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Didik Gunawan Tamtomo
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Does the Integrated Health Post have Contextual Effect on Tertiary Preventive Behavior among Hypertensive Patients? A Multilevel Analysis Evidence from Surakarta Ferdianto, Angga; Tamtomo, Didik Gunawan; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The Indonesian Ministry of Health has launched a community-based non-com­mu­nicable disease (PTM) control program through the non-communicable disease Integrated Deve­lopment Post (Posbindu PTM). One of the non-communicable disease which is a very serious health problem is hypertension which is called the silent killer. The purpose of this study was to analyze the contextual effect of integrated development posts on the tertiary prevention behavior of patients with hypertension using Theory of Planned Behavior.Subjects and Method: A cross sectional study was conducted at 25 integrated health post in Surakarta, from September to October 2019. A sample of 200 hipertensive patients was selected by stratified random sampling. The dependent variable was tertiary prevention behavior. The inde­pendent variables were education, attitude, subjective norm, perceived behavior control, intention, cadre support, and peer support. The data were collected by questionnaire and analyzed by multi­ple logistic regression run on Stata 13.Results: Tertiary prevention behavior in patients with hypertention increased with education level ≥Senior high school (b= 1.22; 95% CI= 0.37 to 2.08; p= 0.005), positive attitude (b= 1.51; 95% CI= 0.54 to 2.48; p= 0.002), supportive subjective norm (b= 1.38; 95% CI= 0.46 to 2.29; p= 0.003), strong perceived behavioral control (b= 1.10; 95% CI= 0.17 to 2.03; p= 0.020), strong intention (b= 0.97; 95% CI= 0.13 to 1.82; p= 0.023), strong integrated development post cadre support (b= 1.57; 95% CI= 0.69 to 2.46; p<0.001), and strong peer support (b= 1.46; CI 95% = 0.57 to 2.35; p = 0.001). Integrated development post had a contextual effect on tertiary prevention behavior of hypertension with intra-class correlation (ICC)= 16.03%Conclusion: Education, attitude, subjective norm, perceived behavior control, intention, cadre support, and peer support increased tertiary prevention behavior of hypertension.Keywords: Tertiary prevention of hypertension, Theory of Planned BehaviorCorrespondence: Angga Ferdianto, Institute of Health Science Ngudia Husada Madura, Jl. RE. Martadinata No. 45 Mlajah, Bangkalan 69116. East Java, Indonesia. Email: angga.rmd@gmail.com. Mobile: +628574­6555354Journal of Health Promotion and Behavior (2019), 4(3): 224-234https://doi.org/10.26911/thejhpb.2019.04.03.07
Pengaruh Asupan Zat Gizi Harian dan Jogging Terhadap Perubahan Berat Badan pada Remaja Overweight di Surakarta Muharramah, Alifiyanti; Doewes, Muchsin; Tamtomo, Didik Gunawan
Wellness And Healthy Magazine Vol 1, No 2 (2019): August
Publisher : Universitas Aisyah Pringsewu (UAP) Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (69.412 KB) | DOI: 10.30604/well.39122019

Abstract

Overweight is an unbalanced nutritional status due to excessive nutritional intake resulting in an energy imbalance that can cause health problems. More nutrients that arise in adolescence tend to continue into adulthood and the elderly. Nutritional status in adolescents can indicate the level of nutritional problems that occur, namely problems regarding daily intake in adolescents. Fulfillment of daily care in adolescents impacts on body weight so it needs to be considered related to the expenditure of energy required, one form that can be done can be in the form of physical training in the form of aerobic exercise such as jogging. Jogging is included in cardio or aerobic exercise which has the benefit of increasing fitness and burning fat in the process of weight loss. This research is a type of analytic research with quasi experimental design with a pre-post test control group design. This research was conducted in the presence of a treatment group and a control group. This research was conducted for 12 weeks, namely in August-September 2017. Based on statistical tests conducted using the One Way Anova test with Post Hoc Games - Howell, showed that in the treatment group that is the regulation of daily nutrient intake (carbohydrates, fats, fiber) with jogging compared to the control group ie breakfast consumption in students without jogging exercises can affect changes in body weight that is indicated by a decrease in body weight in students, this can be seen from the value of p 0.032 which indicates a significant change in weight loss in students.The effect of the breakfast consumption control group with the treatment group daily intake of food and jogging on weight loss in overweight adolescents.
