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All Journal Jurnal Riset Kesehatan Amerta Nutrition Jurnal Eduscience (JES) World Nutrition Journal PREPOTIF : Jurnal Kesehatan Masyarakat Madago Nursing Journal The Indonesian Journal of Community and Occupational Medicine Berita Kedokteran Masyarakat Jurnal Kebidanan dan Keperawatan Aisyiyah Journal of Indonesian Specialized Nutrition Unnes Journal of Public Health
Basrowi, Ray Wagiu
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FACTORS ASSOCIATED WITH EXCLUSIVE BREASTFEEDING IN INDONESIA: A QUALITATIVE STUDY AMONG WORKING MOTHERS Syafiq, Ahmad; Avianty, Selma; Fikawati, Sandra; Japri, Andrew Prasettya; Septiani, Seala; Basrowi, Ray Wagiu
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Exclusive breastfeeding (EBF) is a globally recommended practice, yet its proportion remains low in Indonesia, particularly among working mothers. Various factors, including workplace policies, socioeconomic status, and family support, influence EBF success. This study aims to explore the supporting and inhibiting factors of EBF among working mothers in urban and semi-urban areas in Indonesia. A qualitative study was conducted through in-depth interviews to 14 working mothers with children aged 6–24 months in Jakarta (urban) and Beji-Depok (semi-urban) between October 2016 and January 2017. Participants were selected using purposive and snowball sampling, considering variations in breastfeeding status, occupation, and dwelling location. Data were analyzed through thematic content analysis with expert triangulation. Key factors influencing EBF included postpartum health, maternity leave policies, socioeconomic conditions, family and external support, and access to EBF-related information. White-collar mothers faced workplace-related barriers but benefited from strong internal and external support. Blue-collar mothers, constrained by economic factors, showed higher EBF adherence due to lacked comprehensive EBF knowledge. Health workerrecommendations influenced breastfeeding decisions. Enhancing workplace support, strengthening family engagement, and improving targeted education for working mothers are crucial to increasing EBF adherence. Further research involving healthcare providers is recommended.
EXPLORING THE LOCAL FOOD CONSUMPTION AND KNOWLEDGE RETENTION FOR STUNTING PREVENTION Pratiwi, Dessy; Muaris, Hindah; Musiawan, Ria; Basrowi, Ray Wagiu; Kinesya, Edwin
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Background: Stunting in children may increase their risk of infection, problem associated with growth and development, and also intelligence. Higher than national stunting rate, Central Kalimantan have 26.9% stunting in 2022. Stunting prevention programs such as utilization of local food are encouraged. Objectives: This study explores behaviour and the impact of education to the knowledge of Central Kalimantan’s resident of local food consumption to decrease stunting in children. Methods: A secondary data from cross-sectional survey conducted by Indonesian Gastronomy Community in two regencies within Central KalimantanProvince was analyzed. Participants voluntarily fulfill immediate survey after education (post-1), and 3-month after education (post-2) survey. Compiled data are further analyzed to explore participants understanding. Results: A total of 152 post-1 survey and 122 post-2 survey are compiled. Participants answers dietary habit consists of fish (97.54%), vegetable (95.90%), fruits (50%), meat (31.97%), tempeh/tofu (28.68%), egg (27.87%), chicken (8.19%), and milk (8.19%), in descending order. Most consumed plant-based protein are tempeh (76.22%) and tofu (72.13%). Decreased score was observed from the immediate test to the three months after education and survey. Conclusion: Residents of Central Kalimantan Province in Indonesia primarily rely on fish, tempeh, and tofu as their main protein sources. These foods are high in protein and readily available in their local environment. To aid in stunting prevention, regular educational programs should be implemented to ensure long-term retention of knowledge
THE RELATIONSHIP BETWEEN COMPLIANCE WITH IRON TABLET CONSUMPTION AND NUTRITIONAL STATUS WITH ANEMIA AMONG PREGNANT WOMEN IN PUTRI AYU HEALTH CENTER, JAMBI CITY Putri Lubis, Izmi Arisa; Basrowi, Ray Wagiu; Pratiwi, Dessy
