Public Health Commons^™

Determinants Of Utilization Of Covid-19 Vaccination Services For Pregnant Women, Risa Septi Astutik, Ayun Sriatmi, Eka Yunila Fatmasari

Preventia: The Indonesian Journal of Public Health

The COVID-19 pandemic has caused an increase in the death rate of pregnant women. The government is taking preventive action by providing COVID-19 vaccination to pregnant women in accordance with the Circular Letter of the Ministry of Health of the Republic of Indonesia HK.02.01/I/2007/2021. Even though it has been carried out for 2 months, vaccination coverage is still low, especially in Temanggung Regency. This study aims to determine behavioral determinants in the use of COVID-19 vaccination services for pregnant women. This research uses an analytical survey method with a quantitative approach through a cross-sectional study. Taking 200 samples using the …

Knowledge Of Tour Guides In The Sekumpul Waterfall Regarding Occupational Health And Safety, Made Adhyatma Prawira Natha Kusuma, Ni Luh Gede Aris Maytadewi, Luh Putu Wulandari Artha, Rut Wiratami

Preventia: The Indonesian Journal of Public Health

Occupational health and safety is an important thing to pay attention to in any activity, one of which is in the tourism sector. In the world of tourism, many tourism activities are offered by tourism business actors, which must pay attention to the health and safety of the tourism offered. The purpose of this study was to see the level of knowledge, attitudes, and behavior of tour guides at the Sekumpul Waterfall tour, Buleleng Regency, Bali regarding occupational health and safety. This research is a cross-sectional study using a descriptive-analytic approach with a one-group pretest-posttest research design. The sampling technique …

Assessment Of Emergency Exit Pathways And Fire Safety Measures In Football Stadium X: An Examination Following Indonesian Guidelines, Affan Al Maududi, Erianto Fanani, Marji Marji, Djoko Kustono

Preventia: The Indonesian Journal of Public Health

The most significant football stadium riot tragedy occurred at the National Stadium (Estadio Nacional) in Lima, Peru, resulting in 362 fatalities. The second largest tragedy transpired at the Kanjuruhan Stadium, Malang Regency, Indonesia, leading to 135 deaths. This research aims to evaluate the conformity of evacuation routes and fire protection systems at the one of Football Stadium in Greater Malang, in accordance with the standards and regulations applicable in Indonesia. This analytical descriptive study employs a quantitative research design. The research process involved examining the factual conditions on the ground and subsequently comparing the suitability of evacuation routes and fire …

Overview Smoking Behavior And Quality Of Life Of Sports Department Students, Faculty Of Sports Science, Universitas Negeri Malang, Windi Chusniah Rachmawati, Suci Puspita Ratih, Dian Mawarni, Aulia Rizqia Az Zahra, Chabibah Ilmiyah, Fatiya Rizka Putri, Nurmila Kurnia, Raden Roro Jasmine Zhafirah Pribadi, Zahra Rizki Novitasari

Preventia: The Indonesian Journal of Public Health

According to the results of the Global Adult Tobacco Survey (GATS) in 2021, there has been a considerable increase in the number of adult smokers over the past ten years, rising from 60.3 million in 2011 to 69.1 million in 2021, an increase of 8.8 million individuals. This study aims to compare the quality of life between actively smoking students and those who are exposed to passive smoking, examining their physical, psychological, social, and environmental health effects. The study utilized a sample of 100 respondents who completed a questionnaire on cigarette use and the WHOQOL quality of life assessment, covering …

The Effectivity Of Nutrition Education Using E-Booklet On Knowledge And Attitude About Anemia Among Adolescent Girls In Turen Malang, Farah Paramita, Windi Chusniah Rachmawati, Rany Ekawati, Haura Salwa Aulia Pherenis, Selsa Tri Septiani, Meisya Awaliahmunazila

Preventia: The Indonesian Journal of Public Health

One of the nutritional problems of adolescent female in Southeast Asia is iron deficiency anemia, with an estimated 25-40 percent of adolescent female experiencing mild to severe anemia. The impact of this on teenagers is a decline in academic abilities at school due to a lack of enthusiasm for learning and concentration on learning. This research aims to determine the effect of e-booklet anemia prevention media on young women at SMAN 1 Turen. This research uses an experimental method, namely a pre-experimental design with a one group pretest-posttest approach. The subjects of this research were 50 female students. The results …

