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Meta-Analysis the Effects of Hypertension, High Density Lipoprotein, and Diabetes Mellitus on the Risk of Stroke Najlah Amalia; Vitri Widyaningsih; Burhannudin Ichsan
Indonesian Journal of Medicine Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.4.675

Abstract

Background: Stroke is defined as an interruption of the blood supply to the brain which is usually caused by a blockage by a blood clot. This causes disruption of the supply of oxygen and nutrients to the brain resulting in damage to brain tissue. This study aims to analyze and estimate the effect of hypertension, high-density lipoprotein, and diabetes mellitus on the risk of stroke. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: adults. Intervention: hypertension, high-density lipoprotein, and diabetes mellitus. Comparison: normal blood pressure, normal HDL, and normal blood sugar. Outcome: strokes. The databases used were PubMed, Google Scholar, Science Direct, and Proquest with keywords (hypertension OR "diabetes mellitus" OR "high-density lipoprotein") AND stroke AND ("cross-sectional" OR "case-control") AND aOR. There were 9 Case-Control studies and 4 Cross-Sectional studies published in 2013-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3. Results: 13 studies from Oman, Iran, Lebanon, Ghana, Finland, Nigeria, China, Japan, and Saudi Arabia were selected for meta-analysis. Total sample was 71,037. Had history of hypertension (aOR= 5.48; 95% CI = 2.26 to 13.32; p= 0.002) and diabetes mellitus (aOR = 1.93; 95% CI= 1.45 to 2.57; p< 0.001) increased the risk of stroke. High HDL levels reduced the risk of stroke (aOR = 0.46; 95% CI = 0.27 to 0.79; p= 0.004). Conclusion: History of hypertension and diabetes mellitus increase the risk of stroke. However, high HDL levels reduce the risk of stroke. Keywords: hypertension, high-density lipoprotein, diabetes mellitus, stroke.
Psychological and Social Determinants of HIV: Path Analysis Evidence from Jepara, Central Java Ita Fijanah Puspita; Uki Retno Budihastuti; Vitri Widyaningsih
Journal of Health Promotion and Behavior Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: HIV/AIDS was a global problem as a challenge in health discipline and a very important burden of disease to be addressed. Moreover, it had high mortality. This study aimed to analyze the risk factors for HIV/AIDS infection.Subjects and Method: This was a case control study conducted in Jepara, Central Java, from April to May 2019. A sample of 200 study subjects was selected by fixed disease sampling. The dependent variable was HIV/AIDS. The independent variables were age, gender, unsafe sex behavior, sexual orientation, frequency of intercourse, injection drug abuse, social capital, perceived susceptibility, perceived seriousness, perceived threat, self-efficacy, and geographical location. The data were obtained from medical record and questionnaire. The data were analyzed by path analysis.Results: HIV / AIDS had a direct relationship with the frequency of sexual intercourse (b= 1.23; 95% CI= 0.27 to 2.19; p= 0.012), injecting drug use (b = 2.19; 95% CI= 0.01 to 4.37; p= 0.049), behavior unsafe sex (b= 3.10; 95% CI= 2.21 to 3.99; p <0.001), and sexual orientation (b= 3.69; 95% CI= 1.35 to 6.04; p= 0.002). HIV / AIDS had an indirect relationship with perceptions of threats, gender, geographical location, social capital, perceptions of vulnerability, perception of seriousness, self-efficacy, and age.Conclusions: HIV / AIDS has a direct relationship with the frequency of sexual relations, sexual orientation, unsafe sexual behavior, and injecting drug use. HIV / AIDS has an indirect relationship with age, gender, perception of vulnerability, perception of seriousness, perception of threats, self-efficacy, social capital, and geographical location.Keywords: HIV / AIDS, sexual behavior, social capital, path analysisCorrespondence: Ita Fijanah Puspita, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: itapuspita713@gmail.com. Mobile: 081347970482.Journal of Health Promotion and Behavior (2019), 4(1): 43-54https://doi.org/10.26911/thejhpb.2019.04.01.05
