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All Journal Buletin Kedokteran dan Kesehatan Prima
Rapael Ginting
Department of Public Health, Universitas Prima Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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Relationship between sleep patterns and hypertension incidence among young adults at Medan Johor Primary Health Center Yolanda Yestifany Br. Sembiring; Putri Yunita Pane; Rapael Ginting; Deza Yumardika; Felanda Ahsanu Nadia; Rudi Chandra; Widyaningsih Oentari
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8466

Abstract

Background: Hypertension is a non-communicable disease that remains a public health problem with increasing prevalence. One factor hypothesized to be associated with hypertension is sleep pattern. Poor sleep pattern may affect the cardiovascular system through increased sympathetic nervous system activity, contributing to elevated blood pressure. This study aimed to analyze the relationship between sleep pattern and the incidence of hypertension among young adults (aged 20–40 years) in the working area of Medan Johor Community Health Center.  Method: This quantitative study used a cross-sectional design. A sample of 100 respondents was selected using stratified random sampling. Sleep pattern data were collected using the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and hypertension status was determined through direct blood pressure measurement. Univariate and bivariate analyses were performed using the Chi-square test with a 95% confidence level. Results: Most respondents had poor sleep patterns (69.0%) and were hypertensive (68.0%). All respondents with good sleep patterns had normal blood pressure (31 respondents, 100.0%), whereas among those with poor sleep patterns, 68 (98.6%) were hypertensive. The Chi-square test yielded p < 0.001, indicating a significant relationship between sleep pattern and hypertension among young adults in this population. Conclusion: There is a significant relationship between sleep pattern and hypertension incidence in young adults. Improving sleep quality and duration should be promoted as part of hypertension prevention efforts.
Self-efficacy, family support, and diet adherence in hypertension at Bestari Health Center Leony Angelia Sitorus; Venia Rosa Br. Sembiring; Rapael Ginting; Nila Sari
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8486

Abstract

Background: Hypertension is a major public health problem worldwide. Adherence to a low-salt diet is essential for blood pressure control. Self-efficacy and family support are known to influence dietary adherence. This study aimed to analyze the relationship between self-efficacy and family support with low-salt diet adherence among hypertension patients in the working area of Bestari Primary Health Center in 2026. Method: A quantitative descriptive study with a cross-sectional design was conducted. The population comprised 98 hypertension patients registered at Bestari Primary Health Center in December 2023. Total sampling was used, including all 98 patients. Data were collected using validated and reliable questionnaires measuring self-efficacy, family support, and low-salt diet adherence. Data were analyzed using univariate analysis (frequencies and percentages) and bivariate analysis using the Fisher exact test (α = 0.05). Results: Most respondents were male (52.0%), aged 36-45 years (34.7%), had senior high school education (51.0%), and worked as self-employed (48.0%). Low self-efficacy was found in 79.6% of respondents, lack of family support in 59.2%, and non-adherence to low-salt diet in 77.6%. Bivariate analysis showed significant associations between self-efficacy and low-salt diet adherence (p = .014; OR = 4.091, 95% CI [1.413, 11.847]) and between family support and low-salt diet adherence (p = .025; OR = 3.365, 95% CI [1.251, 9.053]). Conclusion: There is a significant relationship between self-efficacy and family support with low-salt diet adherence among hypertension patients in the working area of Bestari Primary Health Center. Patients with low self-efficacy and lack of family support had higher risks of non-adherence. Strengthening patient self-efficacy and family involvement in dietary management is recommended.
Association of PSN implementation frequency with mosquito larvae presence in Kwala Bekala, Medan Agry Tio Tryani Sipayung; Silvi Amisha Marpaung; Yusri Nabilah; Putri Yunita Pane; Rapael Ginting
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8755

Abstract

Background: Household-level dengue prevention depends on regular mosquito breeding-site eradication (PSN), yet evidence from Kwala Bekala remains limited. This study examined the association between PSN frequency and the presence of mosquito larvae. Methods: We conducted a cross-sectional analysis using complete observation records from 59 houses in Kwala Bekala collected on April 29–30, 2026. PSN was classified as routine when performed at least once per week and as non-routine when performed monthly or at irregular intervals. A house was considered larva-positive if larvae were detected in at least one inspected water-holding container. Data were analyzed using frequency distributions and Pearson chi-square test. Results: Larvae were detected in 12 houses (20.3%), whereas 47 houses (79.7%) were larva-negative. Routine PSN was reported in 34 houses (57.6%) and non-routine PSN in 25 houses (42.4%). Larvae were present in 17.6% of houses with routine PSN and in 24.0% of houses with non-routine PSN. The association was not statistically significant (p = 0.549; OR = 1.47; 95% CI, 0.41 to 5.26). Conclusion: PSN should be implemented comprehensively and accompanied by regular inspection of all potential water-holding containers.
Environmental, preventive behavioral, and socioeconomic determinants of dengue hemorrhagic fever at Haji General Hospital Medan: A cross-sectional analysis Della Indriyani Sianturi; Rapael Ginting; Masryna Siagian
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8797

Abstract

Background: Dengue hemorrhagic fever (DHF) remains a serious public health problem in Indonesia. The incidence of DHF is influenced by interacting factors, including physical environmental conditions, community preventive behavior, and socioeconomic conditions. Purpose: This study aimed to analyze the factors associated with the incidence of DHF at Haji General Hospital Medan and to determine the most dominant determinant. Methods: This study used an observational analytic quantitative design with a cross-sectional approach. It was conducted at Haji General Hospital Medan with 81 respondents. Data were collected through interviews using structured questionnaires and observation sheets. Analysis was performed using univariate methods, bivariate analysis with the Pearson chi-square test, and multivariate analysis with binary logistic regression. Result: The majority of respondents lived in poor environmental conditions (55.6%), exhibited inadequate preventive behavior (55.6%), and had low socioeconomic status (55.6%). A total of 26 respondents (32.1%) were diagnosed with DHF. Bivariate analysis revealed a significant association between environmental factors (p = 0.000) and preventive behavior factors (p = 0.009) with DHF incidence. Conversely, socioeconomic status did not show a statistically significant association (p = 0.089). Multivariate analysis indicated that environmental factors were the most dominant determinant associated with DHF incidence (p = 0.004; OR = 6.377; 95% CI: 1.808 to 22.494). Respondents living in poor physical environmental conditions were 6.377 times more likely to contract DHF compared with those in good environmental conditions. Conclusion: Physical environmental factors related to residential areas are the primary determinants influencing the incidence of DHF among patients treated at Haji General Hospital Medan. It is recommended that the community intensify 3M Plus mosquito breeding site eradication activities and maintain the cleanliness of the physical environment. The hospital and the Health Office should intensify education regarding environmental management for DHF prevention.
Co-Authors Agry Tio Tryani Sipayung Della Indriyani Sianturi Deza Yumardika Felanda Ahsanu Nadia Leony Angelia Sitorus Masryna Siagian Nila Sari Putri Yunita Pane Rudi Chandra Silvi Amisha Marpaung Venia Rosa Br. Sembiring Widyaningsih Oentari Yolanda Yestifany Br. Sembiring Yusri Nabilah