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All Journal Jurnal Kesehatan Masyarakat JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Jukema (Jurnal Kesehatan Masyarakat Aceh) AcTion: Aceh Nutrition Journal Jurnal Kesehatan Komunitas Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Jurnal Medikes (Media Informasi Kesehatan) Jurnal Sains Riset Jurnal Ners Journal of Telenursing (JOTING) Science Midwifery Jurnal Peduli Masyarakat Indonesian Journal of Global Health research Jurnal Dunia Gizi Jurnal Promotif Preventif Journal SAGO Gizi dan Kesehatan Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Journal of Public Health Innovation (JPHI) Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) Journal of Language and Health Legal Protection for the Partnership Agreement Parties SENTRI: Jurnal Riset Ilmiah Syarah: Jurnal Hukum Islam dan Ekonomi Cakradonya Dental Journal Nasuwakes : Jurnal Kesehatan Ilmiah Prosiding Seminar Kesehatan Masyarakat Journal of Mujaddid Nusantara Liwaul Dakwah: Jurnal Kajian Dakwah dan Masyarakat Islam ABDIMU: Jurnal Pengabdian Muhammadiyah Jurnal Ekonomi Kesehatan Indonesia Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Joong-Ki
Asnawi Abdullah
Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Aceh
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Journal : Holistik Jurnal Kesehatan

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Pengaruh adverse childhood experiences terhadap kecemasan pada siswa SMA di Kota Banda Aceh Novita, Novita; Abdullah, Asnawi; Marthoenis, Marthoenis
Holistik Jurnal Kesehatan Vol. 19 No. 5 (2025): Volume 19 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i5.1154

Abstract

Background: Adolescent mental health is a strategic issue in public health development in Indonesia. One factor proven to have a strong association with anxiety disorders is adverse childhood experiences (ACEs). ACEs are negative experiences experienced by someone in childhood before the age of 18. This issue is important to address in educational settings because it can impact students' mental and academic well-being. Purpose: To analyze the influence of adverse childhood experiences on anxiety in high school students. Method: This quantitative study, with a cross-sectional design, was conducted from January to February 2025 in Banda Aceh City, with high school students as subjects. The sample was selected using stratified random sampling, resulting in 310 respondents. Data were analyzed using univariate and bivariate Chi-square tests. Results: Statistical analysis showed that ACEs had the most dominant influence on student anxiety (OR=52.16; 95% CI=9.22–295.24; p=0.0001). Other related factors were school environment (OR=4.28; p=0.0001), academic load (OR=2.24; p=0.012), and coping strategies (OR=2.22; p=0.0001). Multivariate analysis showed that individuals with high-risk adverse childhood experiences (ACEs) and family adaptation had a 35-fold higher risk of experiencing panic-level anxiety (pseudo-R2=0.1544), while individuals with a moderately supportive school environment had a 21-fold higher risk of experiencing panic-level anxiety (pseudo-R2=0.2191). Conclusion: Adverse childhood experiences (ACEs) were significantly associated with anxiety levels in high school students. The most dominant factor associated with student anxiety was high-risk ACEs, followed by a less supportive school environment and ineffective coping strategies. Suggestion: The results of this study are expected to be the basis for formulating promotive and preventive policies for adolescent mental health in the school environment, as well as being a reference for local governments and educational institutions in developing school-based counseling and psychosocial intervention programs.   Keywords: Adverse Childhood Experiences; Anxiety; High School Students; Mental Health.   Pendahuluan: Kesehatan mental remaja merupakan salah satu isu strategis dalam pembangunan kesehatan masyarakat Indonesia. Salah satu faktor yang terbukti memiliki hubungan kuat dengan gangguan kecemasan adalah adverse childhood experiences (ACEs). ACEs merupakan pengalaman negatif yang dialami seseorang di masa kanak-kanak sebelum usia 18 tahun. Masalah ini penting ditangani di lingkungan pendidikan karena dapat memengaruhi kesejahteraan mental dan akademik siswa. Tujuan:  Untuk menganalisis pengaruh adverse childhood experiences terhadap kecemasan pada siswa SMA. Metode: Penelitian kuantitatif dengan desain cross-sectional, dilakukan pada bulan Januari-Februari 2025 di wilayah Kota Banda Aceh dengan subjek penelitian siswa SMA. Sampel dipilih dengan stratified random sampling dan mendapatkan 310 responden. Analisis data menggunakan univariate dan bivariat Chi-square. Hasil: Analisis statistik menunjukkan bahwa ACEs memiliki pengaruh paling dominan terhadap kecemasan siswa (OR=52.16; 95% CI=9.22–295.24; p=0.0001). Faktor lain yang berhubungan adalah lingkungan sekolah (OR=4.28; p=0.0001), beban akademik (OR=2.24; p=0.012), dan strategi coping (OR=2.22; p=0.0001). Berdasarkan analisis multivariat menunjukkan bahwa pada adaptasi diri dan keluarga adverse childhood experiences (ACEs) risiko tinggi berpeluang 35 kali mengalami kecemasan tingkat panik (nilai pseudo R2=0.1544), sedangkan adaptasi lingkungan sekolah yang cukup mendukung berpeluang 21 kali mengalami kecemasan tingkat panik (nilai pseudo R2=0.2191). Simpulan: Adverse Childhood Experiences (ACEs) memiliki hubungan yang signifikan dengan tingkat kecemasan pada siswa SMA. Faktor yang paling dominan berhubungan dengan kecemasan siswa adalah ACEs risiko tinggi, diikuti oleh lingkungan sekolah yang kurang mendukung serta strategi coping yang tidak efektif. Saran: Diharapkan hasil penelitian ini dapat menjadi dasar dalam penyusunan kebijakan promotif dan preventif kesehatan mental remaja di lingkungan sekolah, serta menjadi rujukan bagi pemerintah daerah dan instansi pendidikan dalam mengembangkan program konseling dan intervensi psikososial berbasis sekolah.   Kata Kunci: Adverse Childhood Experiences; Kecemasan; Kesehatan Mental; Siswa.
Analisis faktor tentang psychological distress pada tenaga kesehatan Novianti, Hernia; Ichwansyah, Fahmi; Marthoenis, Marthoenis; Abdullah, Asnawi; Zakaria, Radiah
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1115

