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The Relationship Between Age and Level of Knowledge About Menstruation and Readiness for Menarche in Grade IV - VI Female Students at Kertajaya Elementary School Afiliany, Amelia; Ahmad Suryawan; Rize Budi Amalia
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 1 (2025): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i1.1068

Abstract

Introduction: Menarche, the first menstruation, often elicits mixed reactions. Its occurrence is influenced by age and knowledge. Age shapes cognitive development and thinking patterns, while knowledge about menstruation affects perception. Limited knowledge and a decreasing age of menarche can hinder readiness for this milestone. Objectives: The purpose of this study is to determine the relationship between age and the level of knowledge about menstruation with readiness for menarche among fourth to sixth-grade students at SDN Kertajaya, Surabaya. Methods: This observational analytic study uses a cross-sectional design with 63 fourth to sixth-grade pre-menarche students from SDN Kertajaya, Surabaya, selected via total sampling. Data were analyzed using Spearman's rho. Results: The study revealed a significant relationship between age and readiness for menarche (p = 0.003). The proportion of girls ready for menarche increased with age: 62.5% (9–<10 years), 73.1% (10–<11 years), and 100% (11–<12 years). The negative correlation (r = -0.364) indicated that readiness for menarche improved with increasing age. Knowledge level also significantly influenced readiness for menarche (p < 0.01). Most girls with good knowledge were ready (94.3%), while no readiness was observed among those with fair or poor knowledge. The strong positive correlation (r = 0.850) showed that better knowledge was associated with higher readiness for menarche. Conclusions: There is a relationship between age and readiness for menarche, and between the level of knowledge about menstruation and readiness for menarche among fourth to sixth-grade students at SDN Kertajaya.
THE RELATIONSHIP BETWEEN KNOWLEDGE AND THE ATTITUDE OF PROSPECTIVE BRIDES AND GROOMS TOWARD PREMARITAL SCREENING SAMPARA, RISDAYANTI; Endyka Erye Frety; Amalia, Rize Budi
Jurnal Keluarga Berencana Vol. 9 No. 2 (2024): Jurnal Keluarga Berencana
Publisher : Badan Kependudukan Dan Keluarga Berencana Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37306/s92e5w78

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Healthy pregnancy planning through premarital screening aims to reduce high-risk pregnancies with early intervention in prospective brides. However, it is less popular among prospective brides, a total of 74.4% of prospective brides do not know the benefits of premarital screening, this can affect the assessment of prospective brides on premarital screening even though premarital screening services are required by the government. This study aims to analyze the relationship between knowledge and the attitude of prospective brides regarding premarital screening. Method study is quantitative research with an observational analytical design, a cross-sectional study approach conducted on 63 samples with consecutive sampling techniques. The measurement of knowledge level and attitude uses a questionnaire and the Fisher Exact Statistics test. This study shows that the knowledge of prospective brides about premarital screening is mostly in the category of less than 44.4% and the majority attitude is positive 81%. There was a significant correlation (p < 0.001) between knowledge and attitudes towards premarital screening. It can be concluded that knowledge can affect the attitude and assessment of the prospective brides and groom towards premarital screening. Therefore, strategic steps are needed such as the integration of education in premarital counseling, the development of community-based campaigns.
Case Report: the Influence of Socio-Cultural Factors and Family Support on Decision-Making of Secondary old Primi Post-Term Mothers in Fulfilling Their Health Needs Clarita Mediana Tasya; Rize Budi Amalia; Wahyul Anis
Jurnal EduHealth Vol. 16 No. 03 (2025): Jurnal EduHealt, Edition July - September , 2025
Publisher : Sean Institute

