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All Journal Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Bhisma Murti
Masters Program in Public Health, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Factors Associated with the Occurrence of Osteoarthritis: A Path Analysis Evidence from Surakarta, Central Java Mei Kusumaningtyas; Didik Tamtomo; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health

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Background: Musculoskeletal conditions are an important public health problem. The population burden from arthritis is considerable. The implications of this burden are poor quality of life, restrictions in daily activities, and disability. This study aimed to analyze factors associated with the occurrence of osteoarthritis in Surakarta, Central Java, using a path analysis model.Subjects and Method: This was a cross-sectional study conducted at Dr. Moewardi Hospital, Surakarta, Central Java, in June 2018. A sample of 200 patients was selected by fixed disease sampling, consisting of 50 knee OA patients and 150 patients without knee OA. The dependent variable was knee OA. The dependent variables were age, gender, body mass index (BMI), diabetes mellitus, history of injury, and physical activity. Data on knee OA, BMI, and diabetes mellitus status were obtained from medical record. The other variables were measured by questionnaire. The data were analyzed by path analysis.Results: The risk of OA increased with diabetes mellitus (b=1.04; 95% CI= 0.17 to 1.92; p=0.020), older age (b= 4.03; 95% CI= 1.97 to 6.09; p<0.001), and BMI ?25 (b= 1.28; 95% CI= 0.39 to 2.17; p= 0.005). The risk of OA decreased with history of knee injury (b= -0.90; 95% CI= 0.57 to 1.74; p= 0.003) and female (b= -1.19; 95% CI= -2.06 to -0.31; p=0.008). The risk of OA was indirectly affected by physical activity, female gender, and BMI.Conclusion: The risk of OA increases with diabetes mellitus, older age, and BMI ?25, but decreases with history of knee injury and female gender.The risk of OA is indirectly affected by physical activity, female gender, and BMI.Keywords: knee osteoarthritis, sociodemographic factor, diabetes mellitus, path analysisCorrespondence:Mei Kusumaningtyas. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: meikusumaningtyas@gmail.com. Mobile : +6285725646444Epidemiology and Public Health (2019), 4(1): 9-19https://doi.org/10.26911/jepublichealth.2019.04.01.02
Is Cognitive Impairment a Risk Factor for Post-Stroke Depression? A Meta-Analysis Study Dinda Ika Pratiwi; Didik Tamtomo; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health

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Background: Depression is a psychiatric complication of stroke that often occurs and had a negative impact. Every year, 15 million people who experience strokes globally are at risk of developing post-stroke depression. Cognitive disorders are often associated with the presence of post-stroke depression. Understanding of risk factors for post-stroke depression can help in clinical identification and provide early intervention to improve stroke rehabilitation better. Therefore, it is very important to identify patients at risk for depression. This study aims to analyze cognitive impairment factors in the incidence of post-stroke depression.Subjects and Method: The meta-analysis was conducted from Pubmed, Science Direct, and Springer Link databases using "stroke", "depression", "post-stroke depression AND risk factor" keywords. The article chosen was an article published from January 1, 2009 to September 30, 2018. The data were analyzed using RevMan 5 program.Results: 6 studies consisting of 3140 patients were selected for this study. The results of a meta-analysis showed that cognitive impairment was a risk factor for post-stroke depression. Cognitive disorder was positively and significantly associated with post-stroke depression (OR = 1.24; 95% CI= 1.03 to 1.49; p = 0.02).Conclusion: Cognitive disorder is a risk factor for post-stroke depression.Keywords: depression, post-stroke, cognitive impairment, risk factor, meta-analysisCorrespondence:
Multilevel Analysis on Determinants of Diarrhea in Demak, Central Java Aulia Noorvita Ramadani; Setyo Sri Rahardjo; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health

