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Skrining Diabetes Tidak Terdiagnosis pada Remaja di SMA Bukit Rawi Kecamatan Kahayan Tengah Irene Febriani; Itma Annah; Destinady K. Miden
JURPIKAT (Jurnal Pengabdian Kepada Masyarakat) Vol. 5 No. 4 (2024)
Publisher : Politeknik Piksi Ganesha Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37339/jurpikat.v5i4.2031

Diabetes Mellitus tidak terdiagnosis adalah individu yang belum pernah didiagnosisi oleh dokter tetapi kadar gula darahnya memenuhi kriteria diagnosis saat dilakukan skrining. Remaja adalah merupakan salah satu fokus kebijakan global, investasi kesehatan untuk kesejahteraan remaja akan menghasilkan keuntungan Perlu tindakan pencegahan yang dapat membantu remaja untuk menjalankan perilaku hidup sehat. Skrining diabetes merupakan hal yang penting yang harus dilakukan untuk menghindari kesalahan atau keteralambatan diagnosis serta penanganan yang berujung pada kematian. Metode pengabdian kepada masyarakat yaitu Service Learning yang mempunyai tujuan akademik dalam upaya menumbuhkan kesadaran dan memecahkan persoalan secara langsung pada remaja. Didapatkan hasil dari 25 remaja, 9 diantaranya memiliki risiko diabetes tidak terdiagnosis. Tindak lanjut dari penemuan ini yaitu mengatasi terkendalanya proses diagnosis sehingga pengobatan yang efektif dapat dilakukan.

Determinan Kejadian Ca Serviks di RSUD dr. Doris Sylvanus Kota Palangka Raya Hatini, Erina Eka; Kunita Maerani; Itma Annah; Vissia Didin Ardiyanid
Optimal Midwife Journal Volume 2 No. 1 Juni 2025
Publisher : PT Nuansa Fajar Cemerlang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.15875562

Cervical cancer is a malignancy that occurs in the cervix due to abnormal growth of cervical epithelial tissue. This study aims to determine the risk factors associated with the incidence of cervical cancer at RSUD dr. Doris Sylvanus Palangka Raya City. The research method used was descriptive quantitative with case control design and retrospective approach. The sample consisted of 80 respondents who were divided into 40 case groups (suffering from cervical cancer) and 40 control groups (not suffering from cervical cancer). Primary data were used in this study and analyzed univariately and bivariately using the chi-square test. The results of univariate analysis showed that the majority of respondents had HPV (53.8%), were >35 years old (60.0%), had parity >3 times (58.8%), married at the age of <20 years (57.6%), had a history of marriage >1 time (55.0%), smoked (56.3%), had a family history of cervical cancer (61.3%), and used hormonal contraception (60.0%). Bivariate analysis showed a significant association between the incidence of cervical cancer and HPV factors (p=0.0001), age (p=0.0001), number of parities (p=0.0001), age at first marriage (p=0.0001), history of marriage (p=0.0001), smoking (p=0.0001), family history (p=0.0001), and use of hormonal contraceptives (p=0.0001). In conclusion, the main risk factors for cervical cancer are HPV infection, age >35 years, parity >3 times, age at marriage <20 years, history of marriage >1 time, smoking habit, family history of cervical cancer, and use of hormonal contraceptives.

Analisis Jalur Determinan Sindrome Premenstruasi pada Remaja Putri Kadiser Miden, Destinady; Febriani, Irene; Annah, Itma
JURNAL KESEHATAN PRIMER Vol 7 No 2 (2022): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v7i2.916

Background: Premenstrual Syndrome (PMS) is the most common health problem reported by women of reproductive age. The incidence of PMS is caused by several factors, such as stress factors, diet, sleep patterns, physical activity, and body mass index (BMI). This study aims to analyze the pattern of variable relationships that directly affect or indirectly affect a set of independent variables (exogenous) to the dependent variable (endogenous). Methods: This study was a quantitative survey of high school girls in Palangka Raya City. The sampling technique used is clustered random sampling followed by stratified random sampling. Results: Some variables had a significant direct effect on the incidence of PMS, including BMI, stress, diet, and physical activity. In addition, some variables indirectly affect the incidence of PMS through BMI variables, namely stress and physical activity. Conclusion: There is a significant relationship between both direct and indirect effects of exogenous variables on endogenous variables. It is hoped that the results of this study can reduce the incidence of PMS in adolescents both in the education and health sectors.

