1.Low Social Support and Risk for Depression in People With Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis
Akhmad AZMIARDI ; Bhisma MURTI ; Ratih Puspita FEBRINASARI ; Didik Gunawan TAMTOMO
Journal of Preventive Medicine and Public Health 2022;55(1):37-48
Objectives:
Depression is a frequent complication of type 2 diabetes mellitus. This study aimed to investigate the relationship between low social support and risk for depression in people with type 2 diabetes through a meta-analysis.
Methods:
PubMed, ProQuest, SpringerLink, ScienceDirect, Scopus, the Cochrane Library, Embase, and Google Scholar were searched for English-language articles published up to 2021. Pooled adjusted odds ratios (aORs) were calculated using a random-effect model with 95% confidence intervals (CIs). Heterogeneity was evaluated by using the Cochrane Q test and I2 statistics. The risk of publication bias was estimated using a funnel plot, the Egger test, and the Begg test. The Joanna Briggs Institute Critical Appraisal Tools were used to assess the quality of evidence and the risk of bias.
Results:
Eleven studies were included in this meta-analysis, containing a total of 3151 people with type 2 diabetes mellitus. The pooled analysis showed that people with type 2 diabetes mellitus who had low social support had twice as high a risk of depression as those with high social support (aOR, 2.02; 95% CI, 1.51 to 2.70; p<0.001). A random-effect model was used because the heterogeneity was high (I2= 87%).
Conclusions
Low social support was found to increase the risk of depression among people with type 2 diabetes mellitus. Further investigation into factors that may moderate this relationship is required.
2.Predisposing, Enabling, And Reinforcing Factors That Influence Full Basic Immunization Coverage In Bangkalan District, Madura Island In 2017
Lidia Aditama Putri ; Bhisma Murti ; Dini Setiarsih ; Widiharti ; Wiwik Widiyawati ; Diah Jerita Eka Sari ; Nourma Yunita ; Endah Mulyani
Malaysian Journal of Public Health Medicine 2020;20(1):102-108
The cases of morbidity and mortality of babies and toddlers are continue to occur because of negligence of the mothers in providing complete basic immunization to their babies. This study is a cross-sectional study that was conducted to identify the predisposing, enabling, and reinforcing factors that influence full basic immunization coverage. The study was performed on mothers who had 9-12 months old child spread in 22 villages, purposively selected through from 22 community health centers in Bangkalan District, Madura Island. 200 mothers were selected as the study's respondents. The data were collected through questionnaires and from the book of "Kesehatan Ibu dan Anak" (KIA). The result of the study was obtained using logistic regression statistical test and it showed that the factors that influenced of full basic immunization coverage in Bangkalan District, Madura Island, were family income as predisposing factor (OR=2.26; 95% CI= 1.14 to 4.51; p= 0.020); health facility as enabling factor (OR=3.03; 95% CI= 1.59 to 5.80; p= 0.001); and community leader support as reinforcing factor (OR=2.56; 95% CI= 1.33 to 4.92; p= 0.005).