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The association between anxiety, daily behaviors, and insomnia among university students Ismardi, Dita Anisa; Edlin, Edlin; Lubis, Yolanda Eliza Putri; Davin, Radhitya Qowiyyul; Ishak, Muhammad Raihan; Million, Hendy; Alponso, Rudolf; Jansen, Jansen
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 1 (2026): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i1.7890

Abstract

Background: Insomnia is a common problem among university students and is often associated with psychological factors such as anxiety and modifiable daily behaviors. This study aimed to examine the relationships between anxiety levels, specific daily habits (including caffeine consumption, physical activity, and academic stress), and the occurrence of insomnia among students aged 20 to 25 years at Universitas Prima Indonesia. Methods: An observational analytic study with a cross-sectional design was conducted in May 2025. A total of 94 students participated as respondents. Data were collected using structured questionnaires, including the Hamilton Anxiety Rating Scale (HAM-A) and the Insomnia Severity Index (ISI). The chi-square test was applied to analyze the associations between variables. Results: Most respondents were female (61.7%) with a mean age of 21.21 years. Descriptive analysis showed trends suggesting that higher anxiety and physical activity levels were associated with increased insomnia rates. However, statistical analysis revealed no significant relationship between anxiety and insomnia (p = 0.203) or between physical activity and insomnia (p = 0.190). In contrast, caffeine consumption showed a statistically significant association with insomnia severity (p = 0.006). Conclusion: Although anxiety and physical activity were not significantly related to insomnia in this study, caffeine consumption was identified as a significant modifiable risk factor. These findings emphasize the need for targeted health education programs to improve sleep hygiene among students, particularly by addressing caffeine intake to enhance sleep quality.
Coronary heart disease risk factors: Family history, smoking, and diet among patients at Royal Prima General Hospital Ishak, Muhammad Raihan; Tobing, Andrico Napolin Lumban; Handayani, Putri
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 1 (2026): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i1.8113

Abstract

Background: Coronary heart disease (CHD) is a leading cause of death worldwide, influenced by both modifiable and non-modifiable risk factors. This study aimed to analyze risk factors for CHD based on family history, smoking activity, and dietary habits among patients at Royal Prima General Hospital Medan. Methods: A quantitative study with a cross-sectional design was conducted from December 16, 2025 to January 6, 2026. The sample comprised 35 CHD patients selected through purposive sampling. Data were collected using structured questionnaires and medical records, and analyzed using univariate, descriptive bivariate, and descriptive multivariate analyses. Results: Results showed that a portion of respondents had a family history of CHD, nearly half were active smokers with smoking duration exceeding 10 years, and the majority exhibited risky dietary habits including frequent consumption of fried foods, coconut milk-based foods, fast food, and sweetened beverages. Descriptive bivariate analysis revealed tendencies toward clustering of risk factors, with smokers more likely to have unhealthy dietary patterns. Descriptive multivariate analysis demonstrated that most patients had multiple concurrent risk factors, particularly combinations of family history, smoking, and unhealthy dietary habits. Conclusion: In conclusion, CHD occurrence among patients is influenced by the interaction of multiple risk factors rather than any single factor. Promotive and preventive efforts focusing on comprehensive healthy lifestyle modifications are needed to reduce CHD risk.