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Women of childbearing age perspective on obesity: A qualitative study Ika Nur Saputri; Delmi Sulastri; Mudjiran Mudjiran; Eva Chundrayetti; Nur Indrawaty Lipoeto; Defrin Defrin; Meri Neherta; Hafni Bachtiar
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 10 (2024): Volume 7 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i10.562

Abstract

Background: Obesity is an excessive increase in body fat that can cause health problems. It is characterized by a disturbance in the body's energy balance, namely a positive energy balance that is eventually stored in the form of fat in body tissues. Many factors influence obesity, especially in women of childbearing age. Purpose: To explore more deeply the perspectives of women of childbearing age with obesity in Deli Serdang Regency. Method: The study was qualitative descriptive conducted from September to December 2023 and within the scope of Deli Serdang Regency which has a prevalence of obesity in women of childbearing age of 32%. Six women of childbearing age were involved in this study using purposive sampling. Data were collected using in-depth interviews and analyzed using content analysis. Results: The study emerged themes: 1) educational, 2) hereditary factors, 3) knowledge, 4) attitude, 5) food intake, 6) physical activity, dan 7) sleep quality. Conclusion: The results found are factors that must be considered regarding obesity in women of childbearing age. We need to conduct quantitative research to see the extent of the relationship between the factors found and the incidence of obesity, to increase the independence of women of childbearing age in losing weight through controlling obesity in women of childbearing age.
Effect of Peer Education on Knowledge and Attitudes Toward Menstrual Hygiene Management Among Boarding School Students Besty Berliana; Defrin Defrin; Adrial Adrial; Yusrawati Yusrawati; Rozi Sastra Purna; Ennesta Asri
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.35-47

Abstract

Background: More than half of adolescents in low- and middle-income countries feel unprepared for menarche due to a lack of menstrual knowledge, which leads to poor menstrual hygiene practices that increase reproductive health risks. This problem worsens in boarding schools, where restrictions like bans on mobile phones, limited contact with parents, and the absence of formal health programs severely limit access to accurate menstrual health information. Peer education leverages adolescents' natural dependence on peers for sensitive issues and is especially vital in environments with limited information, such as boarding schools. This study aimed to evaluate the effectiveness of peer education in enhancing Menstrual Hygiene Management (MHM) knowledge and attitudes among female students in a boarding school and to explore their experiences with this intervention.Method: An explanatory sequential mixed-methods design was employed. The quantitative phase involved a One Group Pre-test Post-test design with 31 purposively selected students to assess changes in knowledge and attitude following the peer education intervention. Five trained peer educators conducted 120-minute sessions using standardized modules. Quantitative data were analyzed using paired t-tests and N-gain scores. The qualitative phase adopted a phenomenological approach with in-depth interviews involving six primary informants (students) and five supporting informants (peer educators) to explore the intervention experiences and the mechanisms behind observed changes. Qualitative data were analyzed thematically with source triangulation to enhance credibility.Result: Mean knowledge scores increased significantly from 30.10 to 72.04 (p<0.001, N-gain=0.612, moderate effectiveness), with the largest improvement in pad disposal knowledge (90.3 percentage points). Mean attitude scores rose from 54.41 to 80.72 (p<0.001, N-gain=0.586, moderate effectiveness). Qualitative findings showed that students gained evidence-based knowledge, corrected menstrual myths, and expressed readiness to adopt proper hygiene practices. However, deeply rooted cultural beliefs remained resistant after a single session. The findings confirmed that knowledge improvements do not automatically lead to uniform behavioral change. Boarding schools should implement multiple-session peer education programs with spaced repetition, invest in peer educator training, establish student-led health clubs, and incorporate a formal MHM curriculum before menarche. 
Hubungan konformitas teman sebaya dengan perilaku seksual pada siswi SMPN 1 Ampek Angkek Siti Aisyah; Defrin Defrin; Ulfa Farrah Lisa
Jurnal Riset Kebidanan Indonesia Vol 9, No 1 (2025): Juni
Publisher : AIPKEMA (Asosiasi Institusi Pendidikan Kebidanan Muhammadiyah-'Aisyiyah Indonesia)

