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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Syahridayanti Syahridayanti
Univeristas Cokroaminoto Makassar
Health Professions Public Health

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Polycystic Ovarian Syndrome (PCOS) in Adolescent Girls: Delayed Diagnosis, Stigma, and Quality of Life in Senior High School in Makassar City Leli Leli; Syahridayanti Syahridayanti; Rahmiyani Saad; Tenri Puli
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.30647

Abstract

Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder in women of reproductive age with a global prevalence of 5–15%. In Indonesia, especially in Makassar City, evidence on delayed diagnosis of PCOS in adolescents is limited, while the lack of school-based screening and low reproductive health literacy are suspected to hinder early detection. This study aimed to identify factors associated with delayed diagnosis of PCOS, explore social stigma, and assess the quality of life of adolescent girls. A mixed-methods study with a sequential explanatory design involved 37 female students in the quantitative phase and 10 participants in the qualitative phase. Quantitative data were collected using SF-36, PCOS-Q, and social stigma scales, while in-depth interviews were conducted to explain quantitative findings. Integration of results used a joint display approach. A total of 27 of 37 respondents (73.0%) experienced a delay in PCOS diagnosis of more than 12 months. The mean social stigma score was 68.4 (scale 0–100), while the SF-36 quality of life score was 52.3 and lower than that of the healthy population (mean difference = −27.7; 95% CI: −34.5 to −20.9; p < 0.001; Cohen's d = 1.31). Integration through joint display showed that normalization of symptoms by families, limited knowledge of school health workers, and internalization of stigma related to changes in physical appearance explained the high delay in diagnosis and low quality of life. The delay in PCOS diagnosis in adolescents in Makassar is still high and is influenced by individual, family, and school service system factors. These findings support the integration of PCOS symptom screening into UKS programs, training of UKS teachers and officers, and strengthening referral systems to improve early detection. Keywords: Adolescent PCOS, Delayed Diagnosis, Social Stigma, Quality of Life
Effectiveness of Amomum Cardamomum and Zingiber Officinale Roscoe as Complementary Therapy for the Intensity of Emesis Gravidarum at Makassar City Health Center Rahmiyani Saad; Leli Leli; Syahridayanti Syahridayanti; Isah Fitri Weni; Siti Mahadia Watimena
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.30563

Abstract

Emesis gravidarum is a complaint that is often experienced by pregnant women in the first trimester and has the potential to affect the quality of life if not handled appropriately. Herbal complementary therapy has the potential to be a safe non-pharmacological alternative. This study aims to evaluate the effectiveness of a combination of cardamom (Amomum cardamomum) and red ginger (Zingiber officinale Roscoe) in reducing the intensity of emesis gravidarum in pregnant women in the first trimester. This quantitative research uses a quasi-experimental design with a one-group pretest-posttest design. The research was carried out from May to July 2026 at the UPT Bara-Baraya Health Center, Makassar City. A total of 30 pregnant women in the first trimester who met the inclusion criteria were selected through purposive sampling. The intervention was in the form of brewing a combination of cardamom and red ginger drinks taken twice a day for 10 consecutive days. Measurement of the severity of emesis gravidarum was carried out before and after the intervention using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) instrument. Data were analyzed using univariate and bivariate analyses with the Wilcoxon Signed-Rank test. Before the intervention, the majority of respondents were in the moderate emesis category (76.7%) with an average PUQE score of 7.60 ± 1.61. After 10 days of intervention, the majority of respondents switched to the mild category (90.0%) with an average PUQE score of 4.70 ± 1.24. There was a decrease in the average PUQE score of 2.90 points. The results of the statistical test showed a significant decrease in the intensity of emesis gravidarum (Z = -4.703; p < 0.001) with a large effect size (r = 0.86; CI 95%: 0.74–0.93). No serious side effects were found during the intervention period. The administration of a combination of cardamom and red ginger improved overall medication adherence, based on daily consumption records, i.e., 30/30 participants consumed 100% of the prescribed dose. This is effective in reducing the intensity of emesis gravidarum in pregnant women in the first trimester. This intervention has the potential to be integrated into antenatal services in primary health facilities, although further research in the Randomized Controlled Trial (RCT) design is still needed. Keywords: Emesis gravidarum, Amomum cardamomum, Zingiber officinale Roscoe, Pregnant women, Complementary therapy
Co-Authors Isah Fitri Weni Leli Leli Leli Leli Rahmiyani Saad Rahmiyani Saad Siti Mahadia Watimena Tenri Puli