Titin Novayanti Dey
Universitas Pendidikan Ganesha

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THE RELATIONSHIP BETWEEN ACADEMIC STRESS AND SLEEP QUALITY WITH THE INCIDENCE OF ANEMIA IN ADOLESCENT GIRLS Titin Novayanti Dey; Sumiati Sumiati
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10300

Abstract

Anemia among adolescent girls remains an unresolved health problem in Indonesia. Factors suspected to be associated with anemia include academic stress and sleep quality. The study aimed to determine the relationship between academic stress and sleep quality with anemia among 12th-grade female adolescents at Senior High School 1 Rendang, Karangasem Regency. This observational analytical study used quantitative methods and a cross-sectional design with a sample of 92 respondents obtained through total sampling techniques. The measurement tools used included the Educational Stress Scale for Adolescents (ESSA) questionnaire to assess academic stress levels, the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality, and hemoglobin levels. Data were analyzed using the Chi-Square test. The results showed that the highest proportion of respondents were in the moderate academic stress category (87.0%), followed by 48.9% with poor sleep quality, and the prevalence of anemia was recorded at 14.1%. Statistically, no relationship was found between academic stress and anemia (p=0.819), nor between sleep quality and anemia (p=0.710). 
Hubungan Literasi Kesehatan Digital dengan Praktik Menstrual Hygiene Management pada Remaja Putri Usia 17–19 Tahun di Desa Penyabangan Ida Ayu Erlian; Putu Irma Pratiwi; Suci Fitriana Pramudya Wardani; Titin Novayanti Dey
The Journal General Health and Pharmaceutical Sciences Research Vol. 4 No. 3 (2026): The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v4i3.1228

Abstract

Digital health literacy can help adolescents access, understand, and evaluate information about menstrual health obtained through digital media. However, evidence regarding its relationship with Menstrual Hygiene Management (MHM) practices—particularly among older adolescents in rural areas—remains limited. This study aims to analyze the relationship between digital health literacy and MHM practices among adolescent girls aged 17–19 years in Penyabangan Village. This study employed a correlational analytical design with a cross-sectional approach. A total of 80 adolescent girls were selected using accidental sampling. Digital health literacy was measured using the Electronic Health Literacy Scale (E-HEALS), while MHM practices were assessed using a 22-item questionnaire. Data were analyzed using Fisher’s Exact Test with a significance level of α=0.05, and the strength of the relationship was assessed using Cramer’s V. A total of 37 respondents (46.3%) had “good” digital health literacy, and 52 respondents (65.0%) had “good” MHM practices. There was a significant association between digital health literacy and MHM practices (p < 0.001), with a moderate strength of association (Cramer’s V = 0.581). The distribution pattern shows that the higher the digital health literacy category, the greater the proportion of respondents with “good” MHM practices. Digital health literacy is associated with MHM practices among adolescent girls aged 17–19 years in Penyabangan Village. Better digital health literacy can support adolescents’ ability to access, understand, and evaluate information regarding MHM. However, the cross-sectional design cannot determine whether better digital health literacy precedes the development of MHM practices or vice versa. The use of accidental sampling also limits the generalizability of the study’s findings.