Archives
ANALYSIS OF CAUSAL FACTORS ASSOCIATED WITH HYPERTENSION PATIENTS AT THE KEDUNGMUNDU COMMUNITY HEALTH CENTER, SEMARANG CITY
Vol. 1 (2026)
Hypertension is defined as an increase in systolic blood pressure above 140 mmHg or diastolic
pressure above 90 mmHg. The objective of this study is to analyze the relationship between
independent variables, namely age, obesity, smoking habits, exercise habits, stress conditions,
and the dependent variable, namely hypertension in patients at the Kedungmundu Community
Health Center in Semarang City. This use method quantitative with cross-sectional approach ,
sample study totaling 394 patients with technique taking sample Convenience sampling. Data
collection technique using questionnaire and recording medical . Data analysis was carried out
with using chi-square and regression tests logistics. Research results show that There is The
relationship between the age variable p value = 0.041 and PR = 1.627, obesity condition p value
= 0.027 and PR = 1.696, smoking habit p value = 0.014 and PR = 3.795 , exercise habit p value
= 0.015 and PR = 1.787, stress condition p value = 0.044 and PR = 1.652, meaning that all
variables namely age variable, obesity condition, smoking habit, exercise habit and stress
condition have a relationship with hypertension in patients undergoing treatment at the
Kedungmundu Health Center, Semarang City, and based on the results of multivariate analysis,
it was found that the obesity variable is the most dominant variable in the risk of hypertension
in patients undergoing treatment at the Kedungmundu Health Center, Semarang City with a p
value = 0.001 and a wald value of 6.426. All variables in this study, namely age, obesity,
smoking habits, exercise habits and stress have a relationship with hypertension , and the
obesity variable is the most dominant variable related to hypertension in patients undergoing
treatment at the Kedungmundu Community Health Center, Semarang City.
ANALYSIS OF FACTORS CAUSING THE EVENTWASTING IN TODDLERS AGED 0-59 MONTHS IN FIFTY CITY DISTRICT AND PAYAKUMBUH CITY
Vol. 1 (2026)
Wasting is a condition of acute malnutrition that is common in low socio-economic areas that can be caused by inadequate nutritional intake and the presence of disease Wasting is part of malnutrition, one of the classifications of nutritional status indicators BB/TB. Children who are said to be thin are those who have low body weight that is not appropriate for their height The general objective of this study is to obtain a description, analysis and interpretation of the incidence of wasting in toddlers (0-59 months) in Lima Puluh Kota Regency and Payakumbuh City in 2024. This study is an analytical survey study with a case control design with a mixed/combined approach (Mixed Methods). The study was conducted at the Lima Puluh Kota Regency and Payakumbuh City health centers, in May-June 2024. Quantitative samples of 216 people were taken. Data analysis was carried out through three stages, namely univariate and bivariate analysis of the chi-square test. The results of statistical tests show that there is a significant relationship between the incidence of wasting with MP-ASI (0.000, OR 5.786), age of hygiene and sanitation (0.000, OR 4.244), infectious diseases (0.009, OR 2.665) in Lima Puluh Kota Regency and there is a significant relationship between the incidence of wasting with MP-ASI (0.006, OR 4.117), Hygiene and sanitation (0.000, OR 7.589), infectious diseases (0.000, OR 11.022) in Payakumbuh City. The constraint of the lack of human resources in this case nutritionists causes a lack of information about the importance of nutrition, especially wasting, obtained by mothers of toddlers. The results of the study can be concluded that there is a need to increase promotive and preventive programs about the importance of clean and healthy living in dealing with wasting incidents and the addition of health workers, especially nutritionists, so that the nutrition program can be optimally implemented.
