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Diet – Related Risk Factors for Incident Hypertension in Malawili, Sorong, West Papua, Indonesia Asmuruf, Mersy Marselina; Martini, Martini; Setyawan, Henry; Widjanarko, Bagoes; Musthofa, Syamsulhuda Budi
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 2: Mei 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i2.22173

Abstract

Backgrounds:Hypertension sufferers in Aimas District in 2022 (31,3%) due to unhealthy lifestyle consumption behavior, namely liking or often eating stir-fried vegetables (water spinach, cassava leaves), fried fish or cooked in yellow sauce and sports or physical activity less than 150 minutes/week. in addition to supporting factors of a hereditary history of hypertension.Methods: The study used cross-sectional quantitative Observational and deskriptive analytic by non-random sample accidental sampling. In total, 200 populations (100 cases) were included in the study. Variable were fruit & vegetable diets, unhealthy fatty food, alcohol and cigarette consumption, and exercises. Data wereResult: Variables contribute to hypertensions were; Poor vegetable consumption behavior (53,0%) analysed Univariad, Consume vegetables (p= 0,019), Excessive fat consumption (p= 0,004), Exercise (p= 0,007), body mass index (p= 0,029); Genetic (p= 0,002); Cholestrol (p= 0,004); Stir-fry water spinach (p= 0,000); and . Hence, fruits, alcohol & cigarette consumptions were not correlated as contributing factors for incident hyperthension (p= 0,396; p-value=0,228; p-value=0,767).Conclusions: Risk factors for hypertension could be controlled and/or avoidable through healthy diet and lifestyle especially for those with unavoidable hereditary risk factorsKeywords : Behavior,Healthy,Consumption Hypertension
Pengaruh Edukasi Terhadap Peningkatan Pengetahuan Dan Sikap Remaja Tentang Faktor Risiko Hipertensi Pada Gamers Di SMA Kota Semarang Chairunnisa Putri, Nabilla; Musthofa, Syamsulhuda Budi; Sriatmi, Ayun
Madu : Jurnal Kesehatan Vol 14, No 1: Juni 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.1.21-32.2025

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Online games, which are popular among teenagers, may lead to a lifestyle that increases the risk of hypertension. Lack of knowledge and appropriate attitudes regarding the negative effects of online games is a major concern. This study aims to evaluate the effect of education on increasing adolescents' knowledge and attitudes about risk factors for hypertension due to the effects of online games in high schools in Semarang City. The research design used was a quasi-experimental with two groups (intervention and control), each of which was given a pre-test and post-test. The sample consisted of 227 students from SMA Teuku Umar and MA Husnul Khatimah who were selected using non-probability sampling. Data were collected through questionnaires and analyzed using paired t-test, Wilcoxon and Mann-Whitney tests. The results showed a significant increase in knowledge in the intervention group from an average of 10.80 to 15.00, while attitudes increased from an average of 60.79 to 64.21, but were not significantly different from the control group. This study concluded that there was a significant difference between the knowledge scores of the intervention group and the control group after education. However, there was no significant difference in attitude scores between the two groups after the intervention.
The Effect of Animated Videos on the Prevention of Sexual Behavior on Knowledge And Attitudes in Junior High School Students Santi, Septiana Rahma; Widjanarko, Bagoes; Musthofa, Syamsulhuda Budi
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.80-86