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

Abstract

Latar belakang: Perilaku seksual menjadi salah satu masalah dalam kehidupan remaja saat ini. Mulai dari perasaan tertarik hingga tingkah laku berkencan, bercumbu dan bersenggama, sehingga menimbulkan permasalahan yang diawali dengan perilaku seksual pranikah hingga terjadi kehamilan dan aborsi. Tujuan penelitian: Untuk mengetahui apakah ada hubungan konformitas teman sebaya dengan perilaku seksual pada siswi SMP di Ampek Angkek. Metode: Penelitian observasional dengan pendekatan cross sectional. Sampel dalam penelitian ini berjumlah 150 orang. Hasil: Hasil dalam penelitian ini menunjukkan responden berperilaku seksual berisiko memiliki konformitas teman sebaya dengan kategori tinggi (40,3%), berdasarkan uji chi-square menunjukkan nilai p=0,005.Sehingga dapat disimpulkan bahwa terdapat hubungan yang bermakna antara konformitas teman sebaya dengan perilaku seksual pada siswi di SMPN 1 Ampek Angkek (p=0,005). Simpulan: Disimpulkan bahwa adanya hubungan antara konformitas teman sebaya dengan perilaku seksual pada siswi SMPN 1 Ampek Angkek.
Pengaruh Peer Education Terhadap Pengetahuan Dan Sikap Remaja Putri Yang Mengalami Anemia Ulfa Badri; Defrin Defrin; Afdal Afdal; Firdawati Firdawati; Zelly Dia Rofinda; Gestina Aliska
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60696

Abstract

Iron deficiency anemia is a common nutritional problem among adolescent girls in Indonesia. According to the World Health Organization (WHO), the prevalence of anemia among adolescents worldwide was 32.5% in 2020. UNICEF data (2021) reported that in Indonesia, the highest prevalence of anemia was found among adolescents aged 13–15 years, at 22.7%. Providing health education about anemia and balanced nutrition is necessary to minimize the incidence of anemia among adolescent girls. This study aims to determine the effect of peer education on changes in knowledge and attitudes among adolescent girls with anemia at MTsN 6 Kota Padang. The study, using a pre-experimental design, was conducted at MTsN 6 Kota Padang from February to August 2025. The sample consisted of 52 adolescent girls with anemia, selected using consecutive sampling. Data were analyzed using univariate and bivariate methods, with the Wilcoxon test (p≤0.05). The results showed that 83% of the female students experienced an increase in knowledge (p=0.001), while 69% experienced an increase in positive attitudes (p=0.001). Statistically, there was a significant difference in knowledge and attitudes among anemic female adolescents after receiving peer education.
Weight of Pregnant Women in Deli Serdang Regency: A Qualitative Study Nur Mala Sari; Nur Indrawaty Lipoeto; Adang Bachtiar; Ariadi Ariadi; Rizanda Machmud; Defrin Defrin; Mudjiran Mudjiran; Delmi Sulastri
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3982

Abstract

Weight gain that is not according to recommendations during pregnancy has become an epidemic throughout the world today and is a clinical problem with high prevalence and can affect the health of mothers and babies. Objective: This study aims to find out more about the perspective of increase in weight of pregnant women in deli serdang regency. Method: This study was qualitative with a descriptive approach. The informants in this study were 3 pregnant women with weight gain above recommendations, 3 pregnant women with weight gain below recommendations, 1 ob-gyn, 1 midwife, and 1 nutrition who were recruited using purposive sampling. Data were collected using semi-structured interviews. Data were analyzed using the Content Analysis. Results: The study emerged 5 themes: (1) Knowledge, (2) Perspective, (3) Behaviour, (4) Family support, and (5) Physical activity. Conclusions: The findings show that several factors influence the increase in weight of pregnant women in Deli Serdang Regency, so the health care provider needs to pay attention to improve their knowledge about weight gain during pregnancy according to the needs of pregnant women.
The Relationship Between Short Chain Fatty Acids and Menarche in Elementary School Students in Padang City Zulfiqar MS; Haviz Yuad; Husna Yetti; Defrin Defrin; Ferdinal Ferry; Mondale Saputra
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.145-152.2026

