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HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS)
Published by Tarqabin Nusantara Group
ISSN : -     EISSN : 30249740     DOI : 10.62255/mjhp
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Health Frontiers is an national /scientific journal, double-blind peer-reviewed, open acces journal published by Tarqabin Nusantara Group. Health Frontiers provides a means for ongoing discussion of relevant issues that fall within the focus and scope of the journal that can be empirically examined. The journal publishes research articles covering all aspects of Health Professionals
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 69 Documents
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Knowledge and Awareness of Radiation Protection Among Healthcare Workers: A Cross-Sectional Study Berliana Devianti Putri; Anisa Dewi Setiawati; Winda Kusumawardani; Cendra Devayana Putra; Gabriel Loi
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 4 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v4i1.253

Abstract

Ionising radiation from diagnostic procedures poses significant occupational risks to healthcare workers (HCWs), yet awareness remains suboptimal in many settings, particularly in low- and middle-income countries. This cross-sectional study assessed radiation protection knowledge and awareness among 140 HCWs from inpatient, intensive care, and emergency units in Indonesia, identifying independent predictors of awareness. Knowledge was evaluated using a validated 15-item instrument (categorized as poor, acceptable, or good), while awareness was measured as a binary outcome. Data were analyzed using Pearson’s chi-square test and multivariable binary logistic regression, adhering to STROBE guidelines. The sample was predominantly female (69.3%) with bachelor’s degrees (57.1%). Overall, 46.4% demonstrated good knowledge, 48.6% acceptable, and 5.0% poor, while 68.6% were classified as aware. Multivariable analysis revealed that knowledge level was the sole independent predictor of awareness: compared to poor knowledge, acceptable knowledge significantly increased awareness odds (aOR = 3.48; 95% CI: 1.12–10.80; p = 0.031), as did good knowledge (aOR = 8.65; 95% CI: 2.10–35.60; p = 0.003). These findings confirm that radiation protection knowledge strongly and independently drives awareness among clinical staff. Consequently, healthcare institutions must prioritize continuous, evidence-based radiation safety education—particularly for personnel in high-exposure units—as the foundational strategy to effectively bridge the knowledge–awareness gap and mitigate occupational radiation risks.
Multilevel Determinants of Mental Health: A Systematic Review of Access, Stigma, and Social Inequities Indi Dwi Shofi Yanti; Marian Muse Osman
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 4 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v4i1.254

Abstract

Mental health outcomes are increasingly understood as the result of interacting structural, cultural, and individual-level influences that shape patterns of care access, service engagement, and recovery trajectories. This study synthesizes evidence from systematic reviews to examine how key domains including accessibility and equity, cultural sensitivity, stigma and mental health literacy, therapeutic communication, and social determinants collectively influence mental health systems and outcomes. The findings indicate that barriers to care extend beyond service availability, encompassing affordability constraints, institutional limitations, and disparities affecting marginalized populations. Cultural context further mediates how mental health conditions are perceived and managed, influencing both help-seeking behavior and treatment adherence. Stigma remains a critical cross-cutting issue, contributing to delays in accessing care and negatively affecting treatment engagement and quality of life . In parallel, broader social conditions such as socioeconomic disadvantage and social isolation play a significant role in shaping vulnerability and resilience. Taken together, the evidence highlights the importance of adopting a comprehensive perspective that integrates health system improvements with culturally informed and socially responsive approaches to mental health care.
Cardiovascular Morbidity in a Warming Climate: A Systematic Review of Vulnerability and Adaptation Anggun Novia Indah Fitri; Dianna Ratnawati; Gabriel Loi
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 4 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v4i1.255

Abstract

Rising global temperatures and increasing frequency of extreme heat events have transformed thermal stress into a critical, systemic driver of cardiovascular and chronic disease burden worldwide. Despite growing recognition of heat-related health risks, substantial gaps remain regarding chronic sub-threshold exposure, morbidity outcomes, and the equity implications of adaptation strategies. This systematic review, conducted according to PRISMA 2020 guidelines, synthesizes contemporary epidemiological evidence from peer-reviewed studies published between 2020 and 2025 to characterize heat-health associations, identify vulnerability determinants, and evaluate policy implementation across diverse geographic and socioeconomic contexts. Following independent screening, quality appraisal, and data extraction, a structured narrative synthesis was performed due to significant methodological heterogeneity in exposure metrics and outcome definitions. The findings demonstrate a robust association between heat exposure and elevated risks of stroke, coronary heart disease, and accelerated progression of metabolic, respiratory, and mental health conditions, with chronic thermal stress emerging as an underrecognized contributor to long-term physiological deterioration. Vulnerability is highly stratified, disproportionately affecting older adults, women, outdoor workers, socioeconomically marginalized communities, and populations in low- and middle-income countries, particularly within urban heat island environments. Current adaptation measures exhibit limited behavioral uptake and insufficient equity-focused design. Addressing these disparities requires standardized exposure metrics, context-sensitive early warning systems, multisectoral policy integration, and targeted research on chronic thermal stress to build inclusive, climate-resilient health systems.
Beyond Technological Fixes: Plastic Pollution Pathways, Recycling Inovtions, and Governance Fatma Lutfiyatus Sayyida; Raihan Faiq Rahmatullah; Abraham A.Abenego
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 4 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v4i1.257

