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All Journal Journal of Health Promotion and Behavior JPP Jurnal Kesehatan Poltekkes Palembang Mitra Raflesia (Journal of Health Science) Promotor: Jurnal Mahasiswa Kesehatan Masyarakat
Jasmine, Annisah Biancika
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PENGARUH STRES PSIKOLOGIS TERHADAP KADAR KORTISOL ASI PADA IBU MENYUSUI DI KABUPATEN SELUMA Rosaria, Rini Rosaria; Flora, Rostika; Zulkarnain, Mohammad; Sitorus, Rico Januar; Hasyim, Hamzah; Fajar, Nur Alam; Ermi, Nurmalia; Jasmine, Annisah Biancika; Aguscik, Aguscik; Ikhsan, Ikhsan; Slamet, Samwilson; Purnama, Yetti; Sulung, Neshy
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.301

Abstract

Breast milk is the gold standard in infant nutrition, which is the best food for babies compared to formula milk. Apart from containing the necessary nutrients, breast milk also contains various bioactive compounds that can affect the growth and development of the baby. Among these bioactive compounds there is also a glucocorticoid (GC) content, such as cortisol. It is known that cortisol levels are affected by the level of stress experienced by mothers during pregnancy and after childbirth. Purpose: this study aims to analyze the effect of maternal stress on breast milk cortisol levels in breastfeeding mothers in Seluma District. Method : : This research is an analytic survey, cross sectional study, conducted in Seluma Regency. A total of 77 rbreastfeeding mothers of children aged 0-24 months were taken as respondents by random sampling. Breast milk samples were taken to examine breast milk cortisol levels and were measured using the ELISA method. interviews using a questionnaire were conducted to collect data on maternal characteristics, while the stress level data were obtained by conducting interviews using the DASS 42 questionnaire. The data obtained was then processed and analyzed using univariate and bivariate analysis. Results: The results of measuring psychological stress showed that 35.1% of mothers experienced stress, while the results of measuring breast milk cortisol levels showed that 50% of mothers had high cortisol levels. The results of the Mann Whitney test found that there was a significant difference in the average breast milk cortisol levels in mothers who experienced psychological stress and those who did not (201.65 ± 97.82 μ/mL vs 150.32 ± 81.80 μ/mL, p=0.028) . Conclusion: psychological stress affects breast milk cortisol levels in breastfeeding mothers in Seluma Regency. Education related to handling stress in breastfeeding mothers needs to be done so that it does not hinder the breastfeeding process which can have an impact on the health of mothers and children. Keywords: Breastfeeding mothers, breast milk cortisol level, psychological stress
STUDI CROSS SECTIONAL TERHADAP HUBUNGAN ASUPAN PROTEIN DENGAN KADAR PROTEIN TOTAL ASI PADA IBU MENYUSUI Marissa, Febi Marissa; Flora, Rostika; Zulkarnain, Mohammad; Ermi, Nurmalia; Jasmine, Annisah Biancika; Aguscik, Aguscik; Ikhsan, Ikhsan; Slamet, Samwilson; Purnama, Yetti; Sulung, Neshy
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.283

Abstract

Background: During breastfeeding, mothers need adequate nutritional intake, including protein intake. Essential amino acids play an important role in the process of breast milk protein synthesis and can increase the production and protein of breast milk.  Breast milk protein is needed to support the growth and development of infants in the early stages of life. This study aims to analyze the relationship between protein intake and breast milk protein levels in breastfeeding mothers. Methods: This study was a quantitative study with a cross-sectional approach conducted in Seluma Regency. The sample used was 77 breastfeeding mothers aged 20-35 years who were randomly selected.  Protein intake was obtained using 3x24 hour food recall, then calculated using the Nutri survey application. Breast milk protein levels were measured using the spectrophotometric method. Characteristic data were obtained through interviews. The data obtained were then processed and analyzed using univariate and bivariate analysis using SPSS version 20. Result: The measurement of protein intake showed that 76.6% of breastfeeding mothers had insufficient protein intake. Measurement of breast milk protein levels showed that 67.5% of breastfeeding mothers had insufficient breast milk protein levels. Statistical test results showed that there was a significant relationship between protein intake and breast milk protein levels in breastfeeding mothers (p=0.007; PR=1.961; CI=1.08-3.56). Mothers who have less protein intake have a 1.96 times greater risk of having low breast milk protein levels. Conclusion: There is a significant relationship between protein intake and breast milk protein levels in breastfeeding mothers (p<0.005).  Education related to protein intake in breastfeeding mothers needs to be done.  Adequate protein intake can produce the needed quality of breast milk to help the optimal growth and development of the baby.Key words: breast milk, breast milk, protein intake, breastfeeding mothers, milk protein levels
HUBUNGAN KADAR ZAT BESI SERUM DENGAN KONSENTRASI ZAT BESI ASI IBU MENYUSUI DI KABUPATEN SELUMA Ariana, Rika; Flora, Rostika; Sitorus, Rico Januar; Zulkarnain, Mohammad; Hasyim, Hamzah; Fajar, Nur Alam; Ermi, Nurmalia; Jasmine, Annisah Biancika; Aguscik, Aguscik; Ikhsan, Ikhsan; Slamet, Samwilson; Purnama, Yetti; Sulung, Neshy
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.289

