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All Journal Journal of Epidemiology and Public Health Journal Of Health Science Community
Hakim Anasulfalah
School of Health Sciences Mamba’ul ‘Ulum Surakarta, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The Role of Mental Health Literacy in Burnout and Psychological Distress among University Students: A Systematic Literature Review Hakim Anasulfalah; Rubiyanta; Ahmad Syauqi Mubarok; Joko Tri Atmojo; Rina Tri Handayani; Aris Widiyanto
Journal of Health Science Community Vol. 6 No. 4 (2026): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhsc.v6i4.360

Abstract

This study aims to explore the role-mental health literacy on burnout and psychological distress in college students through a systematic literature review approach. The increasing phenomenon of mental health problems among college students is a significant concern because it impacts their psychological well-being, academic performance, and quality of life. This study used a descriptive qualitative approach with a systematic literature review method based on the PRISMA guidelines. Article searches were conducted through several online databases, namely PubMed, Scopus, ScienceDirect, BASE, and Consensus for the period 2020–2025. The article selection process was carried out using inclusion and exclusion criteria, resulting in 10 articles that met the requirements for analysis. Data were analyzed using thematic synthesis techniques to identify key research patterns and themes. The results showed that mental health literacy has a significant relationship with academic burnout, psychological distress, and psychological help-seeking behavior in college students. Students with good mental health literacy tend to have more adaptive coping skills, better emotional regulation skills, and are more open to seeking professional help when experiencing psychological problems. Conversely, low/mental health literacy is associated with increased stress, anxiety, emotional exhaustion, and academic burnout. This study concluded that mental health literacy is an important protective factor in maintaining students' mental health. These findings provide practical implications for universities to develop mental health promotion programs, psycho education, and campus-based counseling services to reduce the risk of burnout and psychological distress among students.
Factors Associated with Post-Sternotomy Wound Infection: A Meta-Analysis  Aris Widiyanto; Sri Iswahyuni; Krisnanda Aditya Pradana; Perdana Prabasari Putri Ichsani; Rina Tri Handayani; Hakim Anasulfalah; Ahmad Syauqi Mubarok; Joko Tri Atmojo
Journal of Epidemiology and Public Health Vol. 11 No. 1 (2026)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2026.11.01.01

Abstract

Background: Sternal wound infection is a serious complication following cardiac surgery, contributing to increased morbidity, mortality, and length of hospital stay. Obesity, diabetes mellitus, smoking habits, and re-operation are suspected to contribute to the incidence of post-sternotomy wound infections. This study aimed to estimate the magnitude of the influence of obesity, diabetes, smoking, and re-operation as risk factors for post-sternotomy wound infections. Subject and Method: This study is a systematic review and meta-analysis. Articles were obtained from databases including PubMed, Google Scholar and ScienceDirect, limited to publications from 2015 to 2025. The keywords and MeSH terms used were: “sternotomy, AND sternal wound infection OR deep sternal wound infection OR surgical site infection, AND “obesity OR body mass index, AND diabetes mellitus OR hyperglycemia AND smoking OR tobacco use AND re-operation AND cardiac surgery”. Article selection was based on eligibility criteria defined using the PICO model: P = patients post-sternotomy; I = obesity, diabetes, smoking, re-operation; C = non-obese, non-diabetic, non-smokers, no re-operation; O = post-sternotomy wound infection. Only full-text articles with a cross-sectional study design were included. Data were analyzed using RevMan version 5.3. Results: A total of 16 articles were included in this meta-analysis, originating from Finland, Denmark, Australia, Saudi Arabia, Colombia, Italy, France, China, Pakistan, Brazil, and United States. The meta-analysis showed that the risk of post-sternotomy wound infection was significantly increased in patients with obesity (aOR = 1.50; 95% CI: 1.31–1.72; p < 0.001), diabetes (aOR = 2.02; 95% CI: 1.26–3.25; p = 0.004), smoking (aOR = 2.44; 95% CI: 1.36–2.27; p = 0.05), obstructive sleep apnea (aOR = 1.76; 95% CI: 1.36–2.27; p < 0.001), and re-operation (aOR = 2.90; 95% CI: 1.49–5.64; p = 0.002). All findings were statistically significant. Conclusion: Risk of sternal wound infection post-sternotomy significantly increases with obesity, diabetes, smoking, and re-operation.
Co-Authors Ahmad Syauqi Mubarok Ahmad Syauqi Mubarok Aris Widiyanto Aris Widiyanto Joko Tri Atmojo Joko Tri Atmojo Krisnanda Aditya Pradana Perdana Prabasari Putri Ichsani Rina Tri Handayani Rina Tri Handayani Rubiyanta Sri Iswahyuni