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The Influence Of Maternal Factors, Toddler Factors, And Environmental Factors On The Incidence Of Stunting In Toddlers Laily, Eny Dwi Rokhmatu; Diana, Sulis; Anggreni, Dhonna; Wari, Fitria Edni
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 12 (2025): Volume 11 No 12 Desember 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i12.23344

Abstract

Latar Belakang: Stunting merupakan masalah gizi kronis di Indonesia yang mempengaruhi tinggi badan, perkembangan kognitif dan motorik, serta risiko penyakit kronis. Studi ini bertujuan menganalisis pengaruh faktor ibu, balita, dan lingkungan terhadap insidensi stunting pada balita di Desa Balongsari, Kota Mojokerto pada tahun 2025.Metode: Studi ini merupakan studi observasional analitis potong lintang terhadap 84 ibu dan balita yang dipilih menggunakan sampling acak berstrata proporsional. Data dikumpulkan melalui kuesioner, wawancara, data sekunder, dan antropometri, kemudian dianalisis menggunakan uji chi-square dan SEM.Hasil: Hasil penelitian sebagian besar ibu memiliki status gizi normal (60,7%), berusia 20–34 tahun (61,9%), memiliki pengetahuan yang baik tentang menyusui (56%), dan memiliki jarak kelahiran normal 2–4 tahun (67,9%). Di antara bayi, sebagian besar memiliki riwayat infeksi sesekali (65,5%), imunisasi lengkap (52,4%), dan jarak kelahiran ideal (66,7%). Faktor lingkungan didominasi oleh kurangnya akses ke air bersih (52,4%), sanitasi yang buruk (51,2%), ketersediaan layanan kesehatan (71,4%), dan lingkungan yang tidak higienis (52,4%). Menyusui eksklusif selama 6 bulan mencapai 54,8%, dan sebagian besar balita tidak mengalami stunting (69%). Analisis menunjukkan bahwa variabel signifikan untuk stunting adalah status gizi ibu (p=0,000; PR=23,500), pengetahuan (p=0,000; PR=8,039), usia ibu saat hamil (p=0,001; PR=0,185), jarak kelahiran (p=0,000; PR=6,836), paritas (p=0,001; PR=0,187), riwayat infeksi (p=0,000; PR=9,614), imunisasi (p=0,000; PR=12,222), sanitasi (p=0,000; PR=9,690), akses ke air bersih (p=0,000; PR=13,508), akses ke fasilitas kesehatan (p=0,000; PR=13,762), dan menyusui eksklusif (p=0,000; PR=14,438). Variabel yang tidak signifikan adalah jarak kelahiran (p=0,182; PR=0,491). SEM menunjukkan bahwa faktor ibu, bayi, dan lingkungan berpengaruh, dengan faktor ibu menjadi yang paling dominan.Kesimpulan: Stunting pada balita dipengaruhi oleh faktor-faktor terkait ibu, balita, lingkungan, dan pemberian ASI eksklusif. Upaya pencegahan harus difokuskan pada pendidikan ibu tentang gizi, promosi pemberian ASI eksklusif, imunisasi balita, serta peningkatan sanitasi dan akses ke air bersih. Kata Kunci: Stunting, ASI Eksklusif, Pendidikan Ibu, Sanitasi, Balita ABSTRACT Background: Stunting is a chronic nutritional problem in Indonesia that affects height, cognitive and motor development, and the risk of chronic diseases. This study aims to analyze the factors that influence open defecation behavior in Tegalrejo Village, Dringu District, Probolinggo Regency.Method: This study is a cross-sectional analytical observational study of 84 mothers and toddlers selected using proportionate stratified random sampling. Data were collected through questionnaires, interviews, secondary data, and anthropometry, then analyzed using chi-square tests and SEM.Results: The results of the study showed that most mothers were of normal nutritional status (60.7%), aged 20–34 years (61.9%), had good knowledge about breastfeeding (56%), and had a normal birth interval of 2–4 years (67.9%). Among infants, the majority had a history of occasional infections (65.5%), complete immunization (52.4%), and an ideal birth spacing (66.7%). Environmental factors were dominated by lack of access to clean water (52.4%), poor sanitation (51.2%), availability of health services (71.4%), and unhygienic environments (52.4%). Exclusive breastfeeding for 6 months was 54.8%, and most toddlers were not stunted (69%).The analysis shows that the significant variables for stunting are maternal nutritional status (p=0.000; PR=23.500), knowledge (p=0.000; PR=8.039), maternal age during pregnancy (p=0.001; PR=0.185), birth spacing (p=0.000; PR=6.836), parity (p=0.001; PR=0.187), history of infection (p=0.000; PR=9.614), immunization (p=0.000; PR=12.222), sanitation (p=0.000; PR=9.690), access to clean water (p=0.000; PR=13.508), access to health facilities (p=0.000; PR=13.762), and exclusive breastfeeding (p=0.000; PR=14.438). The non-significant variable was birth spacing (p=0.182; PR=0.491). SEM indicated that maternal, infant, and environmental factors were influential, with maternal factors being the most dominant.Conclusion: Stunting in toddlers is influenced by factors related to the mother, the toddler, the environment, and exclusive breastfeeding. Prevention efforts should focus on educating mothers about nutrition, promoting exclusive breastfeeding, immunizing toddlers, and improving sanitation and access to clean water. Keywords: Stunting, Exclusive Breastfeeding, Mother Education, Sanitation, Toddlers 
Pendidikan Kesehatan Pencegahan Penyakit Akibat Kerja Sebagai Upaya Peningkatan Produktivitas Kerja Dhonna Anggreni; Henry Sudiyanto; Eka Diah Kartiningrum; Sulis Diana; Muhammad Yusuf Alamudi; Arief Fardiansyah
JURNAL PENGABDIAN MASYARAKAT KESEHATAN (ABDIMAKES) Vol. 6 No. 1 (2026): FEBRUARI
Publisher : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/amk.v6i1.1197

