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Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Published by Universitas Islam Negeri Sumatera Utara
ISSN : -     EISSN : 26850389     DOI : 10.30829/contagion
Core Subject : Health,
Health Professions Public Health
Contagion: Scientific Periodical Journal of Public Health and Coastal Health, A Scientific Periodic Journal of Public Health published by the Public health Study Program of The Faculty of Public Health UINSU Medan. This Journal prioritiez the collaboration of lecturers and students with scope of the discussion is about Public Health, Health and Islam, and Coastal Health. This Journal is published twice, published on June and December.
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Articles 465 Documents
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The Association Between Anxiety Disorders and Insomnia Among College Students: A Cross-Sectional Study Citra Puspa Juwita; Ezra Angela; Rosintan Milana Napitupulu
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24131

Abstract

Insomnia is a common sleep disorder in college students and one of the contibuting factors is the anxiety they experience in their daily lives. The purpose of this study was to determine the association between anxiety and insomnia in college students. A cross sectional design was used in this study to achieve the objectives, employing two valid and reliable questionnaires to represent the study variables. The first questionnaire, the Self Reporting Questionare (SRQ), is used to assess anxiety, and responding affirmatively to six or more questions is indicative of the presence of mental and emotional disorders . The second questionnaire is Insomnia Severity Index (ISI), which is utilized to assess insomnia. The population of this study consists of active undergraduate students enrolled at one private university in Jakarta. A total of 290 students are selected using accidental sampling techniques. Data are analyzed using The Chi Square test and the calculating of the Odds Ratio (OR) value through IBM SPSS 21 software. The prevalence of insomnia in this student population is found to be 83.1%, while the prevalence of anxiety is 57.2%. A significant association is identified between anxiety and insomnia (p < .001). Students who experience anxiety are found to be 7.1 times more likely to report insomnia compared to those who do not experience anxiety. This suggests that Anxiety, as one of the psychological disorders, has a strong influence on the sleep quality of college students, increasing their likelihood of developing insomnia by sevenfold. The findings of this study highlight a considerable co-occurrence of anxiety and insomnia among students. Further research is warranted to explore potential interventions that address both conditions simultaneously and to identify other factors that may contribute to sleep disturbances and psychological distress in the population. Keywords: Anxiety, College students, Insomnia, Sleep disorder
Nutrition Education on The Importance of Breakfast Using Peerleader With Numbered Head Together (NHT) Method Through Comics and Video Media For Students Thamavitya Mulniti School Thailand Fauziah Nasution; Fitriani Pramita Gurning; Aslam Bensulong
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.22567

Abstract

Good nutrition during adolescence can be done by getting used to implementing healthy intake by fulfilling the concept of balanced nutrition. Prevalence of Malnutrition: Thailand has recorded progress in reducing the level of malnutrition, especially PEM (Protein Energy Deficiency), but there are still some teenagers who are vulnerable experiencing malnutrition, especially in poor and rural areas, apart from that, the problem of adolescent obesity in Thailand is also a nutritional problem in the world. The aim of the service is to provide health education to teenage school children about the importance of breakfast using peer leaders using the numbered heads together (nht) method through comic media. This service method is Asset Based Community Development (ABCD) using peer leaders with the numbered head together (nht) method through comic and video media towards healthy breakfast habits in junior high school students or teenagers at Thamavitya Mulniti School. The results of the service showed that the use of Peer Leaders using the Numbered Head Together (NTH) method using comic and video media was very effective in increasing respondents' knowledge by 79.6%. The suggestion in this service is that schools can make a policy in bringing breakfast supplies to school, which can indirectly monitor school children's breakfast according to balanced nutrition Keyword: Importance of Breakfast, Peer Leader, Numbered Head Together (NHT)
The Spread of the Chikungunya Outbreak in Solok District, West Sumatera Province - 2024 Yudi Pradipta; Elsi Novnariza; Muhammad Ilham Basgoro; Masrizal Masrizal
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24246

