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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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The Relationships between Family Support, Age, and Gender with Quality of Life in Chronic Kidney Failure Patients at Dr. Moewardi Surakarta Hospital Amalia, Rizky Nur Aprilianti; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 9 No. 4 (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.2024.09.04.09

Abstract

Background: Chronic kidney failure (CKD) is a non-communicable disease in which kidney function begins to decline progressively in a matter of months or even years and can affect the patient's quality of life. The purpose of this study is to determine the effect of family support, gender and age on the quality of life of patients with chronic kidney failure at Dr. Moewardi Hospital Surakarta.Subjects and Method: This study used a cross-sectional design conducted at Dr. Moewardi Surakarta Hospital in June 2024. The target population of the study was 920 patients with chronic kidney failure at Dr. Moewardi Hospital Surakarta. A total of 200 study subjects were selected using simple random sampling. The dependent variables are family support, age, and gender. The independent variable is quality of life. The study instruments used were questionnaires and checklists and the data was analyzed using multiple linear regression analysis and processed using Stata 13.Results:There was a statistically significant relationship between family support and quality of life in patients with chronic kidney failure. Each increase in family support score by one unit will be followed by an improvement in the quality of life of chronic kidney failure patients by 0.31 units (b = 0.31; CI 95% = 0.42 to 0.57; p = 0.023). Statistically, there is a significant relationship between age and quality of life of patients with chronic kidney failure. Each one-year increase in age will be followed by an improvement in the quality of life of chronic kidney failure patients by 0.02 units (b = 0.02; CI 95% = 0.05 to 0.38; p = 0.012). There is a very small difference in quality of life between female and male chronic kidney failure patients. Female patients with chronic kidney failure were 0.01 years lower than men, but the difference was statistically very insignificant (b = -0.80; CI 95% = -0.51 to 0.50; p = 0.975).Conclusion: There was a positive relationship between family support and age and quality of life in patients with chronic kidney failure and there was no significant difference by gender between women and men.
Investigating the Impact of Social Capital on Elderly Quality of Life in Surakarta: A Multilevel Analysis Putry, Mentary Febryant; Demartoto, Argyo; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 10 No. 1 (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.2025.10.05.06

Abstract

Background: A good quality of life is the goal of every individual in life. This quality of life indicates that a person is healthy and prosperous, so that they can live a normal life in the community, especially for the elderly population. This study aims to analyze the variables of the influence of social capital on the quality of life of the elderly at the individual level and the posyandu level.Subjects and Method: This study is a study using a cross-sectional design conducted in 25 elderly posyandu in Surakarta from August to September 2024. The sample consisted of 200 elderly people who were selected by probability sampling. The independent variable in this study is social capital. The dependent variable is quality of life. Data collection was carried out by questionnaire. The analysis data uses multilevel analysis.Results: The results of the multilevel analysis that has been carried out in this study stated that the social capital and quality of life of the elderly (b=1.29; CI 95%= 1.12 to 1.47; p<0.001), directly influenced by age (b=0-1.16; CI 95%= -3.64 to 1.31; p= 0.035), gender (b=8.91; CI 95%= 7.21 to 10.62; p<0.001), education (b=10.27; CI 95% = 8.73 to 11.81; p<0.001).Conclusion: Social capital has a statistically significant positive influence on the quality of life of the elderly.  
Hazard Quotient Association of SO2 Exposure to Respiratory Symptoms: Study on Scavengers in Sarimukti Landfill, West Bandung Regency, East Java, Indonesia Parulian, Tina Shinta; Firmansyah, Yura Witsqa; Niman, Susanti
Journal of Epidemiology and Public Health Vol. 10 No. 1 (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.2025.10.05.12

