cover
Contact Name
Firman Pardosi
Contact Email
par­do­si­.­fp­@­gmail.com
Phone
+6285261­42­3­8­65
Journal Mail Official
par­do­si­.­fp­@­gmail.com
Editorial Address
Universitas Sebelas Maret, Jl. Ir. Suta­mi­ 36A, Su­rakarta 57126, Central Java
Location
Kota surakarta,
Jawa tengah
INDONESIA
Journal of Epidemiology and Public Health
ISSN : 25490273     EISSN : 25490273     DOI : -
Core Subject : 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
Search results for , issue "Vol. 7 No. 1 (2022)" : 24 Documents clear
Relationship Between Smoking and Ischemic Stroke: Meta Analysis Sakinah, Sakinah; Nugroho, Septyan Dwi
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.84 KB) | DOI: 10.26911/jepublichealth.2022.07.01.10

Abstract

Background: Ischemic stroke is a non-communicable disease that has irreversible and modifiable risk factors. One of the risk factors that can be changed in preventing ischemic stroke is smoking behavior. The purpose of this study was to determine the relationship between smoking and the incidence of ischemic stroke from several previous studies. Subjects and Method: This article was compiled with a systematic review and meta-analysis study. This study uses the PICO model as follows. Population= Patients at Risk of Ischemic Stroke, Intervention= Smoking, Comparison= Not Smoking, and Outcome= Ischemic Stroke Incidence. The articles used in this study were obtained from several databases including PubMed and ScienceDirect. This article was collected within 1 month. The keywords to search for articles were as follows: Current AND Smoking OR Tobacco OR Cigarettes AND Hypertension AND "Ischemic Stroke" OR CVA (Cerebrovascular Accident). Results: Nine articles reviewed in this meta-analysis were from Lebanon, Mexico, Pakistan, Finland, Pakistan, United States of America, Saudi Arabia, Bangladesh, Iran. In this study, smokers had a 1.66 times risk of developing an ischemic stroke compared to nonsmokers and it was statistically significant (aOR= 1.66; 95%CI= 1.48 to 1.86; p< 0.001). People who smoked had a 1.66 times risk. experienced the incidence of isleemic stroke compared to non-smokers and was statistically significant (aOR= 1.66; 95%CI= 1.48 to 1.86; p< 0.001). Conclusion: Smoking has a relationship with the occurrence of ischemic stroke in at-risk patients. Keywords: smoking, hypertension, ischemic stroke. Correspondence: Septyan Dwi Nugroho. Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: septyandwin@gmail.com. Mobile: 081804418933.
The Relationships between Physical Activity, Sleep Duration, Alcohol Consumption, and Hypertension in Adults: Meta-Analysis Saraspuri, Niken Putri Eka; Kusuma, Nisa Nur
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.65 KB) | DOI: 10.26911/jepublichealth.2022.07.01.01

Abstract

Background: Hypertension is a disease that causes damage to body systems. Risk factors for hypertension are changes in socioeconomic, environmental, and unhealthy lifestyle such as smoking, lack of physical activity, high-fat and high-calorie foods, and alcohol consumption. This study aims to analyze the relationship between physical activity, sleep duration, and alcohol consumption on the incidence of hypertension in adults with a meta-analysis study. Subjects and Method: This study is a systematic review and meta-analysis with the population: adults (>18 years old). Intervention: low physical activity, short sleep duration and frequent alcohol consumption. Comparison: moderate physical activity, normal sleep duration, and no alcohol consumption. Outcome: the incidence of hypertension. The articles used were obtained from several databases: PubMed, SpringerLink, ScienceDirect, and Google Scholar. The keywords are: “physical activity” OR exercise” AND “sleep duration” AND “alcohol consumption” AND "hypertension" OR “high blood pressure”. The article used was a full-text article with a cross-sectional study design and the results were reported in aOR. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 27 articles in this study came from 4 continents, namely Asia (South Korea, China, Lebanon, Thailand), Africa (Cameroon, Uganda, Ethiopia, Sudan), Europe (Poland, France, Portugal, Spain) and America (United States of America). The forest plot results showed that adults with low physical activity had 1.41 times higher risk to experience hypertension compared to people who did moderate physical activity (aOR = 1.41; 95% CI = 1.22 to 1.62; p < 0.001). Short sleep duration increased the incidence of hypertension by 1.19 times higher compared to normal sleep duration (aOR = 1.19; 95% CI = 1.06 to 1.32; p = 0.002). Frequent alcohol consumption increased the incidence of hypertension by 1.29 times higher compared to no alcohol consumption (aOR=1.29; 95% CI = 1.12 to 1.49; p=0.0006). Conclusion: Physical activity, sleep duration, and alcohol consumption increase the incidence of hypertension in the adult population.
Meta-analysis of the Effect of Excess Waist Circumference on Hypertension Incidence in Adolescents Zuhaira, Ulul Azmi; Irwan, Viola Fathia
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.79 KB) | DOI: 10.26911/jepublichealth.2022.07.01.06

