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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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Search results for , issue "Vol 3, No 1 (2018)" : 8 Documents clear
Effects of Sexual Behavior, Family Support, Peer Support, Stigma, and Discrimination on Quality of Life Among Gay Community in Tulungagung, East Java Ekasari, Dily; Demartoto, Argyo; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stigma and discrimination that are experienced by gay community have long been documented to occur in Indonesia, including Tulungagung District, East Java. Gay community often experience stigma, discrimination, and rejection by the society and health personnel. Stigma and discrimination may worsen the quality of life among gay community. This study aimed to examine the effects of sexual behavior, family support, family income, peer support, stigma, and discrimination on quality of life among gay community in Tulungagung, East Java.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted in Pelangi Gay Community, Tulungagung District, from October to November, 2017. A total sample of 181 gays was selected by stratified random sampling. The exogenous variables were sexual behavior, family income, peer support, stigma, and discrimination. The endogenous variables were family support and quality of life. The data were collected by questionnaire and analyzed by path analysis.Results: Better quality of life was positively affected by safe sexual behavior (b= 1.32; 95% CI= 0.18 to 2.46; p= 0.023) and strong family support (b= 1.47; 95% CI= 0.42 to 2.51; p= 0.006). Strong family support was positively affected by family income (b= 1.62; 95% CI= 0.97 to 2.27; p= 0.001). Better quality of life was positively affected by participation in peer support program (b= 2.84; 95% CI= 1.77 to 3.91; p= 0.001), freedom of stigma (b= 1.11; 95% CI= -0.04 to 2.26; p= 0.060), and freedom of discrimination (b= 1.43; 95% CI= 0.37 to 2.48; p= 0.008).Conclusion: Safe sexual behavior and strong family support have direct positive effect on the quality of life among gay community. Stigma and discrimination have indirect effect on lower quality of life among gay community.Keyword: quality of life, sexual behavior, family support, stigma, discrimination, gayCorrespondence: Dily Ekasari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: dilyekasari89@gmail.com.Journal of Epidemiology and Public Health (2018), 3(1): 50-59https://doi.org/10.26911/jepublichealth.2018.03.01.04 
Factors Associated with Safe Sex Behavior Among Commercial Sex Workers in Banjarsari, Surakarta, Central Java Ambarsari, Maecelina Hestin; Demartoto, Argyo; Wekadigunawan, C.S.P
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: It is estimated that more than one million people in the world contract sexually-transmitted disease everyday. Annually approximately 357 million new infections occur by one of four sexually-transmitted diseases: chlamidia, gonorrhea, syphilis, and mouth ulcer. To date HIV/AIDS has spread in 407 of 507 districts and municipalities in Indonesia, or equivalently covering 80% districts and municipalities of the country. In Surakarta, the cumulative incidence of HIV/AIDS from 2005 to 2017 was 561 cases, with 38 HIV cases and 46 AIDS cases in 2017 alone. The incidence of HIV/AIDS has been increasing year by year. This study aimed to examine factors associated with safe sex behavior among commercial sex workers in Banjarsari, Surakarta, Central Java.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted in Banjarsari Sub-district, Surakarta, Central Java. A total sample of 100 commercial sex workers was selected by stratified random sampling. The dependent variable was safe sex behavior. The independent variables were knowledge of infectious transmitted disease and HIV/AIDS, self efficacy, condom availability, access to health care service, health personnel support, and peer support. The data were collected by questionnaire and analyzed by multiple linear regression.Results: Safe sex behavior was associated with good knowledge of sexually-transmitted disease