Digital Commons Network^™

Direct And Indirect Associations Of Childhood Adversities With Functional Impairment And Life Stress Among Military Personnel, Laura Campbell-Sills, Emily R. Edwards, Sam D. Strizver, Karmel W. Choi, Jason D. Kautz, Santiago Papini, James A. Naifeh, Pablo A. Aliaga, Paul B. Lester, Ronald C. Kessler, Robert J. Ursano, Murray B. Stein, Paul D. Biese

Faculty Publications

Background

Adverse childhood experiences (ACEs) are associated with physical and mental health difficulties in adulthood. This study examines the associations of ACEs with functional impairment and life stress among military personnel, a population disproportionately affected by ACEs. We also evaluate the extent to which the associations of ACEs with functional outcomes are mediated through internalizing and externalizing disorders.

Methods

The sample included 4,666 STARRS Longitudinal Study (STARRS-LS) participants who provided information about ACEs upon enlistment in the US Army (2011–2012). Mental disorders were assessed in wave 1 (LS1; 2016–2018), and functional impairment and life stress were evaluated in wave 2 …

Characterizing Gastric Cancer Tumor Immune Microenvironment Through Extracellular Vesicles, Claire Elizabeth Bruno

Theses and Dissertations

The tumor immune microenvironment (TIME) critically influences cancer progression and determining therapeutic response. As immunotherapies continue to improve and reshape cancer treatments, there is a need for tools that can more efficiently and accurately assess and monitor the TIME. Extracellular vesicles (EVs), especially small EVs (sEVs), are lipid-bound nanoparticles that carry proteins, DNA, and RNA reflective of their cell of origin, offering a novel, non-invasive biomarker of the TIME. This makes them a promising candidate for immune profiling and treatment monitoring in cancer. This thesis investigates the potential of EVs as biomarkers for TIME composition and immune activity. An analysis …

Women’S Empowerment And Household Decision-Making: The Role Of Socioeconomic Status In Indonesia, Irvel Christa Fabian, Rafa Fayza Afrizal

Jurnal Ekonomi Kependudukan dan Keluarga

Understanding how women's economic, educational, and social positions influence their roles and choices within households is crucial for promoting gender equality and sustainable development. Despite significant advancements in women's rights and gender equality globally, women in Indonesia continue to face substantial barriers in achieving true empowerment. These barriers are particularly evident in domestic settings, where traditional gender roles often persist, limiting women's influence in household decisions. This research aims to investigate the relationship between women's socioeconomic status and their empowerment in domestic decision-making, examining how various factors such as income, education, and employment status contribute to or hinder their ability …

Determinan Kesejahteraan Anak Usia Dini Dalam Keluarga Dengan Kepala Rumah Tangga Perempuan Di Indonesia, Axellina M. Setyanti, Wildan Syafitri

Jurnal Ekonomi Kependudukan dan Keluarga

This study analyzes the determinants of early childhood well-being in female-headed households in Indonesia using data from the 2022 National Socioeconomic Survey (SUSENAS), covering 85,074 households with children aged 0–5 years. Using binary logistic regression, the analysis focuses on four key indicators: complete immunization, food adequacy, access to improved sanitation, and access to safe drinking water. The results show that children in female-headed households are significantly less likely to receive adequate and diverse food as well as complete immunization, compared to those in male-headed households. However, these households are more likely to provide access to improved sanitation and safe drinking …

Kemiskinan Multidimensi Dan Ketahanan Pangan: Analisis Multilevel Di Kalimantan, Lina Agustina Pujiwati, Afriyanni Afriyanni, Dewi Harfina, Zainal Fatoni

Jurnal Ekonomi Kependudukan dan Keluarga

Food security is a crucial issue for sustainable development and is highly influenced by multidimensional poverty. This study measures food security and multidimensional poverty in Kalimantan Island, analyzes the determinants of household food security through a multilevel approach, and explores the influence of multidimensional poverty and regional context on food security. Data were obtained from the March 2022 National Socio-Economic Survey, comprising 33,201 households and integrated with district-level characteristics. Multidimensional poverty was measured using the Alkire-Foster method, while food security was measured based on energy consumption and the proportion of food expenditure. A multilevel ordinal logistic regression was employed to …

