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Exposure to Internet Pornography: A Cross-sectional Study among Primary School-aged Children in Java Indraswari, Ratih; Widjanarko, Bagoes; Ifroh, Riza Hayati
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 3 (2025): March 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i3.6946

Introduction: In today's times, generation Z has extraordinary skills in finding information. This generation is very good at using gadgets to learn, play, and even earn their own income. Pornographic content often appears accidentally and begins to be known by children. Curiosity is often the reason teenagers access pornography and then end up with the practice of premarital sexual intercourse. This study aims to understand how primary school-age children behave in accessing pornographic content. Methods: This cross-sectional study sampled 63 students in fifth grade at a public primary school, using by total population sampling technique. Data was collected using a self-administered questionnaire technique. The data obtained were then analyzed using univariate analysis and linear regression. Results: Most respondents in this study were 11-year-olds (82.5%), comprising 41.3% boys and 58.7% girls, and not experienced puberty yet (60.3%). Of 39.7% have been accessing porn through handphone (41.3%) and laptop (1.6%). As many as 3.2% of children have accessed pornography since the age of < 7 years. About 17.5% of pornographic content accessed is in real motion. The content accessed is mostly pictures of naked people and kissing scenes. As many as 19% of children admitted to accessing pornography accidentally and immediately closed the access. Conclusion: The health department of Family Health and School Health needs to partner with parents to improve supervision and communication between parents and children. Providing healthy living skills training for children needs to be embedded into the educational curriculum so that skills can be carried out routinely and continuously.

Training Negosiasi dan Komunikasi bagi Aparatur Pemerintah Daerah Putri, Meyta Saraswaty; Indraswari, Ratih; Yoshanty, Gracelia; Martha, Jessica
SUBAKTYA: UNPAR COMMUNITY SERVICE JOURNAL Vol. 2 No. 1 (2025): (JULI 2025) SUBAKTYA: UNPAR Community Service Journal
Publisher : Universitas Katolik Parahyangan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26593/sucsj.v2i1.9279.44-53

Teknik negosiasi dan public speaking merupakan soft skills esensial yang dibutuhkan di berbagai sektor pekerjaan, termasuk dalam lingkungan pemerintahan yang menuntut kemampuan komunikasi strategis dan diplomasi yang baik. Menyadari pentingnya keterampilan ini dalam menunjang efektivitas kerja birokrasi, Tim Hubungan Internasional Universitas Katolik Parahyangan (HI Unpar) menginisiasi kegiatan pengabdian kepada masyarakat yang difokuskan pada pelatihan negosiasi dan public speaking bagi staf Bapperida Kota Bandung. Kegiatan ini merupakan bagian dari upaya memperkuat kolaborasi antara dunia akademik dan lembaga pemerintahan, dengan landasan awal berupa needs assessment yang mengidentifikasi kebutuhan peningkatan kapasitas di kedua aspek tersebut. Program dirancang secara komprehensif, menggabungkan pemahaman teoretis, simulasi praktik, serta pendekatan partisipatif untuk mendorong keterlibatan aktif peserta. Hasil evaluasi setelah kegiatan (post-assessment) menunjukkan adanya peningkatan signifikan dalam kemampuan negosiasi dan public speaking para peserta dibandingkan dengan sebelum pelatihan.

Perceptions, Barriers, and Challenges of Healthcare Providers in Adolescent Pregnancy Prevention Services: A Scoping Review Najma Fitya Afifa; Shaluhiyah, Zahroh; Indraswari, Ratih
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.ISI2.2025.178-188

Background: Adolescent pregnancy remains a significant global health problem, this is because related with increased risks to maternal and child health, psychology, as well as its socioeconomic. Efforts to provided quality adolescent sexual and reproductive health (ASRH) services as pregnancy prevention still need an understanding from the perspective of healthcare providers. Objective: This review aimed to explored the perceptions, barriers and challenges faced healthcare providers in provided ASRH services as an effort to prevent and reduce cases of adolescent pregnancy. Methods: The procedures began with a search on Scopus, ScienceDirect, dan EBSCOhost databases studies published between 2020 until 2025 using Arksey and O'Malley's framework and the PRISMA-ScR checklist. Based on the search results, a total of 11 peer-reviewed studies met stringent inclusion criteria, focusing perspective of healthcare providers. Results: This review was done of 11 articles that were screened and analyzed out of 337 articles. The articles come from United States of America, Uganda, South Africa, Tanzania, Lebanon, Haiti, Zambia, and Kenya, 9 articles utilizes qualitative designs and 2 articles utilizes cross-sectional designs. Conclusion: This review providing an overview variations in perceptions, barriers and challenges from perspective if healthcare providers in various countries on implementation of ASRH services and indicates need a holistic approach not only to adolescents as service recipients, but also to healthcare providers as key actors.

