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All Journal Indonesian Journal of Cancer The Indonesian Journal of Public Health Paediatrica Indonesiana JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Belitung Nursing Journal Syntax Literate: Jurnal Ilmiah Indonesia Media Medika Muda Jurnal Epidemiologi Kesehatan Komunitas Jurnal Dunia Kesmas Jurnal Respirologi Indonesia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia PREPOTIF : Jurnal Kesehatan Masyarakat Indonesian Journal of Anesthesiology and Reanimation (IJAR) Indonesian Journal of Global Health research Indonesian Journal of Cancer Makara Journal of Health Research Berita Kedokteran Masyarakat Proceeding Muhammadiyah International Public Health and Medicine Conference Tarumanagara Medical Journal Pro Health Jurnal Ilmiah Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Epidemiologi Kesehatan Indonesia
Asri C. Adisasmita
Departemen Epidemiologi FKM UI
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Socio-Demographic Determinants of Hospitalization Severity Among Type 2 Diabetes Mellitus-Related Hospitalization Visits in Indonesia: A Cross-Sectional Analysis of Using BPJS Health Secondary Data, 2023 Putri, Nadia; Adisasmita, Asri C.; Fitria, Fitria; Anggraini, Sely
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

Type 2 diabetes mellitus (T2DM) is a chronic disease with high prevalence and contributes significantly to the burden of inpatient care in Indonesia. The severity of T2DM-related hospitalization as classified under the INA-CBGs system, is an important indicator for assessing disparities in access to care and the health system’s response to vulnerable populations. This study aims to analyze the relationship between socio-demographic characteristics and the severity of T2DM-related hospitalization visits based on 2023 Social Security Administering Body for Health (BPJS Health) data. This study employed a cross-sectional design using secondary data from the 2023 BPJS Health Sample Data. The unit of analysis was hospitalization visits. The study included inpatient hospitalization visits with a diagnosis of T2DM (ICD-10: E11). Univariate and bivariate methods were conducted, including chi-square tests and ordinal logistic regression was estimated using cluster-robust standard errors. Hospitalization severity was categorized based on the INACBGs classification (mild, moderate, severe). Among 431 T2DM-related hospitalization visits, age >45 years (OR = 2.17; p = 0.035), divorced status (OR = 2.33; p = 0.021), and lower middle socioeconomic status (OR = 1.54; p = 0.046) were significantly associated with higher INA-CBGs hospitalization severity. Gender, inpatient care class, and type of healthcare facility ownership were not statistically significantly associated with hospitalization severity. These findings highlight the importance of the health system's response to the social determinants reflected in INA-CBGs–based hospitalization severity among T2DM-related visits. Targeted and multisectoral interventions are needed to reduce disparities and improve service quality for socially vulnerable groups. Keywords: Type 2 diabetes mellitus, hospitalization severity, socio-demographics, BPJS Health
Survival Analysis Of COVID-19 Patients With Type 2 Diabetes: Lesson From Pandemic Putri, Nadia; Adisasmita, Asri C.
Jurnal Dunia Kesmas Vol 15, No 1 (2026): Volume 15 Nomor 1
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v15i1.23642

Abstract

Type 2 diabetes mellitus (T2DM) is a common chronic comorbidity that exacerbates the clinical course of COVID-19, leading to higher complication rates and mortality. Patients with T2DM experience impaired immunity, persistent inflammation, and metabolic dysfunction, making them more vulnerable to severe viral infections. Despite extensive global research, evidence from Indonesia remains scarce, highlighting the need for local data to guide public health strategies. This study aimed to analyze the survival of COVID-19 patients with T2DM and identify factors associated with mortality in Padang City. A retrospective cohort study using surveillance data from the Padang City Health Office between March 2020 and March 2021 included 209 randomly selected patients. Survival analysis was conducted using Kaplan–Meier methods, and Cox regression models identified mortality predictors. The study found that 6.7% of patients died, with an incidence rate of 0.0058. T2DM patients had nearly four times the risk of death compared to non-diabetic individuals (HR = 3.9; 95% CI: 1.2–14.2). Other predictors included older age, male sex, multiple comorbidities, symptomatic status, and hospitalization. These findings emphasize the need to prioritize T2DM patients in vaccination, early detection, and integrated diabetes management to strengthen health system resilience.
Analisis Sosiodemografis Pada Kesehatan Mental Ibu Dari Anak yang Belajar di Rumah Selama Pandemi COVID-19 Miranda Rachellina; Asri Chasanah Adisasmita
Majalah Kedokteran Indonesia Vol 71 No 4 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.4-2021-540

