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Bambang Setiaji
Universitas Mitra Indonesia
Humanities Dentistry Education Energy Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Factors Associated with Mental Health Status of Pregnant Women Eliyana Eliyana; Bambang Setiaji; Dian Utama Pratiwi Putri; Endang Budiati
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): 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.v8i3.1592

Abstract

Mental health of pregnant women is an important aspect of efforts to improve the health status of mothers and children. South Lampung Regency still faces low achievement in mental health screening of pregnant women (22.27%). This study aims to determine the factors associated with the mental health status of pregnant women in South Lampung Regency in 2025. This study employed a quantitative approach with a cross-sectional analytical design. The study population consisted of all pregnant women attending nine selected community health centers in South Lampung Regency, with a total sample of 415 respondents selected using proportional random sampling. The dependent variable, namely the mental health status of pregnant women, was measured using the Edinburgh Postnatal Depression Scale (EPDS), which has been validated in the Indonesian population and demonstrated good reliability, with Cronbach’s alpha ranging from 0.78 to 0.85, indicating satisfactory internal consistency. A cut-off score of ≥10 was applied to classify pregnant women as being at risk of depression, as this threshold is considered sensitive for community-based screening in primary health care settings. The independent variables maternal age, gestational age, residence, spousal support, frequency of antenatal care (ANC) visits, and history of mental disorders were measured using a structured questionnaire. Data analysis was conducted using univariate, bivariate (Chi-Square test), and multivariate (multiple logistic regression) analyses. The results of the chi-square test showed a significant relationship between the age of the pregnant woman (p=0.000; OR=2.755), gestational age (p=0.014; OR=1.684), place of residence (p=0.004; OR=0.544), spousal support (p=0.000; OR=0.462), frequency of ANC visits (p=0.026; OR=0.625), and history of mental disorders (p=0.000; OR=3.595) with the mental health status of pregnant women. Multiple logistic regression analysis showed that the dominant factor associated with the mental health status of pregnant women was a history of mental disorders in the family (OR=4.453).  In conclusion, there is a relationship between the age of pregnant women, gestational age, place of residence, spousal support, frequency of ANC visits, and history of mental disorders with the mental health status of pregnant women. The dominant influencing variable is a family history of mental disorders.
Factors Associated with Treatment Compliance among Hypertension Patients Miniarti Miniarti; Aila Karyus; Bambang Setiaji; Dewi Rahayu; Dian Utama Pratiwi Putri
Health Dynamics Vol 2, No 8 (2025): August 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20805

Abstract

Background: Hypertension, often referred to as a “silent killer,” is a major health problem because it frequently presents without symptoms. Poor adherence to antihypertensive treatment can lead to uncontrolled blood pressure, resulting in complications and damage to vital organs. This study aimed to identify factors associated with treatment compliance among hypertension patients in Pesisir Barat Regency in 2025. Methods: This quantitative research employed a cross-sectional design with data collected through questionnaires. The study involved hypertension patients aged 45–70 years and was conducted from February 20 to March 22, 2025. Data included demographic characteristics and factors related to treatment compliance. Bivariate analysis was conducted using the chi-square test, while multivariate analysis was performed using multiple logistic regression. Results: The duration of hypertension was not significantly associated with treatment compliance (p = 0.080). In contrast, significant associations were found with knowledge about hypertension (p = 0.000), motivation to seek treatment (p = 0.000), family support (p = 0.002), role of health workers (p = 0.000), accessibility of health services (p = 0.001), family history of hypertension (p = 0.008), and treatment history (p = 0.005). Conclusion: Several factors were identified as significantly influencing treatment compliance, with the role of health workers emerging as the most dominant factor. Strengthening the role of health workers, alongside family-based interventions and improved access to health services, is recommended to enhance treatment compliance among hypertension patients.
Efektivitas Aplikasi Seluler SATUSEHAT terhadap Pengetahuan, Sikap, dan Perilaku Mengenai Deteksi Dini Risiko Kehamilan di Kota Bandar Lampung Bambang Setiaji; Yessica Putri Arum; Aila Karyus; Dian Utama Pratiwi Putri
An Idea Health Journal Vol 5 No 04 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i04.903