Blood Pressure Analysis Based On Nutritional Status And Lifestyle In Employees With Hypertension, Yessy Kurniati, Aminuddin Syam, Wahiduddin Wahiduddin, Zaenal Zaenal, Ahmad Arif Hidayat

Preventia: The Indonesian Journal of Public Health

The incidence of hypertension continues to increase. Hypertension is related to lifestyle and nutritional status. This study aimed to analyze blood pressure based on the nutritional status and lifestyle of employees with hypertension. An analytic study with a cross-sectional design was conducted from July to September 2022 by recruiting all Hasanuddin University rectorate employees with hypertension. The total number of respondents in this study was 63 people. Data was collected by measuring blood pressure and anthropometry, while lifestyle risk factors were collected using a questionnaire. Pearson correlation was performed to measure the correlation between blood pressure and nutritional status. A …

Analysis Of Accessibility Of People With Sensory Disabilities In Rsud Pasar Minggu, Daffaldo Suryoputra, Masyitoh Basabih, Fify Mulyani

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

People with a disability is someone who has conditions, whether physically and mentally that make a person experience difficulty in certain conditions and interact with their environment. Pasar Minggu Regional Hospital (RSUD Pasar Minggu) has achieved a general patient satisfaction indicator with satisfaction rate of 90% in 2022. This satisfaction indicator mainly comes from infrastructure and facility factors, along with the competence of service providers and costs. As a regional referral hospital, this hospital certainly has patients with physical limitations due to disabilities or illnesses. To ensure patient satisfaction can also be felt by patients with physical limitations, this study …

Strategi Optimalisasi Klaim Jaminan Kesehatan Nasional Di Unit Casemix Rumah Sakit “X” Blitar, Nurfathina Syahira, Achmad Jaelani Rusdi, Prima Soultoni Akbar

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The funding for patient care of participants of the Social Security Administering Body (BPJS) Health in hospitals is carried out through a claim mechanism. This study aims to design a strategy to optimize the claims for patient care costs for BPJS participants at Hospital "X" in Blitar. The study is conducted with a descriptive qualitative approach, and data collection is done through interviews and Focus Group Discussions (FGD). The informants consist of a doctor and four coders in the casemix unit. The study begins with an analysis of the claim service system situation, focusing on strengths, weaknesses, opportunities, and threats …

Analisis Implementasi Aplikasi Mobile System Pada Sistem Informasi Manajemen Di Rumah Sakit Umum Daerah (Rsud) Budhi Asih, Annisa Apriani Safitri, Mustakim Mustakim

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Hospital Information System (HIS) or Hospital Management Information System (SIMRS) is important in supporting the entire hospital process through information technology. Budi Asih Regional Hospital has a Hospital Information System in its management but still has various issues and challenges in its implementation. This study uses qualitative methods, informant selection with purposive sampling, and data collection techniques through in-depth interviews, observations, and document analysis. Information systems are part of organizational resources for decision-making regarding leadership needs. The Management Information System must be designed by considering data architecture including automated codification in an integrated manner such as statistics, mapping for further …

Empowering Nonmedical Personnel To Detect Scabies In Endemic Area Using Deskab Instrument: A Diagnostic Study, Sandra Widaty, Aria Kekalih, Dewi Friska, Kusmarinah Bramono, Siti Maulidya Sari, Irene Darmawan, Yufanti Sujudi, David Dwiadiputra Hartanto, Emiliana Kartika, Nikken Rima Oktavia

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: Scabies has been added to World Health Organization (WHO) list of neglected tropical disease in 2017. Various methods have been developed to control scabies in highly prevalent communities. In this study we conducted a diagnostic study to evaluate the performance of scabies detection by trained nonmedical personnel (NMP) using Deteksi Skabies (Deskab) instrument which has been validated for NMP.
Methods: Eight NMPs in a boarding school were trained to detect scabies using DeSkab instrument. The NMPs diagnosis were compared to diagnosis of 10 medical doctors. The study was conducted in a religion-affiliated boarding school in West Java, Indonesia. Both …