Abstract

Background: Maternal iron status affects infant neurocognitive development. When the maternal iron intake and status are disturbed, it can lead to iron deficiency which can lead to anemia if not treated.  Anemia in breastfeeding mothers has a negative impact on the quality and volume of breast milk, including the availability of iron in breast milk. This study aims to analyze the relationship between serum iron levels and breast milk iron concentration in breastfeeding mothers in Seluma Regency. Methods: This study was an analytic survey, cross-sectional design, conducted in Seluma Regency in 4 (four) public health center working areas, namely Rimbo Kedui Public Health Center, Talang Tinggi, Tais, and Masmambang. Respondents were 124 breastfeeding mothers of children aged 0-24 months who were taken by proportional consecutive sampling. Venous blood and breast milk samples were collected for iron level measurement. Iron measurement was done using the spectrophotometric method. Data on characteristics were obtained using a questionnaire. Furthermore, the data were analyzed univariately and bivariately. Results: The results of measuring iron levels showed that 38.7% of mothers had iron deficiency and 15.3% of mothers had low breast milk iron levels. The bivariate test results showed 25% of mothers who experienced iron deficiency had low breast milk iron levels. (p=0.034, OR= 3.28; CI= 1.190-9.071). Conclusion: There is a significant relationship between serum iron levels and breast milk iron levels in breastfeeding mothers. It is necessary to educate mothers regarding the prevention of iron deficiency during pregnancy and breastfeeding so that the quantity of breast milk iron can meet the needs of children during breastfeedingKeyword : Breast milk, Iron Deficiency, Breast milk Iron Level, Iron
FAKTOR RISIKO STATUS GIZI DAN ERUPSI GIGI TETAP PREMOLAR-2 PADA ANAK USIA 10 TAHUN DI KECAMATAN TUAH NEGERI Jasmine, Annisah Biancika
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 16 No 1 (2021): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v16i1.663

Abstract

ABSTRAK Latar belakang: Status gizi buruk dapat menyebabkan malnutrisi pada anak. Kondisi malnutrisi akan berdampak terhadap pertumbuhan tulang. Proses pertumbuhan tulang yang terhambat akan mengakibatkan proses maturasi tulang periodontal yang mendukung gigi terhambat sehingga anak dapat mengalami keterlambatan erupsi gigi. Penelitian ini bertujuan untuk menganalisis hubungan antara status gizi dan erupsi gigi pada anak usia 10 tahun di Kecamatan Tuah Negeri. Metode Penelitian: Penelitian ini merupakan penelitian observasional analitik dengan desain cross-sectional. Sampel penelitian adalah anak usia 10 tahun berjumlah 45 orang, yang diambil secara random dari sekolah dasar di Kecamatan Tuah Negeri. Penentuan status gizi berdasarkan antropometri dengan mengukur tinggi badan dan dikelompokkan sesuai Z-score menjadi stunting (≤ 2 SD) dan tidak stunting (> 2SD). Observasi oral dilakukan untuk melihat adanya erupsi gigi pada gigi permanen premolar-2 atas kiri - kanan dan dicatat di dalam odontogram. Data dianalisis menggunakan SPSS versi 26 dengan uji chi-square. Hasil: Hasil pengukuran status gizi didapatkan bahwa 12 anak (26,7%) mengalami stunting dan 33 anak (73,3%) tidak mengalami stunting. Pada anak yang mengalami stunting, terdapat 8 anak (66,7%) yang mengalami keterlambatan erupsi gigi premolar-2 atas kanan dan 7 anak (58,3%) yang mengalami keterlambatan erupsi gigi premolar-2 atas kiri. Hasil analisis bivariat didapatkan p=0.032 dan OR=4.600 untuk hubungan antara stunting dan status erupsi gigi premolar-2 atas kanan dan p=0.039 dan OR=4.375 untuk hubungan antara stunting dan status erupsi gigi premolar-2 atas kiri. Kesimpulan: terdapat hubungan yang bermakna antara status gizi dan erupsi gigi pada anak usia 10 tahun di Kecamatan Tuah Negeri. Anak yang mengalami stunting 4,6 kali lebih berisiko mengalami keterlambatan erupsi gigi premolar-2 kanan atas dan 4,4 kali lebih berisiko mengalami keterlambatan erupsi gigi premolar-2 kiri.
HUBUNGAN ANTARA KARAKTERISTIK REMAJA PEREMPUAN DENGAN KONSUMSI TTD BERDASARKAN DATA PBL MAHASISWA DI KECAMATAN KELEKAR, GELUMBANG DAN LEMBAK Jasmine, Annisah Biancika; Lisa, Mona; Ambarwati, Dyah; Novitasari, Prihatini Dini; Muharramah, Disa Hijratul; Pulungan, Rafiah Maharani; Aulia, Fitri; Harwanto, Fatria; Yusri, Yusri; Erman, Ery
Mitra Raflesia (Journal of Health Science) Vol 16, No 2 (2024)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v16i2.463

