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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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Integration of Indonesian National Trauma Guideline into the Emergency Room System (Cipto Code Trauma System) Mulyana, Radi Muharris; Gani, Ascobat
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.02

Abstract

Background: Indonesia has enacted the national trauma guideline since 2017 and Cipto Mangun-kusumo Hospital (CMH) has applied it since 2019 through the establishment of Cipto Code Trauma. This study aimed to describe the compliance, system adherence, performance and outcome associated with the Cipto Code Trauma system.Subjects and Method: This cross-sectional study was conducted at CMH Emergency Room (ER) using direct observations and data from electronic health records (EHRs). Observations were performed on 106 trauma cases by convenience sampling to map clinical and non-clinical components using a checklist. We compared the implemented ER components against the 2017 national trauma guidelines, assessing the system compliance. Total sampling from EHRs was performed on 4,317 trauma patients to assess performance and outcome of Cipto Code Trauma system. The data were analyzed descriptively.Results: Observations from 106 trauma cases indicate that the Cipto Code Trauma meets all criteria from the national trauma guidelines. Performance indicators from 840 patients were achieved, including trauma team activation (87.6%), on-site multidisciplinary consultation (87.6%), time to physician assessment within five minutes (84.4%), except for length of stay under 4 hours (18.5%) and time to operating theatre within two hours (45.5%). Among the 4,317 trauma cases, the mortality rate for patients in the resuscitation category was 0.4%, while 39% of these patients were discharged directly from the ER.Conclusion: The Cipto Code Trauma at CMH has successfully integrated the Indonesian national trauma guidelines, meeting all required standards. However, further improvements are needed to enhance system adherence and performance.
Spatial Analysis of Determinants of Hypertension Incidence in Kota Lama Subdistrict, Kupang, Indonesia Lenda, Dominggus Agustinus Isak; Weraman, Pius; Syamruth, Yendris Krisno; Adu, Apris A; Roga, Anderias Umbu
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.07

Abstract

Background: Cardiovascular diseases such as hypertension, heart attack, and stroke are chronic non-communicable diseases influenced by genetic, physiological, environmental, and behavioral factors. Geographic Information Systems (GIS) can be utilized for spatial analysis to identify risk factors, distribution patterns, and determinants of diseases, including hypertension. This study aims to examine the determinants of hypertension using a spatial analysis approach in Kota Lama Subdistrict, Kupang City.Subjects and Method: This study employed an ecological study design using an observational analytic method with a cross-sectional approach. The population consisted of residents aged ≥18 years in Kota Lama Subdistrict. A total of 400 individuals diagnosed with hypertension were selected using simple random sampling. The variables examined were age, overweight, lack of physical activity, high-salt diet, alcohol consumption, medication adherence, economic level, and distance to health facilities. Instruments used included a sphygmomanometer, microtoise, weight scale, and questionnaire. Spatial analysis was conducted using the GeoDa application with Regression, Bivariate Local Moran’s Index, Multivariate Local Geary, and Spatial Empirical Bayes tests.Results: The results showed significant associations and clustered spatial autocorrelation with low-to-high relative risk (RR) observed in the subdistricts of LLBK, Bonipoi, Solor, Fatubesi, Oeba, Nefonaek, and Pasir Panjang for the variables: age (p=0.001, I=0.70), overweight (p<0.001, I=0.64), lack of physical activity (p=0.00, I=0.63), high-salt diet (p=0.00, I=0.63), and alcohol consumption (p<0.001, I=0.69). There were no significant associations for variables such as irregular medication intake, economic level, and distance to health facilities, with p-values of 1.000 > α (0.050).Conclusion: Age, overweight, physical inactivity, high-salt diet, and alcohol consumption are significant determinants and show positive clustered spatial autocorrelation with hypertension. It is recommended that individuals over 40 years of age regularly monitor their blood pressure, maintain a healthy diet, engage in sufficient physical activity, and for those with hypertension, adhere to regular medication intake.
Factors Associated with Pregnant Women's Compliance with Fit-to-Fly Recommendations at El Tari Airport in 2024 Misnadin, Indri Wahyuningsih; Syamruth, Yendris Krisno; Manurung, Imelda Februati Ester; Weraman, Pius; Nayoan, Christina Rony
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.10

