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All Journal Journal of Epidemiology and Public Health PREPOTIF : Jurnal Kesehatan Masyarakat The Indonesian Journal of Community and Occupational Medicine Journal of Indonesian Specialized Nutrition
Basrowi, Ray Wagiu
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Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Truth or Trend? The Complex Reality of Workplace Mental Health Research Amidst Diagnostic Ambiguity and Misconduct Risks Prakoso, Pranata Priyo; Basrowi, Ray Wagiu
The Indonesian Journal of Community and Occupational Medicine Vol. 4 No. 2 (2024): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v4i2.141.62-70

Abstract

Background: Awareness of mental health grew during the COVID-19 pandemic, driven further by globalization, social media access, and the younger generation increasingly entering the workforce.1 These factors contributed to future increasing number of research on this topic. Due to the sensitive nature of mental health and other factors like the involvement of workplace stakeholders, publishing pressure, and incentives, workplace mental health research is susceptible to biases or misconduct. Objective: This review aims to describe potential mechanism of misconduct in workplace mental health research and how important reader’s role to interpret such studies Methods: A narrative review is conducted to highlight studies on scientific misconduct in mental health research in workplace using PubMed, Google Scholar, and Retraction Watch. Six studies in psychiatric, mental health, and general scientific misconduct are used since scarcity on explicitly conducted study on the topic. Results: Key findings include the possibility of positive reporting bias, subjectivity in mental health assessments raise questions about unethical research procedures, sample representation and research integrity, the use of cross-sectional study designs might distort causal links, and publication pressures may lead to data modification or fabrication. To address these concerns, readers must be involved in critically examining and questioning research integrity.Conclusion: These findings highlight the importance of transparency, the risks of publication bias, and the pervasive influence of publishability pressures. Notably, diagnostic uncertainty, the frequency of subjective assessments, and cross-sectional study methods all complicate the interpretation of findings in this area.
Analysis of Breastmilk-Based Nutrition on Reducing Morbidity in Premature Infants Pratiwi, Dessy; Anggreani, Riska; Basrowi, Ray Wagiu
Journal of Indonesian Specialized Nutrition Vol. 2 No. 4 (2024): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jisn.v2i4.34

