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

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Physical, Emotional, and Sexual Violence on the Risk of Depression in Young Adult Women Ayu Saidah; Argyo Demartoto; Bhisma Murti; Achmad Arman Subijanto; Revi Gamma Hatta Novika
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.05

Abstract

Background: Depression due to dating violence is a serious problem that affects the mental health of many women, especially young adults. Dating violence, whether physical, emotional, or sexual, can interfere with psychological well-being and result in long-term consequences, one of which is depression. This study aims to analyze the relationship between experiences of dating violence and depression in victims, focusing on women aged 16 to 25 years.Subjects and Method: This study was a cross-sectional study conducted in Surakarta from October to December 2024. The study sample consisted of 200 female young adults in Surakarta City, selected through random sampling. The dependent variable was depression., Independent variables were physical violence, emotional violence, and sexual violence. Data were collected using questionnaires and analyzed using path analysis on Stata 13.Results: The risk of depression was directly influenced by emotional violence (b=0.49; 95%CI=0.39 to 0.60; p<0.001) and sexual violence (b=0.21; 95%CI=0.09 to 0.32; p<0.001). Meanwhile, the indirect influence was physical violence (b=0.28; 95%CI=0.15 to 0.41; p<0.001) and sexual violence (b=0.25; 95%CI=0.11 to 0.37; p<0.001).Conclusion: Emotional violence and sexual violence directly affect the risk of depression. The indirect influence of the risk of depression is physical violence and sexual violence.
The Influence of Social Trust, Income Inequality, and Employment Status on the Risk of Depression Dhina Nur Irfani; Bhisma Murti; Yulia Lanti Retno Dewi; Revi Gama Hatta Novika; Ika Sumiyarsi Sukamto
Journal of Epidemiology and Public Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.04.10

Abstract

Background: Depressive disorders are among the most common and complex mental health problems worldwide, including in Indonesia. The determinants of depression are closely linked to social and economic factors. This study aimed to estimate the effects of social trust, income inequality, and employment status on the risk of depression. Subjects and Method: An observational study with a cross-sectional design utilized the fifth wave of the Indonesia Family Life Survey (IFLS5). The dataset includes more than 29,716 individuals across 13 provinces. The sample was selected using a purposive sampling method. Results: The risk of depression increased significantly among individuals who were unmarried (b = 0.97; 95% CI: 0.84 to 1.07; p < 0.001), female (b = 0.16; 95% CI: 0.06 to 0.26; p = 0.002), unemployed (b = 0.25; 95% CI: 0.14 to 0.35; p < 0.001), and living in provinces with higher income inequality (b = 0.32; 95% CI: 0.21 to 0.42; p < 0.001). Conversely, the risk of depression decreased significantly with higher social trust (b = -0.18; 95% CI: -0.29 to -0.08; p < 0.001), good sleep quality (b = -0.20; 95% CI: -0.21 to -0.19; p < 0.001), older age (b= -0.81; 95% CI: -0.99 to -0.63; p < 0.001), and higher education level (≥senior high school) (b= -0.36; 95% CI: -0.46 to -0.25; p < 0.001). Conclusion: The risk of depression increases with unmarried, female, unemployed, and living in provinces with higher income inequality. The risk of depression decreases with higher social trust, good sleep quality, older age, and education ≥senior high school.
Effectiveness of COVID-19 Vaccine on Augmenting Antibody Level in People in the Special Region of Yogyakarta, Indonesia Joko Budiyono; Bhisma Murti; Didik Gunawan Tamtomo
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.04

