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All Journal HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS) Interdisciplinary Journal of Ethnopsychiatric Nursing (IJEN) Journal of Research in Midwifery and Healthcare
Irma Afifa
Poltekkes Kemenkes Malang
Religion Arts Humanities Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Sociocultural Factors Influencing Gestational Diabetes Mellitus Outcomes Verlina Gita; Irma Afifa
Interdisciplinary Journal of Ethnopsychiatric Nursing Vol. 1 No. 2 (2025): Interdisciplinary Journal of Ethnopsychiatric Nursing
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/ijen.v1i2.223

Abstract

Gestational diabetes mellitus (GDM) represents a growing global health challenge with significant maternal and neonatal consequences, yet cultural factors influencing its outcomes remain underexplored despite persistent ethnic disparities in prevalence and complications. This literature review synthesises evidence on how cultural determinants shape GDM self-management and perinatal outcomes across diverse populations. Peer-reviewed studies were identified through systematic database searches of PubMed, PMC, Google Scholar, and Web of Science using targeted keywords related to GDM, ethnicity, cultural influences, and outcomes, with no date restrictions but emphasis on contemporary research; 8 studies were selected for narrative synthesis based on relevance to cultural domains, including qualitative inquiries, cohort analyses, and systematic reviews from multi-ethnic settings. Findings reveal marked ethnic variations: Asian women exhibit high GDM prevalence yet favorable outcomes, while Black and indigenous groups face elevated risks of preeclampsia, preterm birth, and neonatal hypoglycemia linked to culturally incongruent dietary advice, low health literacy, and psychosocial stressors; cultural staples like rice-based dishes or starchy tubers often conflict with management recommendations, reducing adherence by 40-50%, and language-discordant care erodes trust and follow-up. These insights underscore the need for culturally tailored interventions, such as family-inclusive counselling and ethnicity-specific meal plans, to mitigate disparities and enhance equity in GDM care. Future research should prioritise randomised trials of adapted strategies and longitudinal studies in underrepresented regions to establish causality and scalability.
Effectiveness of Spotify-Based Health Podcast Intervention on Reproductive Health Perceptions Among Female Vocational School Adolescents: A Pre-Experimental Study Anisalal Mu’aisyah; Ni Wayan Dwi Rosmalawati; Irma Afifa; Verlina Maya Gita
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 4 No. 1 (2026): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v4i1.268

Abstract

This study investigated the effectiveness of a Spotify-based health education podcast in improving reproductive health perceptions among adolescent girls at a vocational secondary school in Surabaya, Indonesia. Adolescent girls frequently rely on peers as their primary source of reproductive health information, increasing their vulnerability to misinformation and adverse health outcomes. A pre-experimental one-group pre-test–post-test design was conducted involving 42 female students enrolled in the Culinary Arts programme at SMK Kartika IV, selected through total sampling. Participants completed a validated reproductive health perception questionnaire before and 14 days after exposure to a standardized five-episode podcast series delivered via Spotify, covering menstrual health, personal hygiene, sexually transmitted infections, and adolescent reproductive rights. Changes in perception scores were analyzed using the Wilcoxon signed-rank test, while logistic regression was used for subgroup analyses. The mean perception score increased substantially from 61.4 (SD 8.3) at baseline to 86.8 (SD 5.1) following the intervention, representing a mean improvement of 25.4 points (Z = ?5.68; p < 0.001; effect size r = 0.88). The proportion of participants demonstrating positive reproductive health perceptions increased from 90.4% at baseline to 100% after the intervention. Significant improvements were observed across all age groups and information-source categories. These findings indicate that a short-term reproductive health education intervention delivered through a widely accessible digital audio platform can significantly enhance reproductive health perceptions among adolescent girls and may represent a scalable strategy for strengthening adolescent reproductive health promotion programs in Indonesia.
Diabetes Mellitus Gestational In between Physical Activity and Dietary Habits : A Literature Review Irma Afifa
Journal of Research in Midwifery and Healthcare Vol 1 No 2 (2025): Journal of Research in Midwifery and Healthcare, December 2025
Publisher : Faculty of Medicine, Universitas Negeri Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26740/jrmh.v1i2.48039

Abstract

Gestational diabetes mellitus carries significant risks to the health both of the mother and fetus. Lifestyle modifications, mainly dietary patterns and physical activity, have emerged as major modifiable factors in the prevention and management of GDM. We conducted an analysis of recent meta-analyses, umbrella reviews, and systematic reviews published between 2020 and 2025 that assessed dietary interventions, physical activity programs, and combined lifestyle approaches for GDM prevention and management. Primary outcomes included the incidence of GDM, measures of glycemic control, gestational weight gain, and maternal-neonatal clinical outcomes. Dietary interventions showed consistent protective effects against GDM, with a pooled odds ratio of 0.69 (95% CI 0.56–0.84), or approximately a 31% relative risk reduction. The physical activity effects were significantly modified by timing and intensity: first-trimester initiation (OR 0.57, 95% CI 0.43–0.75) and mild-to moderate intensity activity (OR 0.65, 95% CI 0.53–0.80), while vigorous or later-start exercise did not confer any benefit (OR 1.09, 95% CI 0.50–2.38). Combined diet-plus-exercise interventions may have a possible but inconsistent protective effect, with high heterogeneity across studies. DASH and Mediterranean dietary patterns presented favorable results in pooled comparisons.
Co-Authors Anisalal Mu’aisyah Ni Wayan Dwi Rosmalawati Verlina Gita Verlina Maya Gita