and HIV/AIDS (b=0.19; 95% CI=0.01 to 0.30; p=0.032), strong self efficacy (b= 0.18; 95% CI= 0.01 to 0.38; p= 0.047), condom availability (b=0.30; 95% CI= 0.36 to 1.20; p<0.001), good access to health care service (b= 0.19; 95% CI= 0.02 to 0.52; p= 0.035), strong health personnel support (b= 0.18; 95% CI= 0.01 to 0.57; p=0.041), strong peer support (b= 0.17; 95% CI= 0.01 to 0.50; p= 0.046).Conclusion: Safe sex behavior is associated with good knowledge of sexually-transmitted disease and HIV/AIDS, strong self efficacy, condom availability, access to health care service, strong health personnel support, strong peer support.Keyword: safe sex behavior, knowledge, self efficacy, condom availability, access to health service, health personnel support, peer supportCorrespondence: Maecelina Hestin Ambarsari. Masters Program in Public Heath, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: hestinmaecelina@gmail.com. Mobile: +6285742975078.Journal of Epidemiology and Public Health (2018), 3(1): 60-71https://doi.org/10.26911/jepublichealth.2018.03.01.05 
Path Analysis on the Biopsychosocial Determinants of Type 2 Diabetes Mellitus and Depression at Dr. Moewardi Hospital, Surakarta Budiarti, Esty; Tamtomo, Didik Gunawan; Adriani, Rita Benya
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes Mellitus (DM) is a a major disease that is threatening global population health. This disease ranks third by global public health priority. The incidence of type 2 DM in 2014 was 442 million patients worldwide. Indonesia is one of 10 countries with high DM incidence. The incidence of type 2 DM in Indonesia in 2014 was 10 million patients. This study aimed to examine the biopsychosocial determinants of type 2 Diabetes Melitus and depression at Dr. Moewardi Hospital, Surakarta, using path analysis.Subjects and Method: This was an analytic and observational study with case control design. The study was conducted at Dr. Moewardi Hospital, Surakarta, from August to October, 2017. Sample consisting of 100 patients type 2 DM  and 100 non DM patients were selected for this study by fixed disease sampling. The dependent variable was type 2 DM. The independent variables were body age, mass index, education level, occupation, stres, family income, comorbidity, activity, and family history of type 2 DM. The data were collected using medical record and questionnaire. The data were analyzed by path analysis.Results: The risk of type 2 DM increased with higher body mass index (b= 2.66; 95% CI= 1.41 to 3.91; p<0.001), higher income (b=-0.93; 95% CI= -1.90 to 0.045; p=0.062), older age (b= 2.88; 95% CI= 0.62 to 5.15; p= 0.013), presence of DM family history (b= 2.56; 95% CI= 1.45 to 3.68; p <0.001), and comorbidity (b= 3.25; 95% CI= 2.07 to 4.43; p<0.001). The risk of depression increased by type 2 DM (b= 1.032; 95% CI= 0.42 to 1.63; p= 0.001). Body mass index increased with higher physical activity (b= -1.41; 95% CI= -2.03 to -0.79; p<0.001). Income increased with high education level (b= 2.58; 95% CI= 1.83 to 3.33; p<0.001). High physical activity increased with occupation (b=0.96; 95% CI= 0.38 to 1.53;p= 0.001).Conclusion: The risk of type 2 DM increased with higher body mass index, higher income, older age, presence of DM family history, and comorbidity.Keyword: biopsychosocial determinants, type 2 DM, depressionCorrespondence: Esty Budiarti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email:estybudiarti21@gmail.com.Journal of Epidemiology and Public Health (2018), 3(1): 1-14https://doi.org/10.26911/jepublichealth.2018.03.01.01 
Factors Associated with Women’s Decision to Become Commercial Sex Workers in Banjarsari, Surakarta, Central Java Johar, Syefira Ayudia; Demartoto, Argyo; Wekadigunawan, C.S.P
