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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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Articles 24 Documents
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Search results for , issue "Vol. 10 No. 2 (2025)" : 24 Documents clear
Knowledge and Attitude of Nigerian Women Aged 15-49 Years on the Practice of Female Genital Mutilation Anyanwu, Chidimma Ezenwa; Torpey, Kwasi; Sanni, Olaniyi; Abiodun, Olaiya Paul; Anyanwu, Ifeanyi Donald
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.04

Abstract

Background: Female genital mutilation (FGM) is among the most harmful traditions that persist in many parts of the world, especially in Africa and other developing countries, including Nigeria, where the prevalence of FGM is still above 15%. This study aims to assess the knowledge and attitude of Nigerian women of reproductive age on FGM practice and its obstetric effects.Subjects and Method: This cross-sectional study examined Abujaarea women aged 15–49 in Nyanya General Hospital, Maitama, and Asokoro District Hospital Antenatal Care (ANC). A total of 634 patients who agreed to participate in the study were selected. The assessment examined respondents' knowledge and opinions about Female Genital Mutilation (FGM), sources of information, attitudes and beliefs, prevalence across three generations, and recommendations. Data was collected using Google Forms, and various statistical tests were analyzed using IBM SPSS version 25.Results: This study comprised 634 females, the majority of whom had post-secondary education (62.6%) and were married (96.8%), of which 29.2% were within the age group 30–34. Most of the respondents (86.3%) had previously heard about FGM. Of those interviewed, 49.5% knew FGM was practiced in their community, and 326 (51.4%) affirmed knowledge of health problems associated with FGM. The Major source of information on FGM was from parents (36.1%), followed by the media (26.1%). Two hundred and thirty-two respondents (36.6%) strongly agreed that FGM is a very harmful and inhumane practice, and a majority (91.8%) had no intention to circumcise their daughters. About 56.0% strongly agreed and recommended a campaign against FGM in school, and 53.8% strongly agreed to educate traditional birth attendants on the risk of FGM.Conclusion: This study found that the respondents had good knowledge of FGM and its obstetric effects. However, most respondents had a negative attitude towards FGM. Hence, a need for more innovative interventions towards its eradication.
Poisson Probability Count Variable Model and An Eigen-Bayesian Semi Parametric Eigen Autocorrelation for Optimizing Mapping Fentanyl Mortality in Hillsborough County, Florida Jaramillo, Caleb; Gambrell, Alexander; McDonald, Heather; Choudhari, Namit; Mosichs, Sasha; Jacob, Benjamin
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.08

Abstract

Background: Currently, there is a lack of precision count variable models for mapping fentanyl fatalities. The primary objective of this article is to develop a predictive count variable model for mapping county level fentanyl related deaths using scalable zip code capture point census data.Subjects and Method: This ecological study focused on all zip codes within Hillsborough County, Florida. The target population included residents across these zip codes, with fentanyl related mortality data aggregated per area. Total population sampling was applied using secondary data from census and mortality records. The dependent variable was the count of fentanyl related deaths, while independent variables included sociodemographic indicators obtained from the U.S. Census Bureau. Variable measurements were based on standardized public data sources. Data were analyzed using a multicount Poisson regression model. As no overdispersion was detected (variance inflation factor <10), neither negative binomial regression nor stepwise regression was required. Spatial analysis and autocorrelation were conducted using ArcGIS, with the primary predictor further interpolated to identify geographic patterns.Results: Variable selection for the primary predictor was performed by observing the relationship between the standard error of each tested independent variable and its associated Z score. Given the identified relationship between fentanyl mortality and white populations, from the selection process, a spatial autocorrelation hot and cold spot analysis was conducted. This analysis identified zip codes with the highest and lowest predicted likelihood of fentanyl caused deaths (as opposed to deaths where fentanyl was merely present). The identified zip code locations were 33647 and 33810 for the hot spots.Conclusion: Count variable models and autocorrelation hot/cold spot mapping offer a methodological framework for future modeling efforts to predict locations of fentanyl mortality for preven-tative means.
Environmental Knowledge and Participation in Waste Banks: Promoting Plastic Waste Reduction in Borobudur, Magelang, Central Java, Indonesia Sutaryono; Ashar, Hadi; Dyah Kusumawardani, Hastin; Rahmad Hidayat, Anas; Purwanti; Lestari, Puji; Sukamsi; Setyaji, Teguh; Ernawati, Dhanik; Prasasti Ragil Putri Widyaningrum, Maria; Susilowati, Tuti; Subaris Kasjono, Heru
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.06

