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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 12 Documents
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Search results for , issue "Vol 5, No 3 (2020)" : 12 Documents clear
Effects of Blood Transfusion on the Risk of Hepatitis C Infection in Hemodialysis Patients: A Meta-Analysis Astuti, Yuli; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: It is estimated that 2% of the world's population (about 123 million people) was infected with hepatitis C. Blood transfusion is one of the therapies, but this therapy is at risk of being a transmission me­dium for hepatitis B infection. Hemo­dia­ly­sis patients are in the group at risk of having hepatitis C infection. Patients with a history of blood transfusions in this group increase the incidence of hepatitis C infec­tion. This study aimed to determine the estimated effect of blood transfusions on hepatitis C infec­tion in hemodialysis pa­tients with a meta-analysis.Subjects and Method: Meta-analysis was con­duc­ted by searching for articles from databases such as Google Scholar, Pub­Med, Springer Link, and Research Gate. The keywords were "blood tran­s­fu­sion" OR "risk factor" AND "hepatitis C in­fec­tion" OR "TTI" OR "HBV" AND "patient hemo­dialysis" OR "Patient renal failure". The inclusion criteria were full-text articles, from 2000-2020, with a cross-sectional stu­dy design. The articles were analyzed using RevMan 5.3.Results: There were 9 articles analyzed. The results showed that blood transfusions in­creased the incidence of hepatitis C infec­tion in hemo­dia­ly­sis patients (aOR= 1.55; 95% CI= 1.19 to 2.03; p= 0.001) and I2= 90%. Based on the meta-ana­lysis result, there was no publication bias.Conclusion: Blood transfusion affects he­mo­­dia­lys­is patients with hepatitis C in­fec­tion.Keywords: blood transfusion, hepatitis C infec­tion, hemodialysis patientsCorrespondence: Yuli Astuti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Sura­kar­ta 57126, Central Java. Email: ­yuli­as­tu­ti­12­2­4­@gmail.com. Mobile: 0838­2­1­875621Journal of Epidemiology and Public Health (2020), 05(03): 339-347https://doi.org/10.26911/jepublichealth.2020.05.03.08. 
Correlation among Sodium Intake, Fat Intake and Physical Activity with Prevalence of Hypertension in Young Adults at Arifin Achmad Regional Public Hospital, Riau Huzaipah, Annisa Amalia; Aritonang, Evawany Yunita; Lubis, Rahayu
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hypertension is called the silent killer for it has high prevalence rate and is asymptomatic; thus, it needs to be early prevented. When blood pressure is high and uncontrollable, it may lead to complications. Today, hypertension is not only found in elderly, it is also found among young adults at age > 18 and it tends to increase annually as they frequently consume high sodium and high fat and lack of physical activities along with the development of technology. Developed technology has made everything easy to do without burning excessive energy. More researches on hypertension are conducted on elderly and only a few are conducted on young adults. The objective of this study is to discover the correlation among sodium intake, fat intake, and physical activity with prevalence of hypertension in young adults at Arifin Achmad Regional Public Hospital, Riau Province.Subjects and Method: This is an analytical observational study with case-control design that was carried out at Arifin Achmad Regional Public Hospital, Riau Province, Indonesia. A sample of 80 respondents divided into a case group with 40 respondents and control group with 40 respondents was selected by purposive sampling. The depen­dent variable was prevalence of hypertension. The independent variables were sodium intake, fat intake, and physical activity. The instrument used was questionnaires. The data were collected through interviews and analysed by bivariate analysis (chi-square) and multivariate analysis (multiple logistic regression testing).Results: The results of multivariate test demonstrated that variable sodium intake (OR= 2.39; 95% CI= 0.84 to 6.75; p= 0.099) and fat intake (OR= 2.73; 95% CI= 0.92 to 8.06; p= 0.069) did not show any correlation with prevalence of hypertension because it did not meet the required p value= <0.05. The results also showed that prevalence of hypertension physical was most correlated with physical activity (OR= 4.54; 95% CI= 1.59 to 13.00; p= 0.005).Conclusion: There was a significant correlation among sodium intake, fat intake, and physical anctivity with the prevalence of hypertension in the young adults at Arifin Achmad Regional Public Hospital, Riau Province and the most dominant variable was physical activity.Keywords: sodium, fat, physical activity and prevalence of hypertensionCorrespondence: Annisa Amalia Huzaipah. Faculty of Public Health, Universitas Sumatera Utara. Jl. Dr. T. Mansur 9, Medan, North Sumatera. Email: annisaamaliahzp@gmail.com. Mobile: 085278­296171.Journal of Epidemiology and Public Health (2020), 05(03): 384-392 https://doi.org/10.26911/jepublichealth.2020.05.03.12.  