Abstract

Background: Immunity against SARS-CoV-2 is needed to prevent infection so vaccines are indeed humanity's great hope as a weapon to control COVID-19. Seroprevalence data is needed using an antibody test that estimates the percentage of DIY residents who have antibodies against SARS-CoV-2. This study aimed to determine the effectiveness of COVID-19 vaccination on enhancing antibody titers.Subjects and Method: This was a retrospective cohort study conducted in Yogyakarta, Indonesia, from 19 to 30 November 2021. The study population was people aged ≥1 year. A total of 563 study subjects was selected randomly. The dependent variable was the SARS-CoV-2 antibody titer level. The independent variables were COVID-19 vaccination status, gender, age, smoking, outdoor activities, and alcohol consumption. SARS-CoV-2 antibody level was measured using Roche's Elecsys anti-SARS-CoV-2. Other variables were collected using questionnaires. Data were analyzed using a multiple linear regression run on STATA 14.Results: The initial vaccination led to an elevation in -19 antibody titers, but it was statistically non-significant (b= 697.82; 95% CI= -720.90 to 1241.24; p= 0.603). The second vaccination resulted in a notable and statistically significant elevation of COVID-19 antibody titers (b= 1331.38; 95% CI= 802.30 to 1860.46; p <0.001).Conclusion: The second dose of the COVID-19 vaccination demonstrated significant effectiveness in boosting COVID-19 antibody titers. Keywords: COVID-19, vaccination, antibody
Meta-Analysis: Effects of Smoking, Alcohol Consumption, and Low Physical Activity on Osteoporosis in Adults Muhammad Fahrezi Al Ghifari; Yulia Himawati; Aem Ismail; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.03

Abstract

Background: Osteoporosis is a systemic skeletal disease characterized by low mineral bone mass and microarchitectural deterioration of bone tissue. This study aims to analyze the effect of smoking, alcohol consumption, and low physical activity on osteoporosis in adults.Subjects and Method: This was a meta-analysis study using the PICO format. Population: Adults, Intervention: Smoking, Alcohol Consumption, Low Physical Activity, Comparison: No Smoking, No Alcohol Consumption, High Physical Activity, Outcome: Osteoporosis. Articles were searched using online databases such as PubMed, Google Scholar, Science Direct. The search for articles using the keywords "Smoking" OR "Tobacco" AND "Alcohol consumption" OR "Drinking" AND "Physical activity" OR "Exercise" AND "Osteoporosis" OR "Bone mineral density" AND "Cross-sectional". The inclusion criteria for articles used were articles published in 2013-2023. Articles were filtered using PRISMA flow diagrams and analysis was conducted using RevMan 5.4.Results: The meta-analysis used 15 articles with cross-sectional studies from Ireland, Nepal, Taiwan, South Korea, China, Iran, America, Brazil, India, Congo, and Thailand with a total sample of 111,478 samples. The risk of osteoporosis increased with smoking (aOR= 1.49; CI 95%= 1.04 to 2.16; p= 0.030), alcohol consumption (aOR= 1.04; CI 95%= 0.84 to 1.30; p = 0.690), and low physical activity (aOR= 1.17; CI 95%= 0.92 to 1.48; p= 0.210).Conclusion: Smoking, alcohol consumption, and low physical activity increase the risk of osteoporosis in adults. Keywords: smoking, alcohol consumption, physical inactivity, osteoporosis.
Meta-Analysis: Factors Related with Obesity in Adolescents Karismatika Surya Gumilar; Betriza; Nurcahyo Aji Legowo; Bhisma Murti; Ayu Novita Wulandari
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.06

