Journal title : Preventif: Jurnal Kesehatan Masyarakat Initials : preventif Grade : Terakreditasi Sinta 4 Frequency : 3x (April, August, December) DOI : prefix by `10.22487/preventif Print ISSN : <a style="box-sizing: border-box; background-color: #ffffff; color: #006798; font-family: 'Noto Sans', -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal;" href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&1302359331&1&&">2088-3536 Online ISSN : <a style="box-sizing: border-box; background-color: #ffffff; color: #006798; font-family: 'Noto Sans', -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal;" href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&1465529768&1&&">2528-3375 Editor-in-chief : Pitriani Man. Editor : Elvaria Mantao Publisher : Universitas Tadulako Citation Analysis : Google Scholar Indexing by : GARUDA |DIMENSION
Factors Associated with Premarital Sex Prevention Behaviors among Grade XI Students in Maliana, Timor-Leste
Premarital sexual activity among adolescents is an important public health concern because it may contribute to HIV/AIDS, sexually transmitted infections (STIs), and unintended pregnancy. Maliana, Timor-Leste, has reported increasing HIV/AIDS cases and a high rate of early pregnancy. This study analyzed factors associated with premarital sex prevention behavior among Grade XI students at Dom Martinho da Costa Lopes Senior High School, Maliana, Timor-Leste. A quantitative cross-sectional study was conducted among 234 Grade XI students selected through simple random sampling. Data were analyzed using univariate analysis, bivariate analysis with the Chi-square test, and multivariate logistic regression. Bivariate analysis found significant associations between premarital sex prevention behavior and attitude (p<0.001), family role (p=0.002), peer influence (p<0.001), and social media/internet use (p<0.001). Knowledge (p=0.107), sociocultural factors (p=0.110), and socioeconomic factors (p=0.545) were not significantly associated with prevention behavior. Multivariate analysis identified social media use as the dominant factor associated with premarital sex prevention behavior (OR=4.372). Students with inappropriate social media use were 4.372 times more likely to demonstrate poor premarital sex prevention behavior. Premarital sex prevention behavior among Grade XI students was associated with attitudes, family roles, peer influence, and social media/internet use. Social media use was the strongest associated factor. School-based sexual health education, parental involvement, positive peer support, and digital-health literacy interventions are recommended to strengthen adolescents’ preventive behavior.
Copyright (c) 2026 Preventif : Jurnal Kesehatan Masyarakat https://creativecommons.org/licenses/by-nc-sa/4.0
Factors Associated With Stunting in Children Aged 24–59 Months in Gariuai Village, Timor-Leste, 2026
Stunting remains a major public health problem in developing countries. It is a condition of chronic malnutrition characterized by a child’s height being below the standard for his or her age and may lead to impaired physical growth, cognitive development, and increased risks of health problems later in life. This study aimed to analyze the factors associated with stunting prevalence among children aged 24–59 months in Gariuai Village, Baucau Municipality, Timor-Leste. A quantitative study with a cross-sectional design was conducted among a population of 557 children. A sample of 253 children was selected using proportionate stratified random sampling. Data were analyzed using univariate analysis, the Chi-Square test for bivariate analysis, and multiple logistic regression for multivariate analysis. The results revealed that 11.1% of the children were stunted. Exclusive breastfeeding, family income, access to clean water, and toilet facilities were significantly associated with stunting prevalence, whereas maternal education and birth weight history were not significantly associated with stunting. Exclusive breastfeeding was identified as the most dominant factor associated with stunting. These findings indicate that local health interventions should prioritize strengthening exclusive breastfeeding support and counseling, particularly for vulnerable families, while continuing to improve household income, access to clean water, and sanitation facilities.
