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Sulistyawati, S.Si., MPH, Ph.D
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Epidemiology and Society Health Review (ESHR)
Published by Universitas Ahmad Dahlan
ISSN : 26561107     EISSN : 26566052     DOI : https://doi.org/10.12928/eshr
Core Subject : Health,
Public Health
Epidemiology and Society Health Review (ESHR) is aims to communicate research in the field of epidemiology and community health by publishing papers in high-quality science. This journal publishes an article in the field of epidemiology of the communicable disease, epidemiology of non-communicable disease, epidemiology of nutrition, vector control, surveillance, and outbreak and spatial analysis for community health. ESHR opens the windows of the world to spread and communicate research as a lesson learns to other researchers and places to improve the quality of community health.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 115 Documents
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Correlation of Clinical and Immunological Factors With Overall Survival in Luminal B HER2-Negative Breast Cancer Patients at Prof. Dr. I.G.N.G. Ngoerah Hospital, Denpasar I Komang Ery Purnama Warsana Putra; IB. Made Suryawisesa; Ketut Sudartana
Epidemiology and Society Health Review (ESHR) Vol. 8 No. 1 (2026)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v8i1.14936

Abstract

Background: This study aimed to explore the relationship between clinico-pathological characteristics and overall survival (OS) among patients with Luminal B HER2-negative breast cancer treated at Prof. Dr. I.G.N.G Ngoerah Hospital, Denpasar. Method: A retrospective cohort study was conducted involving 248 patients diagnosed with Luminal B HER2-negative breast cancer between January 2018 and December 2022. Data were collected from medical records and the Bali Cancer Registry, including variables such as age, menopausal status, tumor size (T), nodal involvement (N), metastasis (M), lymphovascular invasion (LVI), tumor-infiltrating lymphocytes (TIL), and treatment modalities. OS was analyzed using the Kaplan–Meier method, and independent prognostic factors were identified through multivariate Cox proportional hazards regression. Results: Most patients were aged ≥40 years (84.8%), premenopausal (58.1%), and had LVI-positive tumors (65.9%). The 5-year OS rate was 60.8%, with a mean survival of 48 months. Kaplan–Meier analysis demonstrated shorter survival among older and postmenopausal patients. In multivariate analysis, TIL (HR = 0.342; 95% CI = 0.171–0.684; p < 0.001), age ≥40 years (HR = 1.459; 95% CI = 1.233–1.875; p < 0.001), and postmenopausal status (HR = 4.553; 95% CI = 2.378–8.733; p < 0.001) were identified as independent predictors of poorer survival. Conclusion: These findings underscore the prognostic importance of immunological and demographic factors in Luminal B HER2-negative breast cancer. The assessment of tumor-infiltrating lymphocytes may serve as a practical and feasible prognostic marker to support risk stratification and individualized management, particularly in resource-limited healthcare settings, while highlighting the need for strengthened early detection and follow-up strategies among older and postmenopausal women.
Health Equity in Dengue Prevention and Control: A Review of Social Vulnerability, Participation, and Climate-Related Risks Sulistyawati Sulistyawati; Fatia Rizka Adela; Setiyo Harini; Septian Emma Dwi Jatmika
Epidemiology and Society Health Review (ESHR) Vol. 8 No. 1 (2026)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v8i1.15815

Abstract

Background: Dengue remains a major public health problem in tropical and subtropical regions, with transmission and disease outcomes strongly influenced by social, economic, and environmental conditions. Evidence indicates that inequities in socioeconomic status, community participation, healthcare access, and climate vulnerability contribute to unequal dengue burden, yet these aspects are rarely synthesized comprehensively. Methods: This narrative review was conducted following the PRISMA guidelines. A literature search was performed using Google Scholar to identify original research articles published between 2020 and 2025 that explicitly addressed equity-related aspects of dengue prevention and control. Data were analyzed using narrative synthesis. Results: Six studies from Asia, the Caribbean, and Latin America were included. The findings showed consistent inequities related to socioeconomic status, geographic access to healthcare, community participation, financial protection, and climate-related vulnerability. Low-income and marginalized populations experienced poorer preventive practices, higher out-of-pocket healthcare costs, and greater exposure to dengue risk, while unequal institutional capacity limited the implementation of climate-based early warning systems. Conclusion: Dengue prevention and control are shaped by multidimensional inequities operating across social, community, and health system levels. An equity-oriented approach is needed to strengthen dengue control strategies, particularly through inclusive community engagement, improved healthcare access, and climate-informed public health interventions.
Physical Activity, Sedentary Behavior, and Fitness Levels in University Students Mega Amanda; Reyna Wildan Firdaus Azis; Aditya Dwi Santoso; Hoirun Nisa
Epidemiology and Society Health Review (ESHR) Vol. 8 No. 2 (2026)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v8i2.14828

