Journal of Epidemiology and Public Health
type: channel
description: e-ISSN: 2549-0273 Publisher: Masters Program in Public Health, Sebelas Maret University Jl. Ir Sutami 36A, Surakarta 57126, Central Java, Indonesia Editor in Chief: Prof. Bhisma Murti, Universitas Sebelas Maret, Indonesia Aim and Scope The Journal of Epidemiology and Public Health (JEPH) is an open-access, peer-reviewed international journal dedicated to advancing knowledge and research in the fields of epidemiology and public health. Established on June 2, 2015, JEPH publishes high-quality original research articles, systematic reviews, and meta-analyses on a quarterly basis. Our mission is to contribute to the global improvement of population health by disseminating rigorous scientific evidence that informs public health policy, practice, and education. The journal seeks to highlight innovative research that addresses contemporary health challenges, with a particular emphasis on health disparities, disease prevention, health promotion, and health systems strengthening. JEPH welcomes contributions from researchers around the world and is particularly committed to amplifying the voices of scholars from low- and middle-income countries (LMICs). We encourage submissions that tackle regionally relevant health issues, apply robust epidemiological methods, and propose evidence-based solutions to pressing public health problems. Key areas of interest include, but are not limited to: Epidemiological studies of communicable and non-communicable diseases Social determinants of health and health inequalities Health systems research and policy evaluation Public health interventions and health promotion Environmental and occupational health Global health and health equity Biostatistics and methodological advances in epidemiological research Pandemic preparedness and response JEPH is officially accredited by the Ministry of Research, Technology, and Higher Education, Government of Indonesia, under decree No. 10/C/C3/DT.05.00/2025. The journal holds SINTA 2 status, valid from Jul…
publisher: Masters Program in Public Health
language: en
publication name: Journal of Epidemiology and Public Health
issn: 2549-0273
items: Type 2 Diabetes Mellitus is the Risk Factor for Multi-drug Resistance Tuberculosis: A Meta-Analysis
items: Effect of Noise Exposure on Occupational Stress and Hypertension among Workers: a Meta-Analysis
items: The Impact of Long-Term Particulate Matter with Diameter Micrometers ≤2.5 Exposure on Type 2 Diabetes Risk: A Meta-Analysis
items: Effect of Early Mobilization on Intestinal Peristaltic Recovery As Prevention of Paralytic Ileus in Post Cesarean Section Patients
items: The Relationship Between Macronutrient Intake and Stunting Among Children Aged 1–2 Years: Quantitative and Qualitative Approaches
items: Effect of Banana Consumption to Reducing Hyperemesis Gravidarum In Pregnant Women
items: Environmental Risk Factors and Hookworm Infection among Schoolchildren in Rural Areas of Indonesia
items: Maintaining Occupational Health: An Analysis of Fatigue and Safety Compliance in Construction Workers
items: Determinants of Dementia Among the Elderly in Jakarta, Indonesia
items: Impact of Pesticide Exposure on Farmer Metabolism Systems : A Systematic Review
items: Global Research Trends on Preconception Care on the Infertility Prevention: A Bibliometric Study
items: Effect of Parenting Style on the Incidence of Sibling Rivalry in Children in Surakarta, Central Java
items: Factors Associated with Pregnant Women's Compliance with Fit-to-Fly Recommendations at El Tari Airport in 2024
items: Children Under 5 Years as Predicting Dengue Transmission in Kebumen District, Indonesia: Case Study Mapping Approaches
items: Evaluating the Effectiveness of Measles Surveillance Systems in Africa: A Systematic Review of Epidemiological Trends, and Laboratory Performance
items: The Impact of Childhood Trauma on Adolescent Sexual Health: A Scoping Review
items: EFFECTIVENESS OF LOW GLYCEMIC INDEX HIGH PROTEIN DIET ON AGES AND INTERLEUIKIN-6 LEVELS IN PCOS-INSULIN RESISTANCE MODEL MICE
items: Unwanted Pregnancy and Maternal Mental Health Based on the WHO SRQ-20: A Meta-Analysis
items: Lifestyle among Sports Students: Correlations of Physical Activity, Smoking, Coffee, Screen Time, and Sleep Quality
items: Spatial Analysis of Determinants of Hypertension Incidence in Kota Lama Subdistrict, Kupang, Indonesia

Type 2 Diabetes Mellitus is the Risk Factor for Multi-drug Resistance Tuberculosis: A Meta-Analysis
type: item
description: Background: Type 2 Diabetes Mellitus (T2DM) has a significant risk of developing active Tuber-culosis (TB) and complicates its treatment. There is no conclusive evidence on whether TB-T2DM comorbidities are associated with an increased risk of Multidrug Resistant Tuberculosis (MDR-TB). The study aims to analyze and estimate the relationship of T2DM to MDR-TB incidence and to estimate the size of the combined effect. Subjects and Method: This study was a meta-analysis with PICO, Population: patients actively undergoing MDR-TB treatment. Intervention: Patients with comorbid Type 2 Diabetes Mellitus. Comparison: Tuberculosis patients without comorbid Type 2 diabetes mellitus. Output: MDR-TB (Multidrug Resistant Tuberculosis). The articles used in this study were obtained from databases with keywords to search for articles were ("Diabetes Mellitus, Type 2" OR "diabetic" OR "diabetes") AND "tuberculosis" AND ("Tuberculosis, Multidrug-Resistant" OR "drug resistance" OR "multidrug-resistant" OR "multidrug resistant" OR "multidrug resistance" OR "drug-resistant" OR "drug resistant"). Articles were selected based on inclusion criteria, is published in the form of an English full-text article from January 2015 to January 2025, reporting the relationship between T2DM and MDR-TB among TB patients. The articles were selected using the PRISMA flow diagram and analyzed using the Review Manager 5.3 application. Results: This meta-analysis consisted of 9 articles originating from Europe, Asia, Africa and America. Results of the meta-analysis showed that the cohort study of type 2 diabetes mellitus had a 4.11 times greater risk of developing MDR-TB compared to people who did not have type 2 diabetes mellitus. In a control case study of type 2 diabetes mellitus, there was a 3.11 times greater risk of developing MDR-TB than people without type 2 diabetes mellitus, and both were statistically significant (aOR= 3.39; CI 95%= 2.05 to 8.24; p= 0.001). Conclusion: Type 2 diabetes mellitus i…
subject: Articles
  topic: section
creator: Bibit Irawan
creator: Farit Setyo Nugroho
creator: Nine Elissa Maharani
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-07-16
publication date: 2025-07-16
starting page: 424
ending page: 433
doi: 10.26911/jepublichealth.2025.10.03.12