Abstract

Introduction: Early menarche is associated with long-term health problems. Currently, adolescent girls are increasingly experience the change of menarche age. Short chain fatty acids (SCFA) are known to play a role in the early release of GnRH which induces an earlier onset of menarche. However, so far there have been no human studies assessing SCFA levels in individuals with early menarche. Method: This is a case-control study in elementary school students in Padang which conducted from July 2024 to November 2024. The sample was all elementary school students in Padang who met the inclusion and exclusion criteria. The data collected were demographic data and SCFA levels measured in faecal samples using the ELISA method. Bivariate analysis was performed using the unpaired T-test. Result: In this study, there were 25 students with early menarche and 25 normal students. Students with early menarche experienced the earliest age of menarche in 9 years old, 56% had excessive BMI, 20% had mother history of early menarche, 20% were born prematurely, 52% had  high-fat diet, 100% lived with their parents and had no history of pornography exposure. This study found the differences in fecal SCFA levels based on age of menarche with the mean SCFA levels found to be higher in the early menarche group compared to normal menarche (39.09 ±  6.64 vs 26.91±5.01 μmol/gram; p=0.000) Conclusion: This study found the differences in fecal SCFA levels based on age of menarche
Analysis of Factors Associated with Neonatal Mortality Syarifah; Mayetti; Defrin
Viva Medika Vol 17 No 1 (2024)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1361

Abstract

Neonatal mortality remains a leading cause of infant death despite being a key factor in child health and survival. This study analyzed factors related to neonatal mortality at Rokan Hulu District General Hospital using a quantitative, retrospective case-control approach. The 68 respondents (34 cases, 34 controls) were selected through purposive sampling. Data analysis used a logistic regression model. Prematurity emerged as the most influential variable (p=0.019), carrying a 4.344 times higher risk of neonatal death versus full-term births, after controlling for low birth weight and respiratory distress syndrome.
Analisis Faktor Risiko Anemia Defisiensi Besi pada Remaja Putri Yusmalia Hidayati; Delmi Sulastri; Defrin Defrin
Plexus Medical Journal Vol. 3 No. 4 (2024): Agustus
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/plexus.v3i4.1817

Abstract

Pendahuluan: Anemia defisiensi besi diperkirakan memengaruhi lebih dari 30% penduduk dunia. Persentase remaja putri yang mengalami anemia defisiensi besi di Indonesia berdasarkan data Riskesdas Tahun 2018 yaitu 32%. Data Dinas Kesehatan Kota Padang menunjukkan bahwa Wilayah Kerja Puskesmas Andalas merupakan wilayah dengan risiko anemia defisiensi besi tertinggi yaitu 27,96%. Laporan Puskesmas Andalas Tahun 2021 menunjukkan SMP Negeri 31 Padang merupakan SMP dengan persentase risiko anemia defisiensi besi remaja putri tertinggi (31%). Tujuan penelitian ini untuk menganalisis faktor risiko anemia defisiensi besi pada remaja putri di SMP Negeri 31 Padang. Metode: Metode penelitian merupakan penelitian kombinasi (Mixed Method). Penelitian kuantitatif menggunakan desain case-control. Jumlah sampel penelitian 79 (33 kasus dan 46 kontrol). Pengambilan sampel menggunakan teknik proportionate stratified random sampling. Analisis bivariat menggunakan chi square dan multivariat dengan Regresi Logistik Berganda. Penegakan diagnosa anemia defisiensi besi dilakukan dengan pemeriksaan Hemoglobin dan cadangan besi darah menggunakan ELISA Test (Enzyme Linked Immunosorbent Assay). Penelitian kualitatif menggunakan urutan pembuktian (Sequential Explanatory). Data diperoleh melalui Focus Group Discussion (FGD), in-depth interview dan telaah dokumen. Analisis data kualitatif menggunakan teknik Thematic Analysis. Hasil Rata-rata hemoglobin kelompok kasus adalah 10,23±0,963 dan kelompok kontrol 13,20±0,687. Rata-rata kadar feritin serum kelompok kasus 11,91±6,932, sedangkan kelompok kontrol 72,22±55,108. Faktor risiko signifikan yang berhubungan dengan ADB adalah asupan protein (p=0,001) dan asupan zat besi (p=0,006). Asupan protein menjadi faktor paling dominan. Tidak ditemukan hubungan antara pengetahuan (p=1,000), sikap (p=1,000), asupan vitamin C (p=0,498), dan pola menstruasi (p=0,203) dengan ADB. Data kualitatif menunjukkan tingginya konsumsi junk food dan kebiasaan melewatkan sarapan sebagai penyebab utama. Kesimpulan : Kurangnya asupan protein merupakan faktor risiko yang paling dominan terhadap kejadian ADB pada remaja putri di SMP Negeri 31 Padang. Intervensi berupa edukasi gizi dan peningkatan kesadaran tentang pentingnya sarapan dan asupan protein yang cukup diperlukan untuk menurunkan prevalensi ADB di kalangan remaja putri.
Description of Antenatal Care on the Incidence of Preterm Labor Drivaldo Mulya; Defrin .; Julizar .; Afdal .; Citra Manela
Jurnal Sains Farmasi Dan Kesehatan Vol. 3 No. 3 (2026): Januari - April
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jfkes.v3i3.4406

