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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 419 Documents
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Complication on Premature Rupture of Membrane in Intrapartum Mother Infected with COVID-19: Meta-Analysis Hepti Widia Ningsih; Bhisma Murti; Uki Retno Budihastuti
Journal of Epidemiology and Public Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.04.01

Abstract

Background: Pregnant women and fetuses are populations that are at high risk of being infected with the virus. COVID-19 in pregnant women is considered a risk factor for causing complications in pregnancy such as premature rupture of membranes. This study aims to analyze complications of premature rupture of membranes in mothers infected with COVID-19.Subjects and Method: This was a systematic review and meta-analysis. Article searches were conducted using electronic databases such as Google Scholar, PubMed and Science Direct. The articles used are articles published from 2020-2022. Keywords to search for articles were: “COVID-19” OR “2019-nCoV” OR “novel coronavirus” OR “SARS-CoV-2” OR “coronavirus 2” AND “premature rupture of membrane” OR “prelabour rupture of membrane” AND “pregnancy.” The inclusion criteria used were full text articles in English with a cohort study design, multivariate analysis with Adjusted Odds Ratios (aOR), research subjects were pregnant women, intervention was COVID-19 infection, comparison was not infected with COVID-19 , the outcome of the study was premature rupture of membranes.The results of the search for articles were included in the PRISMA diagram and analyzed using the Review Manager 5.3 application.Results: A total of 9 cohort study articles from the United States, Bangladesh, China, India, Mexico, Romania, and Spain were selected for systematic review and meta-analysis. The results showed that pregnant women infected with COVID-19 had a risk of complications of premature rupture of membranes as much as 2.26 times compared to pregnant women who were not infected with COVID-19 and the results were statistically significant (aOR = 2.26; 95% CI = 1.33 to 3.82; p = 0.002).Conclusion: Pregnant women infected with COVID-19 increase the risk of premature rupture of membranes. Keywords: COVID-19, pregnancy, premature rupture of membranes, meta-analysis Correspondence:Hepti Widia Ningsih. Masters Program in Public Health Universitas Sebelas Maret, Jl. Ir, Sutami 36A, Surakarta 51726, Central Java. Email: heptiwidian@gmail.com. Mobile +6285729442615.
Correlation between Overweight and Mental Health in Adolescents: A Meta Analysis Riski Anisa; Yulia Lanti Retno Dewi; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.04.10

Abstract

Background: Adolescence is a critical period in human life because of the various changes that occur during this stage of life. Overweight and obesity in adolescents is a major public health problem in all developing countries, in addition to affecting physical health, can have a negative impact on mental health. This study aims to analyze the primary study of the effect of being overweight and obese on mental health in adolescents with a meta-analysis. Subjects and Method: This study is a meta-analysis with the following PICO, Population: teenagers. Intervention: overweight and obese. Comparison: normal weight. Outcome: mental health. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles [(adolescent OR teenager OR children) AND (“body mass index” OR BMI OR overweight OR obesity) AND (depression OR “depression symptom”) AND (anxiety OR “anxiety symptom”)]. The included articles are full text in English in 2010 to 2022 with cohort study design and report on aOR in multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: Nine studies were included in this study, six studies from the Americas, two studies from the European continent, and one study from the Australian continent. The data collected showed an increased risk for depression and anxiety in adolescents who were overweight and obese than adolescents who had normal weight. Obese adolescents had a higher risk of depression (aOR= 1.64; 95% CI= 1.42 to 1.90; p<0.001) than overweight adolescents (aOR= 1.09; 95% CI= 1.00 to 1.18; p= 0.050). Adolescents who were obese had a higher risk of anxiety (aOR= 1.27; 95% CI= 1.08 to 1.49; p= 0.003) than adolescents who were overweight (aOR= 1.10; 95% CI= 1.01 to 1.19; p= 0.020).Conclusion: Overweight and obesity can have an influence on the mental health of adolescents. Keywords: adolescent, overweight, obese, depression, anxiety, meta-analysis. Correspondence:Riski Anisa. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: riskianisa93@gmail.com. Mobile: +6285749027212.
Associations between Anxiety, Depression, and Poor Quality of Sleep on the Risk of Irritable Bowel Syndrome: A Meta-Analysis Cendekia Airedeta Mulianda; Bhisma Murti; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.01.05