Effect of Noise Exposure on Occupational Stress and Hypertension among Workers: a Meta-Analysis
type: item
description: Background: The work environment greatly affects the health condition of the workers so that there are no work-related accidents or occupational diseases. Noisy physical environmental factors above the threshold value have a risk of causing occupational diseases such as psychological work stress and hypertension. This study aims to analyze the effect of noise exposure on occupational stress and hypertension among workers. Subjects and Method: This study is a systematic review and meta analysis with the following PICO. P: working society, I: exposure noise ≥85 dBA, C: not exposed to noise ≥85 dBA, O: Stress and Hypertension. This study used of articles published between 2009 and 2022 were comprehensively searched for using electronic databases like PubMed, ProQuest, Scopus, and Google Scholar. The keywords to search for articles were “noise exposure” OR “occupational noise” AND “occupational stress” OR “work stress” AND “hypertension”. The adjusted odds ratio was used to evaluate the effect size (aOR). To evaluate the bias risk, the Critical Appraisal Skill Program (CASP) was used. Articles were analyzed using the Review Manager 5.3 application. Results: This study includes 14 papers, using cross-sectional and case-control study designs, from Asia, including Indonesia, Malaysia, China, Jordan, and South Korea. Based on 5 studies cross-sectional on the effects of exposure to noise in the event of work stress, work stress increases 4.88 times compared to workers who are not exposed to noise (aOR=4.88; 95% CI= 1.77 to 13.47; p= 0.002). 9 subgroup studies with cross-sectional and case-control study designs on the effect of noise exposure showed an increase of 2.47 times the incidence of hypertension compared to workers who were not exposed to noise at work (aOR= 2.47; 95% CI= 1.75 to 3.48; p<0.001). Conclusion: Exposure to noise increases the risk of work-related stress and hypertension. Suggestions that can be made are to carry out engineering, periodic measurements, wo…
subject: Articles
  topic: section
subject: Noise exposure
  topic: keywords
subject: Occupational noise
  topic: keywords
subject: Occupational stress
  topic: keywords
subject: Work stress
  topic: keywords
subject: Hypertension
  topic: keywords
creator: Maria Paskanita Widjanarti
creator: Sumardiyono
creator: Aurina Firda Kusuma Wardani
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-07-16
publication date: 2025-07-16
starting page: 384
ending page: 398
doi: 10.26911/jepublichealth.2025.10.03.09

The Impact of Long-Term Particulate Matter with Diameter Micrometers ≤2.5 Exposure on Type 2 Diabetes Risk: A Meta-Analysis
type: item
description: Background: The rising global prevalence of type 2 diabetes (T2D) has prompted investigations into environmental risk factors beyond traditional lifestyle causes. Air pollution, particularly fine particulate matter (PM₂.₅) has emerged as a potential contributor to diabetes. This systematic review synthesizes evidence from large scale cohort studies to evaluate the association between long term air pollution exposure and T2D risk. Subjects and Method: We analyzed prospective cohort studies (2020–2025) assessing air pollution and incident T2D, sourced from PubMed, Web of Science and EMBASE using the search terms: ("air pollution" OR "PM2.5") AND ("type 2 diabetes" OR "T2D") AND ("cohort" OR "longitudinal"). We using PECO framework (Populatio= adults population; Exposure=High Exposure of PM2.5; Comparison=Low Exposure of PM2.5; Outcomes=T2D). The independent variable was Exposure of PM2.5 and dependent variable was T2D. Primary studies included were cohort manuscript published in english with year of publication between 2020 until 2025, reported adjusted hazard ratios (aHR), and the subjects was adults without diabetes at baseline. Studies were evaluated using the CASP Scale, and data were analyzed using RevMan 13. Results: This study includes 9 papers, using Cohort study designs, from China, United Kingdom, South Korea and United States. PM₂.₅ exposure consistently increased T2D risk with stronger effects at lower exposure levels (aHR = 1.24; 95% Cl = 1.07 to 1.42; p=0.004). Conclusion: Long-term PM₂.₅ exposure significantly increases T2D risk and progression
subject: Articles
  topic: section
subject: Air Pollution
  topic: keywords
subject: Type 2 Diabetes
  topic: keywords
subject: Diabetes Mellitus
  topic: keywords
subject: PM₂.₅
  topic: keywords
creator: Titik Anggraeni
creator: Sarwoko
creator: Herbasuki
creator: Sri Sayekti Heni Sunaryanti
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-07-16
publication date: 2025-07-16
starting page: 399
ending page: 408
doi: 10.26911/jepublichealth.2025.10.03.10

