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Journal of Epidemiology and Public Health
Published by Universitas Sebelas Maret
ISSN : 25490273     EISSN : 25490273     DOI : -
Core Subject : Health,
Public Health
Background: Increased blood pressure for a long time can increase the risk of kidney failure, co­ronary heart disease, brain damage, and other di­seases. In 2019, it is estimated that hyper­tens­ion is experienced by 1.13 billion people in the world with most (two thirds) living in low and mid­­dle income countries. Other study also shows that the police and military are at risk of develop­ing hypertension due to a number of factors such as low know­led­ge about healthy and nutritious food, co-workers who are smokers, and consum­ing alco­hol. This study aimed to analyze the risk factors for hypertension in the police and military in the world using meta analysis. Subjects and Method: This was a meta-ana­lysis and systematic review. The articles used we­re obtained from Google Scholar, Springer Link, Pro­­Quest, and Science Direct databases. Selected arti­cles published from 2000 to 2020. Keywords to search for articles are as follows: hypertension po­lice personnel and military, or hypertension po­lice personnel and military. The articles studi­ed are 3 full text articles with cross sectional stu­dy designs and 1 full text articles with case cont­rol study design. Articles are col­lect­ed using PRI­S­­­MA diagrams, and analy­zed us­ing the Re­vi­ew Ma­nager application 5.3. Results: Overweight (aOR= 1.42; 95% CI = 1.01 to 2.00; p= 0.04), alcohol consumption (aOR­=­ 1.­55; 95% CI= 1.12 to 2.12; p= 0.007), ciga­rette con­­­­sumption (aOR= 1.45 ; 95% CI= 1.06 to 1.97; p= 0.020) is a risk factor for hyper­­­tension in the po­­­lice and military. Conclusion: Overweight, alcohol consump­tion, and cigarette consump­tion, are risk fac­tors for hypertension in po­lice and military personnel.
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Articles 8 Documents
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Search results for , issue "Vol 2, No 3 (2017)" : 8 Documents clear
Risk Factors of Gonorrhoea Among Female Indirect Sex Workers Nugrahaeni, Anita; Sofro, Muchlis AU; Shaluhiyah, Zahroh; Suryosaputro, Antono; Widjanarko, Bagoes
Journal of Epidemiology and Public Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Gonorrhoea is one of sexually transmitted infections (STI) with high incidence, besides chlamydia, syphilis, and trichomoniasis. STIs are spread predominantly by sexual context including vaginal, anal, and oral. STIs have a profound impact on sexual and reproductive health worldwide. STIs can increase the risk of HIV acquisition three fold or more. This study aimed to determine the risk factors of gonorrhoea among female indirect sex workers.Subjects and Method: This was a case control study carried out in Wonosobo district, Central Java, from April to May 2017. A sample of 84 female indirect sex workers were selected for this study consisting of 42 cases of gonorrhea and 42 control. The dependent variable was gonorrhoea. The independent variables were sex combination and condom use. Data on gonorrhoea was collected from STI clinic. The other data were collected by questionnaire. The data were analyzed using logistic regression.Results: The risk of gonorrhoea among female indirect sex workers increased with sex combination practice (OR=3.17; p=0.027; 95% CI= 1.14 to 8.82) and absence of condom use (OR= 8.04; 95% CI= 2.30 to 28.12; p=0.001).Conclusion: The risk of gonorrhoea among female indirect sex workers increases with sex combination practice and absence of condom use.Keywords : gonorrhoea, sex combination, condom use, female, indirect sex workersCorrespondence: Anita Nugrahaeni. Masters Program in Epidemiology, Diponegoro University, Jl. Imam Bardjo SH No. 5, Semarang, Central Java. Email: nitaozora@gmail.com. Mobile: 081335980666.Journal of Epidemiology and Public Health (2017), 2(3): 216-224https://doi.org/10.26911/jepublichealth.2017.02.03.03