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Background: Diarrhea is an infectious disease with high mortality in Indonesia. Diarrhea often occurs where risk factor control is weak, such as in rural area. This study aimed to examine the determinants of diarrhea in Demak, Central Java.Subjects and Method: A case-control study was conducted in Demak, Central Java, in October to November 2018. A sample of 200 study subjects was selected by fixed disease sampling. The dependent variable was diarrhea. The independent variables were age, clean water supply, latrine availability, waste water management, waste management, hand wash behavior, family income, and education level. The data were collected by questionnaire and analyzed by a multilevel regression, run on Stata 13.Results: Diarrhea increased with poor clean water supply (b= 1.45; 95% CI= 0.23 to 2.67; p= 0.020), latrine unavailable (b= 1.86; 95% CI= 0.66 to 3.06; p= 0.002), poor waste management (b= 2.71; 95% CI= 1.52 to 3.90; p<0.001), poor garbage management (b= 1.34; 95% CI= 0.17 to 2.50; p= 0.024), irregular hand washing with soap (b= 1.34; 95% CI= 0.12 to 2.40; p= 0.030). Diarrhea decreased with high family income (b= -1.56; 95% CI= -2.78 to -0.34; p= 0.012) and high education (b= -1.75; 95% CI= -2.95 to -0.565; p= 0.004). Diarrhea was negatively associated with age but it was statistically non-significant (b= -0.33; 95% CI= -1.51 to 0.844; p= 0.578). Village had contextual effect on the incidence of diarrhea (ICC= 13.9%).Conclusion: Diarrhea increases with poor clean water supply, latrine unavailable, poor waste management, poor garbage management, irregular hand washing with soap. Diarrhea decreases with high family income and high education. Village has contextual effect on the incidence of diarrhea.Keywords: diarrhea, water supply, hand wash behavior, waste managementCorrespondence:
Multilevel Analysis on the Contextual Effects of Hygiene, Environmental Sanitation, and Diarrhea Prevention in Elementary School Students in Ngawi, East Java Dian Surya Kartika; Setyo Sri Rahardjo; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health

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Background: Clean and healthy behavior in school is an important factor to prevent diarrhea and improve the health status of school children. This study aimed to determine the effects of hygiene and school environmental sanitation on diarrhea prevention behavior.Subjects and Method: This was an analytic observational study with a cross-sectional design. This study was conducted in Ngawi, East Java, in October 2018. A sample of 225 elementary school students was selected randomly from 25 elementary high schools in Ngawi. The dependent variable was diarrhea prevention. The independent variables were the student
Determinants of Recurrence and Death in HIV-Malaria Co-Infection Patients in Jayapura, Papua, Indonesia Dian Winiarti; Ambar Mudigdo; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health

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Background:
Logistic Regression on Factors Affecting Depression among the Elderly Christiana Sri Wahyuningsih; Achmad Arman Subijanto; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health

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Background: Mental health problems, especially depression, have a major impact on the elderly. Depression is a major contributor to the burden of disease globally which can cause suicide. This study aimed to determine the factors that influence depression in the elderly.Subjects and Method: This was an analytic observational study with a cross-sectional design. It was conducted from October to December 2018. A total of 200 elderly was selected by simple random sampling. The dependent variable was depression. The independent variables were income, history of chronic illness, family function, social interaction, social support, social isolation, and loneliness. Data on depression was measured by Geriatric Depression Scale 15 (GDS-15). The other data were collected by questionnaire and analyzed by multiple logistic regression.Results: The risk of depression in elderly increased with history of chronic illness (OR= 8.03; 95% CI= 1.48 to 43.42; p= 0.016), social isolation (OR= 6.05; 95% CI= 1.41 to 25.98; p= 0.015), and loneliness (OR= 7.14; 95% CI= 1.62 to 31.41; p= 0.009). It decreased with high income (OR= 0.14; 95% CI= 0.03 to 0.60; p= 0.008), strong family function (OR= 0.13; 95% CI= 0.02 to 0.67; p= 0.014), strong social interaction (OR= 0.11; 95% CI= 0.02 to 0.48; p= 0.003), and strong social support (OR= 0.16; 95% CI= 0.04 to 0.65; p= 0.011).Conclusion: The risk of depression in the elderly increases with a history of chronic illness, social isolation, and loneliness. It decreases with high income, strong family function, strong social interaction, and strong social support.Keywords: depression, elderly, income, chronic illness, family function, social factors, lonelinessCorrespondence:
The Contextual Effect of Village on Health Preventive Behavior for Dengue Hemorrhagic Fever in Pati, Central Java Nurul Fatimah; Setyo Sri Rahardjo; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health