Path Analysis on the Biopsychosocial and Economic Determinants of Quality of Life in Patients with Type II Diabetes Mellitus: Evidence from Surakarta, Central Java Nurvitasari, Rahsunji Intan; Tamtomo, Didik Gunawan; Dewi, Yulia Lanti Retno
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Type 2 diabetes mellitus (DM) is a chronic disease that is increasing to an alarm­ing stage in the world. Type 2 diabetes mellitus can have a major impact on the quality of life in patients. The quality of life in patients with type 2 DM is affected by various factors. This study aimed to analyze the biopsychosocial and econo­mic determinants of the quality of life in patients with type 2 DM.Subjects and Method: This was an analytical observational study with a cross-sectional design. This study was conducted in Surakarta from March to May 2020. A sample of 100 patients was selected by purposive sampling. The depen­dent variable was quality of life. The independent vari­ables were age, blood sugar level, Body Mass Index (BMI), central obesity, education level, smoking habits, stress levels, family social support, physical activity, other diseases, occu­pation, income, health insurance. This study used a questionnaire to collect the data. This study was analyzed by path analysis using Stata version 13.Results: The quality of life in patients with type 2 DM increased by family support (b= 0.86; 95%CI=-0.16 to 1.87; p=0.098), education (b= 1.47; 95%CI=0.47 to 2.47; p=0.004), and occu­pation (b=1.09; 95%CI=-0.06 to 2.23; p=0.062). The quality of life in patients with type 2 DM decreased by HbA1c levels (b=-1.74; 95%CI=-2.80 to -0.69; p=0.001) and BMI (b=-1.41; 95% CI= -2.49 to -0.34; p=0.010). Quality of life in patients with type 2 DM was indirectly affected by physical activity and education.Conclusion: Quality of life in patients with type 2 DM is directly affected by HbA1c levels, BMI, family support, education, and occupation. Qua­lity of life in patients with type 2 DM is indirectly affected by physical activity and education.Keywords: Quality of life, type 2 diabetes mellitus, biopsychosocial, path analysis.Correspondence: Rahsunji Intan Nurvitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: intan.nurvitasarI@gmail.com. Mobile: +6281232599161Journal of Epidemiology and Public Health (2020), 05(03): 281-292https://doi.org/10.26911/jepublichealth.2020.05.03.03 
Influences of Peer Support Group and Psychosocioeconomic Determinants on Treatment Compliance in HIV/AIDS Patients: A Path Analysis Evidence from Sragen, Central Java Lobis, Yusuf Bachtiyar; Murti, Bhisma; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Human Immuno­de­fi­cien­cy Virus (HIV) is a virus that attacks the immune system, which further weakens the body's abi­lity to fight infection and disease. AIDS (Acqui­red Immune Deficiency Syndrome) is a con­di­tion in which HIV is already in the final infec­tion stage. When a person has AIDS, the body no longer can fight the infection it causes. This study aims to determine the effect of peer support groups and psycho­social economic de­ter­minants on treat­ment com­pliance to people living with HIV / AIDS (PL­W­HA) in Sragen, Central Java.Subjects and Method: This study was an observational analytic with a case-control de­sign. This study was conducted in Sragen from February to April 2020. The sample was selec­t­ed by fixed disease sampling as many as 200 study subjects with the criteria of PLWHA. The variab­les observed for effect were treatment compliance to PLWHA, peer support groups, fa­mily support, perceived benefits, perceived trust, perceived threats, perceived barriers, and learning through observation (Observational Learning). Data were collected using a ques­tion­naire and analyzed using path analysis or path analysis with Stata version 14.Results: Treatment compliance in PLWHA increased with per­cei­v­ed benefit (b= 1.10; 95% CI= 0.41 to 1.79; p= 0.002), perceived trust (b= 1.56; 95% CI= 0.85 to 2.27; p <0.001), peer support group (b= 0.66; 95% CI= -0.00 to 1.33; p= 0.051), family support (b= 0.97; 