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The Effect Of Image Message Perception On Cigarette Background And The Intention To Stop Smoking Teenagers Sarah Fadhila Siregar; Putra Apriadi Siregar; Apriliani Apriliani; Rani Elviyanti Siregar; Nur Fadhilah Hasanah
Communicare : Journal of Communication Studies Vol. 8 No. 1 (2021): Communicare : Journal of Communication Studies
Publisher : Lembaga Penelitian, Publikasi dan Pengabdian kepada Masyarakat (LP3M) Institut Bisnis dan Komunikasi LSPR

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37535/101008120213

Smoking behavior in Indonesia is still high. Health warning for room cigarette smoke is 50% of the surface of cigarette packs, but Indonesia is still a country with cigarette smoke in ASEAN at 40%. This study aimed to determine the effect of cigarette packaged image messages on adolescent smoking intentions in Medan. This study used a cross-sectional method. The number of samples in this study was 68 teenagers in Medan City. This study uses a questionnaire as a primary data aid. Bivariate analysis using the chi-square test. The results showed that there were 52.9% respondents aged 20-21 years and had a general department of 52.9%, as many as 52.9% of respondents in semester 4 were 55.9%. The majority of respondents aged 20-21 years without consuming 1-5 cigarettes/day were 55.6%. Responding to fear of cigarette packaged picture messages and having the intention of smoking as much 14.7%. Respondents were not afraid of the cigarette packaged picture messages and had no intention of quitting smoking as much as 17.6%. It can be detrimental to respondents that with the perception of fear, the message of cigarette packs of images has a risk of 1,885 times the intention to quit smoking than respondents who do not have the perception of fear of the cigarette pack image message. It is hoped that the government will expand the picture message on cigarette packets to increase the desire to quit smoking and reduce the number of smokers in Indonesia.

ANALISIS FAKTOR PERILAKU SEKSUAL REMAJA DI KOTA MEDAN Rani Elviyanti Siregar; Apriliani Apriliani; Nur Fadhilah Hasanah; Sarah Fadhila Siregar
AN-NUR: Jurnal Kajian dan Pengembangan Kesehatan Masyarakat Vol 1, No 1 (2020): Annur:Jurnal Kajian dan Pengembangan Kesehatan Masyarakat
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/an-nur, 1, 1, 99-108

Masa remaja menjadi moment pada individu mengalami pergeseran umur dan melewati masa pubertas hingga terjadi perubahan fisik, psikologi, dan karakter di sertai perilaku seksual. Perubahan yang terjadi pada remaja semakin sering memunculkan berbagai persoalan dalam hal aktivitas seksual hingga seks bebas dikalangan remaja. Pacaran menjadi sarana menarik yang digunakan remaja saat ini dalam menyalurkan gejala-gejala dari perubahan pada dirinya tersebut. Hingga saat ini angka kejadian kehamilan tidak diinginkan di Indonesia mencapai 51,7% dikalangan umur 16-20 tahun dan upaya melakukan aborsi mencapai 6,54%. Selain itu, kemudahan dalam mengakses konten pornografi dalam bentuk gambar, video, kemunculan iklan dan tayangan lainnya yang secara jelas menampilkan pergaulan remaja modern di berbagai unggahan media sosial tanpa sensor menjadi salah satu penyebab terjadinya perilaku seks yang menyimpang di kalangan remaja. Penelitian ini menggunakan metode cross-sectional. Jumlah sampel dalam penelitian ini sebanyak 108 remaja di kota medan, Sumatera Utara, Indonesia. Penelitian ini menggunakan kuesioner sebagai alat pengumpulan data primer. Analisis penelitian ini menggunakan analisis crosstabulation. Hasil penelitian ini menunjukkan bahwa 81,5% remaja mengaku pernah berpacaran, 100% remaja mengaku pernah melakukan aktivitas seksual (berjalan-jalan bersama,berpegangan tangan, berciuman, berpelukan, dan berhubungan intim) dan 62,0% remaja tinggal di rumah kost, dengan uang saku diatas Rp500.000/bulan. Disimpulkan bahwa perilaku seksual remaja saat ini sudah tidak terkendali dari segi aktivitas seksual hingga mengakibatkan beberapa permasalahan muncul seperti seks bebas, upaya aborsi, pernikahan dini dan kehamilan yang tidak diinginkan. Hal tersebut di pengaruhi beberapa faktor yang ada salah satunya kurangnya pengawasan dan pengendalian orang tua terhadap remaja yang tinggal di rumah kost.Kata kunci: remaja, perilaku seksual, kost, pornografi.---Adolescence becomes a moment in individuals experiencing a shift in age and through puberty until physical, psychological, and character changes occur along with sexual behavior. Changes that occur in adolescents increasingly raise various problems in terms of sexual activity to free sex among adolescents. Dating is a new tool used by adolescents today in channeling the symptoms of changes in him. Until now, the incidence of unwanted pregnancy in Indonesia has reached 51.7% among people aged 16-20 years, and attempts to have an abortion reached 6.54%. Also, the ease of accessing pornographic content in the form of images, videos, the appearance of advertisements, and other shows that display the association of modern adolescents in many uncensored social media uploads is one of the causes of deviant sexual behavior among adolescents. This study uses a cross-sectional method. The number of samples in this study was 108 teenagers in Medan city, North Sumatra, Indonesia. This study uses a questionnaire as a primary data collection tool. The analysis of this study uses crosstabulation analysis. The results of this study showed that 81,5% adolescents had dated, 100% adolescents claimed to have had sexual activity (walking together, holding hands, kissing, hugging, and having sex) and 62,0% adolescents living in boarding houses, with pocket money above Rp500.000/month. It was concluded that the current sexual behavior of adolescents is out of control in terms of sexual activity to cause several problems to emerge, such as free sex, attempts at abortion, early marriage, and unwanted pregnancy. This is influenced by several factors, one of which is the lack of supervision and control of parents of adolescents who live in boarding houses.Keywords: Adolescence, sexual behavior, boarding house, pornography.

