KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat <p>KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat&nbsp;is a scientific journal published by Faculty of Public Health,&nbsp; Universitas Widya Gama Mahakam, with&nbsp;<a href=""><strong>pISSN 2460-0350</strong></a>&nbsp;and&nbsp;<a href=""><strong>eISSN 2477-5819</strong></a><strong>&nbsp;publish twice a year in June&nbsp;and December</strong>. This journal receives scientific writing in the form of a research report (Original article research paper). The accepted articles will be available online following the journal peer-reviewing process. The language used in this journal is Bahasa Indonesia or English.</p> Universitas Widya Gama Mahakam en-US KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat 2460-0350 <p>Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a&nbsp;<a href=""><strong>Creative Commons Attribution 4.0 International License</strong></a>&nbsp;that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.</p> <p><img src="/public/site/images/kesmas/CCC1.jpg"></p> Dampak Social Dostancing Covid-19 “Himbauan Mudik Siap Huni Rumah Angker di Sragen <p>Penelitian ini memiliki dua tujuan, yang pertama mendeskripsikan dampak social distancing Covid-19 untuk pemudik di Sragen, dan mendeskripsikan apakah rumah angker yang disediakan untuk karantina mandiri bagi pemudik memiliki efek jera. Pada penelitian ini peneliti menggunakan desain deskriptif kualitatif dan teknik yang digunakan dalam pengumpulan data yaitu teknik simak dan teknik catat. Sumber data penelitian ini berupa data yang diperoleh dari youtobe mengenai dampak sosial, dan efek jera yang dirasakan oleh masyarakat dengan adanya himbauan yang telah diberlakukan di sragen. Analisis data, yang digunakan dalam penelitian ini adalah teknik analisis teks. Teknik tersebut merupakan teknik yang digunakan untuk mendeskripsikan dampak sosial distancing covid-19 “himbauan mudik siap huni rumah angker di sragen”. Hasil penelitian menunjukkan bahwa himbauan yang diberlakukan oleh bupati sragen ini memiliki dampak yang positif untuk kesejahteraan masyarakat, dengan adanya himbauan tersebut masyarakat dapat mematuhi peraturan yang sudah diberlakukan dengan isolasi mandiri selama empat belas hari dirumah</p> safitri zuliana Copyright (c) 2021 safitri zuliana 2021-02-11 2021-02-11 6 2 10.24903/kujkm.v6i2.921 Relationship between Predispossing Factors Activated and Strengthened with Safety Riding Practices at the Semarang City Expedition Courier <p><strong><em>Background</em></strong><strong><em>:</em></strong><em>&nbsp;</em></p> <p><em>Courier mailers and freight forwarding companies risk having a traffic accident while traveling to the customer's location. With the increasing demand for customers will be directly proportional to the increased risk of traffic accidents. Therefore couriers need to apply safety riding behavior. Based on Lawrence Green's theory, behavior is influenced by three factors, namely predispossing, enabling and reinforcing factors.</em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>Analyzing the relationship between predisposing, reinforcing and enabling factors with the safety riding practice of the courier company in the city of Semarang</em></p> <p><strong><em>Research Metodes: </em></strong></p> <p><em>This research uses quantitative methods with cross sectional approach. The population in this study was 121 motorcycle couriers with a sample of 36 couriers using incidental sampling techniques. Statistical analysis using the chi square test.</em></p> <p><strong><em>Results: </em></strong></p> <p><em>The results showed that respondents with safe riding practices were 52.8%, respondents with long working periods were 83.3%, respondents with high school / vocational education levels were 72.2%, respondents with good knowledge were 55.6%, respondents with a positive attitude of 55.6%, respondents who have received safety riding training by 52.8%, respondents with vehicle conditions according to the standard of 50%, respondents who are influenced by superiors by 58.3% and who are influenced by colleagues employment by 61.1%.