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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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The Influence of Family Support, Social Capital, Self Efficacy, Education, Employment, Income, and Residential Status on the Quality of Life among the Elderly in Salatiga, Central Java -, Kadarwati; Soemanto, RB.; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Lengthening life expectancy of population worldwide has led to rapid growth of the elderly population. This change indicates good development progress. However, it also poses quality of life concern among the elderly. Since the elderly have limitation in many ways, their quality of life decreases, often requiring self-confidence, family support, as well as community awareness, to improve their quality of life. Quality of life is affected by physical, psychological, social and environmental conditions. This study aimed to determine the effects of self efficacy, education, employment status, income, family support, social capital, and residential status on the quality of life of the elderly.Subjects dan Method: This was an analytic observational study using cross-sectional design. The study was conducted in 6 villages, in Sidorejo sub-district, Salatiga, Central Java, from March to April 2017. A total sample of 150 elderlies aged between 60 to 74 years old were selected for this study by stratified random sampling. The exogenous variables were education, social capital and residential status. The endogenous variables were family support, self efficacy, employment status, income, and the quality of life. The data were collected by a set of questionnaire and analyzed by path analysis.Results: The quality of life of the elderly was directly affected by income (b=0.06; SE= 1.16; p=0.005), family support (b=0.14; SE=0.22; p=0.003), and self efficacy (b=0.79; SE= 0.11;  p<0.001). Family support was affected by residence status (b=0.54; SE=0.88; p<0,001), income (b=0.21; SE=0.40; p<0.001), and social capital (b=0.41; SE=0.02; p<0.001). Self efficacy was affected by family support (b=0.54; SE=0.10; p<0.001), and social capital (b=0.40; SE=0.04; p<0.001). Employment status was affected by education (b=0.16; SE=0.09; p=0.043). Income was influenced by education (b= 0.71; SE= 0.06; p<0.001).Conclusion: The quality of life of the elderly is directly affected by income, family support, and self efficacy. The quality of life is indirectly affected by education, employment status, social capital, and residential status.Keywords: quality of life, influencing factor, elderly, path analysisCorrespondence: Kadarwati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: kadarwati297@gmail.com. Mobile: +6285728953956.Journal of Epidemiology and Public Health (2017), 2(1):  58-69https://doi.org/10.26911/jepublichealth.2017.02.01.06 
Factors Associated with Safe Sex Behavior Among Commercial Sex Workers in Banjarsari, Surakarta, Central Java Ambarsari, Maecelina Hestin; Demartoto, Argyo; Wekadigunawan, C.S.P
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: It is estimated that more than one million people in the world contract sexually-transmitted disease everyday. Annually approximately 357 million new infections occur by one of four sexually-transmitted diseases: chlamidia, gonorrhea, syphilis, and mouth ulcer. To date HIV/AIDS has spread in 407 of 507 districts and municipalities in Indonesia, or equivalently covering 80% districts and municipalities of the country. In Surakarta, the cumulative incidence of HIV/AIDS from 2005 to 2017 was 561 cases, with 38 HIV cases and 46 AIDS cases in 2017 alone. The incidence of HIV/AIDS has been increasing year by year. This study aimed to examine factors associated with safe sex behavior among commercial sex workers in Banjarsari, Surakarta, Central Java.