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International Journal of Public Health Science (IJPHS)
Published by Institute of Advanced Engineering and Science
ISSN : 22528806     EISSN : 26204126     DOI : -
Core Subject : Health,
Health Professions
International Journal of Public Health Science (IJPHS) is an interdisciplinary journal that publishes material on all aspects of public health science. This IJPHS provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers world wide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.
Arjuna Subject : -
Articles 1,394 Documents
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Multidrug-resistant Escherichia coli carriage and associated risk factors among healthy individuals in Rural Southwestern Nigeria Babatunde, Odetoyin; Oluwatoyin, Akinde
International Journal of Public Health Science (IJPHS) Vol 14, No 4: December 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i4.26808

Abstract

Antimicrobial resistance (AMR), driven by multidrug-resistant (MDR) Escherichia coli, poses a significant public health threat, silently spreading through asymptomatic carriers. Limited data from rural areas highlight the need for focused studies to guide resistance control efforts. This study aimed to isolate faecal Escherichia coli (E. coli) from apparently healthy individuals in a rural community in Southwestern Nigeria, determine their antimicrobial resistance profiles, and evaluate risk factors associated with MDR E. coli carriage. A total of 347 stool samples were collected from healthy, consenting individuals. E. coli was isolated and identified using standard microbiological techniques. Antimicrobial resistance was assessed via the Kirby-Bauer disc diffusion method. Isolates were screened phenotypically for the extended spectrum beta-lactamase (ESBL) production and genotypically for ESBL genes (CTX-M, SHV, TEM). The data were analyzed using WINPEPI. E. coli was isolated from 269 participants (77.5%), yielding 555 isolates. High resistance rates were observed against sulphamethoxazole (94.0%), ampicillin (85.0%), and tetracycline (83.2%), while imipenem showed the lowest resistance (6.7%). Twenty-seven isolates (5%) were confirmed as ESBL producers. Among these, 17 (63%) carried at least one ESBL gene-TEM being the most common (44.4%). Additionally, 50.1% of the isolates were classified as MDR, with MDR E. coli carriage significantly associated with self-medication (p=0.05). The widespread presence of MDR E. coli among healthy rural dwellers, coupled with its association with self-medication, highlights serious public health concerns and raises the urgent need for more evidence-based strategies to combat AMR.
Determinants of mental health and life satisfaction in Iranian older adults: a data-driven clustering study based on the biopsychosocial model Asadollahi, Abdolrahim; Ahmad, Nobaya; Sokout, Tahereh; Abyad, Abdulrazzak
International Journal of Public Health Science (IJPHS) Vol 14, No 4: December 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i4.26830

Abstract

The rapid growth of the global aging population, including in Iran, has intensified the need to understand the physical, psychological, and social challenges faced by older adults. Identifying key determinants of mental well-being and life satisfaction is essential for guiding policies that support healthy aging. This study examined demographic, socioeconomic, and health-related predictors of general health, assessed with the GHQ-28, and life satisfaction measured by the LSI among Iranian adults aged 60 years and older. A cross-sectional survey was conducted among 3,000 older adults using validated instruments (GHQ-28, LSI, and a structured questionnaire). Statistical analyses included descriptive statistics, ANOVA, multiple linear regression, and survival analysis. Reliability was confirmed with McDonald’s Omega values exceeding 0.87. Chronic diseases, pension status, daily life problems, and housing conditions emerged as significant predictors of both general health and life satisfaction. Women reported poorer general health than men, while married participants showed higher life satisfaction than those single or widowed. Chronic diseases were prevalent (75.7%) and associated with lower LSI scores. Economic insecurity, particularly the lack of pensions among women, was linked to worse GHQ scores. Survival analysis indicated that individuals with chronic disease had an 85% higher risk of experiencing daily problems (HR = 1.85). Socioeconomic and health factors substantially influence well-being in later life. Improving pension coverage, healthcare access, and social support systems may enhance healthy aging among Iranian older adults.
Work practices linked to seropositive leptospirosis among cattle farmers in Northeastern Malaysia Daud, Aziah; Basri, Ijlal Syamim Mohd; Fuzi, Nik Mohd Hafiz Mohd; Shafei, Mohd Nazri; Mohammad, Wan Mohd Zahiruddin Wan; Ismail, Nabilah; Amran, Fairuz
International Journal of Public Health Science (IJPHS) Vol 14, No 4: December 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i4.25797