Abstract

Background: Premarital sexual activity in adolescents in recent decades has increased globally. lack of understanding adolescents can be at risk of having unhealthy dating behavior, can even encourage adolescents to engage in sexual behavior to premarital sex which has an impact on teenage pregnancy and sexually transmitted infections. Prevention efforts that can be done are health education involving attractive media such as educational videos using animation as a very suitable alternative option in order to influence understanding and change the behavior of individual groups. Objective: The purpose of this study was to determine the effect of animated videos on the prevention of sexual behavior on the knowledge and attitudes of junior high school students. Methods: This study is a quantitative study with a quasi-experimental design using a pretest-posttest with control group design, which was conducted on students aged 13-15 years with 30 respondents as an intervention group, and 30 respondents as a control group. Results: Statistical analysis test in the intervention group using the Wilcoxon test found that there was an increase in knowledge and attitudes after being given an animated video with a p-value of 0.000. Statistical tests using Mann Whitney and Independent T-Test found that there were differences in the level of knowledge and attitudes between the intervention group after treatment and the control group with a p-value of 0.000. Conclusion: There is a difference in the level of knowledge and attitude of students before and after being given animated videos and leaflets in the intervention group. There is a difference in the level of knowledge and attitude of students in the intervention group who were given treatment in the form of animated videos with the control group who were not given treatment and only given leaflets.
TAPS Ban and Media Literacy to Protect Youth from Tobacco Industry Inducement Nurjanah, Nurjanah; Sugihantono, Anung; Widjanarko, Bagoes; Handayani, Novia; Musthofa, Syamsulhuda Budi; Puspitaningtyas, Sheila Indah; Wulandari, Anastasia; Fadhilah, Nur; Fajriyah, Nuniek Nizmah; Permadi, Yulian Wahyu; Subekti, Ratih; Faozan, Amir
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.135-142

Abstract

Background: The Indonesia Health Survey 2023 indicates that around 70 million people in the country smoke, with 7.2% aged 10 to 18, and Central Java province reports one of the highest child prevalence rates in Indonesia at 9.6%. Tobacco Advertising, Promotion, and Sponsorship (TAPS) influence intention to smoke, and on the other hand, Smoking Media Literacy (SML) can be a shield for youth to protect them from tobacco industry inducement. Methods: This study aims to evaluate the impact of TAPS exposure and SML on smoking intention. This cross-sectional study includes 1,014 students from ten junior high schools, eleven high schools, and five universities located in the three primary municipalities of Central Java Province. A stratified sampling method was used to choose the participants, and data was collected through a self-administered questionnaire. Results: The students were most frequently exposed to TAPS through outdoor media such as billboards and banners, followed by displays at points of sale and online platforms like social media and websites. The logistic regression found that Higher media literacy is associated with a decreased likelihood of intending to smoke, with (OR 0.60). Conversely, exposure to tobacco advertising, promotion, and sponsorship (TAPS) increases intending to smoke by approximately 55% (OR 1.55). The intention to smoke is the most potent predictor of whether an individual has ever smoked (OR 9.91). Conclusion: The low media literacy increases vulnerability to tobacco marketing, while exposure to tobacco advertising and promotion significantly heightens the likelihood of intending to smoke. The strong association between smoking intention and highlights the critical importance of early preventative measures. Targeted strategies such as media literacy education and a total TAPS ban are essential to curb the rising trend of tobacco use among Indonesian youth.
Health Risk Behaviors: Smoking, Alcohol, Drugs, and Dating among Youths in Rural Central Java Shaluhiyah, Zahroh; Musthofa, Syamsulhuda Budi; Indraswari, Ratih; Kusumawati, Aditya
Kesmas Vol. 15, No. 1
Publisher : UI Scholars Hub

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

Abstract

Adolescents are more likely to adopt risky health behaviors, such as smoking, alcohol use, and sexual activity. This study examined the links betweensmoking, alcohol use, and risky dating behavior and analyzed how these factors influenced risky dating and other behaviors. It is expected that this studywould be used as a foundation for developing appropriate integrated intervention for multiple risk behaviors among youths. This study was an explanatory research study with a cross-sectional approach. It involved 160 youths aged 15-24 years randomly selected from purposive villages. Participants completedself-administrated questionnaires with an enumerator present. Data were analyzed using univariate, chi-square, and multiple logistic regression. Smoking behavior, leisure activity, and self-efficacy were predictors of risky dating behavior. The self-efficacy variable also influenced multiple risk behaviors. A strong association was found between smoking, risky dating behavior, and alcohol use. One-third of the participants had dated and smoked recently, but only 10% ofthem had experienced high-risk dating activity, including petting and intercourse. Only 5% had experienced alcohol use (in particular, traditional alcohol), andno one admitted being involved with drug abuse.
Stigma Masyarakat terhadap Orang dengan HIV/AIDS Shaluhiyah, Zahroh; Musthofa, Syamsulhuda Budi; Widjanarko, Bagoes
Kesmas Vol. 9, No. 4
Publisher : UI Scholars Hub

