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Mother-Daughter Relationship and Self-Esteem Levels in Undergraduate Midwifery Students at Brawijaya University Prasanti, Gayatri Anindya; Ariani, Dewi; Maharani, Afniari; Wardani, Diadjeng Setya
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 8 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i8.628

Abstract

Introduction: Self-esteem plays an important role in mental health and personal development. However, limited evidence is available regarding the relationship between mother–daughter relationships and self-esteem among midwifery students, particularly in the Indonesian context. Objective: This study aims to examine the association between mother-daughter relationship and self-esteem among undergraduate midwifery students at Brawijaya University. Method: with a cross-sectional. A total of 174 female students were selected from cohorts 2022–2024. The Mother-Adult Daughter Questionnaire (MADQ) was used to assess mother-daughter relationship and the Rosenberg Self-Esteem Scale (RSES) was used to measure self-esteem. Data were analyzed using Spearman rank correlation and ordinal logistic regression. This study employed an observational analytical design. Results and Discussion: Most respondents had high self-esteem and strong mother-daughter relationships. All three dimensions connectedness (r 0.386; p < 0.05;), interdependency dimension has a significant relationship with self-esteem (p < r 0.189; p<0.05), and the trust in hierarchy (; r 0.278 ; p < 0.05) were significantly associated with self-esteem. In multivariate analysis, only connectedness remained a significant predictor. Conclusion: Mother-daughter relationship are significantly associated with self-esteem among midwifery students, with emotional connectedness emerging as the most influential factor. These findings highlight the importance of supportive family relationships in promoting students’ psychological well-being
The Influence of Nutritional Status on the Incidence of Postpartum Hemorrhage in Three Community Health Centers (CHCs) in Dili, Timor Leste Alcinda Pinto Fernandes; Novida Ariani; Diadjeng Setya Wardani; Hermes Peguinho; Hadidja Binti Ali Hosman Maia; Filomena Soares; Mirioldis Matos Rodríguez
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24975

Abstract

Postpartum hemorrhage (PPH) remains a leading cause of maternal mortality in low- and middle-income countries, including Timor-Leste. This analytical cross-sectional study, conducted from January to December 2024 in three community health centers (CHCs) in Dili, examined the association between maternal nutritional status and the incidence of PPH. Nutritional indicators included pre-pregnancy body mass index (BMI), gestational weight gain, anemia status, and mid-upper arm circumference (MUAC). Data were collected from medical records of 130 postpartum mothers (65 with PPH, 65 without). The prevalence of PPH was 50%. Among participants, 22.1% had anemia (hemoglobin <11 g/dL), 50.8% had MUAC <23.5 cm, and 41.5% had a pre-pregnancy BMI outside the WHO normal range (18.5-24.9 kg/m²). Only 26.4% achieved gestational weight gain within Institute of Medicine guidelines. Logistic regression analysis revealed that anemia significantly increased the risk of PPH (OR = 3.4; 95% CI: 1.38-8.40; p = 0.011), while other nutritional indicators showed no significant association. These findings highlight the critical role of antenatal anemia screening and targeted nutritional interventions in reducing PPH risk. This study provides locally relevant evidence to inform maternal health strategies in Timor-Leste. Keywords: Postpartum hemorrhage, Pre-pregnancy BMI, weight gain, Mid-Upper Arm Circumference, Antenatal Care, Community health center
The Effectiveness of Hematological Indicator and Iron Biomarkers Evaluation as an Early Detection of Anemia in Adolescent Girls: A Systematic Review Rafi’ Andyah Arum Kedaton; Nabila Sinta Devi; Kusworini Kusworini; Diadjeng Setya Wardani
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1708

Abstract

Due to elevated iron requirements during growth and menstruation, anemia in adolescent girls remains a major global health concern. Hemoglobin (Hb) testing alone has low sensitivity in detecting early iron deficiency anemia (IDA). This study aims to evaluate the diagnostic accuracy of hematological indicators (MCV, MCH, MCHC) and iron biomarkers compared to Hb alone. A systematic literature review was conducted in PubMed, Cochrane Library, SAGE Journals, ScienceDirect, Wiley Online Library, Taylor and Francis, and DOAJ, covering publications from 2015 to 2025, following PRISMA guidelines. The Joanna Briggs Institute (JBI) approach was used to assess methodological quality and risk of bias. Analysis of five relevant publications showed that Hb alone often misses subclinical iron deficiency. Sensitivity and specificity improve when combined with ferritin, soluble transferrin receptor (sTfR), and adjustments for inflammatory markers such as alpha-1-acid glycoprotein (AGP) and C-reactive protein (CRP). These findings support a multifaceted approach that integrates hematological indicators, iron biomarkers, and inflammation markers for early and accurate anemia detection in adolescent girls, in line with national and international recommendations to reduce prevalence and long-term complications.
Hematological indices and cognitive function in adolescent girls with iron-deficiency anemia: a systematic review Nabila Sinta Devi; Rafi Andyah Arum Kedaton; Diadjeng Setya Wardani; Sri Andarini
Media Penelitian dan Pengembangan Kesehatan Vol. 36 No. 2 (2026): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v36i2.4471

