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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 659 Documents
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Relationships between Septic Tank Construction and Number of Escherichia coli in Dug Well Water in Rahandouna Village, Kendari, Southeast Sulawesi, Indonesia Achmad, Bromo Kusumo; Jayadipraja, Erwin Azizi; Sunarsih, Sunarsih; Mangidi, Muhammad Abdul Gafur Tirtayasa
Journal of Epidemiology and Public Health Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Dug wells provide water from soil layer that is close to the surface of the soil, therefore it is susceptible to contamination through seepage from human waste, animals, and for domestic household use. This study aimed to determine the relationships between septic tank construction, dug well distance, and number of E. coli in Rahandauna Village, Ken
The Effect of Social Capital, Social Support, Self-Compassion, and Hope Factors Affecting Quality of Life of Breast Cancer Survivors: A Path Analysis Evidence from Surakarta, Central Java Jannah, Eka Miftakhul; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Breast cancer is one of the most common cancers among women in the world. The study aims to analyze the effect of social capital, social sup­port, hope, and self-compassion toward the quality of life of breast cancer survivors.Subjects and Method: It was a cross sectio­nal study conducted from December 2019 – January 2020. The sample used was 200 breast cancer survivors aged ≥18 years old and were selected by using simple random sampling in Lovely Pink Community Solo. The dependent variable was the symptom and functional aspects of quality of life of breast cancer sur­vi­vors. The independent variables were socio­demography factor, social capital, social sup­port, hope, and self compas­sion. Data collection were conducted by using questionnaires. Data analysis was conducted by using path analysis with Stata 13.Results: Good quality of life among breast cancer survivors increased and was directly affect­ed by symptom aspect with strong social support (b= 6.63; CI 95%= 2.52 up to 10.76; p= 0.002), high social capital (b= 3.73; CI 95%= 1.17 up to 6.30; p= 0.004), high self-compas­sion (b= 3.17; CI 95%= 0.57 up to 5.77; p= 0.017), education ≥high school (b= 4.19; CI 95%= 1.41 up to 6.97; p= 0.003), age ≥50 years (b= 1.78; CI 95%= 0.05 up to 3.51; p= 0.044), and high hope (b= 4.80; CI 95%= 1.85 up to 7.75; p= 0.001). Good quality of life among breast cancer survi­vors in­creased and was direct­ly affected by functional aspects with strong social support (b= 3.13; CI 95%= 1.61 up to 4.64; p< 0.001), high social capital (b= 1.74; CI 95%= 0.31 up to 3.17; p= 0.017), high self-compassion (b= 1.60; CI 95%= 0.24 up to 2.94; p= 0.021), education ≥high school (b= 2.41; CI 95%= 0.95 up to 3.86; p= 0.001), age ≥50 years (b= 1.38; CI 95%= 0.11 up to 2.66; p= 0.034), and high hope (b= 2.42; CI 95%= 0.98 up to 3.86; p= 0.001).Conclusion: Good quality of life among breast cancer survivors in symptom and functional aspects is affected by strong social support, high social capital, high hope, high self-compassion, high education (≥high school), and age ≥50 years old.Keywords: social support, social capital, hope, self-compassion, quality of lifeCorrespondence: Eka Miftakhul Jannah, Masters Program in Public Health, Universitas Sebelas Maret, Jalan Ir.Sutami 36A, Surakarta, Central Java, Indo­ne­sia. Email:ekamiftakhulj@gmail.com. Mo­bi­le­­: 08­­5­­6­49665213.Journal of Epidemiology and Public Health (2020), 5(1): 52-64https://doi.org/10.26911/jepublichealth.2020.05.01.06
Multilevel Analysis: Villages do not have Ecological Effect on the Risk of Diabetes Mellitus Type 2 in Surakarta, Central Java Gita, Anggi Putri Aria; Qadrijati, Isna; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes Melitus (DM) as The Silent Killer has an increasing number of cases. Type 2 diabetes and its complications are a major publ­ic health problem worldwide. Type 2 dia­be­tes is influenced by various factors. This study aimed to analyze the contextual effect of village on the risk of type 2 DM.Subjects and Method: This was a case-con­trol stu­dy conducted in Surakarta, from Novem­ber 20­­19 to January 2020. A sample of 200 patients type 2 DM and non-DM was selected by fixed disease sampling. The depen­dent variable was type 2 DM. The inde­pen­dent variables were family his­tory of DM, diet, phy­sical activity, Body Mass Index (BMI), central obe­­sity, stress, his­tory of hypertension, and smo­k­ing habit. The da­ta were collected by ques­tion­naire and ana­ly­­zed by a multilevel multiple lo­gi­­stic regression run on Stata 13.Results: The risk of type 2 DM was positively asso­ci­ated with family history of dia­betes (b= 2.37; 95% CI= 1.51 to 3.23; p<0.001), poor diet (b= 1.