Abstract

The exponential growth in global plastic production over the past half-century has transformed synthetic polymers from industrial conveniences into one of the most pervasive anthropogenic pollutants on Earth. This study conducts a cross-domain systematic synthesis to evaluate the current state of plastic pollution research and recycling innovations, identifying critical knowledge gaps and strategic pathways for scalable mitigation. Following PRISMA guidelines, we systematically appraised 442 peer-reviewed systematic, scoping, and bibliometric reviews published between 1999 and 2026 across five thematic domains: Amazonian ecosystem contamination, recycling technologies, coastal tourism impacts, pyrolysis-based fuel conversion, and recycled plastics in construction. Results demonstrate widespread microplastic infiltration across remote environments alongside measurable improvements in mechanical and chemical recycling efficiency. However, commercial scalability remains constrained by feedstock heterogeneity, high capital expenditures, fragmented market demand, and a pronounced geographic imbalance in research capacity. The synthesis reveals that technological advancement alone is insufficient to resolve the crisis. Effective mitigation requires integrated governance frameworks, standardized material certifications, extended producer responsibility policies, and equity-centered implementation strategies that prioritize vulnerable communities. By consolidating fragmented evidence into a unified analytical framework, this study provides actionable insights for policymakers, industry stakeholders, and researchers. Aligning future research trajectories with global sustainability commitments is essential to transition from diagnostic awareness to measurable, systemic environmental outcomes.
Effectiveness of Spotify-Based Health Podcast Intervention on Reproductive Health Perceptions Among Female Vocational School Adolescents: A Pre-Experimental Study Anisalal Mu’aisyah; Ni Wayan Dwi Rosmalawati; Irma Afifa; Verlina Maya Gita
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 4 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v4i1.268

Abstract

This study investigated the effectiveness of a Spotify-based health education podcast in improving reproductive health perceptions among adolescent girls at a vocational secondary school in Surabaya, Indonesia. Adolescent girls frequently rely on peers as their primary source of reproductive health information, increasing their vulnerability to misinformation and adverse health outcomes. A pre-experimental one-group pre-test–post-test design was conducted involving 42 female students enrolled in the Culinary Arts programme at SMK Kartika IV, selected through total sampling. Participants completed a validated reproductive health perception questionnaire before and 14 days after exposure to a standardized five-episode podcast series delivered via Spotify, covering menstrual health, personal hygiene, sexually transmitted infections, and adolescent reproductive rights. Changes in perception scores were analyzed using the Wilcoxon signed-rank test, while logistic regression was used for subgroup analyses. The mean perception score increased substantially from 61.4 (SD 8.3) at baseline to 86.8 (SD 5.1) following the intervention, representing a mean improvement of 25.4 points (Z = ?5.68; p < 0.001; effect size r = 0.88). The proportion of participants demonstrating positive reproductive health perceptions increased from 90.4% at baseline to 100% after the intervention. Significant improvements were observed across all age groups and information-source categories. These findings indicate that a short-term reproductive health education intervention delivered through a widely accessible digital audio platform can significantly enhance reproductive health perceptions among adolescent girls and may represent a scalable strategy for strengthening adolescent reproductive health promotion programs in Indonesia.
Beyond Fluid Overload: Reassessing the Role of Interdialytic Weight Gain in Intradialytic Blood Pressure Dynamics Reny Nur Indah Firdaus; Maria Diah Ciptaningtyas; Supono Supono; Joko Wiyono
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 4 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v4i1.287

Abstract

Background: Interdialytic weight gain (IDWG) is hypothesized to drive intradialytic blood pressure instability in hemodialysis patients, yet evidence remains contradictory, particularly in low-income and middle-income countries (LMICs) bearing the highest end-stage renal disease (ESRD) burden. We evaluated the association between IDWG and intradialytic blood pressure changes in an Indonesian cohort. Methods: In this cross-sectional study at Lavalette Hospital, Indonesia (May 2025), we enrolled 83 ESRD patients undergoing maintenance hemodialysis. IDWG was calculated as the percentage weight gain between consecutive sessions. Intradialytic blood pressure change was defined as the difference in systolic blood pressure pre- and post-dialysis. Associations were analyzed using Pearson correlation and stratified analyses. Results: The mean age was 52·4 years (SD 12·3), with 43 (52%) women. Most participants (62 [75%]) achieved mild IDWG (<4%), while 37 (45%) maintained stable intradialytic blood pressure, 31 (37%) experienced hypertension, and 15 (18%) hypotension. Despite progressive increases in ultrafiltration rates across IDWG categories (245 to 578 mL/h; p<0·0001), mean blood pressure changes did not differ significantly (p=0·89). Crucially, Pearson analysis revealed no significant linear association between IDWG and intradialytic blood pressure changes (r=–0·209; p=0·057), with IDWG explaining only 4·4% of hemodynamic variance. Conclusion: IDWG alone is an insufficient predictor of intradialytic hemodynamic instability. These findings challenge weight-centric monitoring paradigms, advocating for multifactorial management incorporating ultrafiltration optimization and dialysate profiling. This underscores the urgent need for context-specific, comprehensive hemodialysis quality indicators to advance Sustainable Development Goal targets in resource-constrained settings.
Digitalising Cardiometabolic Risk Surveillance in Higher Education: Development and Validation of an Evidence-Based Web Platform Laras Putri Gamagitta; Nurul Setyowati
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 4 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v4i1.311