Abstract

Background: Physical fitness is crucial for university students as it supports productivity and helps prevent disease. It largely depends on levels of physical activity and sedentary behavior. However, the current student lifestyle relies heavily on technology, resulting in reduced physical activity and increased sedentary behavior. This study aims to investigate the physical activity, sedentary behavior, lifestyle, and physical fitness of university students. Method: This cross-sectional study was conducted using purposive sampling on active students of UIN Syarif Hidayatullah Jakarta from the 2020-2022 batch. Results: The findings showed that half of the students (51.6%) had low (normal) sedentary behavior, while a substantial proportion (45.1%) had moderate sedentary levels. Additionally, 32.9% of students were classified as having poor physical fitness, and most students (57.3%) reported low levels of physical activity. Conclusion: A higher proportion of students demonstrated poor physical fitness, moderate levels of sedentary behavior, and low levels of physical activity. These findings highlight the importance of improving physical fitness through regular exercise and reducing sedentary behavior, particularly non-essential smartphone use. In addition, the university should consider developing and implementing policies that encourage greater physical activity among students, helping them achieve optimal fitness to better support their daily activities.
Epidemiological Characteristics and Temporal Trends of Dengue Fever in the Mlati 2 Primary Health Care, Sleman, Indonesia, 2021–2024 Retno Widyaningrum; Liena Sofiana; Rokhmayanti Rokhmayanti; Desi Nurfita; Ardyawati Wira Oktaviana
Epidemiology and Society Health Review (ESHR) Vol. 8 No. 2 (2026)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v8i2.15880

Abstract

Background: Dengue is a mosquito-borne viral disease transmitted mainly by Aedes aegypti and Aedes albopictus. A rapid increase in cases may indicate a potential outbreak and requires timely surveillance. This study aimed to describe dengue cases by person, place, and time in the Mlati 2 Public Health Center area from 2021 to 2024 and identify potential outbreak patterns. Method: This quantitative descriptive study used secondary data from epidemiological investigation records at Mlati 2 PHC. “Dengue cases” included all cases classified as DF, DHF, DSS, and DD. A total of 82 cases recorded from 2021 to 2024 were included. Data were analyzed descriptively and presented by person, place, time, laboratory diagnosis, and House Larvae-Free Index. Results: Most cases occurred among adults aged 19–59 years, with more females than males. Sumberadi Village recorded the highest number of cases, followed by Tlogoadi and Tirtoadi. DHF was the most frequent classification, while cases in 2024 showed more varied diagnoses, including DF, DHF, DD, and DSS. The three-year minimum–maximum pattern showed that cases in February, March, April, May, and August 2024 exceeded the historical maximum from 2021 to 2023, indicating potential outbreak signals. The House Larvae-Free Index remained below the national standard of 95% during the study period. Conclusion: Dengue cases occurred annually in the Mlati 2 Public Health Center area, with a marked increase in 2024. Cases were mainly found among productive-age adults and concentrated in Sumberadi Village. The potential outbreak signals and low House Larvae-Free Index highlight the need to strengthen surveillance, timely reporting, epidemiological investigation, and community-based vector control.
Prevalence, Correlates, and Public Health Implications of Mental Disorders in Uzbekistan and Indonesia: A Systematic Review Sardorbek Ibragimov; Sinthia Nurhabibah; Muhammad Hisyam Syafii; Dzaka Ogan Amirudin Lutfi
Epidemiology and Society Health Review (ESHR) Vol. 8 No. 2 (2026)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v8i2.16030

