Epidemiology Commons^™

Household Food Security, Lifestyle Factors, And Glycemic Control Among Youth And Young Adults With Diabetes, Lauren A. Reid

Theses and Dissertations

The purpose of this study was to assess the associations between household food insecurity (HFI) and glycemic control, physical activity, and diet quality in youth and young adults (YYA) with type 1 diabetes (T1D) and type 2 diabetes (T2D). Among older adults, HFI has been shown to complicate diabetes management due to the essential role of diet in diabetes management and the financial stress associated with HFI. Although HFI is more prevalent among YYA with diabetes than the general population, there are only a handful of studies that have focused on this population and, studies that include YYA with T2D …

Dysbiosis-Related Medications And The Association With Cognitive Decline, Cognitive Impairment, And Dementia, Nicholas Victor Resciniti

Theses and Dissertations

The main objectives of this dissertation were to quantitatively assess whether there is an association between medications (e.g., antibiotics, PPIs, antipsychotics) and cognitive performance over time, conduct a causal mediation analysis to evaluate the role of inflammation (C-reactive protein) in the association between medications and subsequent cognitive decline, and examine if dysbiosis-related medications (DRM) are associated with a greater risk of dementia for participants that were cognitively normal and had MCI at baseline.

The Health and Retirement Study (HRS) was used to conduct a secondary data analysis that used longitudinal data from 2004 to 2016. The HRS is an ongoing, …

Diabetes, Anti-Diabetic Medication Use, And The Risk Of Ovarian Cancer, Chantaezia Joseph

Theses and Dissertations

Background- Although ovarian cancer is a rare disease, it is the 5th leading cause of cancer-related deaths among women in the United States. Diabetes is a serious chronic disease that plagues over 436 million adults worldwide and was ranked 7th in causes of death in the US in 2017. Epidemiologic evidence suggests that diabetes may lead to an increased risk of ovarian cancer due to shared risk factors such as sedentary behaviors, smoking and poor diet or through biological mechanisms related to hyperglycemia and obesity, but the epidemiologic evidence yields mixed results. Certain anti-diabetic medications may increase the risk …

Intersection Of Maternal Disability Status, Prescription Opioid Use Before And During Pregnancy, And Adverse Birth Outcomes, Chelsea Lynes Richard

Theses and Dissertations

Nationally, individuals with disability, like those with chronic health conditions, have higher rates of opioid use and misuse and are prescribed higher dosages than those without disability. Because opioid agonists and antagonists can cross the placenta rapidly, there is biological plausibility that they may have an impact on birth outcomes. Therefore, monitoring prescription opioid use, particularly among pregnant women, is of great public health importance. While evidence for the impact of opioid use on preterm birth and low birthweight are conflicting; findings are consistent that opioid use during pregnancy is associated with a higher risk of small for gestational age, …

Population Simulations Of Covid-19 Outbreaks Provide Tools For Risk Assessment And Continuity Planning, Bo Peng, Rowland W Pettit, Christopher I Amos

Faculty, Staff and Students Publications

OBJECTIVES: We developed COVID-19 Outbreak Simulator (https://ictr.github.io/covid19-outbreak-simulator/) to quantitatively estimate the effectiveness of preventative and interventive measures to prevent and battle COVID-19 outbreaks for specific populations.

MATERIALS AND METHODS: Our simulator simulates the entire course of infection and transmission of the virus among individuals in heterogeneous populations, subject to operations and influences, such as quarantine, testing, social distancing, and community infection. It provides command-line and Jupyter notebook interfaces and a plugin system for user-defined operations.

RESULTS: The simulator provides quantitative estimates for COVID-19 outbreaks in a variety of scenarios and assists the development of public health policies, risk-reduction operations, and …

What The Pandemic Experience Taught Us About Stem Higher Education-School Partnerships, Nancy P Moreno, Dolores V Garay, Katherine A Harris, Alana D Newell, Beatriz Perez-Sweeney, Elizabeth Camacho-Lopez, Bernice A Shargey

Faculty, Staff and Students Publications

The move to virtual schooling and other measures to reduce the spread of SARS-CoV-2 infection dramatically changed the educational experience for grades K-12 populations during the years 2020 and 2021. STEM teaching and learning, and community partnerships focused on STEM education, were not exempt from the changes. Universities and other community partners had to adapt their STEM partnership programming to address new needs and assist students, teachers, families, and schools throughout periods of at-home learning and the re-reintroduction of in-person classes. Some of the changes included developing new programs, providing health-related guidance to school leaders, and converting student-focused programs to …

