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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 627 Documents
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Exploring Community Experiences and Perceptions Regarding the Low Utilization of Posbindu Services for Non-Communicable Disease Prevention: A Phenomenological Approach Afnijar Wahyu; Arlinda Sari Wahyuni; Erwin Handoko; Hizkianta Sembiring
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.30260

Abstract

Non-communicable diseases (NCDs) are major causes of morbidity and mortality, while Posbindu PTM provides a community-based promotive and preventive approach through early detection and monitoring of NCD risk factors. Nevertheless, utilization remains low. This study explored the lived experiences and perceptions of community members and the perspectives of cadres, healthcare professionals, village authorities, and other stakeholders regarding low Posbindu PTM utilization using a phenomenological approach. Data were collected through in-depth interviews and analyzed thematically. The findings identified four interrelated themes: perceptions of the purpose and target population of Posbindu PTM; lived experiences and barriers to utilization; organizational readiness; and institutional support and cross-sector collaboration. Participants commonly perceived Posbindu PTM as a service for older adults or people who were already ill, reflecting limited understanding of its preventive role. Other barriers included inadequate information and health promotion, limited social support, insufficient cadre training, weak implementation systems, inadequate facilities and resources, limited funding, variable village-government commitment, and weak cross-sector collaboration. Low utilization therefore reflects the interaction of community perceptions, organizational capacity, and institutional support. Increasing utilization requires sustained health communication, stronger cadre capacity and supervision, adequate resources, active village-government involvement, and systematic cross-sector collaboration. Keywords: Posbindu for NCDs, Non-Communicable Diseases, Participatory Action Research, Health Determinants
Mother's Knowledge and the Role of Cadres Affecting Mother's Activeness at the Integrated Service Posts Jenny Qlifianti Demmalewa; Dimas Agung Raharjo; Habib Ihsan M
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.v8i2.28756

Abstract

The activeness of mothers in utilizing the integrated service post in the Puriala Community Health Center work area, which has not yet reached the target, is thought to be related to the level of knowledge of mothers and the role of cadres in education and assistance, so research is needed to examine the factors that influence it. This study aims to analyze the relationship between knowledge and the role of cadres with the activeness of mothers in bringing toddlers to the integrated service post. This type of study involved a cross-sectional design. Conducted from June 10 to September  25, 2025.  Sample are a total of 87 mothers with toddlers aged 0-59 months who were selected and enrolled in the Puriala Health Center area using Stratified Random Sampling and data were collected through a questionnaire that has been validated and is reliable. The primary outcome of the study was that the level of maternal knowledge was sufficient (72.4%), and the role of cadres (59,8%) was in the role category. The chi-square test results obtained a p-value of 0.0026 for knowledge and 0.002 for the role of cadres. In conclusion, there is a relationship between maternal knowledge and the role of cadres with the activeness of mothers in bringing toddlers to the integrated health post in the working area of the Puriala Health Center Regional Technical Implementation Unit. Recommended for the health center to develop the skills and abilities of the integrated service post cadres. Keywords: Mothers, Knowledge, Role, Cadres, Activeness.
Association Between Serum Uric Acid Levels and Premature Rupture of Membranes at Adam Malik Hospital and Affiliated Hospitals Rahmi Permata Sury Lubis; Edwin M Asroel; Cut Adeya Adella; Hotma Partogi Pasaribu; Khairani Sukatendel; Tanzil Al Hair
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.28968