Effect of Early Mobilization on Intestinal Peristaltic Recovery As Prevention of Paralytic Ileus in Post Cesarean Section Patients
type: item
description: Background: The majority of cesarean section deliveries use spinal anesthesia which can have an effect on the deterioration of the gastrointestinal system so that intestinal peristalsis becomes slow. Slow intestinal peristaltic function leads to difficulty defecation and prolongs the day of treatment, in some cases can increase the risk of paralytic ileus. To prevent the risk of complications, intervention can be carried out in postoperative cesarean section patients with early mobilization. This study aims to determine the effect of early mobilization on intestinal peristaltic recovery in post- cesarean section patients. Subjects and Method: This was a quasy experiment conducted at Islamic Hospital in Demak, Central Java, from July to December 2024. A sample of 58 post-cesarean section mothers was selected using purposive sampling and divided into two groups. Assessment of intestinal peristaltic variables through auscultation examination with a stethoscope and early mobilization using observation sheet instruments. Intestinal peristaltic recovery between two groups were examined logistic regression. Results: There was a difference in intestinal peristaltic recovery in post- cesarean section patients between the intervention group and the control group (p=0.000) with the mean value of intestinal peristalsis in the intervention group of 25.45 (SD=6.07) and in the control group of 11.38 (SD=7.69). Patients who were given early mobilization had a 4.48 times faster chance of recovery of intestinal peristalsis. Conclusion: Early mobilization had a positive impact on the recovery of intestinal peristaltic (p<0.05). Health workers should not only provide education, but also assistance in the implement-tation of early mobilization, especially in the first 24 hours post- cesarean section. Keywords: early mobilization, intestinal peristaltics, post cesarean section.
subject: Articles
  topic: section
subject: early mobilization
  topic: keywords
subject: intestinal peristaltics
  topic: keywords
subject: post cesarean section
  topic: keywords
creator: fania khoirunnisa
creator: Nailil Muna
creator: Ika Tristanti
creator: Ashri Rahmawati
creator: Purbowati
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-07-16
publication date: 2025-07-16
starting page: 365
ending page: 373
doi: 10.26911/jepublichealth.2025.10.03.07

The Relationship Between Macronutrient Intake and Stunting Among Children Aged 1–2 Years: Quantitative and Qualitative Approaches
type: item
description: Background: Stunting among children aged 1–2 years remains a critical public health concern in Indonesia, particularly during the vital 1,000-day window of child development. This study aimed to analyze the relationship between macronutrient intake and stunting using a mixed-methods approach. Subjects and Method: This was a sequential explanatory mixed-methods study conducted from February 2024 to May 2025 at Community Health Center Dadok Tunggul Hitam, Padang City. The quantitative component employed a case-control design involving 66 children aged 1–2 years, divided equally into stunted (cases) and non-stunted (controls) groups. Sampling was conducted purposively for cases and by simple matching for controls. The independent variables were intake of carbohydrates, proteins, and fats; the dependent variable was stunting, defined using WHO growth standards. Macronutrient intake was assessed via a 24-hour recall. Data were analyzed using Chi-square tests to determine associations, and Odds Ratios (OR) with 95% Confidence Intervals (CI) were reported. The qualitative phase included interviews with mothers, health workers, and community volunteers, analyzed thematically using NVivo 12. Results: Children with inadequate carbohydrate intake were significantly more likely to be stunted (OR=3.50; 95% CI=1.27 to 9.64; p=0.015). No statistically significant associations were found for protein intake (OR=2.60; 95% CI=0.91 to 7.44; p=0.074) or fat intake (OR=2.44; 95% CI=0.89 to 6.70; p=0.082). Qualitative findings revealed barriers such as loss of appetite during illness, preference for snacks, food aversions, and limited maternal knowledge and resources, all of which contributed to inadequate macronutrient intake. Conclusion: Inadequate carbohydrate intake was significantly associated with stunting in children aged 1–2 years. Contextual factors such as eating behavior and parental feeding practices further influenced nutritional outcomes. Interventions should address both di…
subject: Articles
  topic: section
subject: Stunting
  topic: keywords
subject: Macronutrient intake
  topic: keywords
subject: Carbohydrates
  topic: keywords
subject: Toddler nutrition
  topic: keywords
subject: Case-control
  topic: keywords
subject: Mixed-methods
  topic: keywords
creator: Intan Silvia Nesva
creator: Delmi Sulastri
creator: Vaulinne Basyir
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-10-16
publication date: 2025-10-16
starting page: 477
ending page: 489
doi: 10.26911/jepublichealth.2025.10.04.04

Effect of Banana Consumption to Reducing Hyperemesis Gravidarum In Pregnant Women
type: item
description: Background: Hyperemesis gravidarum (HG) is a severe form of nausea and vomiting during pregnancy that can lead to dehydration, weight loss, and nutritional deficiencies, posing risks to both maternal and fetal health. Exploring the potential of banana consumption as a natural, accessible intervention may offer a simple dietary strategy to alleviate HG symptoms and improve maternal well-being. This study aimed to determine whether banana comsumption contributes to a decrease in the number of cases of nausea and vomiting experienced by pregnant women. Subjects and Method: This was a quasi experiment conducted at the Mitra Siaga Hospital, Tegal, Central Java, Indonesia, in April-May 2024. A number of 30 pregnant women with hyperemesis gravidarum was selected using purposive sampling. Hyperemesis gravidarum was measured using Pregnancy Unique Quantification of Emesis and Nausea (PUQE) questionnaire. Difference score of hyperemesis gravidarum before and after intervention was examined using t test. Results: The results of the Wilcoxon test before and after consuming bananas with Confidence Interval 95% showed p-value = 0.000, with a significance level of p-value 0.000 < 0.05, which indicates that banana consumption is effective in reducing complaints of nausea and vomiting in hyperemesis gravidarum mothers at Mitra Siaga Hospital, Tegal. The results of the linear regression test of the effect of banana consumption on hyperemesis gravidarum t value = 20.110 > t table and the significance level of p-value 0.000 < 0.05, which indicates that banana consumption has a positive and significant effect on reducing complaints of nausea and vomiting in mothers with hyperemesis gravidarum at Mitra Siaga Hospital, Tegal. Conclusion: Banana consumption can reduce vomiting in pregnant women.
subject: Articles
  topic: section
subject: Banana fruit
  topic: keywords
subject: Nausea
  topic: keywords
subject: Vomiting
  topic: keywords
subject: Pregnant women
  topic: keywords
creator: Indah Puspitasari
creator: Anggit Yonika Dewi
creator: Ummi Kulsum
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-07-16
publication date: 2025-07-16
starting page: 374
ending page: 383
doi: 10.26911/jepublichealth.2025.10.03.08