Implementation of Area-Based Medical Waste Management at Dr. Komang Makes Naval Hospital
Medical waste management is an essential component of hospital healthcare services. This study analyzed the implementation of area-based medical waste management in accordance with Regulation of the Minister of Health of the Republic of Indonesia Number 18 of 2020 at Dr. Komang Makes Indonesian Navy Hospital, Belawan. A qualitative descriptive approach was employed. Data were collected through in-depth interviews, observations, and documentation involving eight purposively selected informants comprising key, main, and supporting informants. The management process included waste segregation, transportation, temporary storage, and final treatment in collaboration with third parties. Overall, implementation was consistent with applicable regulations and supported by internal policies, management commitment, infrastructure, budget allocation, and integration with quality improvement, Infection Prevention and Control, and Occupational Health and Safety programs. However, several challenges remained, including inadequate waste containers during periods of high patient volume, limited capacity of the hazardous waste Temporary Storage Facility, and delays in third-party transportation caused by logistical and geographical constraints. The hospital should strengthen source-based segregation, optimize hazardous waste storage capacity, and improve operational supervision, particularly in high-workload units. The study concludes that medical waste management was generally aligned with Regulation of the Minister of Health Number 18 of 2020. Continuous improvement is required to address increasing waste volumes and regional coordination challenges
Emergency Department Nurses’ Experiences with Needlestick Injury: A Phenomenological Study
Needlestick injury (NSI) poses a significant occupational hazard for healthcare workers, particularly nurses, due to the risk of exposure to bloodborne pathogens. Emergency department nurses are especially vulnerable because they frequently perform invasive procedures under time pressure and in unpredictable clinical situations. This study aimed to explore the experiences of emergency department nurses in managing needlestick injuries and to identify the challenges and preventive practices associated with these incidents. A descriptive phenomenological approach was applied with nine nurses who were purposively selected based on their experience with needlestick injuries. Data were collected through in-depth interviews and analyzed thematically to identify patterns and meanings within participants’ experiences. The findings revealed that needlestick injuries commonly occurred during high-pressure emergency procedures, particularly when nurses had to work rapidly and manage patients with unpredictable movements. Following an incident, nurses experienced emotional responses including fear, anxiety, worry about bloodborne infection, and psychological trauma. Participants emphasized the importance of strict adherence to Standard Operating Procedures (SOPs), consistent use of Personal Protective Equipment (PPE), safe handling and disposal of sharps, and prompt reporting of occupational incidents. The findings also highlighted the need for accessible post-exposure support and clear institutional procedures. The study concludes that comprehensive hospital support, including technical training, stress management, occupational health services, and effective incident-reporting systems, is crucial for strengthening preventive practices, reducing the psychological impact of needlestick injuries, and improving nurses’ occupational safety.
Analysis of Risk Factors for Rabies-Transmitting Animal Bites (RTAB) in the Bulili Community Health Center Work Area
Rabies-Transmitting Animal Bites (RTAB) remain a public health concern in the working area of Bulili Public Health Center because they increase the risk of rabies transmission. In 2025, 99 RTAB cases were reported, with a prevalence of approximately 3.94 cases per 1,000 population. Human behavioral and animal-related factors are suspected to contribute to RTAB occurrence. This study aimed to analyze the risk factors associated with RTAB in the working area of Bulili Public Health Center. A case-control study with a 1:1 ratio of cases and controls was conducted. Of the 99 RTAB cases recorded from January to December 2025, 37 cases involving stray animals were excluded because the variables of animal keeping practices and vaccination status focused on owned animals. A total of 124 respondents participated. Total sampling was used for cases, while controls were selected using purposive sampling. Data were analyzed using the Chi-square test and Odds Ratios (OR) with 95% confidence intervals (CI). Animal provocation was significantly associated with RTAB incidence (OR = 4.552; 95% CI: 2.119–9.779), and vaccination status was also significantly associated with RTAB incidence (OR = 2.317; 95% CI: 1.060–5.065). Animal keeping practices were not significantly associated with RTAB incidence (OR = 1.576; 95% CI: 0.775–3.203). In conclusion, animal provocation and vaccination status were identified as risk factors for RTAB. Public education on safe animal interactions and increased rabies vaccination coverage are recommended to reduce RTAB incidence and prevent rabies transmission.
