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

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Analysis of Environmental Risk Factors for Leptospirosis in Bantul, Yogyakarta, Indonesia Andri Setiawan; Noor Alis Setiyadi; 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.2024.09.04.03

Abstract

Background: Leptospirosis is a disease caused by the bacterium leptospira sp. The number of cases and deaths due to leptopirosis from year to year is always increasing. The purpose of this study is to analyze environmental risk factors for the incidence of leptospirosis in Bantul Regency, Special Region of Yogyakarta, Indonesia.Subjects and Method: This study uses an observational analytical approach with a cross-sectional design. The research location is in Bantul Regency with a sample of 200 research subjects. The sampling technique is fixed disease sampling. The dependent variable was the incidence of leptospirosis and the independent variables were the physical condition of the house, the condition of the residential environment, the presence of rats, the presence of livestock or pets, near rivers, flooded areas, occupation, habits of using personal protective equipment, age and gender. The research instruments used were questionnaires and checklists and the data was analyzed using logistic regression analysis.Results: Risk factors that increase the incidence of leptospirosis are poor home conditions (OR= 2.18; 95% CI = 1.12 to 4.24; p=0.022); Poor residential environmental conditions (OR = 2.58; 95% CI = 1.33 to 5.03; p = 0.005); presence of rats inside and/or outside the home (OR = 4.51; 95% CI = 1.40 to 14.55; p = 0.012). The risk of leptospirosis infection decreases with the use of PPE (OR = 0.17; 95% CI= 0.08 to 0.37; p<0.001).Conclusion: Poor house conditions, poor residential environmental conditions, the presence of rats inside and or outside the house are risk factors that increase the incidence of leptospirosis. Meanwhile, the use of PPE reduces the risk of leptospirosis infection
Is Social Capital Associated with Hypertension in Adults Visiting Integrated Health Posts for the Elderly? Nathanael Aditya Santoso; 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.2024.09.04.01

Abstract

Background: Social capital has been shown to play an important role in influencing an individual's health, including the incidence of hypertension in adulthood. Adults with hypertension who usually receive services at elderly posyandu with high strata are less likely to develop hypertension than posyandu with low strata. This study aims to determine the relationship between social capital and hypertension in adults in elderly posyandu.Subjects and Method: This study is an observational analytical study with a cross-sectional approach conducted in 25 Posyandu Elderly from May 2024 to July 2024 A total of 200 adult research subjects were selected using stratified random sampling and simple random sampling. The independent variable in this study is social capital and the dependent variable is hypertension. Data collection was carried out using a questionnaire. The analysis test in this study is a multilevel model double logistic regression analysis test conducted using the STATA 13 model.Results: Each increase in one unit of the social capital score will be followed by a decrease in systolic blood pressure of 0.94 mmHg (b= -0.94; 95% CI = -1.48 to -0.40; p= 0.001) and a decrease in systolic blood pressure of 0.32 mmHg (b= -0.32; 95% CI = -0.56 to -0.08; p= 0.008). Each one-year increase in age will be followed by an increase in systolic blood pressure of 0.43 mmHg (b = 0.43; 95% CI = 0.16 to 0.70; p = 0.002) and an increase in diastolic blood pressure of 0.14 mmHg (b = 0.02; 95% CI = 0.26 to 0.70; p = 0.018). There was no difference in systolic blood pressure between men and women (b= -2.84; 95% CI = -8.04 to 2.36; p= 0.284).Conclusion: Individuals who have good social capital lower the risk of hypertension. Increasing age and gender of women increases the risk of hypertension.
Effects of Social Network, Social Trust, and Social Participation on Depression: A Meta-Analysis Alifia Nadhimah Putri; Shafa Latifah; Virdaria Andriani; Bhisma Murti; Siti Mar’atul Munawaroh
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.2024.09.04.12