</em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>It can be concluded that 47.2% of respondents have not applied safety riding and 52.8% of respondents have applied safety riding. Based on the Chi Square test results, there are several variables related to safety riding practices, namely knowledge (p-value: 0.021), attitude (p-value: 0.003), training (p-value: 0.047), the role of superiors (p-value: 0.048), the role of co-workers (p-value: 0.020) and the condition of the vehicle (p-value: 0.019).</em></p> Diana Yulianti Copyright (c) 2020 Diana Yulianti 2021-02-11 2021-02-11 6 2 10.24903/kujkm.v6i2.952 Literature Review: Implementation of Mental Health Promotion and Prevention Efforts at Community Health Centers in Indonesia <p><strong><em>Background</em></strong><strong><em>:</em></strong></p> <p>Mental health is still a complex problem that has received special attention from all over the world, including in Indonesia. The number of cases that increases causes a decrease in community productivity. The Community Health Center as a health service provider has the main function of promoting promotional and preventive efforts to improve mental health services in the community.</p> <p><strong><em>Objectives:</em></strong></p> <p><em>This study aims to analyze the implementation of promotional and preventive mental health efforts at community health centers from the elements of health human resources, the methods used and the facilities / infrastructure.</em></p> <p><strong><em>Research Metodes: </em></strong></p> <p>This research is a research that uses simplified approach systematic literatur review. The literature searches used included Science Direct, Pubmed, SpringerLink and Google Scholar Literature with predefined keywords and inclusion and exclusion criteria.</p> <p><strong><em>Results: </em></strong></p> <p><em>The results showed that the implementation of promotional and preventive mental health efforts in Indonesia was different from abroad in the level of development. The implementation of mental health efforts at community health centers in Indonesia has been running well but has not been maximized</em><em> because</em><em> the lack of family knowledge, adequate facilities and infrastructure so that training is needed for mental health village workers and nurses in empowering the community.</em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>The importance of the role and support of all parties, especially mental health cadres and community empowerment in the implementation of mental health program promotion and prevention efforts by the community health center. The availability of adequate and competent health personnel supports the effectiveness of mental health programs. The implementation mechanism according to the time and work program is an important priority. In addition, adequate facilities and infrastructure are also a measure of the success of programs.</em></p> Patricia Lydia Honey Patricia Copyright (c) 2020 Patricia Lydia Honey Patricia 2021-03-16 2021-03-16 6 2 10.24903/kujkm.v6i2.1011 FAKTOR YANG MEMENGARUHI IBU BEKERJA TIDAK MEMBERIKAN ASI EKSKLUSIF DI WILAYAH KERJA PUSKESMAS SINGKOHOR <p><em>Infant deaths that are infectious can be prevented by exclusive breastfeeding during the first 6 months. Although the number of mothers who have realized the importance of breastfeeding their babies has increased, it has still not been successful for women to breastfeed for up to 6 months. Indonesia Health Profile Data for 2018 shows that the percentage of exclusive breastfeeding in infants aged 0-6 months is only 61.5%. This study aimed to analyze the factors that affecting housewife not breastfeeding exclusively at Working Area of ​​the Singkohor Health Center.</em> <em>This type of research uses mix methods. The populations were 80 people and the sample was 5 people. The method of collecting data was through interviews with respondents using questionnaires and in-depth interviews with informants. Data analysis was using univariate, bivariate and multivariate analysis.</em> <em>Based on the chi-square test results obtained on the age variable with p-value = .117, education p = 0.000, knowledge p = .001, attitude p = .003, husband support p = 0.000 with the most influential factor was husband support exp (B) 892.841. Interview results showed exclusive breastfeeding was only given to children when crying alone.