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All Journal Journal of Epidemiology and Public Health Journal of Maternal and Child Health
Budhiastuti, Uki Retno
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Medicine & Pharmacology Public Health

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Path Analysis on the Biopsychosocial Determinants of Infertility among Reproductive Aged Women in Surakarta, Central Java Zauma, Luthfia; Budhiastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 5, No 2 (2020)
Publisher : Journal of Maternal and Child Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (537.142 KB)

Abstract

Background:  Infertility is a multidimensional prob­­lem. This problem occurs not only because of health problems related to anatomic factors such as problems in the fallopian tubes, ovaries, and endo­­­metrium, but also there are more factors such as physiological, genetic, and environmental fac­tors. The purpose of this study was to analyze the factors that influence the incidence of infer­tility in women.Subjects and Method: A case control study was conducted at the Gynecology Obstetrics Poly­clinic and Sekar Fertility Clinic, Dr. Moewardi hos­pital, Surakarta, Central Java, from October to November 2019. A sample of 200 women rep­ro­­ductive age was selected by fixed disease samp­ling. The dependent variable was infertility. The inde­pen­dent variables were age, body mass index (BMI), physical activity, endo­metriosis, family his­tory, exposure to cigarette smoke, and stress. The data were obtained from medical record and question­naire. The data were analyzed by path analysis run on Stata 13.Results: Infertility in women was directly increased with age 35 years (b= 1.20; 95% CI= 0.18 to 2.22; p= 0.021), BMI <18 or ≥25 (b= 2.93; 95% CI= 1.95 to 3.91; p<0.001), high phy­sical activity (b= 1.30; 95% CI= 0.28 to 2.33; p= 0.013), endometriosis (b= 1.17; 95% CI= 0.20 to 2.13; p= 0.018), exposure to cigarette smoke (b= 1.19; 95% CI= 0.20 to 2.23; p= 0.023), and severe stress (b= 1.18; 95% CI= 0.27 to 2.08; p= 0.011). In­fer­­tility in women was indirectly increased with age, physical activity, and family history of infer­tile.Conclusion: Infertility in women is directly in­creas­ed with age 35 years, BMI <18 or ≥25, high phy­sical activity, endometriosis, exposure to ciga­ret­­­te smoke, and severe stress. Infertility in women is indirectly increased with age, physical acti­vity, and family history of infertile.Keywords: female infertility, risk factors, path analy­sisCorrespondence: Luthfia Zauma. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia, 57126. Email:el.chizauma@gmail.com. Mobile: 0813379 77377.Journal of Maternal and Child Health (2020), 5(2): 173-181https://doi.org/10.26911/thejmch.2020.05.02.07
Meta-Analysis of the Effect of Exposure to Indoor Cigarette Smoke in Pregnant Women on the Risk of Infants Low Birth Weight Ramadhani, Dinda Nur Asri Mutiara; Budhiastuti, Uki Retno; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.05

Abstract

Background: Problems related to low birth weight are often found in developing countries. Expo-sure to cigarette smoke is one of the factors causing low birth weight, in this case caused by the chemicals in cigarettes which affect the health of pregnant women and babies. This study aims to determine the effect of exposure to secondhand smoke in the home on pregnant women on the risk of giving birth to babies with low birth weight. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: pregnant women. Intervention: exposure to household ciga-rette smoke is high. Comparison: household exposure to secondhand smoke is low. Outcome: low birth weight. The databases used are PubMed, Google Scholar, and Science Direct with keywords (“Pregnancy Women” OR “Passive Smoking” OR “Low Birth Weight”) AND “Case Control Study”. A total of 9 articles met the inclusion criteria, namely primary full text paper, case-control design, adjus-ted Odds Ratio (aOR), research subjects of pregnant women, interventions in the form of high cigarette smoke exposure, and outcomes in the form of low birth weight for analysis carried out with RevMan 5.3. Results: A meta-analysis has been carried out on 9 articles with a case-control study design from the Asian Continent and the African Continent in pregnant women with a sample size of 4,244. The results of the meta-analysis showed that pregnant women who were exposed to secondhand smoke from the environment had a risk of giving birth to babies with low birth weight 1.82 times compared to those not exposed to secondhand smoke and the effect of exposure was statistically significant (aOR= 1.82; 95% CI= 1.54 to 2.16; p <0.001). Conclusion: The effects of exposure to cigarette smoke in pregnant women can increase the risk of low birth weight babies. Keywords: passive smokers, low birth weight, pregnant women, babies, Correspondence:Dinda Nur Asri Mutiara Ramadhani. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: mutiaradinda42@gmail.com Mobile: +6282323346406
Meta-Analysis of the Effect of Exposure to Indoor Cigarette Smoke in Pregnant Women on the Risk of Infants Low Birth Weight Ramadhani, Dinda Nur Asri Mutiara; Budhiastuti, Uki Retno; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.05

