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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 569 Documents
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Diabetes Risk Factor Screening in the Adult Population Using the Findrisc Score and Oral Glucose Tolerance Test Fazidah Aguslina Siregar; Tri Makmur; Asfriyati Asfriyati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28882

Abstract

The global rise in the prevalence of type 2 diabetes is heavily concentrated in urban centers, yet more than half of those affected remain completely undiagnosed. Non-invasive clinical risk assessment tools can indeed stratify population risk, but there remains a gap in operational validation regarding the Finnish Diabetes Risk Score (FINDRISC) when combined with biochemical verification in urban populations in Indonesia. This study evaluated the diagnostic accuracy of the FINDRISC questionnaire in identifying undiagnosed type 2 diabetes and dysglycemia, using the oral glucose tolerance test (OGTT) as the gold standard. The study was conducted in the community using a cross-sectional design with non-random, purposive sampling in six subdistricts to recruit 300 adults aged 30–75 years. The 8-item FINDRISC questionnaire and anthropometric measurements were administered, followed by biochemical verification via OGTT and chi-square analysis. FINDRISC categorized 33.7% of participants as low-risk and 5.3% as high-risk, while the OGTT confirmed 18.0% had prediabetes and 30.0% had diabetes. Increased risk was significantly correlated with advanced age, high body mass index (BMI), central obesity, lack of physical activity, inadequate fruit and vegetable intake, treatment for hypertension, a history of hyperglycemia, and family predisposition (p<0.005). Among low-risk respondents, 68.3% had normal glucose levels, whereas 61.8% of high-risk individuals had glucose levels indicative of diabetes (p<0.005). The integration of the non-invasive FINDRISC triage tool prior to laboratory testing offers a resource-efficient sequential screening framework for urban primary health care. This strategy optimizes the allocation of institutional resources, detects subclinical dysglycemia early, and enables targeted preventive lifestyle interventions.Keywords: Type 2 Diabetes, FINDRISC, Oral Glucose Tolerance Test, Mass Screening, Public Health Surveillance.
Analysis of Risk Factors for Perioperative Complications Following Open and Laparoscopic Nephrectomy in Patients with Non-Functioning Kidneys: A Retrospective Cohort Study Raedi Ardlo Luzman; Ahmad Zulfan Hendri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28979

Abstract

Non-functioning kidneys are a common indication for nephrectomy, especially in resource-limited settings. Minimally invasive nephrectomy is preferred over open surgery because it reduces perioperative morbidity; however, how patient-related factors such as anemia, body mass index, and immunonutritional markers affect complication risk remains poorly defined. This retrospective cohort study examined perioperative outcomes and predictors of complications in 44 patients who underwent nephrectomy for non-functioning kidneys at a tertiary center in Indonesia between January 2022 and October 2025. Laparoscopic nephrectomy was used in 68% of cases, with markedly lower intraoperative blood loss (median 150 vs. 500 cc; approximately 73% reduction), a shorter median hospital length of stay (3 vs. 4.5 days), and earlier drain removal (3 vs. 4 days) compared with open surgery. These results align with prior studies highlighting laparoscopy's benefits in reducing morbidity and expediting recovery. Overall, 32% of patients experienced intra- or postoperative complications. Open nephrectomy significantly increased the risk of complications (OR 4.0, p=0.049). Preoperative anemia (OR 8.7, p=0.006) and underweight status (OR 11.7, p=0.001) emerged as primary risk factors, emphasizing the importance of transfusion needs and the adverse nutritional impacts across major surgical interventions. In contrast, a high neutrophil-to-lymphocyte ratio, a high platelet-to-lymphocyte ratio, and a low prognostic nutritional index despite being commonly observed were not significantly associated with perioperative complications in this retrospective cohort. For benign nephrectomy addressing non-functioning kidneys, the most effective approach to curbing perioperative complications is to prioritize laparoscopic surgery coupled with systematic management of anemia and undernutrition Keywords: Nephrectomy, Perioperative Complication, Inflammatory Marker, Body Mass Index
Effectiveness of Leaflet-Based Health Education on Pregnant Women’s Knowledge of Anemia Prevention: A Quasi-Experimental Study at Paniaran Community Health Center, North Tapanuli, Indonesia Riance Mardiana Ujung; Janner Pelanjani Simamora
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28608