Factors Associated with Personal Hygiene, use of Personal Protective Equipment, and the Risk of Contact Dermatitis among Scavengers: A Path Analysis Evidence from Surakarta, Central Java Niken Kartika Sari; Setyo Sri Rahardjo; Vitri Widyaningsih
Journal of Health Promotion and Behavior Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Scavengers with poor personal hygiene and do not use complete personal protective equipment (PPE) are at risk of developing contact dermatitis. This study aimed to analyze factors associated with personal hygiene, use of personal protectif equipment, and the risk of contact dermatitis among scavengers using path analysis and health belief model.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted at Putri Cempo landfill, Surakarta, Central Java. A sample of 203 sca­vengers was selected by total sampling. The dependent variable was contact dermatitis. The inde­pendent variables were personal hygiene, PPE, perceived susceptibility, perceived severity, per­ceived benefit, self-efficacy, cues to action, social support, education, and age. The data were collected by questionnaire and analyzed by path analysis.Results: The risk of contact dermatitis was directly and positively affected by poor individual hygiene (b= 4.58; 95% CI= 1.42 to 3.55; p<0.001) and incomplete PPE (b= 5.52; 95% CI= 2.38 to 5.01; p<0.001). The risk of contact dermatitis was indirectly affected by and ages 15-35 years, perceived benefit, cues to action, self-efficacy, perceived susceptibility, perceived severity, low education, and social support.Conclusion: The risk of contact dermatitis is directly and positively affected by poor individual hygiene and incomplete PPE. The risk of contact dermatitis is indirectly affected by and ages 15-35 years, perceived benefit, cues to action, self-efficacy, perceived susceptibility, perceived severity, low education, and social support. Keywords: personal protective equipment, contact dermatitis, personal hygiene, health belief model, path analysis Correspondence:Niken Kartika Sari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­ta­mi 36A, Surakarta 57126, Central Java. Email: knikenkartika@gmail.com. Mobile: 085229509061.Journal of Health Promotion and Behavior (2019), 4(3): 198-211https://doi.org/10.26911/thejhpb.2019.04.03.05
Application of Health Belief Model and Social Cognitive Theory on the Use of Personal Protective Equipment among Workers at the Plywood Plant: Path Analysis Evidence from Lumajang, East Java Bayu Putra Dewantara; Bhisma Murti; Vitri Widyaningsih
Journal of Health Promotion and Behavior Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Work safety and health is one of the efforts in preventing work accidents. One of the protective measures for factory workers is to use personal protective equipment (PPE) when carrying out work activities in the workplace. In the production of plywood wood dust exposure and formaldehyde can cause acute irritation to the skin, eyes and respiratory tract can also be associated with chronic respiratory symptoms. Awareness of the use of personal protective equipment needs to be instilled in every factory worker. This study aims to analyze the determinants of the behavior of the use of personal protective equipment in plywood factory workers.Subjects and Method: This study was conducted using a cross sectional research design. This was done at the plywood factory of PT Mustika Buana Sejahtera Lumajang, East Java, in December 