Muhammadiyah Journal of Epidemiology https://jurnal.umj.ac.id/index.php/MJE <p><strong>MJE<span style="color: #005680;">:</span></strong>Muhammadiyah Journal of Epidemiology is a scientific journal that publishes the development of epidemiology with the coverage of epidemiology of communicable diseases, epidemiology of non-communicable diseases, epidemiological tropical diseases, outbreak investigations, outbreak research, disaster epidemiology, nutritional epidemiology, occupational epidemiology, environmental epidemiology and social epidemiology. Publication in this journal is first carried out by a blind review process by a peer reviewer. This journal is published by the Faculty of Public Health, University of Muhammadiyah Jakarta.<br /><br /><strong>E-ISSN:</strong>2797-6300</p> <p><strong>MJE:</strong> Jurnal Epidemiologi Muhammadiyah merupakan jurnal ilmiah yang mempublikasikan perkembangan epidemiologi dengan cakupan epidemiologi penyakit menular, epidemiologi penyakit tidak menular, epidemiologi penyakit tropis, investigasi KLB, penelitian KLB, epidemiologi bencana, epidemiologi gizi, epidemiologi okupasi, epidemiologi lingkungan. epidemiologi dan epidemiologi sosial. Publikasi dalam jurnal ini pertama kali dilakukan melalui proses blind review oleh peer reviewer. Jurnal ini diterbitkan oleh Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta.</p> en-US munaya.fauziah@umj.ac.id (Munaya Fauziah) ridwankamil@staff.umj.ac.id (Ridwan Kamil) Thu, 24 Jul 2025 23:57:33 +0000 OJS 3.2.1.5 http://blogs.law.harvard.edu/tech/rss 60 ANALYSIS OF THE DRIVING FACTORS FOR THE USE OF E-CIGARETTES (VAPES) AND THEIR IMPLICATIONS FOR THE LIFESTYLE OF GENERATION Z https://jurnal.umj.ac.id/index.php/MJE/article/view/27020 <p><em>E-cigarettes are electronic devices similar to cigarettes that use batteries to generate energy. E-cigarettes pose significant health risks, especially for adolescents whose brains are still developing. Nicotine and various other hazardous chemicals are contained in e-cigarettes that can threaten the health of friends. </em><em>The purpose of this study was to evaluate the factors that impact </em><em>children's behavior towards the </em><em>using electronic cigarettes and the</em><em> impact of </em><em>Electronic cigarettes </em><em>on health. </em><em>The methodology used for this investigation was a literature review</em><em>. The literature used in this study uses 2 electronic databases, namely Google Scholar and PubMed. The time span of the journals used was the last 5 years. </em><em>This research was carried out between March and April </em><em>2025 and published in "open access" journals in Indonesian and English. The main keywords in the source search were e-cigarettes, factor analysis, and adolescents. Articles were referred to inclusion criteria that were relevant to the topic. </em><em>The analysis's findings revealed that there were </em><em>two types of factors that influenced vaping: internal and external. Knowledge, beliefs, and gender are examples of internal factors; peers, parental support, and accessibility of e-cigarettes are examples of external factors. Excessive nicotine intake from vaping can result in nicotine poisoning, which is evident as headaches, nausea, and heart palpitations. Although many students believe that vaping is a safer option than smoking, vaping has a number of adverse </em><em>impact on health</em><em>, such as increased risk of addiction, depression, lung </em><em>cancer as well as further respiratory issues</em><em>. In conclusion, smoking </em><em>not just tampers with the </em><em>respiratory system, but also increases the chances of lung disease in young children.</em></p> Nabila Fitri Ramadhani; Rizky Akaputra, Andriyani Copyright (c) 2025 https://creativecommons.org/licenses/by-sa/4.0 https://jurnal.umj.ac.id/index.php/MJE/article/view/27020 Thu, 24 Jul 2025 00:00:00 +0000 Building PPE Compliance Through Strengthening Knowledge and Attitudes: An Empirical Study and Construction Workers https://jurnal.umj.ac.id/index.php/MJE/article/view/27009 <p class="s16"><span class="s8"><span class="bumpedFont15">The purpose of this study is to find out and examine variables related to cobstruction workers’ compliance with the use of personal protective equipment (PPE). Based on factors such as age, education, knwoledge, attitude towards safety, and supervision of the use of PPE. Despite some safety initiatives, it’s still common for people to ignore guidelines for wearing personal</span></span> <span class="s8"><span class="bumpedFont15">protective equipment (PPE), such as not wearing safety helmets or eye and face protection this research was conducted between January and</span></span> <span class="s8"><span class="bumpedFont15">April 2025 using a qualitative descriptive method. The analysis examined 15 articles published between 2020 and 2025.