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Meta Analysis the Effects of Asbestos and Silica Dust on the Risk of Lung Cancer among Workers Wardani, Aurina Firda Kusuma; Sumardiyono, Sumardiyono; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.02.12

Background: Lung cancer is a cancer whose incidence increases every year and is the number one cancer cause of death in the world. One of the causes of lung cancer comes from occupational exposure in the form of asbestos dust and silica. This study aims to analyze the effect of exposure to asbestos and silica dust on the incidence of lung cancer in the working community.Subjects and Method: This study is a meta-analysis with the following PICO, population: working society. Intervention: exposure to asbestos dust and silica dust. Comparison: not exposed to asbestos dust and silica dust. Result: lung cancer. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. The keywords to search for articles were “dust exposure” OR “silica dust exposure” OR “asbestos dust exposure” OR “occupational dust exposure” AND “lung cancer”. The articles included are full-text English with a case-control study design from 2007 to 2022. The articles were selected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 14 case-control studies from continental Europe, America and Asia were selected for systematic review and meta-analysis. Based on 8 studies on the effect of exposure to asbestos dust on the incidence of lung cancer, the incidence of lung cancer increased 1.57 times compared to workers who were not exposed to asbestos dust (aOR= 1.57; 95% CI= 1.20 to 2.06; p= 0.001) and 9 case-control studies on the effect of exposure to silica dust showed an increase of 1.31 times the incidence of lung cancer compared to workers who were not exposed to silica dust (aOR = 1.31; 95% CI = 1.25 to 1.38; p<0.001).Conclusion: Exposure to asbestos and silica dust increases the incidence of lung cancer in workers. Keywords: asbestos, silica, occupational dust exposure, lung cancer. Correspondence:Aurina Firda Kusuma Wardani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Mobile: +6282135012135. Email: firdakw@gmail.com.

Meta Analysis: Health Belief Model on Cervical Cancer Screening among Women of Reproductive Age Habibatullah, Afifa Intifadha; Wulandari, Adetya; Wardani, Aurina Firda Kusuma
Journal of Health Promotion and Behavior Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Cervical cancer is one of the most common cancers and the most common cause of death in women worldwide. Health Belief Model is a theoretical model that explains the influence of beliefs on a person's health behavior, including cervical cancer prevention behavior. This study aims to determine the effect of the HBM construct on cervical cancer screening behavior among women of childbearing age based on a primary study conducted by previous researchers.Subjects and Method: This study is a systematic review and meta-analysis with PICO as follows: Population: women of reproductive age, Intervention: HBM constructs of high perceived severity and high self-efficacy. Comparison: low perceived severity and low self-efficacy. Outcome: cervical cancer screening. The articles used in this study were taken from several databases, namely Google Scholar, Pubmed, SpringerLink, Scopus, and SAGE. The keywords used for the search were “Health Belief Model” AND “Cervical Cancer Screening” OR “Cervical Cancer Test” OR “Pap Smear” OR “Papanicolaou Test” OR “VIA Test” OR “Visual Inspection Acetic-Acid” AND “Adjusted Odds Ratio” OR aOR. Inclusion criteria were full-text articles in English and Indonesian with a cross-sectional study design, population of women of childbearing age, and cervical cancer screening as an outcome, analyzed multivariately by including adjusted Odds Ratio/aOR. Articles were selected using the PRISMA flow diagram and analyzed using the Review Manager 5.3 application.Results: A total of 7 cross-sectional studies from Europe, Asia, Africa, and Australia were reviewed and meta-analyzed. The results showed that women of childbearing age with high perceived severity were 1.61 times more likely to have cervical cancer screening than those with low perceived severity (aOR = 1.61; 95% CI = 1.11 to 2.34; p = 0.01). The data also showed that women of childbearing age with high self-efficacy were 5.91 times more likely to undergo cervical cancer screening than women with low self-efficacy (aOR= 5.91; 95% CI= 3.25 to 10.75; p<0.001).Conclusion: Severity perception and self-efficacy are predictors for tertiary prevention of type 2 Diabetes Mellitus.Keywords: health belief model, perceived severity, self-efficacy, cervical cancer screening.Correspondence:Afifa Intifadha Habibatullah. Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: afifa.pink2@gmail.com. Mobile: 085728146915.Journal of Health Promotion and Behavior (2021), 06(04): 307-317DOI: https://doi.org/10.26911/thejhpb.2021.06.04.05

