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Makara Journal of Health Research
Published by Universitas Indonesia
ISSN : 23563664     EISSN : 23563656     DOI : https://doi.org/10.7454/msk
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Makara Journal of Health Research (MJHR) is a peer-reviewed and scientific journal published by Universitas Indonesia. Starting from 2019 onwards, MJHR is redirecting its scope, focusing on publishing research articles relevant to non-communicable diseases (NCDs) addressing issues of surveillance, disease management and health policy in the Asia Pacific and Mediterranean countries. Relevant academic articles regarding NCDs analyzed from an integrated perspective including individual and population level, experimental and clinical approaches, epidemiology, public health, disease prevention and health promotion, diagnosis, treatment, prognosis and palliative care are welcome.
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Articles 10 Documents
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Search results for , issue "Vol. 29, No. 1" : 10 Documents clear
A Comparative Study of Obesity-Related Traits and Serum Lipid Parameters in Cardiovascular Patients from Faisalabad, Pakistan Ghori, Muhammad Umer; Masoud, Muhammad Shareef; Shafique, Muhammad; Fiaz, Humera; Hussain, Misbah; Awan, Fazli Rabbi
Makara Journal of Health Research Vol. 29, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: Obesity and dyslipidemia are significant risk factors for cardiovascular disorders (CVDs), yet have not been extensively studied in Pakistani subjects. Therefore, this retrospective observational study was undertaken to investigate the association of obesity-related traits and serum lipid parameters in CVD patients from Faisalabad, Pakistan. Methods: A total of 403 CVD patients and 226 healthy controls were included. CVD patients were enrolled from the Allied Hospital and the Faisalabad Institute of Cardiology. Obesity-related traits [body mass index (BMI), waist and hip circumference (WC and HC), and waist-to-hip ratio (WHR)], serum lipid parameters, and blood pressure of all subjects were measured. Data was analyzed in SPSS v.21. Results: Results showed significantly higher WC, HC, WHR, systolic and diastolic blood pressure in CVD patients as compared to healthy controls. Likewise, there were significant gender specific differences in these parameters in both the CVD patients and healthy control groups. Additionally, Pearson analysis revealed significant correlations between lipid parameters and obesity-related traits in CVD patients. Conclusion: This study showed a significant correlation between lipid profile and obesity-related traits in CVD patients from Faisalabad, Pakistan. These findings highlight the importance of early management of dyslipidemia and obesity to prevent later sequelae of CVD.
Impact of Pandemic-Driven Parental Fear on Childhood Immunization Rates: Examining Attitudes Toward Vaccination During Crisis Periods in Türkiye Erkin, Özüm; Göl, İlknur
Makara Journal of Health Research Vol. 29, No. 1
Publisher : UI Scholars Hub

