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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Jurnal Sistem Kesehatan Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health Jurnal Kesehatan Islam : Islamic Health Journal

Didik Tamtomo, Didik

Bagian Anatomi, Fakultas Kedokteran, Universitas Sebelas Maret

Author-ID : 522390

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Medicine & Pharmacology Public Health

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Health Belief Model: Determinants of Hypertension Prevention Behavior in Adults at Community Health Center, Sukoharjo, Central Java Setiyaningsih, Ratna; Tamtomo, Didik; Suryani, Nunuk
Journal of Health Promotion and Behavior Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: According the WHO the estimated of age standarized prevalence of High blood presure in adults age 25+ years in Indonesia in 2008 was 42.7% in men and 39.2% in women. Hypertension deaths in Indonesia reached 42.226 or 3.02% of total deaths in 2014. Age-adjusted death rate was 25.26 per 100.000 of population (ranked 29 in the world). The prevalence of hypertension in Sukoharjo, Central Java, was 36.827 cases in 2015. This study aimed to examine the determinants hypertension prevention behavior using Health Belief Model.Subjects and Method: This was an analytic and observational study with cross sectional design. This study was conducted in Sukoharjo, Central Java, Indonesia, from September to October 2016. A total of 160 patients visiting Sukoharjo Community Health Center, Sukoharjo, Central Java, was selected for this study by simple random sampling. The sample consisted of 83 (51.9%) patients aged <35 years and 77 (48.1%) patients aged ≥35 years. The exogenous variables were perceived vulnerability, perceived seriousness, cues to action, perceived benefits, perceived barrier, and self efficacy. The endogenous variables were perceived threat and hypertension prevention behavior. The data were collected by questionnaire and analyzed by path analysis.Results: The path model showed goodness of fit with indices as follows: CMIN= 9.03, p=0.172, GFI= 0.99, NFI= 0.99, CFI= 1.00, and RMSEA= 0.06. Self-efficacy (b= 0.11; p<0.001; β=0.31), perceived benefit (b=0.12; p=0.005), and perceived threat (b=-0.10; p<0.001), had positive and statistically significant effect on hypertension prevention behavior. Perceived barrier (b=-0.10; p<0.001) had negative and statistically significant effect on hypertension prevention behavior. Perceived vulnerability (b=0.35; p<0.001), perceived of seriousness (b=0.48; p<0.001), and cues to action (b=0.33; p<0.001) had indirect positive effects on hypertension prevention behavior.Conclusion: Self-efficacy, perceived benefit, and perceived threat, have positive effect on hypertension prevention behavior. Perceived barrier have negative effect on hypertension prevention behavior. Perceived vulnerability, perceived of seriousness, and cues to action have indirect positive effects on hypertension prevention behavior.Keyword: hypertension, prevention behavior, health belief model.Correspondence: Ratna Setyaningsih. School of Nursing Bhakti Mulia, Sukoharjo, Central Java. Email: ratnaa_ zeitiyanie@yahoo.co.id.Journal of Health Promotion and Behavior (2016),1(3): 161-171https://doi.org/10.26911/thejhpb.2016.01.03.03

Contextual Effect of Health Centers and Quality Dimensions of Antenatal Services on Patient Satisfaction in Klaten, Central Java Rahmawati, Leny; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Puskesmas plays an important role in reducing maternal and neonatal morbidity and mortality. Contextual health centers and dimensions of service quality can improve maternal and child health services. This study aimed to analyze the factors that influence patient satisfactionSubjects and Method: A cross sectional study was conducted in Klaten Regency, Central Java. A sample of 200 pregnant women at the community health centers was selected by simple random sampling. The dependent variable was patient satisfaction. The independent variables were reliability, tangible, empathy, responsiveness, and assurance. The data were analyzed by multiple multilevel linear regression using the Stata 14 application.Results: Patient satisfaction was influenced by reliability (b=0.30; 95% CI= -0.48 to -0.13; p= 0.001), tangible (b= 0.28; 95% CI= 0.14 to 0.42; p<0.001), responsiveness (b= 0.17; 95% CI= 0.07 to 0.27; p= 0.001), and assurance (b= 0.16; 95% CI= 0.04 to 0.28; p= 0.007), while empathy has no effect on patient satisfaction (b= -0.02; 95% CI= -0.28 to 0.23; p= 0.837). Health center had strong contextual effect on patient satisfaction with ICC= 36.4%.Conclusion: Patient satisfaction is influenced by reliability, tangible (physical evidence), responsiveness, and assurance, while empathy has no effect on patient satisfaction.Keywords: satisfaction, puskesmas, multilevel linear regressionKorespondensi: Leny Rahmawati. Program Magister Kesehatan Masyarakat, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: lovejesus251200@gmail.com. Ponsel: +6288981023493.