Abstract

Background: The WHO reported that airborne diseases were responsible for 39 million deaths, accounting for 57% of the total 68 million deaths worldwide in 2021. Landfills are a significant source of air pollution, producing sulfur dioxide (SO2) gas, which is harmful to respiratory health, particularly the lungs. This study aims to examine the relationship between the hazard quotient of SO2 exposure and respiratory symptoms among scavengers at the Sarimukti landfill in West Bandung Regency, using an environmental health risk analysis approach.Subjects and Method: The research contributes to exposure risk management by establishing safe thresholds for SO2 concentration, exposure time, and frequency for scavengers. This study adopts a correlation design with a longitudinal approach. The sample consisted of 101 scavengers selected through accidental sampling. Pollutant measurements were taken at two locations within the Sarimukti landfill. The independent variable in this study is the hazard quotient value of SO2 expo-sure, while the dependent variable is respiratory symptoms in scavengers.Results: The results indicated a (OR= 15.83; 95% CI= 1.10 to 226.67; p= 0.008). Risk management is based on a safe SO2 concentration limit of 14.18 µg/m³, an exposure time of 15 hours, and an exposure frequency of 637 days over 30 years.Conclusion: The measurement result of SO2 concentration of 7.38 µg/m³ is still below the specified quality standard of 150 µg/m³. However, through the calculation of the hazard quotient, the concentration exceeds the safe limit (HQ >= 1). The implication of this study in preventing the occurrence of respiratory symptoms in waste pickers is the use of PPE, limiting working hours and days in the landfill.
Prevalence of Infections Caused by Hepatitis B Virus, Hepatitis C Virus and Their Co-Infection in A Tertiary Care Centre, Delhi, India Kumar, Manoj; Jain, Sanjay
Journal of Epidemiology and Public Health Vol. 10 No. 1 (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.2025.10.01.08

Abstract

Background: Hepatitis B and C are the most dominant causes of viral hepatitis, leading to both acute and chronic infections. This study was done to determine the magnitude of the prevalence of Hepatitis B and C and their co-infection.Subjects and Method: A retrospective cross-sectional observational study was conducted in the Department of Microbiology, North DMC Medical College and Hindu Rao Hospital, Delhi, India from July 2023 to June 2024. All blood samples received from indoor and outdoor patients from all departments were tested by Monolisa HBsAg Ultra and anti-HCV(Ag-Ab Ultra V2) Monolisa by ELISA method. The variables studied were age, sex, in-patient/out-patient, and type of ward. The data was analyzed using the Chi-Square test and Mann-Whitney test.Results: Of a total of 20,000 blood samples received, 5,358(26.80%) samples were from inpatient department/IPD (2,210 female, 3,148 male) and 14642 (73.20%) and outpatient department/OPD (9,201 female, 5,441 male). 422 samples (2.11%) were positive for HBsAg (210 IPD -77 female, 133 male; 212 OPD - 121 female, 91 male) and 614 (3.07%) for anti-HCV (408 IPD - 135 female, 273 male; 206 OPD - 100 female, 106 male). Co-infection of Hepatitis B and C viruses was seen in 40 patients, 31 IPD (10 female, 21 male) and 9 OPD (1 female, 8 male). Maximum cases were seen from medicine wards among IPD patients of HBsAg positive, anti-HCV positive, and co-infection and in the age group 41-60 years in all three categories.Conclusion: Screening for HBV and HCV infection is compulsory so that preventive measures are implemented to improve public health.
Poisson Probability Count Variable Model and An Eigen-Bayesian Semi Parametric Eigen Autocorrelation for Optimizing Mapping Fentanyl Mortality in Hillsborough County, Florida Jaramillo, Caleb; Gambrell, Alexander; McDonald, Heather; Choudhari, Namit; Mosichs, Sasha; Jacob, Benjamin
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.2025.10.02.08