Biopsychosocial Factors Affecting Quality of Life in Post-stroke Patients: A Path Analysis Evidence from Surakarta Hospital, Central Java Zamzam, Maki; Tamtomo, Didik Gunawan; Widyaningsih, Vitri
Journal of Epidemiology and Public Health Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Basic health research shows that the prevalence of non-communicable diseases has in­creased, including cancer, stroke, chronic kidney disease, diabetes mellitus, and hypertension. The impact of these changes can cause one of them to decrease the quality of life of patients. Stroke in individuals can cause several changes including physical, social and psychological changes that will affect the quality of life. This study aimed to analyze the determinants of the quality of life of pa­tients post stroke.Subjects and Method: This study was a cross sectional study conducted at Surakarta City Hos­pital, from September to October 2019. The sample used was 200 patients post stroke. The sam­pling technique used purposive sampling. The dependent variable was the quality of life of patients post stroke. The independent variables were age, gender, employment status, patient income, fa­mi­ly income, attack status, post-stroke comorbidity, duration of illness, marital status, family sup­port, level of functional disorders, and depression status. The data were collected by questionnaire. The data were analyzed by path analysis with the Stata 13 program.Result: The quality of life of post-stroke patients increased directly in patients with married status (b=1.79; 95% CI=0.24 to 3.35; p=0.024), have a job (b=1.93; 95% CI=0.13 to 3.72; p=0.035), good fa­mily support (b=2.17; 95% CI=0.46 to 3.88; p=0.013), and mild functional disorders (b=1.68; 95% CI=0.11 to 3.25; p=0.036). Quality of life decreased directly in patients aged ≥60 years old (b=-1.99; 95% CI=-3.80 to -0.17; p=0.032), female gender (b=-1.74; 95% CI=-3.28 to -0.19; p= 0.027), stro­­kes more than 1 time (b=-1.87; 95% CI=-3.59 to -0.15; p=0.033), sick ≥6 months (b=-2.12 ; 95% CI=-3.87 to -0.36; p=0.018), have comorbidities (b=-1.96; 95% CI=-3.67 to -0.24; p= 0.025), and de­pression (b=-1.40; 95% CI=-2.97 to 0.16; p=0.078). Quality of life was indirectly affected by age, ill­ness, marital status, family support, family income, and employment status.Conclusions: The quality of life of post-stroke patients increased directly affected by marital sta­tus, employment status, family support, and functional disorders. Quality of life was directly affec­ted by age, gender, attack status, duration of illness, comorbidity and depression.Keywords: stroke, quality of life, path analysis.Correspondence:Maki Zamzam. Master Program of Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: makizz477@gmail.com. Mobile: +6281251543935.Journal of Epidemiology and Public Health (2020), 5(1): 1-14https://doi.org/10.26911/jepublichealth.2020.05.01.01
The Effect of Social Capital, Social Support, Self-Compassion, and Hope Factors Affecting Quality of Life of Breast Cancer Survivors: A Path Analysis Evidence from Surakarta, Central Java Jannah, Eka Miftakhul; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Breast cancer is one of the most common cancers among women in the world. The study aims to analyze the effect of social capital, social sup­port, hope, and self-compassion toward the quality of life of breast cancer survivors.Subjects and Method: It was a cross sectio­nal study conducted from December 2019 – January 2020. The sample used was 200 breast cancer survivors aged ≥18 years old and were selected by using simple random sampling in Lovely Pink Community Solo. The dependent variable was the symptom and functional aspects of quality of life of breast cancer sur­vi­vors. The independent variables were socio­demography factor, social capital, social sup­port, hope, and self compas­sion. Data collection were conducted by using questionnaires. Data analysis was conducted by using path analysis with Stata 13.Results: Good quality of life among breast cancer survivors increased and was directly affect­ed by symptom aspect with strong social support (b= 6.63; CI 95%= 2.52 up to 10.76; p= 0.002), high social capital (b= 3.73; CI 95%= 1.17 up to 6.30; p= 0.004), high self-compas­sion (b= 3.17; CI 95%= 0.57 up to 5.77; p= 0.017), education ≥high school (b= 