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Background: Dengue is a mosquito-borne infection that has emerged to become a major public health issue and can result in death. Various efforts have been made as an attempt to empower the community in dengue preventive behavior, but has not yet reached the optimal result. This study aimed to examine the effect of the village on the health preventive behavior for dengue hemorrhagic fever in Pati, Central Java.Subjects and Method: This was a case-control study conducted in Pati, Central Java, in November 2018. A sample of 225 household heads was selected by simple random sampling. The dependent variable was DHF preventive behavior. The independent variables were education, access to information, knowledge, attitude, self-efficacy, community health behavior, social capital, and villages. Data on DHF status was measured by medical record. The other data were collected by questionnaire. The data were analyzed by multilevel multiple logistic regression.Results: DHF preventive behavior improved with high education (b= 0.86; 95% CI= 0.04 to 1.70; p= 0.040), good knowledge (b= 0.86; 95% CI= 0.06 to 1.67; p= 0.036), strong self efficacy (b= 0.87; 95 % CI= 0.06 to 1.68; p= 0.036), good access to information (b= 1.98; 95% CI= 1.06 to 2.87; p <0.001), positive attitude (b= 1.40; 95% CI= 0.55 to 2.25; p= 0.001), good community behavior in DHF prevention (b= 0.86; 95% CI= 0.02 to 1.70; p= 0.045), and strong social capital (b= 1.07; 95% CI= 0.26 to 1.89; p= 0.010). Village had strong contextual effect on DHF prevention behavior with ICC= 20.30%.Conclusion: DHF preventive behavior improves with high education, good knowledge, strong self-efficacy, good access to information, positive attitude, good community behavior in DHF prevention, and strong social capital. The village has a strong contextual effect on DHF prevention behavior.Keywords: dengue hemorrhagic fever, preventive behavior, village, multilevel analysisCorrespondence: Nurul Fatimah. Masters Program in Public Health.Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: nurul.fatimah00049@gmail.com. Mobile: +6281329501844.Journal of Epidemiology and Public Health (2019), 4(3): 198-204https://doi.org/10.26911/jepublichealth.2019.04.03.07
Contextual Effect of Village on the Incidence of Tuberculosis in Children in Surakarta, Central Java: A Multilevel Analysis Evidence Dyah Ayu Saputri; Yulia Lanti Retno Dewi; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health

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Background: Indonesia is in the second place with the highest burden of tuberculosis (TB) in the world. Childhood is a period of rapid growth that requires efforts to maintain children's health. At the time the child still has a low immune system making it vulnerable to a disease including TB. The problem of TB in children requires better attention in child TB control programs. This study aimed to analyze the contextual influence of villages on the incidence of TB in children.Subjects and Method: This was a case-control study conducted in 25 villages in Surakarta, Central Java, from August to September 2019. A sample of 200 children aged 0 to 18 years was selected by fixed disease sampling. The dependent variable was the incidence of TB in children. The in
The Ecological Effect of Village and Biopsychosocial Factors Affecting the Quality of Life of Elderly in Surakarta, Central Java Dwi Tour Kumalasari; Bhisma Murti; Vitri Widyaningsih
Journal of Epidemiology and Public Health Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health

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Background: Along with the increasing number of the elderly, there are many problems expe
The Effect of Social Capital, Social Support, Self-Compassion, and Hope Factors Affecting Quality of Life of Breast Cancer Survivors: A Path Analysis Evidence from Surakarta, Central Java Eka Miftakhul Jannah; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health

