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All Journal Wacana, Jurnal Sosial dan Humaniora Jurnal Riset Manajemen dan Bisnis (JRMB) Fakultas Ekonomi UNIAT Hearty : Jurnal Kesehatan Masyarakat Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) JOURNAL EDUCATIONAL OF NURSING(JEN) Jurnal Kesehatan MAHESA : Malahayati Health Student Journal Journal of Applied Nursing and Health Jurnal Entrepreneur dan Manajemen Sains Jurnal Ilmiah Kesehatan Delima Agrocentrum
Indah Yuliani
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Hubungan Tingkat Pengetahuan Remaja Tentang HIV/AIDS dengan Perilaku Seksual Remaja Siswa Kelas X dan XI di SMKN 1 Babelan – Bekasi Santika, Santika; Yuliani, Indah
MAHESA : Malahayati Health Student Journal Vol 3, No 11 (2023): Volume 3 Nomor 11 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i11.11044

Abstract

ABSTRACT A virus known as the human immune deficiency virus (HIV) targets the human immune system. HIV attacks the human body by killing or destroying cells of the immune system, drastically reducing the body's resistance to infection and cancer. Acquired immune deficiency syndrome (AIDS) is a group of symptoms caused by a damaged immune system. This disease does not come from birth. Instead, it was passed from person to person. To determine the relationship between the level of knowledge of adolescents about HIV/AIDS and the sexual behavior of adolescents in grades X and XI at SMKN 1 Babelan. This research using a descriptive-correlative research design aims to determine the relationship between adolescent sexual behavior and the level of knowledge of adolescents about HIV/AIDS. Cross-sectional data collection was used in this study, which was carried out simultaneously with a total sample of 96 respondents. it can be seen that 30 students (65.2%) have a poor level of knowledge about HIV/Helps and 31 students (62%) who have a good level of knowledge about HIV/AIDS have a way of behaving. who do not respect adolescent sexuality. The calculated p-value is 0.908, higher than the calculated value of = 0.05. It can be concluded that there is no significant relationship between the level of knowledge of adolescents about HIV/AIDS and their sexual behavior. Keywords: Knowledge, HIV/AIDS, Adolescent Sexual Behavior  ABSTRAK Virus yang dikenal sebagai human immune deficiency virus (HIV) menargetkan sistem kekebalan tubuh manusia. HIV menyerang tubuh manusia dengan membunuh atau menghancurkan sel-sel sistem kekebalan tubuh, mengurangi daya tahan tubuh terhadap infeksi dan kanker secara drastis. Acquired immune deficiency syndrome (AIDS) adalah sekelompok gejala yang disebabkan oleh rusaknya sistem kekebalan tubuh. Penyakit ini tidak datang sejak lahir. Sebaliknya, itu ditularkan dari orang ke orang. Untuk mengetahui hubungan tingkat pengetahuan remaja tentang HIV/AIDS dengan perilaku seksual remaja siswa kelas X dan XI di SMKN 1 Babelan. Penelitian yang menggunakan desain penelitian deskriptif korelatif ini bertujuan untuk mengetahui hubungan antara perilaku seksual remaja dengan tingkat pengetahuan HIV/AIDS remaja. Pengumpulan data cross-sectional digunakan dalam penelitian ini, yang dilakukan secara bersamaan dengan jumlah sampel sebanyak 96 responden. dilihat bahwa 30 siswa (65,2%) memiliki tingkat pengetahuan yang kurang baik tentang HIV/AIDS dan 31 siswa (62%) yang memiliki tingkat pengetahuan yang baik tentang HIV/AIDS memiliki cara berperilaku yang tidak menjunjung tinggi seksualitas remaja. Nilai p yang dihitung adalah 0,908, lebih tinggi dari nilai yang dihitung dengan = 0,05. Dapat disimpulkan bahwa tidak terdapat hubungan yang signifikan antara tingkat pengetahuan remaja tentang HIV/AIDS dengan perilaku seksualnya. Kata Kunci : Pengetahuan, HIV/AIDS, Perilaku Seksual Remaja
Pengaruh Konseling dengan Alat Bantu Pengambilan Keputusan (ABPK) Kepada Pasangan Usia Subur terhadap Pengetahuan Kepesertaan Keluarga Berencana di Puskesmas Asologaima Kab. Jayawijaya Yuliani, Indah; Salmawati, Salmawati
MAHESA : Malahayati Health Student Journal Vol 5, No 11 (2025): Volume 5 Nomor 11 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i11.19641

