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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. 8 No. 2 (2023)" : 24 Documents clear
Fungal Spore Diversity and Abundance in Five Areas in Ibadan, South West, Nigeria Odebode, Adeyinka; Adekunle, Adedotun
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.02

Abstract

Background: Airborne fungal spores may pose as a potential high risk of fungalrelated health problems in humans, animals, and plants which necessitated the need to constantly monitor the presence and diversity of fungi spores in the atmosphere regularly. This study aims to investigate diversity and abundance of airborne fungal spores across multiple locations for two years in Ibadan, South West, Nigeria.Subjects dan Method: Study descriptive cross-sectional are used to investigate diversity and abundance of airborne fungal spores across multiple locations. The variable in this study were Airborne fungi spores diversity sampled monthly from five different locations in Ibadan, Oyo State, SouthWest Nigeria for two years using the open plate sedimentation method with the petri dishes of Dichloranglycerol 18 (DG18) and Potato Dextrose Agar (PDA) media. Monthly Meteorological parameters were equally taken during the duration of sampling. The data were collected and graphical presented using histograms.Results: A total of 39 fungal species were identified throughout duration of study. Aspergillus and Penicillium were the most abundant fungi genera isolated while few Zygomycetes, Ascomycetes, and Basidiomycetes were found. Rainy season period favours high number of fungi in the atmosphere. The highest abundance of fungal spores was recorded in June and July while lower fungi concentration was recorded between December and February.Conclusion: the study revealed the most dominant and abundant spores belong to the genera Aspergillus, Penicillium, and Fusarium. The results show the need for people suffering from fungi sensitivity and allergies to be well informed. Keywords: fungi, health, Ibadan, airborne. Correspondence: Adeyinka Odebode. Department of Basic Science, Kampala International University, Uganda. Email: odebode04@yahoo.co.uk.
Observation Study among Cured Cases of Pulmonary Tuberculosis: A Long-Term Study under the Revised National Tuberculosis Control Program Agarwal, Anil K; Aharwal, Divyani; Verma, Rani; Mahore, Ramniwas; Kushwaha, Priyanka
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.07

Abstract

Background: Tuberculosis is one of the leading causes of mortality in India. The Revised National Tuberculosis Control Program (RNTCP) is a robust public health system to deal with Tuberculosis (TB) in India. Unless the treated patient comes back to the system with signs and symptoms of TB due to relapse or reinfection, there is no mechanism of follow-up or any method to know the relapse rate in the population. This study aimed to analysed trends in relapse tuberculosis cases and describe their associations with socio-demographic and clinical factors.Subjects dan Method: In this prospective cohort study, 750 selected sample size who were declared “Cured” in four randomly selected TB units of Gwalior district were followed up for 1–5 years through home visits by trained staff with structured data collection forms. Data Collection was done between January 2022 to June 2022 and afterwards analyzed using Microsoft excel spreadsheet.Results: The mean age of the index cases was Mean= 30.53; SD= 14.24 years, and there were 39 females and 64 males. At early stage (1-to-2-year posttreatment follow-up of 248 index cases) 199 (80.2%) were healthy and working without any symptoms of TB. Symptoms of TB were present in 49 (19.8%) cases. The after 2-year posttreatment TB Symptoms were present in 54 (19.3%) cases.Conclusion: Long-term follow-up of cured, new smear-positive TB cases reinforce the effectiveness of anti-TB treatment under the RNTCP as assessed by improved health outcomes in more than two-thirds of cases and posttreatment survival of 80.72% of index cases. Further investigation needed to continue such follow-up for all TB cases treated under the RNTCP for effective end-TB strategy. Keywords: tuberculosis treatment, follow-up, relapses, RNTCP Correspondence: Ramniwas Mahore. Department Of Community Medicine. G R Medical College Gwalior 474009 Madhya Pradesh, India. Email: Drmahore@gmail.com. Mobile: 9425334365.
Factors Associated with Prevalence of Posttraumatic Stress Disorder among Nurses Working in COVID-19 Isolation Centres, Lagos, Nigeria Rasheed, Tajudeen Olusegun; Afolabi, Wasiu Adebowale; Bilawu, Yisa Abiodun; Zubairu, Kabiru
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.08

