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Differences in Food Security Based on Family Income and Its Impact on Stunting Among Children Under Five in Padang Lawas Regency North Sumatera Province Sri Melda Br Bangun; Nur Indrawati Lipoeto; Novizar Nazir; Rosfita Rasyid; Yonariza Yonariza; Hardisman Hardisman; Masrul Masrul; Firdawati Firdawati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.23728

Abstract

Indonesia continues to face nutritional challenges, with a high prevalence of stunting. incidence Padang Lawas Regency is one of the regions in North Sumatra Province with a relatively high of stunting. Stunting is influenced by several factors, one of which is food security. Food security depends on family income; inadequate family income leads to poor food security, making families unable to meet children's primary and secondary needs. This study aims to analyze differences in food security based on family income and its impact on stunting incidence among children under five in Padang Lawas Regency North Sumatera Province. This research is an analytical survey using a cross-sectional study design. The study was conducted in Padang Lawas Regency, specifically in six sub-districts with the highest number of children under five: Sosa, Hutaraja Tinggi, Barumun, South Barumun, Batang Lubu Sutam, and Sosa Julu. The research was carried out from October 2024 to February 2025. The study population consisted of all families with children aged 6-59 months across the six sub-districts, totaling 9,181 families. Using Slovin's formula, the sample size was determined to be 384 families. A multistage cluster sampling technique was employed for sample selection. Data collection was conducted through interviews and observations. Data analysis included univariate analysis and bivariate analysis using an independent t-test and simple logistic regression with a significance level of 95% (α = 0.05). The study results indicate a significant difference in food security based on family income (P-value = 0.001). Moreover, there is a significant impact of family food security on stunting incidence among children under five in Padang Lawas Regency (P-value = 0.001; Exp.B = 13.908). It is recommended that the Padang Lawas Regency Government improve the local economic system by facilitating job opportunities for the community. Keywords: Family income, food security, stunting
FACTORS INFLUENCING STIGMA AGAINST PEOPLE WITH MENTAL DISORDERS IN INDONESIA: A SYSTEMATIC REVIEW Maximilianus Dasril Samura; Afrizal; Amel Yanis; Hardisman
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 6 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i6.4488

Abstract

Stigma against People with Mental Disorders (ODGJ) remains a major challenge in Indonesia's mental health system. This stigma affects various aspects of their lives, from social discrimination to limited access to mental health services. This study aims to identify the factors influencing stigma against ODGJ in Indonesia through a systematic review of literature published in the last ten years. The analysis focuses on individual, familial, socio-cultural, and structural factors contributing to stigma. The findings indicate that stigma is influenced by the public's lack of understanding of mental health, social pressure experienced by ODGJ families, cultural norms linking mental disorders to mystical beliefs, and limited government policies supporting mental health services. A comprehensive approach, including mental health education, family empowerment, community-based interventions, and improved mental health policies, is needed to reduce stigma and enhance the quality of life for individuals with mental disorders.
Literature Review: The Effect of Progressive Muscle Relaxation Technique on Dysmenorrhea In Adolescent Girls Viani, Zalestya; Yulizawati, Yulizawati; Hardisman, Hardisman; Halida, Erda Mutiara; Fitria, Henni
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.23-30.2025

Abstract

Dysmenorrhea is menstrual pain that can interfere with activities. Primary dysmenorrhea is a condition that occurs due to changes in prostaglandin hormone levels. In Indonesia, the prevalence of primary dysmenorrhea in 2019 was 54.89%. Dysmenorrhea can be alleviated through non-pharmacological methods, one of which is the progressive muscle relaxation technique, which has no side effects. This study aim to examine the effect of progressive muscle relaxation techniques in reducing primary dysmenorrhea. This study was a literature review using the scoping review method, conducted from April 2024 to February 2025. Data was collected from databases (PubMed, ScienceDirect, Google Scholar, and GARUDA) with publications from 2019 to 2024. The data analysis was carried out using thematic analysis. The selected articles were organized into a PRISMA-ScR (Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping reviews) flow diagram, resulting in 15 analyzed articles. The research results indicate that progressive muscle relaxation techniques have an effect on reducing primary dysmenorrhea. However, factors such as stress experienced by women during relaxation exercises and an unconducive environment may affect the success of the technique
Literature Review: The Relationship Between Tea Dringking Habits and The Incident of Anemia in Pregnant Women Mulya, Ketrin Permata; Hardisman, Hardisman; Yulizawati, Yulizawati
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.40-47.2025