Meta-Analysis of the Effect of Internet-Based Self- Management on Blood Glucose Control in Type 2 Diabetes Mellitus Patients Maulana, Moh; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Diabetes mellitus is a chronic metabolic disorder or disease with numerous etiologies characterized by high blood glucose levels accompanied by lipid, protein, and carbohydrate metabolism disorders. Type 2 diabetes is the most common type of diabetes with about 90% of all diabetes cases. The International Diabetes Federation (IDF) estimates that the number of diabetics in the world can reach 783.7 million people while in Indonesia it is estimated to reach 28.57 million people in 2045. This number is an increase of 46% compared to 536.6 million in 2021. The study aims to discover how much influence internet-based self-management has on blood glucose control in type-2 diabetes mellitus patients.Subjects and Method: It was a meta-analysis study using PRISMA flowchart guidelines with the PICO formulation. P = type 2 diabetes mellitus patients. I = Internet-based self-management. C= No internet-based self-management. O= HbA1C. This study was conducted by searching for articles obtained from the MEDLINE/PubMed, Google Scholar, ProQuest, Science Direct, and Spinger Link databases with keywords and operators “Boolean electronic health record" OR "computerized" OR "healthcare system information" OR "mobile health" OR "mobile app" OR "Telehealth" AND "self-management" AND "Diabetes" OR "diabetes mellitus" OR " type 2 diabetes mellitus" OR "Type 2 diabetes. Based on the database, 10 articles met the inclusion criteria. The analysis was performed using Revman 5.3 software.Results: There were 10 articles from Asia, America, and Europe. A meta-analysis using Randomized Controlled Trials indicated that internet-based self-management significantly reduced HbA1c levels by 0.45 units (SMD= -0.45; CI 95%= -0.57 to -0.33= p<0.001).Conclusion: Internet-based management can reduce HbA1c levels of type 2 diabetes mellitus patients.Keywords: internet-based self-management, hba1c, type 2 diabetes mellitusCorrespondence:Moh Maulana. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: maulana.rosy21@gmail.com. Mobile: +628-851 5667 1759Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.02.02

Meta Analysis the Effect of Electronic Health-based Self Management in Controlling Blood Pressure in Hipertensive Patients Rahmah, Aulia Siti Nur; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background Consistent application of self-management is important in efforts to improve the quality of life and health status of hypertensive patients. Electronic health is here to facilitate self-management of hypertensive patients and provide health information to health workers in real time and promote lifestyle modifications. The purpose of this study was to analyze the influence of electronic health-based self-management on blood pressure control in hypertensive patients.Subjects and Method: : This study is a meta-analysis using PICO namely Population: Hypertensive patients; Intervention: Self-management based on electronic health; Comparison: No self-management based on electronic health; Outcome: Systolic and diastolic blood pressure. This study uses articles from several databases, i.e Pubmed, Google Scholar, Science Direct and the Cochrane Library using the following keywords “Hypertension” OR “Hypertensive” OR “Blood Pressure” OR “High Blood Pressure” AND “Self Management” OR “Self Care” OR “Self Monitoring” AND “Electronic Health” OR “eHealth” OR “Telemedicine” OR “Telehealth” OR “mHealth” OR “Mobile Health” OR “Mobile Application” OR “Message Text” OR “Phone Calls”. Articles included in the research are articles that use English with an RCT study design whose publication is within the period of 2012-2022. The steps in the systematic review are carried out based on the PRISMA flow diagram guidelines. Quantitative analysis was carried out using Review Manager (Revman) 5.3.Results: There were 9 articles from South Africa, America, South Korea, Spanish, England, Scotland, and Honduras, with a sample size of 3,071 hypertensive patients concluded that electronic health-based self-management could reduce systolic blood pressure by 0.38 units and was statistically significant (SMD= -0.38; 95% CI = -0.55 to -0.20; p<0.001 ). The meta-analysis synthesized 9 studies with a total sample size = 2.095 hypertensive patients concluded that electronic health-based self-management could reduce diastolic blood pressure by 0.21 units and was statistically significant (SMD= -0.21; 95% CI = -0.29 to -0.12; p< 0.001).Conclusion: Electronic health-based self-management can reduce systolic and diastolic blood pressure control in hypertensive patients.Keywords: Self management, electronic health, blood pressure, hypertensionCorrespondence:Aulia Siti Nur Rahmah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: rahmaaulia500@gmail.com. Mobile: 08156865373.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.02.04