AIR QUALITY IN BENGKULU CITY AMID PM2.5 POLLUTION: AN ANALYSIS OF DATA AND PUBLIC HEALTH RISKS
Vol. 1 (2026)
PM2.5 air pollution is a major global public health concern. Bengkulu city faces serious air quality challenges from coal-fired power plant (PLTU) operations at Teluk Sepang and Port Logistics at Pulau Baai, which may deteriorate local air quality. Continuous assessment of ambient PM2.5 levels is therefore essential to understand the potential health risks to the surrounding population. To analyse PM2.5 concentrations in Bengkulu City (September 2021 – July 2024), compare against national and WHO air quality standards, and evaluate potential health impacts on vulnerable populations. Descriptive qualitative study using a nonexperimental observational approach. Secondary PM2.5 data from the BMKG Pulau Baai monitoring station (35-month observation period) were converted to Air Pollutant Standard Index (ISPU/AQI) and compared against the Indonesian Ministry of Environment and Forestry Regulation No. P14/MENLHK/SETJEN/KUM.2/2020 and WHO annual guideline 2021. Seasonal patterns were assessed by comparing dry and rainy season averages. All 35 observation months exceeded the WHO annual standard (5 μg/m³); 91.4% of months exceeded the national "Good" category threshold (15 μg/m³). Annual mean concentration increased from 17.83 μg/m³ in 2021 to 25.53 μg/m³ in 2024, with a peak of 32.87 μg/m³ in July 2024. Mean PM2.5 concentration in the dry season (24.5 ± 6.8 μg/m³) was significantly higher than rainy season (20.5 ± 4.2 μg/m³, p = 0.002), indicating a substantial influence of meteorological conditions. Ambient PM2.5 levels in Bengkulu City consistently exceed international healthbased guidelines, suggesting significant potential health risk, especially for the vulnerable population living near the Teluk Sepang coal power plant, Pulai Baai port, and surrounding coal stockpiles. These findings underscore the need for strengthened air quality monitoring and evidence-based pollution control policies to support sustainable urban planning.
SOCIAL MEDIA UTILIZATION FOR HEALTH SERVICE AWARENESS AT PUNTI KAYU PRIMARY HEALTH CARE
Vol. 1 (2026)
Social media usage is growing rapidly, making it easier for people to communicate and share content. Platforms such as Instagram, TikTok, and WhatsApp are increasingly being used, including for marketing activities. In July 2024, the number of global social media users reached 5.17 billion, or 63.7% of the global population. In Indonesia, internet users reached 185.3 million in January 2024, an increase of 1.5 million social media users compared to the previous year. The average Indonesian uses social media for 3 hours and 14 minutes per day, and 81% access it daily. In South Sumatra, social media users reached 70.54% of the total population in 2024, while in Palembang the figure was higher at 83.73%. To determine the relationship between age, gender, education, knowledge, and attitudes with the use of social media in increasing public awareness of health services. The study used a quantitative design with an
analytical survey method and a cross-sectional approach. A total of 98 respondents were
selected as a sample, with data collected through observation, interviews, and secondary data
from community health center documents. Data were analyzed using a bivariate test with an
Odds Ratio (OR) calculation. The results showed a significant relationship between age
(p=0.000; OR=47.308), gender (p=0.037; OR=0.366), knowledge (p=0.000; OR=6.364), and
attitude (p=0.000; OR=33.065) with social media use. Respondents who were young, female,
well-informed, and had a positive attitude were more likely to use social media to access health
information. Meanwhile, education did not have a significant relationship with social media use
(p=0.728). The use of social media has been shown to be closely related to individual
characteristics, especially age, knowledge, and attitudes.
SEXUALITY KNOWLEDGE AND INFORMATION EXPOSURE AMONG ADOLESCENTS AT MAN 22 JAKARTA IN 2024
Vol. 1 (2026)
The results of the 2020 Global Early Adolescent Study-Indonesia (GEAS-ID) survey found that adolescents have poor knowledge of sexuality, only 44.7% know that women can get pregnant after having sex for the first time and 33% of adolescents know that someone can get HIV from just one sexual intercourse. Based on a preliminary study, it was found that 2.8% of adolescents had good knowledge, 48.5% of adolescents had sufficient knowledge, and 48.5% of adolescents had low knowledge related to sexuality. The purpose of this study was to describe the level of sexuality knowledge and patterns of information exposure among adolescents at MAN 22 Jakarta in 2024. This study uses primary data, with the research design used being cross-sectional analytic, sampling using simple random sampling and hypothesis testing using the chi-square test. The distribution of questionnaires was carried out directly via google form. The results of the study showed that 77.3% of adolescents had less sexual knowledge and 87.9% of adolescents were exposed to sexuality information. Descriptively, most adolescents had received information related to gender (77.8%), reproductive health and HIV (79.5%), and interpersonal relationships (81.2%). More than half had discussed sexuality (57.6%), primarily with peers (81.6%) rather than parents or teachers. In terms of perceptions, the majority viewed sexuality discussions as not taboo (58.3%), although the surrounding environment remained divided. The hypothesis testing indicated no significant association between information exposure and adolescents’ sexuality knowledge. These findings suggest that high exposure does not necessarily translate into adequate understanding. Therefore, it is recommended that schools and parents strengthen the accuracy and quality of sexuality information, optimize structured educational activities, and promote open and supportive communication with adolescents.