Hubungan Antara Partisipasi Dalam Pengambilan Keputusan Kesehatan Perempuan Dengan Kehamilan Yang Tidak Diinginkan, Maria Anastasia Audrey, Sudarto Ronoatmodjo

Jurnal Epidemiologi Kesehatan Indonesia

Prevalensi Kehamilan Tidak Diinginkan (KTD) di Indonesia mencapai 10,7% pada tahun 2021. Pada wanita yang sudah menikah, keputusan kesehatan mencakup keputusan tentang kontrasepsi, yang idealnya melibatkan partisipasi perempuan bersama suaminya agar dapat dilakukan secara konsisten sehingga dapat mencegah KTD. Namun, data tahun 2017 menunjukkan proporsi pengambilan keputusan kesehatan perempuan yang dilakukan perempuan bersama suami hanya sebesar 43,7%. Penelitian ini bertujuan untuk mengetahui hubungan antara partisipasi bersama antara istri dan suami dalam pengambilan keputusan kesehatan perempuan dengan terjadinya KTD. Penelitian ini menggunakan desain studi crosssectional dengan menganalisis data Survei Demografi dan Kesehatan Indonesia tahun 2017. Kriteria inklusi sampel adalah perempuan yang …

Determinan Kegagalan Pengobatan Pada Pasien Tuberkulosis Sensitif Obat Dewasa Di Provinsi Jawa Tengah Tahun 2022, Elizabeth Wulandari, Sudarto Ronoatmodjo

Jurnal Epidemiologi Kesehatan Indonesia

Tuberkulosis (TB) adalah salah satu penyakit menular penyebab kematian tertinggi di dunia. Pada populasi pasien TB, terdapat banyak faktor yang dapat meningkatkan risiko kejadian yang tidak diharapkan dari pengobatan. Tujuan dari penelitian ini adalah untuk mengidentifikasi faktor-faktor yang berhubungan dengan kegagalan pengobatan pada pasien TB dewasa di Provinsi Jawa Tengah pada tahun 2022. Studi cross-sectional ini menganalisis data sekunder dari Sistem Informasi TB (SITB), menggunakan 14.542 sampel yang memenuhi kriteria inklusi dan eksklusi. Pasien TB berusia >15 tahun dan terdapat hasil pengobatan merupakan kriteria inklusi dalam penelitian ini. Kegagalan pengobatan merupakan variabel dependen dan variabel independennya adalah usia, jenis kelamin, …

Gambaran Diagnosis Tbc Di Indonesia Tahun 2020-2022, Siti Zaenab, Sudarto Ronoatmodjo, Muharnis Putri

Jurnal Epidemiologi Kesehatan Indonesia

Tantangan utama dalam pemberatasan TBC di Indonesia ialah mengenai penemuan kasus TBC, diagnosis merupakan salah satu strategi utama dalam penemuan kasus TBC, diperlukan informasi mengenai gambaran ketersediaan akses universal diagnosis TBC di Indonesia tahun 2020-2022 sehingga kasus TBC tersebut dapat diobati sampai sembuh dan tercapainya eliminasi TBC di tahun 2030. Tujuan dari dilakukannya studi ini ialah untuk memberikan gambaran diagnosis TBC yang ada di Indonesia pada tahun 2020-2022, studi dilakukan menggunakan data surveilans TBC (SITB) milik Kementerian Kesehatan RI. Data yang akan dievaluasi merupakan seluruh terduga TBC yang datang ke Fasyankes dan tercatat di SITB. Hasilnya adalah pada tahun 2020 …

Hubungan Penyakit Jantung Koroner Dengan Kebugaran Jasmani Pada Jemaah Haji Di Provinsi Dki Jakarta Tahun 2023, Yanti Herawati, Mondastri Korib Sudaryo

