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Obesity and Its Risk on Breast Cancer among Women: A Meta-Analysis Ruth Apriyanti; Yulia Lanti Retno Dewi; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health

Background: Breast cancer is the most common type of cancer experienced by women which can cause the most deaths in both developed and developing countries. The risk of breast cancer severity in women with BMI obesity category increased up to 30% compared with women who had normal weight. This study aims to analyze the effect of obesity on breast cancer mortality in women, with a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: breast cancer women. Intervention: obesity. Comparison: not obese. Outcome: mortality. The articles used in this study were obtained from four databases, namely Google Scholar, Pubmed, Science Direct and Springerlink. Keywords to search for articles “Obesity” OR “Obese Overweight” AND “Mortality” OR “Death” AND “Women with Breast Cancer” OR “Breast Cancer” OR “Breast Cancer Mortality” AND “Adjusted Hazard Ratio”. The included articles are full-text English with an observational cohort study design from 2012 to 2021 and report on the aOR in multivariate analyses. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 12 observational cohort studies from the United States, Denmark, Netherlands, UK, Spain, Malaysia and China were selected for systematic review and meta-analysis. The data collected showed that obesity increased the mortality risk of breast cancer women and was statistically significant (aOR = 1.23; 95% CI = 1.00 to 1.52; p = 0.050). Conclusion: Obesity increases the risk of mortality in breast cancer women. Keywords: obesity, breast cancer women, meta-analysis Correspondence: Ruth Apriyanti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ruthyanti94.ras@gmail.com. Mobile: +6281375232120.

Meta Analysis of the Relationship between Tea Drinking Habits and the Incidence of Anemia in Pregnant Women Samara Rahma Dania; Yulia Lanti Retno Dewi; Eti Poncorini Pamungkasari
Journal of Epidemiology and Public Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health

Background: Anemia is a nutritional problem that needs attention and is one of the public health problems in Indonesia. One of the causes of anemia in pregnant women is the consumption of tea, where tea contains polyphenols which can inhibit the absorption of iron. The purpose of this study was to analyze the available evidence related to the relationship between tea drinking habits and the incidence of anemia in pregnant women.Subjects and Method: This study uses a systematic review and meta-analysis with PICO, namely, population= pregnant women. Intervention= drinking tea. Comparison= don't drink tea. Outcome = incidence of anemia. Article searches were conducted using electronic databases such as Google Scholar and PubMed between 2013 and 2022. The keywords used were: [("drinking tea" OR "tea consumption") AND ("anemia" AND "pregnancy") OR ("pregnant" women")]. The inclusion criteria used were full paper articles with observational studies (cross-sectional), multivariate analysis with adjusted Odd Ratios (aOR) to measure the estimated effect. The article search results are listed in the PRISMA diagram and analyzed using the Review Manager 5.3 application.Results: A total of 7 articles from Ethiopia, Somalia, Nepal, and Saudi Arabia were selected to be carried out in a systematic review and meta-analysis. The data collected showed that pregnant women who had the habit of drinking tea could increase the risk of anemia 1.94 times compared to pregnant women who did not drink tea (aOR=1.94; 95% CI=1.10 to 3.43; p=0.020).Conclusion: Pregnant women who have a habit of drinking tea can increase the risk of anemia. Keywords: Pregnant women, drinking tea, and anemia Correspondence:Samara Rahma Dania. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: samaradania25@gmail.com. Mobile: +6285647233020.

Correlation between Overweight and Mental Health in Adolescents: A Meta Analysis Riski Anisa; Yulia Lanti Retno Dewi; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.04.10