Meta-analysis: Relationship between Antenatal Care Visits and Exclusive Breastfeeding Wardani, Aurina Firda Kusuma; Utomo, Asrori Ibnu
Journal of Health Promotion and Behavior Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Breastmilk is the main source of nutrition for babies who cannot eat solid food until they are 6 months old. Exclusive breastfeeding education can be given as long as pregnant women make antenatal care visits. The purpose of this study was to determine the relationship between antenatal care visits and exclusive breastfeeding.Subjects and Method: This study was a meta-analysis with the following PICO, population: mothers. Intervention: antenatal care visits. Comparison: no Antenatal Care visits. Result: Exclusive breastfeeding. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Antenatal Care Attendance” or “Antenatal Care Visit” or “Prenatal Care” and “Exclusive Breastfeeding” or “exclusively breastfed”. Included articles are full-text English with a cohort study design from 2010 to 2021 and report on adjusted Odds Ratio (aOR) in multivariate analysis. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 9 cross-sectional studies involving 19,716 mothers from Africa, Europe, and Asia were selected for systematic review and meta-analysis. The data collected showed that mothers who had antenatal care visits increased 1.50 times for exclusive breastfeeding compared to mothers who did not visit antenatal care (aOR = 1.50; 95% CI = 1.18 to 1.89); (p < 0.001).Conclusion: Antenatal care visits increase exclusive breastfeeding.Keywords: antenatal care, exclusive breastfeeding, meta-analisisCorrespondence:Aurina Firda Kusuma Wardani. Study Program of Public Health, Universitas Veteran Bangun Nusantara Sukoharjo. Jl Letjen Sujono Humardani No 1 Jombor, Sukoharjo, Jawa Tengah, Indonesia. Email: firdakw@gmail.com. Mobile: +6282135012135Journal of Health Promotion and Behavior (2022), 07(01): 9-17 DOI: https://doi.org/10.26911/thejhpb.2021.07.01.02

Effect of Noise Exposure on Occupational Stress and Hypertension among Workers: a Meta-Analysis Widjanarti, Maria Paskanita; Sumardiyono; Wardani, Aurina Firda Kusuma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.09

Background: The work environment greatly affects the health condition of the workers so that there are no work-related accidents or occupational diseases. Noisy physical environmental factors above the threshold value have a risk of causing occupational diseases such as psychological work stress and hypertension. This study aims to analyze the effect of noise exposure on occupational stress and hypertension among workers. Subjects and Method: This study is a systematic review and meta analysis with the following PICO. P: working society, I: exposure noise ≥85 dBA, C: not exposed to noise ≥85 dBA, O: Stress and Hypertension. This study used of articles published between 2009 and 2022 were comprehensively searched for using electronic databases like PubMed, ProQuest, Scopus, and Google Scholar. The keywords to search for articles were “noise exposure” OR “occupational noise” AND “occupational stress” OR “work stress” AND “hypertension”. The adjusted odds ratio was used to evaluate the effect size (aOR). To evaluate the bias risk, the Critical Appraisal Skill Program (CASP) was used. Articles were analyzed using the Review Manager 5.3 application. Results: This study includes 14 papers, using cross-sectional and case-control study designs, from Asia, including Indonesia, Malaysia, China, Jordan, and South Korea. Based on 5 studies cross-sectional on the effects of exposure to noise in the event of work stress, work stress increases 4.88 times compared to workers who are not exposed to noise (aOR=4.88; 95% CI= 1.77 to 13.47; p= 0.002). 9 subgroup studies with cross-sectional and case-control study designs on the effect of noise exposure showed an increase of 2.47 times the incidence of hypertension compared to workers who were not exposed to noise at work (aOR= 2.47; 95% CI= 1.75 to 3.48; p<0.001). Conclusion: Exposure to noise increases the risk of work-related stress and hypertension. Suggestions that can be made are to carry out engineering, periodic measurements, work time management, workforce education and use of PPE.

