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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. 10 No. 3 (2025)" : 22 Documents clear
Justification of Intimate Partner Violence among Women of Reproductive Age in Nigeria: Analysis of 2011-2021 Multiple Indicator Cluster Surveys Sanni, Olaniyi Felix; Sanni, Abike Elizabeth; Ahamuefula, Tukwasi; Akeju, Oluwadare Peter; onyeagwaibe, Collins Isioma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (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.2025.10.03.01

Abstract

Background: Women around the world face Intimate Partner Violence (IPV) as one of the most widespread forms of abuse, making it a serious public health issue globally. This study seeks to analyse multi-year trends in the justification of intimate partner violence in Nigeria and identify key influencing factors.Subjects and Method: This cross-sectional study used data from the 2011, 2016/17, and 2021 Nigeria MICS, targeting women aged 15–49 across the country. A stratified two-stage sampling design ensured national representation. Justification of intimate partner violence was the main outcome, analysed using binomial logistic regression. Crude and adjusted odds ratios were estimated, with significance set at p < 0.050.Results: The prevalence of IPV justification was 37.2%. The trend peaked in 2011 at 37.3%, a decrease to 30.1% in 2016/17, and a rise to 32.6% in 2021. Factors associated with higher odds of IPV justification include women aged 25 to 34 (AOR= 0.96) and 44 to 49 (AOR= 0.85), non-formal education (AOR= 1.69), primary education (AOR= 1.84), and secondary education (AOR= 1.641). Additionally, living in rural areas (AOR= 1.278), being pregnant (AOR= 1.11), having a husband or partner with multiple spouses (AOR= 1.25), and belonging to the poorest (AOR= 1.92), middle (AOR= 1.63), or fourth (AOR= 1.48) wealth quintiles are linked to an increased likelihood of justifying IPVt.Conclusion: This study’s findings can assist the government and relevant organizations in designing strategies to reduce IPV justification by introducing proper education, poverty alleviation programs, and enlightening campaigns.
A Stress and Resilience Among Adolescents Experiencing Unintended Pregnancy: A Scoping Review Jumiati, Raodiatul; Astuti, Andari Wuri; Hakimi, Mohammad
Journal of Epidemiology and Public Health Vol. 10 No. 3 (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.2025.10.03.03

Abstract

Background: Unintended pregnancy (UP) among adolescents represents a global issue with profound psychological, social, and emotional consequences. Adolescents experiencing UP often face social stigma, family pressure, and uncertainty about their future, which can lead to prolonged psychological distress. This study aims to explore the experiences of stress and the resilience strategies employed by adolescents dealing with UP.Subjects and Method: This research employs a scoping review methodology based on the Arksey and O’Malley framework, with the population consisting of adolescents, teenage girls, and young mothers. The concepts included stress, stress experience, resilience strategies, and coping mechanisms, and the context was applicable across various settings. Literature was sourced from databases such as PubMed and ScienceDirect. Inclusion criteria comprised scholarly publications in English or Indonesian, primary research articles or relevant reviews addressing similar themes, and studies published within the last 10 years to ensure relevance. The PRISMA Flowchart illustrated the selection process, while the critical appraisal of the selected articles followed the Joanna Briggs Institute (JBI) guidelines.Results: UP is a significant contributor to psychological stress among adolescents, driven by social stigma, isolation, and a lack of emotional support. Nevertheless, resilience emerges as a crucial factor in managing such stress. Protective factors such as support from family and peers and emotional regulation training are pivotal in enhancing adolescent resilience.Conclusion: Community-based interventions focusing on fostering resilience through the development of psychological skills and stress management strategies are essential for supporting the mental health of pregnant adolescents.
Unwanted Pregnancy and Maternal Mental Health Based on the WHO SRQ-20: A Meta-Analysis Saefurrohim, Muhamad Zakki; Azmiardi, Akhmad; Wisnuwardani, Ratih Wirapuspita; Al-Ayubi, Moch Thoriq Assegaf; Basrowi, Ray Wagiu; Yuliana, Roma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (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.2025.10.03.04