Jurnal Epidemiologi Kesehatan Indonesia

Haji adalah ibadah yang membutuhkan jasmani sehat juga bugar. Permenkes terkait tentang Istithaah Kesehatan Jemaah Haji Nomor 15 Tahun 2016 membawa konsekuensi mengedepankan pemeriksaan juga pembinaan kesehatan bagi jemaah haji sehingga mampu menyelesaikan seluruh ritual ibadahnya sesuai syariat Islam. Penelitian ini bertujuan untuk menganalisis hubungan Penyakit Jantung Koroner (PJK) terhadap kebugaran jasmani jemaah haji di Provinsi DKI Jakarta Tahun 2023. Desain studi penelitian menggunakan kohort restrospektif, dengan total sampling sebanyak 4.779 sampel serta menggunakan data sekunder dari aplikasi Siskohatkes Kementerian Kesehatan RI tahun 2023. Kriteria pemilihan sampel adalah responden yang mempunyai data pemeriksaan kesehatan tahap kedua dan hasil pengukuran kebugaran …

Analisis Faktor Risiko Kejadian Malaria Di Kabupaten Batu Bara Tahun 2022, Fitri Wahyuni, Tri Yunis Miko Wahyono

Jurnal Epidemiologi Kesehatan Indonesia

Malaria adalah masalah kesehatan yang serius dan dapat berakibat fatal, terutama pada kelompok risiko tinggi seperti bayi, anak kecil, dan ibu hamil. Selain itu, malaria juga menyebabkan anemia dan menurunkan produktivitas tenaga kerja. Pada tahun 2010, sekitar 65% kabupaten di Indonesia merupakan daerah endemis malaria, dan sekitar 45% penduduk di daerah endemis berisiko tertular malaria. Di Kabupaten Batu Bara, kasus malaria meningkat dari tahun ke tahun. Penelitian ini bertujuan untuk mengetahui faktor-faktor risiko kejadian malaria. Penelitian ini menggunakan kasus-kontrol dan dilakukan pada Juni 2022 di Kabupaten Batu Bara dengan melibatkan responden berusia 12 tahun ke atas sebanyak 170 sampel. Indiividu …

Pengaruh Promosi Kesehatan Melalui Media Sosial Whatsapp Terhadap Pemahaman Ibu Tentang Menu Mpasi Bergizi Di Kabupaten Sumedang, Dini Afriani, Witri Dewi Mentari, Ziana Azahra

Jurnal Epidemiologi Kesehatan Indonesia

Masyarakat menggunakan media sosial sebagai platform untuk berbagi teks, gambar, suara, dan video satu sama lain dan juga dengan pelaku bisnis. Studi ini meneliti pengetahuan ibu tentang menu makanan tambahan yang khas dan kaya nutrisi dengan menggunakan media sosial Whatsapp dan teknik video/teks dalam kelompok. Tujuannya adalah untuk mengetahui dampak dari promosi kesehatan melalui media sosial Whatsapp terhadap pemahaman para ibu mengenai menu makanan tambahan yang khas dan kaya gizi untuk bayi baru lahir. Penelitian ini menggunakan desain One Group Pre-test Post-test untuk pengujian sebelum dan sesudahnya. Dalam penelitian ini, ibu dari anak-anak berusia 6 hingga 24 bulan digunakan. Ibu …

Hubungan Komorbiditas Terhadap Kondisi Akhir Pasien Covid-19 Di Rsud Siti Fatimah Provinsi Sumatera Selatan, Dewie Suranti

Jurnal Epidemiologi Kesehatan Indonesia

Pada tahun 2021, Indonesia menempati peringkat pertama dengan kasus COVID-19 terbanyak di ASEAN. Angka kematian COVID-19 di Indonesia sebesar 3,4% dan peringkat ke-5 ditempati oleh Provinsi Sumatera Selatan. Penelitian terdahulu menunjukkan komorbiditas berkontribusi terhadap kematian pasien COVID-19 disertai usia dan jenis kelamin. Penelitian ini bertujuan untuk menganalisis peran usia, jenis kelamin, dan komorbiditas terhadap kondisi akhir pasien COVID-19 di RSUD Siti Fatimah. Metode penelitian menggunakan desain cohort retrospective dengan analisis cox regression pendekatan model proportional hazard. Penelitian ini menggunakan data sekunder yaitu rekam medik pasien terkonfirmasi COVID-19 di RSUD Siti Fatimah dari Januari-Desember 2021 berjumlah 928 pasien yang diambil dengan …

