SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat
Journal Title : Jurnal Ilmiah Kesehatan Masyarakat Language : Indonesia and English e-ISSN : 2809-9702 p-ISSN : 2810-0492 Frequency : 4 issues per year (January, April, July and October) Publisher : Yayasan Literasi Sains Indonesia DOI : doi.org/10.55123/sehatmas Citation Analysis : Google Scholar Editor-in-chief : Angelia Putriana Email : jurnal.sehatmas@gmail.com Jurnal Ilmiah Kesehatan Masyarakat yang disingkat SEHATMAS merupakan Jurnal yang diterbitkan 4 (empat) kali dalam setahun, yaitu pada bulan Januari, April, Juli dan Oktober oleh Yayasan Literasi Sains Indonesia. Jurnal ini merupakan jurnal yang dapat akses secara terbuka bagi para Peneliti, Mahasiswa dan Dosen yang ingin mempublikasikan hasil penelitiannya pada bidang kesehatan. Jurnal Ilmiah Kesehatan Masyarakat mempublikasikan artikel-artikel kajian empiris dan teoritis dalam bidang Gizi, Rekam medis dan Informasi Kesehatan, Keperawatan, Kebidanan, Obat-obatan, Psikologi Kesehatan dan bidang penelitian lain yang berkaitan dalam kesehatan masyarakat.
Hak cipta pada setiap artikel adalah milik penulis. Penulis mengakui bahwa SEHATMAS (Jurnal Ilmiah Kesehatan Masyarakat) sebagai publisher yang mempublikasikan pertama kali dengan lisensi Creative Commons Attribution 4.0 International License. Penulis dapat memasukan tulisan secara terpisah, mengatur distribusi non-ekskulif dari naskah yang telah terbit di jurnal ini kedalam versi yang lain, seperti: dikirim ke respository institusi penulis, publikasi kedalam buku, dan lain-lain. Dengan mengakui bahwa naskah telah terbit pertama kali pada SEHATMAS (Jurnal Ilmiah Kesehatan Masyarakat).
Analisis Sikap Serta Pengetahuan Pengemudi Bus dan Angkutan Umum Perkotaan di Surabaya terhadap Prinsip Safety Riding
Traffic accidents remain a significant public health issue in Indonesia, with human factors identified as the dominant cause. The implementation of safety riding principles is essential to reduce accident rates, particularly among public transportation drivers who have high mobility and exposure to traffic risks. This study aimed to analyze the attitudes and knowledge of bus and urban public transportation drivers toward safety riding principles in Surabaya. A descriptive quantitative approach was employed by distributing structured questionnaires to 80 active drivers. Data were analyzed using descriptive statistics in the form of frequency and percentage distributions. The findings revealed that 47.5% of respondents correctly identified mirrors as tools to observe vehicles behind, 68.8% perceived traffic safety signs as adequately available, and 46.3% stated that discipline and compliance with traffic regulations are the key attitudes for safe driving. Regarding knowledge, 92.5% recognized the importance of wearing helmets, 93.8% understood safe overtaking procedures, and 97.5% prioritized pedestrians at zebra crossings. However, only 56.3% correctly identified the minimum speed limit on toll roads. In conclusion, the majority of respondents demonstrated good attitudes and knowledge regarding safety riding, although further educational reinforcement is needed, particularly on specific technical regulations.
Copyright (c) 2026 Herman Bagus Dwicahyo, Neffrety Nilamsari, Sam Ramadhani Purmana, Deo Aji Winanto https://creativecommons.org/licenses/by/4.0
Implementasi Penemuan Kasus TB di Puskesmas Sikumana Kota Kupang
Tuberculosis (TB) remains a global health problem and is a leading cause of death from infectious diseases. At the local level, TB cases at the Sikumana Community Health Center in Kupang City have fluctuated, with 134 cases in 2022, increasing to 150 cases in 2023, then declining to 147 cases in 2024 and 133 cases in 2025. This situation highlights the need to strengthen TB case finding efforts in primary healthcare facilities to support TB control. This study aims to analyze the implementation of TB case finding at the Sikumana Community Health Center in Kupang City based on aspects of communication, resources, disposition, and bureaucratic structure. This study used a qualitative method with a descriptive approach. Six informants were selected purposively. Data were collected through in-depth interviews and documentation, then analyzed thematically. The results indicate that the implementation of TB case finding at the Sikumana Community Health Center has been quite successful. Policy communication was implemented through outreach and education, supporting the understanding of program implementers. While resources in the form of facilities and infrastructure are adequate, the number of health workers remains limited, resulting in suboptimal active case detection. The disposition of health workers demonstrates commitment and adherence to standard operating procedures (SOPs). The bureaucratic structure is supported by clear SOPs and service flows, but community participation in active screening remains low, resulting in suboptimal case detection. It was concluded that the implementation of TB case detection at the Sikumana Community Health Center has been quite successful, but human resources and community involvement are needed through increased active case detection, expanded door-to-door screening, and strengthened coordination with sub-districts, health workers, and the community.
Copyright (c) 2026 Priska Agustina W. Thegu, Serlie K.A. Littik, Rina Waty Sirait https://creativecommons.org/licenses/by/4.0
Pengaruh Peer Education terhadap Pengetahuan, Sikap, dan Niat Pencegahan Anemia Remaja Putri MAN 13 Jakarta Selatan Tahun 2025
Anemia among adolescent girls remains a significant health issue. Anemia interventions are necessary as a preventive measure; this study aims to examine the effect of health promotion using the peer education method on knowledge, attitudes, and intentions regarding anemia prevention among adolescent girls at MAN 13 South Jakarta. This study employed a quasi-experimental design using a one-group pretest-posttest approach with a sample of 49 respondents; data were collected before and after the peer education intervention. This study has been approved by the Health Research Ethics Committee (KEPK) of University of Muhammadiyah Prof. DR. HAMKA. The results showed a significant effect: the mean knowledge score before the intervention was 8.65, while after it was 9.53 (p-value <0.001); the mean attitude score before the intervention was 34.67, while after it was 36.57 (p-value <0.023); and the mean intention to prevent anemia was 31.29 before the intervention and 34.82 after, with a p-value <0.001. These findings indicate that peer education is effective in improving knowledge, attitudes, and intentions to take preventive actions against anemia among adolescent girls. Thus, peer education can serve as a strong alternative health promotion strategy for preventing anemia among adolescents.
