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All Journal Journal of Epidemiology and Public Health Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Ambar Mudigdo
Faculty of Medicine, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Determinants of Women’s Choice of a Long-Acting Reversible Contraceptive in Boyolali, Central Java Desy Eka Ilmiyah; Uki Retno Budihastuti; Ismi Dwi Astuti Nurhaeni; Ambar Mudigdo
Journal of Maternal and Child Health Vol. 3 No. 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (440.553 KB) | DOI: 10.26911/

Abstract

Background: Long-acting reversible contraceptives (LARCs) are the most effective methods of birth control. LARCs include the copper IUD, the hormonal (progesterone) IUD, and the hormonal contraceptive implant (effective for 10, 5 and 3 years, respectively). These methods of birth control can prevent unwanted pregnancy up to 20 times better than birth control pills, patches, and vaginal rings. However, the use of LARCs remains low in Boyolali, Central Java, Indonesia. This study aimed to analyze the determinants of women’s choice of a LARC in Boyolali, Central Java. Subjects and Method: This was a case control study conducted in 25 community health centers, Boyolali District, Central Java, from April 24 to May 20, 2018. A sample of 200 women in reproductive age was selected by fixed disease sampling. The dependent variable was choice of a LARC. The independent variables were age, education, parity, knowledge, husband support, and counseling by health worker. The data were collected by questionnaire and analyzed by a logistic regression multilevel using Stata 13 program. Results: Women’s choice of the LARC increased with age ≥35 years (b= 4.54; 95% CI= 1.69 to 12.15; p= 0.003), education ≥senior high school (b= 4.59; 95%CI= 1.80 to 11.70; p= 0.001), parity ≥3 (b = 7.15; 95%CI= 2.63 to 19.44; p<0.001), better knowledge (b= 2.20; 95% CI= 0.88 to 5.50; p= 0.089), counseling by health worker (b= 2.82; 95% CI= 1.11 to 7.11; p= 0.028), and husband support (b= 5.54; 95% CI= 2.15 to 14.28; p<0.001). Conclusion: Women’s choice of LARC increases with age ≥35 years, education ≥senior highschool, parity ≥3, better knowledge, counseling by health worker, and husband support.
Biopsychosocial Factors Affecting Functional Disability and Depression in Patients with Osteoarthritis in Surakarta, Central Java Wahyu Tri Sudaryanto; Ambar Mudigdo; RB Soemanto
Journal of Epidemiology and Public Health Vol. 3 No. 2 (2018)
Publisher : Masters Program in Public Health

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Abstract

Background: Osteoarthritis (OA) is a major cause of disability in the elderly. OA can cause chronic pain, disability, and the patient's quality of life. This study aimed to determine the biopsychosocial factors affecting functional disability and depression in patients with OA in Surakarta, Central Java.Subjects and Method: This was an analytic and observational study with a case-control design. The study was conducted at Dr. Moewardi Hospital and Dr. Soeharso Orthopedic Hospital, Surakarta, Central Java, from January to February 2018. A sample of 200 OA patients was selected by simple random sampling. The dependent variables were functional disability and depression. The independent variables were age, sex, grade of OA, duration, body mass index (BMI), history of injury, pain level, family support, and peer support. Depression data were measured by Beck’s Depression Inventory (BDI). Functional disability data were measured by The Western Ontario and McMaster University Arthritis Index (WOMAC). The other variables were collected by questionnaire. The data were analyzed by path analysis.Results: The risk of depression increased with higher BMI (b= 0.23; SE= 0.10; p= 0.021), pain level (b= 0.16; SE= 0.07; p= 0.022), duration (year) (b= 0.27; SE= 0.12; p= 0.025), and poor functional disability (b= 0.19; SE= 0.04; p<0.001). Depression decreased with stronger family support (b= -0.05; SE= 0.03; p= 0.031) and stronger peer support (b= -0.09; SE= 0.05; p= 0.001). The risk of functional disability increased with female sex (b= 3.36; SE= 1.21; p= 0.006), age (b= 0.14; SE= 0.06; p= 0.016), BMI (b= 0.31; SE= 0.17; p= 0.070), had experienced injury (b= 2.27; SE= 1.16; p= 0.051), higher grade of OA (b= 1.32; SE= 0.65; p= 0.041), and higher pain level (b= 0.41; SE= 0.12; p<0.001). The risk of functional disability decreased with stronger family support (b= -0.16; SE= 0.04; p<0.001) and stronger peer support (b= -0.29; SE= 0.08; p<0.001).Conclusion: Depression in OA patients is affected by BMI, pain level, duration (year), functional disability family support, and peer support. Functional disability is affected by sex, age, BMI, injury experience, grade of OA, pain level, family support, and peer support.Keywords: osteoarthritis, depression, functional disability, pain, BMI, family support, peer supportCorrespondence: Wahyu Tri Sudaryanto. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: wahyu.londho86@yahoo.co.id. Mobile: 085640637769.Journal of Epidemiology and Public Health (2018), 3(2): 292-306https://doi.org/10.26911/jepublichealth.2018.03.02.08
Does Circadian Rhythm and Environment Factor Affect the Risk of Breast Cancer? A New Evidence from Kediri, East Java Anindiya Ningtyas; Ambar Mudigdo; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health

