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Nutritional status and diabetes knowledge as predictors of healthy lifestyle behaviors for prediabetes prevention in adolescents Nur Indah Noviyanti; Reza Bintangdari Johan; Rusmiati Rusmiati; Cici Ismuniar; Ruqaiyah Ruqaiyah; Hukmiyah Aspar; Rahmi Padlillah
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.27074

Abstract

Prediabetes prevalence among adolescents has increased substantially worldwide, with estimates indicating that approximately 18-20% of adolescents in certain populations exhibit impaired glucose metabolism, paralleling the global rise in adolescent obesity. In Indonesia, the prevalence of diabetes mellitus continues to escalate, with North Kalimantan representing an underserved region where adolescent metabolic health remains poorly characterized. Identifying modifiable factors associated with prediabetes prevention behavior is essential for developing targeted interventions. To analyze factors associated with prediabetes prevention behavior in adolescents, focusing on nutritional status and knowledge about diabetes mellitus. A cross-sectional analytical design was employed among 316 adolescents aged 13-15 years in Tarakan City, North Kalimantan, Indonesia, selected through proportional stratified random sampling. Data were collected using a demographic questionnaire, an adapted diabetes knowledge questionnaire (DKQ-24), and a prediabetes prevention behavior questionnaire. Chi-square tests and binary logistic regression were performed. Most respondents (53.2%) demonstrated positive prevention behavior, and 70.9% had high knowledge. Nutritional status (p = 0.000) and knowledge (p = 0.033) were significantly associated with prevention behavior. Multivariate analysis confirmed nutritional status (Exp(B) = 1.320; 95% CI: 1.017-1.714) and knowledge (Exp(B) = 0.583; 95% CI: 0.352-0.965) as significant predictors (Nagelkerke R² = 0.052). Nutritional status and diabetes knowledge significantly predict prediabetes prevention behavior, although their contributions remain relatively small.
Adolescent Mentoring on Dysmenorrhea in Pucak Village, Tompobulu District, Maros Regency Ruqaiyah Ruqaiyah; Fatmawati Amir; Hasrah Ibrahim
SWAGATI : Journal of Community Service Vol. 3 No. 1 (2025): March
Publisher : Universitas AMIKOM Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24076/swagati.2025v3i1.2660

Abstract

Dysmenorrhea is a common menstrual disorder among adolescents, characterized by lower abdominal pain occurring before or during menstruation. Limited knowledge about dysmenorrhea among young women in rural areas often leads to inadequate management and disruption of daily activities. This community service program aimed to improve adolescent girls' knowledge regarding dysmenorrhea—including its definition, causes, prevention, and treatment—in Pucak Village, Tompobulu District, Maros Regency. The activity was conducted on January 13–17, 2025, involving 27 adolescent girls as participants. Methods consisted of health education using lectures and question-and-answer sessions, supported by leaflets. Pre- and post-test assessments were used to measure knowledge improvement. The results showed a significant increase in participants' knowledge: before the intervention, only 30% of participants had adequate knowledge about dysmenorrhea, its causes, prevention, and treatment; after the mentoring program, this proportion increased to 90%. The program was well-supported by local government officials, community leaders, and health center staff. The activity demonstrated that structured health education delivered through community mentoring is effective in improving reproductive health literacy among adolescent girls.
Disaster Preparedness and Response Training in Batua Village, Makassar City Noviyani Hartuti; Yoan Putri Praditia; Asyima; Ruqaiyah
SWAGATI : Journal of Community Service Vol. 3 No. 1 (2025): March
Publisher : Universitas AMIKOM Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24076/swagati.2025v3i1.2662

Abstract

Flood disasters remain one of the most frequently occurring natural disasters in Indonesia, with Makassar City and Batua Village experiencing recurring inundation almost every year. Low levels of community knowledge and the absence of structured disaster preparedness training are key factors worsening disaster impacts. This community service program aimed to strengthen community-based disaster preparedness and response capabilities in Batua Village through participatory training involving BPBD Makassar, BMKG, PMI, and the Batua Community Health Center. Methods included workshops, lectures, simulations, and the establishment of a Village Disaster Response Team (KESTANA) comprising cadres, neighborhood leaders, youth, and health workers. Post-monitoring revealed positive outcomes: communities improved knowledge of flood prevention, disaster impact mitigation, early warning access, coordination channels, and evacuation data management. Overall, 78% of participants expressed positive responses. The program demonstrates that participatory, multi-stakeholder training effectively builds grassroots disaster resilience. Follow-up simulations and continuous capacity building are strongly recommended
Karakteristik Siswi Dengan Kejadian Anemia Pada Remaja Putri di Kota Makassar Ruqaiyah Ruqaiyah; Ayatullah Harun; Fatmawati Amir; Ali Imran
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 1 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i1.1519