Copyright (c) 2026 Muhammad Nur Zaman, Nurul Huriah Astuti https://creativecommons.org/licenses/by/4.0
Hubungan Body Image dan Restrained Eating dengan Status Gizi Kurang Mahasiswa Destinasi Pariwisata Universitas Airlangga
Undernutrition remains a pressing issue among university students, particularly in tourism programs that emphasize physical appearance. This study aimed to examine the relationship between body image and restrained eating with undernutrition among students of the Tourism Destination Study Program at Universitas Airlangga. A cross-sectional design was employed involving 114 students from the 2024–2025 cohorts selected through proportionate stratified random sampling. Body image was measured using BSQ-16, restrained eating was measured using DEBQ, and nutritional status was determined based on BMI. The results showed that most respondents had negative body image, practiced restrained eating, had inadequate macronutrient intake, and were classified as having normal nutritional status. Statistical analysis revealed significant associations between body image and restrained eating with undernutrition, but in an inverse pattern. Students with undernutrition were more likely to have a positive body image and engage in unrestrained eating, whereas students with normal to excess nutritional statuses tended to have negative body images and practice restrained eating. These findings indicate that students in the tourism field tend to prioritize ideal body standards over objectively evaluating their bodies based on health indicators.
Copyright (c) 2026 Vanesya Diva Rosita, Dini Ririn Andrias https://creativecommons.org/licenses/by/4.0
Peran Keluarga dalam Perawatan dan Pengelolaan Pasien Penyakit Paru Obstruktif Kronik (PPOK): Tinjauan Literatur
Chronic Obstructive Pulmonary Disease (COPD) is a progressive chronic illness that requires long-term management and active family involvement. Functional limitations, recurrent exacerbations, and psychosocial impacts highlight the importance of family support in COPD care. This study aimed to analyze the role of family in the care and management of patients with COPD through a systematic literature review. The review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature searches were carried out using PubMed, Scopus, ScienceDirect, and Google Scholar with keywords related to COPD, family support, caregivers, self-management, and palliative care. Ten articles that met the inclusion criteria were analyzed using descriptive and thematic approaches. The findings indicate that family support plays a crucial role in improving self-efficacy, self-management behaviors, treatment adherence, and quality of life among patients with COPD. Family involvement also contributes to care decision-making, prevention of exacerbations, and the effectiveness of palliative care. However, caregiving responsibilities may impose physical and emotional burdens on caregivers. Therefore, COPD management should adopt a family-centered approach through education, continuous support, and caregiver empowerment to achieve comprehensive and sustainable patient care outcomes.
Copyright (c) 2026 Syahrizal Syahrizal, Hendra Kurniawan, Angelie Nopfitrah Sungkar, Firda Marsalisya https://creativecommons.org/licenses/by/4.0
Hubungan Pendidikan Ibu dengan Pemenuhan Minimum Dietary Diversity pada Anak Usia 6-23 Bulan: Tinjauan Naratif
Undernutrition is a complex global issue that is still found in various parts of the world. To prevent the various impacts caused by undernutrition in children, early intervention is needed through the implementation of appropriate Infant and Young Child Feeding (IYCF) practices, one of which is meeting the Minimum Dietary Diversity (MDD) indicators for children aged 6-23 months. The fulfillment of MDD in children can be influenced by various factors, one of which is the maternal education. This narrative review aims to analyze the relationship between maternal education level and MDD fulfillment in children aged 6-23 months. A literature search was conducted for full-text open access articles published between 2015 and 2025 in English from scientific databases such as Scopus, PubMed, and ScienceDirect. Maternal education level has consistently been shown to be positively associated with MDD fulfillment in children aged 6-23 months across various countries, although the strength of the reported association varies depending on the social and economic context, and access to nutrition information and health services. Therefore, the implications of public health policies are important to be directed not only at improving long-term formal education, but also at short-term interventions through nutrition programs such as nutritional counseling related to complementary feeding in antenatal and postnatal services, posyandu, and community-based nutrition education.
Copyright (c) 2026 Tiffania Khairunnisa Kurnia Abidin https://creativecommons.org/licenses/by/4.0
Evaluasi Pelaksanaan Program Pengendalian Penyakit Demam Berdarah Dengue di Puskesmas Sikumana Kota Kupang
Dengue Hemorrhagic Fever (DHF) remains a public health concern in Kupang City, particularly in the working area of Sikumana Community Health Center (Puskesmas), which recorded 23 cases and 1 death in 2023, 46 cases in 2024, and 18 cases in 2025. This study aimed to evaluate the implementation of the Dengue Hemorrhagic Fever Prevention and Control Program (P2DBD) at Sikumana Puskesmas. A qualitative descriptive method with a case study approach was employed, utilizing in-depth interviews and documentation involving four informants. Data analysis was conducted through the stages of data collection, reduction, presentation, and conclusion drawing. The results revealed that the input components were reasonably adequate, including sufficient and well-trained human resources, as well as methods aligned with the Ministry of Health guidelines. However, infrastructure remained incomplete, notably the absence of fogging machines and limited abate stock. Funding was sourced from the Health Operational Assistance (BOK) allocated for abate procurement, fogging, and transportation. Regarding the process aspect, program implementation was not yet optimal, as indicated by suboptimal fogging activities, low community participation in larval nest eradication (PSN), insufficient understanding of abate usage, and address-related obstacles hindering epidemiological investigations. Program outputs also fell short of targets, with the Larva-Free Rate (ABJ) below 95% and household PSN coverage below 90%. Overall, the implementation of the P2DBD program was considered reasonably good; however, its effectiveness has not been fully achieved. Improvements are needed in community education, PSN monitoring, abate availability, as well as data management and cross-sector coordination.
Copyright (c) 2026 Stefania Delianti Cibolin, Serlie K.A. Littik, Dominirsep O. Dodo https://creativecommons.org/licenses/by/4.0
Penerapan Regresi Logistik Ordinal untuk Mengidentifikasi Faktor yang Memengaruhi Perilaku Merokok pada Remaja Usia 13 Tahun di Indonesia
Adolescent smoking remains a critical public health concern in Indonesia. The prevalence of tobacco use among individuals aged 10–18 years has continued to rise, failing to meet the national target of 5.4% set by the Medium-Term National Development Plan (RPJMN). Given that smoking behavior is inherently progressive rather than a binary phenomenon, ordinal logistic regression provides a methodologically appropriate framework for examining its determinants. This study aimed to analyze the influence of cigarette price per stick, intention to smoke within the next 12 months, and peer influence on smoking behavior among 13-year-old adolescents in Indonesia. Secondary data were obtained from the Global Youth Tobacco Survey (GYTS) Indonesia 2019, with a final analytical sample of 1,893 students aged 13 years. All three independent variables jointly exerted a significant effect on smoking status (p = 0.000). In partial analysis, cigarette price and peer influence were significant across all categories, whereas smoking intention was only significant for the "probably not" category. The model demonstrated satisfactory fit and validity, confirmed by the goodness-of-fit test (p = 0.919) and the test of parallel lines (p = 0.925). Physical environmental factors (cigarette affordability) and social environmental factors (peer influence) constitute the dominant determinants of smoking behavior among 13-year-old adolescents in Indonesia.
