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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. 9 No. 1 (2024)" : 24 Documents clear
Determinants of Musculoskeletal Disorders in Bamboo Woven Craftsmen in Lamongan, East Java Salsabila, Putri Fortuna; Sumardiyono; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.08

Abstract

Backround: Musculoskeletal Disorders (MSDs) are significant debilitating conditions and refer to a variety of degenerative or inflammatory conditions affecting the joints, muscles, ligaments, cartilage, and blood vessels. This research aims to determine the influence of Musculoskeletal Disorders on bamboo woven craftsmen in Lamongan. Subject and Method: This cross-sectional research was conducted in Payaman village, Solokuro District, Lamingan Regency, East Java in October-November. A total of 200 bamboo woven craftsmen were randomly selected using a random number generator. The dependent variable in this study is Musculoskeletal Disorders (MSDs). The independent variables in this study were work stress, age, length of service, duration of work, and exercise habits. The research instruments used the Nordic Body Map questionnaire, work stress questionnaire, and interviews related to age, length of service, duration of work, and exercise habits. The data analysis method uses multiple linear regression analysis. Results: Wicker craftsmen who had high job stress had an average Musculoskeletal Disorders score 0.19 units higher than those with low job stress (b = 0.19, 95% CI = -3.79 to 4.17, p=0.925). Wicker craftsmen aged 40 years and over on average had a Musculoskeletal Disorders score 9.44 units higher than those aged less than 40 years (b = 9.44, 95% CI = 4.70 to 14.18, p<0.001). Wicker craftsmen who have worked for 5 years or more on average have a Musculoskeletal Disorders score 3.34 units higher than those who have worked for less than 5 years (b = 3.34, 95% CI = -2.77 to 9.44, p=0.282). Wicker craftsmen who have a work duration of 5 hours/day and above on average have a Musculoskeletal Disorders score 7.12 units higher than those with a work duration of less than 5 hours/day (b = 7.12, 95% CI = 3.09 to 11.15, p=0.001). Conclusion: Age ≥40 years, work duration ≥5 hours, high work stress and work period ≥5 years increase the risk of MSDs in bamboo woven craftsmen. The habit of exercising ≥30 minutes/day reduces the risk of MSDs in bamboo weaving craftsmen. Keyword: Musculoskeletal Disorder, Work Duration, Years of Work, Age, exercise habits, woven craftsmen
Effects of Hypertension, Diabetes Mellitus, and Gender on Post Stroke Cognitive Impairment: Meta-Analysis Utami, Sukandriani; Wicaksono, Emirza Nur; Choirunnisa, Amalia; Veibiani, Nindita Arum; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.07

Abstract

Background: Post-stroke cognitive impairment is a serious problem that is often faced by indivi-duals who have experienced a stroke. This study aims to determine and estimate the effects of hypertension, diabetes mellitus, and gender on post-stroke cognitive impairment through meta-analysis of primary research conducted by previous researchers.Subjects and Method: This was a meta-analysis study using the PICO model which includes; P: post-stroke patients. I: hypertension, diabetes mellitus, and women. C: normotensive, without diabetes mellitus, and men. O: post-stroke cognitive impairment. A systematic search for primary studies was carried out in the PubMed database which was published from 2014 to 2023. The keywords used to search for primary studies were "Hypertension" AND "Diabetes Mellitus" AND "Post Stroke Cognitive Impairment". The inclusion criteria for the articles searched were primary studies with cross-sectional and cohort studies from 2014-2023 and reporting aOR values. Primary studies were selected using the PRISMA diagram and relevant primary studies were analyzed using Review Manager 5.3.Results: There were 18 primary studies with cross-sectional and cohort study designs. The total sample obtained through a systematic review and meta-analysis was 9,103 post-stroke patients from France, China, Singapore, the Netherlands, Egypt, Ethiopia, and Uganda. The results of the analysis showed that hypertension increased the risk 1.56 times (aOR= 1.56; 95% CI= 1.11 to 2.19; p= 0.010) and diabetes mellitus increased the risk 1.58 times (aOR= 1.58; 95% CI= 1.23 to 2.05; p< 0.001) post-stroke cognitive impairment compared to people without hypertension and diabetes. Meanwhile, the female gender increases the risk of post-stroke cognitive impairment by 1.28 times (aOR= 1.28; 95% CI=1.16 to 1.42; p<0.001). The data is statistically significant.Conclusion: hypertension, diabetes mellitus, and female gender increase the risk of post-stroke cognitive impairment. Keywords: Hypertension, diabetes mellitus, women, post-stroke cognitive disorders
Effect of Tertiary Preventive Behavior on HbA1c Level, Quality of Life, and Complication Risk in Diabetes Mellitus Patients Livia, Wardhatul; Murti, Bhisma; Tamtomo, Didik Gunawan; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.10