</span></span> <span class="s8"><span class="bumpedFont15">The articles were gleaned from a number of national databases including ScienceDirect and Google Scholar. The findings of</span></span> <span class="s8"><span class="bumpedFont15">the</span></span> <span class="s8"><span class="bumpedFont15">analysis</span></span> <span class="s8"><span class="bumpedFont15">show</span></span> <span class="s8"><span class="bumpedFont15">that</span></span> <span class="s8"><span class="bumpedFont15">internal</span></span> <span class="s8"><span class="bumpedFont15">and</span></span> <span class="s8"><span class="bumpedFont15">external</span></span><span class="s8"><span class="bumpedFont15">factors</span></span> <span class="s8"><span class="bumpedFont15">include</span></span> <span class="s8"><span class="bumpedFont15">risk awareness,</span></span> <span class="s8"><span class="bumpedFont15">eork</span></span> <span class="s8"><span class="bumpedFont15">discipline,</span></span> <span class="s8"><span class="bumpedFont15">and social support from colleagues, internal factors include workers’</span></span><span class="s8"><span class="bumpedFont15">knowledge, attitudes, age, and experience.</span></span> <span class="s8"><span class="bumpedFont15">The element that most</span></span> <span class="s8"><span class="bumpedFont15">affects</span></span> <span class="s8"><span class="bumpedFont15">the level of compliance among</span></span> <span class="s8"><span class="bumpedFont15">them</span></span> <span class="s8"><span class="bumpedFont15">is knowledge and work attitude. This study advances knowledge of behavioral factors related to cosmology workers’ compliance to wear personal protective equipment.</span></span></p> <p class="s18"><span class="s14"><span class="bumpedFont15">Keywords</span></span><span class="s8"><span class="bumpedFont15">:</span></span> <span class="s17"><span class="bumpedFont15">factors</span></span> <span class="s17"><span class="bumpedFont15">for</span></span> <span class="s17"><span class="bumpedFont15">the</span></span> <span class="s17"><span class="bumpedFont15">use</span></span> <span class="s17"><span class="bumpedFont15">of</span></span> <span class="s17"><span class="bumpedFont15">PPE,</span></span> <span class="s17"><span class="bumpedFont15">work</span></span> <span class="s17"><span class="bumpedFont15">safety,</span></span> <span class="s17"><span class="bumpedFont15">PPE,</span></span><span class="s17"><span class="bumpedFont15">compliance</span></span> <span class="s17"><span class="bumpedFont15">with</span></span> <span class="s17"><span class="bumpedFont15">the</span></span> <span class="s17"><span class="bumpedFont15">use</span></span> <span class="s17"><span class="bumpedFont15">of</span></span> <span class="s17"><span class="bumpedFont15">PPE.</span></span></p> Syifa Aprilia Azzahra; Andriyani, Triana Srisantyorini Copyright (c) 2025 https://creativecommons.org/licenses/by-sa/4.0 https://jurnal.umj.ac.id/index.php/MJE/article/view/27009 Thu, 24 Jul 2025 00:00:00 +0000 Descriptive Study on Driving Factors of Vape Use and Lifestyle Changes Among Generation Z https://jurnal.umj.ac.id/index.php/MJE/article/view/27001 <p>The increasing use of e-cigarettes among Generation Z raises new concerns in health promotion, especially regarding changes in behavior and perceptions of health risks. This study aims to identify factors that influence vaping and its impact on the quality of life of adolescents. Based on the Lentera Survey (2015), 45% of adolescents in Indonesia aged 13-19 years have smoked. In this era, cigarettes can also kill more than 1 billion people if there is no effort to reduce it. The method used is a literature review of 15 scientific articles obtained from the Google Scholar and PubMed databases throughout 2010-2025. The results of the study showed that vaping was influenced by curiosity, peer invitations, social media promotions, trends, and the belief that vaping (electronic cigarettes) is safer than conventional cigarettes. All of this shows that there are health standards that are followed in the adolescent community. Based on the conclusions of 15 literature reviews, it was found that the average behavior that drives e-cigarette users (vape) in the lifestyle of generation z is influenced by several factors, namely. First, peer influence. Second, following worldly trends that make generation z curious. Third, the influence of the social environment. Fourth, Gen z feels that consuming e- cigarettes is more economical than conventional cigarettes.