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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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Food Safety Awareness and Practices among Adult Women and Its Association with Acute Diarrheal Disease in their Household in a Rural Area of Coimbatore, Tamil Nadu Manoj, Darshan; Venkatesan, Sandhiya; Osborn, Jenit; Satheesh
Journal of Epidemiology and Public Health Vol. 9 No. 3 (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.2024.09.03.07

Abstract

Background: Food safety is a paramount concern in today's world, given its critical implications for public health. Contaminated food can lead to severe illnesses and outbreaks, affecting individuals of all ages and backgrounds. Therefore, the study was conducted to assess the level of food safety awareness and attitude among adult women.Subjects and Method: A cross-sectional study was conducted in the rural field practice area of PSG Institute of Medical Sciences & Research, Coimbatore from December 2019 to May 2020. A total of 400 participants were selected using systematic random sampling. A pretested, validated study questionnaire was used to collect the data. Data analysis is done by the estimation of disease risk associated with exposure and calculating the p<0.050 proving the statistical association between exposure status and disease occurrence.Results: Half of them (50%) had adequate knowledge regarding food safety practices and 60% adequately practiced them. Washing hands after using the toilet was practiced by 80.8%. washing hands before eating food was practiced by 74.3%. Rat and fly menace were present in 20.5% and 23.3% respectively. Acute Diarrheal Disease was present in 19.3% of households. The presence of acute diarrhoeal disease (ADD) was found to be significantly higher in those who were not washing their hands after using the toilet, presence of flies and rats in the kitchen, and having inadequate knowledge and practices regarding food safety.Conclusion: Though half of the women demonstrated awareness of food safety principles, the study revealed that actual implementation of safe practices remains inadequate. The association of diarrheal diseases with poor handwashing habits, as well as the presence of pests in the kitchen, emphasizes the critical need for targeted interventions to address these issues
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
Effect Of Coffee Drinking Habit to Blood Pressure and Hemoglobin Levels on Women of Childbearing Age Wartiningsih, Minarni; Brotosudarmo, Tatas Hardo Panintingjati; Gonaldy, Vincent Aurelius; Juliasih, Ni Njoman; Silitonga, Hanna; Tanzilia, May Fanny
Journal of Epidemiology and Public Health Vol. 9 No. 3 (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.2024.09.03.01

Abstract

Background: Tenggerese people, especially women, have a habit of drinking coffee, and it has become a daily habit. Coffee is often associated with risk factors for diseases in the community such as anemia and hypertension. This study aims to determine the effect of coffee drinking quantity (1-2 cups, 3-4 cups, and ≥ 5 cups of coffee per day) on hemoglobin levels and blood pressure. Subjects and Method: A quantitative study with a cross-sectional study design was done. This study population was women of reproductive age (15 to 49 years) in Ngadipuro Hamlet, Tengger, East Java, Indonesia. The independent variable of this study is the  of daily coffee drinking per cup and the dependent variable of this study is the hemoglobin levels in women of childbearing age. The study instrument used was a questionnaire to screen for those who were a daily coffee drinker and a blood hemoglobin rapid test kit was used to measure the level of hemoglobin.The number of samples in this study was 193 respondents which was chosen using the random sampling technique. Analysis of the quantity of coffee drinking on hemoglobin levels by the Annova test while on blood pressure by the Kruskal Wallis test through SPSS software. Results: The result showed that the quantity of coffee per day on hemoglobin levels had a significance p<0.001. While the quantity of coffee per day on blood pressure had a significance p=0.361. Conclusion: It can be concluded that drinking 1-2 cups of coffee, 3-4 cups, and ≥ 5 cups of coffee daily simultaneously affects hemoglobin levels. In this case, the more quantity of coffee per day, the lower the hemoglobin level. However, the quantity of coffee had no significant effect on blood pressure.  
Correlations between History of Contact with Infected Person and Measles Vaccination Status on the Risk of Measles Incidence in Children: Meta-Analysis Dhony, Ervia Fahma; Murti, Bhisma; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 9 No. 2 (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.2024.09.02.03

