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Original Articles
Asthma Exacerbation in Indonesia: Analysis of Mental, Socio-demographic, Behavioral, and Biological Risk Factors Using the 2018 Indonesian Basic Health Research
Siti Isfandari, Sulistyowati Tuminah, Laurentia Konadi Miharja
J Prev Med Public Health. 2025;58(3):250-259.   Published online May 16, 2025
DOI: https://doi.org/10.3961/jpmph.24.719
  • 5,657 View
  • 473 Download
AbstractAbstract AbstractSummary PDF
Objectives
Asthma represents a significant global health burden, with exacerbations impacting quality of life. Although risk factors for asthma exacerbation (AE) have been identified, data specific to Indonesia remain scarce. We investigated risk factors for AE among Indonesian adolescents and adults.
Methods
A cross-sectional analysis of the 2018 National Health Survey was conducted, including Indonesian participants aged 15 and older with diagnosed asthma. Logistic regression was employed to identify risk factors for AE.
Results
A total respondents aged 15 years or older were 706 689 participants. The prevalence of asthma was 2.6% (18 574 participants). Among individuals with asthma, 59.7% experienced exacerbation, and 21.4% reported symptoms indicating emotional distress (ED). Both ED and diagnosed heart disease (DHD) were linked to increased odds of AE, with adjusted odds ratios (aORs) of 1.27 (95% confidence interval [CI], 1.18 to 1.37) and 1.21 (95% CI, 1.06 to 1.38), respectively. Being diagnosed with asthma at age 15 or older was associated with an aOR of 1.56 (95% CI, 1.45 to 1.66). Those with lower socioeconomic status (SES) also faced comparatively high risk (aOR, 1.37; 95% CI, 1.23 to 1.52). In contrast, physical activity was inversely related to AE (aOR, 0.72; 95% CI, 0.64 to 0.81).
Conclusions
ED, DHD, lower SES, and later-onset asthma were identified as significant risk factors for AE. This underscores the need for comprehensive asthma management strategies that prioritize mental health, cardiovascular health, and early intervention. Addressing these factors could substantially reduce the burden of AE in Indonesia. Further longitudinal studies are necessary to elucidate the causal relationships involved and evaluate the effectiveness of targeted interventions.
Summary
Key Message
Asthma represents a significant global health burden, with exacerbation impacting individual quality of life. Emotional distress, diagnosed heart disease, asthma diagnosis after the age of 15 years, and lower socioeconomic status were associated with an increased risk of asthma exacerbation, while physical activity was not. Our findings underscore the importance of addressing mental health comorbidities, encouraging physical activity, and considering socioeconomic disparities when developing asthma management strategies. Educating patients about asthma and its triggers can reduce exacerbations and improve disease control. Since asthma severity differs across individuals and age groups, clinicians must regularly monitor patients and adjust treatment as needed.
Mobile App-based Care Management Training to Improve Family Caregiver Competence in Caring for Children With HIV in Indonesia: A Quasi-experimental Study
Nyimas Heny Purwati, Syamikar Baridwan Syamsir, Mutmainah , Dhea Natashia, Amelia Hartika Rani, Dwi Budiyati, Agus Setiawan
J Prev Med Public Health. 2025;58(5):516-526.   Published online May 7, 2025
DOI: https://doi.org/10.3961/jpmph.24.789
  • 24,240 View
  • 336 Download
AbstractAbstract AbstractSummary PDF
Objectives
Family caregivers play a crucial role in the care of children with human immunodeficiency virus (HIV); however, they frequently face limitations in knowledge, attitudes, and skills. Mobile application (app)-based training may offer an effective solution to enhance caregiver competence. This study aimed to assess the effectiveness of mobile app-based care management training in improving the knowledge, attitudes, and skills of family caregivers caring for children with HIV.
Methods
A quasi-experimental design, including pretest, posttest, and follow-up assessments, was conducted at a national referral hospital for infectious diseases in Jakarta, Indonesia. The study involved 44 respondents, divided equally into intervention and control groups (22 per group). The intervention group received mobile app-based training, while the control group received conventional caregiver education. Questionnaires assessing caregivers’ knowledge, attitudes, and skills in managing children with HIV were utilized. Data were analyzed using independent sample t-tests and repeated measures analysis of variance (ANOVA).
Results
Repeated measures ANOVA revealed that the intervention group experienced significant improvements in knowledge, attitudes, and skills from pretest to posttest, which were maintained at the 1-month follow-up (p<0.001). In contrast, the control group did not exhibit significant changes in any of these variables (knowledge, attitudes, and skills) throughout the study period.
Conclusions
Mobile app-based care management training significantly enhances caregiving competencies among family caregivers of children with HIV. These findings underscore the potential of digital technology as an innovative and sustainable approach for caregiver training in various healthcare settings, supporting the long-term effectiveness of educational interventions.
Summary
Key Message
This quasi-experimental study evaluated the effectiveness of a mobile app-based care management training for family caregivers of children with HIV in Indonesia. The intervention significantly improved caregivers’ knowledge, attitudes, and skills compared to the control group. These findings suggest that digital health tools can empower caregivers, enhance pediatric HIV care, and provide a scalable model for supportive training in resource-limited settings.
Association Between Basic Immunization Status and Stunting in Toddlers Aged 12-59 Months in Indonesia
Eka Desi Purwanti, Siti Masitoh, Sudarto Ronoatmodjo
J Prev Med Public Health. 2025;58(3):298-306.   Published online January 30, 2025
DOI: https://doi.org/10.3961/jpmph.24.230
  • 10,924 View
  • 716 Download
AbstractAbstract AbstractSummary PDF
Objectives
Immunization has been identified as a specific nutrition-related intervention to address the direct causes of stunting. This study examines the association between basic immunization status and stunting among toddlers in Indonesia.
Methods
We conducted a cross-sectional analysis using data from the 2021 Study of Indonesia’s Nutritional Status. A total of 70 267 toddlers, aged 12 months to 59 months, were examined. Cox regression was employed to calculate adjusted prevalence ratios (aPRs) with their 95% confidence intervals (CIs).
Results
The prevalence of stunting among children aged 12 months to 59 months in Indonesia was 23.1%, while 74.9% of children under 5 years old had complete basic immunization status. Multivariable analysis revealed a statistically significant association between basic immunization status and the incidence of stunting. Relative to toddlers with complete basic immunization, those with incomplete (partial) immunization were at a 1.18 times higher risk of stunting (aPR, 1.18; 95% CI, 1.15 to 1.22). Furthermore, toddlers who had not been immunized at all faced an even greater stunting risk (aPR, 1.27; 95% CI, 1.17 to 1.37). This association persisted after adjusting for variables such as maternal education, economic status, and the child’s birth weight.
Conclusions
Basic immunization status influences the incidence of stunting in toddlers aged 12 months to 59 months. Thus, parents must ensure that their children’s immunizations are completed according to the recommended schedule. Additionally, it is crucial to increase parental awareness regarding health service utilization, disease prevention, and the nutritional needs of toddlers.
Summary
Key Message
Stunting remains a major public health concern in Indonesia. Immunization is recognized as a specific nutrition-related intervention to address its direct causes. Using data from 70,267 toddlers aged 12–59 months, this study found that children with partial or no basic immunization had significantly higher risks of stunting (aPR 1.18 and 1.27, respectively) compared to fully immunized peers. Given the high stunting prevalence (23.1%) and suboptimal immunization coverage (74.9%), the findings underscore the need to strengthen immunization programs and enhance parental awareness of health service utilization, disease prevention, and the nutritional needs of young children.
Effects of the Local Environment and Nutritional Status on the Incidence of Acute Respiratory Infections Among Children Under 5 Years Old in Indonesia
Tri Bayu Purnama, Keita Wagatsuma, Masdalina Pane, Reiko Saito
J Prev Med Public Health. 2024;57(5):461-470.   Published online August 2, 2024
DOI: https://doi.org/10.3961/jpmph.24.246
  • 10,524 View
  • 493 Download
  • 3 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
This study aimed to map the incidence of acute respiratory infections (ARIs) among under-5 children in Indonesia, address the triple burden of malnutrition, and analyze the impact of malnutrition on ARIs, taking into account the environmental and wealth disparities in Indonesia.
Methods
This study utilized an ecological design, analyzing aggregate data from the Indonesia Nutrition Survey, 2022. It encompassed 33 provinces and 486 districts/cities, involving a total of 334 878 children under 5 years of age. Partial least squares structural equation modeling was employed to investigate the relationships among wealth, environment, malnutrition (stunting, wasting, and underweight), and ARIs.
Results
The proportion of ARI cases in Indonesia was generally concentrated in central Sumatra, the western and eastern parts of Java, and eastern Papua. In contrast, the northern part of Sumatra, central Kalimantan, central Sulawesi, and central Papua had a higher proportion of malnutrition cases compared to other regions. Negative associations were found between malnutrition and ARIs (path coefficient =-0.072; p<0.01) and between wealth and environment (path coefficient =-0.633; p<0.001), malnutrition (path coefficient=-0.399; p<0.001), and ARIs (path coefficient=-0.918; p<0.001).
Conclusions
An increasing wealth index is expected to contribute to reducing ARIs, malnutrition and environmental burdens in the future. This study emphasizes the necessity for focused strategies that address both immediate health challenges and the underlying socioeconomic determinants to improve child health outcomes in the Indonesian context.
Summary
Key Message
In Indonesia, Acute Respiratory Infections (ARI) cases were predominantly concentrated in central Sumatra, western and eastern Java, and eastern Papua, while malnutrition cases were more prevalent in northern Sumatra, central Kalimantan, central Sulawesi, and central Papua. A negative association was observed between malnutrition and ARIs. Additionally, wealth had significant negative associations with the environment, malnutrition, and ARIs, suggesting socio-environmental disparities contribute to health outcomes in these regions.

Citations

Citations to this article as recorded by  
  • Multidimensional energy poverty and childhood respiratory health across 26 low and lower middle income countries
    Cailiang Xia, Maryam Sadiq, Sidra Younas
    Scientific Reports.2026;[Epub]     CrossRef
  • Prevalence and risk factors of acute respiratory infection and diarrhea among children under 5 years old in low-middle wealth household, Indonesia
    Tri Bayu Purnama, Keita Wagatsuma, Reiko Saito
    Infectious Diseases of Poverty.2025;[Epub]     CrossRef
  • Geographical variation in community-acquired pneumonia prevalence during the COVID-19 pandemic in northern Sumatra, Indonesia
    Tri Bayu Purnama, Keita Wagatsuma, Masdalina Pane, Reiko Saito
    Discover Public Health.2025;[Epub]     CrossRef
The Associations Between Physical Activity and Mental Health Problems in Middle-aged Indonesians
Sri Handayani, Siti Isfandari, Diyan Ermawan Effendi, Rozana Ika Agustiya, Irfan Ardani, Arief Priyo Nugroho, Yunita Fitrianti
J Prev Med Public Health. 2024;57(4):379-387.   Published online July 12, 2024
DOI: https://doi.org/10.3961/jpmph.24.003
  • 7,903 View
  • 370 Download
  • 1 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
Mental health issues have become a growing concern worldwide. Research has shown that regular physical activity (PA) can positively affect mental health. This study investigated the associations between PA and mental health problems (MHPs) in middle-aged Indonesians.
Methods
The study utilized data from the 2018 Indonesian Basic Health Research Survey and used a cross-sectional approach. The participants included individuals aged 40-60 years who completed the 20-question Self-Reporting Questionnaire. A logistic regression was performed to analyze a sample of 263 930 data points.
Results
Nearly 10.4% of the participants suffered from mental health issues. Notably, among those who did not engage in moderate and vigorous PA, a sign of MHPs was found in 12.5% of participants. Those who met World Health Organization standards for PA were less likely to experience MHPs (10.1%). This study found a significant association between PA and mental health. After adjusting for smoking, alcohol consumption, non-communicable diseases, and socio-demographic variables like age, sex, education, occupation, marital status, and residence, the connection between PA and mental health became even stronger (adjusted odds ratio, 0.81; 95% confidence interval, 0.78 to 0.85; p<0.001).
Conclusions
Regular PA has been shown to affect mental health positively. Therefore, it is important to improve health education and efforts to raise awareness among middle-aged Indonesians about the importance of PA in maintaining good mental health.
Summary
Key Message
This study revealed a significant association between physical activity (PA) and mental problems (MHPs) among middle-aged Indonesians. Individuals who engaged in moderate to vigorous PA were less likely to experience MHPs compared to those who did not meet recommended PA levels. This association remained strong after adjusting confounding variables such as smoking, alcohol consumption, non-communicable diseases, and socio- demographic factors. Therefore, promoting regular physical activity could be a beneficial strategy for improving mental health status in this population.

