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Bhisma Murti
Master’s Program in Public Health, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Multilevel Analysis: Factors Related with Quality Service of Elderly Community Health Post in Sukoharjo Central Java Deviana Tristian; Bhisma Murti; Argyo Demartoto
Journal of Epidemiology and Public Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.02.04

Abstract

Background: The quality of health services is the difference between patient expectations and their perceptions of the services they receive, thus the quality of health services shows the success of a health service. This study aims to analyze the factors that influence the quality of at the elderly community health post.Subjects and Method: This research was a cross-sectional study conducted at 25 at the elderly community health post in Sukoharjo Regency, Central Java in November 2023. The sample consisted of 200 elderly people using random sampling. The dependent variable is the quality of health services at the elderly community health post, while the independent variables are gender, age, number of visits, level of education, and income. Data collection was carried out using a questionnaire. Data were analyzed using multilevel linear regression analysis.Results: The results of multilevel analysis show that the assessment of the quality of health services decreases in elderly women (b= -0.82; CI95%= -1.65 to -0.01; p= 0.049), aged ≥66 years (b= -1.22, CI95%= -2.01 to -0.44; p=0.002), number of visits 6 times (b= -3.03; CI95%= -3.89 to -2.61; p <0.001), education ≥0.699, and income (b= -2.09; CI95%= -3.20 to 0.97; p<0.001). Posyandu has a contextual effect on assessing the quality of health services with ICC = 52.76%).Conclusion: The assessment of the quality of the elderly community health post service decreased in the elderly type, age ≥66 years, number of visits 6 times, education ≥high school, and income ≥Rp 2,000,000. at the elderly community health post shows quite large contextual effects on assessing the quality of health services. Keywords: Quality of health services, multilevel analysis, elderly
Correlations between History of Contact with Infected Person and Measles Vaccination Status on the Risk of Measles Incidence in Children: Meta-Analysis Ervia Fahma Dhony; Bhisma Murti; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.02.03

Abstract

Background: Measles is a disease that can be prevented by immunization (VPD), which is highly contagious and often causes widespread outbreaks and can cause lifelong complications and death. Some evidence suggests that the risk of measles is due to contact history and vaccine status. This study aims to estimate the magnitude of the relationship between contact history and vaccine status with the incidence of measles in children, through a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This research is a systematic review and meta-analysis with PICO as follows, Population: children. Intervention: contact history, vaccine status. Comparison: no contact history, no vaccine. Outcome: measles. The articles used in this research were obtained from three databases, namely PubMed, Google Scholar, and Science Direct, using the keys "History contact" AND "Vaccine" OR "Vaccinated" OR "Immunization" AND "Measles" AND "Children. The included articles were full-text with a case-control study design from 2012 to 2023 and reported the adjusted Odds Ratio (aOR) in multivariate analysis. Article selection was carried out using the PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 8 case-control studies involving the African continent and the Asian continent were selected for meta-analysis. Children with a history of contact have an increased risk of developing measles 4.38 times compared with children without a history of contact, and this relationship is statistically significant (aOR=4.38; 95% CI=1.36 to 14.09; p= 0.010). Children who had been given the measles vaccine had a reduced risk of getting measles 0.30 times compared to children who had not been given the measles vaccine, and this result was statistically significant (aOR= 0.30; 95% CI= 0.22 to 0.40; p< 0.001).Conclusion: Contact history statistically significantly increases the risk of getting measles in children, vaccine statistically significantly reduces the risk of getting measles in children. Keywords: Contact history, vaccine status, measles, children.
Meta-Analysis the Effect of Protected Well and Measles Vaccination on Stunting in Children Under Five Edi Pramono; Bhisma Murti; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.02.07

