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Determinants of Dental and Oral Health Care Service: A Meta-Analysis Putri, Azilla Edsa; Murti, Bhisma; Pamungkasari, Eti Poncorini
Journal of Health Policy and Management 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/thejhpm.2024.09.03.04

Abstract

Background: The limited utilization of dental and oral health services leads to poor dental and oral health status of both individuals and community. Regular visits to dentists can improve oral health status through early detection of dental and oral diseases. The study aims to systematically examine the factors that influence the utilization of dental and oral health services. Subject and Method: It was a systematic review and meta-analysis study using PRISMA and PICO diagrams. P= general population. I = women, higher education, high income, poor self-perception, and having health insurance. C= male, low education, low income, good self-perception, and no health insurance. O= utilization of dental and oral health services. Data collection was conducted using the PubMed and ScienceDirect databases. The inclusion criteria used were full, English, cross-sectional design articles in 2012-2023. The keywords used are "(Determinant OR Factor associated)" AND "Dental healthcare utilization". Data analysis was performed using the RevMan 5.3 application. Result: There were14 primary articles as meta-analysis sources from Saudi Arabia, Indonesia, Iran, Korea, Thailand, Bosnia and Herzegovina, Sweden, the United States, Canada, and Brazil. Female (aOR= 1.13; CI 95%= 1.02-1.25; p= 0.020), higher education (aOR= 1.90; CI 95%= 1.40- 2.56; p<0.001), high income (aOR= 1.91; CI 95%= 1.55-2.35; p<0.001), and having health insurance (aOR= 1.68; CI 95%= 1.30-2.19; P<0.001) increased the utilization of dental and oral health services. Self-perception did not affect the utilization of dental and oral health services (aOR= 1.04; CI 95%= 0.81-1.33; p= 0.76). Conclusion: Female gender, education level, income level, and ownership of health insurance influence the utilization of dental and oral health services. Keywords: dental healthcare utilization, factor associated
Meta-Analysis of Associations between Maternal Age, Low Hemoglobin Level during Pregnancy, Low Birth Weight, and Preterm Birth Kusumawati, Ima; Murti, Bhisma; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 8 No. 6 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.06.10

Abstract

Background: Maternal age <19 years and anemia in pregnancy are often associated with adverse neonatal outcomes. This study aims to analyze the relationship between maternal age <19 years and anemia in pregnancy (Hb <11 g/dL) on the incidence of low birth weight babies (LBW) and premature birth. Subjects and Method: The research meta-analysis took cohort studies published in 2018-2022. The PICO formulation used: the population is pregnant women, the intervention consists of groups of pregnant women aged <19 years and pregnant women with anemia (Hb<11 gr/dL), comparison is the group of pregnant women aged 20-35 years and pregnant women are not anemic while Outcomes were LBW and premature birth. Search articles through databases: PubMed, springer, science direct and google scholar with the keywords “Adolescence pregnancy OR young OR Teenage AND Pregnancy AND neonatal outcome OR Low birth weight OR preterm birth OR Low weight”, “Anemia OR Maternal anemia AND Neonatal outcome OR Preterm birth". Data analysis using the Review Manager (RevMan) 5.4 application. Results: A total of 7 cohort articles on pregnancy aged <19 years and 5 cohort articles on anemia were analyzed. Articles come from Canada, Turkey, England, Russia, Finland, China, Chinese Taipei, Ethiopia, Zambia and Bangladesh. The sample sizes were n=43,399 (maternal age and LBW), n=55,049 (maternal age with premature birth), n=16,544,075 (anemia and premature birth). Pregnant women aged <19 years have a 1.63 risk of giving birth to LBW babies (aOR= 1.63; 95% CI= 0.96 to 2.78; p= 0.070) and 1.41 times giving birth to premature babies (aOR= 1.41; 95% CI= 0.78 to 2.56; p= 0.250). Pregnant women with anemia have a 1.60 times risk of giving birth to premature babies (aOR= 1.60; 95% CI= 1.10 to 2.32; p= 0.010). Conclusion: The age of pregnant women <19 years does not have a significant effect on the occurrence of LBW and premature birth. Pregnant women with anemia increase the risk of premature birth. Keywords: Maternal age, anemia, low birth weight, premature birth Correspondence: Ima Kusumawati. Master's Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java, Indonesia. Email:Ima.kusumawati@student.uns.ac.id Mobile: +6285740839246
Factors Affecting Age of Menarche: A Cross-Sectional Aisy, Jihan Rohadatul; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Maternal and Child 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/thejmch.2024.09.04.07