Citations

Citations to this article as recorded by  
  • USO DE ANTIDEPRESSIVOS E ANSIOLÍTICOS PÓS PANDEMIA E SEUS IMPACTOS: REVISÃO DE LITERATURA
    Francivania Silva de Oliveira, Francisca Sabrina Vieira Lins, José Guilherme Ferreira Marques Galvão, Diego Igor Alves Fernandes de Araújo, Rafaela de Oliveira Nóbrega
    Revista Multidisciplinar do Nordeste Mineiro.2025; 10(1): 1.     CrossRef
  • Domain-specific physical activity and depressive symptoms in Korean adults: An isotemporal substitution study using KNHANES data
    Jungmi Park, Hee-Kyoung Nam, Sung-Il Cho, Henri Tilga
    PLOS One.2025; 20(12): e0338722.     CrossRef
  • PREVALÊNCIA DO USO DE ANTIDEPRESSIVOS E/OU ANSIOLÍTICOS EM PRATICANTES DE ATIVIDADE FÍSICA DE UMA ACADEMIA DE TERESINA
    Mariana Lima Teixeira, Ivair de Sousa Lima, Luís Felipe Araújo Pereira Lustosa, Paula Lins Gonçalves, Aureliano Machado de Oliveira
    Revista Contemporânea.2024; 4(12): e7097.     CrossRef
Common Mental Disorders and Associated Factors During Pregnancy and the Postpartum Period in Indonesia: An Analysis of Data From the 2018 Basic Health Research
Arum Ariasih, Besral , Meiwita Budiharsana, Sudarto Ronoatmodjo
J Prev Med Public Health. 2024;57(4):388-398.   Published online June 19, 2024
DOI: https://doi.org/10.3961/jpmph.24.082
  • 17,730 View
  • 652 Download
  • 4 Web of Science
  • 8 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
A substantial proportion of women experience mental health challenges during pregnancy or the postpartum period. Common mental disorders (CMDs), including depression, anxiety, and obsessive-compulsive disorder, are prevalent. Identifying causes and associated risk factors is imperative for early intervention and the prevention of mental health issues.
Methods
This study utilized data from the 2018 Basic Health Research, which was conducted nationwide in Indonesia, using a crosssectional approach. We focused on women aged 13-49 years who were currently or previously married, and had experienced pregnancy, including 8889 pregnant women and 77 012 women who had delivered between January 1, 2013 and August 31, 2018. The Self-Reporting Questionnaire-20 was employed to assess CMDs. Multivariate logistic regression was performed.
Results
The prevalence of CMDs in pregnant women was 12.6%, while postpartum mothers exhibited a prevalence of 10.1%. Poor health status displayed the strongest impact on CMDs during both pregnancy (adjusted odds ratio [aOR], 12.23; 95% confidence interval [CI], 9.01 to 16.60) and the postpartum period (aOR, 16.72; 95% CI, 14.85 to 18.82). Additional significant factors for both group include young maternal age, lack of education, unemployment, history of hypertension, and smoking status. Among pregnant women, CMDs was also associated with first-trimester pregnancy, previous pregnancy complications, and small upper arm circumference. For postpartum mothers, significant factors include living in rural areas, history of abortion, unwanted pregnancy, pregnancy complications, lack of antenatal care, spontaneous delivery, postpartum complications and contraceptive use.
Conclusions
CMDs can impact in pregnant and postpartum women. Early diagnosis and management must be seamlessly integrated into primary healthcare practices.
Summary
Key Message
A significant proportion of women experience common mental disorders (CMDs) during pregnancy (12.6%) and postpartum (10.1%) in Indonesia. Poor health status is the strongest predictor of CMDs in both periods. Other significant factors include young maternal age, lack of education, unemployment, hypertension history, and smoking. Additional pregnancy-specific factors are first-trimester pregnancy, previous complications, and small upper arm circumference. In contrast, postpartum factors include rural living, abortion history, unwanted pregnancy, pregnancy complications, lack of antenatal care, spontaneous delivery, postpartum complications, and contraceptive use. Integrating early diagnosis and management of CMDs into primary healthcare is essential.

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  • Pregnant Women's Depression and Mental Health Knowledge
    Lutfatul Latifah, Nina Setiawati, Aprilia Kartikasari, Reza Fajar Amalia, Dian Susmarini, C. Jan, I. Anwer, L. Li, S. Ferse, M. Nishi, P. Puangprakhon
    E3S Web of Conferences.2025; 609: 04002.     CrossRef
  • Abortion: Ethical and Legal Perspectives in Indonesia
    Adji Suwandono, Busyra
    Asian Bioethics Review.2025; 17(3): 535.     CrossRef
  • Common mental disorders and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis
    Bekahegn Girma, Migbar Sibhat, Addisu Getnet, Wegayehu Zeneb Teklehaimanot, Leweyehu Alemaw Mengstie, Mohammed Tessema Gebeyehu, Jemberu Nigussie
    BMC Psychiatry.2025;[Epub]     CrossRef
  • Correlation Between the Baby Blues Syndrome and Postpartum Depression among Mother
    Linda Wati, Amrina Amran, Radian Ilmaskal
    Journal of Health Sciences and Epidemiology.2025; 3(1): 42.     CrossRef
  • Multimodal large language models for women’s reproductive mental health
    Rawan AlSaad, Alaa Youssef, Sara Kashani, Majid AlAbdulla, Alaa Abd-alrazaq, Salma M. Khaled, Arfan Ahmed, Javaid Sheikh
    Archives of Women's Mental Health.2025; 28(6): 1369.     CrossRef
  • TelenursaMoms: A Digital Mental Health Service Innovation for Postpartum Mothers with Neglectful Family Challenges
    Rizqiana Dita Ekasari, Ika Arum Dewi Satiti, Ari Damayanti Wahyuningrum
    Majalah Kesehatan Indonesia.2025;[Epub]     CrossRef
  • Comparative Effects of Hatha Yoga and Prenatal Exercise on Physiological and Psychological Outcomes in Primigravid Women: A Randomized Controlled Trial
    Veronica Fernandez, Ronny Lesmana, Sofie R. Krisnadi, Hadi Susiarno, Shelly Iskandar, Vita Muniarti Tarawan
    Journal of Applied Nursing and Health.2025; 7(3): 604.     CrossRef
  • Pengembangan Aplikasi Berbasis Web untuk Skrining Tingkat Depresi Ibu Pasca Melahirkan Menggunakan Skala EPDS dan PHQ-9
    Primanita Pangestu, Henny Widowati, Dody Pernadi
    Jurnal Ilmiah Informatika Komputer.2025; 30(3): 297.     CrossRef
Knowledge, Attitudes, and Practices Regarding Dengue Prevention Among Health Volunteers in an Urban Area – Malang, Indonesia
Alidha Nur Rakhmani, Lilik Zuhriyah
J Prev Med Public Health. 2024;57(2):176-184.   Published online February 21, 2024
DOI: https://doi.org/10.3961/jpmph.23.484
  • 11,449 View
  • 576 Download
  • 6 Web of Science
  • 7 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
The dengue prevention program known as “One House One Mosquito Larva Inspector” involves health volunteers who play a crucial role in the surveillance of mosquito larvae and reporting their findings to local public health officials. This study aimed to identify factors related to the knowledge, attitudes, and practices (KAP) of dengue prevention behavior among these health volunteers.
Methods
A study was conducted in 5 sub-districts in Malang, an urban area in Indonesia. We employed a cross-sectional design and utilized a semi-structured questionnaire to assess the KAP of 400 health volunteers. Data were collected through face-to-face interviews.
Results
Multiple logistic regression analysis revealed that individuals with a more positive attitude (odds ratio [OR], 1.69; p<0.05) and those with family sizes greater than five persons (OR, 1.90; p<0.05) were more likely to engage in effective dengue prevention practices. Additionally, possesing good knowledge was significantly assocated with more positive attitude (OR, 2.24; p<0.001). Furthermore, 40% reduction in positive attitude was observed in those over 45 years (OR, 0.60; p<0.05). The best practices most frequently reported by the majority of respondents included always reporting their surveillance activities (75.8%) and cleaning the water container in the bathroom at least once a week (65.2%). However, only 52.2% of respondents regularly checked for mosquito larvae in their neighborhood.
Conclusions
Sustainable promotion and training for the “One House One Mosquito Larva Inspector” initiative are necessary, particularly among young health volunteers, to improve dengue prevention behaviors both within their own homes and in the surrounding environment.
Summary
Key Message
The study among health volunteers emphasizes that better knowledge and younger age < 45 were associated with a positive attitude. While a positive attitude and family size > 5 persons were associated with better dengue prevention practices. Therefore, there is a need for sustained promotion and training among health volunteers to enhance the knowledge and attitude that may shape good dengue prevention practices.