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Abstract

Kabupaten Grobogan merupakan kabupaten dengan peningkatan kasus HIV/AIDS cukup tajam dibandingkan kabupaten lain di Jawa Tengah. Penelitian ini bertujuan untuk mengidentifikasi stigma masyarakat terhadap orang dengan HIV/AIDS (ODHA) dan faktor yang memengaruhinya. Penelitian explanatory ini dilakukan melalui pendekatan studi potong lintang dengan sampel berjumlah 300 kepala keluarga yang dipilih menggunakan sampel acak proporsional pada tiga kelurahan dengan kasus HIV tertinggi selama Agustus - September 2014. Pengumpulan data dilakukan melalui wawancara tatap muka menggunakan kuesioner terstruktur. Sedangkan analisis data dilakukan secara univariat, bivariat menggunakan kai kuadrat, dan multivariat menggunakan regresi logistik. Sebagian besar responden adalah laki-laki dengan tingkat pendidikan terbanyak sekolah menengah atas ke bawah. Separuh responden masih memberikan stigma terhadap ODHA. Responden dengan keluarga yang memberikan stigma memiliki kemungkinan memberikan stigma terhadap ODHA empat kali lebih besar dibandingkan responden yang keluarganya tidak memberikan stigma. Demikian juga responden yang berpersepsi negatif terhadap ODHA memiliki kemungkinan memberikan stigma dua kali lebih besar dibandingkan yang berpersepsi positif. Faktor sikap tetangga dan tokoh masyarakat terhadap ODHA juga berhubungan signifikan dengan stigma responden terhadap ODHA. Kesimpulannya adalah sikap keluarga dan persepsi responden terhadap ODHAmerupakan faktor yang berpengaruh pada munculnya stigma terhadap ODHA sehingga disarankan adanya pemberian informasi tentang HIV/AIDS yang lengkap kepada keluarga dan masyarakat untuk menurunkan atau menghilangkan stigma. Grobogan District is a district with a sharp increasing of HIV/AIDS case compared to other districts over Central Java. This study aimed to identify public stigma to people living with HIV/AIDS (PLWHA) and influencing factors. This explanatory study was conducted using cross sectional design worth 300 family head samples selected by using proportional random sampling on three subdistricts with highest HIV case within August - September 2014. Data collecting was conducted through face-to-face interview using structured questionnaire. Meanwhile, data analysis was conducted in univariate, bivariate using chi square and multivariate using logistic regression. Most respondents were men whose education level was mostly high school to the bottom level. Half of respondents were still stigmatizing PLWHA. Respondents whose families stigmatized had possibility of stigmatizing four times bigger than respondents whose families did not. Similarly, respondents holding negative perceptions toward PLWHA had possibility of stigmatizing twice bigger than those holding positive perceptions. Attitude of neighbors and public figures toward PLWHA also significantly related to respondent’s stigma to PLWHA. To sum up, family attitude and respondent’s perception to PLWHA were influencing factors of emerging stigma toward PLWHA. Therefore, it suggested that providing families and public any complete information about HIV/AIDS may decrease or remove the stigma.
Analysis of Stakeholder Behavior on the Successful Development of Active Alert Villages In Grobogan District Basiroh, Umi Malikhatul; Musthofa, Syamsulhuda Budi; Shaluhiyah, Zahroh
Indonesian Journal of Global Health Research Vol 6 No 1 (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.v6i1.2648

