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Meta Analysis of Factors Determining Postnatal Care Utilization Astari, Rahmi Windhy; Wardani, Aulia Ayu Kusuma; Maryana, Dyan; Kurniati, Era; Murti, Bhisma; Tursina, Elsa
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.2024.09.03.02

Background: Maternal and infant morbidity and mortality continue to be a challenge today. Most maternal and newborn deaths occur during the early postnatal period. This condition can be caused by low utilization of postnatal care services. This study aims to analyze and estimate the influence of determining factors on the utilization of postnatal care services. Subjects and Method: Meta-analysis was conducted using PRISMA guidelines and PICO format. Population: Postpartum Mothers. Intervention: high antenatal care, high maternal education, high family income and delivery in hospital. Comparison: low antenatal care, low maternal education, low family income, home birth. Outcome: postnatal care services. Cross-sectional study articles were collected from Google Scholar, PubMed, and Science Direct databases. The search strategy used the keywords: "Determinant Postnatal Care" AND "Maternal Health Service" AND "Cross-Sectional". The inclusion criteria for this study were full-text, cross-sectional studies published from 2014 to 2023. Data from articles were extracted with RevMan 5.3. Results: The meta-analysis included 16 cross-sectional studies from Ethiopia, Ghana, Kenya, and Malawi. The total sample was 29,165 postpartum mothers. Postnatal mothers with high antenatal care visits (aOR= 2.64; 95% CI= 1.87 to 3.71; p = 0.001), high education (aOR= 2.09; 95% CI= 1.67 to 2.63; p = 0.001), high family income (aOR= 1.63; 95% CI= 1.25 to 2.11; p = 0.002), and hospital delivery (aOR= 1.58; 95% CI= 1.15 to 2.97; p = 0.010) allow the utilization of postnatal care services and these results were statistically significant. Conclusion: The results of this study reveal that high antenatal care, high maternal education, high family income and delivery in hospital have a positive effect on the utilization of postnatal care services.

Effects of Condom Use, Anal Bleeding, and Group Sex on the Risk of HIV Infection in Men Who Have Sex: A Meta-Analysis Gojali, La Karman; Diba, Dinda Nabila Silva; Nabilla, Jihan; Murti, Bhisma; Tursina, Elsa
Journal of Epidemiology and Public Health Vol. 9 No. 4 (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.2024.09.04.06

Background: Sexual transmission of HIV among men who have sex with men (MSM) continues to increase. There are several factors that affect the occurrence of HIV infection in Male Sex Addiction. In this study, we will discuss three factors, namely condom use, anal bleeding and sex group ownership. This study aims to analyze and estimate the strength of the relationship between the incidence of HIV infection and condom use, anal bleeding, and sex group ownership.Subjects and Method: A systematic review and meta-analysis study was conducted using the PICO model. Population: male sex male. Intervention: not using condoms, anal bleeding after sex, and having sex groups. Comparison: using a condom, no anal bleeding after sex, and no sex group. Outcome: HIV infection. The basic data used includes Google Scholar, Proquest, Scopus, PubMed, Zendy, ScienceDirect, BMC, Elsivier, and Springer Link. The inclusion criteria are full-text articles with a cross-sectional study design using multivariate and attaching aOR values and published 1996-2023. The Data analysis using the Review Manager 5.3 application.Results: This meta-analysis was carried out on seven cross-sectional studies originating from China, Tanzania, and Brazil. Total sample size=13,188 people. The risk of HIV infection in men who have sex with men increased with the use of no condoms (aOR= 1.35; CI 95%= 1.10 to 1.65; p= 0.004), there was anal bleeding after sex (aOR= 1.89; CI 95%= 1.53 to 2.34; p<0.001), and group sex (aOR= 2.30; CI 95%= 1.62 to 3.25); p<0.001).Conclusion: The risk of HIV infection in men who have sex with men increases by not using condoms, having anal bleeding after sex, and having group sex.