Analysis of Risk Factors Malaria Incidence in Indonesia (data analysis of riskesdas 2018) Apriliani Apriliani; Putra Apriadi Siregar; Azhari Akmal Tarigan
International Archives of Medical Sciences and Public Health Vol. 2 No. 1 (2021):
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.108 KB)

Malaria is still a problem in Indonesia and the world because the morbidity rate is still quite high, and its management is a commitment to the Sustainable Development Goals (SDGs) until 2030. The purpose of this study is to determine the risk factors for the incidence of malaria in Indonesia. This study uses a quantitative approach with a cross-sectional study design. Further analysis of Riskesdas 2018 data was carried out from January to August 2021. The location of this research is all provinces in Indonesia, as many as 34 provinces. The sample in this study is the total population based on the Rapid Diagnostic Test (RDT) in Indonesia as many as 26,657 samples. This study uses secondary data from Riskesdas 2018. The data analysis in this study is univariate analysis with descriptive analysis. The results of this study are respondents suffering from malaria aged >24 years as many as 14,769 (55.4%), female respondents suffering from malaria as many as 13,827 (51.9%), respondents having low education suffered from malaria as many as 19,926 (74.7%), respondents working suffered as much as 15,570 ( 58.4%), respondents living in rural areas suffer from malaria as many as 18,558 (69.6%), respondents who sleep without using mosquito nets suffer from malaria as many as 20,671 (77.5%), respondents do not use repellent suffer from malaria as many as 18,104 (67.9%), respondents do not use mosquito coils /spray/electric suffer from malaria as many as 14,059 (52.7%), respondents who do not use mosquito netting on home ventilation suffer from malaria as many as 22,369 (83.9%), and respondents suffer from malaria in Indonesia as many as 8,076 (30.3%). It is hoped that the Indonesian Ministry of Health will monitor the program for using repellents and distributing insecticide-treated mosquito nets to malaria-endemic areas. It is hoped that the District/City Offices should be more effective in providing counselling or education on malaria prevention to the public as a malaria prevention measure.

