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Journal of Epidemiology and Public Health
Published by Universitas Sebelas Maret
ISSN : 25490273     EISSN : 25490273     DOI : -
Core Subject : Health,
Public Health
Background: Increased blood pressure for a long time can increase the risk of kidney failure, co­ronary heart disease, brain damage, and other di­seases. In 2019, it is estimated that hyper­tens­ion is experienced by 1.13 billion people in the world with most (two thirds) living in low and mid­­dle income countries. Other study also shows that the police and military are at risk of develop­ing hypertension due to a number of factors such as low know­led­ge about healthy and nutritious food, co-workers who are smokers, and consum­ing alco­hol. This study aimed to analyze the risk factors for hypertension in the police and military in the world using meta analysis. Subjects and Method: This was a meta-ana­lysis and systematic review. The articles used we­re obtained from Google Scholar, Springer Link, Pro­­Quest, and Science Direct databases. Selected arti­cles published from 2000 to 2020. Keywords to search for articles are as follows: hypertension po­lice personnel and military, or hypertension po­lice personnel and military. The articles studi­ed are 3 full text articles with cross sectional stu­dy designs and 1 full text articles with case cont­rol study design. Articles are col­lect­ed using PRI­S­­­MA diagrams, and analy­zed us­ing the Re­vi­ew Ma­nager application 5.3. Results: Overweight (aOR= 1.42; 95% CI = 1.01 to 2.00; p= 0.04), alcohol consumption (aOR­=­ 1.­55; 95% CI= 1.12 to 2.12; p= 0.007), ciga­rette con­­­­sumption (aOR= 1.45 ; 95% CI= 1.06 to 1.97; p= 0.020) is a risk factor for hyper­­­tension in the po­­­lice and military. Conclusion: Overweight, alcohol consump­tion, and cigarette consump­tion, are risk fac­tors for hypertension in po­lice and military personnel.
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Risk of Hypertension in Adolescents with Over Nutritional Status in Pangkalpinang, Indonesia Yusrizal, Mirza; Indarto, Dono; Akhyar, Muhammad
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Adolescents are the changes of children to be adults. Gender, family history of disease, age, sodium intake and physical activity affect the pravelence of hypertensionAdolescences are the time change from children into adults. Gender, family history of disease, body mass index or BMI according to age, sodium intake and physical activity affect the prevalence of hypertension in adulthood.  Hypertension disorders in teenagers most will settle on adulthood. This study aimed to analyze risk factors of hypertension in adolescent aged 15-17 years with over nutritional status.Subject and Methods: This was an observational analytic study with cross sectional design. This was conducted in Pangkalpinang, Bangka Belitung Indonesia. A total of 120 students in grade X-XI in four high schools were selected by fixed-exposure sampling. BMI measurement used antropometri. Physical activity questionnaire used International Physical Activity Questionnaire. Sodium intake was measured with a food frequency questionnaire. Blood pressure was measured by using a sphygmomanometer. Data analysis was using a multiple linear regression.Results:  Gender and nutritional status more positively associated with hypertension, (B = 5.77; p = 0.017) and (B = 4.85; p = 0.001), while sodium intake,  family disease history and physical activity have a negative relationship, (B = 0.01; p = < 0.076),  (B =-1.73; p = 0.481) and (B = >-0.01; p = 0.592). Multiple linear analysis obtained adjusted R2 = 0356 (35.6%).Conclusions: Young men have a higher average blood pressure than women of 5.77 mmHg. Any increase of 1 kg/m2 equivalent BMI will raise the blood pressure of 4.85 mmHg. Adolescents with more nutritional status can increase knowledge about hypertension, as well as regulate eating habits according to needs of physical growth and development.Keywords: hypertension, adolescent, gender, family history of disease, BMI, sodium intake, physical activity.Correspondence: Mirza Yusrizal. Health Department of Pangkalpinang, Bangka Belitung, Indonesia. Email: mirzayusrizal@yahoo.co.idJournal of Epidemiology and Public Health (2016), 1(1): 27-36https://doi.org/10.26911/jepublichealth.2016.01.01.04 
The Effectiveness of Mosquito Breeding Site Eradication and Role of Wiggler Controller toward Countermeasure Effort of Dengue Hemorrhagic Fever in Klaten, Central Java Pradana, Riska Chandra; Dharmawan, Ruben; Sulaeman, Endang Sutisna