</p> Fadiel Ramadhan; Riky Akaputri, Andriyani Copyright (c) 2025 https://creativecommons.org/licenses/by-sa/4.0 https://jurnal.umj.ac.id/index.php/MJE/article/view/27001 Thu, 24 Jul 2025 00:00:00 +0000 Factors Related to Safety Riding Behavior in Online Motorcycle Taxi Drivers https://jurnal.umj.ac.id/index.php/MJE/article/view/26996 <p>Safety riding among online motorcycle taxi (ojek online) drivers is critically important as it involves the <br>lives of the drivers themselves, their passengers, and other road users. In general, most online motorcycle <br>taxi drivers have complied with safety riding regulations. This study employed a literature review method <br>by examining research journals from several databases using specific keywords and criteria within the last <br>five years (2020–2025). The search yielded 15 journals related to riding safety among online motorcycle <br>taxi drivers. The journals reviewed were scientific health journals registered with ISSN, sourced from <br>databases such as Google Scholar, DOAJ, and ResearchGate. The results of the literature review indicate <br>that the factors contributing to accidents are influenced by a lack of concentration and the pressure to meet <br>daily income targets. These conditions encourage online motorcycle taxi drivers to take greater risks while <br>riding, thereby increasing the potential for accidents.</p> Muhammad Sopyan Atsaury ; Suherman Jaksa , Irna Hasanah Copyright (c) 2025 https://creativecommons.org/licenses/by-sa/4.0 https://jurnal.umj.ac.id/index.php/MJE/article/view/26996 Thu, 24 Jul 2025 00:00:00 +0000 Knowledge And Attitude Factors As Determinants Of Compliance With The Use Of PPE In Construction Workers: An Empirical Study https://jurnal.umj.ac.id/index.php/MJE/article/view/27021 <p>Accidents in the construction industry are among the largest compared to other industries, largely due to non-compliance with the use of personal protective equipment (PPE). This study seeks to examine aspects of knowledge and attitudes that affect compliance with the use of personal protective equipment among construction workers. The methodology used is quantitative, utilizing analytical survey techniques. Samples are deliberately collected from personnel involved in specific building projects. Data were collected using a structured questionnaire and processed through chi-square statistical tests and logistic regression. The results showed a substantial correlation between workers' knowledge and attitudes and their adherence to PPE use. Employees who have extensive knowledge and a favorable attitude are often more compliant in utilizing personal protective equipment than those with limited information and detrimental attitudes. As a result, increasing knowledge and fostering a positive attitude through occupational safety training is essential to increase compliance with the use of personal protective equipment (PPE).</p> Ikhsan Arif Adilla; Andriyani, Triana Srisantyorini Copyright (c) 2025 https://creativecommons.org/licenses/by-sa/4.0 https://jurnal.umj.ac.id/index.php/MJE/article/view/27021 Thu, 24 Jul 2025 00:00:00 +0000 The Impact of Environmental Noise on Hearing Health https://jurnal.umj.ac.id/index.php/MJE/article/view/27010 <p>The sound produced by a vibrating sound source is an undesirable sound and can disrupt human comfort and health.Noise, defined as undesired sound that can disturb or negatively affect health, poses a serious occupational hazard. Long-term exposure to high noise levels at work is frequently linked to auditory impairments like noise-induced hearing loss (NIHL). This problem has been made worse worldwide by the continuous industrialization processes and a lack of public awareness about the harmful effects of noise. An estimated one-third of people worldwide are thought to be impacted by noise-related disruptions. Knowing