Citations

Citations to this article as recorded by  
  • Bridging the knowledge, attitudes, and practice towards dengue infection in Maharashtra, India: a cross-sectional online survey
    Sneha Chandani, Harshada Ghadage, Kalyani Ovhal, Pratiksha Bande, Tejaswini Gote, Saniya Bankhele, Sayali Basutkar, Aishwarya Patil, Manoj Bagul, Vaishnavi Berad
    Discover Public Health.2026;[Epub]     CrossRef
  • A Spatial Analysis on Heterogenous Determinant of Dengue Fever Cases in Indonesia
    Yessi Rahmawati, Iqram Ramadhan Jamil, Isnawati Hidayah
    Journal of Geovisualization and Spatial Analysis.2025;[Epub]     CrossRef
  • Knowledge, attitude, and practice regarding dengue vaccine: a baseline study of community members and health providers in Indonesia
    Abdul Wahab, Ida Safitri Laksanawati, Retna Siwi Padmawati, Asal Wahyuni Erlin Mulyadi, Wahyu Triadmajani, Jarir At Thobari
    Clinical and Experimental Pediatrics.2025; 68(3): 228.     CrossRef
  • The Effect of Website “Remaja Cegah DBD” on the Prevention Behaviour of Dengue Haemorrhagic Fever Among Students at Junior High School in Makassar City, Indonesia
    Wahyunita Syahrir, Wahiduddin Wahiduddin, A. Arsunan Arsin, Ida Leida M. Thaha, Stang Stang
    International Journal of Statistics in Medical Research.2025; 14: 430.     CrossRef
  • Environmental health factors influencing dengue: a systematic review with thematic categorization
    Jitjira Chaiyarit, Kanokwun Sriwongsuk, Sutasinee Putepapas, Prat Intarasaksit
    International Journal of Environmental Health Research.2025; : 1.     CrossRef
  • Vaccine Hesitancy Toward Dengue Immunization Among Indonesian Office Workers: A Cross-Sectional Study of Perceptions, Barriers, and Trust Factors
    Theresia Santi, Ridwansyah Ridwansyah, Veli Sungono, Natalia Widjaya, Keinata Nabila Euqenekim, Cessya Prianyanta, Sri Rezeki S. Hadinegoro, Budi Setiabudiawan, Juandy Jo
    Vaccines.2025; 13(12): 1178.     CrossRef
  • Time series analysis of dengue incidence in Bandung City, Indonesia using a ARIMA model
    Agung Sutriyawan, Martini Martini, Dwi Sutiningsih, Farid Agushybana, Nur Endah Wahyuningsih, Victor Eneojo Adamu, Hairil Akbar, Matheus Aba
    Journal of microbiology, epidemiology and immunobiology.2024; 101(6): 803.     CrossRef
Health-related Quality of Life of Patients With Diabetes Mellitus Measured With the Bahasa Indonesia Version of EQ-5D in Primary Care Settings in Indonesia
Muhammad Husen Prabowo, Ratih Puspita Febrinasari, Eti Poncorini Pamungkasari, Yodi Mahendradhata, Anni-Maria Pulkki-Brännström, Ari Probandari
J Prev Med Public Health. 2023;56(5):467-474.   Published online September 26, 2023
DOI: https://doi.org/10.3961/jpmph.23.229
  • 8,228 View
  • 253 Download
  • 8 Web of Science
  • 9 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
Diabetes mellitus (DM) is a serious public health issue that places a heavy financial, social, and health-related burden on individuals, families, and healthcare systems. Self-reported health-related quality of life (HRQoL) is extensively used for monitoring the general population’s health conditions and measuring the effectiveness of interventions. Therefore, this study investigated HRQoL and associated factors among patients with type 2 DM at a primary healthcare center in Indonesia.
Methods
A cross-sectional study was conducted in Klaten District, Central Java, Indonesia, from May 2019 to July 2019. In total, 260 patients with DM registered with National Health Insurance were interviewed. HRQoL was measured with the EuroQol Group’s validated Bahasa Indonesia version of the EuroQoL 5-Dimension 5-Level (EQ-5D-5L) with the Indonesian value set. Multivariate regression models were used to identify factors influencing HRQoL.
Results
Data from 24 patients were excluded due to incomplete information. Most participants were men (60.6%), were aged above 50 years (91.5%), had less than a senior high school education (75.0%), and were unemployed (85.6%). The most frequent health problems were reported for the pain/discomfort dimension (64.0%) followed by anxiety (28.4%), mobility (17.8%), usual activities (10.6%), and self-care (6.8%). The average EuroQoL 5-Dimension (EQ-5D) index score was 0.86 (95% confidence interval [CI], 0.83 to 0.88). In the multivariate ordinal regression model, a higher education level (coefficient, 0.08; 95% CI, 0.02 to 0.14) was a significant predictor of the EQ-5D-5L utility score.
Conclusions
Patients with diabetes had poorer EQ-5D-5L utility values than the general population. DM patients experienced pain/discomfort and anxiety. There was a substantial positive relationship between education level and HRQoL.
Summary
Key Message
This study examined Health-Related Quality of Life (HRQoL) in 260 type 2 diabetes patients in Indonesia. Most were male (60.6%), over 50 (91.5%), with low education (75%) and unemployed (85.6%). Pain/discomfort was the most common issue (64%), followed by anxiety (28.4%). The average HRQoL score was 0.86. Higher education positively impacted HRQoL. Diabetes patients face lower HRQoL compared to the general population, with notable issues in pain and anxiety. Education level significantly influences HRQoL. This highlights the importance of education in improving the well-being of diabetes patients in Indonesia.

Citations

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  • Time series analysis of the impact of ambient temperature influence on healthcare service utilization by diabetes patients in the Special Capital Region of Jakarta, Indonesia: A study using Indonesian National Health Insurance data
    Helen Andriani, Chairina Suci Andhisa, Paul LC. Chua, Miftahul Arsyi
    Global Transitions.2026; 8(1): 64.     CrossRef
  • Socio-demographic disparities in health-related quality of life in hypertensive patients in Bangladesh: a comprehensive survey analysis
    Md. Mizanur Rahman, Md. Nesar Uddin Sorkar, Ryota Nakamura, Md. Monirul Islam, Md. Ashraful Alam, Syed Khurram Azmat, Motohiro Sato
    Quality of Life Research.2025; 34(5): 1457.     CrossRef
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    Zongbo Sun, Yuanyuan Li, Xueli Qu, Luguang Wang, Shengyin Zhu, Xuejing Sun, Li Yang, Xiaonan Sun
    Frontiers in Neurology.2025;[Epub]     CrossRef
  • Is the pay-for-performance program associated with better quality of life among type 2 diabetes patients, including those with gastrointestinal conditions, in Taiwan? A cross-sectional survey
    Shao-Hua Kuang, Tsung-Tai Chen, Wen-Ya Ma, Szu-Tah Chen, Meng-Han Shih, Ching-Chieh Su, Wei-Chih Su, Li Ying Huang, Ya-Seng (Arthur) Hsueh, Vinchi Wang, Alexandre Morais Nunes
    PLOS One.2025; 20(8): e0328910.     CrossRef
  • Health-related quality of life and disease activity in rheumatoid arthritis: a cross-sectional study in West Java, Indonesia
    Yudisia Ausi, Rano K. Sinuraya, Sumartini Dewi, Melisa I. Barliana, Maarten J. Postma, Auliya A. Suwantika
    Frontiers in Medicine.2025;[Epub]     CrossRef
  • Effective Education Methods to Improve Glycemic Control in Type 2 Diabetes Mellitus Patients: A Systematic Review
    Ika Mustikaningtias, Anna Wahyuni Widayanti, Pugud Samodro, Nanang Munif Yasin
    Journal of Preventive Medicine and Public Health.2025; 58(5): 453.     CrossRef
  • Cost-effectiveness of community-based type 2 diabetes prevention and control in Indonesia: a health economics modelling study
    Rachmadianti Sukma Hanifa, M Rifqi Rokhman, Manuela Fritz, Vitri Widyaningsih, Ratih Puspita Febrinasari, Jaap A R Koot, Maarten J Postma, Jurjen van der Schans
    BMJ Public Health.2025; 3(2): e002161.     CrossRef
  • Quality of life and prevalence of prehypertension/hypertension among patients with diabetes mellitus: A cross-sectional study in a tertiary care hospital of Gandaki Province, Nepal
    Sushila Baral, Rajesh Kumar Yadav, Srijana Paudel, Yadunath Baral, Pawan Pandeya, Sweta Silwal, Santosh Poudel, Roshan Dhakal, Roshan Kumar Mahato
    Clinical Epidemiology and Global Health.2025; 36: 102209.     CrossRef
  • Genetic CYP2A6 Polymorphism May Worsen Glycohemoglobin Levels: Study among Javanese Indonesian Smokers
    Christine Patramurti, Dita Maria Virginia
    Borneo Journal of Pharmacy.2024; 7(1): 29.     CrossRef
Association Between Tobacco Smoking and Dental Caries in the Indonesian Population: Results of a National Study in 2018
Lelly Andayasari, Rofingatul Mubasyiroh, Iin Nurlinawati, Irna Sufiawati
J Prev Med Public Health. 2023;56(4):357-367.   Published online July 10, 2023
DOI: https://doi.org/10.3961/jpmph.22.417
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AbstractAbstract PDF
Objectives
The 2018 Basic Health Research (RISKESDAS), conducted by the Ministry of Health of the Republic of Indonesia showed a high prevalence of dental caries (88.8%) in Indonesia and suggested that smoking tobacco was associated with an increased risk of dental caries. This study analyzed the association between tobacco smoking and dental caries in the Indonesian population.
Methods
This was a cross-sectional analysis of secondary data collected from RISKESDAS 2018. The study population included 35 391 Indonesians aged ≥10 years from all 34 provinces. The decayed, missing, and filled teeth (DMFT) index was used to measure dental caries. Smoking status was assessed qualitatively based on smoking activity, and the level of smoking exposure was assessed based on the Brinkman index. A multivariable logistic regression analysis was employed to examine the relationships of smoking status and smoking exposure levels with the DMFT index.
Results
Of the population aged ≥10 years, 36% had a DMFT≥8 (females: 37.5%, males: 33.9%). Almost one-fourth (23.4%) were current smokers, and 4.1% were ex-smokers. Furthermore, 26.4% had a Brinkman index ≥400, indicating heavy smoking. According to the multivariate analysis, current smoking status was associated with the risk of DMFT≥8 in males (adjusted odds ratio [aOR], 1.40; 95% CI, 1.27 to 1.55; p<0.001) and overall (aOR, 1.07; 95% CI, 1.00 to 1.14; p=0.037). In females, ex-smoking was associated with a 41% higher risk of DMFT≥8 (aOR, 1.41; 95% CI, 1.07 to 1.84; p=0.014). Heavy smoking was associated with a higher risk of DMFT≥8 in males (aOR, 1.38; 95% CI, 1.25 to 1.52; p<0.001) and females (aOR, 1.24; 95% CI, 1.03 to 1.50; p=0.022).
Conclusions
Tobacco smoking was associated with dental caries in the Indonesian population.
Summary

Citations

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    Jan Kowalski, Giusy Rita Maria La Rosa, Fabio Cibella, Salvatore Urso, Riccardo Polosa, Andrea Di Stefano, Debora Gangi, Sebastiano Antonio Pacino, Eugenio Pedullà, Luigi Generali, Ugo Consolo, Vittorio Checchi, Stefan Gospodaru, Gheorghe Bordeniuc, Valer
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    Jingwen Lv, Jianwei Li, Yu Wang, Sipeng Liu, Yunhong Du, Li Wang, Hui Wang, Yao Shi
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    Arsy Huda Fathaniard, Jiangling Sun, Xinyue Chen, Liangsa Zhang, Taiming Dai, Juanjuan Wu, Liming Chen
    BMC Oral Health.2025;[Epub]     CrossRef
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    Lin Niu, Yuwei Zhang, Hu Zhu, Yue Jia, Changjie Sun, Yifei Zhang, Xuefei Sun, Zhaojing Ding, Jingning Gou, Luming Wang, Rui Zou, Shaojie Dong
    BMC Public Health.2025;[Epub]     CrossRef
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    Israel Oluwasegun Ayenigbara
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COVID-19 Vaccination and Clinical Outcomes at a Secondary Referral Hospital During the Delta Variant-dominant Period in West Sumatra, Indonesia
Didan Ariadapa Rahadi, Elfira Yusri, Syandrez Prima Putra, Rima Semiarty, Dian Pertiwi, Cimi Ilmiawati
J Prev Med Public Health. 2023;56(3):221-230.   Published online May 31, 2023
DOI: https://doi.org/10.3961/jpmph.23.077
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AbstractAbstract PDF
Objectives
The second wave of coronavirus disease 2019 (COVID-19) cases in Indonesia, during which the Delta variant predominated, took place after a vaccination program had been initiated in the country. This study was conducted to assess the impact of COVID-19 vaccination on unfavorable clinical outcomes including hospitalization, severe COVID-19, intensive care unit (ICU) admission, and death using a real-world model.
Methods
This single-center retrospective cohort study involved patients with COVID-19 aged ≥18 years who presented to the COVID-19 emergency room at a secondary referral teaching hospital between June 1, 2021 and August 31, 2021. We used a binary logistic regression model to assess the effect of COVID-19 vaccination on unfavorable clinical outcomes, with age, sex, and comorbidities as confounding variables.
Results
A total of 716 patients were included, 32.1% of whom were vaccinated. The elderly participants (≥65 years) had the lowest vaccine coverage among age groups. Vaccination had an effectiveness of 50% (95% confidence interval [CI], 25 to 66) for preventing hospitalization, 97% (95% CI, 77 to 99) for preventing severe COVID-19, 95% (95% CI, 56 to 99) for preventing ICU admission, and 90% (95% CI, 22 to 99) for preventing death. Interestingly, patients with type 2 diabetes had a 2-fold to 4-fold elevated risk of unfavorable outcomes.
Conclusions
Among adults, COVID-19 vaccination has a moderate preventive impact on hospitalization but a high preventive impact on severe COVID-19, ICU admission, and death. The authors suggest that relevant parties increase COVID-19 vaccination coverage, especially in the elderly population.
Summary