Abstract

Chikungunya is one of the potential diseases of the outbreak in Indonesia. It is caused by the Chik Virus and transmitted through the bite of the Aedes aegypti mosquito. The severity of symptoms ranges from mild fever to, in some cases, temporary paralysis. In early January 2024, suspected chikungunya outbreaks were reported in several villages in Solok District. The Solok District Health Office conducted an epidemiological investigation to break the chain of transmission. This study aims to describe the epidemiological characteristics of Chikungunya cases in Solok District. We conducted a descriptive study on March - June 2024. Surveillance data of Chikungunya cases were collected from West Sumatera Provincial Health Office. Data analysis was performed by using open access software Epi Info 7, R-Studio, and QGIS. A total of 134 Chikungunya cases were reported. The investigation showed that the majority of Chikungunya cases were women (63.3%), aged 18-45 years (49.54%), most of cases lived in Cupak Village (20.86%), Kinari Village (20.14%), and Muara Panas Village (20.14%), the majority cases were students (28.38%), and housewives (28.38%). The majority of cases presented with fever (95.49%) and joint pain (90.23%), and overhalf developed a rash (55.97%), and no signs of bleeding (98.51%). The epidemic curve with a propagated type indicates the possibility of multiple waves of transmission through mosquito bites. Chikungunya outbreak in Solok District shows weaknesses in early warning and rapid response in disease control. The Solok District Health Office needs to strengthening surveillance system of Chikungunya and contact tracing on the field. Keywords: Chikungunya, Mosquito, Outbreak, Vector Borne.
The Barriers of Medical Tourism Hospital Development in Medan Marizka Jasmine; Ida Yustina; Zulfendri Zulfendri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.21825

Abstract

Medan residents are known to prefer traveling to Malaysia and Singapore for medical treatment. This phenomenon leads to huge losses in regional and national revenues. In response to this phenomenon, by 2021, the Medan City government has implemented the Medan medical tourism program, with the participation of twelve hospitals located in Medan to be prepared as medical tourism destinations, but until 2024, none of the Medan or North Sumatra residents have made use of this program. The objective of this study is to explore the barriers on the development of medical tourism hospitals in Medan. Using a qualitative method with a phenomenological approach, this research was conducted through in-depth interviews, observation, and documentation from eight hospitals within the Medan medical tourism program. This study identified several key barriers: healthcare system issues, poor medical infrastructure, limited continuity of care, inadequate hospital promotion of Medan medical tourism program, lack of international accreditation, lack of ISO certification, unavailability of medical equipment, failure to meet national indicators of hospital quality, and unfriendliness of doctors and staff. The findings indicate that hospitals in Medan need significant improvements in various aspects to become competitive in the medical tourism market. Furthermore, to overcome these barriers, coordinated and sustained efforts from the hospitals, Medan City government, Medan medical tourism board and Medan tourism department are needed to transform hospitals into medical tourism destinations despite the gradual and lengthy process. Keywords: Barriers, Development, Hospitals, Medical Tourism
Elevation of Serum Total Prostate-Specific Antigen (PSA) Level as Predictor of Prostate Cancer (PCa) of Patient Following Transurethral Resection of Prostate (TURP) Muhammad Sidiq; Trisula Utomo; Wikan Kurniawan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.23972

Abstract

Prostate cancer (PCa) is a significant global health issue, particularly in aging populations. In Indonesia, it is the fifth most common cancer. Diagnosis is often complicated by benign prostatic hyperplasia (BPH), which also elevates Prostate-Specific Antigen (PSA), limiting its specificity. This study aimed to establish an optimal preoperative PSA cutoff and assess the predictive utility of PSA, Neutrophil-Lymphocyte Ratio (NLR), and PSA Density (PSAD) for detecting PCa in patients undergoing Transurethral Resection of the Prostate (TURP). A retrospective cohort study analyzed 152 patients undergoing TURP at Gadjah Mada University Hospital (May 2018-July 2024) using a consecutive sampling method. Preoperative serum Total PSA, NLR, and PSAD were evaluated against postoperative histopathology. Bivariate and multivariate logistic regression were used to analyze relationships, while Receiver Operating Characteristic (ROC) curve analysis determined the optimal PSA cutoff. Prostate cancer was diagnosed in 19.1% of patients (n=29). ROC analysis identified a preoperative PSA cutoff of >19.95 ng/mL for predicting PCa, yielding an Area Under the Curve (AUC) of 0.863, with 75.9% sensitivity and 75.6% specificity. The multivariate analysis confirmed that elevated preoperative PSA (Odds Ratio [OR] 3.648), NLR (OR 3.868), and PSAD (OR 9.553) were all significant independent predictors of a PCa diagnosis. Among these, PSAD emerged as the strongest predictive marker. Preoperative serum PSA, NLR, and PSAD are valuable independent predictors for PCa in patients undergoing TURP for symptomatic BPH. A PSA cutoff of >19.95 ng/mL is a clinically relevant diagnostic threshold for this specific population. Employing a multi-marker panel, with particular emphasis on PSAD, can enhance risk stratification and help clinicians identify high-risk patients warranting further investigation for PCa when planning a TURP procedure.Keywords: Prostate Specific Antigen (PSA), Prostate Cancer (PCa), Benign Prostate Hyperplasia (BPH), Transurethral Resection of The Prostate (TURP)
Life Satisfaction Level: A Study of Traditional Fishermen in Paluh Sibaji Village, Deli Serdang District, Indonesia Umi Salmah; Sri Malem Indirawati; Annisa Rizka Lestari; Najwa Nandita Dwinda; Dinda Fachrani Akri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.23722

