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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

Abstract

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

Abstract

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.
HUBUNGAN ANTARA KESEPIAN DAN OBESITAS: META-ANALISIS STUDI OBSERVASIONAL Tursina, Elsa; Hikmah, Annisa Arifatul; Fatony, Riska Fajar; Yusuf, Muhammad
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.300

Abstract

Loneliness has been increasingly recognized as a psychosocial factor influencing obesity risk. However, findings from individual studies remain inconsistent. This meta-analysis aimed to analyze and estimate the pooled association between loneliness and obesity. A meta-analysis study using the PICO framework, adults (population), loneliness (intervention), not lonely (comparison), and obesity (Outcome). A search was conducted in PubMed, ScienceDirect, and Scopus databases for studies published between 2015 and 2025 following PRISMA guidelines. Search terms used were: ("loneliness" OR "social isolation") AND ("obesity" OR "BMI" OR "overweight") AND ("cross-sectional" OR "observational"). The inclusion criteria of the studies included were cross-sectional, reported odds ratios (OR) or adjusted odds ratios (AOR) with 95% confidence intervals (CI), and involved adult populations. Data were synthesized and analyzed using RevMan 5.3. Four studies (n = 137,846) met the inclusion criteria from Europe and South America. The pooled analysis showed individuals who experienced loneliness had 1.39 times the risk of obesity compared to those who did not feel lonely (AOR = 1.39; 95% CI= 1.09 to 1.76; p = 0.007). In conclusion, individuals who experienced loneliness had the risk of obesity compared to those who did not feel lonely.