Copyright (c) 2026 Nur Eny Indah Harum, Rachmah Indawati https://creativecommons.org/licenses/by/4.0
Daya Terima dan Kandungan Gizi Soft Cookies dengan Substitusi Tepung Hati Ayam dan Tepung Daun Kelor
Anemia among adolescent girls remains a significant nutritional problem and is closely associated with inadequate intake of protein and iron. One potential strategy to address this issue is through the development of functional foods based on local ingredients. Soft cookies, as a popular snack, can be nutritionally enhanced through the substitution of chicken liver flour and moringa leaf flour, which are rich in protein and iron. This study aimed to analyze the acceptability and nutritional content of soft cookies with these substitutions. A true experimental design with a factorial Completely Randomized Design (CRD) was employed, involving two factors: chicken liver flour substitution (30%, 35%, 40%) and moringa leaf flour substitution (5% and 10%), resulting in six formulations. Acceptability was evaluated using a hedonic test by 40 untrained panelists, while nutritional analysis was conducted on the best formulation using titrimetric methods for protein and ICP-OES for iron. The results showed that substitution significantly affected color, aroma, and taste (p<0.05), but had no significant effect on texture (p>0.05). The best formulation was F3 (35% chicken liver flour and 5% moringa leaf flour), containing 14.58 g protein/100 g and 7.05 mg iron/100 g. These findings indicate that the developed soft cookies have potential as a nutritious snack alternative to support anemia prevention among adolescent girls.
Copyright (c) 2026 Islha Komariyah Maulidina, Wildan Alfira Gusrianto https://creativecommons.org/licenses/by/4.0
Faktor Faktor Penyebab Terjadinya ISPA pada Balita : Systematic Review
Acute Respiratory Tract Infections (ARI) are the leading cause of morbidity and mortality among under-fives in Indonesia. Toddlers have a high risk of developing ARI due to their suboptiomal immune system. Environmental factors such as exposure to cigarette smoke, overcrowding, and lack of exclusive breastfeeding can exacerbate this condition. This study aimed to identify the main factors influencing the incidence of ARI in under-fives through systematic analysis.This study used a systematic literature review method with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach. Data wew obtained from Google Scholar using the keywords “risk factors”, “ARI”, and “under-five” for period 2019-2024. From the initial 8.200 articles, a selection process was carried out until 10 relevant articles were selected for further analysis.Exposure to indoor tobacco smoke worsens air quality and increases the risk of respiratory infections. Overcrowding and inadequate ventilation degrade air quality, creating ideal conditions for infection transmission. Exclusive breastfeeding, which is rich in immunoglobulin, has been shown to provide important protection against ARI. Therefore, prevention efforts should focus on reducing exposure to tobacco smoke, improving living conditions, and increasing education on the importance of exclusive breastfeeding.The main factors influencing the incidence of ARI in children under-five are exposue to tobacco smoke, overcrowding, and lack of exclusive breastfeeding. ARI prevemtion efforts should include interventions against these factors to reduce the preva;ence and impact on under-fives
Copyright (c) 2026 Fitrah Hidayahturrahmat M. H, Sulistyawati Sulistyawati, Tri Wahyuni Sukesi https://creativecommons.org/licenses/by/4.0
Potensi Quercetin sebagai Agen Antikanker pada Kanker Payudara: Tinjauan Literatur
Quercetin is a plant flavonol with antioxidant, anti-inflammatory, antiproliferative, and immunomodulatory properties that may be relevant to breast cancer therapy. This literature review aims to evaluate the potential of quercetin as an anticancer agent in breast cancer and to identify its main mechanisms, therapeutic combinations, and research gaps. Literature was reviewed from PubMed, ScienceDirect, Google Scholar, and open-access journal platforms using combinations of the keywords “quercetin,” “breast cancer,” “anticancer,” “apoptosis,” and “chemotherapy sensitization.” The review focused on articles published from 2021 to 2026 and included experimental, in vivo, organoid, and recent review studies directly related to quercetin and breast cancer. The synthesis shows that quercetin inhibits breast cancer cell growth through apoptosis induction, reactive oxygen species regulation, mitochondrial membrane disruption, caspase activation, cell-cycle arrest, senescence-related pathways, and suppression of epithelial-mesenchymal transition. Combination studies indicate synergistic or chemosensitizing effects. However, most evidence remains preclinical; clinical validation, pharmacokinetic studies, and delivery-system optimization are still required.
Copyright (c) 2026 Yekti Roro Hapsari https://creativecommons.org/licenses/by/4.0
Pengaruh Faktor Sosiodemografi terhadap Frekuensi Pemberian MP-ASI di Jawa Timur
Complementary feeding (MP-ASI) frequency is a key indicator of child nutrition among children aged 6–23 months. This study aimed to analyze the influence of sociodemographic factors on the frequency of complementary feeding among children aged 6–23 months in East Java using data from the 2025 National Socioeconomic Survey (SUSENAS). This is an observational analytic study with a cross-sectional design. The sample consisted of 1,386 children aged 6–23 months in East Java. The dependent variable was the frequency of complementary feeding in the past 24 hours, while independent variables included child age, child sex, maternal education, maternal employment status, number of children, household head education, household expenditure quintile, and place of residence. Analysis was performed using Poisson regression with robust error standard to accommodate complex survey design and correct for underdispersion (dispersion value = 0.36). Results showed that child age (β = 0.011; p < 0.001; IRR = 1.011) and number of children (β = −0.039; p = 0.020; IRR = 0.962) were the only significant predictors in the final model. Each additional month of child age increased complementary feeding frequency by 1.1%, while each additional child in the household decreased frequency by 3.8%. Other sociodemographic variables did not show significant influence. These findings highlight the importance of age-responsive feeding practices and targeted support for mothers with multiple children in East Java.
Copyright (c) 2026 Adila Ainun Zahra, Mahmudah Mahmudah https://creativecommons.org/licenses/by/4.0
Analisis Faktor-Faktor yang Berhubungan dengan Kepatuhan Penggunaan APD pada Karyawan PT. TWBPK
Occupational accidents and work-related diseases in Indonesia continue to show significant numbers, with negligence in implementing Occupational Health and Safety (OHS) procedures, including the use of Personal Protective Equipment (PPE), being one of the main causes. Data from the 2022 National OHS Profile of Indonesia indicates an increase in workplace accidents, resulting in significant losses for both workers and companies. Therefore, this study aims to analyze the factors associated with compliance with the use of PPE among employees at PT. TWBPK, a company engaged in the processing of cassava into tapioca flour. The study used a quantitative approach with a cross-sectional research design. A total of 98 respondents who met the study criteria were randomly selected from the employee population. The variables studied included age, education level, and OHS training as independent variables, and PPE compliance as the dependent variable. Data were collected through a questionnaire and analyzed using univariate and bivariate analysis with Chi-Square tests. The results showed that age, education level, and OHS training were significantly associated with compliance with PPE usage. Older workers (≥35 years) were more compliant in using PPE, workers with higher education were more likely to adhere to PPE usage, and workers who had received OHS training showed higher compliance with PPE usage. The results of this study are expected to serve as a basis for PT. TWBPK to design more effective policies in improving workplace safety and preventing accidents due to negligence in using PPE.