Abstract

ABSTRAKPendahuluan: Angka konsumsi Tablet Tambah Darah (TTD) di Indonesia menunjukkan tingkat yang sangat rendah, terutama di kalangan remaja putri. Berdasarkan data Riskesdas 2018, meskipun 76,2% remaja putri mendapatkan akses TTD, hanya 1,4% yang mengonsumsi lebih dari 52 butir selama periode yang dianjurkan. Secara keseluruhan, rendahnya konsumsi TTD di kalangan remaja putri mencerminkan perlunya penelitian lebih lanjut mengenai konsumsi TTD pada remaja putri dan edukasi kesehatan serta dukungan sosial untuk meningkatkan kesadaran dan kepatuhan terhadap program suplementasi ini.Metode: Penelitian ini menggunakan sumber data sekunder berupa data PBL mahasiswa fakultas Kesehatan Masyarakat Universitas Sriwijaya tahun 2024 di Kecamatan Kelekar, Gelumbang dan Lembak terhadap 96 remaja Perempuan dengan pendekatan potong lintang yang dipilih menggunakan teknik Total Sampling. Data kemudian dianalisis meng­gunakan analisi univariat dan analisis bivariat menggunakan SPSS versi 27. Analisis univariat bertujuan untuk menganalisis karakteristik variabel. Analisis bivariat dilakukan untuk mengetahui hubungan antara dua variabel yakni variabel karakteristik remaja dengan variabel konsumsi TTD.Hasil: Berdasarkan hasil uji bivariat mengenai korelasi karakteristik responden dan status konsumsi TTD didapatkan bahwa analisis Chi-Square menunjukkan bahwa umur (p=0,344), Pendidikan (p=0,334), status haid (p=0.051) dan usia MENARS (p=0.382) pada remaja Perempuan tidak memiliki hubungan yang bermakna dengan konsumsi TTD. Mayoritas total remaja yang tidak mengkonsumsi TTD dengan frekuensi sebesar 78 orang (81.2%).Pembahasan: Meskipun ada rekomendasi untuk meningkatkan konsumsi TTD pada saat menstruasi, banyak remaja putri yang tidak teratur dalam mengonsumsinya. Hal ini dapat disebabkan oleh kurangnya pengetahuan, efek samping yang dirasakan, atau ketidaknyamanan saat mengonsumsi tablet. Selain itu, Banyak faktor lain yang mempengaruhi keputusan remaja putri untuk mengonsumsi TTD, termasuk pengetahuan tentang manfaatnya, dukungan dari keluarga dan teman, serta persepsi pribadi terhadap kesehatan mereka.Kesimpulan: Sebagian besar remaja Perempuan (81.2%) tidak mengkonsumsi TTD. Tidak terdapat hubungan antara umur, penddikan, status haid, dan usia MENARS dengan konsumsi TTD. Edukasi yang efektif dan dukungan kontinu dari berbagai pihak sangat diperlukan untuk meningkatkan kesadaran dan kepatuhan konsumsi TTD di kalangan remaja putri.Kata Kunci: Karateristik remaja, remaja Perempuan, konsumsi TTD.  ABSTRACTIntroduction: The consumption rate of Iron Supplement Tablets (ITP) in Indonesia shows a very low level, especially among adolescent girls. Based on the 2018 Riskesdas data, although 76.2% of adolescent girls have access to ITP, only 1.4% consume more than 52 tablets during the recommended period. Overall, the low consumption of  ITP among adolescent girls reflects the need for further research on ITP consumption in adolescent girls, reproductive health education, and social support to increase awareness and compliance with this supplementation program.Method: This study used secondary data sources in the form of PBL data from students of the Faculty of Public Health, Sriwijaya University in 2024 in Kelekar, Gelumbang and Lembak Districts of 96 adolescent girls with a cross-sectional approach selected using the Total Sampling technique. The data were then analyzed using univariate analysis and bivariate analysis using SPSS version 27. Univariate analysis aims to analyze the characteristics of the variables. Bivariate analysis was conducted to determine the relationship between two variables, which were the adolescent characteristic variable and the ITP consumption variable.Results: Based on the results of the bivariate test on the correlation of respondent characteristics and ITP consumption status, it was found that the Chi-Square analysis showed that age (p = 0.344), education (p = 0.334), menstrual status (p = 0.051) and MENARS age (p = 0.382) in female adolescents did not have a significant relationship with ITP consumption. The majority of adolescents did not consume ITP with a frequency of 78 people (81.2%).Discussion: Although there are recommendations to increase ITP consumption during menstruation, a lot of adolescents girls are not consuming ITP regularly. This can be caused by lack of knowledge, perceived side effects, or discomfort when taking the tablets. However, there are many other factors that can influence the decision of adolescent girls to consume ITP, including knowledge of its benefits, support from family and friends, and personal perceptions of their health.Conclusion: Most adolescent girls (81.2%) did not consume ITP regularly. There was no relationship between age, education, menstrual status, and MENARS age with TTD consumption. Effective education and continuous support from various parties are needed to increase awareness and compliance of ITP consumption among adolescent girls.Keywords: Characteristics of adolescents, adolescent girls, ITP consumption.
Kebiasaan Mengunyah Sirih dan Kaitannya dengan Kondisi Periodontal: Tinjauan Naratif Jasmine, Annisah Biancika; Flora, Rostika; J, Rahmi Fitri
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 19 No 2 (2024): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v19i2.2425