Side-Hustle Dalam Dinamika Kemiskinan Pekerja: Tinjauan Empiris Di Indonesia, Christiayu Natalia, Fx Gugus Febri Putranto

Jurnal Ekonomi Kependudukan dan Keluarga

Working poverty remains a persistent issue in Indonesia. The high prevalence of working poor underscores the urgent need for effective poverty alleviation efforts. This study analyzes the relationship between side hustles, excessive working hours, and working poverty in Indonesia. Utilizing microdata from the March 2023 Susenas and applying binary logistic regression, the study assesses the effect of side hustle status and excessive working hours on the likelihood of being categorized as working poor, based on the international working poverty line. The results indicate that engaging in a side hustle without excessive hours actually increases the risk of working poverty, while …

Unpaid Parental Caregiving And Employment Status In Indonesia, Christopher Willy, Rafa Fayza Afrizal, Irvel Christa Fabian, Muhammad Farras Samith

Jurnal Ekonomi Kependudukan dan Keluarga

This study examines the impact of unpaid parental caregiving on employment status and formal sector employment opportunities in Indonesia, using panel data from the 2007 and 2014 waves of the Indonesia Family Life Survey (IFLS). Propensity Score Matching (PSM) was applied to mitigate selection bias and estimate the Average Treatment effect on the Treated (ATT) for three caregiver categories: temporary, recent, and continuous. Results indicate that, after controlling for baseline characteristics, none of the caregiver categories significantly affected the probability of being employed or employed in the formal sector in 2014. The findings suggest that caregiving practices in Indonesia generally …

On The Microeconomics Of Zakāh As Redistribution, Lukman Hanif Arbi

International Journal of Islamic Economics and Business Sustainability

Purpose - The purpose of this study is to compare zakāh with more mainstream forms of public finance both on the collection and redistribution side in order to gain a deeper appreciation of zakāh as a redistribution instrument through the perspective of modern microeconomics.

Design/methodology/approach - A literature review of the modern public finance and fiscal literature is conducted and used to highlight the public finance aspects of zakāh. The general equilibrium framework is then used to model zakāh as part of a 2x2 pure exchange economy. Comparative statics are then conducted in order to examine how an economy with …

Volatility Spillover From Largest Muslim Countries: Determinant From Palestine-Israel War, M. Fathur Rahman

International Journal of Islamic Economics and Business Sustainability

Background: This study investigates how sentiment related to the Palestine–Israel conflict influences volatility spillovers among selected Islamic equity markets. Methods – Weekly data on Islamic stock indices from seven major Muslim-majority countries (Indonesia, Nigeria, India, Pakistan, Bangladesh, and Turkey) are collected for the period 2013W1 through 2025W21. Geopolitical risk sentiment regarding the Palestine–Israel conflict is proxied by BlackRock’s conflict sentiment indicator. Volatility spillovers are measured via a Time-Varying Parameter VAR (TVP-VAR) joint connectedness framework. An Autoregressive Distributed Lag (ARDL) approach is then employed to assess the short-run and long-run impact of conflict sentiment (and energy price controls) on the TCI …

Tackling Data Quality Challenges In Remote Sensing: Solutions For Reliable Urban Heat Island Analysis, Wei Xia, Aqil Tariq, Hesham El-Askary, Rana Waqar Aslam, Elgar Barboza, Dmitry E. Kucher, Youssef M. Youssef, Habib Kraiem

Mathematics, Physics, and Computer Science Faculty Articles and Research

Urban heat islands (UHIs) pose critical challenges to public health, energy demand, and environmental sustainability, particularly in rapidly expanding urban regions. This study examines the complex relationship between building configurations and integrated green spaces, as well as their combined impact on thermal regulation. It focuses on addressing data quality issues commonly encountered in remote sensing applications. Using high-resolution multispectral and thermal imagery, we developed an integrated modeling approach that captures the collective influence of built form and green infrastructure on urban microclimates. A key finding is the significant linear inverse relationship between green space coverage and land surface temperature, underscoring …

