Krisdyana, Bekti
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Determinant Affecting Blood Sugar, Cholesterol and Uric Acid Levels in Women of Childbearing Age Rohmawati, Indah; Saripah, Anna Sapti; Setiawan, Aris; Krisdyana, Bekti; Ningtiyasari, Nunik; Ismail, Mohammad
Journal of Health Sciences and Epidemiology Vol. 3 No. 1 (2025): April 2025
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/jhse.v3i1.76

Abstract

The incidence of metabolic disorders in women of childbearing age in Indonesia, especially those related to blood sugar levels, cholesterol levels, and uric acid levels, continues to increase. Therefore, it is necessary to identify several causal factors. This study aimed to determine the variables related to blood sugar, cholesterol, and uric acid levels. The types of research were observational, analytic, and cross-sectional. The study population consisted of female Tulungagung employees in the Health Office, with purposive sampling obtained 41 respondents. Inclusion criteria: aged 19-49 years, participating in Posbindu activities held at the Health Office in November 2024. This study was conducted at the Tulungagung Regency Health Office in November 2024. Data was collected by measuring height, weight, waist circumference, blood sugar, uric acid, and cholesterol levels, using a microtoise, weight scales, metline, and Easy Touch GCU. Data were analyzed using multiple linear regression testsThe result this study, age had been shown to have an effect on blood sugar levels, and both body mass index (BMI) and excess body weight have been shown to increase uric acid levels. The BMI and weight are both within the normal range, and leading a healthy lifestyle can help prevent difficulties that are caused by metabolic disorders.
Discrepancy between VIA Screening and HPV DNA Status: A Real-World Evidence from a Large-Scale Program Rohmawati, Indah; Setiawan, Aris; Krisdyana, Bekti; Ningtiyasari, Nunik
Journal of Health Sciences and Epidemiology Vol. 4 No. 1 (2026): April 2026
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/gqfhdm20

Abstract

Cervical cancer is a significant health issue in low- and middle-income countries (LMICs). Visual Inspection with Acetic Acid (VIA) is commonly used for screening because of its affordability. This study analyzed the association between reproductive factors, Human Papillomavirus (HPV) DNA status, and VIA results among 860 women in Tulungagung, Indonesia. The participants had a mean age of 41 years, and 48% used hormonal contraceptives. Most respondents had negative VIA results (94.1%) and negative HPV DNA status (90.7%). Bivariate and multivariate analyses showed no significant associations between VIA results and HPV DNA (p=0.262), age (OR=0.747, p>0.05), or contraceptive use. Diagnostic analysis revealed that VIA had a high specificity (94.4%) but very low sensitivity (8.8%) when compared to HPV DNA status. The high false-positive rate (86.3% of VIA-positive cases were HPV-negative) highlights VIA's limitations of VIA in terms of objectivity. In conclusion, reproductive factors and HPV DNA were not significant predictors of VIA outcomes. Transitioning toward HPV DNA testing as a primary screening tool is recommended to improve program accuracy.