Analysis of Risk Factors Malaria Incidence in Indonesia (data analysis of riskesdas 2018) Apriliani Apriliani; Putra Apriadi Siregar; Azhari Akmal Tarigan
International Archives of Medical Sciences and Public Health Vol. 2 No. 1 (2021):
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.108 KB)

Malaria is still a problem in Indonesia and the world because the morbidity rate is still quite high, and its management is a commitment to the Sustainable Development Goals (SDGs) until 2030. The purpose of this study is to determine the risk factors for the incidence of malaria in Indonesia. This study uses a quantitative approach with a cross-sectional study design. Further analysis of Riskesdas 2018 data was carried out from January to August 2021. The location of this research is all provinces in Indonesia, as many as 34 provinces. The sample in this study is the total population based on the Rapid Diagnostic Test (RDT) in Indonesia as many as 26,657 samples. This study uses secondary data from Riskesdas 2018. The data analysis in this study is univariate analysis with descriptive analysis. The results of this study are respondents suffering from malaria aged >24 years as many as 14,769 (55.4%), female respondents suffering from malaria as many as 13,827 (51.9%), respondents having low education suffered from malaria as many as 19,926 (74.7%), respondents working suffered as much as 15,570 ( 58.4%), respondents living in rural areas suffer from malaria as many as 18,558 (69.6%), respondents who sleep without using mosquito nets suffer from malaria as many as 20,671 (77.5%), respondents do not use repellent suffer from malaria as many as 18,104 (67.9%), respondents do not use mosquito coils /spray/electric suffer from malaria as many as 14,059 (52.7%), respondents who do not use mosquito netting on home ventilation suffer from malaria as many as 22,369 (83.9%), and respondents suffer from malaria in Indonesia as many as 8,076 (30.3%). It is hoped that the Indonesian Ministry of Health will monitor the program for using repellents and distributing insecticide-treated mosquito nets to malaria-endemic areas. It is hoped that the District/City Offices should be more effective in providing counselling or education on malaria prevention to the public as a malaria prevention measure.

Overview of the Incidence of Scabies Factors in the Work Area of the Public Health Center Tanjung Medan, Kampung Rakyat District Mutiara Nauli Siregar; Rika Arnanda; Sarah Fadhila Siregar; Apriliani Apriliani; Wasiyem Wasiyem; Nurhayati Nurhayati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 4, No 2 (2022): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v4i2.14182

Based on health profile data in the work area of the Tanjung Medan Community Health Center, Kampung Rakyat District, South Labuhanbatu (June 2019-June 2020), the number of cases of scabies sufferers was 352 cases. The areas where people living with scabies disease are prone to frequent flooding when it rains, because people live along rivers and are also densely populated, so this has resulted in a high number of cases of scabies.This study was conducted to determine the description of the incidence of scabies in the working area of PUSKESMAS Tanjung Medan, Kecamatan Kampung Rakyat.This study uses qualitative methods. The research informants were selected by using purposive sampling method. The criteria for the informants in this study were people who had or are currently suffering from scabies skin disease. Data were collected by in-depth interviews.The results showed the factors that influence the incidence of scabies such as personal hygiene, environmental sanitation, nutritional status, symptoms of scabies experienced, and health services at PUSKESMAS. In the aspect of personal hygiene, it is known how the informants' daily activities in carrying out personal hygiene. The personal hygiene of the community and, the environmental sanitation around the place where the community lives is still not good. It is also known that a poor diet has made supporting factors for the development of scabies continue to occur, in the community, so that people continue to experience symptoms such as itching and the appearance of red spots on the skin.

EVALUASI IMPLEMENTASI STRATEGI DIRECTLY OBSERVED TREATMENT SHORTCOURSE (DOTS) DALAM PROGRAM PENANGGULANGAN TUBERKULOSIS DI PUSKESMAS Siregar, Riski Agussalim; Apriliani, Apriliani; Sarah Fadhila Siregar
Jurnal Mal el Hayat Vol. 1 No. 2 (2023): Juli
Publisher : STIKes Malahayati Medan