Abstract

Background: Nurses are at increased risk of developing posttraumatic stress disorder (PTSD) due to response of the body and mind to a threatening working environment as they care for COVID-19 patients in isolation centres. This study determined the prevalence of PTSD and examined the associated factors among nurses working in COVID-19 isolation centres.Subjects dan Method: The study was a cross-sectional design. Purposive method was used to select two isolation centres, while 75 nurses who participated in the study were selected using total enumeration sampling technique. A structured questionnaire with validity and reliability established was used to collect data which were screened, collated and analyzed with SPSS 27. The Fisher’s Exact Test and Multivariate logistic regressions were the inferential statistics used to test the level of significant at p<0.050 and 95% confidence interval. The dependent variable of this study is posttraumatic stress disorder while the independent variables included socio-demographic characteristics of the participants, psychological and working conditions factors.Results: The mean age of the participants was (Mean=37.60; SD=10.20). Percentage of nurses having mild to severe PTSD was 27.8%. Duration stayed in COVID-19 isolation centres by nurses was significantly associated with the PTSD (p=0.003). The age, gender, marital status, and education level of the nurses were not statistically significant associated with the PTSD (p>0.05). Nurses who felt their life was under threat by working in COVID-19 isolation centres were 4.2 times more likely to develop PTSD compared to nurses who did not (OR=4.22, 95% CI=3.57 to 12.60, p=0.001).Conclusion: Nurses suffered PTSD due to psychological and physical exhaustion during the care of COVID-19 patients in isolation centres. Support program is recommended for the affected nurses to improve their quality of life. Keywords: COVID-19 isolation centres, nurses, PTSD, prevalence Correspondence: Tajudeen Olusegun Rasheed. Department of Health, Safety and Environment Studies, Training and Research Institute, Economic and Financial Crimes Commission, Academy, Karu, Abuja, Nigeria. Email: tajrash2005@gmail.com. Mobile: +2348038007373.
Factors Affecting Nutritional Status of Children with Down Syndrome of 7 to 12 Year-Old in Medan Andrew, Reynard; Lubis, Nenni Dwi Aprianti; Nasution, Fitriyani; Paramita, Deryne Anggia
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.10

Abstract

Background: Despite the increasing prevalence of overnutrition, the increasing number of children with Down syndrome, followed by the higher risk of children with Down syndrome to experience overnutrition, research conducted on factors that influence the nutritional status of children with Down syndrome is still limited in Indonesia. This research was conducted to look at the comparison of factors affecting the nutritional status of children with Down syndrome in the 7-12-year-old age group in Medan.Subjects dan Method: This research is an analytical cross-sectional study design. This research was conducted by distributing questionnaires to mothers of children with Down syndrome at POTADS Medan. The sampling method used is purposive sampling and data that meets the inclusion and exclusion criteria is selected. The number of samples were 30 children with Down syndrome. The data is then analyzed with Spearman’s correlation using SPSS with children’s nutritional status as the dependent factor and paternal education, maternal education, total parents’ earnings, children's energy intake, children’s diet quality, children’s physical activity, and maternal nutritional knowledge as the independent factors.Results: Correlations were found between the nutritional status of the children and paternal education (p= 0.019; r= -0.42), between children’s nutritional status and children's energy intake (p= 0.002; r= 0.55), and between children’s nutritional status and children’s diet quality (p= 0.015; r= -0.44) with confidence interval at 95%.Conclusion: Strong negative correlation against children’s nutritional status was found in paternal education and children's diet quality, while strong positive correlation was found in children’s energy intake. Indirect correlations against nutritional status were found in maternal education, parents’ total income, and maternal nutritional knowledge score. Keywords: down syndrome, diet quality, bmi. Correspondence: Reynard Andrew. Universitas Sumatera Utara, Jalan Dr. T. Mansur No.9, Padang Bulan, Kec. Medan Baru, Kota Medan, Sumatera Utara 20222, Indonesia. Email: reydrew7@gmail.com. Mobile: +6285361991111.
COVID-19 Impact on the Lives of Diverse Populations: A Descriptive and Analytical Cross-Sectional Study Zatla, Ilyes; Boublenza, Lamia; Zatla, Ghouti; Chikh, Zoubida
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.09