Abstract

Indonesia ranks 80th in the world's happiness index, lagging behind neighboring countries such as Singapore (30th), Malaysia (59th), and Thailand (58th). The happiness index consists of three dimensions: life satisfaction (education, work, and home facilities), feelings (happiness, anxiety, and depression), and meaningfulness of life (independence, environmental mastery, and self-acceptance). In 2021, North Maluku was the happiest province while North Sumatra had the lowest happiness index, nationally ranking seventh lowest and being one of the provinces with poor incomes, education, and housing facilities experienced by fishermen in Indonesia. This study aims to analyze the Life Satisfaction Level among fishermen. This was a descriptive cross-sectional study with 107 samples taken based on the Slovin formula from the population of 700 people. The data was obtained by using a questionnaire that had been tested for the validity and reliability. A univariate data analysis was performed by using SPSS version 25. The results showed that 47.66% respondents were &gt;45 years old, 43.93% completed junior high school, 7.67% had 5-10 years of work experience, and 57.94% smoked. While 52.34% perceived their quality of life as not good, 85.98% felt not secure about old age, 77.57% felt their jobs did not meet financial needs, 82.24% reported their finance was not good enough, 60.75% felt their health quality was not good, and 74.77% found their living conditions were inadequate. Moreover, 64.49% considered that their sleep quality was not good, 77.57% had bad social relationships, and 64.49% struggled to manage negative emotions. Only 47.67% of the fishermen considered that their quality of life was good. Most of these traditional fishermen had low levels of life satisfaction. Therefore, improving welfare through expansion of economic opportunities, access to health services, and community-based social support is needed to enhance the quality of life and resilience of the fishermen. Keywords: Fishermen, Life, Satisfaction, Traditional , Worker.
QR Code Increases Knowledge The Dangers of Free Sex Elvi Destariyani; Yuniarti Yuniarti
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.23565

Abstract

In Bengkulu Province, 1.0% of teenagers have engaged in premarital sexual activity with their partners, with a prevalence of 1.6% among male teenagers and 0.6% among female teenagers. This study aims to examine the effectiveness of QR Code digital media in enhancing teenagers' awareness of the risks associated with casual sex at State Senior High School 8 Bengkulu. The research adopts a quasi-experimental design using a pre-test and post-test with a control group methodology. The sampling technique employed proportionate stratified random sampling, selecting a total of 72 students 36 in the intervention group and 36 in the control group. The analysis was conducted using the Wilcoxon test and the Mann-Whitney test. The findings indicate that QR Code digital media (p = 0.000) and Instagram (p = 0.000) were both effective in increasing adolescents' knowledge regarding the risks of casual sex. The mean difference in knowledge levels was 5.69 for QR Code digital media and 5.41 for Instagram. Furthermore, QR Code digital media demonstrated a greater impact (0.47) in improving teenagers' awareness of these risks at State Senior High School 08 and State Senior High School 10, Bengkulu. These findings highlight the potential of QR Code digital media as an effective educational tool. It is recommended that academics, educational institutions, and researchers further integrate and develop digital media-based learning strategies to enhance teenagers' knowledge, particularly regarding sexual health education. Keywords: Teenagers; Dangers of free sex; QR Code; Instagram; Knowledge
Differences in Food Security Based on Family Income and Its Impact on Stunting Among Children Under Five in Padang Lawas Regency North Sumatera Province Sri Melda Br Bangun; Nur Indrawati Lipoeto; Novizar Nazir; Rosfita Rasyid; Yonariza Yonariza; Hardisman Hardisman; Masrul Masrul; Firdawati Firdawati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.23728