Meta Analysis the Effectiveness of Mobile-Based Stress Management Application on Stress and Depression among Workers Untari, Niken Yuliani; Tamtomo, Didik; Prasetya, Hanung
Journal of Health Policy and Management Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The application of stress management at this time really needs a smartphone application to prevent the occurrence of severe mental disorders, reduce stress levels and use this application more effectively. The purpose of this study is to conduct a meta-analysis with the aim of studying and estimating the effectiveness of mobile-based stress management applications on stress and depression in workers.Subjects and Method: This study is a meta-analysis using PICO, Population: Workers, Intervention: Using a mobile-based stress management application, Comparison: Not using a mobile-based stress management application, Output: Stress and Depression. The process of searching for articles between 2012-2022 uses 5 databases: PubMed, Google Scholar, ProQuest, Science Direct and Scopus. The keywords used are “stress” OR “depression” AND “apps” OR “digital health” OR “mobile health” OR “message text” OR “phone calls” OR “website” OR “email” AND “employee” OR “ worker”. Inclusion criteria: article must be a full paper with Randomized Controlled Trial (RCT), article using English, population namely workers, mobile-based stress management application intervention, reported results are stress, depression, include research results number of respondents, average -mean score and standard deviation (SD). Articles that met the requirements were analyzed using the RevMan 5.3 application. Results: There were 14 articles with a Randomized Controlled Trial (RCT) research design originating from Germany, Spain, Switzerland, England, America, Thailand, Taiwan, Korea, Vietnam which were carried out by meta-analysis. The size of the stress sample is 4,865 workers. The meta-analysis shows that workers who use the mobile-based stress management application have 1.08 units lower stress than do not use the mobile-based stress management application, and it is statistically significant (SMD = -1.08; 95% CI = -1.70 to -0.45; p= 0.007). The sample size for depression is 3,983 workers. Workers using the mobile-based stress management application had depression 0.47 units lower than those not using the mobile-based stress management application, and it was statistically significant (SMD = -0.47; 95% CI = -0.85 to -0.10; p = 0.01).Conclusion: Mobile-based stress management application use reduces stress and depresssion in workers.Keywords: stress, depression, stress-based mobile application, worker, employee, meta analysisCorrespondence:Niken Yuliani Untari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: nikenyuliani1978@gmail.com. Mobile: +6281215810608Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.02.06

Meta Analysis: Effects of Supervision Support, Feedback, and Training on Utilization of Routine Health Information System in Health Workers Lestari, Dinta; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.04

Background: Routine health information is an important pillar in health planning, decision making, and improving health programs, as well as providing effective and efficient health services. This study aims to estimate the magnitude of the influence of supervision support, feedback, and training on the use of routine health information systems (SIKR), through a meta-analysis of primary studies conducted by previous researchers. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: health workers. Intervention: there is supervision support, there is feedback, and there is training. Comparison: no supervision support, no feedback, and no training. Outcome: Utilization of SIKR. The online databases used are Google Scholar, PubMed, and ProQuest with the keywords (Routine Health Information Utilization” OR “Management Health Information System”) AND (“Supportive Supervision” OR “Regular Supervision”) AND (Feedback OR “Regular Feedback ”) AND Training OR “HMIS Training” AND “Health Worker” OR “Health Professionals” AND “Cross sectional” AND aOR. There were 14 cross-sectional studies published in 2013-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3. Results: A meta-analysis was carried out on 14 articles with a cross-sectional study design from Ethiopia on health workers with a sample size of 6,088. The results of the meta-analysis showed that health workers who received supervised support 1.77 times to utilize SIKR compared to those who did not receive supervised support (aOR= 1.77; 95% CI= 1.21 to 2.59; p=0.003), health workers who received feedback 2.15 times to using CIC compared to those who did not receive feedback (aOR= 2.15; 95% CI= 1.29 to 3.58; p=0.003), and health workers who received training 2.65 times to use CIC compared to those who did not receive training (aOR= 2.65; CI 95 %= 1.70 to 4.13; p<0.001). Conclusion: There is support for supervision, feedback/feedback, training/training can increase the utilization of routine health information systems. Keywords: Supervision support, feedback, training, use of SIKR. Correspondence: Dinta Lestari, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: dintalestari99@gmail.com. Mobile: 082183568772

