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RISK FACTORS FOR DIABETES MELLITUS AND THEIR ASSOCIATION WITH BLOOD GLUCOSE LEVELS IN ADOLESCENTS Freshy Moonyk Sister; Ridha Mardiyani; Wuriani Wuriani; Haryanto Haryanto; Lidia Hastuti; Kharisma Pratama; Syahid Amrullah
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.622

Abstract

The onset of Diabetes Mellitus (DM) among adolescents worldwide has been increased. Objective: This study aimed to analyze risk factors associated with DM among adolescents including family history, tobacco consumption, blood pressure, blood glucose levels, Body Mass Index (BMI), and physical activity. Method: This cross-sectional study included  211 individuals selected through simple random sampling. Data were obtained using a questionnaire to risk factors of DM (family history, tobacco consumption).  Random Capillary Blood Glucose (RCBG) was measured by glucometer. BMI Z score was calculated using growth standard for adolescents. Blood pressure was determined by automatic monitor in accordance with the American Academy of Pediatrics (AAP) hypertension clinical guidelines. Physical activity were assessed using Physical Activity Questionnaire for Adolescent (PAQ-A).  Then, analysis was carried out using the Spearman rank rho statistical test. Results: Among 211 adolescents, most were normoglycemic (79.6%), low physical activity (78.2 %), obesity (17.5 %), and having elevated blood pressure (46.0%). There was no significant relationship between family history of diabetes, smoking habits, blood pressure, BMI, physical activity and blood glucose levels (p > 0.05). Discussions: Although there was no significant relationship was found, however, the presence of multiple risk factors indicates that early metabolic risk may already exist, while the prediabetes phase in adolescents often remains unrecognized. Conclusion: These findings emphasize the importance of early preventive strategies and lifestyle interventions to reduce future metabolic risk. Future research is required to identify other risk factors of DM.Keywords : Adolescents, diabetes mellitus, glucose, risk factors
Faktor-Faktor yang Berhubungan dengan Keberhasilan ASI Eksklusif pada Anak Down Syndrome: Studi Cross-Sectional Siti Masdah; Lidia Hastuti; Cau Kim Jiu; Sri Ariyanti; Usman Usman; Muhammad Alfarizi; Ravi Aulia Febriyanti
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.59846

Abstract

Latar Belakang: Anak dengan Down Syndrome (DS) memiliki berbagai kondisi klinis yang dapat menghambat keberhasilan pemberian ASI eksklusif. Kondisi seperti hipotonia, kelainan jantung bawaan (Congenital Heart Disease/CHD), dan penyakit penyerta berpotensi mengganggu kemampuan menyusu dan mempertahankan laktasi. Tujuan: Menganalisis determinan keberhasilan ASI eksklusif pada anak Down Syndrome. Metode: Penelitian kuantitatif analitik dengan desain cross-sectional dilakukan pada 70 ibu yang memiliki anak Down Syndrome. Sampel dipilih menggunakan purposive sampling. Data dikumpulkan melalui kuesioner terstruktur dan dianalisis menggunakan uji Chi-Square serta regresi logistik biner dengan tingkat signifikansi 5%. Hasil: Proporsi keberhasilan ASI eksklusif sebesar 47,1%. Analisis bivariat menunjukkan bahwa penyakit penyerta, CHD, hipotonia, mudah lelah saat menyusu, kesulitan mengisap, dan kebutuhan bantuan posisi berhubungan signifikan dengan keberhasilan ASI eksklusif (p<0,05). Analisis multivariat menunjukkan bahwa CHD (AOR=0,24; 95%CI=0,07–0,83), hipotonia (AOR=0,25; 95%CI=0,07–0,88), dan penyakit penyerta (AOR=0,29; 95%CI=0,09–0,93) merupakan faktor dominan yang menurunkan peluang keberhasilan ASI eksklusif. Kesimpulan: Keberhasilan ASI eksklusif pada anak Down Syndrome dipengaruhi terutama oleh kondisi klinis anak. CHD merupakan faktor paling dominan yang menurunkan keberhasilan ASI eksklusif. Diperlukan dukungan laktasi dan pendampingan multidisiplin untuk meningkatkan keberhasilan ASI eksklusif pada anak Down Syndrome.
Youth Literacy Regarding the Dangers of Casual Sex for Health in Pontianak: Literasi Remaja Terkait Bahaya Seks Bebas Bagi Kesehatan di Pontianak Ridha Mardiyani; Riki Fahriza; Sri Ariyanti; Lidia Hastuti; Ditha Astuti Purnamawati; Almumtahanah
Indonesian Journal of Administration and Health Research (IJAHR) Vol. 1 No. 2 (2024): Indonesian Journal of Administration and Health Research
Publisher : Muhammadiyah Institute of Technology and Health, West Kalimantan (ITEKES Muhammadiyah Kalimantan Barat)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/ijahr.v1i2.29

