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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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Associations between Parenting Style and Nutritional Knowledge on Stunting in Children Aged 24-60 Months in Ketang Health Center, East Nusa Tenggara, Indonesia Erick, Heribertus Handi
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.12

Abstract

Background: Stunting is a condition of children under five with a z-score of less than -2 standard deviation (stunted) and less than -3 standard deviation (severely stunted). Interventions to accelerate stunting prevention require intervention and coaching, such as knowledge and parenting of toddlers in the community. This study aimed to determine the relationships between knowledge, and stunting in children aged 24-60 months.Subjects and Method: This was a retrospective cross-sectional study conducted in the Ketang Health Center, East Nusa Tenggara, Indonesia. A total of 60 children aged 24-60 months and their mothers was selected using purposive sampling. The independent variables were parenting and nutritional knowledge. The dependent variable was stunting. The instruments of this study were height measurement tools, knowledge, and parenting questionnaires. The data were analyzed using multiple logistic regression.Results: Children who have mothers with poor parenting are 0.15 times more stunted than mothers with good parenting. Nutrition knowledge is 0.04 times less likely to be stunted than mothers with good nutrition knowledge.Conclusion: Mothers with poor parenting and nutritional knowledge increase the risk of stunting. Keywords: Nutritional knowledge, parenting, stunting. Correspondence:Heribertus Handi. Nursing Study Program, Universitas Katolik Indonesia Santu Paulus Ruteng. Jl. Jenderal A. Yani No. 10, Langke Rembong, East Nusa Tenggara. Email: herihandi84@gmail.com. Mobile: 085236119205.
Effect of Exercise on Quality of Sleep in COVID-19 Patients: A Meta-Analysis Ramadhan, Septyandi; Murti, Bhisma; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.-08.04.08

Abstract

Background: Coronavirus occurs because the virus lowers the body immune, which can lead to several things such as decreased sleep quality. Gymnastics is one exercise that can improve sleep quality, gymnastics can also reduce stress levels and anxiety. This study aims to discover the effect of gymnastics on sleep quality in COVID-19 patients. Subjects and Method: It was a systematic review and meta-analysis of primary studies. Article searches were conducted based on PICO model eligibility criteria. Population: COVID-19 patients. Intervention: administration of gymnastic intervention. Comparison: no gymnastics intervention. Outcome: improved sleep quality. Article search was conducted through journal databases including Google Scholar, MEDLINE/PubMed, Science Direct, Hindawi, BMC, Europe PMC, and Springer Link using search keywords: "gymnastic", "sleep quality", "gymnastic effect", "exercise", "exercise effect", "COVID-19", "randomized controlled trial", "gymnastic randomized controlled trial", "sleep quality -randomized controlled trial", AND "sleep quality on covid 19". The inclusion criteria used in this study were full paper articles with a Randomized Controlled Trial (RCT), with Odds Ratio (OR) for the effect size. The screened eligible articles were analyzed using RevMan 5.3. Results: This meta-analysis included 9 articles from China, India, South Korea, South America, North America, and Brazil. Good sleep quality increased with gymnastics in COVID-19 patients (aOR= 1.19; 95% CI= 1.14 to 1.24; p<0.001). There was an overestimate publication bias. Conclusion: The administration of gymnastics interventions to COVID-19 patients has a statisti-cally significant effect on improving sleep quality. Keywords: COVID-19, gymnastics, meta-analysis, sleep quality. Correspondence:Septyandi Ramadhan. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: septyandiramadhan@gmail.com. Mobile: +6281936553398.
A Qualitative Study Exploring the Experiences of Tuberculosis Patients Who Have Successfully Recovered Wekadigunawan, Cri Sajjana Prajna; Yumaniar, Dhini; Shabrina, Farah
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.10

Abstract

Background: Tuberculosis cases in Indonesia occupy the second highest position after India. TB eradication is an important program in the SDGs 2030. Recovering from Tuberculosis is a blessing. This study aimed to explore the experiences of tuberculosis sufferers who have recovered. Subjects and Method: This qualitative study was conducted in the Yosodadi Community from January to February 2023. A total of 12 patients with tuberculosis who had successfully recovered were selected for this study. The variable of this study was the experiences of tuberculosis patients who have successfully recovered. A depth interview was used to obtain the data. The data were analyzed descriptively. Results: The study showed the importance of patients knowing their disease, the support of those around them, and health workers who have good empathy towards TB patients. This research also found the importance of health providers and patient families being asked to pay attention to the mental health problems suffered by TB patients. Conclusion: Vaccine reluctance is a huge problem in the face of a pandemic that is not yet over. Even with to achieve recovery for TB patients, efforts are needed to understand the mental condition of TB patients. Policymakers must consider ongoing health education regarding TB patient assistance by family and health workers. Keywords: Empathy, family support, health provider, mental health, patient, tuberculosis. Correspondence:Cri Sajjana Prajna Wekadigunawan. Faculty of Health Sciences Esa Unggul University. Jl Terusan Arjuna, Jakarta Barat. Email: weka.gunawan@esaunggul.ac.id. Mobile: +6281299264727.
The The Impact of Exercise on Quality of Life, Physical Health, and Mental Health in Type 2 Diabetes Mellitus Patients: Meta-Analysis Maingu, Bertha Sylvester; Livia, Wardhatul; Andriani, Isna; Bhisma Murti; Tursina, Elsa
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.2024.09.01.02.

