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Endang Sutisna Sulaeman
Universitas Sebelas Maret
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Public Health Social Sciences

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Multilevel Analysis on the Effect of Marketing Mix Strategy toward Patient Satisfaction in Magelang, Central Java Fuad, Lu’luatul; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Hospital marketing is becoming increasingly competitive all over the world. The marketing mix strategy is considered one of the core concepts of marketing theory. This study aimed to examine the effect of marketing mix strategy toward patient satisfaction in Magelang, Central Java.Subjects and Method: A cross sectional study was conducted at Magelang Hospital, Central Java, in December 2018. A sample of 200 patients was selected by simple random sampling.  The dependent variable was patient satisfaction. The independent variables were product, price, place, promotion, process, people, physical appearance, and ward. The data were collected by question­naire and analyzed by multilevel multiple logistic regression.Results: Patient satisfaction increased with good product (b= 3.42; 95% CI= 0.76 to 2.81; p<0.001), low price (b= 1.92; 95% CI= -0.05 to 1.70; p= 0.054), right place (b= 2.41; 95% CI= 0.19 to 1.92; p= 0.016), attractive promotion (b= 2.92; 95% CI= 0.43 to 2.19; p= 0.004), people (b= 1.91; 95% CI= -0.24 to 1.75; p= 0.057), good physical appearance (b= 2.42; 95% CI= 0.20 to 1.97; p= 0.015), and sound process (b= 2.07; 95% CI= 0.45 to 1.72; p= 0.039). Ward had a considerable contextual effect on patient satisfaction with ICC= 14.65%.Conclusion: Patient satisfaction increases with good product, low price, right place, attractive promotion, people, good physical appearance, and sound process. Ward has a considerable contex­tual effect on patient satisfaction.Keywords: marketing mix, patient satisfaction, hospital, multilevel analysisCorrespondence: Lu’luatul Fuad. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: afuadlulu@gmail.com. Mobile: +6285643702066.Journal of Health Policy and Management (2019), 4(1): 39-46https://doi.org/10.26911/thejhpm.2019.04.01.05
Factors Affecting the Quality of Microscopic Tuberculosis Examination in Madiun, East Java: A Multilevel Analysis Hartini, Sri; Sulaeman, Endang Sutisna; Murti, Bhisma
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Tuberculosis (TB) remains major cause of morbidity and mortality due to any one of infectious agent worldwide. In low income countries, Ziehl-Neelsen sputum smear microscopy is the only cost-effective tool for diagnosis and monitoring of patients on treatment. Refresher training for laboratory professionals involved in Acid Fast Bacilli (AFB) microscopy at peripheral health facilities is important. This study aimed to assess factors affecting the quality of microscopic tuberculosis examination in Madiun, East Java, using a multilevel analysis model.Subjects and Method: A cross-sectional study conducted at 23 puskesmas (community health centers) in Madiun, East Java, from March to April 2018. A sample of 230 preparations was selected by simple random sampling. The dependent variable was quality of microscopic TB examination. The independent variables were tenure, refresher training, and accreditation status of puskesmas. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Quality of microscopic TB examination was positively associated with tenure ?3 years (b= 2.77; 95% CI= 0.81 to 4.73; p= 0.006) and accredited community health center (b= 3.06; 95% CI= 0.81 to 4.62; p<0.001). The association between refresher training and quality of microscopic TB examination was not statistically significant (b= -0.51; 95% CI= -2.33 to 1.32; p= 0.580). Puskesmas had a contextual effect on quality of microscopic TB examination with ICC= 22.01%.Conclusion: Quality of microscopic TB examination is positively associated with tenure and accredited puskesmas. Refresher training for laboratory technicians was not effective in improving the quality of microscopic TB examination Puskesmas has a considerable contextual effect on quality of microscopic TB examination.Keywords: microscopic TB examination, quality, tenure, community health center, accreditation, multilevel analysisCorrespondence:Sri Hartini, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: hartinis191@gmail.comJournal of Health Policy and Management (2018), 3(1): 34-40https://doi.org/10.26911/thejhpm.2018.03.01.05
