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All Journal Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Molecular and Cellular Biomedical Sciences (MCBS) Journal of Midwifery Majalah Kedokteran Andalas Andalas obstetrics and gynecology journal Jurnal Ners Science Midwifery Archives of The Medicine and Case Reports Jurnal Ilmu Kesehatan Indonesia (JIKSI) Jurnal Sosial dan Sains Jurnal Otorinolaringologi Kepala dan Leher Indonesia (JOKLI)
Aladin Aladin
Fakultas Kedokteran Universitas Andalas
Astronomy Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Adolescent Pregnancy and Child Marriage: Current Situation in Indonesia Aladin Aladin
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.353-362.2023

Abstract

Adolescent pregnancy and child marriage is a common public health problem worldwide.  It is one of the key issues concerning reproductive health of women not only in developing countries but also in developed countries, including Indonesia.  The international community is also aware that the problem of Adolescent pregnancy and child marriage is a very serious problem. The general implication is that women and children will be at risk in various aspects, related to unwanted marriages, forced sexual intercourse, pregnancy at a very young age, as well as an increased risk of transmission of HIV infection, other sexually transmitted diseases, and cervical cancer. The purpose of the article is to review current situation and issues on adolescent pregnancy and child marriage in Indonesia. 
Description of Post Anesthetic Shivering (PAS) in Post Spinal Anesthesia Caesarean Section Tuffahati Naura Rafifa; Rinal Effendi; Aladin
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.763-774.2024

Abstract

Background: Post anaesthetic shivering (PAS) is a fasciculation of the face, jaw, or head or the occurrence of muscle hyperactivity so that the body can produce heat after anesthesia. Multiple factors can influence the incidence of PAS including age, sex, ASA physical status, body mass index, type of anesthesia, duration of surgery, room temperature, preoperative body temperature (<36,5⁰C), and type of surgery.  Objective : The purpose of this study was to describe the incidence of PAS in post-spinal anesthesia caesarean section patients at RSIA Siti Hawa Padang Method: This research is a descriptive observational study using accidental sampling technique and obtained a total sample of 52 patients Result: The result showed that 25 of 52 patients (48,1%) experienced PAS. Most PAS events were experienced by moderate grade (25%), the age group >35 years (60%), underweight body mass index (62,5%), ASA II status (52,2%), preoperative temperature in the hypothermia group (51,4%), postoperative temperature in the normothermia group (66,7%), and operation duration >30 minutes (57,1%) Conclusion: Most of the patients did not experience PAS and most of PAS experience was moderate grade.
Original Research The Effect of Yoga or Nonpharmacotherapy on Dysmenorrhore in Medical Students of Andalas University, Indonesia Rifqah Wardah Astarini; Muhammad Zulfadli Syahrul; Mustafa Nour; Beni Indra; Aladin Aladin; Miftah Irramah
Jurnal sosial dan sains Vol. 4 No. 9 (2024): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v4i9.1522

Abstract

Background: Dysmenorrhea is a menstrual pain that is often experienced by young women, with a global prevalence of 16.8-81%. In Indonesia, the prevalence reaches 54.89%, with adolescent girls being the largest group. Treatment generally uses analgesics, but it has side effects. Yoga as a non-pharmacological therapy can reduce pain through muscle relaxation. Purpose: Analyzing the effect of yoga therapy on the intensity of the degree of dysmenorrhea in female students of the Class of 2018 Undergraduate Medical Education Study Program, Faculty of Medicine, Andalas University. Methods: This research uses a pure experimental design with a pre-test, post-test, and only group design, with a sample size of 32 people. The research instrument used in the study was a pre-test and post-test questionnaire, which contained VAS scores and guidelines regarding yoga movements. The questionnaire contains a Visual Analog Scale (VAS), which consists of a vertical scale from 0 to 10 cm. Results:  The results showed there were no differences related to age. As many as 18% of respondents usually took analgesics, while 81.3% did not take analgesics to treat dysmenorrhea before yoga therapy. Meanwhile, after yoga therapy, 5 out of 6 respondents who usually consumed analgesics in previous menstrual cycles no longer consumed analgesics, and one respondent still consumed analgesics. Bivariate analysis showed a value of p=0.00 (p<0.05), which means there is a relationship between the provision of yoga therapy and the degree of dysmenorrhea. Where providing yoga therapy can reduce the intensity of pain in respondents who experience dysmenorrhea. Conclusion: This research concludes that there is a significant relationship between the provision of yoga therapy and the degree of dysmenorrhea.
CAESAREAN SECTION INCIDENTS AND COST IN WEST SUMATRA: A COMPARATIVE STUDY BETWEEN PRIVATE AND PUBLIC HOSPITALS UNDER INA CBGS SYSTEM Aladin Aladin; Martga Bella Rahimi
Jurnal Kesehatan Masyarakat Andalas Vol 15 No 2 (2021): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v15i2.659