Abstract

Background: Stunting is a condition where children's growth fails (body and brain growth) due to malnutrition for a long time. The incidence of stunting in toddlers needs special attention because it can hinder children's physical and mental development. This study aims to analyze and estimate the effect of protected wells and the measles vaccine on the incidence of stunting in children under five, with a meta-analysis based on primary studies conducted previously.Subjects and Method: Meta-analysis was carried out in PICO format. Population: Children under five. Intervention: Protected Wells and Measles vaccine status. Comparison: Unprotected Well and Status not vaccinated against measles. Outcome: Stunting incidence. Article searches were carried out using several databases such as Google Scholar, PubMed, Science Direct, and Springerlink. The keywords used are "Protected well" AND Measles vaccine" AND "Stunting in toddlers". Inclusion criteria for the included articles were full-text articles with a cross-sectional design from 2015 to 2023. This study was conducted following PRISMA flow diagram guidelines. Data was analyzed using the Review Manager 5.3 application.Results: 12 cross-sectional studies from Asia and Africa were selected for meta-analysis. the total sample was 48,128 toddlers. Protected well (aOR= 0.86; 95% CI= 0.75 to 1.00; p= 0.040) and measles vaccine (aOR= 0.59; 95% CI= 0.27 to 1.29; p= 0.190) reduce the risk of stunting in children under five.Conclusion: Protected wells and administering the measles vaccine reduce the incidence of stunting in toddlers.
The Impact of Sugar Intake, Household Income, and Maternal Education on the Occurrence of Dental Caries in Children: A Meta-Analysis Arddha Maha Pawitra Dwi Puspita Dewi; Eti Poncorini Pamungkasari; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.02.09

Abstract

Background: In Indonesia, the prevalence of dental caries in early childhood is still very high, around 93%. This study aims to analyze and estimate the magnitude of the relationship between sugar consumption, family income, and maternal education and the incidence of dental caries in children, through a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This study is a systematic review and meta-analysis using PICO as follows, Population: children aged 1 to 5 years 11 months, Intervention: high sugar consumption, high family income, high maternal education, Comparison: low sugar consumption, low family income, low maternal education, and Outcome: dental caries. The articles used in this study were obtained from three databases, namely PubMed, Google Scholar, and Science Direct, using the key­words "Sugar" OR "Sweet food" AND "Household income" OR "Parental income" AND "Parental education" OR "Education status" AND "Dental caries" AND "Child" OR "Children" AND "Cross-sectional" AND “aOR”. The included articles were full-text in English, with a cross-sectional study design from 2013 to 2023, and reported adjusted Odds Ratio (aOR) in multivariate analysis. Article selection was carried out using the PRISMA diagram and analyzed using the ReMan 5.3 application. Results: A total of 11 cross-sectional were selected for meta-analysis. Children who frequently consume sugar have an increased risk of dental caries 1.50 times compared to children who rarely consume sugar, and this is statistically significant (aOR=1.50; 95% CI=1.32 to 1.70; p<0.001). Children from families with high incomes had a reduced risk of dental caries 0.65 times compared to children from families with low incomes, and this was statistically significant (aOR=0.65; 95% CI=0.59 to 0.71; p<0.001). Children who have highly educated mothers have a reduced risk of dental caries 0.71 times compared to children who have mothers with low education, and this is statistically significant (aOR=0.71; 95% CI=0.64 to 0.78; p<0.001). Conclusion: Sugar consumption statistically significantly increases the incidence of dental caries in children. High family income and high maternal education statistically significantly reduce the incidence of dental caries in children.
Village as Contextual Factors and Other Risk Factors Related with the Incidence of Clinical Tuberculosis in Children in Wonogiri, Central Java: A Multilevel Analysis Khairina Nur Hidayati; Bhisma Murti; Setyo Sri Rahardjo
Journal of Epidemiology and Public Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.03.02