Abstract

Anemia is a global health issue that is commonly found among adolescent girls, especially in developing countries. Anemia occurs when hemoglobin levels in the blood are below normal, thereby disrupting oxygen transport to all body tissues. Makassar, as a large city with diverse socioeconomic backgrounds, still faces the problem of anemia among female students that has not been optimally addressed. Based on several local surveys, it was found that adolescents from lower-middle socioeconomic backgrounds and those with low nutritional knowledge tend to have a higher risk of developing anemia. This study aims to identify the characteristics of female students that contribute to the incidence of anemia among adolescent girls in Makassar City. The research method used is an analytical study with a cross-sectional approach conducted on 60 female students in Makassar City using simple random sampling in March 2023. The variables studied included father's education, mother's education, parental income, nutritional knowledge, and hemoglobin levels. Data were collected through questionnaires and hemoglobin measurements, and the data were analyzed using the chi-square test. The results of the study showed that there was no significant relationship between father's and mother's education, family income, and nutritional knowledge with the incidence of anemia among female students. The conclusion of this study emphasizes the need to strengthen behavior-based nutritional interventions and practical nutrition literacy, not just educational and informative ones. Although education and nutrition knowledge are important, the findings indicate that knowledge alone is insufficient to prevent anemia if not followed by proper dietary practices. Keywords: anemia, hemoglobin, characteristics, female students
Evaluating the Effectiveness of the Disaster Preparedness Curriculum on the Intention of Midwifery Alumni to Provide Reproductive Health Services in Crisis Situations: A Planned Behavior Theory Approach Ayatullah Harun; Ruqaiyah Ruqaiyah; Fatmawati Amir; Rahma Winahyu Jannata; Ikrawanty Ayu Wulandari; Ainun Sri Rahmadhani; Monica Gita Cahyani; Adriyani Adam
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1830

Abstract

The background of the problem in 2024 is that disaster victims in South Sulawesi will reach 795,930 people. According to Law Number 24 of 2007 concerning Disaster Management, vulnerable groups in disaster occurrences include infants, toddlers, children, pregnant mothers, lactating mothers, disabilities, and the elderly. These groups often experience greater impacts due to natural disasters The purpose  of the study was to evaluate the effectiveness of the disaster preparedness curriculum that has been passed by D3 Midwifery alumni of the Pelamonia Institute of Health Sciences with a planned behavior theory approach by assessing the differences between the two groups of midwifery alumni. The research method uses quantitative methods with observational approaches and comparative design.  to compare two groups of midwifery alumni, namely Group A who received a disaster curriculum during college and Group B who did not get a disaster curriculum. Through the theoretical approach of the Theory of Planned Behavior by measuring the differences between the two groups ranging from knowledge, attitudes, perceptions, subjective norms, and intentions of midwifery alumni in providing services in health crisis situations. The results  of the study showed significant differences between the two groups for the knowledge variable of the average difference value of 5.44 with a value of p= 0.00 < 0.05. the attitude variable of the average difference value was 6.46 with a value of p= 0.00 < 0.05, the perception variable of the average difference value was 4.58 with a value of p= 0.00 < 0.05. the variable of subjective norms of the average difference value was 5.65 with a value of p= 0.00 < 0.05. the variable of intention of the average difference value of 16.03 with a value of p= 0.00 < 0.05. In conclusion, there are significant differences in the variables of knowledge, attitudes, perceptions, subjective norms and the intention of midwives to provide services in health crisis situations.
Penerapan Lima Pilar STBM Terhadap Kejadian Stunting Muslimin B; Ruqaiyah Ruqaiyah; Ali Imran; Suhartini Suhartini
Media Kesehatan Politeknik Kesehatan Makassar Vol 19 No 2 (2024): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v19i2.1086

Abstract

Stunting cases in Maros Regency decreased from 3812 cases or 13.04% in 2020 to 2892 cases or 9.47%, but in 2022 the opposite happened, namely a significant increase in the number of cases and the prevalence of cases increased to 3750 cases or 12 .82%. In Tompobulu District, stunting cases have decreased from 12.69% in 2020, down to 12.11% in 2021. And in 2022 it will fall to 9.69%. Therefore, in this research we will analyze the relationship between the five STBM pillars and stunting cases in Tompobulu District, Maros Regency. The type of research in this research is research using a survey with a Cross Sectional Study approach. The population in this study were all stunted toddlers who were examined, totaling 146 toddlers. The sample in this research is the entire population. The results of the research show that there is a relationship between CTPS (0.005), drinking water and food management (0.005), securing RT waste (0.000), and securing liquid waste (0.000) with the incidence of stunting. Meanwhile, stopping defecation has no relationship with the incidence of stunting (0.911). The conclusion of this study is that the 4 variables in the study have a relationship with the occurrence of stunting. It is recommended that local communities increase awareness of the importance of sanitation in their area in order to reduce the high stunting rate.  Keywords: 5 Pillars, Community Based Total Sanitation (STBM), Stunting
Multidimensional Stigma and Social Support Networks Among Adolescents with Unintended Pregnancy in Makassar, Indonesia Ruqaiyah Ruqaiyah
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 3 No. 1 (2026): January: Green Health: Journal of Health Sciences, Nursing and Nutrition
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v3i1.274