Abstract

Background: The WHO (2019) reported that approximately 10% of pregnant women and 13% of postpartum women globally experience maternal mental health disorders. Several studies have identified unintended pregnancy as a contributing factor to these disorders. This systematic review and meta-analysis aimed to analyze and estimate the association between unintended pregnancy and maternal mental health disorders (MHD), using studies that applied the WHO Self-Reporting Questionnaire-20 (SRQ-20).Subjects and Method: A systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO (CRD42025634410). Article searches were conducted up to January 15, 2025, in PubMed, ScienceDirect, Google Scholar, and Scopus using the keywords: “SRQ” AND (“mental health” OR “psychological well-being” OR “mental disorder”) AND (“unwanted pregnancy” OR “unintended pregnancy” OR “unplanned pregnancy”) AND (“mother” OR “maternal”). Inclusion criteria focused on observational studies using the WHO SRQ-20 to assess maternal mental health among women with unintended and intended pregnancies. Meta-analysis was performed using R Studio, with effect sizes reported as risk ratios (RR) or adjusted odds ratios (aOR) and 95% confidence intervals. Heterogeneity was assessed using the I² statistic, and funnel plots were generated to examine publication bias.Results: A total of 12 studies from Ethiopia, Indonesia, India, Vietnam, Brazil, and Malawi, comprising 85,862 participants, were included in this meta-analysis. A total of 12 studies with a total of 85,862 participants were analyzed in this meta-analysis. The results showed that unintended pregnancy significantly increased the risk of maternal MHD. This finding was consistent in both cohort and cross-sectional studies, with effect sizes of (RR = 1.49; CI95%= 1.03 to 2.15; p= 0.030) and (aOR= 1.83; CI95%= 1.35 to 2.47; p < 0.001), respectively.Conclusion: These findings highlight the strong association between unintended pregnancy and MHD. Limitations include high heterogeneity among studies, potential publication bias, and the predominance of observational designs, which preclude causal inferences. Despite these limitations, the results underscore the need for interventions that prioritize the overall health of pregnant women.
The Impact of Childhood Trauma on Adolescent Sexual Health: A Scoping Review Fitriya, Yuni; Rokhanawati, Dewi; Askuri
Journal of Epidemiology and Public Health Vol. 10 No. 3 (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.2025.10.03.05

Abstract

Background: Violence against children is a serious global problem. The United Nations reports that more than one billion children experience violence every year. Childhood trauma resulting from such violence has a significant impact on adolescent sexual health, increasing the risk of early sexual initiation and sexually transmitted infections. This study aimed to identify the nature and scope of available research literature on the impact of childhood trauma on adolescent sexual health.Subjects and Method: This was a scoping review within the Arkey and O'Maley approach. The framework used in this study employed PCC (population, concept, and context). The population includes adolescents with childhood trauma, the concept focuses on adolescent sexual health, and the context is childhood trauma. The inclusion criteria in this study were primary research articles using English or Indonesian published in the last 10 years (2015 to 2025), full-text articles, and free. Article selection used Rayyan described in the PRISMA Flowchart, and the Critical Appraisal article assessment used Joanna Briggs Institute (JBI).Results: The results of the study, which included a total of 9 articles, stated that childhood trauma in children can be caused by various forms of violence against children, including physical violence, sexual violence, verbal violence, parental divorce, domestic violence, and neglect. All types of childhood trauma are significantly associated with risky health outcomes such as early sex, unmarital sex, teenage pregnancy, being a teenage parent, consuming illegal drugs and alcohol, and early puberty. Each increase in the type of childhood trauma experiences significantly increases risky sexual health.Conclusion: Adolescents who have childhood trauma are more at risk of various types of high-risk health behaviors such as early sexual intercourse, casual sex, teenage pregnancy, becoming teenage parents, at risk of Sexually Transmitted Infections (STIs), early puberty, consuming illegal drugs and alcohol, and committing violence.
Children Under 5 Years as Predicting Dengue Transmission in Kebumen District, Indonesia: Case Study Mapping Approaches Susanto, Nugroho; Izhar, M. Dody; Manangsang, Frans
Journal of Epidemiology and Public Health Vol. 10 No. 3 (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.2025.10.03.02

Abstract

Background: Dengue disease is still a problem in the world. Factors affecting population main importance for dengue transmission. The dengue cases severity 34.40% in Indonesia, and the study area is an endemic dengue. The study aimed to determine factors causing dengue transmission in the Kebumen district, Central Java Province.Subjects and Method: A cross-sectional study was conducted in 460 villages in Kebumen district, Central Java. The study was conducted in 2024 by taking dengue data from medical records in the period January 2023 to December 2023. The number of dengue cases during the study period was 395 cases that were diagnosed. The dependent variable is transmission zone. The status village transmission is a number of dengue cases> 2 cases in the village during the study based on medical records. The independent variables are children under 5 years, the incidence rate of dengue, the incidence rate area, the incidence rate density, and population age > 70 years (elderly). Data of dengue cases were obtained from medical record. The data were analyzed with an independent t-test, linear regression test, and survival test (Cox proportional hazards).Results: The incidence rate averaged 30.17 higher than the government standard, with 10 cases/ 100,000 population for each village, and was higher in March. The population, density, children under 5 years, elderly upper 70 years, incidence density, incidence case, incidence areas, and large no significant differences between village transmission and no transmission p≤0.050, and variable contributing to dengue transmission R2= 0.39 or 39.20%. The hazard time for infection (HR = 0.62; CI95%= 0.46 to 0.83).Conclusion: The zone is high risk for dengue transmission, 24.6% of the 460. The factors significantly related to dengue transmission in the village as population size, population density, children under 5 years, elderly upper 70 years, incidence density, incidence case, and incidence area contributing to dengue transmission, R2= 0.39. The main factor contributing to dengue transmission is incidence density, β= 69.95.
Determinants of Dementia Among the Elderly in Jakarta, Indonesia Umeda, Miciko; Widiyanto, Aris; Muhdiana, Dedy; Herlina, Lily; Atmojo, Joko Tri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (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.2025.10.03.06