Abstract

Background: Pregnancy anemia is condition when the hemoglobin (Hb) less than 11 g/dL. Based on the Indonesian Healthy Survey in 2023, the prevalance of pregnancy anemia was 27,7%. One of the risk factors was excessive consumption of tea, because it contained tannins that inhibited iron absorption.Purpose: The purpose of this study was to determine the relationship between tea drinking habits and the incidence of anemia in pregnant woman.Methods: This type of research was a literature review with a scoping review method, conducted from March 2024 to March 2025. Data were collected through digital database sources, namely: Pubmed Central, Sciencedirect, Google Scholar, DOAJ, and Garuda, published from 2019-2024. Data were analyzed using thematic analysis.Results: Relevant articles was selected based on inclusion and exclusion criteria, and processed usinh the PRISMA-ScR flow diagram. 21 articles were identified for analysis. 21 articles were analizied by thematic analysis.Conclusion: The study show, that the habit of drinking tea is associated with the incidence of anemia during pregnancy. The frequency of daily tea consumption with an amount of 1, 2, or 3 cups causes anemia and the timing of tea consumption before, after or with meals within a time span of up to 1 or 2 hours is also associated with pregnancy anemia
The Relationship Between Macronutrient Intake And Menarche Age in Adolescent Girls At Junior High School 13 Padang Sabrina, A`thifa; Hardisman, Hardisman; Yulizawati, Yulizawati; Rita, Rauza Sukma; Iffah, Ully; Fitria, henni
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.16-22.2025

Abstract

Menarche is the first menstrual period that indicates that a woman has reached biological maturity. The age  of menarche continues to decline over time and is influenced by various factors such as nutrition, genetics, and socioeconomics. The intake of macronutrients such as carbohydrates, proteins, and fats plays a role in the maturation process of reproductive and hormonal organs that affect the age of menarche. Changes in nutrient consumption patterns among adolescents today can have an impact on  the earlier or delayed age shift of menarche which can be a sign of developmental or hormonal problems. This study used an associative analytical design with a cross sectional approach and purposive sampling techniques for 55 respondents. The instrument used was the SQ-FFQ questionnaire to measure macronutrient intake with the results of measuring total energy and menarche  age data obtained through interviews. The results of the study showed that 67.3% of respondents had no more energy intake, 32.7% had more energy intake, and  85.5% had normal menarche age, 14.5% abnormalized menarche age. The results of the analysis of Macronutrient energy intake with menarche age  with the Yates Correction or Continuity Correction test were obtained p = 0.125. These results show that there is no relationship between macronutrient energy intake and menarche age  in adolescent girls at SMPN 13 Padang.Based on the results of the study, it can be concluded that there is no statistically significant relationship between macronutrient energy intake and menarche age. It is hoped that the age  of menarche is influenced by many factors apart from macronutrient intake, namely nutritional quality, hormones, and socio-economic factors.
The Relationship Between Knowledge Level and Social Media Use with Participation in the COVID-19 Vaccination Program in Pangkalan Kerinci Urban Village Fitri Salwa Huriani; Lili Irawati; Hardisman; Rosfita Rasyid; Biomechy Oktomalio Putri
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 12 No 2 (2025): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol. 12.2 (2025)
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v12i2.1001

Abstract

Introduction: COVID-19 vaccination represents a crucial public health strategy for controlling viral transmission by inducing protective immunity and reducing the severity of symptoms. Knowledge levels and social media exposure are among the factors that may influence individuals’ willingness to participate in vaccination programs. This study aimed to analyze the relationships between knowledge level, social media use, and community participation in the COVID-19 vaccination program in Pangkalan Kerinci Kota Urban Village. Methods: An analytic, cross-sectional design was employed involving 106 residents aged 17–65 years selected through proportionate stratified random sampling and consecutive recruitment. Data were analyzed using the Chi-square test. Results:Most respondents demonstrated good knowledge regarding COVID-19 vaccination and reported frequent use of social media platforms. Statistical analysis revealed no significant relationship between knowledge level and participation in the vaccination program (p = 0.610) or between social media use and vaccination participation (p = 0.302). Discussion:The absence of significant associations suggests that vaccination uptake in this population may be influenced more strongly by structural or contextual factors, such as access to health services, trust in local authorities, and availability of vaccination sites, rather than by cognitive understanding or social media exposure alone. High knowledge levels and active social media use do not necessarily translate into health-seeking behavior, indicating a possible gap between awareness and action. Future studies should explore additional determinants, including perception of risk, cultural influences, and policy-driven motivators. Conclusion: Knowledge level and social media use were not significantly associated with participation in the COVID-19 vaccination program in Pangkalan Kerinci Kota Urban Village.
Smoking Prevention in Indonesian Schools: Policy Opportunities in the Perspective of the Kingdons Multiple Streams Framework Roni Gunawan; Hardisman Hardisman
International Journal Of Health Science Vol. 5 No. 3 (2025): November : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i3.6168