Abstract

Since its first launched in 2014, many hospitals claimed to have financial loss due to inequality between hospital real tariff and BPJS payment. It is important to identify the characteristics and trends of caesarean deliveries in hospitals prior to measuring the efficiency level under INA-CBGs system. However, until now there is yet to be a descriptive study to understand this issue comprehensively. To fill this research gap, this study aimed to compare caesarean section incidents and costs between private and public hospitals in West Sumatra, Indonesia. This study is expected to describe real situation related to caesarean cases and explore the preference of patients in the province for caesarean deliveries. This study was retrospective and cross-sectional design of caesarean section in all West Sumatran hospitals under INA-CBGs system. The data used was taken from BPJS region West Sumatra-Riau-Jambi for period 2016 to 2018. During that period, almost 59 thousand caesarean section were performed, of which 64% in private hospitals and 36% in public hospitals. Within three years, caesarean cases in private hospitals were almost doubled while public hospitals showed a decreasing trend. In 2018, three quarter of caesarean costs was paid by BPJS to private hospitals while public hospitals only received a quarter of total costs.
Analisis Faktor Determinan Kehamilan Remaja di Kota Padang Tahun 2025 Hadisty Aisyah Putri; Aladin Aladin; Husna Yetti
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52365

Abstract

Kehamilan remaja merupakan fenomena kesehatan masyarakat yang berdampak pada berbagai aspek, baik secara fisik, psikologis, dan aspek sosial ekonomi. Penelitian ini bertujuan menganalisis faktor determinan kehamilan remaja di Kota Padang dengan desain mixed methods, menggunakan pendekatan kuantitatif kasus-kontrol dan studi kasus kualitatif. Sampel terdiri dari 92 ibu dengan kehamilan pertama usia <20 tahun (kasus) dan 92 ibu dengan usia ≥20 tahun (kontrol). Analisis kuantitatif dilakukan dengan uji chi-square, dan regresi logistik. Hasil menunjukkan faktor signifikan adalah rendahnya dukungan keluarga (OR=6,5; p<0,001), rendanya dukungan teman sebaya (OR=2,3; p=0,010), rendahnya pengetahuan (OR=5,6; p=0,001), dan rendahnya dukungan tenaga kesehatan (OR=1,9; p=0,039), sementara pendidikan, pendapatan, dan media informasi tidak bermakna. Analisis multivariat menegaskan rendahnya dukungan keluarga sebagai faktor paling dominan (OR=6,9; p<0,001). Penelitian Kualitatif berfokus pada faktor yang paling dominan yaitu dukungan keluarga yang dilihat dalam konteks budaya minangkabau sebagai ciri khas Kota Padang. Temuan kualitatif menyoroti lemahnya komunikasi dan pola asuh orang tua, pengetahuan yang rendah, berkurangnya peran mamak dan ninik mamak. Disimpulkan bahwa pencegahan kehamilan remaja perlu melibatkan berbagai sektor terkait seperti dinas kesehatan, dinas pendidikan, pemerintahan kota padang, kementerian agama dan lembaga adat di Kota Padang.
Pendekatan Kuantitatif dan Kualitatif: Pengaruh Peer Educator Berbasis Health Belief Model terhadap Persepsi Pendewasaan Usia Perkawinan Shinta Sari; Aladin Aladin; Arni Amir
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.v10i3.58528