Abstract

Background: Type 2 diabetes mellitus (DM) is a non-communicable disease which is a source of additional severity for other diseases. This study aims to determine the effect of tertiary preventive behavior on hba1c level, quality of life (QoL), and complication risk in diabetes mellitus patients.Subjects and Method: This was a cross-sectional study conducted in Sukoharjo, Central Java, Indonesia, from October to November 2023. A total sample of 200 patients with type 2 diabetes mellitus (DM), registered in the Prolanis program, was selected through multistage random sampling. The independent variables were HbA1c levels, risk of complications, and QoL. The inde-pendent variable was tertiary preventive behavior. HbA1c levels were measured using spectrophotometer. QoL was measured using the WHOQOL questionnaire, and risk of complications using a questionnaire. Data were analyzed using the SEM model.Results: Tertiary prevention behavior significantly increased HbA1c level (b= 0.31; CI 95%= -0.45 to 0.15; p<0.001) and quality of life (b= 0.15; 95% CI= -0.15 to 0.38; p<0.001). Tertiary prevention behavior significantly reduced the risk of complications (b= -0.22; CI 95%= -0.42 to 0.02; p= 0.026). The goodness-of-fit values suggest that the structural equation model (SEM) is acceptable (p= 0.188; RMSEA=0.04; CFI=0.97, TLI=0.95; SRMR=0.05; CD= 0.07).Conclusion: Tertiary prevention behavior significantly increased HbA1c level and quality of life. Tertiary prevention behavior reduces the risk of complications in type 2 DM patients. Keywords: Diabetes mellitus, HbA1c, complications, quality of life
Correlations between Physical Activity, Work Duration, and Stress on the Risk of Musculoskeletal Disorders in Online Motorcycle Drivers in Surakarta Andriani, Isna; Sumardiyono; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.09

Abstract

Background: Motorcycle taxi drivers drive motorcycles with a static posture and there are significant deviations in angles of certain body joints that trigger susceptibility to movement system injuries, namely musculoskeletal disorders (MSDs). The study aimed to analyze the correlation between the determinants of MSDs, namely physical activity, work duration, and stress on the risk of MSDs incidents in online motorcycle taxi drivers in Surakarta.Subjects and Method: This observational analytical study with a cross-sectional study approach. A sample of 250 online motorcycle taxi drivers in Surakarta was selected using a cluster random sampling technique. The dependent variable of the study was MSDs. The independent variables of the study were physical activity, duration of work, and stress. The data collection technique was conducted through interviews by using questionnaire sheets with instruments i.e. International Physical Activity Questionnaire (IPAQ), Work Stress Scale (WSS), and Nordic Body Map (NBP). Data analysis was carried out using a multivariate STATA application with multiple binary logistic regression.Results: The risk of MSDs in online motorcycle taxi drivers in Surakarta increased with the age of older than or equal to 34 years (OR= 2.66; CI 95%= 1.54 to 4.59; p= <0.001), BMI of more than 25 (OR= 1.33; CI 95%= 0.77 to 2.27; p= 0.303), work duration of more than 4 hours per day (OR= 2.43; CI 95%= 1.24 to 4.78; p= 0.010), high stress level (OR= 1.58; CI 95%= 0.89 to 2.83; p = 0.126), and status as an active smoker (OR= 1.27; CI 95%= 0.74 to 2.19; p= 0.378). The risk of MSDs in online motorcycle taxi drivers in Surakarta decreased with active physical activity (OR= 0.36; CI 95%= 0.15 to 0.86; p = 0.021). Age, BMI, physical activity, work duration, stress, and smoking status influenced the risk of MSDs by 8.2%, and the rest were influenced by other determinants.Conclusion: There is a statistically significant correlation between age, physical activity, and duration of work on the risk of MSDs, however, there was no significant correlation between BMI, stress, and smoking status on the risk of MSDs. Keywords: Physical activity, stress, musculoskeletal disorders, motorcycle taxi drivers

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