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Alert villages are a strategic effort to accelerate the Millennium Development Goals (MDGs) . An alert village is also a village whose residents have the resources who are ready and willing to prevent and overcome health problems, emergencies and disasters in the village independently. This research aims to analyze stakeholder behavior towards the successful development of active alert villages in Grobogan Regency. This type of research is an observational survey with a cross sectional approach. The population of this research is all village head stakeholders in Grobogan Regency, totaling 277 people with the research sample determined purposively . and proportional sampling of 164 people. Data was collected using a questionnaire containing 15 knowledge questions, and 12 questions each for attitudes, infrastructure, support from health workers, support from community leaders, organizational commitment and stakeholder behavior. Frequency distribution analysis is descriptive, while the chi square statistical test and multiple logistic regression use a computer program. The research results show that stakeholder behavior is significantly related to the success of developing active alert villages in Grobogan Regency (p value 0.003). It is necessary to increase the commitment of stakeholder organizations (village heads) through various capacity increases such as training and guidance in the context of developing active alert villages in Grobogan Regency.
The Factors Associated with Outpatient Re-Visits at RSJ Dr. Radjiman Wediodiningrat Lawang Salsabilah, Nabilah; Shaluhiyah, Zahroh; Mustofa, Syamsulhuda Budi
JURNAL INFO KESEHATAN Vol 21 No 3 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss3.1187

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The number of people with disorders is gradually increasing from one year to the next. In Indonesia, the estimated number of people with mental illness is around 450,000 with a severe mental illness where 31.5% of people with mental illness are shackled by their families and 15% do not seek any medical treatment. Patients with mental disorders are in a state of mindset and emotions that are unstable, so the role of the family is needed to help people with self-care activities. According to Andersen, there are three factors that impact health service utilization. Factors that influence include predisposing factors, enabling factors, and need factors. The purpose of this study was to determine the factors that are associated with re-visiting outpatients at Dr. Radjiman Wediodiningrat Lawang Mental Hospital. The research method is quantitative research with a cross-sectional study approach. The research sample was the family who accompanied the patient to make an outpatient re-visit with a total of 400 respondents. The sampling technique used was accidental sampling. The data analysis used in this study was the Chi-Square test. The results indicated that there was a significant relationship between knowledge (p-value: 0.006), attitude (p-value: 0.000), income (p-value: 0.032), family support (p-value: 0.00), and information support (p-value: 0.003) with the re-visit of outpatients at Dr. Radjiman Wediodiningrat Lawang Mental Hospital. Predisposing factors and enabling factors are both associated with re-visiting outpatients at Dr. Radjiman Wediodiningrat Lawang Mental Hospital. Future researchers are hoped to study other aspects such as hospital health service system components and need factors that may be associated to recurrent visits of mental illness patients by utilizing a more comprehensive questionnaire to acquire better information. 
Penggunaan Media Sosial Sebagai Media Edukasi Guna Meningkatkan Niat Berhenti Merokok Alawiyah, Winda Astuti; Budi Musthofa, Syamsulhuda; Nugraheni, Sri Achadi
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (333.203 KB) | DOI: 10.36418/syntax-literate.v8i4.11632

