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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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Search results for , issue "Vol 4, No 4 (2019)" : 12 Documents clear
Risk Factors of Hypertension in High School Students: Multilevel Evidence of The Contextual Effect of School Kurnianingsih, Mayasari; Dewi, Yulia Lanti Retno; Pamungkasari, Eti Poncorini
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: In 2025, it is projected that 29% of the world's citizens will suffer from hyper­tension. Hypertension does not only occur in adults but in adolescents. The prevalence of Indonesian hypertension is relatively high at 34.1%. Hypertension if not treated immediately can cause death. This study aimed to analyze risk factors of hypertension in high school students.Subjects and Method: This was a cross sectional study conducted in Bantul, Yogyakarta, from April to May 2019. A sample of 200 adolescents aged 15-19 years was selected by probability sampling. The dependent variable was hypertension. The independent variables were gender, genetic history, obesity, dietary pattern, sleep duration, stress, and money pocket. The data on hypertension were collected using sphygmomanometer. BMI was measured by microtoise and weight scale. Data on stress were measured by perceived stress scale (PSS). The other variables were collected by questionnaire. The data were analyzed by multilevel logistic regression.Results: The risk of hypertension increased with male gender (b= 1.87; 95% CI= 0.38 to 3.36; p= 0.014), genetic history (b= 1.93; 95% CI= 0.48 to 3.39; p= 0.009), obesity (b= 2.15; 95% CI= 0.76 to 3.55; p= 0.002), poor dietary pattern (b= 1.54 CI 95% = 0.97 to 2.99; p= 0.036), sleep duration <8 hours/day (b= 2.28; 95% CI= 0.63 to 3.93; p= 0.007), high stress (b= 3.52; 95% CI= 1.64 to 5.39; p<0.001), and high money pocket (b= 2.00; 95% CI= 0.45 to 3.56; p= 0.011). School had contextual effect on hypertension with ICC= 22.47%.Conclusions: The risk of hypertension increased with male gender, genetic history, obesity, poor dietary pattern, sleep duration <8 hours/day, high stress, and high money pocket. School has contextual effect on hypertension.Keywords: hypertension, adolescence, diet, stress, duration of sleep, socio-economicCorrespondence: Mayasari Kurnianingsih. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: mayyasarikurnia@gmail.com. Mobile: +628­5729990090.Journal of Epidemiology and Public Health (2019), 4(4): 259-269https://doi.org/10.26911/jepublichealth.2019.04.04.01
Biological and Social Economic Determinants of Adherence and Cure of Tuberculosis Treatment: Path Analysis Evidence from Yogyakarta Fitriani, Tri Godha; Rahardjo, Setyo Sri; Prasetya, Hanung
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: Tuberculosis (TB) was an infectious disease which was still a health problem world­wide, including in Indonesia, which only had a population of around 261 million. The purpose of this study was to analyze biological and social economic determinants of adherence and cure of TB treatment.Subjects and Method: This was an analytic observational study with a case control design. The study was conducted in Bantul, Yogyakarta, from April to May 2019. A sample of 225 TB patients was selected by random sampling. The dependent variable was adherence and cure of TB treat­ment. The independent variables were age, gender, education, family income, nutritional status, healthy behavior, complication, family support, drug taking supervisor, drug taking adherence, environment, and smoking. The data were collected by questionnaire and analyzed by path analysis.Results: Adherence and cure of TB treat­ment was directly increased with good nutritional status (b= 076; 95% CI= 0.03 to 1.49; p= 0.042), drug taking adherence (b= 3.67; 95% CI= 1.47 to 5.92; p= 0.001), drug taking supervisor (b= 3.64; 95% CI= 1.26 to 6.02; p= 0.003), strong family support (b= 2.03; 95% CI= -3.85 to -0.21; p= 0.029), and healthy physical environment (b= 4.05; 95% CI= - 0.09 to 8.20; p= 0.056). Adherence and cure of TB treat­ment was directly decreased with age ≥65 years old (b= -0.54; 95% CI= - 1.85 to 0.75; p= 0.411), female gender (b= -0.05; 95% CI= - 0.86 to 0.76; p= 0.900), unhealthy behavior (b= -3.20; 95% CI= - 5.02 to -1.36; p= 0.001), smoking (b= -1.50; 95% CI= - 2.56 to -0.43; p= 0.006), complication (b= -1.41; 95% CI= - 