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Perempuan, Pil KB, dan Batu Empedu: Hubungan Durasi Kontrasepsi dengan Risiko Cholelithiasis Kwando, Feliciana; Setyawan, Yuswanto
BRILIANT: Jurnal Riset dan Konseptual Vol 10 No 4 (2025): Volume 10 Nomor 4, November 2025
Publisher : Universitas Nahdlatul Ulama Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28926/briliant.v10i4.2339

Abstract

The use of oral contraceptive pills (OCPs) is widely recognized as an effective method of birth control among women of reproductive age. However, prolonged exposure to synthetic estrogen and progesterone may pose a risk for gallstone formation (cholelithiasis). This study aimed to investigate the association between the duration of OCP use and the incidence of cholelithiasis in reproductive-age women. Employing a quantitative cross-sectional approach, 100 purposively selected female respondents aged 20–45 years were assessed through structured questionnaires, interviews, and confirmed ultrasonography (USG) results. Statistical analyses using Chi-Square and Spearman’s rank correlation revealed a significant relationship between longer duration of pill use and increased risk of gallstone formation (p < 0.05). These findings underscore the hepatobiliary impact of long-term hormonal contraceptive use, even in asymptomatic users. The novelty of this research lies in highlighting duration as a predictive factor, which has not been emphasized in current family planning policies. This study recommends integrating risk-based contraceptive counseling and early detection protocols into primary health care services, particularly for long-term users. Further longitudinal studies are necessary to confirm causal relationships and expand the applicability of these findings.
Analisis Faktor-Faktor yang Mempengaruhi Konsumsi Mi Instan pada Generasi Muda Abdillah , Winda; Setyawan, Yuswanto
JURNAL KESEHATAN PRIMER Vol 10 No 2 (2025): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v10i2.2103

Abstract

Background:  Instant noodle consumption has become a popular dietary trend among young adults due to its convenience, affordability, and appealing taste. However, frequent intake may contribute to poor nutritional quality and increase long-term health risks. Objectives: To examine the relationship between instant noodle consumption patterns and potential health implications among young adults. Method: A cross-sectional design was applied to 250 respondents using structured questionnaires assessing consumption frequency, portion size, and lifestyle factors. Statistical analyses included chi-square tests and logistic regression to identify significant associations with self-reported health indicators. Results: The results indicated a significant association between high-frequency instant noodle consumption and unhealthy dietary habits, including low intake of fruits and vegetables and higher consumption of sugary drinks (p < 0.05). Spearman correlation showed significant positive relationships between consumption frequency and affordability (ρ = 0.412, p = 0.001), taste preference (ρ = 0.367, p = 0.002), and convenience (ρ = 0.295, p = 0.009), while peer influence was not significant (ρ = 0.158, p = 0.073). Conclusion: The study concludes that frequent consumption of instant noodles is significantly associated with unhealthy dietary patterns among young adults, highlighting the importance of nutrition education, promotion of healthier alternatives, and targeted public health interventions to encourage balanced diets.
Hygiene Behavior And The Risk Of Hepatitis Among Street Food Vendors In Surabaya Alfia, Nur Laili; Setyawan, Yuswanto
JURNAL KESEHATAN PRIMER Vol 10 No 1 (2025): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v10i1.2104

Abstract

Background:   Street food vendors are a vital part of urban food systems in Indonesia, yet their hygiene practices remain poorly regulated, contributing to the spread of foodborne diseases such as hepatitis. Objective: This study aimed to analyze the relationship between hygiene behavior and the risk of hepatitis among street food vendors in Surabaya. Method: A quantitative analytical method with a cross-sectional design was applied to 120 purposively selected vendors. Data were collected through structured questionnaires assessing hygiene practices and self-reported hepatitis symptoms. Results: Chi-Square and Spearman correlation tests revealed significant associations between handwashing (p = 0.002), glove use (p = 0.011), access to clean water (p = 0.001), and food covering (p = 0.005) with hepatitis risk. The strongest negative correlation was found between clean water access and hepatitis symptoms (ρ = –0.48). These results highlight the critical role of basic hygiene practices in preventing hepatitis transmission in informal food settings. Findings suggest that targeted health education and improved water access can reduce public health risks. This study supports the integration of food safety standards into street food regulation and community-based interventions. Strengthening hygiene behavior among vendors could significantly reduce the burden of hepatitis in high-density urban environments.
Association of Blood Glucose Control with Wound Healing in Patients with Diabetes Mellitus Wiyono, Mohamad; Setyawan, Yuswanto
JURNAL CITRA KEPERAWATAN Vol 13 No 2 (2025): Jurnal Citra Keperawatan Edisi : Desember
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jck.v13i2.402