GRAFIK RECEIVER OPERATING CURVE (ROC) UNTUK UJI SENSITIVITAS DAN SPESIFISITAS SKOR RISIKO CEDERA REMAJA DI KOTA PALANGKA RAYA Febriani, Irene; Miden, Destinady K.; Annah, Itma
Jurnal Mutiara Kesehatan Masyarakat Vol 10 No 2 (2025): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmkm.v10i2.6425

Latar belakang: Cedera pada remaja masih menjadi masalah kesehatan masyarakat yang signifikan karena berdampak terhadap morbiditas, disabilitas, dan beban sosial-ekonomi keluarga. Diperlukan alat skrining yang valid dan efisien untuk mendeteksi remaja berisiko cedera sejak dini. Tujuan: Penelitian ini bertujuan menilai sensitivitas, spesifisitas, dan akurasi skor risiko cedera pada remaja di Kota Palangka Raya menggunakan analisis Receiver Operating Characteristic (ROC). Metode: Desain penelitian adalah cross-sectional dengan melibatkan 265 remaja usia 15–24 tahun dari lima SMA negeri dan komunitas remaja kota Palangka Raya tahun 2023. Data dikumpulkan melalui kuesioner yang mencakup skor kesehatan mental emosional, penggunaan helm, konsumsi alkohol, domisili, dan jenis kelamin, serta dikonfirmasi dengan pemeriksaan fisik dan radiologis sebagai gold standard. Hasil: Hasil menunjukkan nilai Area Under the Curve (AUC) sebesar 0,714 (CI95% 0,623–0,805; p<0,001), menandakan akurasi sedang-baik. Nilai sensitivitas sebesar 56,8% dan spesifisitas 82,0% diperoleh pada titik potong optimal 13,47. Kesimpulan: Skor risiko cedera memiliki kemampuan diskriminatif yang cukup baik untuk mengidentifikasi remaja berisiko, namun peningkatan sensitivitas diperlukan agar lebih efektif sebagai alat skrining awal di masyarakat.

Early Marriage Incidence Before and During the Covid-19 Pandemic: A Case Study in Palangka Raya City Annah, Itma; Hadina, Meirinda; Damiti, Sukmawati A.
SIGn Journal of Public Health Vol 3 No 2 (2024): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v3i2.657

The COVID-19 pandemic has triggered a significant global surge in early marriage cases; however, specific local-level dynamics with unique urban demographic characteristics, such as in Palangka Raya City, are rarely investigated in depth. This quantitative descriptive study with a comparative design aimed to analyze the differences in the incidence and demographic characteristics of individuals entering early marriage in Palangka Raya City before (2019) and during (2020) the pandemic, utilizing secondary data from 172 marriage dispensation applications at the Religious Court. The results demonstrated a drastic increase in cases by more than threefold, from 40 cases in 2019 to 132 cases in 2020. This surge was dominated by the late adolescence age group (15 – 19 years), which accounted for 73.48% of the total cases in 2020. The most prominent finding was a shift in the educational profile, where the involvement of senior high school-educated adolescents increased sharply to 46.21% during the pandemic, indicating that educational disruption and online schooling fatigue served as driving factors equally as strong as economic pressure. Furthermore, the Dayak ethnic group experienced a significant proportional increase in involvement, affirming the role of local cultural factors in responding to the crisis. This study concludes that the COVID-19 pandemic exacerbated adolescent vulnerability to early marriage through the mechanisms of learning loss and economic instability, which carries serious implications for increased risks of reproductive health issues and future stunting. Consequently, this demands multisectoral interventions that integrate educational and economic strengthening with cultural approaches.

Early Marriage Incidence Before and During the Covid-19 Pandemic: A Case Study in Palangka Raya City Annah, Itma; Hadina, Meirinda; Damiti, Sukmawati A.
SIGn Journal of Public Health Vol 3 No 2 (2024): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v3i2.657

The COVID-19 pandemic has triggered a significant global surge in early marriage cases; however, specific local-level dynamics with unique urban demographic characteristics, such as in Palangka Raya City, are rarely investigated in depth. This quantitative descriptive study with a comparative design aimed to analyze the differences in the incidence and demographic characteristics of individuals entering early marriage in Palangka Raya City before (2019) and during (2020) the pandemic, utilizing secondary data from 172 marriage dispensation applications at the Religious Court. The results demonstrated a drastic increase in cases by more than threefold, from 40 cases in 2019 to 132 cases in 2020. This surge was dominated by the late adolescence age group (15 – 19 years), which accounted for 73.48% of the total cases in 2020. The most prominent finding was a shift in the educational profile, where the involvement of senior high school-educated adolescents increased sharply to 46.21% during the pandemic, indicating that educational disruption and online schooling fatigue served as driving factors equally as strong as economic pressure. Furthermore, the Dayak ethnic group experienced a significant proportional increase in involvement, affirming the role of local cultural factors in responding to the crisis. This study concludes that the COVID-19 pandemic exacerbated adolescent vulnerability to early marriage through the mechanisms of learning loss and economic instability, which carries serious implications for increased risks of reproductive health issues and future stunting. Consequently, this demands multisectoral interventions that integrate educational and economic strengthening with cultural approaches.