Abstract

ABSTRACT According to WHO data, 2023 shows that there will be 1.9 billion women in the reproductive age group. Global contraceptive prevalence by any method is estimated at 65% and modern methods at 58.7%. The prevalence of PUS for family planning participants in Indonesia in 2023 will be 60.4%. Based on provincial distribution, the highest prevalence rate of family planning use is South Kalimantan (71.2%), and the lowest is Papua (10.5%). At the Asologaima Community Health Center, family planning coverage is still low, due to a lack of knowledge and interest in couples of childbearing age in choosing contraceptives. Efforts that can be made are by providing Communication, Information and Education (KIE) before family planning acceptors choose which contraception to use. To determine the effect of counseling with Decision Making Tools (ABPK) for couples of childbearing age on knowledge of family planning participation. Quasi experiment with a one group pretest-posttest design. The sampling technique uses random sampling. Data analysis used univariate and bivariate analysis with the Wilcoxon Signed Ranks Test. Before being given counseling with ABPK, the majority of respondents had poor knowledge, 66.3%, and after being given counseling with ABPK, the majority of respondents had good knowledge, 59.1%. There is an influence of counseling with decision making tools (ABPK) for couples of childbearing age on knowledge of family planning participation at the Asologaima Health Center, Jayawijaya Regency (p. value 0.003). There is an influence of counseling with decision-making aids (ABPK) for couples of childbearing age on knowledge of family planning participation. It is hoped that health workers can improve the quality of family planning services to mothers both through counseling and education about contraception using ABPK feedback sheets. Keywords: Counseling, Couples of Childbearing Age, Family Planning  ABSTRAK Menurut data WHO, 2023 menunjukkan bahwa sebanyak 1,9 miliar perempuan pada kelompok usia reproduksi. Prevalensi kontrasepsi global dengan metode apa pun diperkirakan sebesar 65% dan metode modern sebesar 58,7%. Prevalensi PUS peserta KB di Indonesia pada tahun 2023 sebesar 60,4%. Berdasarkan distribusi provinsi, angka prevalensi pemakaian KB tertinggi adalah Kalimantan Selatan (71,2%), dan terendah adalah Papua (10,5%). Di Puskesmas Asologaima cakupan KB masih rendah, dikarenakan kurangnya pengetahuan dan minat pasangan usia subur dalam pemilihan alat kontrasepsi. Upaya yang dapat dilakukan yaitu dengan memberikan Komunikasi, Informasi dan Edukasi (KIE) sebelum akseptor KB memilih kontrasepsi yang akan digunakan. Mengetahui pengaruh  konseling  dengan  Alat  Bantu  Pengambilan Keputusan (ABPK) kepada pasangan usia subur terhadap pengetahuan kepesertaan keluarga berencana. Quasi experiment  dengan rancangan one group pretest-posttest design. Teknik pengambilan sampel menggunakan random sampling. Analisa data menggunakan analisa univariat dan bivariat dengan Uji Wilcoxon Signed Ranks Test. Sebelum diberikan konseling dengan ABPK mayoritas responden berpengetahuan kurang 66,3% dan sesudah diberikan konseling dengan ABPK mayoritas responden berpengetahuan baik 59,1%. Ada pengaruh  konseling dengan  alat  bantu  pengambilan keputusan (ABPK) kepada pasangan usia subur terhadap pengetahuan kepesertaan keluarga berencana di Puskesmas Asologaima Kabupaten Jayawijaya (p. value 0,003). Ada pengaruh  konseling dengan  alat  bantu  pengambilan keputusan (ABPK) kepada pasangan usia subur terhadap pengetahuan kepesertaan keluarga berencana. Diharapkan tenaga kesehatan dapat meningkatkan mutu pelayanan keluarga berencana kepada ibu-ibu baik melalui konseling maupun penyuluhan tentang kontrasepsi dengan menggunakan lembar balik ABPK. Kata Kunci: Konseling, Pasangan Usia Subur, Keluarga Berencana
Biopsychosocial Determinants of Adolescent Mental Health and Risk Behaviors: A Convergent Cross-Sectional Mixed-Methods Study in West Java, Indonesia Yuliani, Indah; Aisyah, Aisyah; Nur’aliyah, Anisa; Herwansah, Diki; Salam, Ikeu Anggita; Gopur, Gopur
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.683