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Countermeasure of Dengue Hemorrhagic Fever (DHF) is more prioritizing in preventive activities such as implementing mosquito breeding site eradication or PSN through 3M plus by involving the society and facilitating the establishment of wiggler controllers or Jumantik. Role of wiggler controllers is very important especially in initial vigilance system moreover in the outbreaks of DHF because of their function in monitoring the wigglers’ position and hampering the initial development of DHF transmitter vector. The activeness of wiggler controllers in monitoring their environment is expected to decrease the number of DHF cases. This study was aimed to investigate analyzing the effectiveness of mosquito breeding site eradication and the roles of wiggler controllers or Jumantik in prevention and countermeasure efforts of DHF.Subject and Methods: This was a qualitative study with case design. This was conducted in Juwiring, Ngawen, North Klaten community health center in Klaten, Central Java were selected by Purposive Sampling. The data was collected with observation, document analysis, and in-depth interview. The data validity included a triangulation, methodological triangulation, and theory triangulation. The data was analyzed with data collection, data reduction, data presentation, and drawing the conclusion were included in the data analysis of this research.Results: Several obstacle factors were people’s behavior which was not routinely doing the eradication of mosquito breeding site or PSN, lack of knowledge about PSN, lack of health workers especially in PSN program and the role of public figure was not maximum yet. Those could be seen from the outcome of PSN program which was divided by the output of PSN. Morbidity rate of DHF and mortality rate of DHF in Klaten District were still high and did not achieve the national target yet. Then, people’s knowledge about PSN program was quite good, people’s behavior was also good especially to the implementation of PSN program although some of them behaved poorly, their reliance and trust were good especially to the implementation of PSN program, then, there were no contradictions between society values and PSN Program. Health facilities and infrastructures were adequate to perform individual health effort in promotive, preventive, curative, or rehabilitative which were done by the government, regency government, or the society especially to encourage the implementation of PSN program. Amount of health officers for the implementation of PSN Program was not ideal yet, especially for Epidemiology officers and Health Promotion officers. Public and government supports were quite good in the implementation of PSN Program. Attitude and behavior of public figures, religious leaders, and also health officers were quite good. Although some of public figures did not give their full support. Government policy in encouraging the implementation of PSN Program itself was quite good. That was proven by publishing Region Regulation No. 03 of 2010 and Regent Regulation No. 05 of 2013 about prevention and disease control from animal sources, but its implementations were not maximum and binding yet. The role of wiggler controllers in decreasing the rate of DHF cases could be optimized by specific commitment from the policy makers, started from the highest to the lowest in order to build better initial vigilance system. Operational fund for the wiggler controllers (Jumantik) in Klaten District was not ideal yet, so, commonly they spent their own money for the operational fund when they did their job.Conclusion: The effectiveness of PSN Program in Klaten District to overcome DHF was effective enough. The role of predisposition factor toward mosquito breeding site eradication or PSN in order to overcome DHF in Klaten District was became the booster of the implementation of mosquito breeding site eradication program (PSN). Enabling Factors are enormously important in implementing the PSN Program in the public. The encourage factor on PSN program was not maximum yet, especially in the implementation of Region Regulations and Regent Regulations particularly about Prevention and Disease Control from Animal Source. The roles of wiggler controllers in the countermeasure of DHF in Klaten District was very important especially for the initial vigilance of DHF because its functions were used to monitor their existences and also hamper the initial development of DHF transmitter vectorKey words: mosquito breeding site eradication, DHF, the role of wiggler controllersCorrespondence : Riska Chandra Pradana. Dr. R Soeprapto Cepu Hospital. Email: pradanachan@gmail.comJournal of Epidemiology and Public Health (2016), 1(1): 37-48https://doi.org/10.26911/jepublichealth.2016.01.01.05
Multilevel Analysis on the Bio-psychosocial and Environment Factors Affecting the Risk of Pneumonia in Infants Yunita, Astri; Murti, Bhisma; Dewi, Yulia Lanti Retno