Copyright (c) 2026 Susan Rendra Utama R, Gusti Widyaningsih https://creativecommons.org/licenses/by/4.0
Hubungan Sosial Budaya, Kelengkapan Imunisasi dan Faktor Social Ekonomi dengan Kejadian Stunting pada Balita 0-59 Bulan di Wilayah Kerja Puskesmas Sikumana
Stunting is a public health problem that impacts physical growth, cognitive development, and the quality of future human resources. Various factors are suspected to be associated with stunting, including socio-cultural factors, completeness of basic immunizations, and family socio-economic status. This study aims to analyze the relationship between socio-cultural factors, completeness of basic immunizations, and socio-economic status with stunting in toddlers aged 0–59 months in the Sikumana Community Health Center (Puskesmas) work area. This study used an observational analytical design with a case-control approach. The study sample consisted of 128 respondents, consisting of case and control groups. Data were collected using a questionnaire and analyzed using the Chi-Square test at a 95% confidence level (α=0.05). The results showed that most mothers had no dietary restrictions during pregnancy (77.3%), most toddlers received complete basic immunizations, and most families had sufficient income. Bivariate analysis showed no association between cultural dietary restrictions and stunting (p=0.833; OR=1.093). There was a significant association between completeness of basic immunizations and stunting (p<0.001; OR=0.121), with toddlers with incomplete immunizations having a greater risk of stunting. Furthermore, there was no significant association between family income and stunting (p=0.480; OR=0.779). This study concluded that completeness of basic immunizations was associated with stunting, while cultural dietary restrictions and family income were not associated with stunting in toddlers aged 0–59 months in the Sikumana Community Health Center (Puskesmas) work area. Increasing coverage of complete basic immunizations is necessary to continue to prevent stunting.
Copyright (c) 2026 Marliance Lewo Wolla, Pius Weramen, Sigit Purnawan https://creativecommons.org/licenses/by/4.0
Hubungan Kualitas Tidur dengan Hipertensi pada Lansia: Tinjauan Literatur
Hypertension is a major chronic disease among the elderly, influenced by modifiable lifestyle factors including sleep quality. Poor sleep quality in older adults is driven by age-related disruptions to circadian rhythms and melatonin production, worsened by chronic comorbidities. This literature review aimed to analyze the relationship between sleep quality and hypertension in the elderly. Articles were selected using the PRISMA flow diagram across three databases, Google Scholar, ScienceDirect, and PubMed with keywords related to sleep quality, hypertension, and the elderly. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Analytical Cross-Sectional Studies, with articles scoring ≥5 included in the review. From 3,821 identified articles, seven met the inclusion criteria and were analyzed descriptively. All seven studies used a cross-sectional design and measured sleep quality using the Pittsburgh Sleep Quality Index (PSQI). Results consistently showed that poor sleep quality was significantly associated with hypertension in the elderly, with the proportion of poor sleepers ranging from 50% to 74%. Physiologically, disrupted sleep impairs nocturnal blood pressure dipping through sympathetic activation, elevated cortisol, and HPA axis dysregulation, mechanisms further amplified by age-related vascular changes. These findings indicate that sleep quality should be treated as a modifiable risk factor in hypertension management, and routine sleep screening should be integrated into cardiovascular risk assessment in elderly care.
Copyright (c) 2026 Izza Pramesthi, Farapti Farapti https://creativecommons.org/licenses/by/4.0
Daya Terima Pangsit Ayam Substitusi Tepung Kacang Lentil Merah dan Jamur Tiram sebagai Snack Remaja Overweight
Overweight in adolescents is a serious nutritional problem with a national prevalence of 32.8% in Indonesia. One contributing factor is the high consumption of snacks with elevated fat content and low dietary fiber. This study aimed to analyze the effect of red lentil flour and oyster mushroom substitution on the hedonik acceptability and nutritional content of chicken wonton as a high-fiber, low-fat snack alternative for overweight adolescents. This study used an experimental design with a Completely Randomized Design (CRD) approach involving three formulas: F0 (kontrol), F3, and F4. Hedonik tests were conducted by 30 semi-trained panelists aged 16–18 years, evaluating taste, color, aroma, and texture. Data were analyzed using the Shapiro-Wilk, Friedman, and Wilcoxon Signed-Rank tests. Results showed that substitution significantly affected taste (p = 0.003), while color, aroma, and texture showed no significant differences. All formulas remained in the "like" category. Laboratory analysis revealed that F4 had the lowest fat content (3.79 g) and highest total dietary fiber (4.92 g) per serving, contributing 4.46% and 13.33% of daily requirements based on the 2019 Nutritional Adequacy Rate (RDA), qualifying for a "fiber source" claim per BPOM Regulation No. 22/2019. Red lentil flour and oyster mushroom substitution effectively increases fiber content and reduces fat in chicken wonton without significantly reducing hedonik acceptability.
Copyright (c) 2026 Nasywa Aprilianti, Annis Catur Adi https://creativecommons.org/licenses/by/4.0
Daya Terima Sosis Substitusi Tahu dan Tepung Kacang lentil Merah sebagai Selingan Remaja Putri Overweight
Adolescent overweight is associated with high-fat and low-fiber dietary patterns, including the consumption of processed foods such as sausages. This study aimed to analyze the effect of tofu and red lentil flour substitution in chicken sausage on sensory acceptability and nutritional content as an alternative snack for overweight adolescent girls. This quantitative experimental study employed a Completely Randomized Design (CRD) with three tested formulations: F0 (control), F1 (45%), and F2 (60%). Hedonic tests were conducted by 30 untrained panelists evaluating color, aroma, taste, and texture using a 5-point Likert scale. Data were analyzed using the Shapiro–Wilk test, Friedman test, and Wilcoxon signed-rank test. The results showed significant differences in color (p=0.030), taste (p=0.000), and texture (p=0.000), but not in aroma (p=0.104). F2 obtained the highest scores for color (4.30) and aroma (4.53), while F0 scored highest for taste (4.43) and texture (4.23). Nutritional analysis indicated that increasing the level of substitution increased fiber content from 0.58 g to 4.40 g per serving and reduced fat content from 6.39 g to 5.45 g per serving. This study concludes that tofu and red lentil flour substitution affects the sensory acceptability of chicken sausage and has the potential to produce a high-fiber, low-fat snack alternative for overweight adolescent girls.