Abstract

Background: Indonesia is in the second rank with the highest burden of tuberculosis (TB) in the world. Childhood is a period of rapid growth, the body still has a low immune system so it is susceptible to disease including tuberculosis in children which requires control efforts. This study aims to analyze the influence of risk factors and village contextual factors on the incidence of TB in children.Subjects and Method: Case-control study research was conducted in 82 villages in Wonogiri Regency, from November to December 2023. A sample of 200 children aged 0 to 4 years old was selected through fixed disease sampling. The dependent variable of this study was the incidence of TB in children. The independent variables in this study were stunting, contact history, exposure to cigarette smoke, home sanitation, gender, parental education, child age, parental income, BCG immunization status, and village contextual influences. Data on TB disease was obtained from the Tuberculosis Information System Application (SITB) at the Wonogiri District Health Service in 2023. Other data was collected through questionnaires. The data analysis was done through multilevel multiplelogistic regression.Results: The factors that increased the incidence of TB in children were stunting (OR= 10.94; CI 95%= 2.50 to 47.90; p= 0.001), contact history to TB (OR= 8.37; CI 95%= 1.60 to 43.83; p= 0.012), and exposure to cigarette smoke (OR= 7.36; CI 95%= 1.99 to 27.14; p= 0.003). The reducing factors were healthy sanitation (OR= 0.24; CI 95%= 0.08 to 0.78; p= 0.017), female children (OR= 0.40; CI 95%= 0.15 to 1.05; p= 0.062), and parents with ≥high school education (OR= 0.40; CI 95%= 0.15 to 1.05; p= 0.062). There was no relationship between age (OR= 0.93; CI 95%= 0.13 to 6.23; p= 0.940), parental income (OR= 1.14; CI 95%= 0.40 to 3.25; p= 0.807), and BCG immunization status (OR= 0.12; CI 95%= 0.00 to 105.98; p= 0.550). Village has a contextual influence on the incidence of clinical TB in children (ICC= 52.95%).Conclusion: The risk of clinical TB in children increased with stunting, a history of TB contact and exposure to cigarette smoke, it decreased with healthy home sanitation, female gender, parents with ≥high school education. There was no relationship between age, parental income, and BCG immunization status. The village has a contextual effect on the incidence of clinical TB in children.
Spatial Analysis of Pulmonary Tuberculosis Risk in Surakarta, Central Java, Indonesia Dinda Nabila Silva Diba; Bhisma Murti; Noor Alis Setiyadi
Journal of Epidemiology and Public Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.03.12

Abstract

Background: Pulmonary tuberculosis is an infectious disease, especially in developing countries. In 2022, the total number of tuberculosis cases in Indonesia was 677,464 cases. This study aims to conduct a spatial analysis of factors such as population size, population density, number of poor population, number of unemployed, healthy houses, and temperature to the number of pulmonary tuberculosis cases in the working area of health centers in Surakarta City in 2022.Subjects and Method: Spatial analysis was carried out by descriptive analysis of distribution maps using QGIS, spatial cluster analysis using SaTScanTM, and autocorrelation analysis by Local Indicators of Spatial Autocorrelation (LISA) method using GeoDa. Secondary data was obtained from the public communication of the Central Statistics Agency of Surakarta and the Surakarta Health Profile in 2022. The analysis unit includes 17 working areas of health centers in Surakarta. The dependent variable is the TB cases. The independent variables were population density, number of poor people, number of unemployed, number of healthy houses, and temperature.Results: The highest number of pulmonary TB cases were in Purwodiningratan Health Center and Sangkrah Health Center. There is the most likely cluster of pulmonary tuberculosis cases which is statistically significant in 2022 (Radius = 1.81 km; RR=17.65; p=0.003). Autocorrelation analysis showed E[I]=-0.06. There was a positive and significant spatial autocorrelation of the population (I=0.40; p=0.003), population density (I=0.33; p=0.002), number of poor people (I=0.40; p=0.002), number of unemployed (I=0.40; p=0.003), and temperature (I=0.25; p=0.009) of pulmonary TB cases in Surakarta.Conclusion: Population number, population density, number of poor population, number of unemployed, and temperature have positive spatial autocorrelation with pulmonary TB.
Implementation of the Information-Motivation-Behavior Skills Model in Child Development: A Path Analysis Diani Fadmi Putri; Eti Poncorini Pamungkasari; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.03.11