Abstract

Adolescence is a transitional period with rapid growth, where failure to adapt can lead to the risk of juvenile delinquency, including promiscuous sexual behavior, especially in the midst of increasing cases of child marriage. Internal factors such as lack of attention from parents and adolescent curiosity about sexual life can endanger them if not balanced with adequate knowledge. This study aims to describe the level of knowledge about the dangers of free sex among students of SMA Muhammadiyah 1 Pontianak. By using Probability sampling method and Quota Sampling technique, the study involved 88 respondents. The results showed that the majority of respondents were 15 years old, with a higher proportion of females than males. The level of knowledge of students about the dangers of free sex was dominated by the good category, with 71 people (80.7%) having adequate knowledge, while 17 people (19.3%) had sufficient knowledge. It is recommended that educational institutions design a comprehensive sex education curriculum and involve the health department to provide sex-related education. Students are expected to increase self-awareness and instill Islamic values. This research can also be the basis for further studies on the role of parents in adolescents' knowledge about the dangers of free sex.Masa remaja adalah periode transisi dengan pertumbuhan yang cepat, di mana kegagalan adaptasi dapat menyebabkan risiko kenakalan remaja, termasuk perilaku seks bebas, terutama di tengah meningkatnya kasus pernikahan usia anak. Faktor internal seperti kurangnya perhatian dari orang tua dan rasa ingin tahu remaja tentang kehidupan seksual dapat membahayakan mereka jika tidak diimbangi dengan pengetahuan yang memadai. Penelitian ini bertujuan untuk menggambarkan tingkat pengetahuan tentang bahaya seks bebas di kalangan siswa/siswi SMA Muhammadiyah 1 Pontianak. Dengan menggunakan metode Probability sampling dan teknik Quota Sampling, penelitian melibatkan 88 responden. Hasil menunjukkan bahwa mayoritas responden berusia 15 tahun, dengan proporsi perempuan yang lebih tinggi dibandingkan laki-laki. Tingkat pengetahuan siswa/i tentang bahaya seks bebas didominasi oleh kategori baik, dengan 71 orang (80,7%) memiliki pengetahuan yang memadai, sementara 17 orang (19,3%) memiliki pengetahuan cukup. Disarankan agar institusi pendidikan merancang kurikulum pendidikan seks yang komprehensif dan melibatkan dinas kesehatan untuk memberikan edukasi terkait seks. Siswa/i diharapkan meningkatkan kesadaran diri dan menanamkan nilai-nilai Islami. Penelitian ini juga dapat menjadi dasar untuk studi selanjutnya mengenai peran orang tua dalam pengetahuan remaja tentang bahaya seks bebas.
Health promotion model based community nursing for improving psychological well-being and treatment adherence among patients with hypertension Juanda Sitepu; Cau Kim Jiu; Lidia Hastuti
JOURNAL OF Mental Health Concerns Vol. 5 No. 3 (2026): June Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v5i3.3381