</em> <em>The conclusion shows that there was an influence between age, education, knowledge, attitude and support of the husband and housewife not exclusively breastfeeding at Singkohor Health Center and the most influential variable was husband support. </em></p> <p><strong><em>&nbsp;</em></strong></p> Fitriani Bancin Fatma Sylvana Dewi Harahap Aida Fitria Copyright (c) 2020 Fitriani Bancin, Fatma Sylvana Dewi Harahap, Aida Fitria 2021-03-16 2021-03-16 6 2 10.24903/kujkm.v6i2.936 Hubungan Kadar Kolesterol dan Indeks Massa Tubuh dengan Kejadian Hipertensi pada Anggota Polisi di Klinik Bhayangkara Polres Madiun Kota <p><strong><em>Latar Belakang:</em></strong></p> <p>Hipertensi adalah peningkatan tekanan darah sistolik ≥ 140 mmHg dan tekanan darah ‎diastolik ≥ 90 mmHg ‎pada dua kali pengukuran dengan selang waktu lima menit dalam keadaan cukup istirahat/tenang‎.</p> <p><strong><em>Tujuan :</em></strong></p> <p>Tujuan penelitian ini mengetahui hubungan kadar kolesterol dan indeks massa tubuh dengan kejadian <strong><em>‎</em></strong>hipertensi pada anggota polisi di Klinik Bhayangkara Polres Madiun Kota<strong><em>‎</em></strong>.</p> <p><strong><em>Metode Penelitian:</em></strong></p> <p>Jenis penelitian menggunakan desain studi kasus kontrol dengan sampel berjumlah 132 orang. ‎Teknik sampel ‎yang digunakan adalah simple random sampling. Analisis data dilakukan ‎secara bertahap mencakup analisis ‎univariat, bivariat menggunakan chi-square, dan multivariat ‎menggunakan regresi logistik‎.</p> <p><strong><em>Hasil : </em></strong></p> <p>Hasil penelitian menunjukkan nilai p value variabel ‎kadar kolesterol adalah 0,250 dan nilai p value variabel ‎indeks ‎massa tubuh adalah ‎‎0,045 (aOR = 2,270: 95% CI = 1,020-5,056). Sehingga variabel yang berhubungan ‎‎dengan ‎kejadian hipertensi pada anggota polisi di Klinik Bhayangkara Polres Madiun ‎Kota adalah indeks ‎massa tubuh ‎‎(IMT)‎.</p> <p><strong><em>Kesimpulan: </em></strong></p> <p>Dapat disimpulkan hubungan kejadian hipertensi pada anggota polisi di Klinik Bhayangkara Polres Madiun ‎Kota adalah IMT dengan kategori obesitas ( ≥ 25 kg/m2) merupakan faktor risiko yang ‎berpengaruh terhadap ‎hipertensi pada anggota Polres Madiun Kota‎.</p> <p>Kata Kunci: Kadar Kolesterol, Indeks Massa Tubuh, dan Kejadian Hipertensi.</p> Oktafa Oktafa Laila Nurjannah Copyright (c) 2020 Oktafa Oktafa Laila Nurjannah 2021-03-23 2021-03-23 6 2 10.24903/kujkm.v6i2.930 SICK BUILDING SYNDROME INCIDENT IN INDONESIA : LITERATURE REVIEW <p><strong><em>Background</em></strong><strong><em>:</em></strong></p> <p><em>Sick Building Syndrome (SBS) is a health disorder in the form of symptoms that are followed by discomfort with the environment and odor complaints due to environmental conditions that do not meet the requirements and there is pollution in the room, can be in the form of fungi, microbes, and chemicals. Poor air quality can have a negative impact on workers or employees in the form of complaints of health problems.</em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>This study aimed to analyzing the incidence of SBS in Indonesia.</em></p> <p><strong><em>Research Metodes: </em></strong></p> <p><em>The method used in this research was the literature study. The literatures were conducted online through several trusted websites or internet sites. This research was conducted on 15 articles consisting of 9 national articles and 6 international articles. Articles were analyzed bivariately and processed through stages in the form of editing, organizing, analizing and dissemination.</em></p> <p><strong><em>Results: </em></strong></p> <p><em>The results of the study of 15 articles, showed there was a relationship between physical factors (temperature, humidity, air flow, lighting, noise and ventilation quality), chemical factors (CO2 and CO), biological factors (germs) work stress factors (workload and work pressure), and individual factors (age, years of service, gender and smoking habits) and found no correlation between physical factors (dust) and biological factors (mold) with the occurrence of SBS.