Abstract

Background: Measles is a disease that can be prevented by immunization (VPD), which is highly contagious and often causes widespread outbreaks and can cause lifelong complications and death. Some evidence suggests that the risk of measles is due to contact history and vaccine status. This study aims to estimate the magnitude of the relationship between contact history and vaccine status with the incidence of measles in children, through a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This research is a systematic review and meta-analysis with PICO as follows, Population: children. Intervention: contact history, vaccine status. Comparison: no contact history, no vaccine. Outcome: measles. The articles used in this research were obtained from three databases, namely PubMed, Google Scholar, and Science Direct, using the keys "History contact" AND "Vaccine" OR "Vaccinated" OR "Immunization" AND "Measles" AND "Children. The included articles were full-text with a case-control study design from 2012 to 2023 and reported the adjusted Odds Ratio (aOR) in multivariate analysis. Article selection was carried out using the PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 8 case-control studies involving the African continent and the Asian continent were selected for meta-analysis. Children with a history of contact have an increased risk of developing measles 4.38 times compared with children without a history of contact, and this relationship is statistically significant (aOR=4.38; 95% CI=1.36 to 14.09; p= 0.010). Children who had been given the measles vaccine had a reduced risk of getting measles 0.30 times compared to children who had not been given the measles vaccine, and this result was statistically significant (aOR= 0.30; 95% CI= 0.22 to 0.40; p< 0.001).Conclusion: Contact history statistically significantly increases the risk of getting measles in children, vaccine statistically significantly reduces the risk of getting measles in children. Keywords: Contact history, vaccine status, measles, children.
Meta-Analysis the Effect of Protected Well and Measles Vaccination on Stunting in Children Under Five Pramono, Edi; Murti, Bhisma; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 9 No. 2 (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.2024.09.02.07

Abstract

Background: Stunting is a condition where children's growth fails (body and brain growth) due to malnutrition for a long time. The incidence of stunting in toddlers needs special attention because it can hinder children's physical and mental development. This study aims to analyze and estimate the effect of protected wells and the measles vaccine on the incidence of stunting in children under five, with a meta-analysis based on primary studies conducted previously.Subjects and Method: Meta-analysis was carried out in PICO format. Population: Children under five. Intervention: Protected Wells and Measles vaccine status. Comparison: Unprotected Well and Status not vaccinated against measles. Outcome: Stunting incidence. Article searches were carried out using several databases such as Google Scholar, PubMed, Science Direct, and Springerlink. The keywords used are "Protected well" AND Measles vaccine" AND "Stunting in toddlers". Inclusion criteria for the included articles were full-text articles with a cross-sectional design from 2015 to 2023. This study was conducted following PRISMA flow diagram guidelines. Data was analyzed using the Review Manager 5.3 application.Results: 12 cross-sectional studies from Asia and Africa were selected for meta-analysis. the total sample was 48,128 toddlers. Protected well (aOR= 0.86; 95% CI= 0.75 to 1.00; p= 0.040) and measles vaccine (aOR= 0.59; 95% CI= 0.27 to 1.29; p= 0.190) reduce the risk of stunting in children under five.Conclusion: Protected wells and administering the measles vaccine reduce the incidence of stunting in toddlers.
The Impact of Sugar Intake, Household Income, and Maternal Education on the Occurrence of Dental Caries in Children: A Meta-Analysis Dewi, Arddha Maha Pawitra Dwi Puspita; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 9 No. 2 (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.2024.09.02.09

Abstract

Background: In Indonesia, the prevalence of dental caries in early childhood is still very high, around 93%. This study aims to analyze and estimate the magnitude of the relationship between sugar consumption, family income, and maternal education and the incidence of dental caries in children, through a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This study is a systematic review and meta-analysis using PICO as follows, Population: children aged 1 to 5 years 11 months, Intervention: high sugar consumption, high family income, high maternal education, Comparison: low sugar consumption, low family income, low maternal education, and Outcome: dental caries. The articles used in this study were obtained from three databases, namely PubMed, Google Scholar, and Science Direct, using the key­words "Sugar" OR "Sweet food" AND "Household income" OR "Parental income" AND "Parental education" OR "Education status" AND "Dental caries" AND "Child" OR "Children" AND "Cross-sectional" AND “aOR”. The included articles were full-text in English, with a cross-sectional study design from 2013 to 2023, and reported adjusted Odds Ratio (aOR) in multivariate analysis. Article selection was carried out using the PRISMA diagram and analyzed using the ReMan 5.3 application. Results: A total of 11 cross-sectional were selected for meta-analysis. Children who frequently consume sugar have an increased risk of dental caries 1.50 times compared to children who rarely consume sugar, and this is statistically significant (aOR=1.50; 95% CI=1.32 to 1.70; p<0.001). Children from families with high incomes had a reduced risk of dental caries 0.65 times compared to children from families with low incomes, and this was statistically significant (aOR=0.65; 95% CI=0.59 to 0.71; p<0.001). Children who have highly educated mothers have a reduced risk of dental caries 0.71 times compared to children who have mothers with low education, and this is statistically significant (aOR=0.71; 95% CI=0.64 to 0.78; p<0.001). Conclusion: Sugar consumption statistically significantly increases the incidence of dental caries in children. High family income and high maternal education statistically significantly reduce the incidence of dental caries in children.
The Effect of Yoga Exercise on Reducing Blood Pressure among Elderly with Hypertension Maharani, Aura Rosse; Haritsah, Nurul Fithriati; Windiastoni, Yoga Handita; Noerdjannah
Journal of Epidemiology and Public Health Vol. 9 No. 2 (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.2024.09.02.11