Abstract

Anemia in pregnancy remains a major public health problem in Indonesia and is associated with serious maternal and neonatal complications, including hemorrhage, low birth weight, prematurity, and stunting. Adequate maternal knowledge is essential for prevention, and simple educational media such as leaflets may help improve awareness.  This study aims to analyze the effect of leaflet-based health education on pregnant women’s knowledge of anemia prevention. A quasi-experimental one-group pretest–posttest design was conducted from July to December 2025 at Paniaran Community Health Center, North Tapanuli Regency. Twenty-five pregnant women attending antenatal classes were recruited. Knowledge was assessed using a structured questionnaire before and 14 days after the intervention. Data were analyzed using the Wilcoxon signed-rank test with a significance level of 0.05.  Prior to the intervention, 72% (n=18) of respondents demonstrated good knowledge; this proportion increased to 92% (n=23) after the intervention. The Wilcoxon test indicated a statistically significant improvementin knowledge (p = 0.011 < 0.05).  Leaflet-based health education significantly improved pregnant women’s knowledge of anemia prevention. This approach can serve as a simple, low-cost educational tool to strengthen anemia prevention within antenatal care services.Keywords: Anemia In Pregnancy, Maternal Health Education, Health Promotion, Iron Deficiency Anemia Prevention, Leaflet.
The Effectiveness of the SIAPP Digital Learning Platform in Improving Community Self-Efficacy in Providing Basic Life Support in Pontianak City, Indonesia Uti Rusdian Hidayat; Fauzan Alfikrie; Debby Hatmalyakin; Ali Akbar; Defa Arisandi; Nurpratiwi Nurpratiwi; Mimi Amaludin; Ruhil Iswara; Nurannisa Nurannisa; Ihsan Angga Anjarwadi; Delvi Yanto
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.29367

Abstract

Out-of-hospital cardiac arrest (OHCA) remains a major public health challenge globally, with low survival rates largely attributed to delayed or inadequate Basic Life Support (BLS) provided by lay responders. Limited access to educational resources and low self-efficacy among community members further hinder effective early intervention. This study aimed to evaluate the effectiveness of the First Aid Learning Administration Information System (SIAPP) in improving community self-efficacy in providing BLS in Pontianak City, Indonesia. A quasi-experimental study using a one-group pretest–posttest design was conducted among 33 community participants recruited through convenience sampling. The study, including the intervention and outcome assessments, was conducted over 2 weeks. The intervention consisted of SIAPP-based first-aid training. Self-efficacy was measured using a structured questionnaire before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test to determine differences in self-efficacy scores. Participants’ self-efficacy improved significantly after the intervention (p = 0.001). The findings indicate that SIAPP effectively increases community members' confidence in performing BLS procedures. SIAPP is an effective and scalable digital learning platform for improving community self-efficacy in BLS provision. Its implementation may strengthen early response capacity in OHCA cases and improve community-based emergency preparedness Keywords: SIAPP, Self-efficacy, Basic Life Support, Out-of-Hospital Cardiac Arrest, Health Education
Effect of Virgin Coconut Oil Supplementation on Immune Function in a Rat Model of Physical Exercise Fajar Apollo Sinaga; Rika Nailuvar Sinaga; Alin Anggreni Ginting; Ayu Elvana
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28061

Abstract

Physical exercise can induce physiological stress that triggers inflammatory responses, marked by increased levels of proinflammatory cytokines and acute-phase proteins. Virgin Coconut Oil (VCO) contains medium-chain fatty acids that are known to possess anti-inflammatory and immunomodulatory properties, which may help regulate immune responses caused by physical activity. This study aimed to evaluate the effect of VCO supplementation on immune function by examining serum levels of Interleukin-6 (IL-6), Tumor Necrosis Factor-α (TNF-α), and C-Reactive Protein (CRP) in a rat model subjected to physical exercise. An experimental approach was conducted using rats divided into four groups, consisting of a control group and several VCO-treated groups undergoing physical exercise. VCO was administered orally at varying doses throughout the exercise intervention period. At the end of the treatment, blood samples were collected, and serum concentrations of IL-6, TNF-α, and CRP were analyzed using immunoassay techniques. The data were evaluated descriptively to observe trends among the treatment groups. The findings demonstrated a consistent decrease in IL-6, TNF-α, and CRP levels in rats receiving VCO supplementation compared to the control group. The most pronounced reduction in all inflammatory markers was observed in the group receiving the highest dose of VCO, indicating a dose-dependent effect. These results suggest that VCO supplementation effectively attenuated exercise-induced inflammatory responses. Overall, VCO supplementation shows potential immunomodulatory and anti-inflammatory effects in rats exposed to physical exercise, as evidenced by reduced levels of IL-6, TNF-α, and CRP. VCO may therefore be considered a functional nutritional supplement to support immune balance during physical activity. However, further studies are needed to confirm these findings and to clarify the underlying biological mechanisms involved. Keywords: Virgin Coconut Oil, Physical Exercise, Immune Function, Inflammation, Interleukin-6, Tumor Necrosis Factor-α, C-Reactive Protein, Rat Model
The Effect of Telenursing-Based Five-Finger Hypnosis Therapy on Maternal Stress Among Mothers of Stunted Children: A Quasi-Experimental Study Iwan Wahyudi; Tanti Suryawantie; Ishmah Hamidah
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.29001

