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All Journal Journal of Epidemiology and Public Health Journal of Maternal and Child Health
Aris Sudiyanto
Faculty of Medicine, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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The Effect of Obesity, Oral Contraceptive and Passive Smoking on the Risk of Cervical Cancer Roiela Arfailasufandi; Ambar Mudigdo; Aris Sudiyanto
Journal of Epidemiology and Public Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health

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Abstract

Background: Studies have investigated the effects of obesity on cancer development. However, the relationship between obesity and cervical cancer risk is unclear. This study aimed to determine the effect of obesity, oral contraceptive and passive smoking on the risk of cervical cancer.Subjects and Method: A case-control study was conducted at Dr. Moewardi Hospital, from October to December 2018. A sample of 200 patients was selected by fixed disease sampling, consisting of 100 cervical cancer patients and 100 noncervical cancer patients. The dependent variable was cervical cancer. The independent variables were obesity, oral contraceptive use, smoking exposure, parity, age at first sexual intercourse, and family history. The data were obtained from the medical record. The data were analyzed by multiple logistic regression.Results:The risk of cervical cancer increased with obesity (OR= 6.83; 95%CI= 2.44 to 19.17; p<0.001), cigarette smoke exposure (OR= 12.57; 95% CI= 4.59 to 34.41; p<0.001),oral contra
Risk Factors of Postpartum Depression at Dr. Moewardi Hospital, Surakarta Matilda Bupu Ria; Uki Retno Budihastuti; Aris Sudiyanto
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Postpartum depression is one of the emotional disturbances that results from failure to postpartum psychological adaptation process. The global prevalence of postpartum depression is 10-15%. This study aimed to analyze the risk factors of pregnancy on the incidence of postpartum depression.Subjects and Method: This was an analytic and observational study with a cross-sectional design. The study was conducted at Dr. Moewardi hospital, from December 2017 to January 2018. A total sample of 150 postpartum mothers was selected for this study by exhaustive sampling. The dependent variable was postpartum depression (PPD). The independent variables were maternal age, stress, parity, unwanted pregnancy, type of labor, family income, family support, and domestic violence. The data were collected by questionnaire and analyzed by path analysis model.Results: Postpartum depression was directly and positively affected by psychological stress (b= 2.15; 95% CI= 1.17 to 3.13; p<0.001), delivery type (b= 1.27; 95% CI= 0.32 to 2.21; p= 0.008), and unwanted pregnancy (b= 1.57; 95% CI= 0.57 to 2.58; p= 0.002). Postpartum depression was directly but negatively affected by family income (b= -1.52; 95% CI= -2.51 to -0.54; p= 0.002), parity (b= -1.24; 95% CI= -2.21 to -0.28; p= 0.011), and family support (b= -1.31; 95% CI= -3.28 to -0.24; p= 0.016). Psychological stress increased with domestic violence (b= 2.68; 95% CI= 0.64 to 4.73; p= 0.010) and decreased with maternal age (b= -0.91; 95% CI= -1.68 to -0.13; p= 0.022). Parity increased with maternal age (b= 1.66; 95% CI= 0.79 to 2.53; p<0.001). Domestic violence decreased with maternal age (b= -1.34; 95% CI= -2.85 to 0.16; p= 0.081).Conslusion: Psychological stress, delivery type, unwanted pregnancy, family income, parity, and family support, are direct risk factors for postpartum depression.Keywords: Postpartum depression, unwanted pregnancy, domestic violence, family supportCorrespondence:
Co-Authors Ambar Mudigdo Matilda Bupu Ria Roiela Arfailasufandi Uki Retno Budihastuti