International Journal of Advanced Health Science and Technology
International Journal of Advanced Health Science and Technology (IJAHST) publishes peer-reviewed, original research and review articles in an open-access format. Accepted articles span the full extent of the Public Health, Environmental Health, Nursing, Oral and Dental Health, Midwifery, Nutrition, Medical Laboratory Technology, and Biomedical Engineering IJAHST seeks to be the world’s premier open-access outlet for academic research. As such, unlike traditional journals, IJAHST does not limit content due to page budgets or thematic significance. Rather, IJAHST evaluates the scientific and research methods of each article for validity and accepts articles solely on the basis of the research. Likewise, by not restricting papers to a narrow discipline, IJAHST facilitates the discovery of the connections between papers, whether within or between disciplines.
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<![CDATA[Enhancing Preschool Children’s ToothbrushingIndependence Through Video TutorialEducation: A Study on Knowledge and Practices ]]>
<![CDATA[Silvia Prasetyowati]]>;
<![CDATA[Meyvilia Yunardi Saputri]]>;
<![CDATA[Isnanto]]>
<![CDATA[ International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December ]]>
Publisher : <![CDATA[Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) ]]>
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DOI: 10.35882/ijahst.v4i4.366
<![CDATA[Preschool children represent a critical developmental stage in which foundational health behaviors, includingtoothbrushing, begin to form. Although most Indonesian children aged ≥3 years brush their teeth daily, only a small proportiondo so correctly, resulting in persistently high rates of dental and oral health problems. This study addresses the problem oflow toothbrushing knowledge and inadequate brushing practices among preschool children. The aim of this research was toevaluate the effectiveness of video tutorial–based dental health education in enhancing preschool children’s independence,knowledge, and practical skills in toothbrushing. A pre-experimental study with a pre-test–post-test control group design wasconducted among 38 preschool children enrolled in Putra Harapan Kindergarten and Dewi Sartika Kindergarten, Tuban.Participants were divided into an experimental group receiving video tutorial education and a control group receiving verbaleducation only. Data on knowledge and toothbrushing practices were collected using structured observation sheets, andanalyzed using the Wilcoxon signed-rank test and Mann–Whitney U test. The results demonstrated a significant improvementin both knowledge and toothbrushing practices in the experimental group after 21 days of intervention (p < 0.001). In contrast,the control group showed no significant changes in either outcome. Between-group comparisons further indicated that videotutorial education was significantly more effective than verbal instruction in increasing correct toothbrushing knowledge andpractices (p < 0.001). In conclusion, video tutorial media is an effective educational tool for enhancing preschool children’sindependence in toothbrushing. Its engaging visual format improves comprehension and encourages children to imitate properbrushing movements, leading to better oral hygiene behaviors. The findings support the integration of video-based learninginto early childhood dental health programs and future studies with longer follow-up periods are recommended to assesslong-term behavioral retention.]]>
<![CDATA[Impact of Dietary Patterns on Anemia Incidencein Adolescent Girls ]]>
<![CDATA[Miliana Fantini]]>;
<![CDATA[Nurlailis Saadah]]>;
<![CDATA[Astuti Setiyani]]>;
<![CDATA[Sulikah Sulikah]]>
<![CDATA[ International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December ]]>
Publisher : <![CDATA[Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) ]]>
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DOI: 10.35882/ijahst.v5i6.489
<![CDATA[Anemia remains a major public health concern among adolescent girls, as it impairs growth, cognitiveperformance, physical endurance, and overall well-being. In Magetan Regency, anemia prevalence remains high, reaching51.02% in the Tebon Health Center area. Dietary inadequacy is recognized as one of the primary contributors to anemia duringadolescence, a period characterized by rapid growth and increased nutritional demands. This study aimed to analyze the influence of dietary patterns on anemia incidence among adolescent girls at SMP Negeri 1 Barat, Magetan Regency. A cross-sectional observational design was employed, involving 122 female students aged 12–15 years selected through total sampling. Dietary patterns were measured using a validated questionnaire, and hemoglobin levels were assessed using a digital Hb device.Data were analyzed through univariate statistics and the Chi-square test with a significance level of α = 0.05. The findingsindicated that 55.7% of respondents exhibited poor dietary patterns, while 56.6% experienced mild anemia and 12.3% moderateanemia. Among students with good dietary habits, 75% did not experience anemia; conversely, 73.6% of those with poordietary patterns had mild anemia. Statistical testing demonstrated a significant relationship between dietary patterns and anemiaincidence (p = 0.000). These results confirm that inadequate dietary intake substantially contributes to reduced hemoglobinlevels among adolescent girls. Strengthening nutrition education, promoting balanced meals, and enhancing school-basedhealth programs are essential strategies for anemia prevention. Collaboration between health authorities, schools, and youthcounseling groups is recommended to improve dietary behaviors and reduce anemia among adolescents.]]>
