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All Journal Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Policy and Management Journal of Maternal and Child Health Jurnal Pengabdian Masyarakat Bangsa
Veibiani, Nindita Arum
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Meta Analysis on the Effect of the Quality of Health Services with the Level of Patient Satisfaction Munawaroh, Siti Mar'atul; Nurhayati, Happy; Sudarmono, Andang; Dhony, Ervia Fahma; Veibiani, Nindita Arum; Krisnawati, Hesthi; Puspita, Wita Hana; Handayani, Dian; Dianika, Bani; Sumarah, Kristuti Catur
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.049 KB)

Abstract

Background: patient-oriented health services are the primary strategy for health service organiza­tions. A good service is determined by the fact that the services provided can meet the patient's needs. Patient satisfac­tion is an integral part of the quality assurance of health service. This study aims to analyze the quality of tangible health ser­vices with patient satisfaction in receiving health services.Subjects and Method: Meta-analysis was performed by searching journals from direct databases such as Google Scholar, Science Direct, and PubMed using the key­words service quality, patient satisfaction, and heat service. The inclusion criteria in this study were full text from 2010-2021, with a cross-sectional study. The data analysis was carried out by RevMan 5.3.Results: Nine articles have been analyzed, showing that the quality of service had direct evidence of an effect on patient satis­faction in accessing health services (aOR= 4.17; 95% CI= 1.78 to 9.78; p <0.001).Conclusion: The quality of direct evidence (tangible) affects patient satisfaction in accessing health services.Keywords: tangible, service, patient satisfaction.Correspondence: Siti Mar'atul Mu­na­waroh. Ahmad Dahlan Uni­ver­sity. Jl. Prof. Dr. Soepomo, Jantu­ran, Um­bulharjo, Yogyakarta. Email: siti­maratul08@­gmail.com. Mobile +62821­33295468.Journal of Health Policy and Management (2021), 06(02): 107-115https://doi.org/10.26911/thejhpm.2021.06.02.03
Meta Analysis: Correlations between Age at Menarche, Parity, and Hormonal Contraceptive Use with Breast Cancer in Women of Reproductive Age Hidayati, Khairani Nur; Purnama, Hanif Wildan; Nugrahani, Anna; Murti, Bhisma; Veibiani, Nindita Arum
Journal of Maternal and Child Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.03.05

Abstract

Background: Breast cancer is the most common cancer and the leading cause of cancer death in women worldwide. The implementation of the program in reducing the incidence of breast cancer is focused on prevention based on evidence of risk factors. This study aims to estimate factors that influence the incidence of breast cancer in women of productive age. Subjects and Method: This study used systematic review and meta-analysis using PICO. Population: Women of productive age. Interventions: menstruation at ≥13years, parity (multipara) and using hormonal contraceptives. Comparison: menstruation at <13years, parity (nullipara) and not using hormonal contraceptives. Result: breast cancer. The articles used in this study came from 2 databases, namely Google Scholar and BMC. The keywords of the article were "menarche" AND "parity" AND "risk factor" AND "breast cancer". The articles included in this study were full paper articles, used case control study designs, publication year ranged from 2014-2023, and measure of association was in Adjusted Odds Ratio. Articles were analyzed using the Review Manager 5.4 application. Results: Thirteen case-control studies indicated that women who menstruated at ≥13 years old lowered the likelihood of breast cancer by 0.69 times (aOR=0.69; CI 95%= 0.57 to 0.84; p= 0.001). Eleven case-control studies indicated that multiparous parity lowered the likelihood of breast cancer by 0.49 times (aOR=0.49; CI 95%= 0.34 to 0.72; p= 0.001). Eleven case-control studies indicated that using contraception increased the likelihood of breast cancer by 1.47 times (aOR=1.47; CI 95%= 1.12 to 1.93; p= 0.006). Conclusion: Menstruation age <13 years old, parity (nullipara) and use of hormonal contraceptives are predictors in breast cancer cases in women of productive age.
Factors Affecting Mortality in People Living with HIV with Antiretroviral Therapy: A Meta-Analysis Anindita, Fauziah Shinta; Indriani, Fenita; Murti, Bhisma; Veibiani, Nindita Arum
Journal of Epidemiology and Public Health Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.04.08