Abstract

Introduction: The implementation of distance learning due to the COVID-19 pandemic has impacted not only the students but also parents especially mothers. This study was aimed to provide an overview of mothers’ mental health status (stress and anxiety) in Jabodetabek and its association with mother’s education level and occupation status, number of children, and number of children doing distance learning during the COVID-19 pandemic.Method: This was a cross-sectional study using an online questionnaire targeted to married women who have greater than 1 children in elementary school-high school doing distance learning in Jabodetabek. The data was collected in the period of 2-20 December 2020. Instruments used to measure stress and anxiety levels were PSS-10 and GAD-7.Results: There were 311 respondents aged between 27-61 years old. The average respondents had moderate stress and mild anxiety. The risk of severe stress increased significantly in mothers with elementary-middle education level (crude RR 2,1; 95%CI 1,04-4,4) and increased risk of moderate-severe anxiety in mothers with greater than 3 children (crude RR 1,9; 95%CI 1,1-3,1).Conclusion: More than 50% of mothers with children in elementary school-high school in Jabodetabek had moderate stress and 31% showed signs of mild anxiety. The mother’s sociodemographic factor associated with the risk of severe stress was education level. The factor associated with moderate-severe anxiety risk was the number of children living under one roof.
The Role of Gynecologic Oncologists in Improving Survival Outcomes of Epithelial Ovarian Cancer: A Retrospective Cohort Study Hanafy, Widyorini LH; Dwipoyono, Bambang; Adisasmita, Asri C; Regina, Yosephine E; Lians, Airine S; Rahayu, Oktaviani P; Auwelia, Jane G
Kesmas Vol. 21, No. 1
Publisher : UI Scholars Hub

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Abstract

Epithelial ovarian cancer (EOC) is a leading cause of gynecological cancer mortality and is often diagnosed at an advanced stage, resulting in poor survival outcomes. Access to specialized gynecological oncology services has been associated with improved prognosis; however, data on its impact in Indonesia remain limited. This study aimed to evaluate the association between gynecologic oncologist (GO) services and disease-free survival (DFS) in patients with EOC. This retrospective cohort study included 76 patients with EOC who were treated at a national cancer hospital in Jakarta between 2015 and 2018. Patient data were obtained from medical records and followed for three years after the primary treatment. Survival outcomes were analyzed using the Kaplan-Meier curve and Cox proportional hazards model. The overall 3-year DFS rate was 41.6%. Patients treated by GO specialists had a higher DFS rate (54.3%) than those treated in hospitals without GO services (24.5%). Multivariate analysis showed a higher recurrence risk in patients treated without GO services (HR 2.75; 95% CI: 1.32 - 5.74). This study’s findings highlight the potential clinical benefits of facilitating early access to specialized GO care for patients with EOC.
Co-Authors Abioso Wicaksono Adelina Fitri Adisasmito, Wiku Bakti Bawono Amelia, Dwirani Ana Maina Rezky Anggraini, Sely Anjani, Sonia Miyajima Arief Wicaksono, Arief Arwinda Nugraheni Ascobat, Purwantyastuti Auwelia, Jane G Bambang Dwipoyono, Bambang Betera, Same Bramantyo, Dion Firli Chandrayani Simanjorang Clement Drew DENNI JOKO PURWANTO, DENNI JOKO Desinta Ayu Lestari Detty Siti Nurdiati Djajuli, Hidayat Nuh Ghazali EDI TEHUTERU, EDI Erlina Burhan Evlina Suzanna Febriyanti, Nooridha Fidya Rumiati Fitria Fitria Gayatri, Maria Grace Shalmont Gunarsih, Arum Hadayna, Saila Hanafy, Widyorini LH Harijanto, Eddy Hatma, Ratna Djuwita Heryana, Ade Ihsan, Maulidiah Imam Subekti Indriyati, Titi Irwan, Hermansyah JAUHARI OKA REUWPASSA, JAUHARI OKA Johanes Edy Siswanto, Johanes Edy Kemal N. Siregar Lhuri Dwianti Rahmartani Lians, Airine S Lila Kesuma Hairani Lubis, Pika Novriani Manggala, Sidharta Kusuma Marthino Robinson MARYANI, DINI Miranda Rachellina Muchtar, Zahra Zetira Muhammad Agus Muljanto Muhammad Hidayat Sahid Mulyadi M. Djer Murtiani, Farida Nadhila Beladina Nadia Putri Nadjib, Mardiati Nasdaldy -, Nasdaldy Nurhakiki, Syifa Nurjannah Nurjannah Nyamukondiwa, Melisa Pradnya Sri Rahayu Prasetyo, Rachma Wenidayanti Putra, Andika Chandra Putri, Murti Utami RA. Koestoer Rahayu, Oktaviani P Rahmah, Herlina Rahmartani, Lhuri Dwianti Ratna Djuwita Regina, Yosephine E Renti Mahkota Retno Asti Werdhani Rezky, Ana Maina Rizky Ramadantie Rosdiana, Prita Saefina, Isnani Dewi Safanta, Nurzalia Safitri, Meirica Rosaline Septyana Choirunisa Septyana Choirunisa Shalzaviera Azniatinesa Shela Rachmayanti Siti Sopiatun Sjahrul Sjamsuddin, Sjahrul Soemanadi -, Soemanadi Soewarta Kosen Sofi Mardiah Sudarto Ronoatmodjo Sugiarto, Adhrie Susianti, Yanti Talib, Suprohaita Rusdi Taufiqurahman, Khobir Abdul Karim Telly Purnamasari Tika Dwi Tama Tubagus Ferdi Fadilah, Tubagus Ferdi Virmandiani, Virmandiani Woro Riyadina Yoga Yunadi Zahrina, Fadiah Zhara Juliane