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Contagion
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contagion@uinsu.ac.id
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Kota medan,
Sumatera utara
INDONESIA
Contagion: Scientific Periodical Journal of Public Health and Coastal Health
ISSN : -     EISSN : 26850389     DOI : 10.30829/contagion
Core Subject : 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.
Arjuna Subject : -
Articles 518 Documents
Designing a Medical Records Student Lab Learning Application for Patient Data Management Niska Salsiani Sinta; Sri Wahyuni; Abdul Adam Mansyur; Rini Alia Wicaksono
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26395

Abstract

Electronic medical records (EMR) are mandatory in Indonesian health facilities, yet students often lack access to systems mirroring real-world community health center (Puskesmas) workflows. This study developed SIMETRIK, a simulation-based tool designed to bridge the gap between classroom theory and clinical competency. Using a Research and Development (R&D) approach, the application was built via a waterfall model incorporating needs analysis, UML-based design, and high-fidelity prototyping. Evaluation involved 15 respondents, 10 students, 4 lecturers, and 1 practitioner, who assessed the system using a 1–4 Likert scale across five dimensions: ease of use, navigation clarity, feature alignment, learning utility, and satisfaction. Results indicated that user satisfaction earned the highest mean score (M = 3.33), followed by the application’s utility as a learning medium (M = 3.00). Feature alignment with public health workflows was rated at 2.67. Conversely, ease of use and navigation clarity received lower scores (2.33 and 2.13, respectively), signaling a requirement for interface refinement. Despite navigational hurdles, participants successfully executed registration and clinical documentation tasks. Feedback confirmed that SIMETRIK significantly improved students' understanding of EMR processes and aligned with professional practice requirements. These findings demonstrate that the application serves as a viable simulation platform for laboratory learning, underscores the importance of competency-focused digital tools, and establishes a foundation for future database-driven implementations in health informatics education Keywords: SIMETRIK, Electronic Medical Records, Simulation-Based Learning, Usability Evaluation, Patient Data Management, Competency-Based Education
Socioeconomic Gradient and Anthropometric Risk: Central Obesity among Adolescents in Aceh, Indonesia Siti Maisyaroh Fitri Siregar; Wan Ain Nadirah Che Wan Mansor; Arfah Husna; Lili Eky Nursia N
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26434

Abstract

Central obesity is a critical risk factor for future cardiometabolic disorders in adolescents, particularly in low- and middle-income settings such as Indonesia. This cross-sectional study examined the prevalence and determinants of central obesity among adolescents in Aceh Barat and Nagan Raya, Indonesia. A total of 167 senior high school students were recruited using purposive sampling, which allowed representation from multiple schools but limits generalizability beyond the study population. Data on waist circumference, family income, physical activity, screen time, and body mass index (BMI) were collected using standardized procedures. Central obesity was defined based on age- and gender-specific waist circumference cut-offs according to International Diabetes Federation criteria. Associations were examined using chi-square tests and binary logistic regression. The prevalence of central obesity was 15.0%. In bivariate analysis, adolescents from middle–high income families (OR = 3.23; 95% CI: 1.35–7.75) and those classified as overweight based on BMI (OR = 40.30; 95% CI: 12.69–127.98) had significantly higher odds of central obesity. However, in multivariate analysis, only BMI remained independently associated with central obesity (AOR = 0.02; 95% CI: 0.005–0.083), while socioeconomic status, physical activity, and screen time were no longer statistically significant Keywords: Adolescents, Body Mass Index, Obesity Central, Socioeconomic Status, Screen Time
The Effect of Tea (Camellia Sinensis) Consumption as a Chinese Cultural Practice on the Cognitive Function: A Quasi-Experimental Study Kesaktian Manurung; Siska Evi Martina; Donal Nababan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26029