Abstract

Background: Early menarche or first menstruation has been associated with increased risk of breast cancer and cardiovascular disease. Understanding the factors that influence the age of menarche is very important to provide promotive and preventive actions that can be carried out by schools and families. This study aims to analyze the factors that influence the age of menarche. Subjects and Method: This study used an observational analytical study with a cross-sectional design. The subjects in this study were 125 female students at 5 public elementary schools in Malang City, East Java, Indonesia. The dependent variable was the age of menarche. The independent variables were nutritional status (BMI), stress, parenting patterns, and parenting pattern dominance. Data analysis used univariate, bivariate, and multivariate models with multiple linear regression methods. Results: Age of menarche decreased with stress (b = -0.50; 95% CI = -0.70 to -0.29; p <0.001), BMI ≥25 (b= -9.00; 95% CI = -16.75 to -1.25; p = 0.023), authoritarian parenting style (b = -1.05; 95% CI = -1.53 to -0.58; p<0.001), and the dominance of parenting patterns by single parents or guardians (b= -4.92; 95% CI = -9.42 to -0.42; p = 0.032). The age of menarche was higher in adolescents with a lower BMI than a normal BMI (b = 4.78; 95% CI = 1.20 to 8.36; p = 0.009). This multiple linear regression analysis model showed moderate model suitability with an Adj R-Squared value of 46.81%. Conclusion: Multiple linear regression analysis showed a relationship between stress factors, authoritarian parenting patterns, dominant parenting patterns, and BMI with a decrease in the age of menarche which was statistically significant.
Effects of Family Income and Maternal Education on the Risk of Low Birth Weight Maryana, Dyan; Murti, Bhisma; Pamungkasari, Eti Poncorini
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.2024.09.03.10

Abstract

Background: LBW babies are still a problem, especially in developing countries. Family income and maternal education are factors that influence health service outcomes, including preventing low birth weight babies. The aim of this study was to analyze the influence of family income and maternal education on the risk of low birth weight babies. Subject and Methods: Observational analytical research design with a cross sectional approach. The sampling technique is random sampling. The research was conducted in Blora Regency, Central Java with a sample size of 200 mothers with newborn babies. The dependent variable is low birth weight. The independent variables consist of exposure to cigarette smoke, maternal age, family income, pos pelayanan terpadu strata and maternal education. The study instrument used was a questionnaire. Data were analyzed using path analysis with STATA 13. Result: The results of the path analysis explain that the risk of low birth weight babies is directly influenced by family income and this influence is statistically significant. Pregnant women with high family income have a risk of giving birth to babies with low birth weight 0.5 times compared to low family income (OR= 0.52; 95% CI= 0.27 to 1.00; p= 0.050). There was no significant effect of pos pelayanan terpadu strata or exposure to cigarette smoke on the risk of babies with low birth weight (LBW). Family income is influenced by the mother's education and this influence is statistically significant. The higher the mother's education, the higher the family income (OR= 2.35; 95% CI= 1.32 to 4.21; p = 0.004). There is a relationship between maternal age and maternal education and this relationship is statistically significant. Older mothers on average had lower education (OR= 0.43; 95% CI= 0.24 to 0.77; p = 0.004). Conclusion: There is a direct influence between family income, pos pelayanan terpadu strata and exposure to cigarette smoke on the risk of LBW babies. There is an indirect effect between maternal education on family income, and maternal age on maternal education.
The Impact of Social Support, Intimate Partner Violence, and Pregnancy Plans on Antenatal Depression: A Meta-Analysis Study Putri, Dominika Risnanda Alfinsia; Pamungkasari, Eti Poncorini; Adriani, Rita Benya
Journal of Maternal and Child 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/thejmch.2024.09.04.08