2019. Sampling was carried out by 200 factory workers using simple random sampling. The dependent variable is the behavior of using personal protective equipment. The independent variables are motivation, training, attitude, outcome expectation, perceived benefits, vicarious experience, observational learning, obedience to regulations on the use of PPE, and reinforcement. Data were collected using a questionnaire. The data were analyzed by path analysis run on Stata 13.Results: The behavior of using personal protective equipment on workers directly increased with high motivation (b= 2.65; 95% CI= 1.36 to 3.95; p<0.001), observational learning (b= 3.82; 95% CI= 2.25 to 5.39; p<0.001), vicarious experience (b= 2.19; 95% CI= 0.90 to 3.48; p= 0.001), posi­tive attitude (b= 2.38; 95% CI= 1.02 to 3.73; p= 0.001), obedient to the rules (b = 2.16 ; 95% CI= 0.83 to 3.49; p= 0.001), and experienced a strengthening (b= 2.64; 95% CI= 1.34 to 3.93; p <0.001). The use of PPE on workers was indirectly influenced by outcome expectation, perceived usefulness, and training.Conclusion: PPE use directly increases with high motivation, observational learning, vicarious experience, having a positive attitude, obeying the rules, and experiencing reinforcement. The possibility of using PPE indirectly is influenced by outcome expectation, perceived usefulness, and training.Keywords: PPE, factory workers, social cognitive theory, health belief modelCorrespondence: Bayu Putra Dewantara. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta, 57126, Jawa Tengah. Email: bayuputradewantara­@gmail.com. Mobile: +6281352347536.Journal of Health Promotion and Behavior (2019), 4(4): 306-319https://doi.org/10.26911/thejhpb.2019.04.04.07
The Effects of Physical Activity and Obesity on Hypertension in Adolescents: Meta-Analysis Maria Imakulata Berek; Agus Kristiyanto; Vitri Widyaningsih
Journal of Health Promotion and Behavior Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: The incidence of hypertension is always increasing every year both in Indo­nesia and in the world. Adolescents with high blood pressure are more likely to become adults with hypertension if not treated immediately. This study aimed to review the effects of phy­sical activity and obesity on hypertension in adolescents using meta-analysis.Subjects and Method: Meta-analysis was performed by searching for articles from the database, namely Pubmed, Science Direct, Springer Link and Google Scholar. The key­words used are "physical activity" AND "obe­sity" AND "hypertension" OR "high blood pres­sure" AND "adolescent" AND "cross-sectional". The inclusion criteria in this study were full-text articles with a cross-sectional design, in English, for the period of 2010-2020. Article analysis was using RevMan 5.3.Results: The total number of articles analyzed was 14 articles from Nigeria, Brazil, Gabon, Germany, Tunisia, Algeria, China, Egypt, Indo­nesia, Lithuania, Greece, and Ghana. The results of the meta-analysis showed that phy­sical activity increased the incidence of hyper­tension in adolescents (aOR= 2.70; 95% CI= 1.81 to 4.04; p<0.001; I2= 87%). Obesity increased the incidence of hypertension in adolescents (aOR = 1.71; CI 95% = 1.34 –2.17; p < 0.001; I2 = 41%).Conclusion: Physical activity affects the inci­dence of hypertension in adolescents. Obesity affects the incidence of hypertension in adolescents.Keywords: hypertension, physical activity, obesity, adolescentsCorrespondence: Maria Imakulata Berek, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: imma123433@gmail.com. Mobile: 085­311622368.Journal of Health Promotion and Behavior (2020), 05(04): 296-305https://doi.org/10.26911/thejhpb.2020.05.04.07. 