Abstract

Background: Hypertension is a condition characterized by blood pressure measurements showing a systolic pressure of >130 mmHg and a diastolic pressure of >80 mmHg. There are so many cases of hypertension in adolescents that begin with being overweight or obese. One way to determine a person's level of obesity is by measuring the waist-to-hip ratio. This study was aimed to analyze the effect of excess waist circumference on the incidence of hypertension in adolescents. Subjects and Method: This study is a meta-analysis study with the following PICO, population: adolescents. Intervention: excess waist circumference. Comparison: normal waist circumference. Outcome: hypertension. This study uses PRISMA flowchart guidelines. The article search process was carried out between 2011-2021 using online databases, namely PubMed, Google Scholar, and Science Direct. Based on the database, there were 9 articles that met the inclusion criteria. The analysis was carried out using RevMan 5.3 software. Results: There are 9 cross-sectional studies originating from 2 continents, namely America and Asia. Based on the data showed that adolescents with excess waist circumference increased the risk of hypertension 1.59 times compared to adolescents with normal waist circumference (aOR= 1.59; 95% CI= 1.00 to 2.52; p= 0.050). Conclusion: Excess waist circumference increases the risk of hypertension in adolescents. Keywords: hypertension, waist circumference, teens Correspondence: Ulul Azmi Zuhaira. Politeknik Kesehatan Kemenkes Malang. Jl. Besar Ijen No. 77 C, Oro-oro Dowo, Kec. Klojen, Kota Malang, Jawa Timur. Email: ululazmizuhaira@gmail.com. Mobile: +62822-4501-2258.
Relationship of High Stress with Hypertension in Adults: Meta Analysis Ni'mah, Siti Luluk Khamidahtun; Sukma, Sukma
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.996 KB) | DOI: 10.26911/jepublichealth.2022.07.01.11

Abstract

Background: Hypertension is a condition that causes a person to experience a drastic increase in blood pressure. Hypertension is often referred to as the silent killer because it can damage target organs such as the brain, eyes, kidneys, heart and arteries. Based on the cause, the increase in blood pressure can occur due to essential or primary hypertension such as high stress. The aim of this study was to estimate the relationship between high stress and hypertension in adults, with a meta-analysis of the primary study conducted by the previous authors. Subjects and Method: This study is a meta-analysis using the PICO ie, population: adults; Intervention: high stress; Comparison: low stress; Result: hypertension. The articles used in this study were obtained from two databases, namely Pubmed and Google scholar. The keywords in the article search were “adults” AND “high stress” AND “low stress” AND “hypertension” cross-sectional or “Stress” AND “hypertension”. The included article is in full English with a cross-sectional study design for 2014 to 2021 and reports the adjusted odds ratio (aOR) in a multivariate analysis. Article selection using PRISMA flow chart. Article analysis using the Review Manager 5.3 application. Results: 10 articles with a cross sectional study involving 3,436 adults from 4 continents namely Asia, Europe, Africa and America to be used as a systematic review and meta-analysis. The data collected showed that high stress had a relationship with the occurrence of hypertension in adults as much as 1.66 times compared to adults with low stress (aOR=1.66; 95%CI= 1.28 to 2.17; p= 0.002). Conclusion: High stress has a relationship with hypertension in adults. Keywords: adults, high stress, hypertension Correspondence: Siti Luluk Khamidahtun Ni’mah. District Health Office of Ponorogo. Jl. Basuki Rahmad, Ponorogo, East Java, Indonesia. Email: lulupanma@gmail.com. Mobile: 08562563503.
Population Behavior and Practices during the First Wave of COVID-19 Pandemic in Low Resource-Conditions of South Kivu, East of Democratic Republic of Congo Ayagirwe, Rodrigue Balthazar Basengere; Birindwa, Bwihangane; Baharanyi, Chasinga; Patrick, Baenyi; Kashosi, Theophile; Parvine, Basimane Bisimwa; Ronald, Tonui; Yannick, Mugumaarhahama; Valence, Mutwedu; Joyeux, Bwami Baharanyi; Dieudonné, Wasso Shukuru; Patrick, Bisimwa Ntagereka; Denis, Mukwege
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (35.941 KB) | DOI: 10.26911/jepublichealth.2022.07.01.02

