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Multilevel Analysis of Factors Affecting Depression Risk among the Elderly: Loneliness, Living Status, Physical Activity, Age, Gender, and Education Wicaksono, Emirza Nur; Tamtomo, Didik Gunawan; Prasetya, Hanung; Murti, Bhisma
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.2024.09.04.11

Abstract

Background: There is still a high prevalence of depression in the elderly which is affected by loneliness, low physical activity, gender, last education, and residence status. Elderly people who live alone or have lost a life partner are more prone to depression. Although family support and public health services such as Posyandu are expected to protect against the risk of depression, there have not been many studies that have examined in depth the influence of Posyandu as a contextual factor in reducing the risk of depression in the elderly. This study aims to analyze the influence of these factors and the role of Posyandu in reducing the risk of depression.Subjects and Method: This study used a cross-sectional design conducted in 25 Posyandu Elderly in Grogol District, Sukoharjo Regency from August to September 2024. A total of 204 elderly respon-dents aged 60 years and above were selected using Stratified Random Sampling. The dependent variable in this study was depression collected using the PHQ-9 questionnaire, and loneliness was assessed by the UCLA Loneliness Scale. Other independent variables such as physical activity, gender, education, and life status were collected through structured interviews. Multilevel linear regression analysis is used to analyze the relationship between these factors and the risk of depression, taking into account the individual and contextual levels (Posyandu).Results: The average age of the respondents was 66.27 years old (Mean = 66.26, SD = 5.16), with 79.41% of them being female. Loneliness was significantly associated with an increased risk of depression (b= 0.05; CI 95%= 0.07 to 0.10; p=0.024), while living with family reduces the risk of depression (b= -6.33; CI 95%= -8.26 to -4.40; p<0.001). Physical activity did not show a significant association with depression. Gender, education level, and age are also not significant predictors of depression. Contextual speaking, posyandu has no effect as a contextual variable on the variable of depression in the Grogol sub-district (ICC=2.64%).Conclusion: Loneliness is a significant risk factor for depression in the elderly while living with family also reduces the risk of depression in the elderly.
Multilevel Analysis of Prognostic Factors for Cognitive Function in Post-Stroke Patients Utami, Sukandriani; Rahardjo, Setyo Sri; Murti, Bhisma; Novika, Revi Gama Hatta; Tamtomo, Didik Gunawan
Indonesian Journal of Medicine 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/theijmed.2024.9.4.829