A Comprehensive Scoping Review Of Snoezelen Room In Occupational Therapy Best Practices, Muhammad Hidayat Sahid, Andriani Pratiwi, Mohamad Ghazali Masuri, Akehsan Dahlan

Jurnal Epidemiologi Kesehatan Indonesia

Penelitian ini merupakan analisis komprehensif terhadap literatur, penelitian, dan sumber daya yang terkait dengan ruang Snoezelen, dengan tujuan menyajikan gambaran mengenai manfaat, praktik terbaik, dan potensi aplikasi dari lingkungan multi-sensorik ini. Tinjauan ini mensintesis dan menganalisis secara kritis informasi yang tersedia untuk berkontribusi pada pemahaman dan implementasi ruang Snoezelen bagi individu dengan kebutuhan beragam. Pencarian sistematis basis data elektronik, termasuk PubMed, PsycINFO, dan CINAHL, bersama dengan pencarian manual pada daftar referensi, mengidentifikasi 27 artikel relevan yang memenuhi kriteria inklusi. Proses seleksi yang ketat memastikan inklusi sumber yang berkualitas tinggi dan relevan. Metode ekstraksi dan sintesis data digunakan untuk mengidentifikasi tema …

Hubungan Riwayat Komplikasi Kehamilan Dengan Kejadian Perdarahan Pasca Salin Di Indonesia (Analisis Data Survei Demografi Dan Kesehatan Indonesia 2017), Dewiyana Dewiyana, Trisari Anggondowati

Jurnal Epidemiologi Kesehatan Indonesia

Perdarahan Pasca Salin (PPS) merupakan salah satu penyebab utama kematian ibu secara global dan di Indonesia. Berdasarkan Survei Demografi dan Kesehatan Indonesia (SDKI) 2017, masalah kesehatan terbesar yang dikhawatirkan oleh para ibu yang dapat membahayakan seorang wanita ketika melahirkan adalah ibu mengalami PPS (28%). Memprediksi risiko PPS adalah bagian penting dari skrining prenatal dan penilaian pada kehamilan dan persalinan sangat bergantung pada akurasi riwayat kehamilan. Studi cross-sectional ini bertujuan mengetahui hubungan antara riwayat komplikasi kehamilan dengan perdarahan pasca salin di Indonesia menggunakan SDKI 2017. Responden adalah Wanita Usia Subur (WUS) 15-49 tahun yang melahirkan anak terakhir secara per vaginam sebelum …

Determinan Kejadian Hipertensi Pada Sopir Angkot Di Terminal Depok, Khairal Ummah, Fajaria Nurcandra, Balqis Hiri Bahasoan

Jurnal Epidemiologi Kesehatan Indonesia

Hipertensi masih menjadi masalah kesehatan masyarakat dan menjadi faktor penyebab berkembangnya penyakit kardiovaskular. Indonesia memiliki prevalensi hipertensi tertinggi di kawasan Asia Tenggara hipertensi yaitu sebesar 41%. Kota Depok menjadi wilayah dengan prevalensi hipertensi tertinggi yaitu sebesar 22,7%. Oleh karena itu tujuan dilakukannya penelitian ini adalah untuk mengetahui faktor-faktor hipertensi pada sopir angkot di terminal Depok. Studi cross sectional dengan jumlah sampel 84 angkot yang diwawancara menggunakan kuesioner dan tensimeter yang dilakukan pada bulan Mei-Juni 2018. Sopir-sopir tersebut dipilih secara purposive sampling dan dilakukan analisis menggunakan uji regresi logistik. Proporsi hipertensi pada sopir angkot yaitu sebesar 64,5%. Variabel yang memiliki hubungan …

Pengaruh Komplikasi Kehamilan Terhadap Kematian Neonatal Dini Di Indonesia: Analisis Data Survei Demografi Dan Kesehatan Indonesia (Sdki) 2017, Fatimah Fatimah, Asri Adisasmita Prof