95% CI= 0.28 to 1.66; p= 0.006), perceived threat (b= 0.97; 95% CI= 0.28 to 1.66; p= 0.006). Treatment compliance in PLWHA decreased with perceived inhibition (b= -0.69; 95% CI= -1.37 to -0.01; p= 0.047). Treat­ment compliance in people living with HIV/AIDS was influenced indirectly by learning through observation.Conclusion: Treatment compliance in PLWHA is directly influenced by perceived benefits, peer support groups, family support, perceived threats, perceived barriers. Treatment com­pliance in PLWHA is influenced indirectly by learning through observation.Keywords: HIV/AIDS, compliance, peer support groups, psychosocial economicsCorrespondence: Yusuf Bachtiyar Lobis. Program Studi Ilmu Kesehatan Masyarakat Pascasarjana Universitas Sebelas Maret, Jl. Ir. Sutami No. 36A, Surakarta 57126, Indonesia. Email: bachtiyar03@gmail.com. Mobile: +628­1­1­1388841.Journal of Epidemiology and Public Health (2020), 05(03): 348-358https://doi.org/10.26911/jepublichealth.2020.05.03.09.  
Clinical Characteristics of Coronavirus Disease 2019 in Dr. Agoesdjam Regional Public Hospital, Ketapang, West Kalimantan, Indonesia Willim, Herick Alvenus; Cristianto, Cristianto; Sihombing, Yohana Roy Ito Br; Munthe, Eva Lydia; Mujono, Widi; Enny, Enny
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Coronavirus disease 2019 (COVID-19) is a new pandemic caused by SARS-CoV-2 infection. COVID-19 has spread to almost all countries with increasing cases, including Indonesia. Data on the clinical characteristics of COVID-19 in Indonesia is still limited. This study aimed to determine the clinical characteristics of COVID-19.Subjects and Method: This study was a descriptive study with a retrospective design conducted in Dr. Agoesdjam Regional Public Hospital. The data were obtained from the medical records of all patients with confirmed COVID-19 from April 1 to July 31, 2020. There were 50 patients as the sample of the study. The data collected were demographics, expo­sure history, smoking status, comorbidities, clinical symptoms, outcomes, drug therapy, laboratory, chest X-ray, and electrocardio­graphy (ECG). This study used descriptive statistics.Results: The patients on average aged 34.8 years (Mean= 34.8; SD= 14.0). Patients were dominated by the 30-39 years age group (28%) and men (56%). More than a third of patients (36%) were health workers. Most of the cases were local transmission (78%). Almost half of the patients (48%) were smokers. The most common comorbid was hypertension (12%). The dominant clinical symptoms were cough (34%), dyspnea (14%), and fever (10%). More than half of the patients (58%) were asymp­tomatic. The mortality rate was 2%. All patients received supportive therapy. Azithromycin was the most potential drug given (30%). Abnormal laboratory findings included leukocytosis (18%), neutrophilia (20%), lym­phopenia (28%), elevated erythrocyte sedi­mentation rate (32%), alanine aminotrans­ferase (36%), and aspartate aminotransferase (18%). Abnormal chest X-ray was found in 10% of patients. Among the 22 patients who were examined on the ECG, the abnormal figures were found in 40.9% of patients with non-specific findings.Conclusion: The COVID-19 patients in this study are dominated by young adults and men. Asymptomatic and mild symptoms are more common. The symptoms that are often com­plained of are coughing, dyspnea, and fever. The common laboratory abnormalities were leucocytosis, neutrophilia, lymphopenia, elevated erythrocyte sedimentation rate, and elevated liver enzymes. The most common chest X-ray abnormality is consolidation. During the COVID-19 pandemic, prevention and control are the main priorities. In addition, the level of public awareness must be raised.Keywords: COVID-19, SARS-CoV-2, clinical symptoms, electrocardiographyCorrespondence: Herick Alvenus Willim. Dr. Agoesdjam Regio­nal Public Hospital, Ketapang Regency, West Kalimantan. Email: herick_alvenus@­yahoo.­co.id. Mobile: +6282252188675.Journal of Epidemiology and Public Health (2020), 05(03): 293-308https://doi.org/10.26911/jepublichealth.2020.05.03.04. 
