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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 9 Documents
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Search results for , issue "Vol 8, No 1 (2023)" : 9 Documents clear
Effects of Overweight and Obesity on Hypertension in Adolescents: A Meta-Analysis
Journal of Epidemiology and Public Health Vol 8, No 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hypertension is currently starting to show a trend in prevalence that continues to increase at a younger age and is a major cause of premature death in the world. In adolescents, hypertension is more common who are overweight or obese. This study aims to examine the effect of overweight and obesity on the incidence of hypertension in adolescents using a meta-analysis.Subjects and Method: Meta-analysis was carried out using the PRISMA flow chart and the PICO model. Population: adolescents aged 10 to 19 years. Intervention: overweight and obesity. Comparison: normoweight. Outcome: hypertension). The databases used are PubMed, Science Direct, Springer Link, and Google Scholar with the keywords (hypertension OR "High Blood Pressure") AND "BMI Status" AND (adolescent OR teenager) AND "cross sectional". There were 9 cross-sectional studies published in 2012-2022 with odds ratio (OR) effect size that met the inclusion criteria. Analysis was performed with RevMan 5.3.Results: A meta-analysis was conducted on 9 articles with a cross-sectional study design originating from China, South Korea, India, Turkey, Tunisia, Lithuania and Poland involving 63,239 adolescents aged 10-19 years. The results of the meta-analysis showed that overweight adolescents were 2.44 times more likely to experience hypertension compared to normal weight adolescents (aOR= 2.44; 95%CI= 1.87 to 3.19; p<0.001), and obese adolescents were more likely to experience hypertension 4.53 times compared with normal weight adolescents (aOR= 4.53; 95% CI= 3.10 to 6.61; p<0.001).Conclusion: Being overweight and obese can increase the risk of developing hypertension in adolescents.Keywords: overweight, obesity, hypertension, adolescents, meta-analysisCorrespondence: Nurussyifa Afiana Zaen. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: nurussyifaaz20@gmail.com. Mobile: +6287723131415.Journal of Epidemiology and Public Health (2023), 08(01): 109-120 https://doi.org/10.26911/jepublichealth.2023.08.01.10. 
Effectiveness of Telehealth in Improving Quality of Life and Lowering Depression in Post-Stroke Patients: A Meta-Analysis
Journal of Epidemiology and Public Health Vol 8, No 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: People who have a stroke are generally more likely to have difficulty managing daily activities such as walking, bathing, dressing, and participating in activities in the community and showing symptoms of depression that affects the quality of life. Telehealth is here to help people communicate with health workers without having to come directly to health facilities. The study aims to analyze how much effect telehealth has in improving the quality of life and reducing the risk of depression in post-stroke patients.Subjects and Method: This was a meta-analysis study using PICO. Population: post-stroke patients. Intervention: telehealth. Comparison: no telehealth. Outcome: quality of Life and depression. This study used articles from several databases namely Pubmed, Google Scholar, Science Direct, and Cochrane Library using the keywords "Stroke" AND "telehealth" OR "Telerehabilitation" OR "Tele-medicine" OR "Mobile health" OR "mHealth " OR "eHealth" AND "Quality of Life" OR "Health-Related Quality of Life" AND "Depression" AND "Randomized Controlled Trial" OR "RCT" to identify relevant studies. The articles included in the study were articles in English with RCT study design, published between 2012 and 2022. Steps in the systematic review were carried out based on guidelines from PRISMA flow diagram. Quantitative analysis was performed using Revman 5.3.Results: 8 RCTs article from America, Asia, and Europe showed that post-stroke patients who obtained telehealth services on average had 0.87 units higher quality of life than those without telehealth (SMD=0.87; 95% CI =0.30 to 1.44; p=0.003). 8 RCTs article from America and Europe showed that post-stroke patients who obtained telehealth services on average had 0.44 units lower depression than those without telehealth (SMD= -0.44; 95% CI=-0.79 to -0.09; p= 0.010).Conclusion: Telehealth can improve quality of life and lower the risk of depression in post-stroke patients.Keywords: telehealth, post-stroke, quality of life, depressionCorrespondence: Siti Luluk Khamidahtun Ni'mah. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: lulupanma@gmail.com. Mobile: +628562563503.Journal of Epidemiology and Public Health (2022), 08(01): 63-76https://doi.org/10.26911/jepublichealth.2023.08.01.06.