Path Analysis on Life Course Factors Affecting Overweight and Obesity in Children Aged 2 to 5 Years Old in Surakarta Nudhira, Uyunun; Wekadigunawan, Cri SP; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Globally, prevalence of obesity in children under 5 years old has been increasing from 32 million in 1990 to 42 million in 2014. Indonesia ranks highest in the number of obesity cases in South East Asia with prevalence of 11.5% in 2013. However, child overweight and obesity have not been the focus of health problems in Indonesia. Early intervention and prevention of child obesity can reduce long-term risk of chronic diseases in adulthood. This study aimed to analyze the life course factors affecting overweight and obesity in children aged 2 to 5 years old in Surakarta.Subjects and Method: This was an analytic observational study with case control design. The study was conducted in 5 community health centers, Surakarta, from September to October, 2017. A total sample of 150 children aged 2 to 5 years old was selected using fixed disease sampling. The dependent variable was overweight or obesity. The independent variables were nutrition intake, exclusive breastfeeding, starting age of complementary feeding, physical activity, birthweight, age of gestation, sectio cesarea labor, maternal body mass index, and maternal job. Physical activity data was measured using Pre PAQ questionnaire. Other data were collected using a set of questionnaire and maternal and child health monitoring book. The data were analyzed by path analysis.Results: Overweight and obesity in children aged 2 to 5 years old were positively affected by over nutrition intake (b= 1.9; 95% CI= 0.15 to 3.60; p=0.033), high maternal body mass index (b= 2.0; 95% CI= 0.51 to 3.42; p=0.008), and sectio cesarean birth (b= 2.1; 95% CI= 0.56 to 3.73; p=0.008). Overweight and obesity in children aged 2 to 5 years old were negatively affected by normal birthweight (b= -2.2; 95% CI=  -4.28 to -0.19; p=0.032), exclusive breastfeeding (b= -2.0; 95% CI= -3.60 to -0.39; p=0.015), timely starting age of complementary feeding (b= -1.3; 95% CI= -2.80 to 0.11; p=0.072), and high physical activity (b= -3.0; 95% CI= -4.63 to -1.37; p=0.001). Birthweight was positively affected by age of gestation (b= 4.2; 95% CI= 1.99 to 6.32; p=0.001) and was negatively affected by maternal body mass index (b= -1.1; 95% CI= -2.11 to -0.13; p=0.025). Exclusive breastfeeding was negatively affected by working outside the house (b= -1.4; 95% CI= -2.10 to -0.72; p= 0.001).Conclusion: Overweight and obesity in children aged 2 to 5 years old are positively affected by over nutrition intake, high maternal body mass index, and sectio cesarean birth. Overweight and obesity in children aged 2 to 5 years old are negatively affected by normal birthweight, exclusive breastfeeding, timely starting age of complementary feeding, and  high physical activity.Keyword: life course factors, overweight, obesity, path analysis.Correspondence: Uyunun Nudhira. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: uyununnudhira14@gmail.com. Mobile: +6285253781714Journal of Epidemiology and Public Health (2017), 2(3): 267-283https://doi.org/10.26911/jepublichealth.2017.02.03.08 
Path Analysis on the Influence of Educational Level, Stages of Cancer, Social Support, and Coping Strategy toward the Quality of Life of Breast Cancer Patients in Dr. Moewardi Hospital, Surakarta Nuryati, Sri; Mudigdo, Ambar; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Breast cancer develops into main health problem for women globally. Patients of breast cancer will endure transformation both physically as well as psychologically, it will give impact to the quality of life. The study aimed to analyze the influence of educational level, stages of cancer, social support, and coping strategy toward the quality of life of breast cancer patients.Subjects and Method: The study employed mixed method with quantitative and qualitative approach. The study was conducted in Dr. Moewardi Hospital, Surakarta in August – October 2017. There were a total of 150 study subjects selected with stratified random sampling. Purposive sampling was used for qualitative study with 3 informants. The dependent variable was quality of life. The independent variables were educational level, stages of cancer, social support and coping strategy. Quantitative data collection was conducted by using questionnaires. Social support variable was measured by using Multidimensional scale of perceived social support (MSPSS) questionnaires, coping strategy variable was measured by brief COPE questionnaires and life quality variable was measured by WHOQOL BREF questionnaires. Data qualitative collection was by means in depth interview. Quantitative data was analyzed by using path analysis, qualitative data was analyzed by using interactive model Miles and Huberman.Result: Quality of life was influenced