Meta-Analysis: The Effect of Neuropatic Complications and Depression Commorbidity on the Quality of Life of Patients with Type 2 Diabetes Aghniya, Rofana; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes mellitus is a metabolic disease that results from insulin insufficiency and often causes complications. DM patients are prone to depression. Depression is one aspect that affects the quality of life. Measuring the quality of life in DM patients is done as a measure of the success of the intervention. This study aims to estimate the influence of neuro­pathic complications and comorbid depression on the quality of life of type 2 DM patients based on the results of previous studies.Subjects and Method: Meta-analysis studies and systematic studies were applied to this research with electronic data sources PubMed, ProQuest, Science Direct, Scopus, Spinger Link and Google Scholar. The key words used were as follows: Comorbidity depression and DM, depression and quality of life and DM and cross sectional study, neuropathy and quality of life and DM and adjusted odd ratio, neuropathy or diabetes, depression or quality of life or DM or adjusted. odd ratio. The article used is a full-text article with a cross-sectional study design and the results are reported in adjusted odds ratio (aOR). Articles were analyzed using the Review Manager 5.3 application with fixed effect models.Results: Fifteen articles reviewed in this study originated from 5 continents. 6 studies came from the Asian continent (Japan, Iran, Singa­pore, Korea, China and Nepal), 4 studies from the European continent (Norway and 3 United Kingdom), 2 studies from the African continent (Uganda and Nigeria), 2 studies from the North American continent (Brazil) and 1 study from the continent of South America (USA). The results of the forest plot interpre­tation showed that patients with type 2 diabetes mellitus with neuropathy complications had 0.78 times the chance of having a good quality of life com­pared to type 2 DM patients with­out neuro­pa­thic complications (aOR= 0.78; 95% CI= 0.69 to 0.89; p= 0.001). Patients with type 2 DM with comorbid depression had a 0.45 times chance of having a good quality of life com­pared to type 2 DM patients without co­morbid depression (aOR= 0.45; 95% CI= 0.28 to 0.73; p = 0.001).Conclusion: Patients with type 2 DM without complications of neuropathy and without co­morbid depression have a better quality of life than patients with type 2 DM with complica­tions of neuropathy and comorbid depression.Keywords: diabetes melitus, diabetic neuro­pathy, depresssion, quality of lifeCorrespondence: Rofana Aghniya. Masters Program in Public Health, Universitas Sebelas Maret. Jl.Ir. Sutami 36A, Surakarta 57126, Central Java. Email: rofanaaa@gmail.com. Mobile:0855­23528340.Journal of Epidemiology and Public Health (2020), 05(03): 359-371https://doi.org/10.26911/jepublichealth.2020.05.03.10.  
