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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Yulia Lanti Retno Dewi
Faculty of Medicine, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Path Analysis on the Psychosocial Impact of Obesity or Overweight in Adolescents in Surakarta, Central Java Yayang Kharistik A; Yulia Lanti Retno Dewi; C.S.P. Wekadigunawan
Journal of Epidemiology and Public Health Vol. 3 No. 2 (2018)
Publisher : Masters Program in Public Health

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Abstract

Background: Worldwide obesity shares 33 percent of adolescents body mass index. The prevalence of obesity has increased threefold since 1980. In Indonesia there are 10.8 percent of children aged 13-15 years who are obese. Obesity and overweight can cause various chronic diseases. Another important impact is psychosocial. Correct intervention and early prevention can reduce the psychosocial impact. This study aimed to determine the psychosocial impact of obesity or overweight on adolescents. Subjects and method: This was an analytic observational study with cross-sectional design. The study was conducted at 6 junior high schools in Banjarsari and Jebres, Surakarta, Central Java, from October to November, 2017. A total sample of 160 junior high school students were selected for this study by purposive sampling. The dependent variables were depression, self-assessment, body image, eating disorder, and quality of life. The independent variables were obesity or overweight. Body mass index (BMI) was measured by body weight scale and microtoise. Data of other study variables were collected by questionnaire. The data were analyzed by path analysis.Results: Obesity or overweight was directly associated with depression (b= 1.04; 95% CI= 0.32 to 1.77; p= 0.005) and bad body image (b= -2.35; 95% CI= -3.20 to 1.49; p< 0.001). Depression was directly associated with eating disorder (b= 0.55; CI 95%= -0.87 to 1.18; p=0.091) and poorer quality of life (b= -0.64; 95% CI= -1.34 to 0.69; p= 0.077). Good body image was directly asssociated with positive self-assessment (b= 2.71; 95% CI= 1.89 to 3.52; p<0.001).Conclusion: Obesity or overweight in adolescents is directly asssociated with depression and bad body image. Obesity or overweight is indirectly associated with negative self-assessment, eating disorder, and poorer quality of life.Keyword: overweight, obesity, psychosocial, path analysisCorrespondence: Yayang Kharistik Almasith. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java.  Email: ycharistik@yahoo.com. Mobile: +6281229474445Journal of Epidemiology and Public Health (2018), 3(2): 105-117https://doi.org/10.26911/jepublichealth.2018.03.02.01  
The Effects of Exclusive Breastfeeding and Contextual Factor of Village on Stunting in Bontang, East Kalimantan, Indonesia Joko Sugiyanto; Setyo Sri Raharjo; Yulia Lanti Retno Dewi
Journal of Epidemiology and Public Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health

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Background: Basic Health Research Results of 2018 stated that 30.8% of Indonesian children experienced Stunting. Stunting problems describe the existence of chronic nutritional problems, which can be influenced by a variety of interrelated factors. This study aimed to examine the determinants of stunting Bontang, East Kalimantan, Indonesia.Subjects and Method: This was an analytic observational study with a case control design. It was conducted at 15 sub-districts in Bontang, East Kalimantan, from February to April 2019. A sample of 225 children was selected by purposive sampling. The dependent variable was stunting. The independent variables were exclusive breastfeeding, history of infection, low birth weight (LBW), economic status, maternal education, maternal height, basic sanitation, and Community Based Total Sanitation (CBTS) urban village status. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression.Results: The risk of stunting decreased with maternal height ?150 cm (b = -1.37; 95% CI= -2.41 to -0.32; p = 0.010), maternal education ?senior high school (b = -1.83; 95 % CI= -2.79 to -0.87; p<0.001), exclusive breastfeeding (b= -1.67; 95% CI= -3.28 to -0.06; p= 0.042), and high economic status (b= -1.33; 95% CI= -2.23 to -0.41; p= 0.004). It was increased with number of family members >4 (b= 1.32; 95% CI= 0.41 to 2.22; p= 0.004), history of infectious disease (b= 2.23; 95% CI= 1.32 to 3.14; p<0.001), poor environmental sanitation (b= 1.83; 95% CI= 0.64 to 3.02; p= 0.003), and LBW (b= 1.30; 95% CI= 0.04 to 2.56; p= 0.043). Subdistricts had neglected contextual effect on the incidence of stunting with ICC <1%.Conclusion: The risk of stunting decreases with maternal height ?150 cm, maternal education ?senior high school, exclusive breastfeeding, and high economic status. It is increased with number of family members >4, history of infectious disease, poor environmental sanitation, and LBW. Subdistricts has neglected contextual effect on the incidence of stunting.Keywords: stunting,exclusive breastfeeding, multilevel analysisCorrespondence:
Risk Factors of Hypertension in High School Students: Multilevel Evidence of The Contextual Effect of School Mayasari Kurnianingsih; Yulia Lanti Retno Dewi; Eti Poncorini Pamungkasari
Journal of Epidemiology and Public Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health

