Rapael Ginting
Department of Public Health, Universitas Prima Indonesia

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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 (in press)
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 (in press)
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.