Abstract

Background: Iron deficiency anemia remains a global health problem, especially among adolescent girls, and may affect cognitive function. However, studies that specifically examine the link between hematological biomarkers and cognitive function in this group are still limited. Objective: This study aimed to examine the association between iron status and cognitive function in adolescent girls with iron-deficiency anemia. Methods: This study used a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. Articles were searched in PubMed and Scopus from 2016 to 2025. Included studies were randomized controlled trials and intervention studies involving adolescent girls aged 10–19 years that reported hemoglobin (Hb), serum ferritin (sFt), total body iron (TBI), and cognitive function. Results: Improvements in iron status were generally associated with better cognitive function, especially in attention and memory. Interventions such as those particularly through biofortification and nutrition-based interventions. Conclusion: Improving iron status may help enhance cognitive function in adolescent girls. These findings highlight the importance of nutrition interventions, particularly in school settings.
Pengaruh Penyuluhan Kesehatan Tentang Komunikasi Interpersonal Dalam Menyikapi Pernikahan Dini Terhadap Pengetahuan Dan Sikap Orang Tua Di SMPN 2 Singosari Diadjeng Setya Wardani; Arcelia Putri Nurcahyani; Alidha Nur Rakhmani
Science Techno Health Journal Vol. 3 No. 2 (2025): Science Techno Health Journal
Publisher : Science Techno Health Journal

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

Abstract

Latar Belakang: Praktek pernikahan dini masih banyak terjadi di Indonesia terutama di kabupaten Malang. Kabupaten Singosari mendominasi angka pernikahan dini pada tahun 2022 di Kabupaten Malang dengan 100 anak menikah dini. Orang tua memiliki peran yang besar dalam pencegahan pernikahan dini. Pencegahan pernikahan dini dapat dimulai dari edukasi pada orang tua terkait praktek komunikasi interpersonal yang diharapkan dapat menurunkan kejadian pernikahan dini. Tujuan Penelitian: Penelitian ini bertujuan untuk mengetahui apakah terdapat pengaruh dari penyuluhan tentang komunikasi interpersonal terhadap cara orang tua menyikapi pernikahan usia dini. Metode Penelitian: Rancangan penelitian yang digunakan adalah Pra-Eksperimental dengan pendekatan one group pre-test and post-test design. Penelitian ini menilai dampak dari penyuluhan kesehatan mengenai komunikasi interpersonal terhadap orang tua, dengan pengukuran dilakukan sebelum dan sesudah penyuluhan. Sampel ditentukan menggunakan teknik purposive sampling, dengan jumlah partisipan sebanyak 36 orang tua yang telah disesuaikan dengan kriteria inklusi dan eksklusi. Hasil Penelitian: Hasil menunjukkan bahwa penyuluhan mengenai komunikasi interpersonal secara signifikan meningkatkan pengetahuan orang tua terkait pernikahan dini (uji Wilcoxon, p=0,004). Namun, tidak ditemukan pengaruh yang signifikan terhadap sikap orang tua (uji Wilcoxon, p=0,146), meskipun 20 orang (55,5%) mengalami peningkatan skor sikap pada tes setelah penyuluhan. Kesimpulan: Penyuluhan tentang komunikasi interpersonal dalam menyikapi pernikahan dini berpengaruh secara signifikan terhadap pengetahuan orang tua tetapi tidak berpengaruh secara signifikan terhadap sikap orang tua.
Co-Authors Afniari Maharani Agus Adi Putrawan Aisyah Ardiana, Hanida Alcinda Pinto Fernandes Alidha Nur Rakhmani Anika Pratiwi, Sindy Anis Puji Rahayu Arcelia Putri Nurcahyani Arifin Syamsul Bambang Rahardjo da Silva, João Francisco Lela da Silva, Zelita Fernandes Devi, Nabila Sinta Dewi Ariani Dewi Kartika Sari Diana Fransisca, Ratna Dini Syarafina, Hafizahah Duhitatrissari, Fifin Pradina Emiliana, Farica Eri Kurniasari Fatmawati Fatmawati Fernandes, Alcinda Pinto Filomena Soares Hadidja Binti Ali Hosman Maia Hafshah, Hafshah Hastuti, Novianti Tri Hermes Peguinho Hernistanti, Alya Dwi Rahma Hinisa, Fariha Nuzulul I Wayan Agung Indrawan I Wayan Agung Indrawan Intan, Dara Jesica Mulyadi Kedaton, Rafi Andyah Arum Kentri Anggarina Gumanti Krisjentha Iffah Agustasari Kristianingsih, Rey Kusworini Handono Kusworini Kusworini Lionardy, Chandra Maya Devi Arifiandi Mergy Gayatri Miftahul Jannah MIFTAHUL JANNAH Mirioldis Matos Rodríguez Nabila Sinta Devi Nabila Sinta Devi Nabila Sinta Devi Nabila Sinta Devi Novida Ariani Novida Ariani Nur Aini Retno Hastuti Nurazizah, Devita Alifia Nurul Fathiyyah Peguinho, Hermes Permata Sari, Hannie Prasanti, Gayatri Anindya Puspita, Alfi Laili Putu Sudewi Arsini Rafi Andyah Arum Kedaton Rafi’ Andyah Arum Kedaton Rafi’ Andyah Arum Kedaton Rahayuningsih, Elba Putri rahmah, shofi nur Ratna Diana Fransisca Ratna Diana Fransiska Retnaningtyas, Nining Rismaina Putri Rismaina Putri Sabilla Khaerunissa, Dymphna Sebrina, Keyko Dyandra Setiawati, Lisa Sholikhah, Laila Aminatus Simanjuntak, Roganda Sinta Devi, Nabila Sinta, Dewi Sri Andarini Sri Andarini Sri Andarini Sri Andarini Telaumbanua, May Kristina Indah K Viera Wardhani Wahyuningtyas, Mariana Wardani, Arti Wati, Linda Ratna Widya Risanti, Arini Zamanti, Arfiyani