The Effect of Foot Orthosis Use in Reducing Pain in Patients with Plantar Fasciitis: A Meta-Analysis Anggriani, Atika Febri; Kristiyanto, Agus; Rahardjo, Setyo Sri
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Plantar fasciitis is an inflamma­tory problem that occurs in the foot area that causes pain. Its prevalence rates range from 4% to 7% in the elderly population, 8% in athletes and up to 25% in runners. One of the treat­ments used to reduce the degree of pain is the use of foot orthosis. A number of related arti­cles stated that the use of foot orthosis can reduce the degree of pain in plantar fasciitis patients. The purpose of this study was to esti­mate the magnitude of the effect of using foot orthosis on pain reduction in plantar fasciitis patients by conducting a meta-analysis on the same number of articles.Subjects and Method: The meta-analysis was carried out by systematically reviewing the same number of articles from PubMed, Science Direct, and Google Scholar. By using the search keywords "foot orthosis" OR "FO" AND "custom foot orthosis" AND "foot pain" AND "plantar fasciitis" AND "plantar fasciopathy" AND "effect foot orthosis for plantar fasciitis" AND "treatment for plantar fasciitis" A "rando­mized controlled trial". The intervention given was the use of a foot orthosis with a comparison without using a foot orthosis with the study subject of plantar fasciitis patients. The study outcome was pain reduction. The article used is a full text article with a randomized controlled trial design that reports the value of the effect size (mean and standard deviations). Articles were collected using the PRISMA flow chart and analyzed using the Review Manager 5.3 application with random effect models.Results: A meta-analysis of 7 randomized controlled trial studies from Brazil, Virginia, Turkey, Germany, China, and Australia sug­gested that the use of foot orthosis was -0.54 times better at reducing pain in plantar fasciitis patients compared to those without foot ortho­sis (ES= -0.54; 95% CI -1.11 to 0.03; p= 0.06). Heterogeneity I2= 82%.Conclusion: Foot orthosis reduces pain in plantar fasciitis patients compared to those without foot orthosisKeywords: Plantar fasciitis, pain, foot orthosisCorrespondence: Atika Febri Anggriani, Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: atikaanggriani07­@gmail.­com. Mobile : 085728794960Journal of Epidemiology and Public Health (2020), 05(03): 309-319https://doi.org/10.26911/jepublichealth.2020.05.03.05 
Multilevel Analysis Association of Soil Transmitted Helminths and Stunting in Children Aged 6-12 Years Old in Pinrang District, South Sulawesi Muslimah, Putri Andini; Salimo, Harsono; Dewi, Yulia Lanti Retno
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stunting in children is often associated with infectious diseases, one of which is Soil Transmitted Helminths (STH). Worms in child­ren affect the intake, digestion, absorption and metabolism of food which has an impact on reducing the supply of nutrients to the body. This study aimed to determine the relationship between STH and the incidence of stunting in children aged 6-12 years in Pinrang, South Sulawesi.Subjects and Method: This was an analytic observational with cross sectional design. The study was conducted in Pinrang Regency, South Sulawesi, from January to March 2020. A sam­ple of 200 children aged 6-12 years was selected by random sampling. The dependent variable was stunting. The independent variables were worm disease, maternal education, family income, number of family members, maternal body height, low birth weight, length of birth, exclusive breastfeeding, and complementary feed­ing. The data were collected by question­naire and analyzed by a multiple multilevel logistic regression run on STATA13.Results: The risk of stunting increased with worms (b= 2.11; 95% CI= 1.11 to 3.10; p <0.001), low maternal education (b= 1.08; 95% CI= 0.13 to 2.03; p= 0.025), low income (b= 1.03; 95% CI= 0.05 to 2.02; p= 0.039), number of family (b= 2.13; 95% CI= 1.13 to 3.13; p< 0.001), short maternal height (b= 1.03; 95% CI= 0.10 to 1.96; p= 0.030), LBW (b= 1.45; 95% CI= 0.38 to 2.51; p= 0.007), short birth length (b= 1.91; 95% CI= 0.95 to 2.87; p< 0.001), and inappropriate complementary feed­ing (b= 1.11; 95% CI= 0.21 to 2.11; p= 0.029). The risk of stunting decreased with exclusive breastfeeding (b= 0.96; 95% CI= 0.23 to 1.91; p= 0.045). Village had negligible contextual effect on the stunting with ICC= 8.2%.Conclusion: The risk of stunting increases with worms, low maternal education, low income, number of family, short maternal height, LBW, short birth length, and inappro­priate complementary feed­ing. The risk of stun­ting decreases with exclusive breastfeed­ing. Village has negligible contextual effect on the stunting.Keywords: stunting, soil transmitted helminthsCorrespondence: Putri Andini Muslimah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ptriandn15@gmail.com. Mobile: +6285­331663133.Journal of Epidemiology and Public Health (2020), 05(03): 372-383https://doi.org/10.26911/jepublichealth.2020.05.03.11. 