Meta-Analysis the Effects of Social Isolation and Loneliness on Cardiovascular Disease and Death in Elderly
Journal of Epidemiology and Public Health Vol 8, No 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The impact of social isolation and loneliness on health and well-being is recognized globally as a public health problem. Social isolation can be experienced at any age, especially the elderly. This study aims to analyze and estimate the influence of social isolation and loneliness on cardiovascular disease and death in the elderly.Subjects and Method: The meta-analysis was carried out according to the PRISMA flow chart and the PICO model. P: Elderly, I: Social isolation and loneliness, C: Not social isolation and not lonely, O: Cardiovascular disease and death. Search for articles in this study through databases that include PubMed, Google Scholar, Science Direct and Scopus with keywords "social isolation" AND "loneliness" AND "cardiovascular disease" AND "elderly". “Social isolation” AND “loneliness” AND “mortality” AND “elderly”. Full paper article with cohort design, adjusted Hazard Ratio for effect size, research outcome are cardiovascular disease and death. Analysis was performed using Revman 5.3.Results: There were 18 articles with cohort designs originating from America, Finland, Canada, Taiwan, Australia, the United States, Japan, Denmark, Amsterdam, England, Sweden, Jerusalem, Europe with a total of 1,375,816 research samples. A meta-analysis of 13 cohort studies concluded that seniors who were socially isolated had a 1.23 times the risk of developing cardiovascular disease compared to those who were not socially isolated, and the effect was statistically significant (aHR= 1.23; 95% CI= 1.10 to 1.38; p= 0.003). In addition, the elderly who are socially isolated have a risk of dying 1.16 times compared to those who are not socially isolated, and this effect is statistically significant (aHR= 1.16; 95% CI= 1.07 to 1.21; p= 0.003). A meta-analysis of 13 cohort studies concluded that lonely elderly people had a 1.10 times greater risk of developing cardiovascular disease compared to lonely people, and the effect was statistically significant (aHR= 1.10; 95% CI= 1.01 to 1.20; p= 0.003). In addition, lonely elderly people have a risk of dying 1.19 times compared to being lonely, and the effect is statistically significant (aHR= 1.19; 95% CI= 1.02 to 1.39; p= 0.002).Conclusion: Social isolation and loneliness increase the risk of cardiovascular disease and death in elderly.Keywords: social isolation, loneliness, cardiovascular, death, elderly.Correspondence: Ayu Novita Wulandari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Jawa Tengah. Email: ayunovitawulandari98@gmail.com. Mobile: +6282281301325. Journal of Epidemiology and Public Health (2023), 08(01): 121-137https://doi.org/10.26911/jepublichealth.2023.08.01.11.