Abstract

Background: Antenatal depression is a type of depression that occurs during pregnancy and affects about 20% of pregnant women. This study aims to analyse the effects and estimate the magnitude of the effects of social support, intimate partner violence and pregnancy status on the incidence of antenatal depression with a meta-analysis. Subject and Method: The meta-analysis was performed using a PRISMA flowchart and a PICO model. Population: pregnant women. Intervention: strong social support, experiencing violence by intimate partners, and planned pregnancy status. Comparison: weak social support, no violence by intimate partners, and unplanned pregnancy status. Outcome: antenatal depression. The online databases used are Google Scholar, Hindawi, PubMed, Science Direct, Scopus, and ResearchGate. There were 17 cross-sectional studies published in 2018-2023 that met the inclusion criteria. Analysis was done with RevMan 5.3. Results: Meta-analysis was conducted on 17 cross-sectional studies from Australia, Thailand, Nepal, Bangladesh, Nigeria, Ethiopia, Rwanda, Norway, and Jamaica. Sample size = 11,517 study subjects. The risk of antenatal depression increases with intimate partner violence (aOR= 2.13; CI 95%= 1.65 to 2.74; p<0.001). The risk of antenatal depression decreased with strong societal support (aOR= 0.47; CI 95%= 0.38 to 0.58; p<0.001) and planned pregnancy (aOR= 0.45; CI 95%= 0.24 to 0.84; p=0.01). Conclusions: The risk of antenatal depression increases when there is intimate partner violence, decreases if social support is obtained and pregnancy is planned.
The Effect of Red Dragon Fruit (Hylocereus polyrhizus) on ROS Plasma of Overweight Sprague Dawley Rats Solehah, Novia Zuriatun; Prayitno, Adi; Pamungkasari, Eti Poncorini
Media Gizi Indonesia Vol. 17 No. 2 (2022): JURNAL MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v17i2.144-150

Abstract

Red dragon fruit (Hylocereus polyrhizus) contains antioxidants, namely vitamin C, flavonoids, phenols, and betacyanins that can reduce or inhibit oxidative stress in the body. Excess body weight condition is associated with an increase in oxidative stress due to a decrease in antioxidants. This study was aimed to analyze the effects of red dragon fruit on the level of ROS (MDA) of overweight Sprague-Dawley rats. It used experimental analysis by using pre- and-posttest design with control group. A total sample of 30 male white Sprague-Dawley rats aged 8-12 weeks old with 150-200g of body weight were divided into 6 groups, namely: normal, negative control (KN), positive control (KP), red dragon fruit juice 3.5 g/200gBW (P1), overweight + dragon fruit juice 7 g/200gBW (P2), overweight + dragon fruit juice 10.5g/200gBW (P3) and were observed for 14 days. ROS levels were measured in the beginning and at the end of the intervention by using MDA markers with TBARs method. The results of MDA level measurements were 3.83 ± 0.13 in the KP group, 7.18 ± 0.27 in the P1 group, 5.30 ± 0.30 in the P2 group, and 4.35 ± 0.42 in the P3 group. The results of one-way ANOVA test showed a significant difference in MDA levels in all intervention groups compared to those of the normal and KN groups (p = 0.05). In conclusion, red dragon fruit intake can reduce ROS levels in overweight Sprague-Dawley rats.
The Relationship Between The Perception of Professional Identity and The Professionalism Level of Medical Students Luthfianasari, Luthfianasari; Pamungkasari, Eti Poncorini; Hermasari, Bulan Kakanita
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 13, No 4 (2024): December
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.87930