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

Abstract

Secondary old primi postpartum mothers are mothers who have just given birth again after a previous birth gap of more than 10 years. During the postpartum period, socio-cultural factors such as family support, community norms, and traditional belief practices play an important role and can affect the health status of mothers and babies. Limited knowledge and beliefs that conflict with health principles are challenges in providing care. This study is a case report with a descriptive method using a case study approach to a postpartum mother who was accompanied by a team. midwife from one of the Community Health Centers in Surabaya through the Continuity of Midwifery Care (CoMC) model. This article aims to describe and analyze in depth one case of a postpartum mother with a complex social, economic, and cultural background. Case Report : A 39 - year-old secondary primi mother ( P2A0) who experienced psychological stress due to traditional care practices culture implemented by family members, such as prohibitions on consuming animal protein, prohibitions on leaving the house, and the obligation to wear a strict corset. This condition has a negative impact on the recovery of surgical wounds and breast milk production. Support from husbands and health workers plays an important role in reducing these negative impacts. Direct assistance or through telehealth services has been shown to help mothers understand postpartum care that is in accordance with health principles. Conclusion: Continuous mentoring through the CoMC model, including the use of telehealth, can be an effective strategy in overcoming socio-cultural barriers during the postpartum period.
Social support and elementary school girls' readiness in facing menarche in the digital era Khomsiah, Nurul Fitri; Amalia, Rize Budi; Utomo, Budi
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1971

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Adolescent girls have wide access to menarche-related information in the digital era; however, the validity of the information they receive may vary and lead to unpreparedness in facing these changes. In this context, social support from parents, peers, and the surrounding environment becomes an important aspect in shaping adolescents' readiness to face menarche. This study aimed to determine the relationship between social support and adolescents’ readiness to face menarche in the digital era. This research used an observational analytic design with a cross-sectional approach. The study involved 102 female students from grades IV to VI at an elementary school in Surabaya, selected through a proportional random sampling. Data were collected using a questionnaire and analyzed using the chi-square test. The results showed that the majority of respondents (70.6%) received social support, especially informational support (78.4%), with mothers being the primary source of support (65 respondents), and TikTok as the most popular digital platform (39 respondents). Most respondents (79.4%) were categorized as ready to face menarche, with the readiness of pre-menarche students (83.1%) being higher than those who had already menstruated (73.0%). The chi-square test showed a significant relationship between social support and adolescents’ readiness to face menarche, with a p-value of 0.005 (p < 0.05). Social support plays an important role in increasing adolescents’ readiness to face menarche in the digital era. Therefore, the role of families, schools, and the social environment in providing education and emotional support is essential to help adolescents face menarche with greater confidence.
ANALISIS FAKTOR RISIKO KEJADIAN KANKER SERVIKS DI RSPAL DR. RAMELAN SURABAYA Wahyuningtyas, Istanti Dwi; Atika, Atika; Amalia, Rize Budi
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.47416

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Kanker serviks merupakan salah satu penyebab utama kematian akibat kanker pada perempuan di Indonesia. Faktor risiko seperti usia pertama berhubungan seksual, paritas, riwayat keluarga, dan penggunaan kontrasepsi hormonal diduga berkontribusi terhadap kejadian kanker serviks. Penelitian ini bertujuan untuk menganalisis hubungan faktor risiko (usia terdiagnosis, usia awal berhubungan seksual, jumlah pasangan seksual, paritas, riwayat keluarga, kontrasepsi hormonal) dengan kejadian kanker serviks di RSPAL Dr. Ramelan Surabaya.  Penelitian ini menggunakan desain cross-sectional dengan teknik consecutive sampling pada minimal 50 pasien kanker serviks di Ruang Miangas RSPAL Dr. Ramelan Surabaya pada bulan februari 2025. Analisis univariat dan bivariat (Chi-Square Test dan Fisher’s Exact Test) digunakan untuk menguji hubungan antar variabel. Dari seluruh faktor yang diteliti, hanya usia pertama berhubungan seksual <20 tahun yang menunjukkan hubungan signifikan dengan kanker serviks (p=0,009). Sebanyak 65,6% pasien kanker serviks melakukan hubungan seksual pertama kali di usia <20 tahun. Faktor lain seperti usia terdiagnosis (p=0,490), jumlah pasangan seksual (p=0,170), paritas (p=0,322), riwayat keluarga (tidak dapat dianalisis. Usia awal berhubungan seksual <20 tahun merupakan faktor risiko signifikan kanker serviks. Rendahnya partisipasi skrining menunjukkan perlunya peningkatan edukasi dan deteksi dini untuk mengurangi kasus kanker serviks stadium lanjut.
Factors Related to Menstrual Hygiene Behavior of Adolescents in Indonesia: Systematic Review Nudy Purwanto, Putri; Budi Amalia, Rize; Dewanti, Linda
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 5 (2022): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i5.63