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a prevalent metabolic disorder that is common on a global scale. Effective management in addition to medication involves implementing lifestyle modifications, including regular exercise. This study aimed to analyze and estimate the impact of exercise on improving quality of life, physical health, and mental health in type 2 diabetes mellitus patients.Subjects and Method: This was a meta-analysis study using the PICO model which includes; P= type 2 diabetes mellitus patients; I= exercise; C= no exercise; and O= quality of life, physical health, and mental health. The articles obtained were from 2 databases, namely PubMed and ScienceDirect. Keywords used include “exercise” OR “physical activity” AND “quality of life” OR “physical health” OR “mental health” AND “type 2 diabetes mellitus” AND “randomized control trial”. The inclusion criteria of articles were a randomized control trial study design, publication year from 2018 to 2023, full-text, English language, and reported mean and standard deviation values. Data was analyzed using the PRISMA diagram and the Review Manager 5.3 application.Results: This meta-analysis consisted of 13 articles originating from Canada, Denmark, Egypt, Ghana, Iran, Saudi Arabia, Spain, Taiwan, Turkey, and USA. The total sample size was 755 type 2 diabetes mellitus patients. Exercises improved the quality of life (SMD= 0.66; CI 95%= 0.20 to 1.11; p= 0.005); physical health (SMD= 0.91; CI 95%= 0.53 to 1.29; p= 0.001) and mental health (SMD= 0.82; CI 95%= 0.25 to 1.39; p= 0.005) in type 2 diabetes mellitus patients.Conclusion: Exercise carried out regularly and measurably improves the quality of life, physical health, and mental health in type 2 diabetes mellitus patients. Keywords: Exercise, quality of life, physical health, mental health, type 2 diabetes mellitus.
Knowledge and Attitude of Nigerian Women Aged 15-49 Years on the Practice of Female Genital Mutilation Anyanwu, Chidimma Ezenwa; Torpey, Kwasi; Sanni, Olaniyi; Abiodun, Olaiya Paul; Anyanwu, Ifeanyi Donald
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.2025.10.02.04

Abstract

Background: Female genital mutilation (FGM) is among the most harmful traditions that persist in many parts of the world, especially in Africa and other developing countries, including Nigeria, where the prevalence of FGM is still above 15%. This study aims to assess the knowledge and attitude of Nigerian women of reproductive age on FGM practice and its obstetric effects.Subjects and Method: This cross-sectional study examined Abujaarea women aged 15–49 in Nyanya General Hospital, Maitama, and Asokoro District Hospital Antenatal Care (ANC). A total of 634 patients who agreed to participate in the study were selected. The assessment examined respondents' knowledge and opinions about Female Genital Mutilation (FGM), sources of information, attitudes and beliefs, prevalence across three generations, and recommendations. Data was collected using Google Forms, and various statistical tests were analyzed using IBM SPSS version 25.Results: This study comprised 634 females, the majority of whom had post-secondary education (62.6%) and were married (96.8%), of which 29.2% were within the age group 30–34. Most of the respondents (86.3%) had previously heard about FGM. Of those interviewed, 49.5% knew FGM was practiced in their community, and 326 (51.4%) affirmed knowledge of health problems associated with FGM. The Major source of information on FGM was from parents (36.1%), followed by the media (26.1%). Two hundred and thirty-two respondents (36.6%) strongly agreed that FGM is a very harmful and inhumane practice, and a majority (91.8%) had no intention to circumcise their daughters. About 56.0% strongly agreed and recommended a campaign against FGM in school, and 53.8% strongly agreed to educate traditional birth attendants on the risk of FGM.Conclusion: This study found that the respondents had good knowledge of FGM and its obstetric effects. However, most respondents had a negative attitude towards FGM. Hence, a need for more innovative interventions towards its eradication.
Effect Size Estimation of Child Stunting Determinants in Surakarta, Central Java Sastrawijayah, Jemmi; Murti, Bhisma; Ichsan, Burhannudin
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.2024.09.01.01