</em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>the incidence of Sick Building Syndrome in Indonesia is still commonly found, especially in the building where employees work.</em></p> Hidayati Alwi Copyright (c) 2020 Hidayati Alwi 2021-03-23 2021-03-23 6 2 Work Tunure, Nutritional Status, Work Climate, Physical Workload, Work Posture with Work Fatigue : Literature Review <p><strong><em>Background</em></strong><strong><em>:</em></strong></p> <p><em>&nbsp;Fatigue is a mechanism of protection that is owned by someone against psychosocial stress that they experience during a certain period of time. Work fatigue can be used as a marker if workers experience health problems while doing their work.</em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>This study aims to analyze the relationship between tenure, nutritional status, work climate, physical workload, and work posture with work fatigue.</em></p> <p><strong><em>Research Metodes: </em></strong></p> <p><em>The method used in this study is a quantitative literature study. Literature data is obtained through online from several trusted websites or internet sites such as Sciendirect, JSTOR, Cambridge Core, Scopus, and Goggle Cendikia. </em></p> <p><strong><em>Results: </em></strong></p> <p><em>This research was conducted on 20 articles consisting of 15 national articles and 5 international articles. Articles are analyzed bivariately and processed through stages in the form of organizing, synthesizing, identifying, and formulating. In general, the 20 articles said that all workers experienced fatigue.</em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>Five out of ten articles stated that there was a significant relationship between tenure and discharge, the rest stated that they did not have a relationship. Then for nutritional status has varied results, three of the eight articles stated there was a relationship between nutritional status with work fatigue, the rest of the article stated no relationship. In addition, there is a significant relationship between work climate with work fatigue in all articles. Furthermore there is a significant relationship between physical workload with work fatigue. and the last work posture has a significant relationship with work fatigue, amounting to 4 articles</em><em>.</em></p> Indah Simanjuntak Copyright (c) 2020 Indah Simanjuntak 2021-03-23 2021-03-23 6 2 10.24903/kujkm.v6i2.948 School Furniture and Musculoskeletal Disorders in Left-Handed Students <p><strong><em>Background</em></strong><strong><em>:</em></strong></p> <p><em>Left-handed students face difficulties in the classroom since the furniture are designed for the right-handed population. Left-handed students are forced to adjust their posture in order to reach the table on the right side of the chair. This awkward posture may cause musculoskeletal disorders (MSDs) in left-handed students.</em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>This study aimed to evaluate the impact of existing school furniture on the risk of MSDs in left-handed students. We also evaluated the potential benefit of the appropriate chair for left-handed students in reducing musculoskeletal discomforts.</em>&nbsp;</p> <p><strong><em>Research Methods: </em></strong></p> <p><em>A total of 14 left-handed students were given the Nordic Musculoskeletal Questionnaires (NMQ) to identify their health problems related to school furniture. The deviation degree of neck and lower back from the upright sitting posture was used to evaluate the impact of the appropriate chair. </em></p> <p><strong><em>Results: </em></strong></p> <p><em>Pearson’s correlation showed that prolonged sitting, awkward posture, and class duration are related to the musculoskeletal discomforts. From the paired t-test evaluation, it is evident that the appropriate chair for left-handed students could reduce the deviation degree of neck and lower back from the upright sitting posture.</em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>The improper school furniture increases the risk of MSDs in left-handed students. A chair that could accommodate both the right-handed and left-handed students is important to reduce the risk of MSDs in students.</em></p> <p>Keywords: <em>Left-handed; awkward postures; NMQ; musculoskeletal disorder.