Abstract

Background: TB is the leading cause of death among people living with HIV. In 2020, an estimated 214,000 people living with HIV died from TB. People with AIDS have a severely damaged immune system. They are increasingly suffering from severe diseases, called opportunistic infections (OI). This study aims to analyze and estimate the influence of gender, TB Coinfection, Opportunistic Infection on mortality in ODHIV with Antiretroviral Therapy.Subjects and Method: Systematic review and meta-analysis using PRISMA flowchart and the PICO model. Population: ODHIV with ART. Intervention: Women, Co-infected TB, Opportunistic Infections. Comparison: Male, no co-infected TB, no Opportunistic Infection. Outcome: Mortality Article search using Google Scholar, PubMed and Science Direct databases. The keywods used include "HAART" or "HIV" or "HIV/AIDS" and "Gender" and "TB Coinfections" or "TB" and "Opportunistic Infections" and "Mortality" and "Antiretroviral Treatment". The 17 included articles are fulltext in English with a cohort design study from 2008 to 2023 and report on the Hazard Ratio in a multivariate analysis. Data analysis using the RevMan 5.3 application.Results: A total of 17 cohort studies involving 23,651 research subjects from Vietnam, China, Japan, Ethiopia, and South Africa. The data collected showed that female ODHIV had a mortality risk of 0.7 times compared to male ODHIV (aHR= 0.70; CI 95%=0.60 to 0.79; p<0.001). In ODHIV with coinfected TB has a mortality risk of 1.86 times compared to ODHIV without coinfected TB (aHR= 1.89; CI 95%=1.36 to 2.61; p<0.001). ODHIV with Opportunistic Infection has a 1.90-fold risk of mortality compared to ODHIV without Opportunistic Infection (aHR= 1.90; CI 95%=1.50 to 2.42; p<0.001).Conclusion: Female gender decreases the risk of mortality, while TB coinfection and Opportunistic infection increase the risk of mortality in ODHIV with Antiretroviral Therapy.
Meta Analysis: The Effect of Social Support in Preventing Postpartum Depression in Postpartum Mothers Nugrahaeni, Meita Tyas; Untari, Niken Yuliani; Veibiani, Nindita Arum
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.01.07

Abstract

Background: Depression is one of the contributors to the disease that is the focus of public health in the world. The most common depression is postpartum depression. The postpartum period is a period of adaptation between mother and baby to optimize bonding attachment, so they need physical, emotional, and mental support from partners, families, and socially. This study was aimed to estimate the magnitude of the incidence of postpartum depression in postpartum mothers with the influence of social and family support, with a meta-analysis of the main study conducted by previous authors. Subjects and Method: This was a systematic review and meta-analysis with PICO, population: postpartum mothers. Intervention: strong social support. Comparison: weak social support. Outcome: postpartum depression. The articles used were obtained from several databases, namely Google Scholar, Pubmed, SpingerLink and Science Direct. Search keywords for articles were “Postnatal Depression” OR “Postpartum Depression” AND “Family Support” OR “Social Support” AND “Postpartum Mother”. The inclusion criteria for research articles were full-text articles using a cross-sectional observational study design, postpartum mothers who received intervention in the form of family and social support, the results of the study were postpartum/postnatal depression, multivariate analysis with Adjusted Odds Ratio (aOR) to measure estimates effect. Data were analyzed using the Review Manager application (RevMan 5.3). Results: A total of 10 cross-sectional articles were selected for a systematic review and meta-analysis with 8,930 postpartum mothers from Asia and Africa. Mothers giving birth without social support can contribute to the worsening of the postpartum mother's condition to cause postpartum depression (OR= 3.12; 95%CI 1.95 to 4.99; p= 0.009). Conclusion: Social support can increase the prevention of postpartum depression in postpartum mothers. Keywords: social support, postpartum mother, postpartum depression, postnatal depression Correspondence: Meita Tyas Nugrahaeni. Faculty of Public Health, Universitas Airlangga. Jl. Dr. Ir. H. Soekarno, Mulyorejo, Kota Surabaya 60115, East Java, Indonesia. Email: meitatyas04@gmail.com. Mobile: 085974825459.
Meta Analysis: The Effect of Bullying on Adolescents on Mental Health and Depression Zaen, Nurussyifa Afiana; Nuha, Riya Ulin; Veibiani, Nindita Arum
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.01.09.

