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All Journal Journal of Health Policy and Management Journal of Maternal and Child Health
Fadhila, Shofia Nur
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Medicine & Pharmacology Public Health

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Overweight and Obesity as Risk Factors of Breast Cancer in Premenopausal and Postmenopausal Women: Meta-Analysis Fadhila, Shofia Nur; Murti, Bhisma; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.441 KB) | DOI: 10.26911/thejmch.2021.06.06.06

Abstract

Background: A woman has an increased risk of breast cancer due to increased exposure to the hormone estrogen during her life due to early menarche, late menopause, and/or the absence of childbearing. Epidemiological data show that menopausal status has a risk factor for breast cancer. The aim of this study was to investigate overweight and obesity as risk factors for pre­menopausal and postmenopausal breast cancer. Subjects and Method: A systematic review and meta-analysis study was conducted by systema­tically reviewing articles published from 2010-2021 in the PubMed, Google Scholar, SpringerLink and Science Direct databases with the keywords overweight AND obesity AND "breast cancer" OR "breast carcinoma" AND "premenopausal women", overweight AND obesity AND "breast cancer" OR "breast carcinoma" AND "postmenopausal women". Inclusion criteria included articles in English, full text, using an observational study design, and displaying adjusted odds ratios. Articles were reviewed using PRISMA diagrams and analyzed using Revman 5.3. Results: A meta-analysis of 10 articles concluded that overweight women were 1.35 times more likely to develop premenopausal breast cancer than women with a normal BMI (aOR= 1.35; 95% CI= 0.98 to 1.86; p= 0.070). A meta-analysis of 10 articles concluded that obese women were 1.27 times more likely to develop premenopausal breast cancer than women with normal BMI (aOR= 1.27; 95% CI= 0.95 to 1.69; p= 0.110). A meta-analysis of 9 articles concluded that overweight women had a 1.28 times risk of developing postmenopausal breast cancer compared with women with a normal BMI (aOR= 1.28; 95% CI= 1.00 to 1.63; p= 0.050). A meta-analysis of 11 articles concluded that obese women were 1.52 times more likely to develop postmenopausal breast cancer than women with normal BMI (aOR= 1.52; 95% CI= 1.17 to 1.98; p= 0.002). Conclusion: Overweight and obesity increase the risk of pre-menopausal and postmenopausal breast cancer.
The Affecting of Demographic Factors on Utilization of Postpartum Health Service Kusmirawati, Kusmirawati; Alfiasari, Fadila; Maulinda, Amanda Via; Gaurinindi, Melinda Febianca; Noer, Afifah; Fadhila, Shofia Nur; Annisaa, Salwa; Hapsari, Putri; Ramadhan, Septyandi; Adiansa, Rendi
Journal of Health Policy and Management Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.785 KB)

Abstract

Background: Based on research states that the prevalence rate of complete postpartum visits (KF) in Indonesia is 37%, where this figure has increased from 2013 of 32.1%. The problem with the achievement of postpartum visits in Indonesia is that the underdeveloped areas mentioned in Presidential Decree Number 63 of 2020, namely North Sumatra, Central Sulawesi, Maluku, Papua and West Papua, occupy the bottom 6 provinces in the complete postnatal visit. The province of West Papua is the region with the lowest KF coverage rate in Indonesia. Subjects and Method: Metaanalysis conducted using the PRISMA systematic guidelines. Population= puerperium mother, Intervention= Urban, Comparison= Rural, Outcome= Utility of postnatal health service. The process of searching for articles was carried out between 2005 and 2021 using a database search engine consisting of; PubMed, Science Direct, Springer Link, and Google Scholar. Based on the database search, there were ten articles that met the criteria with a crosssectional design and observational studies and research that discussed demographic factors (urban & rural) on health care facilities. Results: The results of the analysis had high heterogeneity between studies I2= 94%, so that the Random Effect Model was used. Postnatal mothers living in urban areas increased by 1.48 times in utilizing postnatal care health services compared to postnatal mothers living in rural areas. however it was not statistically significant (SMD= 1.48; 95% CI= 0.90 to 2.44; p= 0.012). Conclusion: Postpartum women who live in urban areas use postpartum health services more than postpartum women who live in rural areas. Keywords: postpartum, postnatal visit, demographic factorsCorrespondence: Kusmirawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: rendiadiansa@student.uns.ac.id Mobile Number: 08816008735.Journal of Health Policy and Management (2022), 07(03): 176-184https://doi.org/10.26911/thejhpm.2022.07.03.01
Co-Authors Adiansa, Rendi Alfiasari, Fadila Annisaa, Salwa Bhisma Murti Gaurinindi, Melinda Febianca Hapsari, Putri Kusmirawati, Kusmirawati Maulinda, Amanda Via Noer, Afifah Ramadhan, Septyandi Vitri Widyaningsih