4.19; CI 95%= 1.41 up to 6.97; p= 0.003), age ≥50 years (b= 1.78; CI 95%= 0.05 up to 3.51; p= 0.044), and high hope (b= 4.80; CI 95%= 1.85 up to 7.75; p= 0.001). Good quality of life among breast cancer survi­vors in­creased and was direct­ly affected by functional aspects with strong social support (b= 3.13; CI 95%= 1.61 up to 4.64; p< 0.001), high social capital (b= 1.74; CI 95%= 0.31 up to 3.17; p= 0.017), high self-compassion (b= 1.60; CI 95%= 0.24 up to 2.94; p= 0.021), education ≥high school (b= 2.41; CI 95%= 0.95 up to 3.86; p= 0.001), age ≥50 years (b= 1.38; CI 95%= 0.11 up to 2.66; p= 0.034), and high hope (b= 2.42; CI 95%= 0.98 up to 3.86; p= 0.001).Conclusion: Good quality of life among breast cancer survivors in symptom and functional aspects is affected by strong social support, high social capital, high hope, high self-compassion, high education (≥high school), and age ≥50 years old.Keywords: social support, social capital, hope, self-compassion, quality of lifeCorrespondence: Eka Miftakhul Jannah, Masters Program in Public Health, Universitas Sebelas Maret, Jalan Ir.Sutami 36A, Surakarta, Central Java, Indo­ne­sia. Email:ekamiftakhulj@gmail.com. Mo­bi­le­­: 08­­5­­6­49665213.Journal of Epidemiology and Public Health (2020), 5(1): 52-64https://doi.org/10.26911/jepublichealth.2020.05.01.06
OBESITY AND DIABETES MELLITUS AS PREDICTORS OF MORTALITY IN PATIENTS WITH STROKE: A META ANALYSIS Karlinda, Karlinda; Tamtomo, Didik Gunawan; Murti, Bhisma
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stroke is the leading cause of death and disability throughout the world. Based on studies in the United States (US), a person experiences a stroke every 40 seconds and every 4 minutes someone dies. The problem of comorbidity or the presence of more than one disease is the risk of stroke. This causes a person with comorbidities to have a higher risk of mortality than stroke patients without comorbidities. This study aims to examine the effect of obesity and diabetes mellitus as predictors of mortality in stroke patients.Subjects and Method: This was a meta-analysis and systematic review. The articles were obtained from Google Scholar, PubMed, Springer Link, Clinical key, and ProQuest databases. The articles have been published from 2010-2019. Keywords to search for articles are as follows: "comorbidity and stroke", "comorbidity and mortality and stroke and cross sectional study", "comorbidity and mortality and stroke and adjusted odd ratio", "comorbidity or stroke", "comorbi­dity or mortality or stroke or cross sectional study ", "comorbidity or mortality or stroke or adjusted odd ratio". The articles studied are full text articles with observational study design. Articles are collected using PRISMA diagram, and analyzed using the Review Manager application 5.3.Results: Obesity (aOR = 1.51; 95% CI = 1.03 to 2.21; p = 0.030) and diabetes mellitus (aOR = 1.75; 95% CI = 1.33 to 2.29; p <0.001) are predictors of mortality in stroke patients.Conclusion: Obesity and diabetes mellitus are predictors of mortality in stroke patients.Keywords: obesity, diabetes mellitus, strokeCorrespondence: Karlinda. Masters Program in Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: karlindalinda8@gmail.com. Mobile: +6282278924093Indonesian Journal of Medicine (2019), 4(4): 383-393https://doi.org/10.26911/theijmed.2019.04.04.12
Contextual Effect of Integrated Health Post on the Community Health Personnel Performance: A Multilevel Evidence from Purworejo, Central Java Hidayati, Ulfah; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Policy and Management Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Integrated health post (posyandu) is an effort to improve the health of the nearest in­fants in the community. The community health personnel are in charge of managing and carrying out posyandu activities. Community health personnel performance influences the success of the pos­yandu program. This study aimed to determine posyandu contextual factors on the per­for­man­ce of community health personnels in infant health services.Subjects and Method: This was a cross sectional study conducted at 25 posyandu in Purworejo Re­gency, Central Java, in October 2019. The sample consisted of 200 community health per­son­nels selected by simple random sampling. The dependent variable was