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Pneumonia is an illness of the maincauses of pain and death in toddler in the world. The incidence of pneumonia in Indonesia has increased, from 2007 about 2.1% and in 2013 about2.7%. Pneumonia in toddler in Indonesia is an issue that is important to do the actions of prevention and control of pneumonia. This study was aimed to investigate the factors biopsychosocial to the risk of pneumonia in toddlers.Subjects and Method: This was an analytical observational study with case control design, carried out on 2 August to 16 September 2016. A total of 140 subjects in Banjarnegara, Central Java, were selected by fixed disease sampling. The dependent was pneumonia in infants. The independent variables were exposure to CO, H2S, family income, maternal education, household smoke exposure, sanitary home, chain-smoking family activity, anxiety. The data was collected by using a questionnaire, check list and recording and analyzed by using Logistic regression.Results: There was influence of exposure of CO (OR= 1.46; 95% CI= 0.17 to 21; p= 0.970), H2S (OR= 0.53; 95% CI= 0.98 to 2.92; p= 0.412), family income (OR= 1.90; 95% CI= 0.78 to 4.65; p= 0.365), maternal education (OR= 1.75; 95% CI= 0.72 to 4.25; p= 0.474), household smoke exposure (OR= 5.63; 95% CI= 2.27 to 13.95; p= 0.001), home sanitation (OR= 6.23; 95% CI= 2.61 to 14.84; p=0.001), smoking activity (OR= 3.19; 95% CI= 1.33 to 7.66; p= 0.020) and the incidence of pneumonia toddlers. There was the influence of anxiety to pneumonia in toddler (OR= 16; 96% CI= 6.87 to 37.75; p< 0.001). There was the influence of contextual conditions to pneumonia in toddler (ICC = 36.97%; role of thumb 5 to 8% likelihood ratio p= 0.008; 95% CI= 0.45 to 8.17).Conclusion: There is the influence of exposure to CO, H2S, family income, maternal education, household smoke exposure, home sanitation, smoking activity. There is the influence of anxiety of pneumonia in toddler. The condition has influence contextual variations toddler pneumonia incident, so it is noteworthy.Keywords: bio-psychosocial, environmental factor, pneumonia toddlersCorrespondence: Astri Yunita. Masters Program in Public Health, SebelasMaret University, Surakarta. Email: astriyunita07@yahoo.co.id. Mobile: +6285641797995Journal of Epidemiology and Public Health (2016), 1(1): 1-10https://doi.org/10.26911/jepublichealth.2016.01.01.01 
Factor Analysis with Health Belief Model on the Adherence to Methadone Maintenance Therapy Timoer, Seindy Arya Kusuma; Murti, Bhisma; Soemanto, RB
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Methadone maintenance therapy is one of substitution therapy is needed as a harm reduction approach of transmission of HIV / AIDS through injecting drugs. To achieve the success of the therapy, therapy adherence is very important. This study was aimed todetermine the factors affecting adherence methadone maintenance therapy using the approach of the Health Belief Model in clinical methadone maintenance therapyprograms.Subject and Methods: This was an analytical observation study with qualitative method, conducted in a community health center PTRMManahan Surakarta. A total ofsample was selected with snowball. Thedata collected by using in-depth interviews, observation and document. The validityincluded triangulation of sources, methods, theory and research. The data analysis was using analytical models mating patterns, reduction, data presentation and analysis of data that form a pattern that can reveal the Health Believe Model or HBM linkage with therapy adherence.Results: The results showed the factors of patients using the drug include family background, social environment, and knowledge. Factors underlying patients adhere to therapy, among others, those included in the high risk group of HIV / AIDS; the seriousness of the disease of HIV / AIDS; improved quality of life, side effects of methadone are more severe than injecting drug use; family and NGOs as a driving force to follow programswhich is an instrument of HBM. Programs patient factors for non-compliant in following methadone maintenance therapy include patients still using drugs, objected to the levy on programs, and saturated with duration of therapy.Conclusion: Methadone maintenance therapy adherence factors include the perception of vulnerability, perceived seriousness, benefits, barriers and trigger actions. Areas of compliance include methadone maintenance therapy patients were still using drugs, objected to the levy on programs, and saturated with duration of therapy.Keywords: injecting drug users, HIV / AIDS, reduction, HBM, compliance therapy, methadone maintenance therapyCorrrespondence: Seindy Arya Kusuma Timoer.  Masters Program in Public Health, Sebelas Maret University, SurakartaJournal of Epidemiology and Public Health (2016), 1(1): 49-57https://doi.org/10.26911/jepublichealth.2016.01.01.06 