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In Indonesia, the number of new HIV cases in 2016 was 41.250, and AIDS cases was 7,491. HIV infection predominantly (67.6%) occur heterosexually. In Central Java, the number of  Di Indonesia, new HIV cases in 2016 was 4.032, and AIDS cases was 1.402. Surakarta City has the second highest cases of HIV in Central Java after Semarang District with 38 HIV cases and 46 AIDS cases in September 2017. This study aimed to analyze factors associated with women’s decision to become commercial sex workers in Banjarsari.Subjects and Method: This was an analytical observational study with case control design. The study was conducted in Banjarsari, Surakarta, Central Java. A total sample of 200 study subjects consisting of 100 female commercial sex workers and 100 non sex workers. The dependent variable was women’s decision to become commercial sex worker. The independent variables were knowledge of sexually-transmitted disease, family income, pro-commercial sex worker family support, snobbish life style, and access to whore house. The data were collected by questionnaire and analyzed by multiple logistic regression.Results: Women’s decision to become commercial sex worker was negatively associated with good knowledge of sexually-transmitted disease (OR= 0.03; 95% CI= 0.01 to 0.18; p<0.001), high family income (OR= 0.01; 95% CI<0.01 to 0.05; p<0.001). Women’s decision to become commercial sex worker was positively associated with strong pro-commercial sex worker family support (OR=8.15; 95% CI= 2.63 to 25.23; p<0.001), snobbish life style (OR= 6.20; 95% CI= 1.81 to 21.24; p= 0.004), and access to whore house (OR= 8.52; 95% CI=2.49 to 29.17; p= 0.001).Conclusion: Women’s decision to become commercial sex worker has negative association with good knowledge of sexually-transmitted disease, high family income. Women’s decision to become commercial sex worker has positive association with strong pro-commercial sex worker family support, life style, and access to whore house.Keyword: Women’s decision, commercial sex worker, knowledge, family income, family support, life style, access to whore houseCorrespondence: Syefira Ayudia Johar. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: syefira48@gmail.com. Mobile: +6282136422448.Journal of Epidemiology and Publich Health (2018), 3(1): 72-82https://doi.org/10.26911/jepublichealth.2018.03.01.06  
Risk Factors of Leptospirosis in Klaten, Central Java Sofiyani, Maya; Dharmawan, Ruben; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Leptospirosis a global public health issue, particullary in tropical and sub-tropical countries with high precipitation. WHO has estimated that the annual of Leptospirosis is 0.1 to 1 case/100,000 population in moderate non-endemic area, and 10 to 100 cases/100,000 population in humid and tropical endemic areas. Currently, Indonesia is a tropical country with the highest fatality rate of leptospirosis, ranging from 2.5% to 16.45% with an average of 7.1%. It places Indonesia as the third country with the highest mortality attibutable to Leptospirosis. This study aimed to analyze the risk factors of Leptospirosis in Klaten, Central Java.Subjects and Method: This was an analytic and observational study with case control design. The study was conducted in Klaten, Central Java, from October to November, 2017. A sample of 49 Leptospirosis cases and 101 non-diseased controls were selected for this study by fixed disease sampling. The independent variable were employment status, history of cuts, history of water excursion, use of personal protective equipment (PPE), house condition, environmental condition, presence of mouse or cattle, history of rain or flood. The dependent variable was Leptospirosis. The data were collected by questionnaire and analyzed by path analysis.Results: The risk of Leptospirosis increased with history of cuts (b= 1.64; CI 95%= 0.40 to 2.87; p= 0.009), history of water excursion (b= 1.98; CI 95%= 0.52 to 3.43; p= 0.008), poor house condition (b= -1.92; CI 95%= -3.08 to -0.77; p= 0.001), and poor environmental condition (b= -2.35; CI 95%= -3.48 to -1.23; p<0.001). History of cuts increased with cattle-related work (b= 1.79; CI 95%= 0.86 to 2.72; p<0.001) and absence of PPE (b= -2.54; CI 95%= -3.49 to -1.60; p<0.001).Conclusion: The risk of Leptospirosis increases with history of cuts, history of water excursion, poor house condition, and poor environmental condition. History of cuts increases with cattle-related work and absence of PPE.Keywords: risk factor, LeptospirosisCorrespondence: Maya Sofiyani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta, 57126, Central Java, Indonesia. Email: mayasofiani@rocketmail.com.Journal of Epidemiology and Public Health (2018), 3(1):  11-24https://doi.org/10.26911/jepublichealth.2018.03.01.02 