Environmental Risk Factors and Hookworm Infection among Schoolchildren in Rural Areas of Indonesia
type: item
description: Background: The prevalence of hookworm infection is a serious public health concern globally. Java Island and Kalimantan Island have differential environmental risk factors of hookworm infection, espe­cial­ly in rural areas of Indonesia, which have high-risk environmental factors for the prevalence of hook­worm infection. This study aimed to investigate the infection rates and correlation between environmental risk factors and the prevalence of hookworm infection. Subjects and Method: This was a cross-sectional study conducted among 226 school children from rural East Java province, Central Java Province, and East Kalimantan Province, Indonesia. A simple random sampling method was applied to select participants from each school area. This study used two diagnostic methods: Kato Katz and Koga agar plate culture/KAP culture for diagnosing hookworm infections. Environmental variables examined included soil texture, organic carbon content, clay content, soil pH, rainfall volume, number of rainy days, humidity, temperature, elevation, vegetation type, and pet infection status. Pearson's chi-square analysis was used to study the correlation between environmental factors and hookworm infection. Results: Hookworm, Strongyloides sp, and Ascaris sp infections were found in this study; 137 (60.63%), 25 (11.1%), and 124 (9.84%), respectively. Environmental risk factors such as rainy season, quality of soil, and infection with hookworm in pets have a significant correlation (p<0.050) with hookworm infection among schoolchildren in a rural area in Indonesia. Conclusion: The prevalence of hookworm infection correlates with environmental factors, and the findings in this research could contribute to decreasing the prevalence of hookworm infection, espe­cially among schoolchildren in rural areas.
subject: Articles
  topic: section
subject: Hookworm
  topic: keywords
subject: Strongyloides sp
  topic: keywords
subject: Ascaris sp
  topic: keywords
subject: Infections
  topic: keywords
subject: Schoolchildren
  topic: keywords
creator: Blego Sedionoto
creator: Akhmad Azmiardi
creator: Witthaya Anamnart
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-10-16
publication date: 2025-10-16
starting page: 451
ending page: 462
doi: 10.26911/jepublichealth.2025.10.04.02

Maintaining Occupational Health: An Analysis of Fatigue and Safety Compliance in Construction Workers
type: item
description: Background: Safety compliance is a critical component in preventing workplace accidents and ensuring employee well-being. Various factors may influence workers’ adherence to safety protocols, including individual characteristics such as education level and fatigue. The purpose of this study was to examine the relationships between education level, work fatigue, and safety compliance. Subjects and Method: This cross-sectional study involved 137 respondents, categorized by fatigue status. The dependent variable was safety compliance. Independent variables included work fatigue and education level. Instruments included the Fatigue Assessment Scale (FAS) questionnaire for fatigue. Data analysis utilized the chi-square test for fatigue and education levels. Results: The proportion of workers who comply with safety procedures varies across education levels, but the differences are not statistically significant. In contrast, workers with higher levels of fatigue were significantly more compliant with safety practices than those with lower fatigue.. Conclusion: These findings highlight the complexity of behavioral responses to workplace demands and the need for targeted interventions.
subject: Articles
  topic: section
subject: Occupational health and safety
  topic: keywords
subject: fatigue
  topic: keywords
subject: compliance
  topic: keywords
subject: construction
  topic: keywords
creator: Yeremia Rante Ada'
creator: Sumardiyono
creator: Bachtiar Chahyadhi
creator: Reni Wijayanti
creator: Farhana Syahrotun Nisa Suratna
creator: Maria Paskanita Widjanarti
creator: Rachmawati Prihantina Fauzi
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-04-16
publication date: 2025-04-16
starting page: 252
ending page: 266
doi: 10.26911/jepublichealth.2025.10.02.11

Determinants of Dementia Among the Elderly in Jakarta, Indonesia
type: item
description: Background: The incidence of dementia rises sharply, and it is expected to grow worldwide in the decades ahead. This study aimed to investigate the determinants of dementia among the elderly in Jakarta, Indonesia. Subjects and Method: A cross-sectional design was employed in the Aisyah organization at Jakarta City, Indonesia. A total of 65 elderly people were selected using Stratified random sampling. The dependent variable was dementia. The independent variables were education, occupation, married status, and exercise routine. The dementia was assessed using the Mini-Mental State Examination (MMSE) questionnaire, which was translated into Bahasa. Results: The participants had an education level of high school or below (52.31%), were not married (53.85%), and were not working (55.38%). The majority reported frequent exercise (92.31%), and 44.62% were identified with dementia. Bivariate analysis showed that higher education (OR = 0.92; 95% CI= 0.26 to 3.22; p= 0.002) and being married (OR= 0.94; 95% CI= 0.34 to 2.61; p= 0.020) were significantly associated with lower dementia risk. Exercise routine showed a strong protective effect (OR = 0.17; 95% CI= 0.01 to 1.79; p= 0.043), while occupational status was not significantly associated (p= 0.074). In multivariate analysis, only exercise routine remained significantly associated with dementia (OR= 0.17; 95% CI= 0.01 to 1.78; p= 0.042), suggesting it as an independent protective factor after controlling for confounders. Conclusion: Regular physical activity was identified as a significant protective factor against dementia among the elderly. Promoting exercise may be an effective strategy for dementia prevention in this population.
subject: Articles
  topic: section
subject: Cognitive function
  topic: keywords
subject: dementia
  topic: keywords
subject: determinants
  topic: keywords
subject: elderly
  topic: keywords
creator: Miciko Umeda
creator: Aris Widiyanto
creator: Dedy Muhdiana
creator: Lily Herlina
creator: Joko Tri Atmojo
creator: Bhisma Murti
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-07-16
publication date: 2025-07-16
starting page: 357
ending page: 364
doi: 10.26911/jepublichealth.2025.10.03.06