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Abstract

Path Analysis on the Biopsychosocial Factors Associated with Hypertension Febry Istyanto; Ambar Mudigdo; Setyo Sri Rahardjo
Journal of Epidemiology and Public Health Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health

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Background: Hypertension is a non-communicable disease which may lead to premature death and disability. This study aimed to determine the biopsychosocial factors associated with the risk of hypertension.Subjects and Method: This was an analytic observational study with a case-control design. This study was conducted at Dr. Moewardi Hospital, from September to November 2018. A sample of 225 patients was selected by fixed disease sampling. The dependent variable was hypertension. The independent variables were anxiety, stress, quality of sleep, body mass index (BMI), physical activity, vegetables and fruit, coffee drink, and soft drink consumption. Blood pressure was measured by sphygmomanometer. Body weight was measured by scale. Body height was measured by microtoise. The other data were collected by questionnaire and analyzed by path analysis.Results: Hypertension directly increased with anxiety (b= 0.26; 95%CI= 0.02to 0.51; p= 0.037), stress (b= 0.28; 95%CI= 0.04 to 0.53; p= 0.022), poor quality of sleep (b= 0.46; 95%CI= 0.06 to 0.87; p= 0.026), BMI (b= 0.68; 95%CI= 0.051 to 1.31; p= 0.034), coffee drink consumption (b= 1.31; 95%CI= 0.17 to 2.46; p= 0.024), and soft drink consumption (b= 0.38; 95%CI= 0.04 to 0.72; p= 0.029). Hypertension directly decreased with high physical activity (b= -0.04; 95%CI= -0.07 to -0.004; p= 0.027), vegetable and fruit consumption (b= -1.13; 95%CI= -2.07 to -0.19; p= 0.037). Hypertension was indirectly affected by anxiety, physical activity, quality of sleep, and coffe drink consumption through BMI and quality of sleep.Conclusion: Hypertension is directly and positively affected by anxiety, stress, poor quality of sleep, BMI, coffee drink consumption, and soft drink consumption, but negatively affected by high physical activity, vegetable and fruit consumption.Keywords: hypertension, biopsychosocial, determinantsCorrespondence:
Determinants of Recurrence and Death in HIV-Malaria Co-Infection Patients in Jayapura, Papua, Indonesia Dian Winiarti; Ambar Mudigdo; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health

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Abstract

Background:
Health Belief Model on the Determinants of Human Papilloma Virus Vaccination in Women of Reproductive Age in Surakarta, Central Java Yulia Fitriani; Ambar Mudigdo; Rita Benya Andriani
Journal of Health Promotion and Behavior Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Cervical cancer is a type of cancer that develops in a woman's cervix. Cervical cancer is caused by a human papillomavirus (HPV). Cervical cancer ranked fourth against most women's cancer. The incidence of cervical cancer was estimated at 528,000 (7.9%) cases worldwide causing 266,000 deaths in 2012. The HPV vaccine can protect women from HPV infection, thus lowering the risk of cervical cancer. This study aimed to analyze the determinants of HPV vaccination in women of reproductive age in Permata Harapan Oncology Clinic, Surakarta, Central Java, using Health Belief Model.Subjects and Method: This was an analytic observational study with a case-control design. This study was conducted at Permata Harapan Oncology Clinic, Surakarta, from January to February 2018. A total study of 200 study subjects was selected by fixed disease sampling. The dependent variable was HPV vaccination. The independent variables were knowledge, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, family income, and family support. The data were collected by questionnaire and analyzed by a multiple logistic regression.Results: HPV vaccination increased with better knowledge (OR=7.97; 95% CI= 1.50 to 42.38; p= 0.015), perceived seriousness (OR=22.81; 95% CI= 6.06 to 85.86; p<0.001), perceived susceptibility (OR=4.03; 95% CI= 1.25 to 13.09; p=0.020), , perceived benefit (OR­=6.57; 95% CI= 1.88 to 22.98; p=0.003), family income (OR=5.32; 95% CI= 1.57 to 18.07; p=0.007), and family support (OR=6.86; 95% CI= 1.55 to 30.36; p= 0.011). HPV vaccination decreased with perceived barrier (OR=0.14; 95% CI= 0.04 to 0.51; p=0.003).Conclusion: HPV vaccination increases with better knowledge perceived seriousness, perceived susceptibility, perceived benefit, family income, and family support, but decreases with perceived barrier.Keywords: HPV vaccination, knowledge, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, family income, family supportCorrespondence: Yulia Fitriani. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: yuliafitriani38@gmail.com. Mobile: 085655708946.Journal of Health Promotion and Behavior (2018), 3(1): 16-26https://doi.org/10.26911/thejhpb.2018.03.01.02 
Co-Authors Anindiya Ningtyas Bhisma Murti Bhisma Murti Desy Eka Ilmiyah Dian Winiarti Febry Istyanto Ismi Dwi Astuti Nurhaeni RB Soemanto Rita Benya Andriani Setyo Sri Rahardjo Uki Retno Budihastuti Wahyu Tri Sudaryanto Yulia Fitriani