Abstract

This study examines the stigma and patterns of social support in adolescents with unplanned pregnancies in Makassar in the context of the Bugis-Makassar culture that upholds the values of siri' (honor and shame). Teen pregnancy is understood as an experience influenced by the confluence of traditional values, religious morality, and modern social demands. This study used an Interpretative Phenomenological Analysis (IPA) approach on 17 adolescent girls aged 15–19 years who experienced unplanned pregnancies in June–November 2023. Data were obtained through in-depth semi-structured interviews, recorded, verbatim transcribed, and analyzed using a six-stage science process with a focus on the experience of stigma and social support. Two main themes emerged: Living Under the Shadow of Siri': Multidimensional Stigma and Navigating Social Support in the Context of Shame. Participants experienced widespread stigma in a variety of contexts, including family (serial violations and family shame), society (moral judgments and gossip), health services (discrimination of health workers), and educational environments (bullying and exclusion). Stigma is also internalized in the form of guilt and negative identity, and is especially severe in adolescents with economic limitations. Efforts to seek support are often hampered by concerns about stigma, so adolescents engage in selective disclosure and rely more on peers. Grandma is often the most accepting source of family support. These findings underscore the need for multilevel interventions that reduce community stigma, strengthen friendly and confidential health services, and develop culturally sensitive peer support networks.
Navigating Closed Doors: Systematic Barriers to Healthcare Access and Adolescent Resilience in the Context of Unintended Pregnancy in Makassar, Indonesia Ruqaiyah Ruqaiyah
International Journal of Health and Social Behavior Vol. 3 No. 1 (2026): February: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v3i1.602

Abstract

This study examines the experience of access to health services and resilience strategies in adolescents with unplanned pregnancies in Makassar, Indonesia. Access to quality reproductive health services is important for adolescents' well-being, but they often face systemic barriers that affect access to health services and outcomes. The study used an Interpretative Phenomenological Analysis (IPA) approach on seventeen adolescent girls aged 15–19 years who had an unplanned pregnancy between June–November 2023. Data were collected through in-depth semi-structured interviews, recorded, verbatim transcribed, and analyzed by a six-stage science process. Two main themes were found: Navigating Closed Doors: Systematic Barriers to Care and Finding Light in Darkness: Resilience and Agency. Participants faced a variety of layered barriers, including a lack of information about health services and rights, geographical and economic constraints, age-based discrimination, parental notification obligations, fear of legal consequences especially related to abortion, family control over decisions, and limitations in adolescent-friendly services. Nonetheless, adolescents show resilience through seeking strategic help, resistance to pressure, spiritual and religious coping, peer support, gradual acceptance of maternal identity, educational sustainability, and positive meaningfulness of difficult experiences. These findings point to the need for a transformation of the health system that not only improves attitudes of health workers, but also addresses structural barriers such as confidentiality, age discrimination, and service availability, while strengthening agency and adolescent coping strategies.
Adolescent Mentoring on Reproductive Health in Bulukunyi Village, Polongbangkeng Selatan District, Takalar Regency Ruqaiyah Ruqaiyah; Fatmawati Amir; Ayatullah Harun; Fauziah Botutihe; Alamsyah Alamsyah
SWAGATI : Journal of Community Service Vol. 3 No. 3 (2025): November
Publisher : Universitas AMIKOM Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24076/swagati.2025v3i3.2661

Abstract

Adolescents are in a transitional period from childhood to adulthood, making them vulnerable to reproductive health problems such as early marriage, sexually transmitted infections (STIs), and sexual abuse due to limited knowledge and social norms that restrict open discussion. This community service program aimed to improve adolescent girls' knowledge of reproductive health indicators—including understanding of reproductive organs, puberty, menstruation, early marriage risks, and STI prevention—in Bulukunyi Village, Polongbangkeng Selatan District, Takalar Regency. The activity was conducted on May 5–9, 2025, involving 20 adolescent girls as participants. Methods consisted of health education through lectures and question-and-answer sessions supported by leaflets, along with blood pressure, blood glucose, and cholesterol screening for the broader community. Pre- and post-test assessments were used to evaluate knowledge improvement. Results showed a significant increase: before the intervention, only 25% of participants had adequate knowledge of reproductive health indicators, which increased to 78% after the mentoring program. The program received strong support from local government officials, community leaders, and health workers. These findings confirm that structured health education through community mentoring is effective in improving reproductive health literacy among adolescent girls in rural areas