Abstract

Background: The incidence of dementia rises sharply, and it is expected to grow worldwide in the decades ahead. This study aimed to investigate the determinants of dementia among the elderly in Jakarta, Indonesia.Subjects and Method: A cross-sectional design was employed in the Aisyah organization at Jakarta City, Indonesia. A total of 65 elderly people were selected using Stratified random sampling. The dependent variable was dementia. The independent variables were education, occupation, married status, and exercise routine. The dementia was assessed using the Mini-Mental State Examination (MMSE) questionnaire, which was translated into Bahasa. Results: The participants had an education level of high school or below (52.31%), were not married (53.85%), and were not working (55.38%). The majority reported frequent exercise (92.31%), and 44.62% were identified with dementia. Bivariate analysis showed that higher education (OR = 0.92; 95% CI= 0.26 to 3.22; p= 0.002) and being married (OR= 0.94; 95% CI= 0.34 to 2.61; p= 0.020) were significantly associated with lower dementia risk. Exercise routine showed a strong protective effect (OR = 0.17; 95% CI= 0.01 to 1.79; p= 0.043), while occupational status was not significantly associated (p= 0.074). In multivariate analysis, only exercise routine remained significantly associated with dementia (OR= 0.17; 95% CI= 0.01 to 1.78; p= 0.042), suggesting it as an independent protective factor after controlling for confounders.Conclusion: Regular physical activity was identified as a significant protective factor against dementia among the elderly. Promoting exercise may be an effective strategy for dementia prevention in this population.
Effect of Banana Consumption to Reducing Hyperemesis Gravidarum In Pregnant Women Puspitasari, Indah; Dewi, Anggit Yonika; Kulsum, Ummi
Journal of Epidemiology and Public Health Vol. 10 No. 3 (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.2025.10.03.08

Abstract

Background: Hyperemesis gravidarum (HG) is a severe form of nausea and vomiting during pregnancy that can lead to dehydration, weight loss, and nutritional deficiencies, posing risks to both maternal and fetal health. Exploring the potential of banana consumption as a natural, accessible intervention may offer a simple dietary strategy to alleviate HG symptoms and improve maternal well-being. This study aimed to determine whether banana comsumption contributes to a decrease in the number of cases of nausea and vomiting experienced by pregnant women. Subjects and Method: This was a quasi experiment conducted at the Mitra Siaga Hospital, Tegal, Central Java, Indonesia, in April-May 2024. A number of 30 pregnant women with hyperemesis gravidarum was selected using purposive sampling. Hyperemesis gravidarum was measured using Pregnancy Unique Quantification of Emesis and Nausea (PUQE) questionnaire. Difference score of hyperemesis gravidarum before and after intervention was examined using t test. Results: The results of the Wilcoxon test before and after consuming bananas with Confidence Interval 95% showed p-value = 0.000, with a significance level of p-value 0.000 < 0.05, which indicates that banana consumption is effective in reducing complaints of nausea and vomiting in hyperemesis gravidarum mothers at Mitra Siaga Hospital, Tegal. The results of the linear regression test of the effect of banana consumption on hyperemesis gravidarum t value = 20.110 > t table and the significance level of p-value 0.000 < 0.05, which indicates that banana consumption has a positive and significant effect on reducing complaints of nausea and vomiting in mothers with hyperemesis gravidarum at Mitra Siaga Hospital, Tegal. Conclusion: Banana consumption can reduce vomiting in pregnant women.
Effect of Early Mobilization on Intestinal Peristaltic Recovery As Prevention of Paralytic Ileus in Post Cesarean Section Patients khoirunnisa, fania; Muna, Nailil; Tristanti, Ika; Rahmawati, Ashri; Purbowati
Journal of Epidemiology and Public Health Vol. 10 No. 3 (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.2025.10.03.07

