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All Journal Journal of Epidemiology and Public Health Journal of Maternal and Child Health
Setyo Sri Rahardjo
Faculty of Medicine, Universitas Sebelas Maret, Surakarta
Medicine & Pharmacology Public Health

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Effect of Age and Socio Economic Status on the Quality of Life of Patients with Cervical Cancer Undertaking Chemotherapy at Dr. Moewardi Hospital Surakarta Hidayah Nur Fadhilla; Ambar Mudigdo; Setyo Sri Rahardjo
Journal of Epidemiology and Public Health Vol. 2 No. 1 (2017)
Publisher : Masters Program in Public Health

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Background: Cervical cancer is a type of cancer affecting women with high incidence and mortality in the world. Patient with cervical cancer have to undertake prolonged sequential treatment and therefore may experience physical, physicological and social changes, which may affect their quality of life. This study aimed to examine effect of age and socio economic status on the quality of life of patients  with cervical cancer undertaking chemotherapy at Dr. Moewardi hospital Surakarta.Subjects and Method: This was an analytic observational study with cross-sectional design.  This study was conducted at Dr. Moewardi Hospital, Surakarta, from February to March 2017. A sample of 100 patients was selected by fixed disease sampling. The dependent variable was quality of life. The independent variables were age, education and family income. The data were collected by questionnaire and medical record, and then were analyzed by linear regression model.Results: Education ≥ Senior High School (b= 10.25; 95% CI=5.24 to 15.26; p<0.001) and family income ≥ Minimum Regional Wage (b= 0.47; 95% CI=0.12 to 0.83; p=0.009) increased quality of life in patients with cervical cancer. Age ≥ 45 years (b=-0.53; 95% CI=-0.84 to -0.21; p=0.001) decreased quality of life in patients with cervical cancer.Conclusion: The quality of life of patient with cervical cancer is determine by age, education, and family income. Key Words: age, social economic status, quality of life, cervical cancer, chemotherapyCorrespondence: Hidayah Nur Fadhilla. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: fadhillahidayah@student.uns.ac.id. Mobile: +6285729955373.Journal of Epidemiology and Public Health (2017), 2(1): 11-19https://doi.org/10.26911/jepublichealth.2017.02.01.02
Multilevel Analysis: Village Does Not Have Contextual Effect on Hepatitis A Outbreak in Pacitan, East Java, Indonesia Sugeng Retyono; Setyo Sri Rahardjo; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health

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Background: Hepatitis A virus infection (HAV) has generated about half of the total infection of hepatitis in the world. Poor envi
Contextual Effect of Community Health Center on Low Birtweight in East Lombok, Nusa Tenggara Barat Baiq Zulvita Rahayu; Uki Retno Budihastuti; Setyo Sri Rahardjo
Journal of Maternal and Child Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Low birth weight babies (LBW) become a global health problem. Studies into the contextual effect of community health center on LBW are lacking. This study aimed to determine the contextual effect of community health center on the determinants of low birth weight in East Lombok, Indonesia using multilevel analysis.Subjects and Method: This was an analytic observational study with a cross-sectional design. It was conducted in East Lombok, from September to November 2018. A total sample of 200 infants from 25 community health centers was selected by random sampling. The dependent variable was LBW. The independent variables were maternal age, maternal education, family income, prenatal stress, maternal nutritional status, exposure to cigarette smoke, maternal occupation, social support, and social capital. The data were collected from the medical record and questionnaire. The data were analyzed by a multilevel multiple logistic regression analysis.Results: Maternal age <20 or ?35 years (b = 2.60; 95% CI = 0.96 to 4.25; p= 0.002), prenatal stress (b = 1.30; 95% CI 95%= 0.01 to 2.57; p= 0.048), and exposure to cigarette smoke (b= 1.57; CI 95% = 0.37 to 2.76; p= 0.010) increased the risk of LBW. LBW decreased with high maternal education (b = -1.38; 95% CI= -2.60 to -0.15; p= 0.027), high family income (b= -1.32 ; 95% CI = -2.61 to -0.04; p= 0.072), strong social support (b= -1.50; 95% CI= -2.92 to -0.09; p= 0.036), good maternal nutritional status (b = -2.01; 95% CI= -3.26 to -0.76; p= 0.002), strong social capital (b= -1.45; 95% CI= -2.82 to -0.08; p=0.038), and maternal occupation (b= -1.43; 95% CI= -2.98 to 0.12; p= 0.072). Community health center had contextual effect on LBW with ICC= 20%.Conclusions: Maternal age <20 or ?35 years, prenatal stress, and exposure to cigarette smoke increase the risk of LBW. LBW decreases with high maternal education, high family income, strong social support, good maternal nutritional status, strong social capital, and maternal occupation. Community health center has contextual effect on LBW.Keywords: low birth weight, stress, social support, community health centerCorrespondence:
Co-Authors Ambar Mudigdo Baiq Zulvita Rahayu Bhisma Murti Hidayah Nur Fadhilla Sugeng Retyono Uki Retno Budihastuti