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Associations between Prematurity, Low Birth Weight, and Residence on the Risk of Newborn Death: A Meta Analysis Saputri, Chelsy Sumardi; Rizki, Ayun Widya; Flora, Viola Holly; Murti, Bhisma; Wulandari, Ayu Novita
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.2024.09.02.02

Background: Newborn mortality is a global issue that requires serious attention from the world of public health. This study aims to analyze the influence of place of residence, premature birth and low birth weight on the incidence of newborn deaths. Subjects and Method: This research is a meta-analysis research using the PRISMA diagram and PICO format. Population: Newborns died. Intervention: Village residence, premature birth, low birth weight. Comparison: City residence, normal birth, normal birth weight. Outcome: Newborn death. Articles were searched using online databases such as PubMed, Google Scholar, Elsevier, Science Direct. Search for articles using the keywords: "Neonates Mortality" AND "Residence" AND "Gestational age" OR "Premature" AND "Low birth weight". Using articles published in 2013-2023. Data analysis using RevMan 5.4. Results: Meta-analysis was carried out using 15 articles with cross-sectional studies from African countries and Ethiopia with a total sample of 17,116 samples. The risk of newborn death increased in newborns living in a village (aOR= 4.17; 95% CI= 2.30 to 7.58; p<0.001), premature birth (aOR= 5.17; 95% CI= 2.87 to 9.33; p< 0.001), and low birth weight (aOR= 2.50; 95% CI= 1.63 to 3.85; p<0.001). Conclusion: Rural residence, premature birth, and low birth weight increase the risk of newborn death.

Meta-Analysis: Relationship between Alcohol Consumption and Age on Obesity in Adults Wulandari, Ayu Novita; Hanida, Amin Nur
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.2022.07.02.01

Background: Obesity has become a serious public health problem in both developed and developing countries. Excessive alcohol consumption in adults is a global problem that needs further investigation. The adult age group has a high enough risk of being overweight and obese. The purpose of this study was to estimate the relationship between alcohol consumption and age on obesity.Subjects and Method: This research is a systematic study and meta-analysis. The articles used in this study were obtained from the Pubmed and Google Scholar databases. The articles used are articles that have been published from 2012-2022. The search for articles was carried out by considering the eligibility criteria determined using the PICO model. P= adults, I= alcohol consumption and middle age, C= no alcohol consumption and early adulthood, O= obesity. The keywords to search for articles were as follows: “Alcohol Consumption” OR “Alcohol Intake” AND “Age” AND “Obesity” OR “Body Mass Index” and “aOR”. The articles included in this study are full text articles with a cross-sectional research design. Articles were collected using the PRISMA flow chart. Articles were analyzed using the Review Manager 5.3 application.Results: There are 13 articles consisting of 2 studies from North America (Nicaragua, United States), 1 study from South America (Brazil), 1 study from Europe (Portugal), 7 studies from Africa (Ethiopia, Zimbabwe, Ghana), and 2 studies from Asia (Cambodia, Thailand) were included in this meta-analysis. 7 cross-sectional studies showed that alcohol consumption increased the risk of obesity in adults 2.05 times compared with those who did not consume alcohol (aOR= 2.05; 95% CI= 1.26 to 3.33; p= 0.004). A meta-analysis of 7 cross-sectional studies showed that middle age increased the risk of obesity 2.57 times compared with early adulthood (aOR= 2.57; 95% CI= 1.99 to 3.30; p = 0.001).Conclusion: Alcohol consumption and age are risk factors for obesity in adults. Keywords: alcohol consumption, age, obesity, adults Correspondence:Ayu Novita Wulandari. Applied Graduate School, Prosthetic Orthotic, School of Health Sciences, Ministry of Health Surakarta. Jl. Letjen Sutoyo Mojosongo Surakarta 57127, Central Java. Email: ayunovitawulandari98@gmail.com. Mobile :082281301325.

