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INDONESIA
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education
Published by Universitas Airlangga
ISSN : 20853475     EISSN : 25409972     DOI : -
Core Subject : Health,
Health Professions
Arjuna Subject : -
Articles 393 Documents
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The Relationship Between Physical Activity and Menstrual Cycles in Urban Adolescents Girls Amelia, Dessy; Novembriani, Rizqie Putri; Puriastuti, Alifia Candra; Rahmawati, Fitriana Nur; Mukharam, Khamdan; Billah, Moh.Andi Arif
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.115-123

Abstract

Background: Many adolescents face barriers to physical activity due to sociocultural factors, which may deter them from engaging in regular exercise. Sedentary lifestyles typical of urban adolescents may be associated with increased menstrual irregularities due to factors such as unhealthy weight gain, stress, and poor nutrition, all of which could be exacerbated by low levels of physical activity. This study aims to determine the relationship between physical activity and menstrual regularity in urban adolescents in Malang City. Method: An institutional-based cross-sectional study was conducted on public vocational high school students in Malang City from July until August 2025. The total calculated sample size is 96 respondents. Logistic regression is used to find the relationship between dependent and independent variables. Result: Logistic regression analysis showed that the level of physical activity was not significantly associated with menstrual cycle regularity (p > 0.05 across all activity categories). The Exp(B) value for moderate activity was 1.545 (95% CI: 0.424–5.633) and for high activity was 0.800 (95% CI: 0.247–2.596), indicating no meaningful difference in the likelihood of having a regular menstrual cycle compared to the low physical activity group. Model fit testing revealed Cox & Snell R Square of 0.020 and Nagelkerke R Square of 0.027, suggesting that physical activity explained only about 2–3% of the variation in menstrual cycle regularity. Conclusion: Therefore, physical activity level cannot be considered a significant predictor of menstrual cycle regularity in this study.
Exploring Patient Behaviour and Health Literacy in Drug Resistant Tuberculosis Therapy Program Rokhmah, Dewi; Dessy Raharyani; Mohamad Revaldo Maury
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.124-130

Abstract

Background: Drug-resistant tuberculosis (MDR/RR-TB) requires a complex treatment regimen, such as BPaL (bedaquiline + pretomanid + linezolid) and BPaLM (with the addition of moxifloxacin), with a shortened duration of 6–9 months and cure rates of ≥90%. This study aimed to analyze the health literacy level of drug-resistant tuberculosis patients at Ngagelrejo Primary Health Center, Surabaya. Methods: The research employed a quantitative cross-sectional approach involving 30 TB-RO patients as respondents. Data were collected using the Health Literacy Questionnaire (HLQ) and analyzed through univariate and bivariate methods using the Chi-Square test. Results: The health literacy level of drug-resistant TB patients at the Ngagelrejo Community Health Center was in the fairly good category and showed a significant correlation with education level. However, there was no significant association between health literacy and age, gender, or medication adherence. Conclusion: These findings confirm that health literacy is a crucial component in managing drug-resistant TB therapy, despite that it does not play a sole role in determining adherence. To improve treatment success, health literacy strategies need to be directed toward a participatory, communicative, and technology-based approach.
Promoting Glycemic Well-Being Through NEAT: A Salutogenesis-Based Analysis Using Ordinal Logistic Regression Mayasari, Ayu Citra; Rinarto, Nisha Dharmayanti; Setyani, Renata Deby Nanda
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.157-162

Abstract

Background: Adolescent glycemic well-being is increasingly recognized as a fundamental component of lifelong metabolic health. Within the salutogenic framework, non-exercise activity thermogenesis (NEAT) serves as a modifiable health-promoting behavior that enhances physiological resilience and supports glucose regulation. However, empirical evidence regarding NEAT as a salutogenic resource among Indonesian adolescents remains limited. Objective: This study aimed to analyze NEAT‘s role in determining glycemic status among adolescents and to identify significant predictors using Ordinal Logistic Regression. Methods: An analytic cross-sectional study was conducted among 101 adolescents at SMAN 1 Menganti, Gresik, selected through simple random sampling. NEAT was indirectly estimated as total energy expenditure (TEE) minus basal metabolic rate (BMR) and the thermic effect of food (TEF). Glycemic status was classified according to American Diabetes Association (ADA) criteria as normal, prediabetes, or diabetes. Data were analyzed using ordinal logistic regression with a significance level of p < 0.05. Results: Most adolescents exhibited normal glycemic status (73.3%), followed by prediabetes (26,7.8%). A family history of diabetes emerged as the strongest predictor of poorer glycemic category (OR = 34.88, p < 0.001). NEAT demonstrated a significant protective effect (OR = 1.004, p = 0.010), indicating that higher NEAT levels were associated with a reduced likelihood of progression to worse glycemic categories. Conclusions: NEAT is a key health-promoting resource that supports metabolic resilience and glycemic well-being in adolescents. Simple, low-cost strategies to increase daily movement may effectively improve glycemic health, supporting the need for salutogenesis-oriented school interventions in adolescent health promotion.

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