Impact of Pesticide Exposure on Farmer Metabolism Systems : A Systematic Review
type: item
description: Background: Farmers are informal sector workers exposed to multiple health risks due to the unsafe use or storage of pesticides. Farmer are at high risk of pesticide poisoning, which can affect their metabolic disorders. This review aims to systematically examine the impact of pesticide exposure on health disorders in farmers’ metabolic systems. Subjects and Method: This was a systematic review using the PICO model. The keywords used for the search for the study were “Impact” and “Pesticide” AND “Exposure” AND “Farmers’” AND “Meta­bolism System” in various databases. The inclusion criteria in this study were studies discussing varia­bles, research articles, and articles published from 2021 onwards, while the exclusion criteria were articles that do not have access or are not full-text. Data were collected using the extraction form, which includes PICO, and assessed using the PRISMA diagram. Data analysis was done descriptively by comparing the research results. Results: The study found that pesticide exposure can affect the metabolic system, potentially damaging cells and causing oxidative stress by damaging lipids, proteins, and DNA, leading to genetic mutations and cell degeneration. The impact of exposure to glyphosate and arsenic pesticides causes liver and kidney function damage and decreased cardiovascular health. Exposure to paraquat, glyphosate, and oxyfluorophene causes Thyroid Cancer. Exposure to organophosphate and organo­chlorine pesticides causes Parkinson’s. Insecticides, herbicides, and fungicides cause sleep disorders. In addition, herbicide pesticides have a significant relationship with type 2 diabetes. Conclusion: Based on research findings, pesticide exposure impacts farmers’ metabolic systems, including the incidence of Chronic Kidney Disease, decline in cardiovascular health, Thyroid Cancer, Parkinson’s Disease, Sleep Disorders, and Type 2 Diabetes.
subject: Articles
  topic: section
subject: Impact
  topic: keywords
subject: Pesticide
  topic: keywords
subject: Exposure
  topic: keywords
subject: Metabolism system
  topic: keywords
subject: Farmers
  topic: keywords
creator: Triyani
creator: Hanifa Maher Denny
creator: Suroto
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-10-16
publication date: 2025-10-16
starting page: 463
ending page: 476
doi: 10.26911/

Global Research Trends on Preconception Care on the Infertility Prevention: A Bibliometric Study
type: item
description: Background: Infertility affects approximately one in six individuals globally and remains a growing reproductive health concern, often linked to modifiable risk factors present before conception. Preconception care (PCC) has gained recognition as a preventive strategy, however the implementation of PCC at scale remains challenged and yet its research landscape in relation to infertility remains under-mapped.This study aimed to analyze global research trends on preconception care in the context of infertility prevention using bibliometric methods. Subjects and Method: A bibliometric analysis was conducted using the Scopus database, with data retrieved on May 12, 2024. The search strategy included terms related to PCC and infertility, yielding 486 eligible publications after screening. Included documents were English-language publications in final form, relevant to preconception care and infertility, and classified as articles, reviews, conference papers, or book materials. Analysis was performed using Scopus tools, Biblioshiny (R), and VOSviewer to examine publication trends, key contributors, and thematic evolution. Results: A total of 486 publications from 1991 to 2025 were identified, with an annual growth rate of 6.43%. Most documents were original articles (67.7%) and reviews (28.4%), authored by 2,529 contributors across 307 publication sources. Several national strategies have formalized PCC into broader public health policy to reduce disparities in pregnancy outcomes and unmet fertility needs, but there remains a critical gap in the global PCC research agenda, such as the heterogeneity in intervention protocols. Conclusion: Research on preconception care in the context of infertility prevention has expanded steadily. However, Future research should prioritize longitudinal and interventional studies, foster global collaboration, and align with broader reproductive justice goals to strengthen the evidence base. Ultimately, enhancing the visibility and implement…
subject: Articles
  topic: section
subject: infertility
  topic: keywords
subject: bibliometric analysis
  topic: keywords
subject: scientific mapping
  topic: keywords
subject: reproductive health
  topic: keywords
creator: Revi Gama Hatta Novika
creator: Atriany Nilam Sari
creator: Siti Nurhidayati
creator: Rufidah Maulina
creator: Luluk Fajria Maulida
creator: Nurul Jannatul Wahidah
creator: Muhana Fawwazy Ilyas
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-04-16
publication date: 2025-04-16
starting page: 267
ending page: 282
doi: 10.26911/jepublichealth.2025.10.02.12

Effect of Parenting Style on the Incidence of Sibling Rivalry in Children in Surakarta, Central Java
type: item
description: Background: Proper parenting can reduce incidents of jealousy, competition, or arguments. (siblings' rivalry) a child towards the presence of a new sibling. One solution to the sibling effect rivalry through parents who encourage children to change their behavior, knowledge, and values that are considered appropriate so that children can be independent, grow and develop healthily and optimally, and have a sense of believe self, characteristic flavor want to know, friendly, and oriented towards progress without drop the one others. This study aimed to analyze the influence of parenting patterns on sibling rivalry in children in Surakarta. Subjects and Method: This study employed a cross-sectional design and was conducted in the Sangkrah area, Surakarta, Indonesia. The study population consisted of parents who had more than one child under the age of five. A total of 120 respondents were selected using systematic random sampling. The independent variable in this study was parenting patterns, while the dependent variable was sibling rivalry, which was measured using a nominal scale. Data were collected directly through a structured questionnaire. The data were then analyzed using bivariate analysis with the Chi-Square test. Results: The study showed that 77.5% (93 children) experienced sibling abuse. rivalry among them, 7 people have an authoritarian parenting style (5.8%), 101 people have a democratic (84.2%), 78 people have a permissive (65%), and 11 parents have a passive (9.2%). Permissive (OR= 1.65; 95% CI= 0.68 to 3.98) and passive parenting style (OR = 2.29; 95% CI = 0.54 to 9.66) increased the likelihood of sibling rivalry, by the associations were statistically non-significant. Conclusion: There is no significant influence of the four parenting patterns on sibling incidents. rivalry is insignificant.
subject: Articles
  topic: section
subject: Pattern foster
  topic: keywords
subject: sibling rivalry
  topic: keywords
subject: children
  topic: keywords
creator: Ropitasari
creator: Nindy Widiastuti
creator: Fanny Kartika Fajriyani
creator: Nahdiyah Karimah
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-04-16
publication date: 2025-04-16
starting page: 234
ending page: 242
doi: 10.26911/jepublichealth.2025.10.02.09

