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Ahmar Metastasis Health Journal (AMHJ)
Published by Yayasan Ahmad Mansyur Nasirah
ISSN : 27976483     EISSN : 27974952     DOI : https://doi.org/10.53770/amhj
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Ahmar Metastasis Health Journal (AMHJ), with registered number ISSN 2797-6483 (Print), 2797-4952 (Online) managed by the AHMAR Foundation, published by Yayasan Ahmad Mansyur Nasirah, which is a scientific forum for publishing articles on research activities in health (midwifery, pharmacy, nursing, public health and nutrition). The journal was first published in June 2021 and subsequently published four times a year, in June, September, December and March. Every article that goes to the editorial staff will be selected through Initial Review processes by the Editorial Board. Then, the articles will be sent to the peer reviewer and will go to the next selection by Double-Blind Preview Process. After that, the articles will be returned to the authors to revised. These processes take three a month for a maximum time. In each manuscript, peer reviewer will be rated from the substantial and technical aspects. The final decision of articles acceptance will be made by Editors according to Reviewers comments.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 164 Documents
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Modeling Dysmenorrhea Using PLS-SEM: The Role of Pain Frequency, Severity, and Self-Management among Female Health Students Karwati Karwati; Heru Santoso Wahito Nugroho
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.815

Abstract

Dysmenorrhea remains a common health issue among young women, yet limited studies have examined the behavioral structure underlying its burden, particularly among female health students. This study aimed to develop and test a structural behavioral model linking menstrual bleeding duration, pain frequency, pain severity, and primary self-management methods. A cross-sectional design was employed involving 215 female health students, with data collected through a structured questionnaire. The analysis was conducted using Partial Least Squares Structural Equation Modeling (PLS-SEM) to evaluate the relationships among variables. The findings indicate that menstrual pain frequency significantly predicts pain severity (p < 0.001) and the choice of primary self-management methods (p = 0.034). In contrast, menstrual bleeding duration showed no significant effect on either pain severity or self-management strategies. These results highlight that pain frequency is the key determinant in shaping dysmenorrhea burden and behavioral responses, providing a novel contribution to understanding self-management patterns among health students. The study suggests that interventions should prioritize managing pain frequency to reduce dysmenorrhea impact.
Forecast of Dengue Hemorrhagic Fever Cases Based on Climate and Population Density Data Using Autoregressive Integrated Moving Average Muhammad Farid Dimjati Lusno; Setya Haksama; Al Hafez Husein; Ririh Yudhastuti; Heru Santoso Wahito Nugroho
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.816

Abstract

Dengue fever remains a major public health problem in Bali, with Denpasar consistently reporting high incidence rates in recent years. However, limited studies have quantitatively examined the influence of climate variability on dengue fever incidence and its temporal trends in this area. This study aimed to predict the trend of dengue fever incidence and to assess the impact of climate factors on dengue occurrence in Denpasar. This observational study used secondary data and was analyzed using cross-correlation, Pearson correlation, and Autoregressive Integrated Moving Average (ARIMA) time series modeling. The results of cross-correlation analysis showed that temperature had a significant negative correlation with dengue incidence, while rainfall showed a significant positive correlation. Humidity was not significantly associated with dengue incidence. The ARIMA model demonstrated good predictive performance with an R-squared value of 0.698, indicating that approximately 69.8% of the variation in dengue incidence could be explained by the model. The model also identified a consistent increase in dengue cases at the beginning of the year. These findings indicate that climate factors, particularly temperature and rainfall, play a significant role in influencing dengue incidence in Denpasar. The ARIMA model provides a reliable tool for early prediction of dengue outbreaks. Therefore, vector control and preventive interventions should be intensified at least one month prior to the expected increase in cases, particularly during periods of high rainfall.
The Mediating Role of Midwifery Support in the Association Between Tokophobia and Elective Caesarean Requests Among Primigravida: A Cross-Sectional Study Neneng Siti Lathifah; Nurliyani Nurliyani; Fijri Rachmawati; Rochmawati Rochmawati
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.845

Abstract

Fear of childbirth remains a significant psychological factor influencing delivery mode preferences among first-time pregnant women. This study aimed to examine the direct effect of tokophobia on non-medically indicated caesarean section (CS) requests among primigravidae and to assess the mediating role of midwifery support in this relationship. A cross-sectional design was employed involving 150 third-trimester primigravid women in Bandar Lampung City, selected through multi-stage cluster sampling across eight sub-districts. Tokophobia was measured using a culturally adapted version of the Wijma Delivery Expectancy Questionnaire Version A, while midwifery support was assessed using a researcher-developed instrument. Preferences for CS were collected through a nominal questionnaire. Data were analyzed using structural equation modeling with bootstrapping. The results showed that tokophobia significantly predicted both CS requests and the level of midwifery support. Furthermore, midwifery support significantly mediated the relationship between tokophobia and CS requests. Interestingly, the mediating effect was positive, indicating that supportive approaches lacking structured cognitive components may unintentionally reinforce CS preference among women experiencing fear of childbirth. These findings highlight tokophobia as a key psychological determinant of non-medically indicated CS demand in urban settings. In practice, integrating structured psychoeducational counseling and cognitive reframing techniques into routine antenatal care is crucial. Additionally, midwifery training programs should be strengthened to include evidence-based psychological intervention skills. Early screening for tokophobia, starting from the first trimester, is strongly recommended to help reduce unnecessary caesarean sections and improve maternal health outcomes.
Family Support and Exclusive Breastfeeding: The Mediating Role of Breastfeeding Self-Efficacy Rochmawati Rochmawati; Qorry Wahyuni Septica; Wina Chairunnisa
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.860

Abstract

Family support is widely acknowledged as a key determinant of breastfeeding; however, the psychological mechanism linking it to exclusive breastfeeding remains inadequately examined in Indonesia, as no published study has formally tested breastfeeding self-efficacy as a mediator using path analysis frameworks. This study aimed to analyze the mediating role of breastfeeding self-efficacy in the relationship between family support and exclusive breastfeeding among postpartum mothers. A cross-sectional analytical study was conducted with 250 postpartum mothers in Tangerang City and Regency, recruited through purposive sampling across multiple healthcare settings. Data were collected using two validated instruments and analyzed via Partial Least Squares Structural Equation Modeling (PLS-SEM), with indirect effects examined through indirect effect analysis. Family support had no significant direct effect on exclusive breastfeeding (β = 0.097; p = 0.422), yet strongly predicted breastfeeding self-efficacy (β = 0.887; p < 0.001). Breastfeeding self-efficacy significantly predicted exclusive breastfeeding (β = 0.761; p < 0.001), and the indirect effect was confirmed (β = 0.675; p < 0.001), indicating full mediation. The model explained 45.1% of variance in exclusive breastfeeding and 78.6% in breastfeeding self-efficacy, though causal inference remains constrained by the cross-sectional design. These findings demonstrate that family support promotes exclusive breastfeeding only insofar as it simultaneously strengthens maternal psychological confidence. Exclusive breastfeeding promotion programs should integrate self-efficacy-building components as a core intervention element rather than targeting family support in isolation.

Page 17 of 17 | Total Record : 164

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