</em></p> Nurul Retno Nurwulan Copyright (c) 2020 Nurul Retno Nurwulan 2021-03-23 2021-03-23 6 2 10.24903/kujkm.v6i2.957 Relationship between Fruit and Vegetable Consumption, Physical Activity, Obesity and Family History Against the Occurrence of Hypertension in Kepulauan Seribu District in 2019 <p><strong><em>Abstract</em></strong></p> <p><strong><em>Background:</em></strong></p> <p><em>According to riskesdas, prevalence of hypertension based on blood pressure measurement in population aged ≥18 years shows an increase from 2013 by 25.8% to 34.1% in 2018. Based on data from the Non-Communicable Disease Section of the DKI Jakarta Provincial Health Office in 2019, Kepulauan Seribu District has the highest Posbindu PTM achievement for hypertension by 50.61%.</em></p> <p><strong><em>Objectives: </em></strong></p> <p><em>This study aims to correlate fruit and vegetable consumption, physical activity, obesity and family history of the incidence of hypertension in the Thousand Islands District in 2019. </em></p> <p><strong><em>Research Metodes: </em></strong></p> <p><em>This study uses secondary data from the DKI Jakarta Provincial Health Office in the form of hypertension screening data in the Thousand Islands District in 2019. The study design in this study was quantitative cross-sectional. A total of 943 samples were taken using simple random sampling technique. Data analysis included univariate and bivariate analyzes using the chi-square test (CI = 95%; α = 0.05). </em></p> <p><strong><em>Results: </em></strong></p> <p><em>The results of this study indicate there is a relationship between age, gender, lack of physical activity, obesity and family history with the incidence of hypertension with p value 0.000 and there is no relationship between less consumption of fruits and vegetables with the incidence of hypertension with p value 0.190. </em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>There is a relationship between age, gender, lack of physical activity, obesity, and family history with the incidence of hypertension in Kepulauan Seribu district in 2019 and there is no relationship between the consumption of fruit and vegetables less with the occurrence of hypertension in Kepulauan Seribu district in 2019.</em></p> <p><strong><em>Keywords</em></strong><em>: Consumption Fruit Vegetables; Physical Activity; Obesity; family history; Hypertension.&nbsp;</em></p> Ica Aisaturrido Copyright (c) 2020 Ica Aisaturrido 2021-03-23 2021-03-23 6 2 10.24903/kujkm.v6i2.961 Paparan Bising sebagai Faktor Risiko Kejadian Hipertensi: Systematic Review <p><strong>Latar belakang:</strong> Hipertensi memiliki prevalensi yang tinggi di seluruh dunia. <em>World Health Organization </em>(WHO) menyatakan bahwa ada kurang lebih 1,13 miliar orang di dunia mengalami hipertensi. Salah satu faktor timbulnya hipertensi adalah pajanan bising yang berlebihan di lingkungan kerja. Namun, bagaimana pengaruh bising terhadap kejadian hipertensi masih belum terlalu jelas.</p> <p><strong>Tujuan:</strong> Mendiskusikan paparan bising sebagai faktor risiko dalam menimbulkan kejadian hipertensi pada pekerja.</p> <p><strong>Metode Penelitian:</strong> <em>Systematic Review</em> dengan pencarian artikel melalui <em>Google Scholar</em>, PubMed, Scopus, EBSCO<em>host</em>, dan ProQuest yang diterbitkan dalam jangka waktu 2011-2020.</p> <p><strong>Hasil: </strong>Ada 15 artikel yang terkait dengan hipertensi dan kebisingan. Empat artikel melaporkan tekanan darah mengalami kenaikan setelah terpapar bising dan empat artikel lain melaporkan perbedaan tekanan darah kelompok terpapar dan tidak terpapar bising. Empat artikel menunjukkan paparan bising sebagai faktor risiko hipertensi dan tujuh artikel melaporkan dampak bising terhadap prevalensi hipertensi.</p> <p><strong>Kesimpulan:</strong> Paparan bising di lingkungan tempat kerja terbukti meningkatkan risiko hipertensi 2-7 kali lebih besar dan prevalensi hipertensi &gt;17% pada bising ≥85 dBA.