Abstract

Background: SARS-CoV-2 is a highly pathogenic and transmissible respiratory virus that causes the COVID-19 disease, that has affected both our physical and mental health leaving scarring lesions on both. Our objective was to assess the impact of this virus on the social behavioral status of individuals and the acceptance of its impact.Subjects dan Method: A cross-sectional study was conducted from June 2021 to September 2021, using a questionnaire to collect data from random international study participants. Descriptive and statistical analysis were run on SPSS Statistics with a p-value <0.050.Results: Results obtained found that most of the participants (78.3%) followed the procedures to prevent the infection, few (25.8%) of the them have been infected or have at least confirmed the infection with COVID-19 tests, but also few of these partakers (40.4%) have been vaccinated.Conclusion: The pandemic and its surrounding rumors about the virus or COVID-19 vaccines never fail to affect day-to-day life. The disease and its post-complications had/still surround many enigmas for our physical and mental health and the return to normal would be even harder. Keywords: COVID-19, SARS-CoV-2, Impact, Pandemic, Survey. Correspondence: Ilyes Zatla. Laboratory of Microbiology applied to the Food industry, Biomedical and the Environment, Faculty of Natural and Life Sciences, Earth and Universe Sciences. Department of Biology. University of Tlemcen, Algeria. Email: ilyes.zatla@univ-tlemcen.dz. Mobile: +213540315422.
Effects of Physical Activity, Fruit and Vegetables Intake, and Alcohol Consumption on Overweight or Obesity: Meta-Analysis Solehaini, Dena Tri; Murti, Bhisma; Ichsan, Burhannudin
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.01

Abstract

Background: Overweight or obesity is a public health problem worldwide which is increasing both in the general population and in people with chronic diseases. Overall both children and adults are vulnerable to overweight or obesity. This study aims to examine the effect of physical activity, consumption of vegetables and alcohol on overweight or obesity using a meta-analysis.Subjects and Method: Meta-analysis was carried out using the PRISMA flowchart and the PICO model. Population: age 6 to 64 years. Intervention: low physical activity, low vegetable and fruit consumption, and high alcohol. Comparison: high physical activity, high vegetable and fruit consumption, and alcohol low. Outcome: overweight or obese. The databases used are Google Scholar, PubMed, and Proquest with keywords (Overweight OR Obesity OR "BMI Status") AND (“Physical Activity” OR Exercise OR Sport OR Inactive) AND (Vegetable AND Fruit) AND Alcohol AND "Cross Sectional" AND aOR. There were 22 cross-sectional studies published in 2012-2022 that met the inclusion criteria. Analysis was performed with RevMan 5.3.Results: A meta-analysis was conducted on 22 articles with a cross-sectional study design originating from Indonesia, Ghana, Arab Emirates, Texas, Ethiopia, Uganda, Botswana, Congo, Bahir Dar, North Western, Toronto, Zambia, Cameroon and Tanzania involving 91,031 ages 6-64 years. The results of the meta-analysis showed that someone with low physical activity had a risk of being overweight or obese 1.35 times compared to high physical activity (aOR= 1.35; 95% CI= 1.09 to 1.68; p<0.001), someone with high consumption of vegetables and fruit have a risk of experiencing overweight or obesity 1.40 times compared to high consumption of vegetables and fruits (aOR= 1.40; 95%CI= 0.94 to 2.08; p<0.001), and someone with high alcohol has a risk of experiencing overweight or obesity 1.47 times compared low alcohol (aOR= 1.47; 95% CI= 1.31 to 1.65; p<0.001).Conclusion: Low vegetable and fruit consumption, high alcohol consumption and low physical activity can increase the risk of being overweight or obese. Keywords: social support, self-efficacy, social cognitive theory, hypertension, medication adherence Correspondence: Dena Tri Solehaini. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: dena35tri@gmail.com. Mobile: +6282329210977.
Effect of Digital Device on Computer Vision Syndrome: Meta-Analysis Azzahro, Asri Wahyu; Murti, Bhisma; Pamungkasari, Eti Poncorini
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.03