Abstract

This study aimed to investigate the relationship between glycemic control and wound healing in patients with diabetes mellitus. A cross-sectional study was conducted at a diabetic wound clinic in Pasuruan from March to May 2025 involving 164 participants. Data were collected on HbA1c levels and wound healing outcomes, and analyzed using both Chi-square and Spearman correlation tests. The results showed a significant association between HbA1c categories and wound healing outcomes, with higher HbA1c levels linked to delayed healing. Spearman analysis confirmed a moderate negative correlation between continuous HbA1c values and wound healing scores, indicating that poor glycemic control impairs tissue repair. These findings highlight the importance of maintaining optimal blood glucose levels to accelerate wound recovery and prevent complications. Clinical recommendations include continuous glucose monitoring, individualized glycemic management, patient education, and structured self-care programs. Future research should employ multi-center designs and objective wound assessment tools to strengthen evidence and generalizability. The study provides essential insights for both clinical practice and public health strategies aimed at improving diabetic wound outcomes.
Blood Glucose and Tingling Sensation in Feet: Chi-Square and Spearman Approach Wijaya , Wilson Gani; Setyawan, Yuswanto
PROMOTOR Vol. 8 No. 6 (2025): DESEMBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i6.1793

Abstract

This study aims to investigate the relationship between blood glucose levels and tingling sensation in the feet among individuals with suspected diabetic neuropathy using the Chi-Square and Spearman correlation approach. A cross-sectional design was applied involving 100 participants aged 35–65 years selected through purposive sampling. Data were collected using structured questionnaires and fasting blood glucose tests, followed by statistical analysis using SPSS. Results showed a significant association between elevated blood glucose levels and the presence of tingling sensations (p < 0.05). Spearman's test indicated a strong positive correlation (r = 0.682), suggesting that as glucose levels increase, the likelihood of tingling sensations also rises. These findings support the hypothesis that persistent hyperglycemia contributes to peripheral nerve damage, potentially leading to diabetic neuropathy. This research highlights the importance of early detection and glycemic control as preventive measures. Further longitudinal studies are recommended to explore causal mechanisms and clinical interventions.
Frekuensi Konsumsi Pepaya Sebagai Prediktor Gejala Wasir: Cross Sectional Study Wargiati, Wargiati; Setyawan, Yuswanto
Malahayati Nursing Journal Vol 7, No 12 (2025): Volume 7 Nomor 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i12.22225

