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All Journal MEDICA (International Medical Scientific Journal)
Inriyanti Assa
Faculty of Public Health, Cendrawasih University, Jayapura, Papua, Indonesia
Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Association between Knowledge, Preventive Attitudes, and HIV/AIDS Preventive Behaviors Among High School Students Dolfinus Yufu Bouway; Fathu Rahmah Azizah; Inriyanti Assa; Katarina Lodia Tuturop; Agustina Regina Yufuai
MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i6.1113

Abstract

HIV/AIDS remains a major global health problem, particularly among adolescents who are vulnerable to risky behaviors. This study aimed to analyze the association between HIV/AIDS knowledge, preventive attitudes, and HIV/AIDS preventive behaviors among high school students in Jayapura City. A quantitative cross-sectional design was conducted in 17 high schools in Jayapura City from September to October 2025 involving 540 students selected as respondents. Data were collected using a structured questionnaire distributed through Google Forms and analyzed using descriptive statistics and Spearman Rank correlation test with a significance level of p < 0.05. The results showed that most respondents had good HIV/AIDS knowledge (85.6%) and positive preventive attitudes (78.9%), while 65.2% demonstrated good prevention efforts. The Spearman Rank test indicated a significant but weak positive relationship between HIV/AIDS knowledge and prevention efforts (r = 0.230; p = 0.000), and a moderate positive relationship between preventive attitudes and prevention efforts (r = 0.403; p = 0.000). In conclusion, both HIV/AIDS knowledge and preventive attitudes are significantly associated with prevention efforts among high school students in Jayapura City, with preventive attitudes showing a stronger relationship than knowledge, and strengthening school-based HIV/AIDS education programs is recommended to improve adolescent preventive behaviors. This study is limited by its cross-sectional design, which precludes causal inference, and its reliance on self-reported data, which may be subject to social desirability bias.
Factors Associated with Syphilis Infection Among Pregnant Women Attending Antenatal Care Facilities: A Cross-Sectional Study Dolfinus Yufu Bouway; Fatimah Rahma Nurul Jannai; Inriyanti Assa
MEDICA (International Medical Scientific Journal) Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i7.1136

Abstract

Syphilis remains a major public health concern among pregnant women because of its serious maternal and neonatal consequences. However, factors associated with syphilis infection among pregnant women in Jayapura City, Indonesia, remain insufficiently understood. This study aimed to identify factors associated with syphilis infection among pregnant women in Jayapura City. An observational analytic study with a cross-sectional design was conducted at seven public health centers between July and August 2025 involving 161 pregnant women selected through purposive sampling. Data were collected using structured questionnaires and laboratory screening records and analyzed with Chi-square tests, Fisher’s Exact tests, and multiple logistic regression. The findings demonstrated that 27.2% of respondents were diagnosed with syphilis. Bivariate analysis showed significant associations between syphilis infection and ethnicity (p = 0.029), occupation (p = 0.009), family income (p = 0.015), knowledge level (p = 0.005), history of sexually transmitted infections (p = 0.013), and risky sexual behavior (p = 0.008). Multivariable analysis identified ethnicity (AOR = 2.846; 95% CI: 1.243–6.514), occupation (AOR = 23.883; 95% CI: 2.356–242.064), and knowledge level (AOR = 2.637; 95% CI: 1.116–6.229) as independent factors associated with syphilis infection. These findings highlight the importance of socioeconomic and knowledge-related determinants in syphilis prevention and support culturally appropriate reproductive health education and community-based interventions. Given the cross-sectional design and purposive sampling, the findings should be interpreted as associations rather than causal relationships.
Proxy-Based Classification of Care Patterns and Social Support Among TB Patients in Papua: A Routine Surveillance Data Analysis Agustina Regina Yufuai; Dolfinus Yufu Bouway; Katarina Lodia Tururop; Inriyanti Assa; Lenny Lea Pangkali
MEDICA (International Medical Scientific Journal) Vol. 8 No. 9 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i9.1274

Abstract

Tuberculosis (TB) remains a major public health challenge in Indonesia, particularly in Papua. However, routine TB surveillance systems do not directly measure caregiver characteristics, limiting evidence on care patterns and social support. This study aimed to construct a proxy-based typology of care patterns and social support from routine TB surveillance data and assess its association with TB treatment success. A retrospective cohort study using secondary data was conducted at Puskesmas Waibhu, Jayapura Regency, Papua. A total of 768 TB treatment episodes from 729 unique patients were included using total sampling. Because the typology was derived from administrative proxies rather than direct caregiver assessment, it was considered exploratory and hypothesis-generating. Data were analyzed using descriptive statistics, chi-square tests, Fisher’s exact test, and binary logistic regression. The Low Care–Low Support group was the largest typology. High social support was significantly associated with treatment success in bivariate analysis (p = 0.012) and multivariable analysis (adjusted OR = 2.22; 95% CI: 1.24–3.99; p = 0.007), whereas the care-pattern proxy was not significantly associated with treatment outcomes. Bacteriologically confirmed diagnosis and unknown diabetes mellitus status were independently associated with lower treatment success. These findings suggest the importance of family social support and the feasibility of a proxy-based typology from routine surveillance data. However, findings should be interpreted cautiously because some episodes originated from the same patients and model explanatory power was modest (pseudo-R² = 0.067). Prospective studies using direct caregiver assessment are needed for validation.
Demographic Profile, Medical History, Comorbidities, and Factors Associated with Treatment Success among Drug-Sensitive (SO) Tuberculosis Patients Katarina Lodia Tuturop; Dolfinus Yufu Bouway; Agustina Regina Yufuai; Inriyanti Assa; Anton Wambrauw; Lenny Pangkali
MEDICA (International Medical Scientific Journal) Vol. 8 No. 9 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i9.1383

Abstract

Drug-sensitive (SO) tuberculosis (TB) remains a public health burden in Papua, yet the profile of SO-TB patients at primary care level remains poorly documented. This study aimed to describe the demographic, medical history, and comorbidity profile of SO-TB patients and examine their association with treatment outcomes. A retrospective observational study used secondary data from the Puskesmas Waibhu catchment area, Papua, from January 2023 to December 2025. It included 768 treatment episodes from 729 patients selected through total sampling. Data came from the TBC.03 SO Health Facility Register and were analyzed using chi-square, Fisher’s exact tests, and binary logistic regression. Outcome analysis was restricted to 499 episodes from 2023–2024 with fully evaluated outcomes, including 498 in the multivariate model, because most 2025 episodes had no final outcome at extraction. Most were new cases (84.2%) and adults (66.5%; mean age 25.5 years), while comorbidity screening completeness was low. In the multivariate analysis, bacteriologically confirmed diagnosis was associated with lower odds of treatment success (adjusted OR=0.43; 95% CI 0.25–0.76; p=0.003), whereas referred/accompanied referral was associated with higher odds of success (adjusted OR=2.22; 95% CI 1.24–3.99; p=0.008). Unknown diabetes mellitus history status was also associated with treatment success (adjusted OR=0.53; 95% CI 0.30–0.93; p=0.026), likely reflecting incomplete screening or documentation. Strengthening referral pathways and comorbidity screening may support TB program performance in primary care. Given the retrospective design, these associations should not be interpreted as causal. Prospective studies with larger samples and broader coverage are needed.
Co-Authors Agustina Regina Yufuai Anton Wambrauw Dolfinus Yufu Bouway Fathu Rahmah Azizah Fatimah Rahma Nurul Jannai Katarina Lodia Tururop Katarina Lodia Tuturop Lenny Lea Pangkali Lenny Pangkali