Abstract

Background: Public awareness of environmental health in waste management is one of the causes of government problems in waste management, especially in tourist destination areas. The behavior of carrying shopping bags is one of the efforts to reduce the volume of non organic waste. The success of this behavior has many influencing factors, so the purpose of this study is to determine the factors associated with the behavior of carrying shopping bags in Borobudur District, Magelang Regency, Central Java, Indonesia.Subjects and Method: Cross sectional analytic survey research in the Borobudur District area of 374 respondents. The time of this research was in November 2023, with a random sampling technique, and the research instrument was a questionnaire. This study analyzes six independent variables , and participants in the waste bank, on the dependent variable. We used the regression test. Logistics in the final stage.Results: High knowledge of waste management (AOR= 2.43; 95% CI= 1.04 to 5.65; p= 0.040) and participate in a waste bank (AOR= 3.27, 95% CI 1.92 to 5.58; p= 0.001) increased plastic waste reduction behavior. This study showed that there was no relationship between education, gender, occupation, and participants in the Reduce, Reuse, Recycle (TPS3R) Waste Management Site program on the shopping bag carrying behavior. Conclusion: High knowledge of waste management and participate in a waste bank increase plastic waste reduction behavior.
Exploring Diabetes Mellitus' Impact on Tuberculosis Outcomes: A Comprehensive Comparative Study Diana, Adawiyah Putri; Adiwinoto, Ronald Pratama; Budiarti, Retno; Soedarsono; Prasetya, Hanung; Putra, Oki Nugraha
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.03

Abstract

Background: Tuberculosis (TB) remains among the top ten global causes of mortality, with approximately 1.3 million deaths annually. Diabetes elevates the risk of active TB and treatment failure, potentially increasing drug-resistant TB (DR-TB). This study aimed to compare treatment success rates between TB patients with and without diabetes mellitus (DM) at Dr. Ramelan Central Naval Hospital, Surabaya.Subjects and Method: This cross-sectional study was conducted from January 2019 to December 2023 at Dr. Ramelan Central Naval Hospital Surabaya. A total of 158 patients with TB-DM and TB-NonDM were selected using total sampling. The independent variables were the Presence of Diabetes Mellitus in TB patients (TB-DM vs. Non-TB-DM). The dependent variable was the treatment success rate. The data were collected from patient medical records and analyzed using a chi-square test to compare treatment outcomes between TB-DM and TB-Non-DM patients.Results: The analysis included 158 medical records. Predominantly affecting those over 45 years, both TB-DM and TB-Non-DM patients commonly underwent six months of treatment, with success rates of 78% in TB-DM and 82.4% in TB-Non-DM cases. The chi-square test yielded a p-value of 0.511, indicating no significant difference in treatment success between the groups. However, older age and HIV-positive status were associated with lower odds of treatment success.Conclusion: Success rates were similar between the groups, showing no significant difference based on DM status. Despite similar success rates, older age and HIV-positive status were associated with lower odds of treatment success.
Physical, Emotional, and Sexual Violence on the Risk of Depression in Young Adult Women Saidah, Ayu; Demartoto, Argyo; Murti, Bhisma; Subijanto, Achmad Arman; Novika, Revi Gamma Hatta
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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.
Stunting and Its Implications on Cognitive Ability and Language Development Mangunsong, Roy Romey Daulas
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.01