</p> <p>Kata kunci: paparan bising; hipertensi; lingkungan tempat kerja; <em>systematic review</em></p> Devi Nurfayanti Copyright (c) 2020 Devi Nurfayanti 2020-12-31 2020-12-31 6 2 10.24903/kujkm.v6i2.979 STUDI KINERJA KEPALA PUSKESMAS ASERA KABUPATEN KONAWE UTARA <p><strong><em>Abstract</em></strong></p> <p><strong><em>&nbsp;</em></strong></p> <p><strong><em>Background</em></strong><strong><em>:</em></strong></p> <p>Human Resources who are accepted, placed, given a job or the trust of a particular leader / work unit are expected to be able to show good performance and provide maximum contribution to the achievement of Puskesmas goals. Efforts to realize maximum or optimal human resources in accordance with employee expectations are determined by employee satisfaction, employee ability, motivation, work facilities, management style and leadership style.</p> <p><strong><em>Objectives:</em></strong></p> <p>The purpose of this study was to study the Performance Study of the Head of Asera Health Center in North Konawe Regency</p> <p><strong><em>Research Metodes: </em></strong></p> <p>This research uses descriptive qualitative method with 2 key informants and 5 ordinary informants. Data collection was carried out by interview using interview sheets, stationery, and records. Then the data will be analyzed using the content analysis method and Triangulasi.</p> <p><strong><em>Results: </em></strong></p> <p>The results of this study describe how the work of employees especially the head of the puskesmas has received assistance in improving public health so that leaders provide motivation for their subordinates with a sense of security and without pressure from the leaders. The results of other studies explain that the award is very necessary for officers so that work performance does not increase in terms of money. In carrying out the work of health workers, it is not expected that imbalances or benefits from the head of the puskesmas but work for community service, the nation and the state. The results of other studies explaining the results issued by the head of the puskesmas gave a positive response to the staff and did not use authoritarian leadership</p> <p><strong><em>Conclusion: </em></strong></p> <p>The performance of the Head of Puskesmas Asera has provided assistance to his subordinates, provided a sense of security and without his subordinates, and was able to give credit to his subordinates and not have an authoritarian style of leadership.</p> <p>Keywords: <strong><em>Performance, Leadership, and Public Health Center</em></strong></p> Muhammad Ikhsan Akbar Copyright (c) 2020 Muhammad Ikhsan Akbar 2021-03-23 2021-03-23 6 2 10.24903/kujkm.v6i2.1004 Perbandingan efektivitas abate dengan bubuk biji pepaya (carica papaya linnaeus) dalam menghambat larva Nyamuk Aedes Aegypti <p><strong>Latar Belakang</strong>: Penyakit yang ditularkan nyamuk seperti DBD (Deman Berdarah <em>Dengue</em>) masih menjadi masalah kesehatan masyarakat<strong>. </strong>Tujuan penelitian ini untuk mengetahui perbandingan efektivitas abate dengan bubuk biji pepaya (<em>carica papaya linnaeus</em>) dalam menghambat larva nyamuk <em>Aedes aegypti.</em></p> <p><strong>Metode</strong>: Metode dalam penelitian ini yakni penelitian eksperimen atau percobaan (<em>experimental research</em>). Adapun jenis penelitian yang digunakan dalam penelitian ini adalah True-<em>exsperiment </em>dengan desain penelitian <em>Posttest Only Control Design.</em> Sampel dalam penelitian ini larva <em>Aedes aegypti </em>instar III.</p> <p><strong>Hasil</strong>: Perbandingan Efektivitas Abate dengan Bubuk Biji Pepaya (<em>Carica papaya Linnaeus</em>) dalam menghambat Larva Nyamuk <em>Aedes aegypti</em> yakni rata – rata kematian larva pada abate 6.8000 dengan simpang baku 7.55425, sedangkan rata – rata kematian larva sebuk biji papaya (<em>Carica Papaya Linnaeus</em>) 4.7000 dengan simpang baku 7.48406. dengan uji<em> independent</em> tes didapatkan signfikansi <em>p </em>= 0.540 (p = &lt; 0.05), berarti tidak ada perbedaan bermakna diantara kematian larva yang disebabkan abate dengan serbuk biji papaya.</p> <p><strong>Kesimpulan</strong>: Diharapkan masyarakat lebih peduli terhadap lingkungan tempat tinggalnya dengan selalu menjaga kebersihan baik didalam rumah maupun diluar rumah</p> <p><strong>Kata Kunci</strong>: Abate, Bubuk Biji Pepaya, Larva Nyamuk <em>Aedes Aegypti</em></p> M. Kafit Kafit Copyright (c) 2020 Anita Pramawati, M. Kafit Kafit, Elsusi Martha 2021-05-20 2021-05-20 6 2 10.24903/kujkm.v6i2.1102