The Impact of Cyberbullying on Self-Harming Behavior and Suicidal Thoughts among Adolescents: A Meta-Analysis Mahzunah, Amalia Khurotul; Sari, Ica Yuniar; Paradela, Berti Vega; Murti, Bhisma; Tursina, Elsa
Journal of Health Promotion and Behavior Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.04.07

Background: Online bullying often occurs among teenagers. This is an important risk factor for self-injurious behavior and suicidal ideation. This study aimed to analyze and estimate the magnitude of the effect of online bullying on self-injurious behavior and suicidal ideation in adolescents. Subjects and Method: This research is a systematic review and meta-analysis using the PICO model. Population: Adolescents, Intervention: Online bullying, Comparison: No online bullying, Outcome: Self-injurious behavior and suicidal ideation. The research data used was obtained through Google Scholar, Science Direct, BMC Public Health, and Scopus with the keywords (“Cyberbullying”) AND (“Self-harm”) AND (“Suicidal Ideation”) AND (“Mental Health”) AND (“Cross-sectional”). Inclusion criteria were cross-sectional articles in English published from 2014 to 2024. Data analysis was carried out using the Review Manager 5.3 application. Results: Meta-analysis was conducted on 8 primary studies with outcomes for self-harm behavior and 9 primary studies with outcomes for suicidal ideation. These primary studies come from Singapore, Vietnam, Taiwan, China, South Korea, Iran, Australia and America. The sample size was 47,708 adolescents for self-injurious behavior outcomes and 63,173 adolescents for suicidal ideation outcomes. Adolescents with online bullying are 3.64 times more likely to have self-injurious behavior (aOR= 3.64; 95% CI= 3.14 to 4.22; p<0.001) and 2.64 times more likely to have suicidal ideation (aOR= 2.64; 95% CI= 1.94 to 3.60; p<0.001) compared to adolescents without online bullying. The funnel plot indicates the existence of publication bias which tends to reduce the true effect (underestimate) on the outcome of suicidal ideation. Conclusion: Online bullying statistically significantly increases the risk of self-injurious behavior and suicidal ideation in adolescents.

The Effect of Maternal Anemia on Low Birth Weight: Meta Analysis Tursina, Elsa; Adhimukti, Fahmi
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.2022.07.02.03

Background: Low birth weight is still a global public health problem that is associated with a number of risks. One of the factors that influence the occurrence of LBW is anemia. This study was aimed to estimate the risk of anemia in pregnant women to the incidence of LBW in several countries.Subjects and Method: This study is a meta-analysis with PICO, Population: pregnant women. Intervention: maternal anemia. Comparison: no maternal anemia. Result: LBW. The articles used in this study were obtained from three databases namely Google Scholar, Pubmed, and Science Direct with a cohort study design from 2015 to 2022 that reported Adjusted Odds Odds Ratio in its multivariate analysis. The selection of articles was carried out using the PRISMA flow chart. Analysis of articles using the Review Manager 5.3 application.Results: A total of 9 cohort studies involving 75,807 pregnant women from Taiwan, China, Japan, India, Bangladesh, Iran, and Colombia were selected for systematic review and meta-analysis. The data collected showed that pregnant women who were anemic during pregnancy had a 1.3 times higher risk of giving birth to babies with low birth weight than non-anemic mothers, but this result was not statistically significant (aOR= 1.30; 95% CI= 0.89 to 1.88; p= 0.170). With an intuitive index of 84%, so the effect between the studies is heterogeneous.Conclusion: Mothers who experience anemia during pregnancy have a risk of giving birth to babies with low birth weight. Keywords: anemia, pregnancy, low birth weight Correspondence:Fahmi Adhimukti. Study Program of Midwifery, Diploma IV, Health Polytechnics, Ministry of Health Surakarta. Jl. Tata Bumi 3, Sleman, Yogyakarta, Indonesia. Email: fahmiadhimukti13@gmail.com. Mobile: 085743155133.