Associations of Self-efficacy, Family Support, Peer Support, and Posyandu Facility, with Mothers Visit to Posyandu in Karanganyar, Central Java Ernawati, Ernawati; Sulaeman, Endang Sutisna; Indarto, Dono
Journal of Maternal and Child Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Integrated service delivery has been defined as the organization and management of health services so that people get the care they need, when they need it, in ways that are user-friendly, achieve the desired results and provide value for money. In Indonesia, the integrated service delivery at the village level is called as posyandu (integrated health post) with the support of community health workers working together with formal primary health care workers. This study aimed to examine the associations of self-efficacy, family support, peer support, and posyandu facility, with mothers visit to posyandu in Karanganyar, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 25 posyandus in Karanganyar, Central Java, from April 16 to May 15, 2018. A sample of 200 mothers was selected by simple random sampling. The dependent variable was mothers visit to posyandu. The independent variables were self-efficacy, family support, peer support, and posyandu facility. The data were collected by questionnaire and analyzed by a multilevel logistic regression using Stata 13 program.Results: Mothers visit to posyandu was positively associated with self-efficacy (b= 1.90; 95 CI= 0.43 to 3.36; p= 0.011), family support (b= 2.24; 95% CI= 0.81 to 3.67; p= 0.002), peer support (b= 1.98; 95% CI= 0.63 to 3.34; p= 0.004), and posyandu facility (b= 3.86; 95% CI= 1.93 to 5.80; p<0.001). Posyandu had a contextual effect on mothers visit to posyandu with ICC 24.79%.Conclusion: Mothers visit to posyandu is positively associated with self-efficacy, family support, peer support, and posyandu facility. Posyandu has a considerable contextual effect on mothers visit to posyandu.Keywords: integrated health post, mothers visit, self-efficacy, family support, multilevel analysisCorrespondence: Ernawati. Vocational High School of Empat Lima Surakarta, Nursing Academy Insan Husada Surakarta. Email: 3rn4wati.ew@gmail.comJournal of Maternal and Child Health 2018, 3(3): 233-241https://doi.org/10.26911/thejmch.2018.03.03.08
Effect of Family Hope Program on Maternal Health Behavior and Children Under Five Nutritional Status in Poor Families, Jombang, East Java Rosalina, Sintya; Sulaeman, Endang Sutisna; Murti, Bhisma
Journal of Maternal and Child Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Family Hope Program, or internationally referred to as Conditional Cash Transfer (CCT), is a government poverty allevation initiative by provision of conditional cash money that induces healthy behavior so as to achieve strong generation. This study sought to examine the effect of Family Hope Program on maternal health behavior and children under five nutritional status in poor families, Jombang, East Java.Subjects and Method: This was an analytic observational study with retrospective cohort design. This study was conducted in Jombang District, East Java, from November to December 2017. A total sample of 210 mothers and their children under five were selected for this study by fixed exposure sampling. The dependent variables were maternal health behavior and child nutritional status. The independent variables were birthweight, history of illness, maternal education, family income, family support, government Family Hope Program,  and access to health service. The data were collected by maternal and child book record and questionnaire. The data were analyzed by path analysis.Results: The likelihood of good nutritional status of children under five increased with good nutritional intake (b= 1.9; 95% CI= 1.1 to 2.8; p <0.001), normal birthweight (b= 2.5;  95% CI= 0.9 to 4.1; p= 0.002), rare frequency of illness (b= 1.3; 95% CI= 0.5 to 2.1; p= 0.001), and strong family support (b= 1.5; 95% CI= 0.6 to 2.3; p<0.001). The likelihood of maternal healthy behavior increased