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted in Banjarsari Sub-district, Surakarta, Central Java. A total sample of 100 commercial sex workers was selected by stratified random sampling. The dependent variable was safe sex behavior. The independent variables were knowledge of infectious transmitted disease and HIV/AIDS, self efficacy, condom availability, access to health care service, health personnel support, and peer support. The data were collected by questionnaire and analyzed by multiple linear regression.Results: Safe sex behavior was associated with good knowledge of sexually-transmitted disease and HIV/AIDS (b=0.19; 95% CI=0.01 to 0.30; p=0.032), strong self efficacy (b= 0.18; 95% CI= 0.01 to 0.38; p= 0.047), condom availability (b=0.30; 95% CI= 0.36 to 1.20; p<0.001), good access to health care service (b= 0.19; 95% CI= 0.02 to 0.52; p= 0.035), strong health personnel support (b= 0.18; 95% CI= 0.01 to 0.57; p=0.041), strong peer support (b= 0.17; 95% CI= 0.01 to 0.50; p= 0.046).Conclusion: Safe sex behavior is associated with good knowledge of sexually-transmitted disease and HIV/AIDS, strong self efficacy, condom availability, access to health care service, strong health personnel support, strong peer support.Keyword: safe sex behavior, knowledge, self efficacy, condom availability, access to health service, health personnel support, peer supportCorrespondence: Maecelina Hestin Ambarsari. Masters Program in Public Heath, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: hestinmaecelina@gmail.com. Mobile: +6285742975078.Journal of Epidemiology and Public Health (2018), 3(1): 60-71https://doi.org/10.26911/jepublichealth.2018.03.01.05 
The Relationship BetweenHIV Incidence Rate, District/ Municipality Health Budget, Healthy House Rate, and Tuberculosis Prevalence in Indonesia -, Balgis; H, Panji Fortuna; Hifli, Lukman
Journal of Epidemiology and Public Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background:Tuberculosis (TB) remains an important public health concern in the world including Indonesia. This study aimed to estimate the relationship between HIV incidence rate, district/ municipality health budget, healthy house rate, and tuberculosis prevalence in Indonesia. Subjects and Method:This was an analytic and observational study with ecologic study design. The data were obtained from 33 provinces, 497 districts/ municipalitiesthat were collected by Basic Health Research (Riset Kesehatan Dasar, Riskesdas)2013.  The dependent variable was TB prevalence. The independent variables were HIV incidence rate, district/ municipality health budget, and healthy house rate. TB diagnosis was made by health personnel using sputum examination, chest X-ray photo, or both. The data were analyzed by multiple linear regression.Results:District/ municipality budget (b=-14.07;95% CI=-24.09to -4.05, p=0.080), and healthy house rate (b=-3.62; 95%CI=-6.28 to-0.96; p=0.009) decreased TB prevalence. HIV incidence  rate (b=0.05,95% CI=0.02 to 0.08, p=0.002) increased TB prevalence. R2 was 56.5 % for this linear regression model, and the overall model was statistically significant (p=0.001).Conclusion:District/ municipality budget, healthy house rate, and HIV incidence rate are related with TB prevalence.Keywords:district/ municipality budget, healthy house rate, HIV incidence rate, TB prevalenceCorrespondence: Balgis. Department of Public Health, Faculty of Medicine, Sebelas Maret University, SurakartaJournal of Epidemiology and Public Health (2016), 1(3): 164-174https://doi.org/10.26911/jepublichealth.2016.01.03.03 
Path Analysis on the Influence of Educational Level, Stages of Cancer, Social Support, and Coping Strategy toward the Quality of Life of Breast Cancer Patients in Dr. Moewardi Hospital, Surakarta Nuryati, Sri; Mudigdo, Ambar; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Breast cancer develops into main health problem for women globally. Patients of breast cancer will endure transformation both physically as well as psychologically, it will give impact to the quality of life. The study aimed to analyze the influence of educational level, stages of cancer, social support, and coping strategy toward the quality of life of breast cancer patients.Subjects and Method: The study employed mixed method with quantitative and qualitative approach. The study was conducted in Dr. Moewardi Hospital, Surakarta in August – October 2017. There were a total of 150 study subjects selected with stratified random sampling. Purposive sampling was used for qualitative study with 3 informants. The dependent variable was quality of life. The independent variables were educational level, stages of cancer, social support and coping strategy. Quantitative data collection was conducted by using questionnaires. Social