Abstract

Background: Hypertension is one of the most prevalent non-communicable diseases in Indonesia, with a prevalence rate of 34.1% in 2023. At Silat Hilir Primary Health Center, Kapuas Hulu Regency, West Kalimantan, adherence to antihypertensive medication is only 43%, far below the 70% target established by the Minimum Service Standards (MSS). This gap is exacerbated by geographical barriers in remote rural areas, limited health literacy, and the absence of a structured community-based monitoring system. Purpose: To improve psychological well-being and treatment adherence among patients with hypertension through the implementation of “BAKSO CERDIK”, an innovative community nursing approach based on the Health Promotion Model (HPM). Method: This article presents a community nursing innovation paper using a descriptive-analytic approach. Program development was based on evidence synthesized from a systematic literature review (2014–2024) and an analysis of the local epidemiological situation. The theoretical framework was derived from Pender’s Health Promotion Model (1982, revised 2011), which was operationalized through two complementary pillars: “BAKSO” (Bina-Awasi-Kontrol-Support-Observasi) for medication adherence monitoring and “CERDIK” (Cek-Enyahkan-Rajin-Diet-Istirahat-Kelola) for healthy lifestyle promotion. Results: The program is implemented by trained community health cadres through a monthly cycle integrated into the Integrated Primary Care (ILP) system of the Primary Health Center. Based on evidence from the literature, the program is projected to increase medication adherence from 43% to ≥70%, improve blood pressure control rates from 30% to ≥60%, and reduce treatment dropout rates by up to 50% within the first year of implementation. Conclusion: The intervention is a theoretically grounded, contextually relevant, and systemically integrated community nursing innovation that addresses the gap between high service coverage and low treatment adherence through proactive community-based interventions aligned with the national ILP policy and hypertension MSS targets. Keywords: Health Promotion Model; Psychological Well-Being; Treatment Adherence.
Relationship between Child Marriage and Stunting Incidence Lidia Hastuti; Ridha Mardiyani; Abdu Samad; Dedy Purwanto; Wulan Masitha; Ika Laksita Dewi; Yudi Herdianto Wibowo
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6766

Abstract

Child marriage has a negative impact on the health of mothers and toddlers and can contribute to stunting. In reality, many women who marry at a young age and give birth under the age of 19 are mentally unprepared to face pregnancy, childbirth, and raising children. Objective: This study aims to find out the relationship between child marriage and stunting. This study uses a quantitative research design with a cross-sectional approach. The population in this study were married couples who already had children. The sample selection used an accidental sampling technique, with a sample size of 30 respondents. Data collection using questionnaires by research surveyors to collect primary data. Data analysis in this study used the chi-square test. Statistically, there is a significant relationship between child marriage and stunting incidence p=0.04 (p<0.05). Child marriage has a risk of 1.67 times having a child with stunting compared to marriage in adulthood (OR= 1.67, 95% CI 1.32-8.74). The level of maternal education is not related to the incidence of stunting p = 0.09 (p> 0.05). There is no relationship between maternal employment and the incidence of stunting p = 0.27 (p> 0.05), but the results of the estimation test show that mothers who do not work have a risk of 2.8 times stunted children compared to mothers who work (OR = 2.8, 95% CI 0.42-18.38). There is a relationship between the number of children and the incidence of stunting p = 0.04 (p <0.05). Mothers who have children > 2 are at risk of having stunted children compared to mothers who have children ≤2 (OR = 2.17, 95% CI 1.43-3.28). Anemia in mothers during pregnancy is not related to the incidence of stunting with a value of p = 0.35 (p> 0.05). There is a significant relationship between early marriage, the number of children, and the incidence of stunting. The level of education, employment, and anemia status in mothers during pregnancy are not related to the incidence of stunting.
The Effects of Moderate and Low-Intensity Resistance Exercise on HbA1c Reduction in Patients with Type 2 Diabetes Mellitus Diah Ratri Larasati; Haryanto Haryanto; Lidia Hastuti; Suriadi Jais; Imran Imran
Jurnal Kesehatan Manarang Vol 12 No 1 (2026): April 2026
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v12i1.2232