Abstract

The prevalence of smoking among children and adolescents (school age) in Indonesia continues to increase, even though there have been various regulations such as Permendikbud No. 64 of 2015 and PP 109 of 2012. This fact indicates that schools are not yet able to become a safe and free environment from cigarette exposure. This study aims to analyze the dynamics of school-age smoking prevention policies using the Kingdon's Multiple Streams Framework (MSF), which identifies three major currents in policy: problem, policy, and politics. Through an integrative literature review approach to various scientific sources and policies for the 2021–2025 period, this study found that problem and policy streams have been relatively strong, but political streams are still weak. The lack of political commitment, the strong influence of the cigarette industry, and the lack of ratification of the FCTC are the main obstacles to the opening of the policy window. The proposed strategy includes a softening up approach with a focus on preventing smoking in schools as a form of protecting the future generation of the nation, as well as coupling focusing events by utilizing viral events to suppress public opinion and policymakers. The role of policy entrepreneurs from academics, teachers, NGOs, and educational and health institutions is very crucial in uniting the three policy streams. This study encourages the birth of new policies that are more specific, evidence-based, and sustainable in protecting school children from the dangers of smoking.
Placental LEP Promoter Hypomethylation is Associated with Increased Leptin and Umbilical Artery Vascular Resistance in Maternal Obesity Fridsto, Zeino; Serudji, Joserizal; Defrin, Defrin; Hardisman, Hardisman
The Indonesian Biomedical Journal Vol 18, No 1 (2026)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v18i1.3911

Abstract

BACKGROUND: Maternal obesity has been associated with altered fetal development involving metabolic, hormonal, vascular, and epigenetic processes. The leptin (LEP) gene is crucial for placental angiogenesis and fetal growth. However, evidence linking placental LEP promoter methylation status with both leptin levels and umbilical artery vascular resistance in the context of maternal obesity remains limited. Therefore, this study was conducted to investigate the association of placental LEP promoter hypomethylation with increased leptin levels and umbilical artery vascular resistance in maternal obesity.METHODS: A cross-sectional study was conducted in 35 obese and 35 normal-body mass index (BMI) pregnant women delivering at term. Genomic DNA was extracted from placental tissue for the placental LEP promoter methylation examination using bisulfite conversion and CpG pyrosequencing. Umbilical artery systolic/diastolic (S/D) ratio was measured by Doppler ultrasonography, and umbilical cord leptin levels were analyzed from umbilical cord blood using enzyme-linked immunosorbent assay (ELISA).RESULTS: Total LEP promoter methylation did not differ significantly between groups (p=0.252), but five CpG sites (CpG 5, 11, 13, 16, and 17) showed significant hypomethylation in the obesity group. Umbilical cord leptin levels were significantly higher in infants of obese mothers (p=0.002). The S/D ratio was also significantly higher in the obesity group (p<0.001), indicating increased placental vascular resistance. Maternal age, parity, and gestational age were comparable between groups.CONCLUSION: Placental LEP promoter hypomethylation at specific CpG sites (CpG 5, 11, 13, 16, and 17) in maternal obesity is associated with increased leptin levels and elevated umbilical artery vascular resistance, suggesting a potential epigenetic mechanism linking maternal obesity to placental vascular dysfunction and altered fetal development.KEYWORDS: maternal obesity, leptin, DNA methylation, placenta, umbilical artery Doppler, fetal programming
Implementasi Program Teratai Sebagai Model Edukasi Berbasis Sekolah Untuk Peningkatan Kepatuhan Konsumsi Tablet Tambah Darah Pada Remaja Putri Rahmadana, Muhammad Haritsyah; Monika, Cici; Amalia, Vella; Hidzra Wafi Habib; Siregar, Fatia Putri Barokah; Rima Semiarty; Hardisman, Hardisman
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 4 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i4.789