Nutritional Status and Anemia-Related Knowledge as Correlates of Maternal Hemoglobin Concentration: A Cross-Sectional Study Among Third-Trimester Pregnant Women
Maternal anemia continues to pose substantial public health challenges in Indonesia, with consequences extending to pregnancy outcomes and child development. Mid-upper arm circumference (MUAC) offers a practical nutritional assessment in resource-limited settings, while anemia-related knowledge represents the cognitive dimension of maternal health literacy relevant to preventive behaviors. This study examined the relationships of maternal nutritional status measured through MUAC and anemia-related knowledge with hemoglobin concentrations among third-trimester pregnant women in rural Indonesia. A cross-sectional analytical study was conducted from May to August 2024 at Palang Health Center, Tuban Regency. Through purposive sampling, 232 third-trimester pregnant women were recruited. Data collection involved MUAC measurements using standardized tape, hemoglobin assessment via digital hemoglobinometer, and a validated 20-item anemia knowledge questionnaire. Statistical analyses included descriptive statistics, Chi-square tests, and multiple linear regression at α=0.05. Anemia prevalence was 37.9%. Significant associations were observed between nutritional status and anemia status (p<0.001) and between anemia-related knowledge and anemia status (p<0.001). Women with MUAC below 23.5 cm had a higher anemia prevalence (78.2%) than those with adequate MUAC (17.5%); women with poor knowledge had an anemia prevalence of 87.5% versus 20.0% among those with good knowledge. In the linear regression model, each 1-cm increase in MUAC was associated with a 0.112 g/dL higher hemoglobin concentration (B=0.112, p<0.001), and each one-point increase in knowledge score was associated with a 0.286 g/dL higher hemoglobin concentration (B=0.286, p=0.002). The model explained 41.2% of hemoglobin variance (R²=0.412). MUAC and anemia-related knowledge are significant correlates of hemoglobin levels in late pregnancy. Comprehensive anemia prevention strategies may integrate anthropometric screening, individualized nutritional counseling, structured anemia education, and promotion of locally accessible iron-rich foods.
The Effect of Audiovisual Materials onNutrition Knowledge Among Mothers of Undernourished Toddlers at the Larangan 2026 e Service Area of the Larangan Community Health Center in 2026
Nutritional problems such as stunting remain one of the leading causes of high infant and child mortality rates in many developing countries, including Indonesia. According to data from the 2022 Indonesian Nutrition Status Survey (SSGI), the national prevalence of stunting among toddlers reached 21.6%. Meanwhile, in West Java province, the prevalence was recorded at 20.2%, and in the city of Cirebon, it stood at 17%. However, local data from the Larangan Community Health Center (UPT Puskesmas Larangan) indicate that there were 301 toddlers suffering from stunting in its service area in 2025. This study aims to analyze the effect of health education using audio-visual media on mothers’ knowledge levels regarding the provision of nutritious food for stunted toddlers in the service area of the Larangan Community Health Center (UPT Puskesmas Larangan), Cirebon City. Research Method: A quasi-experimental method with a one-group pretest-posttest design was used. From a total population of 301 stunted children, a sample of 42 mother respondents was selected using stratified random sampling. Data collection was conducted via questionnaires administered before and after the intervention, and the data were analyzed using the Wilcoxon test. Research Results: The results showed a significant increase in mothers’ knowledge. The respondents’ average score before the audiovisual media intervention was 57.3, which then increased to 69.8 after the intervention, with a p-value of 0.000 (p < 0.05). Conclusions and Recommendations : The use of audiovisual media has been shown to have a positive impact on improving mothers’ knowledge. Therefore, it is recommended that educational media, such as videos on balanced nutrition, be used regularly for pregnant women and mothers of toddlers as a strategic effort to reduce stunting rates.
