Journal of Epidemiology and Public Health (JEPH)
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Determinants of Quality of Life among Patient with Knee Osteoarthritis
Get PDFBackground: 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
Contextual Effect of Village on the Incidence of Tuberculosis in Children in Surakarta, Central Java: A Multilevel Analysis Evidence
Get PDFBackground: 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 i
Factors Associated with Tuberculosis in Deli Serdang, North Sumatera
Get PDFBackground: Tuberculosis (TB) is still a major public health problem in most developing countries and its incidence is rising in many developed countries. This study aimed to examine factors associated with tuberculosis in Deli Serdang, North SumateraSubjects and Method: This was a cross-sectional study conducted in Deli Serdang, North Sumatera. A sample of 190 study subjects was selected for this study comprising of 95 TB patients and 95 non-TB patients. The dependent variable was tuberculosis. The independent variables were sex, education, BCG immunization, smoking, nutritional status, and dwelling density. Data on TB status were taken from medical record. The other variables were measured by questionnaire. The data were analyzed by a multiple logistic regression.Results: The risk of TB decreased with female sex (OR= 0.33; 95% CI= 0.11 to 0.98; p= 0.046). The risk of TB increased with low education (OR= 8.47; 95% CI= 3.01 to 23.80; p<0.001), had no BCG immunization (OR= 8.86; 95% CI= 3.28 to 23.94; p<0.001), smoking (OR 6.69; 95% CI= 2.20 to 20.38; p=0.001), high dwelling density (OR= 10.35; 95% CI= 4.06 to 26.41; p<0.001), and poor nutritional status (OR= 3.44; 95% CI= 0.85 to 14.03; p= 0.085).Conclusion: The risk of TB decreases with female sex, but increases with low education, had no BCG immunization, smoking, high dwelling density, and poor nutritional status.Keywords: Tuberculosis, sex, BCG immunization, dwelling density, nutritional statusCorrespondence
Risk Factors of Hypertension among Women in Sragen, Central Java
Get PDFBackground: Hypertension has become a global problem because its prevalence continues to increase to the stage of worrying. Health profile data of Sragen District Health Office in 2014 showed that out of 175,750 people aged >18 years who took blood pressure measurement, there were 28.73% (50,499 people) identified as having high blood pressure and 25,928 of them were women. This study aimed to examine the risk factors of hypertension among women in Sragen, Central Java, Indonesia.Subjects and Method: This was a case-control study conducted in Sragen, Central Java. The total sample of 200 women was selected by fixed disease sampling. The dependent variable was hypertension. The independent variables were age, history of hypertension, stress, smoking, physical activity, alcohol consumption, salt consumption, coffee consumption, body mass index (BMI), and cholesterol level. Blood pressure was measured by sphygmomanometer. The other data were measured by questionnaire. The data were analyzed by multiple logistic regression.Results: Age ?40 years (OR= 5.27; 95% CI= 1.81 to 15.28; p= 0.002), had history of hypertension (OR= 4.75; 95% CI= 1.46 to 15.39; p= 0.009), stress (OR= 5.32; 95% CI= 1.50 to 18.84; p= 0.009), smoking (OR= 17.51; 95% CI= 1.18 to 258.70; p= 0.037), low physical activity (OR= 7.89; 95% CI= 2.44 to 25.51; p = 0.001), alcohol consumption (OR= 23.06; 95% CI= 1.49 to 335.39; p= 0.025), salt consumption (OR= 16.68; 95% CI= 1.61 to 172.83; p= 0.018), coffee consumption (OR= 4.19; 95% CI= 1.03 to 16.98; p= 0.045), BMI (OR= 5.60; 95% CI= 1.23 to 9.71; p= 0.018), high total cholesterol (OR= 6.49; 95% CI = 2.00 to 21.05; p = 0.002) increased the risk of hypertension among women. Nagelkerke R Square= 72.2%.Conclusion: Age ?40 years, history of hypertension, stress, smoking, low physical activity, alcohol consumption, salt consumption, coffee consumption, BMI, high total cholesterol increase the risk of hypertension among women.Keyword: hypertension, determinants, womenCorrespondence
Contextual Effect of School on the Risk Obesity among High School Students in Surakarta, Central Java: A Multilevel Analysis Evidence
Get PDFBackground: 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/
Factors Affecting Occurrence of Depression in Patients with Cervical Cancer at Dr. Moewardi Hospital Surakarta, Central Java: A Path Analysis Model
Get PDFBackground: 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 chemoth
Path Analysis on the Determinants of Adherence to Anti Tuberculosis Drug Treatment in Kaur District, Bengkulu, Indonesia
Get PDFBackground: Drug treatment compliance was the behavior of patients to take medication and undergo treatment according to the rules determined by professional health personnels. Many factors influenced the compliance with treatment for tuberculosis patients. This study aimed to examine determinants of drug treatment compliance among tuberculosis patients.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 16 community health centers in Kaur Regency, Bengkulu, Indonesia, from January to February 2019. A sample of 206 study subjects was selected by purposive sampling. The dependent variable was drug treatment adherence. The indepe
Effectiveness of Larva Monitoring Training on Knowledge of Dengue Hemorragic Fever Control among Primary School Students in Sibolga, North Sumatera
Get PDFBackground: Dengue hemorrhagic fever (DHF) is one of the most important public health problems in tropical developing countries. It also has major economic and societal consequences. This study aimed to assess the effectiveness of larva monitoring training on knowledge of dengue hemorrhagic fever control among primary school students in Sibolga, North Sumatera.Subjects and Method: This was a quasi-experiment before and after with no controlled design. The study was conducted in elementary school in Sibolga, North Sumatera, in 2018. A sample of 30 students was selected for this study and received training on DHF for four days. The training employed leaflet and video. The dependent variable was kno
Risk Factors of Hypertension in High School Students: Multilevel Evidence of The Contextual Effect of School
Get PDFBackground: In 2025, it is projected that 29% of the world's citizens will suffer from hype
Meta-analysis on The Effects of Hypertension, Type II Diabetes Mellitus, and Smoking on the Risk of Stroke among Asian Young Adult Population
Get PDFBackground: 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 guid