Abstract

Background: Risk factors for Irritable Bowel Syndrome (IBS) are mental disorders such as anxiety and depression, while sleep disorders affect 50% of patients with IBS. The condition of IBS if it is chronic can have a negative impact on quality of life and work productivity. The purpose of this study was to estimate the relationship between anxiety, depression and poor sleep quality with the risk of irritable bowel syndrome by means of a systematic review and meta-analysis study.Subjects and Method: This article was prepared using systematic review and meta-analysis studies. This study uses the PICO Model. Meta-analytic studies were conducted by searching for articles from databases in electronic form using Google Scholar, PubMed, Springerlink, Sciencedirect, and the Cochrane Library. An article search was conducted on 15-30 October 2022. The keywords used were “irritable bowel syndrome” or “IBS” or “Functional gastrointestinal disorder” or “Anxiety” or “Depression” or “Mental Disorders” or “Psychological stress” or “Sleep quality” or “Sleep disturbances” or “Cross-Sectional”. The inclusion criteria for this study were complete articles using a Cross-Sectional study, with the year of publication 2009-2022. Analysis of the articles in this study used RevMan 5.3 software.Results: A total of 30 cross-sectional studies from Asia were selected for systematic review and meta-analysis. The data collected shows that anxiety increases 1.53 times and depression 1.29 times with the risk of IBS while poor sleep quality increases the risk of IBS by 1.80 times. This data is considered statistically significant. The results showed that Anxiety (aOR=1.53; 95% CI=1.23 to 1.90; p=0.001), Depression (aOR=1.29; 95% CI=1.05 to 1.59; p=0.02), Poor sleep quality (aOR=1.80; 95% CI=1.48 to 2.19; p<0.001).Conclusion: The relationship between anxiety-depression mental disorder and poor sleep quality is felt to be statistically significant in causing irritable bowel syndrome. Keywords: irritable bowel syndrome, risk factors, anxiety, depression, sleep quality Correspondence:Cendekia Airedeta Mulianda. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: c.airedeta@gmail.com. Mobile: +6282336712311.
Prevalence of Hand Hygiene and Its Risk to Hand Eczema: A Meta-Analysis Lely Tri Pangesti; Bhisma Murti; Burhannudin Ischan
Journal of Epidemiology and Public Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.01.09

Abstract

Background: Hand eczema is an inflammation of the skin that is limited to the hands and/or wrists. Since the pandemic began, washing hands is one of the actions that can be taken as an effort to prevent the spread of COVID-19. With the increasing frequency of hand washing by health workers during the pandemic, it is important to evaluate the risk of developing hand eczema in health personnel.Subjects and Method: Meta-analysis was carried out according to the PRISMA flow chart and the PICO model (Population: health workers, Intervention: high frequency of hand washing, Comparison: low frequency of hand washing, Outcome: Hand eczema). The databases used are Google Scholar, PubMed, Scopus, Proquest, and Science Direct. Keywords used (hand hygiene) OR (frequency hand washing) AND (hand eczema). There were 17 cross-sectional studies published in 2018 to 2022 that met the inclusion criteria. Analysis was performed with Revman 5.3. Results: A meta-analysis was performed on 17 cross-sectional studies from China, Turkey, India, Thailand, Denmark, Sweden, Bulgaria and Ethiopia. The total sample size is 31,154. A meta-analysis of 10 cross-sectional studies concluded that hand hygiene with a frequency of 8 to 10 times per day has a 1.46 times the risk of having hand eczema compared to hand hygiene with a frequency of <8 times per day (aOR=1.46; 95% CI 1.46 to 1.80; p<0.001). A meta-analysis of 10 cross-sectional studies concluded that hand hygiene with a frequency of 15 to 20 times per day has a 1.58 times the risk of experiencing hand hygiene compared to a frequency of <15 times per day (aOR=1.58; 95% CI 1.43 to 1.74; p<0.001).Conclusion: The higher the frequency of hand hygiene, the higher the risk of hand eczema. Keywords: hand hygiene, risk of hand eczema, health personnel Correspondence:Lely Tri Pangesti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir Sutami 36A, Surakarta 57126, Jawa Tengah. Email: lellytrip@gmail.com. Telepon: 082223360202.
Effect of Social Support and Self Efficacy on Drug Taking Adherence in Hypertensive Patients: A Meta-Analysis Sukma Sukma; Didik Tamtomo; Argyo Demartoto
Journal of Epidemiology and Public Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.01.12