Abstract

Background: Hypertension is a silent killer with no symptoms. One of the non-pharmacological treatments used is yoga exercises. This study aims to determine yoga exercise on reducing blood pressure among elderly with hypertension.Subjects and Method: This study is a one-group pre and post-test conducted at the Tohudan Colomadu Karanganyar Elderly Posyandu from March to April 2024. A total of 19 elderly people aged 50 to 70 years were selected using purposive sampling. The dependent variable in this study was a decrease in blood pressure. The independent variable in this study was yoga gymnastics. The study was conducted by measuring blood pressure before and after yoga exercises using a sphygmomanometer. The collected blood pressure data was analyzed using SPSS.Results: Average systolic blood clearance (Mean= 148.53; SD=6.62) and diastolic blood pressure (Mean= 93.26; SD= 2.05) before the intervention was higher than systolic blood pressure (Mean= 141.53; SD= 7.32) and diastolic blood pressure (Mean= 87.37; SD=2.29) after the intervention, and the results were statistically significant (p=<0.001).Conclusion: Systolic blood pressure and diastolic blood pressure before intervention were higher than systolic blood pressure and diastolic blood pressure after intervention.
The Impact of Socio-demographic Factors on the Recovery Potential of Schizophrenia Patients Post Hospitalization Mulyani, Sri
Journal of Epidemiology and Public Health Vol. 9 No. 3 (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.2024.09.03.05

Abstract

Background: Mental health is a series of emotional, psychological, and social well-being. Psychological well-being focuses on individuals having meaning in life and having choices in actualizing their potential. This study aimed to analyze the influence of socio-demographic factors on the recovery ability of schizophrenia patients after hospitalization.Subjects and Method: This research was conducted using a cross-sectional design carried out at the Outpatient Polyclinic of RSJD Dr. Arif Zainudin Surakarta from December 2023 to January 2024. The sample used in this study was 200 schizophrenia patients who were selected using purposive sampling. The independent variables in this study are gender, age, duration of illness, duration of hospitalization, education level, and employment status. The dependent variable is the recovery ability of schizophrenia patients after hospitalization. Data collection was carried out using a questionnaire and data was analyzed using a multiple linear regression analysis model.Results: The ability to recover from schizophrenia patients after hospitalization increased with female (b= 5.58; 95% CI= 1.29 to 9.87; p= 0.011), age ≥ 39 years (b= 0.66; 95% CI= -3.51 to 4.83; p= 0.756), high education (b= 7.24; 95% CI= 2.83 to 11.64; p= 0.001), and employed (b= 16.36; 95% CI= 12.06 to 20.67; p< 0.001). It decreased with a duration of illness ≥8 years (b= -5.77; 95% CI= -10.15 to -1.40; p= 0.010) and length of hospital stay ≥21 days (b= -6.88; 95% CI= -11.27 to -2.49; p= 0.002).Conclusion: The recovery ability of schizophrenia patients after hospitalization will increase with female, age ≥39 years, high education, and employed. It decreased with length of illness ≥8 years and length of stay ≥21 days.
Village as Contextual Factors and Other Risk Factors Related with the Incidence of Clinical Tuberculosis in Children in Wonogiri, Central Java: A Multilevel Analysis Hidayati, Khairina Nur; Murti, Bhisma; Rahardjo, Setyo Sri
Journal of Epidemiology and Public Health Vol. 9 No. 3 (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.2024.09.03.02