Abstract

Background: Child growth is one of the public health indicators in monitoring the nutritional and health status of a population. One of the nutritional problems that is of major concern is the prevalence of stunting in toddlers. Stunting is still a problem in the world. This study aims to analyze the reestimation of the magnitude of the determinant effect of stunting on children under five in the city of Surakarta, Central Java.Subjects and Method: This was a cross-sectional study conducted in Pajang and Sibela community health centers (Puskesmas) in Surakarta, Central Java. Total sample of 200 children under five was selected using fixed disease sampling, consisted of 50 stunted children and 150 normal children. The dependent variable was stunting. The independent variables were exclusive breastfeeding, maternal height, maternal history of illness, maternal age at pregnancy, maternal height, and family income. The data were collected using questionnaire and analyzed using a multiple logistic regression.Results: Maternal age ≥20 years (aOR= 0.19; 95% CI= 0.06 to 0.58; p=0.004), maternal height ≥160 cm (aOR= 0.30; 95% CI= 0.12 to 0.74; p= 0.009), and family income high (aOR= 0.29; 95% CI= 0.12 to 0.72; p=0.008) reduces the risk of stunting. Children under five who were not exclusively breastfed (aOR= 27.06; 95% CI= 8.13 to 90.05; p <0.001) and frequent illness in mothers (aOR= 12.69; 95% CI= 4.59 to 35.10; p<0.001) increases the risk of stunting.Conclusion: Maternal age ≥20 years, maternal height ≥160 cm, and family income high reduce the risk of stunting. Children under five who were not exclusively breastfed and frequent illness in mothers increase the risk of stunting. Keywords: stunting, maternal age, maternal height, income, breastfed, illness, children
Effectiveness of COVID-19 Vaccine on Augmenting Antibody Level in People in the Special Region of Yogyakarta, Indonesia Budiyono, Joko; Murti, Bhisma; Tamtomo, Didik Gunawan
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.2024.09.01.04

Abstract

Background: Immunity against SARS-CoV-2 is needed to prevent infection so vaccines are indeed humanity's great hope as a weapon to control COVID-19. Seroprevalence data is needed using an antibody test that estimates the percentage of DIY residents who have antibodies against SARS-CoV-2. This study aimed to determine the effectiveness of COVID-19 vaccination on enhancing antibody titers.Subjects and Method: This was a retrospective cohort study conducted in Yogyakarta, Indonesia, from 19 to 30 November 2021. The study population was people aged ≥1 year. A total of 563 study subjects was selected randomly. The dependent variable was the SARS-CoV-2 antibody titer level. The independent variables were COVID-19 vaccination status, gender, age, smoking, outdoor activities, and alcohol consumption. SARS-CoV-2 antibody level was measured using Roche's Elecsys anti-SARS-CoV-2. Other variables were collected using questionnaires. Data were analyzed using a multiple linear regression run on STATA 14.Results: The initial vaccination led to an elevation in -19 antibody titers, but it was statistically non-significant (b= 697.82; 95% CI= -720.90 to 1241.24; p= 0.603). The second vaccination resulted in a notable and statistically significant elevation of COVID-19 antibody titers (b= 1331.38; 95% CI= 802.30 to 1860.46; p <0.001).Conclusion: The second dose of the COVID-19 vaccination demonstrated significant effectiveness in boosting COVID-19 antibody titers. Keywords: COVID-19, vaccination, antibody
Identification and Antifungal Susceptibility Pattern of Candida Isolates Recovered from Urine and Blood Specimens from Patients Admitted in Wards of a Tertiary Care Hospital, North Delhi Jain, Sanjay; Khatri, Shilpa; Kumar, Manoj; Bharara, Tanisha; Yadav, Abhishek
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.2024.09.02.08

