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International Journal of Public Health Science (IJPHS)
Published by Institute of Advanced Engineering and Science
ISSN : 22528806     EISSN : 26204126     DOI : -
Core Subject : Health,
Health Professions
International Journal of Public Health Science (IJPHS) is an interdisciplinary journal that publishes material on all aspects of public health science. This IJPHS provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers world wide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.
Arjuna Subject : -
Articles 1,458 Documents
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Integrative functional annotation of rheumatoid arthritis risk genes using a multi-database bioinformatics approach Muhammad Nuh; Lolita Lolita
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.27002

Abstract

Rheumatoid arthritis (RA) is an autoimmune disease involving the interaction of genetic and immunological factors. Genome-wide association studies (GWAS) have identified many RA risk loci, but the biological mechanisms linking genetic variation to disease pathogenesis are not yet fully understood. This study aims to prioritize RA candidate genes through a multi-database bioinformatics approach. SNPs significantly associated with RA were obtained from the GWAS catalog, followed by linkage disequilibrium (LD) screening and functional annotation to identify missense variants. The data were integrated with cis-expression quantitative trait loci (cis-eQTL) information, gene ontology (GO) annotation, and Kyoto Encyclopedia of Genes and Genomes (KEGG) molecular pathway mapping. Genes with a total score ≥2 were classified as RA risk genes. A total of 3.145 RA-significant SNPs were identified, of which 58 were missense variants that could potentially affect protein function. The integration of cis-eQTL and functional annotation resulted in a number of candidate genes with the highest scores (score = 4), where TYK2, IL23R, and IRAK1 were identified as priority RA genes in the main immune pathways, namely JAK-STAT signaling, IL-23/Th17 axis, and Toll-like receptor-NF-κB signaling. These findings demonstrate that this multi-database-based bioinformatics approach successfully identifies RA candidate genes with strong biological relevance.
E-cigarette knowledge and use among undergraduate students in Oman: a cross-sectional study Wafa Al Jabri; Ali Bani Oraba; Sultan Bani Oraba; Lui Al Nadhiri; Osama Al Jamoudi
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.27017

Abstract

The increasing prevalence of electronic cigarette (e-cigarette) uses among youth globally, including in Oman, raises significant public health concerns. Despite a ban on the sale and marketing of e-cigarettes in Oman since 2015, their use remains legal and has increased among university students. This study aims to assess e-cigarette knowledge among students at Sultan Qaboos University (SQU) and examine its association with e-cigarette use. It addresses a gap in the Omani literature, where evidence on e-cigarette knowledge and use among university students remains limited despite existing regulatory restrictions. A cross-sectional survey was conducted to gather data on students' knowledge, and use of e-cigarettes. Among 449 university students, overall knowledge of e-cigarettes was relatively high, with most participants acknowledging their potential health risks and supporting regulatory measures; however, some misconceptions still remained. Students from scientific colleges showed significantly higher knowledge levels than those from humanities colleges (p < 0.05). Although only 12.7% reported ever using e-cigarettes, there was a significant negative correlation between knowledge and use (r = -0.245, p < 0.001), indicating that higher knowledge was associated with lower likelihood of e-cigarette use. The findings suggest the importance of strengthening health education and regulatory efforts to improve e-cigarette awareness and reduce use among university students in Oman.
Effectiveness of the anemia rematri m-health application on knowledge and attitudes toward anemia among adolescent girls: a quasi-experimental study Greiny Arisani; Seri Wahyuni
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.26972

Abstract

Adolescent girls are particularly vulnerable to anemia due to inadequate iron intake, increased physiological demands, and menstrual blood loss. Limited knowledge and unfavorable attitudes toward anemia prevention further exacerbate this problem. Mobile health (m-Health) interventions offer a promising approach to delivering health education tailored to adolescents. This study aimed to evaluate the effectiveness of the Anemia Rematri m-Health application in improving knowledge and attitudes regarding anemia among adolescent girls. A quasi-experimental study with a pretest-posttest control group design was conducted among 108 adolescent girls enrolled in private vocational secondary schools in Palangka Raya, Central Kalimantan, Indonesia. Participants were allocated to either an intervention group (n = 54), which received education through the Anemia Rematri application, or a control group (n = 54), which received educational booklets. Knowledge and attitudes toward anemia were assessed before and after the intervention. The findings revealed significant differences between the intervention and control groups in both knowledge (p < 0.001) and attitudes (p < 0.001). The mean increase in knowledge scores was higher in the intervention group (68.67) than in the control group (40.37). Likewise, the intervention group demonstrated a greater improvement in attitude scores (67.35) compared with the control group (41.65). These findings suggest that the Anemia Rematri m-Health application may contribute to improvements in anemia-related knowledge and attitudes among adolescent girls. The application has the potential to become an innovative strategy for strengthening anemia prevention efforts, particularly through integration into the School Health Program (Usaha Kesehatan Sekolah [UKS]), school-based health promotion initiatives, and digital iron supplementation programs.
Occupational skin diseases: a cross-sectional survey analysis Ineke Winda Ferianasari; Reza Yuridian Purwoko; Evy Aryanti; Azizah Boenjamin; Silvan Saputra; Asmail Asmail
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.26924