Abstract

Preterm and low birth weight (LBW) births remain a health challenge in Indonesia, with the prevalence of preterm births reaching 7-16% and LBW babies at 11.5%. Preterm infants are prone to various health complications, such as respiratory distress and infections, which increase morbidity rates. Breastfeeding is an important strategy in the care of preterm infants because it contains components that strengthen the immune system, prevent health complications, and support optimal growth and development. This study aims to provide more specific scientific evidence on the effectiveness of breastfeeding in reducing the risk of health complications in preterm infants. The results showed that breastfeeding plays a crucial role in reducing morbidity rates in premature infants, as it contains nutrients, antibodies and growth factors that strengthen the infant's immune system. Exclusive breastfeeding helps reduce the risk of complications such as gastrointestinal infections and respiratory distress, which premature infants often experience. In addition, breastmilk supports brain and nervous system development, increasing preterm infants' chances of healthy growth and development, making it an important intervention in efforts to reduce morbidity rates in preterm infants.
FACTORS ASSOCIATED WITH EXCLUSIVE BREASTFEEDING IN INDONESIA: A QUALITATIVE STUDY AMONG WORKING MOTHERS Syafiq, Ahmad; Avianty, Selma; Fikawati, Sandra; Japri, Andrew Prasettya; Septiani, Seala; Basrowi, Ray Wagiu
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Exclusive breastfeeding (EBF) is a globally recommended practice, yet its proportion remains low in Indonesia, particularly among working mothers. Various factors, including workplace policies, socioeconomic status, and family support, influence EBF success. This study aims to explore the supporting and inhibiting factors of EBF among working mothers in urban and semi-urban areas in Indonesia. A qualitative study was conducted through in-depth interviews to 14 working mothers with children aged 6–24 months in Jakarta (urban) and Beji-Depok (semi-urban) between October 2016 and January 2017. Participants were selected using purposive and snowball sampling, considering variations in breastfeeding status, occupation, and dwelling location. Data were analyzed through thematic content analysis with expert triangulation. Key factors influencing EBF included postpartum health, maternity leave policies, socioeconomic conditions, family and external support, and access to EBF-related information. White-collar mothers faced workplace-related barriers but benefited from strong internal and external support. Blue-collar mothers, constrained by economic factors, showed higher EBF adherence due to lacked comprehensive EBF knowledge. Health workerrecommendations influenced breastfeeding decisions. Enhancing workplace support, strengthening family engagement, and improving targeted education for working mothers are crucial to increasing EBF adherence. Further research involving healthcare providers is recommended.
EXPLORING THE LOCAL FOOD CONSUMPTION AND KNOWLEDGE RETENTION FOR STUNTING PREVENTION Pratiwi, Dessy; Muaris, Hindah; Musiawan, Ria; Basrowi, Ray Wagiu; Kinesya, Edwin
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Background: Stunting in children may increase their risk of infection, problem associated with growth and development, and also intelligence. Higher than national stunting rate, Central Kalimantan have 26.9% stunting in 2022. Stunting prevention programs such as utilization of local food are encouraged. Objectives: This study explores behaviour and the impact of education to the knowledge of Central Kalimantan’s resident of local food consumption to decrease stunting in children. Methods: A secondary data from cross-sectional survey conducted by Indonesian Gastronomy Community in two regencies within Central KalimantanProvince was analyzed. Participants voluntarily fulfill immediate survey after education (post-1), and 3-month after education (post-2) survey. Compiled data are further analyzed to explore participants understanding. Results: A total of 152 post-1 survey and 122 post-2 survey are compiled. Participants answers dietary habit consists of fish (97.54%), vegetable (95.90%), fruits (50%), meat (31.97%), tempeh/tofu (28.68%), egg (27.87%), chicken (8.19%), and milk (8.19%), in descending order. Most consumed plant-based protein are tempeh (76.22%) and tofu (72.13%). Decreased score was observed from the immediate test to the three months after education and survey. Conclusion: Residents of Central Kalimantan Province in Indonesia primarily rely on fish, tempeh, and tofu as their main protein sources. These foods are high in protein and readily available in their local environment. To aid in stunting prevention, regular educational programs should be implemented to ensure long-term retention of knowledge
Unwanted Pregnancy and Maternal Mental Health Based on the WHO SRQ-20: A Meta-Analysis Saefurrohim, Muhamad Zakki; Azmiardi, Akhmad; Wisnuwardani, Ratih Wirapuspita; Al-Ayubi, Moch Thoriq Assegaf; Basrowi, Ray Wagiu; Yuliana, Roma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.04

