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EXPOSURE TO RETAIL CIGARETTES AROUND SCHOOL AND ITS EFFECT ON SMOKING INITIATION STUDENTS IN TEBING TINGGI CITY AND PEMATANG SIANTAR CITY Abdi Mubarak Syam; Muhammad Zali; Putra Apriadi Siregar; Muhammad Rezebri; Putri Safira; Apriliani Apriliani; Prima Yanti Siregar; Desty Adinda
Journal Analytica Islamica Vol 14, No 2 (2025): ANALYTICA ISLAMICA
Publisher : Program Pascasarjana UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jai.v14i2.26487

Abstract

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 uses a cross-sectional design; research was conducted in July-November 2022. This study was conducted on 130 junior high and senior high schools with details of 78 schools in Tebing Tinggi City, and Pematang Siantar City has 52 schools. This study will also examine smoking behavior among students as many as 3900 in junior high and senior high school, with the distribution of students in the city of Tebing Tinggi as many as 2340 students, and students in Pematang Siantar as many as 1560 students. This study will take the coordinates of the school and the coordinates of outdoor retailers' cigarettes around the school using GPS and then will be analyzed using QGIS 3.0 to describe the school's coordinates with the coordinates of the cigarette seller. Data analysis of retailers' cigarettes around schools and students' smoking behavior in Tebing Tinggi City and Pematang Siantar City will use the STATA 15. Results: This study's results indicate a relationship between the perception that smoking is cool and the smoking behavior of students in Tebing Tinggi City (P-value=<0.001; OR=7.238). Students who perceive smoking as cool are 7.238 times more likely to smoke. there is a relationship between the perception of smoking as a symbol of friendship and the smoking behavior of students in Tebing Tinggi City (P-value=<0.001= OR=15.206). Students who perceive smoking as a symbol of friendship are at risk 15.206 times greater for smoking. there is a relationship between the perception of smoking as a symbol of friendship/friendship and the smoking behavior of students in Tebing Tinggi City (P-value=<0.001= OR=12.597). Students who perceive smoking as a symbol of friendship/friendship are 12.597 times more likely to smoke. there is a relationship between the perception that smoking is cool and the smoking behavior of students in the last ten days in Tebing Tinggi City (P-value=<0.001= OR=9.798). Students who perceive smoking as cool are 9.798 times more likely to smoke in the previous ten days. there is a relationship between the perception of smoking as a symbol of friendship and students' smoking behavior in the last ten days in Tebing Tinggi City (P-value=<0.001= OR=28.140). Students who perceive smoking as a symbol of friendship are 28.140 times more likely to smoke in the last ten days. And there is a relationship between the perception of smoking as a symbol of friendship/friendship and students' smoking behavior in the previous ten days in Tebing Tinggi City (P-value=<0.001= OR=22.853). Students who perceive smoking as a symbol of friendship/friendship are at risk 22.853 times greater for smoking in the last ten days compared to students who do not have smoking as a symbol of friendship/friendship. There is a relationship between cigarette advertisements around schools and students' smoking behavior in Pematang Siantar City (P-value=<0.001= OR=2.547). Students have never smoked. And there is a relationship between cigarette advertisements around schools and students' smoking behavior in the last ten days in Pematang Siantar City (P-value=<0.001; OR=3.678). Cigarette advertisements around schools have a risk of 3.678 times greater for students smoking in the last ten days. Suggestion: Tebing Tinggi City Government and Pematang Siantar City Government to strengthen SFA bylaws in Tebing Tinggi City and Pematang Siantar City by including a ban on cigarette advertising and sponsorship around schools. The Tebing Tinggi City Education Office and the Pematang Siantar City Education Office are expected to coordinate with the Tebing Tinggi City Civil Service Police Unit Agency and the Pematang Siantar City Civil Service Police Unit Agency to regulate cigarette advertisements around the school area with a radius of 1 Km. Government to make Regional Regulations related to the prohibition of cigarette advertising around schools and cigarette sellers in Tebing Tinggi City and Pematang Siantar City. The Tebing Tinggi City Education Office and the Pematang Siantar City Education Office are expected to coordinate with the Tebing Tinggi City Health Office and the Pematang Siantar City Health Office to provide socialization to students about the dangers of smoking actively.
Integrating the Mararang Postpartum Tradition into Biomedical Care: An Interdisciplinary Study of Health Beliefs, Communication, and Maternal–Infant Outcomes Putra Apriadi Siregar; Aulia Rahma Ritonga; Rani Suraya; Muhammad Rezebri; Prima Yanti Siregar; Mhd. Iqbal; Sabila Pratiwi; Apriliani Apriliani; Desty Adinda
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

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

Abstract

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.
BUILDING SELF-EFFICACY FOR REPRODUCTIVE HEALTH AMONG INDONESIAN MIGRANT WORKERS' CHILDREN IN MALAYSIA: AN ASSET-BASED, GAME-SUPPORTED COMMUNITY PROGRAMME Ponidi Ponidi; Tika Dewi; Apriliani Apriliani; Rani Suraya; Prima Yanti Siregar; Muhammad Rezebri; Putra Apriadi Siregar
Journal of Gender and Social Inclusion in Muslim Societies Vol 7, No 1 (2026): Journal of Gender and Social Inclusion in Muslim Societies (JGSIMS)
Publisher : Pusat Studi Gender dan Anak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jgsims.v7i1.26519