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  • Controlling the COVID-19 pandemic through vaccination: a perspective from Indonesia
    Rano K. Sinuraya, Auliya A. Suwantika, Maarten J. Postma
    Expert Review of Vaccines.2025; 24(1): 91.     CrossRef
  • Changes in the intrinsic severity of severe acute respiratory syndrome coronavirus 2 according to the emerging variant: a nationwide study from February 2020 to June 2022, including comparison with vaccinated populations
    Boyeong Ryu, Eunjeong Shin, Dong Hwi Kim, HyunJu Lee, So Young Choi, Seong-Sun Kim, Il-Hwan Kim, Eun-Jin Kim, Sangwon Lee, Jaehyun Jeon, Donghyok Kwon, Sungil Cho
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Associations Between Indoor Air Pollutants and Risk Factors for Acute Respiratory Infection Symptoms in Children Under 5: An Analysis of Data From the Indonesia Demographic Health Survey
Ichtiarini Nurullita Santri, Yuniar Wardani, Yohane Vincent Abero Phiri, Gunchmaa Nyam, Tyas Aisyah Putri, Khoiriyah Isni, Dyah Suryani, Grace Sambo
J Prev Med Public Health. 2023;56(3):255-263.   Published online April 18, 2023
DOI: https://doi.org/10.3961/jpmph.22.470
  • 8,541 View
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AbstractAbstract PDF
Objectives
The study investigated the association between indoor air pollution (IAP) and risk factors for acute respiratory infection (ARI) symptoms in children under 5 years of age.
Methods
A cross-sectional study was conducted using data derived from Indonesia Demographic and Health Survey in 2017. Binary logistic regression modeling was employed to examine each predictor variable associated with ARI among children under 5 years of age in Indonesia.
Results
The study included a total of 4936 households with children. Among children under 5 years old, 7.2% reported ARI symptoms. The presence of ARI symptoms was significantly associated with the type of residence, wealth index, and father’s smoking frequency, which were considered the sample’s socio-demographic characteristics. In the final model, living in rural areas, having a high wealth index, the father’s smoking frequency, and a low education level were all linked to ARI symptoms.
Conclusions
The results revealed that households in rural areas had a substantially higher level of reported ARI symptoms among children under 5 years old. Furthermore, the father’s smoking frequency and low education level were associated with ARI symptoms.
Summary

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  • Factors Associated with Acute Respiratory Infections in Children Under Five Years Old: Analysis of the Demographic and Family Health Survey
    Diego A. Polo-Pucho, Javier J. Gonzales-Carrillo, Miguel A. Arce-Huamani
    Children.2025; 12(9): 1242.     CrossRef
  • Indoor air pollution exposure and acute respiratory infection among under-five children in low- and middle-income countries: a systematic review and meta-analysis of epidemiological studies
    Belay Desye, Abebe Kassa Geto, Chala Daba, Gete Berihun, Leykun Berhanu
    BMC Infectious Diseases.2025;[Epub]     CrossRef
Predisposing, Enabling, and Reinforcing Factors of COVID-19 Prevention Behavior in Indonesia: A Mixed-methods Study
Putri Winda Lestari, Lina Agestika, Gusti Kumala Dewi
J Prev Med Public Health. 2023;56(1):21-30.   Published online December 29, 2022
DOI: https://doi.org/10.3961/jpmph.22.340
  • 8,301 View
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AbstractAbstract PDF
Objectives
To prevent the spread of coronavirus disease 2019 (COVID-19), behaviors such as mask-wearing, social distancing, decreasing mobility, and avoiding crowds have been suggested, especially in high-risk countries such as Indonesia. Unfortunately, the level of compliance with those practices has been low. This study was conducted to determine the predisposing, enabling, and reinforcing factors of COVID-19 prevention behavior in Indonesia.
Methods
This cross-sectional study used a mixed-methods approach. The participants were 264 adults from 21 provinces in Indonesia recruited through convenience sampling. Data were collected using a Google Form and in-depth interviews. Statistical analysis included univariate, bivariate, and multivariate logistic regression. Furthermore, qualitative data analysis was done through content analysis and qualitative data management using Atlas.ti software.
Results
Overall, 44.32% of respondents were non-compliant with recommended COVID-19 prevention behaviors. In multivariate logistic regression analysis, low-to-medium education level, poor attitude, insufficient involvement of leaders, and insufficient regulation were also associated with decreased community compliance. Based on in-depth interviews with informants, the negligence of the Indonesian government in the initial stages of the COVID-19 pandemic may have contributed to the unpreparedness of the community to face the pandemic, as people were not aware of the importance of preventive practices.
Conclusions
Education level is not the only factor influencing community compliance with recommended COVID-19 prevention behaviors. Changing attitudes through health promotion to increase public awareness and encouraging voluntary community participation through active risk communication are necessary. Regulations and role leaders are also required to improve COVID-19 prevention behavior.
Summary
Prevalence and Predictors of Complementary Feeding Practices Among Children Aged 6-23 Months in Indonesia
Siti Nurokhmah, Lucinda Middleton, Aryono Hendarto
J Prev Med Public Health. 2022;55(6):549-558.   Published online October 12, 2022
DOI: https://doi.org/10.3961/jpmph.22.199
  • 10,571 View
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AbstractAbstract PDFSupplementary Material
Objectives
Poor complementary feeding practices have consistently contributed to the burden of child undernutrition in Indonesia. This study aimed to estimate the prevalence and predictors of the time of the introduction of solid, semi-solid, and soft foods (ISSSF), minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD).
Methods
We analyzed 4804 last-born infants aged 6-23 months from the 2017 Indonesia Demographic and Health Survey, which employed multistage cluster random sampling. The outcomes were calculated based on the 2021 World Health Organization/United Nations Children’s Fund guidelines. The predictors of the 4 complementary feeding indicators were assessed using multivariate Poisson regression with robust variance adjusting for potential confounders and study design.
Results
The prevalence of ISSSF, MDD, MMF, and MAD was 86.1%, 54.3%, 71.8%, and 37.6%, respectively, with younger children less likely to meet 3 out of the 4 outcomes. Parental education, the presence of a birth attendant, and maternal media consumption were among the predictors of MDD and MAD. Children from families with higher income were more likely to meet MDD than those from low-income households (adjusted prevalence ratio [aPR], 1.16; 95% confidence interval [CI], 1.05 to 1.28). Living in an urban area was positively associated with MMF (aPR, 1.09; 95% CI, 1.04 to 1.15) and MAD (aPR, 1.12; 95% CI 1.02 to 1.24). In eastern regions, the prevalence of children achieving MDD and MAD was lower than in those living in Java and Bali.
Conclusions
It is crucial that more attention and efforts are made to improve the recommended practices throughout Indonesia, since the prevalence of adequate complementary feeding practices remains low.
Summary

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    Yayuk Lestari, Novi Elian, ‎ Diego, Annisa Anindya, ‎ Rinaldi
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    Krongporn Ongprasert, Jakarin Chawachat, Jukkrit Wungrath, Wuttipat Kiratipaisarl
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    Sona Shrestha, Vishnu Khanal
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    Siti Nurokhmah, Judhiastuty Februhartanty, Mia Siscawati, Aryono Hendarto
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    Tadele Amente, Yohannes Kebede, Tefera Belachew
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    Surmita Surmita, Rini Sekartini, Aria Kekalih, Dian Novita Chandra
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    Naomi Shume, Sophie Ochola, Eunice Njogu
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    Iqlima Dwi Kurnia, Praba Diyan Rachmawati, Yuni Sufyanti Arief, Ilya Krisnana, Pratuma Rithpho, Hidayat Arifin
    Journal of Pediatric Nursing.2024; 78: 82.     CrossRef
Prevalence and Factors Affecting Discrimination Towards People Living With HIV/AIDS in Indonesia
Rimawati Aulia Insani Sadarang
J Prev Med Public Health. 2022;55(2):205-212.   Published online March 24, 2022
DOI: https://doi.org/10.3961/jpmph.21.502
  • 8,659 View
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AbstractAbstract PDF
Objectives
This study aimed to identify the behaviors associated with discrimination towards people living with HIV/AIDS (PLHA) in Indonesia and to determine the factors affecting discrimination.
Methods
Secondary data from the 2017 Indonesia Demographic and Health Survey were analyzed using a cross-sectional design. Discrimination was assessed based on the questions (1) “Should children infected with HIV/AIDS be allowed to attend school with non-infected children?” and (2) “Would you buy fresh vegetables from a farmer or shopkeeper known to be infected with HIV/AIDS?” Multivariable logistic regression was used to determine the factors affecting discrimination, with adjusted odds ratio (aOR) and 95% confidence interval (CIs) used to show the strength, direction, and significance of the associations among factors.
Results
In total, 68.9% of 21 838 individuals showed discrimination towards PLHA. The odds of discrimination were lower among women (aOR, 0.63; 95% CI, 0.55 to 0.71), rural dwellers (aOR, 0.81; 95% CI, 0.75 to 0.89), those who understood how HIV is transmitted from mother to child (aOR, 0.81; 95% CI, 0.73 to 0.89), and those who felt ashamed of their own family’s HIV status (aOR, 0.56; 95% CI, 0.52 to 0.61). The odds were higher among individuals who knew how to reduce the risk of getting HIV/AIDS (aOR, 1.27; 95% CI, 1.15 to 1.39), how HIV/AIDS is transmitted (aOR, 3.49; 95% CI, 3.09 to 3.95), and were willing to care for an infected relative (aOR, 2.78; 95% CI, 2.47 to 3.13). A model consisting of those variables explained 69% of the variance in discrimination.
Conclusions
Gender, residence, knowledge, and attitudes related to HIV/AIDS were explanatory factors for discrimination against PLHA. Improvements in HIV/AIDS education programs are needed to prevent discrimination.
Summary