2.60 to -0.23; p= 0.019). It was indirectly affected by nutritional status, education, family income, and healthy environment.Conclusion: Adherence and cure of TB treat­ment is directly increased with good nutritional status, drug taking adherence, drug taking supervisor, strong family support, and healthy physical environment. Adherence and cure of TB treat­ment is directly decreased with age ≥65 years old, female gender, unhealthy behavior, smoking, complication. It is indirectly affected by nutritional status, education, family income, and healthy environment.Keywords: tuberculosis treat­ment, drug taking adherence, path analysisCorrespondence: Tri Godha Fitriani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: trigodha@gmail.com. Mobile: +6287738200610.Journal of Epidemiology and Public Health (2019), 4(4): 270-282 https://doi.org/10.26911/jepublichealth.2019.04.04.02
Factors Associated with Success Rate for Tuberculosis Treatment in Hospital: A Directly Observed Treatment Short Tuberculosis Prevention Strategy in Central Java Reviono, Reviono; Ramadhiana, Yusniar; Probandari, Ari N; Setianingsih, Wahyu
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: Tuberculosis (TB) is a major health problem throughout the world. Hospitals and pulmonary clinics contribute significantly to the number of patients from all positive smear cases. Hospital performance in TB control is assessed using treatment success rates. The purpose of this study is to find out an overview of hospital performance factors that influence the success of hospitals in TB control in Central Java.Subjects and Method: The study design was a descriptive analytical epidemiology with a retro­spective cohort design. The samples were taken in total sampling. The subjects were 158 hospitals in Central Java Province that used the DOTS strategy. The variable assessment instrument from the 2010 TB Sub-Directorate of the Ministry of Health's checklist was taken in January-February 2018. The data were linked to TB data from the Central Java Provincial Health Office in 2013 and 2016. Treatment success rates were stated to be good if the value was %85%Results: There were 110 hospitals with complete data in 2013 and 2016. Good success rates (>85%) in 2013 were achieved by 59 (53.60%) hospitals in 2013, in 2016 it decreased, only 43 (39.10%) hospitals were achieved. There was no significant relationship between the commitment and organization of the DOTS Hospital team, treatment, medical supervision, internal/external networks, and health facilities with the success rate of TB treatment, in which in this study, the value of p > 0.05. The type of hospital was significantly associated with treatment success rates in 2013, in which the lower type of hospital, the better the success rate of TB treatment.Conclusion: Because of the low number of hospitals that achieve good success rates (>85%), more detailed identification of risk factors is needed. Keywords: tuberculosis, success rate, hospitals Correspondence: Reviono. Department of Pulmonology and Medical Respiration, Universitas Sebelas Maret Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: reviono@staff.uns.ac.id. Mobile: +6281­847­4671.Journal of Epidemiology and Public Health (2019), 4(4): 283-295https://doi.org/10.26911/jepublichealth.2019.04.04.03 
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
Relationships between Age, Sex, Laboratory Parameter, and Length of Stay in Patients with Dengue Hemorrhagic Fever Arianti, Maria Devi; Prijambodo, J.; Wujoso, Hari
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: Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by dengue virus. Until now, Dengue virus infection remains a health problem in Indonesia. The things which cause problems in DHF case are high mortality rates, diseases spread which are easily spread, especially affect children. Handling of DHF patients needs long of a length of stay which has large costs.Subjects and Method: This was an analytic observational study with a cross-sectional design. This study was conducted at Dr. Moewardi Hospital, Surakarta, based on medical records. 