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GRAFIK RECEIVER OPERATING CURVE (ROC) UNTUK UJI SENSITIVITAS DAN SPESIFISITAS SKOR RISIKO CEDERA REMAJA DI KOTA PALANGKA RAYA Febriani, Irene; Miden, Destinady K.; Annah, Itma
Jurnal Mutiara Kesehatan Masyarakat Vol 10 No 2 (2025): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmkm.v10i2.6425

Latar belakang: Cedera pada remaja masih menjadi masalah kesehatan masyarakat yang signifikan karena berdampak terhadap morbiditas, disabilitas, dan beban sosial-ekonomi keluarga. Diperlukan alat skrining yang valid dan efisien untuk mendeteksi remaja berisiko cedera sejak dini. Tujuan: Penelitian ini bertujuan menilai sensitivitas, spesifisitas, dan akurasi skor risiko cedera pada remaja di Kota Palangka Raya menggunakan analisis Receiver Operating Characteristic (ROC). Metode: Desain penelitian adalah cross-sectional dengan melibatkan 265 remaja usia 15–24 tahun dari lima SMA negeri dan komunitas remaja kota Palangka Raya tahun 2023. Data dikumpulkan melalui kuesioner yang mencakup skor kesehatan mental emosional, penggunaan helm, konsumsi alkohol, domisili, dan jenis kelamin, serta dikonfirmasi dengan pemeriksaan fisik dan radiologis sebagai gold standard. Hasil: Hasil menunjukkan nilai Area Under the Curve (AUC) sebesar 0,714 (CI95% 0,623–0,805; p<0,001), menandakan akurasi sedang-baik. Nilai sensitivitas sebesar 56,8% dan spesifisitas 82,0% diperoleh pada titik potong optimal 13,47. Kesimpulan: Skor risiko cedera memiliki kemampuan diskriminatif yang cukup baik untuk mengidentifikasi remaja berisiko, namun peningkatan sensitivitas diperlukan agar lebih efektif sebagai alat skrining awal di masyarakat.

Anxiety Levels among Primigravida Pregnant Women at the Menteng Public Health Center, Palangka Raya Nur’aini, N.; Miden, Destinady K.; Sukriani, Wahidah
SIGn Journal of Public Health Vol 3 No 2 (2024): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v3i2.656

Anxiety among third-trimester primigravida is a significant public health issue that increases the risk of delivery complications, as well as maternal and infant morbidity and mortality. This study aimed to determine anxiety levels among primigravida based on age, education, occupation, income, and family support in the working area of the Menteng Primary Health Center (PHC) in Palangka Raya City. This quantitative study, with a descriptive cross-sectional design, involved 55 respondents selected through purposive sampling. Primary data were collected using the Perinatal Anxiety Screening Scale (PASS) questionnaire and a Likert-scale questionnaire for the family support variable, which were subsequently analyzed using univariate frequency distributions and percentages. The results showed that the majority of respondents experienced moderate anxiety (63.64%) and severe anxiety (18.18%). Moderate anxiety was predominantly experienced by the ideal reproductive age group of 20–35 years (62.50%), those with secondary education (63.89%), and the unemployed (housewives) (59.38%). Specifically regarding socio-economic indicators, moderate anxiety remained dominant among those with a husband’s income below the Regional Minimum Wage (RMW) (64.10%). Notably, the group receiving good family support (73.80%) contributed the highest rate of moderate anxiety. These empirical facts demonstrate that age maturity, financial stability, and family support do not automatically eliminate maternal anxiety approaching the first childbirth. Therefore, it is recommended that the PHC integrate psychological screening instruments into routine Antenatal Care (ANC) service standards to reduce the risk of complications at an early stage.

Anxiety Levels among Primigravida Pregnant Women at the Menteng Public Health Center, Palangka Raya Nur’aini, N.; Miden, Destinady K.; Sukriani, Wahidah
SIGn Journal of Public Health Vol 3 No 2 (2024): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v3i2.656

Anxiety among third-trimester primigravida is a significant public health issue that increases the risk of delivery complications, as well as maternal and infant morbidity and mortality. This study aimed to determine anxiety levels among primigravida based on age, education, occupation, income, and family support in the working area of the Menteng Primary Health Center (PHC) in Palangka Raya City. This quantitative study, with a descriptive cross-sectional design, involved 55 respondents selected through purposive sampling. Primary data were collected using the Perinatal Anxiety Screening Scale (PASS) questionnaire and a Likert-scale questionnaire for the family support variable, which were subsequently analyzed using univariate frequency distributions and percentages. The results showed that the majority of respondents experienced moderate anxiety (63.64%) and severe anxiety (18.18%). Moderate anxiety was predominantly experienced by the ideal reproductive age group of 20–35 years (62.50%), those with secondary education (63.89%), and the unemployed (housewives) (59.38%). Specifically regarding socio-economic indicators, moderate anxiety remained dominant among those with a husband’s income below the Regional Minimum Wage (RMW) (64.10%). Notably, the group receiving good family support (73.80%) contributed the highest rate of moderate anxiety. These empirical facts demonstrate that age maturity, financial stability, and family support do not automatically eliminate maternal anxiety approaching the first childbirth. Therefore, it is recommended that the PHC integrate psychological screening instruments into routine Antenatal Care (ANC) service standards to reduce the risk of complications at an early stage.

