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Rahmawati Shoufiah
Poltekkes Kemenkes Kalimantan Timur, Indonesia

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Community-Based Health Promotion Model for Diabetes Mellitus Prevention in Urban Areas Rahmawati Shoufiah; Inez Vravty Lestari; Samuel Hadjo
Miracle Journal Get Press Vol 3 No 2 (2026): May, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i2.608

Abstract

The development of non-communicable diseases, especially diabetes mellitus, shows a significant increase in urban areas due to changes in lifestyle and social determinants of health. Purpose: This study aims to analyze the relationship between knowledge, attitude, lifestyle, and education level with diabetes mellitus prevention behavior and to formulate an effective community-based health promotion model in urban areas. Method: This study used a quantitative approach with a cross-sectional design on 300 respondents selected through a simple random sampling technique. Data were collected using a structured questionnaire that had been tested for validity and reliability, then analyzed using the chi-square test and odds ratio (OR). Result: The results showed that all independent variables had a significant relationship with diabetes mellitus prevention behavior (p < 0.05). Lifestyle was the most dominant factor (OR = 3.75), followed by knowledge (OR = 2.75), attitude (OR = 2.35), and education level (p = 0.010). However, a gap was found between the level of knowledge and the implementation of preventive behavior in the community. Implications: These findings underscore the need for health promotion interventions that focus not only on increasing knowledge but also on lifestyle changes through a participatory and contextual community-based approach. Conclusion: An integrative and adaptive community-based health promotion model that adapts to the characteristics of urban communities has the potential to increase the effectiveness of diabetes mellitus prevention in a sustainable manner.
Digital Health Literacy and Mental Health Information-Seeking Behaviour Among Adolescents in Balikpapan, East Kalimantan Rahmawati Shoufiah; Tania Farera; Vausta Nurjanah
Miracle Journal Get Press Vol 3 No 3 (2026): August, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i3.882

Abstract

Indonesian adolescents increasingly rely on digital platforms as their main source for mental health information due to widespread internet access; consequently, digital health literacy is crucial to mitigate misinformation risks. The connection between digital health literacy and adolescents' mental health information-seeking behavior was analyzed in this study, which focused on those living in Balikpapan, East Kalimantan. They hypothesized a positive association. A quantitative observational analytic cross-sectional design was employed for this study, which took place in May 2026. Multistage random sampling was used to select 162 students aged 15–18 from public and private senior high schools to participate. The Indonesian eHealth Literacy Scale (I-eHEALS) was used to assess their digital health literacy. A Health Information-Seeking Behavior instrument, comprising five domains, was used to measure information-seeking behavior. Supervised online questionnaires facilitated data collection, and Spearman's rank correlation was applied for analysis. Data revealed a mean digital health literacy score of 28.74 (SD 5.12) and a mean information-seeking behavior score of 68.31 (SD 11.47), showing a significant positive moderate correlation (ρ = 0.46, p < 0.001). This finding indicates that higher digital health literacy was associated with more directed searching, selective source choices, improved credibility evaluation, and constructive information use. The integration of critical digital health literacy into current school-based mental health programs is suggested by these findings for local health and education authorities. Digital health literacy significantly determines how adolescents seek information about mental health. Future longitudinal studies need to include more factors and validate instruments.