Abstract

Background: Obesity is excess body weight above the normal BMI limit. This can be experienced by anyone, starting from children, productive teenagers who do not maintain a healthy lifestyle, which can cause premature death. There are various factors that cause obesity from several research findings. This study aims to analyze and estimate factors that influence the risk of obesity in adole-scents.Subjects and Method: This research is a systematic review and meta-analysis with PRISMA and PICO diagrams. Population= teenagers. Intervention= strong physical activity, high income, female gender, strong consumption of fruit, and high maternal education. Comparison= weak physical activity, low income, male gender, weak consumption of fruit, and low maternal education. Result= obesity. The search for this article came from databases namely PudMed and Science Direct. The article keywords used are "physical activity" AND "Income" AND "fruit consumption" AND "mater-nal education" AND "obesity" AND "young factor". The articles included in this research are full paper articles, cross-sectional study design, publication year range 2013-2023, and the magnitude of the Adjusted Odds Ratio relationship. Articles were filtered using the PRISMA flow diagram and analyzed using the Review Manager 5.3.Results: There are 10 articles with cross-sectional studies that show the risk of obesity is signifi-cantly influenced by high income by 2.04 times (aOR= 2.04; 95% CI=0.97 to 4.30; p= 0.060), female gender by 2.28 times (aOR= 2.28; 95% CI= 1.64 to 3.17; p<0.001), strong fruit consumption was 2.11 times (aOR= 2.11; 95% CI= 1.30 to 3.44; p= 0.003), and high maternal education was 1.64 times (aOR=1.64; 95% CI= 1.10 to 2.45; p= 0.020) and the influence of weak physical activity which is 0.59 times the risk of obesity with statistically significant results (aOR= 0.59; 95% CI= 0.41 to 0.83; p=0.003).Conclusion: Risk factors that influence obesity in adolescents include high income, female gender, fruit consumption, high maternal education, and weak activity. Keywords: Obesity, risk factors, health problems, teenagers.
Determinants of Musculoskeletal Disorders in Bamboo Woven Craftsmen in Lamongan, East Java Putri Fortuna Salsabila; Sumardiyono; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.08

Abstract

Backround: Musculoskeletal Disorders (MSDs) are significant debilitating conditions and refer to a variety of degenerative or inflammatory conditions affecting the joints, muscles, ligaments, cartilage, and blood vessels. This research aims to determine the influence of Musculoskeletal Disorders on bamboo woven craftsmen in Lamongan. Subject and Method: This cross-sectional research was conducted in Payaman village, Solokuro District, Lamingan Regency, East Java in October-November. A total of 200 bamboo woven craftsmen were randomly selected using a random number generator. The dependent variable in this study is Musculoskeletal Disorders (MSDs). The independent variables in this study were work stress, age, length of service, duration of work, and exercise habits. The research instruments used the Nordic Body Map questionnaire, work stress questionnaire, and interviews related to age, length of service, duration of work, and exercise habits. The data analysis method uses multiple linear regression analysis. Results: Wicker craftsmen who had high job stress had an average Musculoskeletal Disorders score 0.19 units higher than those with low job stress (b = 0.19, 95% CI = -3.79 to 4.17, p=0.925). Wicker craftsmen aged 40 years and over on average had a Musculoskeletal Disorders score 9.44 units higher than those aged less than 40 years (b = 9.44, 95% CI = 4.70 to 14.18, p<0.001). Wicker craftsmen who have worked for 5 years or more on average have a Musculoskeletal Disorders score 3.34 units higher than those who have worked for less than 5 years (b = 3.34, 95% CI = -2.77 to 9.44, p=0.282). Wicker craftsmen who have a work duration of 5 hours/day and above on average have a Musculoskeletal Disorders score 7.12 units higher than those with a work duration of less than 5 hours/day (b = 7.12, 95% CI = 3.09 to 11.15, p=0.001). Conclusion: Age ≥40 years, work duration ≥5 hours, high work stress and work period ≥5 years increase the risk of MSDs in bamboo woven craftsmen. The habit of exercising ≥30 minutes/day reduces the risk of MSDs in bamboo weaving craftsmen.   Keyword: Musculoskeletal Disorder, Work Duration, Years of Work, Age, exercise habits, woven craftsmen
Effects of Hypertension, Diabetes Mellitus, and Gender on Post Stroke Cognitive Impairment: Meta-Analysis Sukandriani Utami; Emirza Nur Wicaksono; Amalia Choirunnisa; Nindita Arum Veibiani; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.07