with Family Hope Program (b= 4.1; 95% CI= 3.1 to 5.0; p <0.001) and higher maternal education (b= 1.9; 95% CI= 0.9 to 2.8; p<0.001). Good nutritional intake increased with maternal healthy behavior (b= 0.4; 95% CI= - 0.04 to 0.85; p = 0.074) and strong family support (b= 0.6; 95% CI = 0.2 to 1.1; p= 0.004).Conclusion: The likelihood of good nutritional status of children under five increases with good nutritional intake, normal birthweight, no history of illness over the past three months, and strong family support. Family Hope Program induces maternal health behavior, increases child nutritional intake, and eventually improves child nutritional status.Keywords: child nutritional status, maternal health behavior, Family Hope ProgramCorrespondence: Sintya Rosalina. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: sintya.rosalina@gmail.com. Mobile 085732761747.Journal of Maternal and Child Health (2018), 3(1): 33-43https://doi.org/10.26911/thejmch.2018.03.01.04
Path Analysis: The Effect of Smoking on the Risk of Periodontal Disease Robbihi, Hilmiy Ila; Sulaeman, Endang Sutisna; Rahardjo, Setyo Sri
Indonesian Journal of Medicine Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Periodontal diseases are prevalent both in developed and developing countries and affect about 20-50% of global population. Several risk factors such as smoking, poor oral hygiene, diabetes, medication, age, hereditary, and stress are related to periodontal diseases. The purpose of this study was to determine the effect of smoking on the risk of periodontal disease, using path analysis.Subjects and Method: A case-control study was carried out in Tasikmalaya community health center, West Java, from October to November 2018. A sample of 200 patients was selected by fixed disease sampling. The dependent variable was periodontal disease. The independent variables were age, knowledge on oral health, education, income, smoking behavior, oral and dental health behavior, plaque, and calculus. The data were obtained from medical record and questionnaire. The data were analyzed by path analysis.Results: The risk of periodontal disease directly increased by smoking behavior (b= 0.92; 95% CI= 0.09 to 1.75; p= 0.030), after controlling for the effect of calculus (b= 1.23; 95% CI= 0.40 to 2.07; p= 0.004) and age (b=1.63; 95% CI= 0.76 to 2.50; p<0.001). The risk of periodontal disease directly decreased by better knowledge on oral and dental health (b=-0.92; 95% CI= -1.72 to -0.12; p= 0.023) and high income (b= -1.47; 95% CI= -2.32 to -0.60; p<0.001). It was indirectly affected by plaque and education.Conclusion: The risk of periodontal disease directly increases by smoking behavior, after controlling for the effect of calculus and age. In addition, the risk of periodontal disease directly decreases by better knowledge on oral and dental health and high income. It is indirectly affected by plaque and education.Keywords: periodontal disease, smoking, factors, path analysisCorrespondence: Hilmiy Ila Robbihi. Masters Program in Public Health, Universitas Sebelas Maret, Surakarta, Jl. Ir. Sutami 36 A, Surakarta, Central Java 57126. Email: hilmiyilarobbihi@gmail.com. Mobile: +628975565050.Indonesian Journal of Medicine (2018), 3(2): 99-109https://doi.org/10.26911/theijmed.2018.03.02.06
Determinants of Fruits and Vegetables Consumption among Primary School Students: A Path Analysis Evidence Hidayah, Siti Shafridha; Pamungkasari, Eti Poncorini; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Around 3.9 million deaths worldwide in 2017 were caused by a lack of fruit and vegetable consumption. Consumption of fruits and vegetables in Indonesia is still less than recommended by World Health Organization. This study aimed to examine determinants of fruits and vegetables consumption among primary school children.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted at 25 elementary schools in Tegal, Central Java, from April to May 2019. A sample of 200 primary schools was selected by simple random sampling. The dependent variable was fruits and vegetables consumption. The independent variables were gender, knowledge, eco­no­mic status, fruits and vegetables availability, sources of information, food preference, food selec­tion, and parental role. The data were collected by food frequency questioner (FFQ) and question­naire. The data were analyzed by path analysis.  