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Background: Anemia during pregnancy remains a significant public health concern in Indonesia, with a high prevalence and adverse outcomes for both mothers and infants. Iron supplementation and maternal nutritional status are key factors in preventing anemia. This study aimed to examine the association between compliance with iron tablet consumption and nutritional status (chronic energy deficiency) with the incidence of anemia among pregnant women. Methods: A cross-sectional study was conducted at Putri Ayu Health Center, Jambi City, involving 100 pregnant women selected using accidental sampling. Data on hemoglobin levels, upper arm circumference (MUAC), and iron tablet intake were collected through interviews and direct measurement. Anemia was defined as Hb <11 g/dL. Nutritional status was categorized based on MUAC <23.5 cm as chronic energy deficiency (CED). Data were analyzed using descriptive statistics and bivariate (Chi-square) analysis. Results: While statistical associations between CED and iron tablet compliance with anemia were not significant, higher proportions of anemia were observed among women with CED and those who consumed fewer than 30 tablets. Additionally, descriptive trends showed that women who began supplementation early in pregnancy—particularly in the first trimester—were less likely to develop anemia compared to those who initiated later. Conclusions: Although not statistically significant, the findings suggest that poor nutritional status and low adherence to iron tablet supplementation may increase the likelihood of anemia in pregnancy. Early and consistent supplementation, particularly from the first trimester, should be emphasized in antenatal care programs to prevent iron deficiency-related complications.
OBESOGENIC ENVIRONMENT IN INDONESIA: A LITERATURE REVIEW OF ENVIRONMENTAL DETERMINANTS OF OBESITY Latifah , Suci; Khusun, Helda; Kekalih, Aria; Basrowi, Ray Wagiu
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Background: Obesity is a complex public health issue influenced by multiple determinants, including environmental factors that promote excessive calorie intake and physical inactivity, known as obesogenic environments. Objective: This literature review is to broaden understanding the environmental determinants of obesity in Indonesia. Method: A narrative literature review was conducted focusing on studies published between 1999 and 2024. Sources were retrieved from databases including PubMed, WHO Global Health Observatory, and national health surveys such as Riskesdas. The ecological framework by Swinburn et al. (1999) was used to analyse environmental influences on obesity. Results: Findings indicate that built and food environments play significant roles in shaping obesity patterns in many places. Studies show increasing obesity prevalence in both urban and rural Indonesia, with environment-related factors such as food availability, urbanization, and reduced physical activity opportunities contributing to this trend. Conclusion: Food environment, land use and physical infrastructure were identified as potential proxies for obesogenic environments in Indonesia. Further studies are needed to evaluate and validate these proxies to support the development of environments conducive to healthy lifestyles and to reduce obesity prevalence.
PREBIOTICS AND THE GUT-BRAIN AXIS: IMPLICATIONS FOR COGNITIVE DEVELOPMENT IN EARLY CHILDHOOD Pascaramadhani, Addini; Septiani, Seala; Kania R, Rahayu; Basrowi, Ray Wagiu; Sundjaya, Tonny
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Background: Many factors influence cognitive development in early childhood, one of the latest is including gut health. Recent evidence places the role of a mediator of brain function on the part of the gut-brain axis, with nutrition overall and prebiotics specifically being imperative. Prebiotics stimulate selectively the grow of beneficial bacteria in the gut with potential implications on neurodevelopment. Methods: A narrative review that included peer-reviewed articles between 2010-2024 was conducted using PubMed, Scopus, and Google Scholar. Animal models and human clinical trials, both examining the impact of prebiotics on cognitive measures, were incorporated. Results: Prebiotics such as GOS, FOS, and resistant starch were found to increase the production of short-chain fatty acids, modulate the immune system, and excite neurotransmitter pathways. Clinical trials showed improved attentional ability and emotional control in prebiotic-supplemented formula-fed infants. Preclinical research showed enhanced memory and reduction in anxiety-like behaviors in animal models following ingestion of prebiotics. Conclusion: Prebiotics play a key role in cognitive development in early childhood through modulation of gut microbiota and neuroimmune signaling. Food-based prebiotics offer a sustainable approach to early brain development. Longitudinal studies are needed to demonstrate long-term benefits.
SCOPING REVIEW: PENGARUH ANEMIA KEHAMILAN TERHADAP DEPRESI PASCA PERSALINAN Khotimah, Husnul; Khasanah, Yosi Yusrotul; Arofah, Nur; Basrowi, Ray Wagiu; Nafilata, Ikrimah
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.43266