community health per­son­nel performance. The independent variables were number of children, education, occupation, income, tenure, skills and work environment. The data was collected by questionnaire. The data were analyzed by multilevel multiple logistic regres­sion.Results: Posyandu community health personnel performance increased with the number of chil­dren <3 (b = 1.89; 95% CI= 0.51 to 3.26; p = 0.007), education ≥Senior high school (b= 1.88; 95% CI = 0.31 to 3.44; p= 0.019), community health personnels worked at home (b= 2.15; 95% CI= 0.48-3.82; p = 0.011), income ≥Rp 1,200,000 (b= 1.86; 95% CI= 0.19-3.54; p= 0.029), tenure ≥3 years (b= 2.29; 95% CI= 0.71 to 3.87; p= 0.005), good skills (b= 2.34; 95% CI= 0.53 to 4.16; p = 0.011), and good working environment (b= 1.54; 95% CI= 0.01 to 3.06; p= 0.048). Posyandu had a contextual effect on community health personnel performance with ICC= 34.98%.Conclusion: Community health personnel performance increases with the number of children <3, education ≥senior high school, community health personnels working at home, family income ≥Rp 1,200,000, working period ≥ 3 years, good skills, and good work environment. Posyandu has a contextual effect on community health personnel performance.Keyword: performance, community health personnels, posyandu, multilevel analysisCorrespondence: Ulfah Hidayati. Master Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: ulfahhidayatimg13@gmail.com. Mobile: +6285725932516.Journal of Health Policy and Management (2020), 5(1): 1-12https://doi.org/10.26911/thejhpm.2020.05.01.01
THEORY OF PLANNED BEHAVIOR AND SOCIAL COGNITIVE THEORY ON THE EFFECT OF THE COMMUNITY HEALTH CENTER TERTIARY PREVENTIVE BEHAVIOR AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS: A MULTILEVEL ANALYSIS Andriyaningtiyas, Yudi; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Type 2 diabetes mellitus (DM) accounts for 90% to 95% of all diabetes cases. Complications of type 2 diabetes increase the risk of death for suf­ferers. Complications and deaths from type 2 dia­betes can be prevented by changes in behavior. This study aimed to determine the effect of health cen­­ters and other factors on the prevention of ter­­tiary diabetes type 2, using the theory of plan­ned behavior and social cognitive theory.Subjects and Method: This was an analytic ob­ser­­vational study with cross sectional de­sign, conducted at 25 community health centers, in Bantul Re­gen­cy, Yogyakarta, Indonesia. A sample of 200 type 2 DM patients was selected by exha­ustive samp­­ling. The dependent variable was type 2 DM tertiary prevention. The indepen­dent vari­ables at level 1 are intention, attitude, sub­jective norm, perceived behavior con­trol/ self-efficacy, experience, modelling, self-re­gu­­­­lation, and out­come expectation. Community health center was an independent variable at level 2. The data were col­­lected by questionnaire and analyzed by a mul­ti­level multiple linear regression.Results: Tertiary preventive behavior in type 2 DM patients increased with strong intention (b= 1.19; 95% CI= 0.62 to 1.76; p <0.001), positive atti­tude (b= 1.19; 95% CI= 0.58 to 1.80; p <0.001), supportive subjec­­tive norm (b= 0.79; 95% CI= 0.12 to 1.45; p= 0.019), perceived be­ha­vior control (b= 1.16; 95% CI= 0.60 to 1.72; p <0.001), abundant experience (b= 0.65; 95% CI= 0.62 to 1.25; p<0.001), strong modelling (b= 1.07; 95% CI= 0.53 to 1.67; p= 0.030), strong self-regulation (b= 0.87; 95% CI= 0.34 to 1.40; p= 0.001), and positive outcome expectation (b= 0.82; 95% CI= 0.25 to 1.38; p = 0.004). Commu­nity health center had con­textual effect on the tertiary pre­ventive behavior in type 2 DM patients with ICC= 19.18%.Conclusion: Tertiary preventive behavior in type 2 DM patients increases with strong intent­ion, positive atti­tude, supportive subjec­­tive norm, perceived be­ha­vior control, abundant experience, strong modelling, strong self-regula­tion, and positive outcome expectation. Commu­nity health center has con­textual effect on the tertiary pre­ventive behavior in type 2 DM patients.Keywords: tertiary prevention behavior, type 2 diabetes, TBP, SCT, multilevel analysis.Correspondence: Yudi Andriyaningtiyas. Masters Program in Pub­lic Health, Universitas Sebelas Maret, Jl. Ir. Su­tami No. 36A, Surakarta. Email: yudi.andriya­ning­­tiyas@gmail.com. Mobile: +6281392704899Journal of Health Promotion and Behavior (2020), 05(01): 59-71https://doi.org/10.26911/thejhpb.2020.05.01.08
