Journal of Epidemiology and Public Health (JEPH)
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Effect of Locus of Control, Self-Efficacy, and Personality Type on the Quality of Life among Caregivers of Schizophrenia Patient in Godean Sub-District, Yogyakarta
Get PDFBackground: Caregivers of schizophrenia patients have an important role in fulfiling the need of patients. This task implicates on care burden and physological problems on the caregivers. The quality of life of the caregivers may have important impact on the caring process. This study aimed to examine effect of locus of control, self-efficacy and personality type on the quality of life among caregivers of schizophrenia patient.Subjects and Method: This study was analytic observational with cross-sectional design. It was carried out at Godean Sub-District, Yogyakarta, from March to April 2017. A sample of 102 caregivers of schizophrenia patient were selected for this study by fixed diseases sampling. The dependent variable wa quality of life. The independent variables were age, gender, personality type, locus of control, self-efficacy, family concern, family income. The data was collected by questionnaire, and analyzed by path analysis.Results: Higher quality of life of caregivers was affected by self-efficacy (b=0.46; SE=0.15; p<0.001), extrovert personality (b=0.21; SE=0.10; p=0.01), and higher family income (b=0.18; SE=0.05; p=0.02). Self-efficacy was affected by better family concern (b=0.22, SE=0.16; p=0.02) and extrovert personality (b=0.33; SE=0.06; p<0.001).Conclusion: Higher quality of life of caregivers was directly affected by self-efficacy, extrovert personality, and higher family income. Higher quality of life of caregivers was indirectly affected by better family concern and extrovert personality.Keywords: quality of life, locus of control, self-efficacy, schizophrenia, caregiverCorrespondence: Mulyanti. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: [email protected]. Mobile: +6285868823105.Journal of Epidemiology and Public Health (2017), 2(1): 20-31https://doi.org/10.26911/jepublichealth.2017.02.01.03
Health Belief Model on the Factors Associated with the Use of HPV Vaccine for the Prevention of Cervical Cancer among Women in Kediri, East Java
Get PDFBackground: Cervical cancer is a deadly disease with high incidence rates in the world and in Indonesia. In Kediri, East Java, there were 33 women who had cervical cancer in 2016, 3 of them died. Cervical cancer is caused by type 16 and type 18 Human Papilloma Viruses (HPV). This disease can be prevented by the application of HPV vaccine. This study aimed to examine factors associated with the use of HPV vaccine for the prevention of cervical cancer among women in Kediri, East Java, using health belief model (HBM).Subjects and Method: This study was an analytic observational with case control design. It was conducted in Kediri, East Java, from February 10 to March 10, 2017. A sample of 120 women consisting of 40 women who had used HPV vaccine and 80 women who had not used HPV vaccine, were selected for this study by fixed disease sampling. The dependent variable was use of HPV vaccine. The independent variables included perceived susceptibility, perceived severity, perceived benefit, perceived threat, perceived barrier, and cues to action. The data were collected by a set of pre-tested questionnaire. Logistic regression was employed for data analysis.Results: The use of HPV vaccine was associated with perceived susceptibility (OR= 0.79; 95% CI= 0.23 to 2.70; p= 0.710), perceived severity (OR= 5.19; 95% CI= 1.30 to 20.66; p= 0.019), perceived threat (OR= 1.04; 95% CI= 0.32 to 3.35; p= 0.942), perceived benefit (OR= 1.33; 95% CI= 0.40 to 4.38; p= 0.638), perceived barrier (OR= 0.42; 95% CI= 0.14 to 1.27; p= 0.126), and cues to action (OR= 5.90; 95% CI= 1.30 to 26.74; p = 0.021).Conclusion: The use of HPV vaccine is associated with perceived susceptibility, perceived severity, perceived threat, perceived benefit, perceived barrier, and cues to action. Constructs in health belief model can be used to predict the use of HPV vaccine.Keywords: health belief model, use of HPV vaccineCorrespondence: Rosi Rizqi Nugrahani. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: [email protected]. Mobile: +6285735150606.Journal of Epidemiology and Public Health (2017), 2(1): 70-81https://doi.org/10.26911/jepublichealth.2017.02.01.07
Effect of Biopsychosocial Factors and Environmental Sanitation on Nutritional Status of Children Under Five Years Old in Nganjuk District
