers undergoing maternal emergencies at a central general hospital (quantitative) and eight mothers, seven midwives, and five cadres at primary health cares (qualitative) as informants. The result showed a relationship between the utilization of the Maternal and Child Health Care Handbook (p-value = 0.043), the quantity of antenatal care (p-value<0.001), the quality of antenatal care (p-value = 0.044) and the maternal emergency level. Not all mothers understood the benefits of the Maternal and Child Health Handbook. Most did not read it, and some mothers perceived that it could prevent emergency cases for them. The mothers were satisfied with the quality of the antenatal care services received. Maternal emergency cases are still quite high; hence, it is necessary to increase the use of Maternal and Child Health Handbook and the quantity and quality of antenatal care.
      PubDate: 2023-02-27
      DOI: 10.21109/kesmas.v18i1.6364
      Issue No: Vol. 18, No. 1 (2023)
       
  • Understanding the Health-related Quality of Life of People Living with HIV
           Based on Sexual Orientation

    • Authors: Rico Januar Sitorus, Nyoman Yudi Antara, Reymart Sangalang, Merry Natalia Panjaitan, Nelsensius Klau Fauk
      Pages: 73 - 79
      Abstract: Human immunodeficiency virus (HIV) infection has detrimental impacts on the lives of different population groups living with HIV, including men who have sex with men (MSM). Using the World Health Organization Quality of Life questionnaire, this study aimed to assess the health-related quality of life of men living with HIV with different sexual orientations and to determine the dominant influential factors. This cross-sectional study involved 206 men living with HIV. They were recruited from the Sriwijaya Plus Foundation and a medical facility that provided antiretroviral therapy. The data were analyzed using Chi-square and binomial logistic regression. The analysis showed that the percentage of MSM patients was greater than that of non-MSM patients, accounting for 68.9% of the total population. The multivariate logistic regression revealed that the most dominant influential factor was depression status (PR = 5.417; 95% CI = 2.473–11.876), with the majority of the depressed patients being 5.417 times more at risk of a lower quality of life compared to others. These findings suggest that depression can lead to a low quality of life among HIV patients.
      PubDate: 2023-02-27
      DOI: 10.21109/kesmas.v18i1.6623
      Issue No: Vol. 18, No. 1 (2023)
       
  • Oxidative Stress Levels of Fine Particulate Matter (PM2.5) and Urinary
           Glutathione of Microbus Drivers

    • Authors: Purnama Sidebang, Agustin Kusumayati, Budi Haryanto
      First page: 9
      Abstract: Urinary glutathione levels are known to be an early indicator of oxidative stress in travelers. This study analyzed the association between particulate matter (PM2.5) exposure on the road and urine glutathione levels in Jakarta’s microbus drivers. This cross-sectional study involved 96 microbuses (one of Jakarta’s public transportations) drivers of nine routes in Kampung Melayu Bus Station, Jakarta, Indonesia. An anthropometric assessment and a structured questionnaire were employed. Along with the participants driving on the road, real-time personal equipment measuring PM2.5 exposure concentrations was used. Total glutathione levels were measured using a colorimetric method. A correlation test and linear regression analysis were used to examine the effect of PM2.5 exposure on total glutathione levels. The average PM2.5 exposure concentration was 90.9±1.8 μg/m3, with a maximum concentration of 114.7 μg/m3. The average urinary glutathione level wa
      PubDate: 2023-02-27
      DOI: 10.21109/kesmas.v18i1.6289
       
 
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