<![CDATA[Association Between Anxiety And Labor PainIntensity During The First Stage Of Active Labor in Primigravidas ]]>
<![CDATA[Novi Danisia Ekayanti]]>;
<![CDATA[Nurlailis Saadah]]>;
<![CDATA[Astuti Setiyani]]>;
<![CDATA[Budi Joko Santosa]]>
<![CDATA[ International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December ]]>
Publisher : <![CDATA[Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) ]]>
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DOI: 10.35882/ijahst.v5i6.490
<![CDATA[Maternal anxiety during childbirth is widely recognized as a psychological factor that may intensify perceivedpain and affect labor progress; however, its specific association with pain levels in primigravidas during the first active stage of labor remains under-investigated, particularly in Indonesian clinical settings. This study aimed to examine the correlation between maternal anxiety and labor pain intensity among primigravida women in the active phase of first-stage labor. An analytical observational approach with a cross-sectional design was employed. A sample of 37 primigravidas was recruited using simple random sampling at RSUD Dr. Sayidiman Magetan. Anxiety levels were measured using the Pregnancy-Related Anxiety Questionnaire-Revised (PRAQ-R2), and labor pain intensity was assessed using the Numerical Rating Scale (NRS). Data were analyzed using the Spearman Rank correlation test with a significance threshold of p < 0.05. The findings showed that the majority of respondents experienced severe anxiety, and all reported severe labor pain. Statistical testing demonstrated a moderate positive correlation between maternal anxiety and pain intensity (rho = 0.48; p = 0.002), indicating that higher anxiety was associated with heightened pain perception. In conclusion, maternal anxiety is significantly associated with increased labor pain during the first active stage in primigravidas, suggesting that psychological distress may amplify physiological pain responses during childbirth. These results highlight the importance of integrating psychological assessment and supportive interventions such as antenatal counseling, breathing regulation, structured emotional support, and relaxation techniques into maternity care practices. Future research should incorporate larger and more diverse cohorts, additional psychosocial determinants, and interventional analyses to further elucidate causal mechanisms and improve labor management strategies.]]>
<![CDATA[The Impact of Maternal Knowledge on Dental Caries in Preschool Children ]]>
<![CDATA[Luditha Dia Anggraeni]]>;
<![CDATA[Sri Hidayati]]>;
<![CDATA[Silvia Prasetyowati]]>
<![CDATA[ International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December ]]>
Publisher : <![CDATA[Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) ]]>
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DOI: 10.35882/ijahst.v5i6.496
<![CDATA[Dental caries remains one of the most prevalent oral health problems among preschool children, often linked to inadequate parental understanding of proper dental care. This study addresses the research problem of how maternal knowledge influences the occurrence of dental caries in preschool-aged children at PG/RA Muslimah NU Islamiyah Taman Sidoarjo. The aim was to determine whether maternal knowledge significantly correlates with children’s dental caries status. Using an analytical cross-sectional design, data were collected from 36 mother–child pairs selected through total sampling. Maternal knowledge was assessed using a structured questionnaire, while the children’s dental caries status was examined with a standardized dental health assessment sheet. Statistical analysis was conducted using the Chi-square test with Fisher’s test as the corrective alternative. The results showed that 47.2% of mothers possessed sufficient knowledge, while 50% of children exhibited low levels of dental caries. A significant relationship was found between maternal knowledge and dental caries prevalence (p = 0.001), indicating that higher maternal knowledge is associated with a lower incidence of caries in preschool children. These findings confirm that mothers play a central role in promoting healthy oral hygiene behaviors and reducing caries risk during early childhood. In conclusion, maternal knowledge exerts a substantial influence on children’s oral health outcomes, highlighting the need for targeted parental education and health promotion programs. Interventions that enhance mothers’ understanding of proper dental hygiene practices may contribute significantly to reducing dental caries prevalence in preschool populations. Strengthening oral health literacy among mothers is therefore recommended as a preventive strategy to support healthier dental development in young children.]]>