Abstract

Indonesia continues to face nutritional challenges, with a high prevalence of stunting. incidence Padang Lawas Regency is one of the regions in North Sumatra Province with a relatively high of stunting. Stunting is influenced by several factors, one of which is food security. Food security depends on family income; inadequate family income leads to poor food security, making families unable to meet children's primary and secondary needs. This study aims to analyze differences in food security based on family income and its impact on stunting incidence among children under five in Padang Lawas Regency North Sumatera Province. This research is an analytical survey using a cross-sectional study design. The study was conducted in Padang Lawas Regency, specifically in six sub-districts with the highest number of children under five: Sosa, Hutaraja Tinggi, Barumun, South Barumun, Batang Lubu Sutam, and Sosa Julu. The research was carried out from October 2024 to February 2025. The study population consisted of all families with children aged 6-59 months across the six sub-districts, totaling 9,181 families. Using Slovin's formula, the sample size was determined to be 384 families. A multistage cluster sampling technique was employed for sample selection. Data collection was conducted through interviews and observations. Data analysis included univariate analysis and bivariate analysis using an independent t-test and simple logistic regression with a significance level of 95% (α = 0.05). The study results indicate a significant difference in food security based on family income (P-value = 0.001). Moreover, there is a significant impact of family food security on stunting incidence among children under five in Padang Lawas Regency (P-value = 0.001; Exp.B = 13.908). It is recommended that the Padang Lawas Regency Government improve the local economic system by facilitating job opportunities for the community. Keywords: Family income, food security, stunting
Evaluating the Implementation of the Stunting Prevention Program at the Regional Technical Unit of Binjai Estate Health Center in Binjai City Putranto Manalu; Margaretha Febrina Br Ginting; Ermi Girsang
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24225

Abstract

Stunting remains a critical public health issue affecting the quality of human resources, particularly in Indonesia, where its prevalence remains high across various regions. According to the 2021 Indonesia Nutritional Status Survey (SSGI), the national stunting prevalence was 24.4%, with North Sumatra reporting 30.11% and Binjai City 21.7%, all of which exceed the WHO target of below 20%. These statistics underscore the urgent need for effective prevention strategies, particularly through nutritional interventions at the primary healthcare level. This study aims to evaluate the implementation of the stunting prevention program at the Regional Technical Implementation Unit of the Binjai Estate Community Health Center in Binjai City. The program components include nutrition education, regular monitoring of pregnant women and toddlers, and the provision of supplementary feeding. A qualitative descriptive approach was employed, utilizing in-depth interviews with healthcare personnel and field observations conducted in 2023. Findings indicate that although the program is generally well-implemented, several challenges persist. These include low community participation in outreach activities and persistent cultural myths that impede proper understanding of stunting. Nonetheless, there has been a noticeable increase in awareness regarding balanced nutrition among pregnant women and caregivers of toddlers. Monitoring is routinely conducted via the SIMPUS and SIP systems; however, long-term impact evaluation remains insufficient. In conclusion, while the stunting prevention program demonstrates promising outcomes, further improvements are necessary in enhancing community engagement, strengthening communication strategies, and developing a more robust evaluation system. Strengthening human resource capacity, improving inter-sectoral coordination, and expanding public access to accurate nutritional information are recommended to more effectively combat stunting Keywords: Stunting, Program Implementation, Primary Health Care, Nutrition Education, Monitoring and Evaluation
Associations of Treatment Effort, Economic Income, and Accessibility with the Utilization of Herbal Medicine in Medan City Sri Lestari Ramadhani Nasution; Muhammad Rezebri; Ermi Girsang
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24206

Abstract

Herbal medicine has gained increasing attention as a complementary or alternative medicine in many countries, including Indonesia, where it is deeply rooted in cultural practices and supported by government policies. This study aimed to determine the association between treatment effort, economic income, and accessibility with herbal medicine utilization in Medan City. The research location was Medan City and the research time was from January to March 2025. Using a cross-sectional design, 369 respondents were selected through stratified proportional sampling. Independent variables are type of treatment business, economic income, and accessibility, while the Dependent Variable is the utilization of herbal treatment which has been tested for validity with five question items each on each variable. Data were collected through a structured questionnaire and analyzed using the chi-square test using IBM SPSS Version 29.0. The results showed that accessibility was the only variable significantly (p = 0.011; PR = 1.77, 95% CI: 1.14-2.76) associated with herbal medicine use. Respondents who reported frequent access to herbal products and services were more likely to use them regularly. In contrast, treatment effort and economic income were not significantly associated with utilization. These findings suggest that improving accessibility-through regulation, education, and service availability-is key to increasing the reach and legitimacy of jamu. Policy recommendations include integrating jamu services into the formal health system, ensuring quality control of jamu products, and promoting community-based education to build trust and informed use. Strengthening these structural supports can help bridge healthcare gaps and maintain the cultural relevance of traditional medicine in urban settings. Keywords: Herbal Medicine Accessibility, Economic Income, Treatment Effort, Public Health Behavior.

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