Abstract

Premature rupture of membranes (PROM) is an important obstetric complication associated with adverse maternal and neonatal outcomes. Oxidative stress and degradation of the fetal membrane extracellular matrix are recognized mechanisms involved in membrane weakening and rupture. Serum uric acid (SUA) is an endogenous antioxidant that may protect against oxidative damage; however, both excessively low and elevated SUA concentrations may be associated with adverse biological effects. Evidence regarding the relationship between maternal SUA and PROM remains limited and inconsistent, particularly in non-diabetic pregnant populations. This study aimed to compare maternal serum uric acid levels between pregnant women with and without PROM and to determine the association between SUA status and PROM. The study also evaluated the difference in body mass index (BMI) between the two groups and examined the distribution of overweight and obesity according to PROM status. An analytical cross-sectional study was conducted at Adam Malik Hospital, Prof. Dr. Chairuddin P. Lubis Hospital, and Pirngadi Regional General Hospital, Medan, from March to July 2025. Fifty pregnant women were included, comprising 25 women with PROM and 25 women without PROM, selected using consecutive sampling. Serum uric acid levels and BMI were assessed. Differences in continuous variables were analyzed using the Mann–Whitney U test, while categorical variables were analyzed using the Chi-square or Fisher's exact test, as appropriate. The median BMI was higher among women with PROM than among women without PROM (29.2 vs. 27.5 kg/m²; p = 0.001), representing an absolute difference of 1.7 kg/m². When the analysis was restricted to overweight and obese women, obesity was more frequent in the PROM group (11/25, 44%) than in the non-PROM group (4/22, 18.2%); however, this difference did not reach statistical significance using Fisher's exact test (p = 0.070). Median serum uric acid was substantially lower in the PROM group than in the non-PROM group (3.7 vs. 5.4 mg/dL; p = 0.001), corresponding to an absolute difference of 1.7 mg/dL or approximately 31.5% lower median SUA in the PROM group. Normal SUA levels were observed in 92.0% of women with PROM compared with 60.0% of women without PROM, whereas hyperuricemia was present in 8.0% and 40.0%, respectively (p = 0.008). Maternal serum uric acid levels were significantly lower among pregnant women with PROM than among those without PROM. The findings support a potential association between maternal SUA status and PROM, although causality cannot be established because of the cross-sectional design. Further prospective studies with larger sample sizes and adjustment for potential confounders are warranted. Keywords:  Serum uric acid; premature rupture of membranes; pregnancy; oxidative stress; body mass index
Religious Practice and Religious Moderation Outcomes Following an Educational Program on Jihad, Nationalism, and Ecotheology Islamic Boarding School Budiman Budiman; Nurazizah Said; Putri Safira; Putra Apriadi Siregar; Prima Yanti Siregar; Nurhayati Nurhayati; Salianto Salianto; Sri Hajijah Purba; Dhea Rizky Fitri Saragi; Fauziah Siti Andhini
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.31874

Abstract

Abstract Islamic boarding schools (pesantren) are strategically positioned to strengthen religious moderation because religious learning, social habituation, and character formation occur within an integrated educational environment. This study assessed observed changes in students’ religious practices and religious moderation outcomes following a pesantren-based educational program integrating contextual jihad, nationalism, and ecotheology. A pre-experimental one-group pretest-posttest evaluation was conducted among 25 Grade XII students at Pondok Pesantren Modern Al-Hasyimiyah, Tebing Tinggi, Indonesia. Participants were purposively selected in coordination with the pesantren from members of the student organization (OSIS), and all completed both pretest and posttest assessments. The program was delivered in a single activity day through interactive education, guided discussion, a religious-moderation matching game, and a “Love for the Homeland” snakes-and-ladders game. A 50-item questionnaire assessed religious practice, national commitment, religious understanding, tolerance, and anti-violence attitudes; ecotheology-related content was embedded within selected items rather than measured as a separate scale. Data were analyzed using Shapiro-Wilk tests followed by paired-samples t-tests or Wilcoxon signed-rank tests according to data distribution, with a Bonferroni-adjusted significance threshold of p<0.010 for five primary outcomes. Posttest scores were higher for religious practice (23.52 to 25.56; p<0.001), religious understanding (26.20 to 29.68; p<0.001), and anti-violence attitudes (34.20 to 36.56; p=0.001). National commitment increased from 33.52 to 34.40 (p=0.110), and tolerance from 32.64 to 33.44 (p=0.303), but neither change was statistically significant. These findings indicate short-term within-group changes in religious practice, religious understanding, and anti-violence attitudes, while national commitment and tolerance may require longer-term reinforcement. Because no control group was included, the findings should be interpreted as preliminary observed changes rather than causal effects. Institutional permission was obtained from the pesantren; no formal ethics-committee approval number was available for this community-service educational activity.
Family Type and Family Social Support Related with Pregnant Women's Anxiety in Facing Labor Veronica Yeni Rahmawati; Jehan Puspasari; Yurita Mailintina; Ryana Iga Anggraeni; Fadhila Elvian Pratamy
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.29892

Abstract

Anxiety in pregnant women has the potential to cause depression in pregnant women and can even have an impact until delivery. The negative impact of prolonged anxiety during pregnancy is complications during delivery. This study aims to determine the relationship between family type and social support from the family with the anxiety of pregnant women facing childbirth. The sampling technique in this study used Purposive Sampling in one area in Central Jakarta. This research was conducted from May to August 2024 with a total of 110 pregnant women respondents. Measurement of anxiety in facing childbirth was measured using the Pregnancy Related Anxiety Questionnaire–Revised 2 (PRAQ-2) questionnaire with a total of 10 questions. The family support instrument used the Indonesian version of the Perceived Social Support from Family (PSSF) questionnaire consisting of 15 question items, meanwhile family type using questionnaire assesing who lives in the household. The results  indicatethat family type had a significant relationship with the anxiety of pregnant women facing childbirth (p-value<0.001), with a moderate effect size (Phi (φ)=0.366) and family social support also had a significant relationship with the level of anxiety of pregnant women facing childbirth (p-value<0.001), with a moderate effect size (Phi (φ) =0.335). Nurses need to provide education to families about the importance of family support as companions for pregnant women in facing childbirth. Keywords:   Family Social Support, Family Type, Anxiety, Pregnant Women
The Role of Spousal Support in Reducing Anxiety in Pregnant Women with Preeclampsia: A Scoping Review Angel Seftia Ningsih; Farida Kartini; Ismarwati Ismarwati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.29935