the prevalence of NIHL is crucial because it is one of the main preventable causes of disability. One of the main risks to employees' auditory health in industrial settings is noise exposure. The purpose of this review of the literature is to compile the results of numerous investigations into the effects of occupational noise on hearing health, established exposure thresholds, and practical preventative strategies. According to the review, extended exposure to noise levels higher than 85 dB(A) can cause tinnitus, fatigue, elevated stress levels, and permanent hearing loss. Therefore, to lessen the negative effects of noise exposure, it is imperative to implement hearing protection equipment and efficient workplace noise management&nbsp;techniques. Based on 15 literature reviews, it was determined that workplace noise has an impact on hearing health for a number of reasons: excessive noise levels can harm hearing, employees' ignorance of noise hazards raises the risk of hearing disorders, management can lessen adverse effects, and the use of hearing protection equipment is frequently disregarded even though it is essential.</p> Rizki Hashym; Triana Srisantyorini, Irna Hasanah Copyright (c) 2025 https://creativecommons.org/licenses/by-sa/4.0 https://jurnal.umj.ac.id/index.php/MJE/article/view/27010 Thu, 24 Jul 2025 00:00:00 +0000 This Adolescent Behavior Towards Electronic Cigarettes: The Role of Knowledge, Social Support, and Risk Perception on Health Impacts https://jurnal.umj.ac.id/index.php/MJE/article/view/27003 <p>This tobacco contains harmful substances that can cause lung disease, but the use of e-cigarettes in adolescents continues to increase. The purpose of this study was to assess the factors and health effects that affect the behavior of young people when using e-cigarettes. The literature was obtained from Google Scholars, PubMed, and ScienceDirect, and has inclusion standards in the form of publications from 2019-2024 with a focus on youth in developing countries. We analyzed up to 15 articles with exclusion criteria such as replication, unrelated and inaccessible literature. Results show that adolescents' behavior is influenced by internal factors such as knowledge, confidence, and gender, as well as external factors such as parental support, peers, and accessibility. The misconception is that e- cigarettes are safer than traditional cigarettes. Health effects include asthma, shortness of breath, chronic cough, shortness of breath, breast pain, and assessment (e-cigarettes or vapor-related lung injuries). Preventive and promotional interventions are needed to reduce the prevalence of e-cigarettes in adolescents by encouraging health risks and strengthening social roles.</p> <p><strong><em>Keywords: Factors of use, lung health, adolescents, e-cigarett </em></strong></p> Ratna Vanessa; Rizky Akaputra, Andriyani Copyright (c) 2025 https://creativecommons.org/licenses/by-sa/4.0 https://jurnal.umj.ac.id/index.php/MJE/article/view/27003 Thu, 24 Jul 2025 00:00:00 +0000 The THE INFLUENCE OF DIET AND PHYSICAL ACTIVITY ON THE INCIDENCE OF HYPERTENSION IN ADULTS AND THE ELDERLY https://jurnal.umj.ac.id/index.php/MJE/article/view/26998 <ul> <li>Hypertension is a serious condition and is included in non-communicable diseases, also known as chronic diseases, a type of disease that does not spread from one person to another. Aspects that influence the phenomenon of hypertension include diet and physical activity. This research uses the literature review method, there are 15 literatures used with a span of the last 5 years, namely from 2020 to 2025. The literature sources in this study were obtained through data searches using the Google Scholar platform as the main database. This research was conducted from April to May 2025. Almost all studies showed an association between physical activity and the incidence of hypertension. Meanwhile, there were 2 studies that stated there was no association between physical activity and the incidence of hypertension. Then, referring to the aspect of food consumption patterns reviewed through various literature sources, there are seven articles that reveal the relationship between eating habits and an increased risk of hypertension. Therefore, it can be concluded that a healthy diet and regular physical activity have a significant impact on the health of the body, especially if these two things are not carried out in an appropriate and balanced manner.