Effect of Injecting Drug User on the Risk of Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome: A Meta-Analysis
Journal of Epidemiology and Public Health Vol 8, No 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The problem of narcotics abuse is drug users through injecting needles. Injecting drug users are any person who uses narcotics, psychotropics and addictive substances by injection. In addition, another understanding states that injecting drug users (IDU) or Injection Drug Users (IDUs) are users of narcotics/drugs with injecting media. Injecting drug use (IDU) is one of the main causes of HIV infection due to sharing of contaminated injection equipment.Subjects and Method: The meta-analysis was carried out using the PRISMA flowchart and the PICO model. Population = adolescents and adults. Intervention= IDU/Injection Drug User. Comparison= Not an IDU/Injection Drug User. Outcome= HIV/AIDS events. The articles used in this study were obtained from several databases including PubMed, Google Scholar and Scopus. These articles were collected over 3 months. The keywords to search for articles are as follows “IDU (Injection Drug User)” AND “life style“ ”HIV/ AIDS ”. There were 15 studies, 9 cross-sectional and 6 cohort studies published in 2012-2022 that met the inclusion criteria. Analysis was performed with Revman 5.3.Results: 15 articles with a study design of 9 cross-sectional and 6 cohort studies from Canada, China, Ukraine, Virginia, Nepal, Cambodia, Scotland, Boston and Africa. Studies show that IDUs (Injecting Drug Users) have a 2.17 times risk of developing HIV/AIDS compared to non-IDUs for HIV/AIDS, and these results are statistically significant (aOR= 2.71; 95% CI= 1.22 to 6.02; p= 0.010).Conclusion: IDU (Injection Drug User) increases the incidence of HIV (Human Immunodeficiency Virus) / AIDS (Acquired Immunodeficiency Syndrome).Keywords: IDU, life style, HIV/AIDS, Drugs, Meta-AnalysisCorrespondence: Lusiana Dewi Saputri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: dewislusiana16@gmail.com. Mobile: +6282328370049.Journal of Epidemiology and Public Health (2023), 08(01): 77-87https://doi.org/10.26911/jepublichealth.2023.08.01.07. 
Meta-Analysis: The Effect of Vaccination on the COVID-19 Infection
Journal of Epidemiology and Public Health Vol 8, No 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The Indonesian government has determined that COVID-19 is a public health emer-gency and a non-natural national disaster that requires multi-strategy management. Strategies such as implementing health protocols and vaccination efforts to break the chain of transmission of COVID-19 must continue to be carried out massively. This study aims to analyze the effect of vaccina-tion on COVID-19 infection.Subjects and Method: This study is a systematic review and meta-analysis, with PICO as follows Population= population aged ≥18 years. Intervention= Vaccination. Comparison= Not vaccinated. Outcome= COVID-19 infection. The articles used in this study were obtained from several databases including PubMed, Google Scholar, and Scopus. These articles were collected over 2 months. The keywords to search for articles are as follows “Vaccine OR Vaccination AND (Infection OR Trans-mission) AND COVID-19 OR SARS-CoV-2”. The articles included in this study were full-text articles with a retrospective or prospective cohort study design. Articles are collected using PRISMA flow dia-grams. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 10 articles reviewed in this meta-analysis study originating from England, Spain, France showed that COVID-19 vaccination is effective in reducing the risk of COVID-19 infection. People who were given the COVID-19 vaccine had a 0.22 times risk of being infected compared to those who were not vaccinated, and the reduced risk was statistically significant (aHR= 0.22; 95% CI= 0.13 to 0.36; p <0.001).Conclusion: COVID-19 vaccination is effective in reducing the risk of COVID-19 infection.Keywords: vaccination, infection, COVID-19, SARS-COV-2Correspondence: Farida Nurhayati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: faridafay19@gmail.com. Mobile: +6285642154353.Journal of Epidemiology and Public Health (2022), 08(01): 35-44https://doi.org/10.26911/jepublichealth.2023.08.01.04. 