support variable was measured by using Multidimensional scale of perceived social support (MSPSS) questionnaires, coping strategy variable was measured by brief COPE questionnaires and life quality variable was measured by WHOQOL BREF questionnaires. Data qualitative collection was by means in depth interview. Quantitative data was analyzed by using path analysis, qualitative data was analyzed by using interactive model Miles and Huberman.Result: Quality of life was influenced by educational level (b= 8.69, SE= 1.84, p<0.001), stages of cancer (b= -6.41, SE= 2.94, p= 0.029), social support (b= 1.03, SE= 0.34, p= 0.003), coping strategy (b= 2.07, SE= 0.43, p<0.001). Coping strategy was influenced by educational level (b= 0.97, SE= 0.34, p= 0.004) and social support (b= 0.37, SE= 0.06, p<0.001).Conclusion: Quality of life of breast cancer patients is influenced by educational level, stages of cancer, social support, and coping strategy. Coping strategy was influenced by educational level and social support. Key words: social support, coping strategy, quality of life, path analysisCorrespondence: Sri Nuryati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: sri.nuryati1985@gmail.com. Mobile: +6282138283802.Journal of Epidemiology and Public Health (2017), 2(3): 225-235https://doi.org/10.26911/jepublichealth.2017.02.03.04
Risk Factors Affecting Multi-Drug Resistant Tuberculosis in Surakarta and Ngawi, Indonesia Aderita, Novi Indah; Murti, Bhisma; Suryani, Nunuk
Journal of Epidemiology and Public Health Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The success rate of Tuberculosis treatment in Indonesia decreased by 81.3% in 2014, which below the 85% target. The current increasing problem in the developing world is multidrug resistance of Tuberculosis (MDR-TB). Many factors may contribute to MDR-TB. At the individual level these factors may include adherence to medication, perception of vulnerability, seriousness, benefit, barrier, and nutritional status. At the institutional level these factors may include the availability of drugs and implementation of DOTS program. This study aimed to analyze factors that affect MDR-TB in Surakarta and Wonogiri district, Central Java, Indonesia.Subjects and Method: This was an observasional analytic study with case control design. It was carried out in August-October 2016 in Surakarta and Ngawi, Indonesia. A total of 120 patients were selected by fixed disease sampling. Another sample of 44 health workers was also selected for the study. The endogenous variables: adherence, nutritional status, and implementation of the treatment of DOTS. The exogenous variables: perception of vulnerability, seriousness, benefits, barriers, the availability of anti Tuberculosis drugs. The data was collected by questionnaire and analyzed by path analysis.Results: Nutritional status (b=-2.98; 95% CI =-5.31 to -0.64; p = 0.012), adherence to anti Tuberculosis drugs (b=-3.38; 95% CI =-5.94 to -0.82; p = 0.010), treatment with DOTS for MDR TB (b=-0.88; 95% CI = 1.43-3.18 ; p = 0.456) were associated with MDR-TB. Perceived vulnerability (b= 2.81; 95% CI= 0.99 to 4.64; p = 0.003), seriousness (b=4.47; CI 95% = 2.38 to 6.57; p 0.001), benefits (b= 3.4; CI 95%= 1.52 to 5.18; p=0.001), barriers (b =-1.81; 95% CI=-3.48 to -1.39; p=0.034), as well as availability of DOTS treatment (b = 3.14; CI 95% = 0.95 to 5.32; p = 0.002), were associated with adherence to treatment.Conclusion: Nutritional status, adherence to treatment, implementation of DOTS strategy for MDR-TB affect the risk of MDR TB. Perceived vulnerability, seriousness, benefit, and barrier, as well as availability of DOTS treatment, affect adherence to treatment. Partnership between patients and health care personnel is recommended to increase the success of TB treatment.Keywords: tuberculosis, risk factor, MDR-TB, adherence to treatmentCorrespondence: Novi Indah Aderita. Polytechnic of Health Sciences Bhakti Mulia, Sukoharjo, Central Java Email: adherita_alhaniin@yahoo.comJournal of Health Promotion and Behavior (2016), 1(2): 86-99https://doi.org/10.26911/jepublichealth.2016.01.02.02 
Socioeconomic Determinants of Healthy Ageing and the Contextual Effect of Peer Group: A Multilevel Evidence from Blora, Central Java Cahyaningtyas, Niena Ayu; Sudiyanto, Aris; Soemanto, RB.