Abstract

Type 2 diabetes mellitus (T2DM) is a long-term metabolic disorder whose prevalence continues to rise worldwide. This study aims to examine the effectiveness of moderate-intensity resistance exercise compared with low-intensity resistance exercise and no exercise on glycemic control among patients with type 2 diabetes mellitus (T2DM). Methods: A quasi-experimental pre–posttest design with three parallel groups was used: a control group receiving standard care without exercise, a low-intensity resistance exercise group, and a moderate-intensity resistance exercise group (total N = 51 participants). The intervention consisted of a 12-week resistance exercise program (three sessions per week) using elastic loop bands with different resistance levels. Outcomes included anthropometric measures, blood pressure, glycemic parameters (HbA1c, fasting, and random blood glucose), and self-care behaviors assessed with the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Eligible participants were adults aged 25–75 years with T2DM who were receiving oral and/or injectable therapy, without exercise contraindications, and able to provide consent. Individuals with severe diabetic complications, participation in other exercise programs, or medical conditions affecting HbA1c were excluded. Data were analyzed using paired t-tests and one-way ANOVA with Tukey post hoc tests. Results: The moderate-intensity group experienced a statistically significant reduction in mean HbA1c of 0.85% (p = 0.016). Changes in the control group (−0.23%) and low-intensity group (0.06%) were not statistically significant. Tukey post hoc analysis confirmed that HbA1c reduction in the moderate-intensity group was significantly greater than in the control group (mean difference, −1.03%; p = 0.004). However, the difference between moderate- and low-intensity groups was not significant (mean difference, −0.34%; p = 0.516). Conclusion: Moderate-intensity resistance exercise significantly improves glycemic control in patients with type 2 diabetes mellitus (T2DM). Adding structured moderate-intensity resistance training to non-pharmacological diabetes management can improve glycemic outcomes.  
Analysis Of Risk Factors For Adolescent Pregnancy And Innovations In Community-Based Prevention Interventions In Rural Areas Benedika Mardewi Iswari; Lidia Hastuti; Lilis Lestari; Suriadi Jais; Haryanto Haryanto
International Journal Of Humanities Education and Social Sciences (IJHESS) Vol 5 No 5 (2026): IJHESS APRIL 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhess.v5i5.2206

Abstract

Teenage pregnancy in rural areas remains a complex health and social issue in Indonesia and Southeast Asia. Low reproductive health literacy, poverty, and conservative cultural norms contribute to the high pregnancy rate in the 15–19 age group. This study aims to review various factors influencing teenage pregnancy in rural areas and identify innovative community-based preventive interventions that have been implemented. This research is part of a scoping study framework using the Systematic Literature Review (SLR) approach guided by PRISMA 2020. The literature search was conducted in PubMed, CINAHL, and Scopus databases using a combination of keywords in Indonesian and English. Of the 143 articles identified, 12 met the inclusion criteria and were analyzed using the thematic analysis approach of Braun and Clarke (2006). The results of the study indicate that the involvement of families, community leaders, and educational institutions plays a crucial role in increasing adolescent reproductive awareness. Participatory community-based interventions based on local values ​​are considered more effective than top-down approaches. A collaborative, cross-sectoral approach is a promising strategy for reducing teenage pregnancy rates in rural areas.
EDUKASI NENEK UNTUK PENGUATAN PERAN DALAM PENCEGAHAN STUNTING Lidia Hastuti; Ridha Mardiyani; Yenni Lukita; Yuyun Nisaul Khairillah; Tilawati Aprina; Putri Ayu Acik Kusuma
Jurnal LENTERA Vol. 6 No. 2 (2026): Jurnal Lentera
Publisher : Institut Kesehatan Yarsi Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57267/lentera.v6i2.605

Abstract

Background: Grandmothers play a crucial role in supporting child growth and development, particularly in family contexts where they are primary caregivers during pregnancy and early childhood. Evidence indicates that although grandmothers significantly influence caregiving practices, their role is often limited by insufficient knowledge regarding balanced nutrition and appropriate infant feeding practices. Limited understanding of stunting, its determinants, and preventive strategies may contribute to suboptimal nutritional practices that increase children’s risk of growth faltering. Objective: This study aimed to enhance grandmothers’ knowledge of nutrition and caregiving practices and to improve their skills in processing local foods into healthy and nutritious meals. Methods: A community-based intervention was conducted using an educational approach combined with a practical cooking class involving 15 participants. Program effectiveness was evaluated through structured observation of cooking-class performance and measurement of knowledge using validated pre-test and post-test instruments. Results: The findings demonstrated a substantial improvement in participants’ knowledge scores, increasing from 64 ± 2.51 before the intervention to 89 ± 6.72 after the intervention, with a mean difference of 25 ± 3.74. Evaluation of the cooking-class activities indicated that participant performance was categorized as very good. Conclusion: The intervention effectively improved grandmothers’ knowledge regarding caregiving practices, exclusive breastfeeding, and infant and toddler nutrition, highlighting the importance of empowering extended family members as key agents in stunting prevention efforts.
PENGEMBANGAN MODEL INOVASI “SEHATI REMAJA” DALAM PENCEGAHAN KEHAMILAN REMAJA BERBASIS KOMUNITAS DI PEDESAAN Benedika Mardewi Iswari; Lidia Hastuti; Lilis Lestari; Wida Kuswida Bhakti; Cau Kim Jiu
Jurnal Kesehatan Tambusai Vol. 7 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i3.59080

