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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.
Arjuna Subject : -
Articles 12 Documents
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Search results for , issue "Vol 5, No 1 (2020)" : 12 Documents clear
Contextual Effect of Integrated Health Post, Socioeconomic and Physical and Mental Health Determinants on the Quality of Life among Elderly in Klaten, Central Java Fauziyah, Annisa Nur; Soemanto, RB.; Adriani, Rita Benya
Journal of Epidemiology and Public Health Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (561.433 KB)

Abstract

Background: The increase in life expectancy has an impact on the number of elderly which has increased from 9.3% (2018) to 15.8% (2035). Decreased body function in the elderly disturbs health and inhibits activities so that quality of life decreases. The purpose of this study was to ana­lyze the contextual effect of Elderly Integrated Health Post, socioeconomic determinant, physical and psychological health on the quality of life of the elderly.Subjects and Method: The design of the study was cross sectional. This study was conducted in Klaten, Central Java, from August to September 2019. A sample of 200 elderly people aged ≥60 years was selected by simple random sampling. The dependent variable was the quality of life of the elderly. The dependent variables were marital status, employment status, income, eating pattern, physical activity, nap, sexual activity, and activeness to participate in Integrated Health Post. The data was obtained by using questionnaires. Eating patterns were measured by DDS ques­tionnaire. Physical activity data were measured by PASE. Data on quality of life of the elderly were measured using WHOQOL-OLD. The data were analyzed by multilevel.Results: The quality of life in elderly improved with marriage (b= 4.94; 95% CI= 2.49 to 7.34; p<0.001), working (b= 6.47; 95% CI = 3.18 to 9.76; p<0.001), high income (b= 3.91; 95% CI= 1.45 to 6.37; p= 0.002), good eating pattern (b= 2.08; 95% CI= 0.14 to 4.02; p= 0.036), high physical activity (b= 3.87; 95% CI= 0.80 to 6.93; p= 0.013), adequate nap time (b= 6.29; 95% CI= 3.05 to 9.55; p <0.001), active sexual activity (b= 2.97; 95% CI= 0.93 to 5.02; p= 0.004), and often attend integrated health post (b= 2.18; 95% CI= 0.28 to 4.09; p= 0.025). Elderly integrated health post had a contextual effect on the quality of life of the elderly with ICC= 45.65%.Conclusion: The quality of life in elderly improves with marriage, working, high income, good eating pattern, high physical activity, adequate nap time, active sexual activity, and often attend integrated health post. Elderly integrated health post has a contextual effect on the quality of life of the elderly.Keywords: quality of life, elderly, integrated health postCorrespondence:Annisa Nur Fauziyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: annisafauziyah03@gmail.com. Mobile: +628233­51­97211.Journal of Epidemiology and Public Health (2020), 5(1): 15-25https://doi.org/10.26911/jepublichealth.2020.05.01.02
Do Community Health Centers Have Contextual Effect on the Risk of Recurrence in Patient with Tuberculosis? A Multilevel Evidence from Surakarta, Central Java Muvida, Muvida; Widyaningsih, Vitri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (678.076 KB)

Abstract

Background: Community Health Centers play­ed an important role in tuber­culosis con­trol. Ho­w­ever, Community Health Centers’ con­tex­tual effect toward tuberculosis recurrence has not yet been discovered. The study aims to analyze socio-demography and clinical factors of first tuber­culosis episode and Community Health Centers’ contextual effect toward tuber­culosis recurrence.Subjects and Method: It was analytic obser­vational study with case control approach. The study was conducted in the city of Sura­kar­ta, Central Java, from December 2019 up to January 2020. Sample collection toward 204 tuberculosis patients who had completed their treatment or were confirmed cured, were con­duc­ted by using simple random sampling at individual level and stratified random sampling at community health centers level. The de­pen­dent variable was tuber­culosis recurrence. The independent variables were family income, le­vel of education, BCG vaccination status, smo­­­­king history, initial bac­terio­logical test, weight gain, DM, and COPD. The data were collected through medical record and interview. The data were analyzed by using multi­level multiple logistic regression with Stata 13.Results: In individual level, the preventive factor toward tuberculosis recurrence among other were high income (OR= 0.24; 95% CI= 0.06 up to 0.92; p= 0.037), high level of educa­tion (OR= 0.18; 95% CI= 0.04 up to 0.84; p= 0.029), BCG vaccination status (OR= 0.11; 95% CI= 0.02 up to 0.67; p= 0.017), and high weight gain (OR= 0.06; 95% CI= 0.01 up to 0.28; p< 0.001). Meanwhile, the independent predictors toward tuberculosis recurrence (OR= 7.11; 95% CI= 1.65 up to 30.64; p= 0.009) and diabetes mellitus (OR= 10.85; 95% CI= 2.13 up to 55.29; p= 0.004). In the level of Community Health Centers, high ratio between health workers/ tuberculosis patients significantly cor­related with lower tuberculosis (OR= 0.01; 95% CI< 0.01 up to 0.44; p= 0.016). Community health Centers had contextual effect toward tuberculosis re­currence with Intra-Class Cor­relation (ICC) by 38.67%.Conclusion: Factors in individual and com­munity health centers level may affect tuber­culosis recurrence. Community Health Centers has contextual effect toward tuberculosis re­cur­rent.Keywords: Tuberculosis recurrence, tuber­culosis, predictor, Community Health Center, multi­­level analysisCorrespondence: Muvida. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Su­ta­­mi No. 36 A, Surakarta 57126, Central Java. Email: muvida­md@­gmail.com. Mobile: +628­965­1­4­­50435.Journal of Epidemiology and Public Health (2020), 5(1): 65-78https://doi.org/10.26911/jepublichealth.2020.05.01.07

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