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Background: This study aimed to investigate the effect of parents’ fear of coronavirus on their attitudes towards the vaccination of their children. Methods: The study was conducted with 2,350 parents who were selected by using the snowball sampling method. The questionnaire included a personal information form, the Public Attitude towards Vaccination Scale – Health Belief Model, and the Fear of COVID-19 Scale. Results: The scores of the study group from the sub-dimensions of the Public Attitude towards Vaccination Scale Health Belief Model were as follows: 17.39 ± 2.92 perceived susceptibility, 16.74 ± 3.19 perceived severity, 21.10 ± 3.54 perceived benefits, 14.16 ± 5.08 perceived barriers, and 22.07 ± 2.93 perceived health motivation. The score of the group on the total Fear of COVID-19 Scale was 21.58 ± 5.92. A statistically positive correlation was found between the scores obtained from the sub-dimensions and the Fear of COVID-19 Scale, except for the ‘perceived barriers’ sub-dimension. Conclusions: The study found that parents’ fear of COVID-19 positively influenced their attitudes toward childhood vaccination; however, more than three-quarters of parents reported delaying their children’s vaccinations due to concerns about COVID-19 exposure, highlighting the need for better parental education on vaccines and vaccine safety.
Cross-Cultural Adaptation and Psychometric Validation of the Medication Compliance Questionnaire (MCQ) for Type 2 Diabetes Mellitus Patients in Indonesia Wibowo, Much Ilham Novalisa Aji; Safitri, Angelia Yuliana; Setiawan, Didik
Makara Journal of Health Research Vol. 29, No. 1
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Background: Medication adherence is critical for managing type 2 diabetes mellitus (T2DM). The Medication Compliance Questionnaire (MCQ) is a widely recognized tool for assessing adherence but has not been adapted for T2DM in Indonesia. This study aimed to adapt and validate the MCQ in the Indonesian socio-cultural context. Methods: A cross-sectional study at community health centers (May–Aug 2024) involved forward/back translation, content validation using Aiken’s V, and psychometric assessment among 230 patients. Exploratory Factor Analysis (EFA) assessed construct validity, including convergent, discriminant, and reliability. Results: Aiken's V index indicated strong content validity (average = 0.881). EFA identified two dimensions—practical adherence and patient perception—explaining 49.25% of the variance. Composite Reliability (CR) values exceeded 0.70, indicating good internal consistency. While the Average Variance Extracted (AVE) was below 0.50, CR ≥ 0.70 confirmed convergent validity. No significant cross-loadings supported discriminant validity. Conclusion: The validated Indonesian version of the MCQ consists of six items, demonstrating strong validity and reliability. The two-factor structure reflects practical adherence and patient perception, making it a valuable tool for assessing medication adherence among Type 2 Diabetes Mellitus (T2DM) patients in Indonesia.
Cross-Cultural Adaptation and Expert Opinion of Revised Trauma Quality of Life Questionnaire (RT-QoL): Malay Language Version Wan Puteh, Sharifa Ezat; Ibrahim, Shamsinar; Zulkifli, Malina; Aizuddin, Azimatun Noor; Mohd Yusoff, Hanizah
Makara Journal of Health Research Vol. 29, No. 1
Publisher : UI Scholars Hub

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Background: This study examines the cross-cultural adaptation and expert validation of the Revised Trauma Quality of Life (RT-QOL) questionnaire, translating it from English to Malay. Methods: The study employed Beaton’s adaptation guidelines and Takasaki’s framework for expert opinions, involving 51 road traffic injury patients recruited from the Emergency and Trauma Department (ED) of a public hospital in Kedah, Malaysia, from March to June 2022. Participants were contacted via telephone 30 days after their hospital visit regarding their involvement in the study. Three independent experts, comprising academicians in healthcare and emergency department clinicians, reviewed and reconciled the RT-QOL Malay translation to ensure content validity and practical usability. Results: The Malay version exhibited satisfactory internal consistency, with reliability scores between 0.68 and 0.90, similar to those of the English version. The findings indicate that the questionnaire is appropriate for larger-scale studies, providing a useful instrument for assessing trauma-specific conditions in Malaysian contexts. Conclusion: This study represents the inaugural local examination of quality of life in road traffic injury patients utilizing the RT-QOL in Malay. This study establishes a basis for future research utilizing the RT-QOL Malay version to improve the comprehension and management of trauma-related quality of life concerns in the region.
Adaptation, Reliability, and Validity of the Auditory Skills Checklist (ASC) for Bengali Speaking Children with Severe to Profound Sensorineural Hearing Loss with Hearing Aids Rahman, Istiak; Hasan, Mahedi
Makara Journal of Health Research Vol. 29, No. 1
Publisher : UI Scholars Hub