Abstract

Background: Stunting, a chronic nutritional disorder from prolonged inadequate intake, affects not only physical growth but also cognitive and language development. Mid-upper arm circumference (MUAC) and maternal education are important predictors of stunting risk. Guided by early childhood development theory, this study aims to analyze the implications of stunting on children's cognitive abilities and language development in Karanganyar Regency to inform effective intervention strategies.Subjects and Method: This was a cross-sectional study conducted in Karanganyar Regency, Central Java, from April to August 2024. A total of 112 children were selected through purposive sampling. The independent variables were stunting status, cognitive ability, mid-upper arm circumference, and maternal education, while the dependent variable was language development. Data were collected through standardized measurements and structured interviews. Logistic regression analysis was performed using Stata 13 to examine the associations between variables.Results: Bivariate analysis revealed that delayed language development was significantly associated with stunting (OR=19.05; p<0.001), poor cognitive ability (OR=18.63; p<0.001), MUAC <13 cm (OR=9.41; p<0.001), and low maternal education (OR=21.21; p<0.001). Multivariate analysis showed that stunting (b=2.09; 95% CI=1.02 to 3.16; p<0.001) and poor cognitive ability (b=2.06; 95% CI=0.99 to 3.13; p<0.001) had direct effects on delayed language development.Conclusion: Stunting directly impairs children's cognitive ability and language development. Additionally, maternal education and mid-upper arm circumference have indirect effects on these outcomes through their influence on stunting. These findings highlight the need for integrated nutritional and educational interventions to promote optimal child development.
Integration of Indonesian National Trauma Guideline into the Emergency Room System (Cipto Code Trauma System) Mulyana, Radi Muharris; Gani, Ascobat
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.02

Abstract

Background: Indonesia has enacted the national trauma guideline since 2017 and Cipto Mangun-kusumo Hospital (CMH) has applied it since 2019 through the establishment of Cipto Code Trauma. This study aimed to describe the compliance, system adherence, performance and outcome associated with the Cipto Code Trauma system.Subjects and Method: This cross-sectional study was conducted at CMH Emergency Room (ER) using direct observations and data from electronic health records (EHRs). Observations were performed on 106 trauma cases by convenience sampling to map clinical and non-clinical components using a checklist. We compared the implemented ER components against the 2017 national trauma guidelines, assessing the system compliance. Total sampling from EHRs was performed on 4,317 trauma patients to assess performance and outcome of Cipto Code Trauma system. The data were analyzed descriptively.Results: Observations from 106 trauma cases indicate that the Cipto Code Trauma meets all criteria from the national trauma guidelines. Performance indicators from 840 patients were achieved, including trauma team activation (87.6%), on-site multidisciplinary consultation (87.6%), time to physician assessment within five minutes (84.4%), except for length of stay under 4 hours (18.5%) and time to operating theatre within two hours (45.5%). Among the 4,317 trauma cases, the mortality rate for patients in the resuscitation category was 0.4%, while 39% of these patients were discharged directly from the ER.Conclusion: The Cipto Code Trauma at CMH has successfully integrated the Indonesian national trauma guidelines, meeting all required standards. However, further improvements are needed to enhance system adherence and performance.
Spatial Analysis of Determinants of Hypertension Incidence in Kota Lama Subdistrict, Kupang, Indonesia Lenda, Dominggus Agustinus Isak; Weraman, Pius; Syamruth, Yendris Krisno; Adu, Apris A; Roga, Anderias Umbu
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.07

Abstract

Background: Cardiovascular diseases such as hypertension, heart attack, and stroke are chronic non-communicable diseases influenced by genetic, physiological, environmental, and behavioral factors. Geographic Information Systems (GIS) can be utilized for spatial analysis to identify risk factors, distribution patterns, and determinants of diseases, including hypertension. This study aims to examine the determinants of hypertension using a spatial analysis approach in Kota Lama Subdistrict, Kupang City.Subjects and Method: This study employed an ecological study design using an observational analytic method with a cross-sectional approach. The population consisted of residents aged ≥18 years in Kota Lama Subdistrict. A total of 400 individuals diagnosed with hypertension were selected using simple random sampling. The variables examined were age, overweight, lack of physical activity, high-salt diet, alcohol consumption, medication adherence, economic level, and distance to health facilities. Instruments used included a sphygmomanometer, microtoise, weight scale, and questionnaire. Spatial analysis was conducted using the GeoDa application with Regression, Bivariate Local Moran’s Index, Multivariate Local Geary, and Spatial Empirical Bayes tests.Results: The results showed significant associations and clustered spatial autocorrelation with low-to-high relative risk (RR) observed in the subdistricts of LLBK, Bonipoi, Solor, Fatubesi, Oeba, Nefonaek, and Pasir Panjang for the variables: age (p=0.001, I=0.70), overweight (p<0.001, I=0.64), lack of physical activity (p=0.00, I=0.63), high-salt diet (p=0.00, I=0.63), and alcohol consumption (p<0.001, I=0.69). There were no significant associations for variables such as irregular medication intake, economic level, and distance to health facilities, with p-values of 1.000 > α (0.050).Conclusion: Age, overweight, physical inactivity, high-salt diet, and alcohol consumption are significant determinants and show positive clustered spatial autocorrelation with hypertension. It is recommended that individuals over 40 years of age regularly monitor their blood pressure, maintain a healthy diet, engage in sufficient physical activity, and for those with hypertension, adhere to regular medication intake.
Factors Associated with Pregnant Women's Compliance with Fit-to-Fly Recommendations at El Tari Airport in 2024 Misnadin, Indri Wahyuningsih; Syamruth, Yendris Krisno; Manurung, Imelda Februati Ester; Weraman, Pius; Nayoan, Christina Rony
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.10