Hubungan Harga Diri dan Dukungan Keluarga dengan Kesehatan Mental Emosional Remaja di Palangka Raya, Kalimantan Tengah Febriani, Irene; Annah, Itma; Miden, Destinady K.
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56864

Disebabkan potensi dampaknya terhadap pertumbuhan dan kesehatan, masalah kesehatan mental remaja membutuhkan perhatian. Tujuan utama penelitian ini adalah untuk meneliti hubungan antara kesehatan emosional dan mental remaja dengan faktor-faktor seperti harga diri dan dukungan keluarga. Metodologi kuantitatif berdasarkan desain cross-sectional digunakan dalam penelitian ini. Sebanyak 125 remaja (berusia 15 hingga 18 tahun) dipilih secara acak dari 125 remaja di Kota Palangka Raya selama musim panas tahun 2025. Kesehatan emosional, harga diri, dan data tentang dukungan keluarga (termasuk bantuan informasional, apresiatif, instrumental, dan emosional) termasuk di antara topik yang dibahas. Kami menggunakan regresi logistik untuk analisis multivariat, uji chi-square untuk analisis bivariat, dan analisis univariat untuk data. Responden tidak menderita penyakit emosional atau mental, dan mayoritas memiliki harga diri yang kuat. Temuan analisis memperlihatkan ditemukan hubungan signifikan antara harga diri serta dukungan keluarga berupa informasi, instrumental, dan emosional dengan kesehatan mental emosional remaja (p<0,05). Harga diri dan dukungan keluarga berperan penting terhadap kesehatan mental emosional remaja. Peningkatan harga diri serta keterlibatan keluarga dalam memberikan dukungan yang memadai dapat membantu menjaga kesehatan mental remaja. Due to its potential impact on growth and well-being, adolescent mental health issues require attention. The primary objective of this study was to examine the relationship between adolescents' emotional and mental well-being and factors such as self-esteem and family support. A quantitative methodology based on a cross-sectional design was used in this study. A total of 125 adolescents (aged 15 to 18) were randomly selected from 125 adolescents in Palangka Raya City during the summer of 2025. Emotional well-being, self-esteem, and data on family support (including informational, appreciative, instrumental, and emotional support) were among the topics discussed. We used logistic regression for multivariate analysis, chi-square test for bivariate analysis, and univariate analysis for the data. Respondents did not suffer from emotional or mental illness, and the majority had strong self-esteem. The analysis findings showed a significant relationship between self-esteem and family support in the form of informational, instrumental, and emotional support with adolescents' emotional mental health (p<0.05). Self-esteem and family support play an important role in adolescents' emotional mental health. Increasing self-esteem and family involvement in providing adequate support can help maintain adolescent mental health.

The Association Between Knowledge and Vulvar Hygiene Practices Among Adolescent Girls Pransiska, Widia; Miden, Destinady K.; Annah, Itma; Migang, Yena Wineini
SIGn Journal of Public Health Vol 4 No 1 (2025): Januari – Juni
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i1.677

Adolescent reproductive health requires critical attention due to the high prevalence of reproductive tract infections, such as pathological leukorrhea, which are frequently triggered by poor intimate hygiene. This issue is exacerbated by inadequate health literacy among adolescents, posing long-term health risks. This study aimed to analyze the association between reproductive health knowledge and vulvar hygiene practices among adolescent girls at a senior high school in Central Katingan, Indonesia. A quantitative, descriptive-analytic study with a cross-sectional design was conducted involving 110 respondents selected via simple random sampling. A structured questionnaire was used to measure knowledge and practices, followed by descriptive statistics and cross-tabulation. The results indicated that the majority of respondents demonstrated good knowledge (66.40%) and good vulvar hygiene practices (59.10%). Data analysis revealed a consistent positive association: students with strong knowledge generally exhibited adequate hygiene practices. However, a discrepancy was identified among a subset of respondents who possessed adequate knowledge but did not demonstrate ideal practices, suggesting potential barriers related to motivation or facility access. In conclusion, while knowledge serves as a fundamental basis for establishing preventive practices, interventions focusing solely on cognitive aspects are insufficient. This study recommends implementing holistic health education programs that integrate family support and utilize technology-based visual media. This approach ensures the sustainable internalization of hygiene values, thereby effectively reducing the risk of reproductive morbidity among adolescents.

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