Background: Adolescence is a critical period in human life because of the various changes that occur during this stage of life. Overweight and obesity in adolescents is a major public health problem in all developing countries, in addition to affecting physical health, can have a negative impact on mental health. This study aims to analyze the primary study of the effect of being overweight and obese on mental health in adolescents with a meta-analysis. Subjects and Method: This study is a meta-analysis with the following PICO, Population: teenagers. Intervention: overweight and obese. Comparison: normal weight. Outcome: mental health. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles [(adolescent OR teenager OR children) AND (“body mass index” OR BMI OR overweight OR obesity) AND (depression OR “depression symptom”) AND (anxiety OR “anxiety symptom”)]. The included articles are full text in English in 2010 to 2022 with cohort study design and report on aOR in multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: Nine studies were included in this study, six studies from the Americas, two studies from the European continent, and one study from the Australian continent. The data collected showed an increased risk for depression and anxiety in adolescents who were overweight and obese than adolescents who had normal weight. Obese adolescents had a higher risk of depression (aOR= 1.64; 95% CI= 1.42 to 1.90; p<0.001) than overweight adolescents (aOR= 1.09; 95% CI= 1.00 to 1.18; p= 0.050). Adolescents who were obese had a higher risk of anxiety (aOR= 1.27; 95% CI= 1.08 to 1.49; p= 0.003) than adolescents who were overweight (aOR= 1.10; 95% CI= 1.01 to 1.19; p= 0.020).Conclusion: Overweight and obesity can have an influence on the mental health of adolescents. Keywords: adolescent, overweight, obese, depression, anxiety, meta-analysis. Correspondence:Riski Anisa. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: riskianisa93@gmail.com. Mobile: +6285749027212.

Associations of Perception towards Doctors, Nurses, and Facilities with Perceived Quality and Patient Satisfaction on Inpatient Care at Nabire Hospital Papua Agustina Utii; Bhisma Murti; Yulia Lanti Retno Dewi
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.61 KB)

Background: The government's efforts to maintain and improve the highest health status with all resources in the health sector, including personnel, funds, facilities, pharmacy, medical devices, and technology, provide quality health care. Community satisfaction as the service receiver is a comparison between the services received and the services expected. This study aimed to examine associations of perception towards doctors, nurses, and facilities with perceived quality and patient satisfaction on inpatient care at Nabire Hospital Papua.Subjects and Method: A cross-sectional study was conducted at Nabire Hospital, Papua, Indonesia, from March to May 2020. A sample of 207 inpatients was selected by stratified random sampling based on the type of inpatient class I, II, and III.Results: Inpatient satisfaction was affected by age <50 years (b= -0.36; 95% CI= -1.63 to 0.91; p=0.579), type of non-BPJS insurance (b= 0.19; 95% CI= -0.80 to 1.19 p= 0.697), length of stay <7 days (b= -2.39; 95%CI= -3.86 to -0.92; p <0.001), patients’ perception towards adequate inpatient facilities (b=3.11; 95%CI=2.13 to 4.07; p <0.001), good quality of inpatient care (b= 2.74; 95% CI= 1.74 to 3.72; p <0.001). The good quality of inpatient care was affected by male sex (b= 0.91; 95% CI= 0.10 to 1.72; p= 0.028), age <50 years (b= -0.24; 95% CI= -1.26 to 0.78; p= 0.644), type of BPJS insurance (b= 0.41; 95% CI= -1.22 to 0.39; p= 0.318), perception towards adequate facilities (b= 1.85; 95% CI= 1.04 to 2.65; p<0.001), good perception towards nurses (b= 2.18; 95%CI= 1.04 to 3.33; p <0.001), and good perception towards doctors (b= 1.68; 95% CI= 0.89 to 2.47; p <0.001). The good perception towards doctors was affected by the education of patients ≥Senior High School (b= 1.16; 95% CI= 0.31 to 1.83; p= 0.005).Conclusion: Inpatient satisfaction is affected by age <50 years, type of non-BPJS insurance, length of stay <7 days, perception towards adequate facilities, and good quality of inpatient care.Keywords: Quality, satisfaction, inpatient, path analysisCorrespondence: Agustina Utii. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: agustinautii1@gmail.com. Mobile: 081240051451.Journal of Health Policy and Management (2020), 05(03): 215-223https://doi.org/10.26911/thejhpm.2020.05.03.07

Do the Integrated Health Posts Have Contextual Effect on Birth Weight? A Multilevel Evidence from Situbondo, East Java Eti Kuswandari; Harsono Salimo; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Low birth weight babies (LBW) are sensitive indicators of socioeconomic condi

Health Belief Model on the Choice of Medical Doctor among Mothers of Children with Diarrhea Prita Yuliana Irnawati; Harsono Salimo; Yulia Lanti Retno Dewi
Journal of Health Promotion and Behavior Vol. 3 No. 2 (2018)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background:

Multilevel Analysis on Factors Affecting Caries Preventive Behavior among Primary School Children: Application of Health Belief Model Dewi Mustika Ratih; Yulia Lanti Retno Dewi; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Dental caries (tooth decay) is a problem of children’s dental health in the world. Primary school age is a strategic group for the precaution of dental and oral diseases. There is a transition from baby teeth to permanent teeth in the early childhood. Primary school age children do not have good self-care behavior. Therefore, they need parental supervision such as maintenance of dental and oral health. The theory of Health Belief Model (HBM) is used by the community to take positive health action such as precaution of a disease. This study aimed to analyze the caries preventive behavior by using the theory of the Health Belief Model.Subjects and Method: This study used analytic observational method with cross sectional approach. This study was conducted at 25 Primary Schools, Klaten Regency, in September 2019. This study used stratified proportional random sampling and random sampling techniques of 200 primary school children at 25 primary schools in Klaten Regency as the sampling technique. The dependent variable was caries preventive behavior. The independent variables were perceived susceptiblity, perceived severity, perceived benefit, and perceived barrier. This study used questionnaires to collect the data. The data were analyzed by using multilevel analysis on Stata 13.Results: Caries preventive behavior increased with perceived susceptibility (b=0.89; 95%CI=0.85 to 1.69; p=0.030), perceived severity (b=1.59; 95%CI=2.73 to 0.44; p=0.006), perceived benefit (b=1.05; 95%CI=1.97 to 0.12; p=0.026), and perceived barrier (b=-1.54; 95%CI=-2.84 to 0.25; p=0.019). The variation of caries preventive behavior by 7% was determined by variables at the primary school level. This rate was smaller than the standard size of rule of thumb by 8-10%. Therefore, there was a contextual effect shown from the multilevel analysis, but the result was statistically low.Conclusion: There is an effect of perceived susceptibility, perceived severity, perceived benefit, and perceived barrier on caries preventive behavior in primary school children. There is a contextual effect of primary school on caries preventive behavior based on the theory of Health Belief Model, but the result was statistically low.Keywords: multilevel analysis, primary school children, theory of Health Belief Model, precaution of caries.Correspondence: Dewi Mustika Ratih, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: dewiratih1822@gmail.com. Mobile: +625640041822Journal of Health Promotion and Behavior (2019), 4(4): 258-266https://doi.org/10.26911/thejhpb.2019.04.04.02

The Associations of Clean and Healthy Behavior, Social Capital, and Nutritional Status in Children Under Five in Waingapu Health Center Stevani Rambu Kudu; Yulia Lanti Retno Dewi; Setyo Sri Raharjo
Journal of Health Promotion and Behavior Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Quality nutrition is a determinant of children's survival, health, and growth. Nutritional problems and lack of nutrient intake are also about whether bad in the environment or commonly known as clean and healthy behavior. Social capital refers to social relationships and connections between individuals because it is more of a relationship between individuals than an individual attribute. This study aimed to examine the relationship between clean and healthy behavior and social capital with the nutritional status of children under five at the Waingapu City Health Center.Subjects and Method: This was a cross-sectional study conducted at the Waingapu Health Center, East Sumba, East Nusa Teng-gara, Indonesia, in April 2021. The sample was 200 mothers, and children under five were selected randomly. The dependent variable was child nutritional status (WAZ). The independent variables were social capital, clean and healthy behavior, gender, maternal age, mater-nal occupation, and maternal education. Data were collected by using a questionnaire and analyzed by multiple logistic regression.Results: Clean and healthy lifestyle improved good nutritional status (OR= 5.50; 95% CI= 1.19 to 25.43; p= 0.029). High social capital increased good nutritional status (OR= 2.28; 95% CI= 1.15 to 4.51; p= 0.017).Conclusion: Healthy, clean living behavior, and high social capital improve good nutriational status.Keywords: clean and healthy behavior, social capital, nutritional statusCorrespondence: Stevani Rambu Kudu. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: Stevanir09@student.uns.ac.id. Mobile: 082226431161.Journal of Health Promotion and Behavior (2021), 06(01): 57-66https://doi.org/10.26911/thejhpb.2021.06.01.06

The Effect of Family-based Intervention on Overweight/ Obesity in Children: Meta Analysis Mario Febrianus Helan Sani; Yulia Lanti Retno Dewi; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.831 KB)

