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All Journal Majalah Kedokteran Andalas Indonesian Journal of Global Health Research
Anik Lestari
Universitas Sebelas Maret
Health Professions Medicine & Pharmacology Public Health

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Perception of online learning with anxiety and stress level among medical students Nanda Derista Ayu Dewanti; I Gusti Bagus Indro Nugroho; Anik Lestari; Istar Yuliadi; Muhana Fawwazy Ilyas; Winastari Yarhanim Triniputri
Majalah Kedokteran Andalas Vol 46, No 4 (2023): Online Juli 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v46.i4.p600-608.2023

Abstract

Objective: This study aimed to find out the association between the perception of online learning and anxiety as well as stress levels among medical students. Methods: This is an observational analytic study with a cross-sectional approach. The sample was comprised of 213 undergraduate medical studentsept at Medical Faculty Universitas Sebelas Maret (UNS) and data were collected using total sampling. The study was conducted using the Taylor Manifest Anxiety Scale (TMAS), Perceived Stress Scale (PSS), and perception of online learning questionnaires. Data were analyzed using Chi-square, Cramer’s V, and Kendall tau b test. Results: This study shows a significant correlation between the perception of online learning and anxiety (p=0.049) as well as stress level (p=0.007). Sex also has an association with anxiety (p=0.010) and stress level (p=0.004). Furthermore, female has higher anxiety and stress levels compared to male. Conclusions: Perception of online learning is related to the anxiety and stress level among medical students.
Fast Food, Fiber Intake, Sleep Duration, and Physical Activity as Predictors of Excess Weight in Surakarta Adolescents Pujiyati Pujiyati; Kusnandar Kusnandar; Anik Lestari
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2224

Abstract

Overweight among adolescents results from an energy imbalance between caloric intake and energy expenditure. The World Health Organization (WHO) has declared obesity a global epidemic, with approximately 28.5% of Indonesian adolescents reported to have excess body mass index (BMI). This study aimed to analyze the association between fast food consumption frequency, dietary fiber intake, sleep duration, and physical activity with the severity of excess weight status (overweight vs. obesity) among adolescents aged 16–18 years in Surakarta, Indonesia. This cross-sectional study involved 100 respondents with excess weight. Data were collected using a Food Frequency Questionnaire (FFQ), Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), Sleep Duration Questionnaire (STQ), and International Physical Activity Questionnaire (IPAQ), with nutritional status determined through anthropometric measurements. The FFQ and SQ-FFQ had been previously validated with a Pearson correlation coefficient r > 0.6 and reliability coefficient (Cronbach's alpha) > 0.7. The STQ was validated with r > 0.6 and Cronbach's alpha > 0.8, while the IPAQ has been internationally validated and widely used across studies. Nutritional status was determined through anthropometric measurements.  Data analysis included chi-square tests and binary logistic regression. Of 100 respondents, 56% were classified as overweight and 44% as obese. Chi-square analysis revealed significant associations between fast food consumption frequency (p = 0.020), dietary fiber intake (p < 0.001), and sleep duration (p = 0.013) with the severity of excess weight status, while physical activity showed no significant association (p = 0.912). Binary logistic regression identified low dietary fiber intake as the most dominant risk factor (OR = 29.034; 95% CI = 6.216–135.605; p < 0.001), followed by low fast food consumption frequency (OR = 7.941; 95% CI = 1.447–43.579; p = 0.017). Low dietary fiber intake is the most dominant risk factor for the severity of excess weight status among adolescents.   
The Influence of Hygiene and Sanitation Behavior and Social Capital on the Incidence of Diarrhea in Toddlers Handayani Sri Lestari; Arsita Eka Prasetyawati; Anik Lestari; Hari Wahyu Nugroho; Siti Khoiriyah
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2132

Abstract

Diarrheal disease among children under five remains a critical public health challenge, significantly contributing to early childhood morbidity and mortality due to behavioral and socio-environmental determinants. This research evaluates how hygiene practices and community social capital affect the occurrence of diarrhea among toddlers in Lamongan Regency. Utilizing an analytical observational design with a cross-sectional framework, the study sampled 339 mothers of children aged 0 to 59 months from the Solokuro and Paciran Districts via systematic random sampling. Data were collected using a structured questionnaire that had been tested for validity and reliability, demonstrating excellent internal consistency (Cronbach’s alpha = 0.915) and evaluated using Chi-square and multiple logistic regression tests (α = 0.05). The findings demonstrate a statistically significant correlation between diarrheal episodes and both sanitation hygiene practices (p = 0.000) and social capital (p = 0.000). Multivariate analysis identified sanitation hygiene as the primary determining factor (B = 1.828; p = 0.000), with social capital serving as a significant secondary predictor (B = 0.464; p = 0.042). Both hygiene behaviors and community social capital play a vital role in determining the incidence of childhood diarrhea. Therefore, there is a pressing need to enhance sanitation education initiatives, reinforced by robust community networks.
Co-Authors Arsita Eka Prasetyawati Handayani Sri Lestari Hari Wahyu Nugroho I Gusti Bagus Indro Nugroho istar yuliadi Kusnandar Kusnandar Muhana Fawwazy Ilyas Nanda Derista Ayu Dewanti Pujiyati Pujiyati Siti Khoiriyah Winastari Yarhanim Triniputri