Factors Associated with Pregnant Women's Compliance with Fit-to-Fly Recommendations at El Tari Airport in 2024
type: item
description: Background: Fit-to-fly recommendations for pregnant women are regulated in Indonesia’s civil aviation guidelines. Noncompliance may pose health risks for both mother and fetus during air travel. This study aimed to identify factors associated with pregnant women’s compliance with fit-to-fly recommendations at El Tari Airport in 2024. Subjects and Method: A cross-sectional study was conducted from January to March 2024 at El Tari Airport, Kupang. A total of 130 pregnant passengers who applied for fit-to-fly letters at the BKK Class I Airport Health Post were selected using simple random sampling. The dependent variable was compliance with fit-to-fly recommendations. Independent variables included maternal age, gestational age, parity, education level, travel reasons, document completeness, exposure to information, family support, and maternal knowledge. Data were collected using a structured questionnaire and analyzed using univariate, bivariate, and multivariate methods with multiple logistic regression. Results: Gestational age (OR=6.79; 95%CI: 2.06–22.41; p=0.002), parity (OR=8.00; 95%CI: 2.61–22.54; p<0.001), education level (OR=5.49; 95%CI: 1.47–20.41; p=0.011), and maternal knowledge (OR=6.75; 95%CI: 2.13–21.34; p=0.001) were significantly associated with compliance. Other factors such as exposure to information, maternal age, document completeness, travel reasons, and family support showed no statistically significant association.. Conclusion: Gestational age, parity, education level, and maternal knowledge were significant determinants of compliance with fit-to-fly recommendations among pregnant women. These findings highlight the importance of targeted health education and screening prior to air travel during pregnancy.
subject: Articles
  topic: section
subject: Airworthiness
  topic: keywords
subject: Compliance
  topic: keywords
subject: Gestational
  topic: keywords
subject: Pregnant Women
  topic: keywords
subject: Flights
  topic: keywords
creator: Indri Wahyuningsih Misnadin
creator: Yendris Krisno Syamruth
creator: Imelda Februati Ester Manurung
creator: Pius Weraman
creator: Christina Rony Nayoan
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-04-16
publication date: 2025-04-16
starting page: 243
ending page: 251
doi: 10.26911/jepublichealth.2025.10.02.10

Children Under 5 Years as Predicting Dengue Transmission in Kebumen District, Indonesia: Case Study Mapping Approaches
type: item
description: Background: Dengue disease is still a problem in the world. Factors affecting population main importance for dengue transmission. The dengue cases severity 34.40% in Indonesia, and the study area is an endemic dengue. The study aimed to determine factors causing dengue transmission in the Kebumen district, Central Java Province. Subjects and Method: A cross-sectional study was conducted in 460 villages in Kebumen district, Central Java. The study was conducted in 2024 by taking dengue data from medical records in the period January 2023 to December 2023. The number of dengue cases during the study period was 395 cases that were diagnosed. The dependent variable is transmission zone. The status village transmission is a number of dengue cases> 2 cases in the village during the study based on medical records. The independent variables are children under 5 years, the incidence rate of dengue, the incidence rate area, the incidence rate density, and population age > 70 years (elderly). Data of dengue cases were obtained from medical record. The data were analyzed with an independent t-test, linear regression test, and survival test (Cox proportional hazards). Results: The incidence rate averaged 30.17 higher than the government standard, with 10 cases/ 100,000 population for each village, and was higher in March. The population, density, children under 5 years, elderly upper 70 years, incidence density, incidence case, incidence areas, and large no significant differences between village transmission and no transmission p≤0.050, and variable contributing to dengue transmission R2= 0.39 or 39.20%. The hazard time for infection (HR = 0.62; CI95%= 0.46 to 0.83). Conclusion: The zone is high risk for dengue transmission, 24.6% of the 460. The factors significantly related to dengue transmission in the village as population size, population density, children under 5 years, elderly upper 70 years, incidence density, incidence case, and incidence area contributing to dengue tr…
subject: Articles
  topic: section
subject: dengue
  topic: keywords
subject: transmission
  topic: keywords
subject: children
  topic: keywords
subject: mapping
  topic: keywords
subject: Indonesia
  topic: keywords
creator: Nugroho Susanto
creator: M. Dody Izhar
creator: Frans Manangsang
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-07-16
publication date: 2025-07-16
starting page: 295
ending page: 307
doi: 10.26911/jepublichealth.2025.10.03.02

Evaluating the Effectiveness of Measles Surveillance Systems in Africa: A Systematic Review of Epidemiological Trends, and Laboratory Performance
type: item
description: Background: As efforts to eliminate measles advance, it becomes essential to enhance the sensitivity of surveillance systems. This involves identifying and thoroughly investigating all cases presented with fever and rash. This systematic review evaluates the effectiveness of measles surveillance systems in Africa, focusing on epidemiological trends, vaccination coverage, and laboratory performance. Methodology: A comprehensive search strategy was employed across five databases, PubMed, MEDLINE, Embase, Scopus, and Google Scholar—to identify peer-reviewed studies published between 2014 and 2024. From an initial pool of 124 articles, eight met the inclusion criteria and were critically appraised using both quantitative and qualitative tools. Result: The findings highlight several systemic challenges, including the sub-optimal performance of measles surveillance systems, gaps in immunization coverage, and significant regional disparities in disease burden. Common deficiencies include inadequate case reporting, limited laboratory capacity, and insufficient training of frontline health workers. Moreover, low vaccine uptake, especially for the second dose (MCV2)—was attributed to supply chain issues, vaccine hesitancy, and geographic barriers. Conclusion: The review underscores the urgent need for improved laboratory infrastructure, expanded training, community engagement, and equitable access to immunization services. Strengthening these areas is critical to enhancing measles surveillance and achieving elimination goals across the continent. Keyword: Measles, surveillance systems. Laboratory performance, immunization.
subject: Articles
  topic: section
subject: Measles
  topic: keywords
subject: Surveillances systems
  topic: keywords
subject: Laboratory performance
  topic: keywords
subject: Immunization
  topic: keywords
creator: Kayode Akanbi
creator: Olanrewaju Olaiya
creator: Islamiyyat Adekemi Olatinwo
creator: Imaobong Udo Isang
creator: Sunday Thomas Sola
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-10-29
publication date: 2025-10-29
doi: 10.26911/