The Detrimental Association Between Fear Of Falling And Motor Performance In Older Cancer Patients With Chemotherapy-Induced Peripheral Neuropathy, Gu Eon Kang, Tamiko K Murphy, Mark E Kunik, Hoda J Badr, Biruh T Workeneh, Sarvari V Yellapragada, Yvonne H Sada, Bijan Najafi

Faculty, Staff and Students Publications

BACKGROUND: Cancer patients with chemotherapy-induced peripheral neuropathy (CIPN) are at increased risk of falls and developing fear of falling (FoF). Although FoF may continue to impair motor performance and increase the risk of falling even further, this association remains unexplored in CIPN.

RESEARCH QUESTION: Does high FoF in patients with CIPN further deteriorate motor performance beyond the impairment from CIPN-related sensory deficits?

METHODS: In this secondary analysis of data collected from two clinical trials, gait parameters during habitual walking condition and postural sway parameters during 30-second quiet standing (eye-open and eyes-closed) were compared among older participants (≥ 65 years) with …

Hubungan Jumlah Koloni Bakteri Di Udara Dalam Ruang Dengan Kejadian Sick Building Syndrome (Sbs) Pada Pegawai Di Arsip Nasional Republik Indonesia Tahun 2019, Rachma Aditria Suci, Ririn Arminsih Wulandari

Jurnal Nasional Kesehatan Lingkungan Global

Background. Sick Building Syndrome (SBS) is one of the problems that are often experienced by residents in office buildings. SBS can be caused due to indoor air quality and individual characteristics. This study aims to determine the relationship between the total amount of bacterial colonies in the air in indoor office with SBS at Arsip Nasional Republik Indonesia. Methods. Cross sectional study design was used, the independent variables was the total number of colonies. The confounding variables were temperature, relative humidity, lighting, age, gender, working period, history of allergies and smoking habits. Results. Statistical analysis gives the results of the …

Pengaruh Tekanan Panas Terhadap Tekanan Darah Tinggi Pada Pekerja Bagian Casting Dan Pressing Di Pt X Tahun 2019, Shendy Glenfano Salean, I Made Djaja

Jurnal Nasional Kesehatan Lingkungan Global

Background. Heat pressure is a combination of several factors such as air temperature, air humidity, air velocity which is a forming of heat pressure. Exposure to high heat pressure can cause an increase in heart rate and blood pressure, also known as hypertension. According to the WHO, hypertension causes the deaths of as many as 8 million deaths a year worldwide. According to Riskesdas (2018) in Indonesia hypertension has a high prevalence, which is equal to 25.8% in 2013 and then becomes 34.1% in 2018. Methods. This study used a cross-sectional study design. This study aims to see the relationship …

Analisis Risiko Kesehatan Pajanan Timbal Dalam Kangkung Air Pada Petani Kangkung Di Kelurahan Sukapura Jakarta Utara Tahun 2019, Fauzia Rachmidiani, Suyud Warno Utomo

Jurnal Nasional Kesehatan Lingkungan Global

Background. Fuel can emit lead heavy metal into the air and will fall to the ground and accumulate in the soil or water. Soil has the ability to retain most of the harmful elements it contains in a long time. Planting water spinach on the edge of a road that is heavily traversed by vehicles will affect lead levels in water spinach due to the absorption of lead from the environment. This study aims to estimate the level of health risk of water spinach farmers due to ingestion of lead in water spinach grown in Sukapura District, North Jakarta. Methods. …

Penyakit Berbasis Lingkungan, Phbs Dan Kondisi Lingkungan Di Lembaga Pemasyarakatan Perempuan Kelas Iia Jakarta, Nurunissa Pratiwi, Laila Fitria

Jurnal Nasional Kesehatan Lingkungan Global

Background. The environment-based disease is a disease phenomenon caused by human association with environmental factors. 3 environmental-based diseases observed in this study were ARI, diarrhea, and fungal infection skin diseases. The purpose of this study was to describe the health problems experienced by prisoners, environmental conditions and the application of clean and healthy behavior, and the relationship between variabels in the Class IIA, Jakarta. Methods. This study used a cross-sectional study with 96 respondents. Retrieval of data using a questionnaire interview technique. Results. The results of statistikal tests showed that there was a significant relationship between the incidence of ARI …