­0­9; 95% CI= 0.71 to 1.86; p= 0.034), low phy­si­cal acti­vity (b= 1.07; 95% CI= 0.12 to 2.02; p= 0.027), cen­­tral obesity (b= 1.01; 95% CI= 0.75 to 1.95; p= 0.034), stress (b= 1.07; 95% CI= 0.15 to 1.98; p= 0.022), history of hyper­­tension (b= 1.08; 95% CI= 0.19 to 1.96; p= 0.016), and smo­k­ing habit (b= 1.31; 95% CI= 0.22 to 2.39; p= 0.018). Village did not have a contextual effect on the risk of type 2 DM with ICC= 0.01%.Conclusion: The risk of type 2 DM is positively associated with family history of DM, diet, low phy­­­si­cal activity, central obesity, stress, history of hy­pertension, and smoking habit. Village do not have a con­tex­tual effect on the risk of type 2 DM.Keywords: type 2 diabetes mellitus, biopsycho­social, multilevel analysisCorrespondence: Anggi Putri Aria Gita. Masters Program in Pub­lic Health, Universitas Sebelas Maret, Jl. Ir. Su­tami 36 A, Surakarta 57126, Indonesia. Email: ang­gi­pag­@­gmail.com. Mobile: +628975406464Journal of Epidemiology and Public Health (2020), 05(01): 106-118https://doi.org/10.26911/jepublichealth.2020.05.01.11
Contextual Effect of Integrated Health Post, Socioeconomic and Physical and Mental Health Determinants on the Quality of Life among Elderly in Klaten, Central Java Fauziyah, Annisa Nur; Soemanto, RB.; Adriani, Rita Benya
Journal of Epidemiology and Public Health Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The increase in life expectancy has an impact on the number of elderly which has increased from 9.3% (2018) to 15.8% (2035). Decreased body function in the elderly disturbs health and inhibits activities so that quality of life decreases. The purpose of this study was to ana­lyze the contextual effect of Elderly Integrated Health Post, socioeconomic determinant, physical and psychological health on the quality of life of the elderly.Subjects and Method: The design of the study was cross sectional. This study was conducted in Klaten, Central Java, from August to September 2019. A sample of 200 elderly people aged ≥60 years was selected by simple random sampling. The dependent variable was the quality of life of the elderly. The dependent variables were marital status, employment status, income, eating pattern, physical activity, nap, sexual activity, and activeness to participate in Integrated Health Post. The data was obtained by using questionnaires. Eating patterns were measured by DDS ques­tionnaire. Physical activity data were measured by PASE. Data on quality of life of the elderly were measured using WHOQOL-OLD. The data were analyzed by multilevel.Results: The quality of life in elderly improved with marriage (b= 4.94; 95% CI= 2.49 to 7.34; p<0.001), working (b= 6.47; 95% CI = 3.18 to 9.76; p<0.001), high income (b= 3.91; 95% CI= 1.45 to 6.37; p= 0.002), good eating pattern (b= 2.08; 95% CI= 0.14 to 4.02; p= 0.036), high physical activity (b= 3.87; 95% CI= 0.80 to 6.93; p= 0.013), adequate nap time (b= 6.29; 95% CI= 3.05 to 9.55; p <0.001), active sexual activity (b= 2.97; 95% CI= 0.93 to 5.02; p= 0.004), and often attend integrated health post (b= 2.18; 95% CI= 0.28 to 4.09; p= 0.025). Elderly integrated health post had a contextual effect on the quality of life of the elderly with ICC= 45.65%.Conclusion: The quality of life in elderly improves with marriage, working, high income, good eating pattern, high physical activity, adequate nap time, active sexual activity, and often attend integrated health post. Elderly integrated health post has a contextual effect on the quality of life of the elderly.Keywords: quality of life, elderly, integrated health postCorrespondence:Annisa Nur Fauziyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: annisafauziyah03@gmail.com. Mobile: +628233­51­97211.Journal of Epidemiology and Public Health (2020), 5(1): 15-25https://doi.org/10.26911/jepublichealth.2020.05.01.02
Do Community Health Centers Have Contextual Effect on the Risk of Recurrence in Patient with Tuberculosis? A Multilevel Evidence from Surakarta, Central Java Muvida, Muvida; Widyaningsih, Vitri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Community Health Centers play­ed an important role in tuber­culosis con­trol. Ho­w­ever, Community Health Centers’ con­tex­tual effect toward tuberculosis recurrence has not yet been discovered. The study aims to analyze socio-demography and clinical factors of first tuber­culosis episode and Community Health Centers’ contextual effect toward tuber­culosis recurrence.Subjects and Method: It was analytic obser­vational study with case control approach. The study was conducted in the city of Sura­kar­ta, Central Java, from December 2019 up to January 2020. Sample collection toward 204 tuberculosis patients who had completed their treatment or were confirmed cured, were con­duc­ted by using simple random sampling at individual level and stratified random sampling at community health centers level. The de­pen­dent variable was tuber­culosis recurrence. The independent variables were family income, le­vel of education, BCG vaccination status, smo­­­­king history, initial bac­terio­logical test, weight gain, DM, and COPD. The data were collected through medical record and interview. The data were analyzed by using multi­level multiple logistic regression with Stata 13.Results: In individual level, the preventive factor toward tuberculosis recurrence among other were high income (OR= 0.24; 95% CI= 0.06 up to 0.92; p= 0.037), high level of educa­tion (OR= 0.18; 95% CI= 0.04 up to 0.84; p= 0.029), BCG vaccination status (OR= 0.11; 95% CI= 0.02 up to 0.67; p= 0.017), and high weight gain (OR= 0.06; 95% CI= 0.01 up to 0.28; p< 0.001). Meanwhile, the independent predictors toward tuberculosis recurrence (OR= 7.11; 95% CI= 1.65 up to 30.64; p= 0.009) and diabetes mellitus (OR= 10.85; 95% CI= 2.13 up to 55.29; p= 0.004). In the level of Community Health Centers, high ratio between health workers/ tuberculosis patients significantly cor­related with lower tuberculosis (OR= 0.01; 95% CI< 0.01 up to 0.44; p= 0.016). Community health Centers had contextual effect toward tuberculosis re­currence with Intra-Class Cor­relation (ICC) by 38.67%.Conclusion: Factors in individual and com­munity health centers level may affect tuber­culosis recurrence. Community Health Centers has contextual effect toward tuberculosis re­cur­rent.Keywords: Tuberculosis recurrence, tuber­culosis, predictor, Community Health Center, multi­­level analysisCorrespondence: Muvida. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Su­ta­­mi No. 36 A, Surakarta 57126, Central Java. Email: muvida­md@­gmail.com. Mobile: +628­965­1­4­­50435.Journal of Epidemiology and Public Health (2020), 5(1): 65-78https://doi.org/10.26911/jepublichealth.2020.05.01.07
Analysis of Environmental Risk Factors on the Leptospirosis Disease in Klaten, Central Java, Indonesia Dewi, Patria Sari; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The number of cases and mortality rates of Leptospirosis incidences in Klaten Regency is increasing from year to year. The study aims to analyze the environmental risk factors toward Leptospirosis incidences in Klaten Regency, Central Java, Indonesia.Subjects and Method: This was a case-control study conducted in Klaten Regency, Central Java. The study sample was all Lepto
The Effect of Organophosphate Pesticides Exposure and Other Factors Associated with Neuropsychiatric Disorders among Rice Farmers: A Path Analysis Evidence from Sukoharjo, Central Java Fitriyani, Ayu Laela; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Pesticide is a cheap and effective subs
Multilevel Analysis: Village Does Not Have Contextual Effect on Hepatitis A Outbreak in Pacitan, East Java, Indonesia Retyono, Sugeng; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hepatitis A virus infection (HAV) has generated about half of the total infection of hepatitis in the world. Poor envi
A Cross-Sectional Study Assessing Depression and Associated Healthcare Barriers among Urban Pakistani Women Haque, Marina; Haque, Alina; Choudhury, Allysha; Blackwood, Roland Alexander
Journal of Epidemiology and Public Health Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Few studies have assessed depression amongst Pakistani women, particularly in more upscale communities where many traditional risk factors for depression and associated treatment are greatly reduced. Therefore, this study sought to examine depression prevalence in a highly developed sector of Islamabad, factors associated with depression, and the association between depression and barriers to accessing healthcare.Subjects and Method: In 2016, a cross-sectional pilot study was conducted in Islamabad using convenience sampling. The survey design was based on the Pakistan Demographic Health Survey and included the Center for Epidemiological Studies Depression (CESD) scale. 93 women filled out the entire questionnaire.Results: The prevalence of depression was unanticipated at 78%; 53% of these women sampled had major depression. 22% of women reported ever having spoken to a provider about their mental health. 41% of women further reported that their mental health negatively impacted their decision to receive care. The only independent risk factor for depression was the diagnosis of another disease. Indicators of poor-socioeconomic status, however, were consistently associated with higher depression likelihood. A robust multivariable regression analysis showed an association between a higher number of self-reported barriers to accessing care and higher depression scale scores (p<0.05).Conclusion: A high burden of untreated depression likely exists amongst Pakistani women from urban regions despite a relatively higher prevalence of healthcare resources. Improving mental health disparities in urban settings throughout Southwest and South Asia will require not only increased screening and treatment of patients, but also removal of physical and psychological barriers faced in accessing care.Keywords: mental health, access barrier, women
Factors Related to Depression Level among Malaysian Students Batch 2015-2018 in Universitas Sumatera Utara Amaiappan, Jesvinder; Eyanoer, Putri Chairani
Journal of Epidemiology and Public Health Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Depression is the most common psychological disorder encountered and is a disorder that is mainly characterized by sad and depressed emotional conditions and is associa

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