PATH ANALYSIS ON THE EQUITY OF HEMODIALYSIS UTILIZATION IN THE NATIONAL HEALTH INSURANCE PROGRAM IN JEMBER, EAST JAVA Salamah, Siti Nafi'atus; Tamtomo, Didik Gunawan; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Since 2014, Indonesia has implemented a National Health Insurance to cover pu­blic health costs. The existence of health insurance managed by the government is expected to help all levels of society to obtain health services. This is very helpful for the community, especially for pa­tients with chronic diseases who need continuous treatment. This study aims to analyze the fair­ness and determinants of the use of hemodialysis patients with chronic kidney failure in National He­alth Insurance participants in Jember Regency.Subject and Method: This was observational analytic study with cross sectional approach, conducted at Dr. Soebandi Hospital and Kaliwates General Hospital, Jember, East Java. A total Study subjects of 200 patients with chronic kidney failure undergoing hemodialysis with JKN membership we­re selected for this study by purposive sampling. The dependent variable was the use of hemo­dia­lysis. The independent variables were JKN membership status, length of time since diagnosis, di­sease severity, age, education, family income, access to health facilities and residence. Data col­lec­tion used questionnaires and medical record documents and then analyzed using path analysis.Results: The possibility of using hemodialysis was increased by the Non PBI status (b= 0.81;  95% CI= 0.16 to 1.47; p= 0.015), high disease severity (b=2.48;  95% CI=0.36 to 4.59; p= 0.022), age ? 50 years old (b=0.65;  95% CI = 0.33 to 1.26; p= 0.039), family income ? MW (b= 0.59;  95% CI= -0.07 to 1.24; p= 0.080)  and good access to health facility (b= 0.92;  95% CI= -0.19 to 1.66; p= 0.013). The possibility of using hemodialysis was indirectly affected by the length of time since diag­nosis, education and residence.Conclusions: The possibility of using hemodialysis was increased by Non PBI status, disease se­ve­rity, age, family income, and access to health facilities. The possibility of using hemodialysis was in­directly affected by the length of time since diagnosis, education, and residence.Keywords: National Health Insurance, justice, hemodialysis, path analysisCorrespondence: Siti Nafi?atus Salamah. Public Health Sciences Study Program, Universitas Sebelas Maret. Jl. Ir. Su­ta­mi 36 A, Surakarta 57126, Central Java. Email: sitinafiatus27@gmail.com. Mobile: 081289434401Journal of Health Policy and Management (2020), 5(2): 108-120https://doi.org/10.26911/thejhpm.2020.05.02.03
Variables at the Community Health Center Have the Ecological Effect on the Performance of Health Workers: A Multilevel Evidence from Klaten, Central Java Handayani, Nia; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background:Performance is a work achieve­ment that can be achieved from a job. Em­ployee performance in an organization leads to the ability of employees to complete all tasks that have become their responsibility. Various pro­blems in the workplace can often cause work stress, if it lasts long can cause various disturb­ances. Success in achieving goals is supported by the role of a leader with the lead­ership style used. This study aimed to examine the effects of work stress and leadership style on the performance of public health workers.Subjects and Method:This was a cross sec­tional study conducted at the Klaten District Health Center, Central Java, from November to December, 2019. A sample of 200 health work­ers was selected by stratified random sampling. The dependent variable was work performance. The independent variables were work stress, leader­ship style, education, tenure, and type of work. The data were collected by questionnaire and analyzed by a multilevel logistic regression run on Stata 13.Results: Performance of health workers decre­ased with heavy work stress (b= -1.65; 95% CI= -2.58 to -0.72; p= 0.001). Perform­ance of health workers increased with demo­cratic leadership style (b= 1.40; 95% CI= 0.44 to 2.36; p = 0.004), high education level (b= 1.58; 95% CI= 0.65 to 2.52; p= 0.001), tenure ≥6 years (b= 1.72; 95% CI= 