Abstract

Background: In DR Congo, South Kivu is among the cities most affected by COVID-19 with its dense population and common mass movement. This study aimed to investigate the population behavior and practices during the spread period of Corona in South Kivu, East of the Democratic Republic of Congo. Subjects dan Method: A cross-sectional analytical study was undertaken in South Kivu province and included 800 hundred individuals. The survey questionnaire was designed and comprised information on independent variables including socio-demographic and socioeconomic parameters, travel history of individuals, and person's history of COVID-19 comorbidity factors. These data were used to explain the dependent variable which was the population behavior and practices which was linked to the COVID-19 positivity or negativity. A rapid test of the COVID-19 antigen for people suspected of having cough and fever followed by RT-PCR tests was conducted. Statistical analyses were performed under R, version 3.5.1. Results: Results indicate three categories of people depending on their behavior and practices during the COVID-19. These include the negative group, those who contracted the disease and knew their serological status, and those who did not know their serological status. The behavior of these categories varied with age, education level, income, and their geographical location. Variable behaviors have been adopted, including lack of action, prayer, self-medication, lifestyle change, and change in feeding. Efforts to control the spread of the disease entailed two most commonly used barriers: wearing a mask (95%) and frequent hand washing (94%). In the COVID-19 infected category, type 1 individuals developed the most characteristic symptoms of COVID-19, mainly cough, asthenia, fever, and headache. Types 2 and 3 individuals were less likely to engage in any of the behaviors associated with COVID-19 because they have fewer comorbidities and have developed fewer of the symptoms characteristic of COVID-19. Conclusion: Education level and socioeconomic conditions are among the factors to be considered in pandemic control strategies. Keywords: Typology, SARS, comorbidity, population believe. Correspondence: Ayagirwe Rodrigue Basengere. Bioscience unit, Université Evangélique en Afrique. Bukavu, PO Box 3323, Democratic Republic of Congo. Email: rayagirwe@gmail.com. Mobile: +243979318796.
Meta Analysis: The Effect of Social Support in Preventing Postpartum Depression in Postpartum Mothers Nugrahaeni, Meita Tyas; Untari, Niken Yuliani; Veibiani, Nindita Arum
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.68 KB) | DOI: 10.26911/jepublichealth.2022.07.01.07

Abstract

Background: Depression is one of the contributors to the disease that is the focus of public health in the world. The most common depression is postpartum depression. The postpartum period is a period of adaptation between mother and baby to optimize bonding attachment, so they need physical, emotional, and mental support from partners, families, and socially. This study was aimed to estimate the magnitude of the incidence of postpartum depression in postpartum mothers with the influence of social and family support, with a meta-analysis of the main study conducted by previous authors. Subjects and Method: This was a systematic review and meta-analysis with PICO, population: postpartum mothers. Intervention: strong social support. Comparison: weak social support. Outcome: postpartum depression. The articles used were obtained from several databases, namely Google Scholar, Pubmed, SpingerLink and Science Direct. Search keywords for articles were “Postnatal Depression” OR “Postpartum Depression” AND “Family Support” OR “Social Support” AND “Postpartum Mother”. The inclusion criteria for research articles were full-text articles using a cross-sectional observational study design, postpartum mothers who received intervention in the form of family and social support, the results of the study were postpartum/postnatal depression, multivariate analysis with Adjusted Odds Ratio (aOR) to measure estimates effect. Data were analyzed using the Review Manager application (RevMan 5.3). Results: A total of 10 cross-sectional articles were selected for a systematic review and meta-analysis with 8,930 postpartum mothers from Asia and Africa. Mothers giving birth without social support can contribute to the worsening of the postpartum mother's condition to cause postpartum depression (OR= 3.12; 95%CI 1.95 to 4.99; p= 0.009). Conclusion: Social support can increase the prevention of postpartum depression in postpartum mothers. Keywords: social support, postpartum mother, postpartum depression, postnatal depression Correspondence: Meita Tyas Nugrahaeni. Faculty of Public Health, Universitas Airlangga. Jl. Dr. Ir. H. Soekarno, Mulyorejo, Kota Surabaya 60115, East Java, Indonesia. Email: meitatyas04@gmail.com. Mobile: 085974825459.
Obesity and Its Risk on Breast Cancer among Women: A Meta-Analysis Apriyanti, Ruth; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.218 KB) | DOI: 10.26911/jepublichealth.2022.07.01.12

