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Correlations between History of Contact with Infected Person and Measles Vaccination Status on the Risk of Measles Incidence in Children: Meta-Analysis Ervia Fahma Dhony; Bhisma Murti; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.02.03

Background: Measles is a disease that can be prevented by immunization (VPD), which is highly contagious and often causes widespread outbreaks and can cause lifelong complications and death. Some evidence suggests that the risk of measles is due to contact history and vaccine status. This study aims to estimate the magnitude of the relationship between contact history and vaccine status with the incidence of measles in children, through a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This research is a systematic review and meta-analysis with PICO as follows, Population: children. Intervention: contact history, vaccine status. Comparison: no contact history, no vaccine. Outcome: measles. The articles used in this research were obtained from three databases, namely PubMed, Google Scholar, and Science Direct, using the keys "History contact" AND "Vaccine" OR "Vaccinated" OR "Immunization" AND "Measles" AND "Children. The included articles were full-text with a case-control study design from 2012 to 2023 and reported the adjusted Odds Ratio (aOR) in multivariate analysis. Article selection was carried out using the PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 8 case-control studies involving the African continent and the Asian continent were selected for meta-analysis. Children with a history of contact have an increased risk of developing measles 4.38 times compared with children without a history of contact, and this relationship is statistically significant (aOR=4.38; 95% CI=1.36 to 14.09; p= 0.010). Children who had been given the measles vaccine had a reduced risk of getting measles 0.30 times compared to children who had not been given the measles vaccine, and this result was statistically significant (aOR= 0.30; 95% CI= 0.22 to 0.40; p< 0.001).Conclusion: Contact history statistically significantly increases the risk of getting measles in children, vaccine statistically significantly reduces the risk of getting measles in children. Keywords: Contact history, vaccine status, measles, children.

Multilevel Analysis of Factors Affecting Depression Risk among the Elderly: Loneliness, Living Status, Physical Activity, Age, Gender, and Education Emirza Nur Wicaksono; Didik Gunawan Tamtomo; Hanung Prasetya; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.04.11

Background: There is still a high prevalence of depression in the elderly which is affected by loneliness, low physical activity, gender, last education, and residence status. Elderly people who live alone or have lost a life partner are more prone to depression. Although family support and public health services such as Posyandu are expected to protect against the risk of depression, there have not been many studies that have examined in depth the influence of Posyandu as a contextual factor in reducing the risk of depression in the elderly. This study aims to analyze the influence of these factors and the role of Posyandu in reducing the risk of depression.Subjects and Method: This study used a cross-sectional design conducted in 25 Posyandu Elderly in Grogol District, Sukoharjo Regency from August to September 2024. A total of 204 elderly respon-dents aged 60 years and above were selected using Stratified Random Sampling. The dependent variable in this study was depression collected using the PHQ-9 questionnaire, and loneliness was assessed by the UCLA Loneliness Scale. Other independent variables such as physical activity, gender, education, and life status were collected through structured interviews. Multilevel linear regression analysis is used to analyze the relationship between these factors and the risk of depression, taking into account the individual and contextual levels (Posyandu).Results: The average age of the respondents was 66.27 years old (Mean = 66.26, SD = 5.16), with 79.41% of them being female. Loneliness was significantly associated with an increased risk of depression (b= 0.05; CI 95%= 0.07 to 0.10; p=0.024), while living with family reduces the risk of depression (b= -6.33; CI 95%= -8.26 to -4.40; p<0.001). Physical activity did not show a significant association with depression. Gender, education level, and age are also not significant predictors of depression. Contextual speaking, posyandu has no effect as a contextual variable on the variable of depression in the Grogol sub-district (ICC=2.64%).Conclusion: Loneliness is a significant risk factor for depression in the elderly while living with family also reduces the risk of depression in the elderly.