Abstract

Depresi pascapersalinan adalah gangguan suasana hati yang umum terjadi setelah melahirkan, ditandai dengan gejala seperti kecemasan, insomnia, dan perubahan berat badan, yang mempengaruhi sekitar 10–15% ibu di dunia dan berkontribusi signifikan terhadap beban penyakit global. Depresi pascapersalinan dapat dipengaruhi oleh faktor fisiologis dan psikologis, termasuk anemia selama kehamilan. Penelitian ini bertujuan untuk menganalisis pengaruh anemia kehamilan terhadap depresi pascapersalinan. Tinjauan cakupan ini dilakukan dengan mengikuti pedoman PRISMA dan menggunakan kerangka kerja PICOS untuk mengidentifikasi studi yang relevan mengenai anemia pada ibu hamil dan depresi pascapersalinan. Artikel diperoleh dari basis data PubMed dan Scopus, kemudian disaring secara ketat menggunakan perangkat lunak referensi untuk menghindari duplikasi dan memastikan kesesuaian dengan kriteria inklusi. Dari 112 artikel yang ditemukan, 14 studi akhir dipilih setelah proses penyaringan yang ketat berdasarkan relevansi, desain studi, dan populasi yang sesuai. Hasil telaah terhadap 14 artikel menunjukkan bahwa anemia kehamilan berkontribusi terhadap depresi pascapersalinan. Anemia selama kehamilan dan pascapersalinan dapat meningkatkan risiko depresi pascapersalinan melalui mekanisme perubahan neurotransmitter, stres oksidatif, hormon tiroid, serta sitokin inflamasi. Selain itu, kelelahan akibat anemia juga berkontribusi terhadap penurunan energi dan aktivitas, yang dapat memperburuk gejala depresi. Meskipun beberapa studi juga menemukan faktor lain seperti gizi, usia ibu, paritas, dan dukungan sosial sebagai penyebab tambahan. Pencegahan anemia selama kehamilan sangat penting untuk mengurangi risiko depresi pascapersalinan. Dapat disimpulkan bahwa anemia selama kehamilan berkontribusi terhadap depresi pascapersalinan, sehingga pencegahannya dengan suplementasi zat besi dan asam folat sangat penting untuk meningkatkan kesejahteraan ibu dan anak.
Social media engagement patterns in relation to adolescent anxiety and depression: a systematic review Amanda, Qorry; Haryani, Deby Aprilia; Sofa, Yulia Ratna; Purwanto, Dannu; Maryam, Adiva Kalila; Basrowi, Ray Wagiu; Devi, Yuli Puspita
BKM Public Health and Community Medicine Vol 41 No 09 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i09.22664