Abstract

Leptospirosis is a re-emerging zoonotic disease with significant global health implications, particularly in tropical and subtropical regions. In Malaysia, the warm, humid climate and frequent exposure to livestock and contaminated environments increase the risk of infection, especially among agricultural workers. Cattle farmers regularly handle animals and work in unsanitary conditions, which puts them at heightened risk. This study aimed to determine the prevalence of leptospirosis seropositivity and identify risk factors associated with contracting leptospirosis among cattle farmers in Northeastern Malaysia. A cross-sectional study was conducted involving 120 cattle farmers in Northeastern Malaysia. Data were collected through an interviewer-guided questionnaire, and serological testing was performed using the microscopic agglutination test with a seropositive cut-off titre of ≥1:100. The prevalence of leptospirosis seropositivity was found to be 72.5%. Significant risk factors included working with a wounded hand (Adj. OR: 7.26; 95% CI: 2.61-20.18; p<0.001), working with a wounded leg (Adj. OR: 8.52; 95% CI: 1.98-36.66; p=0.004), not wearing rubber gloves (Adj. OR: 3.96; 95% CI: 1.13-13.91; p=0.032), and not showering immediately after work (Adj. OR: 6.04; 95% CI:1.69-21.62; p=0.006). The high seroprevalence of leptospirosis among cattle farmers indicates a significant occupational risk. Future prevention programs should prioritize promoting safe work practices to mitigate this risk.
Factors influencing the practice of breast self-examination among teenage girls in Salatiga City, Indonesia Tauho, Kristiani Desimina; Dary, Dary; Anshebo, Abebe Alemu; Ondowapo, Magried Paulina
International Journal of Public Health Science (IJPHS) Vol 14, No 4: December 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i4.26834

Abstract

Breast cancer is the second leading cause of cancer-related mortality among women in Indonesia. Early detection improves survival, yet many adolescent girls do not practice breast self-examination (BSE). Evidence on personal barriers among young women remains limited. To analyze knowledge, perceived susceptibility, and barriers to BSE practice among late adolescents in Salatiga, Central Java. A cross-sectional study was conducted in February 2023 among 67 female students aged 18-21 years living in a university dormitory. Data were collected using a self-administered questionnaire based on the Health Belief Model and analyzed with descriptive statistics and logistic regression. Most respondents (70.1%) had received BSE information, mainly from social media (35.8%) and school (32.8%). Barriers included perceiving BSE as unimportant (37.3%), lack of knowledge (35.8%), belief that it was unnecessary without illness (38.8%), and feeling too young (20.9%). Logistic regression identified four predictors of non-practice: lack of knowledge (OR = 0.003, 95% CI: 0.000-0.243, p = 0.010), belief BSE is only needed with symptoms (OR = 0.022, 95% CI: 0.002-0.312, p = 0.005), lack of privacy (OR = 0.026, 95% CI: 0.001-0.946, p = 0.046), and time constraints (OR = 0.064, 95% CI: 0.006-0.701, p = 0.024). Misconceptions, limited knowledge, and social constraints were the main barriers to BSE practice among adolescent girls. Addressing these requires school-based programs, integration of BSE into reproductive health curricula, and community campaigns, while nursing practice should focus on enhancing self-efficacy and normalizing BSE.
The wellness equation: understanding health practices and behaviors of university students in Southern Philippines Esto, Jomar B.; Francisco, Jemwell B.; Jr., Ruben L. Tagare; Janito, Cheeze R.; Martinez, Norge D.; Sumera, Eduard S.; Calixtro, Marichu A.; Java, Vinus P.; Jr., Moreno B. Java; Ambrocio, Gladys Pearl O.; Buisan, Jessa S.; Adlaon, Gauvin
International Journal of Public Health Science (IJPHS) Vol 15, No 1: March 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i1.26278