Get PDFBackground: One of the important public health issues in Indonesia is nutritional status, particularly in children under five years old. Lack of maternal awareness of dietary intake for their children may affect growth and development. This study aimed to investigate the effect of biopsychosocial factors and environmental sanitation on nutritional status of childrens in Nganjuk District.Subject dan Method: This was an analytic observational study using cross-sectional design. The study was conducted at Loceret Community Health Center, Nganjuk District, East Java, from March to April 2017. A sample of 136 children under five years old were selected for this study by fixed exposure sampling. The variable dependent was nutritional status measured in weight for age. The independent variables were dietary intake, history of infection disease, maternal stress, maternal education, family income, and environmental sanitation. The data were collected by anthropometry, medical record, and questionnaire. The data were analyzed with path analysis.Results: Weight for age of children under five was affected by dietary intake (b= 0.23, SE<0.001, p= 0.003), maternal education (b= 0.72, S.E= 0.28, p= 0.012), and history of infectious disease (b=0.80; SE= 0.29; p= 0.007). History of infectious disease was affected by environmental sanitation (b=0.31; SE<0.001; p<0.001), and family income (b= 0.25, SE= 0.05, p<0.001). Dietary intake was affected by family income (b= 0.58, SE= 0.21, p= 0.007), history of infectious disease (b= 12.31; SE= 3.20; p<0.001), and maternal education (b=7.39; SE=3.09, p=0.017). Maternal stress was affected by family income (b=-0.16; SE= 0.06; p= 0.008).Conclusion: Weight for age of children under five was directly affected by dietary intake, maternal education, and history of infectious disease. Weight for age of children under five was indirectly affected by environmental sanitation, family income, history of infectious disease, and maternal education.Keywords: biopsychosocial, path analysis, environmental sanitation, nutritional statusCorrespondence: Wiwen Indita. Masters Program in Public Heath, Sebelas Maret University, Surakarta, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6282244970118.Journal of Epidemiology and Public Health (2017), 2(1): 32-44https://doi.org/10.26911/jepublichealth.2017.02.01.0
Effects of Education, Nutrition Status, Treatment Compliance, Family Income, and Family Support, on the Cure of Tuberculosis in Mojokerto, East Java
Get PDFBackground: Tuberculosis is an important global public health issue. Countries around the world have committed to control the disease with various programs. However, the cure of Tuberculosis treatment in many countries is still low, which can hamper the success of Tuberculosis control program. Productivity of Tuberculosis patients continues to decrease that leads to socioeconomic burden. This study aimed to examine the effects of education, nutrition status, treatment compliance, family income, and family support, on the cure of Tuberculosis.Subjects and Method: This was an observational analytic study with case control design. The study was conducted in Mojokerto, East Java, from April to May, 2017. A total sample of 108 Tuberculosis patients were selected for this study by fixed disease sampling. The sample consisted of 35 uncured cases of Tuberculosis and 73 cured cases of Tuberculosis. The dependent variable was cure of Tuberculosis. The independent variables were education, nutrition status, treatment compliance, family income, and family support. The data was collected by a set of questionnaire and analyzed using path analysis.Results: Nutritional status (b= 1.31; 95% CI = 0.41 to 2.22; p=0.004) and treatment compliance (b= 1.07; 95% CI= 0.17 to 1.97; p=0.019) directly and positively affect the cure of Tuberculosis. Nutritional status was affected by high education (b=1.62; 95% CI =0.62 to 2.63; p=0.002), family income (b=1.66; 95% CI =0.70 to 2.62; p=0.001), and strong family support (b=1.50; 95% CI =0.36 to 2.63; p=0.010). Treatment compliance was affected by high education (b= 0.84; 95% CI = -0.14 to 1.81; p=0.093), family income (b= 1.36; 95% CI =0.42 to 2.30; p=0.005), and strong family support (b=2.08; 95% CI =0.96 to 3.19; p<0.001).Conclusion: Cure of Tuberculosis is directly affected by nutritional status and treatment compliance. Education, family support, and family income, indirectly affect cure of Tuberculosis.Keywords: cure of Tuberculosis, education, nutrition status, family income, family support, treatment complianceCorrespondence: Puspitasari. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281333060714.Journal of Epidemiology and Public Health (2017), 2(2): 141-153https://doi.org/10.26911/jepublichealth.2017.02.02.0
Social Learning Theory on Factors Associated with Dental Caries among Mentally Disabled School Children in Surakarta, Central Java