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Background: Menstrual hygiene is a component of personal hygiene (personal hygiene), which plays an important role in determining the health status, in order to avoid infection of the reproductive organs. Behaviour menstrual hygiene Pooris one of the main causes of morbidity in adolescents and if not handled properly will have an impact on reproductive health problems. The purpose of this study was to analyses the factors associated with adolescent behaviour menstrual hygiene in Indonesia. Methods: This study uses a systematic review by reviewing the literature obtained from four databases, namely PubMed, Science Direct, Scopus, and Google Scholar. Results are reported in the PRISMA diagram. Inclusion criteria included literature examining factors menstrual hygiene in Indonesia, adolescents aged 10-19 years, literature in English and Indonesian, full text and open access literature, published literature from the last 10 years (2011-2021), adolescents aged 10 -19 years, the EPHPP (Effective Public Health Practice Project) literature was used to assess the quality of the literature. Results: There were 18 literatures that met the inclusion and exclusion criteria. There is no relationship between biological factors, namely the age of menarche (n= 3, 100%) with behaviour menstrual hygiene in adolescents in Indonesia. There is a relationship between individual factors, namely knowledge (n = 9, 69.2%) and attitudes (n = 8, 80%), interpersonal factors (family support (n = 6, 75%, friend support (n = 4, 50%, teacher support (n= 3, 100%), support for health workers (n= 2, 100%), and mass media support n=3,100%) with behaviour menstrual hygiene in adolescents in Indonesia Conclusion: The importance of support from parents, friends , teachers, health workers to increase adolescent knowledge about behaviour menstrual hygiene and the availability of facilities and infrastructure that support behaviour menstrual hygiene in adolescents Key words: Menstrual hygiene factors, adolescents, Indonesia
Konsumsi Tablet Tambah Darah dan Anemia Pada Remaja Putri Kota Bima, Nusa Tenggara Barat Alawia, Fuji Astuti; Lestari, Pudji; Amalia, Rize Budi; Setyowati, Dewi
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss2.1805

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Anemia among adolescent girls remains a significant public health issue. Objective: This study aims to analyze the factors associated with anemia among adolescent girls in one of the vocational high schools (SMK) in Bima City. Methods: This research employed an observational analytic design with a cross-sectional approach. It was conducted from October 2024 to May 2025 at a vocational high school in Bima City, with the study population comprising 10th-grade adolescent girls. A total sampling technique was used, resulting in 122 respondents aged 14–17 years. Data were collected through questionnaires, anthropometric measurements, and hemoglobin level testing using the Point of Care Testing (POCT) method. Data were analyzed using the chi-square test. Results: The analysis showed significant associations between anemia and nutritional status (p=0.001), eating habits (p=0.012), iron supplement consumption (p=0.001), and medical history (p=0.021). No significant association was found between anemia and age at menarche (p=0.393), menstrual cycle (p=0.245), or duration of menstruation (p=0.342). Conclusion: Factors associated with the incidence of anemia among adolescent girls at one of the vocational high schools in Bima City include nutritional status, eating habits, iron supplement consumption, and medical history. Keywords: anemia, adolescent girls, nutritional status, eating habits, iron supplements
The Relationship of Adolescent Girl's Knowledge About the Risks of Free Sex and Safe Sex Practices Armadison, Sonia Yustisia; Dewanti, Linda; Jayanti, Ratna Dwi; Amalia, Rize Budi
JURNAL KEBIDANAN Vol. 15 No. 2 (2025): October 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i2.13249