Abstract

Kehamilan remaja masih menjadi masalah kesehatan masyarakat yang serius di wilayah perdesaan Indonesia. Di Kecamatan Empanang, Kabupaten Kapuas Hulu, jumlah kasus kehamilan remaja meningkat dari 10 kasus pada tahun 2024 menjadi 16 kasus pada tahun 2025 atau meningkat sebesar 60%. Kondisi tersebut menunjukkan perlunya pengembangan model intervensi yang sesuai dengan karakteristik sosial budaya masyarakat. Penelitian ini bertujuan mengembangkan Model Inovasi SEHATI Remaja sebagai strategi pencegahan kehamilan remaja berbasis komunitas. Penelitian menggunakan pendekatan partisipatif berbasis masyarakat yang diawali dengan analisis situasi melalui survei terhadap remaja pada April 2026. Data dianalisis secara deskriptif dan menggunakan regresi logistik biner untuk mengidentifikasi faktor risiko, kemudian dilanjutkan dengan empat forum diskusi lintas sektor untuk merancang model intervensi. Hasil penelitian menunjukkan bahwa rendahnya pengetahuan kesehatan reproduksi (OR=5,6) dan rendahnya dukungan keluarga (OR=4,85) merupakan faktor risiko utama terjadinya kehamilan remaja. Berdasarkan temuan tersebut dikembangkan Model SEHATI Remaja yang terdiri atas Sahabat Remaja, Edukasi kesehatan reproduksi, Harmoni keluarga, Akses layanan ramah remaja, dan Tanya rahasia melalui program edukasi sebaya, penguatan keluarga, layanan kesehatan ramah remaja, media konsultasi, serta dialog komunitas. Disimpulkan bahwa Model SEHATI Remaja merupakan model intervensi berbasis komunitas yang berpotensi meningkatkan pengetahuan remaja, memperkuat dukungan keluarga, memperluas akses layanan kesehatan, dan mendorong perubahan norma sosial sebagai upaya pencegahan kehamilan remaja secara berkelanjutan.
Association of maternal knowledge and attitudes with complementary feeding practices among mothers of children aged 6–24 months Juliming Kenedy; Lilis Lestari; Yenni Lukita; Lidia Hastuti
JOURNAL OF Mental Health Concerns Vol. 5 No. 7 (2026): October Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v5i7.4554

Abstract

Background: Appropriate complementary feeding supports child growth and development. Maternal knowledge and attitudes may be associated with feeding practices. Purpose: To analyse the associations of maternal knowledge and attitudes with complementary feeding practices. Method: This quantitative cross-sectional study involved 195 mothers of children aged 6–24 months, recruited through consecutive sampling. Data were collected using questionnaires assessing maternal knowledge, attitudes, and feeding practices. The instrument had a Cronbach’s alpha of 0.984. Associations were analysed using the Chi-square test, with statistical significance set at p < 0.05. Results: Most respondents were aged 20–35 years (72.3%), had completed senior high school (47.7%), were housewives (44.1%), and had an income at or above the regional minimum wage (72.3%). Most mothers had good knowledge (71.8%) and positive attitudes (75.4%), while 74.9% practised appropriate complementary feeding. Maternal knowledge and attitudes were each significantly associated with complementary feeding practices (both p = 0.001). Conclusion: Maternal knowledge and attitudes were associated with complementary feeding practices. Nutrition education and counselling may support informed feeding decisions. Keywords: Complementary Feeding; Feeding Practices; Maternal Attitudes; Maternal Knowledge.