Meta Analysis the Effects of Asbestos and Silica Dust on the Risk of Lung Cancer among Workers Wardani, Aurina Firda Kusuma; Sumardiyono, Sumardiyono; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Lung cancer is a cancer whose incidence increases every year and is the number one cancer cause of death in the world. One of the causes of lung cancer comes from occupational exposure in the form of asbestos dust and silica. This study aims to analyze the effect of exposure to asbestos and silica dust on the incidence of lung cancer in the working community.Subjects and Method: This study is a meta-analysis with the following PICO, population: working society. Intervention: exposure to asbestos dust and silica dust. Comparison: not exposed to asbestos dust and silica dust. Result: lung cancer. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. The keywords to search for articles were “dust exposure” OR “silica dust exposure” OR “asbestos dust exposure” OR “occupational dust exposure” AND “lung cancer”. The articles included are full-text English with a case-control study design from 2007 to 2022. The articles were selected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 14 case-control studies from continental Europe, America and Asia were selected for systematic review and meta-analysis. Based on 8 studies on the effect of exposure to asbestos dust on the incidence of lung cancer, the incidence of lung cancer increased 1.57 times compared to workers who were not exposed to asbestos dust (aOR= 1.57; 95% CI= 1.20 to 2.06; p= 0.001) and 9 case-control studies on the effect of exposure to silica dust showed an increase of 1.31 times the incidence of lung cancer compared to workers who were not exposed to silica dust (aOR = 1.31; 95% CI = 1.25 to 1.38; p<0.001).Conclusion: Exposure to asbestos and silica dust increases the incidence of lung cancer in workers. Keywords: asbestos, silica, occupational dust exposure, lung cancer. Correspondence:Aurina Firda Kusuma Wardani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Mobile: +6282135012135. Email: firdakw@gmail.com.

Effect of Noise Exposure on Occupational Stress and Hypertension among Workers: a Meta-Analysis Widjanarti, Maria Paskanita; Sumardiyono; Wardani, Aurina Firda Kusuma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.09

Background: The work environment greatly affects the health condition of the workers so that there are no work-related accidents or occupational diseases. Noisy physical environmental factors above the threshold value have a risk of causing occupational diseases such as psychological work stress and hypertension. This study aims to analyze the effect of noise exposure on occupational stress and hypertension among workers. Subjects and Method: This study is a systematic review and meta analysis with the following PICO. P: working society, I: exposure noise ≥85 dBA, C: not exposed to noise ≥85 dBA, O: Stress and Hypertension. This study used of articles published between 2009 and 2022 were comprehensively searched for using electronic databases like PubMed, ProQuest, Scopus, and Google Scholar. The keywords to search for articles were “noise exposure” OR “occupational noise” AND “occupational stress” OR “work stress” AND “hypertension”. The adjusted odds ratio was used to evaluate the effect size (aOR). To evaluate the bias risk, the Critical Appraisal Skill Program (CASP) was used. Articles were analyzed using the Review Manager 5.3 application. Results: This study includes 14 papers, using cross-sectional and case-control study designs, from Asia, including Indonesia, Malaysia, China, Jordan, and South Korea. Based on 5 studies cross-sectional on the effects of exposure to noise in the event of work stress, work stress increases 4.88 times compared to workers who are not exposed to noise (aOR=4.88; 95% CI= 1.77 to 13.47; p= 0.002). 9 subgroup studies with cross-sectional and case-control study designs on the effect of noise exposure showed an increase of 2.47 times the incidence of hypertension compared to workers who were not exposed to noise at work (aOR= 2.47; 95% CI= 1.75 to 3.48; p<0.001). Conclusion: Exposure to noise increases the risk of work-related stress and hypertension. Suggestions that can be made are to carry out engineering, periodic measurements, work time management, workforce education and use of PPE.

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