Abstract

Background: Computers are an integral part of today's modern human life, where long-term use can cause complaints of visual disturbances. Eye complaints related to computer use are called computer vision syndrome. This study aims to determine the magnitude of the influence of the use of digital screens or devices on the occurrence of computer vision syndrome with meta-analysis.Subjects and Method: The meta-analysis was carried out using the PRISMA flowchart and the PICO Population: students model. Intervention: the duration of using the digital screen is long. Comparison: the duration of using the digital screen is short. Outcome: the incidence of computer vision syndrome. The databases used are PubMed, ScienceDirect, Web of Science, Cochrane library, Google Scholar and CINAHL with keywords (Computers OR Handheld OR Mobile Devices OR “Digital Device” OR Digital Screen) AND (Asthenopia OR “Computer Vision Syndrome” OR Eye Strain OR Digital Eye Strain) AND (“Students” OR School Children OR Secondary Children OR Postgraduate Students). The inclusion criteria in this study were full text articles with a cross-sectional design for 2018 to 2022 in English. The article was then critically reviewed using the Prisma flow chart diagram and analyzed with RevMan 5.3.Results: Meta-analysis was conducted on 9 articles with a cross-sectional study design originating from Ghana, Saudi Arabia, Ethiopia, Spain, Thailand, Lebanon and China involving 28,888 students. The results of the meta-analysis show that the long duration of digital device use increases the risk of experiencing CVS by 2.31 times compared to the short duration of digital device use (aOR= 2.31; 95% CI= 1.60 to 3.32; p<0.001).Conclusion: The duration of using digital devices has a higher risk of experiencing Computer Vision Syndrome. Keywords: Student, Digital Device, Computer Vision Syndrome, Meta-Analysis Correspondence: Asri Wahyu Azzahro. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: asriwahyuazzahro@gmail.com. Mobile: +6281328543318.
Childhood Physical and Sexual Violences as Potential Factors of Post Traumatic Stress Disorder: A Meta-Analysis Alfiasari, Fadila; Tamtomo, Didik; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.04

Abstract

Background: WHO states that as many as 300 million children have experienced physical punishment or psychological violence. These traumatic events can cause Post Traumatic Stress Disorder (PTSD) which has an impact on the lives of victims of physical and sexual violence. The purpose of this study was to analyze and estimate the average influence of physical and sexual violence in childhood on the incidence of Post Traumatic Stress Disorder (PTSD) using a meta-analysis study.Subjects and Method: This research is a systematic review and meta-analysis with the selection of PRISMA flow diagrams. Population= adults aged >18 years. Intervention= experience of physical and sexual violence as children. Comparison= no experience of physical and sexual violence as children. Outcome= PTSD. Article searches through journal databases include: Pubmed, Google Schoolar, Science Direct, Researchgate and Springerlink. The articles used in this study are articles that have been published from 2000-2022. The keywords used in the database are “Child Physical Abuse”[tw] OR “Childhood Physical Abuse”[tw] OR “Child Maltreatment”[tw] OR “Physical Violence”[tw] OR "Physical Abuse"[Mesh] OR " Child Abuse"[Mesh] AND “Sexual Abuse”[tw] OR “Child Sexual Molestation”[tw] OR "Child Abuse, Sexual"[Mesh] OR "Sexual Trauma"[Mesh] AND “Post-Traumatic Stress Disorder*” [tw] OR “Posttraumatic Stress Disorder*” OR “Post-Traumatic Neuroses”[tw] OR “Post-traumatic Neuroses”[tw] OR “PTSD”[tw] OR "Stress Disorders, Post-Traumatic"[Mesh]. Inclusion criteria included full-text articles with a cross-sectional study design. The analysis used multivariate logistic regression with adjusted Odds Ratio and published in English. Articles that met the requirements were analyzed using the Revman 5.4 application.Results: Meta-analysis of 10 articles showing for childhood physical abuse (aOR=1.87; 95% CI=1.47 to 2.37; p<0.001) and childhood sexual violence (aOR=2.67; 95% CI=2.02 up to 3.52; p<0.001).Conclusion: Experience of physical and sexual violence in childhood increases the risk of developing Post Traumatic Stress Disorder as an adult. Keywords: Post Traumatic Stress Disorder, physical violence, sexual violence, meta-analysis Correspondence: Fadila Alfiasari. Masters Program in Public Health, Universitas Sebelas maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: alfiasari3108@gmil.com. Mobile: +6285235358882.
Meta-Analysis the Effectiveness of Fluoride Varnish Use to Prevent Deciduous Dental Caries in Children Utomo, Asrori Ibnu; Murti, Bhisma; Pamungkasari, Eti Poncorini
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.05