Abstract

Background: Stroke is the leading cause of disability and the second leading cause of death worldwide. Post-stroke disability can be in the form of motor, sensory, autonomic, or cognitive impairments. Impaired cognitive function is the leading cause of death and pain in post-stroke patients in the world. Decreased cognitive function is present in more than 70% of post-stroke patients and is associated with disability, independence, and pain. This study aims to analyze the prognosis factors of cognitive function in post-stroke patients.Subjects and Method: This study used a cross-sectional design conducted in 7 hospitals on the island of Lombok from July to August 2024. A total of 200 post-stroke patients were selected using stratified random sampling. The dependent variable in this study was cognitive function examined using the Mini Mental State Examinatio (MMSE) questionnaire. Other independent variables such as age, gender, marital status, pension fund, complications, comorbidities and stroke type were collected using a questionnaire. The data were analyzed using a multilevel double-linear regression model.Results: The prognosis factor of cognitive function in post-stroke patients was age (b=-0.19; CI 95%=-0.29 to -0.10; p=<0.001), marital status (b=-3.80; CI 95%=-6.72 to -0.88; p=0.011), pension fund (b=-5.88; CI 95%= -8.35 to -3.42; p=<0.001), complications (b=-5.37; CI 95%= -7.34 to -3.39; p=<0.001). While sex, comorbidities, and stroke type did not show a significant relationship with the cognitive function of post-stroke patients. Conversely, there was an influence of doctors treating post-stroke patients on cognitive function (ICC=8.76%).Conclusion: Age, marital status, pension funds, and complications are prognostic factors in cognitive function of post-stroke patients. Conversely, there is an influence of doctors who treat post-stroke patients on cognitive function.
Biopsychosocial Factors Affecting Quality of Life in Post-stroke Patients: A Path Analysis Evidence from Surakarta Hospital, Central Java Zamzam, Maki; Tamtomo, Didik Gunawan; Widyaningsih, Vitri
Journal of Epidemiology and Public Health Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Basic health research shows that the prevalence of non-communicable diseases has in
The Effect of Social Capital, Social Support, Self-Compassion, and Hope Factors Affecting Quality of Life of Breast Cancer Survivors: A Path Analysis Evidence from Surakarta, Central Java Jannah, Eka Miftakhul; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Breast cancer is one of the most common cancers among women in the world. The study aims to analyze the effect of social capital, social sup
Path Analysis on Factors Affecting the Quality of Life in Patients with Type 2 Diabetes Mellitus in Surakarta, Central Java Marlina, Devi; Tamtomo, Didik Gunawan; Soemanto, RB.
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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Background: Diabetes mellitus is a chronic disease that cannot be cured entirely, which greatly affects the quality of life. People with dia
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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Background: Type 2 diabetes mellitus (DM) is a chronic disease that is increasing to an alarm
Meta-Analysis: The Effect of Neuropatic Complications and Depression Commorbidity on the Quality of Life of Patients with Type 2 Diabetes Aghniya, Rofana; Murti, Bhisma; Tamtomo, Didik Gunawan
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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Background: Diabetes mellitus is a metabolic disease that results from insulin insufficiency and often causes complications. DM patients are prone to depression. Depression is one aspect that affects the quality of life. Measuring the quality of life in DM patients is done as a measure of the success of the intervention. This study aims to estimate the influence of neuro
The Effect of Physical Activity on Hypertension on Adults: Meta Analysis Ahadiyati, Dyah Mubarokah; Tamtomo, Didik Gunawan; Widyaningsih, Vitri
Journal of Epidemiology and Public Health Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Physical activity has an influ
The Effect of Non-Compliance with Medication on Multidrug Resistant of Tuberculosis Kurnianingsih, Widya; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Multidrug Resistant Tubercu
Hypertension, Gender, Older Age, and Their Relationships with COVID-19 Mortality: Meta-Analysis Permata, Annissa Devi; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Epidemiology and Public Health Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2021.06.01.10