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  • A sense of security in urban environments: discrimination, diversity and prospects for communication strategies
    Das’ad Latif, Sawedi Muhammad, Suryanto Arifin, Andi Nurlela, Hariashari Rahim, Andi Ahmad Hasan Tenriliweng, Hasanuddin, Bama Andika Putra
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    Yuqi Wang, Junjun Li, Shilian Shan
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    Ni Kadek Sudastri, Luh Putu Lila Wulandari, Pande Putu Januraga
    International Journal of Environmental Research and Public Health.2025; 22(6): 840.     CrossRef
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    Siyan Jia, Cen Yue, Lili Zhang, Li Liu, Maoling Yang, Yanqing Zhang, Jiaxin Liu, Min Luo, Jing Zhang, Xing Qu, Junmei Wu, Qin Jiang, Tingting Luo, Yan Zhang, Weixin Liu
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    Ziyi Xie, Zhizhuang Duan
    Labor History.2024; 65(5): 699.     CrossRef
  • HIV-related Perceptions, Knowledge, Professional Ethics, Institutional Support, and HIV/AIDS-related Stigma in Health Services in West Sumatra, Indonesia: An Empirical Evaluation Using PLS-SEM
    Vivi Triana, Nursyirwan Effendi, Brian Sri Pra Hastuti, Cimi Ilmiawati, Dodi Devianto, Afrizal Afrizal, Adang Bachtiar, Rima Semiarty, Raveinal Raveinal
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  • Determinants of HIV Stigma among Adolescents: A Comparative Analysis of 2007, 2012, and 2017 IDHS Data
    Shabrina Arifia Qatrannada, Zahroh Shaluhiyah, Cahya Tri Purnami, M.I. Kartasurya, J.-H. Han, K.-H. Tsai, S. Nursheena, S. Changrob, N. Lisnawati, A.F. Asna, N. Handayani, D.Z. Nuridzin
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  • A Peer-support Mini-counseling Model to Improve Treatment in HIV-positive Pregnant Women in Kupang City, East Nusa Tenggara, Indonesia
    Artha Camellia, Plamularsih Swandari, Gusni Rahma, Tuti Parwati Merati, I Made Bakta, Dyah Pradnyaparamita Duarsa
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Women’s Empowerment Facilitates Complete Immunization in Indonesian Children: A Cross-sectional Study
Gede Benny Setia Wirawan, Ni Luh Zallila Gustina, Putu Harrista Indra Pramana, Made Yuliantari Dwi Astiti, Jovvita Jonathan, Fitriana Melinda, Teo Wijaya
J Prev Med Public Health. 2022;55(2):193-204.   Published online March 8, 2022
DOI: https://doi.org/10.3961/jpmph.21.592
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AbstractAbstract PDF
Objectives
The primary objective of this study was to examine the effect of women’s empowerment on the immunization of Indonesian children. The secondary objective was to examine the effect of wealth as a factor modifying this association.
Methods
We utilized data from the 2017 Indonesian Demographic and Health Survey (IDHS). The subjects were married women with children aged 12-23 months (n=3532). Complete immunization was defined using the 2017 IDHS definition. Multiple components of women’s empowerment were measured: enabling resources, decision-making involvement, and attitude toward intimate partner violence. The primary analysis was conducted using binomial logistic regression. Model 1 represented only the indicators of women’s empowerment and model 2 controlled for socio-demographic variables. Subgroup analyses were conducted for each wealth group.
Results
The primary analysis using model 1 identified several empowerment indicators that facilitated complete immunization. The analysis using model 2 found that maternal education and involvement in decision-making processes facilitated complete immunization in children. Subgroup analyses identified that wealth had a modifying effect. The indicators of women’s empowerment were strong determinants of complete immunization in lower wealth quintiles but insignificant in middle-income and higher-income quintiles.
Conclusions
To our knowledge, this study is the first to explore women’s empowerment as a determinant of child immunization in Indonesia. The results indicate that women’s empowerment must be considered in Indonesia’s child immunization program. Women’s empowerment was not found to be a determinant in higher wealth quintiles, which led us to rethink the conceptual framework of the effect of women’s empowerment on health outcomes.
Summary

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    Aisya Athifa, Yasmin Mohamed, Isabella Overmars, Margie Danchin, Jessica Kaufman
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Determinants of Optimal Breastfeeding Practices in Indonesia: Findings From the 2017 Indonesia Demographic Health Survey
Siti Nurokhmah, Setyaningrum Rahmawaty, Dyah Intan Puspitasari
J Prev Med Public Health. 2022;55(2):182-192.   Published online February 23, 2022
DOI: https://doi.org/10.3961/jpmph.21.448
  • 9,732 View
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AbstractAbstract PDFSupplementary Material
Objectives
Understanding the factors influencing mothers’ decision to breastfeed their infants is essential to formulate effective breastfeeding interventions. This study explored the determinants of optimal breastfeeding indicators in Indonesia.
Methods
We used the 2017 Indonesia Demographic and Health Survey to analyze factors associated with early initiation of breastfeeding, exclusive breastfeeding (EBF), and continued breastfeeding at 1 year (CBF-1) and 2 years (CBF-2). Multivariate logistic regression models were used to examine bio-demographic, socio-cultural, and behavioral characteristics associated with breastfeeding after considering the survey design effect.
Results
The risk of delayed breastfeeding initiation was higher among infants who were born smaller, first-born children, were delivered via cesarean delivery, and did not have immediate skin-to-skin contact (p<0.01). Infant’s age, birth pattern, household wealth index, and the mother’s occupation and smoking status were predictors of EBF (p<0.05). CBF-1 was less common among first-time mothers and those working in the non-agricultural sector, mothers from wealthier families, and mothers who had cesarean deliveries (p<0.01). Infant’s age was negatively associated with CBF-2 (adjusted odds ratio [aOR], 0.85; 95% confidence interval [CI], 0.74 to 0.99). Mothers attending college were less likely to practice CBF-2 than those with no education or primary education (aOR, 0.45; 95% CI, 0.26 to 0.77). The absence of postnatal visits was a risk factor for CBF-1 and CBF-2 (p<0.05).
Conclusions
Breastfeeding interventions in Indonesia should pay particular attention to at-risk groups such as women from wealthier families, working outside the agricultural sector, and with a higher education level. Nutrition-sensitive programs (e.g., postnatal care and smoking cessation) should also be encouraged.
Summary

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    Isyatun Mardhiyah Syahri, Agung Dwi Laksono, Maya Fitria, Nikmatur Rohmah, Masruroh Masruroh, Mara Ipa
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The Determinants of Undiagnosed Hypertension Among Indonesian Adults: A Cross-sectional Study Based on the 2014-2015 Indonesia Family Life Survey
Yeni Mahwati, Dieta Nurrika, Kamaluddin Latief
J Prev Med Public Health. 2022;55(1):60-67.   Published online January 6, 2022
DOI: https://doi.org/10.3961/jpmph.21.500
  • 8,593 View
  • 340 Download
  • 14 Web of Science
  • 14 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
This study investigated the determinants of undiagnosed hypertension among Indonesian adults.
Methods
This study involved an analysis of secondary data from the 2014 Indonesia Family Life Survey (IFLS) on 5914 Indonesian adults (≥40 years). The determinant variables examined in this cross-sectional study were education level, monthly per capita expenditures (PCE), whether the participant experienced headaches in the morning, and other general health variables. The outcome variable was undiagnosed hypertension, which was defined as participants with hypertension who had not received a hypertension diagnosis from a health professional and had never been prescribed medication for treating hypertension. The data were analyzed using logistic regression.
Results
A total of 3322 participants (56.2%) were found to have undiagnosed hypertension. The odds ratios (ORs) and 95% confidence intervals (CIs) of undiagnosed hypertension were significantly higher among those who completed primary school or lower (OR, 1.60; 95% CI, 1.29 to 1.98), had low monthly PCE (OR, 1.28; 95% CI, 1.13 to 1.43), did not report experiencing headaches in the morning (OR, 1.97; 95% CI, 1.76 to 2.21), and reported a general health status of healthy (OR, 2.05; 95% CI, 1.82 to 2.30) than those who had a higher education level, had high monthly PCE, experienced headaches in the morning, and were unhealthy.
Conclusions
Education level, monthly PCE, the experience of headaches in the morning, and general health status were associated with undiagnosed hypertension. The monitoring system for detecting undiagnosed hypertension cases must be strengthened. Health promotion is also necessary to reduce the prevalence of undiagnosed hypertension.
Summary

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Determinants of Depression in Indonesian Youth: Findings From a Community-based Survey
Indri Yunita Suryaputri, Rofingatul Mubasyiroh, Sri Idaiani, Lely Indrawati
J Prev Med Public Health. 2022;55(1):88-97.   Published online December 28, 2021
DOI: https://doi.org/10.3961/jpmph.21.113
  • 14,706 View
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  • 13 Web of Science
  • 22 Crossref
AbstractAbstract PDF
Objectives
This study investigated the determinants of depression in adolescents and young adults.
Methods
The present study analyzed data from the 2018 Indonesia Basic Health Survey (Riset Kesehatan Dasar; RISKESDAS). The study subjects were adolescents (15-17 years old) and young adults (18-24 years old). In total, 64 179 subjects were included. Univariable, bivariable, and multivariable logistic regression analyses were performed to determine associations between youths’ characteristics, risky behavior, chronic disease, parents’ health, and youths’ depression.
Results
The prevalence of depression was 5.1% in adolescents and 5.6% in young adults. The risk factors for depression in adolescents were being women (adjusted odds ratio [aOR], 3.53; 95% confidence interval [CI], 2.89 to 4.30; p<0.001), an ex-smoker (aOR, 2.99; 95% CI, 2.10 to 4.25; p<0.001), or a current smoker (aOR, 2.60; 95% CI, 1.97 to 3.44; p<0.001); consuming alcohol (aOR, 2.00; 95% CI, 1.33 to 3.01; p=0.001), having a chronic disease (aOR, 2.64; 95% CI, 1.41 to 4.96; p=0.002); maternal depression (aOR, 2.47; 95% CI, 1.97 to 3.09; p<0.001); and paternal depression (aOR, 2.63; 95% CI, 1.98 to 3.50; p<0.001). In young adults, the risk factors were being women (aOR, 2.23; 95% CI, 1.82 to 2.75; p<0.001) or an ex-smoker (aOR, 2.47; 95% CI, 1.67 to 3.67; p<0.001), consuming alcohol (aOR, 2.42; 95% CI, 1.89 to 3.09; p<0.001), maternal depression (aOR, 3.12; 95% CI, 2.54 to 3.84; p<0.001), and paternal depression (aOR, 2.80; 95% CI, 2.17 to 3.63; p<0.001).
Conclusions
Being women, smoking, drinking alcohol, having a chronic disease, and having a parent with depression were crucial factors associated with youth depression. Mental health screening, prevention, and treatment should involve collaboration among primary healthcare, schools, universities, professionals, and families.
Summary

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Associations Between Parental Depression and Early Childhood Development in Indonesia: A Cross-sectional Study
Ika Saptarini, Anissa Rizkianti, Prisca Petty Arfines, Suparmi , Iram Barida Maisya
J Prev Med Public Health. 2021;54(6):451-460.   Published online November 10, 2021
DOI: https://doi.org/10.3961/jpmph.21.158
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AbstractAbstract PDFSupplementary Material
Objectives
This study aimed to determine the associations between parental depression and early childhood development among children aged 36 months to 59 months in Indonesia.
Methods
From Indonesia’s Basic Health Survey (RISKESDAS) 2018, this study included 6433 children aged 36 months to 59 months and their parents. Maternal and paternal depression was examined using the Mini International Neuropsychiatric Interview survey instrument, which was previously translated into Indonesian. The study also used the Early Child Development Index to measure child development and its 4 domains (cognitive, physical, socio-emotional, and learning). Multivariate logistic regression analysis was performed to determine the association between parental depression and early childhood development.
Results
Overall, 10.3% of children aged 36 months to 59 months were off-track for development. After adjusting for biological, parental, and social characteristics, children born to parents with depression were found to be 4.72 times more likely to be off-track for development (95% confidence interval, 1.83 to 12.15).
Conclusions
Children of depressed parents were more likely to be off-track for development. The findings highlight the need for early diagnosis and timely intervention for parental depression to promote early childhood development.
Summary

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    Revista Latino-Americana de Enfermagem.2025;[Epub]     CrossRef
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    Revista Latino-Americana de Enfermagem.2025;[Epub]     CrossRef
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    Jeniffer Stephanie Marques Hilário, Letícia Pancieri, Regina Aparecida Garcia de Lima, Elsa Maria Oliveira Pinheiro de Melo, Débora Falleiros de Mello
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The Effect of the Physical Factors of Parents and Children on Stunting at Birth Among Newborns in Indonesia
Kencana Sari, Ratu Ayu Dewi Sartika
J Prev Med Public Health. 2021;54(5):309-316.   Published online August 29, 2021
DOI: https://doi.org/10.3961/jpmph.21.120
  • 14,386 View
  • 671 Download
  • 17 Web of Science
  • 28 Crossref
AbstractAbstract PDF
Objectives
This study examined stunting at birth and its associations with physical factors of parents and children in Indonesia.
Methods
This study analyzed secondary data from the national cross-sectional Indonesian Basic Health Survey 2018, conducted across 34 provinces and 514 districts/cities. Birth length data were available for 756 newborns. Univariable, bivariable, and multivariable logistic regression analyses were performed to determine associations between the physical factors of parents and children and stunting at birth.
Results
In total, 10.2% of children aged 0 months were stunted at birth (10.7% of males and 9.5% of females). Stunting at birth was associated with the mother’s age at first pregnancy, parity, parents’ heights, parents’ ages, and gestational age. Children from mothers with short statures (height <145.0 cm) and fathers with short statures (height <161.9 cm) had an almost 6 times higher likelihood of being stunted at birth (adjusted odds ratio, 5.93; 95% confidence interval, 5.53 to 6.36). A higher maternal age at first pregnancy had a protective effect against stunting. However, other variables (firstborn child, preterm birth, and both parents’ ages being <20 or >35 years) corresponded to a 2-fold higher likelihood of stunting at birth compared to the reference.
Conclusions
These findings provide evidence that interventions to reduce stunting aimed at pregnant females should also consider the parents’ stature, age, and parity, particularly if it is the first pregnancy and if the parents are short in stature or young. Robust programs to support pregnant females and monitor children’s heights from birth will help prevent intergenerational stunting.
Summary