Effect of Dementia, Family Support, Peer Support, Type of Residence, and Marital Status on Quality of Life of the Elderly in Surakarta, Central Java Suwarni, Sri; Soemanto, RB.; Sudiyanto, Aris
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The aging population is increasing in Indonesia and worldwide. Indonesia is one of the countries that has high aging population structure. As such, the quality of life of the elderly is of major concern. This study aimed to determine the effect of dementia, family support, peer support, type of residence, and marital status on quality of life of the elderly in Surakarta, Central Java.Subjects and Method: This was an analytical observational study with cross-sectional design.  A total sample of 218 elderly people in Surakarta, Central Java, was selected for this study by fixed exposure sampling, with 1:3 ratio consisting of 50 elderly people living in Dharma Bakti nursing home and 168 elderly people living with their families in the community. The dependent variable was health-related quality of life. The independent variables were dementia, family support, peer support, type of residence, and marital status. The data were collected by questionnaire and analyzed by path analysis.Results: Better quality of life of the elderly was directly increased by strong peer support (b= 0.25, p<0.001), strong family support (b= 0.59, p= 0.002), mild dementia (b= 1.79, p<0.001), and being married (b= 12.73, p= 0.039). Better quality of life was also increased indirectly by strong peer support (b= 0.67, p= 0.012) and living with families (b= 22.93, p<0.001), through family support.Conclusion: Better quality of life of the elderly is directly increased by strong peer support, strong family support, mild dementia, and being married. It is indirectly increase by strong peer support and living with families.Keyword: quality of life, dementia, family support, peer support, elderlyCorrespondence: Sri Suwarni. School of Health Polytechnics, Ministry of Health, Surakarta. Email: tanasfa@gmail.comJournal of Epidemiologi and Public Health (2018), 3(1): 83-94https://doi.org/10.26911/jepublichealth.2018.03.01.07 
Indoor Smoke Exposure and Other Risk Factors of Pneumonia among Children Under Five in Karanganyar, Central Java Nikmah, Atika; Rahardjo, Setyo Sri; Qadrijati, Isna
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Globally, pneumonia is an infectious disease with high morbidity and mortality rates. It causes one of five deaths in children under five years old worldwide. Approximately 61 million new cases of pneumonia occur annually. This study aimed to examine risk factors of pneumonia among children under five in Karanganyar, Central Java.Subjects and Method: This was an analytic observational study with case control design. The study was conducted in Karanganyar District, Central Java, from October to November, 2017. Study subjects were selected by fixed disease sampling consisting of 68 children under five years old with pneumonia and 136 without pneumonia. The dependent variable was pneumonia. The independent variables were nutritional status, exclusive breastfeeding, maternal stress, type of labour, maternal education, maternal job status, family income, quality of house, quality of environment, and indoor smoke exposure. The data was collected by questionnaire and analyzed by path analysis.Results: The risk of pneumonia increased with indoor smoke exposure (b= 2.63; 95% CI= 1.70 to 3.55; p<0.001). The risk of pneumonia decreased with good house environment (b= -0.93; 95% CI= -1.72 to -0.14; p= 0.020), healthy behavior (b= -1.41; 95% CI= -2.22 to -0.60; p=  0.001), and good nutritional status (b= -1.83; 95% CI= -2.72 to -0.93; p < 0.001). Good house environment was positively affected by good quality of house (b= 1.53; 95% CI= 0.94 to 2.13; p<0.001). Indoor