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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 24 Documents
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Search results for , issue "Vol. 6 No. 1 (2021)" : 24 Documents clear
The Association between High Body Mass Index and Mortality Risk in Hospitalized Patients Diagnosed with COVID-19: A Meta-Analysis Maung, Yuzana; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2021.06.01.08

Abstract

Background: COVID-19, caused by severe acute respiratory coronavirus 2 (SARS-CoV-2), emerged as a global pandemic with confirmed death cases of more than 1.27 million worldwide. Since the past pandemic, several studies discovered the adverse effects of excess fat accumulation on the severity of viral infections. This study aimed to investigate the association between high body mass index (BMI) and mortality risk in hospitalized COVID-19 patients based on four categories of high BMI ranges. Subjects and Method: A systematic review and Meta-Analysis was conducted using search articles from electronic databases including PubMed, Google Scholar, and Scopus, published from 2019 to 2021. The keywords used to retrieve articles were "Body Mass Index" OR BMI OR Obesity OR Overweight) AND (Mortality OR Death) AND COVID-19 OR SARS-CoV-2. The included studies were full-text articles published in the English language, reporting adjusted odds ratios from multivariate analysis. The eligibility criteria were defined using PICO model. The article selection was conducted using PRISMA flow chart. The included studies were analyzed by the Review Manager 5.3 application. Results: A total of nine cohort studies involving 12,907 COVID-19 patients with high BMI conducted from America, Europe, and Georgia regions was included in qualitative synthesis and Meta-Analysis. The pooled estimate showed hospitalized COVID-19 patients with morbid/ class III obesity had a higher risk of mortality (aOR= 1.77; 95% CI= 1.27 to 2.47; p= 0.001) than overweight (aOR= 1.10; 95% CI= 1.00 to 1.21; p= 0.060), class I (aOR= 1.16; 95% CI= 0.87 to 1.55; p= 0.300), and class II obesity (aOR= 1.54; 95% CI= 1.11 to 2.13; p= 0.009). Conclusion: High BMI increases the risk of mortality in hospitalized COVID-19 patients. A potential dose-response relationship may exist between different categories of high BMI range and mortality risk in COVID-19 patients.  
Hypertension, Gender, Older Age, and Their Relationships with COVID-19 Mortality: Meta-Analysis Permata, Annissa Devi; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Epidemiology and Public Health Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2021.06.01.10

Abstract

Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCoV-2). SARS-CoV-2 is a new type of coronavirus that has never been previously identified in humans. Globally, 213 countries (as of August 11, 2020) are facing serious consequences from the ongoing COVID-19 pandemic. This study aimed to analyze the magnitude of the relationship of hypertension, gender, and older age to COVID-19 mortality with a meta-analysis study. Subjects and Method: This was a systematic review and meta-analysis conducted by following the PRISMA flow diagram. The article search process is carried out through a journal database which includes: PubMed, Science Direct, Springer Link, and PMC Europe by selecting articles published in 2020-2021. The keywords used included: “sex” OR “gender” AND “older age” AND “hypertension” AND “mortality” OR “death” OR “fatal outcome” OR “Predictors outcome” OR “Impact” AND “coronavirus” OR “Covid-19” OR “SARS-COV-2” OR “2019 n-Cov” OR “severe acute respiratory syndrome related coronavirus”. The inclusion criteria were full text articles with a retrospective cohort study design. The article is in English, and the analysis used is multivariate with adjusted Odds Ratio. Eligible articles were analyzed using the Revman 5.3 app. Results: A total of 20 articles were reviewed in this study. A meta-analysis of 10 retrospective cohort studies showed that hypertension increased COVID-19 mortality by 1.40 times compared with no hypertension (aOR= 1.40; 95% CI= 1.04 to 1.89; p = 0.030). A meta-analysis of 10 retrospective cohort studies showed that males had a 1.42 times increased risk of COVID-19 mortality compared to females (aOR= 1.42; 95% CI= 1.20 to 1.67; p<0.001). Meta-analysis of 7 retrospective cohort studies showed that old age has a 3.42 times increased risk of COVID-19 death compared to younger age (aOR=4.15; 95% CI= 2.35 to 7.32; p <0.001). Conclusion: Hypertension, gender, and old age increase the risk of dying from COVID-19.
Associations between HIV Status Disclosure, Social Support, and Adherence to and Antiretroviral Therapy in Adults Patients with HIV/AIDS Habibi, Mustainu; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2021.06.01.11