Potential Of Institutional Zakāh Management In Socio-Economic Development Of Bangladesh, Md. Muhibur Rahman

Journal of King Abdulaziz University: Islamic Economics

This article presents a comprehensive analysis of the potential of Bangladesh's institutionalized Zakāh system in driving socio-economic advancement. The research meticulously evaluates the impact of the Zakāh fund, managed by both institutional and non-institutional entities, in providing substantial financial capital and income-generating assets. It aims to draw a clear comparison between the two systems, highlighting the institutional model's ability to ensure long-term self-sufficiency, income generation, employment opportunities, and support for training and scholarships. This study employs a descriptive-analytical strategy to facilitate these comparisons. The data for the current study were obtained through comprehensive field research. A total of 385 individuals …

Social Reporting By Saudi Islamic Banks: A Longitudinal Approach, Faisal A. Otaibi

Journal of King Abdulaziz University: Islamic Economics

This study aims to assess the social reporting practices of Saudi Islamic Banks (IBs) over a 15-year period. It seeks to evaluate the effectiveness with which Saudi IBs meet their social reporting expectations, including Sharīʿah disclosure requirements. A longitudinal content analysis method was utilized, underpinned by a specifically developed research instrument that is culturally relevant and reflects the unique characteristics of Islamic banking. This approach allows tracking of changes over an extended period and captures the dynamic nature of disclosure practices influenced by both internal ethical mandates and external regulatory pressures. The findings reveal a moderate disclosure rate of 51.11% …

Conceptualizing The Limits Of The Use Of Generative Ai In Economic Analysis Via A Deep Meaning Of Habs, Abderrazak Said Belabes

Journal of King Abdulaziz University: Islamic Economics

Generative AI is increasingly integrated into economic analysis by researchers, economic institutions, and companies specializing in real-time forecasting through macroeconomic intelligence. This development poses a challenge to specialists in the analysis of economic life in Muslim societies. In this research, I ask the following question to ChatGPT: What is the relationship between the Zamzam well and the Kaʿaba as ḥabs, and what are your sources? After showing the limits of the AI chatbot's response, both in terms of the answer to the question and in terms of the sources on which it claims to rely, the research explains why …

Evaluation Of Sustainability Reporting In Islamic Banks: The Case Of Albaraka Türk Participation Bank, Arzu Meriç

Journal of King Abdulaziz University: Islamic Economics

Sustainability refers to the capacity to meet the needs of both present and future generations. Given the serious dimensions of environmental destruction, sustainability is primarily associated with environmental concerns. Organizations that pursue sustainability goals usually disclose these goals to the public via sustainability reports. The objective of this study is to assess the compliance of sustainability reports published by Islamic banks in Türkiye within the framework outlined by the Capital Markets Board. The sample for this study consists of several sustainability reports published by Albaraka Türk Participation Bank in 2019, 2020, and 2021. These reports have been selected based on …

Assessment Of Covid-19 Risks Related To Behaviour And Body Resistance In The Remote Area: Case Study In Jeneponto, Basri Basri, Andi Tilka Muftiah Ridjal, Lukman Setiawan, Renaldi M

Journal of Environmental Science and Sustainable Development

COVID-19 has posed significant global health threats, with responses varying across populations due to differences in risk perception, behaviour, and biological vulnerability. In Indonesia, most research has focused on urban settings, with limited attention paid to rural or remote communities. This study assesses COVID-19- risks related—specifically behavioural and immunity-related-factors—in the remote area of both Bontoramba Subdistrict, Jeneponto Regency. A cross-sectional study was conducted using cluster random sampling across eight villages, with 183 participants selected from a total of 12,242 households. Data were collected between November to December 2020 using a validated structured questionnaire, administered both online and face-to-face interviews. The …

