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Contact Name
Firman Pardosi
Contact Email
par­do­si­.­fp­@­gmail.com
Phone
+6285261­42­3­8­65
Journal Mail Official
par­do­si­.­fp­@­gmail.com
Editorial Address
Universitas Sebelas Maret, Jl. Ir. Suta­mi­ 36A, Su­rakarta 57126, Central Java
Location
Kota surakarta,
Jawa tengah
INDONESIA
Journal of Epidemiology and Public Health
ISSN : 25490273     EISSN : 25490273     DOI : -
Core Subject : 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 530 Documents
Children Under 5 Years as Predicting Dengue Transmission in Kebumen District, Indonesia: Case Study Mapping Approaches Susanto, Nugroho; Izhar, M. Dody; Manangsang, Frans
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.2025.10.03.02

Abstract

Background: Dengue disease is still a problem in the world. Factors affecting population main importance for dengue transmission. The dengue cases severity 34.40% in Indonesia, and the study area is an endemic dengue. The study aimed to determine factors causing dengue transmission in the Kebumen district, Central Java Province.Subjects and Method: A cross-sectional study was conducted in 460 villages in Kebumen district, Central Java. The study was conducted in 2024 by taking dengue data from medical records in the period January 2023 to December 2023. The number of dengue cases during the study period was 395 cases that were diagnosed. The dependent variable is transmission zone. The status village transmission is a number of dengue cases> 2 cases in the village during the study based on medical records. The independent variables are children under 5 years, the incidence rate of dengue, the incidence rate area, the incidence rate density, and population age > 70 years (elderly). Data of dengue cases were obtained from medical record. The data were analyzed with an independent t-test, linear regression test, and survival test (Cox proportional hazards).Results: The incidence rate averaged 30.17 higher than the government standard, with 10 cases/ 100,000 population for each village, and was higher in March. The population, density, children under 5 years, elderly upper 70 years, incidence density, incidence case, incidence areas, and large no significant differences between village transmission and no transmission p≤0.050, and variable contributing to dengue transmission R2= 0.39 or 39.20%. The hazard time for infection (HR = 0.62; CI95%= 0.46 to 0.83).Conclusion: The zone is high risk for dengue transmission, 24.6% of the 460. The factors significantly related to dengue transmission in the village as population size, population density, children under 5 years, elderly upper 70 years, incidence density, incidence case, and incidence area contributing to dengue transmission, R2= 0.39. The main factor contributing to dengue transmission is incidence density, β= 69.95.
Determinants of Dementia Among the Elderly in Jakarta, Indonesia Umeda, Miciko; Widiyanto, Aris; Muhdiana, Dedy; Herlina, Lily; Atmojo, Joko Tri; Murti, Bhisma
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.2025.10.03.06

Abstract

Background: The incidence of dementia rises sharply, and it is expected to grow worldwide in the decades ahead. This study aimed to investigate the determinants of dementia among the elderly in Jakarta, Indonesia.Subjects and Method: A cross-sectional design was employed in the Aisyah organization at Jakarta City, Indonesia. A total of 65 elderly people were selected using Stratified random sampling. The dependent variable was dementia. The independent variables were education, occupation, married status, and exercise routine. The dementia was assessed using the Mini-Mental State Examination (MMSE) questionnaire, which was translated into Bahasa. Results: The participants had an education level of high school or below (52.31%), were not married (53.85%), and were not working (55.38%). The majority reported frequent exercise (92.31%), and 44.62% were identified with dementia. Bivariate analysis showed that higher education (OR = 0.92; 95% CI= 0.26 to 3.22; p= 0.002) and being married (OR= 0.94; 95% CI= 0.34 to 2.61; p= 0.020) were significantly associated with lower dementia risk. Exercise routine showed a strong protective effect (OR = 0.17; 95% CI= 0.01 to 1.79; p= 0.043), while occupational status was not significantly associated (p= 0.074). In multivariate analysis, only exercise routine remained significantly associated with dementia (OR= 0.17; 95% CI= 0.01 to 1.78; p= 0.042), suggesting it as an independent protective factor after controlling for confounders.Conclusion: Regular physical activity was identified as a significant protective factor against dementia among the elderly. Promoting exercise may be an effective strategy for dementia prevention in this population.
Effect of Banana Consumption to Reducing Hyperemesis Gravidarum In Pregnant Women Puspitasari, Indah; Dewi, Anggit Yonika; Kulsum, Ummi
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.2025.10.03.08