Abstract

Background: Hypertension is a condition that causes a person to experience a drastic rise in blood pressure. Social support and self-efficacy are needed to improve skills, self-confidence and a sense of security for patients to be more compliant with taking medication. This study aimed to analyze the effect of social support and self-efficacy on medication adherence in hypertensive patients.Subjects and Method: This study is a meta-analysis using PICO, namely population: hypertensive patients; Intervention: good social support, good self-efficacy; Comparison: low social support, low self-efficacy; Result: medication adherence. The articles used in this study were obtained from two databases, namely PubMed and Google Scholar. Keywords in the article search “social cognitive theory (SCT)” AND “self efficacy“ AND ”social support “AND” hypertension” AND “medication adhe-rence”, cross-sectional. The included article is full English with a cross-sectional study design for 2012–2022 and reports the adjusted odds ratio (aOR) in multivariate analysis. Selection of articles using the PRISMA flowchart. Article analysis using the Review Manager 5.3 application.Results: 7 articles with a cross-sectional study involving 708 people with hypertension from 2 conti-nents namely Asia and Africa for systematic review and meta-analysis. The data collected showed that hypertensive patients with strong social support were twice as likely to adhere to medication as hypertensive patients with weak social support (aOR= 2.16; 95%CI= 1.82 to 2.57; p <0.001), Hyper-tensive patients with self-efficacy Those who are strong are more likely to adhere to medication twice than hypertensive patients with weak self-efficacy (aOR= 2.11; 95% CI = 1.27 to 3.52; p <0.004).Conclusion: Social support and self-efficacy improve medication adherence in hypertensive patients. Keywords: social support, self-efficacy, social cognitive theory, hypertension, medication adherence Correspondence:Sukma. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: sukmadenny1402@gmail.com. Mobile: +6281254428800.
A Systematic Review of Factors Associated with Post-Sternotomy Pain Musta’in; Tri Yuniarti; Aris Widiyanto; Hakim Anasulfalah
Journal of Epidemiology and Public Health Vol. 11 No. 3 (2026)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2026.11.03.06

Abstract

Background: Chronic post-sternotomy pain remains an important complication after cardiac surgery. Earlier reviews combined several cardiac surgical approaches and did not incorporate recent sternotomy-specific evidence. This review aimed to identify and critically synthesize demographic, clinical, psychological, surgical, and perioperative factors associated with chronic post-sternotomy pain. Subjects and Method: This systematic review followed PRISMA 2020. BASE, PubMed, and ScienceDirect were searched for English-language studies published from January 2010 to June 2025. The review question used a PECO framework: adults undergoing cardiac surgery through median sternotomy; exposure to potential prognostic factors; comparison with unexposed or lower-risk groups; and chronic post-sternotomy pain at three months or longer. Observational analytic studies were eligible. Risk of bias was assessed with design-specific CASP cohort and CASP case control checklists. Results: Seven studies involving 3,304 participants were included in the narrative synthesis. Greater acute postoperative pain and internal thoracic or mammary artery harvesting showed the most consistent associations, each recurring in three studies. Female sex, pre-existing chronic pain, and depression or related psychological vulnerability were also reported in more than one study. Other factors included younger age, obesity, diabetes mellitus, preoperative angina, previous cardiac surgery or percutaneous coronary intervention, reduced ejection fraction, hypothyroidism, wound complications, non-elective surgery, re-sternotomy, longer hospital stay, and disability or retirement-related medical assessment. Several associations were based on single-centre or unadjusted analyses. Conclusion: Chronic post-sternotomy pain has a multifactorial risk profile. The most consistent evidence supports severe acute postoperative pain and internal thoracic artery harvesting as clinically relevant markers. Preoperative risk assessment and effective early pain control should receive priority, while larger multi-center studies with standardized outcome definitions are needed.
Scalable Forecasting Geoanalytics for Epidemic Dengue Risk in East Java Budi Fajar Supriyanto; Ikha Nurjihan; Nesa Ayu Murthisari Putri; Elsa Tursina; Andi Mulyanti Suhartini
Journal of Epidemiology and Public Health Vol. 11 No. 3 (2026)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2026.11.03.05

Abstract

Background: Current methods for managing Dengue Hemorrhagic Fever (DHF) in East Java often separate temporal and spatial analyses, hindering proactive public health interventions. To address this limitation, this study develops an integrated spatio-temporal framework that combines multi-model forecasting and geospatial analysis to create localized dengue projections and risk maps. Subjects and Method: An ecological spatio-temporal design was conducted across 38 districts/ cities in East Java using secondary data from 2013–2023. The dependent variable was annual dengue incidence, while independent variables comprised natural factors (e.g., rainfall, humidity) and social factors (e.g., population density, poverty). Data were analyzed using Geographically Weighted Regression (GWR) for spatial modeling. Time series forecasting for the 2024–2028 period was conducted using Trigonometric seasonality, Box-Cox transformation (TBATS), Auto­regressive Integrated Moving Average (ARIMA), Prophet, and Neural NETwork AutoRegression (NNETAR) models, evaluated by Root Mean Square Error (RMSE). Results: Rainfall demonstrated the strongest natural association (R²=0.49; p=0.022), followed by humidity (R²=0.26; p<0.001). Epidemiologically, population density emerged as the key social determinant (R²=0.50; p=0.005). TBATS achieved the highest forecasting accuracy with the lowest RMSE (47.657), outperforming ARIMA (202.980), Prophet (172.809), and NNETAR (157.653). Spatial risk mapping revealed that high-risk social clusters are heavily concentrated in the eastern 'Tapal Kuda' region and northern coastal metropolitan corridors. Conclusion: Dengue incidence in East Java is significantly driven by climatic factors and spatially varying social vulnerabilities. The integration of TBATS forecasting and GWR spatial modeling provides a robust framework for anticipating future case burdens and identifying priority inter­vention areas, thereby supporting highly targeted public health planning.
Household Drinking Water Source, Treatment, Storage, and Weather Conditions in Relation to Drinking Water Quality in Klaten District, Indonesia Desy Vidi Kurniasari; Arsita Eka Prasetyawati; Hafi Nurinasari; Siti Khoiriyah; Cynthia Permata Sari
Journal of Epidemiology and Public Health Vol. 11 No. 3 (2026)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2026.11.03.03