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Background: In 2025, it is projected that 29% of the world's citizens will suffer from hyper
Contextual Effect of School on the Risk Obesity among High School Students in Surakarta, Central Java: A Multilevel Analysis Evidence Rita Setiyaningsih; Yulia Lanti Retno Dewi; Rita Benya Adriani
Journal of Epidemiology and Public Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health

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Background: Obesity is a public health problem in various countries, one of which is Indonesia. The impact of obesity in adulthood is high blood pressure and high cholesterol which can later trigger cardiovascular disease. This study aimed to examine contextual effect of school on the risk obesity among high school students in Surakarta. Subjects and Method: This was an observational analytic study with a case control approach. The study was conducted in April 2019. The sample was selected by stratified random sampling of 225 students in 15 schools in Surakarta with a case and control group. The dependent variable was obesity. The independent variables were parental salary, parental knowledge, pocket money, school food environment, food intake, physical activity, maternal BMI, paternal BMI. Data collection techniques used questionnaires and analyzed by multilevel logistic regression in Stata 13.Results: Obesity in adolescents was directly and significantly affected by parental income ?Rp 1,800,000 (OR= 4.53; 95% CI= 1.80 to 11.36; p = 0.001), high parental knowledge (OR= 0.36; 95% CI= 0.15 to 0.91; p= 0.030), allowance ?Rp 10,000 (OR= 3.80; 95% CI= 1.63 to 8.86; p= 0.002), food intake ?recommended dietary allowances (OR= 3.62; 95% CI= 1.43 to 9.19; p = 0.007), high physical activity (OR= 0.06; 95% CI= 0.02 to 0.18; p <0.001), maternal BMI >27kg/m
Contextual Effect of Village on the Incidence of Tuberculosis in Children in Surakarta, Central Java: A Multilevel Analysis Evidence Dyah Ayu Saputri; Yulia Lanti Retno Dewi; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health

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Background: Indonesia is in the second place with the highest burden of tuberculosis (TB) in the world. Childhood is a period of rapid growth that requires efforts to maintain children's health. At the time the child still has a low immune system making it vulnerable to a disease including TB. The problem of TB in children requires better attention in child TB control programs. This study aimed to analyze the contextual influence of villages on the incidence of TB in children.Subjects and Method: This was a case-control study conducted in 25 villages in Surakarta, Central Java, from August to September 2019. A sample of 200 children aged 0 to 18 years was selected by fixed disease sampling. The dependent variable was the incidence of TB in children. The in
Overweight, Alcohol, and Tobacco Consumption Are Associated with Hypertension among Police and Military Personnel: A Meta-Analysis Firman Pardosi; Setyo Sri Rahardjo; Yulia Lanti Retno Dewi
Journal of Epidemiology and Public Health Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health

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Background: Increased blood pressure for a long time can increase the risk of kidney failure, coronary heart disease, brain damage, and other diseases. In 2019, it is estimated that hypertension is experienced by 1.13 billion people in the world with most (two thirds) living in low and middle income countries. Other study also shows that the police and military are at risk of developing hypertension due to a number of factors such as low know-ledge about healthy and nutritious food, co-workers who are smokers, and consuming alcohol. This study aimed to analyze the risk factors for hypertension in the police and military in the world using meta analysis.Subjects and Method: This was a meta-analysis and systematic review. The articles used were obtained from Google Scholar, Springer Link, ProQuest, and Science Direct databases. Selected articles published from 2000 to 2020. Keywords to search for articles are as follows: hypertension police personnel and military, or hypertension police personnel and military. The articles studied are 3 full text articles with cross sectional study designs and 1 full text articles with case control study design. Articles are collected using PRISMA diagrams, and analyzed using the Review Manager application 5.3.Results: Overweight (aOR= 1.42; 95% CI = 1.01 to 2.00; p= 0.04), alcohol consumption (aOR= 1.55; 95% CI= 1.12 to 2.12; p= 0.007), cigarette consumption (aOR= 1.45 ; 95% CI= 1.06 to 1.97; p= 0.020) is a risk factor for hypertension in the police and military.Conclusion: Overweight, alcohol consumption, and cigarette consumption, are risk factors for hypertension in police and military personnel.Keywords: overweight, alcohol, smoking, hypertension, meta analysisCorrespondence: Firman Pardosi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: pardosi.fp@gmail.com.Mobile: +6285261423865.Journal of Epidemiology and Public Health (2020), 05(01): 88-96https://doi.org/10.26911/jepublichealth.2020.05.01.09.
Determinants of Tuberculosis Incidence Among Children Under Five in Karanganyar, Central Java, Indonesia Ninik Hartini; Bhisma Murti; Setyo Sri Rahardjo; Sumardiyono; Yulia Lanti Retno Dewi
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.2026.11.01.06

