Ni Made Swasti Wulanyani
Department of Psychology, Faculty of Medicine, Udayana University, Bali, Indonesia

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The Relationship Between Stress Levels and Neck Pain: A Literature Review Nurul Aulia Pohan; Ni Made Swasti Wulanyani; I Gusti Ayu Putu Wulan Budisetyani
Journal of Community Health Provision Vol. 6 No. 1 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i1.944

Abstract

Neck pain is a common musculoskeletal complaint, especially in individuals who engage in activities involving prolonged static body positions. In addition to physical factors, psychological factors such as stress can also influence the onset of neck pain. Stress can increase muscle tension and modulate pain perception, potentially worsening neck complaints. This study aims to examine the relationship between stress levels and the incidence of neck pain through a systematic literature review. The literature search was conducted in March 2026 through PubMed, ScienceDirect, and Google Scholar with publications spanning 2021–2026. The selected articles were peer-reviewed studies relevant to the topic. Based on the PRISMA flow, five articles met the criteria for in-depth analysis. The results of the study indicate that individuals with higher stress levels tend to experience more severe neck pain. Influencing factors include muscle tension, changes in pain perception, non-ergonomic posture, and psychosocial factors such as academic pressure and workload. In conclusion, stress can significantly influence the onset of neck pain. These findings emphasize the importance of understanding the relationship between psychological and physical factors, such as stress management, posture, and ergonomics education, as a basis for designing more effective neck pain prevention strategies.
Invisible Families in Universal Health Coverage: Multilayered Exclusion of Underage Couples in Rural Bali, Indonesia Desak Putu Yuli Kurniati; Pande Putu Januraga; Ni Made Swasti Wulanyani; Dyah Kanya Wati; Anak Agung Sagung Sawitri; Ni Made Utami Dwipayanti; Ni Wayan Tianing; Ni Luh Putu Rita Primayuni; I Made Ady Wirawan
Journal of Public Health and Pharmacy Vol. 6 No. 3 (2026): In Progress
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i3.9765

Abstract

Introduction: Despite Indonesia’s commitment to Universal Health Coverage (UHC), adolescents involved in customary marriages often remain beyond the reach of state protection. This study explores the "multilayered exclusion" experienced by these couples in accessing maternal health services in Munti Gunung, Bali. Methods: This exploratory qualitative case study involved 16 purposively selected participants, including early-married adolescent mothers (n=5), family gatekeepers (husbands/in-laws, n=5), health workers (n=5), and a community leader (n=1). Data were collected through in-depth interviews and analyzed using thematic analysis to identify barriers across the socio-ecological spectrum. Results: Inductively derived from localized empirical data, this study presents 'Administrative Invisibility' as an emergent conceptual construct describing how the lack of civil marriage certificates systematically excludes newborns from the National Health Insurance scheme. This qualitative exploration indicates that structural vulnerability is mediated by rigid household hierarchies and a mismatch in institutional capacity within resource-constrained primary care services. To secure immediate healthcare, families and local administrative actors navigate this socio-legal limbo by employing pragmatically effective yet legally high-risk informal workarounds. Conclusion: Within this single-site qualitative scope, the intersection of customary child marriage and legal identity exclusion appears to form a compounded structural node within the multi-layered matrix of healthcare exclusion for newborns. Achieving health equity requires proactive, affirmative structural reforms, specifically, piloting a 'Conditional Humanitarian Enrolment' model powered by an API-driven digital bridging framework to formally decouple an infant’s constitutional right to healthcare from parental marital status, safely integrating immediate neonatal survival with long-term socio-legal safeguards.