Geographical Satellite and Survey Data for Prediction of Dengue Cases in Sukoharjo, Indonesia Kusumawati, Dyah; Prayitno, Adi; Dharmawan, Ruben
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Dengue fever is a disease based on environment and still a health problem. Problems related to the dengue fever vector distribution factor in terms of the spread of vector space with the use of geographic data and survey data in order to predict the incidence of dengue in the region.Subjects and Methods: This study used analytic observational with cross sectional approach using modeling Geographical Information Systems (GIS). The sampling technique in this research is saturated sampling of secondary data Sukoharjo District Health Profile in 2011-2014, population data and data Geographic, then all the data were analyzed using multiple linear regression.Results: There is a positive relationship between the area per Km2 with the number of new cases of dengue fever, although the relationship was not statistically significant. (B = <0:01; CI -0.01 - 0:02; p = 0.310). There is a positive relationship between population density per soul / Km2dengan number of new cases of dengue fever, a significant relationship between population density with DHF cases. (B = <0:01; CI <0:01 to 0:01; p = 0.013). There is a negative relationship between topography per masl by the number of new cases of dengue fever, although the relationship was not statistically significant. (B = <0:01; CI -0.02 - 0:01; p = 0.335). There is a positive correlation between rainfall per mm / yr with the number of new cases of dengue fever, although the relationship was not statistically significant. (B = <0:01; CI <0:01 to 0:01; p = 0101). There is a positive relationship between river flow per ha by the number of new cases of dengue fever, although the relationship was not statistically significant. (B = 0:02; CI -0.01 - 0:03; p = 0318). There is a negative correlation between% Non Flick figure by the number of new cases of dengue fever, although the relationship was not statistically significant. (B = <0:01; CI -0.02 - 0:01; p = 0764).Conclusions: The increase in land area, population density, rainfall, river flow is predicted to affect the increase in dengue cases, whereas the increase ABJ predicted topography and affecting the decline of dengue cases in the district of Sukoharjo in 2011-2014.Keywords: geographical data and survey data, prediction of dengue casesCorrespondence: Dyah Kusumawati. Academy of Health Analyst 17  Agustus 1945, Semarang, Indonesia. Email: dyahkusumawatiwinarno@yahoo.co.id. Mobile: 085876563978Journal of Epidemiology and Public Health (2016), 1(1): 11-17https://doi.org/10.26911/jepublichealth.2016.01.01.02
Social Support on the Adherence to Treatment of Tuberculosis in Cilacap, Indonesia Puspitasari, Lina; Murti, Bhisma; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Country Indonesia liquid high-burden countries in the case of Tuberculosis resistant adenocarcinoma. One of the causes of MDR-TB was OAT drink irregularly. Many of the changes that occur in people with tuberculosis physical, psychological and social influence on irregularity OAT drink. The purpose of this research is to know the contribution of the social support against tuberculosis treatment regularity in Cilacap Regency.Subject and Method: This was a quantitative study with observational analytic design, carried out in twelve clinics and hospitals, inCilacap. A total of 128 samples were consisted of  42 groups and control group 86. The dependent variables was the regularity of the medication, and the independent variable were the intention, attitude, distance, self-efficacy, social support, education and knowledge. The Data collected using the questionnaire and medical record data and analyzed usingpath analysis.Results: There is a direct relationship between education with knowledge, education and knowledge, as well as attitudes toward intentions with the regularity of medical treatment. There is an indirect relationship between posture, distance, social support and self-efficacy with the OAT drink regularity through intention. A positive relationship between education with knowledge (b = 0.17; 95%CI = 0.02 to 0.13; p = 0.023). A positive relationship between education with attitude (b = 1.23; 95% CI = 0.29 to 2.16; p = 0.01). Positive relationship knowledge with attitude (b = 0.56; 95% CI =-1.47 to 0.35; p = 0.228). The relationship of positive attitude with the intention (b = 0.99; CI 95% = 0.05 to 1.94; p = 0.039). Negative relationship of distance with the intention (b =-0.59; 95% CI =-1.49 to 0.31; p = 0.202). Positive relationships support social (social support) and intention (b = 0.5; 95% CI =-0.22 to 1.89; p = 0123). A positive relationship with self-efficacy of intention (b = 1.04;95% CI =-0.16 to 2.26; p = 0.089). A positive relationship with the intention to ordertreatment of TB (b = 2.1; CI 95% = 1.24 to 2.97; p = 0.001).Conclusion: Education, knowledge, attitude, social support self-efficacy related to improve the regularity of treatment of TB through the intention to treat.Keywords:Attitude, Distance, Social Support, Self-Efficacy, Consistency of Treatment of TBCorrespondence: Lina Puspitasari. Midwifery Academic Graha Mandiri Cilacap. Email: Lina_Puspitasari@yahoo.co.idJournal of Epidemiology and Public Health, 2016, 1(1): 58-65https://doi.org/10.26911/jepublichealth.2016.01.01.07 