Abstract

Background: Currently, there is a lack of precision count variable models for mapping fentanyl fatalities. The primary objective of this article is to develop a predictive count variable model for mapping county level fentanyl related deaths using scalable zip code capture point census data.Subjects and Method: This ecological study focused on all zip codes within Hillsborough County, Florida. The target population included residents across these zip codes, with fentanyl related mortality data aggregated per area. Total population sampling was applied using secondary data from census and mortality records. The dependent variable was the count of fentanyl related deaths, while independent variables included sociodemographic indicators obtained from the U.S. Census Bureau. Variable measurements were based on standardized public data sources. Data were analyzed using a multicount Poisson regression model. As no overdispersion was detected (variance inflation factor <10), neither negative binomial regression nor stepwise regression was required. Spatial analysis and autocorrelation were conducted using ArcGIS, with the primary predictor further interpolated to identify geographic patterns.Results: Variable selection for the primary predictor was performed by observing the relationship between the standard error of each tested independent variable and its associated Z score. Given the identified relationship between fentanyl mortality and white populations, from the selection process, a spatial autocorrelation hot and cold spot analysis was conducted. This analysis identified zip codes with the highest and lowest predicted likelihood of fentanyl caused deaths (as opposed to deaths where fentanyl was merely present). The identified zip code locations were 33647 and 33810 for the hot spots.Conclusion: Count variable models and autocorrelation hot/cold spot mapping offer a methodological framework for future modeling efforts to predict locations of fentanyl mortality for preven-tative means.
Factors Associated with Dyslipidemia among Workers: A Path Analysis Indriani, Fenita; Sumardiyono; Murti, Bhisma; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol. 10 No. 1 (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.2025.10.05.02

Abstract

Background: The results of the 2023 Indonesian Health Survey show that 39.5% of the Indonesian population aged ≥ 15 years old have abnormal total cholesterol levels. Dyslipidemia or plasma lipid abnormalities play a major role in the pathogenesis of atherosclerosis on the walls of blood vessels which is the cause of coronary heart disease (CHD) and stroke. The purpose of the study was to analyze the factors that affect dyslipidemia in workers.Subjects and Method: This study uses an analytical observational design using a cross-sectional approach. The study was conducted at the Yogyakarta Labkesmas Center in October 2024 with a total of 150 worker study subjects. The sampling technique is non-probability sampling, namely total sampling. The independent variables in this study were BMI, glucose levels, stress, and depression while the dependent variables were total cholesterol levels. Data collection was carried out using secondary data and questionnaires, the data was analyzed by path analysis.Results: Each increase of one mg/dL of glucose level (b = 0.24; CI 95%= 0.09 to 0.39; p = 0.002) and one unit of depression (b = 0.16; CI 95%= 0.01 to 0.31; p= 0.043) will be followed by an increase in total cholesterol levels. Any increase in BMI through a mediator of glucose levels and stress through a mediator of depression will be followed by an increase in total cholesterol levels.Conclusion: Total cholesterol levels increase with increased glucose levels and depression levels. Total cholesterol levels are indirectly affected by BMI through glucose level mediators and stress levels through depression mediators.  
Assessing the Effect of Social Capital on Depression in Adults Nugraheni, Aulia Putri; Murti, Bhisma; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol. 10 No. 1 (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.2025.10.05.04

Abstract

Background: Depression is a mental health problem that affects an individual's quality of life. Previous studies have shown that individuals with high social capital are less likely to experience depression. Understanding the dynamics of social capital and its impact on depression is essential for developing interventions and policies that can improve mental well-being at both the individual and community levels. This study aims to analyze the influence of structural, cognitive, and relational social capital on depression in adults.Subjects and Method: This study is a cross-sectional study carried out in Klaten, Central Java in September-October 2024. Population of 726,839 adults and a sample of 200 adults aged 19-59 years were selected using multistage random sampling. The dependent variable was depression. The independent variables were structural social capital, cognitive social capital, and relational social capital. Depression data was measured using Patient Health Questionnaire-9 (PHQ-9) and other data using questionnaires. Data was analyzed using the Structural Equation Model run on STATA 13.Results: Strong social capital lowered adults' risk of depression (b= -0.39; CI 95%= -0.56 to -0.23; p= 0.001). The older you get, the lower the depression score (b= -0.17; CI 95%= -0.31 to -0.03; p= 0.018). The social capital construct in this study is positively and statistically significant by the structural social capital component (b= 0.75; CI 95%= 0.58 to 0.92; p= 0.001), cognitive social capital component (b= 0.56; CI 95%= 0.39 to 0.73; p= 0.001), and the relational social capital component (b= 0.62; CI 95%= 0.48 to 0.76; p= 0.001). The SEM model showed a good fit (Chi-square p= 0.113; RMSEA= 0.070; CFI= 0.98; TLI= 0.93; SRMR= 0.03).Conclusion: Strong social capital and increasing age lower the risk of depression in adults. The social capital construct is positively and statistically significant by the components of structural social capital, cognitive social capital, and relational social capital. This SEM model shows a good fit.
Environmental Knowledge and Participation in Waste Banks: Promoting Plastic Waste Reduction in Borobudur, Magelang, Central Java, Indonesia Sutaryono; Ashar, Hadi; Dyah Kusumawardani, Hastin; Rahmad Hidayat, Anas; Purwanti; Lestari, Puji; Sukamsi; Setyaji, Teguh; Ernawati, Dhanik; Prasasti Ragil Putri Widyaningrum, Maria; Susilowati, Tuti; Subaris Kasjono, Heru
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.2025.10.02.06

