Eti Poncorini Pamungkasari
Faculty of Medicine, Universitas Sebelas Maret

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Meta-Analysis: Effect of Oral Contraceptives on Breast Cancer Siti Nur Hanifah; Bhisma Murti; Eti Poncorini Pamungkasari
Journal of Epidemiology and Public Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.945 KB) | DOI: 10.26911/jepublichealth.2022.07.03.12

Abstract

Background: Breast cancer is a disease characterized by abnormal cell growth in the breast. Until now, breast cancer is a life-threatening disease in women and is the main cause of death among the female population. Oral contraceptives or pills are one of the risk factors for women developing breast cancer. This study aims to determine the effect of oral contraceptives on the incidence of breast cancer.Subjects and Method: This research is a meta-analytical study and a systematic review. The articles used were obtained from several electronic databases including PubMed, Google Scholar and ScienceDirect. The keywords to search for articles were as follows: Determinant OR risk factor AND breast cancer AND hormonal contraceptive OR oral contraceptive AND case control study. The article under study is a full text article with an observational study design. Articles were collected using the PRISMA diagram, and analyzed using the Review Manager 5.3 application.Results: A total of 9 case control studies involving 6,811 women with breast cancer from several countries in Asia, Africa, and North America were selected for meta-analysis and systematic review. The data collected showed that women who used oral contraceptives had a risk of developing breast cancer as much as 1.82 times than those who did not use oral contraceptives (aOR= 1.82; 95% CI= 1.43 to 2.33; p<0.001).Conclusion: Use of oral contraceptives increases the risk of developing breast cancer. Keywords: oral contraceptives, breast cancer. Correspondence:Siti Nur Hanifah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: sitinurhanifah21@yahoo.com. Mobile: 085204219736.
Meta Analysis of the Relationship between Tea Drinking Habits and the Incidence of Anemia in Pregnant Women Samara Rahma Dania; Yulia Lanti Retno Dewi; Eti Poncorini Pamungkasari
Journal of Epidemiology and Public Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.389 KB) | DOI: 10.26911/jepublichealth.2022.07.04.05

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Background: Anemia is a nutritional problem that needs attention and is one of the public health problems in Indonesia. One of the causes of anemia in pregnant women is the consumption of tea, where tea contains polyphenols which can inhibit the absorption of iron. The purpose of this study was to analyze the available evidence related to the relationship between tea drinking habits and the incidence of anemia in pregnant women.Subjects and Method: This study uses a systematic review and meta-analysis with PICO, namely, population= pregnant women. Intervention= drinking tea. Comparison= don't drink tea. Outcome = incidence of anemia. Article searches were conducted using electronic databases such as Google Scholar and PubMed between 2013 and 2022. The keywords used were: [("drinking tea" OR "tea consumption") AND ("anemia" AND "pregnancy") OR ("pregnant" women")]. The inclusion criteria used were full paper articles with observational studies (cross-sectional), multivariate analysis with adjusted Odd Ratios (aOR) to measure the estimated effect. The article search results are listed in the PRISMA diagram and analyzed using the Review Manager 5.3 application.Results: A total of 7 articles from Ethiopia, Somalia, Nepal, and Saudi Arabia were selected to be carried out in a systematic review and meta-analysis. The data collected showed that pregnant women who had the habit of drinking tea could increase the risk of anemia 1.94 times compared to pregnant women who did not drink tea (aOR=1.94; 95% CI=1.10 to 3.43; p=0.020).Conclusion: Pregnant women who have a habit of drinking tea can increase the risk of anemia. Keywords: Pregnant women, drinking tea, and anemia Correspondence:Samara Rahma Dania. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: samaradania25@gmail.com. Mobile: +6285647233020.
Effect of Digital Device on Computer Vision Syndrome: Meta-Analysis Asri Wahyu Azzahro; Bhisma Murti; Eti Poncorini Pamungkasari
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.03