Abstract

ABSTRACT Hemorrhoids remain a common anorectal disorder with increasing prevalence, often associated with low dietary fiber intake. This study aims to determine the relationship between papaya consumption and hemorrhoidal symptoms among adults. A cross-sectional analytical study was conducted involving 220 respondents, equally divided between men and women. Data were collected through food frequency questionnaires and the Hemorrhoidal Symptom Score (HSS), which assesses bleeding, pain, itching, swelling, and incomplete evacuation. The analysis used Chi-Square and Spearman correlation tests. The results showed a strong negative correlation between papaya consumption frequency and hemorrhoid symptom severity. Respondents who consumed papaya more than five times per week had notably milder or no symptoms compared to those who rarely or never consumed it. This finding suggests that regular papaya intake, due to its high fiber, papain enzyme, and anti-inflammatory content, may significantly reduce the risk and severity of hemorrhoids. The study concludes that papaya can be promoted as a practical, affordable, and culturally acceptable preventive food option for hemorrhoid control in community settings. Keywords: Papaya, Hemorrhoids, Dietary fiber, Hemorrhoidal Symptom Score, Prevention  ABSTRAK Wasir tetap menjadi gangguan anorektal yang umum dengan prevalensi yang meningkat, seringkali terkait dengan asupan serat makanan yang rendah. Penelitian ini bertujuan untuk mengetahui hubungan antara konsumsi pepaya dan gejala wasir pada orang dewasa. Studi analitik potong lintang dilakukan dengan melibatkan 220 responden, terbagi sama antara laki-laki dan perempuan. Data dikumpulkan melalui kuesioner frekuensi konsumsi makanan dan Hemorrhoidal Symptom Score (HSS), yang menilai perdarahan, nyeri, gatal, pembengkakan, dan evakuasi yang tidak tuntas. Analisis menggunakan uji Chi-Square dan korelasi Spearman. Hasil penelitian menunjukkan adanya korelasi negatif yang kuat antara frekuensi konsumsi pepaya dan tingkat keparahan gejala wasir. Responden yang mengonsumsi pepaya lebih dari lima kali per minggu mengalami gejala yang lebih ringan atau bahkan tidak mengalami gejala dibandingkan dengan mereka yang jarang atau tidak pernah mengonsumsinya. Temuan ini menunjukkan bahwa konsumsi pepaya secara teratur, karena kandungan serat, enzim papain, dan sifat antiinflamasi yang tinggi, dapat secara signifikan mengurangi risiko dan keparahan wasir. Penelitian ini menyimpulkan bahwa pepaya dapat dipromosikan sebagai pilihan makanan pencegahan yang praktis, terjangkau, dan dapat diterima secara budaya untuk pengendalian wasir di masyarakat. Kata Kunci: Pepaya, Wasir, Serat makanan, Hemorrhoidal Symptom Score, Pencegahan
Clinical assessment of overuse injury risk in office workers participating in weekend tennis activities Kutanggas, Rivo Christian; Setyawan, Yuswanto
Citius : Jurnal Pendidikan Jasmani, Olahraga, dan Kesehatan Vol. 5 No. 2 (2025): CITIUS : Jurnal Pendidikan Jasmani, Olahraga, dan Kesehatan
Publisher : Pendidikan Jasmani, Kesehatan, dan Rekreasi Universitas Nahdlatul Ulama Sunan Giri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32665/citius.v5i2.5257

Abstract

This study examines the correlation between tennis activity and overuse injury risk among office workers, a population increasingly involved in high-intensity weekend sports despite predominantly sedentary weekday routines. Using a cross-sectional design, data were collected from 112 office workers aged 25–55 years who regularly played tennis. A structured questionnaire and physical assessment were used to evaluate injury incidence, tennis activity patterns, and occupational physical activity levels. The results showed a statistically significant association (p < 0.05) between the frequency and intensity of weekend tennis and the prevalence of overuse injuries, particularly in the shoulder, knee, and elbow. Office workers with low weekday physical activity and inadequate warm-up routines exhibited a higher risk of injury. These findings highlight the mismatch between limited baseline fitness and abrupt physical exertion, contributing to musculoskeletal strain. The study emphasizes the importance of continuous conditioning, proper warm-up routines, and injury-prevention education tailored to recreational athletes in sedentary professions. Future research should explore longitudinal designs, incorporate more detailed biomechanical or clinical assessments, and evaluate intervention-based programs to better understand causal mechanisms and effective prevention strategies for overuse injuries in weekend athletes.
Association Between Patterns of Electronic Cigarette Use and Recurrent Bronchitis Among Young Adults Sultan, Dharma; Setyawan, Yuswanto
Preventif : Jurnal Kesehatan Masyarakat Vol. 16 No. 3 (2025): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/seswrj78