Abstract

Preeclampsia is a pregnancy complication that increases the psychological vulnerability of pregnant women, particularly anxiety, which has the potential to worsen pregnancy outcomes. One of the protective factors againts anxiety in pregnant women in high-risk pregnancies is spousal support, notably psychological support. This study aims to synthesize scientific evidence regarding the role of spousal support in reducing anxiety in pregnant women with preeclampsia. The study employed a scoping review method based on the Arksey and O’Malley framework and the Joanna Briggs Institute (JBI) guidelines, with reporting following PRISMA-ScR. A literature search was conducted on PubMed, ScienceDirect, and Google Scholar for publications from 2016 to 2025, yielding eight articles that met the inclusion criteria. This scoping review has synthesized articles from various study that are not limited to quantitative research only, but also qualitative, mixed-meyhod approaches, including systematic review and meta-analysis. The results of the review indicate that psychological, instrumental, and informational support from the husband, as well as his involvement in prenatal care, documented as having a beneficial impact in alleviating anxiety in pregnant women with preeclampsia. In conclusion, the active involvement of the husband through a family-centered care approach is an important strategy in managing pregnancies with preeclampsia to improve the mother’s psychological well-being and support better pregnancy outcomes. The spouses practically might helps pregnant women through emotional support, engaging in household chores, and enhancing knowledge about safe pregnancy care. Keywords: Anxiety, Husband’s Support, Preeclampsia, Pregnant, Spousal
Determination of Total Phenolic and Flavonoid Contents in Carrot (Daucus carota L.) Root Extract by UV-Visible Spectrophotometry and Evaluation of Antibacterial Activity Against Gram-Positive and Gram-Negative Bacteria Sri Wahyuni Tanjung; Henny Sri Wahyuni; Dewi Pertiwi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.31132

Abstract

The increasing prevalence of antimicrobial resistance has become a major global health concern, prompting the research for plant-derived antibacterial agents. Carrot (Daucus carota L.) contains phenolic and flavonoid compounds that have been reported to possess antibacterial properties. However, studies integrating phytochemical quantification with antibacterial activity and membrane leakage mechanisms against both Gram-positive and Gram-negative bacteria remain limited. Carrot tubers were extracted by methanolic maceration. Total phenolic content was determined using the Folin–Ciocalteu method, while total flavonoid content was measured by the aluminum chloride colorimetric method using UV–Visible spectrophotometry. Antibacterial activity against Staphylococcus aureus and Pseudomonas aeruginosa was evaluated using the agar disc diffusion method at extract concentrations of 50, 100, 200, and 300 mg/mL. Membrane damage was assessed by measuring nucleic acid and protein leakage using UV–Visible spectrophotometry and potassium (K⁺) and calcium (Ca²⁺) ion leakage using Atomic Absorption Spectrophotometry (AAS). The extract exhibited total phenolic and total flavonoid contents of 142.2650 ± 5.7364 mg GAE/g extract and 11.2634 ± 0.1066 mg QE/g extract. Phytochemical screening confirmed the presence of flavonoids, glycosides, saponins, and triterpenoids/steroids. The extract inhibited the growth of S. aureus and P. aeruginosa, with inhibition zone diameters ranging from 8.93–11.52 mm and 8.68–10.37 mm, respectively. Statistical analysis demonstrated significant membrane leakage in S. aureus (p ≤ 0.05), whereas no significant difference was observed in P. aeruginosa (p > 0.05). Increased extracellular K⁺ and Ca²⁺ concentrations further supported membrane disruption as the antibacterial mechanism. The methanolic extract of Daucus carota L. contains substantial levels of  phenolic and flavonoid compounds and exhibits antibacterial activity against both Gram-positive and Gram-negative bacteria. Its antibacterial effect appears to be associated with disruption of bacterial membrane integrity, resulting in the leakage of intracellular constituents, including nucleic acids, proteins, potassium ions, and calcium ions.Keyword: Daucus Carota L., Total Phenolic Content, Total Flavonoid Content, Antibacterial Activity, Staphylococcus Aureus, Pseudomonas Aeruginosa.

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