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Introduction: Free sex can negatively impact adolescent reproductive and psychological health. Knowledge of the risks of promiscuous sex is expected to raise awareness and encourage adolescents to practice safe sex. Objective: to determine the relationship between knowledge of free sex risk and safe-sex practices among adolescent girl. Methods: used an observational analytic design with a cross-sectional approach. Data were collected using an online questionnaire by google form about student’s knowledge of the risks of free sex and safe-sex practices. The sample totaled 122 adolescent girls, which were taken using the Total Sampling technique. Data analysis was conducted using the spearman test to determine the relationship between knowledge of the risks of free sex and safe-sex practices. This study has been approved by the ethics committee of the faculty of Medicine at Airlangga University. Results: Most of the respondents who have knowledge about the risks of free sex have safe sex practices, namely as many as 121 respondents (99.2%). The results of the statistical test using Spearman test requirements of the test were not met, show that the p-value in this study was 0.821 > 0.05. Knowledge of free sex risk and knowledge of safe sex did not correlate with safe sex practice. Conclusions: There was no relationship between adolescents' knowledge of the risks of free sex and safe sex knowledge and safe sex practices.
Bukan Irregularitas Siklus Menstruasi, Namun Menorrhagia sebagai Faktor Risiko Keputihan Patologis Pada Siswi SMA Full Day di Surabaya Tri, Yuniarti Rini; Budi, Amalia Rize; Atika, Atika; Cahyaning, Putri Eka Arum; Bambang, Purwanto
MAHESA : Malahayati Health Student Journal Vol 4, No 7 (2024): Volume 4 Nomor 7 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i7.14644

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ABSTRACT Adolescence was the age most at risk for women to experience vaginal discharge. Symptoms accompanying pathological vaginal discharge were more frequently complained of by female full day high school students in Surabaya. Until now, the risk factors associated with symptoms of pathological vaginal discharge in full-day high school students in Surabaya were still unclear. To analyze menstrual history which has the potential to be a risk factor for symptoms of pathological vaginal discharge in full day female students in Surabaya. Female students of SMA Muhammadiyah 2 Surabaya grades 10 and 11 were chosen as the accessible population, because they follow the learning curriculum 5 days a week, from 06.00 to 16.00 WIB. Each respondent was asked to fill out a questionnaire containing questions about the history of vaginal discharge and menstruation experienced in the last three cycles using a cross-sectional approach. Data were analyzed statistically using contingency tables and the Chi Square test to prove the relationship between variables. All respondents had menarche, never had sex and experienced vaginal discharge. Seventy one percent of respondents complained symptoms of pathological vaginal discharge. Most of them were experience for prolonged menstrual day duration in regular menstrual cycle. Menorrhagia, but not irregular menstrual cycles were associated with pathological vaginal discharge symptoms. Female students with a history of prolonged menstrual duration were 2,327 times more likely to complain of symptoms of pathological vaginal discharge. It was not an irregular menstrual cycle, but menorrhagia as a risk factor associated with pathological vaginal discharge symptoms.  Keywords: Menorrhagia, Menstruation, Pathological Vaginal Discharge, Itching, Adolescent  ABSTRAK Remaja merupakan usia yang paling berisiko bagi perempuan mengalami keputihan. Gejala yang menyertai keputihan patologis lebih banyak dikeluhkan oleh siswi SMA full day di Surabaya. Sampai saat ini, faktor risiko yang berhubungan dengan gejala keputihan patologis pada siswi SMA  full day di Surabaya belum diketahui. Tujuan untuk menganalisis riwayat menstruasi yang berpotensi menjadi faktor risiko dari gejala keputihan patologis pada siswi full day di Surabaya. Siswi SMA Muhammadiyah 2 Surabaya kelas 10 dan 11 dipilih sebagai populasi terjangkau, karena mengikuti kurikulum belajar 5 hari seminggu, mulai pukul 06.00 sampai dengan pukul 16.00 WIB. Setiap responden diminta mengisi keuesioner yang berisi pertanyaan tentang riwayat keputihan dan menstruasi yang dialami dalam tiga siklus terakhir dengan pendekatan cross sectional. Data dianalisis secara statistik menggunakan tabel kontigensi dan  uji Chi Square untuk membuktikan hubungan antar variabel. Semua siswi yang menjadi responden telah menarche dan belum pernah berhubungan seks. Seluruh responden mengalami keputihan dan 71% responden mengeluhkan gejala keputihan patologis. Siklus menstruasi yang tidak teratur tidak berhubungan dengan gejala keputihan patologis. Siswi yang memiliki riwayat durasi hari menstruasi memanjang berisiko 2,327 kali mengeluhkan gejala keputihan patologis. Bukan siklus menstruasi yang iregular, namun menorrhagia sebagai faktor risiko yang berhubungan dengan gejala keputihan patologis. Kata Kunci: Menorrhagia, Menstruasi, Keputihan Patologis, Gatal, Remaja 
Peran Orang Tua dan Tenaga Kesehatan terhadap Kejadian Kehamilan Usia Remaja dan Kehamilan Usia Produktif di Puskesmas Wairiang Kabupaten Lembata, NTT Masan, Herlinda Perada; Amalia, Rize Budi; Kharimah, Azimatul; Prasetyo, Budi
Jurnal Ilmiah Universitas Batanghari Jambi Vol 24, No 2 (2024): Juli
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v24i2.4851