Abstract

Background: Fit-to-fly recommendations for pregnant women are regulated in Indonesia’s civil aviation guidelines. Noncompliance may pose health risks for both mother and fetus during air travel. This study aimed to identify factors associated with pregnant women’s compliance with fit-to-fly recommendations at El Tari Airport in 2024.Subjects and Method: A cross-sectional study was conducted from January to March 2024 at El Tari Airport, Kupang. A total of 130 pregnant passengers who applied for fit-to-fly letters at the BKK Class I Airport Health Post were selected using simple random sampling. The dependent variable was compliance with fit-to-fly recommendations. Independent variables included maternal age, gestational age, parity, education level, travel reasons, document completeness, exposure to information, family support, and maternal knowledge. Data were collected using a structured questionnaire and analyzed using univariate, bivariate, and multivariate methods with multiple logistic regression.Results: Gestational age (OR=6.79; 95%CI: 2.06–22.41; p=0.002), parity (OR=8.00; 95%CI: 2.61–22.54; p<0.001), education level (OR=5.49; 95%CI: 1.47–20.41; p=0.011), and maternal knowledge (OR=6.75; 95%CI: 2.13–21.34; p=0.001) were significantly associated with compliance. Other factors such as exposure to information, maternal age, document completeness, travel reasons, and family support showed no statistically significant association..Conclusion: Gestational age, parity, education level, and maternal knowledge were significant determinants of compliance with fit-to-fly recommendations among pregnant women. These findings highlight the importance of targeted health education and screening prior to air travel during pregnancy.
Effect of Parenting Style on the Incidence of Sibling Rivalry in Children in Surakarta, Central Java Ropitasari; Widiastuti, Nindy; Fajriyani, Fanny Kartika; Karimah, Nahdiyah
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.09

Abstract

Background: Proper parenting can reduce incidents of jealousy, competition, or arguments. (siblings' rivalry) a child towards the presence of a new sibling. One solution to the sibling effect rivalry through parents who encourage children to change their behavior, knowledge, and values that are considered appropriate so that children can be independent, grow and develop healthily and optimally, and have a sense of believe self, characteristic flavor want to know, friendly, and oriented towards progress without drop the one others. This study aimed to analyze the influence of parenting patterns on sibling rivalry in children in Surakarta.Subjects and Method: This study employed a cross-sectional design and was conducted in the Sangkrah area, Surakarta, Indonesia. The study population consisted of parents who had more than one child under the age of five. A total of 120 respondents were selected using systematic random sampling. The independent variable in this study was parenting patterns, while the dependent variable was sibling rivalry, which was measured using a nominal scale. Data were collected directly through a structured questionnaire. The data were then analyzed using bivariate analysis with the Chi-Square test.Results: The study showed that 77.5% (93 children) experienced sibling abuse. rivalry among them, 7 people have an authoritarian parenting style (5.8%), 101 people have a democratic (84.2%), 78 people have a permissive (65%), and 11 parents have a passive (9.2%). Permissive (OR= 1.65; 95% CI= 0.68 to 3.98) and passive parenting style (OR = 2.29; 95% CI = 0.54 to 9.66) increased the likelihood of sibling rivalry, by the associations were statistically non-significant.Conclusion: There is no significant influence of the four parenting patterns on sibling incidents. rivalry is insignificant.
Global Research Trends on Preconception Care on the Infertility Prevention: A Bibliometric Study Novika, Revi Gama Hatta; Sari, Atriany Nilam; Nurhidayati, Siti; Maulina, Rufidah; Maulida, Luluk Fajria; Wahidah, Nurul Jannatul; Ilyas, Muhana Fawwazy
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.12

Abstract

Background: Infertility affects approximately one in six individuals globally and remains a growing reproductive health concern, often linked to modifiable risk factors present before conception. Preconception care (PCC) has gained recognition as a preventive strategy, however the implementation of PCC at scale remains challenged and yet its research landscape in relation to infertility remains under-mapped.This study aimed to analyze global research trends on preconception care in the context of infertility prevention using bibliometric methods.Subjects and Method: A bibliometric analysis was conducted using the Scopus database, with data retrieved on May 12, 2024. The search strategy included terms related to PCC and infertility, yielding 486 eligible publications after screening. Included documents were English-language publications in final form, relevant to preconception care and infertility, and classified as articles, reviews, conference papers, or book materials. Analysis was performed using Scopus tools, Biblioshiny (R), and VOSviewer to examine publication trends, key contributors, and thematic evolution.Results: A total of 486 publications from 1991 to 2025 were identified, with an annual growth rate of 6.43%. Most documents were original articles (67.7%) and reviews (28.4%), authored by 2,529 contributors across 307 publication sources. Several national strategies have formalized PCC into broader public health policy to reduce disparities in pregnancy outcomes and unmet fertility needs, but there remains a critical gap in the global PCC research agenda, such as the heterogeneity in intervention protocols.Conclusion: Research on preconception care in the context of infertility prevention has expanded steadily. However, Future research should prioritize longitudinal and interventional studies, foster global collaboration, and align with broader reproductive justice goals to strengthen the evidence base. Ultimately, enhancing the visibility and implementation of PCC in both clinical and public health domains will be pivotal in addressing modifiable infertility risks and promoting equitable reproductive outcomes worldwide.
Maintaining Occupational Health: An Analysis of Fatigue and Safety Compliance in Construction Workers Rante Ada', Yeremia; Sumardiyono; Chahyadhi, Bachtiar; Wijayanti, Reni; Syahrotun Nisa Suratna, Farhana; Paskanita Widjanarti, Maria; Prihantina Fauzi, Rachmawati
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.11