Get PDFBackground: Mentally disabled adolescents have limitations that make them are at greater risk of dental caries. There is a lack of studies on the factors associated with dental caries in adolescents using Social Learning Theory. This study aimed to determine factors associated with dental caries among mentally disabled adolescents using Social Learning Theory.Subjects and Method: This was an analytic observational study using cross-sectional design. The study was conducted at several special schools for disabled children (SLB) Surakarta, including: SLB C Setya Darma, SLB C YPSLB, SLB CG YPPCG Bina Sejahtera, and SLB C1 YSSD, in Surakarta, Central Java, from June to July 2017. A sample of 150 mentally disabled school children were selected for this study by purposive sampling. The dependent variable was caries dental status. The independent variables were parenting time, maternal oral health knowledge, maternal attitude towards oral health, maternal oral hygiene practice, child oral hygiene practice, maternal sweet food intake, child sweet food intake. Dental caries status was measured by decay, missing, filled-teeth (DMF-T) index. The other data were collected by questionnaire. The data were analyzed by path analysis.Results: Dental caries was directly and positively associated with sweet food intake (ƅ= 0.27, SE= 0.09, p= 0.002), poor child oral hygiene practice (ƅ= 0.09, SE= 0.04, p= 0.018), and poor maternal oral health knowledge (b= 0.36, SE= 0.10, p<0.001). Maternal oral hygiene practice was associated with maternal attitude towards oral health (ƅ= 0.33, SE= 0.13, p= 0.012) and maternal oral health (ƅ= 0.18, p<0.001). Child oral hygiene practice was associated with maternal oral hygiene practice (ƅ= 0.33, SE= 0.06, p= 0.012), maternal oral health knowledge (ƅ= 0.91, SE= 0.18, p<0.001), and parenting time (ƅ= 1.39, SE= 0.18, p<0.001).Conclusion: Dental caries is associated with sweet food intake, poor child oral hygiene practice, and poor maternal oral health knowledge. Maternal knowledge, attitude, and practice in oral hygiene have an important role on dental caries in mentally disabled adolescents.Keywords: dental caries, adolescents, maternal oral health practice, social learning theoryCorrespondence: Anggia Rahmah Nursani. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: [email protected]. Mobile: +6287738923404.Journal of Epidemiology and Public Health (2017), 2(3): 201-215https://doi.org/10.26911/jepublichealth.2017.02.03.0
Safe Sexual Behaviors for Early Detection and Prevention of HIV/AIDS Transmission among Queers in Tulungagung, East Java, Using Theory of Planned Behavior
Get PDFBackground: Sexual intercourse is one of the primary modes of HIV transmission. Sexual activity among heterosexuals has the highest risk of HIV transmission. However, sexual activity among queers also contributed much of the HIV/AIDS case increase. The prevalence of HIV/AIDS infection was high among queers in Tulungagung, East Java. This study aimed to examine safe sexual behaviors for early detection and prevention of HIV/AIDS transmission among queers using Theory of Planned Behavior.Subjects and Method: This was a qualitative study with phenomenology approach. The study was carried out at queers’ peer group namely Aprikot basecamp, Tulungagung, East Java, from 23 April to 17 June, 2017. The informants in this study included queers with positive HIV status and those with negative HIV status. These informants consisted of queer commercial sex workers, queers with steady partner, queers who had recently been registered as Apricot members, queers who had become Apricot members for long, Cesmid NGO, program manager of Local Commision for AIDS Control, health personnels, and officers at District Health Office Tulungagung. The informants were selected by maximum variation sampling. The data were collected using in-depth interview, observation, and document review methods. The data were analyzed by interactive analysis method, including data collection, data reduction, data display, and verification.Results: Five queer informants who worked as commercial sex workers were HIV positive. A queer informant who owned beauty salon had a steady partner. In general, queers had positive attitude towards early detection and prevention of HIV by undertaking regular three monthly HIV tests. The subjective norm in the community was very influential such that all Apricot members always complied with every rule available in the community. As a result, the queers had a stronger intention to do HIV early detection and prevention.Conclusion: Subjective norm is an important determinant for HIV early detection and prevention among queers. It is suggested that the positive norm in the community pertinent to sexual behavior be capitalized and strengtened so as to increase adherence to healthy and safe sexual behaviors among the queers.Keywords: risky sexual behaviors, early detection, prevention, HIV/ AIDS, queerCorrespondence: Widya Lusi Arisona. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285646430617.Journal of Epidemiology and Public Health (2017), 2(2): 164-173https://doi.org/10.26911/jepublichealth.2017.02.02.0