32 samples were selected using purposive sampling. The independent variables were age, sex, platelet count, hematocrit value, and a number of leukocytes. The dependent variable was the length of stay. The data were obtained from medical records using a Chi-square test. Bivariate analysis was used to determine the factors which affected DHF on length of stay using Chi-square, Kolmogorov Smirnov, continuing with multiple linear regression analysis.Results: The age of DHF patients was from 1 year of age to 53 years of age with an average age of 20.07 +13.45 years. The number of female patients was 15 patients. Platelets level (x 1,000) was 25 for minimum and 308 for maximum. Mean ± SD platelet was 94.86 + 67.97. Hematocrit level was 28 for minimum and 54 for maximum. Mean ± SD hematocrit was 40.69 + 6.59. Leukocytes level (x 1,000) was 1.6 for minimum and 10.8 for maximum. Mean ± SD leukocytes was 5.50 + 2.95. The shortest length of stay was 3 days and the longest was 11 days. Mean ± SD length of stay was 5.21 ± 1.90 days. The result of multiple linear regression analysis showed a statistically non-significant relationship (p> 0.05) between age, sex, platelets, hematocrit, leukocytes, and length of stay.Conclusion: There is a non-significant relationship between age, sex, platelet count, hematocrit value, leukocyte count, and length of stay.Keywords: DHF, length of stay, platelet count, hematocrit value, leukocyte countCorrespondence: Maria Devi Arianti. Masters Program in Family Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ariantidevi­88@yahoo.co.id Mobile: 08124612699Journal of Epidemiology and Public Health (2019), 4(4): 307-313https://doi.org/10.26911/jepublichealth.2019.04.04.05
Determinants of Compliance in Conducting Physiotherapy Among Patients with Low Back Pain in Medan Hospital, North Sumatera Andriany, Anita; Mutiara, Erna; Lubis, Halinda Sari
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: Lower back pain (LBP) is a symptom of pain that occurs in the lower back area. It is often experienced to those who have activities with the wrong posture. Based on visit data, the high proportion of non-compliance in conducting physiotherapy among LBP patients in Medan Regional Hospital in 2016 was 71.7%. This study aimed to examine determinants of compliance in conducting physiotherapy among patients with LBP in Medan Hospital, North Sumatera.Subjects and Method: This was a cross sectional study conducted at Medan Hospital, Sumatera Utara. A sample of 125 LBP patients was selected for this study by simple random sampling. The dependent variable was compliance to LBP physiotherapy. The independent variables were employment status, marital status, and family support. The data were obtained from medical record and questionnaire. The data were analyzed by a multiple logistic regression.Results: Compliance to LBP physiotherapy increased with married (OR= 1.31; 95% CI 0.78 to 2.23; p= 0.310), occupation (OR= 1.83; 95%CI= 1.12 to 3.02; p= 0.017), and family support (OR= 0.83; 95% CI= 0.36 to 1.89; p= 0.652).Conclusion: Compliance to LBP physiotherapy increases with married, occupation, and family support.Keywords: ccompliance, pphysiotherapy, low back pain, patientsCorrespondence: Anita Andriany. Masters Program in Public Health, Universitas Sumatera Utara, Jl. Universitas 21, Medan 20155, North Sumatera, Indonesia. Email: dr.anita.andriany@­gmail.com. Mobile:  +628­1262023731.Journal of Epidemiology and Public Health (2019), 4(4): 314-319https://doi.org/10.26911/jepublichealth.2019.04.04.06
Contextual Effect of Village on the Incidence of Tuberculosis in Children in Surakarta, Central Java: A Multilevel Analysis Evidence Saputri, Dyah Ayu; Dewi, Yulia Lanti Retno; Murti, Bhisma
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: Indonesia is in the second place with the highest burden of tuberculosis (TB) in the world. Childhood is a period of rapid growth that requires efforts to maintain children's health. At the time the child still has a low immune system making it vulnerable to a disease including TB. The problem of TB in children requires better attention in child TB control programs. This study aimed to analyze the contextual influence of villages on the incidence of TB in children.Subjects and Method: This was a case-control study conducted in 25 villages in Surakarta, Central Java, from August to September 2019. A sample of 200 children aged 0 to 18 years was selected by fixed disease sampling. The dependent variable was the incidence of TB in children. The in­de­pen­dent variables were birth weight, BCG immunization, exclusive breastfeeding, nutritional sta­tus, parental income, home sanitation, exposure to cigarette smoke, family