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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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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.
Predicting Unfavorable Treatment Outcomes in Multi-Drug Resistance Tuberculosis Patients: A Retrospective Study in Jakarta, Indonesia Saila Hadayna; Asri C. Adisasmita; Farida Murtiani
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6664

Abstract

Treatment of multidrug-resistant tuberculosis (MDR-TB) with a short-term regimen offers promise in terms of higher effectiveness and reduced therapy duration. However, treatment failure remains a major challenge in its implementation. This study aimed to identify predictive factors associated with unfavorable treatment outcome (UTO) among MDR-TB patients receiving the short-term regimen in DKI Jakarta Province from 2020 to 2022. Methods: A retrospective cohort study, using data from the National TB Information System (SITB). We retrieved all MDR-TB patients who started short-term treatment regimens at referral hospitals in DKI Jakarta Province in the period January 2020 to December 2022, totaling 166 patients. Each patient was followed for up to 11 months from the initiation of treatment, with final treatment outcomes collected through November 2023. Survival analysis using Cox proportional hazards regression was employed to assess the association between patient characteristics and time to UTO. Results: A total of 43.4% of patients is UTO. The cumulative probability of remaining free from UTO was 38% after day 400. Multivariate regression analysis showed that HIV-positive status (aHR = 2.98; 95% CI: 1.77–4.99) and comorbid diabetes mellitus (aHR = 1.92; 95% CI: 1.19–3.11) were significantly associated with an increased risk of UTO. Conclusion: UTO among MDR-TB patients on the short-term regimen remains high. HIV status and diabetes comorbidity are critical factors influencing treatment outcomes and should be prioritized in clinical management strategies for MDR-TB.
Obstetric Determinants of Postpartum Complications among Mothers in Indonesia: Evidence from the 2023 Indonesian Health Survey Meirica Rosaline Safitri; Asri C. Adisasmita
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6707

Abstract

Postpartum complications remain a significant contributor to maternal morbidity and mortality in Indonesia, yet national data on their determinants remain limited. Understanding the role of obstetric factors in postpartum outcomes is essential for informing maternal health strategies, particularly in low- and middle-income settings where delays in risk detection and care are common. This study aims to analyze the association between obstetric factors and the occurrence of postpartum complications using data from the 2023 Indonesian Health Survey (SKI). This cross-sectional analysis utilized secondary data from the 2023 Indonesian Health Survey (SKI), involving women aged 15–54 years who delivered in the last five years. The dependent variable was postpartum complications, while independent variables included parity, place of delivery, mode of delivery, type of birth attendant, and pregnancy-related conditions. Descriptive statistics, Chi-Square tests, and multivariate logistic regression were used in the analysis. The results showed that primiparous women, those who delivered via cesarean section, gave birth in hospitals, were attended by doctors, and experienced complications during pregnancy were significantly more likely to report postpartum complications. These findings underscore the need for improved antenatal risk screening, enhanced referral systems, and targeted maternal health interventions to prevent adverse outcomes in the postpartum period in Indonesia.
Survival Analysis Of COVID-19 Patients With Type 2 Diabetes: Lesson From Pandemic Nadia Putri; Asri C. Adisasmita
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.
Association of Household Economic Status and Birth Order with Stunting Among Children Aged 24-35 Months: Malawi MICS 2019–20 Ngoma, Sibongire B; Adisasmita, Asri C.; Mahkota, Renti; Choirunisa, Septyana; Nyamukondiwa, Melisa
Jurnal Epidemiologi Kesehatan Indonesia
Publisher : UI Scholars Hub

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Abstract

Stunting remains a major public health concern in Malawi, with a national prevalence of 35.5% among children under five. However, evidence on the independent and combined effects of household economic status and birth order on stunting among Malawian children aged 24-35 months remains limited. This study aimed to examine the independent and combined association of household economic status and birth order with stunting among children aged 24-35 months in Malawi. A secondary data analysis of a cross-sectional 2019-20 Malawi Multiple Indicator Cluster Survey (MICS) was conducted, and the final sample comprised 2,764 children aged 24-35 months with complete data. Stunting was defined as a height-for-age Z-score below -2 SD. Weighted descriptive and bivariate analyses were performed, and potential confounding was assessed using stratified analyses and the change-in-estimate method (≥10% change in prevalence ratio). Multivariable models were specified a priori and included wealth index, birth order, child’s sex, and maternal education level. The weighted prevalence of stunting was 44.2% (95% CI: 41.3-47.1%). Household economic status, birth order, and their four-level combined variable were not independently associated with stunting after adjustment (p≥0.05). However, boys had a significantly higher prevalence ratio of stunting compared with girls (cPR= 1.23; 95% CI: 1.11-1.37; p Keywords: Stunting, Birth Order, Household Economic Status, Children Aged 24-35 Months, Cross-sectional Study, Malawi
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 Farida Murtiani Febriyanti, Nooridha Fidya Rumiati Fitria Fitria Gayatri, Maria Grace Shalmont Gunarsih, Arum 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 Meirica Rosaline Safitri Miranda Rachellina Muchtar, Zahra Zetira Muhammad Agus Muljanto Muhammad Hidayat Sahid Mulyadi M. Djer Nadhila Beladina Nadia Putri Nadia Putri Nadjib, Mardiati Nasdaldy -, Nasdaldy Ngoma, Sibongire B 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 Saila Hadayna 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