Meta-Analysis the Effects of Social Isolation and Loneliness on Cardiovascular Disease and Death in Elderly Wulandari, Ayu Novita; Murti, Bhisma; Tamtomo, Didik
Journal of Epidemiology and Public Health Vol. 8 No. 1 (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.2023.08.01.11

Background: The impact of social isolation and loneliness on health and well-being is recognized globally as a public health problem. Social isolation can be experienced at any age, especially the elderly. This study aims to analyze and estimate the influence of social isolation and loneliness on cardiovascular disease and death in the elderly.Subjects and Method: The meta-analysis was carried out according to the PRISMA flow chart and the PICO model. P: Elderly, I: Social isolation and loneliness, C: Not social isolation and not lonely, O: Cardiovascular disease and death. Search for articles in this study through databases that include PubMed, Google Scholar, Science Direct and Scopus with keywords "social isolation" AND "loneliness" AND "cardiovascular disease" AND "elderly". “Social isolation” AND “loneliness” AND “mortality” AND “elderly”. Full paper article with cohort design, adjusted Hazard Ratio for effect size, research outcome are cardiovascular disease and death. Analysis was performed using Revman 5.3.Results: There were 18 articles with cohort designs originating from America, Finland, Canada, Tai-wan, Australia, the United States, Japan, Denmark, Amsterdam, England, Sweden, Jerusalem, Europe with a total of 1,375,816 research samples. A meta-analysis of 13 cohort studies concluded that seniors who were socially isolated had a 1.23 times the risk of developing cardiovascular disease compared to those who were not socially isolated, and the effect was statistically significant (aHR= 1.23; 95% CI= 1.10 to 1.38; p= 0.003). In addition, the elderly who are socially isolated have a risk of dying 1.16 times compared to those who are not socially isolated, and this effect is statistically significant (aHR= 1.16; 95% CI= 1.07 to 1.21; p= 0.003). A meta-analysis of 13 cohort studies concluded that lonely elderly people had a 1.10 times greater risk of developing cardiovascular disease compared to lonely people, and the effect was statistically significant (aHR= 1.10; 95% CI= 1.01 to 1.20; p= 0.003). In addition, lonely elderly people have a risk of dying 1.19 times compared to being lonely, and the effect is statistically significant (aHR= 1.19; 95% CI= 1.02 to 1.39; p= 0.002).Conclusion: Social isolation and loneliness increase the risk of cardiovascular disease and death in elderly. Keywords: social isolation, loneliness, cardiovascular, death, elderly. Correspondence:Ayu Novita Wulandari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Jawa Tengah. Email: ayunovitawulandari98@gmail.com. Mobile: +6282281301325.

Meta-Analysis: Factors Related with Obesity in Adolescents Gumilar, Karismatika Surya; Betriza; Legowo, Nurcahyo Aji; Murti, Bhisma; Wulandari, Ayu Novita
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.06

Background: Obesity is excess body weight above the normal BMI limit. This can be experienced by anyone, starting from children, productive teenagers who do not maintain a healthy lifestyle, which can cause premature death. There are various factors that cause obesity from several research findings. This study aims to analyze and estimate factors that influence the risk of obesity in adole-scents.Subjects and Method: This research is a systematic review and meta-analysis with PRISMA and PICO diagrams. Population= teenagers. Intervention= strong physical activity, high income, female gender, strong consumption of fruit, and high maternal education. Comparison= weak physical activity, low income, male gender, weak consumption of fruit, and low maternal education. Result= obesity. The search for this article came from databases namely PudMed and Science Direct. The article keywords used are "physical activity" AND "Income" AND "fruit consumption" AND "mater-nal education" AND "obesity" AND "young factor". The articles included in this research are full paper articles, cross-sectional study design, publication year range 2013-2023, and the magnitude of the Adjusted Odds Ratio relationship. Articles were filtered using the PRISMA flow diagram and analyzed using the Review Manager 5.3.Results: There are 10 articles with cross-sectional studies that show the risk of obesity is signifi-cantly influenced by high income by 2.04 times (aOR= 2.04; 95% CI=0.97 to 4.30; p= 0.060), female gender by 2.28 times (aOR= 2.28; 95% CI= 1.64 to 3.17; p<0.001), strong fruit consumption was 2.11 times (aOR= 2.11; 95% CI= 1.30 to 3.44; p= 0.003), and high maternal education was 1.64 times (aOR=1.64; 95% CI= 1.10 to 2.45; p= 0.020) and the influence of weak physical activity which is 0.59 times the risk of obesity with statistically significant results (aOR= 0.59; 95% CI= 0.41 to 0.83; p=0.003).Conclusion: Risk factors that influence obesity in adolescents include high income, female gender, fruit consumption, high maternal education, and weak activity. Keywords: Obesity, risk factors, health problems, teenagers.