Abstract

Cognitive decline is an increasing public health concern among older people, particularly those residing in nursing homes where structured preventive interventions are limited. Non-pharmacological approaches such as tea consumption have been associated with cognitive benefits; however, experimental evidence in institutionalized populations remains scarce. This study aims to examine the effect of structured daily tea (Camellia sinensis) consumption on cognitive function among older people in nursing homes in North Sumatra, Indonesia. A quasi-experimental design was conducted involving 60 participants aged 60–80 years, allocated into an intervention group (n = 30) and a control group (n = 30) using purposive sampling. The intervention group received 200 mL of supervised tea (Camellia sinensis) daily for four months, while the control group received a cognitive health information leaflet. Cognitive function was assessed using the Montreal Cognitive Assessment – Indonesian Version (MoCA-INA) at baseline and post-intervention. Data were analyzed using paired and independent t-tests. The intervention group showed a significant improvement in cognitive scores from 17.60 ± 4.32 to 21.93 ± 4.03 (p < 0.001), with a large within-group effect size (Cohen’s d =1.04). Post-intervention cognitive scores were significantly higher in the intervention group compared to the control group (p < 0.001), indicating a large between-group effect (Cohen’s d = 1.20). Structured tea (Camellia sinensis) consumption may represent a culturally relevant, low-cost strategy to support cognitive health among institutionalized older people. Further randomized controlled trials with longer follow-up are warranted Keywords: Dementia, Older People, Cognitive Function, Tea Consumption, Nursing Home
Profile of Comorbidities and Length of Hospital Stay Among Stroke Patient at Dr. Gunawan Mangunkusumo Hospital Semarang Regency Sudrisman Sudrisman; Bagoes Widjanarko; Antono Suryoputro
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.27179

Abstract

Stroke remains a leading cause of morbidity and hospitalization worldwide. Comorbid conditions can significantly influence the length of stay (LOS) among stroke patients.  As a catastrophic disease requiring prolong and costly medical care, stroke demands optimized hospital services through strengthened resource capacity, management and referral systems.  This study aims to analyze the comorbidity profile of stroke patients and its association with prolonged LOS. A retrospective analytical design was applied, reviewing medical records of all new stroke inpatients at Dr. Gunawan Mangunkusumo Regional General Hospital between January and June 2025, (n = 404). Data were collected using structured research sheets and analyzed with univariate descriptive statistics, chi-square tests, and multivariate and multivariate logistic regression to identify factors associated with prolonged LOS. Among 404 patients, 26 (6.4%) experienced extended hospitalization. Significant factors associated with prolonged LOS included a history of hypertension (p = 0.038) and coronary heart disease (p = 0.037). Coronary heart disease emerged as the strongest predictor of prolonged LOS (OR = 0.192; 95% CI: 0.068–0.539; p = 0.002), highlighting its impact on inpatient management and discharge processes. These findings suggest that integrated cardiovascular and stroke care may improve hospital efficiency. Future prospective studies incorporating measures of stroke severity are recommended. Keywords: Stroke, Length of Hospitalization, Comorbidity, Patients, Indonesia
The Impact of a Peer-Led Islamic Moderation Program on Mental Well-being and Violent Extremism Prevention among Indonesian Students Budiman, Budiman; Siregar, Anwar Habibi; Nuzlan, Diva Nada Rizki; Apriliani, Apriliani; Siregar, Putra Apriadi; Rezebri, Muhammad; Zebua, Cynthia
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.28672

Abstract

Introduction: Violent extremism among students is a problem that must be addressed, and religious moderation programs are expected to be one effective intervention in improving psychological resilience. This study aims to evaluate the impact of religious moderation education on enhancing religious moderation among university students, with a focus on changes in national commitment, religious knowledge, tolerance, and anti-violent understanding. Method: This study employed a quantitative approach with a single-group pretest-posttest design and was conducted in a province in Indonesia from June to November 2024. The research participants consisted of 39 students involved in a religious moderation education intervention program. Data were collected through a structured questionnaire focusing on four main indicators of religious moderation. The data were then analyzed using a paired sample t-test with JASP version 19. Results: Findings showed a statistically significant increase in all variables after the intervention. National commitment increased from 27.15 to 31.82 (p < 0.001); religious knowledge from 30.33 to 31.95 (p = 0.008); tolerance from 32.69 to 34.10 (p = 0.032); and understanding of anti-violence from 34.10 to 35.79 (p = 0.020). Conclusion: Structured religious moderation education can enhance students' religious moderation by integrating Islamic identity and national responsibility.  Keywords: Religious Moderation; Psychological Resilience; Islamic Education; Extremism; Mental Health
Bladder Tumor Cases with History of Bladder Stones: Disparity in Histopathological Findings at RSUP Dr. Sardjito Yogyakarta Nikko Caesario Mauldy Susilo; Indrawarman Soero Hardjo
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.28119