Abstract

Background: Safe drinking water remains a major public health challenge in Indonesia, where contamination continues to contribute to diarrheal disease burden. Household drinking water quality surveillance coverage in Klaten District remains far below the national target. This study analyzed the association between water source protection, household water treatment, water storage conditions, and climatic factors with household drinking water quality in Klaten District. Subjects and Methods: A cross-sectional study was conducted among 390 households from 26 subdistricts in Klaten District, selected via equal-allocation subsampling from the 2025 National Household Drinking Water Quality Surveillance Program (SKAMRT) using two-stage cluster sampling (15 households/subdistrict). Drinking water quality was classified as safe or unsafe based on five parameters (E. coli, Total Dissolved Solids, pH, nitrate, nitrite) per Ministry of Health Regulation No. 2/2023. Associations were assessed using Chi-square and Fisher's exact tests, followed by multiple logistic regression with backward stepwise elimination (α = 0.05). Results: Of 390 households, 202 (51.8%) had unsafe drinking water. Unprotected water sources were the only significant determinant of unsafe water quality (Adjusted OR = 1.61; 95% CI: 1.05–2.47; p = 0.029). Water treatment, storage type, and weather conditions showed no statistically significant association. Spatial analysis identified five subdistricts with very high risk (>80% non-compliant): Polanharjo (93.3%), Wonosari (86.7%), Bayat, Tulung, and Klaten Tengah (80.0% each). Model calibration was adequate (Hosmer-Lemeshow p = 0.741). Conclusion: Unprotected water sources represent an independent determinant of unsafe household drinking water quality in Klaten District. Interventions should prioritize water source protection, household water safety education, and expansion of SKAMRT surveillance coverage to support SDGs 6.1 achievement by 2030.
Factors Associated with Pulmonary Tuberculosis in Yogyakarta, Indonesia: A Matched Case-Control Study Ardyawati Wira Oktaviana; Setyo Sri Rahardjo; Vitri Widyaningsih; Nur Hafidha Hikmayani; Arsita Eka Prasetyawati
Journal of Epidemiology and Public Health Vol. 11 No. 3 (2026)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2026.11.03.04

Abstract

Background: Tuberculosis (TB) remains a public health problem in Indonesia, including in the city of Yogyakarta. The incidence of TB is influenced by various socioeconomic factors, individual characteristics, behavior, and the physical conditions of the home environment. Given these influences, this study aims to analyze the determinants of pulmonary tuberculosis incidence in Yogyakarta, Indonesia. Subjects and Method: This was a matched case-control study. Cases were patients with pulmo­nary tuberculosis, matched 1:2 by age, sex, and health center area to non-TB controls. Among 168 respondents (56 cases and 112 controls). The study involved 18 community health centers in Yogyakarta, Indonesia, from April to May 2026. Variables included family income, knowledge, attitudes, nutritional status, smoking history, diabetes mellitus, household and close contact history, and housing characteristics. Data were analyzed using bivariate tests and multivariate conditional logistic regression. Results: Family income below the Yogyakarta regional minimum wage (aOR= 0.30; 95% CI= 0.10–0.93), poor tuberculosis knowledge (aOR = 0.27; 95% CI= 0.08–0.95), history of diabetes mellitus (aOR= 0.07; 95% CI= 0.01–0.82), and a confirmed history of close contact with a tuberculosis patient (aOR= 5.12; 95% CI= 1.00–26.09) were independently associated with pulmo­nary tuber­culosis. Respondents who were unaware of their close contact history also had higher odds of tuber­culosis (aOR= 3.67; 95% CI= 0.82–16.30), although this association did not reach statistical significance. Conclusion: The incidence of pulmonary tuberculosis in Yogyakarta is significantly associated with family income, tuberculosis-related knowledge, history of diabetes mellitus, and close contact with TB patients. These findings highlight the importance of strengthening active TB case finding through systematic contact investigation not only among household contacts but also in workplaces and industrial settings to facilitate early detection and reduce the risk of tuberculosis transmission

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