Abstract

Background: Safety compliance is a critical component in preventing workplace accidents and ensuring employee well-being. Various factors may influence workers’ adherence to safety protocols, including individual characteristics such as education level and fatigue. The purpose of this study was to examine the relationships between education level, work fatigue, and safety compliance.Subjects and Method: This cross-sectional study involved 137 respondents, categorized by fatigue status. The dependent variable was safety compliance. Independent variables included work fatigue and education level. Instruments included the Fatigue Assessment Scale (FAS) questionnaire for fatigue. Data analysis utilized the chi-square test for fatigue and education levels. Results: The proportion of workers who comply with safety procedures varies across education levels, but the differences are not statistically significant. In contrast, workers with higher levels of fatigue were significantly more compliant with safety practices than those with lower fatigue..Conclusion: These findings highlight the complexity of behavioral responses to workplace demands and the need for targeted interventions.
Justification of Intimate Partner Violence among Women of Reproductive Age in Nigeria: Analysis of 2011-2021 Multiple Indicator Cluster Surveys Sanni, Olaniyi Felix; Sanni, Abike Elizabeth; Ahamuefula, Tukwasi; Akeju, Oluwadare Peter; onyeagwaibe, Collins Isioma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.01

Abstract

Background: Women around the world face Intimate Partner Violence (IPV) as one of the most widespread forms of abuse, making it a serious public health issue globally. This study seeks to analyse multi-year trends in the justification of intimate partner violence in Nigeria and identify key influencing factors.Subjects and Method: This cross-sectional study used data from the 2011, 2016/17, and 2021 Nigeria MICS, targeting women aged 15–49 across the country. A stratified two-stage sampling design ensured national representation. Justification of intimate partner violence was the main outcome, analysed using binomial logistic regression. Crude and adjusted odds ratios were estimated, with significance set at p < 0.050.Results: The prevalence of IPV justification was 37.2%. The trend peaked in 2011 at 37.3%, a decrease to 30.1% in 2016/17, and a rise to 32.6% in 2021. Factors associated with higher odds of IPV justification include women aged 25 to 34 (AOR= 0.96) and 44 to 49 (AOR= 0.85), non-formal education (AOR= 1.69), primary education (AOR= 1.84), and secondary education (AOR= 1.641). Additionally, living in rural areas (AOR= 1.278), being pregnant (AOR= 1.11), having a husband or partner with multiple spouses (AOR= 1.25), and belonging to the poorest (AOR= 1.92), middle (AOR= 1.63), or fourth (AOR= 1.48) wealth quintiles are linked to an increased likelihood of justifying IPVt.Conclusion: This study’s findings can assist the government and relevant organizations in designing strategies to reduce IPV justification by introducing proper education, poverty alleviation programs, and enlightening campaigns.
A Stress and Resilience Among Adolescents Experiencing Unintended Pregnancy: A Scoping Review Jumiati, Raodiatul; Astuti, Andari Wuri; Hakimi, Mohammad
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.03

Abstract

Background: Unintended pregnancy (UP) among adolescents represents a global issue with profound psychological, social, and emotional consequences. Adolescents experiencing UP often face social stigma, family pressure, and uncertainty about their future, which can lead to prolonged psychological distress. This study aims to explore the experiences of stress and the resilience strategies employed by adolescents dealing with UP.Subjects and Method: This research employs a scoping review methodology based on the Arksey and O’Malley framework, with the population consisting of adolescents, teenage girls, and young mothers. The concepts included stress, stress experience, resilience strategies, and coping mechanisms, and the context was applicable across various settings. Literature was sourced from databases such as PubMed and ScienceDirect. Inclusion criteria comprised scholarly publications in English or Indonesian, primary research articles or relevant reviews addressing similar themes, and studies published within the last 10 years to ensure relevance. The PRISMA Flowchart illustrated the selection process, while the critical appraisal of the selected articles followed the Joanna Briggs Institute (JBI) guidelines.Results: UP is a significant contributor to psychological stress among adolescents, driven by social stigma, isolation, and a lack of emotional support. Nevertheless, resilience emerges as a crucial factor in managing such stress. Protective factors such as support from family and peers and emotional regulation training are pivotal in enhancing adolescent resilience.Conclusion: Community-based interventions focusing on fostering resilience through the development of psychological skills and stress management strategies are essential for supporting the mental health of pregnant adolescents.
Unwanted Pregnancy and Maternal Mental Health Based on the WHO SRQ-20: A Meta-Analysis Saefurrohim, Muhamad Zakki; Azmiardi, Akhmad; Wisnuwardani, Ratih Wirapuspita; Al-Ayubi, Moch Thoriq Assegaf; Basrowi, Ray Wagiu; Yuliana, Roma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.04