Finite Element Methods With Anderson Acceleration And Its Application To Image Denoising, Amanda E. Diegel, Spence Hanegan, Hyeona Lim, Hoang Tran

Research Experiences for Undergraduates in Computational Methods with Applications in Materials Science

Image denoising is an important computational tool with applications in the medical, material science, and defense fields where CT-scans have a lot of noise that degrades quality and clearness. While there are several methods of solving image denoising problems, the one we focused on is total variation where we solve a difficult nonlinear partial differential equation that minimizes noise. There are also many numerical methods to find an approximate solution to this nonlinear partial differential equation, but the one we focus on is the finite element method. In addition, we used a fixed-point iteration method to handle the nonlinearity and …

Domains Of Housing Instability And Intimate Partner Violence Risk Among U.S. Tenants, Anairany Zapata, Leila G Wood, Annalynn M Galvin, Wenyaw Chan, Timothy A Thomas, Jack Tsai, Heather K Way, Elizabeth J Mueller, Daphne C Hernandez

Faculty, Staff and Student Publications

While IPV is often studied as a predictor of housing insecurity, few U.S. studies explore how different forms of housing instability may contribute to intimate partner violence (IPV) risk. Using a mixed-methods approach and a cross-sectional design, this study examined the association between four housing instability domains and IPV among a sample of tenants that had either experienced eviction or were at high risk for eviction. Tenants in Harris and Travis counties (Texas, USA) completed an online survey (n = 1085; March–July 2024). Housing instability was assessed across four domains: homelessness, lease violations, utility hardship, and poor housing quality. …

Resting Quantitative Myocardial Perfusion-Essential Clinical Coronary Pathophysiology For Preventing Non-Beneficial Revascularization In Cardiomyopathy, K Lance Gould, Nils P Johnson

Faculty, Staff and Student Publications

No abstract provided.

Analyzing High-Risk Fertility Behavior For Sustainable Maternal-Child Health: A 2017 Sociodemographic Study In Urban And Rural Indonesia, Asti Annisa Utami, Fadhaa Aditya Kautsar Murti, Popy Yuniar, Milla Herdayati

Kesmas

Indonesia's goal of achieving Indonesia Emas 2045 hinges on improving Maternal-Child Health (MCH), essential for building a healthy and competitive population. Despite some advancements, the Maternal Mortality Rate (MMR) and Under-five Mortality Rate (U5MR) remain high, particularly because of High-Risk Fertility Behavior (HRFB). The HRFB poses significant risks to MCH, affecting both urban and rural women. This study aimed to identify the factors associated with HRFB in these areas to enhance MCH outcomes and support Indonesia's sustainable health goals. This cross-sectional study used a secondary dataset from the 2017 Indonesian Demographic Health Survey. A total of 20,530 women of reproductive …

The Effectiveness Of Remote Patient Monitoring In Reducing The Risk Of Rehospitalizations In Covid-19 Patients: A Meta-Analysis, Dela Riadi, Indang Trihandini, Dewi Nirmala Sari, Fikri Wijaya

Kesmas

An integrated analysis of various Remote Patient Monitoring (RPM) studies is needed to evaluate the reduction rate of the risk of rehospitalization in COVID-19 patients. This meta-analysis aimed to provide an overview of the effectiveness of RPM. A literature search through online databases (PubMed, Science Direct, Scopus, ProQuest, and Embase) was conducted from 2019 to 2022. After using the Cochrane Collaboration's risk of bias tool, five studies on COVID-19 were selected. Based on the data collected from 2,685 participants (intervention = 1,060, control = 1,625), the use of RPM was found to reduce rehospitalization by 0.56 times compared to not …

Direct Medical Costs Of Diabetes Mellitus Treatment For Patients With Cardiovascular And Renal Complications, Rizki Fadila, Ayu Tyas Purnamasari, A.A. Istri Citra Dewiyani