Abstract

Improving the quality of human resources is an effort to increase intelligence and work productivity. One effort made to improve the quality of human resources is by improving the health of the public in general and specifically workers. This community service activity aims to increase the knowledge of factory workers regarding steps to prevent occupational diseases so that they do not contract or transmit diseases to their colleagues. This activity was carried out at PT. X in Mojokerto City with the target of the activity being 40 factory workers. This activity consisted of several stages, namely the preparation stage, implementation, and evaluation. In the implementation stage, the activity was carried out through providing health education and health checks. From the evaluation results, it was found that the knowledge of PT. X workers increased after being provided with health education and the results of the health checks were also quite good. The results of the health checks are expected to be a reference for the factory to determine steps to control the risk of health problems among workers.
PENGARUH JUS MENTIMUN TERHADAP TEKANAN DARAH WANITA MENOPAUSE YANG HIPERTENSI DI DESA GAYAMAN KABUPATEN MOJOKERTO Dhonna Anggreni
Jurnal Kesehatan dr. Soebandi Vol 8 No 1 (2020): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Menopause is one of the most important periods of human life. Because in that period began to occur changes involving various systems and organs, the term cardiovascular system. Cucumber juice is one of the approved natural treatments that can reduce blood pressure in people with hypertension. This study tries to prove the effect of cucumber juice on blood pressure in hypertensive menopausal women. This research is an experimental study that provides cucumber juice which is drunk routinely for 1 week. Respondent's blood pressure was observed before and after being given help. Data collection techniques with purposive sampling were 20 respondents. The instrument used was the observation sheet and tensimeter.The results showed in the consultation group, most respondents answered moderate hypertension at the time of the initial examination. After giving cucumber juice for 1 week, obtained great results from respondents to reduce blood pressure to light with an average blood pressure to 151 mmHg. In the control group, most were still categorized as moderate hypertension with mean blood pressure of 169.6 mmHg. Mann Whitney test results about the difference between the control women and the experimental group after consuming cucumber juice for 1 week (Z count = -2.762 and p value = 0.005). Consumption of cucumber juice for 1 week regularly can reduce blood pressure in hypertensive menopausal women. Suggestion: hypertensive menopausal women need to routinely consume cucumber juice and carry out healthy living so that blood pressure becomes normal and controlled. Keywords: juice, cucumber, blood pressure, menopausal women.
Health Seeking Behavior Pengobatan Akupuntur Pasien Penyakit Degeneratif Berbasis Health Belief Model Theory Ikhwan Abdullah; Sulis Diana; Dhonna Anggreni
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.16995