The Effect of Dietary Intake and Social Economic Factors on the Risk of Stunting in Primary School Children in Surakarta, Central Java
No full textBackground: It is estimated there are 156 million of children or as much as (23%) all over the world who endure stunting. Stunting prevalence in Indonesia reaches 29%, the figure is the highest among South East Asia countries. Whereas stunting can cause the escalating mortality and morbidity rate on children, delayed mental development, and reduced intellectual capacity. The study aimed to elaborate the effect of nutrient intake and socioeconomic factor toward stunting incidence among primary school students.Subjects and Method: The study used analytic observational study with cross sectional design. The location of the study was in the city of Surakarta in February up to March 2017. There was a total of 145 subjects of the study. The sampling technique used was multi stage random sampling. Independent variables of the study were protein intake, energy intake, maternal education, maternal occupational status and family income. Dependent variable was stunting. The study used questionnaires and body height measurement for data collection. The data processing used was path analysis.Results: Statistical result showed that Stunting Incidence was affected by energy intake (b=0.02,p<0.001), protein intake (b=0.02; p<0.001), maternal education (b=0.23; p=0.187), family income (b=0.01; p=0.051). Energy intake was affected by maternal education (b=9.56; p=0.77) and family income (b=1.81; p=0.0.05). Protein intake was affected by maternal education (b=1.75; p=0.051), maternal occupational status (b=-2.30; p=0.33) and family income (b=0.12; p=0.11).Conclusion: Height per age was affected by energy intake, protein intake, maternal education and family income. Energy intake was affected by maternal education and family income. Protein intake was affected by maternal education, maternal occupational status, and family income.Key words : Primary school students, Nutrient Intake, StuntingCorrespondence: Agustina Dwi Utami. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6282312719036.Journal of Epidemiology and Public Health (2017), 2(1): 1-10https://doi.org/10.26911/jepublichealth.2017.02.01.0
The Influence of Family Support, Social Capital, Self Efficacy, Education, Employment, Income, and Residential Status on the Quality of Life among the Elderly in Salatiga, Central Java
Get PDFBackground: Lengthening life expectancy of population worldwide has led to rapid growth of the elderly population. This change indicates good development progress. However, it also poses quality of life concern among the elderly. Since the elderly have limitation in many ways, their quality of life decreases, often requiring self-confidence, family support, as well as community awareness, to improve their quality of life. Quality of life is affected by physical, psychological, social and environmental conditions. This study aimed to determine the effects of self efficacy, education, employment status, income, family support, social capital, and residential status on the quality of life of the elderly.Subjects dan Method: This was an analytic observational study using cross-sectional design. The study was conducted in 6 villages, in Sidorejo sub-district, Salatiga, Central Java, from March to April 2017. A total sample of 150 elderlies aged between 60 to 74 years old were selected for this study by stratified random sampling. The exogenous variables were education, social capital and residential status. The endogenous variables were family support, self efficacy, employment status, income, and the quality of life. The data were collected by a set of questionnaire and analyzed by path analysis.Results: The quality of life of the elderly was directly affected by income (b=0.06; SE= 1.16; p=0.005), family support (b=0.14; SE=0.22; p=0.003), and self efficacy (b=0.79; SE= 0.11; p<0.001). Family support was affected by residence status (b=0.54; SE=0.88; p<0,001), income (b=0.21; SE=0.40; p<0.001), and social capital (b=0.41; SE=0.02; p<0.001). Self efficacy was affected by family support (b=0.54; SE=0.10; p<0.001), and social capital (b=0.40; SE=0.04; p<0.001). Employment status was affected by education (b=0.16; SE=0.09; p=0.043). Income was influenced by education (b= 0.71; SE= 0.06; p<0.001).Conclusion: The quality of life of the elderly is directly affected by income, family support, and self efficacy. The quality of life is indirectly affected by education, employment status, social capital, and residential status.Keywords: quality of life, influencing factor, elderly, path analysisCorrespondence: Kadarwati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: [email protected]. Mobile: +6285728953956.Journal of Epidemiology and Public Health (2017), 2(1): 58-69https://doi.org/10.26911/jepublichealth.2017.02.01.06