Journal of Epidemiology and Public Health Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Healthy ageing is about "optimizing opportunities for good health, so that older people can take an active part in society and enjoy an independent and high quality of life". This study aimed to examine the socioeconomic determinants of healthy ageing and the contextual effect of peer group in Blora, Central Java.Subjects and Method: This was a cross-sectional study conducted in Blora, Central Java.A sample of 200 elderly was selected for this study by snowball sampling. The dependent variable was healthy ageing. The independent variables were nutrition intake, age, religiosity, education, and perceived financial position. Data on healthy ageing was collected by WHOQOL-BREF. The other variables were measured by questionnaire. The data were analyzed by a multilevel model.Results: Healthy ageing was positively affected by strong religous belief (b= 6.75; 95% CI= 3.91 to 9.59; p<0.001), better education (b= 8.16; 95% CI= 4.26 to 12.07; p<0.001), better perceived financial position (b= 6.46; 95% CI= 2.86 to 10.07; p<0.001), and good nutritional status (b= 6.79; 95% CI= 3.76 to 9.83; p<0.001).Conclusion: Healthy ageing is positively affected by strong religous belief, better education, better perceived financial position, and good nutritional status.Keywords: healthy ageing, religious belief, elderly, ageing, peer support groupCorrespondence: Niena Ayu Cahyaningtyas. Masters Program in Public Health, Universitas Sebelas Maret, Jl Ir. Sutami 36A, Surakarta 57126, Central Java. Email: niena.ayu21@gmail.com. Mobile: 085640776171Journal of Epidemiology and Public Health (2019), 4(1): 30-36https://doi.org/10.26911/jepublichealth.2019.04.01.04 
Multilevel Analysis on the Bio-psychosocial and Environment Factors Affecting the Risk of Pneumonia in Infants Yunita, Astri; Murti, Bhisma; Dewi, Yulia Lanti Retno
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Pneumonia is an illness of the maincauses of pain and death in toddler in the world. The incidence of pneumonia in Indonesia has increased, from 2007 about 2.1% and in 2013 about2.7%. Pneumonia in toddler in Indonesia is an issue that is important to do the actions of prevention and control of pneumonia. This study was aimed to investigate the factors biopsychosocial to the risk of pneumonia in toddlers.Subjects and Method: This was an analytical observational study with case control design, carried out on 2 August to 16 September 2016. A total of 140 subjects in Banjarnegara, Central Java, were selected by fixed disease sampling. The dependent was pneumonia in infants. The independent variables were exposure to CO, H2S, family income, maternal education, household smoke exposure, sanitary home, chain-smoking family activity, anxiety. The data was collected by using a questionnaire, check list and recording and analyzed by using Logistic regression.Results: There was influence of exposure of CO (OR= 1.46; 95% CI= 0.17 to 21; p= 0.970), H2S (OR= 0.53; 95% CI= 0.98 to 2.92; p= 0.412), family income (OR= 1.90; 95% CI= 0.78 to 4.65; p= 0.365), maternal education (OR= 1.75; 95% CI= 0.72 to 4.25; p= 0.474), household smoke exposure (OR= 5.63; 95% CI= 2.27 to 13.95; p= 0.001), home sanitation (OR= 6.23; 95% CI= 2.61 to 14.84; p=0.001), smoking activity (OR= 3.19; 95% CI= 1.33 to 7.66; p= 0.020) and the incidence of pneumonia toddlers. There was the influence of anxiety to pneumonia in toddler (OR= 16; 96% CI= 6.87 to 37.75; p< 0.001). There was the influence of contextual conditions to pneumonia in toddler (ICC = 36.97%; role of thumb 5 to 8% likelihood ratio p= 0.008; 95% CI= 0.45 to 8.17).Conclusion: There is the influence of exposure to CO, H2S, family income, maternal education, household smoke exposure, home sanitation, smoking activity. There is the influence of anxiety of pneumonia in toddler. The condition has influence contextual variations toddler pneumonia incident, so it is noteworthy.Keywords: bio-psychosocial, environmental factor, pneumonia toddlersCorrespondence: Astri Yunita. Masters Program in Public Health, SebelasMaret University, Surakarta. Email: astriyunita07@yahoo.co.id. Mobile: +6285641797995Journal of Epidemiology and Public Health (2016), 1(1): 1-10https://doi.org/10.26911/jepublichealth.2016.01.01.01 