smoke exposure was negatively affected by good quality of house (b= −1.79; 95% CI= -2.40 to -1.19; p < 0.001). The likelihood of exclusive breastfeding decreased with maternal stress (b= −0.65; 95% CI= -1.22 to -0.08; p= 0.024) and history of cesarean section (b= −0.59; 95% CI= -1.20 to 0.01; p= 0.053). Good nutritional status was positively affected by exclusive breastfeeding (b= 0.65; 95% CI= 0.04 to 1.26; p= 0.036). Number of children was negatively affected by high maternal education (b= -0.71; 95% CI= -1.29 to -0.14; p= 0.015). Family income was positively affected by maternal working outside the house (b= 0.89; 95% CI= 0.31 to 1.46; p= 0.002). Maternal working outside the house was positively affected by high maternal education (b= 0.67; 95% CI= 0.98 to 1.24; p= 0.022).Conclusion: The risk of pneumonia increases with indoor smoke exposure, but decreases with good house environment, healthy behavior, and good nutritional status.Keyword: risk factor, pneumonia, children under fiveCorrespondence: Atika Nikmah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: atikanikmah123@gmail.com.Journal of Epidemiology and Public Health (2018), 3(1): 25-40https://doi.org/10.26911/jepublichealth.2018.03.01.03 
Multilevel Analysis on the Socio-Cultural, Lifestyle Factors, and School Environment on the Risk of Overweight in Adolescents, Karanganyar District, Central Java Widiyanto, Aris; Murti, Bhisma; Soemanto, RB.
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Basic Health Research (RISKESDAS) data in 2013 showed that the prevalence of overweight among adolescents aged 13-15 years was 10.8%. Karanganyar district is ranked fourth by the number of overweight adolescents cases in Central Java with prevalence of 8.2%. This study aimed to determine the asssociation between socio-cultural, lifestyle factors, and school environment on the risk of overweight in adolescents, Karanganyar District, Central Java, using social cognitive theory (SCT), PRECEDE-PROCEED model, and multilevel analysis.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at 25 junior high schools in Karanganyar district, Central Java, in December 2017. A sample of 200 junior high school students were selected for this study by stratified sampling and fixed disease sampling. The dependent variable was overweight. The independent variables were nutritional intake, snacking habits, physical activity, self efficacy, paternal BMI, maternal BMI, peer group influence, and school environment. Body weight data was measured by digital scale. Contextual effect of school environment was measured by the number of snack sellers at school. Other data were collected by questionnaire and analyzed by multilevel analysis.Results: High nutritional intake (b= 1.56, SE = 0.73, p= 0.032), high snacking habits (b= 1.27, SE = 0.70; p= 0.069), paternal BMI ≥23 (b= 1.60; SE= 0.79; p= 0.042 ), maternal BMI ≥23 (b= 2.29; SE = 0.76; p = 0.002), parent income ≥minimum  regional  wage (b= 2.17; SE= 0.76; p= 0.004), and strong peer group influence (b= 2.22; SE = 0.65; p= 0.001) increased the risk of overweight in adolescents. High self-efficacy (b= -3.61, SE= 0.75, p <0.001) and high physical activity (b= -2.92; SE= 0.80; p <0.001) decreased the risk of overweight in adolescents. Intraclass correlation= 9.92% indicating considerable contextual effect of school environment.Conclusion: Nutritional intake, snack habits, paternal BMI, maternal BMI, family income, and peer influence increase the risk of overweight in adolescent. Self-efficacy and high physical activity decrease the risk of overweight in adolescent. School environment has a considerable contextual effect on overweight in adolescents.Keyword: overweight, social cultural factor, adolescents, school environmentCorrespondence: Aris Widiyanto. School of Health Sciences Mambaul Ulum, Jl. Ring Road Utara, Tawangsari, Mojosongo, Jebres, Surakarta, Central Java. Email: widiyanto.aris99@gmail.com. Mobile: 081329209095.Journal of Epidemiology and Public Health (2018), 3(1): 94-104https://doi.org/10.26911/jepublichealth.2018.03.01.08

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