Abstract

Background: Bullying is an act of aggression that is intentional and repeated physically, psychologically, verbally, and cyber which can cause various health problems. Bullying is one of the causes of poor mental health conditions in adolescents whose impact can continue into adulthood. This study was aimed to assess the magnitude of the effect of bullying on mental health and depression based on the scores obtained from several previous similar studies. Subjects and Method: The design of this research study was a systematic review and meta-analysis. The primary articles used were obtained from online databases (PubMed, Google Scholar, ResearchGate, and Springer Link) published in 2012-2022. Population: teenagers. Intervention: bullying. Comparison: not experiencing bullying. Outcomes: mental health and depression. The keywords used in the primary article search were “Bullying” AND “Mental Health Problem” OR “Psychological Disorder” OR “Psychological Distress” AND “Depression” OR “Depressive Disorder” AND “Adolescent” OR “Teenager”. This study uses full-text articles with a cross-sectional design and contains an aOR (adjusted Odds Ratio) value. The selection of articles was carried out using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application. Results: There are 7 articles from Saudi Arabia, Taiwan, Italy, Morocco, Sweden, Australia, and Ethiopia on bullying and adolescent mental health, as well as 8 articles from Saudi Arabia, US, Italy, China, Brazil, Canada, Australia, and Malaysia on bullying and depression in adolescents. The results of the meta-analysis showed that bullying was statistically significant in increasing the occurrence of mental health disorders (aOR= 2.48; 95%CI= 1.64 to 3.74; p< 0.001) and depression (aOR= 2.74; 95%CI= 2.29 to 3.28; p< 0.0001) in teenagers. Conclusion: The experience of bullying can increase the risk of mental health disorders and depression in adolescents. Keywords: Bullying, mental health, depression, youth. Correspondence: Riya Ulin Nuha. Faculty of Health Science, Universitas ‘Aisyiyah Yogyakarta. Jl. Ring Road Barat 63 Mlangi Nogotirto Gamping, Sleman 55292, Yogyakarta, Indonesia. Email: ulin514@gmail.com. Mobile: 081238710748.
Mortality Risk in COVID-19 Patients with HIV-Comorbidity: Meta-Analysis Veibiani, Nindita Arum; Murti, Bhisma; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.04.02

Abstract

Background: Coronavirus disease 2019 or known as COVID-19 is a disease caused by severe acute respiratory coronavirus 2 (SARS-CoV-2). Comorbidities that are risk factors for COVID-19 death include hypertension, diabetes, heart disease, COPD, HIV (Human Immunodeficiency Virus), kidney failure, and cancer. This study aims to estimate the magnitude of the risk of death in COVID-19 patients with comorbid HIV, with a meta-analysis of the primary studies conducted by the previous authors.Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: COVID-19 patients. Intervention: HIV comorbidity. Comparison: without co-morbid HIV. Outcome: Mortality. The articles used in this study were obtained from four databases, namely PubMed, Google Scholar, Springerlink, and Science direct, using the search keys "HIV/AIDS" AND "Mortality" OR "death" AND "COVID-19 OR SARS-CoV-2. The included article is a full-text English language with a cohort study design from 2020 to 2021 and reports the adjusted Odds Ratio (aOR) in a multivariate analysis. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 9 cohort studies involving 3,397,186 COVID-19 patients from America, Europe, and Africa were selected for a systematic review and meta-analysis. The data collected showed that COVID-19 patients with HIV comorbidities had a mortality risk of 3.30 times compared to COVID-19 patients without HIV comorbidities (aOR = 3.30; 95% CI = 2.87 to 3.81; p<0.001).Conclusion: HIV increases mortality risk in COVID-19 patients. Keywords: HIV, COVID-19, SARS-CoV-2, mortality Correspondence:Nindita Arum Veibiani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: nindita.veibiani@gmail.com. Mobile: 085800216969.
Effects of Hypertension, Diabetes Mellitus, and Gender on Post Stroke Cognitive Impairment: Meta-Analysis Utami, Sukandriani; Wicaksono, Emirza Nur; Choirunnisa, Amalia; Veibiani, Nindita Arum; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.07

