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All Journal Jurnal Keperawatan Padjadjaran Pediomaternal Nursing Journal
Lin, Chung-Ying
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Health Professions Neuroscience Nursing Public Health

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Estimating the 10-year fracture risk among persons with HIV and person without HIV: A comparative study Pramukti, S.Kp., MsC, Iqbal; Ibrahim, Kusman; Lukman, Mamat; Harun, Hasniatisari; Nugraha, Andri; Lin, Chung-Ying
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2715

Abstract

Background: The risk of osteoporotic fracture among persons with HIV was higher than the persons without HIV. Traditional factors are also found as the risk factor affecting fracture risk among persons with HIV and general population. Predicting the fracture risk among the high-risk group is important to develop a comprehensive fracture prevention program. Purpose: This study aimed to compare the estimation of the 10-year fracture risk between persons with HIV and persons without HIV using the FRAX™ algorithm. Methods: This study recruited 245 participants from August to November 2023, while 221 participants agreed to participate. The participants consist of 107 persons with HIV and 114 persons without HIV. The estimation of the ten-year probability of major osteoporotic and hip fractures was calculated using the FRAX™ algorithm. The participant's characteristics related to osteoporotic fracture risk was analyzed using a Chi-Square analysis. Results: The overall mean score of 10-year probability of major osteoporotic fracture (MOF) was 3.1% (SD 1.9) for the HIV group and 2.7% (SD 2.3) for non-HIV. For the 10-year probability, hip fracture (HF) risk was 0.5% (SD 0.5) for the HIV group and 0.6% (SD 0.9) for non-HIV. For MOF, HIV persons with fracture history showed a lower score (3.5%) compared to persons without HIV (5.3%). Smoker HIV persons showed the same MOF score (4.6% vs. 4.6%) but lower HF score (0.8% vs. 1.6%) when comparing to persons without HIV, respectively. HIV persons with glucocorticoid use showed a higher MOF probability score than persons without HIV (2.8% vs 2.7%). Conclusions: The 10-year fracture risk was higher among persons with HIV compared to persons without HIV. Fracture history, smoking behavior, and glucocorticoid use were identified as the potential factors associated with the risk. Further analysis using multivariate regression analysis may require to confirm the factors associated with high fracture risk.
Mapping the conceptual framework of psychological well-being among pregnant adolescents and influential factors: A scoping review Sari, Yanti Puspita; Armi, Yeltra; Lin, Chung-Ying
Pediomaternal Nursing Journal Vol. 11 No. 2 (2025): VOLUME 11 NO 2 SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v11i2.66872

Abstract

Introduction: Pregnancy in adolescents has the potential risk of disrupting psychological well-being. Understanding how psychological well-being is conceptualized and assessed among adolescents, as well as identifying influential factors, is essential for developing appropriate and effective interventions.  This review aims to map the conceptual approaches and assessment methods used to evaluate psychological well-being among pregnant adolescents and to identify influential factors associated with psychological well-being during pregnancy. Methods: The study procedures were carried out using a scoping review that followed the Joanna Briggs Institute approach. Literature searches included terms from Emtree, MeSH, and CINAHL headings across 5 databases, including Embase, Medline (Ovid), CINAHL, Cochrane, and ScienceDirect until April 2024. After the search, a total of 8 studies were included, which met the needed criteria. Results: This review identified 5 conceptual approaches used to understand and assess psychological well-being in pregnant adolescents, namely (i) self-esteem, (ii) measures on anxiety, depression, emotional bonding, general positive affect, and the absence of psychological distress, (iii) discrimination experiences, self-perceptions, and social barriers experienced, (iv) positive and negative mood concepts, and (v) positive psychological functioning. The results showed that several factors were associated with psychological well-being of pregnant adolescents, including educational level, neighborhood support, financial constraints, rejection from close people, trust, and attachment with caregiver. Conclusion: This review shows the need for a more comprehensive and multidimensional approach to conceptualizing and assessing psychological well-being in pregnant adolescents. The complexity of this issue demands a thorough and inclusive approach that focuses on individual and social factors. Keywords: adolescent pregnancy; psychological well-being; adolescent growth and development
Co-Authors Andri Nugraha Harun, Hasniatisari Iqbal Pramukti Kusman Ibrahim Mamat Lukman Yanti Puspita Sari Yeltra Armi, Yeltra