Abstract

Background: Post-stroke cognitive impairment is a serious problem that is often faced by indivi-duals who have experienced a stroke. This study aims to determine and estimate the effects of hypertension, diabetes mellitus, and gender on post-stroke cognitive impairment through meta-analysis of primary research conducted by previous researchers.Subjects and Method: This was a meta-analysis study using the PICO model which includes; P: post-stroke patients. I: hypertension, diabetes mellitus, and women. C: normotensive, without diabetes mellitus, and men. O: post-stroke cognitive impairment. A systematic search for primary studies was carried out in the PubMed database which was published from 2014 to 2023. The keywords used to search for primary studies were "Hypertension" AND "Diabetes Mellitus" AND "Post Stroke Cognitive Impairment". The inclusion criteria for the articles searched were primary studies with cross-sectional and cohort studies from 2014-2023 and reporting aOR values. Primary studies were selected using the PRISMA diagram and relevant primary studies were analyzed using Review Manager 5.3.Results: There were 18 primary studies with cross-sectional and cohort study designs. The total sample obtained through a systematic review and meta-analysis was 9,103 post-stroke patients from France, China, Singapore, the Netherlands, Egypt, Ethiopia, and Uganda. The results of the analysis showed that hypertension increased the risk 1.56 times (aOR= 1.56; 95% CI= 1.11 to 2.19; p= 0.010) and diabetes mellitus increased the risk 1.58 times (aOR= 1.58; 95% CI= 1.23 to 2.05; p< 0.001) post-stroke cognitive impairment compared to people without hypertension and diabetes. Meanwhile, the female gender increases the risk of post-stroke cognitive impairment by 1.28 times (aOR= 1.28; 95% CI=1.16 to 1.42; p<0.001). The data is statistically significant.Conclusion: hypertension, diabetes mellitus, and female gender increase the risk of post-stroke cognitive impairment. Keywords: Hypertension, diabetes mellitus, women, post-stroke cognitive disorders
Correlations between Physical Activity, Work Duration, and Stress on the Risk of Musculoskeletal Disorders in Online Motorcycle Drivers in Surakarta Isna Andriani; Sumardiyono; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.09

Abstract

Background: Motorcycle taxi drivers drive motorcycles with a static posture and there are significant deviations in angles of certain body joints that trigger susceptibility to movement system injuries, namely musculoskeletal disorders (MSDs). The study aimed to analyze the correlation between the determinants of MSDs, namely physical activity, work duration, and stress on the risk of MSDs incidents in online motorcycle taxi drivers in Surakarta.Subjects and Method: This observational analytical study with a cross-sectional study approach. A sample of 250 online motorcycle taxi drivers in Surakarta was selected using a cluster random sampling technique. The dependent variable of the study was MSDs. The independent variables of the study were physical activity, duration of work, and stress. The data collection technique was conducted through interviews by using questionnaire sheets with instruments i.e. International Physical Activity Questionnaire (IPAQ), Work Stress Scale (WSS), and Nordic Body Map (NBP). Data analysis was carried out using a multivariate STATA application with multiple binary logistic regression.Results: The risk of MSDs in online motorcycle taxi drivers in Surakarta increased with the age of older than or equal to 34 years (OR= 2.66; CI 95%= 1.54 to 4.59; p= <0.001), BMI of more than 25 (OR= 1.33; CI 95%= 0.77 to 2.27; p= 0.303), work duration of more than 4 hours per day (OR= 2.43; CI 95%= 1.24 to 4.78; p= 0.010), high stress level (OR= 1.58; CI 95%= 0.89 to 2.83; p = 0.126), and status as an active smoker (OR= 1.27; CI 95%= 0.74 to 2.19; p= 0.378). The risk of MSDs in online motorcycle taxi drivers in Surakarta decreased with active physical activity (OR= 0.36; CI 95%= 0.15 to 0.86; p = 0.021). Age, BMI, physical activity, work duration, stress, and smoking status influenced the risk of MSDs by 8.2%, and the rest were influenced by other determinants.Conclusion: There is a statistically significant correlation between age, physical activity, and duration of work on the risk of MSDs, however, there was no significant correlation between BMI, stress, and smoking status on the risk of MSDs. Keywords: Physical activity, stress, musculoskeletal disorders, motorcycle taxi drivers
Effect of Tertiary Preventive Behavior on HbA1c Level, Quality of Life, and Complication Risk in Diabetes Mellitus Patients Wardhatul Livia; Bhisma Murti; Didik Gunawan Tamtomo; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.10