Copyright (c) 2026 Khansa Nur Fauzia, Annis Catur Adi https://creativecommons.org/licenses/by/4.0
Pengetahuan dan Sikap Keluarga terhadap Pencegahan Penyakit Tuberculosis di Wilayah Kerja Puskesmas Wundulako Tahun 2026
Background: Tuberculosis (TB) remains a major public health problem and one of the leading infectious diseases worldwide. The success of TB transmission prevention is strongly influenced by family knowledge and attitudes toward disease prevention efforts. Objective: This study aimed to determine the relationship between family knowledge and attitudes toward the prevention of tuberculosis transmission in the working area of Wundulako Public Health Center. Methods: This study employed a quantitative cross-sectional design involving 39 respondents selected according to the study criteria. Data were collected using a structured questionnaire and analyzed through univariate and bivariate analyses. The relationship between variables was tested using the Spearman Rank test with a significance level of 0.05. Results: The majority of respondents were aged 26–35 years (53.9%), female (87.2%), had a senior high school education (64.1%), and were categorized in other occupations (74.3%). Most respondents demonstrated good knowledge regarding TB (76.9%), while 92.3% showed positive attitudes toward TB prevention. Bivariate analysis revealed a significant relationship between family knowledge and attitudes and the prevention of TB transmission, with a p-value of 0.001 (p<0.05). Conclusion: Good knowledge and positive family attitudes are significantly associated with efforts to prevent TB transmission. Strengthening health education programs and enhancing family involvement are essential strategies to support tuberculosis control and prevention within the community.
Copyright (c) 2026 Elma Elmika, Nurwahyuni Nurwahyuni, Nur Afni https://creativecommons.org/licenses/by/4.0
Determinan Faktor yang Berkontribusi terhadap Kejadian Stunting pada Balita di Wilayah Kerja Puskesmas Langara Kabupaten Konawe Kepulauan
Stunting is a chronic nutritional problem among children under five. The assessment of stunting status is conducted using the height-for-age (HFA) index based on z-scores, where a value of < −2 standard deviations indicates stunting. This study aimed to identify determinant factors contributing to stunting among children aged 12–59 months in the working area of Langara Public Health Center. This study employed a quantitative approach with an analytical cross-sectional design. The sample consisted of 100 children under five selected using simple random sampling. The inclusion criteria were children aged 12–59 months at the time of the study. Data were collected through observation and interviews using questionnaires on respondent characteristics, complementary feeding (MP-ASI) history, and family income. Data analysis was conducted bivariately using the Chi-Square test with a significance level of α = 0.05. The bivariate analysis results showed a significant association between complementary feeding history (p = 0.003), while family income showed no significant association (p = 0.223) with the incidence of stunting among children aged 12–59 months in the working area of Langara Public Health Center.
Copyright (c) 2026 Harleli Harleli https://creativecommons.org/licenses/by/4.0
Transformasi Kepemimpinan dan Akuntabilitas Keselamatan dan Kesehatan Kerja (K3): Panduan Strategis Perubahan Budaya K3 di Lingkungan PT Pelabuhan Indonesia (Persero)
The port sector faces high Occupational Health and Safety (OHS) risks due to the complexity of operations involving human interaction, heavy equipment, and massive logistics. This study aims to analyze the operational risk profile of fatalities, formulate guidelines for K3 leadership roles across job levels, integrate Visible Felt Leadership (VFL) and GROW coaching model, and develop an accountability system based on leading and lagging indicators to realize a generative safety culture towards Zero Fatality at PT Pelabuhan Indonesia (Persero). This research employs a descriptive qualitative approach with strategic analysis based on safety culture transformation. The Safety Maturity Ladder model, Corporate Life Saving Rules (CLSR), and leadership role division serve as the main framework for developing operational strategic guidelines. The results show that 80–85% of accidents in container terminals are caused by human error. The implementation of Visible Felt Leadership (VFL) and GROW coaching proved effective in changing the mindset of leaders and workers. Structured leadership role guidelines along with the integration of leading indicators into management KPIs are the key to creating a robust safety culture. This study concludes that present, firm, and empathetic leadership is the main foundation for realizing a generative safety culture in the port environment. Keywords: Accountability of Safety, Leadership K3, Safety culture, Safety Maturity Ladder, Visible Felt Leadership
Copyright (c) 2026 Bondan Winarno https://creativecommons.org/licenses/by/4.0
Pengetahuan, Sikap, dan Fasilitas Pendukung terhadap Praktik Kebersihan Menstruasi Remaja Putri SMA Negeri 1 Kupang
Menstrual hygiene is a significant public health issue influenced by multiple factors, knowledge, attitudes, and the availability of facilities. This study sought to examine the association between knowledge, attitudes, facilities, and menstrual hygiene practices among female students at SMA Negeri 1 Kupang. A quantitative analytic approach with a cross-sectional design was employed, involving 649 students as the population. Eighty-four respondents were chosen through proportional stratified random sampling. Data gathering was performed using structured questionnaires and observation checklists, followed by analysis using univariate and bivariate methods. The Chi-square test at a 5% significance level was applied to assess relationships between variables. Results showed that 50.0% of respondents had good knowledge about menstrual hygiene, 59.5% exhibited positive attitudes, and 75.0% demonstrated appropriate menstrual hygiene practices. Statistical analysis revealed a significant relationship between knowledge and menstrual hygiene practices (p < 0.001), as well as a significant association between attitudes and menstrual hygiene practices. Observations indicated that school facilities were moderately adequate, with six out of eight assessed indicators present. However, these facilities did not fully meet the standards required to optimally support menstrual hygiene management among students. Overall, the findings indicate that both knowledge and attitudes significantly influence menstrual hygiene practices among adolescent girls. While some facilities are available, their adequacy remains insufficient to fully facilitate proper menstrual hygiene. It is therefore recommended to strengthen reproductive health education programs to enhance students' knowledge and promote positive attitudes, alongside efforts to improve and optimize school facilities that support menstrual hygiene management.
Copyright (c) 2026 Fransina Ndaong, Christina Rony Nayoan, Tanti Rahayu https://creativecommons.org/licenses/by/4.0
Evaluasi Skrining pada Pasien Karies Gigi dan Penyakit Periodontal di Puskesmas Lamteuba Kabupaten Aceh Besar
Oral health problems, particularly dental caries and periodontal disease, remain significant public health concerns. This study aimed to evaluate the implementation of oral health services at Lamteuba Community Health Center, Aceh Besar District, during the period 2023–2025. This study employed an evaluative design with a retrospective descriptive approach using secondary data obtained from dental clinic registers, oral health examination records, and procurement reports of dental materials and equipment. Data were analyzed descriptively. The results showed that the number of patient visits decreased from 355 visits in 2023 to 256 visits in 2024 and 137 visits in 2025. Dental caries cases declined from 258 cases in 2023 to 155 cases in 2024 and 64 cases in 2025. Similarly, periodontal disease cases decreased from 40 cases in 2023 to 27 cases in 2024 and 20 cases in 2025. In contrast, referrals increased from 1 case in 2023 to 5 cases in 2024 and 10 cases in 2025. Oral health services at Lamteuba Community Health Center have been implemented according to established procedures and demonstrated a decreasing trend in dental caries and periodontal disease cases. However, strengthening promotive and preventive activities, as well as expanding early detection coverage, is necessary to improve the effectiveness of oral health services.
