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All Journal HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS)
Dedi Kurniawan
Universitas Kepanjen
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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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.
Caregiver Knowledge and Anti-Tuberculosis Treatment Adherence in Pediatric Patients: A Cross-Sectional Analytic Study at a District Referral Hospital Dedi Kurniawan; Yuana Wijayanti; Galuh Kumalasari; Jok Thikuiy Gang
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.v4i1.245

Abstract

Pediatric tuberculosis (TB) remains a major public health challenge in high-burden settings, where treatment success largely depends on consistent caregiver-mediated adherence to anti-tuberculosis therapy (OAT). However, evidence regarding the relationship between caregiver knowledge and OAT adherence among pediatric TB patients in Indonesian district hospital settings remains limited. This study aimed to examine the association between caregiver knowledge of TB and OAT with treatment adherence among pediatric TB patients attending the outpatient clinic of RSUD Kanjuruhan. A cross-sectional analytic study was conducted among 32 caregiver–patient dyads recruited through total sampling. Caregiver knowledge was assessed using a validated structured questionnaire, while adherence was measured using the eight-item Morisky Medication Adherence Scale (MMAS-8). Bivariate analysis employed Spearman’s rank correlation, followed by multivariate logistic regression to identify independent predictors of adherence. Most caregivers demonstrated good knowledge levels (62.5%), and 84.4% of pediatric patients were classified as adherent. Spearman’s analysis showed a strong positive correlation between caregiver knowledge and OAT adherence (r = 0.745; p < 0.001). After adjustment for confounders, good caregiver knowledge remained the strongest independent predictor of adherence (aOR = 6.84; 95% CI: 2.11–22.17; p < 0.001), alongside secondary-level education or above (aOR = 3.12; 95% CI: 1.02–9.55; p = 0.046). These findings highlight the importance of integrating structured, education-tailored caregiver education into routine pediatric TB care to improve treatment adherence and completion rates.
Co-Authors Ajak Ater Frastiqa Fahrany Galuh Kumalasari Jok Thikuiy Gang Lani Rahmadhani Yuana Wijayanti