Purnama, Hanif Wildan
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Effect of Gadget Use on the Development of Language and Speech Ability in Children Under Five Purnama, Hanif Wildan; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Maternal and Child Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.02.10

Abstract

Background: Language development is a hierarchical change that begins with hearing and learning through hearing through the sounds of words. This research aims to analyze the effect of gadget use on language and speaking abilities. Subjects and Method: An observational analytical research design using a cross sectional approach was carried out at Bayu Asih Hospital, Purwakarta and Rama Hadi Hospital, Purwakarta in November 2023. A total of 200 children under five were used using a random sampling technique. The dependent variable is language and speech delays. The independent variables are gadget use, mother's employment, mother's education, family income, and child's education. The instruments used were Early Detection of Communication Ability Disorders (DDGKB) and questionnaires. Data analysis uses path analysis. Results: The results of path analysis explain that there is an influence of gadget use (b=1.85; 95% CI=1.02 to 3.40; p=0.044), gender (b=1.85; 95% CI=1.02 to 3.40; p=0.044) and parental income (b =1.85; 95% CI=1.02 to 3.40; p=0.044), mother's employment (b=0.56; 95% CI=0.31 to 1.02; p=0.058), mother's employment (b=0.56; 95% CI=0.31 to 1.02 ; p=0.058) and mother's education (b=0.91; CI 95%=0.48 to 1.73; p=0.783) and child's education (b=0.74; CI 95%=0.42 to 1.34; p=0.325) on speech delays in children. Conclusion: Gadget use, gender, parental income, maternal employment, maternal education, and child education increase the risk of speech delays in children.
Meta Analysis: Correlations between Age at Menarche, Parity, and Hormonal Contraceptive Use with Breast Cancer in Women of Reproductive Age Hidayati, Khairani Nur; Purnama, Hanif Wildan; Nugrahani, Anna; Murti, Bhisma; Veibiani, Nindita Arum
Journal of Maternal and Child Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.03.05

Abstract

Background: Breast cancer is the most common cancer and the leading cause of cancer death in women worldwide. The implementation of the program in reducing the incidence of breast cancer is focused on prevention based on evidence of risk factors. This study aims to estimate factors that influence the incidence of breast cancer in women of productive age. Subjects and Method: This study used systematic review and meta-analysis using PICO. Population: Women of productive age. Interventions: menstruation at ≥13years, parity (multipara) and using hormonal contraceptives. Comparison: menstruation at <13years, parity (nullipara) and not using hormonal contraceptives. Result: breast cancer. The articles used in this study came from 2 databases, namely Google Scholar and BMC. The keywords of the article were "menarche" AND "parity" AND "risk factor" AND "breast cancer". The articles included in this study were full paper articles, used case control study designs, publication year ranged from 2014-2023, and measure of association was in Adjusted Odds Ratio. Articles were analyzed using the Review Manager 5.4 application. Results: Thirteen case-control studies indicated that women who menstruated at ≥13 years old lowered the likelihood of breast cancer by 0.69 times (aOR=0.69; CI 95%= 0.57 to 0.84; p= 0.001). Eleven case-control studies indicated that multiparous parity lowered the likelihood of breast cancer by 0.49 times (aOR=0.49; CI 95%= 0.34 to 0.72; p= 0.001). Eleven case-control studies indicated that using contraception increased the likelihood of breast cancer by 1.47 times (aOR=1.47; CI 95%= 1.12 to 1.93; p= 0.006). Conclusion: Menstruation age <13 years old, parity (nullipara) and use of hormonal contraceptives are predictors in breast cancer cases in women of productive age.