Results: Fruit consumption was directly influenced by male gender (b=-0.99; 95% CI= -1.86 to -0.12; p=0.025), knowledge (b= 0.92; 95% CI= 0.04 to 1.79; p=0.039), economic status (b=1.96; 95% CI= 1.09 to 2.83; p<0.001), fruits and vegetables availability (b= 0.92; 95% CI= 0.07 to 1.76; p= 0.034), source of information (b= 0.92; 95% CI= 0.01 to 1.82; p= 0.047), food selection (b= 1.77; 95% CI= 0.01 to 3.54; p= 0.049), and parental role (b= 1.19; 95% CI= 0.27 to 2.13; p=0.012). Vegetables consumption was directly influenced by male gender (b= -0.71; 95% CI= -1.37 to -0.05; p= 0.035), economic status (b= 0.81; 95% CI= 0.05 to 1.56; p=0.036), fruits and vegetables availability (b=0.98; 95% CI= 0.33 to 1.64; p=0.003), and parental role (b= 0.95; 95% CI= 0.19 to 1.69; p= 0.013). Fruit and vegetable consumption was indirectly influenced by gender, food preference, and economic status.Conclusion: Fruit consumption is directly influenced by male gender, knowledge, economic status, fruits and vegetables availability, source of information, food selection, and parental role. Vegetables consumption is directly influenced by male gender, economic status, fruits and vege­ta­bles availability, and parental role. Fruit and vegetable consumption is indirectly influenced by gender, food preference, and economic status.Keywords: consumption, fruits and vegetables, path analysisCorrespondence: Siti Shafridha Hidayah. Masters Program Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: shafridhahidayah@yahoo.com. Mobile: +62877­37­376507.Journal of Health Promotion and Behavior (2019), 4(1): 64-75https://doi.org/10.26911/thejhpb.2019.04.01.07
Path Analysis on the Determinants of Visual Inspection Acetic Acid Utilization on Early Detection of Cervical Cancer: Application of Health Belief Model Theory Sunarta, Elfania Arumma; Sulaeman, Endang Sutisna; Budihastuti, Uki Retno
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Cervical cancer was a serious health problem for women and VIA screening provided many benefits to women, which was to detect early cervical cancer. This study aimed to de­ter­mine the determinants that influence the use of VIA with the theory of Health Belief Model on women of reproductive age.Subjects and Method: This was an analytic observational study with a case-control approach, con­ducted in the working area of Wongsorejo Public Health Center, Banyuwangi, East Java from March to April 2019. The sampling technique used was Fixed Disease Sampling, with a ratio of 1:3. Sam­ples from 150 women reproductive age who had not used VIA screening and 50 women who had conducted VIA screening. Independent variables were perceived susceptibility, perceived severity, perceived benefits, cues to action, self-efficacy, knowledge, attitudes, access to services and husband's support. The dependent variable was the use of VIA. Data were collected by questionnaire and analyzed by path analysis.Results: The use of VIA screening was directly affected and has a positive effect on perceived vul­ne­rability (b= 1.45; CI 95%= 0.50 to 2.40; p= 0.003), perceived severity (b= 0.86; CI 95%= -0.16 to 1.88; p= 0.099), perceived benefit (b= 1.61; CI 95%= 0.52 to 2.68; p= 0.003), cues to ac­tion (b= 1.21; CI 95%= 0.05 to 2.37; p= 0.040), high efficacy (b= 1.26; CI 95%= 0.27 to 2.26; p= 0.012), attitude (b= 1.83; CI 95%= 0.81 up to 2.85) and husband support (b= 1.59; CI 95%= 0.63 to 2.55). The use of VIA screening was indirectly influenced by access to health ser­vi­ces and knowledge.Conclusion: The use of VIA screening was directly influenced by perceived vulnerability, per­cei­ved severity, perceived benefits, perceived barriers, cues to act, self-efficacy, attitude and husband sup­port. And it was indirectly influenced by access to services and knowledge.Keywords: VIA, Cervical Cancer, Health Belief Model, Path AnalysisCorrespondence: Elfania Arumma Sunarta. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: elfaniaas@gmail.com. Mobile: +6282272434301Journal of Health Promotion and Behavior (2019), 4(1): 32-42https://doi.org/10.26911/thejhpb.2019.04.01.04