Abstract

Background: Stunting remains a major public health problem in developing countries, including Indonesia. In addition to nutritional factors, maternal psychological stress may indirectly affect caregiving quality and child well-being. Objective: This study aimed to examine the effect of telenursing-based five-finger hypnosis therapy on maternal stress levels among mothers of children with stunting. Methods: A quasi-experimental pretest-posttest control group design was conducted from March to May 2024 in Wanaraja Village, Garut Regency, Indonesia. A total of 34 mothers of children with stunting were recruited using purposive sampling and assigned to an intervention group (n = 17) and a control group (n = 17). The intervention group received telenursing-based five-finger hypnosis therapy for seven sessions over four weeks, while the control group received routine puskesmas services. Maternal stress was measured using 14 items derived from a modified DASS-42 questionnaire. Data were analyzed using the Friedman test and Mann-Whitney test. Results: Maternal stress in the intervention group decreased progressively from pretest to posttest 1 and posttest 2, with mean scores declining from 18.4 (SD 3.12) to 16.4 (SD 2.50) and 14.5 (SD 2.40), respectively. The control group also showed a slight reduction, from 18.9 (SD 2.29) to 17.9 (SD 2.77) and 17.6 (SD 2.50). However, the reduction in maternal stress was significantly greater in the intervention group than in the control group at week 2 (p = 0.036) and week 4 (p < 0.001), with a larger effect observed at week 4. Conclusion: Telenursing-based five-finger hypnosis therapy was associated with a greater reduction in maternal stress among mothers of children with stunting than routine care alone. This intervention may serve as a supportive psychosocial strategy in community-based stunting management programs.
Determinants of Post-Odontectomy Complications: A PLS-SEM Analysis of Clinical Pathway Effectiveness and Patient Risk Profiles Rachman Indharmawan; kusbaryanto kusbaryanto
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28710

Abstract

This study analyses the effect of clinical pathway implementation on post-odontectomy complications. It examines the influence of patient-related factors on postoperative outcomes at the Dental and Oral Hospital of Universitas Airlangga. Globally, oral diseases remain a major public health burden, emphasizing the need to improve the quality and safety of dental surgical care. However, evidence on the effectiveness of clinical pathways in minor oral surgery, particularly in developing countries, remains limited. A quantitative cross-sectional approach was applied using a survey method. A total of 107 participants were included in this study, consisting of 97 odontectomy patients and 10 healthcare professionals selected through purposive sampling. Data were collected from clinical pathway documents, medical records, and structured questionnaires and analyzed using Partial Least Squares-Structural Equation Modeling (PLS-SEM). The results show that patient-related factors have a significant positive effect on post-odontectomy complications (β = 0.855; p < 0.001), indicating that age, comorbidities, and adherence to postoperative instructions are key determinants. In contrast, Clinical Pathway implementation has no significant direct effect (β = −0.012; p = 0.406) and does not moderate the relationship between patient factors and complications (β = −0.028; p = 0.296). The model demonstrates strong explanatory power (R² = 0.731). These findings suggest that improving postoperative outcomes requires strengthening patient-centered risk assessment and more effective, consistent implementation of clinical pathways in practice Keywords: Clinical Pathway, Odontectomy, Postoperative Complications, Patient Factors, Healthcare Quality
Behavioral Determinants of Compliance with Iron Tablet Consumption in Pregnant Women: An Analytical Study in Primary Obstetric Services Maya Sari
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28763

