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International Journal of Health Literacy and Science
Published by Universitas Dian Nuswantoro
ISSN : 29642035     EISSN : 30259258     DOI : https://doi.org/10.60074/ihelis.v1i1
Core Subject : Health, Education, Social,
Education Environmental Science Health Professions Public Health Social Sciences
International Journal of Health Literacy and Science is the official peer-reviewed journal published by the Faculty of Health Science Universitas Dian Nuswantoro and the Asian Health Literacy Association (AHLA) Indonesia Office Universitas Dian Nuswantoro located in Indonesia. The journal is published frequently twice a year (June and December), and the first volume will be published in June 2023. The journal welcomes and invites original research articles, review articles, case studies, and practice focused on: health literacy, including those involved in a broad array of media literacy, digital literacy, environmental health, child and family health, nutrition, digital health, public health, health information, health services, epidemiology, occupational health and safety.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 66 Documents
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The Relationship Between Online Gambling Addiction Behavior with Anxiety Levels Among Adolescents in Madiun City Aan Herwin Astutik; Riska Ratnawati; Karina Nur Ramadhanintyas
International Journal of Health Literacy and Science Vol. 4 No. 1 (2026): International Journal of Health Literacy and Science
Publisher : Health Science UDINUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/ihelis.v4i1.94

Abstract

Online gambling is increasingly prevalent among adolescents and may negatively affect mental health, particularly anxiety. This study aimed to examine the relationship between knowledge of online gambling risks, addictive gambling behavior, and anxiety levels among adolescents aged 17–24 years in Madiun City, Indonesia. A quantitative cross-sectional design was applied with 95 respondents selected through purposive sampling. Data were collected using validated questionnaires to assess knowledge and online gambling behavior, while anxiety was measured with the Zung Self-Anxiety Scale. Kendall’s Tau test was used for analysis. Findings showed no significant association between knowledge of online gambling and anxiety (p = 0.271). However, addictive gambling behavior was significantly related to anxiety levels (p = 0.001). These results suggest that although adolescents may be aware of the dangers of online gambling, such knowledge does not necessarily influence their anxiety. In contrast, addictive behaviors contribute substantially to anxiety symptoms. This study highlights the need for interventions focusing on behavioral change through education, internet regulation, and psychosocial support for adolescents. Longitudinal studies are recommended to further explore thecausal relationship between online gambling addiction and adolescent mental health.
Analysis Of Determinants Of Digital Health Literacy Among Mothers Pregnancy: A Study In Semarang City Sella Monika; Respati Wulandari
International Journal of Health Literacy and Science Vol. 4 No. 1 (2026): International Journal of Health Literacy and Science
Publisher : Health Science UDINUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/ihelis.v4i1.98

Abstract

Pregnancy is a period that requires intensive health monitoring. Digital Health Literacy (DHL) is a key factor for pregnant women in searching for, understanding, and applying health information from electronic sources. In reality, not all women have the ability to understand DHL. This study aims to identify the factors associated with DHL among pregnant women in Semarang City. The study design was cross-sectional, with data collected using stratified random sampling from 15 public health centers (puskesmas) in Semarang City, involving 390 samples. The instrument used was the Digital Health Literacy for Citizens (DHLC) questionnaire, which was administered directly to the respondents. Independent variables included: age, education, income, occupation, antenatal care (ANC) visits, access to health information, and parity. The dependent variable was Digital Health Literacy. Data were analyzed using Kruskal-Wallis and Mann-Whitney tests. Results: The majority of pregnant women had an independent level of DHL (74.6%), were over 24 years old, had a moderate level of education (57.4%), were housewives (58.5%), accessed health information from health workers (74.1%), were multiparous (41.8%), and had ≥3 ANC visits. Education, income, occupation, access to health information, and parity were significantly associated with DHL (P = 0.000).
Health Informatics Competencies and User Experience at Hospital: Case Study in Private Hospital Semarang, Indonesia Razhita Maylani Putri; Evina Widianawati; Maryani Setyowati; Alfiena Nisa Belladiena; Enny Rachmani
International Journal of Health Literacy and Science Vol. 4 No. 1 (2026): International Journal of Health Literacy and Science
Publisher : Health Science UDINUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/ihelis.v4i1.100