Determinants of Duration of the First Birth Interval Using the Semi-parametric Survival Model in Uttar Pradesh, India: Evidence from NFHS – 5 (2019-2021)
Journal of Epidemiology and Public Health Vol 8, No 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: First birth is an important phenomenon in women life. It not only affects the duration of the rest of birth intervals but also affects the reproductive pattern of women. The study aims to explore the determinants of the duration of the first birth interval.Subjects dan Method: The cross-sectional study data of 33,275 women married between the years 2005-2021 aged (15-49) years from Uttar Pradesh, were selected from NFHS-5 data. The NFHS-5 sample is a stratified two-stage sample. Socio-demographic, socio-economic and cultural factors were taken as independent variables. The dependent variable was the first birth interval variable. Data analysis was performed on SPSS version 23 software and R Programming language for graphical representation. Cox proportional hazard models were applied for analysis.Results: The mean age of women at first marriage was 19.4; SD=3.26 years and the mean age of women at first birth was 21.39; SD=3.24 years. The median duration of the first birth interval was22 months with an IQR of 14 until 32 months. Cox hazard proportional analysis revealed that religion, residence, (ever) fetal loss, age at first birth, heard family planning, and women or husband education were found to be statistically significant factors associated with the duration of the first birth interval (p<0.001).Conclusion: There is a need to change the mindset of people towards the concept of the use of family planning methods to increase the length of the birth interval, regardless of various factors. This would help to increase the duration of the birth interval, improve the health of women and children, as well as help reduce population growth.Keywords: Uttar Pradesh, birth interval, semi-parametric, cox model, hazard plot.Correspondence: Jai Kishun, Department of Biostatistics and Health Informatics, Sanjay Gandhi Postgraduate Institute of Medical Sciences. Lucknow – 226014, India; email: jaikishan.stat@gmail.com. Mobile:Journal of Epidemiology and Public Health (2023), 08(01): 1-14https://doi.org/10.26911/jepublichealth.2023.08.01.01
A Meta-Analisis of Correlation between Diarrhea and Stunting in Children Under Five
Journal of Epidemiology and Public Health Vol 8, No 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diarrhea is an infectious disease that can cause children to experience appetite disturbances, resulting in reduced nutritional intake, while the nutrients consumed also fail to be properly absorbed by the body. If this condition is not balanced with appropriate food intake, it can have an impact on cognitive development disorders and height growth, namely stunting. This study aimed to determine whether there was a relationship between a history of diarrhea and the incidence of stunting in toddlers, through a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This study was conducted using a systematic review and meta-analysis with PICO namely, Population: under five, Intervention; diarrhea, comparison: no diarrhea, outcome: stunting. By searching for articles in 2 databases, namely PubMed and Google Scholar, which were published from 2017 to 2022, following keywords "Diarrhea" AND "Stunting" AND "adjusted Odds Ratio" OR "aOR". The included article is a full-text cross-sectional study design for 2017-2022 and reports the adjusted odds ratio (aOR) in multivariate analysis. Articles were selected using prism flow with inclusion criteria, namely, and data analysis using the Review Manager 5.3 application.Results: In total there were 9 articles using a cross-sectional study design with a total sample of 69,549 children under five from Ethiopia, Uganda, Indonesia, Pakistan which had been carried out systematic review and meta-analysis. The data that has been processed shows that toddlers with a history of diarrhea have a risk of experiencing stunting 1.21 times compared to toddlers without a history of diarrhea (aOR= 1.57; 95% CI= 1.20 to 2.05; p< 0.001).Conclusion: Toddlers with a history of diarrhea have a risk of experiencing stunting compared to toddlers without a history of diarrhea.Keywords: diarrhea, stunting, toddlersCorrespondence: Reza Ramadhana Tahta Firmansyah, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: ramadhanatahta@gmail.com. Mobile: +6282228390930.Journal of Epidemiology and Public Health (2023), 08(01): 88-97https://doi.org/10.26911/jepublichealth.­2023.08.01.08.