Social Capital and Factors Related to Stroke Risk in Ponorogo Hospital: Structural Equation Model Application Rohmah, Lailatul; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stroke is a non-communicable disease that ranks the second leading cause of death in the world. As many as 17 million pa­tients who suffered a stroke, 6.5 million died from a stroke. This disease cannot be cured but can be controlled. The increasing number of cases of non-communicable diseases is related to risk factors. This study aimed to analyze the effect of social capital and factors related to stroke risk.Subjects and Method: A case-control study was conducted at the Ponorogo District Hos­pital, East Java, from February to March 2020. A sample of 200 patients was taken through fixed disease sampling. The dependent variable was a stroke. The independent vari­a­b­les were social capital, hypertension, residence, work­place, stress, income, dietary habit, edu­cation, physical activity. The data was collected using a questionnaire. Data were analyzed using the Structural Equation Model run on Stata 13.Results: The increase in stroke was directly affected by hypertension (b= 2.90; 95% CI= 2.09 to 3.71; p <0.001). The risk of stroke was affected indirectly by social capital, hyper­tension, workplace, stress, income, dietary ha­bit, education, physical activity. Trust, bonding, bridging, and linking indirectly affected stroke risk on the contribution of social capital mea­surement.Conclusion: Increased stroke is directly affected by hypertension. Stroke is indirectly affec­ted by social capital, hypertension, work­place, stress, income, dietary habits, education, and phy­sical activity. Trust, bonding, bridging, and linking indirectly affect stroke risk on the contribution of social capital measurement.Keywords:stroke, social capital, risk factorsCorrespondence: LailatulRohmah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java. Email: rohmalailatul­156­­@g­mail.­com. Mobile: +6289691804847.Journal of Epidemiology and Public Health (2020), 05(03): 258-269https://doi.org/10.26911/jepublichealth.2020.05.03.01
The Effect of Ankle Foot Orthosis Use on the Running Speed in Post Stroke Patients: A Meta Analysis Fatati, Muhibbah; Rahardjo, Setyo Sri; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stroke is a disease that occurs because blood flow to certain locations in the brain is disrupted. One of the main problems that occur in stroke sufferers is the disruption in the ability to walk, which will cause a decrease in the walking speed of post-stroke patients. One of the treatments used to increase the walking speed of post-stroke patients is to provide an ankle foot orthosis. The purpose of this study was to estimate the magnitude of the effect of using ankle foot orthosis on increasing walking speed of post-stroke patients by conducting a meta-analysis in the same articles.Subjects and Method: The meta-analysis was carried out by systematically reviewing the same number of articles from PubMed, Science Direct, Google Scholar, using the search keywords "ankle foot orthosis" OR "AFO" AND "Stroke" OR "patient stroke" AND "walking speed" OR “Velocity” AND “randomized control trial”. The inclusion criteria used were full paper articles with a randomized controlled trial (RCT), the intervention given was the use of an ankle foot orthosis with a comparison without using an ankle foot orthosis. The research subjects were post-stroke patients of all ages. The study outcome was walking speed, and the article is one in a worldwide study whose research reports an effect size (with mean and standard deviations). Meta-analyzes were performed using RevMan 5 with fixed effect models.Results: Meta-analysis of 6 randomized con­trolled trial articles from the Netherlands, Turkey, India, United Kingdom, Paris, and Canada concluded that the use of 0.09 ankle foot orthosis was higher in increasing the walking speed of post-stroke patients than not using ankle foot orthosis (ES= 0.09; 95% CI= 0.16 to 0.35; p= 0.470). Heterogeneity I2= 19%.Conclusion: The use of ankle foot orthosis has an effect on increasing walking speed in post-stroke patients, but it is not statistically significant.Keywords: stroke, ankle foot orthosis, walking speedCorrespondence: Muhibbah Fatati. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Su­ta­mi 36A, Surakarta 57126, Central Java, Indo­nesia. Email: muhibbahfatati@gmail.com. Mobile: 089633466598.Journal of Epidemiology and Public Health (2020), 05(03): 320-328https://doi.org/10.26911/jepublichealth.2020.05.03.06. 

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