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Radian Ilmaskal
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radian.ilmaskal@gmail.com
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rrzscientificpublishing@gmail.com
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Jl. Handjoyo Putro Gg. Anledi 1 No. 2, Kota Tanjung Pinang
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INDONESIA
Journal of Health Sciences and Epidemiology
Published by CV. RRZ Scientific Publishing
ISSN : -     EISSN : 29887283     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
Fokus dan ruang lingkup: JHSE adalah peer-review, jurnal akses terbuka yang berfokus pada topik yang berkaitan dengan ilmu kesehatan dan epidemiologi. Jurnal ini menerbitkan artikel penelitian asli, tinjauan sistematis, meta-analisis, dan komentar editorial tentang topik-topik seperti penyakit menular dan tidak menular, kesehatan masyarakat, kesehatan lingkungan, kesehatan reproduksi, keperawatan, farmakologi, dan ilmu biomedis.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 85 Documents
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Determinants of Incomplete Childhood Vaccination in Slums of Dhaka and Chattogram Cities, Bangladesh Billah, Masum; Henderson, Alden Keith; Billah, Syed Muhammad Baqui; Gurley, Emily S
Journal of Health Sciences and Epidemiology Vol. 3 No. 3 (2025): December 2025
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/21y56q63

Abstract

During 2011–2015, although national vaccination coverage exceeded 80%, rates among children in urban slums were much lower in Bangladesh. We identified factors associated with incomplete vaccination in slum areas. A case-control study was conducted in Dhaka and Chattogram slums from June 2016 to March 2017. Cases were children aged 12–18 months who missed one or more expanded program on immunization (EPI) recommended doses; controls were fully vaccinated children. Caregivers were interviewed, and adjusted odds ratios (AOR) with 95% confidence intervals (CI) were calculated for significant factors (p<0.05). Total of 603 cases and 1,029 controls were interviewed. Factors associated with incomplete vaccination included negative perceptions of vaccination (AOR 9.2, 95% CI 4.4–19.3), time barriers for caregivers (AOR 2.1, 95% CI 1.5–2.9), and poor health-seeking behavior for other health issues (AOR 2.2, 95% CI 1.6–2.9). Children with older siblings who had incomplete vaccination (AOR 3.4, 95% CI 2.4–4.8) and those with working mothers (AOR 1.7, 95% CI 1.1–2.6) were also at higher risk. Negative perceptions, time constraints, and working mothers contribute to incomplete immunization in slums. EPI should target vaccine hesitancy and extend service hours to improve coverage among working mothers.
Discrepancy between VIA Screening and HPV DNA Status: A Real-World Evidence from a Large-Scale Program Indah Rohmawati; Aris Setiawan; Bekti Krisdyana; Nunik Ningtiyasari
Journal of Health Sciences and Epidemiology Vol. 4 No. 1 (2026): April 2026
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/gqfhdm20

Abstract

Cervical cancer is a significant health issue in low- and middle-income countries (LMICs). Visual Inspection with Acetic Acid (VIA) is commonly used for screening because of its affordability. This study analyzed the association between reproductive factors, Human Papillomavirus (HPV) DNA status, and VIA results among 860 women in Tulungagung, Indonesia. The participants had a mean age of 41 years, and 48% used hormonal contraceptives. Most respondents had negative VIA results (94.1%) and negative HPV DNA status (90.7%). Bivariate and multivariate analyses showed no significant associations between VIA results and HPV DNA (p=0.262), age (OR=0.747, p>0.05), or contraceptive use. Diagnostic analysis revealed that VIA had a high specificity (94.4%) but very low sensitivity (8.8%) when compared to HPV DNA status. The high false-positive rate (86.3% of VIA-positive cases were HPV-negative) highlights VIA's limitations of VIA in terms of objectivity. In conclusion, reproductive factors and HPV DNA were not significant predictors of VIA outcomes. Transitioning toward HPV DNA testing as a primary screening tool is recommended to improve program accuracy.
The Mediation Role of Positive Social Attitudes in The Relationship Between Peer Influence and Smoking Behavior in Adolescents Vebby Amellia Edwin; Nurlelasari Harahap; Welly Welly; Riyana Husna; Darwel Darwel; Sari Arlinda
Journal of Health Sciences and Epidemiology Vol. 4 No. 1 (2026): April 2026
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/edtz6798