EFFECTIVENESS OF NURSING INTERVENTIONS FOR END-STAGE KIDNEY DISEASE (ESKD) IN INDONESIA: SYSTEMATIC REVIEW 2020-2025
Vol. 1 (2026)
The escalating burden of End-Stage Kidney Disease (ESKD) in Indonesia necessitates
evidence-based strategies to improve patient outcomes. Nurses play a pivotal role through
structured interventions, yet a comprehensive synthesis of their effectiveness within the unique
Indonesian context is lacking. This systematic review aimed to synthesize evidence on the
effectiveness of nursing interventions for ESKD patients in Indonesia from 2020 to
2025. Following PRISMA guidelines, a systematic search was conducted across PubMed,
CINAHL, Scopus, Web of Science, and SINTA databases. Experimental and quasi
experimental studies evaluating nursing interventions for Indonesian ESKD adults were
included. Study selection, data extraction, and quality assessment using standardized tools were
performed independently by two reviewers. Fifteen studies (n=987 participants) were included.
Interventions were categorized into educational/self-management (n=9), psychoeducational
(n=4), and technology-based (n=2). Educational interventions consistently demonstrated
significant reductions in interdialytic weight gain and improved adherence behaviors.
Psychoeducational support effectively reduced symptoms of depression and anxiety and
enhanced quality of life domains. Technology-based interventions showed promise for self
efficacy but had limited evidence. Major contextual barriers included time constraints in
hemodialysis units. A significant gap was identified in community-based and peritoneal dialysis
studies. Nursing interventions, particularly structured education and psychosocial support, are
effective in improving key clinical and patient-reported outcomes for ESKD patients in
Indonesia. Future research should address implementation barriers, explore cost-effectiveness,
and expand to underserved settings and non-hemodialysis populations to strengthen equitable,
evidence-based nephrology nursing practice nationwide.
DIFFERENCE IN REDUCTION OF BREAST SWELLING BEFORE AND AFTER APPLYING GREEN BETEL LEAF COMPRESSES ONIBUNIFAS IN THE WORKING AREA OF THE TUNAS HARAPAN HEALTH CENTER REJANG LEBONG REGENCY IN 2025
Vol. 1 (2026)
One of the factors hindering exclusive breastfeeding is breast engorgement in postpartum
mothers. The rate of exclusive breastfeeding in Rejang Lebong Regency has decreased from
2023 to 2025. In 2023 the percentage was 23.9%, and it decreased to 22.9% in 2024. This study
aims to determine the difference in breast engorgement reduction before and after applying
warm green betel leaf compresses in postpartum mothers. This research used a quantitative
approach. The population consisted of postpartum mothers experiencing breast engorgement in
the working area of Tunas Harapan Public Health Center, Rejang Lebong Regency. A total of
27 postpartum mothers were selected using total sampling. Breast engorgement was measured
using the Six Point Self-Rate Engorgement Scale (SPES). Data analysis began with a normality
test using Shapiro–Wilk. Since the data were not normally distributed, the Wilcoxon test was
used, showing a significant result (p-value = 0.000; p < 0.05). There is a significant difference
in breast engorgement reduction before and after applying green betel leaf compresses in
postpartum mothers. Midwives are expected to enhance the quality of health promotion
provided to postpartum mothers to support smooth breast milk production, including the use of
green betel leaf compresses.