Abstract

Background: Child development problems also still occur in DI Yogyakarta. Children's development is influenced by parents in educating and nurturing children. Many factors affect maternal parenting patterns including knowledge, attitudes, motivation and skills. The purpose of the study was to analyze the contextual influence of maternal parenting behavior on the development of children under five in Sleman Regency.Subjects and Method: This study uses a cross-sectional design. The research was conducted in 25 Integrated Health Posts with a total of 200 research subjects for mothers of toddlers and children under five. The sampling techniques are stratified random sampling and simple random sampling. The independent variables in this study were information, motivation, skills/skills of child development, parenting behavior, and maternal age, while the dependent variable was the development of children under five. Data collection was carried out using a questionnaire and analyzed by path analysis.Results: Every 1 unit increase in parenting behavior (b= 0.60; CI 95%= 0.44 to 0.76; p< 0.001), skills/skills of child development through parenting behavior (b= 0.44; CI 95%= 0.33 to 0.56; p<0.001), information through parenting behavior (b=0.20; CI 95%= -.074 to 0.32; p= 0.002), motivation through parenting behavior (b= 0.18; CI 95%= 0.06 to 0.30; p= 0.003), and maternal age through parenting behavior (b= 0.05; CI 95%= -0.05; CI 95%= -0.05 to 0.15, p= 0.323) will be followed by an improvement in child development.Conclusion: The Information, Motivation, and Behavior skill model can be used to explain parenting behavior and child development. Children's development increases with good parenting behavior. Parenting behavior is influenced by children's developmental skills/skills influenced by the presence of information and motivation.
The Effect of Sleep Disorders on Anxiety and Depression in Health Workers: A Meta-Analysis Alfiana Nur Rohmani; Bhisma Murti; Didik Gunawan Tamtomo
Journal of Epidemiology and Public Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.03.04

Abstract

Background: Sleep disorders are a clinical condition when a person frequently experiences problems or decreased sleep quality that can lead to anxiety and depression. The purpose of this meta-analysis is to estimate and analyze the magnitude of the influence of sleep disorders on anxiety and depression in health workers based on the results of previous similar primary studies.Subjects and Method: Meta-analysis was performed on a primary study with a cross-sectional design. The research with the PICO format is as follows. Q: Health workers. I: Sleep disturbances < 8 hours per day; C: No sleep disturbances (Enough sleep > 8 hours per day). O: Anxiety and depression. The meta-analysis study was conducted by searching for articles from databases in electronic form using Google schoolar and Pubmed. This study was conducted by researchers in November 2023 by searching and selecting research data online conducted by previous primary data researchers in Pubmed and google scholar with a research period of 2016-2023. The keywords used in the primary data search were "Mental health" OR "Anxiety" OR "Depression" AND "Sleep disturbance" AND "Health worker" OR "Healthcare". The inclusion criteria for this study are complete articles using Cross-sectional research, published years from 2013-2023. The analysis of the articles in this study uses RevMan 5.3 software.Results: The meta-analysis in this study included 7 cross-sectional studies from Hong Kong, China, Bangladesh, Saudi Arabia, the United States, and Turkey. The total sample size is 5,267 samples. The risk of anxiety caused by sleep disturbances in health workers was 1.6 times compared to health workers who did not experience sleep disturbances (aOR=1.67; CI 95%=1.05 to 2.45; p= 0.030). the risk of depression caused by sleep disturbances in health workers was 1.32 times compared to health workers who did not experience sleep disturbances (aOR=1.32; CI 95%=0.81 to 2.15; p= 0.270).Conclusion: Sleep disorders increase the risk of anxiety and depression in health workers.
Biopsychosocial Factors Associated with the Risk of Hypertension in Elderly in Klaten, Central Java: A Cross-Sectional Study Indri Nur Utami; Argyo Demartoto; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.04.04

Abstract

Background: Hypertension is also a major preventable risk factor for cardiovascular disease, and plays a role in all causes of death worldwide, characterized by systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg. The purpose of this study was to analyze the effect of biopsychosocial factors on the risk of hypertension among the elderly in Klaten Regency.Subjects and Method: This study was cross-sectional from April-May 2024. The sample used was 200 elderly people in 25 elderly health posts and selected using random sampling techniques in Klaten Regency, Central Java. The dependent variable of this study was the incidence of hypertension. The independent variables of this study were age, gender, anxiety, stress, and income level. The data were collected using questionnaire and analyzed using path analysis run on Stata 13.Results: Systolic blood pressure is directly affected by anxiety (b= 1.34; CI 95%= -0.13 to 2.82; p= 0.075), the existence of retirement funds (b= -0.09; CI 95%= -0.01 to -0.03; p= 0.003), and female (b= 1.22; CI 95%= -5.38 to 7.84; p= 0.716). Anxiety is influenced by stress (b= 0.38; CI 95%= 0.29 to 0.48; p<0.001), the existence of retirement funds (b= -0.01; CI 95% <0.01 to <0.01; p= 0.038), and age (b= 0.04; CI 95%= 0.07 to 0.08; p= 0.020).Conclusion: Systolic blood pressure is directly affected by anxiety, the existence of retirement funds, and female. Anxiety is influenced by stress, the existence of retirement funds, and age.
Relationships between Family Support, Gender, and Education on Quality of Life in Elderly in Jambi: Multi-Level Analysis Lestari Indah; Hanung Prasetya; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.03.06