Abstract

Background: Mental disorders represent a growing public health challenge in low- and middle-income countries. This study aimed to comparatively investigate the prevalence, sociodemographic correlates, and public health implications of mental disorders in Uzbekistan and Indonesia, two lower-middle-income nations sharing structural mental health system challenges despite differing geographic and cultural contexts. Methods: A comparative epidemiological study was conducted using secondary data from publicly available sources, including the World Health Organization, Global Burden of Disease database, Indonesian national health surveys, the Uzbekistan Ministry of Health, and Scopus-indexed literature (2013–2024). No primary data were collected. Results: Indonesia reports that 14.7% of adults experience anxiety and depression symptoms, yet most remain untreated despite an annual economic burden of USD 29.22 billion. Uzbekistan lacks national prevalence data, with mental health services heavily reliant on inpatient care and a limited psychiatric workforce. Both countries face substantial treatment gaps, workforce shortages, and slow progress in deinstitutionalization. Conclusion: Both countries face substantial unmet mental health burdens requiring urgent investment in community-based care, workforce expansion, primary care integration, and evidence-based policy implementation to reduce treatment gaps and improve population mental health outcomes.
Health-Related Quality of Life Among Adolescent Girls with Idiopathic Scoliosis Using Spinal Orthoses: A Systematic Review Ellysa Okky Gusma; Gatot Sunarto; Gian Lisuari Adityasiwi; Hana Kristina; Nathan Agwin Khenda
Epidemiology and Society Health Review (ESHR) Vol. 8 No. 2 (2026)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v8i2.16061

Abstract

Background: Adolescent idiopathic scoliosis (AIS) affects 2–4% of adolescents and is predominantly diagnosed in girls during pubertal growth. Bracing is the primary conservative intervention to prevent curve progression; however, adolescence is a critical period of psychosocial development, making brace wear particularly burdensome. As evidence-based guidance for holistic management remains limited, this study aimed to review the QoL of adolescent girls with AIS undergoing brace treatment. Method: A literature review was conducted using PubMed and Google Scholar for articles published between 2019 and 2026. Inclusion criteria were adolescents aged 10–18 years with AIS, treated with bracing, and assessed using validated QoL instruments (SRS-22, BrQ, BSSQ). From 1,245 identified records, 15 studies were included following PRISMA-based screening and JBI quality assessment. Results: Brace treatment negatively affects QoL across physical, psychological, and social domains. Patients reported discomfort, limited mobility, body image concerns, emotional distress, and reduced social participation. QoL outcomes were influenced by brace duration, curve severity, and family support. Improved brace design and multidisciplinary care were shown to mitigate these impacts. Conclusion: Bracing significantly affects QoL in adolescent girls with AIS. A patient-centered approach that integrates psychosocial support and improved brace design is essential for enhancing treatment adherence and overall well-being.
Sleep Quality and Nutritional Status Among Indonesian Children and Adolescents: A Systematic Review Ulil Albab Habibah; Fanny Anggiastuti Fatima; Herwinasla Purnanabila; Windyan Kestri Herdhani; Satria Akbar Putra Asmara
Epidemiology and Society Health Review (ESHR) Vol. 8 No. 2 (2026)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v8i2.16206

Abstract

Background: Nutritional status is the result of an individual’s nutrient intake and requirements. In Indonesia, issues related to children’s nutritional status remain a major problem. The relationship between these two variables is mediated by two important hormones involved in appetite regulation: leptin and ghrelin. In a cohort study, results showed a relationship between leptin levels and sleep quality. Although global studies have demonstrated a relationship between these two variables, studies in Indonesia have yielded mixed results. Therefore, this systematic review aims to systematically synthesize the evidence regarding the relationship between sleep quality and nutritional status in children in Indonesia. Method: This literature review was conducted in March 2026. The databases used for the literature review were Google Scholar, PubMed, ScienceDirect, and Garuda, with periode 2021-2026 publication year. The search strategy used the keywords: ("sleep quality") AND ("nutritional status") AND ("children") AND ("Indonesia"), including equivalent Indonesian terms. Article selection was conducted in accordance with the PRISMA guidelines. Results: Eleven studies were included in the literature review. The sample size for each study ranged from 52 to 221 participants. Eight studies showed a significant association between sleep quality and nutritional status, while three studies showed no significant association. Conclusion: The findings of this review confirm that sleep quality is not the sole factor determining nutritional status. Therefore, intervention efforts to improve the nutritional status of children and adolescents must be comprehensive, focusing not only on improving sleep quality but also on improving dietary habits, increasing physical activity, and regulating social media use.
Infodemiology of Rabies in Indonesia and Neighboring Countries: Insights from Google Trends (2020–2024) Agil Wahyu Wicaksono; Fatiha Kamilah; Dinda Iryawati
Epidemiology and Society Health Review (ESHR) Vol. 8 No. 2 (2026)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v8i2.16215