0.73 to 2.70; p= 0.001), and type of work without any additions (b= 2.05; 95% CI= 1.07 to 3.03; p<0.001). Community health center had ecological effect on performance of health workers with ICC= 12.74%.Conclusion: Performance of health workers decreases with heavy work stress. Performance of health workers increases with democratic leader­ship style, high education level, tenure ≥6 years, and type of work without any addi­tions. Commu­nity health center has ecological effect on per­formance of health workers.Keywords:work performance, work stress, leadership style, community health centerCorrespondence: Nia Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java. Email: nia­handayani19­@gmail.­com. Mobile: +628213­3055176.Journal of Health Policy and Management (2020), 5(2): 152-161https://doi.org/10.26911/thejhpm.2020.05.02.08
Meta-Analysis: The Effect of Diabetes Mellitus Comorbidity on the Risk of Death in Covid-19 Patients Kun'ain, Utin Ilma Agni; Rahardjo, Setyo Sri; Tamtomo, Didik Gunawan
Indonesian Journal of Medicine Vol 5, No 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Corona Virus Deases 2019 (COVID-19) is an infectious disease caused by the corona virus. COVID-19 is currently a challenge for diabetes patients. Diabetes mellit­us predisposes to a very severe disease course and increases the risk of death from COVID-19. This study aims to estimate the average mag­ni­tude of the effect of diabetes mellitus comor­bi­dity on the risk of death of COVID-19 patients.Subjects and Method: This was a systematic review and meta-analysis. This research was conducted using secondary data that will be conducted by searching and selecting data from the results of clinical trials conducted around the world. Search for articles through syste­matic and comprehensive databases from Pub­med, Google Scholar, Springer Link. The ana­lysis in this study was carried out using the Review Manager 5.3 software. The results of the analysis are the effect size, heterogeneity and then the study model. Variations between studies are used to determine the analysis model which is divided into two models, namely the fixed effect model (FEM) and the random effect model (REM).Results: Based on the results of the analysis, there was high heterogeneity between experi­ments (I2= 85%; p= 0.04), so that the Random Effects Model (REM) was used. COVID-19 patients with comorbid diabetes mellitus were 2.17 times more likely to die than patients without comorbid diabetes mellitus (aOR 2.17; 95% CI 1.04 to 4.54).Conclusion: Diabetes mellitus co-morbidity increases 2.17 times the risk of death in COVID-19 patients compared to patients without dia­betes mellitus comorbidity.Keywords: COVID-19, Comorbidity, Diabetes Mellitus, DeathCorrespondence: Utin Ilma Agni Kun'ain. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: utinilmaagni8p@gmail.com. Mobile: +628111044542.Indonesian Journal of Medicine (2020), 05(04): 368-377https://doi.org/10.26911/theijmed.2020.05.04.12. 
Co-Authors Adji Suwandono Ahadiyati, Dyah Mubarokah Aisyah Nooratisya Ammutammima, Ummu Fatihah Andriani, Anisa Andriyaningtiyas, Yudi Angga Ferdianto Annisa Avelia Arief Suryono Ariwardani, Betty Nurizky Bhisma Murti Budiarti, Esty Cahyo Setiawan Dewi Shinta Diffah Hanim Diffah Hanim Dono Indarto Eka Miftakhul Jannah, Eka Miftakhul Endang Sutisna Sulaeman Enggar Anggraeni, Enggar Fatony, Riska Fajar Hermanu Joebagio Indriyati Oktaviano Rahayuningrum Islami, Dian Dini Karlinda Karlinda Khairunissa, Khairunissa Kun'ain, Utin Ilma Agni Kurnianingsih, Widya Mala Nurilmala Marlina, Devi Muchsin Doewes Mufidatun, Ikhtiarisca Olifia Muharramah, Alifiyanti Nia Handayani Novian Anindito Santosa Nurlia, Nazilla Ade Nurvitasari, Rahsunji Intan Permata, Annissa Devi Prasetya, Hanung Pratiwi, Danies Tunjung Prawito Prawito Rahardjo, Setyo Sri Rahayu, Putu Sri Rahmatika Nur Aini Ratna Dewi Kumalasari, Ratna Dewi RB. Soemanto Rita Adriani Benya Adriani Rofana Aghniya Rusdiyanti, Yunita Salamah, Siti Nafi'atus Sapja Anantanyu, Sapja Siti Munawaroh Soemanto, RB Suciati, Ony Sulahyuningsih, Evie Sutanto, Alfiani Vivi Tri Puji Pangesti Uki Retno Budihastuti Ulfah Hidayati Uliyanti Uliyanti, Uliyanti Vitri Widyaningsih Wahyudi, Anwar Yatty Destani Sandy Yohan Yuanta, Yohan yulia lanti retno dewi Yulia Sari Yuniarti Karunia, Yuniarti Zamzam, Maki