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Determinan Kepemilikan Jaminan Kesehatan di Provinsi Kalimantan Timur: Analisis Data SKI 2023 Eka Putri Rahayu; Rea Ariyanti; Agustin Putri Rahayu
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 3 (2025): Agustus 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i3.5003

Abstract

National Health Insurance (JKN) is the government's commitment to protecting public health. Health insurance is a system designed to ensure access to health services for all levels of society without exception. In Indonesia, health insurance is implemented through the National Health Insurance (JKN) program managed by the Social Security Administering Agency (BPJS) Health. This program aims to provide comprehensive health protection for all citizens through a mutual cooperation system. The purpose of this study was to analyze the determinants of ownership of National Health Insurance (JKN) in East Kalimantan Province. Indonesian Health (SKI) in 2023 with a cross-sectional research design. Respondents registered for health insurance ownership in East Kalimantan province amounted to 12,418 respondents. Data were analyzed using univariate and bivariate methods. Univariate data analysis was carried out with the results in the form of a frequency table. Bivariate data analysis used the Chi Square test. Determinants of health insurance ownership were significantly influenced by marital status, education level and employment status with each variable having a p-value <0.05. The results of this study can be the basis for the development of health policies, especially national health insurance.
Analisis Prediktor Perilaku Seksual: Studi Kasus Kesehatan Mental dan Dinamika Sosial Remaja di Kota Samarinda Rea Ariyanti; Muhamad Zakki Saefurrohim; Agustin Putri Rahayu; Muh Amri Arfandi
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 3 (2026): Agustus 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i3.7750

Abstract

Premarital sexual behaviour among adolescents has become a serious public health challenge, particularly with the rising cases of sexually transmitted infections and unintended pregnancies in Samarinda. The objective of this study is to analyse the factors associated with premarital sexual behavioural intentions among students at State Senior High School X Samarinda, considering both demographic aspects and current psychological conditions. The present study employed a quantitative approach with a cross-sectional design, and involved 125 respondents who were selected through a multistage random sampling technique. The data were collected through face-to-face interviews using the DASS-21 instrument, the Self-Harm Inventory, as well as scales for intention and peer pressure. The subsequent analysis employed multiple linear regression. The findings of the study indicated that intentions regarding sexual behaviour in the premarital context were found to be significantly influenced by grade level (p = 0.029) and peer pressure (p = 0.011). In the eleventh grade, students demonstrated a decline in intentions, whilst high levels of peer pressure resulted in an escalation in sexual intentions. It is noteworthy that psychological variables, including depression, self-control, and self-esteem, did not demonstrate a substantial impact in this model. The findings of this study indicate that sexual intention among adolescents in Samarinda is more situational-social in nature, rather than being merely an internal individual issue. It is recommended that educational institutions consider the implementation of enhanced peer education programmes and assertiveness skills training as a means of mitigating the potentially detrimental influences of the social environment.
Strengthening Adolescent Mental Health through School-Based Education on Risky Interpersonal Relationships at SMA Negeri 1 Samarinda Muh. Amri Arfandi; Agustin Putri Rahayu; Rea Ariyanti; Muhamad Zakki Saefurrohim
ABDI: Jurnal Pengabdian dan Pemberdayaan Masyarakat Vol 8 No 3 (2026): Abdi: Jurnal Pengabdian dan Pemberdayaan Masyarakat
Publisher : Labor Jurusan Sosiologi, Fakultas Ilmu Sosial, Universitas Negeri Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24036/abdi.v8i3.2094

Abstract

Adolescent mental health is an increasingly urgent public health concern, with one in three Indonesian adolescents experiencing a mental health problem, while only a fraction access support services. Underrecognized risk factors include unhealthy interpersonal relationships, such as peer pressure, relational aggression, bullying, and unhealthy romantic dynamics, which are associated with depression, anxiety, and self-destructive behavior. Low mental health literacy further hinders early recognition and help-seeking. This community service program aimed to strengthen adolescent mental health literacy through school-based education on risky interpersonal relationships and their psychological consequences. The activity was conducted on February 3, 2026, at SMA Negeri 1 Samarinda, involving 26 student representatives. A multimodal approach included interactive lectures using PowerPoint presentations, instructional videos, guided discussions, and an educational storytelling game. Knowledge was assessed using a 10-item structured instrument in a pre-test and post-test design. The Shapiro–Wilk test indicated a non-normal distribution of scores (W = 0.81, p < 0.001); therefore, the Wilcoxon signed-rank test was used. Mean scores increased from 90.77 (SD = 10.93; median = 90; IQR = 10) at pre-test to 98.85 (SD = 4.31; median = 100; IQR = 0) at post-test (p = 0.0008). The narrow post-test spread suggests a ceiling effect due to high baseline knowledge. Despite the limitations of a one-group pretest–posttest design without a comparison group, the findings suggest that structured, multimodal school-based education may improve adolescents’ understanding of risky interpersonal behaviors and strengthen mental health literacy in the East Kalimantan context.
Binomial Logistic Regression of Contraceptive Use among Indonesian Multiparous Women: Indonesia Health Survey 2023 Rea Ariyanti; Eka Putri Rahayu; Agustin Putri Rahayu
Preventif : Jurnal Kesehatan Masyarakat Vol. 16 No. 3 (2025): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/0nvrr515

Abstract

Family planning (KB) is an important strategy to reduce maternal mortality by reducing the number of pregnancies and the proportion of high-risk pregnancies, while enabling family planning and improving quality of life. Although data from the Central Statistics Agency (BPS) shows fluctuations, the prevalence of active KB participation in Indonesia is not enough to significantly increase contraceptive use, especially in multiparous women. The purpose of this study was to examine the factors that influence contraceptive use in multiparous women in Indonesia. The study design was cross-sectional using secondary data obtained from the 2023 Indonesian Health Survey (SKI). The analysis focused on data from 14,975 multiparous mothers who had filled out the questionnaire. The dependent variable in this study was contraceptive use. Independent variables included age, education level, occupation, insurance ownership, delivery method, pregnancy risk, and history of labor and postpartum complications. Data were analyzed using binomial logistic regression. The results of the study showed that determinant factors such as education level, occupation, delivery method, and history of delivery complications affected the use of contraceptives in multiparous women in general by only 3.1%, while 96.9% were influenced by other factors not included in this model test. Therefore, targeted interventions are very important, including expanding contraceptive education for highly educated women and increasing flexible access to services for informal sector workers, as well as conducting counseling programs especially for women with a history of surgery or delivery with complications, to ensure optimal use of contraceptives