The The Impact of Exercise on Quality of Life, Physical Health, and Mental Health in Type 2 Diabetes Mellitus Patients: Meta-Analysis Maingu, Bertha Sylvester; Livia, Wardhatul; Andriani, Isna; Bhisma Murti; Tursina, Elsa
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.2024.09.01.02.

Background: Type 2 Diabetes Mellitus (T2DM) is a prevalent metabolic disorder that is common on a global scale. Effective management in addition to medication involves implementing lifestyle modifications, including regular exercise. This study aimed to analyze and estimate the impact of exercise on improving quality of life, physical health, and mental health in type 2 diabetes mellitus patients.Subjects and Method: This was a meta-analysis study using the PICO model which includes; P= type 2 diabetes mellitus patients; I= exercise; C= no exercise; and O= quality of life, physical health, and mental health. The articles obtained were from 2 databases, namely PubMed and ScienceDirect. Keywords used include “exercise” OR “physical activity” AND “quality of life” OR “physical health” OR “mental health” AND “type 2 diabetes mellitus” AND “randomized control trial”. The inclusion criteria of articles were a randomized control trial study design, publication year from 2018 to 2023, full-text, English language, and reported mean and standard deviation values. Data was analyzed using the PRISMA diagram and the Review Manager 5.3 application.Results: This meta-analysis consisted of 13 articles originating from Canada, Denmark, Egypt, Ghana, Iran, Saudi Arabia, Spain, Taiwan, Turkey, and USA. The total sample size was 755 type 2 diabetes mellitus patients. Exercises improved the quality of life (SMD= 0.66; CI 95%= 0.20 to 1.11; p= 0.005); physical health (SMD= 0.91; CI 95%= 0.53 to 1.29; p= 0.001) and mental health (SMD= 0.82; CI 95%= 0.25 to 1.39; p= 0.005) in type 2 diabetes mellitus patients.Conclusion: Exercise carried out regularly and measurably improves the quality of life, physical health, and mental health in type 2 diabetes mellitus patients. Keywords: Exercise, quality of life, physical health, mental health, type 2 diabetes mellitus.

Meta-Analysis: The Effect of Acupuncture Therapy in Reducing Migraine Recurrence Tursina, Elsa; Prasetya, Hanung; Murti, Bhisma
Indonesian Journal of Medicine Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Acupuncture therapy is an effective treatment for reducing headache intensity, migraine recurrence, and improving quality of life. This study aims to analyze and estimate the effect of acupuncture therapy on reducing migraine recurrence.Subjects and Method: This study used a systematic review and meta-analysis by following PICO, Population: migraine patients. Intervention: acupuncture therapy. Comparison: no acupuncture therapy. Result: reduction in migraine recurrence. The data used were obtained from scientific research articles from the Pubmed, Google Scholar, Science Direct, and SpringerLink electronic databases with a Randomized Control Trial (RCT) design from 2011 to 2022 which reports effect sizes with Mean and SD. The keywords used in the search for scientific articles are “Acupuncture” AND “Profilaxis Migraine” AND “Migraine Frequency”. The selection of articles was carried out using the PRISMA flowchart. Data were analyzed using Review Manager software version 5.4.1.Results: A total of 9 articles with qualified RCT designs from Asia, America, Australia, and Europe were selected for the systematic review and meta-analysis. The results of the meta-analysis showed that patients with migraine who received acupuncture therapy experienced migraine recurrence 0.31 units lower than those who were not treated with acupuncture (SMD= -0.31; 95% CI= -0.61 to -0.01; p=0.040).Conclusion: Acupuncture therapy reduces migraine recurrence.Keywords: acupuncture, relapse, migraine.Correspondence: Elsa Tursina. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: elsa090798@gmail.com. Mobile: +6285655751077.Indonesian Journal of Medicine (2023), 08(01): 47-58https://doi.org/10.26911/theijmed.2023.08.01.05