</li> </ul> Rohmat Gifari Akbar; Nurmalia Lusida, Andriyani Copyright (c) 2025 https://creativecommons.org/licenses/by-sa/4.0 https://jurnal.umj.ac.id/index.php/MJE/article/view/26998 Thu, 24 Jul 2025 00:00:00 +0000 Analysis of Factors Affecting the Use of E-Cigarettes (Vapes) and Their Impact on Physical, Psychological, and Social Health in Generation Z https://jurnal.umj.ac.id/index.php/MJE/article/view/26993 <p>E-cigarettes, often referred to as vaping, are devices that heat a liquid. Through this process,<br>nicotine is produced without the harmful substances of tobacco, but rather from a combination of<br>propylene glycol, flavorings, and glycerin. Vapes, like regular cigarettes, can also become<br>addictive. The use of e-cigarettes (vape) is increasingly prevalent among Generation Z. Although<br>perceived to be safer than conventional cigarettes, various studies have shown negative impacts<br>on physical, psychological and social health. This research uses a literature review method with<br>data sources derived from Google Scholar, PubMed, ScientDirect databases with literature<br>published from 2020 to 2025. The results of the literature study show that e-cigarette (vape) use<br>among Generation Z is influenced by a number of factors, such as attractive flavors, peer pressure,<br>social media influence, and lack of family supervision. In addition, many Generation Z members<br>believe that vapes are safer than conventional cigarettes, which encourages them to try them. It<br>can be concluded that Generation Z uses e-cigarettes for various reasons. Therefore, education,<br>family supervision and strict regulations are needed to stop Generation Z from vaping and<br>encourage a healthier lifestyle. Further research is needed to understand the long-term effects of<br>e-cigarette use and to come up with useful prevention methods</p> Muhammad Haikal Riansyah; Risky Akaputra, Andriyani Copyright (c) 2025 https://creativecommons.org/licenses/by-sa/4.0 https://jurnal.umj.ac.id/index.php/MJE/article/view/26993 Thu, 24 Jul 2025 00:00:00 +0000 FACTORS ASSOCIATED WITH COMPLIANCE WITH THE USE OF PERSONAL PROTECTIVE EQUIPMENT (PPE) IN CONSTRUCTION WORKERS https://jurnal.umj.ac.id/index.php/MJE/article/view/27868 <p>The use of occupational health and safety (K3) in Indonesia leads to workplace accidents because <br>the industry and society remain relatively low. The use of Personal Protective Equipment (PPE) <br>is the last risk control priority after control by elimination, substitution, engineering and <br>administrative control has not been successfully carried out. The purpose of writing this literature <br>review is to analyze factors related to the behavior of using PPE. This research is a literature <br>review. The data sources used come from various databases, namely ENGINE PROQUEST, <br>PUBMED, RESEARCH GATE, SAGEPUB and SCHOOLAR from the time span of 2018-2025. <br>The analysis of this study uses a PRISMA flow diagram which includes the stages of <br>identification, screening, evaluation of eligibility, to inclusion. The keywords used are "Personal <br>Protective Equipment", "Personal Protective Equipment (PPE)", "construction workers", <br>"compliance with the use of PPE". After screening, 20 relevant journals were obtained and used <br>as analysis materials in this study. The results showed that there were 20 journals showing several <br>variables that had similarities but there were differences in the results of the relationship test. The <br>variables of knowledge, attitude and length of service are the variables analyzed by the five <br>articles. So it can be concluded that the behavior and compliance of using personal protective <br>equipment (PPE) by workers can be influenced by several factors including knowledge, attitude, <br>social support, work and availability of PPE. There are several factors that influence worker <br>behavior in using PPE, namely predisposing factors, namely attitude, knowledge, and length of <br>service in using PPE. Supporting factors include social support and the completeness of the PPE <br>used. <br><strong>Keyword</strong> : personal protective equipment (PPE), K3, worker discipline.</p> Dhieya Lavinaliya Agzriel Putri Fiantika; Andriyani, Nurmalia Lusida Copyright (c) 2025 https://creativecommons.org/licenses/by-sa/4.0 https://jurnal.umj.ac.id/index.php/MJE/article/view/27868 Thu, 24 Jul 2025 00:00:00 +0000