Biopsychosocial Factors Associated with Mental Retardation in Children Aged 6-17 Years in Tulungagung District, East Java
Get PDFBackground: According to WHO, 15% of the world population, or 785 million people, suffer mental or physical disorders. Mental retardation is a serious problem socially and medically. Mental retardation affects child development in various forms: physical, self-care, communication, social, emotional, and mental. The objective of this study was to determine biopsychosocial factors associated with mental retardation in children aged 6-17 years.Subjects and Method: This study was observational analytic with case control design. It was conducted at Kauman and Tulungangung community health centers in Tulungangung District, East Java, from April to May, 2017. A sample of 100 parents of children aged 6 to 17 years old were selected for this study by fixed disease sampling. This sample consisted of 25 parents of children with mental retardation and 75 parents of children without mental retardation. Children with mental retardation were identified and sampled at a disability special school in Tulungagung, East Java. The dependent variable was mental retardation. The independent variables were prenatal history, perinatal history, maternal stress during pregnancy, maternal education, and family income. The data were collected by a pre-tested questionnaire. Maternal stress was measured by Holmes and Rahe stress scale. The data was analyzed by path analysis.Results: Mental retardation was directly associated with prenatal history (b= 1.17; 95% CI= 0.65 to 2.27; p= 0.038), perinatal history (b= 1.41; 95% CI= 0.87 to 2.73; p= 0.037), and maternal stress during pregnancy (b= 1.84; 95% CI = 0.59 to 3.09; p= 0.004). Prenatal history was associated with maternal education (b= -1.16; 95% CI= -2.17 to -0.15; p= 0.025) and maternal stress during pregnancy (b= 1.48; 95% CI= 0.43 to 2.54; p= 0.006). maternal stress during pregnancy was associated with maternal education (b= -1.65; 95% CI= 2.62 to -0.69; p=0.001) and family income (b=-1.35; 95% CI= 2.29 to -0.41; p=0.005). Family income was associated with maternal education (b= 1.70; 95% CI= 0.82 to 2.57; p<0.001).Conclusion: Mental retardation is directly associated with prenatal history, perinatal history, and maternal stress during pregnancy.Keywords: mental retardation, biopsychosocial factors, childrenCorrespondence: Yani Ikawati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: [email protected]. Mobile: +6285655730050.Journal of Epidemiology and Publich Health (2017), 2(2): 119-129https://doi.org/10.26911/jepublichealth.2017.02.02.0
Factors Affecting the Success of Multi Drug Resistance (MDR-TB) Tuberculosis Treatment in Residential Surakarta
Get PDFBackground: Tuberculosis (TB) is a global public health concern. The new challenge in TB control is the development of TB multi drug resistance (MDR-TB). Indonesia ranks 8th highest in the incidence of MDR-TB with 8,900 MDR-TB cases in 2004. A case was defined as MDR-TB if the Mycobacterium tuberculosis was resistant to rifampicin dan isoniazid. This study aimed to determine the factors affecting the success of multi drug resistance (MDR-TB) tuberculosis treatment.Subjects and Method: This was an analytic observational study using case control design. The study was conducted at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia, in October 2014. The case population were MDR-TB patients visiting Dr. Moewardi Hospital for TB treatment from 2011 to October 2014. A sample of 84 TB cases consisting of 26 patients who dropped out, defaulted, or died, and 58 patients who successfully completed TB treatment, were selected for this study. The independent variables were sex, age, marital status, nutrional status, education, employment status, drug side effect, family support, and distance to health facility. The dependent variable was success of treatment. The data were collected by direct interview, questionnaire, and medical record. Logistic regression was employed for data analysis.Results: Age (OR= 0.93; 95% CI = 0.88 to 0.97; p=0.004) and drug side effect (OR= 6.84; 95% CI = 2.50 to 18.74; p<0.001) affected the success of TB treatment and statistically significant. Sex (OR= 0.66; 95% CI = 0.17 to 2.58; p=0.556), education (OR=0.90; 95% CI = 0.52 to 1.58; p=0.724), employment status (OR= 0.87; 95% CI = 0.59 to 1.28; p=0.485) affected the success of TB treatment but statistically not significant.Conclusion: Success of TB treatment is affected by age and drug side effect.Keywords: success of treatment, tuberculosis, multi drug resistance.Correspondence: Elisabeth Ria Widyasrini. Public Health Center, Klaten, Central Java. Email: [email protected], mobile: +628990833108.Journal of Epidemiology and Public Health (2017), 2(1): 45-57https://doi.org/10.26911/jepublichealth.2017.02.01.05