Multilevel Analysis: Biopsychosocial Determinants and Environmental Factor on the Incidence of Diarrhea Among Children Under Five in Surakarta Zicof, Erick; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diarrhea is an endemic disease with a potential to become an epidemic in Indonesia. Diarrhea most often occurs in children under five years of age. This study aimed to determine the relationship between biopsychosocial factors, environmental factor, and diarrhea occurrence in Surakarta, Central Java, using multilevel analysis.Subjects and Method: This was an observational analytic study with a cross-sectional approach. This study was conducted on October 2017 - April 2018. A sample of 200 children under five years of age was selected by fixed disease sampling, consisting of 100 children with diarrhea and 100 without diarrhea. The dependent variable was the incidence of diarrhea. The independent variables were the number of family members, maternal knowledge, maternal personal hygiene, and environmental sanitation. The data were collected by questionnaire and analyzed by multilevel logistic regression in Stata 13.Results: The number of family member (b= 1.09; 95% CI= 0.02 to 2.15; p< 0.046) increased the risk of diarrhea. Good maternal knowledge (b= -2.30; 95% CI= -3.46 to -1.14; p<0.001), good maternal personal hygiene (b= -2.09; 95% CI= -3.48to-0.70; p<0.003), and good environmental sanitation (b= -1.64; 95% CI= -2.84to -0.43; p= 0.008) decreased the risk of diarrhea in children under five. The village had a substantial contextual effect on the incidence of diarrhea with ICC= 66.14%.Conclusion: The number of family member increases the risk of diarrhea. Good maternal knowledge, good maternal personal hygiene, and good environmental sanitation decrease the risk of diarrhea in children under five. Village has a substantial contextual effect on the incidence of diarrheaKeywords: diarrhea, number of family member, maternal knowledge, maternal personal hygiene, village, contextual effectCorrespondence: Erick Zicof. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: erickzicof@gmail.com. Mobile: +6281363425870.Journal of Epidemiology and Public Health (2018), 3(3): 323-330https://doi.org/10.26911/jepublichealth.2018.03.03.03
Biopsychosocial Factors Associated with Mental Retardation in Children Aged 6-17 Years in Tulungagung District, East Java Ikawati, Yani; Dewi, Yulia Lanti Retno; Adriani, Rita Benya
Journal of Epidemiology and Public Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: According to WHO, 15% of the world population, or 785 million people, suffer mental or physical disorders. Mental retardation is a serious problem socially and medically. Mental retardation affects child development in various forms: physical, self-care, communication, social, emotional, and mental. The objective of this study was to determine biopsychosocial factors associated with mental retardation in children aged 6-17 years.Subjects and Method: This study was observational analytic with case control design. It was conducted at Kauman and Tulungangung community health centers in Tulungangung District, East Java, from April to May, 2017. A sample of 100 parents of children aged 6 to 17 years old were selected for this study by fixed disease sampling. This sample consisted of 25 parents of children with mental retardation and 75 parents of children without mental retardation. Children with mental