Abstract

Occupational skin diseases (OSDs) are among the most common occupational diseases worldwide, yet scientific data in Indonesia remain limited. This issue is important to study because workers across various sectors frequently encounter wet work, detergents, and chemical exposure. The present study aimed to assess individual and occupational risk factors associated with skin complaints/symptoms on the hands and forearms within the past 12 months and to test the feasibility of a simple prediction model in the Indonesian context. A cross-sectional study was conducted among 46 workers participating in health screening. Predictor variables included age, sex, type of occupation, length of employment, frequency of handwashing, shift work, and exposure status. Analysis was performed using Firth’s logistic regression with reporting of odds ratios (OR), 95% confidence intervals (CI), and significance testing. Model performance was evaluated using the Hosmer-Lemeshow test, AUC/ROC, and Nagelkerke’s pseudo-R². The prevalence of skin complaints reached 56.5%. Female workers had a 17-fold higher risk compared to males (OR = 17.20; 95% CI: 1.79-164.77; p = 0.014). The prediction model demonstrated good performance (AUC = 0.90; Hosmer-Lemeshow p = 0.307; Nagelkerke R² = 0.60). Female sex was identified as an important determinant of OSD in this population. The simple prediction model proved feasible for risk screening and could serve as a basis for prevention programs focusing on exposure control in Indonesia. Further studies with larger samples are needed to strengthen evidence across occupational categories.
Post-flood morbidity and associated factors among flood-affected residents: a cross-sectional study in Dak Lak, Vietnam Tinh Luu-Viet; Duc Cao-Tien; Nhu-Thao Nguyen-Le; Ngoc-Viet Tran; Duy-Vu Hoang
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.27096

Abstract

Floods are among the most frequent natural disasters in Vietnam and may substantially affect community health. This study aimed to investigate post-flood diseases and associated risk factors among residents in Dak Lak Province. A community-based cross-sectional study was conducted among 183 adults in Hoa Le and Krong Kmar communes, Dak Lak Province. Participants were recruited using convenience sampling. Data were collected through face-to-face interviews using a structured questionnaire. Multivariable logistic regression was performed to identify factors associated with post-flood morbidity. Overall, 44.3% of participants reported at least one illness during the flood or within three days thereafter. Respiratory diseases were the most common (12.0%), followed by infectious (9.3%), dermatological (8.2%), gastrointestinal (6.6%), and ocular diseases (3.8%). Female sex (OR = 2.52; 95% CI: 1.31-4.83), emergency evacuation (OR = 5.42; 95% CI: 1.41-20.90), and disruption of essential services (OR = 2.06; 95% CI: 1.01-4.18) were significantly associated with post-flood illness. Flooding was associated with substantial morbidity, particularly respiratory and infectious diseases. Strengthening access to safe water, healthcare services, and disease surveillance may help reduce post-flood health risks in affected communities.
Nutritional profile and immunomodulatory potential of a polyherbal honey formulation for stunted children Akrom Akrom; Titiek Hidayati; Arif Budi Setianto; Laela Hayu Nurani; Ikhwan Dahlan Rais; Nurkhasanah Nurkhasanah; Lukman Hardia; Prasasti Bintarum; Muslih Anwar
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.23026

Abstract

Stunting remains a major public health challenge in Indonesia and has been linked to immune dysregulation, including increased pro-inflammatory TNF-α and reduced anti-inflammatory IL-4 activity. Nutrient-dense polyherbal supplementation may provide a complementary strategy to support nutritional status and immune function. This experimental study investigated the nutritional composition and immunomodulatory activity of polyherbal honey (PHH) formulated with curcuma xanthorrhiza, black cumin seeds, and honey. Vitamins, minerals, and bioactive constituents were characterized using laboratory assays. The immunomodulatory effects of PHH were subsequently evaluated in HTB-183 cells by measuring IL-4 and TNF-α expression after exposure to different formulation concentrations. The analysis confirmed the presence of vitamins A, C, and E; calcium and potassium; and several bioactive compounds in the PHH formulation. PHH exposure increased IL-4 expression and reduced TNF-α expression relative to untreated cells, although the magnitude of these responses varied across concentrations. These findings demonstrate that PHH contains nutritional and phytochemical constituents with potential immunomodulatory activity. Further preclinical and clinical investigations are required to determine its efficacy and safety as complementary nutritional support for children with stunting.
Effectiveness of nursing-led microlearning with spaced reinforcement on sexual violence awareness among rural adolescents in Indonesia Risnah Risnah; Muthahharah Muthahharah; Eka Hadrayani; Aisyah Bahar; Harmawati Harmawati; Muhammad Irwan; Sudarman Sudarman
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.27019

