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INDONESIA
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 425 Documents
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Association between Systemic Immune-Inflammation Index and Self-Harm Behavior: A Scoping Review Ronny Tri Wirasto; Windhy Monica
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.2026.11.03.10

Abstract

Background: Emerging evidence suggests that systemic inflammation may contribute to the pathophysiology of depression and self-harm. This study aims to map the scientific evidence regarding the relationship between Systemic Immune-Inflammation Index (SII) as a readily available biomarker and self-harm behavior across various populations and clinical contexts, while identifying patterns of findings, methodological variations, and existing research gaps. Subjects and Method: This research employs a scoping review methodology based on the Arksey and O’Malley framework and reported in accordance with the PRISMA Extension for Scoping Review. Literature was sourced from databases such as PubMed and ScienceDirect. Seven studies were included in the final synthesis and the critical appraisal of the selected papers followed the Joanna Briggs Institute (JBI) guidelines. Results: Higher SII levels were consistently associated with increased suicide risk, particularly in treatment-naïve and first-episode Major Depressive Disorder (MDD) populations. Adolescents with co-occurring NSSI and SA demonstrated the most pronounced inflammatory profiles, whereas findings were less consistent in isolated NSSI or SA groups. Conclusion: Current evidence suggests that SII may have potential utility as an adjunctive biomarker for self-harm risk stratification and its clinical utility remains limited by moderate predictive accuracy and methodological heterogeneity.
Association Between Education Level and Level of Knowledge of Skin Cancer among Basal Cell Carcinoma Patients at the Dr. Moewardi Hospital, Surakarta, Indonesia Nugrohoaji Dharmawan; Laura Noviani; Merlina Wijayawati
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.2026.11.03.09

Abstract

Background: Basal cell carcinoma (BCC) is a non-melanoma skin cancer from basal cells. Limited knowledge of risk factors and prevention contributes to BCC. This study examined the relationship between knowledge of skin cancer and education level in BCC patients at the Dermatology and Venereology Outpatient Clinic, Dr. Moewardi General Hospital. Subjects and Method: A cross-sectional study was conducted on 64 BCC patients diagnosed clinically and histopathologically from January 2022 to December 2024. The study was conducted at the Dermatology and Venereology Outpatient Clinic of Dr. Moewardi General Hospital, Sura­karta, Central Java, Indonesia. Sample were recruited using a consecutive sampling. The depen­dent variable was the level of skin cancer knowledge. The independent variable was education level. Data were analyzed using a multiple logistic regression. Results: Education level was significantly associated with skin cancer knowledge after adjustment for age (OR= 7.26; 95% CI= 3.45–86.45; p<0.001). Conclusion: Education level is significantly associated with skin cancer knowledge. Strengthening skin cancer education for low-education, high-exposure groups may support earlier detection and prevention.
Fear of Childbirth: A Bibliometric Analysis Siti Nurhidayati; Revi Gama Hatta Novika; Nurul Jannatul Wahidah; Rufidah Maulina; Luluk Fajria Maulida; Atriany Nilam Sari; Fadhila Tsania Richa
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.2026.11.03.11

Abstract

Background: Fear of childbirth (FOC) is an increasingly recognized maternal health issue that affects women's physical, psychological, and overall well-being and is associated with adverse outcomes, including increased obstetric interventions and perinatal mental health problems. This study aimed to analyze global research trends, collaboration patterns, and thematic developments in FOC research over the past decade using a bibliometric approach. Subjects and Method: This was a bibliometric study using the Scopus database. A literature search was performed from database inception January 27, 2026 using the search query: TITLE-ABS-KEY (“fear of childbirth” OR “tokophobia” OR “anxiety childbirth”). The search was english-language, open-access, and final published articles were included. A total of 1,022 publications met the eligibility criteria. Annual scientific production, institutional productivity, author productivity, and publication trends by source and country were descriptively analyzed, while thematic analysis was conducted using VOSviewer. Results: A total of 1.022 publications, demonstrating a consistent increase in scientific product­ion, with the highest output recorded in 2025 (n=184). Iran contributed the largest number of publications (n=137), while the United Kingdom showed the strongest international collaboration network with the highest total link strength (TLS=135), followed by the United States (TLS=112). Citation analysis revealed that the most cited article received 472 citations. Keyword co-occurrence analysis identified four major research themes: social and healthcare system factors, clinical and physiological aspects of childbirth, perinatal mental health, and methodological and psychological measurement approaches. Conclusion: Research on fear of childbirth has expanded substantially, reflecting a multi­dimensional field encompassing psychological, clinical, social, and healthcare perspectives. Key research gaps, particularly regarding family involvement and healthcare system factors, highlight priorities for future research and the development of comprehensive, woman centered maternal healthcare strategies.
Global Research Trends in Preeclampsia Screening and Early Diagnosis: A Bibliometric Analysis Siti Nurhidayati; Revi Gama Hatta Novika; Nurul Jannatul Wahidah; Rufidah Maulina; Luluk Fajria Maulida; Atriany Nilam Sari; Fadhila Tsania Richa; Mezzaluna Zahirah Pramono
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.2026.11.03.12

