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The Relationship Between Knowledge And Attitudes Towards Prevention Of Sexually Transmitted Infections (STIS) Among Adolescents In Sumbersari Village, Kepahiang Regency Nimas Ayu Lestari Nurjanah; Alifani Faiz Faradhila
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 2 (2026): April
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i2.10721

Abstract

Sexually transmitted infections (STIs) remain a significant reproductive health problem among adolescents, especially in rural areas with limited access to health information. Adequate knowledge about STIs is expected to shape positive attitudes toward prevention efforts. This study aims to determine the relationship between knowledge and attitudes toward STI prevention among adolescents in Sumbersari Village, Kepahiang District.This study used a quantitative design with a cross-sectional approach. The study sample consisted of 38 adolescents, selected using total sampling technique. Data were collected using a structured questionnaire that measured the level of knowledge and attitudes toward STI prevention. Data analysis was performed univariately to describe the frequency distribution and bivariately using the Chi Square test with a significance level of α = 0.05.The results showed that most respondents had good knowledge about STIs (50.0%) and positive attitudes toward STI prevention (63.2%). The Chi-Square test results showed a significant relationship between knowledge and attitudes toward STI prevention among adolescents (p-value = 0.013). Adolescents with better knowledge tended to have more positive attitudes toward STI prevention than adolescents with less knowledge.The conclusion of this study shows that knowledge plays an important role in shaping attitudes toward STI prevention among adolescents. Therefore, continuous and contextual efforts to improve adolescent reproductive health education are needed, especially in rural areas, to support effective STI prevention.
Childhood Stunting in East Java: A Health System Structural Analysis Using Generalized Structural Equation Modeling Ayudina Larasanti; Ardiana Fatma Dewi; Alifani Faiz Faradhila
PubHealth Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Edisi Juli
Publisher : Ilmu Bersama Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56211/pubhealth.v5i1.1762

Abstract

Despite decades of investment in health service infrastructure and social protection programs, the pathways through which service utilization, insurance coverage, and poverty jointly shape stunting risk among children under five in East Java remain poorly understood at the structural level. This study analyzed data from the Indonesian Nutritional Status Survey (SSGI) 2024 among 20,304 children under five in East Java, employing Generalized Structural Equation Modeling (GSEM) to simultaneously estimate the direct, indirect, and total effects of health service utilization, insurance coverage, household poverty, and sociodemographic characteristics on stunting risk. GSEM findings demonstrated that lacking health insurance (B = 0.273; 95% CI: 0.194–0.352; p < 0.001) and household poverty (B = 0.137; 95% CI: 0.107–0.167; p < 0.001) exerted significant direct effects on stunting, while health service utilization frequency (B = 0.037; 95% CI: −0.067 to 0.141; p = 0.489) and service type diversity (B = −0.001; 95% CI: −0.102 to 0.099; p = 0.987) showed no significant direct effects, suggesting that service contact alone is insufficient without accompanying improvements in care quality. Child age emerged as a strong cumulative predictor of stunting, and household poverty operated through both direct and indirect pathways mediated by insurance status and service utilization. These results indicate that stunting reduction in East Java demands simultaneous action on service quality, insurance coverage equity, and upstream poverty alleviation.