Abstract

This study aimed to explore the health practices and behaviors of university students in the Southern Philippines, focusing on key domains such as health perception and management, nutritional practices, physical activity, sleep, cognitive function, and stress tolerance. Using a quantitative, descriptive correlation design, data were gathered from 1,086 students through a simple random sampling technique. The primary instrument used was the health practices and behaviors questionnaire, which assessed students' health behaviors across the various domains. Statistical analysis involved computing composite means to describe health practices and Spearman's rho to examine the interrelationships between these behaviors. Results indicated that students exhibited moderate health practices across most domains, with a significant positive correlation found between health behaviors in areas such as physical activity, stress tolerance, and sleep. The study highlights the interconnected nature of health behaviors and the need for integrated health promotion strategies that address multiple aspects of student well-being simultaneously. The findings suggest that universities should focus on holistic programs that foster healthier lifestyles, improving students’ overall health outcomes and academic performance. Future research should explore additional factors influencing student health behaviors, including socio-economic, environmental, and cultural influences, to create more targeted interventions.
Predictive factors of quality of life among older adults in rural Indonesia: a cross-sectional study Renta, Pagela Pascarella; Rahmad, Rahmad
International Journal of Public Health Science (IJPHS) Vol 15, No 1: March 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i1.26906

Abstract

The older adults are a vulnerable group facing physical, social, and economic health challenges that impact their quality of life. Information on the quality of life of the older adults in rural Indonesia is still limited, so this study aims to identify predictors of quality of life in the older adults in the working area of the Dusun Tengah Community Health Center, Lubuk Sandi District, Seluma Regency, Bengkulu Province, Indonesia. This quantitative cross-sectional study involved 60 elderly individuals who met the inclusion criteria. The research instruments included quality of life with WHOQOL-BREF, activities of daily living with the Barthel Index, ambulation with CAS, mobility with the timed up and go (TUG) Test, and lower limb muscle strength with the 30-second STS Test. The results showed that age, employment status, income, walking ability, mobility, lower limb muscle strength, and activities of daily living were significantly associated with quality of life (p < 0.05). In contrast, gender, education level, and social support were not significantly associated with quality of life. Multivariate analysis identified walking ability (OR = 13.65; 95% CI: 1.03-180.61) and income (OR = 5.81; 95% CI: 1.02-33.07) as the most dominant predictors of quality of life in the older adults. These findings provide important implications that interventions to improve the quality of life in older adults in primary health care need to prioritize programs to improve ambulation, prevent physical function decline, and strengthen the economic aspects of older adults, especially in rural areas.
Compulsive buying behavior and self-esteem among K-pop fan undergraduate medical students in Jakarta Tanjung, Julia Rahadian; Precious, Heunice; Santosa, Mariani
International Journal of Public Health Science (IJPHS) Vol 15, No 1: March 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i1.26821

Abstract

The rising popularity of K-pop has attracted many teenagers and young adults. Fans tend to purchase idol merchandise as a sign of support and affection, which can lead to compulsive buying behavior. Compulsive buying behavior is one of the coping mechanisms for low self-esteem. This study aimed to investigate the relationship between self-esteem and compulsive buying behavior among undergraduate medical students in Jakarta who are fans of K-pop. A cross-sectional study was conducted involving 97 students, aged 18 to 25, from various medical schools in Jakarta who were actively engaged as members of a K-pop fan club. Data were obtained through the Revised Edwards Compulsive Buying Scale (ECBS-R) and the Rosenberg self-esteem Scale questionnaire. Among the 97 respondents, 35.1% with low self-esteem, and 51.6% with compulsive buying behavior. A significant relationship was found between self-esteem and compulsive buying behavior (p = 0.014). In conclusion, low self-esteem is associated with compulsive buying behavior among K-pop fan medical students, particularly females, which may adversely impact their academic performance.
Factors affecting health-promoting services provision of the sub-district health promoting hospital transferred to mahasarakham provincial administration Nassapat, Sirimaporn; Promasatayapot, Vorapoj; Luangub, Jatuporn
International Journal of Public Health Science (IJPHS) Vol 15, No 1: March 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i1.26723