Abstract

Purpose: Adolescents are increasingly immersed in social media environments that encourage curated self-presentation and social comparison. Global prevalence estimates from the World Health Organization indicate that 5.5% of adolescents aged 15–19 meet diagnostic criteria for anxiety disorders. While prior research emphasized screen time duration, emerging evidence suggests that how young people engage— primarily through passive, emotionally reactive, or appearance-focused behaviors—may be more predictive of internalising symptoms such as anxiety and depression. This systematic review aimed to synthesize observational evidence on associations between adolescent social media use and internalising symptoms, with particular attention to engagement patterns, psychosocial mediators, and contextual moderators. Methods: A comprehensive search across PubMed, Scopus, EBSCOhost, and AI-assisted platforms was conducted between April 14 and 25, 2025. Inclusion criteria were: observational design, adolescent population (10–19 years), validated measures of anxiety/depression, and exposure to social media use. Ten studies published between 2018 and 2025 met eligibility criteria (N=10). Data were synthesized narratively, with quality assessed using the JBI checklist. Results: Across studies, problematic use and passive scrolling were more strongly associated with anxiety and depression than total time spent online. Sleep disruption and appearance-based comparison consistently emerged as mediators, while gender, emotional reactivity, and socioeconomic background moderated vulnerability. Girls and gender- diverse adolescents reported higher psychological reactivity. Protective factors included physical activity and family support. Most studies were cross-sectional; only one referenced neurobiological pathways. Conclusion: Digital mental health risks in adolescents are driven less by screen exposure time and more by emotionally charged engagement styles. Interventions should prioritize resilience-building and digital literacy, while future research must incorporate longitudinal and biopsychosocial frameworks to capture the complexity of these associations better.
Mental health intervention to address climate anxiety in adolescents: a systematic review Cahyani, Kadek Dewi; Sari, Indah Permata; Permatasari, Henny; Mulyono, Sigit; Basrowi, Ray Wagiu; Nafilata, Ikrimah
BKM Public Health and Community Medicine Vol 41 No 10 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i10.23501

Abstract

Purpose: This study aims to identify and analyze interventions implemented to address the impact of climate change on adolescents' mental health. Methods: This systematic review was conducted using PRISMA guidelines. A literature search was conducted across four primary databases — PubMed, ScienceDirect, EBSCO, and Scopus —with keywords related to interventions, climate change, and adolescent mental health. Inclusion criteria include studies involving adolescents aged 10-18 years and featuring an original research design published within the last five years. Of the 1,579 studies identified, 22 articles were assessed for eligibility, and seven underwent quantitative synthesis. Results: Suggest that effective environmental education interventions can increase understanding and reduce anxiety among adolescents. Conclusion: To address the impacts of mental health on adolescents, interventions such as pro-environmental interventions, education, and augmented reality can be employed.
Health Education to Improve Maternal Awareness on Soy-Based Infant Formula for Individuals with Cow’s Milk Allergy in Indonesia Setiabudiawan, Budi; Surapsari, Juwalita; Kartjito, Melissa Stephanie; Sitorus, Nova; Dilantika, Charisma; Basrowi, Ray Wagiu; Jo, Juandy
Unnes Journal of Public Health Vol. 14 No. 1 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i1.23239

Abstract

Background: Cow’s milk allergy is relatively common among Indonesian infantswho are not exclusively breastfed. Despite extensive hydrolyzed formula and aminoacid-based formula are the recommended nutrition for infants with moderate-tosevere illness, not all parents could provide those specialized formulas, presumablydue to the high cost, low availability and poor palatability. In that case, soy-basedinfant formula could be an alternative nutrition. However, it was unknown whetherIndonesian mothers were aware on that alternative nutrition. Objective: We therefore assessed the knowledge levels of mothers who participated in an online platform of PrimaKu on the usefulness of soy-based infant formula to support growthand development of children with cow’s milk allergy. Methods: The study subjectsappeared to have sufficient levels of knowledge on the usefulness of soy-based infant formula for children with cow’s milk allergy. Results: In addition, by increasing their knowledge on iron and fiber fortification in soy-based infant formula, e.g.,through regular academic presentations, mothers could be more selective in choosing alternative nutrition for children with cow’s milk allergy. Conclusion: Our studysuggested that Indonesian mothers who were active in the online platform of Primaku had sufficient levels of knowledge on the usefulness of soy-based protein formanaging children with cow’s milk allergy.
Faktor Risiko Kejadian Stunting pada Anak Usia di bawah 2 Tahun: Studi Cross-Sectional di Pulau Jawa-Indonesia dengan menggunakan Data Studi Status Gizi Indonesia Tahun 2021: Faktor Risiko Stunting pada Baduta di Pulau Jawa: Studi Cross-Sectional Menggunakan Data Studi Status Gizi Indonesia Tahun 2021 Paramita, Muthia; Helmyati, Siti; Basrowi, Ray Wagiu; Dilantika, Charisma
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.20-29