Abstract

Smoking among adolescents remains a serious public health problem because most adult smokers start the habit during their school age, while tobacco use causes more than 8 million deaths annually worldwide. Peer influence is thought to be an important factor in the smoking initiation process; however, the mechanisms by which this influence operates are not fully understood yet. This study aimed to analyze the relationship between cigarette offers from friends and smoking behavior in adolescents and to examine the mediating role of positive social attitudes toward smoking. This study used a cross-sectional design with secondary data from the 2021 Global Youth Tobacco Survey (GYTS) in Indonesia. Analysis was conducted through bivariate and multivariate logistic regression, as well as mediation analysis, after adjusting for age and sex. The results showed that cigarette offers from friends were strongly associated with smoking behavior (OR=21.7 [15.5–30.4]; p<0.001). A more favorable social attitude toward smoking was also significantly associated with smoking behavior (OR=1.20 [1.01–1.41]; p=0.036) and partially mediated the relationship, as indicated by a decrease in the OR from 21.7 to 20.4 after the mediator was included. It was concluded that peer influence operates not only directly but also through the formation of permissive social attitudes toward smoking. Prevention programs targeting peer group social norms and strengthening smoking cessation skills are recommended, and longitudinal studies are recommended to determine the direction of the relationship more clearly.
The Relationship Between Anxiety and Post-disaster Health Conditions as A Basis for Planning Evidence-Based Psychosocial Intervention in Padang City Welly Welly; Nurlelasari Harahap; Vebby Amelia Edwin; Riyana Husna; Adela Resa Putri; Deri Andika Putra
Journal of Health Sciences and Epidemiology Vol. 4 No. 1 (2026): April 2026
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/tbz80531

Abstract

Natural disasters impose significant psychological and physical burdens on affected communities. Increased post-disaster anxiety can exacerbate overall health conditions and hinder the recovery process, highlighting the need for integrated psychosocial intervention. This study aimed to analyze the relationship between anxiety and post-disaster health conditions among affected communities in Padang City, Indonesia, to provide a basis for evidence-based psychosocial intervention planning in the future. A cross-sectional study was conducted among 115 adults residing in disaster-prone subdistricts. Anxiety was measured using the Generalized Anxiety Disorder-2 (GAD-2) scale, and post-disaster health conditions (focusing on psychological distress and depressive symptoms) were assessed using the Patient Health Questionnaire-2 (PHQ-2). Bivariate analysis was conducted to identify associations with post-disaster health conditions. The results showed that most respondents experienced anxiety (83.5%) and health problems (87.8%). A statistically significant association was found between anxiety and post-disaster health conditions (p = 0.048; OR = 3.45; 95% CI: 1.01–11.8). Anxiety is a significant determinant of post-disaster health conditions among affected communities. These findings reinforce the urgency of anxiety screening as a key component in planning and developing community-based, evidence-based psychosocial interventions during the post-disaster recovery phase.
Keeping the Air Clean in Tourist Destinations: The Urgency of Comprehensive Smoke-Free Zone Implementation Radian Ilmaskal; Rinaldi Daswito
Journal of Health Sciences and Epidemiology Vol. 4 No. 1 (2026): April 2026
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/dacbgc06

Abstract

The implementation of smoke-free zones at tourist destinations is a significant public health intervention that also benefits the sustainability of the tourism sector. This editorial summarises recent evidence on the impact of smoke-free policies on environmental, health, tourism economics, and the challenges of implementation in developing countries. The robust evidence shows that a comprehensive smoke-free policy in line with Article 8 of the WHO Framework Convention for Tobacco Control has no negative impact on tourist arrivals, tourism expenditures, and length of stay. In contrast, such policies provide significant public health benefits and can increase customer satisfaction. The main challenges are interference by the tobacco industry, limited enforcement capacity in low- and middle-income countries, and lack of public awareness. This article argues for an integrated policy framework, robust enforcement mechanisms, and multi-sectoral partnerships to achieve smoke-free tourist destinations.

Page 9 of 9 | Total Record : 85

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