<![CDATA[Effectiveness of Mystery Card Media of DentalHealth Knowledge Among Preschool Children inSurabaya ]]>
<![CDATA[Helly Lailiyah Mufarikhah Mufarikhah]]>;
<![CDATA[Isnanto]]>;
<![CDATA[Ratih Larasati]]>;
<![CDATA[Husnul Wafa]]>
<![CDATA[ International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December ]]>
Publisher : <![CDATA[Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) ]]>
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DOI: 10.35882/ijahst.v5i6.498
<![CDATA[Dental health problems remain highly prevalent among preschool children, largely due to inadequate knowledge ofproper oral hygiene practices. Preliminary findings at Maryam Islamic Kindergarten, Surabaya, showed that most children exhibitedpoor dental health knowledge and high caries risk, highlighting the need for more engaging and developmentally appropriateeducational media. This study aimed to evaluate the effectiveness of the Mystery Card media, an interactive learning tool integratingprinted cards with technology, in improving dental health knowledge among preschool children. A quasi-experimental pretest–posttest control group design was conducted from December 2024 to March 2025, involving 46 preschool children selected throughsimple random sampling. Participants were divided into intervention and control groups. The intervention group received educationusing Mystery Card media, while the control group received conventional instruction through PowerPoint presentations.Knowledge data were collected using a validated questionnaire and analyzed using the Wilcoxon and Mann-Whitney tests with asignificance level of α = 0.05. The results demonstrated a substantial improvement in the intervention group, where the proportionof children in the “good” knowledge category increased from 0% at pretest to 95.7% at posttest (p = 0.000). The control group showed improvement only to the “adequate” category, with no children reaching the “good” category (p = 0.037). The Mann-Whitney analysis confirmed a significant posttest difference between the two groups (p = 0.000), indicating the superior effectiveness of the Mystery Card media. In conclusion, Mystery Card media significantly enhances dental health knowledge amongpreschool children, outperforming traditional instructional methods. Its interactive features, combining visual and auditory stimuli,create a more engaging learning experience that supports better comprehension and retention. The findings suggest the potential ofMystery Card media as an innovative strategy for early oral health education.]]>
<![CDATA[Association Between Soil Transmitted Helminth Infections, Hemoglobin Levels, and Eosinophil Counts in Elementary School Children ]]>
<![CDATA[Shella Nur Laily]]>;
<![CDATA[Retno Sasongkowati]]>;
<![CDATA[Evy Diah Woelansari]]>;
<![CDATA[Museyaroh]]>
<![CDATA[ International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December ]]>
Publisher : <![CDATA[Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) ]]>
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DOI: 10.35882/ijahst.v5i6.499
<![CDATA[Soil-Transmitted Helminths (STH) remain a major public health concern among school-aged children, particularly in regions with limited sanitation and inadequate hygiene practices, where chronic parasitic exposure may impair hematological health. This study investigates the extent to which STH infection is associated with reduced hemoglobin levels and elevated eosinophil counts in elementary school children, focusing on the potential hematological and immunological consequences of infection. A cross-sectional analytical design was applied to 44 participants selected by consecutive sampling. Fecal samples were examined using the 33% zinc sulfate (ZnSO₄) flotation method to detect helminth eggs or larvae, while venous blood samples from infected participants were analyzed with an automated hematology analyzer to obtain hemoglobin concentration and eosinophil percentages. Normality testing was conducted using the Shapiro–Wilk test, and associations between variables were assessed using Spearman’s rho correlation. The findings indicate that 10 of the 44 children (22.7%) were positive for STH infection. Among these infected subjects, 70% exhibited hemoglobin levels below the normal threshold, while 60% showed eosinophil counts exceeding the reference range. Statistical analysis demonstrated a significant negative correlation between STH infection and hemoglobin levels (p = 0.040), and a significant positive correlation between STH infection and eosinophil counts (p = 0.037). These results indicate that STH infections contribute to anemia and eosinophilia, suggesting measurable disruption of hematological function. The study concludes that implementing routine deworming, blood screening, and hygiene-centered health education within school-based programs is essential to reduce STH prevalence and safeguard children’s physiological well-being and cognitive development in endemic areas.]]>