retardation were identified and sampled at a disability special school in Tulungagung, East Java. The dependent variable was mental retardation. The independent variables were prenatal history, perinatal history, maternal stress during pregnancy, maternal education, and family income. The data were collected by a pre-tested questionnaire. Maternal stress was measured by Holmes and Rahe stress scale. The data was analyzed by path analysis.Results: Mental retardation was directly associated with prenatal history (b= 1.17; 95%­ CI= 0.65 to 2.27; p= 0.038), perinatal history (b=­ 1.41;­ 95% CI= 0.87 to 2.73; p= 0.037), and maternal stress during pregnancy (b= 1.84; 95% CI = 0.59 to 3.09; p= 0.004). Prenatal history was associated with maternal education (b= -1.16; 95% CI= -2.17 to -0.15; p= 0.025) and maternal stress during pregnancy (b= 1.48; 95% CI= 0.43 to 2.54; p= 0.006). maternal stress during pregnancy was associated with maternal education (b= -1.65; 95% CI= 2.62 to -0.69; p=0.001) and family income (b=-1.35; 95% CI= 2.29 to -0.41; p=0.005). Family income was associated with maternal education (b= 1.70; 95% CI=­­ 0.82 to 2.57; p<0.001).Conclusion: Mental retardation is directly associated with prenatal history, perinatal history, and maternal stress during pregnancy.Keywords: mental retardation, biopsychosocial factors, childrenCorrespondence: Yani Ikawati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Su­ra­kar­ta, Central Java.  Email: yaniikawati@gmail.com. Mobile: +6285655730050.Journal of Epidemiology and Publich Health (2017), 2(2): 119-129https://doi.org/10.26911/jepublichealth.2017.02.02.03
Risk Factors of Breast Cancer in Women at Dr. Moewardi Hospital, Surakarta, Central Java Listyawardhani, Yana; Mudigdo, Ambar; Adriani, Rita Benya
Journal of Epidemiology and Public Health Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Breast cancer is a leading type of cancer affecting women around the world. Its incidence is increasing in developed and developing countries. Breast cancer is the leading cause of death among women in Indonesia with 19,731 cases of death in 2014. In addition to mortality, breast cancer causes psychosocial effect in the affected and the family. This study aimed to determine the risk factors of breast cancer in women at Dr. Moewardi Hospital, Surakarta, Central Java.Subjects and Method: This was an analytical observational study with case control design. The study was conducted at Dr. Moewardi Hospital, Surakarta, from October to December, 2017. A total sample of 200 study subjects consisting of 100 women with breast cancer and 100 women without breast cancer were selected for this study by fixed disease sampling. The dependent variable was breast cancer. The independent variables were age at menarche, age at first pregnancy, parity, duration of breastfeeding, use of fertility hormone, duration of hormonal contraceptive use, and age at menopause. The data was collected  by questionnaire and analyzed by multiple logistic regression.Results: The risk of breast cancer increased with earlier age at menarche <12 years old (OR= 2.71; 95% CI= 1.06 to 6.96; p= 0.037), delayed age at first pregnancy ≥30 years old (OR=3.01; 95% CI= 1.16 to 7.78; p= 0.023), delayed age at menopause ≥55 years old (OR=1.07; 95% CI=0.82 to 6.30; p= 0.001), longer hormonal contraceptive use ≥10 years (OR=3.25; 95% CI= 1.20 to 9.63 p= 0.003).Conclusion: The risk of breast cancer increases with earlier age at menarche, delayed age at first pregnancy, delayed age at menopause, longer hormonal contraceptive use.Keyword: Breast Cancer, Risk FactorCorrespondence: Yana Listyawardhani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email:yanalistya@gmail.comJournal of Epidemiology and Public Health (2018), 3(2): 118-127https://doi.org/10.26911/jepublichealth.2018.03.02.02 

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