history of TB, and con­­textual effect of village. Data on TB were obtained from medical record in Su­­rakarta community health center. The other data was collected by questionnaire. The data was analyzed by multilevel mul­tiple logistic regression with Stata 13.Results: The risk of TB in children increased poor house sanitation (OR= 6.70; 95% CI= 1.14 to 39.27; p= 0.035), high exposure to cigarette smoke (OR= 6.71; 95% CI= 1.09 to 41.25; p= 0.040), and family history of TB (OR= 6.01; 95% CI= 1.36 to 26.39; p= 0.018). The risk of TB in children decreased with normal birth weight (≥2500 g) (OR= 0.12; 95% CI= 0.02 to 0.60; p= 0.009), BCG immunization (OR= 0.17; 95% CI= 0.04 to 0.64; p= 0.009 ), exclusive breastfeeding (OR= 0.08; 95% CI= 0.01 to 0.57; p= 0.011), good nutri­tio­nal status (OR= 0.11; 95% CI= 0.02 to 0.66; p= 0.016), and parental income ≥Rp 1,802,700 (OR= 0.07; 95% CI= 0.01 to 0.37; p= 0.002). Village had strong contextual effect on the risk of TB in children with intra-class correlation (ICC)= 29.24%.Conclusion: The risk of TB in children increases poor house sanitation, high exposure to cigarette smoke, and family history of TB. The risk of TB in children decreases with birth weight ≥2500 g, BCG immunization, exclusive breastfeeding, good nutri­tio­nal status, and high parental income. Village has strong contextual effect on the risk of TB in children.Keywords: Tuberculosis, risk factors, children aged 0-18 years, multilevel analysis.Correspondence: Dyah Ayu Saputri. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta, Central Java 57126. Email: ayusaputridyah7@gmail.com. Mobile: 081353236388.Journal of Epidemiology and Public Health (2019), 4(4): 361-372https://doi.org/10.26911/jepublichealth.2019.04.04.11 
Determinants of Quality of Life among Patient with Knee Osteoarthritis Yuniarwati, Wika; Subijanto, Achmad Arman; Prasetyo, Hanung
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: Osteoarthritis (OA) ranks second after cardiovascular disease as the cause of physical disability. Nearly 25% of individuals aged 55 years or over have complaints of knee pain and some have proven osteoarthritis. Elderly people with OA suffer from depression, reduced quality of life and economic difficulties. In assessing the quality of life of OA patients can help identify the health care needs of all patients. This study aimed to determine factors affecting quality of life in knee OA patients.Subjects and Method: This was analytic observational study with a cross sectional design. The study was carried out at Dr. Moewardi and UNS Hospital, Surakarta, Central Java. A sample of 180 OA knee patients was selected by consecutive sampling. The dependent variable was quality of life. The independent variables were sex, occupation, body mass index, duration of illness, and pain location. The data were collected by questionnaire and analyzed by a multiple logistic regression.Results: Quality of life of OA knee patient decreased with female (b= -1.11; 95% CI= -2.32 to 0.08; p= 0.069), overweight/ obesity (b= -1.64; 95% CI= -2.35 to -0.93; p<0.001), duration of chronic illness (b= -0.80; 95% CI= -1.51 to -0.91; p= 0.027), and bilateral pain (b= -0.74; 95% CI= -1.42 to -0.05; p= 0.034).Conclusion: Quality of life of OA knee patient decreases with female, overweight/ obesity, duration of chronic illness, and bilateral pain.Keywords: quality of life, kne eosteoarthritis, logistic regressionCorrespondence: Wika Yuniarwati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36A, Sura­karta, Central Java. Email: wickafisio@gmail.com. Mobile: + 62812279-33068.Journal of Epidemiology and Public Health (2019), 4(4): 320-327https://doi.org/10.26911/jepublichealth.2019.04.04.07
Contextual Effect of School on the Risk Obesity among High School Students in Surakarta, Central Java: A Multilevel Analysis Evidence Setiyaningsih, Rita; Dewi, Yulia Lanti Retno; Adriani, Rita Benya