Abstract

Preterm labor is estimated to reach 15 million events each year. The preventive action that can be taken is antenatal care as a preventive and promotive action for pregnant women. This research aims to determine the description of antenatal care on the incidence of preterm labor at RSUP Dr. M. Djamil Padang in 2022. This research is a descriptive research with total sampling technique on mothers with preterm labor at RSUP Dr. M. Djamil Padang in 2022. Based on this study, it was found that most samples are 20-35 years old (61.1%), graduated from high school (68.5%), and worked as housewives (81.5%). The risk factor experienced by most mothers was hypertension (55.6%). The type of preterm labor experienced by most mothers was moderate to late preterm (61.1%). The highest frequency of patient visits was ≥4 visits (46.3%). The service that had fulfilled the highest number of 4 visits was T1, as many as 25 mothers (46.3%). The service that most mothers most often not recieved was T6, 47 mothers (79.6%). Based on the results obtained from the 10T service, there are still many mothers who do not receive services according to the minimum standard, which is 4 times. 
Analisis Faktor Risiko Indeks Massa Tubuh, Riwayat Hipertensi, dan Riwayat Preeklampsia terhadap Kejadian Preeklampsia pada Ibu Hamil Tia Tahnia; Defrin Defrin; Firdawati Firdawati; Rima Semiarty; Roza Sriyanti; Lusiana El Sinta Bustami
Jurnal Sains dan Kesehatan Vol. 10 No. 1 (2026): Juni : Jurnal Sains dan Kesehatan (JUSIKA)
Publisher : Universitas Muhamadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jusika.v10i1.1142

Abstract

Preeclampsia is a pregnancy complication that significantly contributes to maternal and neonatal morbidity and mortality worldwide. Globally, it affects approximately 3–8% of pregnancies and causes more than 70,000 maternal deaths each year. In Indonesia, preeclampsia accounts for around 30% of the 4,151 maternal deaths reported in 2024. In Padang City, there were 254 cases in 2023 and 129 cases in 2024, with Puskesmas Bungus having the highest prevalence (7.2% and 3.77%). This study aimed to analyze the association between body mass index (BMI), history of hypertension, and history of preeclampsia with the incidence of preeclampsia among pregnant women at Puskesmas Bungus, Padang. This study used a quantitative case-control design involving 50 cases and 50 controls. Data were analyzed using chi-square and logistic regression tests. The results showed significant associations between obesity (p=0.031; OR=2.897), history of preeclampsia (p=0.006; OR=13.821), and history of hypertension (p=0.002; OR=17.216) with the incidence of preeclampsia. Multivariate analysis identified history of hypertension as the most dominant factor associated with preeclampsia. This study concludes that obesity, history of hypertension, and history of preeclampsia are significant risk factors for preeclampsia among pregnant women. Strengthening early detection and routine antenatal care for high-risk pregnancies is necessary to reduce maternal complications associated with preeclampsia.