Abstract

Background: Hyperemesis gravidarum (HG) is a severe form of nausea and vomiting during pregnancy that can lead to dehydration, weight loss, and nutritional deficiencies, posing risks to both maternal and fetal health. Exploring the potential of banana consumption as a natural, accessible intervention may offer a simple dietary strategy to alleviate HG symptoms and improve maternal well-being. This study aimed to determine whether banana comsumption contributes to a decrease in the number of cases of nausea and vomiting experienced by pregnant women. Subjects and Method: This was a quasi experiment conducted at the Mitra Siaga Hospital, Tegal, Central Java, Indonesia, in April-May 2024. A number of 30 pregnant women with hyperemesis gravidarum was selected using purposive sampling. Hyperemesis gravidarum was measured using Pregnancy Unique Quantification of Emesis and Nausea (PUQE) questionnaire. Difference score of hyperemesis gravidarum before and after intervention was examined using t test. Results: The results of the Wilcoxon test before and after consuming bananas with Confidence Interval 95% showed p-value = 0.000, with a significance level of p-value 0.000 < 0.05, which indicates that banana consumption is effective in reducing complaints of nausea and vomiting in hyperemesis gravidarum mothers at Mitra Siaga Hospital, Tegal. The results of the linear regression test of the effect of banana consumption on hyperemesis gravidarum t value = 20.110 > t table and the significance level of p-value 0.000 < 0.05, which indicates that banana consumption has a positive and significant effect on reducing complaints of nausea and vomiting in mothers with hyperemesis gravidarum at Mitra Siaga Hospital, Tegal. Conclusion: Banana consumption can reduce vomiting in pregnant women.
Effect of Early Mobilization on Intestinal Peristaltic Recovery As Prevention of Paralytic Ileus in Post Cesarean Section Patients khoirunnisa, fania; Muna, Nailil; Tristanti, Ika; Rahmawati, Ashri; Purbowati
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.2025.10.03.07

Abstract

Background: The majority of cesarean section deliveries use spinal anesthesia which can have an effect on the deterioration of the gastrointestinal system so that intestinal peristalsis becomes slow. Slow intestinal peristaltic function leads to difficulty defecation and prolongs the day of treatment, in some cases can increase the risk of paralytic ileus. To prevent the risk of complications, intervention can be carried out in postoperative cesarean section patients with early mobilization. This study aims to determine the effect of early mobilization on intestinal peristaltic recovery in post- cesarean section patients. Subjects and Method: This was a quasy experiment conducted at Islamic Hospital in Demak, Central Java, from July to December 2024. A sample of 58 post-cesarean section mothers was selected using purposive sampling and divided into two groups. Assessment of intestinal peristaltic variables through auscultation examination with a stethoscope and early mobilization using observation sheet instruments. Intestinal peristaltic recovery between two groups were examined logistic regression. Results: There was a difference in intestinal peristaltic recovery in post- cesarean section patients between the intervention group and the control group (p=0.000) with the mean value of intestinal peristalsis in the intervention group of 25.45 (SD=6.07) and in the control group of 11.38 (SD=7.69). Patients who were given early mobilization had a 4.48 times faster chance of recovery of intestinal peristalsis. Conclusion: Early mobilization had a positive impact on the recovery of intestinal peristaltic (p<0.05). Health workers should not only provide education, but also assistance in the implement-tation of early mobilization, especially in the first 24 hours post- cesarean section.Keywords: early mobilization, intestinal peristaltics, post cesarean section.
Effect of Noise Exposure on Occupational Stress and Hypertension among Workers: a Meta-Analysis Widjanarti, Maria Paskanita; Sumardiyono; Wardani, Aurina Firda Kusuma
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.2025.10.03.09

Abstract

Background: The work environment greatly affects the health condition of the workers so that there are no work-related accidents or occupational diseases. Noisy physical environmental factors above the threshold value have a risk of causing occupational diseases such as psychological work stress and hypertension. This study aims to analyze the effect of noise exposure on occupational stress and hypertension among workers. Subjects and Method: This study is a systematic review and meta analysis with the following PICO. P: working society, I: exposure noise ≥85 dBA, C: not exposed to noise ≥85 dBA, O: Stress and Hypertension. This study used of articles published between 2009 and 2022 were comprehensively searched for using electronic databases like PubMed, ProQuest, Scopus, and Google Scholar. The keywords to search for articles were “noise exposure” OR “occupational noise” AND “occupational stress” OR “work stress” AND “hypertension”. The adjusted odds ratio was used to evaluate the effect size (aOR). To evaluate the bias risk, the Critical Appraisal Skill Program (CASP) was used. Articles were analyzed using the Review Manager 5.3 application. Results: This study includes 14 papers, using cross-sectional and case-control study designs, from Asia, including Indonesia, Malaysia, China, Jordan, and South Korea. Based on 5 studies cross-sectional on the effects of exposure to noise in the event of work stress, work stress increases 4.88 times compared to workers who are not exposed to noise (aOR=4.88; 95% CI= 1.77 to 13.47; p= 0.002). 9 subgroup studies with cross-sectional and case-control study designs on the effect of noise exposure showed an increase of 2.47 times the incidence of hypertension compared to workers who were not exposed to noise at work (aOR= 2.47; 95% CI= 1.75 to 3.48; p<0.001). Conclusion: Exposure to noise increases the risk of work-related stress and hypertension. Suggestions that can be made are to carry out engineering, periodic measurements, work time management, workforce education and use of PPE.
The Impact of Long-Term Particulate Matter with Diameter Micrometers ≤2.5 Exposure on Type 2 Diabetes Risk: A Meta-Analysis Anggraeni, Titik
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.2025.10.03.10