Comparative Analysis of Sub-District Level Pregnancy Risk Factors in Surakarta City, 2023-2024
Maternal mortality remains a significant public health problem, particularly in urban areas, where various risk factors can increase the likelihood of pregnancy complications. This study aimed to analyze the distribution of pregnant women’s health risks by region in Surakarta City. A quantitative descriptive design was employed using total sampling of secondary data from the Satukan Solo website for the period January 2023 to May 2024, covering 15,687 pregnant women across five sub-districts. The analysis consisted of three stages: calculating the proportion of pregnant women at risk, identifying dominant risk factors, and comparing the distribution of risk factors among sub-districts. The results showed that the proportion of pregnant women at risk was very high across all sub-districts, ranging from 96.19% to 99.22%. The most dominant risk factors were fetal weight at risk, comorbidities, and anemia, while maternal height <140 cm, maternal age <20 years, and number of pregnancies <3 times had the lowest proportions. The distribution of risk factors varied between sub-districts. Banjarsari had comorbidities as its dominant risk factor, whereas the other four sub-districts were dominated by fetal weight at risk. These findings highlight the importance of region-based interventions and community empowerment through antenatal care education to improve early detection and reduce pregnancy complications. Targeted interventions may strengthen the utilization of maternal health services and support more effective maternal health program planning.
Drug Logistics Management at the Pharmacy Installation of the Sigi District Health Office
Drug logistics management is essential in the health service system to ensure the availability of medicines in the appropriate type, quantity, time, and quality. Ineffective drug logistics management can lead to medicine stockouts and reduced service quality. Sigi Regency in Central Sulawesi Province still faces challenges in the availability of essential medicines, which remains below 80% of the strategic plan target. This study aims to analyze drug logistics management at the Pharmaceutical Installation of the Sigi Regency Health Office, covering planning, procurement, storage, distribution, disposal, and control of medicines. This study used a qualitative case study design. Data was collected through in-depth interviews, observations, and document observations, with 6 informants.. Data analysis was conducted descriptively through data reduction, data presentation, and conclusion drawing. The results indicate that drug logistics management at the Pharmaceutical Installation of the Sigi Regency Health Office has not been optimally implemented. Problems were identified in planning due to discrepancies in needs data and budget limitations, delays in procurement, substandard storage conditions, and distribution constraints related to geographical conditions. In addition, the disposal and control of medicines have not been optimally carried out. Therefore, improvements are required in drug planning based on consumption data and remaining stock, strengthening procurement coordination, meeting storage standards, adjusting distribution to geographical conditions, and implementing proper disposal and control through routine recording and reporting to ensure effective and efficient medicine availability in Sigi Regency.
Effects of Qigong Interventions on Physical and Mental Health Outcomes: A Systematic Review of Randomized Controlled Trials Published Between 2010 and 2025
Qigong is a traditional Chinese mind–body intervention that combines gentle movement, breathing regulation, and focused attention and has increasingly been investigated as a complementary approach to physical and mental health. This systematic review examined the impact of Qigong interventions on physical and mental health outcomes based on randomized controlled trials (RCTs) published between 2010 and 2025. A systematic literature search was conducted in PubMed, Scopus, Web of Science, and Google Scholar in accordance with PRISMA 2020. After screening and eligibility assessment, 30 RCTs were included and narratively synthesized because of substantial heterogeneity in populations, Qigong modalities, intervention characteristics, and outcome measures. The findings indicated generally favorable effects on blood pressure, physical function, balance, pain, sleep quality, depression, anxiety, and quality of life. However, several studies reported mixed or non-significant between-group effects, indicating that the magnitude and consistency of benefits varied across populations and intervention types. Overall, Qigong appears to be a promising complementary mind–body intervention for supporting physical and mental health, although further high-quality RCTs with standardized protocols, active control conditions, and consistent effect-size reporting are needed.
Effect of Booklet Education on Mothers' Knowledge and Attitudes Regarding Toddler Acute Respiratory Infections
Acute Respiratory Infections (ARI) are one of the leading causes of morbidity and mortality in toddlers in Indonesia and consistently represent the highest reported number of cases annually in Malang City. Mothers' knowledge and attitudes play an important role in the prevention of ARI, so education through booklet media is chosen because it is practical, attractive, and easy to understand. This study aims to determine the effect of education using booklet media on mothers' knowledge and attitudes about ARI in toddlers at the Delima Integrated Service Post RW 03 Madyopuro, Malang City. This quantitative study employed a pre-experimental one-group pretest–posttest design and was conducted from November 6 to November 13, 2025. The population consisted of all mothers with toddlers, totaling 83 people, with a sample of 69 respondents selected using simple random sampling, and data collection was carried out using knowledge questionnaires and attitude checklists. Data analysis was performed using the Wilcoxon Signed Rank test and Spearman test with a significance level of α = 0.05. The results of the study showed an increase in mothers' knowledge and attitudes, indicated by a rise in the mean knowledge score from 67 to 87 and attitudes from 58 to 77 after the intervention. The Wilcoxon test showed a p-value < 0.001 and the Spearman test a p-value = 0.001 (< 0.05), indicating a significant effect of booklet education and a significant correlation between knowledge and attitudes. Booklet education effectively improves mothers’ knowledge and attitudes and supports promotive and preventive health efforts.