Meta-Analysis: The Effect of HBM-Based Health Education on Obesity Prevention among Students Wulandari, Ayu Novita; Haryanti, Titik; Sartika, Iik
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.02

Background: Students engage in various health-risk behaviors such as lack of physical activity and unhealthy diet. Obesity is a worldwide health problem with increased prevalence every year, both in developed and developing countries. This study aims to analyze and estimate the influence of HBM-based health education on obesity prevention in students. Subject and Method: Meta-analysis was conducted according to the PRISMA flow diagram and PICO model. The search for articles in this study was through databases including PubMed, Google Scholar, Science Direct and Scopus. With keywords including: "Obesity" AND "Health Belief Model" OR "Health Belief" AND "Students". Full paper articles with RCT studies, research subjects were students, the relationship measure used was SMD, the outcome of the study was knowledge and perceived severity of obesity prevention. The analysis was conducted with RevMan 5.3 program. Results: There are 12 articles with randomized control trial designs originating from Iran, Iraq, India, Thailand, Australia with 2,261 research samples. Meta-analysis of 8 randomized control trial studies concluded that students who received HBM-based health education had knowledge in preventing obesity by 1.65 times higher than those without HBM education (SMD= 1.65; 95% CI= 0.60 to 2.70; p= 0.002). Meta-analysis of 6 randomized control trial studies concluded that students who received HBM-based health education had a perceived severity in preventing obesity by 1.85 times higher than those without HBM education (SMD= 1.08; 95% CI = 0.52 to 1.64; p= 0.002). Conclusion: HBM-based health education has a significant effect on increasing knowledge and perceived severity of obesity prevention in students.

Meta-Analysis: Relationship between Alcohol Consumption and Age on Obesity in Adults Wulandari, Ayu Novita; Hanida, Amin Nur
Journal of Epidemiology and Public Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Obesity has become a serious public health problem in both developed and developing countries. Excessive alcohol consumption in adults is a global problem that needs further investigation. The adult age group has a high enough risk of being overweight and obese. The purpose of this study was to estimate the relationship between alcohol consumption and age on obesity.Subjects and Method: This research is a systematic study and meta-analysis. The articles used in this study were obtained from the Pubmed and Google Scholar databases. The articles used are articles that have been published from 2012-2022. The search for articles was carried out by considering the eligibility criteria determined using the PICO model. P= adults, I= alcohol consumption and middle age, C= no alcohol consumption and early adulthood, O= obesity. The keywords to search for articles were as follows: “Alcohol Consumption” OR “Alcohol Intake” AND “Age” AND “Obesity” OR “Body Mass Index” and “aOR”. The articles included in this study are full text articles with a cross-sectional research design. Articles were collected using the PRISMA flow chart. Articles were analyzed using the Review Manager 5.3 application.Results: There are 13 articles consisting of 2 studies from North America (Nicaragua, United States), 1 study from South America (Brazil), 1 study from Europe (Portugal), 7 studies from Africa (Ethiopia, Zimbabwe, Ghana), and 2 studies from Asia (Cambodia, Thailand) were included in this meta-analysis. 7 cross-sectional studies showed that alcohol consumption increased the risk of obesity in adults 2.05 times compared with those who did not consume alcohol (aOR= 2.05; 95% CI= 1.26 to 3.33; p= 0.004). A meta-analysis of 7 cross-sectional studies showed that middle age increased the risk of obesity 2.57 times compared with early adulthood (aOR= 2.57; 95% CI= 1.99 to 3.30; p = 0.001).Conclusion: Alcohol consumption and age are risk factors for obesity in adults. Keywords: alcohol consumption, age, obesity, adults Correspondence:Ayu Novita Wulandari. Applied Graduate School, Prosthetic Orthotic, School of Health Sciences, Ministry of Health Surakarta. Jl. Letjen Sutoyo Mojosongo Surakarta 57127, Central Java. Email: ayunovitawulandari98@gmail.com. Mobile :082281301325.