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Background: The audiologic assessment guidelines of the American Speech-Language-Hearing Association (ASHA) encouraged functional auditory skills assessment, appropriate for age. The Auditory Skills Checklist (ASC) assessment tool was developed from the necessity to assess the auditory skills of young children with Sensorineural Hearing Loss (SNHL). The aim of this study was to adapt a Bengali version of the ASC checklist from the original English version and then to test its reliability and validity. Methods: The method of forward-backward translation and cognitive debriefing was employed to produce a culturally sensitive Bengali version of the checklist. The data was analyzed for the internal consistency of items, inter-rater agreement of items, temporal reliability, and convergent validity. Results: The adapted Bengali version of the ASC produced excellent internal consistency (Checklist total = Cronbach’s alpha 0.980 and domain specific Cronbach’s alpha of 0.958, 0.921, 0.908 and 0.932 respectively), substantial level of inter-rater agreement (κ = 0.668 to 0.845 and p < 0.01), excellent temporal reliability (ICC 0.974 and p < 0.01) and convergent validity (AVE > 0.5). Conclusion: The adapted version of the ASC showed excellent reliability and validity to facilitate functional auditory skills assessment and intervention.
Assessing Healthcare Students’ Self-Efficacy in Disaster Response: A Cross-Sectional Analysis Şenol, Aydın; Adıyaman, Abdülkerim; Okuyan, Canan Birimoglu
Makara Journal of Health Research Vol. 29, No. 1
Publisher : UI Scholars Hub

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Background: Assessing healthcare students’ self-efficacy in disaster response is crucial for preparing them to effectively manage real-world disaster situations. This study aimed to assess the self-efficacy status of healthcare students in disaster response. Methods: The data for this cross-sectional analysis were gathered from 498 healthcare students between November 18, 2023, and February 14, 2024, using an individual diagnostic form and the disaster-response self-efficacy (DRSE) scale. This scale is used to assess an individual’s self-efficacy in responding effectively to disasters, including on-site rescue competency, disaster psychological nursing competency, disaster role quality, and adaptation competency. Results: The mean age of the students enrolled in the study was 21.7 ± 3.56 years. A statistically significant difference was observed between the total DRSE scale score and the subdimension scores of students who were male, in the fourth grade, studying in the nursing department, exposed to a disaster, and enrolled in a course or training on disaster management (p < 0.05). Conclusions: The results emphasize the importance of education, training, and prior experience in enhancing DRSE among healthcare students. Tailored interventions and comprehensive instructional activities are thus essential to improve preparedness and to ensure that students can effectively handle disaster scenarios.
Health Literacy, Health Perception, and Influencing Factors Among Immigrants Birimoglu Okuyan, Canan; Deveci, Ebru; Karasu, Fatma
Makara Journal of Health Research Vol. 29, No. 1
Publisher : UI Scholars Hub

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Background: Individuals living in rural areas face several healthcare disadvantages, including limited access to medical facilities and specialists during emergencies. This study examines healthy lifestyle behaviors, health perceptions, and influencing factors among immigrants in a rural region of southern Türkiye. Methods: This cross-sectional study involved immigrants registered at a family health center. Data were collected using a sociodemographic questionnaire, the Perception of Health Scale, and the Health Literacy Scale. Results: Statistically significant differences in THLS-32 scores were found based on participants’ occupation, marital status, and education level (p < 0.05). A moderately positive correlation was observed between health literacy and health perception scores (p < 0.05). Conclusions: Research on the relationship between health literacy and health perception among immigrants may offer valuable insights for fostering healthier communities, contribute to the existing literature, and inform rural nursing interventions aimed at addressing negative health perceptions.
The Effect of Nursing Students' Level of Readiness for Professional Practice on Self-Efficacy and Clinical Stress Perception: A Cross-sectional Study Öner, Uğur; Yılmaz, Dilek; Aslan, Sinan; Çınar, Ercan
Makara Journal of Health Research Vol. 29, No. 1
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Background: It is essential to evaluate students’ readiness before graduation and support them with education accordingly. This study investigates the effect of the level of readiness for professional practice as a purpose on the self-efficacy and clinical stress perceptions of nursing students. Methods: The data for this cross-sectional study were collected between May and July 2024. The study included 733 3rd and 4th-year students studying nursing departments at state universities in Turkey. The Student Identification Form, Casey-Fink Readiness for Practice Scale (CFRPS), Student Self-Efficacy Scale (SSS), and Nursing Students Perceptions of Clinical Stressors Scale (NSPCSS) were used. Results: The mean total CFRPS score of the students participating in the study was 43.85 ± 8.58, the mean SSS total score was 29.93 ± 5.84, and the mean NSPCSS total score was 95.36 ± 19.99. A statistically significant difference was found between the students' age, gender, class level, and willingness to choose the nursing department and the CFRPS, SSS, and NSPCSS scale scores (p < 0.05). The results indicated a negative correlation between the NSPCSS and both the CFRPS (r = −0.99, p = 0.01) and the SSS (r = −0.11, p = 0.01). Additionally, a strong positive correlation was observed between the CFRPS and SSS (r = 0.77, p = 0.01). Readiness explains 2.1% of the variance in self-efficacy and perception of clinical stress (R2 = 0.021, p = 0.001). Conclusion: As a result of this study, it was determined that nursing students’ readiness for professional practice, self-efficacy, and clinical stress perceptions were affected by various factors such as age, gender, grade level, and desire to choose the nursing department. In addition, it was concluded that there was a negative correlation between students' clinical stress perceptions and their readiness for professional practice and self-efficacy levels, and that as students' readiness and self-efficacy increased, their clinical stress perceptions tended to decrease.
Knowledge, Attitudes, and Motivation Regarding Exclusive Breastfeeding Between Medical and Nonmedical Students: A Cross-Sectional Study Lubis, Melviana; Rozi, Meisyah Putri
Makara Journal of Health Research Vol. 29, No. 1
Publisher : UI Scholars Hub