Abstract

Sexual violence among adolescents remains a major public health concern, particularly in rural areas where access to prevention education is limited. This study evaluated the effectiveness of a nursing-led microlearning intervention with spaced reinforcement in improving adolescents’ awareness of sexual violence. A repeated-measures experimental study was conducted among 120 adolescents aged 13-16 years from rural junior high schools. Participants received either microlearning with spaced reinforcement (n = 60) or leaflet-based education (n = 60). Awareness was assessed at baseline, post-intervention, and four-week follow-up. Data were analyzed using linear mixed-effects models and generalized estimating equations. Baseline awareness scores were comparable between groups. Compared with leaflet education, the microlearning group demonstrated significantly greater improvements immediately after the intervention (β = 9.1, 95% CI: 7.2-11.0, p < 0.001) and maintained higher scores at follow-up (β = 8.6, 95% CI: 6.5-10.7, p
Psychological safety as mediator of patient safety culture Erick Evander; Hendra Achmadi; Timotius William Yusuf
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.26990

Abstract

Preventable adverse events continue to undermine patient safety globally, yet the psychosocial pathways shaping safety culture remain poorly understood in non-Western hospital settings. This cross-sectional study examines how burnout, job stress, and perceived organizational support influence patient safety culture, with psychological safety as a mediating variable, among 347 healthcare professionals across three Type C hospitals in Jakarta, Indonesia. PLS-SEM results confirm that burnout (β = -0.293) and job stress (β = -0.323) significantly erode psychological safety, while perceived organizational support strengthens it (β = 0.440). Psychological safety, in turn, is the strongest predictor of patient safety culture (β = 0.468) and mediates all three antecedent relationships, with indirect effects of -0.137, -0.151, and +0.206 respectively. The model explains 46.5% of variance in patient safety culture. These findings identify psychological safety as the critical mechanism through which workplace conditions reach safety outcomes, and call for hospital interventions targeting supportive leadership, workload management, and non-punitive reporting environments.
Bridging the gap: simulation-based training in Nigeria (2015-2025) Raphael Folorunsho Oluwasina Babatola; Evelyn Funke Folorunsho
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.26995

Abstract

Medical education in Nigeria is transitioning from traditional apprenticeship-based training toward competency-based approaches. Simulation-Based Training (SBT) is increasingly recognized as a critical strategy for enhancing clinical competence and patient safety; however, its adoption across Nigeria remains fragmented and under-documented. This review aimed to map the extent, effectiveness, barriers, and future directions of Simulation-Based Training in Nigeria between 2015 and 2025. A PRISMA-ScR-guided systematic scoping review was conducted using peer-reviewed literature published between 2015 and 2025. Fifty-four eligible studies examining the implementation of SBT, outcomes, and contextual challenges across undergraduate and postgraduate health professional education in Nigeria were included. Data were synthesized narratively. Evidence indicates that SBT significantly improves technical skills, clinical decision-making, and learner confidence, particularly in high-risk areas such as neonatal resuscitation, surgical skills training, and obstetric emergencies. Institutional capacity has expanded through early adopters, including the University of Ilorin, the University of Lagos, and the University of Port Harcourt, and was reinforced by a 2025 federal initiative to establish eight national simulation centers. However, key barriers persist, such as high procurement costs (55%), unstable power supply (32%), and a shortage of trained simulation faculty (33%). Innovative low-cost approaches, including mobile virtual reality (mVR) and AI-enabled simulation platforms, emerged as promising alternatives to traditional infrastructure-heavy models. Simulation-based training demonstrates substantial educational value in Nigeria, but remains constrained by financial, infrastructural, and human resource limitations. National policy integration, mandatory simulation hours within MBBS and nursing curricula, and a structured “Training-the-Trainer” program leveraging digital and mobile simulation technologies are essential to achieving sustainable scale-up and improving patient safety outcomes in Nigeria and the wider West African region.
Impact of lower limb elevation on blood pressure in cesarean patients: a quasi-experimental study Suryanto Suryanto; Widigdo Rekso Negoro; Sindu Sintara; Annes Rindy Permana; Muhammad Rodli; Reko Priyonggo
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.27038

Abstract

Among the available anesthetic techniques, spinal anesthesia remains the preferred method for cesarean section procedures, because of its rapid onset and safety profile; however, it is frequently associated with hypotension that may compromise maternal and fetal stability. This study was conducted to assess the influence of lower limb elevation as a non-pharmacological intervention on blood pressure following spinal anesthesia. A one-group pretest-posttest quasi-experimental design was implemented to evaluate 90 cesarean section patients who met the inclusion criteria. Blood pressure values, including systolic and diastolic parameters, were obtained at baseline and at the 5th, 10th, and 15th minutes after spinal anesthesia, and the data analysis using paired t-tests indicated significant increases in systolic and diastolic blood pressure over time, with mean systolic pressure rising from 87.59 mmHg to 97.89 mmHg and mean diastolic pressure increasing from 59.56 mmHg to 67.21 mmHg at minute 15 (p < 0.001). This study provides context-specific clinical evidence on the hemodynamic effects of lower limb elevation among post-spinal anesthesia cesarean section patients in a clinical setting. However, the non-inclusion of a control group and randomization reduce the strength of causal interpretation. These findings provide support for the notion that lower limb elevation may enhance potential benefits as a supportive intervention for post-spinal hypotension and warrant further controlled studies to confirm its efficacy.

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