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

Tuberkulosis (TB) masih menjadi tantangan kesehatan masyarakat yang signifikan di Indonesia, termasuk di Kota Medan. Strategi Directly Observed Treatment Short-course (DOTS) telah menjadi pendekatan utama dalam penanggulangan TB. Namun, efektivitas implementasinya di tingkat pelayanan primer, khususnya puskesmas, masih menghadapi berbagai hambatan. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan strategi DOTS dalam program pengendalian TB di Puskesmas Medan Area Selatan Kota Medan. Penelitian ini menggunakan pendekatan kualitatif dengan desain deskriptif. Pengumpulan data dilakukan pada Oktober hingga Desember 2023 melalui wawancara mendalam, observasi, dan telaah dokumen. Informan terdiri atas tujuh orang, yaitu Wasor TB, kepala puskesmas, dua petugas TB, dua pasien TB, dan satu Pengawas Menelan Obat (PMO). Teknik analisis data menggunakan analisis tematik dengan triangulasi sumber dan metode. Hasil penelitian menunjukkan bahwa pelaksanaan strategi DOTS telah mengikuti pedoman nasional, namun terdapat kendala pada aspek kepatuhan pasien, keterbatasan sarana diagnostik, distribusi obat, serta sistem pelaporan digital SITB yang belum optimal. Peran PMO dan dukungan keluarga sangat berpengaruh terhadap keberhasilan pengobatan. Implementasi strategi DOTS di Puskesmas Medan Area Selatan perlu diperkuat melalui pelatihan petugas, perbaikan infrastruktur pelaporan digital, dan peningkatan peran serta keluarga dan masyarakat dalam mendukung pengobatan TB.

Integrating the Mararang Postpartum Tradition into Biomedical Care: An Interdisciplinary Study of Health Beliefs, Communication, and Maternal–Infant Outcomes Siregar, Putra Apriadi; Ritonga, Aulia Rahma; Suraya, Rani; Rezebri, Muhammad; Siregar, Prima Yanti; Iqbal, Mhd.; Pratiwi, Sabila; Apriliani, Apriliani; Adinda, Desty
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8407

ntroduction: Traditional postpartum care practices remain an integral aspect of maternal and child health in indigenous communities. Mararang tradition is a postpartum care tradition that continues to be widely practiced among Batak postpartum mothers, as it is believed to accelerate maternal and infant recovery through heat therapy. . This study aims to examine the historical evolution of the mararang tradition, its cultural significance, and its implications for maternal and infant health. Methods: A qualitative phenomenological approach was employed to explore the experiences of postpartum mothers practicing the mararang tradition. Data were collected through in-depth interviews with postpartum mothers, their husbands, traditional leaders, and healthcare providers in North Sumatra Province. Source triangulation, methodological triangulation, and data analysis were applied in this research. Thematic and content analyses were conducted to explore key dimensions of health beliefs, communication, and the transformation of the mararang tradition over time. Results: Participants ascribed thermal balance, comfort, and social support to mararang, while acknowledging potential risks from heat and smoke. Communication between families and midwives produced adaptive forms (e.g., moderated heat, improved ventilation, time?limited sessions), balancing cultural continuity with safety. We synthesise a conceptual model showing how explanatory beliefs, family authority, and professional guidance co?produce negotiated care. Conclusion: Mararang persists through culturally safe adaptations facilitated by respectful dialogue; practical safeguards (distance from heat source, ventilation, exclusion post?caesarean) can be embedded within routine postpartum care. Programmes should integrate culturally anchored counselling and risk?mitigation protocols, enabling context?sensitive maternal and newborn care.

Exploring Religious Moderation Practices Among Mosque Imams in Dairi Regency Through Local Wisdom and Health Mentality Ponidi Ponidi; Fitri Hayati; Putri Safira; Prima Yanti Siregar; Apriliani Apriliani; Muhammad Rezebri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.26793

Introduction: In pluralistic societies like Indonesia, religious moderation is a critical public health and social cohesion imperative. Mosques and their imams serve as pivotal institutions and leaders in shaping community attitudes. This study explores how mosque imams in the Muslim-minority regions of Dairy and West Pakpak, North Sumatra, leverage local wisdom to foster religious moderation and social harmony.Objective: This research aims to analyze the practices and impact of mosque imams in promoting religious moderation by integrating Islamic teachings with indigenous local values, specifically the Sikata One (unity and solidarity) and Marga Silima (balance and harmony) principles of the Pakpak community.Methods: A qualitative study was conducted in Dairy and West Pakpak Regencies. Data were collected through in-depth interviews with mosque imams and administrators (n=40) and supplemented by content analysis of relevant documents, including local manuscripts and literature on religious moderation. A thematic analysis was employed to identify key patterns in the imams' strategies for integrating local wisdom with religious teachings.Results: The findings reveal a high prevalence of moderate attitudes among community members influenced by the imams. Key results include: 70% acceptance of friends from different religions; 75% rejection of coercing others to conform to one's religious will; and 90% comfort in sitting next to individuals of different faiths at events. Thematic analysis identified that imams actively incorporate the principles of Sikata One and Marga Silima into sermons and community guidance, framing religious coexistence as an extension of traditional cultural values.Conclusion: Mosque imams play an instrumental role as agents of religious moderation by effectively syncretizing Islamic doctrine with deeply held local wisdom. This culturally-grounded approach, championed by religious leaders, is a significant factor in the sustained interfaith harmony observed in these regions. The study underscores the importance of leveraging cultural assets and religious leadership in public health and policy initiatives aimed at building resilient, tolerant, and cohesive societies. Keywords: Religious Moderation, Mosque Imams, Local Wisdom, Social Cohesion.