Abstract

Background: The rising global prevalence of type 2 diabetes (T2D) has prompted investigations into environmental risk factors beyond traditional lifestyle causes. Air pollution, particularly fine particulate matter (PM₂.₅) has emerged as a potential contributor to diabetes. This systematic review synthesizes evidence from large scale cohort studies to evaluate the association between long term air pollution exposure and T2D risk. Subjects and Method: We analyzed prospective cohort studies (2020–2025) assessing air pollution and incident T2D, sourced from PubMed, Web of Science and EMBASE using the search terms: ("air pollution" OR "PM2.5") AND ("type 2 diabetes" OR "T2D") AND ("cohort" OR "longitudinal"). We using PECO framework (Populatio= adults population; Exposure=High Exposure of PM2.5; Comparison=Low Exposure of PM2.5; Outcomes=T2D). The independent variable was Exposure of PM2.5 and dependent variable was T2D. Primary studies included were cohort manuscript published in english with year of publication between 2020 until 2025, reported adjusted hazard ratios (aHR), and the subjects was adults without diabetes at baseline. Studies were evaluated using the CASP Scale, and data were analyzed using RevMan 13. Results: This study includes 9 papers, using Cohort study designs, from China, United Kingdom, South Korea and United States. PM₂.₅ exposure consistently increased T2D risk with stronger effects at lower exposure levels (aHR = 1.24; 95% Cl = 1.07 to 1.42; p=0.004). Conclusion: Long-term PM₂.₅ exposure significantly increases T2D risk and progression
Evaluating the Effectiveness of Measles Surveillance Systems in Africa: A Systematic Review of Epidemiological Trends, and Laboratory Performance: Evaluating the Effectiveness of Measles Surveillance Systems in Africa Akanbi, Kayode; Olaiya, Olanrewaju; Olatinwo, Islamiyyat Adekemi; Isang, Imaobong Udo; Sola, Sunday Thomas
Journal of Epidemiology and Public Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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

Abstract

Background: As efforts to eliminate measles advance, it becomes essential to enhance the sensitivity of surveillance systems. This involves identifying and thoroughly investigating all cases presented with fever and rash. This systematic review evaluates the effectiveness of measles surveillance systems in Africa, focusing on epidemiological trends, vaccination coverage, and laboratory performance. Methodology: A comprehensive search strategy was employed across five databases, PubMed, MEDLINE, Embase, Scopus, and Google Scholar—to identify peer-reviewed studies published between 2014 and 2024. From an initial pool of 124 articles, eight met the inclusion criteria and were critically appraised using both quantitative and qualitative tools. Result: The findings highlight several systemic challenges, including the sub-optimal performance of measles surveillance systems, gaps in immunization coverage, and significant regional disparities in disease burden. Common deficiencies include inadequate case reporting, limited laboratory capacity, and insufficient training of frontline health workers. Moreover, low vaccine uptake, especially for the second dose (MCV2)—was attributed to supply chain issues, vaccine hesitancy, and geographic barriers. Conclusion: The review underscores the urgent need for improved laboratory infrastructure, expanded training, community engagement, and equitable access to immunization services. Strengthening these areas is critical to enhancing measles surveillance and achieving elimination goals across the continent. Keyword: Measles, surveillance systems. Laboratory performance, immunization.
Impact of Pesticide Exposure on Farmer Metabolism Systems : A Systematic Review Triyani; Hanifa Maher Denny; Suroto
Journal of Epidemiology and Public Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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