Abstract

Background: The WHO (2019) reported that approximately 10% of pregnant women and 13% of postpartum women globally experience maternal mental health disorders. Several studies have identified unintended pregnancy as a contributing factor to these disorders. This systematic review and meta-analysis aimed to analyze and estimate the association between unintended pregnancy and maternal mental health disorders (MHD), using studies that applied the WHO Self-Reporting Questionnaire-20 (SRQ-20).Subjects and Method: A systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO (CRD42025634410). Article searches were conducted up to January 15, 2025, in PubMed, ScienceDirect, Google Scholar, and Scopus using the keywords: “SRQ” AND (“mental health” OR “psychological well-being” OR “mental disorder”) AND (“unwanted pregnancy” OR “unintended pregnancy” OR “unplanned pregnancy”) AND (“mother” OR “maternal”). Inclusion criteria focused on observational studies using the WHO SRQ-20 to assess maternal mental health among women with unintended and intended pregnancies. Meta-analysis was performed using R Studio, with effect sizes reported as risk ratios (RR) or adjusted odds ratios (aOR) and 95% confidence intervals. Heterogeneity was assessed using the I² statistic, and funnel plots were generated to examine publication bias.Results: A total of 12 studies from Ethiopia, Indonesia, India, Vietnam, Brazil, and Malawi, comprising 85,862 participants, were included in this meta-analysis. A total of 12 studies with a total of 85,862 participants were analyzed in this meta-analysis. The results showed that unintended pregnancy significantly increased the risk of maternal MHD. This finding was consistent in both cohort and cross-sectional studies, with effect sizes of (RR = 1.49; CI95%= 1.03 to 2.15; p= 0.030) and (aOR= 1.83; CI95%= 1.35 to 2.47; p < 0.001), respectively.Conclusion: These findings highlight the strong association between unintended pregnancy and MHD. Limitations include high heterogeneity among studies, potential publication bias, and the predominance of observational designs, which preclude causal inferences. Despite these limitations, the results underscore the need for interventions that prioritize the overall health of pregnant women.
THE RELATIONSHIP BETWEEN COMPLIANCE WITH IRON TABLET CONSUMPTION AND NUTRITIONAL STATUS WITH ANEMIA AMONG PREGNANT WOMEN IN PUTRI AYU HEALTH CENTER, JAMBI CITY Putri Lubis, Izmi Arisa; Basrowi, Ray Wagiu; Pratiwi, Dessy
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Background: Anemia during pregnancy remains a significant public health concern in Indonesia, with a high prevalence and adverse outcomes for both mothers and infants. Iron supplementation and maternal nutritional status are key factors in preventing anemia. This study aimed to examine the association between compliance with iron tablet consumption and nutritional status (chronic energy deficiency) with the incidence of anemia among pregnant women. Methods: A cross-sectional study was conducted at Putri Ayu Health Center, Jambi City, involving 100 pregnant women selected using accidental sampling. Data on hemoglobin levels, upper arm circumference (MUAC), and iron tablet intake were collected through interviews and direct measurement. Anemia was defined as Hb <11 g/dL. Nutritional status was categorized based on MUAC <23.5 cm as chronic energy deficiency (CED). Data were analyzed using descriptive statistics and bivariate (Chi-square) analysis. Results: While statistical associations between CED and iron tablet compliance with anemia were not significant, higher proportions of anemia were observed among women with CED and those who consumed fewer than 30 tablets. Additionally, descriptive trends showed that women who began supplementation early in pregnancy—particularly in the first trimester—were less likely to develop anemia compared to those who initiated later. Conclusions: Although not statistically significant, the findings suggest that poor nutritional status and low adherence to iron tablet supplementation may increase the likelihood of anemia in pregnancy. Early and consistent supplementation, particularly from the first trimester, should be emphasized in antenatal care programs to prevent iron deficiency-related complications.
OBESOGENIC ENVIRONMENT IN INDONESIA: A LITERATURE REVIEW OF ENVIRONMENTAL DETERMINANTS OF OBESITY Latifah , Suci; Khusun, Helda; Kekalih, Aria; Basrowi, Ray Wagiu
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Background: Obesity is a complex public health issue influenced by multiple determinants, including environmental factors that promote excessive calorie intake and physical inactivity, known as obesogenic environments. Objective: This literature review is to broaden understanding the environmental determinants of obesity in Indonesia. Method: A narrative literature review was conducted focusing on studies published between 1999 and 2024. Sources were retrieved from databases including PubMed, WHO Global Health Observatory, and national health surveys such as Riskesdas. The ecological framework by Swinburn et al. (1999) was used to analyse environmental influences on obesity. Results: Findings indicate that built and food environments play significant roles in shaping obesity patterns in many places. Studies show increasing obesity prevalence in both urban and rural Indonesia, with environment-related factors such as food availability, urbanization, and reduced physical activity opportunities contributing to this trend. Conclusion: Food environment, land use and physical infrastructure were identified as potential proxies for obesogenic environments in Indonesia. Further studies are needed to evaluate and validate these proxies to support the development of environments conducive to healthy lifestyles and to reduce obesity prevalence.
PREBIOTICS AND THE GUT-BRAIN AXIS: IMPLICATIONS FOR COGNITIVE DEVELOPMENT IN EARLY CHILDHOOD Pascaramadhani, Addini; Septiani, Seala; Kania R, Rahayu; Basrowi, Ray Wagiu; Sundjaya, Tonny
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Background: Many factors influence cognitive development in early childhood, one of the latest is including gut health. Recent evidence places the role of a mediator of brain function on the part of the gut-brain axis, with nutrition overall and prebiotics specifically being imperative. Prebiotics stimulate selectively the grow of beneficial bacteria in the gut with potential implications on neurodevelopment. Methods: A narrative review that included peer-reviewed articles between 2010-2024 was conducted using PubMed, Scopus, and Google Scholar. Animal models and human clinical trials, both examining the impact of prebiotics on cognitive measures, were incorporated. Results: Prebiotics such as GOS, FOS, and resistant starch were found to increase the production of short-chain fatty acids, modulate the immune system, and excite neurotransmitter pathways. Clinical trials showed improved attentional ability and emotional control in prebiotic-supplemented formula-fed infants. Preclinical research showed enhanced memory and reduction in anxiety-like behaviors in animal models following ingestion of prebiotics. Conclusion: Prebiotics play a key role in cognitive development in early childhood through modulation of gut microbiota and neuroimmune signaling. Food-based prebiotics offer a sustainable approach to early brain development. Longitudinal studies are needed to demonstrate long-term benefits.
SCOPING REVIEW: PENGARUH ANEMIA KEHAMILAN TERHADAP DEPRESI PASCA PERSALINAN Khotimah, Husnul; Khasanah, Yosi Yusrotul; Arofah, Nur; Basrowi, Ray Wagiu; Nafilata, Ikrimah
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.43266