Abstract

Background: Type 2 diabetes mellitus (DM) is a non-communicable disease which is a source of additional severity for other diseases. This study aims to determine the effect of tertiary preventive behavior on hba1c level, quality of life (QoL), and complication risk in diabetes mellitus patients.Subjects and Method: This was a cross-sectional study conducted in Sukoharjo, Central Java, Indonesia, from October to November 2023. A total sample of 200 patients with type 2 diabetes mellitus (DM), registered in the Prolanis program, was selected through multistage random sampling. The independent variables were HbA1c levels, risk of complications, and QoL. The inde-pendent variable was tertiary preventive behavior. HbA1c levels were measured using spectrophotometer. QoL was measured using the WHOQOL questionnaire, and risk of complications using a questionnaire. Data were analyzed using the SEM model.Results: Tertiary prevention behavior significantly increased HbA1c level (b= 0.31; CI 95%= -0.45 to 0.15; p<0.001) and quality of life (b= 0.15; 95% CI= -0.15 to 0.38; p<0.001). Tertiary prevention behavior significantly reduced the risk of complications (b= -0.22; CI 95%= -0.42 to 0.02; p= 0.026). The goodness-of-fit values suggest that the structural equation model (SEM) is acceptable (p= 0.188; RMSEA=0.04; CFI=0.97, TLI=0.95; SRMR=0.05; CD= 0.07).Conclusion: Tertiary prevention behavior significantly increased HbA1c level and quality of life. Tertiary prevention behavior reduces the risk of complications in type 2 DM patients. Keywords: Diabetes mellitus, HbA1c, complications, quality of life
Women Empowerment in Health: Systematic Review Rumpiati Rumpiati; Bhisma Murti; Yuly Peristiowati; Katmini Katmini
Indonesian Journal of Medicine Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.2.630

Abstract

Background: Women's Empowerment is an integral part of human rights and development because the value system leads to the development of a good family, community, and country. Empowerment of women can have important implications for health in the form of education, access, and change in terms of services and family welfare. This systematic review aims to determine the influence and model of empowerment of women in the health sector.Subjects and Method:  This systematic review begins with searching data using 5 databases with keywords women’s empowerment, women’s health, and empowerment model. Researchers used five databases, PubMed, Scopus, Science Direct, Springer Link, and BMC with a range of 2017-2022. Articles were searched using keywords that had been determined by the researcher then the articles were extracted based on criteria inclusion and exclusion using the PRISMA protocol. Thus, 11 articles were found that matched the criteria of JBI's critical assessment tool for analysis.Results:  A total of 11 studies were included in the analysis originating from several countries such as Iran, Australia, and the Netherlands. Empowerment of women is a multilevel construction that refers to individuals, organizations, and society. Women's empowerment needs to involve mutual respect, critical reflection, caring and group participation, where people gain greater access to and control over their resources.Conclusion:  Factors that influence women's empowerment are age, education, occupation, religion, marital status, socio-economic, demographics, different behavior, special characteristics of society, household harmony, place of residence, mobility, decision-making, social life, media exposure, information technology, socio-culture and access to health services. The women's empowerment model that has been developed refers to 3 domains: micro, meso, and social capital levels; as well as macro level.Keywords: empowerment, women, model, healthCorrespondence: Rumpiati. Institute of Health Science STRADA Indonesia Jl. Sumberece 37 Tosaren Pesantren Kota Kediri. Email: rumpiati75@gmail.com. Mobile: +62812-3007-1403.Indonesian Journal of Medicine (2023), 08(02): 194-203https://doi.org/10.26911/theijmed.2023.08.02.09 
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