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Path Analysis on the Biopsychosocial and Economic Determinants of Quality of Life in Patients with Type II Diabetes Mellitus: Evidence from Surakarta, Central Java Nurvitasari, Rahsunji Intan; Tamtomo, Didik Gunawan; Dewi, Yulia Lanti Retno
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Type 2 diabetes mellitus (DM) is a chronic disease that is increasing to an alarm­ing stage in the world. Type 2 diabetes mellitus can have a major impact on the quality of life in patients. The quality of life in patients with type 2 DM is affected by various factors. This study aimed to analyze the biopsychosocial and econo­mic determinants of the quality of life in patients with type 2 DM.Subjects and Method: This was an analytical observational study with a cross-sectional design. This study was conducted in Surakarta from March to May 2020. A sample of 100 patients was selected by purposive sampling. The depen­dent variable was quality of life. The independent vari­ables were age, blood sugar level, Body Mass Index (BMI), central obesity, education level, smoking habits, stress levels, family social support, physical activity, other diseases, occu­pation, income, health insurance. This study used a questionnaire to collect the data. This study was analyzed by path analysis using Stata version 13.Results: The quality of life in patients with type 2 DM increased by family support (b= 0.86; 95%CI=-0.16 to 1.87; p=0.098), education (b= 1.47; 95%CI=0.47 to 2.47; p=0.004), and occu­pation (b=1.09; 95%CI=-0.06 to 2.23; p=0.062). The quality of life in patients with type 2 DM decreased by HbA1c levels (b=-1.74; 95%CI=-2.80 to -0.69; p=0.001) and BMI (b=-1.41; 95% CI= -2.49 to -0.34; p=0.010). Quality of life in patients with type 2 DM was indirectly affected by physical activity and education.Conclusion: Quality of life in patients with type 2 DM is directly affected by HbA1c levels, BMI, family support, education, and occupation. Qua­lity of life in patients with type 2 DM is indirectly affected by physical activity and education.Keywords: Quality of life, type 2 diabetes mellitus, biopsychosocial, path analysis.Correspondence: Rahsunji Intan Nurvitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: intan.nurvitasarI@gmail.com. Mobile: +6281232599161Journal of Epidemiology and Public Health (2020), 05(03): 281-292https://doi.org/10.26911/jepublichealth.2020.05.03.03 
Path Analysis on the Biopsychosocial and Economic Determinants of Quality of Life in Patients with Type II Diabetes Mellitus: Evidence from Surakarta, Central Java Nurvitasari, Rahsunji Intan; Tamtomo, Didik Gunawan; Dewi, Yulia Lanti Retno
Journal of Epidemiology and Public Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Type 2 diabetes mellitus (DM) is a chronic disease that is increasing to an alarm
Optimalisasi Kelas Ibu Hamil melalui Pendekatan Kesehatan Mental Berbasis Komunitas Nurvitasari, Rahsunji Intan
ABDIMASKU : JURNAL PENGABDIAN MASYARAKAT Vol 8, No 3 (2025): Vol 8, No 3 (2025): SEPTEMBER 2025
Publisher : LPPM UNIVERSITAS DIAN NUSWANTORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62411/ja.v8i3.3074

Abstract

Maternal mental health is a crucial factor influencing the well-being of mothers and fetal development. Mental health screening in primary care is rarely conducted, leading to undetected issues. This community service aimed to enhance pregnant women’s knowledge of mental health while conducting screening using the Depression Anxiety and Stress Scale (DASS-21). The program involved 45 pregnant women in the working areas of Bantul I and Bantul II Community Health Centers. Methods included education, interactive Q&A sessions, and completion of the DASS-21 questionnaire. Results indicated that most participants were in the normal category across all age groups. However, moderate cases were found in women aged >35 years (7.7%), mild cases in working participants (11.1%), mild cases in the second trimester (7.7%), and moderate cases in the third trimester (4.5%). Participants actively engaged in discussions, shared experiences, and informally formed peer support groups. This program demonstrated that education combined with screening can raise awareness and foster social support networks among pregnant women.