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All Journal Journal of Educational Research and Evaluation South East Asia Nursing Research Babali Nursing Research Jurnal Gema Keperawatan Health Dynamics
Hartati, Ni Nyoman
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Humanities Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Journal : Health Dynamics

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The Relationship Between Behavior Toward Breast Self-Examination as Early Detection of Breast Cancer in Adolescent Girls at Bali Dewata Health High School Rahmasari, Ni Nyoman Putri Asri; Gama, I Ketut; Gede Ngurah, I Gusti Ketut; Sudiantara, Ketut; Henny Achjar, Komang Ayu; Lestari, Agus Sri; Suardana, I Wayan; Mustika, I Wayan; Harini, I Gusti Ayu; Hartati, Ni Nyoman
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21004

Abstract

Background: Adolescence is a critical period for establishing preventive health behaviors. Breast self-examination (BSE/SADARI) is an effective and low-cost method for early breast cancer detection. However, awareness and practice among Indonesian adolescents remain low, contributing to delayed diagnoses. This study aimed to analyze the relationship between knowledge, attitude, and practice toward BSE and early detection outcomes among adolescent girls at Bali Dewata Health Vocational School. Methods: A cross-sectional analytic study was conducted among 71 female students selected through proportional random sampling. Data were collected using validated questionnaires assessing knowledge, attitude, and practice regarding BSE, and categorized SADARI results into low, medium, and high risk. Statistical analysis was performed using chi-square tests (p < 0.05). Results: The majority of respondents were classified as low risk (39.4%), followed by medium (32.4%) and high risk (28.2%). Knowledge level showed a significant association with SADARI results (p = 0.000), with higher knowledge correlating with lower risk. Practice was also significantly associated (p = 0.045), while attitude showed no significant relationship (p = 0.090) but indicated a positive trend. Conclusion: Knowledge and regular BSE practice are key determinants of early breast cancer detection among adolescents. Integrating structured breast health education into school programs is recommended to improve preventive behaviors and reduce future breast cancer risk.
The Relationship Between Gadget Use and Sleep Patterns Among Teenagers at SMA PGRI 2 Denpasar Prabhadewi, Ni Putu Sriarta; Ngurah, I Gusti Ketut Gede; Suardana, I Wayan; Gama, I Ketut; Lestari, Agus Sri; Sudiantara, Ketut; Achjar, Komang Ayu Henny; Harini, I Gusti Ayu; Hartati, Ni Nyoman; Mustika, I Wayan
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21002

Abstract

Background: Excessive gadget use among adolescents may disrupt sleep patterns and reduce sleep quality. Blue light exposure and stimulating digital activities before bedtime can interfere with circadian rhythms and delay sleep onset. This study aimed to examine the relationship between gadget use and sleep patterns among students at SMA PGRI 2 Denpasar. Methods: A cross-sectional quantitative design was employed, involving 145 students aged 14–19 years selected through simple random sampling. Data were collected via online questionnaires assessing gadget usage (duration and frequency) and sleep behaviors (sleep duration, quality, and disturbances). Spearman Rank correlation was used for statistical analysis. Results: Most respondents used gadgets for more than 2.5 hours daily, especially before bedtime. While 69.0% reported appropriate gadget use duration, 86.9% experienced poor sleep patterns. A significant negative correlation was found between gadget use duration and sleep patterns (r = –0.270; p = 0.001), indicating that longer usage was associated with poorer sleep. However, the frequency of gadget use showed a weak, non-significant positive correlation (r = 0.127; p = 0.129). Conclusion: Gadget use duration significantly affects adolescent sleep patterns, while usage frequency does not. Sleep hygiene education and behavioral interventions are recommended to reduce bedtime gadget use and improve sleep quality.
Co-Authors ., Suratiah Achjar, Komang Ayu Henny Adirinata, I Komang Pasek Agus Sri Lestari Gama, I Ketut Gede Ngurah, I Gusti Ketut Harini, I Gusti Ayu Henny Achjar, Komang Ayu Hesteria Friska Armynia Subratha I Ketut Labir I Made Sukarja I Wayan Mustika I Wayan Suardana Kusumas Pratiwi, Sang Ayu Agung Nengah Runiari Ngurah, I Gusti Ketut Gede Prabhadewi, Ni Putu Sriarta Rahmasari, Ni Nyoman Putri Asri Ribek, Nyoman Runiari, Ni Nengah Ruspawan, Dewa Made Ruspawan, I Dewa Made Sipahutar, Ida Erni Suardani, Ni Luh Ketut Sudiantara, Ketut Suputri, Ni Kade suratiah, suratiah Surinati, Dewa Ayu Ketut Surinati, I D.A.K. Surinati, I Dewa Ayu Ketut Trianadewi, I Gusti Agung Indah Triandini, Ni Komang Yulita Wedri, Ni Made Wipradnyani, Ni Made Shinta