Facilitators and Barriers Factors of Exclusive Breastfeeding Practice among Unemployed Mothers: A Scoping Review Naibaho, Dewi Epipania; Syamsulhuda Budi Musthofa; Ratih Indraswari
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 9 (2025): September 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i9.7804

Introduction: Exclusive breastfeeding confers numerous health benefits on both mother and baby. Global data demonstrate that breastfeeding rates have not yet reached the 50% mark, indicating that more than half of the world's infants are not being exclusively breastfed. While unemployed mothers are known to be more likely to exclusively breastfeed, not all unemployed mothers have the ability to do so. The primary objective of this scoping review was to identify barriers and facilitators to exclusive breastfeeding among unemployed mothers. Methods: The review was conducted in accordance with the PRISMA guidelines, encompassing a systematic search of three databases (Scopus, PubMed, and EBSCOHost) for relevant articles published between 2014 and 2024. The initial search yielded 211 articles; however, only eight articles that met the predefined inclusion criteria were selected for further examination. Results: This review examined the barriers and enablers of exclusive breastfeeding among unemployed mothers by conducting a comprehensive analysis of eight articles published between 2017 and 2021. The articles under consideration were derived from a total of 211 articles collected across three databases using specific keywords and filtering tools. The classification of factors was conducted in accordance with L. Green's framework, which categorizes factors as predisposing, reinforcing, and enabling. The facilitator factors that were identified included adequate antenatal care, prior breastfeeding experience, and strong knowledge. The identified barriers encompassed caesarean delivery, health concerns, and inadequate knowledge. The practice of breastfeeding was influenced by a variety of factors, including family dynamics, healthcare support systems, and cultural norms. Conclusion: The findings from this review indicate the presence of predisposing and enabling factors in the internal aspects of the mother, infant condition, culture, support, health services, and other health practices. Predisposing factors play an important role as both enablers and barriers to exclusive breastfeeding in non-working mothers. This review highlights the need for more comprehensive interventions to assist mothers in improving exclusive breastfeeding practices.

Perspectives on Reproductive Health Education among Javanese Parents Widjanarko, Bagoes; Indraswari, Ratih; Kusumawati, Aditya; Handayani, Novia
Kesmas Vol. 17, No. 3
Publisher : UI Scholars Hub

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

This study aimed to investigate the perspectives of reproductive health education among Javanese parents of children aged 9-11 years. This cross-sectional study was conducted with 12,306 parents in Semarang City, Central Java Province, Indonesia, using a purposive sampling technique. Some parents agreed that reproductive health education at home was unnecessary (29.5%), taboo (45%), difficult (73.1%), and awkward (41.5%). Most parents (72.7%) were not transparent in providing reproductive health information to their children by using other terms to name the genitals, considering the politeness aspect. Good practices of providing reproductive health information are slightly more common in mothers (54.2%), unemployed parents (52.9%), those with a higher education level (69.5%), and those with a family income above the regional minimum wage (59.8%). As many as 76.9% of parents intensely monitor their children; however, 60.63% of parents have poor communications with their children. Parents believe that reproductive health information is essential for their children, but parents find the topic difficult with their children due to taboos and awkward feelings. Accordingly, the Indonesian Ministry of Health should empower parents to discuss reproductive health issues with their children openly.

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

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.

Training Negosiasi dan Komunikasi bagi Aparatur Pemerintah Daerah Putri, Meyta Saraswaty; Indraswari, Ratih; Yoshanty, Gracelia; Martha, Jessica
SUBAKTYA: UNPAR COMMUNITY SERVICE JOURNAL Vol. 2 No. 1 (2025): (JULI 2025) SUBAKTYA: UNPAR Community Service Journal
Publisher : Universitas Katolik Parahyangan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26593/sucsj.v2i1.9279.44-53