Abstract

Introduction: Non-communicable diseases (NCDs) remain a major global health challenge, while university-based surveillance systems are often fragmented and paper-based, limiting early risk detection and preventive interventions. This study aimed to identify predictors of abnormal blood pressure and develop an evidence-based web surveillance platform for the Integrated Development Post for Non-Communicable Diseases (Posbindu PTM). Methods: A research and development study was conducted, beginning with a cross-sectional needs assessment involving 72 university members recruited through convenience sampling. Demographic, behavioural, anthropometric, blood pressure, and blood glucose data were collected. Multivariable logistic regression identified independent predictors of abnormal blood pressure, informing platform development and expert validation. Results: Abnormal blood pressure was identified in 45.8% of participants. Elevated visceral fat (aOR 5.87), hyperglycaemia (aOR 4.51), physical inactivity (aOR 3.18), inadequate fruit and vegetable intake (aOR 2.64), and age >20 years (aOR 2.31) were significant predictors. The prediction model demonstrated good discrimination (AUC=0.83) and satisfactory calibration. Conclusion: An evidence-informed web-based Posbindu PTM platform provides a scalable digital approach for early cardiometabolic risk surveillance and supports precision public health within university settings.
The Relationship Between Conflict Management and Nurse Performance in a Secondary-Level Hospital: A Cross-Sectional Study Listiyawati Ratna Ningrum; Fitri Alfionita; Ida Herwati; Jennyla Puspitaning Ayu
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 4 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v4i1.119

Abstract

Conflict is an inevitable phenomenon in hospital settings where multidisciplinary teams work under high-pressure conditions, making effective conflict management essential for maintaining safe and high-quality nursing care. This study aimed to examine the relationship between conflict management strategies and nurse performance at Lavalette General Hospital. A cross-sectional quantitative descriptive study, conducted in accordance with STROBE guidelines, involved 70 nurses selected through simple random sampling. Data were collected using validated instruments adapted from the Thomas–Kilmann Conflict Mode Instrument and a nurse performance questionnaire. Spearman correlation and hierarchical binary logistic regression analyses were employed to assess the association between conflict management and nurse performance. The results showed that 50% of nurses demonstrated very good conflict management, while 48.6% exhibited good performance. A strong positive and statistically significant correlation was identified between conflict management and nurse performance (r = 0.738, p = 0.001). Multivariate analysis further revealed that the collaborating strategy (aOR = 2.43, 95% CI: 1.58–3.74, p = 0.001) and compromising strategy (aOR = 2.03, 95% CI: 1.27–3.25, p = 0.003) were independent predictors of high nurse performance after adjustment for education level and work experience. These findings indicate that effective conflict management is significantly associated with improved nurse performance. Hospitals should therefore implement structured conflict resolution training programs, with particular emphasis on collaborative and compromising approaches, to strengthen workforce performance and enhance patient safety outcomes.
Association Between Basic Immunization Status and Stunting Among Children Under Five: A Multivariate Analysis in a Primary Healthcare Setting Ratna Roesardhyati; Rafsanjani Rafsanjani
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 4 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v4i1.258

Abstract

Stunting remains a persistent public health challenge driven by multifactorial conditions, including infection exposure and suboptimal caregiving practices. Immunization may contribute to stunting prevention through infection control pathways; however, evidence from primary healthcare settings remains limited and methodologically inconsistent. This study aimed to examine the association between basic immunization status and stunting among children under five using a multivariate approach that accounts for key confounding factors. A cross-sectional study was conducted among 120 mothers with children aged 12–59 months in the Wayabula Primary Health Center area. Data were collected using structured questionnaires, verified child health records, and anthropometric measurements. Basic immunization status was treated as the primary exposure, while exclusive breastfeeding, infection history, and household sanitation were included as covariates. Data were analyzed using chi-square tests and multivariate logistic regression to estimate adjusted associations. Incomplete immunization was significantly associated with stunting in bivariate analysis (p=0.012). After adjusting for covariates, children with incomplete immunization had higher odds of stunting (AOR=2.87; 95% CI: 1.31–6.29). Infection history and poor sanitation were also significantly associated with stunting within the model. These findings indicate that immunization status is independently associated with stunting after controlling for key confounding factors. Strengthening immunization coverage within integrated primary healthcare services may contribute to more effective stunting prevention strategies.

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