Meta-Analysis: Effects of Workload and Work Environment on Work Satisfaction in Health Personnel Wulansari, Galuh; Murti, Bhisma; Tamtomo, Didik
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.03

Background: Job satisfaction is one of the important points to motivate and improve work efficiency, high job satisfaction can improve the performance of health workers and patient satisfaction. However, low job satisfaction results in fatigue and a tendency to increase the turnover of health workers which will exacerbate the condition of health facilities. The research objective was to analyze the effect of workload and work environment on job satisfaction in health workers. Subjects and Method: This study is a meta-analysis with PICO. Population: health workers. Intervention: high workload and safe work environment. Comparison: low workload and unsafe work environment. Outcome: job satisfaction. The articles used in this study were obtained from three databases namely Google Scholar, Science Direct and Pubmed. The keywords used to search for articles are “Workload” OR “Job Overload” AND “Safe Work Environment” AND “Job Satisfaction” AND “Health Workers” AND “Multivariate”. The articles used were full text in English from 2012 to 2022. Articles were selected using the PRISMA flowchart and analyzed using the RevMan 5.3 application. Results: A total of 17 cross-sectional study articles from Ethiopia, Switzerland, Israel, Belgium, China, Canada and Denmark. Based on the analysis, health workers with high workloads reduced job satisfaction 0.47 times compared to health workers with low workloads and this was statistically significant (aOR=0.47; 95% CI=0.24 to 0.92; p=0.030). Health workers with a safe work environment increased job satisfaction 2.75 times compared to health workers with an unsafe work environment and this was statistically significant (aOR=2.75; 95% CI=1.59 to 4.78; p=0.003). Conclusion: High workload reduces job satisfaction in health personnel and a safe work environment increases job satisfaction in health personnel. Keywords: workload, work environment, job satisfaction Correspondence: Galuh Wulansari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: Galuhwulan61@gmail.com. Mobile: 085601548168.

Meta Analysis of Factors Associated with Job Satisfaction in Health Workers Hapsari, Fara Rizky Punjung; Murti, Bhisma; Tamtomo, Didik
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.05

Background: Job satisfaction is a perception that is reflected in attitude and focused on behavior towards a job, and is a form of human interaction with the work environment. High job satisfaction is a sign that an agency has done good management. The more satisfied the health workers in an institution, the more maximum their level of performance and productivity so that the goals of the institution can be achieved. The study aims to analyze the factors that affect job satisfaction in health workers based on the results of previous similar studies. Subjects and Method: It was a systematic review and meta-analysis study with the PICO as follows: P = health workers, I = high salary, the availability of supervision C = low salary, no supervision O = job satisfaction. The data collection was conducted through the databases, namely: Google Scholar and PubMed. The inclusion criteria used were full English papers with Cross Sectional designs in 2012-2022. The keywords used were “job satisfaction" AND "Associated factors” AND "Health Worker". The articles were analyzed using the Review Manager 5.3 application. Results: The meta-analysis was conducted on 8 primary studies from several countries such as Ethiopia, China, and Nepal. The results of the study showed that there was an effect of high salary on job satisfaction. Based on the analysis, high-paid health workers were 1.88 times more likely to be satisfied than low-paid health workers and it was statistically significant (aOR = 1.88; CI 95% = 1.08 to 3.2; p = 0.020). Furthermore, a meta-analysis was conducted on 7 primary studies from northern and eastern parts of Ethiopia. The results of the study showed that there was an effect of supervision on job satisfaction. Healthcare workers who received supervision were 2.93 times more likely to be satisfied than those who were unsupervised and it was statistically significant (aOR = 2.93; CI 95% = 1.51 to 5.66; p= 0.003). Conclusion: The provision of high salaries and supervision increases the job satisfaction of health workers. Keywords: job satisfaction, related factors, health workers. Correspondence: Fara Rizky Punjung Hapsari. Masters Program in Public Health, Universitas Sebelas Maret. Jl Ir Sutami no 36 A, Surakarta, Central Java 57126, Indonesia. Email: fararizky92@gmail.com. Mobile Phone: 081230388935.