Characteristics of Brick Workers and C- Reactive Protein (CRP) Levels Using the Agglutination Method
Chronic exposure to dust in the brick industry work environment has the potential to increase the risk of systemic inflammation and respiratory disorders, which can be identified through C-Reactive Protein (CRP) levels as an inflammation biomarker. This study aims to describe CRP levels in brick industry workers as an early detection step for inflammatory processes and a basis for preventing work-related health risks. In this descriptive study, 40 brick workers in Banyumas Regency were selected based on inclusion and exclusion criteria, with examinations conducted at the Medical Laboratory Technology Laboratory of UMP. CRP levels were measured using the latex agglutination method on blood samples, and data analysis considered respondent characteristics such as use of personal protective equipment (PPE), smoking habits, age, and duration of work. The results showed that most workers did not use PPE (38 people) and had smoking habits (33 people), but the majority showed negative CRP results (39 people), with only 1 worker experiencing elevated CRP at titer 1:2 with a level of 12 IU/mL. This study concludes that most brick industry workers have not experienced acute systemic inflammation, while factors such as age and lifestyle are suspected to play a role in elevated CRP levels in certain individuals.
Assessment of Fire Safety Reliability in a Healthcare Facility Using the Building Safety Reliability Index
Fire incidents in hospitals pose serious risks to patient safety, medical personnel, and the continuity of health services. Therefore, the readiness of fire protection systems is critical to enhancing safety in healthcare facilities. This study aims to evaluate the readiness of the fire protection system in the Pediatric Inpatient and Surgical Building of Ngudi Waluyo Wlingi Hospital, using the Building Safety System Reliability Value assessment method based on the Ministry of Public Works' Fire Protection Technical Guidelines. The assessment covers four main components: site equipment, life-saving facilities, active fire protection systems, and passive fire protection systems. Data were collected through direct observation, field measurements, and document review. The results showed that the building achieved an score of 79.23%, which falls within the sufficient category. Although the building is considered safe for use, several deficiencies were identified, particularly in active fire protection systems, life-saving facilities, and site completeness. Improvements in fire protection facilities, evacuation routes, and regular maintenance are recommended to enhance overall fire safety.
"It is Difficult to Get Permission During Working Hours": Qualitative Analysis Of Treatment Compliance Of Hypertension Patients With Worker Status At The Elderly Posyandu
Hypertension is a major non-communicable disease that is often undiagnosed and can lead to serious complications. Pucangan Village has the highest number of hypertension cases in the Kartasura Community Health Center area, highlighting the need to improve management, especially among working patients. This study aimed to explore factors influencing medication adherence in working hypertensive patients using a descriptive qualitative approach. A total of 22 informants were involved, including 10 primary informants (5 adherent and 5 non-adherent patients) and 12 triangulation informants (10 family members and 2 Posyandu cadres/officers). Data were collected through in-depth interviews and analyzed qualitatively through transcription, reduction, coding, categorization, and theme development, with validity ensured by source triangulation. The results show that Posyandu serves as an initial screening point, with referrals to health centers for further care. Medication adherence is influenced by workload, time constraints, patient perceptions, and irregular medication use, while family support and the role of Posyandu cadres are important in improving adherence.