by educational level (b= 8.69, SE= 1.84, p<0.001), stages of cancer (b= -6.41, SE= 2.94, p= 0.029), social support (b= 1.03, SE= 0.34, p= 0.003), coping strategy (b= 2.07, SE= 0.43, p<0.001). Coping strategy was influenced by educational level (b= 0.97, SE= 0.34, p= 0.004) and social support (b= 0.37, SE= 0.06, p<0.001).Conclusion: Quality of life of breast cancer patients is influenced by educational level, stages of cancer, social support, and coping strategy. Coping strategy was influenced by educational level and social support. Key words: social support, coping strategy, quality of life, path analysisCorrespondence: Sri Nuryati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: sri.nuryati1985@gmail.com. Mobile: +6282138283802.Journal of Epidemiology and Public Health (2017), 2(3): 225-235https://doi.org/10.26911/jepublichealth.2017.02.03.04
Effect of Boiled Carica Papaya Leaf on Death of Aedes Aegypti Larvae Aji, Rustam
Journal of Epidemiology and Public Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In its life cycle Aedes aegypti larvae develop to become mosquito. Then the masquito develops to become vector of dengue haemorrhagic fever transmission. The life cycle of Aedes aegypti vector can be interrupted by killing Aedes aegypti larvae. The killing of Aedes aegypti larvae has been undertaken by fogging or abate powder administration. However, these methods can cause environmental pollution. Carica papaya leaf has long been recognized to have the potential to become an effective and safe larvacide since it contains papain enzyme. The effect of papain protease can kill Aedes aegypti larvae. This study aimed to determine the effect of boiled Carica papaya leaf on death of Aedes aegypti larvae.Subjects and Method: This was an analytic experimental study using randomized control trial design. The study was conducted in Curup Tengah village, Bengkulu Province. Study sample included 36 water containers containing Aedes aegypti larvae. These containers were divided into 2 groups: papain enzyme group and no papain enzyme (control) group. The data on the percentage of killed Aedes aegypti larvae were then compared and tested by Chi Square test. The effect of Carica papaya leaf was indicated by Odds Ratio.Results: Boiled Carica papaya leaf had an effect on the death of Aedes aegypti larvae. Carica papaya leaf that was administered on the larvae increased the risk of death among Aedes aegypti larvae four times as many (OR= 4.10; p= 0.043).  Conslusion: Carica papaya leaf is effective to increase the risk of death among Aedes aegypti larvae.Keyword : Carica papaya leaf, Aedes aegypti larvae.Correspondence: Rustam Aji. Study Program in Nursing, Curup School of Health Polytechnics, Bengkulu. Email: adjieroestamadjie@gmail.com.Journal of Epidemiology and Public Health (2017), 2(3): 236-240https://doi.org/10.26911/jepublichealth.2017.02.03.05
Case Study onMulti-Drug Resistance Tuberculosis in Grobogan, Central Java Utomo, Gunawan Cahyo; Joebagyo, Hermanu; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tuberculosis is a communicable disease that remains a major public health issue worldwide. Tuberculosis epidemics have become a primary public health concern for the last few decades. The problem becomes aggrevated due to the emergence of Multiple Drugs Resistant Tuberculosis (MDR-TB). It is estimated there are 6,100 MDR-TB cases annually in Indonesia. Grobogan is one of the 6 districts in ex-residentialPatiin Central Java with the second highest MDR-TB cases after Kudus. Between 2011 and 2016 the annual incidence was 23 cases with case fatality rate of  52.17%. This study aimed to investigate the different roles of MDR-TB patients, families, TB  progammers, and health providers, in the incidence of MDR-TB in Grobogan, Central Java.Subjects and Method: This was an analytic qualitative study with case study approach. The study was conducted in Grobogan, Central Java, from May to June 2017. A total of 26 informants were selected purposively for this study, consisting of 7 MDR-TB patients, 7 family members who served as drug-taking supervisor, 7 TB programmers at Community Health Centers, 1 TB programmer at District Hospital, 3 Community Health Center doctors, and 1 District Hospital doctor. The data were collected by in-depth interview, direct observation, and document review. Interactive analysis was used to analyze data, including data collection, reduction, presentation, and verification.Results: All MDR-TB patientshad favorable perceived susceptibility, perceived severity, and self-efficacy, that drove them to adhere to TB treatment.  