Abstract

Background: Post-stroke cognitive impairment is a serious problem that is often faced by indivi-duals who have experienced a stroke. This study aims to determine and estimate the effects of hypertension, diabetes mellitus, and gender on post-stroke cognitive impairment through meta-analysis of primary research conducted by previous researchers.Subjects and Method: This was a meta-analysis study using the PICO model which includes; P: post-stroke patients. I: hypertension, diabetes mellitus, and women. C: normotensive, without diabetes mellitus, and men. O: post-stroke cognitive impairment. A systematic search for primary studies was carried out in the PubMed database which was published from 2014 to 2023. The keywords used to search for primary studies were "Hypertension" AND "Diabetes Mellitus" AND "Post Stroke Cognitive Impairment". The inclusion criteria for the articles searched were primary studies with cross-sectional and cohort studies from 2014-2023 and reporting aOR values. Primary studies were selected using the PRISMA diagram and relevant primary studies were analyzed using Review Manager 5.3.Results: There were 18 primary studies with cross-sectional and cohort study designs. The total sample obtained through a systematic review and meta-analysis was 9,103 post-stroke patients from France, China, Singapore, the Netherlands, Egypt, Ethiopia, and Uganda. The results of the analysis showed that hypertension increased the risk 1.56 times (aOR= 1.56; 95% CI= 1.11 to 2.19; p= 0.010) and diabetes mellitus increased the risk 1.58 times (aOR= 1.58; 95% CI= 1.23 to 2.05; p< 0.001) post-stroke cognitive impairment compared to people without hypertension and diabetes. Meanwhile, the female gender increases the risk of post-stroke cognitive impairment by 1.28 times (aOR= 1.28; 95% CI=1.16 to 1.42; p<0.001). The data is statistically significant.Conclusion: hypertension, diabetes mellitus, and female gender increase the risk of post-stroke cognitive impairment. Keywords: Hypertension, diabetes mellitus, women, post-stroke cognitive disorders
The Social Face of Stigma: A Meta-Analysis of Gender, Support, and Living Environment in HIV/AIDS Perception Utami, Indri Nur; Dewi, Rachael Saraswaty; Amalia, Rizky Nur Aprilianti; Murti, Bhisma; Veibiani, Nindita Arum
Indonesian Journal of Medicine Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2025.10.2.845

Abstract

Background: The stigma of society towards ODHA itself is influenced by various factors, where there are three factors that can be used as a benchmark, namely gender, place of residence, and social support. This study aims to estimate the magnitude of the influence of gender, social support and housing on the perception of stigma in people with HIV/AIDS, based on the results of a number of previous primary studies. Subject and Method: This study is a meta-analysis and systematic review study, with PICO, Population: ODHA patients (People with HIV/AIDS), Intervention: Women, low social support and village dwelling, Comparison: men, high social support and urban dwelling, Ooucome: HIV/AIDS stigma. Primary study searches used electronic databases: PUBMED, BMC, Scopus and Scient Direct published from 2012 to 2022. The keywords used are "people living with HIV" AND "gender" AND "social support" AND "residence" AND "perceived stigma HIV, cross-sectional"". There are 9 English fulltext arithmetic with effect size using adjusted odds ratio from 2012 to 2022. Articles selected with PRISMA Flow and analyzed using RevMan 5.3. Result: This meta-analysis was conducted on 9 primary studies from India and Ethiopia with a sample = 14,191 HIV/AIDS patients. This study showed that the risk of stigma perception increased with female sex (aOR=1.35, CI 95%=0.75 to 2.46; p=0.320; I²=91%) and rural housing (aOR=1.49; CI 95%=0.89 to 2.47; p=0.130), but it is not statistically significant. The risk of stigma perception decreased with high social support (aOR=0.53; CI 95%=0.32 to 0.90; p=0.020), and the results are statistically significant. Conclusion: The risk of stigma perception increases with female gender, rural housing and high social support.
Edukasi Aplikasi Sehat IndonesiaKu (ASIK) Sebagai Upaya Peningkatan Kapasitas Kader Posyandu Bina Bhakti, Kota Surakarta Nurkalis, Undari; Amir, Nikmah Ayu Ramadhani; Ismail, Aem; Veibiani, Nindita Arum
Jurnal Pengabdian Masyarakat Bangsa Vol. 3 No. 5 (2025): Juli
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v3i5.2660