Abstract

Background: The elderly pain rate in 2021 is 22.48%, this shows that around one in five elderly people in Indonesia have experienced illness in the past month. 3 factors affect predisposing factors, including knowledge and attitudes, supporting factors, and reinforcing factors. This study aims to determine the relationship between family support, gender, and education to the quality of life of the elderly in Jambi.Subjects and Method: This was a cross-sectional study conducted in Jambi, Indonesia, from March to April 2024. A total of 200 elderly participants were selected using fixed disease sampling. The independent variables were gender, education, family support, and Integrated Health Posts for the elderly. The dependent variable is quality of life. Data were collected using questionnaires and analyzed using multiple linear regression.Results: Quality of life in old age improved with strong family support (b= 0.46; 95% CI= 0.19 to 0.74; p = 0.001) and ≥high school education (b=4.99; 95%CI = 2.89 to 7.09; p <0.0010). The quality of life of the elderly decreased or decreased in women compared to men (b= 2.94; 95% CI= -5.22 to -0.66; p= 0.011). There was a strong contextual influence of Integrated Health Posts for the elderly on the quality of life of the elderly (ICC= 31.15%).Conclusion: The quality of life of the elderly improves with strong family support and ≥high school education. The quality of life of the elderly decreases or is lower in women than men. There is a strong contextual influence of Integrated Health Posts for the elderly on the quality of life of the elderly.
Co-Authors Achmad Arman Subijanto Aem Ismail Alfiana Nur Rohmani Alifia Nadhimah Putri Amalia Choirunnisa Andri Setiawan Anggie Rahmatul Azizah Anik Lestari Anik Lestari Anis Lupita Ningrum Arddha Maha Pawitra Dwi Puspita Dewi Argyo Demartoto Argyo Demartoto Aulia Putri Nugraheni Ayu Novita Wulandari Ayu Saidah Betriza Deviana Tristian Dhina Nur Irfani Diani Fadmi Putri Didik Gunawan Tamtomo Dinda Nabila Silva Diba Edi Pramono Elsa Tursina Emirza Nur Wicaksono Emirza Nur Wicaksono Erindra Budi Cahyanto Ervia Fahma Dhony Eti Poncorini Pamungkasari Fauziah Shinta Anindita Fenita Indriani Fenita Indriani Gadis Nur Anggreani Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Ika Sumiyarsi Sukamto Ika Yuli Ayuningrum Indri Nur Utami Isna Andriani Jihan Nabilla Joko Budiyono Karismatika Surya Gumilar Katmini Katmini Khairina Nur Hidayati La Karman Gojali Lestari Indah Maoli Zartika Meita Tyas Nugrahaeni Mentary Febryant Putry Muhammad Fahrezi Al Ghifari Natalino de Jesus Varela Nathanael Aditya Santoso Nindita Arum Veibiani Noor Alis Setiyadi Noor Alis Setiyadi Nurcahyo Aji Legowo Okid Parama Astirin Putri Fortuna Salsabila Ratih Puspita Febrinasari Revi Gama Hatta Novika Revi Gama Hatta Novika Revi Gama Hatta Novika Revi Gamma Hatta Novika Rifda Muthia Sabrina Rizky Nur Aprilianti Amalia Rumpiati Rumpiati Setyo Sri Rahardjo Shafa Latifah Siti Mar’atul Munawaroh Sukandriani Utami Sumardiyono Sumardiyono Sumardiyono Tania Febiola Virdaria Andriani Wardhatul Livia Yulia Himawati Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yuly Peristiowati