Abstract

Anemia among adolescent girls remains a major public health problem, largely due to poor adherence to iron supplementation programs. According to the 2024 Nanggalo Public Health Center report, SMP IT Dar El Iman Padang had the highest rate of anemia among adolescent girls in the area. This community engagement project aimed to improve knowledge and adherence to iron tablet (TTD) consumption through the TERATAI (Teratur Minum Tablet Tambah Darah, Tolak Anemia) program. The activity was conducted on August 25, 2025, at SMP IT Dar El Iman, Padang, involving 114 seventh-grade female students. Interventions included interactive health education, educational video screening, poster distribution, appointment of anemia ambassadors, and training on the use of Google Forms for monitoring TTD consumption. Evaluation was carried out through pre- and post-tests to assess knowledge improvement and through a four-week monitoring of adherence. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of p<0.05. The mean knowledge score increased from 65.4 ± 9.2 to 82.1 ± 8.5 after the intervention (p<0.001), representing an average improvement of 25.5%. TTD adherence rose from 58.7% to 86.4% by week four. Furthermore, 91% of participants reported that the activity was engaging and beneficial, and teachers observed greater student motivation to take TTD regularly. The TERATAI program effectively improved students’ knowledge and adherence to TTD consumption. This school-based educational approach, supported by healthcare professionals and teachers, demonstrated positive impacts and is highly replicable as a sustainable model for adolescent anemia prevention programs.
Factors Associated with Pregnancy Hypertension Risk Sinambela, Megawati; Hardisman, Hardisman; Yusrawati, Yusrawati; Bachtiar, Adang; Masrul, Masrul; Mudjiran, Mudjiran; Malini, Hema; Defrin, Defrin
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i1.938