Effectiveness of Mirror Therapy on Post Stroke Functional Ability: A Meta-Analysis Galang Aji Samudera; Hanung Prasetya; Bhisma Murti
Indonesian Journal of Medicine Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Stroke is the third leading cause of death after heart disease and cancer. One of the impacts of stroke is it causes a decrease in the functional ability to carry out daily activities, therefore mirror therapy is carried out to restore the functional ability. The study aims to determine the effect of mirror therapy on the functional ability of post-stroke patients based on previous primary studies.Subjects and Method: It was a systematic review and meta-analysis study with PICO as follows: P= post-stroke patients, I= mirror therapy, C= conventional therapy, and O= functional ability. Data collection was conducted from databases, namely: Google Scholar and PubMed. The inclusion criteria used were full-text articles in English, with randomized control trial design, published in 2006-2021. The keywords used were "stroke" AND "mirror therapy" AND "functional independence measure" OR "FIM" AND "randomized control trial". The inclusion criteria of the study were articles using a randomized control trial study design, the effect size used was the Mean SD, the subjects of the study were patients with poststroke conditions, the intervention given was mirror therapy, the comparison was conventional therapy, with the outcome was increased functional ability. The articles were analyzed using Review Manager 5.3. application.Results: The meta-analysis was conducted on 9 primary studies from several countries such as Turkey, South Korea, India, and Italy. The results of the study showed that there was an effect of mirror therapy on the functional ability of post-stroke patients. Patients who obtained mirror therapy had a functional ability of 0.92 units higher than conventional therapy. The results were statistically significant (SMD= 0.92; 95% CI= 0.67 to 1.17; p<0.001).Conclusion: mirror therapy can improve the functional ability of post-stroke patients.Keywords: mirror therapy, functional ability, post-strokeCorrespondence: Galang Aji Samudera. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ghalangsamudera@gmail.com. Mobile: +6287836783209.Indonesian Journal of Medicine (2023), 08(01): 1-11https://doi.org/10.26911/theijmed.2023.08.01.01

Effects of Virtual Reality Therapy and Range of Motion Exercise on Range of Motion in Stroke Patients: Meta-Analysis Septyan Dwi Nugroho; Didik Tamtomo; Hanung Prasetya
Indonesian Journal of Medicine Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Stroke is a disease caused by interference with blood flow in the brain which is still a global problem today. Post-stroke care needs to be done to prevent the worsening of the condition. One of the right interventions that can be done is virtual reality therapy and range of motion exercise. This study aims to examine, analyze and estimate changes in the range of motion of stroke patients with virtual reality therapy and range of motion exercise.Subjects and Method: Metaanalysis was carried out according to the PRISMA flow chart and the PICO model (Population: stroke patients, Intervention: virtual reality therapy and range of motion exercise, Comparison: not performed virtual reality therapy and range of motion exercise Outcome: range of motion). The databases used are Google Scholar, PubMed, and Science Direct. The keywords used (“virtual reality” OR VR) AND (stroke OR CVD) AND (“range of motion exercise” OR ROM OR “motor exercise”) AND (stroke OR CVD) AND “Randomized Control Trial”. The inclusion criteria were full-text articles with RCT studies published in 2012-2022, articles in English, and bivariate and multivariate analysis. Analysis was performed using ReVman 5.3.Results: There were 20 articles with a randomized control trial design originating from Iran, Turkey, China, Egypt, Myanmar, South Korea, Spain, the Netherlands, Italy, Switzerland, and Canada involving 799 people. A meta-analysis of 10 RCT studies concluded that virtual reality therapy increased the range of motion of stroke patients by 2.77 units (SMD= 2.77; 95% CI = 1.29 to 4.24; p<0.001) compared to no virtual reality therapy. In addition, the range of motion exercise intervention can also increase the stroke patient's range of motion by 0.84 units (SMD= 0.84; 95% CI= 0.35 to 1.33; p<0.001) compared to not being given range of motion exercise.Conclusion: Virtual Reality Therapy and Range of Motion exercises can increase the range of motion of stroke patients.Keywords: virtual reality therapy, range of motion exercise, stroke, range of motion, meta-analysis.Correspondence: Septyan Dwi Nugroho. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir Sutami 36A, Surakarta 57126, Central Java. Email: septyandwin@gmail.com. Mobile: 081804418933.Indonesian Journal of Medicine (2023), 08(01): 23-36https://doi.org/10.26911/theijmed.2023.08.01.03