<![CDATA[Comparison of the Effectiveness of Betel Leaf andBasil Leaf Decoctions on Plaque Index Reductionin Pregnant Women in Pemekaan, Indonesia ]]>
<![CDATA[Arrozadianti Abadi]]>;
<![CDATA[Ida Chairanna Mahirawatie]]>;
<![CDATA[Silvia Prasetyowati]]>;
<![CDATA[Sunomo Hadi]]>
<![CDATA[ International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December ]]>
Publisher : <![CDATA[Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) ]]>
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DOI: 10.35882/ijahst.v5i6.506
<![CDATA[Dental plaque accumulation is a common oral health problem among pregnant women and is associated with anincreased risk of gingivitis, periodontitis, and adverse pregnancy outcomes. In Bunder Village, Pamekasan, preliminaryobservations showed a high plaque index among pregnant women, highlighting the need for accessible and safe plaque-controlinterventions. Natural mouthwash derived from herbal plants such as betel (Piper betle) and basil (Ocimum basilicum) leaves hasbeen suggested to possess antibacterial and antiplaque properties, yet comparative evidence in pregnant populations remainslimited. This study aimed to compare the effectiveness of betel leaf and basil leaf decoctions in reducing dental plaque index amongpregnant women. This quasi-experimental study involved 32 pregnant women selected using Slovin’s formula and randomlyassigned into two equal groups. Each group rinsed with either a boiled betel leaf or basil leaf solution prepared using standardizedprocedures. Plaque index was measured before and after rinsing using the Patient Hygiene Performance (PHP) Index. Datanormality was assessed using the Shapiro–Wilk test, while within-group and between-group differences were analyzed using pairedand independent t-tests, respectively. Both betel and basil leaf decoctions significantly reduced plaque index (p < 0.05). The betel leaf group showed a greater mean reduction (Δ = 1.23 ± 0.75) compared to the basil leaf group (Δ = 0.85 ± 0.65), with the between-group comparison indicating a significant difference favoring betel leaf (p = 0.003). In conclusion, both herbal decoctions effectively lowered plaque index among pregnant women; however, betel leaf decoction demonstrated superior antiplaque efficacy.These findings support the potential use of betel leaf decoction as a low-cost, safe, and natural alternative mouthwash in prenataloral health programs. Further studies with longer follow-up and standardized phytochemical assessment are recommended.]]>
<![CDATA[Motivation for Maintaining Oral Health and Its Association with Gingivitis among Pregnant Women at Berbek Public Health Center ]]>
<![CDATA[Luthfi Zainur Rohmah]]>;
<![CDATA[Bambang Hadi Sugito]]>;
<![CDATA[Siti Fitria Ulfah]]>;
<![CDATA[Imam Sarwo Edi]]>
<![CDATA[ International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December ]]>
Publisher : <![CDATA[Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) ]]>
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DOI: 10.35882/ijahst.v5i6.509
<![CDATA[Gingivitis is one of the most common oral health problems encountered during pregnancy, largely influenced by hormonal changes that heighten gingival vascularization and inflammatory responses. Preliminary findings from the Berbek Public Health Center, Nganjuk, indicated a high prevalence of gingivitis among pregnant women, reflecting inadequate oral hygiene practices and limited awareness. This situation underscores the need to understand behavioral determinants, particularly motivation, that may influence oral health status during pregnancy. Therefore, this study aimed to analyze the association between pregnant women’s motivation to maintain oral health and the occurrence of gingivitis in the working area of Berbek Public Health Center in 2025. A descriptive-analytic study with a cross-sectional design was conducted involving 30 pregnant women selected through purposive sampling. Motivation levels were assessed using a validated Likert-scale questionnaire, while gingival status was examined using the Loe and Silness Gingival Index. Data were analyzed using Spearman’s correlation test to determine the relationship between motivation and gingival condition. The results revealed that 56.7% of respondents had moderate motivation and 43.3% had strong motivation for maintaining oral hygiene. Gingivitis assessment showed that 60% of participants exhibited mild gingivitis, while 40% had moderate gingivitis. Spearman’s test demonstrated a strong and statistically significant correlation between motivation and gingivitis (ρ = 0.714; p = 0.001), indicating that higher motivation was associated with better gingival health. In conclusion, motivation plays a crucial role in shaping oral health behaviors during pregnancy and is significantly related to the incidence of gingivitis. Strengthening maternal motivation through targeted health education and integrated maternal–dental health programs is essential to reduce gingivitis risk and support optimal pregnancy outcomes.]]>