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    Devi Azriani, Masita, Nabila Salma Qinthara, Intan Nurma Yulita, Dwi Agustian, Yenni Zuhairini, Meita Dhamayanti
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    Haileyesus Ejigu, Zelalem Tafese
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    Via Eliadora Togatorop, Laili Rahayuwati, Raini Diah Susanti
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    Ilham Rahmanto, Husnul Khatimah, Laila Hidayah Santoso, Nabilah Apsari Devitri, Airinda Gustika Ningrum, Allfatiana Suci Andriani, Arbiyan Syayid Nurdin, Enina Patricia, Hanif Nur Setyawan, Syahrani Meutia Tifanny
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    Mira Triharini, Monica Octa Alfiana, Naurah Syafiqah Larasati , Sharfina Az-Zahrin Hakim , Puti Hanalya Rengganis
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  • Faktor Determinan Panjang Badan Bayi Lahir Pendek sebagai Faktor Risiko Stunting di Jawa Barat
    Judiono Judiono, Witri Priawantiputri, Noormarina Indraswari, Mutiara Widawati, Mara Ipa, Ginna Megawati, Heni Prasetyowati, Dewi Marhaeni
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  • Risk Factors Related to Stunting
    Tri Anugrah Oktaviani, Linda Suwarni, Selviana Selviana
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  • Determinants of Incident Stunting in Elementary School Children in Endemic Area Iodine Deficiency Disorders Enrekang Regency
    Nur Abri, Saifuddin Sirajuddin, Burhanuddin Bahar, Nurhaedar Jafar, Syamsiar S. Russeng, Zakaria Zakaria, Veni Hadju, Abdul Salam, Abdul Razak Thaha
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    Maya Utami Widhianti, Listiyani Eka Tyastuti, Meika Rahmawati Arifah, Karima Rizqi Alviani, Hagnyonowati
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Tobacco Control Stakeholder Perspectives on the Future of Tobacco Marketing Regulation in Indonesia: A Modified Delphi Study
Putu Ayu Swandewi Astuti, Mary Assunta, Becky Freeman
J Prev Med Public Health. 2021;54(5):330-339.   Published online August 26, 2021
DOI: https://doi.org/10.3961/jpmph.21.181
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AbstractAbstract PDFSupplementary Material
Objectives
Tobacco control in Indonesia is very lenient compared to international standards. This study explored the perspectives of tobacco control stakeholders (TCSs) on the likelihood of advancing tobacco marketing regulation in Indonesia.
Methods
Data were collected from TCSs who were members of the Indonesia Tobacco Control Network group in a modified Delphi study. We collected the data in 2 waves using a questionnaire that comprised a set of closed and open-ended questions. For this paper, we analysed 2 of the 3 sections of the questionnaire: (1) tobacco advertising, promotions, and sponsorship (TAPS) bans, and (2) marketing and retailing regulations. We conducted a descriptive analysis of the scores using Stata/IC.13 and summarised the comments for each item.
Results
The TCSs viewed the measures/strategies across all aspects of TAPS and tobacco marketing regulation as highly desirable, but provided varied responses on their feasibility. They rated political feasibility lower than technical feasibility for most measures. Advancing TAPS measures and prohibition of selling to minors were considered more attainable by sub-national governments, while prohibition of tobacco corporate social responsibility was considered as the least feasible measure in the next 5 years.
Conclusions
Despite little optimism for substantial national-level change, there is a positive expectation that sub-national governments will strengthen their tobacco control regulation. It is paramount that the government reduce tobacco industry leverage by implementing Article 5.3 of the World Health Organization Framework Convention on Tobacco Control. Extending advocacy networks beyond tobacco control groups and framing tobacco control more effectively are necessary steps.
Summary

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COVID-19: Original Article
Factors Affecting Public Non-compliance With Large-scale Social Restrictions to Control COVID-19 Transmission in Greater Jakarta, Indonesia
Bunga Christitha Rosha, Indri Yunita Suryaputri, Irlina Raswanti Irawan, Prisca Petty Arfines, Agus Triwinarto
J Prev Med Public Health. 2021;54(4):221-229.   Published online June 24, 2021
DOI: https://doi.org/10.3961/jpmph.21.101
  • 10,830 View
  • 448 Download
  • 14 Web of Science
  • 12 Crossref
AbstractAbstract PDF
Objectives
The Indonesian government issued large-scale social restrictions (called Pembatasan Sosial Berskala Besar, or PSBB) at the beginning of the coronavirus disease 2019 (COVID-19) pandemic to control the spread of COVID-19 in Jakarta, Bogor, Depok, Tangerang, and Bekasi (Greater Jakarta). Public compliance poses a challenge when implementing large-scale social restrictions, and various factors have contributed to public non-compliance with the regulation. This study aimed to determine the degree of non-compliance and identify the factors that contributed to public non-compliance with the PSBB in Greater Jakarta, Indonesia.
Methods
This was a quantitative study with a cross-sectional design. A total of 839 residents of Greater Jakarta participated in this study. Data were collected online using a Google Form, and convenience sampling was undertaken. Univariate and multivariate analyses were performed to explore the relationships between public non-compliance with the PSBB regulation and socio-demographic variables, respondents’ opinion of the PSBB, and social capital.
Results
A total of 22.6% of subjects reported participating in activities that did not comply with the PSBB. The variables that most affected non-compliance with the PSBB were age, gender, income, opinion of the PSBB, and social capital.
Conclusions
Strengthening social capital and providing information about COVID-19 prevention measures, such as washing one’s hands with soap, wearing masks properly, and maintaining social distancing, is essential. Robust public understanding will foster trust and cooperation with regard to COVID-19 prevention efforts and provide a basis for mutual agreement regarding rules/penalties.
Summary

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    Hyelim Shin, Taesik Lee
    European Journal of Operational Research.2025; 322(3): 949.     CrossRef
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    Irwin Hecker, Solène Wallez, Honor Scarlett, José Luis Ayuso-Mateos, Richard Bryant, Giulia Caggiu, Claudia Conflitti, Katalin Gémes, Josep Maria Haro, Vincent Lorant, Roberto Mediavilla, Ellenor Mittendorfer-Rutz, Anna Monistrol-Mula, Matteo Monzio Compa
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    Alberto Arletti, Alessandro Candiracci, Paolo Francesco Cottone
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    Muhammad Abdullah, Nazam Ali, Muhammad Ashraf Javid, Charitha Dias, Syed Arif Hussain Shah
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Original Articles
Factors Associated With Quitting Smoking in Indonesia
Rimawati Aulia Insani Sadarang
J Prev Med Public Health. 2021;54(2):137-144.   Published online March 8, 2021
DOI: https://doi.org/10.3961/jpmph.20.293
  • 9,943 View
  • 298 Download
  • 4 Web of Science
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AbstractAbstract PDF
Objectives
The aim of this study was to identify factors associated with quitting smoking in Indonesia
Methods
Data on 11 115 individuals from the fifth wave of the Indonesia Family Life Survey were analyzed. Quitting smoking was the main outcome, defined as smoking status based on the answer to the question “do you still habitually (smoke cigarettes/smoke a pipe/use chewing tobacco) or have you totally quit?” Logistic regression was performed to identify factors associated with successful attempts to quit smoking.
Results
The prevalence of quitting smoking was 12.3%. The odds of successfully quitting smoking were higher among smokers who were female (adjusted odds ratio [aOR], 2.69; 95% confidence interval [CI], 2.08 to 3.33), were divorced (aOR, 2.45; 95% CI, 1.82 to 3.29), did not chew tobacco (aOR, 3.01; 95% CI, 1.79 to 5.08), found it difficult to sacrifice smoking at other times than in the morning (aOR, 1.29; 95% CI, 1.14 to 1.46), and not smoke when sick (aOR, 1.32; 95% CI, 1.14 to 1.54). About 59% of variance in successful attempts to quit smoking could be explained using a model consisting of those variables.
Conclusions
Female sex, being divorced, not chewing tobacco, and nicotine dependence increased the odds of quitting smoking and were associated with quitting smoking successfully. Regular and integrated attempts to quit smoking based on individuals’ internal characteristics, tobacco use activity, and smoking behavior are needed to quit smoking.
Summary

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    Ayuning Tyas, Retnaningsih Retnaningsih
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    Omid Dadras
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    Diyan Ermawan Effendi, Irfan Ardani, Sri Handayani, Rozana Ika Agustiya, Arief Priyo Nugroho, Oktriyanto Oktriyanto, Astridya Paramita, Deasy Febriyanty, Risqa Novita, Aris Yulianto
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    Thi Ngoc Phuong Nguyen, Jesper Love, Monica Hunsberger, Thi Phuong Thao Tran, Thuy Linh Nguyen, Thi Hai Phan, Ngoc Khue Luong, Van Minh Hoang, Nawi Ng
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    Nur Raihan Ismail, Hafizuddin Awang, Nurul Jannah A Rahman, Arfizah Ahmad Daud, Mohd Fariz Zulrushdi, Azmi Zainuddin, Mohd Anuar Abd Rahman, Kasemani Embong
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Birth Patterns and Delayed Breastfeeding Initiation in Indonesia
Tika Dwi Tama, Erni Astutik, Septa Katmawanti, Jauhari Oka Reuwpassa
J Prev Med Public Health. 2020;53(6):465-475.   Published online October 26, 2020
DOI: https://doi.org/10.3961/jpmph.20.212
  • 9,772 View
  • 205 Download
  • 5 Crossref
AbstractAbstract PDF
Objectives
This study was conducted to examine the association between birth patterns (defined in terms of birth order and interval) with delayed breastfeeding initiation in Indonesia. Methods: A cross-sectional study was carried out using data from the Indonesian Demographic and Health Survey 2017. The weighted number of respondents was 5693 women aged 15-49 years whose youngest living child was less than 2 years old. Multivariable logistic regression was conducted to evaluate associations between birth patterns and delayed breastfeeding initiation after adjusting for other covariates. Results: This study found that 40.2% of newborns in Indonesia did not receive timely breastfeeding initiation. Birth patterns were significantly associated with delayed breastfeeding initiation. Firstborn children had 77% higher odds of experiencing delayed breastfeeding initiation (adjusted odds ratio, 1.77; 95% confidence interval, 1.02 to 3.04; p<0.05) than children with a birth order of 4 or higher and a birth interval ≤ 2 years after adjusting for other variables. Conclusions: Firstborn children had higher odds of experiencing delayed breastfeeding initiation. Steps to provide a robust support system for mothers, especially first-time mothers, such as sufficient access to breastfeeding information, support from family and healthcare providers, and national policy enforcement, will be effective strategies to ensure better practices regarding breastfeeding initiation.
Summary