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Media sosial dalam ranah kekinian merupakan sebuah era baru dalam hal sarana komunikasi yang semakin intensif dalam pemanfaatan kemajuan teknologi. Media sosial memiliki efektivitas untuk digunakan sebagai media promosi kesehatan. Media sosial memiliki dampak positif dan negatif, dampak negatif pun cukup banyak dirasakan terutama terjadi di kalangan anak usia sekolah misalnya beberapa bentuk kenakalan remaja yaitu salahsatunya merokok pada remaja. Merokok merupakan salah satu masalah kesehatan masyarakat di Indonesia mengingat bahwa merokok adalah suatu kebiasaan yang sangat merugikan. Prevalensi merokok terus terjadi peningkatan terutama pada kalangan remaja. merokok di kalangan remaja disebabkan karena rasa ingin tahu atau mencoba-coba pengalaman baru, mencoba menghilangkan kejenuhan, ingin dianggap lebih jantan dan ingin diterima dikelompoknya. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh penggunaan media sosial guna meningkatkan niat berhenti merokok pada remaja SMA di Kabupaten Karawang. Penelitian ini merupakan penelitian kualitatif dengan menggunakan metode literatur review comparative study. Sumber jurnal dari Jurnal Internasional dan Nasional yang diakses secara online melalui Google Scholar, SINTA, PubMed, ScienceDirect, Scopus, Garuda atau website artikel ilmiah resmi universitas dan terbitan 10 tahun terakhir. Dari hasil analisis jurnal yang telah dilakukan yaitu media sosial berpengaruh terhadap peningkatan motivasi dan niat berhenti merokok pada remaja. contoh media sosial yang banyak dipakai adalah WhatsApp, Facebook, dan Line.
Faktor-Faktor Yang Berhubungan Dengan Adiksi Game Online Pada Remaja Widyaningrum, Asiyami Ranistiya; Budi Musthofa, Syamsulhuda; Agushyba, Farid
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (504.37 KB) | DOI: 10.36418/syntax-literate.v8i4.11633