Abstract

Background: Medical education aims to create professional doctors through standardized methods according to the needs of public health services. A doctor must have a professional attitude and ability as a form of professional responsibility. Professionalism is often associated with professional identity, where professionalism is deemed necessary to be supported by professional identity. This study aims to determine the relationship between perceptions of professional identity and medical students’ professionalism level.Methods: A cross-sectional study was conducted in a faculty of medicine in Indonesia.  The respondents were medical students from 3 cohorts: 2019, 2020, and 2021. The data analysis used the Spearman correlation test.Results: A total of 276 respondents consist of 94 (34.1%) male and 182 (65.9%) female respondents. The mean scores for the professionalism level for batches 2019, 2020, and 2021, respectively, were 160.23, 160.83, and 162.07. The mean scores for the perception of professional identity for batches 2019, 2020, and 2021, respectively, were 86.89, 89.26, and 89.18. The Spearman correlation test results showed there was a relationship between the professionalism level and perceptions of professional identity (p <0.001; r = 0,508), but there was no relationship between the professionalism level and study period (p = 0.081; r = -0.105).Conclusion: There is a relationship between perceptions of professional identity and the professionalism level of medical students.
The Impact Of Communication Apprehension Levels On Objective Structured Clinical Examination Performance Among Medical Students Ramli, Muhammad Rizaldi; Pamungkasari, Eti Poncorini; ., Maryani; Budiastuti, Veronika Ika
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 13, No 3 (2024): September
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.94603

Abstract

Background: By definition, communication apprehension is the discomfort or nervousness felt when interacting or preparing to interact with others. OSCE, on the other hand, evaluates students' clinical skills through various simulated scenarios. Communication apprehension might impact students' clinical abilities assessed in OSCE, given that these skills also rely on effective communication.Aims: This research aims to explore how the level of communication anxiety correlates with students OSCE performance.Methods: This research involved 201 participants from the Faculty of Medicine at UNS. Data was gathered using the PRCA-24 questionnaire to gauge communication apprehension levels, alongside OSCE scores as secondary data. The relationship between these variables was examined using linear regression analysis.Results: At a significance level of α = 0.05, a significant correlation was found between communication apprehension and OSCE scores. This was supported by a p-value of 0.002 and a coefficient of determination (R squared) of 0.048.Conclusion: It was observed that communication apprehension levels had an impact on OSCE scores.
Path Analysis on the Biopsychosocial Factors Affecting the Quality of Life in Patients with Breast Cancer Dewi, Rizka Amalia; Mudigdo, Ambar; Pamungkasari, Eti Poncorini
Journal of Epidemiology and Public Health Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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