Abstract

Background: Public awareness of environmental health in waste management is one of the causes of government problems in waste management, especially in tourist destination areas. The behavior of carrying shopping bags is one of the efforts to reduce the volume of non organic waste. The success of this behavior has many influencing factors, so the purpose of this study is to determine the factors associated with the behavior of carrying shopping bags in Borobudur District, Magelang Regency, Central Java, Indonesia.Subjects and Method: Cross sectional analytic survey research in the Borobudur District area of 374 respondents. The time of this research was in November 2023, with a random sampling technique, and the research instrument was a questionnaire. This study analyzes six independent variables , and participants in the waste bank, on the dependent variable. We used the regression test. Logistics in the final stage.Results: High knowledge of waste management (AOR= 2.43; 95% CI= 1.04 to 5.65; p= 0.040) and participate in a waste bank (AOR= 3.27, 95% CI 1.92 to 5.58; p= 0.001) increased plastic waste reduction behavior. This study showed that there was no relationship between education, gender, occupation, and participants in the Reduce, Reuse, Recycle (TPS3R) Waste Management Site program on the shopping bag carrying behavior. Conclusion: High knowledge of waste management and participate in a waste bank increase plastic waste reduction behavior.
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.
Exploring Diabetes Mellitus' Impact on Tuberculosis Outcomes: A Comprehensive Comparative Study Diana, Adawiyah Putri; Adiwinoto, Ronald Pratama; Budiarti, Retno; Soedarsono; Prasetya, Hanung; Putra, Oki Nugraha
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.2025.10.02.03

Abstract

Background: Tuberculosis (TB) remains among the top ten global causes of mortality, with approximately 1.3 million deaths annually. Diabetes elevates the risk of active TB and treatment failure, potentially increasing drug-resistant TB (DR-TB). This study aimed to compare treatment success rates between TB patients with and without diabetes mellitus (DM) at Dr. Ramelan Central Naval Hospital, Surabaya.Subjects and Method: This cross-sectional study was conducted from January 2019 to December 2023 at Dr. Ramelan Central Naval Hospital Surabaya. A total of 158 patients with TB-DM and TB-NonDM were selected using total sampling. The independent variables were the Presence of Diabetes Mellitus in TB patients (TB-DM vs. Non-TB-DM). The dependent variable was the treatment success rate. The data were collected from patient medical records and analyzed using a chi-square test to compare treatment outcomes between TB-DM and TB-Non-DM patients.Results: The analysis included 158 medical records. Predominantly affecting those over 45 years, both TB-DM and TB-Non-DM patients commonly underwent six months of treatment, with success rates of 78% in TB-DM and 82.4% in TB-Non-DM cases. The chi-square test yielded a p-value of 0.511, indicating no significant difference in treatment success between the groups. However, older age and HIV-positive status were associated with lower odds of treatment success.Conclusion: Success rates were similar between the groups, showing no significant difference based on DM status. Despite similar success rates, older age and HIV-positive status were associated with lower odds of treatment success.

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