Abstract

An assessment of the readiness of medical and nursing staff in implementing electronic medical records (ERM) at RSU Banyumanik 2 Semarang was necessary because the hospital just started providing health services in 2021, so it needs a lot of preparation in facing electronic medical records (ERM). The purpose of this study was to analyze the user experience and digital health literacy of medical and nursing staff at RSU Banyumanik 2. The research method is quantitative descriptive. Data were collected using a User Experience Questionnaire (UEQ) and PHIC4PHC questionnaire. The research subjects were 5 physicians and 25 nurses. User experience data analysis uses Data Analysis Tools (DTA) on Microsoft Excel and digital health literacy uses the PHIC4PHC index calculation. The results showed that the user experience of the KHANZA system was rated as above average by all respondents. The digital health literacy of the respondents tends to vary, with 50% classified as experts, 43.3% as fluent, and 6.7% as basic. Based on these results, the hospital should provide training on EMR use for medical officers and nursing staff to improve their performance and knowledge of ERM. In addition, the hospital needs to evaluate and maintain SIMRS KHANZA according to user needs.
Mental Health Literacy, Resilience, and Positive Mental Health in Adolescents Endang Widyorini; Daniswara Agusta Wijaya
International Journal of Health Literacy and Science Vol. 4 No. 1 (2026): International Journal of Health Literacy and Science
Publisher : Health Science UDINUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/ihelis.v4i1.104

Abstract

Positive mental health constitutes an essential foundation for adolescents’ development and represents a growing priority within public health promotion. This study aimed to examine the roles of mental health literacy and resilience in predicting positive mental health among adolescents in Semarang, Indonesia. A quantitative cross-sectional correlational design was employed involving high school students aged 12–18 years. Standardized instruments were used to assess mental health literacy, resilience, and positive mental health. Data were analyzed using Pearson correlation and multiple regression analyses. The findings indicated that resilience emerged as a significant and consistent predictor of positive mental health, whereas mental health literacy did not demonstrate a stable direct association with positive mental health. Gender-based analyses further revealed that resilience significantly predicted positive mental health among both male and female adolescents, with a stronger effect observed among females. In contrast, the contribution of mental health literacy varied and remained comparatively weak. These results suggest that adaptive psychological capacities, particularly resilience, play a more central role in supporting adolescents’ well-being than cognitive knowledge alone. Mental health promotion efforts in school settings should therefore integrate resilience-building strategies alongside mental health literacy education to foster sustainable positive mental health among adolescents.
A Skills-Based Disaster Literacy Framework to Improve Disaster Preparedness, Response, and Recovery Ömer Cem Karacaoğlu; Luke Juran; Jennifer Trivedi
International Journal of Health Literacy and Science Vol. 4 No. 1 (2026): International Journal of Health Literacy and Science
Publisher : Health Science UDINUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/ihelis.v4i1.105

Abstract

This study presents the development of the Disaster Literacy Core Skills (DLCS) framework, a structured, skills-based model designed to improve disaster preparedness, response, and recovery at the individual and societal levels. Using qualitative thematic analysis of interviews with 20 disaster experts from diverse backgrounds, the study identifies and categorizes core disaster literacy competencies into four skill domains: practical, cognitive, social, and adaptive. These competencies are further organized across the preparedness, response, and recovery phases of the disaster management cycle, including basic search and rescue (SAR) skills. The framework addresses a critical gap by moving beyond theoretical knowledge to emphasize actionable skills such as first aid, risk assessment, emergency communication, financial resilience, and psychological coping. Findings highlight the importance of integrating digital literacy, mental health support, and community engagement into disaster education. The DLCS framework provides a foundation for developing evidence-based policies, educational curricula, and resilience initiatives to equip individuals and communities with basic skills to effectively survive, adapt, and recover in the face of increasingly complex and unpredictable disasters.
Prevalence and Associated Factors of Limited Health Literacy: A Cross-Sectional Study in Kalutara District of Sri Lanka Saddharma Weerakoon; Upul Senarath; Sudath Samaraweera
International Journal of Health Literacy and Science Vol. 4 No. 1 (2026): International Journal of Health Literacy and Science
Publisher : Health Science UDINUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/ihelis.v4i1.106

Abstract

Health literacy is a key determinant of health. Despite its importance, research on health literacy in Sri Lanka is sparse, and the existing evidence is inconclusive. This study assessed the prevalence and associated factors of Limited Health Literacy (LHL) among adults in the Kalutara district of Sri Lanka. Before conducting the study, the HLS-EU-Q47 questionnaire was translated into Sinhala, adapted and validated for use in Sri Lanka. The validation study and cross-sectional study recruited 247 and 781 participants, respectively. Data was collected through a household survey using an interviewer-administered questionnaire. Multiple logistic regression was employed to assess the associated factors. The prevalence of limited health literacy was 63.8%, and it was significantly associated with lower family income, physical inactivity, betel chewing, habit of adding salt when cooking rice, poor self-reported health status, unmet healthcare needs, limited participation in health screening and being uninsured for health. The high prevalence of LHL warrants urgent action on improving health literacy in Sri Lanka. The findings of this study indicate the potential link between health literacy and several public health concerns in Sri Lanka, including low health screening coverage, low physical activity, high salt consumption and betel chewing. Interventions to improve health literacy could be beneficial when addressing these issues.

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