Abstract

Background: Betel quid chewing is associated with the periodontal status, in which it may increase the risk and severity of periodontal disease. The objectives of this narrative review were to provide an overview of the literature about the association between betel quid chewing habit and periodontal status. Methods: The review analyzed several studies that examined the habit of betel quid chewing and its association with periodontitis in different populations. Results: Betel quid chewing was associated with a high prevalence of bleeding on sulcus probing, plaque index, gingival inflammation, deeper probing depth, and greater attachment loss. Additionally, the severity of periodontal disease was enhanced in subjects chewing betel quid with tobacco and alcohol consumption. Discussions: These results could be due to common components detected in the chewed substances and the synergistic effect between smoking and alcohol consumption with betel quid chewing habit. Conclusions: Prolonged and excessive use of betel quid can induce significant adverse effects on human health, including an increased risk of periodontitis. The findings of this review highlight the importance of addressing the impact of betel quid chewing on periodontal status.
The Correlation of Knowledge and Attitudes to Passive Smoking Behavior among Public Health Students of Sriwijaya University Ambarwati, Dyah; Novitasari, Prihatini Dini; Jasmine, Annisah Biancika; Pulungan, Rafiah Maharani; Aulia, Fitri; Tari, Putri Inrian
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.07

Abstract

Background: There is no safe level of cigarette smoke, but not everyone can avoid the exposure. Public health students are expected to bring changes to healthy behaviors in the community, including getting the right to have air free from cigarette smoke through various preventive efforts. Therefore, this study aims to identify the behavior of public health students at Universitas Sriwijaya as passive smokers, and its correlation with knowledge and attitudes. Subjects and Method: This was a cross-sectional study conducted at Universitas Sriwijaya, South Sumatera, Indonesia, from February to March 2025. A sample of undergraduate students of Public Health was selected using purposive sampling. The dependent variable was smoking behavior. The independent variables were knowledge and attitude. Data were analyzed using a multiple logistic regression. Results: Passive smoking behavior among college students was influenced by knowledge (b = 0.17; 95% CI = –0.14 to 0.47; p = 0.103) and attitude (b = 0.61; 95% CI = 0.26 to 0.96; p = 0.001). While knowledge showed a positive but not statistically significant association with passive smoking behavior, attitude showed a statistically significant positive association. Conclusion: Passive smoking behavior among college students is influenced by knowledge and attitude. Knowledge and attitude have positive association with passive smoking behavior.
The Achievement of Minimum Service Standards for Newborns at Bukitsangkal Health Center 2024 Farhana, Salwa; Jasmine, Annisah Biancika; Putri, Rachelia Anugerah; Azzahra, Nayla Khanisa; Nurrohima, Meiliza; Ulfa, Siti Zahara Nur Khatimah; Amalia, Riski; Harmadi, Harmadi; Marheini, Hilda; Hertanti, Ferra
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.v8i6.1515