Abstract

Depresi pascapersalinan adalah gangguan suasana hati yang umum terjadi setelah melahirkan, ditandai dengan gejala seperti kecemasan, insomnia, dan perubahan berat badan, yang mempengaruhi sekitar 10–15% ibu di dunia dan berkontribusi signifikan terhadap beban penyakit global. Depresi pascapersalinan dapat dipengaruhi oleh faktor fisiologis dan psikologis, termasuk anemia selama kehamilan. Penelitian ini bertujuan untuk menganalisis pengaruh anemia kehamilan terhadap depresi pascapersalinan. Tinjauan cakupan ini dilakukan dengan mengikuti pedoman PRISMA dan menggunakan kerangka kerja PICOS untuk mengidentifikasi studi yang relevan mengenai anemia pada ibu hamil dan depresi pascapersalinan. Artikel diperoleh dari basis data PubMed dan Scopus, kemudian disaring secara ketat menggunakan perangkat lunak referensi untuk menghindari duplikasi dan memastikan kesesuaian dengan kriteria inklusi. Dari 112 artikel yang ditemukan, 14 studi akhir dipilih setelah proses penyaringan yang ketat berdasarkan relevansi, desain studi, dan populasi yang sesuai. Hasil telaah terhadap 14 artikel menunjukkan bahwa anemia kehamilan berkontribusi terhadap depresi pascapersalinan. Anemia selama kehamilan dan pascapersalinan dapat meningkatkan risiko depresi pascapersalinan melalui mekanisme perubahan neurotransmitter, stres oksidatif, hormon tiroid, serta sitokin inflamasi. Selain itu, kelelahan akibat anemia juga berkontribusi terhadap penurunan energi dan aktivitas, yang dapat memperburuk gejala depresi. Meskipun beberapa studi juga menemukan faktor lain seperti gizi, usia ibu, paritas, dan dukungan sosial sebagai penyebab tambahan. Pencegahan anemia selama kehamilan sangat penting untuk mengurangi risiko depresi pascapersalinan. Dapat disimpulkan bahwa anemia selama kehamilan berkontribusi terhadap depresi pascapersalinan, sehingga pencegahannya dengan suplementasi zat besi dan asam folat sangat penting untuk meningkatkan kesejahteraan ibu dan anak.
Co-Authors Agus Salim Ahmad Syafiq Akhmad Azmiardi Al-Ayubi, Moch Thoriq Assegaf Anggreani, Riska Aria Kekalih Beby Etika Sari Yudiarti Fitriyani Sukamto, Dhita Nur Gita Permatasari, Gita Helda Khusun Husnul Khotimah Izmi Arisa Putri Lubis Japri, Andrew Prasettya Kania R, Rahayu Khasanah, Yosi Yusrotul Kinesya, Edwin Latifah , Suci Mahendra Wisnu W, I K Rama Muaris, Hindah Musiawan, Ria Nafilata, Ikrimah Narendraputra, Agra Dhira Nur Adliyani, Zaraz Obella Nur Arofah, Nur Pasaribu, Adi Sutriwanto Pascaramadhani, Addini Prakoso, Pranata Priyo Pratiwi, Dessy Ratih Wirapuspita Wisnuwardani Saefurrohim, Muhamad Zakki Sandra Fikawati Selma Avianty Septiani, Seala Sundjaya, Tonny Tanadi, Aristo Yuliana, Roma