Abstract

Background: Hypertension in pregnancy needs to beware out because it can progress to more severe conditions, namely preeclampsia and eclampsia, thereby endangering the mother and the unborn baby. Risk factors in Hypertension in pregnancy are as age, education, occupation, parity, gestational age, economic factors, personal and family history of hypertension, obesity and activity/exercise.Objective: This study aims to determine the risk factors for Hypertension in pregnancy in Deli Serdang Regency, North Sumatra.Method: This study method used analytic observational with a cross sectional design. The study subjects were pregnant women at Public Health Center of Deli Serdang Regency who were considered the inclusion criteria and were selected as study subjects. The sampling technique by means of random sampling amounted to 164. Univariate analysis used to get an overview of the frequency distribution and percentage of the variables to be studied. Bivariate analysis used to determine the relationship between the independent variable and the dependent variable. The statistical test was Chi-Square with CI 95%.  If p < 0.05. Multivariate analysis with logistic regression statistical tests to determine the influence of the independent variables on the dependent variable. Independent variables with p value <0.25 were included in the multiple logistic regression test model and selected using the enter method. The strength of the influence of the independent variable on the dependent variable is the Exp value (ß).Result: The results of the study proved the results of Multivariate analysis, can be synthesized that the risk factors for pregnancy hypertension were influenced by factors: education (p=0.045), parity (p=0.047), gestational age (0p=0.040), personal history of hypertension (p=0.013), history family (p=0.049), and obesity (p=0.016). While the factors of age, occupation, economy and activity/exercise have no effect on risk factors for hypertension in pregnancy. Based on Exp value (B), the most influential factor was personal history of hypertension (p=0.013). This is indicated by the Exp value (B) = 2.710 which is in the interval 1.234 – 5.953, followed by obesity (p=0.016) with the Exp value (= 2.612) which is in the interval 1.192 – 5.725.
Co-Authors - Afrizal A. Heri Iswanto Abdi Setia Putra Abdiana Abdiana Abdiana, Abdiana Adang Bachtiar Adang Bachtiar Afriwardi Afriwardi Afrizal AFRIZAL AFRIZAL Afrizal Afrizal Afrizal Afrizal Ahmad Adi Trianto Aini Gusmarina Alfi Rudiman Amalia, Vella Amel Yanis Amelin, Fitrisia Andani Eka Putra Andina Dwinanda Anggina, Yani Anggrainy, Fenty Annisa Rahmi Adriyanti Anshar Bonas Silfa Antoni, Adi Aprila, Prety Zinta Ardian Amri Ari Fuad Fajri Astiena, Adila Kasni Aswiyanti Asri Aumas Pabuti Ayunda, Aldina Berlian Kurnia Wati Bobby Indra Utama Chendra Perdana Putra Dedy Almasdy Dedy Irfan Defriman Djafri Defrin Defrin Defrin, Defrin Delmi Sulastri Desmiwarti Desmiwarti Desy Nofita Sari Dewi Susanti Dewi Susanti Dian Isti Angraini Dian Isti Angraini Dian Mayasari Dian Pertiwi Dien Gusta Anggraini Nursal Dwi Novilolita Dwiesfiza Muharawita Edison, Edison Efendi, Nursyirwan Eka Fithra Elfi Eka Kurniawan Eka Nofita Ekowati Rahajeng Erlinengsih Erlinengsih, Erlinengsih Essy Mandriani Etriyel, Etriyel Eva Decroli Evi Hasnita Fadilla Azmi Fadrian, Fadrian Faisaelia, Rezka Nanda Fajri, Ari Fuad Farisha, Selfi Fathiyyatul Khaira Febriyanti Nursa Fenty Anggraini Filda Filda Firdawati Firdawati Firdawati Firdawati, Firdawati Fitri Salwa Huriani Fitria, Henni Fridsto, Zeino Fuji Rahayu Henafi Gunawan, Roni Gustari, Indah Hadyan Imal Fathoni Halida Halida Hanafi Nilifda Haria Fitri Hariselmi Hariselmi Hasmiwati Hema Malini, Hema Hermafasya, Ayu Octarin Hidzra Wafi Habib Hindun Mila Hudzaifah Hirowati Ali Husna Yetti Husna Yetti Ibrarodes Ibrarodes Ichsan Arif Ida Rahmah Burhan Iffah, Uliy Iffah, Ully Ihsan, Indra Ikhsan Yusda Ilma Nuria Sulrieni Inova Gusmelia Irvan Medison Ismed, Gabila Heira Muthia Joserizal Serudji Kamal Kasra Karokaro, Tati Karokaro, Tati Murni Kartika, Putri Sri Khoirunnisa Putri Laila Isrona Leona, Denada Florencia Lili Irawati Linosefa Linosefa Lulisa Desrama Tasya Maharani, Dini Siskia Mahata, Liganda Endo Maiyulia Fitri Masrul Masrul Masrul Masrul Masrul Maulana, Afdal Maximilianus Dasril Samura Megawati Sinambela Melinda Noer Menkher Manjas Meryana Azan, An’nisyah Mike Rismayanti Milletesya Govanda Miranie Safaringga Mohamad Reza Monika, Cici morika, honesty diana Mudjiran Mudjiran Mudjiran Mudjiran Mulya, Ketrin Permata Musyarifah, Zulda Nadhif, Putriku Fatiya Nadjmir Nadjmir Najirman Nelmi Silvia Nila Kasuma Nita Afriani Novfattra Novfattra Novialdi . Novizar Nazir Nur Afrainin Syah Nur Indrawati Lipoeto Nur Indrawati Lipoeto Nur Indrawati Lipoeto Nur Indrawati Lipoeto Nur Indrawaty Lipoeto Nurdin, Aguswan Nurlindawati Nurlindawati Nurul Fitri Khumaira Oktalina, Dyanti Oktarini, Sisca P.A Kodrat Pramudho Prayitno, Irwan Putra, Abdi Setia Putri, Biomechy Oktomalio putri, Joana Rahma Putri, Viorika Marsafa Rahmadana, Muhammad Haritsyah Rahmat Syawqi Rahmawati, Rahmawati Ratu Fawwaz Efendi Rauza Sukma Rita Remi Famel Reni Zulfitri Rika Ampuh Hadiguna Rima Semiarty Rizal, Wadratul Jannah Rizanda Machmud Rizanda Machmud Rosfita Rasyid Rosfita Rasyid Roslaili Rasyid Rozi Sastra Purna Sabrina, A`thifa Salmiah Agus Salmiah Agus Selfi Farisha Selian, Rada Almina Semiarty, Rima Yunita Semiarty, Semiarty Sharfina Shoulhuna, Ziadati Silvia Harpeni Sinambela, Megawati Siregar, Fatia Putri Barokah Siti Syamsyiah Sitompul, Sahran Azhari Sri Melda Br Bangun Susanty, Desy Syahredi Syahredi Syamsiarti Syamsiarti Syukriadi, Syukriadi Teguh Widodo Trianengsih AT Ulfa Farrah Lisa, Ulfa Farrah Utama, Bobby Indra Utami, Riezka Putri Vanessa Alivia Savira Verinita, Verinita Viani, Zalestya Vicky Warian Triwibowo Vivi Triana Waldatul Hamidah Wati, Westi Permata Wilda Tri Yuliza Yandrizal Yandrizal Yantri Maputra Yefri Zulfiqar Yenita . Yenita Afriyeni Yonariza Yonariza Yulia Primiyani Yulistini Yulistini, Yulistini Yulizawati Yulizawati . Yulizawati, Yulizawati Yuniar Lestari Yuniar Lestari Yusrawati Yusrawati Zulda Musyarifah Zurayya Fadila