Teknik negosiasi dan public speaking merupakan soft skills esensial yang dibutuhkan di berbagai sektor pekerjaan, termasuk dalam lingkungan pemerintahan yang menuntut kemampuan komunikasi strategis dan diplomasi yang baik. Menyadari pentingnya keterampilan ini dalam menunjang efektivitas kerja birokrasi, Tim Hubungan Internasional Universitas Katolik Parahyangan (HI Unpar) menginisiasi kegiatan pengabdian kepada masyarakat yang difokuskan pada pelatihan negosiasi dan public speaking bagi staf Bapperida Kota Bandung. Kegiatan ini merupakan bagian dari upaya memperkuat kolaborasi antara dunia akademik dan lembaga pemerintahan, dengan landasan awal berupa needs assessment yang mengidentifikasi kebutuhan peningkatan kapasitas di kedua aspek tersebut. Program dirancang secara komprehensif, menggabungkan pemahaman teoretis, simulasi praktik, serta pendekatan partisipatif untuk mendorong keterlibatan aktif peserta. Hasil evaluasi setelah kegiatan (post-assessment) menunjukkan adanya peningkatan signifikan dalam kemampuan negosiasi dan public speaking para peserta dibandingkan dengan sebelum pelatihan.

Pengasahan kemampuan kognitif sehat pada siswa sekolah dasar melalui permainan keterampilan Berpikir Kritis Handayani, Novia; Indraswari, Ratih; Shaluhiyah, Zahroh; Kusumawati, Aditya
KACANEGARA Jurnal Pengabdian pada Masyarakat Vol 6, No 1 (2023): February
Publisher : Institut Teknologi Dirgantara Adisutjipto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28989/kacanegara.v6i1.1230

Sebagian besar permasalahan kesehatan saat ini disebabkan karena perilaku individu yang tidak sehat. Hal ini dapat dicegah jika tiap individu mampu berpikir kritis di setiap perilaku yang akan diadopsinya. Keterampilan berpikir kritis perlu diajarkan sejak dini. Pegabdian ini bertujuan untuk mengajarkan anak di SD Negeri Tlogosari Wetan 02 Semarang agar terampil berpikir kritis sebelum memutuskan sesuatu atau menyelesaikan permasalahan. Dengan demikian, mereka dapat menjauhi perilaku tidak sehat akibat pengaruh lingkungan sekitarnya saat memasuki fase remaja. Pengabdian ini menggunakan metode participatory community service dan diikuti oleh 64 siswa kelas 5 karena pada usia ini anak-anak mulai mengalami pubertas. Hasil pengabdian menunjukkan bahwa anak-anak sangat antusias dalam mengikuti pembelajaran karena dilakukan dengan cara bermain berkelompok serta bermain peran. Keterampilan berpikir kritis anak-anak meningkat dibandingkan sebelum diberi pembelajaran. Mereka memahami bahwa setiap tindakan harus dipikirkan dulu baik buruknya dan memahami proses pencarian alternatif yang sehat. Diharapkan anak-anak dapat menyebarluaskan pengetahuan tentang berpikir kritis di lingkungan pertemanan sekitarnya.

Strategies to increase community participation in controlling dengue mosquito breeding sites: a scoping review Isnaeni, Rizka Nur; Musthofa, Syamsulhuda Budi; Indraswari, Ratih
Berita Kedokteran Masyarakat Vol 41 No 12 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i12.22283

Purpose: Dengue Hemorrhagic Fever (DHF) is a growing global public health problem, particularly in low- and middle-income countries, and is influenced by social, environmental, and behavioral factors. Community participation plays a crucial role in the success and sustainability of dengue prevention. However, limited governance, weak cross-sectoral coordination, the dominance of top-down approaches, and a lack of resource support often hinder optimal community involvement. This study aims to identify literature on strategies to increase community participa- tion in dengue prevention practices. Methods: This scoping review used the methodological framework by Arksey and O'Malley. A scoping review was conducted by searching the Scopus, PubMed, and ScienceDirect databases using keywords related to community participation, prevention, and dengue fever. Original English-language research articles published between 2015 and 2025 and relevant to community-based dengue prevention were selected using the PRISMA process. Results: Eight articles met the inclusion criteria. The review results indicate that strong multi- sectoral governance, a bottom-up, participatory approach, and the use of social capital and local leadership are key to effective dengue prevention. Health education through schools, youth engagement, incentives, and innovative, contextualized interventions contribute to increasing the sus- tainability of prevention practices. Conclusion: Dengue fever prevention requires an integrated approach that positions the community as the pri- mary partner, supported by cross-sectoral collaboration, strengthening social capital, and sustainable resource support so that the impact of pre- vention can be sustained in the long term.

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