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Kecanduan game online ditetapkan sebagai gangguan mental dan didefinisikan sebagai pola perilaku game ("digital-gaming" atau "video-gaming") dalam Revisi ke-11 dalam International Classification of Diseases (ICD-11) yang ditandai dengan gangguan kontrol atas game, peningkatan prioritas yang diberikan pada game daripada aktivitas lain, game lebih diutamakan daripada minat lain dan aktivitas sehari-hari meskipun terjadi konsekuensi negatif. Tujuan dari review artikel adalah menganalisa hubungan faktor dengan adiksi game online pada remaja. Desain penelitian ini adalah literature review, Jurnal Internasional dan Nasional dengan penelusuran artikel dipilih melalui E-Journal Undip, ScienceDirect, Springer Link, ProQuest, Scopus, Google Scholar atau website artikel ilmiah resmi universitas dan terbitan, yang di publikasikan antara 2015-2022. Kriteria inklusi dalam artikel ini adalah menjelaskan mengenai faktor yang berhubungan dengan adiksi game online. Hasil studi dari 10 artikel menunjukan bahwa kurangnya perhatian dari orang-orang terdekat, pelarian, depresi, kurang kontrol, kurang kegiatan, lingkungan dan pola asuh, durasi bermain, dukungan sosial rendah untuk bermain game online, akses informasi rendah, otonomi pribadi rendah, situasi yang tidak mendukung untuk bermain game online, dan niat bermain game online rendah akan meningkatkan remaja menjadi kecanduan game online. Baik faktor internal maupun faktor eksternal menjadi faktor yang mempengaruhi remaja menjadi kecanduan dalam bermain game online. Upaya promosi kesehatan sangat dibutuhkan terkait bahaya maupun dampak kesehatan akibat kecanduan game online.
Co-Authors Adawiyah, Fathi Rabiatul Adhiana Aysha Rohman Aditya Kusumawati, Aditya Agnes Nova Astrida Purba Agushyba, Farid Alawiyah, Winda Astuti Alifia Nur Laili Alya Hanifa Lisma Febita Amanati, Nurma Mentari Anastasia Wulandari, Anastasia Ani Margawati Anisah Munawaroh Anneke Suparwati Antarini Antarini Antarini Antarini, Antarini Antono Suryoputro Anung Sugihantono Anung Sugihantono Apoina Kartini Apoina Kartini Ardian Nikita Asmuruf, Mersy Marselina Ayun Sriatmi Bagoes Widjanarko Basiroh, Umi Malikhatul Besar Tirto Husodo Besar Tirto Husodo Besar Tirto Husodo Bilqis Nabila Boediarsih Boediarsih, Boediarsih Budi yono Budiyono Budiyono Budiyono Budiyono Budiyono Budiyono Cahya Tri Purnami Chairunnisa Putri, Nabilla Chintya Dewi Prastica Putri Cindy Adhitya Maharani Dara Fadhillah Darmoris, Darmoris Daru Lestantyo Debby Ulina Fatmawati Devika Rahayuningtyas Dewi Anjani Mandati Dewi Purnamawati Durotun Maqfirah Dwi Susilawati Eka Yulianti Emmy Riyanti Eridani Khairunnisa Erliana, Nina Ernawati Ernawati Erni Nuryanti Eros Rosmiati Evitasari Ramadhani Faozan, Amir Farid Agushybana Farid Farid Agushybana Febri Iswanto Galuh Ismah Nur Awalis Gayuh Mustika Prabandari Handayani, Novia Handayani, Novia Handayani, Thukul Prasiddha Harbandinah Pietojo Hasti Wulandari Henry Setyawan Susanto Henry Setyawan Susanto Herini Dwi Widiyanti Hery Setiawan, Hery Hidayatullaili, Neneng Aprilia Hulaila, Ahla Ida Rahayu Imawan, Titania Sekar Inggrid Dwi Kusumaningrum Intan Hardian Putri Irmanita Wiradona Isnaeni, Rizka Nur Isnaini Maulidya istiqomah istiqomah Kahowi, Yustina Oru Karisma, Riski Candra Kezia Albertha Kusyogo Cahyo Kusyogo Cahyo Laelatul Hikmah Laksmono Widagdo Laksmono Widagdo Larisa Rizki Lestariningrum, Mei Linda Agustinawati Liwanti Subagio Lusiana, Dikta Ayu May Made Adhyatma Prawira Natha Kusuma Mandati, Dewi Anjani Maratun, Vivi Umi MARIA BINTANG Marlinawati, Dwi Ayu Martha Irene Kartasurya Martini Martini Mateus Sakundarno Adi, Mateus Sakundarno Meylida Swatitis Kurnia Saputri Mohammad Zen Rahfiludin Muhammad Luthfi Mutia Tribuana Chansa N. Nurjanah Naura Afifah Mujoko Nikie Astorina Yunita Dewanti Ninda Ayu Pangestuti Nita Anggraini Nuniek Nizmah Fajriyah Nur Fadhilah Nur Shadrina Nasution Nurcholis Arif Budiman Nurhasmadiar Nandini Nurjazuli Nurjazuli Nurjazuli Nurul Desita Sari Nurul Mukminah Priyadi Nugraha P Puri Fatma Sari Puspita Sari, Sella Puspitaningtyas, Sheila Indah Putri Balqish Ameilia Putri, Ligar Tresna Darmawan Rafiah Al Qodri Rani Tiyas Budiyanti Ranti Yunita Hidayah Ranti Yunita Hidayah Ratih Indraswari Ratih Indraswari Ratnawati, Misrina Rini Puspita Sari Rizka Amalia Rosanti, Aan Rositian, Ade Melia Sakundoro Adi, Mateus Salsabilah, Nabilah Santi, Septiana Rahma Satria, Hardiat Dani Sella Puspita Sari Septo Patria Jati Septy Indah Wulandari Shofa, Ikhwanush Siti Munawaroh Sri Achadi Nugraheni Subekti, Ratih Suparmi Suparmi Surjoputro, Antono Sutopo Patria Jati Swatitis Kurnia Saputri, Meylida Syara Octaviana Hafshoh Tifani Novitriasti Tinuk Istiarti Tri Nurul Azizah Triyanti, Mimin Umaroh Umaroh, Umaroh VG Tinuk Istiarti Vita Permatasari Widiastuti, Indiyah Widyaningrum, Asiyami Ranistiya Widyaningsih, Yasinta Indah Windayani Sitindaon Yulian Wahyu Permadi Yuliani Setyaningsih Yunida Halim Yustina Hartiana Limasale Yuyun Risqa Puspitasari Zafirah Rizka Zahroh Shaluhiyah Zulfaa Nurin Nuhaa