Copyright (c) 2026 T Nazarullah, Radhiah Zakaria, Basri Aramico https://creativecommons.org/licenses/by/4.0
Evaluasi Skrining pada Pasien Karies Gigi di Wilayah Kerja Puskesmas Kluet Timur Aceh Selatan
Dental caries screening plays an essential role in identifying high-risk individuals, detecting early caries lesions, and supporting appropriate preventive and therapeutic interventions. This study aimed to evaluate the implementation of dental caries screening among patients in the working area of Kluet Timur Community Health Center, South Aceh. Methode is descriptive evaluative study with a quantitative approach was conducted. The study population included all patients receiving dental examinations within the service area of Kluet Timur Community Health Center, with samples selected through purposive sampling. Data were obtained through direct observation, document review, and screening evaluation instruments. The collected data were analyzed using descriptive analysis. The findings indicated that dental caries screening activities had been carried out in accordance with established procedures, including oral examinations, documentation of clinical findings, and the determination of appropriate follow-up care. However, several obstacles were identified, including limited healthcare resources, insufficient public awareness regarding regular dental examinations, and incomplete documentation of screening outcomes. Overall, the implementation of dental caries screening at Kluet Timur Community Health Center was categorized as adequate and supported early detection of dental caries cases. The concludes that although the screening program has been implemented effectively, improvements are still needed, particularly in strengthening documentation systems, enhancing oral health education, and improving patient follow-up monitoring. Continuous evaluation and development of oral health promotion strategies are recommended to optimize the effectiveness of dental caries screening services.
Copyright (c) 2026 Ekasusanti Ekasusanti, Basri Aramico, Radhiah Zakaria https://creativecommons.org/licenses/by/4.0
Ultra-Processed Food Intake and Sedentary Behavior as Contributing Factors to Overweight and Obesity Among Final-Year Students: A Narrative Review
Obesity is becoming increasingly common among university students and may be influenced by frequent consumption of ultra-processed foods (UPFs) and a sedentary lifestyle. This narrative review explores the potential link between these two factors and weight gain in young adults, based on findings from recent studies. UPFs, typically high in calories, added sugars, and unhealthy fats, are often a regular part of students’ diets and contribute to poor overall nutritional quality. Meanwhile, prolonged sedentary behavior, such as extended screen time or studying, is associated with lower energy expenditure and increased body fat. These two habits may interact and further elevate the risk of obesity, although more evidence is needed to confirm a causal relationship. Moreover, academic stress, limited time for physical activity, and the easy accessibility of fast food may worsen the issue. Universities are therefore encouraged to support healthier behaviors through improved nutrition education and physical activity promotion. Helping students adopt better lifestyle choices could contribute to lowering obesity rates and improving their long-term health outcomes.
Copyright (c) 2026 Keisha Annisa Tadjudin https://creativecommons.org/licenses/by/4.0
Daya Terima Gyoza Tepung Kacang Merah dan Jamur Kuping sebagai Makanan Selingan untuk Remaja Putri Overweight
The prevalence of overweight among Indonesian adolescents increased from 7.3% (2013) to 13.5% (2018), partly driven by habitual consumption of high-calorie, high-fat, and low-fiber snacks. This study aimed to analyze the effect of substituting red kidney bean flour in gyoza skin and wood ear mushroom in the filling on organoleptic acceptability and nutritional content as a high-fiber snack for overweight adolescent girls. An experimental study using a Completely Randomized Design (CRD) was conducted with three formulas tested: F0 (control), F1 (30% red kidney bean flour, 50% wood ear mushroom), and F2 (40% red kidney bean flour, 60% wood ear mushroom). Hedonic evaluation was performed by 30 semi-trained panelists and data were analyzed using Friedman and Wilcoxon tests (α=0.05). Nutritional content was assessed through proximate and dietary fiber analysis at the Nutrition Laboratory of FKM Universitas Airlangga. Results showed that substitution significantly affected color, aroma, and texture (p<0.05), but not taste (p=0.299). Formula F1 obtained the highest overall acceptability mean score among modified formulas (3.66), with superior performance in texture (4.30) and taste (3.67). Based on nutritional analysis, F1 contained 3.35 g dietary fiber per serving, 5.38 g fat per serving, and 240 kcal per serving. Formula F1 is recommended as the best formula, providing a balance between organoleptic acceptability and nutritional quality as a high-fiber functional snack for overweight adolescent girls.
Copyright (c) 2026 Dyandra Fayzanadifa, Annis Catur Adi https://creativecommons.org/licenses/by/4.0
Uji Cemaran dan Identifikasi Bakteri Staphylococcus aureus pada Bumbu Giling di Pasar Tradisional Kota Samarinda
Ground spice paste is a widely consumed food product sold in traditional markets with varying environmental conditions. Differences between wet and dry stalls may affect environmental sanitation and the microbiological safety of the product, including contamination by Staphylococcus aureus. This study aimed to determine the Total Plate Count (TPC) and identify S. aureus in cooked ground spice pastes sold in traditional markets in Samarinda City. A descriptive observational study was conducted using 12 samples consisting of rendang, soup, and rawon spice pastes collected from wet and dry stalls. TPC was determined using the pour plate method on Plate Count Agar (PCA), while S. aureus was identified using Mannitol Salt Agar (MSA) followed by biochemical tests. Environmental sanitation conditions were assessed through direct observation, and the data were analyzed descriptively. The results showed that all samples met acceptable organoleptic criteria; however, several samples exceeded the maximum TPC limit established by SNI 7388:2009 and were contaminated with S. aureus. Samples exceeding the maximum TPC limit were more frequent in wet stalls (83.3%) than in dry stalls (66.7%), with the highest count found in rendang spice paste. Meanwhile, S. aureus was detected more frequently in wet stalls (50.0%) than in dry stalls (33.3%). The higher descriptive proportions of microbiological contamination in wet stalls coincided with poorer sanitation conditions, including standing water, high humidity, and open storage. These findings indicate that cooked ground spice pastes sold in traditional markets are susceptible to microbiological contamination, particularly in stalls with inadequate sanitation.