Abstract

Background: An estimated 3.8% of the population is depressed, including 5% of adults (4% in men and 6% in women), and 5.7% of adults over the age of 60. Around 280 million people in the world are depressed (World Health Organization, 2023). Depression not only impairs functional abilities, lowers the quality of life, and increases the mortality rate of the elderly, but also poses a heavy economic burden on the elderly themselves, the community, and the health care system. This study aims to determine the effects of social network, social trust, and social participation on depression.Subjects and Method: The meta-analysis study was carried out according to the PRISMA flowchart and the PICO model. Population: adults. Intervention: high social network, high social trust, and high social participation. Comparison: low social network, low social trust, and low social participation. Outcome: Depression. The basic data used involves Google Scholar, PubMed, BMC, Science-Direct, and Springer Link. Multivariate analysis criteria that attach aOR values. Data analysis using the Review Manager 5.3 application.Results: Seven primary studies were used to analyze trust with depression. Adults with high trust may lower depression 0.80 times compared with low trust (OR= 0.80; 95% CI = 0.76 to 0.83); p<0.001). Five primary studies were used to analyze social participants with depression. Adults with high social participation may reduce depression by 0.81 times compared to low social participants (OR= 0.81; 95% CI= 0.75 to 0.88; p<0.001). Four primary studies were used to analyze social networks with depression. Adults with high social networks may reduce depression by 0.62 times compared with low social networks (OR= 0.62; 95% CI= 0.57 to 0.68; p<0.001).Conclusion: Social networks, social trust, and social participation reduce depression in adults.
Factors Affecting Mortality in People Living with HIV with Antiretroviral Therapy: A Meta-Analysis Fauziah Shinta Anindita; Fenita Indriani; Bhisma Murti; Nindita Arum Veibiani
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.2024.09.04.08

Abstract

Background: TB is the leading cause of death among people living with HIV. In 2020, an estimated 214,000 people living with HIV died from TB. People with AIDS have a severely damaged immune system. They are increasingly suffering from severe diseases, called opportunistic infections (OI). This study aims to analyze and estimate the influence of gender, TB Coinfection, Opportunistic Infection on mortality in ODHIV with Antiretroviral Therapy.Subjects and Method: Systematic review and meta-analysis using PRISMA flowchart and the PICO model. Population: ODHIV with ART. Intervention: Women, Co-infected TB, Opportunistic Infections. Comparison: Male, no co-infected TB, no Opportunistic Infection. Outcome: Mortality Article search using Google Scholar, PubMed and Science Direct databases. The keywods used include "HAART" or "HIV" or "HIV/AIDS" and "Gender" and "TB Coinfections" or "TB" and "Opportunistic Infections" and "Mortality" and "Antiretroviral Treatment". The 17 included articles are fulltext in English with a cohort design study from 2008 to 2023 and report on the Hazard Ratio in a multivariate analysis. Data analysis using the RevMan 5.3 application.Results: A total of 17 cohort studies involving 23,651 research subjects from Vietnam, China, Japan, Ethiopia, and South Africa. The data collected showed that female ODHIV had a mortality risk of 0.7 times compared to male ODHIV (aHR= 0.70; CI 95%=0.60 to 0.79; p<0.001). In ODHIV with coinfected TB has a mortality risk of 1.86 times compared to ODHIV without coinfected TB (aHR= 1.89; CI 95%=1.36 to 2.61; p<0.001). ODHIV with Opportunistic Infection has a 1.90-fold risk of mortality compared to ODHIV without Opportunistic Infection (aHR= 1.90; CI 95%=1.50 to 2.42; p<0.001).Conclusion: Female gender decreases the risk of mortality, while TB coinfection and Opportunistic infection increase the risk of mortality in ODHIV with Antiretroviral Therapy.
Effects of Condom Use, Anal Bleeding, and Group Sex on the Risk of HIV Infection in Men Who Have Sex: A Meta-Analysis La Karman Gojali; Dinda Nabila Silva Diba; Jihan Nabilla; Bhisma Murti; Elsa Tursina
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.2024.09.04.06

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.
Assessing the Effect of Social Capital on Depression in Adults Aulia Putri Nugraheni; Bhisma Murti; Argyo Demartoto
Journal of Epidemiology and Public Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.05.04