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Sexual Intercourse and Its Correlates Among School-aged Adolescents in Indonesia: Analysis of the 2015 Global School-based Health Survey
Anissa Rizkianti, Iram Barida Maisya, Nunik Kusumawardani, Christine Linhart, Jerico Franciscus Pardosi
J Prev Med Public Health. 2020;53(5):323-331.   Published online August 7, 2020
DOI: https://doi.org/10.3961/jpmph.20.028
  • 19,481 View
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  • 10 Crossref
AbstractAbstract PDF
Objectives
This study aimed to determine the prevalence and correlates of sexual intercourse among junior secondary and high school students in Indonesia from the 2015 Global School-based Health Survey (GSHS).
Methods
The survey was conducted among 11 110 students from 75 schools in Indonesia using a self-administered questionnaire. Univariate and multivariate analyses were conducted to explore associations between sexual intercourse and socio-demographic variables, substance use, mental distress, and protective factors.
Results
Overall, 5.3% of students reported having ever had sex (6.9% of boys and 3.8% of girls). Of students who engaged in sexual intercourse, 72.7% of boys and 90.3% of girls had an early sexual debut (before reaching the age of 15) and around 60% had multiple sex partners. Sexual intercourse was associated with gender, school grade, smoking, alcohol consumption, drug use, suicidal ideation, truancy, peer support, and parental supervision.
Conclusions
These findings indicate a pressing need to develop more comprehensive sexual health education in the national curriculum. An effective strategy should also address other risky behaviours.
Summary

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    Ange Maïn-ndeiang Laoungang, André Wamba
    Sexuality & Culture.2026;[Epub]     CrossRef
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    Ayu Ashari, Bagoes Widjanarko, Zahroh Shaluhiyah, Ani Margawati
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    Tope Michael Ipinnimo, Olalekan Oladipupo Rosiji, Olumide Temitope Asake, Oluwafunmilayo Oluwadamilola Ibikunle, Motunrayo Temidayo Ipinnimo, Toluwalope Motunrayo Asake
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    Sidikiba Sidibé, Djiba Diakité, Salifou Bangoura, Facely Camara, Mory 1 Kourouma, Hadja Camara, Lancinè Dramé, Ansoumane Sidibé, Abdoulaye Diallo, Abdoulaye Sow, Alexandre Delamou, Seni Kouanda
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    Rahmi Lubis, Zahrotur R. Hinduan, Ratna Jatnika, Baydhowi Baydhowi, Hendriati Agustiani
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    Joohee Shim, Jihyun Baek, Seungwoo Han
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    Şahika ŞİMŞEK ÇETİNKAYA, Esra DEMİRARSLAN
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COVID-19: Original Article
Forecasting COVID-19 Transmission and Healthcare Capacity in Bali, Indonesia
I Md Ady Wirawan, Pande Putu Januraga
J Prev Med Public Health. 2020;53(3):158-163.   Published online April 29, 2020
DOI: https://doi.org/10.3961/jpmph.20.152
  • 13,039 View
  • 338 Download
  • 15 Crossref
AbstractAbstract PDF
Objectives
In the current early phase of the coronavirus disease 2019 (COVID-19) outbreak, Bali needs to prepare to face the escalation of cases, with a particular focus on the readiness of healthcare services. We simulated the future trajectory of the epidemic under current conditions, projected the impact of policy interventions, and analyzed the implications for healthcare capacity.
Methods
Our study was based on the first month of publicly accessible data on new confirmed daily cases. A susceptible, exposed, infected, recovered (SEIR) model for COVID-19 was employed to compare the current dynamics of the disease with those predicted under various scenarios.
Results
The fitted model for the cumulative number of confirmed cases in Bali indicated an effective reproduction number of 1.4. Interventions have decreased the possible maximum number of cases from 71 125 on day 86 to 22 340 on day 119, and have prolonged the doubling time from about 9 days to 21 days. This corresponds to an approximately 30% reduction in transmissions from cases of mild infections. There will be 2780 available hospital beds, and at the peak (on day 132), the number of severe cases is estimated to be roughly 6105. Of these cases, 1831 will need intensive care unit (ICU) beds, whereas the number of currently available ICU beds is roughly 446.
Conclusions
The healthcare system in Bali is in danger of collapse; thus, serious efforts are needed to improve COVID-19 interventions and to prepare the healthcare system in Bali to the greatest extent possible.
Summary

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Original Articles
Verification of the Reliability and Validity of the Short Form 36 Scale in Indonesian Middle-aged and Older Adults
Novita Intan Arovah, Kristiann C. Heesch
J Prev Med Public Health. 2020;53(3):180-188.   Published online April 14, 2020
DOI: https://doi.org/10.3961/jpmph.19.324
  • 14,228 View
  • 316 Download
  • 13 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
The Short Form 36 (SF-36) questionnaire is increasingly being used to measure health-related quality of life (HRQoL) in Indonesia. However, evidence that it is valid for use in Indonesian adults is lacking. This study assessed the validity and reliability of the SF-36 in Indonesian middle-aged and older adults.
Methods
Adults aged 46-81 years (n=206) in Yogyakarta, Indonesia completed the SF-36, another measure of HRQoL (the EuroQoL visual analogue scale [EQ-VAS]), and measures assessing their demographic characteristics. Fifty-four percent (n=121) completed the SF-36 measure again 1 week later. Confirmatory factor analysis was conducted to confirm the factor structure of the SF-36. Internal consistency reliability was estimated using Cronbach’s alpha, and test-retest reliability was assessed using intraclass correlations. Convergent and discriminant validity were assessed by computing correlations among SF-36 subscales, between subscales and the 2 component scores, and between component scores and EQ-VAS scores.
Results
Most scaling assumptions were met. The hypothetical factor structure fit the data poorly (root mean square error of approximation [RMSEA]=0.108) and modification was required for a good fit (RMSEA=0.060). Scores on all subscales demonstrated acceptable internal consistency (α>0.70) and test-retest reliability (r>0.70). Divergent validity was supported by weak to moderate interscale correlations (r=0.19 to 0.64). As expected, the 2 summary scores were moderately to strongly correlated with the EQ-VAS (r>0.60).
Conclusions
The findings adequately support the use of SF-36 in Indonesian middle-aged and older adults, although the optimal algorithm for computing component scores in Indonesia warrants further investigation.
Summary

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Role of Information and Communication Technology and Women’s Empowerment in Contraceptive Discontinuation in Indonesia
Omas Bulan Samosir, Ayke Soraya Kiting, Flora Aninditya
J Prev Med Public Health. 2020;53(2):117-125.   Published online February 12, 2020
DOI: https://doi.org/10.3961/jpmph.19.300
  • 8,443 View
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  • 10 Crossref
AbstractAbstract PDF
Objectives
This study investigated the role of information and communication technology and women’s empowerment in contraceptive discontinuation in Indonesia.
Methods
The study used data from the 2017 Indonesia Demographic and Health Survey and monthly contraceptive calendar data. A Gompertz proportional hazards model was used for analysis.
Results
The 12-month contraceptive discontinuation rate was higher among women who had used the Internet in the past year, women who were mobile phone owners, and women who reported having fully participated in household decision-making than among their counterparts. These factors significantly impacted the risk of contraceptive discontinuation in Indonesia, even after controlling for contraceptive method, age, parity, contraceptive intent, education, work status, place of residence, and wealth status.
Conclusions
After adjustment for the control variables, a higher risk of contraceptive discontinuation was associated with having used the Internet in the past year, owning a mobile phone, and not participating in household decision-making. Higher contraceptive discontinuation risk was also associated with using contraceptive pills, older age, lower parity, intent of spacing births, more education, current unemployment, and rural residence, and the risk was also significantly higher for those in the lowest household wealth quintile than for those in the fourth household wealth quintile. The association of contraceptive discontinuation with the use of modern information and communication technology and relatively disempowerment in household decision-making may imply that information regarding family planning and contraception should be conveyed via social media as part of setting up an eHealth system. This must include a strong communication strategy to empower and educate women in contraceptive decision-making.
Summary

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Brief Report
Monitoring Compliance and Examining Challenges of a Smoke-free Policy in Jayapura, Indonesia
Wahyuti Wahyuti, Suci Hasairin, Sherly Mamoribo, Abdillah Ahsan, Dian Kusuma
J Prev Med Public Health. 2019;52(6):427-432.   Published online November 22, 2019
DOI: https://doi.org/10.3961/jpmph.19.240
  • 9,935 View
  • 172 Download
  • 16 Crossref
AbstractAbstract PDF
Background
In Indonesia, 61 million adults smoked in 2018 and 59 million were exposed to secondhand smoke at offices or restaurants in 2011. The Presidential Decree 109/2012 encouraged local governments to implement smoke-free policy (SFP) with Jayapura city enacted a local bill (1/2015) in 2015. Objective: This study aims to evaluate the compliance and explore the challenges in implementing. Methods: We conducted a mixed-methods study. The quantitative method assessed the compliance to six criteria (as per the bill) including having signage, no smoking activity, no selling, no advertisement, no smoke, and no ashtray at SFP facilities. We surveyed 192 facilities including health facilities, educational facilities, places of worship, government offices, and indoor/outdoor public facilities. The qualitative method explored challenges in implementing through by interviewing 19 informants (government officers, students and community). Results: The compliance rate to all six criteria was 17% overall, ranging from 0% at outdoor public facilities to 50% at health facilities. We found no spatial patterning as shown by similar compliance rates between SFP facilities within and outside of 1-kilometer around the provincial and city health offices. Implementation challenges included (a) limited budget for enforcement, (b) lack of support from local non-government organizations and universities, (c) lack of public awareness at facilities, and (c) lack of examples from local leaders. Conclusion: The overall compliance was low in Jayapura city due to many challenges. This provides lessons learnt for tobacco control policy in the areas that are least developed and farthest from the central government.
Summary

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Original Articles
Perceptions of Contraception and Patterns of Switching Contraceptive Methods Among Family-planning Acceptors in West Nusa Tenggara, Indonesia
Yuli Amran, Narila Mutia Nasir, Dini Dachlia, Fitra Yelda, Budi Utomo, Iwan Ariawan, Rita Damayanti
J Prev Med Public Health. 2019;52(4):258-264.   Published online July 19, 2019
DOI: https://doi.org/10.3961/jpmph.18.198
  • 10,220 View
  • 365 Download
  • 11 Crossref
AbstractAbstract PDF
Objectives
The perceptions of family-planning (FP) acceptors regarding contraception influence the reasons for which they choose to switch their method of contraception. The objective of this study was to analyze the perceptions of contraception and rationales for switching contraceptive methods among female FP acceptors in West Nusa Tenggara, Indonesia.
Methods
This study involved the analysis of secondary data from the Improve Contraceptive Method Mix study, which was conducted in 2013 by the Center for Health Research, University of Indonesia. The design of the study was cross-sectional. We performed 3 stages of sampling using the cluster technique and selected 4819 women who were FP acceptors in West Nusa Tenggara Province, Indonesia as the subjects of this study. The data were analyzed using multiple logistic regression.
Results
The predominant pattern of switching contraceptive methods was switching from one non-long-term method of contraception to another. Only 31.0% of the acceptors reported a rational pattern of switching contraceptive methods given their age, number of children, and FP motivations. Perceptions of the side effects of contraceptive methods, the ease of contraceptive use, and the cost of the contraceptives were significantly associated (at the level of α=0.05) with rational patterns of switching contraceptive methods.
Conclusions
Perceptions among FP-accepting women were found to play an important role in their patterns of switching contraceptive methods. Hence, fostering a better understanding of contraception through high-quality counseling is needed to improve perceptions and thereby to encourage rational, effective, and efficient contraceptive use.
Summary