The Impact of Childhood Trauma on Adolescent Sexual Health: A Scoping Review
type: item
description: Background: Violence against children is a serious global problem. The United Nations reports that more than one billion children experience violence every year. Childhood trauma resulting from such violence has a significant impact on adolescent sexual health, increasing the risk of early sexual initiation and sexually transmitted infections. This study aimed to identify the nature and scope of available research literature on the impact of childhood trauma on adolescent sexual health. Subjects and Method: This was a scoping review within the Arkey and O'Maley approach. The framework used in this study employed PCC (population, concept, and context). The population includes adolescents with childhood trauma, the concept focuses on adolescent sexual health, and the context is childhood trauma. The inclusion criteria in this study were primary research articles using English or Indonesian published in the last 10 years (2015 to 2025), full-text articles, and free. Article selection used Rayyan described in the PRISMA Flowchart, and the Critical Appraisal article assessment used Joanna Briggs Institute (JBI). Results: The results of the study, which included a total of 9 articles, stated that childhood trauma in children can be caused by various forms of violence against children, including physical violence, sexual violence, verbal violence, parental divorce, domestic violence, and neglect. All types of childhood trauma are significantly associated with risky health outcomes such as early sex, unmarital sex, teenage pregnancy, being a teenage parent, consuming illegal drugs and alcohol, and early puberty. Each increase in the type of childhood trauma experiences significantly increases risky sexual health. Conclusion: Adolescents who have childhood trauma are more at risk of various types of high-risk health behaviors such as early sexual intercourse, casual sex, teenage pregnancy, becoming teenage parents, at risk of Sexually Transmitted Infections (STIs), early pub…
subject: Articles
  topic: section
subject: Sexual health
  topic: keywords
subject: trauma
  topic: keywords
subject: adolescents
  topic: keywords
subject: childhood
  topic: keywords
creator: Yuni Fitriya
creator: Dewi Rokhanawati
creator: Askuri
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-07-16
publication date: 2025-07-16
starting page: 339
ending page: 356
doi: 10.26911/jepublichealth.2025.10.03.05

EFFECTIVENESS OF LOW GLYCEMIC INDEX HIGH PROTEIN DIET ON AGES AND INTERLEUIKIN-6 LEVELS IN PCOS-INSULIN RESISTANCE MODEL MICE
type: item
description: Background: A dietary approach that is low in carbohydrates and high in protein may enhance the management of polycystic ovary syndrome (PCOS) by assessing serum concentrations of Interleukin 6 and AGEs. This study aimed to evaluate the effects of a low carbohydrate, high protein diet in PCOS insulin resistance model mice on the level of AGEs and Interleukin 6. Subjects and Method: This study used a post test only control group design, true experimental design. The number of samples in this study was 18 mice divided into 3 groups. The number of samples in each group was added 20% of the initial number of samples as a reserve for mice that died. The sample comparised six female rattus norvegicus mice aged 2-3 months, weighing 150-200 gr. The independent variable was the low glycemic index high protein (LGHIP) diet. The dependent variables were AGEs and Interleukin-6. Examination of blood serum of mice ELISA measurement of AGEs and IL-6 levels. Anova and Post Hoc tests were performed to compare AGEs and IL-6 levels between groups. Results: LGIHP diet decreased IL-6 levels of PCOS-IR model mice (p= 0.002). There was a significant difference between the K- and P groups in IL-6 levels (p= 0.002). Changes in AGEs levels between groups showed a significant difference (p= 0.015). Post Hoc test for AGEs levels showed significant differences between the K- and P groups (p= 0.023), the K+ group with the P group (p= 0.047). Conclusion: The LGIHP diet may serve as a potential dietary strategy for managing PCOS-IR. Regulating diet especially carbohydrates and glucose can improve the response to glucose secretion and inflammatory pathways, thereby affecting the significant risk of PCOS severity. Keywords: low glycemic index high protein diet, AGEs, IL-6, polycystic ovary syndrome.
subject: Articles
  topic: section
subject: low glycemic index high protein diet
  topic: keywords
subject: AGEs, IL-6
  topic: keywords
subject: polycystic ovary syndrome
  topic: keywords
creator: Hany Puspita Aryani
creator: Elizazihni Zatihulwani
creator: Sugiyanta
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-10-16
publication date: 2025-10-16
starting page: 504
ending page: 512
doi: 10.26911/10.26911/jepublichealth.2025.10.04.06