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Background: Exclusive breastfeeding provides substantial health benefits; however, disparities in knowledge and support persist. This study aimed to compare knowledge levels, attitudes, and motivation levels regarding exclusive breastfeeding between female medical and nonmedical students. Methods: A cross-sectional survey was conducted at Universitas Muhammadiyah Sumatera Utara and involved 314 students from the 2023 cohort. A validated questionnaire was used to assess knowledge levels (16 items), attitude (IIFAS, 16 items), and motivation (15 items). Data were analyzed using the chi-square test, odds ratio (OR), and Spearman’s correlation. Results: Medical students demonstrated significantly higher levels of knowledge (OR = 3.50; 95% CI: 1.93–6.33; p < 0.001), attitude (OR = 2.19; 95% CI: 1.34–3.58; p = 0.001), and motivation (OR = 2.81; 95% CI: 1.62–4.85; p < 0.001) toward exclusive breastfeeding than nonmedical students. However, misconceptions remain regarding the equivalence of formula to breast milk and the acceptability of breastfeeding in public. A moderate positive correlation was observed between knowledge and motivation levels (ρ = 0.375, p < 0.001). Conclusion: Although structured health education enhances students’ breastfeeding perspectives, it does not completely address sociocultural and practical barriers. Broader, interdisciplinary education and supportive environments may better prepare students as future mothers and breastfeeding advocates.
Knowledge, Attitudes, and Practices of Adults for Periodic Health Assessment in Al Ahsa, Saudi Arabia Alhafedh, Fatimah Yousef; Almusaileem, Rawan Ahmed; Aljaafar, Zahraa Hassan; Alaayesh, Rayhanah Saleh; Estrella, Edric
Makara Journal of Health Research Vol. 29, No. 1
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Background: Regular medical consultation, such as annually or semi-annually for check-ups, especially to diagnose chronic conditions, is essential for health maintenance, particularly in adults. The aim of this study is to analyze the knowledge, attitudes, and practices of adults aged 30 years or older for obtaining periodic professional health assessment in the city of Al Ahsa in Saudi Arabia. Methods: A cross-sectional study was conducted in a total sample of 472 adults. Multistage sampling was employed, and data were collected using a Google Forms survey and analyzed using JASP and OpenEpi. Descriptive and logistic regression analysis was used to analyze the data. Results: Of the participants, 46.2% reported engaging in regular medical consultation. While knowledge and positive attitudes were generally high, logistic regression showed that attitude was significantly associated with consultation behavior. Conclusion: A gap exists between knowledge/attitudes, and practice regarding regular medical consultation in Al Ahsa. Interventions targeting attitudes may be effective in promoting regular medical consultation.

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