Multilevel Analysis of Nurse’s Performance Predictors at Dr. Moewardi Hospital, Surakarta Mardiah, Adriana; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.03

Background: Nurse Performance plays a role as a determinant of patient satisfaction when providing nursing care. Nursing services in hospitals are one of the determining factors for good or bad service, quality and image of a hospital. Factors that influence nurse performance are gender, working time arrangements, education, work experience and job satisfaction. The aim of this study was to analyze the performance of inpatient and outpatient ward nurses at Dr. Moewardi Hospital. Subject and Method: This research uses an observational analytic design with a cross-sectional approach. This research is intended to find the relationship between the independent variables, namely gender, working time arrangements, education, work experience and job satisfaction, with the dependent variable, namely the performance of nurses in the inpatient and outpatient wards at Dr. Moewardi. This research was conducted in October-November 2023. A sample of 200 posyandu cadres was selected using random sampling. Data collection was carried out using questionnaires/interviews and data was analyzed using a multiple linear regression analysis model with a multilevel approach. Results: Gender has an influence and is significant between gender and nurse performance (b = -1.79; 95% CI = -3.13 to -0.45; p = 0.009). Working time arrangements have an influence on nurse performance, and this influence is statistically significant (b = 1.96: 95% CI = 0.39 to 3.54; p = 0.014). Job satisfaction has a positive and significant influence on nurse performance (b = 0.32 CI 95% = 0.10 to 0.4). The results of education and work experience did not show a statistically significant difference in nursing performance between nurses with DIII education and the nursing profession (b = 0.32; 95% CI = -0.86 to 1.51) and work experience of more than 12 years and less than 12 years (b = 0.71; 95% CI = -0.75 to 2.17). The results of this multilevel analysis also found that there was a contextual influence of the ward on nurse performance (ICC= 15.09%). Conclusion: Nurse performance is directly influenced by gender, working time arrangements and job satisfaction. Variations at level 2 wards have a contextual influence on nurse performance.

Childhood Physical and Sexual Violences as Potential Factors of Post Traumatic Stress Disorder: A Meta-Analysis Alfiasari, Fadila; Tamtomo, Didik; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.04

Background: WHO states that as many as 300 million children have experienced physical punishment or psychological violence. These traumatic events can cause Post Traumatic Stress Disorder (PTSD) which has an impact on the lives of victims of physical and sexual violence. The purpose of this study was to analyze and estimate the average influence of physical and sexual violence in childhood on the incidence of Post Traumatic Stress Disorder (PTSD) using a meta-analysis study.Subjects and Method: This research is a systematic review and meta-analysis with the selection of PRISMA flow diagrams. Population= adults aged >18 years. Intervention= experience of physical and sexual violence as children. Comparison= no experience of physical and sexual violence as children. Outcome= PTSD. Article searches through journal databases include: Pubmed, Google Schoolar, Science Direct, Researchgate and Springerlink. The articles used in this study are articles that have been published from 2000-2022. The keywords used in the database are “Child Physical Abuse”[tw] OR “Childhood Physical Abuse”[tw] OR “Child Maltreatment”[tw] OR “Physical Violence”[tw] OR "Physical Abuse"[Mesh] OR " Child Abuse"[Mesh] AND “Sexual Abuse”[tw] OR “Child Sexual Molestation”[tw] OR "Child Abuse, Sexual"[Mesh] OR "Sexual Trauma"[Mesh] AND “Post-Traumatic Stress Disorder*” [tw] OR “Posttraumatic Stress Disorder*” OR “Post-Traumatic Neuroses”[tw] OR “Post-traumatic Neuroses”[tw] OR “PTSD”[tw] OR "Stress Disorders, Post-Traumatic"[Mesh]. Inclusion criteria included full-text articles with a cross-sectional study design. The analysis used multivariate logistic regression with adjusted Odds Ratio and published in English. Articles that met the requirements were analyzed using the Revman 5.4 application.Results: Meta-analysis of 10 articles showing for childhood physical abuse (aOR=1.87; 95% CI=1.47 to 2.37; p<0.001) and childhood sexual violence (aOR=2.67; 95% CI=2.02 up to 3.52; p<0.001).Conclusion: Experience of physical and sexual violence in childhood increases the risk of developing Post Traumatic Stress Disorder as an adult. Keywords: Post Traumatic Stress Disorder, physical violence, sexual violence, meta-analysis Correspondence: Fadila Alfiasari. Masters Program in Public Health, Universitas Sebelas maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: alfiasari3108@gmil.com. Mobile: +6285235358882.