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Self-efficacy to Engage in Physical Activity and Overcome Barriers, Sedentary Behavior, and Their Relation to Body Mass Index Among Elderly Indonesians With Diabetes
Qonita Rachmah, Stefania Widya Setyaningtyas, Mahmud Aditya Rifqi, Diah Indriani, Triska Susila Nindya, Hario Megatsari, Trias Mahmudiono, Wantanee Kriengsinyos
J Prev Med Public Health. 2019;52(4):242-249.   Published online July 2, 2019
DOI: https://doi.org/10.3961/jpmph.19.003
  • 10,877 View
  • 293 Download
  • 15 Crossref
AbstractAbstract PDF
Objectives
Elderly individuals with diabetes should maintain a normal body mass index (BMI) to help control their blood glucose levels. This study investigated barriers to physical activity (PA), self-efficacy to overcome those barriers, and PA self-efficacy among elderly individuals with diabetes in relation to BMI.
Methods
This cross-sectional study included 56 participants. Data were collected by a questionnaire interview and direct measurements for anthropometric data. PA self-efficacy was measured using 8 questions describing different levels of PA, where participants rated the strength of their belief that they could engage in that activity. Self-efficacy to overcome barriers was measured using 10 questions capturing participants’ confidence in their ability to engage in PA despite different possible barriers. Mean scores for these parameters were analyzed using the chi-square test and the independent t-test.
Results
In total, 89.3% of participants had a low PA level and 58.9% had more than 3 hours of sedentary activity per day. Furthermore, 55.4% were obese and 14.3% were overweight. The mean scores for PA self-efficacy and self-efficacy to overcome barriers were 59.1± 26.4 and 52.5±13.8, respectively. PA level was related to BMI (p<0.001; r=0.116) and sedentary activity (p<0.05; r=0.274). PA self-efficacy and age were not related to BMI. Barriers to PA were associated with PA levels (p<0.05).
Conclusions
Physical inactivity was a major problem in elderly individuals with diabetes, and was correlated with higher BMI. Lower levels of PA might be mediated by sedentary activity.
Summary

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The Effects of Socio-demographic Characteristics on Indonesian Women’s Knowledge of HIV/AIDS: A Cross-sectional Study
Putu Erma Pradnyani, Arief Wibowo, Mahmudah
J Prev Med Public Health. 2019;52(2):109-114.   Published online February 28, 2019
DOI: https://doi.org/10.3961/jpmph.18.256
  • 9,423 View
  • 275 Download
  • 14 Crossref
AbstractAbstract PDF
Objectives
The purpose of this study was to characterize Indonesian women’s knowledge of HIV/AIDS and to investigate the effects of socio-demographic characteristics thereupon with the goal of supporting the prevention and early detection of HIV/AIDS.
Methods
This cross-sectional study was conducted using secondary data from the standard Indonesian Demographic and Health Survey (IDHS) in 2012. A total of 34 984 subjects ranged in age from 15 years to 49 years. Data were analyzed using the chi-square test and logistic regression to identify the effects of socio-demographic characteristics on Indonesian women’s knowledge of HIV/AIDS.
Results
All socio-demographic characteristics except marital status were related to knowledge of HIV/AIDS among Indonesian women in the univariate analysis (p<0.05). Multivariate analysis revealed that only age group, education level, location of residence, and wealth index were related to Indonesian women’s knowledge of HIV/AIDS (p<0.05).
Conclusions
Indonesian women’s insufficient knowledge related to HIV/AIDS shows that the provision of accurate and comprehensive information related to HIV/AIDS are components of prevention and control interventions that should be improved. With greater knowledge, women are expected to be more likely to determine their own and their partners’ human immunodeficiency virus status and to take appropriate preventive steps.
Summary

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    Angela Kurniadi, Judith A. Levy, Timothy P. Johnson
    BMC Public Health.2025;[Epub]     CrossRef
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    Bernard Mbwele, Zablon Zakayo Joctan, Claudia Hawkins, Matthew Caputo, Furaha August, Sylvia Kaaya, Erasto V Mbugi, Lisa R Hirschhorn, Patricia D Franklin
    BMJ Global Health.2025; 10(11): e016745.     CrossRef
  • The knowledge mapping of HIV/AIDS in Indonesians living on six major islands using the Indonesian version of the HIV-KQ-18 instrument
    Bustanul Arifin, M. Rifqi Rokhman, Zulkarnain Zulkarnain, Dyah Aryani Perwitasari, Marianti Mangau, Saidah Rauf, Rasuane Noor, Retna Siwi Padmawati, Muhammad Nasrum Massi, Jurjen van der Schans, Maarten J. Postma, Nelsensius Klau Fauk
    PLOS ONE.2023; 18(11): e0293876.     CrossRef
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    Satveer Dhillon, Daniel Amoak, George N. Chidimbah Munthali, Yujiro Sano, Roger Antabe, Isaac Luginaah
    BMC Infectious Diseases.2023;[Epub]     CrossRef
  • Trends and correlates of low HIV knowledge among ever-married women of reproductive age: Evidence from cross-sectional Bangladesh Demographic and Health Survey 1996–2014
    Md. Tariqujjaman, Md. Mehedi Hasan, Mohammad Abdullah Heel Kafi, Md. Alamgir Hossain, Saad A. Khan, Nadia Sultana, Rashidul Azad, Md. Arif Hossain, Mahfuzur Rahman, Mohammad Bellal Hossain, Mpho Keetile
    PLOS ONE.2023; 18(5): e0286184.     CrossRef
  • Determination of Women’s Level of Knowledge and Attitudes towards AIDS
    Gülpınar ASLAN, Ayşe Berivan BAKAN
    Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi.2023; 7(3): 522.     CrossRef
  • Comprehensive Knowledge about HIV/AIDS among Women of Reproductive Age in India
    Aritro Bhattacharyya, Ritankar Chakraborty, Tapasya Raj, Bijaya Kumar Padhi, Jagdish Khubchandani, Prakasini Satapathy, Sarvesh Rustagi, Vijay Kumar Chattu
    Epidemiologia.2023; 4(4): 492.     CrossRef
  • Adaptation and validation of the HIV Knowledge Questionnaire-18 for the general population of Indonesia
    Bustanul Arifin, M. Rifqi Rokhman, Zulkarnain Zulkarnain, Dyah Aryani Perwitasari, Marianti Manggau, Saidah Rauf, Rasuane Noor, Retna Siwi Padmawati, Maarten J. Postma, Muhammad Nasrum Massi, Jurjen van der Schans
    Health and Quality of Life Outcomes.2022;[Epub]     CrossRef
  • Open Communication About Reproductive Health Is Associated With Comprehensive HIV Knowledge and a Non-stigmatising Attitude Among Indonesian Youth: A Cross-sectional Study
    Gede Benny Setia Wirawan, Ni Luh Zallila Gustina, Pande Putu Januraga
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    SSM - Population Health.2021; 14: 100773.     CrossRef
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    F1000Research.2021; 9: 5.     CrossRef
  • Independent predictors of comprehensive knowledge of HIV in general population: findings from the Myanmar Demographic and Health Survey (2015-16)
    Kyaw Lwin Show, Hemant Deepak Shewade, Khine Wut Yee Kyaw, Khin Thet Wai, San Hone, Htun Nyunt Oo
    F1000Research.2020; 9: 5.     CrossRef

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Malaria Risk Factors in Kaligesing, Purworejo District, Central Java Province, Indonesia: A Case-control Study
Pratiwi Cahyaningrum, Sulistyawati Sulistyawati
J Prev Med Public Health. 2018;51(3):148-153.   Published online May 16, 2018
DOI: https://doi.org/10.3961/jpmph.18.036
  • 10,290 View
  • 354 Download
  • 6 Crossref
AbstractAbstract PDF
Objectives
Malaria remains a public health concern worldwide, including Indonesia. Purworejo is a district in which endemic of malaria, they have re-setup to entering malaria elimination in 2021. Accordingly, actions must be taken to accelerate and guaranty that the goal will reach based on an understanding of the risk factors for malaria. Thus, we analysed malaria risk factors based on human and housing conditions in Kaligesing, Purworejo, Indonesia.
Methods
A case-control study was carried out in Kaligesing subdistrict, Purworejo, Indonesia in July to August 2017. A structured questionnaire and checklist were used to collect data from 96 participants, who consisted of 48 controls and 48 cases. Univariate, bivariate, and multivariate analyses were performed.
Results
Bivariate analysis found that education level, the presence of a cattle cage within 100 m of the house, not sleeping under a bednet the previous night, and not closing the doors and windows from 6 p.m. to 5 a.m. were significantly (p≤0.25) associated with malaria. Of these factors, only not sleeping under a bednet the previous night and not closing the doors and windows from 6 p.m. to 5 a.m. were significantly associated with malaria.
Conclusions
The findings of this study demonstrate that potential risk factor for Malaria should be paid of attention all the time, particularly for an area which is targeting Malaria elimination.
Summary

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  • Applying One Health and the analytic hierarchy process to malaria risk assessment in Jayapura, Indonesia
    Inriyanti Assa, Katarina Lodia Tuturop, Frans Augusthinus Asmuruf, Konstantina Marthina Pariaribo, Agustina Regina Yufuai, Dolfinus Yufu Bouway
    International Journal of One Health.2025; : 259.     CrossRef
  • Malaria and determinants of health: a scoping review of malaria vulnerabilities in Southeast Asia
    Shahrul Azhar Md Hanif, Mohd Rohaizat Hassan, Nazarudin Safian, Rosnah Sutan, Alabed Ali A. Alabed, Muhammad Ridzwan Rafi’i, Siti Najiha Md Asari, Nurul Athirah Naserrudin, Rahmat Dapari
    Tropical Medicine and Health.2025;[Epub]     CrossRef
  • Risk factors and housing effect on malaria infection: A case-control study
    Noor Alis Setiyadi, Ira Handayani, Sayono Sayono, Tepanata Pumpaibool, Irfanul Chakim
    F1000Research.2022; 11: 1261.     CrossRef
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    PLOS ONE.2021; 16(6): e0252690.     CrossRef
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    Sulistyawati SULISTYAWATI, Rokhmayanti ROKHMAYANTI, Fajar FATMAWATI
    Journal of UOEH.2020; 42(2): 161.     CrossRef
  • Risk Factors for Malaria Infection and Seropositivity in the Elimination Area of Grand’Anse, Haiti: A Case–Control Study among Febrile Individuals Seeking Treatment at Public Health Facilities
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    The American Journal of Tropical Medicine and Hygiene.2020; 103(2): 767.     CrossRef
Housing Conditions Contribute to Underweight in Children: An Example From Rural Villages in Southeast Sulawesi, Indonesia
Tasnim Tasnim, Gouranga Dasvarma, Lillian Mwanri
J Prev Med Public Health. 2017;50(5):328-335.   Published online September 7, 2017
DOI: https://doi.org/10.3961/jpmph.17.046
  • 9,468 View
  • 209 Download
  • 7 Crossref
AbstractAbstract PDF
Objectives
The prevalence of underweight in children under 5 years of age is anomalously high in Konawe District, Southeast Sulawesi Province, Indonesia. This state of affairs may be related to poor housing conditions, such as limited access to clean water, the absence of a sanitary latrine, and the use of poor housing materials. Therefore, this study aimed to examine the effect of housing conditions on underweight in under-5 children in Konawe District. Methods: This study was conducted in 2013 in 5 health centres in Konawe District, Southeast Sulawesi Province, and used a case-control study design. The study recruited 400 under-5 children, including 100 of whom were cases and 300 of whom were age-matched controls (1:3). Cases were underweight children, while the controls were children with a normal nutritional status. The independent variables were the availability and types of water and latrine facilities and housing materials (roof, wall, and floor). The statistical analysis used Cox regression. Results: A lack of water availability (odds ratio [OR], 5.0; 95% confidence interval [CI], 2.7 to 9.5; p<0.001), a lack of latrine availability in the home (OR, 2.5; 95% CI, 1.5 to 4.0; p<0.001), and poor-quality roofing materials (OR, 1.7; 95% CI, 1.1 to 2.7; p<0.02) significantly contributed to underweight in children. In contrast, the walls and the floors did not contribute to under-5 year children being underweight (p=0.09 and p=0.71, respectively). Conclusions: Sanitation facilities and roofing were identified as important factors to address in order to improve children’s nutritional status. Children’s health status was directly impacted by food intake via their nutritional status.
Summary

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