Abstract

Background: Healthcare workers face various challenges in carrying out their duties, which can impact their psychological condition. Work pressure, demands for professionalism, and situations in the healthcare service environment can affect their mental well-being. This condition requires attention, as it may influence the quality of care provided. Purpose: To analyze the factors associated with psychological distress among healthcare workers. Method: This quantitative study employed a cross-sectional design. The research was conducted in January in Central Aceh District. A total of 300 healthcare workers—including nurses, midwives, environmental health workers, and epidemiologists—participated in this study. The sampling technique used was cluster random sampling. Data were collected using a questionnaire distributed via Google Form. Data analysis was carried out using univariate, bivariate, and multivariate approaches through logistic regression and multiple logistic regression test. Results: Statistical analysis showed that low social support (OR = 10.07; p = 0.037), heavy workload (OR = 30.16; p = 0.0001), severe work fatigue (OR = 159.5; p = 0.0001), shorter duration of work (OR = 10.69; p = 0.0001), and the midwife profession (OR = 3.38; p = 0.007) were significantly associated with psychological distress. The most influential factors were severe work fatigue (AOR = 51.84; p = 0.040), longer duration of work (AOR = 59.83; p = 0.0001), and the profession of nurse (AOR = 8.12; p = 0.031) and midwife (AOR = 9.43; p = 0.031). Conclusion: The variables of social support, workload, work fatigue, length of service, and profession were significantly associated with psychological distress among healthcare workers.   Keywords: Healthcare Workers; Psychological Distress; Workload.   Pendahuluan: Tenaga kesehatan menghadapi berbagai tantangan dalam menjalankan tugasnya yang dapat berdampak pada kondisi psikologis tenaga kesehatan. Tekanan kerja, tuntutan profesionalisme, dan situasi di lingkungan pelayanan kesehatan dapat memengaruhi kesejahteraan mental tenaga kesehatan. Kondisi ini perlu mendapatkan perhatian, karena dapat berpengaruh terhadap kualitas pelayanan yang diberikan. Tujuan: Untuk menganailis faktor yang berhubungan dengan psychological distress pada tenaga kesehatan. Metode: Penelitian kuantitatif menggunakan desain cross-sectional. Penelitian dilaksanakan pada bulan Januari di Kabupaten Aceh Tengah. Sebanyak 300 tenaga kesehatan yang terdiri dari perawat, bidan, tenaga kesehatan lingkungan, dan epidemiologi menjadi partisipan dalam penelitian ini. Pemilihan sampel menggunakan teknik cluster random sampling. Alat pengumpulan data menggunakan angket yang disebarkan melalui Google Form. Analisis data dilakukan secara univariat, bivariat, dan multivariat menggunakan uji regresi logistik dan regresi logistik berganda. Hasil: Analisis statistik menunjukkan bahwa dukungan sosial rendah (OR = 10,07; p = 0,037), beban kerja berat (OR = 30,16; p = 0,0001), kelelahan kerja berat (OR = 159,5; p = 0,0001), masa kerja baru (OR = 10,69; p = 0,0001), dan profesi bidan (OR = 3,38; p = 0,007) memiliki hubungan yang signifikan dengan psychological distress. Faktor yang paling berpengaruh adalah kelelahan kerja berat (AOR = 51,84; p = 0,040), masa kerja lama (AOR = 59,83; p = 0,0001), serta profesi perawat (AOR = 8,12; p = 0,031) dan bidan (AOR = 9,43; p = 0,031). Simpulan: Variabel dukungan sosial, beban kerja, kelelahan kerja, masa kerja, dan profesi memiliki hubungan yang signifikan dengan psychological distress pada tenaga kesehatan.   Kata Kunci: Beban Kerja; Psychological Distress; Tenaga Kesehatan.