Abstract

Background: Breast cancer is the most common type of cancer experienced by women which can cause the most deaths in both developed and developing countries. The risk of breast cancer severity in women with BMI obesity category increased up to 30% compared with women who had normal weight. This study aims to analyze the effect of obesity on breast cancer mortality in women, with a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: breast cancer women. Intervention: obesity. Comparison: not obese. Outcome: mortality. The articles used in this study were obtained from four databases, namely Google Scholar, Pubmed, Science Direct and Springerlink. Keywords to search for articles “Obesity” OR “Obese Overweight” AND “Mortality” OR “Death” AND “Women with Breast Cancer” OR “Breast Cancer” OR “Breast Cancer Mortality” AND “Adjusted Hazard Ratio”. The included articles are full-text English with an observational cohort study design from 2012 to 2021 and report on the aOR in multivariate analyses. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 12 observational cohort studies from the United States, Denmark, Netherlands, UK, Spain, Malaysia and China were selected for systematic review and meta-analysis. The data collected showed that obesity increased the mortality risk of breast cancer women and was statistically significant (aOR = 1.23; 95% CI = 1.00 to 1.52; p = 0.050). Conclusion: Obesity increases the risk of mortality in breast cancer women. Keywords: obesity, breast cancer women, meta-analysis Correspondence: Ruth Apriyanti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ruthyanti94.ras@gmail.com. Mobile: +6281375232120.
Knowledge of Cervical Cancer Screening in Adult Women: Meta-Analysis Pradnyantara, I Gusti Agung Ngurah Putra; Chrisnanda, Indah Adhitama
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.155 KB) | DOI: 10.26911/jepublichealth.2022.07.01.03

Abstract

Background: Cervical cancer is the fourth common cancer worldwide and the second most common cancer cases in women. Cervical cancer screening allows detection of abnormal cervical cells. Having knowledge about cervical cancer and its screening can increase the absorption of services for cervical cancer screening. This study was aimed to determine the comparison of participation in cervical cancer screening in adult women with high education with adult women with low education. Subjects and Method: This study was a systematic review and meta-analysis with the following PICO, population: adult women. Intervention: high knowledge. Comparison: low knowledge. Results: cervical cancer screening. The articles used in this study were obtained from two databases, namely Google Scholar and Pubmed. Keywords to search for "Knowledge," "screening" "cervical cancer" "adult women". The articles included are full-text articles with a cross-sectional study design from 2016 to 2022 and report multivariate analysis with Adjusted Odds Ratio (aOR). Articles were analyzed using the Review Manager 5.3 application. Results: Systematic study and meta-analysis of this study A total of 16 articles from 2 African continents (Ethiopia, Nigeria, Southern Ethiopia, South west Ethiopia, Ivory Coast, South Africa, Northwest Ethiopia, Cameroon, eastern Ethiopia, Ghana), and Asia (Thailand and Malaysia). Showed that women with high knowledge had an attitude to cervical cancer screening 3.63 times compared to women with low knowledge and the results were statistically significant (aOR = 3.63; 95% CI = 2.11 to 6.24; p<0.001). Conclusion: A high level of knowledge increases attitudes to cervical cancer screening in adult women. Keywords: screening, cervical cancer, knowledge. Correspondence: I Gusti Agung Ngurah Putra Pradnyantara, Poltekkes Permata Indonesia. Jl. Ringroad Utara No 22 C, Gandok, Condong Catur, Depok, Sleman, Yogyakarta, Indonesia. Email: gustipradnyantara1997@gmail.com. Mobile: +6282146804776.
Meta-Analysis Effects of Diabetes Mellitus on Mortality in Patients with Chronic Heart Failure Paramita, Windya Kartika; Pratiwi, Yeocelin Mega
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.92 KB) | DOI: 10.26911/jepublichealth.2022.07.01.08