Co-Authors . Muthmainah Abd. Rasyid Syamsuri Achmad Arman Subijanto, Achmad Arman Afif Avicenna Ghufron Agus Kristiyanto Agus Kristiyanto Ahadiyati, Dyah Mubarokah Al Biruni, Nada Alamanda Murasmita Alfia Rusfianti Ali, Agni Shalha Anik Lestari Anik Lestari Anshari, Shafira Yasmine Ardina, Safira Cindra Ari Natalia Probandari Ari Probandari Arsita Eka Prasetyawati Asaduddin, Aiman Hilmi Asrial, An A. Ayu Setyani, Rizka Bachnas, Muhammad Adrianes Bambang Purwanto Bambang Purwanto Bayu Putra Dewantara Bening Rahimi Titisari Berek, Maria Imakulata Bhisma Murti Bhisma Murti Bima Kusuma Jati Brian Wasita Brian Wasita Brigitte Rina Aninda Sidharta Budianto, Pepi Budiyanti Wiboworini Burhannudin Ichsan Cahyani, Mey Ditaputri Chatarina Umbul Wahyuni Cut Cahaya Rani Saifa Alhajd Quraisy Diah Kurnia Mirawati Dian Atnantomi Wiliyanto Didik Gunawan Tamtomo Didik Gunawan Tamtomo Dono Indarto Dwi Tour Kumalasari Endang Surani Endang Sutisna Sulaeman Erin Rizkiana Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Fadhila, Shofia Nur Fadjri Kirana Anggarani Fajar Yunita Sari Fardhiasih Dwi Astuti Farida Farida Firnanda, Sani Widya Fitri Febrianti Ramadhan, Fitri Febrianti Habibatullah, Afifa Intifadha Hambarsari, Yetty Hamidi, Baarid Luqman Haris Setyawan, Haris Harjanti, Anis Harsono Salimo Hartanti, Ainurrizma Tri Hartono Hema Dewi Anggraheny Heni Hastuti Hutabarat, Ervina Arta Jayanti I Gusti Bagus Panji Widiatmaja Widiatmaja Ida Nurwati Idulhaq, Mujaddid Imam Setya Arifian, Imam Setya Indarta, Ardhia Fefrine Ipop Sjarifah Ira Ristinawati Istiqomah Risa Wahyuningsih Ita Fijanah Puspita Jati, Bima Kusuma Jayanti, Saktryana Endang Ragil Joko Yuwono Juanda Dewi Bambang Bangun Wibowo, Shaviera Kadek Buja Harditya Ketaren, Enge Surabina Khotijah Khotijah Kumalasari, Dwi Tour Kurniatri, Maniek indah kusnandar kusnandar Leli Saptawati Lukman Aryoseto Lusi Ismayenti, Lusi Mahardika Supratiwi Mahardika Yudianti, Manda Talitha Mahendra, Putu Gede Oka Maingu, Bertha Sylvester Maki Zamzam Maki Zamzam Maria Galuh Kamenyangan Sari Maria Imakulata Berek Mashuri, Yusuf Ari MB, Reyhana Meirina Mulia Wardani Merry Tiyas Anggraini Ms Khotijah, Ms Muchsin Doewes Muhammad Riza Muhammad, Faizal Muvida Muvida Muvida Muvida Najlah Amalia Nanda Agustian Simatupang Nawanindha, Natasha Nazmin binti Abdullah Niken Kartika Sari Ningrum, Fiki Cahya NINGRUM, TYAS SARI RATNA Novelia Qothrunnada nugroho wisnu murti Nur Hafidha Hikmayani Nur Hafidha Hikmayani Palupi, Raras Indung Paulus Kusnanto Prabaningtyas, Hanindia Riani Prasetya, Hanung Pravitasari, Ines Ratni Primaningtyas, Widana Pudjiastuti, Anggit Puspitasari, Yunita Dwi Quraisy, Cut Cahaya Rani Saifa Alhajd R Reviono R Rusnoto Rachmawati, Nur Cahya Rahardjo, Setyo Sri Rahardjo, Setyo Sri Rahmawati Ratih Puspita Febrinasari Ratih Puspita Febrinasari Reni Wijayanti Reviana, Prita Alvina Reviono Reviono Reviono, R Rico Januar Sitorus Ristaning Belawati, Yeny Risya Cilmiaty, Risya Rivan Danuaji Riyadi, Slamet Rosyida, Rufaida Rusfianti, Alfia Rusnoto, R Saputra, Rhyan Darma Saputri, Nurul Aini Suria Sari, Niken Kartika Selfi Handayani Selvi Sumardin Setianto, Budi Y. Setyo Sri Rahardjo Setyo Sri Raharjo Setyo Sri Raharjo Sholihah, Imrok Atus Simatupang, Nanda Agustian Siti Nur Hidayati Slamet Riyadi Soestrisno, Soestrisno Soetrisno Soetrisno Soetrisno Soetrisno Soetrisno Sri Mulyani Sri Mulyani Sri Mulyani Sri Widarti, Sri Suhanantyo, . Sukamto, Ika Sumiyarsi Sumardiyono Sumardiyono Sumardiyono Sumardiyono SUROTO Tedjo, Raden Andi Ario Tejomukti, Teddy Titisari, Bening Rahimi Tri Nugraha Susilawati Triatmi Andri Yanuarini Uki Retno Budihastuti Uki Retno Budihastuti Uki Retno Budihastuti Ulul Azmi Zuhaira Wahyu Gito Putro Wahyu Trecy Indriani Wayanshakty, Janur Wibawa, Lathifa Diyang Widayati, Purwika Widiatmaja, I Gusti Bagus Panji Windhy Monica Wulansari, Galuh Yanri Wijayanti Subronto Yanuari, Ridha Rossela yulia lanti retno dewi Zahidah, Fairuz Zaidah, Lailatuz