Utilization of Primary Healthcare Services and Stunting Among Children Aged 0-59 Months in Indonesia: A National Cross-Sectional Study Apriliani Apriliani
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.25425

Stunting remains a critical public health concern in Indonesia, contributing toelevated morbidity rates and undermining the quality of human capital. While primary healthcare services are central to preventive efforts, their direct association with stunting at the national scale remains inadequately explored. This study investigates the relationship between primary healthcare utilization and stunting incidence among children aged 0-59 months in Indonesia, using data from the 2023 Indonesia Health Survey (SKI). A cross-sectional analytical design was employed, involving 79,141 children after data cleaning. Nutritional status was measured via the height-for-age (H/A) indicator based on WHO Z-scores. Independent variables included child's sex, maternal education level, maternal employment status, residential area, availability of primary healthcare facilities, and health insurance ownership. Statistical analysis encompassed univariate, bivariate (chi-square test), and multivariate (binary logistic regression) methods. Significant associations were found for sex, maternal education, place of residence, and availability of healthcare facilities (p < 0.05), while maternal employment and health insurance showed no significant relationship. Multivariate analysis identified maternal education as the dominant determinant (p = 0.023; Exp(B) = 1.040; 95% CI: 1.006-1.077). Children of mothers with lower educational attainment faceda heightened risk of stunting compared to those whose mothers had higher education. Utilization of primary healthcare services was associated with stunting among children, particularly through maternal education as a key determinant. Findings underscore the importance of strengthening family-based interventions and enhancing maternal health literacy within the framework of primary healthcare to address stunting more effectively Keywords: Stunting, Children, Primary healthcare services, Indonesia

Student Smoking Behaviour and Cigarette Advertisements Around School and Home: A study in Tebing Tinggi City Abdi Mubarak Syam; Muhammad Zali; Putra Apriadi Siregar; Apriliani Apriliani; Sarah Fadhila Siregar; Desty Adinda; Abdillah Ahsan; Nadira Amalia; Diva Nada Rizki Nuzlan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21312

Backgrounds: Indonesia is the second-largest cigarette market in the world, with an increased smoking rate among young people aged 10-18 years. The latest data show that smoking is increasingly common in youth. Tobacco control will reduce public demand for tobacco products, especially if the supply of tobacco can be limited. Methods: This study, conducted in Tebing Tinggi City, North Sumatra Province, aimed to collect data on the density of cigarette sellers around schools and their impact on students' smoking behavior. The research involved 1914 students from 10 schools, examining factors such as smoking laws, age at first smoking, daily cigarette consumption, location, and advertisements. The study used a cross-sectional design, GPS coordinates, QGIS 3.0 analysis, and in-depth interviews with a Tebing Tinggi City Health Office representative. The findings will be analyzed using the JASP computer program. Results: The study shows that 8.2% of adolescents in Tebing Tinggi City have never smoked, with mixed views on the smoking law. The majority do not smoke, with varying smoking rates and exposure to cigarette advertisements. The study also found a high density of cigarette sellers in junior and senior high schools, indicating a lack of awareness about smoking. Conclusions: Most adolescents in Kota Tebing Tinggi do not smoke, with mixed views on the smoking law. They are exposed to cigarette advertisements in school and home environments, with vendors providing easy access. Increased awareness and effective law enforcement are needed to control cigarette advertising and sales.

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