Hubungan Harga Diri dan Dukungan Keluarga dengan Kesehatan Mental Emosional Remaja di Palangka Raya, Kalimantan Tengah Febriani, Irene; Annah, Itma; Miden, Destinady K.
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56864

Disebabkan potensi dampaknya terhadap pertumbuhan dan kesehatan, masalah kesehatan mental remaja membutuhkan perhatian. Tujuan utama penelitian ini adalah untuk meneliti hubungan antara kesehatan emosional dan mental remaja dengan faktor-faktor seperti harga diri dan dukungan keluarga. Metodologi kuantitatif berdasarkan desain cross-sectional digunakan dalam penelitian ini. Sebanyak 125 remaja (berusia 15 hingga 18 tahun) dipilih secara acak dari 125 remaja di Kota Palangka Raya selama musim panas tahun 2025. Kesehatan emosional, harga diri, dan data tentang dukungan keluarga (termasuk bantuan informasional, apresiatif, instrumental, dan emosional) termasuk di antara topik yang dibahas. Kami menggunakan regresi logistik untuk analisis multivariat, uji chi-square untuk analisis bivariat, dan analisis univariat untuk data. Responden tidak menderita penyakit emosional atau mental, dan mayoritas memiliki harga diri yang kuat. Temuan analisis memperlihatkan ditemukan hubungan signifikan antara harga diri serta dukungan keluarga berupa informasi, instrumental, dan emosional dengan kesehatan mental emosional remaja (p<0,05). Harga diri dan dukungan keluarga berperan penting terhadap kesehatan mental emosional remaja. Peningkatan harga diri serta keterlibatan keluarga dalam memberikan dukungan yang memadai dapat membantu menjaga kesehatan mental remaja. Due to its potential impact on growth and well-being, adolescent mental health issues require attention. The primary objective of this study was to examine the relationship between adolescents' emotional and mental well-being and factors such as self-esteem and family support. A quantitative methodology based on a cross-sectional design was used in this study. A total of 125 adolescents (aged 15 to 18) were randomly selected from 125 adolescents in Palangka Raya City during the summer of 2025. Emotional well-being, self-esteem, and data on family support (including informational, appreciative, instrumental, and emotional support) were among the topics discussed. We used logistic regression for multivariate analysis, chi-square test for bivariate analysis, and univariate analysis for the data. Respondents did not suffer from emotional or mental illness, and the majority had strong self-esteem. The analysis findings showed a significant relationship between self-esteem and family support in the form of informational, instrumental, and emotional support with adolescents' emotional mental health (p<0.05). Self-esteem and family support play an important role in adolescents' emotional mental health. Increasing self-esteem and family involvement in providing adequate support can help maintain adolescent mental health.

The Association Between Knowledge and Vulvar Hygiene Practices Among Adolescent Girls Pransiska, Widia; Miden, Destinady K.; Annah, Itma; Migang, Yena Wineini
SIGn Journal of Public Health Vol 4 No 1 (2025): Januari – Juni
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i1.677

Adolescent reproductive health requires critical attention due to the high prevalence of reproductive tract infections, such as pathological leukorrhea, which are frequently triggered by poor intimate hygiene. This issue is exacerbated by inadequate health literacy among adolescents, posing long-term health risks. This study aimed to analyze the association between reproductive health knowledge and vulvar hygiene practices among adolescent girls at a senior high school in Central Katingan, Indonesia. A quantitative, descriptive-analytic study with a cross-sectional design was conducted involving 110 respondents selected via simple random sampling. A structured questionnaire was used to measure knowledge and practices, followed by descriptive statistics and cross-tabulation. The results indicated that the majority of respondents demonstrated good knowledge (66.40%) and good vulvar hygiene practices (59.10%). Data analysis revealed a consistent positive association: students with strong knowledge generally exhibited adequate hygiene practices. However, a discrepancy was identified among a subset of respondents who possessed adequate knowledge but did not demonstrate ideal practices, suggesting potential barriers related to motivation or facility access. In conclusion, while knowledge serves as a fundamental basis for establishing preventive practices, interventions focusing solely on cognitive aspects are insufficient. This study recommends implementing holistic health education programs that integrate family support and utilize technology-based visual media. This approach ensures the sustainable internalization of hygiene values, thereby effectively reducing the risk of reproductive morbidity among adolescents.

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