Prevalence and Determinants of Smoking and Smokeless Tobacco in the Rural Population of Karnataka, India
Journal of Epidemiology and Public Health Vol 8, No 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tobacco is known as a major cause of various preventable non-communicable diseases and kills half of all its users. With a greater prevalence in the rural community compared to the urban, this global health burden is substantially malignant. This study aimed to bridge the gap in the lack of adequate statistical information pertaining to prevalence and determinants of smoking and smokeless tobacco use in the rural population of Karnataka.Subjects and Method: This randomized community interventional study was conducted in primary health center areas of Karnataka, India. A total of 4,576 persons were interviewed (2,087 males and 2,489 females). Subjects ≥30 years of age and residents for a minimum of six months were included. Mentally challenged, bedridden or differently abled subjects were excluded. The study employed a validated questionnaire adapted from the WHO STEPS questionnaire concerning demographical information, behavioral, physical, and biochemical measurements. Besides tobacco, informa-tion on use of beedis, cigarettes, and smokeless tobacco products (snuff, chewing tobacco) were also elicited. Data analysis of socio-demographic characteristics (age, educational/ marital/ occupational status) was carried out only for the participants with a current smoking habit. Data were analyzed using SPSS Version 18.0.Results: The overall prevalence rate of current smoking and smokeless tobacco habit in the study population was 54.8% (95%CI= 53.40 to 56.20) and the prevalence rate of ever/past users was 39.7% (95%CI= 38.26 to 41.10). Genderwise analysis predicted a higher prevalence of males currently smoking, and among them, most were 50 to 59 years of age (43.3%), illiterate (42.7%), widowed/ separated (39.8%), unskilled (44%), and semi-skilled workers (30%).Conclusion: Both genders participate in tobacco use, prevalence of smoking was higher among men and consumption of smokeless tobacco was higher among women. Subjects aged 50-59 years, illiterate, divorced/widowed/separated and, involved in unskilled or semi-skilled labor exhibited greater prevalence of tobacco habit compared to other determinants.Keywords: noncommunicable diseases, global health, tobacco use, tobacco smoking, smokeless tobacco.Correspondence: Dinesh Rajaram, Associate Professor. Department of Community Medicine, M.S. Ramaiah Medical college and Hospital, Bengaluru 560054, Karnataka, India. Email id.: dinesh.gayathri6@gmail.com. Mobile: +919980336893.Journal of Epidemiology and Public Health (2023), 08(01): 15-24https://doi.org/10.26911/jepublichealth.2023.08.01.02.
Effect of Dapagliflozin in Lowering Risk of Heart Failure Severity: Meta-Analysis
Journal of Epidemiology and Public Health Vol 8, No 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Heart failure is a progressive health problem with high mortality and morbidity rates in developed as well as developing countries including Indonesia. Dapagliflozin is one of the oral antidiabetic medicines of the class of sodium-glucose cotransporter-2 (SGLT2) inhibitors, used in people with type 2 diabetes mellitus (DMT2). Unlike other oral anti-diabetes that work to stimulate insulin secretion or increase insulin sensitivity, dapagliflozin works in the kidneys by competitively inhibiting the SGLT2 protein reversibly which serves in glucose reabsorption in the glomerulus thereby lowering blood sugar levels in T2DM patients. This study aimed to determine the estimated effect of dapagliflozin on the severity of heart failure patients.Subjects and Method: This study was a systematic review and meta-analysis with PICO. Population= Heart failure patients over 18 years old. Intervention= administration of dapagliflozin. Comparison= Placebo. Outcome= severity of Heart Failure. The articles used PRISMA flowchart guidelines. The article search process was conducted from 2019 to 2022 using databases from PubMed, Google Scholar, and Scopus with the search keywords Dapagliflozin, Heart Failure, and Placebo. The analysis was performed using RevMan 5.4 software.Results: A total of 8 articles from across 2 continents, America and Asia, reviewed in the meta-analysis, showed that administering Dapagliflozin could reduce the risk of heart failure severity by 0.99 units compared to without dapagliflozin, however, it was statistically insignificant (OR= 0.99; 95% CI= 0.92 to 1.06; p= 0.710).Conclusion: The administration of Dapagliflozin lowers the risk of heart failure severity and is statistically significant.Keywords: dapagliflozin, heart failure, placeboCorrespondence: Andreza. Universitas Hasanuddin. Jl. Perintis Kemerdekaan No.KM.10, Tamalanrea Indah, Kec. Tamalanrea, Makasar City, South Sulawesi. Email: andrezafauzialghifary@gmail.com. Mobile: +625299015320.Journal of Epidemiology and Public Health (2023), 08(01): 25-34https://doi.org/10.26911/jepublichealth.2023.08.01.03

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