Abstract

Background: Antiretroviral therapy (ART) has been successful in increasing the life span and quality of life of people living with HIV. The success of antiretroviral treatment can be assessed from the patient's compliance in taking the drugs prescribed by the doctor at the right time and at the right dose. Disclosure of HIV status and social support are factors associated with adherence to antiretroviral therapy (ART). This study aims to estimate the magnitude of disclosure of HIV status and social support with antiretroviral therapy adherence to adult patients with HIV/AIDS with a meta-analysis study. Subjects and Method: This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Article searches were conducted through journal databases including: Google Scholar, PubMed, Springer Link, Clinical key and ProQuest. The articles used in this study are articles that have been published from 2010-2021. The keywords to search for articles are as follows: "disclosing HIV and antiretroviral adherence", "Social Support or family support and antiretroviral adherence". The inclusion criteria were full text with cross-sectional study design, articles in English, multivariate analysis with adjusted odds ratio. Eligible articles were analyzed using the Revman 5.4 application. Results: A meta-analysis of 9 observational studies showed that patients who disclosed their HIV status increased adherence to antiretroviral therapy 2.3 times compared to patients who did not disclose significantly (aOR= 2.36 95% CI= 1.75 to 3.19; p< 0.001). A meta-analysis of 9 observational studies showed that patients who received social support significantly increased adherence to antiretroviral therapy 1.4 times compared to patients who did not have support (aOR= 1.46; 95% CI= 1.08 to 1.97; p= 0.010). Conclusion: Disclosure of HIV status and social support improves adherence to antiretroviral therapy in adult patients with HIV/AIDS.
The Effect of Acupuncture Therapy on Reducing Blood Pressure in Hypertension Patients: Meta-Analysis Hapsari, Faricha Indra; Rahardjo, Setyo Sri; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2021.06.01.12

Abstract

Background: Acupuncture is a traditional Chinese medicine for treating ailments, including diseases of the cardiovascular system, such as hypertension. Acupuncture modulates neurohumoral regulatory systems and cardiovascular function. This study aims to estimate the effectiveness of acupuncture therapy in reducing blood pressure in hypertensive patients. Subjects and Method: This was a systematic review and meta-analysis, with PICO, namely Population= hypertension cases aged 20-80 years. Intervention= acupuncture therapy. Comparison= Sham/ Placebo/ No Treatment Acupuncture. Outcome = Blood pressure. The articles used in this study were obtained from several databases including Google Scholar, MEDLINE/ PubMed, Science Direct, Hindawi, BMC, Europe PMC and Springer Link. These articles were collected for 1 month. The keywords to search for articles were as follows: “acupuncture”, “hypertension”, “randomized controlled trial”, “hypertension randomized controlled trial”, “acupuncture randomized controlled trial”, “acupuncture for primary hypertension”, “acupuncture for hypertension essential” AND “acupuncture for blood pressure”. The articles included in this study are full text articles with a randomized controlled trial study design. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager application (RevMan) 5.3. Results: A total of 9 articles were reviewed in this meta-analysis. Articles are from Boston, Germany, Korea, China, India and Taiwan. The study showed that acupuncture therapy was able to reduce systolic blood pressure with the Standardized Mean Different by 0.54 compared to sham acupuncture /placebo/no treatment (SMD= 0.54; 95% CI= -1.04 to -0.04; p<0.05). Acupuncture reduced diastolic blood pressure 0.49 units (SMD= 0.49; 95% CI= -0.99 to 0.02; p>0.05) compared to sham acupuncture/ placebo, but it was statistically non significant. Conclusion: Acupuncture can reduce systolic blood pressure, but it is less significant in reducing diastolic blood pressure in hypertensive patients.

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