Abstract

Background: Computers are an integral part of today's modern human life, where long-term use can cause complaints of visual disturbances. Eye complaints related to computer use are called computer vision syndrome. This study aims to determine the magnitude of the influence of the use of digital screens or devices on the occurrence of computer vision syndrome with meta-analysis.Subjects and Method: The meta-analysis was carried out using the PRISMA flowchart and the PICO Population: students model. Intervention: the duration of using the digital screen is long. Comparison: the duration of using the digital screen is short. Outcome: the incidence of computer vision syndrome. The databases used are PubMed, ScienceDirect, Web of Science, Cochrane library, Google Scholar and CINAHL with keywords (Computers OR Handheld OR Mobile Devices OR “Digital Device” OR Digital Screen) AND (Asthenopia OR “Computer Vision Syndrome” OR Eye Strain OR Digital Eye Strain) AND (“Students” OR School Children OR Secondary Children OR Postgraduate Students). The inclusion criteria in this study were full text articles with a cross-sectional design for 2018 to 2022 in English. The article was then critically reviewed using the Prisma flow chart diagram and analyzed with RevMan 5.3.Results: Meta-analysis was conducted on 9 articles with a cross-sectional study design originating from Ghana, Saudi Arabia, Ethiopia, Spain, Thailand, Lebanon and China involving 28,888 students. The results of the meta-analysis show that the long duration of digital device use increases the risk of experiencing CVS by 2.31 times compared to the short duration of digital device use (aOR= 2.31; 95% CI= 1.60 to 3.32; p<0.001).Conclusion: The duration of using digital devices has a higher risk of experiencing Computer Vision Syndrome. Keywords: Student, Digital Device, Computer Vision Syndrome, Meta-Analysis Correspondence: Asri Wahyu Azzahro. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: asriwahyuazzahro@gmail.com. Mobile: +6281328543318.
Meta-Analysis the Effectiveness of Fluoride Varnish Use to Prevent Deciduous Dental Caries in Children Asrori Ibnu Utomo; Bhisma Murti; Eti Poncorini Pamungkasari
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.05

Abstract

Background: Oral health has improved in the last century but the prevalence of dental caries in children remains a significant clinical problem. Giving fluoride varnish directly to the surface of a child's teeth can prevent caries. This study aims to analyze the effect of using fluoride varnish on the prevention of dental caries in children.Subjects and Method: This research is a systematic review and meta-analysis research by considering the eligibility criteria using the PICO model. Population: children. Intervention: fluoride varnish. Comparison: do not use fluoride varnish. Outcome: DMF-T. Articles in this study were searched through the PubMed, Google Scholar, Science Direct, ProQuest databases with the keywords “effectiveness” AND “fluoride” AND “dental caries” AND “prevention” AND (“child OR children”) AND “randomized controlled trial”. The inclusion criteria in this study were full-text articles from 2000 to 2022 with randomized controlled trials (RCT) designs and mean SD effect sizes. This study uses PRISMA flow diagrams and uses the Revman 5.3 application for analysis.Results: A meta-analysis of 5 articles showed that the use of fluoride varnish reduced DMFT 1.21 units lower, compared to those not using fluoride varnish in children. The results of the meta-analysis were statistically significant (SMD = -1.21; 95% CI = -3.15 to 0.74; p= 0.220).Conclusion: The use of fluoride varnish may decrease DMFT in children. Keywords: dental caries, Fluoride varnish Correspondence: Asrori Ibnu Utomo, Masters’ Program in Public Health, Universitas Sebelas Maret. Jln. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: asrori.ibnu69@gmail.com. Mobile: +62895359099137.
Effect of Vitamin D Deficiency on Gestational Diabetes Mellitus: A Meta-Analysis Dian Handayani; Eti Poncorini Pamungkasari; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health