Abstract

Background: Indonesia is in the second rank with the highest burden of tuberculosis (TB) in the world. Childhood is a period of rapid growth, the body still has a low immune system so it is susceptible to disease including tuberculosis in children which requires control efforts. This study aims to analyze the influence of risk factors and village contextual factors on the incidence of TB in children.Subjects and Method: Case-control study research was conducted in 82 villages in Wonogiri Regency, from November to December 2023. A sample of 200 children aged 0 to 4 years old was selected through fixed disease sampling. The dependent variable of this study was the incidence of TB in children. The independent variables in this study were stunting, contact history, exposure to cigarette smoke, home sanitation, gender, parental education, child age, parental income, BCG immunization status, and village contextual influences. Data on TB disease was obtained from the Tuberculosis Information System Application (SITB) at the Wonogiri District Health Service in 2023. Other data was collected through questionnaires. The data analysis was done through multilevel multiplelogistic regression.Results: The factors that increased the incidence of TB in children were stunting (OR= 10.94; CI 95%= 2.50 to 47.90; p= 0.001), contact history to TB (OR= 8.37; CI 95%= 1.60 to 43.83; p= 0.012), and exposure to cigarette smoke (OR= 7.36; CI 95%= 1.99 to 27.14; p= 0.003). The reducing factors were healthy sanitation (OR= 0.24; CI 95%= 0.08 to 0.78; p= 0.017), female children (OR= 0.40; CI 95%= 0.15 to 1.05; p= 0.062), and parents with ≥high school education (OR= 0.40; CI 95%= 0.15 to 1.05; p= 0.062). There was no relationship between age (OR= 0.93; CI 95%= 0.13 to 6.23; p= 0.940), parental income (OR= 1.14; CI 95%= 0.40 to 3.25; p= 0.807), and BCG immunization status (OR= 0.12; CI 95%= 0.00 to 105.98; p= 0.550). Village has a contextual influence on the incidence of clinical TB in children (ICC= 52.95%).Conclusion: The risk of clinical TB in children increased with stunting, a history of TB contact and exposure to cigarette smoke, it decreased with healthy home sanitation, female gender, parents with ≥high school education. There was no relationship between age, parental income, and BCG immunization status. The village has a contextual effect on the incidence of clinical TB in children.
The Effect of Sleep Disorders on Anxiety and Depression in Health Workers: A Meta-Analysis Rohmani, Alfiana Nur; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Epidemiology and Public Health Vol. 9 No. 3 (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.2024.09.03.04

Abstract

Background: Sleep disorders are a clinical condition when a person frequently experiences problems or decreased sleep quality that can lead to anxiety and depression. The purpose of this meta-analysis is to estimate and analyze the magnitude of the influence of sleep disorders on anxiety and depression in health workers based on the results of previous similar primary studies.Subjects and Method: Meta-analysis was performed on a primary study with a cross-sectional design. The research with the PICO format is as follows. Q: Health workers. I: Sleep disturbances < 8 hours per day; C: No sleep disturbances (Enough sleep > 8 hours per day). O: Anxiety and depression. The meta-analysis study was conducted by searching for articles from databases in electronic form using Google schoolar and Pubmed. This study was conducted by researchers in November 2023 by searching and selecting research data online conducted by previous primary data researchers in Pubmed and google scholar with a research period of 2016-2023. The keywords used in the primary data search were "Mental health" OR "Anxiety" OR "Depression" AND "Sleep disturbance" AND "Health worker" OR "Healthcare". The inclusion criteria for this study are complete articles using Cross-sectional research, published years from 2013-2023. The analysis of the articles in this study uses RevMan 5.3 software.Results: The meta-analysis in this study included 7 cross-sectional studies from Hong Kong, China, Bangladesh, Saudi Arabia, the United States, and Turkey. The total sample size is 5,267 samples. The risk of anxiety caused by sleep disturbances in health workers was 1.6 times compared to health workers who did not experience sleep disturbances (aOR=1.67; CI 95%=1.05 to 2.45; p= 0.030). the risk of depression caused by sleep disturbances in health workers was 1.32 times compared to health workers who did not experience sleep disturbances (aOR=1.32; CI 95%=0.81 to 2.15; p= 0.270).Conclusion: Sleep disorders increase the risk of anxiety and depression in health workers.

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