Jurnal Epidemiologi Kesehatan Indonesia

Kematian neonatal dini merupakan penyumbang 2/3 dari kematian neonatal yang merupakan indikator derajat kesejahteraan dan kesehatan bangsa. Tingkat kematian bayi di Indonesia masih cukup tinggi jika dibandingkan dengan negaranegara Asia lainnya. Komplikasi selama kehamilan diduga sebagai salah satu faktor utama penyebab kematian neonatal dini. Tujuan dari penelitian ini adalah untuk menentukan sejauh mana hubungan antara komplikasi kehamilan dan kematian neonatal dini di Indonesia. Penelitian ini mengadopsi pendekatan crosssectional menggunakan set data yang digunakan berasal dari Survei Demografi Kesehatan Indonesia 2017. Variabel dependen pada studi ini adalah kematian neonatal dini dari anak terakhir yang dilahirkan responden yang berusia 15 – 49 …

Analisis Pelaporan Nilai Kritis Hasil Pemeriksaan Laboratorium Di Rumah Sakit Mayjend Hm Ryacudu Kabupaten Lampung Utara, Rahmat Hidayat, Entuy Kurniawan, Ira Gustira Rahayu, Wiwin Wiryanti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Critical values are abnormal values indicating high-risk/pathophysiological conditions that threaten the patient's life and require immediate medical intervention. Reporting critical laboratory values must be done quickly and accurately to the patient's responsible physician (DPJP) to ensure prompt and appropriate treatment. The aim of this study is to understand the reporting of critical laboratory values and its impact on the clinical decisions of doctors. This research uses both quantitative and qualitative methods with a descriptive analysis approach. Data collection was conducted through in-depth interviews, documentation, and observation. Informants were 15 DPJP. The results of this study show that the reporting system …

Determinan Utilisasi Layanan Wisata Kebugaran (Wellness Tourism) Di Rsup Dr. Sardjito, Yogyakarta, Firman Firman, Kartika Lestari, Citra Corneriski Garnet

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Wellness tourism have become a new trend for Indonesian people in maintaining their physical and spiritual health. Dr. Sardjito General Central Hospital is one of the hospital institutions that develops medical & wellness tourism services by utilizing Javanese culture and using traditional materials. This study aims to determine the factors that influence patients using wellness tourism. Qualitative research with a phenomenological approach and sample selection using purposive sampling with specified criteria. The total informants were 10 patients, and 5 from service providers such as management, administration and therapists at the Kalimosodo polyclinic. Data collection was carried out through in-depth interviews …

Gambaran Klaim Pelayanan Dialisis Di Rumah Sakit Dan Rekomendasi Kebijakan Di Level Daerah: Studi Kasus Kota Pematangsiantar, Syarif Rahman Hasibuan, Chandra Istanti Prasetyo, Ede Surya Darmawan, Vetty Yulianty Permanasari

Jurnal Ekonomi Kesehatan Indonesia

Chronic kidney disease is a global health issue affecting more than 10% of the world's population and poses a significant disease burden, especially in developing countries. In Indonesia, the National Health Insurance program (JKN) has enabled access to dialysis care for patients with chronic kidney failure, but it also presents challenges in sustaining financing. This study aims to analyze the trends in dialysis service claims in Pematangsiantar City during the period from 2017 to 2022 and project the service needs until 2025. The research design is descriptive-analytic, using claim data from BPJS Health related to dialysis procedures. Analysis is conducted …

Disability Among Older Adults With Hypertension In Southeast Asia: A Scoping Review, Utoomporn Wongsin, Arnat Wannasri, Dichapong Pongpattrachai, Tuo-Yu Chen

Journal of Demography

Background: The prevalence of chronic disease and disability is expected to increase when age increases. This study aims to investigate the published articles related to disability among older adults living with hypertension in Southeast Asia.

Study Design: A scoping review

Data source: Web of science, Pubmed, CINAHL ,Cochrane and a google search, from 2000 to 2023.

Results: There were six observational studies from Indonesia, Vietnam, Malaysia, and Thailand met our inclusion criteria. The studies mainly focus on investigating the prevalence, risk factors and sex difference in risk factors associated with disabilities among the older adults.