Copyright (c) 2026 Aisyah Mutia Iskandar, Supri Hartini, Sresta Azahra, Tiara Dini Harlita https://creativecommons.org/licenses/by/4.0
A Four-Months-Neglected Anterior Shoulder Dislocation Treated with Open Reduction and Internal Fixation: A Case Report
Neglected anterior shoulder dislocation (NASD) is an uncommon yet clinically demanding condition, largely because diagnosis and treatment are frequently delayed. Patients often develop secondary problems such as glenoid bone loss, capsular contracture, and ongoing instability, all of which call for a carefully chosen surgical strategy. This report describes the management of a chronic case using open reduction and internal fixation. A 25-year-old man was seen after sustaining an anterior shoulder dislocation that had remained untreated for four months. Clinical examination combined with plain radiographs established the diagnosis. Through a deltopectoral approach the glenohumeral joint was reduced under direct vision and stabilized with two 2.0-mm K-wires. At the two-week review both clinical examination and repeat radiographs confirmed that the joint had been restored to an anatomic position with good stability. The patient had no appreciable sensory or motor deficit in the limb, and neurovascular function remained intact. These early results indicate that open reduction and internal fixation can reliably address chronic NASD and reduce the risk of recurrent instability. Nevertheless, longer-term surveillance is required to confirm lasting joint stability and to detect any late complications that may develop.
Copyright (c) 2026 Andika Prasetyo Arifin, Sammy Saleh Al Huraiby https://creativecommons.org/licenses/by/4.0
Edukasi Skrining dan Monitoring Hipertensi pada Usia Dewasa di Posyandu Desa Tengah
Hypertension is a major non-communicable disease and a public health concern because it often occurs without early symptoms but may cause serious complications such as cardiovascular disease, stroke, and kidney failure. Low public awareness regarding routine blood pressure screening contributes to the increasing risk of uncontrolled hypertension. This activity aimed to improve adults’ knowledge and awareness about the importance of hypertension screening and monitoring at Posyandu Desa Tengah.The study used an evaluation research design with the CIPP (Context, Input, Process, Product) approach. The population included healthcare workers, hypertensive patients, and program documents, with data collected through interviews, observations, document reviews, and medical records. The instruments used were the MMAS-8 questionnaire and clinical measurement tools. Data were analyzed using quantitative, qualitative, and benchmarking methods.The results showed an increase in participants’ knowledge regarding hypertension risk factors, prevention, early detection, and the importance of regular blood pressure monitoring. Several participants who previously did not know their blood pressure status were identified as having elevated blood pressure and received education and recommendations for further medical follow-up. The program also increased community awareness of healthy lifestyle practices and regular blood pressure checks. In conclusion, hypertension screening and monitoring education at Posyandu Desa Tengah was effective in improving knowledge, awareness, and community participation in hypertension prevention and control. Continuous implementation of education and screening activities through collaboration among healthcare workers, health cadres, and families is recommended to support early detection and effective hypertension management.
Copyright (c) 2026 Massatriadi Massatriadi, Dharina Baharuddin, Radhiah Zakaria https://creativecommons.org/licenses/by/4.0
Hubungan Pengetahuan, Sikap, dan Perilaku Konsumsi Makanan Tinggi Natrium terhadap Kejadian Prehipertensi pada Mahasiswa: Systematic Literature Review
Prehypertension among university students represents a transitional cardiovascular condition with significant potential to progress toward established hypertension, warranting increasing attention within the domain of public health. This study aimed to analyze and synthesize scientific evidence regarding the relationship between knowledge, attitudes, and dietary sodium consumption behaviors with the occurrence of prehypertension among university students through a Systematic Literature Review (SLR) approach. Literature searches were conducted across Google Scholar, PubMed, and Portal Garuda databases using the PRISMA framework, yielding ten articles that fulfilled the inclusion criteria, published between 2022 and 2025, employing cross-sectional, descriptive, and quasi-experimental designs. Narrative synthesis revealed that students' knowledge levels regarding sodium-related health risks were generally categorized as adequate, yet a persistent knowledge-practice gap was consistently identified across studies. Attitudes toward sodium consumption exhibited moderate and sociodemographically influenced patterns, with associations to prehypertension largely indirect in nature. Sodium consumption behavior demonstrated the strongest and most consistent association with prehypertension incidence, yet proved most resistant to modification through educational interventions. It is concluded that prehypertension prevention strategies targeting university students necessitate multidimensional approaches that prioritize sustained behavioral modification, extending beyond mere enhancement of cognitive knowledge.
Copyright (c) 2026 Alya Rahmadhona https://creativecommons.org/licenses/by/4.0
Identifikasi Penyakit Akibat Kerja pada Nelayan di Gampong Lampulo Kecamatan Kuta Alam Kota Banda Aceh Tahun 2025
Fishermen are a group of workers at high risk of developing occupational diseases (OCD) due to exposure to extreme weather, heavy physical activity, non-ergonomic working positions, and limited implementation of occupational safety and health (K3). This study aims to analyze the risks and factors associated with Occupational Occupational Diseases (OCD) among fishermen in Gampong Lampulo, Banda Aceh City. This study used a quantitative method with a cross-sectional design. The study population was 450 fishermen working on vessels measuring 6–10 GT, with a sample of 82 respondents selected using a purposive sampling technique. Data were collected using a questionnaire administered to respondents, and then analyzed using the Chi-Square test at a 95% confidence level. The results showed that 53 respondents (65%) experienced Occupational Diseases (OCD). The most common type of OCD was muscle pain (49%), followed by dermatitis (26%), and work-related injuries (24%). Bivariate analysis results showed that length of service (p=0.028), knowledge (p=0.016), and personal hygiene (p=0.017) were significantly associated with the incidence of PAK in fishermen. Meanwhile, age did not show a significant association with PAK (p=0.086). This study concluded that longer service periods, low levels of knowledge, and poor personal hygiene can increase the risk of PAK in fishermen. Therefore, efforts are needed to improve occupational health and safety education, foster clean and healthy lifestyles, and strengthen occupational health programs to reduce the risk of PAK in fishermen.
Copyright (c) 2026 Nazira Aklia, Asnawi Abdullah, Tiara Mairani https://creativecommons.org/licenses/by/4.0
Pengaruh Dimensi Servqual terhadap Kepuasan Pasien di Apotek Rumah Sakit Stella Maris Makassar
Patient satisfaction is a crucial indicator in evaluating the quality of healthcare services, including hospital pharmacy installations. Based on patient feedback at the Stella Maris Hospital Pharmacy in Makassar, complaints were identified regarding long waiting times, lack of drug information, and the absence of a clear queue information system, which could potentially decrease patient satisfaction. This study aims to evaluate the effect of service quality using the SERVQUAL approach (tangibles, reliability, responsiveness, assurance, and empathy) on patient satisfaction. This quantitative research used a cross-sectional design. Data were collected from 103 outpatients using validated and reliable questionnaires and analyzed via multiple linear regression analysis. The results showed that simultaneously, all SERVQUAL dimensions significantly influenced patient satisfaction (F = 16.765, p = 0.000). Partially, only reliability (p = 0.013) and empathy (p = 0.000) had a significant positive effect, with empathy being the most dominant factor ($Beta = 0.546$). Responsiveness, assurance, and tangibles did not show significant effects. In conclusion, patient satisfaction is heavily driven by staff empathy and service reliability. Pharmacies should focus on interpersonal communication training and service accuracy to optimize patient experiences.
