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All Journal Journal of Epidemiology and Public Health Journal of Health Promotion and Behavior
Marliana, Wiwit
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Medicine & Pharmacology Public Health

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Meta-Analysis: Obesity, Smoking, and Alcohol Consumption as risk Factors of Breast Cancer Yuvrista, Yuliana; Marliana, Wiwit
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.2022.07.02.06

Abstract

Background: Breast cancer is a type of cancer that is the main cause of death in women. Breast cancer is classified as a non-communicable disease that requires a long time for the development of cancer cells in the patient's body with various risk factors that are multifactorial. Several incidences of breast cancer are often associated with risk factors for an unhealthy lifestyle, including frequent consumption of fast food, less consumption of fruits and vegetables, lack of exercise, alcohol consumption, etc. This study aims to analyze the effect of obesity, smoking, and alcohol consumption on the risk of breast cancer in women.Subjects and Method: This study used a systematic review of meta-analysis. Data search was carried out using electronic databases consisting of: PubMed, Science Direct, Europe PMC and Google Scholar with the search keywords used were "obesity" OR "BMI" AND "smoking" OR "smoking habit" AND " alcohol” OR “alcohol consumption” OR “alcohol intake” AND “breast cancer”. Inclusion criteria were full text articles in English with case control studies collected using PRISMA guidelines, and analyzed using the Review Manager application (RevMan 5.3).Results: A meta-analysis of 9 case-control study articles originating from Europe, North America, South America, Africa, and Asia showed women with obesity had a 3.53-fold increased risk of breast cancer compared with women of normal weight (aOR= 3.53; 95%CI= 2.70 to 4.62; p<0.001). A meta-analysis of 6 case-control study articles from Europe, North America, and, Asia showed that women who smoke have a 2.62 times higher risk of breast cancer compared to women who did not smoke (aOR= 2.62; 95%CI= 1.98 to 3.46; p<0.001). A meta-analysis of 7 case-control study articles originating from the continents of Africa, North America, South America, and, Europe showed that women who consume alcohol have a 3.62 times higher risk to have breast cancer compared to women who did not consume alcohol (aOR= 3.62; 95%CI= 2.31 to 5.69; p<0.001).Conclusion: Obesity, smoking and alcohol consumption are risk factors for breast cancer. Keywords: obesity, smoking, alcohol consumption, breast cancer Correspondence:Yuliana Yuvrista. Diploma IV of Midwifery, Universitas Ngudi Waluyo. Jl. Diponegoro 186, Ungaran 50512, Central Java, Indonesia. Email: yulianayuvrista031@gmail.com. Mobile: 085333622880.
Meta-Analysis: Effects of Adolescent's Knowledge, Attitude, and Parental Support, on Human Papilloma Virus Immunization Uptake Marliana, Wiwit; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Health Promotion and Behavior Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.04.07

Abstract

Background: Human papillomavirus (HPV) is one of the most common sexually transmitted viruses worldwide. HPV vaccination coverage is still low, especially for adolescents, some influ­ential factors are lack of knowledge, rejection, and support of the closest environment in receiving vaccination services. This study aims to estimate the effect size of knowledge, attitudes, and parental support on the use of HPV immunization services in adolescents. Subjects and Method: A systematic review and meta-analysis study using PRISMA diagrams. The article search was conducted based on eligibility criteria with the PICO Model. Population: female adolescents, Intervention: high knowledge, positive attitude, strong parental support, Comparison: less knowledge, negative attitude, poor parental support, Outcome: Use of HPV immunization services. The articles used were from Google Scholar, Europe PMC, PubMed, and Science Direct published from 2016 – 2023. The keywords used in the search were “adolescent" OR "young women" OR "Parental of Adolescent” AND "Knowledge" AND "attitude" OR "awareness" AND "HPV" OR "HPV Vaccination" OR "Immunization". The study subjects were female adole­scents, and articles published in English. The study used multivariate analysis with an adjusted Odds Ratio. Eligible articles were analyzed using the RevMan 5.3. Results: The meta-analysis included 10 cross-sectional studies from Asia, Australia, Africa, Europe, and America. High knowledge increased the likelihood of HPV immunization uptake in female adolescents (aOR= 3.24; 95% CI = 2.43 to 4.32; p<0.001). The meta-analysis included 7 cross-sectional studies showed that positive attitude increased HPV immunization uptake in female adolescents (aOR= 4.10; CI 95% = 2.78 to 6.05; p<0.001). 7 cross-sectional studies showed that strong parental support increased HPV immunization uptake (aOR=2.53; CI95% = 1.79 to 3.58; p< 0.001). Conclusion: High knowledge, positive attitude, and strong parental support increase the likelihood of HPV immunization uptake. Keywords: knowledge, attitude, parental support, adolescents, HPV vaccination. Correspondence: Wiwit Marliana. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: marlianwi.midwifery@gmail.com. Mobile: +6282118277592.
Meta-Analysis: Obesity, Smoking, and Alcohol Consumption as risk Factors of Breast Cancer Yuvrista, Yuliana; Marliana, Wiwit
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 | Full PDF (31.534 KB) | DOI: 10.26911/jepublichealth.2022.07.02.06