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

Abstract

Background: Gestational diabetes mellitus increases the risk of a number of short-term and long-term health problems in both mother and baby. Some evidence states that one of the causes of gestational diabetes mellitus is vitamin D deficiency. This study aimed to estimate the magnitude of the influence of vitamin D deficiency on the incidence of gestational diabetes mellitus, through a meta-analysis of previous primary studies. Subjects and Method: This was a systematic review and meta-analysis with the following PICO, population: pregnant women, intervention: vitamin D deficiency, comparison: no vitamin D deficiency, outcome: gestational diabetes mellitus. The articles used in this study were obtained from four databases, namely PubMed, Google Scholar, Science Direct, and Springer Link, using the search keys "Vitamin D Deficiency"[Mesh] OR “Vitamin D Deficiency”[tw] AND "Diabetes, Gestational" [Mesh] OR “Gestational Diabetes Mellitus”[tw] OR “Gestational Diabetes”[tw]. The included article is a full-text cohort study design from 2018 to 2022 and reports the adjusted odds ratio (aOR) in a multivariate analysis. The selection of articles is done using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 9 cohort studies involving 42,972 pregnant women from the continents of Asia, Australia and Europe were used in the meta-analysis. Pregnant women with vitamin D deficiency had a risk of gestational diabetes mellitus 1.87 times compared to those without vitamin D deficiency (aOR= 1.87; 95% CI= 1.27 to 2.75; p= 0.002). Conclusion: Vitamin D deficiency increases the risk of developing gestational diabetes mellitus. Keywords: vitamin D deficiency, gestational diabetes mellitus, pregnancy Correspondence:Dian Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: dianhan1812@gmail.com. Mobile: +6285876686231.
The Effect of Family Development Session through Family Hope Program on Visit to Integrated Healthcare Center and Child Nutritional Status: A Multilevel Evidence Nisaus Zakiyah; Endang Sutisna Sulaeman; Eti Poncorini Pamungkasari
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: The Family Development Session through the Family Hope Program (FHP) uses the nutritional status of toddlers as an indicator of the quality of life that reflects the welfare of the community. This study aimed to analyze the effect of the Family Development Session (FDS) through the Family Hope Program on the child nutritional status.Subjects and Method: This was an analytic observational study with a retrospective cohort design. This study was conducted in Ponorogo, East Java, from December to February 2020. A sample of 200 children was selected by simple random sampling. The dependent variable was child nutritional status. The independent variables were FDS (FHP), maternal education, family income, social support, maternal know­ledge, self-efficacy, complementary food, inte­grated community health center. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regression.Results: Child nutritional status was positively associated with FDS (b= 1.24; 95% CI= 0.26 to 2.22; p= 0.014), high maternal education (b= 1.18; 95% CI= 0.16 to 2.19; p= 0.023), family income (b= 1.11; 95% CI= 0.11 to 2.11; p= 0.030), social support (b= 1.57; 95% CI= 0.46 to 2.67; p= 0.006), maternal knowledge (b= 1.24; 95% CI= 0.26 to 2.23; p=0.013), self effi­cacy (b= 1.38; 95% CI= 0.32 to 2.44; p= 0.011), complementary feeding (b= 1.35; 95% CI= 0.33 to 2.37; p= 0.010), and regular visit to inte­grated community health center (b=1.42; 95% CI= 0.28 to 2.56; p=0.015). Integrated health center had strong contextual effects on the child nutritional status with intra-class corre­lation (ICC) = 33.97%.Conclusion: Child nutritional status is posi­tively associated with FDS, high maternal education, family income, social support, maternal knowledge, self effi­cacy, comple­men­tary feeding, and regular visit to inte­grated community health center. Integrated health center has strong contextual effects on the child nutritional status.Keywords: child nutritional status, integrated healthcare centerCorrespondence: Nisaus Zakiyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email:nizakiyaah@gmail.com. Mobile: +628­5235948995.Journal of Health Policy and Management (2020), 05(03): 224-234https://doi.org/10.26911/thejhpm.2020.05.03.08 
Factors Affecting Early Detection and Stimulation by Mothers and their Impact on Receptive Language Skills of Children Age 4 to 6 Years Anggi Resina Putri; Eti Poncorini Pamungkasari; Hanung Prasetya
Journal of Maternal and Child Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Association between Receptive Language Skill and Social Communication Skill among Preschool Children: Path Analysis Evidence from Surakarta, Central Java Nadya Susanti; Eti Poncorini Pamungkasari; Rita Benya Adriani
Journal of Maternal and Child Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Contextual Effect of Preschool on the Development of Children Under Five in Surabaya, East Java Ajeng Ayu Titah Pujangkara; Harsono Salimo; Eti Poncorini Pamungkasari
Journal of Maternal and Child Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background:The development of children in the first 1000 days is influential in the long term. Therefore, it requires education at an early age to achieve optimal development. This study aimed to analyze the contextual effect of early childhood education on the development of children under five at Surabaya.Subjects and Method:This was a cross-sectional study conducted 25 preschools in Wonokromo, Surabaya, East Java, Indonesia. The study population was all children aged 2-5 years. A sample of 200 children aged 2-5 years from 25 preschools was selected randomly. The dependent variable was child development. The independent variables were the history of infectious disease, exclusive breastfeeding, number of children, maternal education, maternal occupation, family income, nutritional status, mother tongue, birth weight, and preschool level. The data were analyzed using a multilevel multiple logistic regression run on STATA 13.Results:
Contextual Effect of School on Nutrition Intake to Prevent Anemia Among Female Adolescents in Yogyakarta Ailsa Clarissa Cynara; Eti Poncorini Pamungkasari; Bhisma Murti
Journal of Maternal and Child Health Vol. 5 No. 5 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Inadequate nutritional intake can affect the body condition of young women, one of effects is increasing the incidence of anemia. The Health Belief Model theory can determine how a person will behave in deter