Garuda - Garba Rujukan Digital

Bhisma Murti

Master's Program in Public Health, Universitas Sebelas Maret

Author-ID : 10759895

Medicine & Pharmacology Public Health

Published : 3 Documents Claim Missing Document

Claim Missing Document

Articles

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

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.

Meta Analysis: The Effects of Attitude, Spouse Support, and Education Level on Men Participation in Male Contraceptive Use Yuliana Yuvrista; Argyo Demartoto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.02.01

Background: One of the government's strategies to support women's equal rights is to issue a policy in which people of reproductive age, both men and women, are expected to participate in the Family Planning program as an effort to raise awareness, willingness and ability of the community to improve their welfare independently. This study aims to analyze the influence of attitude, partner support, and level of education on men's participation in the use of contraception. Subjects and Method: This was a systematic review and meta-analysis. The study population was men of reproductive age. Intervention= positive attitude, strong partner support, and high education. Comparison= negative attitude, weak support, and low education. Outcome= the use of contraceptives. Data search was carried out systematically using electronic databases from Pubmed, Google Scholar, Europe PMC, Science Direct, and Springer Link. Keywords used “Attitude” AND “Partner support” OR “Discuss with partner” AND “Educational status” OR “Educational level” AND “Men participation” OR “Men Involvement” AND “Contraception” OR “Family Planning” OR “Vasectomy” OR “Condom”. The selection of primary articles used the PRISMA flowchart which was analyzed using Review Manager 5.3. Results: Six studies showed that men with a positive attitude were 3.69 times more likely to use contraception than men with a negative attitude (aOR= 3.69; 95% CI= 2.23 to 6.09; p<0.001). Six studies showed that men with strong partner support are 2.48 times more likely to use contraception than men with weak partner support (aOR= 2.48; 95% CI= 2.04 to 3.02; p<0.001). Eight studies showed that men with a high level of education increased the likelihood of male contraceptive use (aOR= 2.07; CI 95%= 1.45 to 2.96). Conclusion: Positive attitude, strong partner support, and a high education increase the use of male contraceptives. Keywords: attitude, partner support, level of education, contraception. Correspondence: Yuliana Yuvrista. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: yulianayuvrista031@gmail.com. Mobile: +6285333622880.

Implementation of the Health Belief Model to Predict Acupuncture Therapy Adherence in Patients with Hernia Nucleus Pulposus Afifah Kusumaning Tyas; Bhisma Murti; Ika Sumiyarsih Sukamto; Hanung Prasetyo; Setyo Sri Rahardjo; Revi Gama Hatta Novika
Journal of Health Promotion and Behavior Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.04.02

Background: Hernia Nucleus Pulposus is one of the causes of low back pain that can interfere with activity and quality of life. Acupuncture therapy is one of the effective non-pharmacological treatment alternatives in reducing pain due to Hernia Nucleus Pulposus. However, patient adherence to undergoing acupuncture therapy is still a challenge. This study aims to analyze the factors within the framework of the Health Belief Model that affect adherence to acupuncture therapy in patients with Hernia Nucleus Pulposus. Subjects and Method: This study was a cross-sectional study conducted in Surakarta, from January to March 2025. A total of 200 patients were selected randomly. The dependent variable was adherence to acupuncture therapy in Hernia Nucleus Pulposus. Independent variables were perceived susceptibility, perceived severity, perceived benefits, perception of barriers, self-efficacy, and cues to action. The data were analyzed using Linear Regression. Results: Adherence to acupuncture therapy patients with hernia nucleus pulposus increased with high perceived susceptibility (b=0.14; 95% CI= 0.01 to 0.27; p= 0.040), high perceived severity (b= 0.30; 95% CI= 0.02 to 0.59; p=0.038), high perceived benefits (b= 0.16; 95% CI= 0.01 to 0.31; p=0.042), high cues to action (b=0.19; 95% CI= 0.02 to 0.36; p= 0.032), high self-efficacy (b=0.19; 95% CI= 0.02 to 0.38; p= 0.022). Adherence to acupuncture therapy decreased with high perceived barrier (b= -0.10; 95% CI= -0.21 to -0.01; p= 0.046). Conclusion: There was a positive relationship between perceived susceptibility, perceived severity, perceived benefits, cues to action, and self-efficacy on adherence to acupuncture therapy. Perceived barriers decrease adherence to acupuncture therapy in hernia nucleus pulposus.

Title

Found 3 Documents
Search

Abstract

Abstract

Abstract

Title Search

Found 3 Documents Search

Abstract

Abstract

Abstract

Title

Found 3 Documents
Search