Abstract

Background: Patients with diabetes mellitus have a higher risk of developing heart failure. Heart failure patients with diabetes mellitus will experience further health problems that are worse than heart failure patients without diabetes mellitus. This study was aimed to analyze the effect of diabetes on mortality in heart failure patients using a meta-analysis. Subjects and Method: This was a meta-analysis study using PRISMA flowchart guidelines. The PICO model used was Population= patients with chronic heart failure. Intervention= with diabetes mellitus. Comparison= not with diabetes mellitus. Outcome= mortality. The article search process was carried out between 2012 and 2021 using online databases from PubMed, Science Direct and Google Scholar. The keywords used in the article search were “Chronic Heart Failure” AND “Diabetes” AND “Mortality”. The inclusion criteria used in this study were full-text articles using a cohort study design, the research subjects were chronic heart failure patients, the study outcome was mortality, multivariate analysis with adjusted Hazard Ratio (aHR). The analysis was carried out using RevMan 5.3 software. Results: A total of 9 articles reviewed in the meta-analysis showed that diabetes mellitus increased the risk of mortality in patients with chronic heart failure 1.24 times compared with patients without diabetes mellitus (aHR= 1.24; 95%CI= 1.15 to 1.34; p< 0.001). Conclusion: Diabetes mellitus increases mortality in patients with chronic heart failure. Keywords: chronic heart failure, diabetes mellitus, mortality Correspondence: Yeocelin Mega Pratiwi. Faculty of Pharmacy, Universitas Gadjah Mada. Jl. Sekip Utara, Senolowo, Sinduadi, Sleman, Daerah Istimewa Yogyakarta 55281. Email: yeocelinmega@gmail.com. Mobile: +6282137652605.
Urine Test Accuracy of Lipoarabinomannan in Diagnosing Pulmonary Tuberculosis in Adults: Meta-Analysis Fauziy, Jihan Nafisah; Ana, Kartika Febry
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.31 KB) | DOI: 10.26911/jepublichealth.2022.07.01.04

Abstract

Background: Mycobacterium tuberculosis (Mt) requires non-sputum-based screening that can identify it with high sensitivity and specificity. Lipoarabinomannan (LAM) is a diagnosis of active tuberculosis (TB) in samples such as urine, both by complex laboratory-based testing and in simple treatment tools. The purpose of this study was to determine the accuracy of the Lipoarabinomannan urine test in diagnosing TB in adults. Subjects and Method: This study is a meta-analysis study with PICO covering, population= adult age with suspected tuberculosis (TB). Intervention= lipoarabinomannan urine test. Comparison: no lipoarabinomannan urine test was performed. Outcome: sensitivity and specificity. Using the PRISMA flowchart guidelines. The articles used were conducted between 2012-2021 from the PubMed, Google Scholar, MedLine, and Science Direct databases. The keywords used in the article search were “Lipoarabinomannan” AND “LAM” OR “Adult” AND “Patient” OR “Diagnosis” OR “Pulmonary tuberculosis”. Based on the database, there were 9 articles that matched the inclusion criteria. Data analysis using the RevMan 5.3 application. Results: A total of 9 cohort studies with a total of 3,069 patients from South Africa (Cape Town, KwaZulu-Natal, Zimbabwe), East Africa (Kenya, Malawi, Tanzania, Uganda, Zambia), West Africa (Ghana) and South America (Peru) were selected for the study. systematic review and meta-analysis. A meta-analysis of 9 cohort studies showed that the lipoarabinomannan urine test had 2.89 times the accuracy or sensitivity in diagnosing TB compared to no lipoarabinomannan urine test (aOR= 2.89; 95% CI= 2.30 to 3.63; p= 0.160), but was not statistically significant. Conclusion: The lipoarabinomannan urine test improves accuracy in diagnosing pulmonary tuberculosis in adults but is not statistically significant. Keywords: lipoarabinomannan, LAM, adult, patient, diagnosis, pulmonary tuberculosis. Correspondence: Jihan Nafisah Fauziy. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: jihannafisah321@gmail.com. Mobile: 082135798209.

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