Accreditation Status and Other Factors Affecting Patient Satisfaction in Hospital Sulistyo, Siwi Anggraini; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Hospital accreditation is a systemic assessment to measure service quality according to standards. Hospital services focus on meeting patient needs and satisfaction. This study aimed to determine the status of accreditation and other factors that influence the satisfaction of hos­pitalized patients in the hospital.Subjects and Method: This was a cross sectional study conducted in four hospitals in Sleman, Yogyakarta, from March to April 2019. A sample 200 inpatients were selected for this study by proportional random sampling. The dependent variable was patient satisfaction. The independent variables were accreditation status, service quality, length of care, source of funds, employment, age, and gender. The data were collected by questionnaire and analyzed by path analysis.Results: Patient satisfaction was directly and positively affected by age >18 years old (b = 2.34; 95% CI= 0.33 to 2.50; p= 0.023), gender (b = 1.02; 95% CI = 0.08 to 1.96; p = 0.034), length of care> 3 days (b= 0.99; 95% CI= 0.043 to 1.95; p= 0.041), independent funding sources (b= 1.50; 95% CI= 0.47 to 2.53; p= 0.004), good service quality (b = 3.42; 95% CI = 2.31 to 4.53; p <0.001), and good ac­cre­ditation status (b = 3.33; 95% CI = 2.12 to 4.54; p<0.001). Satisfaction is directly and ne­gatively influenced by work (b = -1.37; 95% CI = -2.32 to -0.41; p = 0.005). Patient satisfaction was in­fluenced indirectly and positively by accreditation status through good service quality (b = 0.70; 95% CI = -0.04 to 1.96; p = 0.037). Patient satisfaction was influenced indirectly by age> 18 years thro­ugh service quality (b = 1.50; 95% CI = 0.49 to 2.50; p = 0.036).Conclusion: Patient satisfaction was influenced directly and positively by age> 18 years, male sex, length of care >3 days, independent fund sources, good service quality and good accreditation status. Patient satisfaction is influenced directly and negatively by work. Patient satisfaction was in­directly affected by age >18 years and good accreditation status.Keywords: Patient satisfaction, accreditation status, path analysisCorrespondence: Siwi Anggraini Sulistyo, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Jawa Tengah. Email: siwianggraini@ymail.com. Mobile: 082­330049892Journal of Health Policy and Management (2019), 4(3): 139-149https://doi.org/10.26911/thejhpm.2019.04.03.01
Multilevel Analysis on the Contextual Effect of Village on the Incidence of Hemorrhagic Dengue Fever in Grobogan, Central Java Sari, Ambar; Rahardjo, Setyo Sri; Sulaeman, Endang Sutisna
Journal of Epidemiology and Public Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Dengue hemorrhagic fever (DHF) is a disease caused by the dengue virus through the bite of the Aedes aegypti mosquito. DHF is an endemic disease in more than 100 countries. There were 728 cases of DHF and 8 cases of death in Grobogan, Central Java, in 2017. The purpose of this study was to examine the contextual effect of the village on the incidence of DHF.Subjects and Method: This was a case-control study conducted in Grobogan, Central Java, from November to December 2018. A sample of 200 study subjects was selected by fixed disease sampling. The dependent variable was DHF. The independent variables were the presence of water shelter, ponds, farmland, mosquito larvae, hanging clothes, house density, eradication of mosquito nest, education, and employment. The data were collected by questionnaire and observation. The data were analyzed by a multilevel logistic regression.Results: Existence of water shelter (b= 4.53; 95% CI= 1.29 to 7.76; p= 0.006), ponds (b= 2.71; 95% CI= 0.26 to 5.17; p= 0.030), farm land (b = 3.40; 95% CI = 0.52 to 6.28; p= 0.021), mosquito larvae (b= 3.45; 95% CI= 0.61 to 6.29; p= 0.017), hanging clothes (b= 2.39; 95% CI= 0.23 to 4.56; p= 0.030), and house density (b= 5.55; 95% CI= 1.59 to 9.51; p= 0.006), increased the risk of DHF.  Education ≥senior high school (b= -4.79; 95% CI= -8.44 to -1.13; p= 0.010), employed (b= - 5.36; 95% CI= -9.22 to -1.49; p= 0.006), and exposed to DHF mosquito nest eradication program (b= -4.31; 95% CI= -7.64 to -0.97; p= 0.011) decreased the risk of DHF. Village environment had strong contextual effect on DHF with ICC= 51.33%.Conclusion: Existence of water shelter, ponds, farmland, mosquito larvae, hanging clothes, and house density, increase the risk of DHF.  