Abstract

Background: Breast cancer is the most com
Epidemiological Investigation in Diphtheria Control in Banda Aceh, Indonesia Aini, Zahratul; Pamungkasari, Eti Poncorini; Probandari, Ari Natalia
Journal of Epidemiology and Public Health Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Extraordinary events (KLB) diph
Co-Authors -, Kartika . Zulfan ?Arub, Lathifah Abd. Rasyid Syamsuri Achmad Arman Subijanto, Achmad Arman Addini, Ragil Aidil Fitriasari Adelita, Sela Putri Adi Prayitno Adita, Kingkin Afriyanti, Neta Agus Kristiyanto Agus, Yuliana Agus, Yuliana Aini, Zahratul Aisy, Jihan Rohadatul Aisyiyah, Farida Nur Akmala, Jatu Kartika Amalia, Ade Ambar Mudigdo Anak Agung Gede Sugianthara Anggraini, Wella Anik Lestari Annisaa, Salwa Argyo Demartoto, Argyo Ari Natalia Probandari Ari Probandari Arifin Arifin Arwiyantasari, Wida Rahma Astari, Rahmi Windhy Astuti, Fitriyani Dwi Aviandari, Tifa Aziza, Triana Ulfa Nur Azizah, Fikri Dian Dinu Azzahro, Asri Wahyu ‘Arub, Lathifah Bakrie, Saekhol Bambang Purwanto Baroroh Barir Bhisma Murti Brian Wasita Budhiastuti, Uki Retno Budiastuti, Veronika Ika Bulan Kakanita Hermasari Christanto, Antonius Cynara, Ailsa Clarissa Dania, Samara Rahma Deviasti, Rindra Dewi, Arddha Maha Pawitra Dwi Puspita Dewi, Dian Puspita Dewi, Rizka Amalia Dewi, Rizqa Kartika Dian Handayani Diana Nur Afifah, Diana Nur Diani Octaviyanti Handajani Dilma’aarij, Dilma’aarij Dwiantini, Feby Endang Lestari Endang Sutisna Sulaeman Erynda, Revina Fiandany Fajriyani, Fanny Kartika Fardhiasih Dwi Astuti Fatikhu Yatuni Asmara Fitria Wulandari Fitriani, Sufia Flora, Viola Holly Gaurinindi, Melinda Febianca Handariati, Atik Handayani, Anggun Fitri Handriani, Winei Haniah, Alfi Zamilul Hanifa, Ainun Hanifah, Ainun Hanifah, Nita Layli Hanifah, Siti Nur Hapsari, Dini Hardilla, Dinda Septiani Hariyadi, Agustin Mahardika Harsono Salimo Harumi, Linda Hernanda R, Annisa Istighfari Hidayah, Siti Shafridha Ida Nurwati Ilma, Nabilah Nurul Indriani, Frida Indriasih, Merlita Indriasih, Merlita Indriastuti, Latty Jannah, Putri Isriyatil Khairunnisa, Lia Khoirunnisa, Luthfiana Nadhiifa Kumalaningrum, Melda Kurnianingsih, Mayasari Kurrniati, Era Kusumawati, Ima Larasati, Meirina Dwi Lestari, Esti Lestari, Esti Loekito, Cindy Lestyani Luthfiana, Lia Ulfah Luthfianasari, Luthfianasari Luturmas, Antina Manggandhi, Yuyun Maranata, Maranata Marliana, Wiwit Maryana, Dyan Maryani ., Maryani Maryani Maryani Maung, Yuzana Mawardi, Fitriana Mayaningrum, Yulita Endah Mayarestya, Nita Putriasti Muchsin Doewes Muhammad Rifqi Azhary Mulya Tarmidi, Mulya Mutiara, Bunga Nabilah Nurul Ilma Nawangwulan, Diyah Novia Zuriatun Solehah Novika, Revi Gama Hatta Novitasari, Isnaini Novitasari, Ratih Nuralita, Ayunda Yonik Nurhayati, Happy Nurindahsari, Yespy Anna Wahyu Nurkholifa, Ferda Fibi Tyas Nursani, Anggia Rahmah Oktaviyani, Feny Paramasari Dirgahayu Pawito Pawito Prabowo, Puspita Mayangsari Prasetya, Hanung Primaningtyas, Widana Purnama, Hanif Wildan Putri, Anggi Resina Putri, Azilla Edsa Putri, Diani Fadmi Putri, Dominika Risnanda Alfinsia Qomariah, Nur Laili Rahardjo, Setyo Sri Rahayu, Ria Muji Rahmah Rahmah Ramli, Muhammad Rizaldi Ravi Masitah RB. Soemanto Rini, Arum Kusuma Rismawati, Normalia Levi Risna Widowati Risya Cilmiaty, Risya Rita Adriani Benya Adriani Rohaniyati, Retno Dwi Rosyidah Alfitri RUBEN DHARMAWAN Safitri, Diyanti Sakinah Sakinah Sari, Prafista Wulan Sari, Putri Yunita Selviana, Tasya Ardia Septianawati, Linda Wahyu Setiamika, Made Setiowati, Tri Ayu Setiyarini, Dwi Wahyu Setyo Sri Raharjo Sinta, Prabawati Soetrisno Soetrisno Suci Arsita Sari SUGIARTO - Sugiarto S suminah ., suminah Suminah Suminah, Suminah Suprapti Suprapti Supriyadi Hari Respati Susanti, Nadya Sutiman Sutiman, Sutiman Syetiawinanda, Amriansyah Titah Pujangkara, Ajeng Ayu Tri Nur Kristina Tunurrohmin, Zela Uki Retno Budihastuti Ulhaq, Muhammad Zia Ummah, Hafari Fajria Nuril Usmaningrum, Desif Upix Utomo, Asrori Ibnu Vitri Widyaningsih VIVIN EKA RAHMAWATI Wati, Emita Dewi Lilis Angkasa Wayanshakty, Janur Putri Wekadigunawan, CSP Widiyaningrum, Alfiati Nanda Widiyawati, Rina Widyandana Widyandana Widyawardani, Tri Nyantosani Widyawati Widyawati Wulandari, Umianita Risca Yanuari, Ridha Rossela Yudhani, Ratih Dewi yulia lanti retno dewi Yusup Subagio Zakiyah, Nisaus Zauma, Luthfia Zuhaira, Ulul Azmi