Meta-Analysis: The Effect of Acupuncture Therapy in Reducing Migraine Recurrence Elsa Tursina; Hanung Prasetya; Bhisma Murti
Indonesian Journal of Medicine Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Acupuncture therapy is an effective treatment for reducing headache intensity, migraine recurrence, and improving quality of life. This study aims to analyze and estimate the effect of acupuncture therapy on reducing migraine recurrence.Subjects and Method: This study used a systematic review and meta-analysis by following PICO, Population: migraine patients. Intervention: acupuncture therapy. Comparison: no acupuncture therapy. Result: reduction in migraine recurrence. The data used were obtained from scientific research articles from the Pubmed, Google Scholar, Science Direct, and SpringerLink electronic databases with a Randomized Control Trial (RCT) design from 2011 to 2022 which reports effect sizes with Mean and SD. The keywords used in the search for scientific articles are “Acupuncture” AND “Profilaxis Migraine” AND “Migraine Frequency”. The selection of articles was carried out using the PRISMA flowchart. Data were analyzed using Review Manager software version 5.4.1.Results: A total of 9 articles with qualified RCT designs from Asia, America, Australia, and Europe were selected for the systematic review and meta-analysis. The results of the meta-analysis showed that patients with migraine who received acupuncture therapy experienced migraine recurrence 0.31 units lower than those who were not treated with acupuncture (SMD= -0.31; 95% CI= -0.61 to -0.01; p=0.040).Conclusion: Acupuncture therapy reduces migraine recurrence.Keywords: acupuncture, relapse, migraine.Correspondence: Elsa Tursina. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: elsa090798@gmail.com. Mobile: +6285655751077.Indonesian Journal of Medicine (2023), 08(01): 47-58https://doi.org/10.26911/theijmed.2023.08.01.05

Effect of Acupressure on Blood Glucose Level in Diabetes Mellitus Patients: Meta-Analysis Muslihatin Khuril Rosyida; Didik Tamtomo; Hanung Prasetya
Indonesian Journal of Medicine Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from abnormalities in insulin secretion that affect blood sugar levels. Chronic hyperglycemia in DM is associated with long-term damage to several organs of the body. One of the interventions that can be given to lower blood sugar levels is acupressure therapy. The purpose of this study was to determine the effect of acupressure therapy on blood sugar levels in patients with diabetes mellitus.Subjects and Method: This study is a systematic review and meta-analysis with PICO, P: Diabetes mellitus patients, I: Acupressure, C: No acupressure, O: Blood sugar levels. The process of searching for articles is done through a database of journals including: Pubmed, Google Scholar, Science Direct, Scopus, Spinger Link, CNKI and Hindawi. The keywords used in the literature search were: “acupressure” AND “diabetes” AND “blood sugar” AND “blood glucose” AND “standard controlled trial”, “acupressure for diabetes”, “diabetes standardized controlled trial”, “acupressure randomized controlled trial”. trial”, diabetes acupoint, “diabetes and placebo”, “acupressure” AND “diabetes”. The articles included in the study were full text articles with a randomized controlled trial study design and the results were reported with the effect size, mean standard deviations (SMD). Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 application.Results: A meta-analysis of 9 articles reviewed in this study came from Taiwan, China, Indonesia, Egypt and Iran with a sample size of 451. The study results showed that acupressure therapy was able to reduce blood sugar levels in diabetes mellitus patients with SMD blood sugar values. acupressure was 0.56 units lower than no acupressure and was statistically significant with a significance value of (SMD=-0.56; 95% CI= -0.76 to -0.37; p<0.001).Conclusion: Acupressure therapy has the effect of lowering blood sugar levels in diabetes mellitus patients.Keywords: acupressure, blood sugar, diabetes mellitus.Correspondence: Muslihatin Khuril Rosyida. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: khurilrosyida@gmail.com. Mobile: 08564713149.Indonesian Journal of Medicine (2023), 08(01): 68-78https://doi.org/10.26911/theijmed.2023.08.01.07