Abstract

Background: Candida species are responsible for various clinical infections ranging from mucocutaneous infection to life-threatening invasive diseases. Increased resistance to antifungal drugs during the last decade has become a serious concern. Therefore, identification of Candida up to species level and its antifungal susceptibility testing is very important in the management of Candida infections. This study aimed to identify these organisms and study their susceptibility patterns.Subjects and Method: A retrospective study was conducted over 9 months (July 2022 to March 2023) from urine and blood samples collected from 80 IPD patients admitted to various wards of Hindu Rao Hospital. The samples were selected based on their growth on blood agar. The variables of interest are the different species of Candida and susceptibility to antibiotics. Identification of Candida species was done by Gram stain, Germ tube formation test, color on HiCrome Candida agar medium, chlamydospore formation on corn meal agar, and VITEK 2 Compact System. The MICs were interpreted according to the CLSI guidelines 2022.Results: 47 and 33 of urine and blood cultures were positive for Candida species respectively. Most of the isolates were from the Paediatric ward (28.75%), followed by the Medicine ward (27.5%). The most common species was C. tropicalis (56.25%) followed by C. albicans (23.75%). Most species of Candida were sensitive to amphotericin B, fluconazole, voriconazole, caspofungin, micafungin, and flucytosine except Candida albicans which showed 100% resistance to amphotericin B and Candida krusei which showed 66% sensitivity to voriconazole and 33% to caspofungin.Conclusion: Candida colonization has a considerable prevalence among patients hospitalized in our hospital. The species identification of Candida isolates along with their antifungal susceptibility pattern can help the clinician in better treatment of patients with candiduria and candidemia. Keywords: Candida, bloodstream infection, minimum inhibitory concentration
An Epidemiological Study Incidence Rates of Risk Factors for Colorectal Cancer's Early Symptoms in the Community in Gondanglegi District, Malang, East Java, Indonesia: An Epidemiological Study Hermanto, Djoko Heri; Nurarifah, Nina; Brahmantyo, Herwindo Pudjo; Alfiani, Nadia; Dharmesta, Naya Adi; Ardiyanti, Putri; Qhadafy, Arif; Wardhani, Shinta Oktya
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.2024.09.02.12

Abstract

Background: Colorectal cancer (CRC) is one of the most common types of cancer worldwide. CRC is most typical symptom is hematochezia while the risk factors encompass sex, age, genetic predispositions, history of colorectal polyps or cancer, chronic inflammatory bowel diseases, physical exercise, and specific dietary choices, including high red meat intake, fried food, and low fiber consumption. This study aims to screen the risk factors of colorectal cancer.Subjects and Method: This research was conducted on residents in the Sepanjang village, Malang Regency, involved in community service by the Internist Association of Malang. Community service was carried out in July 2023 and 148 residents were involved in collecting data on risk factors for colorectal carcinoma. Data collection was carried out using a questionnaire with a cross-sectional approach. The questionnaire assesses the presence of symptoms of bloody stools and several habits related to colorectal carcinoma risk factors, including age, gender, exercise routine, and dietary history. Data presentation and analysis were carried out as in the table.Results: Among the risk factors listed assessed using the questionnaire, Men (p=0.021), lack of exercise (p= 0.008), consumption of fried food (p= 0.021), and consumption of instant noodles (p= 0.013) significantly affect the prevalence of hematochezia.Conclusion: Men, lack of exercise, consumption of fried food, and consumption of instant noodles significantly affect the hematochezia indicating CRC.
Mental Illness Among Women Attending A National Mental Health Referral Center in Kenya: Unpacking Predisposing Factors and Interventions Mayoka, Godfrey; Getange, Rechael Nyaboke; Wafula, Linus Makokha; Korir, Allan; Chonge, Daisy; Mumbua, Sharon; Olpengs, David
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.2024.09.02.10

Abstract

Background: Mental illness is an escalating global public health menace that affects women disproportionately. This study aimed to assess the prevalence and factors contributing to mental illness among Kenyan women alongside the interventions explored to manage the conditions.Subjects and Method: This was a mixed-method study comprising retrospective case series analysis of 285 inpatient records of women seeking mental health services at a national referral center in Nairobi, Kenya, and key informant interviews involving mental health service providers, from January 2022 to June 2022. The Variables of this study were sociodemographic data. Information was collected on socioeconomic factors, mental illness profiles, and mental illness interventions. Data analysis was performed using SPSS version 23 and thematic analysis.Results: Bipolar mood disorder (42%), schizophrenia (33%), and psychosis (25%) were the most prevalent mental conditions. While strained relationships (38%), financial challenges (35%), death of a loved one (29%), and substance abuse (27%) frequently contributed to mental illness, psychotherapy, and psychoeducation were pivotal in patient management. Poor government funding hindered in-service training initiatives as well as training and recruitment of community health workers, contributing to the unavailability of free counseling services. Despite these hurdles, the hospital explored alternative means to ensure access to mental healthcare including offering admission fees waivers, implementing repatriation programs, and subsidizing the costs of medications for psychotic patients.Conclusion: This study highlights the complex factors affecting women’s mental health in Kenya and rallies for increased support towards holistic mental healthcare interventions for this vulnerable population. Improving mental health literacy to reduce stigma associated with mental illness, and addressing financial, as well as hospital-related administrative barriers, can enhance access to mental health care.

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