Abstract

Electronic cigarette use has become increasingly prevalent among young adults, raising concerns about its potential impact on respiratory health. This study aimed to investigate the association between patterns of electronic cigarette use and the occurrence of recurrent bronchitis symptoms in young adults. A quantitative analytic study with a cross-sectional approach was conducted involving 150 respondents aged 18–25 years. Participants were selected using purposive sampling, and data were collected through structured questionnaires. The variables measured included frequency of e-cigarette use and incidence of recurrent bronchitis symptoms. Data analysis involved Chi-square tests and Spearman correlation to examine the relationship between vaping patterns and respiratory complaints. The results showed a significant association between frequent e-cigarette use (≥4 times per week) and the presence of recurrent bronchitis symptoms, with a Spearman correlation value indicating a strong positive relationship. Regular users were found to be four times more likely to experience bronchitis than occasional or non-users. These findings suggest that habitual vaping may lead to bronchial irritation and inflammation, contributing to the onset of recurrent bronchitis. In conclusion, frequent electronic cigarette use poses a substantial risk to respiratory health among young adults and warrants greater public health attention.
Relationship Between Soda-Free Diet and Nutritional Status in Teenagers: A Cross Sectional Study Suharna, Anik; Setyawan, Yuswanto
Preventif : Jurnal Kesehatan Masyarakat Vol. 16 No. 3 (2025): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/ysf6pr04

Abstract

Excessive consumption of sugary beverages such as soda has become a significant public health concern worldwide, particularly due to its association with poor nutritional status and a heightened risk of overweight and obesity in adolescents. This study aimed to investigate the relationship between adherence to a soda-free diet and nutritional status among teenagers using Chi-square and Spearman correlation analyses. A cross-sectional design was employed involving 200 adolescents aged 15 to 18 years, who were categorized into two groups based on their soda consumption habits: soda consumers and those following a soda-free diet. Nutritional status was assessed by calculating Body Mass Index (BMI) and classifying participants into underweight, normal weight, and overweight/obese categories. The results indicated that teenagers who abstained from soda consumption had a significantly higher prevalence of normal weight (70.6%) compared to soda consumers (45.2%). Conversely, the rate of overweight and obesity was markedly higher among soda consumers (30.4%) than those on a soda-free diet (14.1%). Spearman’s correlation analysis revealed a strong positive relationship between the frequency of soda consumption and BMI (rho = 0.68, p < 0.001), suggesting that higher soda intake is closely associated with increased body weight. These findings emphasize the critical role that reducing soda consumption plays in improving nutritional health among adolescents. From a public health perspective, promoting soda-free diets and encouraging healthier beverage choices should be prioritized in nutrition education and obesity prevention programs targeting youth populations to reduce the risk of diet-related chronic diseases. Keywords: Soda-free diet, Nutritional status, Teenagers, BMI, Obesity prevention, Public health
CORRELATION BETWEEN HIGH-PURINE DIET PATTERNS AND URIC ACID LEVELS AMONG THE ELDERLY IN PASURUAN REGENCY Setyawan, Yuswanto
HEARTY Vol 14 No 1 (2026): FEBARURI
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i1.21814

Abstract

Hyperuricemia is a common metabolic disorder among the elderly and is closely associated with gout, renal impairment, and cardiovascular disease. A high-purine diet is one of the major modifiable factors influencing serum uric acid levels, yet evidence among Indonesian older adults remains limited. This study aimed to examine the correlation between high-purine dietary patterns and serum uric acid levels among elderly individuals in Pasuruan Regency, East Java. A cross-sectional analytic observational design was applied to 120 respondents aged ≥60 years, selected using a simple random sampling technique. Data were obtained through structured interviews, a validated Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), and laboratory testing of serum uric acid levels. The results revealed a moderate positive correlation between the High-Purine Diet Score (HPDS) and serum uric acid concentration (r=0.42; p<0.001). The overall prevalence of hyperuricemia was 23.3%, with the highest proportion (37.5%) observed among participants with high HPDS. The study concludes that higher purine intake is significantly associated with elevated serum uric acid levels in the elderly, emphasizing the need for dietary counseling and public health interventions focused on balanced nutrition in older populations.