Faktor-Faktor Yang Mempengaruhi Kelayakan Gor Otista Jakarta Timur Menjadi Hunian Sementara Korban Bencana Banjir Ditinjau Dari Aspek Kesehatan Lingkungan Tahun 2019, Sulthana Labiba Khansa, Budi Hartono

Jurnal Nasional Kesehatan Lingkungan Global

Background. The aim of this study discusses the factors that influence the Otista Sports Hall proper for temporary shelter for flood victims in terms of environmental health aspects. This study discusses the form of temporary housing in addition to tents that are safer in terms of health that can be used at the location of refugee camps, one of which is Otista Sports Hall. Methods. This research method uses qualitative methods with descriptive observational univariate analysis. Data retrieval is done by observation and interview using the checklist. This research was conducted at GOR Otista, East Jakarta. Variables related to this …

Hubungan Higiene Sanitasi Makanan Dan Tingkat Kontaminasi Escherichia Coli Pada Makanan Di Lokawisata Baturaden Tahun 2018, Anindya Giodhani, Agustin Kusumayati

Jurnal Nasional Kesehatan Lingkungan Global

Background. Food is an important aspect of human life. However, diseases can also arise due to the ingredients present in food. Tourism places are one of the public places that are at risk as a place for disease transmission through the media, one of which is food. This study aims to determine the relationship between food sanitation hygiene and the level of Escherichia coli contamination in food at Baturaden Tourist Site. Methods. This study used a cross sectional study design. The data used are primary data consisting of laboratory test results of 42 food samples and the results of interviews …

Hubungan Status Pekerjaan Dengan Kadar Merkuri Dalam Rambut Masyarakat Di Wilayah Pertambangan Emas Skala Kecil (Pesk) Desa Mangkualam Dan Kramatjaya Kec. Cimanggu Kab. Pandeglang Banten Tahun 2018, Rizqiyah Rizqiyah, Ririn Arminsih Wulandari

Jurnal Nasional Kesehatan Lingkungan Global

Background. Mercury is one of the hazardous and toxic element in the form of persistent and bioaccumulative heavy silvery-white metal in the ecosystem, which causes particular threat to human and environmental health. One of the longterm biomarkers to assess mercury inside the body is hair. Methods. This study was an analytic observational study employing cross-sectional design with the main variable of residents’ employment status with hair mercury levels. Other variables measured were age, residence distance, frequent consumption of fish, fruits, and vegetables. The sampling technique was carried out by quota sampling with total of 43 respondents in each village. This …

Factors That Influence Enrollment In Syringe Services Programs In Rural Areas: A Qualitative Study Among Program Clients In Appalachian Kentucky, Umedjon Ibragimov, Katherine E. Cooper, Evan Batty, April M. Ballard, Monica Fadanelli, Skylar B. Gross, Emma M. Klein, Scott Lockard, April M. Young, Hannah L. F. Cooper

Epidemiology and Environmental Health Faculty Publications

BACKGROUND: Enrolling sufficient number of people who inject drugs (PWID) into syringe services programs (SSP) is important to curtail outbreaks of drug-related harms. Still, little is known about barriers and facilitators to SSP enrollment in rural areas with no history of such programs. This study's purpose was to develop a grounded theory of the role of the risk environment and individual characteristics of PWID in shaping SSP enrollment in rural Kentucky.

METHODS: We conducted one-on-one semi-structured interviews with 41 clients of 5 SSPs that were established in rural counties in Appalachian Kentucky in 2017-2018. Interviews covered PWID needs, the process …

Hubungan Tingkat Pengetahuan Tentang Alat Kb Dengan Pemakaian Kontrasepsi Modern Pada Wanita Remaja Kawin Di Pulau Jawa (Analisis Sdki 2017), Priskatindea Priskatindea, Sudarto Ronoatmodjo

Jurnal Epidemiologi Kesehatan Indonesia

Prevalensi pemakaian metode KB modern pada wanita kawin usia remaja di Pulau Jawa tahun 2017 tergolong masih rendah, yakni 27,8%. Terbatasnya tingkat pengetahuan remaja mengenai pilihan kontrasepsi adalah salah satu hambatan pemakaian kontrasepsi pada remaja. Penelitian ini memiliki tujuan untuk mengetahui hubungan antara tingkat pengetahuan tentang alat/cara KB dengan pemakaian kontrasepsi modern pada wanita kawin usia remaja di Pulau Jawa. Penelitian ini menggunakan data sekunder dengan menganalisis hasil dari Survei Demografi dan Kesehatan Indonesia (SDKI) Tahun 2017. Sampel adalah 309 orang wanita berusia 15-19 tahun yang berdomisili di Pulau Jawa dengan status kawin. Pada hasil ditemukan sebanyak 62,4% responden memakai …

