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Online Gaming Addiction and Emotional Disorders Among Adolescents: A Cross-Sectional Study in a Public Junior Secondary School Luluk Mufariha; Galuh Kumalasari; Frastiqa Fahrany; Kon Alier
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.v4i1.242

Abstract

The rapid global expansion of online gaming has raised increasing concerns regarding gaming addiction and its psychological consequences among adolescents, particularly in low- and middle-income countries where evidence remains limited. This study aimed to examine the association between online gaming addiction and emotional disorders among adolescents attending a public junior secondary school in East Java, Indonesia. A cross-sectional study with stratified random sampling was conducted among 142 students (mean age 13.1 years; 61.3% male). Data were collected using the Internet Gaming Disorder Scale-20 (IGDS9-SF) and the Strengths and Difficulties Questionnaire (SDQ), then analysed using Spearman’s rank correlation and multivariate ordinal regression. Most respondents demonstrated moderate gaming addiction (55.6%), while 2.1% met criteria for high addiction. Emotional disorders were identified in 51.4% of participants, consisting primarily of behavioural disorders (42.5%), depression (34.3%), and anxiety (23.2%). Spearman’s analysis revealed a significant positive correlation between gaming addiction and emotional disorders (r = 0.41, p = 0.001). Multivariate analysis further showed that gaming addiction independently predicted emotional disorders after adjustment for age and sex (adjusted OR = 3.12; 95% CI: 1.68–5.79; p < 0.001). Behavioural disturbance emerged as the most prominent emotional manifestation. These findings highlight the importance of integrating school-based mental health screening and preventive interventions into adolescent health policies in Indonesia.
Waist-to-Hip Ratio and Body Mass Index as Predictors of Blood Pressure Elevation Among Adolescents: A Cross-Sectional Study Frastiqa Fahrany; Lani Rahmadhani; Dedi Kurniawan; Ajak Ater
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.v4i1.243

Abstract

Hypertension in adolescence is an emerging public health concern, with central and general adiposity recognised as modifiable determinants of elevated blood pressure. This study examined the associations of waist-to-hip ratio (WHR) and body mass index (BMI) with blood pressure and evaluated their relative strength as predictors of elevated blood pressure among senior secondary school students in East Java, Indonesia. A cross-sectional observational study was conducted on 14 February 2025 at SMA Diponegoro Tumpang involving 72 students aged 15–18 years selected through simple random sampling. WHR, BMI, and blood pressure were measured using standardised procedures, and elevated blood pressure was classified according to the 2017 American Academy of Pediatrics guidelines. Chi-square tests and binary logistic regression were used to analyse associations and identify independent predictors after adjustment for age and sex. The participants had a mean age of 16.5 ± 0.9 years, and 58.3% were female. Elevated blood pressure was identified in 30.6% of students. Both WHR (OR = 5.14, 95% CI: 1.89–13.97, p < 0.001) and BMI (OR = 4.73, 95% CI: 1.77–12.64, p < 0.001) were significantly associated with elevated blood pressure. In multivariable analysis, WHR remained an independent predictor (adjusted OR = 4.21, 95% CI: 1.47–12.07, p = 0.007), whereas BMI was no longer significant after adjustment. These findings indicate that central adiposity, as measured by WHR, is a stronger predictor of elevated blood pressure than general adiposity in Indonesian adolescents and supports the inclusion of WHR screening in school-based cardiovascular risk prevention programmes.