Handayani, Anggun Fitri
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Effects of Insecticide-Treated Nets and Stagnant Water on the Risk of Malaria: A Meta-Analysis Minawati, Atika Dwi; Ramadhani, Dinda Nur Asri Mutiara; Damayanti, Siti; Ariska, Yovita Galuh Eka; Murti, Bhisma; Handayani, Anggun Fitri
Journal of Epidemiology and Public Health Vol. 8 No. 3 (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.2023.08.03.07

Abstract

Background: Malaria infection is a global public health problem that causes major morbidity worldwide. Stagnant water is one of the risk factors for malaria, insecticide-treated nets are one of the interventions that can prevent malaria. This study aims to estimate the magnitude of the effect of using insecticide-treated nets and stagnant water around the house on the risk of malaria. Subjects and Method: This study was conducted using a systematic review and meta-analysis with PICO, Population: children. Intervention: insecticide-treated mosquito nets and stagnant water. Comparison: without insecticide-treated nets and no stagnant water. Result: incidence of malaria. By searching for articles in 3 databases namely PubMed, Google Scholar, and Science Direct published from 2016 to 2023, by entering the following keywords insecticide-treated bed nets” OR “ITN” AND “stagnant water” OR “STAGNA” AND “Malaria” AND “Cross-sectional” AND “Multivariate Analysis”. Articles were selected using the PRISMA flow and data analysis using the Review Manager 5.3. Results: There are 13 articles using a cross-sectional study design with a total sample of 5,793 children from Indonesia, Cameroon, Nigeria, and Ethiopia which have gone through a systematic review and meta-analysis. Processed data showed that children who used insecticide-treated nets had a 0.65 times lower chance of contracting malaria compared to those who did not use insecticide-treated nets (aOR= 0.65; 95% CI= 0.41 to 1.01; p= 0.060). Children who live in an environment where there is stagnant water have a 4.10 times chance of getting malaria compared to children who live in an environment where there is no stagnant water and this is statistically significant (aOR= 4.10; 95% CI= 2.80 to 6.03; p <0.001). Conclusion: Insecticidal mosquito nets reduced the incidence of malaria, and stagnant water increased the incidence of malaria. Keywords: insecticide-treated nets, stagnant water, STAGNA, children Correspondence: Atika Dwi Minawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir Sutami No.36, Kentingan, Jebres, Surakarta, 57126, Central Java. Email: dwiminawatiatika@gmail.com. Mobile: +625212613303.  
Parental Communication as a Protective Factor Against Adolescent Risky Sexual Behavior: A Meta-Analysis Atmojo, Joko Tri; Handayani, Anggun Fitri; Widiyanto, Aris; Mubarok, Ahmad Syauqi; Anasulfalah, Hakim; Delimasari, Trisakti Halimah
Journal of Health Promotion and Behavior 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/thejhpb.2025.10.03.05

Abstract

Background: Adolescence is a significant developmental stage marked by notable physical, psychological, and social changes. Adolescent reproductive health surveys show that a number of teenagers report engaging in premarital sexual intercourse without fully understanding its social and health consequences. Given this phenomenon, it is crucial to understand the factors that can protect them from risky sexual behaviors, particularly starting from the family. This study aimed to estimate the impact of family communication on risky sexual behavior in adolescents. Subjects and Method: This research is a meta-analysis and systematic review using the PRISMA diagram with PICO frame work (P= adolescent; I = parental communication; C= no parental communication; O= risky sexual behavior). Primary studies were searched through several indexing databases, including PubMed, Google Scholar, and ScienceDirect. Keywords used to facilitate the search for articles include: “parental participation,” or “parental communication,” or “family interaction,” or “sexual risk” or “sexual risk behavior” AND “adults” or “adolescents.” The inclusion criteria for this study are articles published using a cross-sectional study design up to 2024. The statistical analysis used in this study was conducted using the RevMan 5.4 meta-analysis program with both fixed effect and random effect approaches to present the data in the form of forest plots and funnel plots. Results: A total 9 Articles were included in the meta-analysis. The results of the study show that adolescents with low family participation in sexual education, or in the absence of parental communication, are 1.46 times more likely to engage in risky sexual behavior compared to adolescents who receive sexual education or have parental communication, and this result is statistically significant (aOR= 1.46; CI 95%= 1.43 to 1.49; p<0.001). Conclusion: adolescents with low family participation in sexual education, or in the absence of parental communication are more likely to engage in risky sexual behavior compared to adolescents who receive sexual education or have parental communication.