Abstract

Background: Preeclampsia remains a major cause of maternal and neonatal morbidity and mortality worldwide, while research on biomarkers, screening strategies, and early diagnostic approaches has increased substantially. However, a comprehensive understanding of global research trends and emerging hotspots in preeclampsia screening and early diagnosis remains limited, prompting this study to analyze these trends using bibliometric analysis. Subjects and Method: This was a descriptive bibliometric study conducted using the Scopus database. The target population consisted of publications related to preeclampsia screening and early diagnosis published between 2020 and 2026. Documents were identified using keywords related to preeclampsia, screening, prediction, and early diagnosis. Of 3,105 retrieved records, 882 English-language articles and reviews meeting the eligibility criteria were included in the analysis. The variables analyzed included annual scientific production, citation performance, source journals, authorship characteristics, institutional contributions, country productivity, keyword occurrence, and thematic evolution. Data were analyzed using R programming and VOSviewer. Results: Research on preeclampsia screening and early diagnosis increased substantially during the study period and reached its highest productivity in 2025. BMC Pregnancy and Childbirth was the most productive journal, while the 2021 ISSHP guideline on hypertension in pregnancy was the most globally cited document. The University of Oxford was the leading institutional contributor. Thematic and keyword analyses showed growing attention to biomarkers, placenta, prenatal diagnosis, and predictive models. Five major research clusters were identified, covering maternal risk factors, molecular biomarkers, screening and diagnostic methods, clinical and laboratory parameters, and predictive models. Bioinformatics and messenger RNA emerged as developing research themes. Conclusion: Research on preeclampsia screening has shifted toward biomarker-based prediction and molecular diagnostic approaches, reflecting the growing emphasis on early detection strategies. This bibliometric study provides a comprehensive overview of global research trends, emerging hotspots, and research gaps that may guide future investigations, strengthen biomarker based screening strategies, and foster international collaboration to improve maternal healthcare.
Meta-Analysis of the Effect of Oyster Mushrooms (Pleurotus ostreatus) Contaminated by Heavy Metals on Potential Health Risks Cri Sajjana Prajna Wekadigunawan; Farah Shabrina Martohusodo
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.2026.11.03.07

Abstract

Background: Oyster mushrooms (Pleurotus ostreatus) are widely cultivated and consumed in Indonesia, but heavy metal contamination poses severe human health risks, such as digestive and neurological disorders. Despite numerous individual studies on heavy metal exposure, a comprehensive quantitative synthesis of their relative health risks remains lacking. This meta-analysis aimed to evaluate the health risk potential of arsenic, lead, mercury, and cadmium contamination in oyster mushrooms and assess their pooled effect sizes. Subjects and Method: A systematic literature search was conducted across PubMed, Scopus, Web of Science, and Google Scholar using PRISMA guidelines and PICO criteria to identify eligible studies on heavy metal contamination in Pleurotus ostreatus. A total of 10 articles met the inclusion and exclusion criteria and were synthesized using RevMan 5.4 software. Pooled effect sizes (Standardized Mean Differences) were calculated using a random-effects model to account for study variability, and heterogeneity was evaluated using the I2 statistic along with funnel plot symmetry for publication bias. Results: The meta-analysis of 10 studies revealed that lead exposure had the strongest correlation with health risk (Effect Size = 2.37;95% CI: 1.85-3.04), representing a significantly higher risk compared to mercury (Effect Size = 1.53;95% CI: [-1.01, 4.08]), respectively. Moderate heterogeneity was observed across studies (I2= 93%-97%, p < 0.05), while a symmetrical funnel plot indicated minimal publication bias. Conclusion: This meta-analysis quantitatively confirms that lead, arsenic, and cadmium present the highest health risks among heavy metal contaminants in cultivated Pleurotus ostreatus, with lead demonstrating the strongest overall risk association. These quantified risk magnitudes highlight an urgent need for targeted, mandatory monitoring of lead, arsenic, and cadmium levels in mushroom cultivation to safeguard public health.

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