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Background: Breast cancer is one of the most common cancers among women in the world. The study aims to analyze the effect of social capital, social sup
Co-Authors Achmad Arman Subijanto Afiono Agung Prasetyo Agung Kurniawan Agus Kristiyanto Agus Kristiyanto Agus Kristiyanto Agus Kristiyanto Agus Triyono Agustaria Budinugroho Agustina Utii Ahmad Syauqi Mubarok Ailsa Clarissa Cynara Alvy Nur Hidayati Ambar Mudigdo Anastasia Dwi Anggraeni Andi Siswanto Anggi Putri Aria Gita Anggun Fitri Handayani Anindhita Saviorel Rivaldy Anisa Andriani Anitasari Kartika Putri Annisa Widya Panduwinata Annissa Devi Permata Arddha Maha Pawitra Dwi Puspita Dewi Argyo Demartoto Argyo Demartoto Argyo Demartoto Argyo Dermatoto Arinda Mukti Yuhanani Aris Widiyanto Arlina Azka Arum Kusuma Rini Arum Nuryati Asri Wahyu Azzahro Asrori Ibnu Utomo Asruria Sani Fajriah Atika Dwi Minawati Atthahira Amalia Hafiizha Aulia Noorvita Ramadani Ayu Anulus Ayu Laela Fitriyani Ayu Novita Wulandari Ayu Trisni Pamilih Bayu Putra Dewantara Bening Rahimi Titisari Bertha Sylvester Maingu Bibit Irawan Burhannudin Ichsan Burhannudin Ischan Cendekia Airedeta Mulianda Christiana Sri Wahyuningsih Citra Ayuningtiyas Cynthia Octaviani Danti Narulita Dena Tri Solehaini Destinady Kadiser Miden Dewi Mustika Ratih Dian Estiningtyas Dian Handayani Dian Surya Kartika Dian Winiarti Diana Sayidah Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Tamtomo Didik Tamtomo Didik Tamtoto Didik Tantomo Dily Ekasari Dinda Ika Pratiwi Dinda Nur Asri Mutiara Ramadhani Dono Indarto Dwi Tour Kumalasari Dyah Ayu Agustin Dyah Ayu Saputri Eka Miftakhul Jannah Elsa Tursina Eltigeka Devi Apriliani Endang Palupi Endang Sutisna Sulaeman Endang Sutisna Sulaeman Eni Nur Rahmawati Etanaulia Marsim Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Farida Nurhayati Fatchurrohmah Ines Prabandari Fathia Mutiara Zahra Fathiyyatu Assa’diy Firda Fatimah Hasna Karima Fiqih Agustyna Murti Fitriah Fitriah Florida Betty Apriliyani Frannesty Estu Winahyu Gabriela Advitri Febriani Galuh Tunjung Pertiwi Genn Andrean Pratama Hanifah Hanifah Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Haris Sutopo Harsono Salimo Hendra Dwi Kurniawan Hepti Widia Ningsih Herawati Prianggi Hermanu Joebagio Hermanu Joebagio Hermanu Joebagyo Ignatius Loyola Sukamto Ikhtiarisca Olifia Mufidatun Ila Izzatus Salamah Indah Adhitama Chrisnanda Isna Andriani Isna Nur Rohmah Isna Qadrijati Istri Yuliani Jemmi Sastrawijayah Jihan Nafisah Fauziyyah Joko Tri Atmodjo Lailatul Rohmah Latifah Nur Alifia Lely Tri Pangesti Lily Nabillah Lina Eta Safitri Lisa Safaah Novia Larsiani Lusia Arina Cahyaningrum Mahendra Wijaya Malinda Capri Nurul Satya Maria Regina Tri Yonita Mario Febrianus Helan Sani Maya Ayu Riestiyowati Maya Sofiyani Mei Kusumaningtyas Melinda Febianca Gaurinindi Muhammad Akhyar Mujiran Mujiran Mustainu Habibi Muvida Muvida Nadia Ayu Irma Nindiyastuti Nila Widya Keswara Nita Aprilia Nur Aida Yuliana Nurul Fatimah Nurul Ulya Luthfiyana Okky Nurlita Sari Oktaviana Kurniawati Pawito Pawito Priscilla Jessica Pihahey Putri Pamungkas Putu Anggi Widia Karmany Ratna Purwani Siwi Ravik Karsidi RB. Soemanto RB. Soemanto Resta Dwi Yuliani Retno Wulan Reza Ramadhana Tahta Firmansyah Rezyana Budi Syahputri Ristamaya Danar Dewi Rita Benya Adriani Rita Benya Adriani Riyesti Hero Fresna Rizki Aqsyari Rizki Kurniawan Saputra Rofana Aghniya Ruben Dharmawan Ruth Apriyanti Satriyo Fajar Wicaksono Septa Decelita Wahyuni Septyandi Ramadhan Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Raharjo Silvalia Rahma Pratiwi Sinar Perdana Putra Sisybania Sisybania Siti Damayanti Siti Luluk Khamidahtun Ni'mah Siti Mar'atul Munawaroh Siti Mar’atul Munawaroh Siti Nurhalimah Sri Hartini Sri Panuntun Sri Umiati Sumardiyono Sumardiyono Supriyadi Hari Respati Syndia Puspitasari Tedjo Danudjo Oepomo Titis Eka Gusti Tri Puji Pangesti Tri Subaeti Tyas Aisyah Putri Uki Retno Budhiastuti Uki Retno Budihastuti Uki Retno Budihastuti Ulfah Hidayati Umi Nadhiroh Ummy Prasetyowati Very Retnowati Veterina Rizki Amalia Victoria Husadani Permata Sari Vitri Widyaningsih Vitri Widyaningsih Wardhatul Livia Wawan Diyantana Wekadigunawan, Cri Sajjana Prajna Widya Kurnianingsih Wulandari Wulandari Yeti Rahelli Yovita Galuh Eka Ariska Yudi Andriyaningtiyas Yuli Astuti Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulianda Yeimo Yunita Rusdiyanti Yusuf Bachtiyar Lobis Yuzana Maung