THE ASSOCIATION BETWEEN THE WORK ENVIRONMENT AND THE MENSTRUAL CYCLE AMONG INFORMAL SECTOR WORKERS
Vol. 1 (2026)
Menstruation is a fundamental reproductive cycle in women and serves as an indicator of reproductive health status. Female workers in the informal sector are subject to different working hour arrangements compared to those in the formal sector, potentially influencing their reproductive health. This research aims to examine the association between the work environment and the menstrual cycle among female workers in the informal sector. This research employed a cross-sectional design, with the population consisting of all female workers at the Segiri traditional market in Samarinda City. A total sampling technique was applied, resulting in 80 respondents.” The findings revealed significant associations between workload, sleep quality, working hours, and work shifts with the menstrual cycle (p < 0.05). The menstrual cycle is closely related to hormonal balance in women, and unfavorable working conditions may increase stress, disrupt menstrual regularity, and ultimately reduce productivity, particularly among informal sector workers who depend on daily income.” The work environment in traditional markets may significantly affect the menstrual cycle. Improving female workers’ awareness and understanding of stress management is essential to minimize health problems that may negatively impact productivity.
MATERNAL RISK FACTORS ASSOCIATED WITH PRETERM BIRTH: EVIDENCE FROM A HOSPITAL SURYA INSANI - BASED STUDY IN DISTRICT ROKAN HULU, INDONESIA
Vol. 1 (2026)
Preterm birth is a leading cause of neonatal morbidity and mortality, yet maternal determinants in local settings remain insufficiently documented. This study aimed to identify maternal risk factors associated with preterm birth at Surya Insani Hospital, Rokan Hulu District. A medical record–based case–control design was applied to evaluate maternal clinical and reproductive factors. Multivariate analysis identified five significant maternal predictors of preterm birth. A history of abortion showed the strongest association (OR 7.31; 95% CI: 2.12–25.16), followed by anemia (OR 5.43; 95% CI: 1.84–15.98), low educational level (OR 4.18; 95% CI: 1.4312.24), high-risk parity (OR 3.96; 95% CI: 1.33–11.77), and high-risk maternal age (OR 3.03; 95% CI: 0.99–9.24). History of abortion and anemia emerged as the strongest predictors of preterm birth, supported by additional contributions from education, parity, and maternal age. These findings underscore the dominant role of maternal clinical and reproductive factors and indicate that local risk patterns differ from widely reported global evidence. The study provides a scientific basis for developing
THE RELATIONSHIP BETWEEN SOCIAL MEDIA USAGE INTENSITY AND EXPOSURE TO INFORMATION ON SEXUALLY TRANSMITTED DISEASES AMONG STUDENTS OF MUHAMMADIYAH VOCATIONAL HIGH SCHOOL CILEGON, 2025
Vol. 1 (2026)
Sexually transmitted diseases (STDs) remain a significant health concern among adolescents,
while much of the health information circulating on social media lacks adequate scientific
credibility. In response to this issue, the present study aims to examine the relationship between
the intensity of social media use and exposure to STD-related information among students of
Muhammadiyah Vocational High School in Cilegon. This study employed a quantitative
approach with a correlational analytic method and a cross-sectional design. The study
population consisted of 247 students from grades X to XII, from which a sample of 152
respondents was selected using a random sampling technique. Data were collected using a
standardized questionnaire that had been validated and confirmed reliable, with a Cronbach’s
Alpha value exceeding 0.8. The findings indicated that 44.1% of respondents accessed social
media more than five times per day, and 75% had been exposed to information related to STDs.
TikTok (36.2%) and Instagram (31.6%) were identified as the primary platforms through which
such information was obtained. Chi-square analysis revealed a significant association between
the intensity of social media use and exposure to STD-related information (p = 0.001). In
conclusion, the study demonstrates that higher social media use is associated with a greater
likelihood of adolescents being exposed to STD-related information. Based on these findings,
the study recommends optimizing social media as a credible and engaging platform for
reproductive health education tailored to the characteristics and needs of adolescents.