Education ≥senior high school, employed and exposed to DHF mosquito nest eradication program decrease the risk of DHF. Village environment has a strong contextual effect on DHF.Keywords: dengue hemorrhagic fever, environmental factors, eradication of mosquito nests, village strata, multilevel analysisCorrespondence: Ambar Sari. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ambarsari69.as@gmail.com. Mobile: +625647847180; 08562623045Journal of Epidemiology and Public Health (2019), 4(3): 156-170https://doi.org/10.26911/jepublichealth.2019.04.03.02
Meta-analysis on The Effects of Hypertension, Type II Diabetes Mellitus, and Smoking on the Risk of Stroke among Asian Young Adult Population Monica, Windhy; Widyaningsih, Vitri; Sulaeman, Endang Sutisna
Journal of Epidemiology and Public Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The incidence of stroke at a young age is reported to increase. Stroke at a young age is still often found in classic risk factors that can be changed such as hypertension, dyslipidemia, and type II diabetes mellitus (type II DM). Control of the right risk factors will affect the incidence of stroke. This study aims to analyze stroke risk factors in young populations in Asia.Subjects and Method: This study is a meta-analysis carried out using PRISMA systematic guide­lines. The article is a study conducted between 2000 until 2019. The process of searching articles using a search engine database consisting of PubMed, Clinical Key, and Google Scholar using the keywords "risk factor", "stroke", "adult", "young adult ", And "Asia". The analysis was done with the Review Manager (RevMan) software 5.3.Results: The results showed eight articles fulfilled the criteria which contained 26,360 samples. The results showed that hypertensive young adults, type II DM, and smoking had a stroke risk at a young age of 6.6 times (OR 6.66; 95% CI 6.10 to 7.27), 3.7 times (OR 3.72; 95% CI 3.17 to 4.38), and 2.6 times (OR 2.64; CI 95% 1.77 to 3.93) higher, than those without hypertension, type II DM, and smoking, and was statistically significant.Conclusion: hypertension, type II diabetes, and smoking are risk factors for stroke at a young age.Keywords: young, adult, stroke, risk factor, meta-analysisCorrespondence: Windhy Monica. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: wmonica@gmail.com. Mobile: 082221223355Journal of Epidemiology and Public Health (2019), 4(4): 296-306https://doi.org/10.26911/jepublichealth.2019.04.04.04
Co-Authors . Ardiningsih . Hudiyono Agatha Widiyawati, Agatha Agustin, Roviana Nurda Andarwati, Dwi Astuti Dian Angga Ferdianto Anom Dwi Prakoso Aprilia, Nafi?ah Ardian, Kukuh Argyo Demartoto, Argyo Arief Suryono Ariwati, Valentina Dili Bhisma Murti Chasanah, Eka Siti Dewayanti, Nurmala Dezca Nindita Diah Kurnia Mirawati Didik Gunawan Tamtomo Didik Tamtomo, Didik Diffah Hanim Doloh, Nureesa Dono Indarto Dwi Hidayah Ernawati Ernawati Erynda, Revina Fiandany Eti Poncorini Pamungkasari Fillisita Chandramalina Dewayani Fuad, Lu’luatul Hariza Adnani Harsono Salimo Hastuti, Heni Heni Rusmitasari Hidayah, Siti Shafridha I. G. B Indro N Imtichan, Septian Najib Indita, Wiwen Inggar Ratna Kusuma Ismi Dwi Astuti Nurhaeni, Ismi Dwi Astuti Ismiana, Baiq Holisatul Jayanti, Nicky Danur Jayanti, Nur JB Prasodjo Karina Cibro, Adeyle Datna Kumala, Yovita Eka Ratna Lestary, Dewy Indah Lucia Pancani Anggraeni Marwandi, David Mohammad Idzham Reeza Monica, Windhy Nunuk Suryani Nurul Wahidah Oepomo, Tedjo Danudjo Pamungkasari, Ety Poncorini Pangestuti, Restu Pawito Pawito Pradana, Riska Chandra Prasetya, Hanung Pratama, Tegar Wahyu Yudha Prihantina Utami, Okbrinta Wulandari Purwati - Rahardjo, Setyo Sri Rahardjo, Setyo Sri Rahmasari, Putri Rifai Hartanto Robbihi, Hilmiy Ila Rosadi, Wahyuni Rosalina, Sintya RUBEN DHARMAWAN Salamah, Siti Nafi'atus Sari, Ambar Seha, Harinto Nur Sri Hartini Sringatin, Sringatin Subiyanto, AA. Sulistyo, Siwi Anggraini Sunarta, Elfania Arumma Tia Martha Pundati, Tia Martha Uki Retno Budihastuti Vidi Aditya Pamori Wibowo Putra Vitri Widyaningsih Yeni Tri Utami yulia lanti retno dewi Yuliani, Istri Yuni Fitriani, Yuni Zakiyah, Nisaus Zulaikah, Rahayu