Meta-Analysis: Factors Related with Obesity in Adolescents Gumilar, Karismatika Surya; Betriza; Legowo, Nurcahyo Aji; Murti, Bhisma; Wulandari, Ayu Novita
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.06

Background: Obesity is excess body weight above the normal BMI limit. This can be experienced by anyone, starting from children, productive teenagers who do not maintain a healthy lifestyle, which can cause premature death. There are various factors that cause obesity from several research findings. This study aims to analyze and estimate factors that influence the risk of obesity in adole-scents.Subjects and Method: This research is a systematic review and meta-analysis with PRISMA and PICO diagrams. Population= teenagers. Intervention= strong physical activity, high income, female gender, strong consumption of fruit, and high maternal education. Comparison= weak physical activity, low income, male gender, weak consumption of fruit, and low maternal education. Result= obesity. The search for this article came from databases namely PudMed and Science Direct. The article keywords used are "physical activity" AND "Income" AND "fruit consumption" AND "mater-nal education" AND "obesity" AND "young factor". The articles included in this research are full paper articles, cross-sectional study design, publication year range 2013-2023, and the magnitude of the Adjusted Odds Ratio relationship. Articles were filtered using the PRISMA flow diagram and analyzed using the Review Manager 5.3.Results: There are 10 articles with cross-sectional studies that show the risk of obesity is signifi-cantly influenced by high income by 2.04 times (aOR= 2.04; 95% CI=0.97 to 4.30; p= 0.060), female gender by 2.28 times (aOR= 2.28; 95% CI= 1.64 to 3.17; p<0.001), strong fruit consumption was 2.11 times (aOR= 2.11; 95% CI= 1.30 to 3.44; p= 0.003), and high maternal education was 1.64 times (aOR=1.64; 95% CI= 1.10 to 2.45; p= 0.020) and the influence of weak physical activity which is 0.59 times the risk of obesity with statistically significant results (aOR= 0.59; 95% CI= 0.41 to 0.83; p=0.003).Conclusion: Risk factors that influence obesity in adolescents include high income, female gender, fruit consumption, high maternal education, and weak activity. Keywords: Obesity, risk factors, health problems, teenagers.

Meta-Analysis: The Effect of HBM-Based Health Education on Obesity Prevention among Students Wulandari, Ayu Novita; Haryanti, Titik; Sartika, Iik
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.02

Background: Students engage in various health-risk behaviors such as lack of physical activity and unhealthy diet. Obesity is a worldwide health problem with increased prevalence every year, both in developed and developing countries. This study aims to analyze and estimate the influence of HBM-based health education on obesity prevention in students. Subject and Method: Meta-analysis was conducted according to the PRISMA flow diagram and PICO model. The search for articles in this study was through databases including PubMed, Google Scholar, Science Direct and Scopus. With keywords including: "Obesity" AND "Health Belief Model" OR "Health Belief" AND "Students". Full paper articles with RCT studies, research subjects were students, the relationship measure used was SMD, the outcome of the study was knowledge and perceived severity of obesity prevention. The analysis was conducted with RevMan 5.3 program. Results: There are 12 articles with randomized control trial designs originating from Iran, Iraq, India, Thailand, Australia with 2,261 research samples. Meta-analysis of 8 randomized control trial studies concluded that students who received HBM-based health education had knowledge in preventing obesity by 1.65 times higher than those without HBM education (SMD= 1.65; 95% CI= 0.60 to 2.70; p= 0.002). Meta-analysis of 6 randomized control trial studies concluded that students who received HBM-based health education had a perceived severity in preventing obesity by 1.85 times higher than those without HBM education (SMD= 1.08; 95% CI = 0.52 to 1.64; p= 0.002). Conclusion: HBM-based health education has a significant effect on increasing knowledge and perceived severity of obesity prevention in students.

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