Abstract

Bladder cancer remains a major cause of morbidity and hospitalization worldwide. Bladder stones have long been linked to squamous cell carcinoma (SCC) as a result of persistent irritation and inflammation. Nevertheless, modern histopathological patterns may diverge from this traditional framework. This study aims to delineate the histopathological distribution of bladder tumors in patients with a history of bladder stones and to investigate the divergence between predicted and actual tumor subtypes. A retrospective descriptive study was performed at RSUP Dr. Sardjito Yogyakarta from January 2018 to June 2025. We looked at medical records of patients who had bladder tumors that were confirmed by histopathology and bladder stones that were documented. A descriptive univariate analysis was conducted. There were 29 patients in all, and their average age was 59.7 ± 11.8 years. Of these, 26 (89.6%) were men. Eighteen patients (62.1%) had urothelial carcinoma/transitional cell carcinoma (UC/TCC), ten patients (34.5%) had SCC, and one patient (3.4%) had adenocarcinoma. The majority of UC cases exhibited high-grade squamous differentiation (12/18; 66.7%). Even though there were a lot of big stones and people were exposed to them for a long time, UC was still more common than SCC. These results show that bladder tumors linked to stones have different types of histopathology and that SCC may not always be the most common type in cases of chronic irritation. Additional multicenter and molecular investigations are necessary to elucidate the biological mechanisms driving this distribution.Keywords: Bladder Tumor, Bladder Stones, Squamous Cell Carcinoma, Urothelial Carcinoma, Histopathology.
Mapping Risk Factors Associated with Breast Engorgement Among Postpartum Mothers: A Scoping Review Neng Resi Fitriani; Johanes Cornelius Mose; Mochamad Rizkar Arev Sukarsa; Dwi Prasetyo; Sri Endah Rahayuningsih; Ruswana Anwar; Qorinah Estingtyas Sakilah Adnani
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.28520

Abstract

Cognitive decline is an increasing public health concern among older people, particularly Breast engorgement is one of the most common postpartum breastfeeding problems and may increase the risk of mastitis, maternal discomfort, and early breastfeeding discontinuation. This scoping review aimed to map and synthesize existing evidence regarding risk factors associated with breast engorgement in postpartum women. The review followed the PRISMA-ScR guidelines. A systematic search of Google Scholar, ScienceDirect, Wiley Online Library, and PubMed was conducted for articles published between 2015 and 2025. Studies examining factors associated with breast engorgement among postpartum mothers were eligible. Two independent reviewers performed study screening and selection, and data were charted using a standardized extraction form. A total of 11 articles met the inclusion criteria and were included in the final analysis. The findings indicate that breast engorgement is a multifactorial condition influenced by maternal characteristics, socioeconomic and environmental factors, infant-related factors, breastfeeding practices, maternal knowledge and perceptions, family and social support, healthcare system support, and cultural practices. The themes were generated through inductive thematic analysis of the included studies. Recurrent patterns across studies suggest that inadequate milk removal, delayed breastfeeding initiation, limited maternal knowledge, and insufficient professional support are frequently reported factors associated with breast engorgement. This review highlights the complexity of breast engorgement and the broad range of factors discussed in the literature. The findings provide an evidence map that may inform future research, clinical practice, and supportive breastfeeding interventions, while acknowledging that scoping reviews are designed to explore and map evidence rather than determine causal relationships Keywords: Breast engorgement, postpartum mothers, breastfeeding, risk factors, scoping review
Correlations of Social Interaction and Digital Media Use With Mental Health Among Urban Adolescents: A Cross-sectional Study Siti Jumhati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.27430