Background: Childhood overweight and obesity is one of the most serious public health challenges of the 21st century. Overweight and obesity are one side of the double burden of malnutrition because more than 1.9 billion people are overweight and of that number more than 650 million are obese. Meanwhile, for children aged 5-19 years, more than 340 million children are overweight and obese. One category of intervention to prevent overweight / obesity in children who have developed rapidly in recent years is family-based intervention. This study aims to estimate the magnitude of the effect of family-based intervention on overweight / obesity based on the results of a number of previous studies.Subjects and Method: This was a systematic study and meta-analysis carried out by following the PRISMA flow diagram. The process of searching for articles through a journal database which includes: Google Scholar, PubMed, ScienceDirect and SpingerLink by selecting articles published in 2005-2020. Keywords used include: “family-based intervention” OR “family-based program” OR “family-based treatment” OR “family-based” OR “home-based intervention” OR “household based intervention” AND “children overweight OR "childhood overwight" AND "pediatric obesity" OR "children obesity" OR "children obese" OR "childhood obesity" OR "childhood obese" AND RCT OR "randomized controlled trial" OR "cluster-randomized controlled trial". The inclusion criteria were a full paper article with a randomized controlled trial (RCT) study design, the article used English, the study subjects were overweight / obese children (aged 5-19 years) and the intervention given was family-based intervention. Articles that meet the requirements are analyzed using the Review Manger 5.3 application.Results: A total of 11 articles reviewed in this meta-analysis study came from Malaysia, the United States, Australia, England, Spain, Denmark and Sweden. Meta-analysis of 11 articles with a randomized controlled trial (RCT) study design showed that family-based intervention had an effect on reducing children's body mass index but it was not statistically significant (Standarized Mean Difference= -0.46; 95% CI -1.05 to 0.13 p= 0.130).Conclusion: Family-based intervention reduces body mass index for overweight / obese children.Keywords: family-based intervention, overweight, obesity, children, meta analysisCorrespondence: Mario Febrianus Helan Sani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: rhyansani@gmail.com. Mobile: 081326608972.Journal of Health Promotion and Behavior (2021), 06(01): 45-56https://doi.org/10.26911/thejhpb.2021.06.01.05

Meta-Analysis: The Effect of Screen Time and Fast-Food Intake on Obesity in Children and Adolescents Salwa Annisaa; Yulia Lanti Retno Dewi; Eti Poncorini Pamungkasari
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.64 KB)

Background: Obesity has reached epidemic proportions worldwide, making obesity a serious global public health challenge. Obesity is not only found in adults but also in children and adolescents which can lead to various physical and mental health problems that are detrimental to the quality of life and are very risky into adulthood. Obesity in children and adolescents today is caused by a lifestyle that makes a person increase in consuming fast food, lack of sleep and the longer duration of screen time. This study aims to analyze the effect of screen time and fast food on obesity in children and adolescents.Subjects and Method: This was a systematic review and meta-analysis. Population= children and adolescents, Intervention= screen time and fast food, Comparison= no screen time and no fast food, Outcome= obesity. Article searches through journal databases include: PubMed, Science Direct, Google Scholar and Springerlink. The articles used in this study are articles that have been published from 2011-2021. The keywords used are obesity OR obese OR overweight AND “fast foods” OR snacks OR “fried foods” AND “social media” OR “screen time” OR television AND child OR adolescent. Articles were selected with the help of PRISMA flow diagrams. The inclusion criteria included full-text articles with a cross-sectional study design. The analysis used logistic regression with adjusted odds ratio and published in English. Articles that have met the requirements are analyzed using the Revman 5.3 application.Results: Fifteen articles came from Nepal, China, Pakistan, Canada, Darussalam, Ethiopia, Italy, Australia, Indonesia. Meta-analysis of 8 cross-sectional studies showed that screen time 3 hours/ day can affect obesity in children and adolescents 2.4 times compared to screen time < 3 hours/ day. The results of the meta-analysis in 8 cross-sectional studies showed that fast food 3 times/ week had an effect on obesity in children and adolescents by 2.74 times compared to fast food < 3 times/week.Conclusion: The long duration of screen time and the frequency of consuming fast food often increase the risk of obesity in children and adolescents.Keywords: obesity, screen time, fast foods, meta-analysisCorrespondence:Salwa Annisaa. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: salwaannisaa@gmail.com. Mobile: 081541180488.Journal of Health Promotion and Behavior (2021), 06(02): 164-175DOI: https://doi.org/10.26911/thejhpb.2021.06.03.01

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