A Meta-Analysis of Gender, Marital Status, and Residence on Condom Use Among Adults Hariyadi, Agustin Mahardika; Putry, Mentary Febryant; Sanusi, Sita Rahayu; Murti, Bhisma; Tursina, Elsa
Journal of Maternal and Child Health 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/thejmch.2025.01.02.01

Background: The use of condoms is the only method of contraception that can protect a person from sexually transmitted diseases (STDs). This study aims to analyze and estimate the effect of gender, marital status and residence on condom use among adults. Subject and Method: The systematic review and meta-analysis studies were conducted according to the PRISMA flowchart and PICO model. Population: Adults in general. Intervention: Gender (Female), Place of Residence (Rural) and Marital Status (Unmarried) in using condoms. Comparison: gender (male), place of residence (urban), and marital status (married). Outcome: condom use. The basic data used involves Google Scholar, PubMed, BMC, Scient Direct, and Springer Link with the keywords (“Use condom”) AND (“Gender”) AND (“Marital status”) AND (“Adult”) AND (“Cross -sectional”). Inclusion criteria were cross-sectional study articles in English published from 2014 to 2024. Data analysis was carried out using the Review Manager 5.3 application. Result: This meta-analysis included 14 cross-sectional studies from Ethiopia, Iran, Africa, and America. The sample size in this meta-analysis was 18,322. Meta-analysis showed that condom use was less in women (aOR= 0.66; 95% CI= 1.20 to 0.36; p 0.170), and more in rural areas (aOR= 0.80; 95% CI= 0.66 to 0.98; p= 0.620), with unmarried status (aOR = 0.92 CI 95%= 1.97 to 0.43; p 0.830). However, these three results were not statistically significant. Conclusion: Condom use is less among women and more in rural areas with unmarried status.

Meta-Analysis: Application of Health Belief Model Theory on Covid-19 Vaccine Acceptance Tursina, Elsa; Rahardjo, Budhi; Nugroho, Farid Setyo
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3385

The Health Belief Model (HBM) helps in understanding health-related behaviors and is used to explore factors that influence the acceptance of COVID-19 vaccines. This exploration serves as the basis for designing more effective intervention programs to increase vaccine acceptance, both for COVID-19 and future vaccination programs. This study aims to analyze and estimate the impact of applying the Health Belief Model on the acceptance of COVID-19 vaccines. Methods: This study is a meta-analysis using the PICO model. Population: adults. Intervention: high perceived susceptibility, high perceived severity, high perceived benefits. Comparison: low perceived susceptibility, low perceived severity, low perceived benefits. Outcome: acceptance of COVID-19 vaccination. The research data was sourced from Google Scholar, ScienceDirect, and PubMed, using keywords “Health Belief Model” AND “HBM” AND “Vaccine COVID-19 Acceptance” OR “Receive” AND “Vaccine COVID-19 Hesitancy”. The inclusion criteria for articles in the meta-analysis were articles published between 2020 and 2022 in English. Analysis was performed using the RevMan 5.4 application. Results: A meta-analysis was conducted on 15 cross-sectional studies from Asia and Europe with a total sample size of 19,814 people. High perceived susceptibility (aOR= 1.28; 95% CI= 1.10 to 1.49; p= 0.001), high perceived severity (aOR= 1.24; 95% CI= 1.04 to 1.48; p= 0.020), and high perceived benefits (aOR= 2.64; 95% CI= 1.73 to 4.02; p<0.001) towards COVID-19 were found to increase the acceptance of COVID-19 vaccination, and these results were statistically significant. Conclusion: High perceived susceptibility, high perceived severity, and high perceived benefits towards COVID-19 increase the acceptance of COVID-19 vaccination.