Abstract

Background: Oral health has improved in the last century but the prevalence of dental caries in children remains a significant clinical problem. Giving fluoride varnish directly to the surface of a child's teeth can prevent caries. This study aims to analyze the effect of using fluoride varnish on the prevention of dental caries in children.Subjects and Method: This research is a systematic review and meta-analysis research by considering the eligibility criteria using the PICO model. Population: children. Intervention: fluoride varnish. Comparison: do not use fluoride varnish. Outcome: DMF-T. Articles in this study were searched through the PubMed, Google Scholar, Science Direct, ProQuest databases with the keywords “effectiveness” AND “fluoride” AND “dental caries” AND “prevention” AND (“child OR children”) AND “randomized controlled trial”. The inclusion criteria in this study were full-text articles from 2000 to 2022 with randomized controlled trials (RCT) designs and mean SD effect sizes. This study uses PRISMA flow diagrams and uses the Revman 5.3 application for analysis.Results: A meta-analysis of 5 articles showed that the use of fluoride varnish reduced DMFT 1.21 units lower, compared to those not using fluoride varnish in children. The results of the meta-analysis were statistically significant (SMD = -1.21; 95% CI = -3.15 to 0.74; p= 0.220).Conclusion: The use of fluoride varnish may decrease DMFT in children. Keywords: dental caries, Fluoride varnish Correspondence: Asrori Ibnu Utomo, Masters’ Program in Public Health, Universitas Sebelas Maret. Jln. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: asrori.ibnu69@gmail.com. Mobile: +62895359099137.
Effect of Robot Assistive Therapy on Hand Functional Ability in Stroke Patients: Meta-Analysis Sutopo, Haris; Murti, Bhisma; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.06

Abstract

Background: Stroke is a neurological deficit disease caused by bleeding or blockage of blood vessels in the brain which can cause disability or death. Vascular injuries cause various neurological disorders, motor disorders and functional disorders of the hands which are very necessary to carry out daily activities. Robot Assistive Therapy as a breakthrough in stroke rehabilitation technology can be used as an alternative therapy method for post-stroke rehabilitation. This study aims to determine the effectiveness of the use of robotic assistive therapy and conventional therapy on the functional abilities of stroke patients' hands. Subjects and Method: This study used a systematic review and meta-analysis design using the PRISMA flowchart guidelines and the PICO model (Population = Stroke patients. Intervention = Robot Assistive Therapy. Comparison = Conventional therapy. Outcome = Hand functional ability). The article search process was carried out using databases from PubMed, Science Direct, AJOT, Springer Link, and Google Scholar. The keywords used are “Robot Assistive Therapy” AND “stroke” AND “hand function” AND “randomized controlled trial” AND “Fugl Meyer Assessment”. The inclusion criteria in this study were full-text articles using the Randomized Controlled Trial (RCT) design from 2012 to 2022. The corresponding articles were then critically reviewed and analyzed using RevMan 5.3 software. Results: A meta-analysis was conducted on 9 randomized controlled trials (RCTs) from Belgium, Italy, Japan, Germany, Lithuania and Switzerland with a total sample of 537 stroke patients. The results of the meta-analysis showed that there was no difference in effectiveness between the use of robot assistive therapy and conventional therapy in improving the functional abilities of stroke patients' hands (SMD= -0.02; 95% CI= -0.42 to 0.38; p= 0.930). Conclusion: There is no difference in effectiveness between the use of assistive therapy robots and conventional therapy in improving the functional abilities of stroke patients' hands. Keywords: robot assistive therapy, stroke, hand functional abilities, meta-analysis Correspondence: Haris Sutopo, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: hartop4wd@gmail.com. Telepon: +628155010610.

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