Abstract

Background: Problems related to low birth weight are often found in developing countries. Expo-sure to cigarette smoke is one of the factors causing low birth weight, in this case caused by the chemicals in cigarettes which affect the health of pregnant women and babies. This study aims to determine the effect of exposure to secondhand smoke in the home on pregnant women on the risk of giving birth to babies with low birth weight. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: pregnant women. Intervention: exposure to household ciga-rette smoke is high. Comparison: household exposure to secondhand smoke is low. Outcome: low birth weight. The databases used are PubMed, Google Scholar, and Science Direct with keywords (“Pregnancy Women” OR “Passive Smoking” OR “Low Birth Weight”) AND “Case Control Study”. A total of 9 articles met the inclusion criteria, namely primary full text paper, case-control design, adjus-ted Odds Ratio (aOR), research subjects of pregnant women, interventions in the form of high cigarette smoke exposure, and outcomes in the form of low birth weight for analysis carried out with RevMan 5.3. Results: A meta-analysis has been carried out on 9 articles with a case-control study design from the Asian Continent and the African Continent in pregnant women with a sample size of 4,244. The results of the meta-analysis showed that pregnant women who were exposed to secondhand smoke from the environment had a risk of giving birth to babies with low birth weight 1.82 times compared to those not exposed to secondhand smoke and the effect of exposure was statistically significant (aOR= 1.82; 95% CI= 1.54 to 2.16; p <0.001). Conclusion: The effects of exposure to cigarette smoke in pregnant women can increase the risk of low birth weight babies. Keywords: passive smokers, low birth weight, pregnant women, babies, Correspondence:Dinda Nur Asri Mutiara Ramadhani. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: mutiaradinda42@gmail.com Mobile: +6282323346406
Meta-Analysis Effects of Antenatal Care Visit and Knowledge on the Adherence of Iron Tablet and Folic Acid Consumption Adhila, Siti Fatimah Aminah Nikita Putri; Budhiastuti, Uki Retno; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 8 No. 5 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.05.01

Abstract

Background: Adherence to iron tablet and folic acid (IFA) supplementation is the main strategy for the prevention and control of iron deficiency and neural tube defects in pregnant women and the unborn child. This study aims to estimate the relationships of antenatal care (ANC) visits and maternal knowledge on IFA supplementation adherence in pregnant women. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: pregnant women. Intervention: conduct antenatal care visits and have knowledge of IFA Supplementation. Comparison: did not make antenatal care visits and had no knowledge of IFA Supplementation. Outcome: IFA consumption compliance. The databases used are PubMed, Google Scholar, and SpringerLink with keywords (“Antenatal Care” OR “IFA Supplementation” OR “Compliance”) AND “cross sectional”. There were 11 cross-sectional studies published in 2011-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3. Results: A meta-analysis of 11 cross-sectional studies from Ethiopia and Uganda was performed, with sample size= 4,367. This study showed that pregnant women who had regular ANC visits (aOR=2.22; 95% CI= 1.52 to 3.24; p < 0.001) and had good knowledge (aOR=2.48; 95% CI= 2.02 to 3.03; p<0.001) were more likely to adhere to IFA supplementation. The funnel plot indicates publication bias (overestimate). Conclusion: Pregnant women with regular ANC visits and good knowledge have the possibility to adhere with IFA supplementation. Keywords: antenatal care, knowledge, adherence. Correspondence: Siti Fatimah Aminah Nikita Putri Adhila. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: putriadhila00@gmail.­com Mobile: +6282186635526.
Co-Authors Adhila, Siti Fatimah Aminah Nikita Putri Bhisma Murti Eti Poncorini Pamungkasari Ramadhani, Dinda Nur Asri Mutiara Rita Adriani Benya Adriani Zauma, Luthfia