Abstract

Background: Stunting is a malnutrition problem that requires attention, with a prevalence of 24.4% in 2021. As the most populous island in Indonesia, Java Island has a significant impact on the incidence of stunting. Objectives: This study aims to determine the prevalence of stunting in infants and to identify factors associated with the incidence of stunting in each province of Java. Methods: This study used secondary data from the Indonesian Nutrition Status Study (INSS) conducted in 2021 with a cross-sectional design. A logistic regression test with weighting was conducted to determine the relationship between each variable and the incidence of stunting. Results: The prevalence of stunting in infants was measured in several regions of Indonesia, including DKI Jakarta (11.9%), West Java (16.3%), Central Java (13.2%), DI Yogyakarta (12.1%), East Java (15.9%), and Banten (14.6%). Risk factors for stunting were identified in DKI Jakarta, namely economic status in quintile 1 (p = 0.001), and in West Java, namely snack consumption (p = 0.002) and economic status in quintile 1 (p < 0.001). In Central Java, the risk factor was economic in quintile 1 (p = 0.048), while in the Special Region of Yogyakarta, it was age 12-23 months (p = 0.022). In East Java, infants aged 9-11 months (p = 0.013) and 12-23 months (p < 0.001) with low (p = 0.010) and middle (p = 0.017) mother's education level and economic status in quintile 1 (p = 0.005) were found to be at risk. In Banten were male infants (p = 0.011) in rural areas (p = 0.039) and with economic status in quintile 1 (p = 0.019) were found to be at risk. Conclusions: Economic status is a risk factor for stunting on Java Island. Interventions can be targeted towards improving economic status.
Co-Authors Ahmad Syafiq Akhmad Azmiardi Al-Ayubi, Moch Thoriq Assegaf Amanda, Qorry Anggreani, Riska Aria Kekalih Arumndari, Runi Aryanti, Lintang Aulia Amini Budi Setiabudiawan Cahyani, Kadek Dewi Chatarina Umbul Wahyuni Dannu Purwanto Darus, Febriansyah Dilantika, Charisma Dina Lusiana Setyowati Endang Laksminingsih Achadi Fitriyani Sukamto, Dhita Nur Gita Permatasari, Gita Goodwin, Nicholas Harahap, Ana Pujianti Haryani, Deby Aprilia Helda Khusun Helmyati, Siti Henny Permatasari Heri Retnawati Indah Permata Sari Izmi Arisa Putri Lubis Japri, Andrew Prasettya Juandy Jo Kadar Ramadhan Kania R, Rahayu Karomah, Ulfatul Kartjito, Melissa Stephanie Khasanah, Yosi Yusrotul Kinesya, Edwin Latifah , Suci Lily Arsanti Lestari M. Yogi Riyantama Isjoni Mahendra Wisnu W, I K Rama Maman Saputra, Maman Maryam, Adiva Kalila Megawanti, Priarti Muaris, Hindah Musiawan, Ria Nafilata, Ikrimah Narendraputra, Agra Dhira Novitasari, Prihatini Dini Nur Adliyani, Zaraz Obella Nur Arofah, Nur Nurfatimah Nurfatimah Oktarina, Molly Dumakuri PARAMITA, MUTHIA Pasaribu, Adi Sutriwanto Pascaramadhani, Addini Pasiak, Taufiq Fredrik Perkasa, Al Ilham Ksatria Gagah Pratiwi, Dessy Putri Rahmadani, Putri Putri, Jessica Reitanya Ratih Wirapuspita Wisnuwardani Rini Sekartini Roma Yuliana Saefurrohim, Muhamad Zakki Sancoko, Cahyo Harry Sandra Fikawati Selma Avianty Septiani, Seala Sigit Mulyono Siti Arifah Pujonarti Sitorus, Nova Sitorus, Nova Lidia Sofa, Yulia Ratna Sulistiani, Ita Sumiaty Sumiaty Sundjaya, Tonny Surapsari, Juwalita Tanadi, Aristo Tjhin Wiguna Wahyuni, Fani Cahya Wasito, Erika Wibowo, Heribertus Rinto Yuli Puspita Devi