The Effect of Maternal Anemia on Low Birth Weight: Meta Analysis Tursina, Elsa; Adhimukti, Fahmi
Journal of Epidemiology and Public Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Low birth weight is still a global public health problem that is associated with a number of risks. One of the factors that influence the occurrence of LBW is anemia. This study was aimed to estimate the risk of anemia in pregnant women to the incidence of LBW in several countries.Subjects and Method: This study is a meta-analysis with PICO, Population: pregnant women. Intervention: maternal anemia. Comparison: no maternal anemia. Result: LBW. The articles used in this study were obtained from three databases namely Google Scholar, Pubmed, and Science Direct with a cohort study design from 2015 to 2022 that reported Adjusted Odds Odds Ratio in its multivariate analysis. The selection of articles was carried out using the PRISMA flow chart. Analysis of articles using the Review Manager 5.3 application.Results: A total of 9 cohort studies involving 75,807 pregnant women from Taiwan, China, Japan, India, Bangladesh, Iran, and Colombia were selected for systematic review and meta-analysis. The data collected showed that pregnant women who were anemic during pregnancy had a 1.3 times higher risk of giving birth to babies with low birth weight than non-anemic mothers, but this result was not statistically significant (aOR= 1.30; 95% CI= 0.89 to 1.88; p= 0.170). With an intuitive index of 84%, so the effect between the studies is heterogeneous.Conclusion: Mothers who experience anemia during pregnancy have a risk of giving birth to babies with low birth weight. Keywords: anemia, pregnancy, low birth weight Correspondence:Fahmi Adhimukti. Study Program of Midwifery, Diploma IV, Health Polytechnics, Ministry of Health Surakarta. Jl. Tata Bumi 3, Sleman, Yogyakarta, Indonesia. Email: fahmiadhimukti13@gmail.com. Mobile: 085743155133.

The The Impact of Exercise on Quality of Life, Physical Health, and Mental Health in Type 2 Diabetes Mellitus Patients: Meta-Analysis Maingu, Bertha Sylvester; Livia, Wardhatul; Andriani, Isna; Bhisma Murti; Tursina, Elsa
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.2024.09.01.02.

Background: Type 2 Diabetes Mellitus (T2DM) is a prevalent metabolic disorder that is common on a global scale. Effective management in addition to medication involves implementing lifestyle modifications, including regular exercise. This study aimed to analyze and estimate the impact of exercise on improving quality of life, physical health, and mental health in type 2 diabetes mellitus patients.Subjects and Method: This was a meta-analysis study using the PICO model which includes; P= type 2 diabetes mellitus patients; I= exercise; C= no exercise; and O= quality of life, physical health, and mental health. The articles obtained were from 2 databases, namely PubMed and ScienceDirect. Keywords used include “exercise” OR “physical activity” AND “quality of life” OR “physical health” OR “mental health” AND “type 2 diabetes mellitus” AND “randomized control trial”. The inclusion criteria of articles were a randomized control trial study design, publication year from 2018 to 2023, full-text, English language, and reported mean and standard deviation values. Data was analyzed using the PRISMA diagram and the Review Manager 5.3 application.Results: This meta-analysis consisted of 13 articles originating from Canada, Denmark, Egypt, Ghana, Iran, Saudi Arabia, Spain, Taiwan, Turkey, and USA. The total sample size was 755 type 2 diabetes mellitus patients. Exercises improved the quality of life (SMD= 0.66; CI 95%= 0.20 to 1.11; p= 0.005); physical health (SMD= 0.91; CI 95%= 0.53 to 1.29; p= 0.001) and mental health (SMD= 0.82; CI 95%= 0.25 to 1.39; p= 0.005) in type 2 diabetes mellitus patients.Conclusion: Exercise carried out regularly and measurably improves the quality of life, physical health, and mental health in type 2 diabetes mellitus patients. Keywords: Exercise, quality of life, physical health, mental health, type 2 diabetes mellitus.

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