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Teenage pregnancies in Indonesia are increasing every year, including in Lembata Regency, NTT. Teenage pregnancy has a negative impact on physical growth, development of thinking, language, emotions and socio-economics so immediate treatment is needed. This study aims to analyze the role of health workers and the role of parents in the incidence of teenage pregnancies and productive age pregnancies at the Wairiang Community Health Center, Lembata Regency, NTT. Type of observational analytical research with a case control approach. The sampling technique used the consecutive sampling method with a sample size of 64 primigravida pregnant women at the Wairiang Health Center. By dividing the case group (adolescent primigravida) into 16 people and the control group (productive age primigravida) into 48 people. The research instrument used was a questionnaire. Data analysis using Chi square test. The results of the study show that the factor that has a significant relationship with first pregnancy as a teenager is the role of parents, while the role of health workers does not have a significant relationship with teenage pregnancy.
Co-Authors adityawarman adityawarman Afiliany, Amelia Agus Tiyaningsih Ahmad Suryawan Alawia, Fuji Astuti Aldika Akbar, Muhammad Ilham Annas, Jimmy Yanuar Aprilia Laraswati Armadison, Sonia Yustisia Atika - Atika Atika Atika Atika Atika Atika BAMBANG, PURWANTO Bani Bacan Hacantya Yudanagara Budi Prasetyo Budi Prasetyo Budi Utomo Budi Utomo Claresta1, Aurellia Rahma Clarita Mediana Tasya Dewi Setyowati Diani, Aisyah Amalia Putri Dwi Lestari Eka Arum Cahyaning Putri Endyka Erye Frety Era Fazira Erningtyas, Cantika Eza Yusnella Fahrina, Riza Arsanty Faizah, Zakiyatul Faqihati Husna Fardana, Nur Ainy Farizi, Sofia Fifi Lailiya Hasnia, Faizah I'tishom, Reny Irda Triyas Shanty Itdinah Rara Karima Ivon Diah Wittiarika Izzati, Dwi Jayanti, Ratna Dwi Khairun Nisa’ Dewi Kharimah, Azimatul Khomsiah, Nurul Fitri Lia Juneitasari Linda Dewanti Martono Tri Utomo Masan, Herlinda Perada Muhammad Daffa Aditya Mulyaningtyas, Fahmida Cahya Muminah Nabila Izatul Muslimah Nabilatul Arifah Ningrum, Astika Gita Novitasari, Selviyani Nudy Purwanto, Putri Nur Sophia Matin Nurul Hikma Pirlina Umiastuti Pudji Lestari Putri, Ananda Wilda Sofiana Permata Radhita Aisyah Resti Nariswari Rama Eka Ferdiansyah Ramadhan, Sherina Ranggamas Trisna Aditya Restiningsih Restiningsih Restiningsih, Restiningsih Rifka Fitriana Rahmadani Risa Etika, Risa Rosda Rodhiyana SAMPARA, RISDAYANTI Samsriyaningsih Handayani Sherina Pradita Eka Wahyudi Shifa Muthia Shani Siti Urifa Sri Ratna Ningsih, Sri Ratna Sudaryanti, Lestari Sukmawardani, Putri Utami Sulistiawati Sulistiawati Sulistiawati sulistiawati Tiyaningsih, Agus Tri, Yuniarti Rini Veronika Fia Mali Wahyul Anis Wahyuningtyas, Istanti Dwi Wanda Okta Savira Wiwin Retnowati Woro Setia Ningtyas Yuli Astuti