Abstract

Background: Infant mortality remains an important indicator of public health status, partly caused by delayed early detection of pregnancy complications due to inadequate knowledge, attitudes, and behaviors of pregnant women regarding pregnancy danger signs. Digital health technology (mobile health/mHealth), including the SATUSEHAT Mobile application, has the potential to improve maternal health literacy. This study aimed to analyze the effectiveness of the SATUSEHAT Mobile application in improving pregnant women's knowledge, attitudes, and behaviors toward early detection of pregnancy risks in Bandar Lampung City in 2026. A quasi-experimental study with a non-equivalent control group design was conducted on 72 second- and third-trimester pregnant women (36 intervention and 36 control). The intervention group received education and guidance on using the application for four weeks. Data were collected using pretest-posttest questionnaires and analyzed using paired sample and independent sample t-tests. Results showed significant improvements in the intervention group, with knowledge increasing from 49.88 to 69.88 (p<0.001), attitude from 40.77 to 49.52 (p<0.001), and behavior from 53.13 to 63.69 (p<0.001), with large to very large effect sizes. The independent sample t-test revealed significant differences between the intervention and control groups in knowledge, attitude, and behavior (p<0.001). The SATUSEHAT Mobile application is effective as a digital health promotion tool for improving pregnant women's knowledge, attitudes, and behaviors toward early detection of pregnancy risk.
The Relationship of Health Belief Model Components with Hepatitis B Vaccination Compliance among Nurses at RSUD H.M. Ryacudu Kotabumi Bambang Setiaji; Sugeng Eko Irianto; Arifaa Thalitha Zuleikha; Dian Utama Pratiwi Putri
Health Dynamics Vol 3, No 8 (2026): August 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30803

Abstract

Background: Hepatitis B remains a global health problem that can progress to cirrhosis and liver cancer. Nurses face elevated occupational exposure through contact with patients’ blood and body fluids, making vaccination compliance essential, yet completion rates among health workers remain suboptimal. This study aimed to determine the relationship between Health Belief Model (HBM) components and Hepatitis B vaccination compliance among nurses at RSUD H.M. Ryacudu Kotabumi, North Lampung, in 2026. Methods: This analytic quantitative study used a cross-sectional design. A sample of 105 nurses was selected through proportionate stratified random sampling from a population of 173 nurses. Data were collected using a structured questionnaire adapted from validated HBM instruments and analyzed univariately, bivariately using the Chi-square/Fisher Exact test, and multivariately using multiple logistic regression. Results: Among the 105 respondents, 71 (67.6%) were compliant with Hepatitis B vaccination. Bivariate analysis showed significant associations between compliance and perceived susceptibility (p=0.003), perceived severity (p<0.001), perceived benefits (p<0.001), perceived barriers (p<0.001), cues to action (p<0.001), and self-efficacy (p<0.001). Multivariate analysis identified perceived benefits as the most dominant factor (p=0.003; OR=13.63; 95% CI 2.39–77.71), followed by self-efficacy (p=0.007; OR=12.44) and perceived barriers (p=0.004; OR=0.09). Conclusion: HBM components are associated with Hepatitis B vaccination compliance among nurses, with perceived benefits as the most dominant determinant. Hospitals should prioritize strengthening nurses’ understanding of vaccination benefits through targeted health education, workplace policy support, and continuous promotion to improve occupational vaccination coverage.
Factors Associated with the Control of Random Blood Glucose Levels Among Patients with Type 2 Diabetes Mellitus Siti Sholeha; Dian Utama Pratiwi Putri; Endang Budiati; Bambang Setiaji
Health Dynamics Vol 3, No 9 (2026): September 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30905