Abstract

Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCoV-2). SARS-CoV-2 is a new type of coronavirus that has never been previously identified in humans. Globally, 213 countries (as of August 11, 2020) are facing serious consequences from the ongoing COVID-19 pandemic. This study aimed to analyze the magnitude of the relationship of hypertension, gender, and older age to COVID-19 mortality with a meta-analysis study. Subjects and Method: This was a systematic review and meta-analysis conducted by following the PRISMA flow diagram. The article search process is carried out through a journal database which includes: PubMed, Science Direct, Springer Link, and PMC Europe by selecting articles published in 2020-2021. The keywords used included: “sex” OR “gender” AND “older age” AND “hypertension” AND “mortality” OR “death” OR “fatal outcome” OR “Predictors outcome” OR “Impact” AND “coronavirus” OR “Covid-19” OR “SARS-COV-2” OR “2019 n-Cov” OR “severe acute respiratory syndrome related coronavirus”. The inclusion criteria were full text articles with a retrospective cohort study design. The article is in English, and the analysis used is multivariate with adjusted Odds Ratio. Eligible articles were analyzed using the Revman 5.3 app. Results: A total of 20 articles were reviewed in this study. A meta-analysis of 10 retrospective cohort studies showed that hypertension increased COVID-19 mortality by 1.40 times compared with no hypertension (aOR= 1.40; 95% CI= 1.04 to 1.89; p = 0.030). A meta-analysis of 10 retrospective cohort studies showed that males had a 1.42 times increased risk of COVID-19 mortality compared to females (aOR= 1.42; 95% CI= 1.20 to 1.67; p<0.001). Meta-analysis of 7 retrospective cohort studies showed that old age has a 3.42 times increased risk of COVID-19 death compared to younger age (aOR=4.15; 95% CI= 2.35 to 7.32; p <0.001). Conclusion: Hypertension, gender, and old age increase the risk of dying from COVID-19.
Co-Authors Adiansa, Rendi Adji Suwandono Afniratri, Atika Ahadiyati, Dyah Mubarokah Aisyah Nooratisya Alifiyanti Muharramah Amalia, Rizky Nur Aprilianti Aminuyati Ammutammima, Ummu Fatihah Anasulfalah, Hakim Andriani, Anisa Andriyaningtiyas, Yudi Angga Ferdianto Annisa Avelia Arief Suryono Ariwardani, Betty Nurizky Avelia, Annisa Bhisma Murti Budiarti, Esty Budiyanti Wiboworini Budiyono, Joko Burhannudin Ichsan Cahyo Setiawan Danang Ardiyanto Delfita, Tria Fora Dewi Shinta Dewi, Novita Herlita Diffah Hanim Diffah Hanim dinda khalifatulloh, Bhre diansyah Dono Indarto Eka Miftakhul Jannah, Eka Miftakhul Endang Sutisna Sulaeman Enggar Anggraeni, Enggar Faried, Faried Effendi Surono Fatony, Riska Fajar Fitriah Fitriah Haliza, Afifah Nur Hanida, Amin Nur Hanif, Ihsan Hermanu Joebagio Indriyati Oktaviano Rahayuningrum Irwan, Viola Fathia Islami, Dian Dini Karlinda Karlinda Khairiyyah, Alimah Ulfah Khairunissa, Khairunissa Khairunnisa Kun'ain, Utin Ilma Agni Kurnianingsih, Widya Larsiani, Lisa Safaah Novia Livia, Wardhatul Lourena, Crysty Maki Zamzam Mala Nurilmala Marlina, Devi Marwanto, Dwi Mayangkara, Radit H. Muchsin Doewes Mufidah, Naili Zahrotun Mufidatun, Ikhtiarisca Olifia Muhajir, Alfian Nabilla, Jihan NADIA FARAH DIBA Nia Handayani Noor Alis Setiyadi Novian Anindito Santosa Novianto, Fajar Novika, Revi Gama Hatta Nur Rahmawati, Eni Nurlia, Nazilla Ade Nurvitasari, Rahsunji Intan Pamilih, Ayu Trisni Permata, Annissa Devi Prameswari, Galuh Ayu Dyah Prasetya, Hanung Pratiwi, Danies Tunjung Pratiwi, Yeocelin Mega Prawito . Puspita, Wita Hana Puspitasari, Ratih Febrinasari Pusporini Rahardjo, Setyo Sri Rahayu, Putu Sri Rahmatika Nur Aini Ratih Puspita Febrinasari Ratna Dewi Kumalasari, Ratna Dewi Ratri, Maika RB. Soemanto Rita Adriani Benya Adriani Rofana Aghniya Rohmah, Isna Nur Rohmani, Alfiana Nur Rusdiyanti, Yunita Salamah, Siti Nafi'atus Sapja Anantanyu, Sapja Shinta Shinta Shinta Sholihah, Anisa Asri Siregar, Attila Yulaicha Advendila Siti Munawaroh Soemanto, RB Subiyanto, Achmad Arman Suciati, Ony Sukandriani Utami Sulahyuningsih, Evie Sumardiyono Sumardiyono Sutanto, Alfiani Vivi Syahbaniar, Desi Syamsiar, Syamsiar Tri Puji Pangesti Tyas, Aktif Cahyaning Uki Retno Budihastuti Ulfah Hidayati Uliyanti Uliyanti, Uliyanti Umar, Alwan Dhafi Vitri Widyaningsih Wahyudi, Anwar Wicaksono, Emirza Nur Widayati, Anis Nur Widiantoro, Reza Widyarahma, Amanda Yatty Destani Sandy Yohan Yuanta, Yohan yulia lanti retno dewi Yulia Sari Yuniarti Karunia, Yuniarti Zainal, Dwi Trisnawati