Abstract

Background: Depression is a mental health problem that affects an individual's quality of life. Previous studies have shown that individuals with high social capital are less likely to experience depression. Understanding the dynamics of social capital and its impact on depression is essential for developing interventions and policies that can improve mental well-being at both the individual and community levels. This study aims to analyze the influence of structural, cognitive, and relational social capital on depression in adults.Subjects and Method: This study is a cross-sectional study carried out in Klaten, Central Java in September-October 2024. Population of 726,839 adults and a sample of 200 adults aged 19-59 years were selected using multistage random sampling. The dependent variable was depression. The independent variables were structural social capital, cognitive social capital, and relational social capital. Depression data was measured using Patient Health Questionnaire-9 (PHQ-9) and other data using questionnaires. Data was analyzed using the Structural Equation Model run on STATA 13.Results: Strong social capital lowered adults' risk of depression (b= -0.39; CI 95%= -0.56 to -0.23; p= 0.001). The older you get, the lower the depression score (b= -0.17; CI 95%= -0.31 to -0.03; p= 0.018). The social capital construct in this study is positively and statistically significant by the structural social capital component (b= 0.75; CI 95%= 0.58 to 0.92; p= 0.001), cognitive social capital component (b= 0.56; CI 95%= 0.39 to 0.73; p= 0.001), and the relational social capital component (b= 0.62; CI 95%= 0.48 to 0.76; p= 0.001). The SEM model showed a good fit (Chi-square p= 0.113; RMSEA= 0.070; CFI= 0.98; TLI= 0.93; SRMR= 0.03).Conclusion: Strong social capital and increasing age lower the risk of depression in adults. The social capital construct is positively and statistically significant by the components of structural social capital, cognitive social capital, and relational social capital. This SEM model shows a good fit.
Investigating the Impact of Social Capital on Elderly Quality of Life in Surakarta: A Multilevel Analysis Mentary Febryant Putry; Argyo Demartoto; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.05.06

Abstract

Background: A good quality of life is the goal of every individual in life. This quality of life indicates that a person is healthy and prosperous, so that they can live a normal life in the community, especially for the elderly population. This study aims to analyze the variables of the influence of social capital on the quality of life of the elderly at the individual level and the posyandu level.Subjects and Method: This study is a study using a cross-sectional design conducted in 25 elderly posyandu in Surakarta from August to September 2024. The sample consisted of 200 elderly people who were selected by probability sampling. The independent variable in this study is social capital. The dependent variable is quality of life. Data collection was carried out by questionnaire. The analysis data uses multilevel analysis.Results: The results of the multilevel analysis that has been carried out in this study stated that the social capital and quality of life of the elderly (b=1.29; CI 95%= 1.12 to 1.47; p<0.001), directly influenced by age (b=0-1.16; CI 95%= -3.64 to 1.31; p= 0.035), gender (b=8.91; CI 95%= 7.21 to 10.62; p<0.001), education (b=10.27; CI 95% = 8.73 to 11.81; p<0.001).Conclusion: Social capital has a statistically significant positive influence on the quality of life of the elderly.  
Factors Associated with Dyslipidemia among Workers: A Path Analysis Fenita Indriani; Sumardiyono; Bhisma Murti; Argyo Demartoto
Journal of Epidemiology and Public Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.05.02

Abstract

Background: The results of the 2023 Indonesian Health Survey show that 39.5% of the Indonesian population aged ≥ 15 years old have abnormal total cholesterol levels. Dyslipidemia or plasma lipid abnormalities play a major role in the pathogenesis of atherosclerosis on the walls of blood vessels which is the cause of coronary heart disease (CHD) and stroke. The purpose of the study was to analyze the factors that affect dyslipidemia in workers.Subjects and Method: This study uses an analytical observational design using a cross-sectional approach. The study was conducted at the Yogyakarta Labkesmas Center in October 2024 with a total of 150 worker study subjects. The sampling technique is non-probability sampling, namely total sampling. The independent variables in this study were BMI, glucose levels, stress, and depression while the dependent variables were total cholesterol levels. Data collection was carried out using secondary data and questionnaires, the data was analyzed by path analysis.Results: Each increase of one mg/dL of glucose level (b = 0.24; CI 95%= 0.09 to 0.39; p = 0.002) and one unit of depression (b = 0.16; CI 95%= 0.01 to 0.31; p= 0.043) will be followed by an increase in total cholesterol levels. Any increase in BMI through a mediator of glucose levels and stress through a mediator of depression will be followed by an increase in total cholesterol levels.Conclusion: Total cholesterol levels increase with increased glucose levels and depression levels. Total cholesterol levels are indirectly affected by BMI through glucose level mediators and stress levels through depression mediators.  
Multilevel Analysis of Factors Affecting Depression Risk among the Elderly: Loneliness, Living Status, Physical Activity, Age, Gender, and Education Emirza Nur Wicaksono; Didik Gunawan Tamtomo; Hanung Prasetya; 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.2024.09.04.11