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: Obesity is a public health problem in various countries, one of which is Indonesia. The impact of obesity in adulthood is high blood pressure and high cholesterol which can later trigger cardiovascular disease. This study aimed to examine contextual effect of school on the risk obesity among high school students in Surakarta. Subjects and Method: This was an observational analytic study with a case control approach. The study was conducted in April 2019. The sample was selected by stratified random sampling of 225 students in 15 schools in Surakarta with a case and control group. The dependent variable was obesity. The independent variables were parental salary, parental knowledge, pocket money, school food environment, food intake, physical activity, maternal BMI, paternal BMI. Data collection techniques used questionnaires and analyzed by multilevel logistic regression in Stata 13.Results: Obesity in adolescents was directly and significantly affected by parental income ≥Rp 1,800,000 (OR= 4.53; 95% CI= 1.80 to 11.36; p = 0.001), high parental knowledge (OR= 0.36; 95% CI= 0.15 to 0.91; p= 0.030), allowance ≥Rp 10,000 (OR= 3.80; 95% CI= 1.63 to 8.86; p= 0.002), food intake ≥recommended dietary allowances (OR= 3.62; 95% CI= 1.43 to 9.19; p = 0.007), high physical activity (OR= 0.06; 95% CI= 0.02 to 0.18; p <0.001), maternal BMI >27kg/m² (OR= 7.08; 95% CI= 2.39 to 20.99; p<0.001 ), and paternal BMI >27 kg/m² (OR= 2.63; 95% CI= 1.10 to 20.96; p= 0.031). School had a contextual effect on obesity with intra-class correlation (ICC)= 16.99%.Conclusion: Obesity in adolescents is directly and significantly affected by parental income ≥Rp 1,800,000, high parental knowledge, allowance ≥Rp 10,000, high physical activity, maternal BMI >27kg/m², and paternal BMI >27 kg/m². School has contextual effect on obesity.Keywords: obesity, adolescents, multilevel analysisCorrespondence: Rita Setiyaningsih. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: ritasetiya2608@gmail.com. Mobile: +6282220489153Journal of Epidemiology and Public Health (2019), 4(4): 328-337https://doi.org/10.26911/jepublichealth.2019.04.04.08 
Factors Affecting Occurrence of Depression in Patients with Cervical Cancer at Dr. Moewardi Hospital Surakarta, Central Java: A Path Analysis Model Shinta, Dewi; Tamtomo, Didik Gunawan; Soemanto, RB
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: Cervical cancer is in the second place among the incidence of new cases and in thethird highest death from cancer. Cancer depression and severity generally occur together with psychological problems, such as anxiety, pain and fatigue. Most studies in cancer patients have focused on morbidity or mortality more due to the risk of depression. The purpose of this study was to analyze the factors that influence depression in cervical cancer patients.Subjects and Method: A cross sectional study was conducted at Dr. Moewardi Hospital, Surakarta, Central Java, from September to October 2019. A sample of 200 cervical cancer patients was selected by simple random sampling. The dependent variable was depression. The independent variables were marital status, education, occupation, family income, peer support, family support, health personnel support, coping strategy, cancer stage, frequency of chemothe­rapy, and length of illness from diagnosis. Depression was measured by the Beck Depression Inventory-II (BDI-II) questionnaire. The other data were collected by medical record and question­naire. The data were analyzed by path analysis run on Stata 13.Results: Severe depression in cervical cancer patients was directly increased by the frequency of chemotherapy 3 times (b= 1.80; 95% CI= 0.11 to 3.49; p= 0.037), advanced stage (b= 2.50; 95% CI= 0.18 to 4.82; p= 0.035), and length of illness from diagnosis ≥11 months (b= 2.27; 95% CI= 0.57 to 3.96; p= 0.009). Severe depression was directly decreased by high coping strategy (b= -6.33; 95% CI= -8.68 to -3.98; p<0.001). Severe depression was indirectly affected by peer support, family support, support of health personnel, family income, occupation, education, and marital status.Conclusion: Severe depression in cervical cancer patients is directly increased by the frequency of chemotherapy 3 times, advanced stage, and length of illness from diagnosis ≥11 months. Severe depression is directly decreased by high coping strategy. Severe depression is indirectly affected by peer support, family support, support of health personnel, family income, occupation, education, and marital status.Keywords: depression, cervical cancer, path analysisCorrespondence: Dewi Shinta. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: shintadw94@gmail.com. Mobile: 08236495­0175Journal of Epidemiology and Public Health (2019), 4(4): 338-350https://doi.org/10.26911/jepublichealth.2019.04.04.09

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