Meta-Analysis of Correlations between Work Stress and Burnout with Work Satisfaction in Nurses Arista Gunawati; Agus Kristiyanto; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health

Background: Nurses are one of the human resources in the field of health services. Human resources who work in the service sector mostly have high levels of stress and burnout. The level of stress and burnout affect the work satisfaction of nurses. This study aims to determine the relationship between work stress and burnout with nurses’ work satisfaction.Subjects and Method: This study is a systematic review and meta-analysis by searching for articles published by the online database including PubMed, ResearchGate, Science Direct, Google Schoolar and EBSCO in 2007 to 2022. PICO variable work stress (Population: nurses, Intervention: heavy stress, Comparison: heavy stress, Outcome: work satisfaction). PICO variable burnout (Population: nurses, Intervention: heavy burnout, Comparison: heavy burnout, Outcome: work satisfaction). Data analysis was using RevMan software version 5.3.Results: Nurses who experience heavy or severe stress have a risk of lowering work satisfaction by 0.97 times compared to mild work stress, but it is not statistically significant (aOR= 0.97; 95% CI 0.78 to 1.20; p=0.750). Nurses who experience heavy burnout have a risk of reducing job satisfaction 0.87 times compared to mild job burnout, but it is not statistically significant (aOR= 0.87; CI 95% 0.58 to 1.30; p= 0.490).Conclusion: High stress levels can reduce nurses’ work satisfaction. A high level of burnout can reduce nurses’ work satisfaction. Keywords: burnout, nurse, work satisfaction, work stress. Correspondence:Arista Gunawati. Masters Program in Public Health Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: aristagunawati@gmail.com. Mobile: +6285647093646.

Meta Analysis: The Effect of Age and Gender on Face Mask Use during COVID-19 Pandemic Indah Adhitama Chrisnanda; Hanung Prasetya; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health

Background: Coronavirus disease 2019 (COVID-19) is a world health problem in early 2020. The first case of COVID-19 was found in Wuhan China, the use of masks is intended to control the transmission of the virus to others and as a preventive measure, namely by providing protection to users who do not infected with viral exposure. The purpose of this study was to estimate the extent of adherence to wearing masks in the elderly and women through a meta-analysis of the primary study which was carried out by the previous authors.Subjects and Method: This study was a meta-analysis with the following PICO, PICO. Population: general population, intervention: age (older > 46) and gender (female), comparison: age (young 12 - 45 years) and gender (male), outcome: use of masks. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. With keywords such as: “mask and COVID-19 transmission”, “mask or COVID-19 transmission”. The articles included are full-text English with an observational study design from 2020 to 2022. Article selection was carried out using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 9 case studies from Europe, America and Asia were selected for systematic review and meta-analysis. The results showed that people over 46 years of age were 1.54 times more likely to use a mask than those under 45 years old (aOR= 1.54; 95% CI= 0.83 to 2.85; p= 0.170) and women were 1.12 times more likely to use a mask than men (aOR= 1.12; 95% CI= 0.78 to 1.61; p= 0.550).Conclusion: Older age and women are more likely to wear masks. Keywords: wearing mask, gender, age, COVID-19 Correspondence:Indah Adhitama Chrisnanda. Master Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: indahthama1919@gmail.com Mobile: 081216121662.