Co-Authors -, Mardhatillah A.A. Ketut Agung Cahyawan W Abdiani, Baiq Tuhu Abdiani, Baiq Tuhu Agung Kurniawan Akhmad Azmiardi Alfiasari, Fadila Ali Djamhuri Ambar Mudigdo Anak Agung Istri Sri Wiadnyani Andreza Anggraini, Yeni Aprilia, Nafi?ah Argyo Demartoto, Argyo Ari Natalia Prabandari, Ari Natalia Ari Natalia Probandari Ari Probandari Arief Suryono Ariwati, Valentina Dili Ariwati, Valentina Dili Aryoseto, Lukman Aulia, Yusrin Bhisma Murti Burhannudin Ichsan Cahyandaru, Zella Cahyaningrum, Hapsari Cahyono Widodo, Cahyono Ch Novita Indriani, Ch Novita Damayanti, Ana Delimasari, Trisakti Halimah Dewi Martha Indria Dian Rahmawati Diana, Tutut Okta Doloh, Nureesa Dono Indarto Dyanneza, Frieska Endang Sutisna Sulaeman Eskawati, Maria Yeny Fahrezi, Chattrin Feny Tunjungsari Fuad, Lu’luatul Ghufroni, Afif Gusti, Titis Eka Hapsari, Fara Rizky Punjung Harinto Nur Seha Harsono Salimo Hastuti, Heni Hendra Dwi Kurniawan, Hendra Dwi Hermanu Joebagyo Hery Widijanto I Gusti Agung Ngurah Putra Pradnyantara Imtichan, Septian Najib Ismiana, Baiq Holisatul Jayanti, Nicky Danur Kartikasari, Mayriyana Kristiani, Yunita Kusumaningtiyas, Zonna Aditiya Kusumaningtyas, Mei Kusumasari, Rizka Agnes Kusumastuti, Nurry Ayuningtyas Kusumawardana, Iin Kusumawardani, Dyah Ayu Laksono Trisnantoro Lestari, Dinta Lilik Anggar Sri Rahayuningsih Linda Widyaningrum, Linda Mahendra Wijaya Mardiah, Adriana Maulana, Moh Mirshanti, Farahdila Nagaring, Sulaiman Putra Ni'mah, Siti Luluk Khamidahtun Ningtyas, Ayunda Prisilia Kusuma Nugroho, Septyan Dwi Nunuk Suryani Nurjanah, Ahmitta Laila Nurlaili, Helmi Nurul Hakim, Ruliany Yuni Nurul Jannah Pranoto, Hosea Puspitasari Prasetya, Hanung Pratama, Tegar Wahyu Yudha Pratiwi, Dinda Ika Purwati - Puspita, Rumeyda Chitra Putri, Farahdilla Aribowo Rahayuningrum, Indriyati Oktaviano Rahmah, Aulia Siti Nur Rahmawati, Leny Ratna Dewi Permatasari Rita Adriani Benya Adriani Rosyida, Muslihatin Khuril Sapja Anantanyu, Sapja Saraspuri, Niken Putri Eka Selvia Febrianti Setiyaningsih, Ratna Setiyaningsih, Ratna Silfia Angela N Halu Simarmata, Imelda Dearni Simarmata, Imelda Dearni Sitepu, Fransiska Siti Marfuah, Siti Siwi, Ratna Purwani Soemanto, RB SUGIARTO - Sukma, Sukma Sulistyo, Anita Sri Sulistyo, Siwi Anggraini Tia Martha Pundati, Tia Martha Uki Retno Budihastuti Untari, Niken Yuliani Veftisia, Vistra Wardhani, Anindyah Tri Lhaksmi Kusuma Wardhani, Yeni Wibawa, Purwa Adrianta Widayati, Mulia Yuli Wigati, Dhiyan Nany Wijanto, Chrise Wijayanto, Masromi Hendria Winasandis, Brillia Firsti Wulandari, Ayu Novita Wulansari, Galuh Yeni Tri Utami Yulia Lanti Retno Dewi yulia lanti retno dewi Yuni Fitriani, Yuni Zaen, Nurussyifa Afiana Zulaikah, Rahayu

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