Path Analysis on Factors Associated with the Risk of Scabies Among Students at Darussalam Islamic Boarding School, Blokagung, Banyuwangi, Indonesia Nanda, Febrika Devi; Murti, Bhisma; Dharmawan, Ruben
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Scabies is an infectious disease that is particularly important in populations with low socioeconomic level in developing countries. Scabies is not life-threatening so usually get treatment is low. But actually the chronic and severe scabies can cause dangerous complications. This study aimed to analyze factors associated the students with scabies disease.Subjects and Methods: This was an observational analytical study with cross-sectional design. This was conducted at Darussalam Islamic Boarding School of Blokagung Banyuwangi, Indonesia in March 23 to April 30,2016. A total of 90 samples were amounted 30 students with scabies and 60 had not scabies. Data collection was using questionnaire. Data analysis used STATA 13.Results: Four variables associated with scabies was associated indirectly obtained between knowledge and myth was negative amounting to the value of -1.88 (p < 0.001) path coefficient between knowledge and healthy behaviors is positive that amounting to 1.68 with value (p = 0.016), the path coefficient between myth - 2:39 (p = 0.038), the path coefficient between allowance to health behaviors positive value that is equal to 2:00 (p = 0.026), the path coefficient between health behavior with scabies is negative in the amount - 3:43 (p < 0.001).Conclusion: The level of knowledge, myths, pocket money indirectly related to the incidence of scabies through healthy behaviors. It is expected to reduce disease scabies students can change the behavior of health to be good.Keywords: scabies, level of knowledge, myths, pocket moneyCorrespondence: Febrika Devi Nanda. Bakti Indonesia University, Banyuwangi. Email: febrika_devinanda@yahoo.comJournal of Epidemiology and Public Health (2016), 1(1): 18-26https://doi.org/10.26911/jepublichealth.2016.01.01.03 
Association between the Socioeconomic Factors, Healthy Home, and Healthy Behavior among Parents of Toddler with Acute Respiratory Infection in Kediri, Indonesia Anggraini, Tiyan; Mudigdo, Ambar; Soemanto, RB.
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Acute Respiratory Infection or ARI is the most deaths occurred in toddler. Many factors lead to a high incidence of this disease among socioeconomic, healthy home and healthy behavior of parents. This study was aimed to determine the association between socioeconomic and healthy homehealthy home with healthy behavior in parents of toddler with acute respiratory infections.Subject and Methods: This was a case study conducted in Kediri, East Java, Indonesia. A total of 100 toddlers consisted of 20 toddlers and parents with ARI and 80 toddlers with parents without ARI. The dependent variable was parents of toddlers with acute respiratory infection. The independent variables included socioeconomic and healthy home with healthy behavior. The data were collected by pre-tested questionnaire, and analyzed using a multiple logistic regression model.Results: Theresults obtained by the education (OR = 9.1; 95%CI = 0.8 to 98.4; p = 0.001),  family income (OR = 1.3; 95% CI = 0.1 to 14.2; p = 0.000), housing components (OR = 4.0, 95%CI = 0.5 to 27.7; p = 0.005), sanitation (OR = 6.9; 95% CI = 1.1 to 41.9; p = 0.001), healthy behavior (OR = 8.9; 95% CI = 1.6 to 48.7 ; p = 0.003).Conclusion: The results of this study concluded that education, family income, housing components, sanitation and behavior of the occupants had a statistically significant relationship to healthy behaviors parents of toddlers with ARI.Keywords: education, family income, housing components, sanitation, healthy behavior, and healthy behavior parents of toddler patients with Acute Respiratory Infections (ARI).Correspondence: Tiyan Anggraini. School of Health Sciences, Kadiri University, Kediri, Indonesia. Email: tiyananggraini@yahoo.co.idJournal of Epidemiology and Public Health (2016), 1(1): 66-74https://doi.org/10.26911/jepublichealth.2016.01.01.08 

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