Kesmas

Type 2 Diabetes Mellitus (T2DM) represents a growing global health challenge with significant clinical and economic implications, notably in Indonesia. The burden is intensified by renal and cardiovascular complications, especially among National Health Insurance beneficiaries. This retrospective study evaluated the direct medical costs of hospitalized T2DM patients with such complications at a type B hospital from 2019 to 2022. Costs were analyzed from both healthcare provider and payer perspectives, covering medical services, medical support services, pharmaceuticals, and other support services. Of the 192 patients reviewed, most were male (57.8%), aged 45–64 years (72.4%), with hospital stays of 1–5 days (90,1%) …

Cross-Cultural Adaptation And Validation Of Ranas-Based Instrument For Measuring Latrine Use Behavior In Indonesia, Vera Yulyani, Fatwa Sari Tetra Dewi, Iswanto Iswanto

Kesmas

Using toilets is a simple way to prevent diarrhea, yet no validated tool exists to measure this habit. This study aimed to develop and validate instruments for measuring latrine use consistency. This questionnaire was adapted from the risk, attitude, norm, ability, and self-regulation (RANAS) framework developed in India and modified for Indonesia. It was evaluated by three experts using the content validity index (CVI). The face validity index (FVI) was pilot-tested on 40 community respondents. Variables measured included behavior, habits, intentions to use toilets, knowledge, attitudes, norms, abilities, and self-regulation. Question items with relevance and clarity scores of item CVI …

Associated Factors In Willingness To Shift Tobacco Expenditure Into National Health Insurance Premium Among Subsidized Members, Mugi Wahidin, Muhammad Agus Mikrajab, Rozana Ika Agustiya, Veza Azteria

Kesmas

In Indonesia, subsidized members are the largest group in the National Health Insurance program. Hence, it is essential to understand their ability to pay (ATP) based on tobacco expenditure. This study aimed to determine the ATP of subsidized members based on tobacco expenditure and factors associated with their willingness to pay (WTP). This cross-sectional study used secondary data from the National Institute of Health Research and Development. The population included all subsidized members; 19,918 were sampled for ATP, and 14,560 were WTP. The independent t-test, ANOVA, and logistic regression were performed. Results showed that ATP from tobacco expenditure ranged from …

Supporting And Hindering Factors Associated With Covid-19 Health Protocol Adherence Among Online Motorcycle Taxi Riders In Samarinda City, Indonesia, Dina Lusiana Setyowati, Tanti Asrianti, Ismail Kamba, Rina Tri Agustini

Kesmas

The COVID-19 pandemic has underscored the importance of preventive health protocols, especially for high-contact occupations, such as online motorcycle taxi riders. However, adherence among these riders is inconsistent, particularly in economically constrained regions, such as Samarinda, a buffer zone for Indonesia's new capital. This study examined the influence of supporting and hindering factors on COVID-19 protocol compliance. A cross-sectional design was employed with 87 riders selected through quota sampling. Data were collected using structured questionnaires and analyzed using Spearman's rank correlation to assess the relationships between influencing factors and compliance levels. Economic barriers, especially high personal protective equipment (PPE) costs …

Sustaining Digital Health Interventions For Long-Term Cardiovascular Disease Prevention In The Energy Industry, Yul Isnadi, L. Meily Kurniawidjaja, Doni Hikmat Ramdhan

Kesmas

Cardiovascular disease (CVD) is a major health concern for energy industry workers due to occupational risks. Digital health interventions (DHIs) offer innovative strategies for CVD prevention in this high-risk group. This study aimed to explore the effectiveness and sustainability of DHI by incorporating behavior change theories, behavior change techniques, and principles of persuasive system design. A literature review was performed using PubMed, Scopus, Web of Science, and CINAHL databases to collect relevant information on interventions for CVD prevention among energy sector workers. The results indicated that while DHI could improve physical activity, dietary habits, and medication adherence in the short …

Health Economics Perspective On Indonesian Telemedicine Platform Practices: A Qualitative Study, Yossico Ria Wibowo, Rina Djunita Pasaribu