Abstract

Background: The WHO (2019) reported that approximately 10% of pregnant women and 13% of postpartum women globally experience maternal mental health disorders. Several studies have identified unintended pregnancy as a contributing factor to these disorders. This systematic review and meta-analysis aimed to analyze and estimate the association between unintended pregnancy and maternal mental health disorders (MHD), using studies that applied the WHO Self-Reporting Questionnaire-20 (SRQ-20).Subjects and Method: A systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO (CRD42025634410). Article searches were conducted up to January 15, 2025, in PubMed, ScienceDirect, Google Scholar, and Scopus using the keywords: “SRQ” AND (“mental health” OR “psychological well-being” OR “mental disorder”) AND (“unwanted pregnancy” OR “unintended pregnancy” OR “unplanned pregnancy”) AND (“mother” OR “maternal”). Inclusion criteria focused on observational studies using the WHO SRQ-20 to assess maternal mental health among women with unintended and intended pregnancies. Meta-analysis was performed using R Studio, with effect sizes reported as risk ratios (RR) or adjusted odds ratios (aOR) and 95% confidence intervals. Heterogeneity was assessed using the I² statistic, and funnel plots were generated to examine publication bias.Results: A total of 12 studies from Ethiopia, Indonesia, India, Vietnam, Brazil, and Malawi, comprising 85,862 participants, were included in this meta-analysis. A total of 12 studies with a total of 85,862 participants were analyzed in this meta-analysis. The results showed that unintended pregnancy significantly increased the risk of maternal MHD. This finding was consistent in both cohort and cross-sectional studies, with effect sizes of (RR = 1.49; CI95%= 1.03 to 2.15; p= 0.030) and (aOR= 1.83; CI95%= 1.35 to 2.47; p < 0.001), respectively.Conclusion: These findings highlight the strong association between unintended pregnancy and MHD. Limitations include high heterogeneity among studies, potential publication bias, and the predominance of observational designs, which preclude causal inferences. Despite these limitations, the results underscore the need for interventions that prioritize the overall health of pregnant women.
The Impact of Childhood Trauma on Adolescent Sexual Health: A Scoping Review Fitriya, Yuni; Rokhanawati, Dewi; Askuri
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.05

Abstract

Background: Violence against children is a serious global problem. The United Nations reports that more than one billion children experience violence every year. Childhood trauma resulting from such violence has a significant impact on adolescent sexual health, increasing the risk of early sexual initiation and sexually transmitted infections. This study aimed to identify the nature and scope of available research literature on the impact of childhood trauma on adolescent sexual health.Subjects and Method: This was a scoping review within the Arkey and O'Maley approach. The framework used in this study employed PCC (population, concept, and context). The population includes adolescents with childhood trauma, the concept focuses on adolescent sexual health, and the context is childhood trauma. The inclusion criteria in this study were primary research articles using English or Indonesian published in the last 10 years (2015 to 2025), full-text articles, and free. Article selection used Rayyan described in the PRISMA Flowchart, and the Critical Appraisal article assessment used Joanna Briggs Institute (JBI).Results: The results of the study, which included a total of 9 articles, stated that childhood trauma in children can be caused by various forms of violence against children, including physical violence, sexual violence, verbal violence, parental divorce, domestic violence, and neglect. All types of childhood trauma are significantly associated with risky health outcomes such as early sex, unmarital sex, teenage pregnancy, being a teenage parent, consuming illegal drugs and alcohol, and early puberty. Each increase in the type of childhood trauma experiences significantly increases risky sexual health.Conclusion: Adolescents who have childhood trauma are more at risk of various types of high-risk health behaviors such as early sexual intercourse, casual sex, teenage pregnancy, becoming teenage parents, at risk of Sexually Transmitted Infections (STIs), early puberty, consuming illegal drugs and alcohol, and committing violence.

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