Abstract

Background: There is still a high prevalence of depression in the elderly which is affected by loneliness, low physical activity, gender, last education, and residence status. Elderly people who live alone or have lost a life partner are more prone to depression. Although family support and public health services such as Posyandu are expected to protect against the risk of depression, there have not been many studies that have examined in depth the influence of Posyandu as a contextual factor in reducing the risk of depression in the elderly. This study aims to analyze the influence of these factors and the role of Posyandu in reducing the risk of depression.Subjects and Method: This study used a cross-sectional design conducted in 25 Posyandu Elderly in Grogol District, Sukoharjo Regency from August to September 2024. A total of 204 elderly respon-dents aged 60 years and above were selected using Stratified Random Sampling. The dependent variable in this study was depression collected using the PHQ-9 questionnaire, and loneliness was assessed by the UCLA Loneliness Scale. Other independent variables such as physical activity, gender, education, and life status were collected through structured interviews. Multilevel linear regression analysis is used to analyze the relationship between these factors and the risk of depression, taking into account the individual and contextual levels (Posyandu).Results: The average age of the respondents was 66.27 years old (Mean = 66.26, SD = 5.16), with 79.41% of them being female. Loneliness was significantly associated with an increased risk of depression (b= 0.05; CI 95%= 0.07 to 0.10; p=0.024), while living with family reduces the risk of depression (b= -6.33; CI 95%= -8.26 to -4.40; p<0.001). Physical activity did not show a significant association with depression. Gender, education level, and age are also not significant predictors of depression. Contextual speaking, posyandu has no effect as a contextual variable on the variable of depression in the Grogol sub-district (ICC=2.64%).Conclusion: Loneliness is a significant risk factor for depression in the elderly while living with family also reduces the risk of depression in the elderly.
The Relationships between Family Support, Age, and Gender with Quality of Life in Chronic Kidney Failure Patients at Dr. Moewardi Surakarta Hospital Rizky Nur Aprilianti Amalia; Didik Gunawan Tamtomo; 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.2024.09.04.09

Abstract

Background: Chronic kidney failure (CKD) is a non-communicable disease in which kidney function begins to decline progressively in a matter of months or even years and can affect the patient's quality of life. The purpose of this study is to determine the effect of family support, gender and age on the quality of life of patients with chronic kidney failure at Dr. Moewardi Hospital Surakarta.Subjects and Method: This study used a cross-sectional design conducted at Dr. Moewardi Surakarta Hospital in June 2024. The target population of the study was 920 patients with chronic kidney failure at Dr. Moewardi Hospital Surakarta. A total of 200 study subjects were selected using simple random sampling. The dependent variables are family support, age, and gender. The independent variable is quality of life. The study instruments used were questionnaires and checklists and the data was analyzed using multiple linear regression analysis and processed using Stata 13.Results:There was a statistically significant relationship between family support and quality of life in patients with chronic kidney failure. Each increase in family support score by one unit will be followed by an improvement in the quality of life of chronic kidney failure patients by 0.31 units (b = 0.31; CI 95% = 0.42 to 0.57; p = 0.023). Statistically, there is a significant relationship between age and quality of life of patients with chronic kidney failure. Each one-year increase in age will be followed by an improvement in the quality of life of chronic kidney failure patients by 0.02 units (b = 0.02; CI 95% = 0.05 to 0.38; p = 0.012). There is a very small difference in quality of life between female and male chronic kidney failure patients. Female patients with chronic kidney failure were 0.01 years lower than men, but the difference was statistically very insignificant (b = -0.80; CI 95% = -0.51 to 0.50; p = 0.975).Conclusion: There was a positive relationship between family support and age and quality of life in patients with chronic kidney failure and there was no significant difference by gender between women and men.
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