Abstract

Background: Breast cancer is a type of cancer that is the main cause of death in women. Breast cancer is classified as a non-communicable disease that requires a long time for the development of cancer cells in the patient's body with various risk factors that are multifactorial. Several incidences of breast cancer are often associated with risk factors for an unhealthy lifestyle, including frequent consumption of fast food, less consumption of fruits and vegetables, lack of exercise, alcohol consumption, etc. This study aims to analyze the effect of obesity, smoking, and alcohol consumption on the risk of breast cancer in women.Subjects and Method: This study used a systematic review of meta-analysis. Data search was carried out using electronic databases consisting of: PubMed, Science Direct, Europe PMC and Google Scholar with the search keywords used were "obesity" OR "BMI" AND "smoking" OR "smoking habit" AND " alcohol” OR “alcohol consumption” OR “alcohol intake” AND “breast cancer”. Inclusion criteria were full text articles in English with case control studies collected using PRISMA guidelines, and analyzed using the Review Manager application (RevMan 5.3).Results: A meta-analysis of 9 case-control study articles originating from Europe, North America, South America, Africa, and Asia showed women with obesity had a 3.53-fold increased risk of breast cancer compared with women of normal weight (aOR= 3.53; 95%CI= 2.70 to 4.62; p<0.001). A meta-analysis of 6 case-control study articles from Europe, North America, and, Asia showed that women who smoke have a 2.62 times higher risk of breast cancer compared to women who did not smoke (aOR= 2.62; 95%CI= 1.98 to 3.46; p<0.001). A meta-analysis of 7 case-control study articles originating from the continents of Africa, North America, South America, and, Europe showed that women who consume alcohol have a 3.62 times higher risk to have breast cancer compared to women who did not consume alcohol (aOR= 3.62; 95%CI= 2.31 to 5.69; p<0.001).Conclusion: Obesity, smoking and alcohol consumption are risk factors for breast cancer. Keywords: obesity, smoking, alcohol consumption, breast cancer Correspondence:Yuliana Yuvrista. Diploma IV of Midwifery, Universitas Ngudi Waluyo. Jl. Diponegoro 186, Ungaran 50512, Central Java, Indonesia. Email: yulianayuvrista031@gmail.com. Mobile: 085333622880.
Meta-Analysis: Effects of Adolescent's Knowledge, Attitude, and Parental Support, on Human Papilloma Virus Immunization Uptake Marliana, Wiwit; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Health Promotion and Behavior Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.04.07

Abstract

Background: Human papillomavirus (HPV) is one of the most common sexually transmitted viruses worldwide. HPV vaccination coverage is still low, especially for adolescents, some influ­ential factors are lack of knowledge, rejection, and support of the closest environment in receiving vaccination services. This study aims to estimate the effect size of knowledge, attitudes, and parental support on the use of HPV immunization services in adolescents. Subjects and Method: A systematic review and meta-analysis study using PRISMA diagrams. The article search was conducted based on eligibility criteria with the PICO Model. Population: female adolescents, Intervention: high knowledge, positive attitude, strong parental support, Comparison: less knowledge, negative attitude, poor parental support, Outcome: Use of HPV immunization services. The articles used were from Google Scholar, Europe PMC, PubMed, and Science Direct published from 2016 – 2023. The keywords used in the search were “adolescent" OR "young women" OR "Parental of Adolescent” AND "Knowledge" AND "attitude" OR "awareness" AND "HPV" OR "HPV Vaccination" OR "Immunization". The study subjects were female adole­scents, and articles published in English. The study used multivariate analysis with an adjusted Odds Ratio. Eligible articles were analyzed using the RevMan 5.3. Results: The meta-analysis included 10 cross-sectional studies from Asia, Australia, Africa, Europe, and America. High knowledge increased the likelihood of HPV immunization uptake in female adolescents (aOR= 3.24; 95% CI = 2.43 to 4.32; p<0.001). The meta-analysis included 7 cross-sectional studies showed that positive attitude increased HPV immunization uptake in female adolescents (aOR= 4.10; CI 95% = 2.78 to 6.05; p<0.001). 7 cross-sectional studies showed that strong parental support increased HPV immunization uptake (aOR=2.53; CI95% = 1.79 to 3.58; p< 0.001). Conclusion: High knowledge, positive attitude, and strong parental support increase the likelihood of HPV immunization uptake. Keywords: knowledge, attitude, parental support, adolescents, HPV vaccination. Correspondence: Wiwit Marliana. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: marlianwi.midwifery@gmail.com. Mobile: +6282118277592.
Co-Authors Eti Poncorini Pamungkasari Uki Retno Budihastuti Yuvrista, Yuliana