Abstract

Background: Tuberculosis (TB) remains a major infectious disease and a leading cause of mortality worldwide, with 10.8 million cases and 1.25 million deaths reported in 2023. Indonesia is classified as a high-burden TB country, with 78,566 cases reported among children under five years of age. Young children are particularly vulnerable due to their immature immune systems. In Karanganyar Regency, Central Java, Indonesia, 137 cases of TB among under-five children were recorded in 2023. This study aimed to analyze the risk factors associated with TB incidence among children under five in Karanganyar Regency. Subjects and Method: This study employed an analytic observational design using a case-control approach. A total of 200 children under five were randomly selected, comprising 50 TB cases and 150 non-TB controls. Data were analyzed using simple logistic regression and path analysis to examine direct and indirect relationships among variables. Results: The incidence of TB among children under five increased with a history of contact with TB patients (b = 0.18; 95% CI = 0.10–0.26; p < 0.001) and living in homes with high humidity (b = 0.09; 95% CI = 0.01–0.17; p = 0.019). Conversely, TB incidence decreased with good lighting (b = -0.11; 95% CI = -0.19 to -0.03; p = 0.005), presence of bedroom windows (b = -0.41; 95% CI = -0.51 to -0.31; p < 0.001), living room windows (b = -0.31; 95% CI = -0.41 to -0.22; p < 0.001), and residence in highland areas (b = -0.13; 95% CI = -0.21 to -0.06; p < 0.001). Nutritional status was negatively affected by TB (b = -0.30; 95% CI = -0.43 to -0.15; p < 0.001) and positively influenced by family income (b = 0.17; 95% CI = 0.03–0.31; p = 0.016), with income exerting both direct and indirect effects through TB. The path analysis model demonstrated good fit (Chi-square p = 0.068; RMSEA = 0.052; CFI = 0.981; TLI = 0.960). Conclusion:  The risk of TB among children under five increases with exposure to adult TB cases and living in humid housing conditions. Conversely, TB incidence decreases in children residing in well-lit homes with bedroom and living room windows and in highland areas. Nutritional status is influenced by both TB and family income, with income affecting TB directly and indirectly.
The Effects of Bacille Calmette-Guerin Immunization and Contact History on the Risk of Leprosy: Meta Analysis of Case Control Study Priscilla Jessica Pihahey; Bhisma Murti; Yulia Lanti Retno Dewi
Journal of Epidemiology and Public Health Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health

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Background: Leprosy or Hansen's is an infec
Multilevel Analysis Association of Soil Transmitted Helminths and Stunting in Children Aged 6-12 Years Old in Pinrang District, South Sulawesi Putri Andini Muslimah; Harsono Salimo; Yulia Lanti Retno Dewi
Journal of Epidemiology and Public Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health

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Background: Stunting in children is often associated with infectious diseases, one of which is Soil Transmitted Helminths (STH). Worms in child
Effects of Blood Transfusion on the Risk of Hepatitis C Infection in Hemodialysis Patients: A Meta-Analysis Yuli Astuti; Yulia Lanti Retno Dewi; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health

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Background: It is estimated that 2% of the world's population (about 123 million people) was infected with hepatitis C. Blood transfusion is one of the therapies, but this therapy is at risk of being a transmission me
Co-Authors Agustina Utii Bhisma Murti Bhisma Murti C.S.P. Wekadigunawan Dewi Mustika Ratih Dyah Ayu Saputri Eti Kuswandari Eti Poncorini Pamungkasari Firman Pardosi Hanung Prasetya Harsono Salimo Harsono Salimo Harsono Salimo Joko Sugiyanto Mario Febrianus Helan Sani Mayasari Kurnianingsih Ninik Hartini Priscilla Jessica Pihahey Prita Yuliana Irnawati Putri Andini Muslimah Riski Anisa Rita Benya Adriani Rita Setiyaningsih Ruth Apriyanti Salwa Annisaa Samara Rahma Dania Setyo Sri Rahardjo Setyo Sri Raharjo Stevani Rambu Kudu Sumardiyono Yayang Kharistik A Yuli Astuti