Maria Paskanita Widjanarti
Diploma IV of Occupational Safety and Health, Vocational School, Universitas Sebelas Maret

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Maintaining Occupational Health: An Analysis of Fatigue and Safety Compliance in Construction Workers Yeremia Rante Ada'; Sumardiyono; Bachtiar Chahyadhi; Reni Wijayanti; Farhana Syahrotun Nisa Suratna; Maria Paskanita Widjanarti; Rachmawati Prihantina Fauzi
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.11

Abstract

Background: Safety compliance is a critical component in preventing workplace accidents and ensuring employee well-being. Various factors may influence workers’ adherence to safety protocols, including individual characteristics such as education level and fatigue. The purpose of this study was to examine the relationships between education level, work fatigue, and safety compliance.Subjects and Method: This cross-sectional study involved 137 respondents, categorized by fatigue status. The dependent variable was safety compliance. Independent variables included work fatigue and education level. Instruments included the Fatigue Assessment Scale (FAS) questionnaire for fatigue. Data analysis utilized the chi-square test for fatigue and education levels. Results: The proportion of workers who comply with safety procedures varies across education levels, but the differences are not statistically significant. In contrast, workers with higher levels of fatigue were significantly more compliant with safety practices than those with lower fatigue..Conclusion: These findings highlight the complexity of behavioral responses to workplace demands and the need for targeted interventions.
Social Determinants of Health Associated with Cognitive Performance Among Elderly with Hypertension in Klaten Regency, Central Java, Indonesia: A Cross-Sectional Study Emalia Rizqi Anggita; Argyo Demartoto; Rizka Ayu Setyani; Endang Sutisna Sulaeman; Haryani Saptaningtyas; Maria Paskanita Widjanarti
Journal of Epidemiology and Public Health Vol. 11 No. 4 (2026)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2026.11.04.05

Abstract

Background: Cognitive decline is one of the major impacts of hypertension in the elderly popula­tion. Social Determinants of Health (SDoH) framework plays an important role for understanding how non-medical factors influence individual health outcomes, including cognitive performance. This study aimed to analyze the relationship between social determinants of health factors and cognitive performance among elderly with hypertension in Klaten Regency, Central Java, Indonesia. Subjects and Methods: This cross-sectional study was conducted at elderly health post and the Chronic Disease Management Program (Prolanis) groups in Klaten Regency, Central Java, Indonesia from February to March 2026. A total of 120 elderly with hypertension aged ≥60 years were selected using multistage sampling. The dependent variable was cognitive performance. The independent variables were education level, living arrangement, physical activity, social activity. Cognitive performance was measured using the Mini Mental State Examination (MMSE), social activity using the Australian Community Participation Questionnaire (ACPQ), and physical activity using the Stanford Brief Activity Survey (SBAS). Data were analyzed using multiple linear regression analysis. Results: Higher education level (b=1.97; 95% CI= 0.86 to 3.08; p=0.001), light physical activity (b=2.67; 95% CI= 1.34 to 4.01; p<0.001), moderate physical activity (b=3.48; 95% CI= 2.02 to 4.94; p<0.001), and higher social activity (b=0.193; 95% CI= 0.148 to 0.239; p<0.001) had positive and significant associations with cognitive performance. There was no significant difference in cognitive performance between elderly living alone and those living with spouse (b=0.14; 95% CI= -1.50 to 1.79; p=0.863) or family (b=0.343; 95% CI= -1.01 to 1.69; p=0.617). Conclusion: Cognitive performance among elderly with hypertension is influenced by education level, physical activity and social activity. Community-based promotive and preventive programs may support the maintenance of cognitive performance.