Abstract

Background: Adolescent mental health disorders are an increasing public health concern in Indonesia. Although precision nursing offers a personalized approach, evidence integrating biopsychosocial, healthcare access, and cognitive-literacy factors across diverse healthcare settings remains limited. This convergent mixed-methods study aimed to identify determinants of adolescent mental health outcomes and risk behaviors while exploring how adolescents’ lived experiences complement quantitative findings to inform precision nursing interventions. Methods: A convergent cross-sectional mixed-methods study was conducted, reported in accordance with the Good Reporting of A Mixed Methods Study (GRAMMS) guideline, with 140 adolescents (aged 12–21 years) recruited across four healthcare settings in West Java, Indonesia Primary Healthcare Centers, hospital outpatient clinics, primary clinics, and community health centers (including both hospital and primary healthcare facility types). Participants were selected using proportional purposive sampling for the quantitative strand, and a purposively selected subsample (n=20) drawn from quantitative respondents was recruited for semi-structured qualitative interviews until thematic saturation was reached. Inclusion criteria were adolescents aged 12–21 years attending participating facilities who provided informed consent. Exclusion criteria included acute psychiatric crisis and severe cognitive impairment. Validated instruments included the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), WHO-5 Wellbeing Index, Perceived Stress Scale-10 (PSS-10), and Columbia Suicidality Severity Rating Scale (C-SSRS). Social, family support, healthcare access, and cognitive-literacy factors were assessed using structured questionnaires. Qualitative data were gathered through semi-structured interviews (n=20) and analyzed using inductive thematic analysis; quantitative and qualitative findings were integrated through a joint display comparing statistical results with interview themes to assess convergence and complementarity. Ethical approval was obtained from the STIKes Abdi Nusantara Ethics Committee. Data were analyzed using descriptive statistics, chi-square, and Spearman correlation with IBM SPSS Statistics Version 26. Results: Among 140 adolescents (mean age 17.2 ± 2.1 years; 54.3% male), 82.1% reported at least mild depressive symptoms (PHQ-9 ≥5), with 7.9% in the severe range. Anxiety symptoms (GAD-7 ≥5) were present in 77.9% of participants. Non-suicidal self-injury (NSSI) was reported by 14.3% (n=20). Family history of mental disorder was significantly associated with higher PHQ-9 scores (p=0.008). Low family support was present in 22.9% and correlated with greater depression severity (r=0.42, p<0.001). Poor cognitive function and health literacy were associated with higher risk behavior scores (r=0.41, p<0.01). Adolescents utilizing hospital services had significantly higher depression and anxiety scores compared to Primary Healthcare Center users (p<0.05). Three qualitative themes emerged from the interviews: (1) academic pressure and emotional burden, (2) family communication barriers, and (3) limited access to adolescent-friendly mental health services. These themes complemented and explained the quantitative findings, clarifying why low family support and poor health literacy were associated with worse mental health outcomes Conclusion: Depressive and anxiety symptoms are highly prevalent among adolescents across all healthcare settings in West Java. Family support, cognitive function, health literacy, and healthcare access are significant determinants of mental health outcomes. Integrating quantitative and qualitative findings demonstrates that family-centered and health literacy-based precision nursing interventions should be prioritized across Indonesian healthcare settings. These findings support the development of precision nursing interventions tailored to the multi-determinant profile of adolescent mental health. At the same time, future longitudinal mixed-methods studies are needed to validate these findings.
Co-Authors Agung Yuniarinto Aisyah Aisyah Anggraini Anggraini Darningsih, Ayu Djumilah Zain Eka Susanti Epriani, Ety Gopur, Gopur Herfianti, Meiffa Herwansah, Diki Katim Katim, Katim Mastiti, Kurniati Puji Mochammad Imron Awalludin MuthiPratiwi, Dehana Noviasari, Rika Nur’aliyah, Anisa Purna, Sungkono Putri T., Hevi Yolanda Putri, Maulida Rini Andriyani Safitri, Tyas Salam, Ikeu Anggita Salmawati Salmawati, Salmawati Santika Santika Sumantri, Naftalisa Kurnia Syarif Usman Widiwurjani