Co-Authors A.A. Ketut Agung Cahyawan W Abdi, Naufal Abdul Majid Abdullah Lawang, Karimuddin Adamy, Aulina Adilla, Zahara Afrida, Maina Agustina Aletta, Alma Alfian Alfian Ali, Marlizar Amin Haris, Amin Amin Harris Amiruddin Amiruddin Ananda, Nurul Arifin, Vera Nazhira Aripin Ahmad, Aripin Ariscasari, Putri Ariska, Tasya Arizin, Vera Nazira Arlianti, Nopa Aryandi Darwis Aslam Nur Asrar, Qatratul Aulia, Nia Aulina Adami Aulina Adamy Azqia, Azqia Baharuddin, Dharina Bakhtiar Bakhtiar Basri Aramico, Basri Cahyani, Amelia Regita Cholila, Cholila Desi Desi, Desi Dharina, Dharina Dian Rahayu Dorista, Eva Ede Surya Darmawan Ellyani Ellyani, Ellyani Emiliani, Emiliani Erwiyanti, Serly Nurfajri Fadhlullah, Fadhlullah Fadlina, Amelia Fahmi Ichwansyah Faisal Abdurahman Faisal Faisal Fajriana, Eulisa Farrah Fahdhienie Fauza, Riska Fitri, Rahmi Ayu Fitrini, Tria Anggita Fonna, Zahara Hafnidar A. Rani Hafnidar, Hafnidar Hanis, Nonong Haryati, Wiwin Hasnur, Hanifah Hayatun Nufus Henni Fitriani Heramuliati, Heramuliati Hermansyah Hermansyah Hermansyah Hermansyah Hermasnyah, Hermasnyah Hidayat, Melania Ichwansyah, Fachmi Iin Fitraniar Ira Puspita Sari Irwan Saputra Ismail, Nizam Ismardiani, Yossi Isnaini Isnaini Isnani, Ayu Jauhari, Julianti Kacandra, Wahyu Kamila, Saufa Tasyaul Khairunnisa Khairunnisa Kusma, Nila Lahmudinur, Lahmudinur Liana, Leni Lisnayana, Lisnayana M. Erfin Febrian M. Marthoenis Maghfirah Maghfirah Maidar Maidar Maidar Maidar, Maidar Maidar, Maidar Maifrizal, Maifrizal Marlina Maulidayani, Maulidayani Maulidya, Rizki Maulinasari, Maulinasari Mawaddah, Husnul Melfira, Roza Meutia Zahara Miftahul Jannah Milana, Shintya Mudar, Andi Nadir Muhammad Fadhil Muhammad Nasir Muhammad Saleh Muhammad Yasir Munandar Munandar Munandar, Arief Murida, Eva Mursalin . Mushaddiq, Muhammad Mustafa Kamal N. Nurjanah Naimah Naimah Nauval, M. Dharma Nelli Harisah Nisa, Nurul Hafizatun Novianti, Hernia Novita Novita Novita, Riska Noviyanti, Rini Nur Kholis Nurhayati Nurhayati Nurjannah Nurjannah Nurjannah Nurjannah Nurjannah Nurjannah Pamaila, Sri Reski Putri Pulungan, Indah Rizky Putri, Anggre Paramitha Putri, Anisha Sahfira Radhiah, Radhiah Rahma, Viyola Rahmadiana, Rahmadiana Raihan, Siti Luluk Ramadhani, Gadis Amaniar Ramadhaniah, Ramadhaniah Rani, Hafnidar Ar Rasmi, Rika Irma Ridwan Amiruddin Rita Mutia Rony, Zahara Tussoleha Rostina Rostina Safriadi Safriadi, Safriadi Saputra, Irwan Sari, Shinta Maya Siti Fatimah Sugisni, Susi Suhermawan, Suhermawan Sulfira Mulia, Syarifah Syaharasyi, Rayyan Syahputri, Evy Syahrul, Fatahillah Syelvita, Cut Yayang Tahara Dilla Santi Tari, Nadalia Indah Toguan, Zulfikri Tri Tarwiyani Usalma, Usfiandinata Usman, Said Utama, Imam Utari, Widya Nada Wulandari, Gusti Yanti, Cut Aini Fauzi Yulia, Cut Yusuf, Nazira Yusuf, Wardiati Zahara, Amelia Zakaria, Radhiah Zakaria, Radiah