Abstract

Background: Indonesian migrant workers' children in Malaysia face restricted access to formal schooling and reproductive-health (SRH) information. Objective: To design and implement a community-based SRH programme that builds children's self-efficacy using an Asset-Based Community Development (ABCD) approach supported by educational gaming. Methods: A community programme at El Shaddai Learning Centre (Kuala Lumpur) engaged 30 children (7-14 years). The ABCD cycle (discover-dream-design-deliver) informed asset mapping, shared visioning, co-designed content, and delivery/evaluation. The intervention comprised age-appropriate interactive talks and a cause-and-effect “snakes-and-ladders” board game. Formative and summative assessments (structured observation, brief oral quizzes) captured SRH understanding and early self-efficacy indicators. Results: Relative to baseline, participants demonstrated improved ability to define SRH, identify age-appropriate protective behaviours, and articulate consequences of risky choices. Early self-efficacy signals (e.g., refusal of unsafe invitations; concrete steps to maintain personal boundaries) were evident during group work and gameplay. Conclusions: An ABCD-anchored, game-supported format is feasible and acceptable in migrant settings. Sustainability should leverage peer-education, youth-friendly referrals, and light process indicators for ongoing monitoring.
Determinan yang Mempengaruhi Kejadian ISPA pada Masyarakat di Wilayah Kerja Puskesmas Sunggal Kota Medan Widiya Nisa; Febri Aini Nasution; Atikah Nadiah Syafei; Apriliani Apriliani; Aurora Putri Lauta; Zahra Salsabila
Jurnal Dunia Kesmas Vol 15, No 1 (2026): Volume 15 Nomor 1
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v15i1.24150

Abstract

ISPA is a disease that can attack the upper and lower respiratory tract that can be caused by several infectious agents that not only involve individual morbidity but also burden health services, and a person's productivity. This study aims to understand the prevalence of ISPA and risk factors that affect the community in the work area of the Sunggal Community Health Center, Medan City in 2025. The study used a descriptive analytical method with a cross-sectional design involving 314 respondents. Data were collected through questionnaires and analyzed using the chi-square test. The results of the bivariate analysis showed that age, smoking habits and preventive measures had a significant relationship with the incidence of ISPA. Age correlates with the incidence of ARI (p=0.034), where young adults have a higher proportion of ARI (59.6%) than older adults (47.7%). Smoking habits are significantly associated with the incidence of ARI (p=0.001), respondents who smoke are more likely to experience ARI (66.4%) than non-smokers (47.1%). Preventive action variables are also significantly associated with the incidence of ARI (p=0.002), with a tendency that the worse the action, the higher the incidence of ARI (inadequate action 75.6%, sufficient 54.5%, good 44.2%). Meanwhile, the variables of gender (p=0.215), last education (p=0.066), occupation (p=0.115), knowledge (p=0.313), and attitude (p=0.982) do not show a significant relationship with the incidence of ARI. ARI control efforts should not only focus on case therapy but must strengthen promotive and preventive efforts as well as risk management at the family and community levels. Keywords: ISPA, Determinants, Health Behavior 
Co-Authors Abdi Mubarak Syam Abdillah Ahsan Afiatika Ahsani Amel Kinanti Br.Purba Andini Nurhasanah Parinduri Anwar Habibi Siregar Anwar, Syahferi Astuti, Farida Herna Athiya Zahra Atikah Nadiah Syafei Aulia Annisa Aulia Rahma Ritonga Aurora Putri Lauta Aynil Paydah Harahap Azhari Akmal Tarigan Bivit Anggoro Prasetyo Nugroho Budiman Budiman Cynthia Zebua Desty Adinda Desty Adinda Desty Adinda Desty Adinda Dewi D.S Butar Butar Diva Nada Rizki Nuzlan Diva Nada Rizki Nuzlan Febri Aini Nasution Hafsah Hafsah Hayati, Fitri Ismayadi, Ismayadi Lailani Fitria Lily Lily Marlina Elfa Lubis Mawaddah, Armi Melba, Restu Arahman Memet Sudaryanto Mhd. Iqbal Mona Hastuti Muhammad Rezebri Muhammad Rezebri Muhammad Rezebri Muhammad Rezebri Muhammad Rezebri Muhammad Rezebri Muhammad Zali Muhammad Zali Mutiara Nauli Siregar Nadira Amalia Nasution, Rafi Ahmad Rizal Nofi Susanti Nur Fadhilah Hasanah Nur Fadhilah Hasanah Nurhayati Nurhayati Nurhayati Nurhayati Nurhayati Saragih Nurul Azmi Ponidi Ponidi Ponidi Ponidi Prima Yanti Siregar Prima Yanti Siregar Prima Yanti Siregar Prima Yanti Siregar Prima Yanti Siregar Prima Yanti Siregar Prima Yanti Siregar Putra Apriadi Siregar Putra Apriadi Siregar Putri Safira Putri Safira Putri Safira Rani Elviyanti Siregar Rani Elviyanti Siregar Rani Elviyanti Siregar Rani Suraya Rani Suraya Rian Fedriko Ginting Rika Arnanda Rinawati Br Tarigan Sabila Pratiwi Sabila Pratiwi Sarah Fadhila Siregar Sarah Fadhila Siregar Sarah Fadhila Siregar Sarah Fadhila Siregar Siregar, Riski Agussalim Sri Cahyanti Sri Rahayu Susanti Susanti Tika Dewi Tri Budiarti, Tri Wasiyem, Wasiyem Widiya Nisa Willyansyach Willyansyach Yuningsih Yuningsih Zahra Salsabila Zuhair, Ruslan