Abstract

Adherence to iron tablet consumption among pregnant women remains suboptimal despite its critical role in preventing iron deficiency anemia. Previous studies have identified various influencing factors; however, evidence regarding the relative contribution of behavioral determinants, particularly the role of the husband’s support in primary obstetric care, remains limited. This study aimed to analyze the influence of knowledge, attitudes, and husbands’ support on adherence to iron tablet consumption among pregnant women. An analytical cross-sectional study was conducted involving 47 pregnant women in primary obstetric services. Data were collected using a validated questionnaire and analyzed using Fisher’s Exact test and binary logistic regression to identify the most dominant factor. The results showed that 63.8% of respondents were non-adherent to iron tablet consumption. Bivariate analysis indicated significant associations between husband’s support (p=0.001), knowledge (p=0.024), and attitude (p=0.018) with adherence. Multivariate analysis revealed that husband’s support was the strongest predictor of adherence (OR=9.15; 95% CI: 2.45–34.1), followed by attitude (OR=5.22) and knowledge (OR=4.14). In conclusion, the husband’s support plays a pivotal role in improving adherence to iron tablet consumption among pregnant women. Therefore, interventions in primary obstetric care should incorporate partner involvement in antenatal education to strengthen reinforcing factors and improve maternal health outcomes Keywords: Husband's Support, Compliance, Knowledge, Attitude, Iron Tablets
Low Birth Weight as A Predictor of Stunting in Bojonegoro, East Java, Indonesia Wiwik Utami; Aris Citra Wisuda; Titik Nuryanti; Siti Patonah; Ahmad Maftukhin; Novia Dwi Astuti; Agus Ari Affandi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28196

Abstract

Birth weight is the primary indicator of a baby's health. Babies with low body weight often face challenges in physical growth, metabolic function, and cognitive and intellectual development. The purpose of this study is to determine the relationship between a history of low birth weight and stunting. This study used a correlational analytical design with a cross-sectional approach. The population included 120 pairs of mothers and children aged 2–3 years. A simple random sampling technique selected 108 pairs as the sample. Data were collected by measuring the child's height and by obtaining secondary data on birth weight. Data analysis was carried out using Chi-Square and Contingency Coefficient tests. The results showed that of 69 respondents (63.9%) who had a history of low birth weight, as many as 45 children (41.7%) were stunted. The majority of respondents were children aged 2-3 years (92.3%), female, and firstborn. A chi-square statistical test yields a P-value = 0.008 < a (0.05). This indicates a relationship between a history of low birth weight and the incidence of stunting in children aged 2–3 years, with a Contingency Coefficient rate of 0.462. The conclusion shows that there is a link between low birth weight and the incidence of stunting in children aged 2–3 years. Parents are encouraged to attend Posyandu regularly for growth monitoring and optimal nutrition. Healthcare workers should prioritize nutritional counseling during pregnancy and the first two years of life. Policymakers are recommended to strengthen prenatal screening programs targeting low birth weight as an early predictor of stunting, particularly in agricultural communities with limited healthcare access. Keywords: Low Birth Weight, Stunting, Child Nutrition, Indonesia, Growth Disorders.
The Relationship between Self-Efficacy in Choosing Nutritious Foods and the Daily Consumption Practices of Pregnant Women Asri Masitha Arsyati; Nhadira Nhestricia; Agustina Agustina
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.27585

Abstract

Adequate consumption of nutritious food by pregnant women is a crucial factor in supporting maternal health and fetal growth and development. However, various factors such as knowledge, self-efficacy, and social support can influence the daily consumption behavior of pregnant women. This issue remains a public health challenge in Indonesia, mainly due to various behavioral, social, and environmental factors. This study aims to analyze the factors that affect the daily consumption of pregnant women in Bogor City Indonesia. An observational analytical study with a cross-sectional design was conducted on 231 pregnant women. The relationship between variables was analyzed using the Chi-Square statistical test with a p-value <0.05 as the significance threshold. Mothers' self-efficacy in choosing nutritious foods is significantly related to daily consumption adequacy (p = 0.000; OR = 0.319). Nutritional knowledge also shows a significant relationship (p = 0.016; OR = 2.043). Family social support has a significant effect on the daily consumption of pregnant women (p = 0.008; OR = 2.780). Meanwhile, food access (p = 0.978; OR = 0.976), antenatal nutrition counseling (p = 0.148; OR = 0.648), access to pregnancy nutrition information media (p = 0.116; OR = 2.872), and cultural/food taboo practices (p = 0.246; OR = 0.644) do not show a significant relationship. Self-efficacy, nutrition knowledge, and family social support are factors that significantly influence the adequacy of daily consumption among pregnant women. Efforts to improve nutrition education and strengthen family support should be the focus of interventions aimed at encouraging healthy eating behaviors among pregnant women Keywords: Food Consumption, Nutritional Knowledge, Pregnant Women, Self-Efficacy

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