Abstract

Abstrak Pendewasaan usia perkawinan (PUP) merupakan strategi penting mencegah perkawinan anak dan kehamilan remaja yang berdampak pada kesehatan, sosial, dan ekonomi. Persepsi remaja berperan dalam pengambilan keputusan terkait perkawinan. Penelitian ini bertujuan menganalisis pengaruh peer educator berbasis Health Belief Model (HBM) terhadap persepsi remaja tentang PUP serta mengeksplorasi makna perubahan persepsi secara kualitatif. Desain mixed method sequential explanatory digunakan, dengan kuantitatif quasi-experiment one group pretest-posttest pada 58 remaja putri kelas XI SMAN 5 Padang yang dipilih secara simple random sampling, dan kualitatif melalui wawancara mendalam serta triangulasi pakar. Data kuantitatif dianalisis dengan uji dependent t-test, data kualitatif dianalisis secara tematik. Hasil univariat menunjukkan peningkatan rerata skor total persepsi dari 87,38 (SD=9,65) menjadi 113,66 (SD=5,77). Hasil bivariat menunjukkan perbedaan bermakna pada seluruh komponen HBM: perceived susceptibility (p=0,000), perceived severity (p=0,000), perceived benefits (p=0,000), perceived barriers (p=0,000), cues to action (p=0,000), dan self-efficacy (p=0,000). Analisis tematik kualitatif menghasilkan enam tema utama yang memperkuat temuan kuantitatif. Edukasi teman sebaya dirasakan lebih nyaman, relevan, dan tidak menghakimi. Pakar memvalidasi efektivitas pendekatan sebaya namun merekomendasikan evaluasi jangka panjang 1–3 bulan. Disimpulkan bahwa peer educator berbasis HBM efektif membentuk persepsi protektif terhadap PUP sebagai tahap awal perubahan perilaku. Kata Kunci: pendewasaan usia perkawinan, peer educator, Health Belief Model, persepsi remaja, pendidikan sebaya Abstract Maturation of marriage age (PUP) is a crucial strategy to prevent child marriage and adolescent pregnancy, impacting health, social, and economic aspects. Adolescent perceptions play an important role in marriage-related decision-making. This study aimed to analyze the effect of Health Belief Model (HBM)-based peer education on adolescents' perceptions of PUP and to qualitatively explore the meaning of these perceptual changes. A sequential explanatory mixed methods design was employed. The quantitative component used a quasi-experimental one-group pretest-posttest design with 58 eleventh-grade female students selected through simple random sampling at SMAN 5 Padang. The qualitative component involved in-depth interviews and expert triangulation. Quantitative data were analyzed using dependent t-test, and qualitative data were analyzed thematically. Univariate results showed an increase in the total mean perception score from 87.38 (SD=9.65) to 113.66 (SD=5.77). Bivariate analysis revealed significant differences in all HBM constructs: perceived susceptibility (p=0.000), perceived severity (p=0.000), perceived benefits (p=0.000), perceived barriers (p=0.000), cues to action (p=0.000), and self-efficacy (p=0.000). Thematic analysis produced six main themes reinforcing the quantitative findings. Peer education was perceived as more comfortable, relevant, and non-judgmental. The expert validated the effectiveness of the peer approach but recommended a 1–3 month long-term evaluation. It was concluded that HBM-based peer education effectively fosters protective perceptions of PUP as an initial stage of behavior change. Keywords: maturation of marriage age, peer educator, Health Belief Model, adolescent perception, peer education
Severity-Level Stratification and Robson Ten-Group Classification of Caesarean Sections at a Tertiary Referral Hospital in West Sumatra, Indonesia: A Cross-Sectional Study Muhammad Farhan Hawari; Aladin; Husnil Kadri
Archives of The Medicine and Case Reports Vol. 7 No. 3 (2026): Archives of The Medicine and Case Reports
Publisher : HM Publisher in collaboration with CMHC Research Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v7i3.907