Abstract

This study aims to analyze the achievement of Minimum Service Standards (MSS) for newborns at BukitSangkal Health Center in 2024, based on the importance of meeting MSS in improving maternal and newborn health quality. The methodology used was a descriptive research design with a cross-sectional approach, where data were collected through a recapitulation of newborn services at BukitSangkal Health Center. The study population included all registered newborns, with a sample of 458 babies who received services according to standards. The results showed that BukitSangkal Health Center achieved 100% of SPM targets. Out of 458 infants, 215 were male, and 207 were female, with a balanced distribution. Hepatitis B0 and BCG immunization coverage also showed satisfactory results. The availability of quality goods such as vaccines and MCH books reached 100%, but the quality of health human resources (HRH) still needs to be improved, with only a percentage of 51.9%. Overall, the quality of basic services reached 75.95%. This study emphasizes the need for more attention to human resources aspects to maintain service quality and ensure newborns receive optimal care. These results are expected to be a reference for related parties to improve health service standards at the Public Health Center and other health facilities.
Achievement of Productive Age Indicator SPM at Bukit Sangkal Health Center, Palembang City Arisanti, Nova Jane; Jasmine, Annisah Biancika; Rizki, Rizki; Putri, Lydia Atica; Ramadhani, Natasha; Azizah, Nurhalimah; Shakira, Nafisah; Harmadi, Harmadi; Adhiani, Sylvia; Agustini, Meta
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.v8i6.1578

Abstract

Health services for individuals in productive age (15–59 years) are a crucial element in the Minimum Service Standards (SPM) for the health sector. The purpose of this study was to assess the achievement of SPM indicators for the Productive Age group and to identify the prevalence of Non-Communicable Diseases (NCDs) at the Bukit Sangkal Health Center, Palembang City. Using a quantitative descriptive approach, data were taken from the Bukit Sangkal Health Center during the period of January to December 2024. This study involved an analysis of the number of visits for health checks and the distribution of NCD cases among the Productive Age group. The findings showed that the SPM target set at 100% was successfully achieved, indicating success in the early detection program and regular health checks. However, the prevalence of NCDs remained high, with Hypertension reaching 2,120 cases, Diabetes Mellitus 303 cases, and Obesity 47 cases, making them the most commonly recorded diseases. The discussion emphasized that these quantitative achievements do not fully reflect the success of the program if they are not accompanied by continuous follow-up, education, and behavioral change. The conclusion of this study is that although the target of achieving SPM has been achieved, health problems among the Productive Age group are still very significant and require a comprehensive and sustainable approach to reduce the burden of NCDs in society.
Co-Authors : Samwilson Slamet, : Samwilson Adhiani, Sylvia Aguscik, Aguscik Agustini, Meta Ambarwati, Dyah Ariana, Rika Arisanti, Nova Jane Azizah, Nurhalimah Azzahra, Nayla Khanisa Erman, Ery Farhana, Salwa Fatria Harwanto Fitri Aulia Hamzah Hasyim Harmadi Harmadi Hertanti, Ferra Ikhsan Ikhsan Marheini, Hilda Marissa, Febi Marissa Mona Lisa Muharramah, Disa Hijratul Novitasari, Prihatini Dini Nur Alam Fajar Nurmalia Ermi Nurrohima, Meiliza Pulungan, Rafiah Maharani Purnama, Yetti Putri, Lydia Atica Putri, Rachelia Anugerah Rahmi Fitri J Ramadhani, Natasha Rico Januar Sitorus Riski Amalia, Riski Rizki Rizki Rosaria, Rini Rosaria Rostika Flora Shakira, Nafisah Sulung, Neshy Tari, Putri Inrian Ulfa, Siti Zahara Nur Khatimah Yusri Yusri Zulkarnain, Mohammad