Berat Badan Lahir Rendah (Bblr) Sebagai Determinan Terjadinya Ispa Pada Balita Analisis Data Sdki Tahun 2017, Desinta Ayu Lestari, Asri Adisasmita Prof

Jurnal Epidemiologi Kesehatan Indonesia

No abstract provided.

Studi Endemisitas Dan Epidemiologi Deskriptif Malaria Di Kabupaten Purbalingga Tahun 2010-2019, Ghea Efranandhita Sukendar, Dwi Sarwani Sri Rejeki

Jurnal Epidemiologi Kesehatan Indonesia

Salah satu permasalahan kesehatan di Jawa Tengah adalah kejadian malaria. Kondisi lingkungan dan perilaku mempunyai peran dalam penyebaran malaria. Gambaran endemisitas dan upaya pengendalian yang diperlukan sebagai dasar perencanaan tindakan pengendalian malaria. Belum ada data yang menyajikan endemisitas malaria dari tahun 2010-2019 di Kabupaten Purbalingga. Penelitian ini bertujuan untuk mendeskripsikan endemisitas dan menggambarkan kejadian malaria berdasarkan variabel orang, tempat dan waktu dan upaya pengendalian yang sudah dilakukan periode tahun 2010-2019 di Kabupaten Purbalingga. Jenis penelitian yaitu deskriptif kuantitatif dengan populasi yaitu seluruh kasus malaria yang tercatat di dinas Kesehatan Kabupaten Purbalingga periode Januari 2010 sampai Desember 2019. Sampel merupakan total …

Hubungan Obesitas Dengan Kejadian Hipertensi Pada Lansia Di Posyandu Lansia Di Wilayah Kerja Puskesmas Pb Selayang Ii Kecamatan Medan Selayang, Medan, Hazella Rissa Valda Asari, Helda Helda

Jurnal Epidemiologi Kesehatan Indonesia

Populasi individu di seluruh dunia berusia 65 tahun dan lebih tua terus meningkat. Prevalensi hipertensi di Indonesia adalah 26,5%.Situasi hipertensi terus meningkat seiring dengan epidemiologinya yang meluas, yang berkontribusi terhadap meningkatnya beban global penyakit secara keseluruhan. Salah satu faktor hipertensi ialah obesitas. Studi Framingham menunjukkan bahwa baik pria maupun wanita mengalami peningkatan tekanan darah dengan peningkatan kelebihan berat badan. Mengetahui hubungan obesitas dengan hipertensi pada lansia. Desain potong lintang digunakan untuk penelitian yang dilaksanakan pada 9 posyandu lansia di wilayah kerja Puskesmas PB Selayang II pada bulan Agustus 2017. Populasi penelitian adalah lansia yang mengunjungi ke sembilan posyandu lansia di …

Determinan Konsistensi Penggunaan Kondom Pada Laki-Laki Seks Dengan Laki-Laki (Lsl) Non-Pekerja Seks: Studi Potong Lintang, Arum Zulaikhah, Sudarto Ronoatmodjo

Jurnal Epidemiologi Kesehatan Indonesia

Kasus baru HIV di Indonesia cenderung terus mengalami peningkatan. Sedangkan, tren kasus baru di dunia sudah mengalami penurunan. Laki-laki Seks dengan laki-laki (LSL) merupakan kelompok risiko tinggi HIV. Upaya pencegahan penularan HIV erat kaitannya dengan perilaku seks. Studi ini menggunakan 1.161 sampel Survei Terpadu Biologi dan Perilaku (STBP) 2015 pada kelompok LSL yang termasuk bukan pekerja seks. Studi cross sectional ini bertujuan untuk menganalisis determinan perilaku seks konsistensi penggunaan kondom dengan analisis hingga bivariat dengan menggunakan chi-square dan prevalence ratio. Data didapatkan dengan metode respondent driven sampling (RDS) yang kemudian mengeksklusi LSL pekerja seks. Hasil menunjukkan bahwa faktor-faktor yang berhubungan …