Effect of Injecting Drug User on the Risk of Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome: A Meta-Analysis Lusiana Dewi Saputri; Vitri Widiyaningsih; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health

Background: The problem of narcotics abuse is drug users through injecting needles. Injecting drug users are any person who uses narcotics, psychotropics and addictive substances by injection. In addition, another understanding states that injecting drug users (IDU) or Injection Drug Users (IDUs) are users of narcotics/drugs with injecting media. Injecting drug use (IDU) is one of the main causes of HIV infection due to sharing of contaminated injection equipment.Subjects and Method: The meta-analysis was carried out using the PRISMA flowchart and the PICO model. Population = adolescents and adults. Intervention= IDU/Injection Drug User. Comparison= Not an IDU/Injection Drug User. Outcome= HIV/AIDS events. The articles used in this study were obtained from several databases including PubMed, Google Scholar and Scopus. These articles were collected over 3 months. The keywords to search for articles are as follows “IDU (Injection Drug User)” AND “life style“ ”HIV/ AIDS ”. There were 15 studies, 9 cross-sectional and 6 cohort studies published in 2012-2022 that met the inclusion criteria. Analysis was performed with Revman 5.3.Results: 15 articles with a study design of 9 cross-sectional and 6 cohort studies from Canada, China, Ukraine, Virginia, Nepal, Cambodia, Scotland, Boston and Africa. Studies show that IDUs (Injecting Drug Users) have a 2.17 times risk of developing HIV/AIDS compared to non-IDUs for HIV/AIDS, and these results are statistically significant (aOR= 2.71; 95% CI= 1.22 to 6.02; p= 0.010).Conclusion: IDU (Injection Drug User) increases the incidence of HIV (Human Immunodeficiency Virus) / AIDS (Acquired Immunodeficiency Syndrome). Keywords: IDU, lifestyle, HIV/AIDS, Drugs, Meta-Analysis Correspondence:Lusiana Dewi Saputri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: dewislusiana16@gmail.com. Mobile: +6282328370049.

Associations between Anxiety, Depression, and Poor Quality of Sleep on the Risk of Irritable Bowel Syndrome: A Meta-Analysis Cendekia Airedeta Mulianda; Bhisma Murti; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.01.05

Background: Risk factors for Irritable Bowel Syndrome (IBS) are mental disorders such as anxiety and depression, while sleep disorders affect 50% of patients with IBS. The condition of IBS if it is chronic can have a negative impact on quality of life and work productivity. The purpose of this study was to estimate the relationship between anxiety, depression and poor sleep quality with the risk of irritable bowel syndrome by means of a systematic review and meta-analysis study.Subjects and Method: This article was prepared using systematic review and meta-analysis studies. This study uses the PICO Model. Meta-analytic studies were conducted by searching for articles from databases in electronic form using Google Scholar, PubMed, Springerlink, Sciencedirect, and the Cochrane Library. An article search was conducted on 15-30 October 2022. The keywords used were “irritable bowel syndrome” or “IBS” or “Functional gastrointestinal disorder” or “Anxiety” or “Depression” or “Mental Disorders” or “Psychological stress” or “Sleep quality” or “Sleep disturbances” or “Cross-Sectional”. The inclusion criteria for this study were complete articles using a Cross-Sectional study, with the year of publication 2009-2022. Analysis of the articles in this study used RevMan 5.3 software.Results: A total of 30 cross-sectional studies from Asia were selected for systematic review and meta-analysis. The data collected shows that anxiety increases 1.53 times and depression 1.29 times with the risk of IBS while poor sleep quality increases the risk of IBS by 1.80 times. This data is considered statistically significant. The results showed that Anxiety (aOR=1.53; 95% CI=1.23 to 1.90; p=0.001), Depression (aOR=1.29; 95% CI=1.05 to 1.59; p=0.02), Poor sleep quality (aOR=1.80; 95% CI=1.48 to 2.19; p<0.001).Conclusion: The relationship between anxiety-depression mental disorder and poor sleep quality is felt to be statistically significant in causing irritable bowel syndrome. Keywords: irritable bowel syndrome, risk factors, anxiety, depression, sleep quality Correspondence:Cendekia Airedeta Mulianda. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: c.airedeta@gmail.com. Mobile: +6282336712311.

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