Most patients reported that the treatment was beneficial. The existing barrier was not of serious concern that made them to stop treatment.Fa­milies of the patients had positive attitude towards TB treatment so they provided the necessary support in acessing treatment and adherence to treatment. However, TB program management at District Hospital, was sub-optimal as it did not administer appropriately the standard DOTS-TB treatment guideline, despite the existence of TB standard operating procedure. Likewise, TB treatment management by hospital doctors and private practice doctors was inadequate, due to the lack of DOTS-TB training. The lack of adherence in implementing thestandard DOTS-TB treatment guideline was the dominant causal factor for the incidence of MDR-TB in Grobogan district, Central Java.Conclusion: Adequate DOTS-TB treatment management and quality health services at both primary and secondary level facilities are needed in the efforts to prevent MDR TB. It is suggested that the government through the District Health Office hold DOTS-TB promotion program and invest in developing skilled DOTS-TB providers.Keywords:multidrug resistance, tuberculosis, TB management program, adherence.Correspondence: Gunawan Cahyo Utomo. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: abuzahra_06@yahoo.com. Mobile:  +6281390046456.Journal of Epidemiology and Public Health (2017), 2(3): 186-200https://doi.org/10.26911/jepublichealth.2017.02.03.01
Health Belief Model and PRECEDE PROCEED on the Risk Factors of Multidrug Resistant Tuberculosis in Surakarta, Central Java -, Vera; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tuberculosis (TB) is one of the lethal infectious diseases in the world. One of the current biggest challenges of Tuberculosis control is the widespread emergence of Multidrug Resistant Tuberculosis (MDR-TB). There are several potential risk factors of MDR-TB that can be explained by Health Belief Model and PRECEDE PROCEED model framework. This study aimed to analyzed factors associated with MDR-TB using Health Belief Model and PRECEDE PROCEED.Subjects and Method: This was an analytic observational study with case control design. The study was conducted at Dr. Moewardi Hospital and BBKPM, Surakarta, from September to November 2017. The study subjects were selected using fixed disease sampling, consisting of 76 MDR-TB patients and 228 TB patients. The dependent variable was MDR-TB. The independent variables were educational level, self-efficacy, drug-taking adherence, smoking, nutritional status, perceived of susceptibility, perceived barrier, perceived severity, perceived benefit, and drug-taking supervisor. The data were collected using questionnaire and analyzed by path analysis. Results: The risk of MDR-TB was increased by lack of drug-taking adherence (b= -1.69; 95% CI= -2.28 to -1.09; p <0.001), poor nutritional status (b= 1.32; 95% CI= 0.72 to 1.92; p<0.001), and smoking (b= 1.32; 95% CI= 0.72 to 1.92; p <0.001). Drug-taking adherence was increased by perceived susceptibility  (b= 0.91; 95% CI= 0.18 to 1.63; p=0.015), perceived severity  (b= 1.01; 95% CI=  0.28 to 1.74; p=0.007), perceived benefit (b= 1.69; 95% CI= 0.97 to 2.41; p<0.001), drug-taking advisor (b= 2.16; 95% CI= 1.44 to 2.88; p<0.001), self efficacy (b= 1.58; 95% CI= 0.86 to 2.31; p<0.001), and low perceived barrier (b= -1.10; 95% CI= -1.82 to -0.38; p=0.003). Conclusion:  The risk of MDR-TB is increased by the lack of drug-taking adherence, poor nutritional status, and smoking.Keyword: Health belief model, PRECEDE-PROCEED, MDR-TBCorrespondence: Vera. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: vera21210@gmail.comJournal of Epidemiology and Public Health (2017), 2(3): 241-254https://doi.org/10.26911/jepublichealth.2017.02.03.06
Social Learning Theory on Factors Associated with Dental Caries among Mentally Disabled School Children in Surakarta, Central Java Nursani, Anggia Rahmah; Murti, Bhisma; Pamungkasari, Eti Poncorini