Unwanted Pregnancy and Maternal Mental Health Based on the WHO SRQ-20: A Meta-Analysis
type: item
description: Background: The WHO (2019) reported that approximately 10% of pregnant women and 13% of postpartum women globally experience maternal mental health disorders. Several studies have identified unintended pregnancy as a contributing factor to these disorders. This systematic review and meta-analysis aimed to analyze and estimate the association between unintended pregnancy and maternal mental health disorders (MHD), using studies that applied the WHO Self-Reporting Questionnaire-20 (SRQ-20). Subjects and Method: A systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO (CRD42025634410). Article searches were conducted up to January 15, 2025, in PubMed, ScienceDirect, Google Scholar, and Scopus using the keywords: “SRQ” AND (“mental health” OR “psychological well-being” OR “mental disorder”) AND (“unwanted pregnancy” OR “unintended pregnancy” OR “unplanned pregnancy”) AND (“mother” OR “maternal”). Inclusion criteria focused on observational studies using the WHO SRQ-20 to assess maternal mental health among women with unintended and intended pregnancies. Meta-analysis was performed using R Studio, with effect sizes reported as risk ratios (RR) or adjusted odds ratios (aOR) and 95% confidence intervals. Heterogeneity was assessed using the I² statistic, and funnel plots were generated to examine publication bias. Results: A total of 12 studies from Ethiopia, Indonesia, India, Vietnam, Brazil, and Malawi, comprising 85,862 participants, were included in this meta-analysis. A total of 12 studies with a total of 85,862 participants were analyzed in this meta-analysis. The results showed that unintended pregnancy significantly increased the risk of maternal MHD. This finding was consistent in both cohort and cross-sectional studies, with effect sizes of (RR = 1.49; CI95%= 1.03 to 2.15; p= 0.030) and (aOR= 1.83; CI95%= 1.35 to 2.47; p < 0.001), respectively. Conclusion: These findings highlight the strong association between unintended pr…
subject: Articles
  topic: section
subject: Unwanted pregnancy
  topic: keywords
subject: Maternal
  topic: keywords
subject: Mental health
  topic: keywords
subject: WHO SRQ-20
  topic: keywords
subject: Meta Analysis
  topic: keywords
creator: Muhamad Zakki Saefurrohim
creator: Akhmad Azmiardi
creator: Ratih Wirapuspita Wisnuwardani
creator: Moch Thoriq Assegaf Al-Ayubi
creator: Ray Wagiu Basrowi
creator: Roma Yuliana
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-07-16
publication date: 2025-07-16
starting page: 326
ending page: 338
doi: 10.26911/jepublichealth.2025.10.03.04

Lifestyle among Sports Students: Correlations of Physical Activity, Smoking, Coffee, Screen Time, and Sleep Quality
type: item
description: Background: A healthy lifestyle is an important factor in achieving a high quality of life.. However, research exploring the impact of smoking habits on physical activity levels among students remains limited. This study aims to determine the correlation between smoking habits and physical activity among sports students. Subjects and Methods: This quantitative research study employed a simple random sampling technique to select 105 students from the Sports Coaching Education program. The students completed self-administered questionnaires to assess their daily smoking habits and weekly physical activity levels. In this study, smoking habits are the dependent variable, while physical activity is the independent variable. The data were analyzed using the Spearman Correlation Test to determine the strength and direction of the relationship between the two variables. Results: The results indicated that 26% of the student population were active smokers, and 27% had insufficient levels of physical activity. Although no statistically significant correlation (p= 0.627) was found between smoking habits and physical activity among the students, a negative correlation trend (r= -0.048) was observed. This suggests that higher smoking levels may be associated with decreased physical activity levels. Conclusion: These results demonstrate that increased smoking may reduce physical activity participation. Therefore, promoting healthy lifestyles among students is crucial for enhancing their life quality.
subject: Articles
  topic: section
subject: Lifestyle
  topic: keywords
subject: Exercise
  topic: keywords
subject: physical activity
  topic: keywords
subject: smoking
  topic: keywords
subject: coffee
  topic: keywords
subject: screen time
  topic: keywords
subject: sleep quality
  topic: keywords
creator: Hani Astari
creator: Kunjung Ashadi
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-07-16
publication date: 2025-07-16
starting page: 409
ending page: 423
doi: 10.26911/jepublichealth.2025.10.03.11

Spatial Analysis of Determinants of Hypertension Incidence in Kota Lama Subdistrict, Kupang, Indonesia
type: item
description: Background: Cardiovascular diseases such as hypertension, heart attack, and stroke are chronic non-communicable diseases influenced by genetic, physiological, environmental, and behavioral factors. Geographic Information Systems (GIS) can be utilized for spatial analysis to identify risk factors, distribution patterns, and determinants of diseases, including hypertension. This study aims to examine the determinants of hypertension using a spatial analysis approach in Kota Lama Subdistrict, Kupang City. Subjects and Method: This study employed an ecological study design using an observational analytic method with a cross-sectional approach. The population consisted of residents aged ≥18 years in Kota Lama Subdistrict. A total of 400 individuals diagnosed with hypertension were selected using simple random sampling. The variables examined were age, overweight, lack of physical activity, high-salt diet, alcohol consumption, medication adherence, economic level, and distance to health facilities. Instruments used included a sphygmomanometer, microtoise, weight scale, and questionnaire. Spatial analysis was conducted using the GeoDa application with Regression, Bivariate Local Moran’s Index, Multivariate Local Geary, and Spatial Empirical Bayes tests. Results: The results showed significant associations and clustered spatial autocorrelation with low-to-high relative risk (RR) observed in the subdistricts of LLBK, Bonipoi, Solor, Fatubesi, Oeba, Nefonaek, and Pasir Panjang for the variables: age (p=0.001, I=0.70), overweight (p<0.001, I=0.64), lack of physical activity (p=0.00, I=0.63), high-salt diet (p=0.00, I=0.63), and alcohol consumption (p<0.001, I=0.69). There were no significant associations for variables such as irregular medication intake, economic level, and distance to health facilities, with p-values of 1.000 > α (0.050). Conclusion: Age, overweight, physical inactivity, high-salt diet, and alcohol consumption are significant determinants and show positive cl…
subject: Articles
  topic: section
subject: Hypertension
  topic: keywords
subject: determinants
  topic: keywords
subject: spatial analysis
  topic: keywords
subject: autocorrelation
  topic: keywords
subject: cluster
  topic: keywords
subject: Kota Lama
  topic: keywords
creator: Dominggus Agustinus Isak Lenda
creator: Pius Weraman
creator: Yendris Krisno Syamruth
creator: Apris A Adu
creator: Anderias Umbu Roga
rights: Copyright (c) 2025 Journal of Epidemiology and Public Health
date: 2025-04-16
publication date: 2025-04-16
starting page: 204
ending page: 216
doi: 10.26911/jepublichealth.2025.10.02.07