Abstract

Era digital mendorong integrasi data kesehatan berkualitas, namun banyak tantangan yang dihadapi meskipun penting untuk pengambilan keputusan oleh pembuat kebijakan, analis, dan evaluator. Manajemen informasi krusial untuk meningkatkan kualitas layanan kesehatan, dengan sistem informasi kesehatan (SIK) yang mengintegrasikan data, informasi, prosedur, dan SDM untuk mendukung pembangunan kesehatan. Pemanfaatan SIK, seperti Aplikasi Sehat IndonesiaKu (ASIK), menghemat waktu dan meningkatkan akurasi data kesehatan. ASIK, aplikasi terpusat untuk pencatatan dan pemantauan pelayanan kesehatan luar gedung, digunakan oleh tenaga kesehatan primer, termasuk kader Posyandu, untuk mencatat imunisasi, kesehatan bayi dan balita, remaja, usia sekolah, ibu hamil, serta skrining PTM. Kegiatan pengabdiaan bertujuan meningkatkan kemampuan kader Posyandu Bina Bhakti dalam mengelola dan melaporkan data kesehatan melalui edukasi ASIK, mendukung integrasi data dan pelayanan kesehatan yang lebih baik. Metode yang digunakan adalah penyuluhan kepada 12 kader Posyandu Bina Bhakti di Kecamatan Banjarsari, Kota Surakarta, meliputi tahap persiapan (koordinasi, survei, perjanjian) dan pelaksanaan edukasi ASIK (pendaftaran, login, implementasi). Pengukuran pengetahuan dilakukan melalui pre-test dan post-test. Hasil menunjukkan peningkatan pengetahuan yang signifikan, dengan kategori "Baik Sekali" naik dari 50% menjadi 58% setelah edukasi, menegaskan efektivitas intervensi dalam meningkatkan pemahaman kader. Peningkatan pengetahuan ini berkorelasi langsung dengan potensi pemanfaatan ASIK yang optimal, meningkatkan kualitas data kesehatan komunitas.
Factors Influencing Events Dysfunction Cognitive Post Operation on Patient Elderly: Systematic Review Kusuma, Ratna; Veibiani, Nindita Arum
Indonesian Journal of Medicine 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/theijmed.2025.10.3.871

Abstract

Background: : Improvements in global life expectancy have led to a significant increase in the elderly population, which in turn results in a growing number of elderly patients undergoing surgery. This condition raises the risk of postoperative complications, such as postoperative cognitive dysfunction (POCD). POCD can reduce quality of life, prolong the length of hospital stay, and increase mortality. This study aims to identify and synthesize the factors that influence the occurrence of POCD in elderly patients. Subjects and Method: This study is a Systematic review with PICO. The article used in research were obtained from several databased including Google Scolar, Scopus, and PubMed Keywords to find articles are "postoperative cognitive dysfunction," "elderly patients," and "geriatrics". This articles used are failing to directly discuss risk factors for postoperative cognitive dysfunction in elderly patients, or identified as opinion pieces, conference abstracts without full text, or narrative reviews, will be excluded. Articles were selected using PRISMA flow diagram. Results: a total 8 articles reviewed in Systematic Review showed that The incidence of POCD in the elderly shows significant variation between studies, ranging from 8.33% to 37.7% . Risk factors that have been consistently identified as having a significant influence on the incidence of POCD include advancing age, low level of education, number of comorbidities, high ASA score, long duration of anesthesia, intraoperative hypotension, history of cerebral infarction, and low oxygen saturation at induction. The use of certain anesthetic agents such as sevoflurane and midazolam has also been shown to increase the risk of POCD. Instead, use dexmedetomidine preoperative, analgesia preemptive and the combination of general anesthesia with epidural block were identified as protective factors. Conclusion: The main risk factors advanced age, education level, comorbidities, and type and duration of anesthesia.
Co-Authors Amalia Choirunnisa Amalia, Rizky Nur Aprilianti Amir, Nikmah Ayu Ramadhani Anindita, Fauziah Shinta Argyo Demartoto, Argyo Bhisma Murti Dewi, Rachael Saraswaty Dhony, Ervia Fahma Dian Handayani Dianika, Bani Hidayati, Khairani Nur Indriani, Fenita Ismail, Aem Krisnawati, Hesthi Munawaroh, Siti Mar'atul Nugrahaeni, Meita Tyas Nugrahani, Anna Nuha, Riya Ulin Nurhayati, Happy Purnama, Hanif Wildan Puspita, Wita Hana Ratna Kusuma, Ratna Sudarmono, Andang Sukandriani Utami Sumarah, Kristuti Catur Undari Nurkalis, Undari Untari, Niken Yuliani Utami, Indri Nur Wicaksono, Emirza Nur Zaen, Nurussyifa Afiana