Abstract

Caesarean section rates have risen worldwide, and the World Health Organization endorses the Robson Ten-Group Classification System as the global standard for facility-level audit. Severity-stratified Robson data remain scarce in Indonesia, and none exist for central Sumatra. This cross-sectional census characterised the clinical-severity distribution and Robson classification of caesarean sections at RSUP Dr. M. Djamil, the sole tertiary (type A) referral hospital for central Sumatra, during 2021. All 679 deliveries were reviewed by total sampling; 560 (82.47%, 95% CI 79.43–85.15) were caesareans, a fraction reflecting the apex-referral casemix rather than population practice. Proportions were estimated with Wilson confidence intervals, distributions tested by goodness-of-fit chi-square with Cohen's w, and indicators benchmarked against national and WHO standards. Severity level II predominated (48.93%, 95% CI 44.81–53.06), with level I (47.86%) and level III (3.21%) (chi-square=228.700, p<0.001, w=0.639). Robson Group 10 was largest (30.19%, 95% CI 26.86–33.75), followed by Group 5 (21.80%) and Group 2 (15.02%); Groups 5 and 10 together contributed 51.99%. Group 10 exceeded the Indonesian mean of 14.20% (prevalence ratio 2.13, 95% CI 1.90–2.38, p<0.001). Preterm single-cephalic pregnancies dominate this casemix and represent the priority target for severity-stratified caesarean audit and preterm-referral optimisation in Indonesian tertiary obstetric practice.
Correlation Between Maternal TNF-α Levels and Neonatal Outcomes in Obese Pregnant Women with Term Pregnancy Azzahra Azzahra; Yusrawati Yusrawati; Husnil Kadri; Aladin Aladin; Almurdi Almurdi
Molecular and Cellular Biomedical Sciences Vol 10, No 2 (2026)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21705/mcbs.v10i2.766

Abstract

Background: Maternal obesity causes chronic low-grade inflammation with elevated TNF-α, potentially disrupting the intrauterine environment and fetal development. Previous studies have primarily focused on preterm inflammation or cytokine levels earlier in pregnancy. However, data on the relationship between maternal TNF-α levels at term pregnancy and immediate neonatal outcomes in obese women remains limited, especially in the Indonesian population. This study evaluates their correlation in term obese pregnancies.Materials and methods: Maternal serum TNF-α levels were assessed in obese pregnant women with gestational age ≥37 weeks. Blood samples were collected during the third trimester of pregnancy and analyzed using ELISA. Neonatal outcome data were extracted from medical records and evaluated within the first 24 hours of life. Pearson correlation was applied to parametric variables, including maternal TNF-α levels and birth length, while Spearman correlation was used for non-parametric neonatal outcome variables. This cross-sectional study analyzed secondary data from a parent cohort.Results: Maternal TNF-α levels were not significantly associated with neonatal outcomes (all p>0.05). Pearson correlation analysis showed a weak association with birth length (r = 0.214). In contrast, Spearman correlation analyses demonstrated weak or negligible associations with birth weight (ρ = 0.227), head circumference (ρ = 0.043), APGAR score at 1 minute (ρ = −0.100), and at 5 minutes (ρ = −0.014).Conclusion: Maternal TNF-α levels were not significantly associated with neonatal outcomes among obese women with term pregnancies. Assessment of inflammatory status limited to the late third trimester may be inadequate to fully evaluate this relationship, indicating the need for future studies with inflammatory measurements initiated earlier in pregnancy. Keywords: TNF-α, maternal obesity, neonatal outcomes, APGAR score, term pregnancy
Efektivitas Kombinasi Psikoedukasi dan Relaksasi Otot Progresif terhadap Tingkat Kecemasan Remaja Putri di Sekolah Menengah Atas Nurjanah Nurjanah; Aladin Aladin; Yantri Maputra; Hudila Rifa Karmia; Rozi Sastra Purna; Laila Isrona
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.v10i3.59313