Kesmas

Telemedicine in Indonesia has experienced significant growth since its introduction in 2014. The financing system is regulated independently by each platform, leading to disparities in teleconsultation fees and medical incentives. This qualitative study, which involved a literature review and interviews with 33 participants, offered a health economics perspective on the implementation of telemedicine. The recommended teleconsultation fee ranges from USD 0.05 to USD 2.54, with medical incentives set at USD 1,59-3.18 for general practitioners and USD 4.77-6.36 for specialists, using telephone or video calls as the preferred means of teleconsultation. Although most patients and Indonesian Medical Association administrators generally agreed …

Determinants Of School Health Unit Program Implementation In Junior High Schools Of Boyolali District, Indonesia, Ayu Khoirotul Umaroh, Noor Alis Setiyadi, Kusuma Estu Werdani, Tanjung Anitasari Indah Kusumaningrum, Purwo Setiyo Nugroho

Kesmas

Adolescent health problems such as stunting, attempted suicide, and tobacco use in Indonesia require attention. To address these challenges, the School Health Unit Program, a school-based health initiative, aims to improve student health and academic achievement. This study examined the relationship between human resources, teachers’ knowledge, facilities and infrastructure, financial resources, and the planning process for implementing the School Health Unit Program in junior high schools in Boyolali District, Indonesia. A cross-sectional design was utilized, involving 50 junior high school teachers responsible for the School Health Unit as respondents, with data collected through structured questionnaires. Multivariate logistic regression analysis revealed …

Google Review Analysis Of “Duta We Care” Excellent Service As A Featured Service At A Central General Hospital In Padang, Alfitri Alfitri, Ricvan Dana Nindrea, Adek Setiawan, Elsa Yuniarti

Kesmas

Improving healthcare service quality required both technical and interpersonal enhancements through a personalized approach, as demonstrated by the “Duta We Care” program at a Central General Hospital in Padang. This study aimed to evaluate the program’s effectiveness by analyzing patient feedback from Google Reviews. A descriptive quantitative design examined 2,035 patient reviews from March 2013 to June 2024. Using NVivo 12 software, the data analysis generated word clouds. The results showed that 68.20% of reviews received a 5-star rating, 9.48% a 4-star rating, 4.35% a 3-star rating, 2.27% a 2-star rating, and 15.70% a 1-star rating. Words like “friendly,” “professional,” …

Socioeconomic Status, Environmental Health Knowledge, And Housewives’ Behavior In Maintaining Healthy Housing At Subsidized Flats In East Jakarta, Indonesia, Alfitra Firizkia Luthfiana Dewi, Laila Fitria

Kesmas

Healthy behavior among housewives is a crucial aspect of efforts to maintain healthy housing. This study aimed to analyze the relationship of socioeconomic status (e.g., household income, level of education of family head and housewives, and family head’s occupation) and environmental health knowledge with housewives’ behavior (e.g., vector control, waste management, home ventilation, cigarette smoking, and hand sanitation hygiene) in maintaining healthy housing in the subsidized flats in East Jakarta, Indonesia. This cross-sectional study employed the two-proportion hypothesis test formula and a simple random sampling method, recruiting 137 housewives for interviews. Data were analyzed via logistic regression to determine factors …

Noncommunicable Diseases (Hypertension Or Diabetes Mellitus) Among Private University Lecturers And Related Factors, Ummi Kalsum, Melati Puti Andini, Hendra Dhermawan Sitanggang, Helmi Suryani Nasution

Kesmas

Excessive workload, lack of rest, poor diet, stress, and insufficient physical activity are some contributing factors to a high risk of noncommunicable diseases (NCDs) for lecturers. This study aimed to develop a predictive model for the risk of NCDs among lecturers at a private university in Jambi City, Indonesia. A cross-sectional design was used, and the sample included 93 lecturers who met the inclusion criteria. The independent variables were workload, rest pattern, diet, physical activity, stress, smoking, and family history. The dependent variable was NCDs (hypertension or diabetes mellitus), measured through interviews based on a doctor's diagnosis. Data analysis was …