Abstract

Background: Farmers are informal sector workers exposed to multiple health risks due to the unsafe use or storage of pesticides. Farmer are at high risk of pesticide poisoning, which can affect their metabolic disorders. This review aims to systematically examine the impact of pesticide exposure on health disorders in farmers’  metabolic systems. Subjects and Method: This was a systematic review using the PICO model. The keywords used for the search for the study were “Impact” and “Pesticide” AND “Exposure” AND “Farmers’” AND “Meta­bolism System” in various databases. The inclusion criteria in this study were studies discussing varia­bles, research articles, and articles published from 2021 onwards, while the exclusion criteria were articles that do not have access or are not full-text. Data were collected using the extraction form, which includes PICO, and assessed using the PRISMA diagram. Data analysis was done descriptively by comparing the research results. Results: The study found that pesticide exposure can affect the metabolic system, potentially damaging cells and causing oxidative stress by damaging lipids, proteins, and DNA, leading to genetic mutations and cell degeneration. The impact of exposure to glyphosate and arsenic pesticides causes liver and kidney function damage and decreased cardiovascular health. Exposure to paraquat, glyphosate, and oxyfluorophene causes Thyroid Cancer. Exposure to organophosphate and organo­chlorine pesticides causes Parkinson’s. Insecticides, herbicides, and fungicides cause sleep disorders. In addition, herbicide pesticides have a significant relationship with type 2 diabetes. Conclusion: Based on research findings, pesticide exposure impacts farmers’ metabolic systems, including the incidence of Chronic Kidney Disease, decline in cardiovascular health, Thyroid Cancer, Parkinson’s Disease, Sleep Disorders, and Type 2 Diabetes.  
Environmental Risk Factors and Hookworm Infection  among Schoolchildren in Rural Areas of Indonesia Sedionoto, Blego; Azmiardi, Akhmad; Anamnart, Witthaya
Journal of Epidemiology and Public Health Vol. 10 No. 4 (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.2025.10.04.02

Abstract

Background: The prevalence of hookworm infection is a serious public health concern globally. Java Island and Kalimantan Island have differential environmental risk factors of hookworm infection, espe­cial­ly in rural areas of Indonesia, which have high-risk environmental factors for the prevalence of hook­worm infection. This study aimed to investigate the infection rates and correlation between environmental risk factors and the prevalence of hookworm infection. Subjects and Method: This was a cross-sectional study conducted among 226 school children from rural East Java province, Central Java Province, and East Kalimantan Province, Indonesia. A simple random sampling method was applied to select participants from each school area. This study used two diagnostic methods: Kato Katz and Koga agar plate culture/KAP culture for diagnosing hookworm infections. Environmental variables examined included soil texture, organic carbon content, clay content, soil pH, rainfall volume, number of rainy days, humidity, temperature, elevation, vegetation type, and pet infection status. Pearson's chi-square analysis was used to study the correlation between environmental factors and hookworm infection. Results: Hookworm, Strongyloides sp, and Ascaris sp infections were found in this study; 137 (60.63%), 25 (11.1%), and 124 (9.84%), respectively. Environmental risk factors such as rainy season, quality of soil, and infection with hookworm in pets have a significant correlation (p<0.050) with hookworm infection among schoolchildren in a rural area in Indonesia. Conclusion: The prevalence of hookworm infection correlates with environmental factors, and the findings in this research could contribute to decreasing the prevalence of hookworm infection, espe­cially among schoolchildren in rural areas.
The Relationship Between Macronutrient Intake and Stunting Among Children Aged 1–2 Years: Quantitative and Qualitative Approaches Nesva, Intan Silvia; Sulastri, Delmi; Basyir, Vaulinne
Journal of Epidemiology and Public Health Vol. 10 No. 4 (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.2025.10.04.04

Abstract

Background: Stunting among children aged 1–2 years remains a critical public health concern in Indonesia, particularly during the vital 1,000-day window of child development. This study aimed to analyze the relationship between macronutrient intake and stunting using a mixed-methods approach. Subjects and Method: This was a sequential explanatory mixed-methods study conducted from February 2024 to May 2025 at Community Health Center Dadok Tunggul Hitam, Padang City. The quantitative component employed a case-control design involving 66 children aged 1–2 years, divided equally into stunted (cases) and non-stunted (controls) groups. Sampling was conducted purposively for cases and by simple matching for controls. The independent variables were intake of carbohydrates, proteins, and fats; the dependent variable was stunting, defined using WHO growth standards. Macronutrient intake was assessed via a 24-hour recall. Data were analyzed using Chi-square tests to determine associations, and Odds Ratios (OR) with 95% Confidence Intervals (CI) were reported. The qualitative phase included interviews with mothers, health workers, and community volunteers, analyzed thematically using NVivo 12. Results: Children with inadequate carbohydrate intake were significantly more likely to be stunted (OR=3.50; 95% CI=1.27 to 9.64; p=0.015). No statistically significant associations were found for protein intake (OR=2.60; 95% CI=0.91 to 7.44; p=0.074) or fat intake (OR=2.44; 95% CI=0.89 to 6.70; p=0.082). Qualitative findings revealed barriers such as loss of appetite during illness, preference for snacks, food aversions, and limited maternal knowledge and resources, all of which contributed to inadequate macronutrient intake. Conclusion: Inadequate carbohydrate intake was significantly associated with stunting in children aged 1–2 years. Contextual factors such as eating behavior and parental feeding practices further influenced nutritional outcomes. Interventions should address both dietary intake and behavioral barriers within families.