Abstract

Background: Fit-to-fly recommendations for pregnant women are regulated in Indonesia’s civil aviation guidelines. Noncompliance may pose health risks for both mother and fetus during air travel. This study aimed to identify factors associated with pregnant women’s compliance with fit-to-fly recommendations at El Tari Airport in 2024.Subjects and Method: A cross-sectional study was conducted from January to March 2024 at El Tari Airport, Kupang. A total of 130 pregnant passengers who applied for fit-to-fly letters at the BKK Class I Airport Health Post were selected using simple random sampling. The dependent variable was compliance with fit-to-fly recommendations. Independent variables included maternal age, gestational age, parity, education level, travel reasons, document completeness, exposure to information, family support, and maternal knowledge. Data were collected using a structured questionnaire and analyzed using univariate, bivariate, and multivariate methods with multiple logistic regression.Results: Gestational age (OR=6.79; 95%CI: 2.06–22.41; p=0.002), parity (OR=8.00; 95%CI: 2.61–22.54; p<0.001), education level (OR=5.49; 95%CI: 1.47–20.41; p=0.011), and maternal knowledge (OR=6.75; 95%CI: 2.13–21.34; p=0.001) were significantly associated with compliance. Other factors such as exposure to information, maternal age, document completeness, travel reasons, and family support showed no statistically significant association..Conclusion: Gestational age, parity, education level, and maternal knowledge were significant determinants of compliance with fit-to-fly recommendations among pregnant women. These findings highlight the importance of targeted health education and screening prior to air travel during pregnancy.
Effect of Parenting Style on the Incidence of Sibling Rivalry in Children in Surakarta, Central Java Ropitasari; Widiastuti, Nindy; Fajriyani, Fanny Kartika; Karimah, Nahdiyah
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.09

Abstract

Background: Proper parenting can reduce incidents of jealousy, competition, or arguments. (siblings' rivalry) a child towards the presence of a new sibling. One solution to the sibling effect rivalry through parents who encourage children to change their behavior, knowledge, and values that are considered appropriate so that children can be independent, grow and develop healthily and optimally, and have a sense of believe self, characteristic flavor want to know, friendly, and oriented towards progress without drop the one others. This study aimed to analyze the influence of parenting patterns on sibling rivalry in children in Surakarta.Subjects and Method: This study employed a cross-sectional design and was conducted in the Sangkrah area, Surakarta, Indonesia. The study population consisted of parents who had more than one child under the age of five. A total of 120 respondents were selected using systematic random sampling. The independent variable in this study was parenting patterns, while the dependent variable was sibling rivalry, which was measured using a nominal scale. Data were collected directly through a structured questionnaire. The data were then analyzed using bivariate analysis with the Chi-Square test.Results: The study showed that 77.5% (93 children) experienced sibling abuse. rivalry among them, 7 people have an authoritarian parenting style (5.8%), 101 people have a democratic (84.2%), 78 people have a permissive (65%), and 11 parents have a passive (9.2%). Permissive (OR= 1.65; 95% CI= 0.68 to 3.98) and passive parenting style (OR = 2.29; 95% CI = 0.54 to 9.66) increased the likelihood of sibling rivalry, by the associations were statistically non-significant.Conclusion: There is no significant influence of the four parenting patterns on sibling incidents. rivalry is insignificant.

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