Abstract

Digital platforms are now central to adolescents' daily routines, yet their mental-health implications may reflect both online engagement and offline relationships. This cross-sectional study examined associations between social interaction, digital media use, and symptoms of depression, anxiety, and stress among urban adolescents in Jakarta, Indonesia. One hundred high-school students (13-18 years) were recruited purposively and completed structured Likert-type measures of social interaction and digital media indicators; mental health was assessed using DASS-21. Pearson correlation was applied (α=0.05). Nearly half of participants (48%) reported social media use exceeding five hours/day, and TikTok was the most frequently used platform (58%). At least moderate symptoms were reported by 64% for depression, 80% for anxiety, and 46% for stress. Longer daily use and higher perceived media pressure/self-perception influence were positively associated with higher DASS-21 scores (p<0.01 for duration). Conclusion: Offline social interaction and digital media engagement were both statistically related to adolescent mental-health symptoms, highlighting the need for school- and family-based support, digital literacy, and healthier online habits. Keyword: Adolescents Mental health, Social Interaction, Digital media, Social media
Family Empowerment Using Moringa Leaf Nuggets to Improve Dietary Adequacy Among Stunted Children: A Quasi-Experimental Study Herlina Herlina; Titih Huriah
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.28452

Abstract

Family empowerment through the utilization of local food resources is a strategic approach to improving dietary adequacy among children with stunting. Moringa leaves are nutrient-dense local foods that remain underutilized. This study aimed to examine the effect of family empowerment through the use of moringa leaf nuggets on energy intake adequacy among stunted children. This study employed a quasi-experimental pretest–posttest design with a control group. A total of 40 stunted children were assigned to an intervention group (n = 20) and a control group (n = 20). The intervention was conducted over three months and consisted of four empowerment stages (knowledge enhancement, self-efficacy strengthening, training, and evaluation), along with one month of moringa leaf nugget supplementation. The primary outcome was energy intake (kcal), assessed using food records and analyzed with dependent and independent t-tests. showed a significant increase in energy intake within the intervention group, from 886.13 ± 336.49 kcal at baseline to 1063.99 ± 208.04 kcal post-intervention (Δ = +177.86 kcal; p = 0.012). No significant change was observed in the control group (1117.69 ± 647.86 kcal to 1028.43 ± 251.53 kcal; p = 0.289). However, post-test comparison between the intervention and control groups revealed no statistically significant difference (1063.99 ± 208.04 vs. 1028.43 ± 251.53 kcal; p=0.324). Secondary outcomes demonstrated significant improvements in maternal knowledge and psychomotor skills, but not in attitudes. Family empowerment through moringa leaf nugget utilization significantly improved energy intake within the intervention group. However, the absence of a significant between-group difference suggests that the intervention’s effectiveness relative to the control remains inconclusive and warrants further investigation using larger samples and more rigorous designs Keywords: family empowerment, Moringa oleifera, Dietary intake, nutrient adequacy, child stunting, quasi-experimental study
Demographic Characteristics, Knowledge, Attitudes, and Actions of Mothers Related to Nutrition among Stunting Toddlers Ida Bagus Eka Utama Wija; Wiradi Suryanegara; Louisa Ariantje Langi; Keswari Aji Patriawati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26138

Abstract

Stunting is a chronic nutritional problem that affects children’s growth and development. Indonesia still has a high prevalence of stunting, including in urban areas such as Bogor. Maternal characteristics and nutrition-related behaviors are important factors to consider when designing effective interventions. This study aims to describe maternal demographics, nutrition-related knowledge, attitudes, and practices, as well as the incidence of stunting among toddlers in Gunung Batu Village, Bogor City. A quantitative descriptive observational design was applied, involving all mothers of stunted toddlers aged 6-59 months registered at the Gunung Batu Community Health Center in February 2025. A total of 54 respondents were selected using total sampling. Data on maternal knowledge, attitudes, and practices were collected through questionnaires, while stunting data were obtained from health center records. Descriptive analysis was conducted using frequencies and percentages. The average maternal age was 30.7 years. Most mothers had completed senior high school or vocational education (42.59%) and were housewives (72.22%). All toddlers in the study (N = 54) were classified as stunted. Most mothers demonstrated good levels of knowledge and practices related to toddler nutrition (96.3%), and all reported positive attitudes. Despite these favorable maternal characteristics, stunting persisted among all toddlers in this study. These findings suggest that factors beyond maternal nutrition-related behaviors may contribute to stunting and highlight the need for further studies to identify additional determinants and strengthen prevention strategies.  Keywords: Stunting, Knowledge, Attitude, Practice, Mother, Toddler, Demography.