<![CDATA[Effectiveness of Mokegi (Dental Health Monopoly) in Improving Knowledge of Dental Caries Among Preschool Children in Tulungagung ]]>
<![CDATA[zenicxa ratria agustananda]]>;
<![CDATA[Isnanto]]>;
<![CDATA[Siti Fitria Ulfah]]>
<![CDATA[ International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December ]]>
Publisher : <![CDATA[Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) ]]>
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DOI: 10.35882/ijahst.v5i6.513
<![CDATA[Dental caries remains one of the most prevalent oral health problems among preschool children, largely driven by inadequate knowledge and poor oral hygiene habits. Preliminary assessments at TK B Dharma Wanita Talang II Tulungagung revealed that 42% of students possessed insufficient knowledge regarding dental caries, highlighting the need for engaging and developmentally appropriate educational interventions. This study aimed to evaluate the effectiveness of the Dental Health Monopoly (MOKEGI) game in improving preschool children’s knowledge of dental caries. A quasi-experimental pretest–posttest design with a control group was employed, involving 46 preschool children who were divided equally into intervention and control groups. Knowledge levels were measured using a validated and reliable questionnaire, and data were analyzed using the Wilcoxon signed-rank test and Mann–Whitney U test. The findings demonstrated substantial improvement in knowledge within the intervention group after exposure to the MOKEGI game, with all children (100%) achieving a “good” knowledge category post-intervention. In contrast, the control group showed only moderate improvement, with 56.5% reaching the “sufficient” category and none attaining the “good” category. Statistical results confirmed significant differences within the intervention group (p < 0.001) and between the intervention and control groups (p < 0.001). These outcomes indicate that MOKEGI is highly effective as an interactive, game-based educational tool for improving preschool children’s understanding of dental caries. In conclusion, the MOKEGI game provides an engaging and effective medium for enhancing oral health knowledge among young children and holds potential for integration into early childhood health education programs. Future research should assess long-term knowledge retention, behavioral changes, and applicability across diverse school settings.]]>
<![CDATA[Social Support and Self-Efficacy in The Maintenance of Oral and Dental Health Among The Elderly ]]>
<![CDATA[Anggita Nicky Shabrina]]>;
<![CDATA[Silvia Prasetyowati]]>;
<![CDATA[Isnanto]]>
<![CDATA[ International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December ]]>
Publisher : <![CDATA[Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) ]]>
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DOI: 10.35882/ijahst.v5i6.521
<![CDATA[Elderly individuals commonly experience physiological, psychological, and social changes that hinder their ability to maintain optimal oral and dental health. Low self-efficacy, combined with insufficient social support, has been identified as a major contributor to poor oral-health behaviors among older adults, particularly in underserved rural communities. This study aimed to analyze the relationship between social support and self-efficacy in maintaining oral and dental health among elderly residents in Sebalong Village, Nguling District, Pasuruan, in 2024. An analytical cross-sectional design was employed, involving 33 elderly participants selected through simple random sampling. Data were collected using two standardized instruments: the Social Support Questionnaire (SSQ) and the Geriatric Self-Efficacy Scale for Oral Health (GSEOH), both of which demonstrated high reliability. Descriptive statistics were used to categorize social support and self-efficacy levels, while Spearman’s rank correlation test was applied to examine the relationship between the variables. The findings indicated that most respondents received moderate social support (mean = 13.78), whereas their self-efficacy levels were predominantly low (mean = 29.0). The correlation analysis showed a statistically significant positive relationship between social support and self-efficacy (p = 0.028; r = 0.383), suggesting that higher social support is associated with improved confidence in performing oral-health maintenance behaviors. These results highlight the need for community-based interventions that strengthen emotional, instrumental, informational, and esteem support for elderly individuals. Enhancing social support networks may serve as a practical strategy to improve oral-health behaviors and overall well-being among older adults in rural settings. Strengthened collaboration among families, local health workers, and community programs is recommended to ensure sustainable improvements in elderly oral-health maintenance.]]>