Abstract

ABSTRACT Degenerative diseases are currently becoming a global problem, including in Indonesia. The results interviews at 5 patients with degenerative diseases that 3 people (60%) had positive health seeking behavior (HSB) by seeking treatment directly to health workers, combining non-pharmacological acupuncture; 2 people (40%) had HSB negative without seeking treatment to health provider, buying various types of drugs at pharmacies. To determine the HSB of Acupuncture Treatment for Patients with Degenerative Diseases Based on the Theory of the HBM. Observational with a cross sectional, the population were all degenerative patients who came to Balai Kesehatan Tradisional Sehat Harmoni Indonesia Malang City with an estimated 3-month of 145 people, sample were 107 people, consecutive sampling, questionnaire instruments, patient medical records, observation sheets, multiple logistic regression data analysis with SPSS. Socioeconomic, knowledge level have an indirect effect on the HSB pattern. through threat beliefs, benefit beliefs; the level of knowledge affects threat beliefs 4.131 times and socioeconomic 0.236 times; knowledge level affected 2,641 times of benefit beliefs, the benefit beliefs affected the compliance of the HSB pattern of acupuncture 8,118 times, and the self-efficacy 7,033 times. Cues to action in the form of professionalism of therapists, where health services have a good image 3,132 times the opportunity to influence HSB compliance with acupuncture treatment. Socioeconomic status and knowledge level only affects threat and benefit beliefs, and health seeking behavior patterns are only influenced by benefit beliefs, self-efficacy and cues to action. Keywords: Health Belief Model Theory, Health Seeking Behavior, Acupuncture, Degenerative Disease  ABSTRAK Penyakit degeneratif saat ini sedang menjadi permasalahan global termasuk di Indonesia. Hasil wawancara 5 orang pasien penderita penyakit degeneratif bahwa 3 orang (60%) memiliki health seeking behavior (HSB) positif dengan mencari pengobatan langsung ke petugas kesehatan, mengkombinasi non farmakologi akupunktur; 2 orang (40%) memiliki HSB  negatif tanpa melakukan tindakan pencarian pengobatan ke tenaga medis, membeli berbagai jenis obat di apotik. Mengetahui Health Seeking Behavior Pengobatan Akupunktur Pasien Penyakit Degeneratif Berbasis Teori Health Belief Model. Observasional dengan pendekatan cross sectional, populasi seluruh pasien degeneratif yang datang ke Balai Kesehatan Tradisional Sehat Harmoni Indonesia Kota Malang dengan estimasi pasien 3 bulan yaitu 145 orang, sampel 107 orang, teknik consecutive sampling, instrument kuesioner, rekam medis pasien, lembar observasi, analisis data regresi logistik berganda dengan SPSS. Status sosial ekonomi dan tingkat pengetahuan berpengaruh secara tidak langsung terhadap pola HSB. melalui keyakinan ancaman dan keyakinan manfaat, Tingkat pengetahuan mempengaruhi keyakinan ancaman 4,131 kali dan status sosial ekonomi 0,236 kali; tingkat pengetahuan mempengaruhi 2,641 kali keyakinan manfaat, keyakinan manfaat responden mempengaruhi kepatuhan pola HSBakupuntur 8,118 kali, self efficacy sebesar 7,033 kali. Cues to action berupa professionalisme petugas terapis, tempat pelayanan kesehatan memiliki image yang baik dengan peluang sebanyak 3,132 kali mempengaruhi kepatuhan HSB pengobatan akupunktur pasien penyakit degeneratif. Status sosial ekonomi dan tingkat pengetahuan hanya mempengaruhi keyakinan ancaman dan manfaat, dan pola health seeking behavior hanya dipengaruhi oleh keyakinan manfaat, self efficacy dan cues to action. Kata Kunci: Health Belief Model Theory, Health Seeking Behavior, Akupuntur, Penyakit Degeneratif
Analisis Pengaruh Faktor Pengetahuan, Peran Petugas Kesehatan dan Dukungan Keluarga Terhadap Keaktifan Pemanfaatan Prolanis di Wilayah Kerja Puskesmas Balen Kabupaten Bojonegoro Niken Mastiko Rahayu; Henry Sudiyanto; Dhonna Anggreni
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 10, No 2 (2025)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v10i2.25843

Abstract

Chronic diseases are a global health problem affecting physical health and overall quality of life. The National Health Insurance Agency (BPJS Kesehatan) launched the Chronic Disease Management Program (Prolanis) to provide continuous healthcare for participants with chronic diseases. In East Java, Prolanis achievement decreased from 49.65% in 2023 to 42.46% in 2024. This study aimed to analyze the influence of knowledge, the role of health workers, and family support on Prolanis utilization activeness in Balen Public Health Center, Bojonegoro Regency. This cross-sectional study used simple random sampling involving 154 respondents. Data were collected through questionnaires and analyzed using chi-square tests (α = 0.05) and logistic regression. Results showed respondents with good knowledge were 50.6%, positive perceptions of health workers 51.3%, family support 53.2%, and active Prolanis utilization 53.9%. Statistical tests revealed the influence of knowledge (p = 0.000), the role of health workers (p = 0.000), and family support (p = 0.000) on activeness. Logistic regression indicated knowledge (OR = 31.899) as the most influential factor, followed by the role of health workers (OR = 9.121). It is concluded that knowledge, the role of health workers, and family support can improve participation in Prolanis to enhance health, quality of life.