Abstract

Kecemasan merupakan masalah kesehatan mental yang umum terjadi pada remaja dan dipengaruhi oleh faktor biologis, psikologis, serta sosial. Remaja putri lebih rentan mengalami kecemasan dibandingkan remaja putra karena fluktuasi hormon reproduksi dan kecenderungan melakukan ruminasi dalam menghadapi masalah. Kecemasan yang berlangsung lama dapat menyebabkan penurunan prestasi akademik, isolasi sosial, depresi, serta gangguan kesehatan reproduksi. Upaya promotif dan preventif diperlukan untuk membantu remaja mengelolan kecemasan, salah satunya melalui psikoedukasi dan relaksasi otot progresif. Penelitian ini bertjuan untuk menganalisis pengaruh kombinasi psikoedukasi dan relaksasi otot progresif terhadap tingkat kecemasan remaja putri. Penelitian menggunakan desain quasi experiment dengan pendekatan pretest-posttest with control group. Sampel dipilij menggunakan teknik simple random sampling dan terdiri 100 remaja putri kelas XII SMA Negeri 10 Padang yang dibagi ke dalam kelompok intervensi dan kontrol, masing-masing sebanyak 50 orang. Hasil penelitian menunjukkan rerata kecemasan kelompok intervensi menurun dari 11,30±3,77 menjadi 5,84±3,99, sedangkan kelompok kontrol berubah dari 13,02±5,38 menjadi 12,50±5,03. Analisis General Linear Model (GLM) Repeated Measures menunjukkan pengaruh bermakna antara sebelum dan sesudah diberikan intervensi (p<0,05). Disimpulkan bahwa psikoedukasi dan relaksasi otot progresif efektif dalam menurunkan tingkat kecemasan pada remaja putri.
Determinants of VIA Test Acceptance among Women of Reproductive Age at Padang Pasir Putri Aqischa Cahyani; Aladin Aladin; Husna Yetti
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.10.1.124-134.2026

Abstract

Introduction: Visual Inspection with Acetic Acid (VIA) is an early detection method for cervical precancerous lesions. VIA coverage in Indonesia remains low. This study aimed to analyze the association of sociodemographic factors, information sources, and husband’s support with VIA test acceptance among women of reproductive age at Padang Pasir Health Center, Padang City. Method: An analytic observational study with a cross-sectional design was conducted in December 2023. The population consisted of women of reproductive age in the working area of Padang Pasir Health Center. A total of 100 respondents were selected using consecutive sampling. Data were collected through structured interviews with questionnaires and analyzed statistically. Result: The analysis revealed no significant association between age, education, occupation, or socioeconomic status and VIA acceptance. In contrast, information sources and husband’s support were significantly associated with acceptance. No significant relationship was found between acceptance and actual participation in VIA screening. Conclusion: Sociodemographic factors did not influence VIA acceptance. Information access and husband’s support were key determinants of willingness to undergo VIA testing. Strengthening health promotion and involving husbands in cervical cancer prevention programs are recommended strategies to increase VIA coverage.
Co-Authors Alma Sylvhanie Lufthi Almurdi Almurdi Amir, Arni Azzahra Azzahra Beni Indra, Beni Dedy Kurnia Dina Arfiani Rusjdi Edison Edison Faisal D Brawidya Firdawati Firdawati Firdawati Firdawati Hadisty Aisyah Putri Helmy Aries Stiawan Hudila Rifa Karmia Husna Yetti Husnil Kadri Husnil Kadri Laila Isrona Linosefa Linosefa Martga Bella Rahimi Meiriza, Wira Miftah Irramah Muhammad Farhan Hawari Muhammad Rafif Helery Muhammad Rafky Alfi Putra Muhammad Zaldy Rasyid Putra Mustafa Nour Nurjanah Nurjanah Nuzulia Irawati Putri Aqischa Cahyani Raina Maghri Jodie Rifqah Wardah Astarini Rinal Effendi Rozi Sastra Purna Sandra Ilona Shinta Sari Sukri Rahman Syahrul, Muhammad Zulfadli Tjahjono Kuntjoro Trisasi Lestari Tsurayya Pertiwi Femilia Tuffahati Naura Rafifa Yantri Maputra Yaslinda Yaunin Yusrawati Yusrawati