Journal of Epidemiology and Public Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Mentally disabled adolescents have limitations that make them are at greater risk of dental caries. There is a lack of studies on the factors associated with dental caries in adolescents using Social Learning Theory. This study aimed to determine factors associated with dental caries among mentally disabled adolescents using Social Learning Theory.Subjects and Method: This was an analytic observational study using cross-sectional design. The study was conducted at several special schools for disabled children (SLB) Surakarta, including: SLB C Setya Darma, SLB C YPSLB, SLB CG YPPCG Bina Sejahtera, and SLB C1 YSSD, in Surakarta, Central Java, from June to July 2017. A sample of 150 mentally disabled school children were selected for this study  by purposive sampling.  The dependent variable was caries dental status. The independent variables were parenting time, maternal oral health knowledge, maternal attitude towards oral health, maternal oral hygiene practice, child oral hygiene practice, maternal sweet food intake, child sweet food intake. Dental caries status was measured by decay, missing, filled-teeth (DMF-T) index. The other data were collected by questionnaire. The data were analyzed by path analysis.Results: Dental caries was directly and positively associated with sweet food intake (ƅ= 0.27, SE= 0.09, p= 0.002), poor child oral hygiene practice (ƅ= 0.09, SE= 0.04, p= 0.018), and poor maternal oral health knowledge (b= 0.36, SE= 0.10, p<0.001). Maternal oral hygiene practice was associated with maternal attitude towards oral health (ƅ= 0.33, SE= 0.13, p= 0.012) and maternal oral health (ƅ= 0.18, p<0.001). Child oral hygiene practice was associated with maternal oral hygiene practice (ƅ= 0.33, SE= 0.06, p= 0.012),  maternal oral health knowledge (ƅ= 0.91, SE= 0.18, p<0.001), and parenting time (ƅ= 1.39, SE= 0.18, p<0.001).Conclusion: Dental caries is associated with sweet food intake, poor child oral hygiene practice, and poor maternal oral health knowledge. Maternal knowledge, attitude, and practice in oral hygiene have an important role on dental caries in mentally disabled adolescents.Keywords: dental caries, adolescents, maternal oral health practice, social learning theoryCorrespondence: Anggia Rahmah Nursani. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36A, Surakarta, Central Java.  Email: anggiarahmahn23@gmail.com. Mobile: +6287738923404.Journal of Epidemiology and Public Health (2017), 2(3): 201-215https://doi.org/10.26911/jepublichealth.2017.02.03.02
Biopsychosocial Determinants of Multi Drug Resistant Tuberculosis in Surakarta Alfiyani, Lina; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tuberculosis is an infectious disease that poses serious threat to population health worldwide. Tuberculosis control enterprise becomes more complicated due to increasing number of Multi Drug Resistant Tuberkulosis (MDR-TB) cases. Globally there are approximately 580,000 cases of  MDR-TB, with only 125,000 cases (20%) resolved. Indonesia ranks tenth in the world by the number of MDR-TB cases after Angola, Azerbaijan, Bangladesh, Belarus, Cina, Korea, Kongo, Etiopia, and India. This study aimed to analyzed the bio-psychosocial determinants of MDR-TB in Surakarta.Subjects and Method: This was an analytic observational study with case control design. The study was conducted in Dr. Moewardi Hospital and BBKPM, Surakarta, from September to November 2017. A sample consisting of 76 MDR-TB patients and 228 non MDR-TB patients were selected for this study by fixed disease sampling. The dependent variable was MDR-TB. The independent variables were age, drug-taking adherence, depression, comorbidity, drug side-effect, drug-taking supervisor, and family income. The data were collected using a set of questionnaire and analyzed by path analysis.Results: MDR-TB was affected by lack of drug-taking adherence (b= -1.7; 95% CI= -2.23 to -1.07; p=0.001) and comorbidity (b= 1.5; 95% CI= 0.76 to 2.30; p=0.001). Drug-taking adherence was affected by depression (b= -1.7; 95% CI= -2.60 to -0.79; p=0.001), drug side effect (b= -1.5; CI 95%= -2.10 to -0.86; p=0.001), and drug-taking supervisor (b=2.5; 95% CI= 1.84 to 3.06; p=0.001). Comorbidity was affected by age (b= 0.86; 95% CI= 0.12 to 1.61; p= 0.022).Conclusion: MDR-TB is directly affected by lack of drug-taking adherence and comorbidity. MDR-TB is indirectly affected by drug-taking supervisor, depression, and drug side effect.Keyword: bio-psychosocial determinants, MDR-TBCorrespondence: Lina Alfiyani. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: linabbt@gmail.com.Journal of Epidemiology and Public Health (2017), 2(3): 255-266https://doi.org/10.26911/jepublichealth.2017.02.03.07 

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