Abstract

Hospital services have been transferred to provincial government oversight, making it important to assess the impact of this policy on service quality and efficiency. This study examined factors influencing service delivery at sub-district health-promoting hospitals transferred to the Mahasarakham Provincial Administration in Mahasarakham Province, Thailand. The research was conducted from March 2022 to September 2023 using a mixed-methods approach, including descriptive content analysis for qualitative data. The examined factors were categorized into accessibility, processes, productivity, and outcomes. Data were collected from 500 health workers and 300 patients using questionnaires consisting of six sections with a Likert scale to evaluate perceptions of service quality. Paired t-tests were applied to compare service unit performance before and after the transfer, while one-way ANOVA was used to assess differences among service units. Binary logistic regression identified key factors influencing service quality. The findings revealed a significant relationship between healthcare workers’ attitudes and skills and overall service quality. Units with less than 50% transfer showed minimal improvement, indicating that the extent of transfer strongly influences service outcomes. Despite these differences, the main goal of health promotion remained consistent across units. Effective policy decisions, appropriate management, and stakeholder engagement are essential to improve health outcomes. These findings provide insights for policymakers and administrators to refine health service transfer policies and highlight the need for further research on long-term impacts on service quality and patient outcomes.
Empathy and forgiveness on student victims of toxic relationships Timpal, Felani Omie; Huwae, Arthur
International Journal of Public Health Science (IJPHS) Vol 15, No 1: March 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i1.24037

Abstract

A toxic relationship shows a negative impact on the physical and mental condition of individuals who have undergone the subject. Even though the students have experienced unpleasant conditions in life, to continue her life journey, the student needs to make peace and build a concept of forgiveness for the circumstances that are formed through empathy. This research aims to determine the relationship between empathy and forgiveness in students who have been victims of toxic relationships. The method used is quantitative correlational. An equal number of 355 students who had been victims of toxic relationships came to be participants in this study, with the sampling technique used, specifically, incidental sampling. This study uses a scale, namely the Interpersonal Reactivity Index (α = 0.863) and Transgression-Related Interpersonal Motivations -18 (α = 0.843). The research data analysis method uses the product-moment correlation test from Karl Pearson. The results show that there was a significant positive relationship between empathy and forgiveness (r = 0.228 and sig = 0.000 (p<0.01). Empathy contributed 5.2% to forgiveness. It appears that empathy is one of the factors associated with increased forgiveness in students who have been victims of a toxic relationship.
Association between risky dietary behaviors and academic achievement among adolescent girls: a cross-sectional study in Surabaya, Indonesia Pipitcahyani, Tatarini Ika; Husni, Ervi; Isfentiani, Dina; Primasari, Nina; Sa'diyah, Halimatus; Zamroni, Mohammad
International Journal of Public Health Science (IJPHS) Vol 15, No 1: March 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i1.26877

Abstract

Risky dieting is an unbalanced eating pattern increasingly practiced by adolescent girls and has the potential to impact cognitive function and academic achievement. However, previous research has focused more on the impact of risky dieting on nutritional status and physical health, while empirical evidence regarding its relationship with academic achievement in adolescent girls is still limited, particularly in the context of higher education. This study aimed to analyze the relationship between risky dieting and academic achievement in adolescent girls. The study used a quantitative design involving 70 adolescent girls. Data were collected through a peer counselor-based questionnaire to measure risky dietary habits and academic achievement. Data analysis was performed using Fisher's exact test. The results showed p-values of 0.05 and 0.023, respectively, indicating a significant relationship between risky dieting and academic achievement. Adolescent girls who engaged in risky dieting tended to have lower semester GPAs (11%) and cumulative GPAs (4%). The study concluded that risky dieting contributes to decreased academic achievement. This study contributes by expanding empirical evidence regarding the impact of risky dieting on academic achievement and emphasizes the importance of integrating nutrition interventions and health education in strategies to improve academic achievement in adolescent girls.

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