Copyright (c) 2026 Mutmainnah Mutmainnah, Grace Windiwulandari, Maria Aprilia Soge https://creativecommons.org/licenses/by/4.0
Hubungan Antara Mutu Pelayanan Kesehatan dengan Kepuasan Pasien Rawat Jalan di Puskesmas Timung Kecamatan Wae Ri’i Kabupaten Manggarai
The quality of health services is one of the factors that can influence the level of patient satisfaction with the services received. Patient satisfaction is an important indicator in assessing the success of health services provided by health facilities. There has been a decline in the number of outpatient visits over the past three years, along with patient complaints regarding waiting time, staff attitudes, and the comfort of service facilities. This study aimed to determine the relationship between the quality of health services and outpatient satisfaction at Puskesmas Timung, Wae Ri’i District, Manggarai Regency. This was an analytical survey with a cross-sectional design. The study population consisted of all outpatients at Puskesmas Timung. A total of 101 respondents were selected using accidental sampling technique according to the research criteria with a significance level of α = 0,05. The variable of health service quality was measured using five SERVQUAL dimensions, namely reliability, responsiveness, tangible, assurance, and empathy. Data were analyzed using the Fisher's Exact test to determine the relationship between each dimension of health service quality and patient satisfaction. The results showed that all dimensions of health service quality had a significant relationship with outpatient satisfaction (p-value = 0,000). It was determined that there was a strong association between the quality of health services in all five SERVQUAL dimensions and outpatient satisfaction at Puskesmas Timung. Therefore, continuous improvement of health service quality across all SERVQUAL dimensions needs to be carried out to enhance patient satisfaction with the services provided.
Copyright (c) 2026 Concita Vera, Dominirsep O. Dodo, Tasalina Y.P. Gustam https://creativecommons.org/licenses/by/4.0
Penerapan Terapi Isometric Handgrip Exercise terhadap Penurunan Tekanan Darah pada Keluarga Hipertensi di Kecamatan Jebres Kota Surakarta
Background: Hypertension is a cardiovascular condition requiring long-term management. Non-pharmacological therapies, such as isometric handgrip exercises, offer a viable self-management option within the context of family care. Objective: To determine the outcomes of isometric handgrip exercise therapy in elderly individuals with hypertension. Methods: This study employed a pre-experimental design-specifically a one-group pre-test/post-test format-conducted as a case report involving two respondents (Mrs. W and Mr. M) in Guwosari Village, Jebres District, Surakarta. The intervention was administered over five consecutive days, once daily for 12 minutes (comprising four sets of 45-second isometric contractions with one-minute rest intervals between contractions). Data were analyzed using a descriptive quantitative approach, reporting mean values ​​and standard deviations (SD). Results: The baseline mean (pre-test) for Mrs. W was 148.0/85.0 mmHg (systolic SD 5.7; diastolic SD 4.9), which decreased to 136.2/81.8 mmHg post-intervention (systolic SD 8.0; diastolic SD 5.9). For Mr. M, the baseline mean (pre-test) was 146.6/88.4 mmHg (systolic SD 8.2; diastolic SD 7.1), which decreased to 137.4/82.2 mmHg post-intervention (systolic SD 6.1; diastolic SD 7.0). The average mean reduction in systolic blood pressure was 11.8 mmHg for Mrs. W and 9.2 mmHg for Mr. M. Conclusion: Isometric handgrip exercise is clinically beneficial for lowering and controlling blood pressure and is safe to use as an adjunct therapy that families can perform independently.
Copyright (c) 2026 Rini Dwi Sukmawati, Tri Susilowati, Yohana Ika Prastiwi https://creativecommons.org/licenses/by/4.0
The Relationship Between Nutritional Status and Early Menarche: A Narrative Review
This narrative review examines the relationship between nutritional status and the timing of menarche in adolescent girls, with a particular focus on early menarche. It explores how nutritional status influences pubertal onset and the associated health risks amid the increasing global prevalence of childhood overweight. A literature search of studies published between 2015 and 2025 was conducted using PubMed, Google Scholar, and ScienceDirect, resulting in five eligible cross-sectional studies from Brazil and Indonesia. The findings consistently indicate that higher body mass index (BMI) is significantly associated with menarche before age 12, potentially through hormonal mechanisms involving leptin and activation of the hypothalamic–pituitary–gonadal axis. Early menarche is associated with greater risks of metabolic, reproductive, and psychosocial health problems. Public health interventions should promote balanced nutrition, regular physical activity, and routine growth monitoring to support healthy pubertal development. Further longitudinal studies are needed to establish causal relationships and identify additional factors influencing the timing of menarche.
Copyright (c) 2026 Nafiisah Zana Dzakiyah https://creativecommons.org/licenses/by/4.0
Pengaruh Leaflet terhadap Motivasi Pengendalian Hipertensi Metode Pretest-Posttest di Puskesmas Sokaraja II dan Sumbang II
Hypertension is one of the non-communicable diseases that remains a major public health problem due to its substantial contribution to morbidity and mortality associated with cardiovascular complications. Effective health education is essential to enhance patients' motivation for hypertension control. This study aimed to analyze the effect of leaflet-based health education on hypertension control motivation among participants of the Chronic Disease Management Program (PROLANIS) at Sokaraja II and Sumbang II Primary Health Centers, Banyumas Regency. This study employed a quantitative approach with a pre-experimental one-group pretest–posttest design. A total of 72 respondents were selected using a random sampling technique. Data were collected using a hypertension control motivation questionnaire administered before (pretest) and after (posttest) the educational intervention using leaflet media. Data were analyzed using univariate analysis to describe respondents' characteristics and motivation levels, while bivariate analysis was performed using the Wilcoxon signed-rank test with a significance level of p<0.05. The results showed an increase in the proportion of respondents with good motivation at Sokaraja II Primary Health Center from 25.00% to 63.89% and at Sumbang II Primary Health Center from 30.56% to 72.22%, accompanied by a decrease in the proportion of respondents with poor motivation. The Wilcoxon signed-rank test demonstrated a statistically significant difference between the pretest and posttest scores (p<0.05). In conclusion, leaflet-based health education was effective in improving hypertension control motivation among PROLANIS participants. Leaflets may serve as an effective health education strategy to support hypertension control in primary healthcare settings.
Copyright (c) 2026 Risky Devy Lupitasari, Resy Setem, Ruth Gratia Dwi P, Sesilia Tiara Yuvita, Siti Setianingsih https://creativecommons.org/licenses/by/4.0