Conclusion: Our scoping review has …

Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair

Walden Dissertations and Doctoral Studies

Homeless individuals, who have limited resources and lack stable lodging, are particularly vulnerable during disasters, further jeopardizing their already precarious health conditions. By examining the effectiveness of existing preparedness and response strategies on the readiness of homeless individuals during flood events, insights can be gained to enhance emergency operations. The purpose of the study was to investigate the experiences and vulnerabilities of homeless populations in a northeastern U.S. city with the goal of promoting inclusivity and resilience. Research questions involved understanding knowledge of dangers of flooding disasters; disaster preparedness, response, and recovery; and how current public promotion practices of disaster …

Association Of Longitudinal Changes In 24-H Blood Pressure Level And Variability With Cognitive Decline, Jesus D. Melgarejo, Kristina Vatcheva, Silvia Mejia-Arango, Sokratis Charisis, Luis J. Mena, Rosa P. Mavarez, Antonio Garcia, Ney Alliey Rodriguez, John Blangero, Gladys Maestre

School of Medicine Publications

Objective:

A high office blood pressure (BP) is associated with cognitive decline. However, evidence of 24-h ambulatory BP monitoring is limited, and no studies have investigated whether longitudinal changes in 24-h BP are associated with cognitive decline. We aimed to test whether higher longitudinal changes in 24-h ambulatory BP measurements are associated with cognitive decline.

Methods:

We included 437 dementia-free participants from the Maracaibo Aging Study with prospective data on 24-h ambulatory BP monitoring and cognitive function, which was assessed using the selective reminding test (SRT) and the Mini-Mental State Examination (MMSE). Using multivariate linear mixed regression models, we analyzed …

Getting Precise About Gender And Sex Measurement: A Primer For Epidemiologists, Arjee J. Restar, Elle Lett, Neia Prata Menezes, Andrea R. Molino, Tonia C. Poteat, Lorraine Dean, Jennifer L. Glick, Kellan E. Baker, S Wilson Cole

School of Public Health Faculty Publications

Accurately measuring gender and sex is crucial in public health and epidemiology. Iteratively reexamining how variables-including gender and sex-are conceptualized and operationalized is necessary to achieve impactful research. Reexamining gender and sex advances epidemiology toward its goals of health promotion and disease elimination. While we cannot reduce the complexities of sex and gender to simply an issue of measurement, striving to capture these concepts and experiences accurately must be an ongoing dialogue and practice-to the benefit of the field and population health. We assert that epidemiology must counteract misconceptions and accurately measure gender and sex in epidemiology. We aim to …

Risk Of Anthracycline-Induced Cardiac Dysfunction In Adolescent And Young Adult (Aya) Cancer Survivors: Role Of Genetic Susceptibility Loci, Lily K Stafford, Xiaohui Tang, Amanda Brandt, Jianzhong Ma, Jose Banchs, J Andrew Livingston, Michael E Roth, Alanna C Morrison, Michelle A T Hildebrandt

Faculty, Staff and Student Publications

There is a known genetic susceptibility to anthracycline-induced cardiac dysfunction in childhood cancer survivors, but this has not been adequately shown in adolescent and young adult (AYA) patients. Our aim was to determine if the previously identified variants associated with cardiac dysfunction in childhood cancer patients affect AYA cancer patients similarly. Forty-five variants were selected for analysis in 253 AYAs previously treated with anthracyclines. We identified four variants that were associated with cardiac dysfunction: SLC10A2:rs7319981 (p = 0.017), SLC22A17:rs4982753 (p = 0.019), HAS3:rs2232228 (p = 0.023), and RARG:rs2229774 (p = 0.050). HAS3:rs2232228 and SLC10A2:rs7319981 displayed significant effects in our AYA …

Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair

Walden Dissertations and Doctoral Studies

Homeless individuals, who have limited resources and lack stable lodging, are particularly vulnerable during disasters, further jeopardizing their already precarious health conditions. By examining the effectiveness of existing preparedness and response strategies on the readiness of homeless individuals during flood events, insights can be gained to enhance emergency operations. The purpose of the study was to investigate the experiences and vulnerabilities of homeless populations in a northeastern U.S. city with the goal of promoting inclusivity and resilience. Research questions involved understanding knowledge of dangers of flooding disasters; disaster preparedness, response, and recovery; and how current public promotion practices of disaster …