Abstract

Background: As Asian countries struggle to meet the global "Zero by 30" rabies target due to delayed and underreported conventional surveillance, digital infodemiology offers a complementary solution. This study analyzes rabies-related Google Trends search interest in Indonesia, Malaysia, the Philippines, Thailand, and Vietnam from 2020 to 2024 to evaluate its utility for public health monitoring and elimination strategies. Method: Google Trends was queried for the term "rabies" across the five countries from January 2020 to December 2024. Monthly normalized scores (0–100) were collected and analyzed descriptively. Trends were examined at monthly and annual levels, including seasonal fluctuations and exceptional peaks. Relative growth between 2020 and 2024 was calculated to identify shifts in long-term public awareness. Results: Thailand consistently demonstrated the highest baseline search interest, while Indonesia remained the lowest despite a dramatic spike in June 2023 (score 100). Seasonal increases were observed in Thailand and Vietnam during the second half of the year, coinciding with agricultural cycles and awareness campaigns. Annual mean scores rose in all countries, with the Philippines showing the largest relative increase (+164%), followed by Indonesia (+110%). Malaysia and Vietnam exhibited moderate growth, while Thailand's increase was more modest (+86%). Conclusion: Rabies awareness in Southeast Asia is highly variable and largely event-driven, highlighting the need for integrated, sustained communication strategies tailored to each country's epidemiological and sociocultural context to support the achievement of the "Zero by 30" elimination goal.
Association Between Maternal Height and Childhood Stunting in Indonesia: A Systematic Review Yanasta Yudo Pratama; Muhammad Luthfi Adnan
Epidemiology and Society Health Review (ESHR) Vol. 8 No. 2 (2026)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v8i2.16216

Abstract

Background: Stunting is one of Indonesia's most complex health problems with the incidence of stunting reaches almost 30%. Maternal factors are known to play a significant role in the risk of stunting. However, further analysis of the influence of maternal height is needed to identify the influence of maternal height on child growth and development for future intervention. This study aims to evaluate maternal height as risk factor for stunting in Indonesia based on previous published article. Method: This systematic review was prepared in accordance with the PRISMA guidelines. The literature search was conducted in PubMed and Google using keywords in English including "maternal height", "maternal stature", "stunting" and "Indonesia", while keyword in Bahasa Indonesia using "tinggi badan ibu" and "stunting." The search was limited to English and Indonesian language studies with included studies published after 2020. Results: Of the 581 studies identified from two electronic search engines, seven studies met our inclusion criteria. A total of 703 population samples from seven included studies were analyzed regarding the relationship between maternal height and stunting. Five of the seven included studies showed that maternal height influenced the risk of stunting Although maternal height is correlated with the risk of stunting, analysis of the causes of low maternal height is necessary for planning further interventions. Conclusion: Maternal height influences the risk of stunting. However, maternal influences can also influence prenatal growth and development. Long-term studies and interventions are needed to analyze the maternal role in stunting risk.
Community-Based Digital Mental Health Modules and Mental Health Literacy Among Generation Z Students in Islamic Boarding Schools Nahdiyatus Nur Fitriyah; Ahmad Guntur Alfianto; Miftakhul Ulfa
Epidemiology and Society Health Review (ESHR) Vol. 8 No. 2 (2026)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v8i2.16229

Abstract

Background: Mental health is a growing issue in educational settings. Islamic boarding schools (pesantren) are educational environments based on a dormitory system. This creates mental health issues. Low mental health literacy among Islamic boarding school students (santri) is a significant issue in Islamic boarding schools (pesantren). Method: The study used a quasi-experimental, two-group pretest-posttest design with a sample of 78 students divided into intervention 38 studens and control groups 40 studens. The instrument used was the Mental Health Knowledge Questionnaire (MHKQ), Data analysis using paired t-tests and independent t-tests. Results: The results showed a significant increase in knowledge in the intervention group (p<0.05). There were significant differences between the intervention and control groups in indicators of basic concepts, causes, and treatment and management (p=0.000), but not in prevention (p=0.287). Conclusion: Digital modules are more effective than leaflets in improving mental health literacy among Islamic boarding school students, although they are not optimal for prevention.

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