Abstract

Background: The majority of cesarean section deliveries use spinal anesthesia which can have an effect on the deterioration of the gastrointestinal system so that intestinal peristalsis becomes slow. Slow intestinal peristaltic function leads to difficulty defecation and prolongs the day of treatment, in some cases can increase the risk of paralytic ileus. To prevent the risk of complications, intervention can be carried out in postoperative cesarean section patients with early mobilization. This study aims to determine the effect of early mobilization on intestinal peristaltic recovery in post- cesarean section patients. Subjects and Method: This was a quasy experiment conducted at Islamic Hospital in Demak, Central Java, from July to December 2024. A sample of 58 post-cesarean section mothers was selected using purposive sampling and divided into two groups. Assessment of intestinal peristaltic variables through auscultation examination with a stethoscope and early mobilization using observation sheet instruments. Intestinal peristaltic recovery between two groups were examined logistic regression. Results: There was a difference in intestinal peristaltic recovery in post- cesarean section patients between the intervention group and the control group (p=0.000) with the mean value of intestinal peristalsis in the intervention group of 25.45 (SD=6.07) and in the control group of 11.38 (SD=7.69). Patients who were given early mobilization had a 4.48 times faster chance of recovery of intestinal peristalsis. Conclusion: Early mobilization had a positive impact on the recovery of intestinal peristaltic (p<0.05). Health workers should not only provide education, but also assistance in the implement-tation of early mobilization, especially in the first 24 hours post- cesarean section.Keywords: early mobilization, intestinal peristaltics, post cesarean section.
Effect of Noise Exposure on Occupational Stress and Hypertension among Workers: a Meta-Analysis Widjanarti, Maria Paskanita; Sumardiyono; Wardani, Aurina Firda Kusuma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (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.2025.10.03.09

Abstract

Background: The work environment greatly affects the health condition of the workers so that there are no work-related accidents or occupational diseases. Noisy physical environmental factors above the threshold value have a risk of causing occupational diseases such as psychological work stress and hypertension. This study aims to analyze the effect of noise exposure on occupational stress and hypertension among workers. Subjects and Method: This study is a systematic review and meta analysis with the following PICO. P: working society, I: exposure noise ≥85 dBA, C: not exposed to noise ≥85 dBA, O: Stress and Hypertension. This study used of articles published between 2009 and 2022 were comprehensively searched for using electronic databases like PubMed, ProQuest, Scopus, and Google Scholar. The keywords to search for articles were “noise exposure” OR “occupational noise” AND “occupational stress” OR “work stress” AND “hypertension”. The adjusted odds ratio was used to evaluate the effect size (aOR). To evaluate the bias risk, the Critical Appraisal Skill Program (CASP) was used. Articles were analyzed using the Review Manager 5.3 application. Results: This study includes 14 papers, using cross-sectional and case-control study designs, from Asia, including Indonesia, Malaysia, China, Jordan, and South Korea. Based on 5 studies cross-sectional on the effects of exposure to noise in the event of work stress, work stress increases 4.88 times compared to workers who are not exposed to noise (aOR=4.88; 95% CI= 1.77 to 13.47; p= 0.002). 9 subgroup studies with cross-sectional and case-control study designs on the effect of noise exposure showed an increase of 2.47 times the incidence of hypertension compared to workers who were not exposed to noise at work (aOR= 2.47; 95% CI= 1.75 to 3.48; p<0.001). Conclusion: Exposure to noise increases the risk of work-related stress and hypertension. Suggestions that can be made are to carry out engineering, periodic measurements, work time management, workforce education and use of PPE.
The Impact of Long-Term Particulate Matter with Diameter Micrometers ≤2.5 Exposure on Type 2 Diabetes Risk: A Meta-Analysis Anggraeni, Titik
Journal of Epidemiology and Public Health Vol. 10 No. 3 (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.2025.10.03.10

Abstract

Background: The rising global prevalence of type 2 diabetes (T2D) has prompted investigations into environmental risk factors beyond traditional lifestyle causes. Air pollution, particularly fine particulate matter (PM₂.₅) has emerged as a potential contributor to diabetes. This systematic review synthesizes evidence from large scale cohort studies to evaluate the association between long term air pollution exposure and T2D risk. Subjects and Method: We analyzed prospective cohort studies (2020–2025) assessing air pollution and incident T2D, sourced from PubMed, Web of Science and EMBASE using the search terms: ("air pollution" OR "PM2.5") AND ("type 2 diabetes" OR "T2D") AND ("cohort" OR "longitudinal"). We using PECO framework (Populatio= adults population; Exposure=High Exposure of PM2.5; Comparison=Low Exposure of PM2.5; Outcomes=T2D). The independent variable was Exposure of PM2.5 and dependent variable was T2D. Primary studies included were cohort manuscript published in english with year of publication between 2020 until 2025, reported adjusted hazard ratios (aHR), and the subjects was adults without diabetes at baseline. Studies were evaluated using the CASP Scale, and data were analyzed using RevMan 13. Results: This study includes 9 papers, using Cohort study designs, from China, United Kingdom, South Korea and United States. PM₂.₅ exposure consistently increased T2D risk with stronger effects at lower exposure levels (aHR = 1.24; 95% Cl = 1.07 to 1.42; p=0.004). Conclusion: Long-term PM₂.₅ exposure significantly increases T2D risk and progression

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