Abstract

Background: Type 2 diabetes mellitus remains a major public health problem due to its rising prevalence and the risk of chronic complications from poor blood glucose control. Socio-demographic characteristics, knowledge, access to health services, family support, and medication adherence are believed to influence glucose control. This study aimed to determine the factors associated with the control of random blood glucose levels among patients with type 2 diabetes mellitus in North Lampung Regency in 2025. Methods: This cross-sectional analytic study involved 382 respondents selected by proportional random sampling from 6,770 patients with type 2 diabetes mellitus in 27 public health centers in North Lampung Regency. Data were collected through structured questionnaires and medical records and analyzed using univariate, bivariate (Chi-square), and multivariate (logistic regression) analysis. Results: Age (p = 0.036), gender (p = 0.025), education (p = 0.040), knowledge (p = 0.001), access to health services (p = 0.031), family support (p = 0.037), health worker support (p = 0.039), perception of disease (p=0.039), and medication adherence (p = 0.000) were significantly associated with blood glucose control. Medication adherence was the most dominant factor (OR = 7.75). Conclusions: Medication adherence, knowledge, family support, and health worker support are the most significant factors associated with random blood glucose control. Strengthening patient education, access to health services, and family and health worker support is essential to improve adherence and achieve optimal glucose control.
Factors Associated with Adherence of Pregnant Women in Consuming Iron Supplementation Tablets Putri Widya Utami; Bambang Setiaji; Aila Karyus; Dian Utama Pratiwi Putri; Endang Budiati
Health Dynamics Vol 3, No 10 (2026): October 2026 (In Progress)
Publisher : Knowledge Dynamics

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

Abstract

Background: Anemia in pregnant women remains a significant public health problem that can increase the risk of pregnancy complications, childbirth complications, and maternal and infant mortality. One of the main strategies to prevent anemia is the consumption of iron supplementation tablets (TTD). However, the level of adherence among pregnant women in consuming TTD is still not optimal, including in North Lampung Regency. Several factors such as socio-demographic characteristics, knowledge, attitude, and social support are believed to influence adherence behavior. This study aimed to determine the factors associated with adherence of pregnant women in consuming iron supplementation tablets in North Lampung Regency in 2025. Methods:  This study employed a quantitative analytic design with a cross-sectional approach. The population consisted of all pregnant women in the working area of the North Lampung District Health Office. A total of 298 respondents were selected using proportional random sampling. Data were collected through structured questionnaires. Data analysis included univariate analysis, bivariate analysis using the Chi-square test, and multivariate analysis using logistic regression with the backward method. Results: The results showed that a majority of respondents were adherent to consuming iron supplementation tablets. Bivariate analysis indicated significant relationships between age, education, knowledge, attitude, health worker support, and husband’s support with adherence (p<0.05). Multivariate analysis revealed that knowledge, attitude, health worker support, and husband’s support were significant predictors of adherence. The most dominant factor influencing adherence was health worker support, indicating its critical role in improving compliance through education, motivation, and continuous assistance. Conclusions: There are significant factors associated with adherence of pregnant women in consuming iron supplementation tablets, particularly knowledge, attitude, health worker support, and husband’s support. Strengthening health education and enhancing the role of health workers, along with involving family support, are essential to improve adherence and prevent anemia during pregnancy.
Co-Authors Agus Widodo aila karyus Arifaa Thalitha Zuleikha Atika Adyas Atikah Adyas Cahya Fitri Ananda Dewi Rahayu Dian Utama Pratiwi Putri Dian Utama Pratiwi Putri Dian Utama Pratiwi Putri Diva Rizqi Arifah Dzaky Hammam Eliyana Eliyana Elsa Melinia Safitri Endang Budiati Ferizal Masra Kodrat Pramudho Lukman Roliawan Miniarti Miniarti Putri Widya Utami Santi Oktavia Sari, Cucuk Kunang Siti Sholeha Sugeng Eko Irianto Sugeng Irianto Syiefa Renanda Surya Triyani Rositasari Yessica Putri Arum