Hypertension ; Medication Adherence; Factors influencing Compliance
Digital Media-Based Health Promotion at RSIA Aisyiyah Samarinda: Implementation of the Precede-Proceed Model
Health promotion in hospitals is an important component of health services that emphasizes not only curative and rehabilitative efforts, but also promotive and preventive approaches. At RSIA 'Aisyiyah Samarinda, the implementation of health promotion still faces several challenges, including the suboptimal use of digital media as a tool for health education, gaps in health information among patients and their families, and the frequent occurrence of minor illnesses such as common cold and Acute Respiratory Infections (ARI). In addition, the utilization of digital health services, such as the Mobile JKN application, remains limited due to a lack of public understanding regarding its functions and benefits. This study aims to design, implement, and evaluate a digital media-based health promotion program at RSIA 'Aisyiyah Samarinda using the Precede–Proceed framework with a qualitative descriptive approach through a field study. The research stages included field orientation, identification of common health problems, program planning using the SMART principle within a Plan of Action (POA), implementation through Instagram, and evaluation covering process, impact, and outcomes. The program is scheduled to be implemented in September 2025, focusing on health education related to common cold, ARI, and the use of the Mobile JKN application. The results indicate that Instagram effectively reaches a broader audience and increases engagement. Evaluations show improved health knowledge, short-term behavior changes, and better understanding of digital health services, highlighting its effectiveness in hospital-based health promotion.
Teacher and Peer Support of Blood Supplement Tablet Consumption Compliance in Anemia
Anemia in adolescent girls is a public health problem due to iron deficiency triggered by menstruation and rapid growth, with a high prevalence in Junior High School students in Boyolali so that it requires a Blood Supplement Tablet (TTD) supplementation program for prevention. This study aims to analyze the relationship between teacher and peer support for TTD consumption compliance in grade VII students of Junior High School 1, 2, and 6 Boyolali in 2025. The study used a cross-sectional observational analytical design with a sample of 170 female students selected proportionate random sampling from a population of 373 female students aged 12-14 years; data collected through a validated 39-item Likert questionnaire (Cronbach alpha 0.804-0.954) measuring emotional, informational, judgmental, instrumental, and TTD adherence support; univariate analysis for frequency and bivariate distribution of Chi-Square with α=0.05. Univariate results showed equal teacher support (poor 50.6%; good 49.4%), poor peer support (51.2%), low obedience (non-compliance 57.6%; compliance 42.4%). The results of the analysis showed that there was a relationship of teacher support (p=0.000; 95% CI 2.30-8.207) and peer support (p=0.000; CI 95% 1.552-5.482) on TTD consumption adherence. Therefore, there is a need to develop a school-based TTD intervention model that prioritizes the role of teachers and peers.
Correlation of Physical Activity with Adolescent Mental Health in Early High School
Adolescent mental health is an important issue because it affects emotional, social, and academic development, especially in the early days of high school. Physical activity is known to play a role in maintaining a balance of mental health. This study aims to determine the relationship between physical activity and mental health in early adolescents in one of the high schools in Boyolali Regency. This study uses an analytical quantitative design with a cross sectional approach. The study population was 324 students, with 275 students participating using the total sampling technique. Physical activity was measured using the Global Physical Activity Questionnaire (GPAQ), while mental health was measured using the Depression Anxiety Stress Scales (DASS-42). Data analysis was carried out using the Spearman Rank correlation test. The results showed a significant relationship with the negative direction between physical activity and depression (p=0.002; r=-0.185), anxiety (p=0.010; r=-0.155), and stress (p=0.015; r=-0.147). These findings suggest that the higher the level of physical activity, the lower the rate of mental health disorders in adolescents. In conclusion, physical activity plays a protective factor for adolescent mental health, even though the strength of the relationship found is relatively weak.
Spatial and Demographic Distribution of Dengue Hemorrhagic Fever in Mangasa Health Center Area, 2021–2024
Dengue hemorrhagic fever remains an important public health concern because of its potential to cause outbreaks and mortality. This study aimed to describe the spatial and demographic distribution of recorded dengue hemorrhagic fever cases in the Mangasa Community Health Center catchment area, Makassar City, from 2021 to 2024. The catchment area comprises Mangasa, Gunung Sari, and Mannuruki Urban Villages. This retrospective descriptive epidemiological study used secondary surveillance data. All recorded cases during the study period were included through total sampling, yielding 188 cases. Data were analyzed descriptively using frequencies, proportions, and cross-tabulations according to age group, sex, urban village, month, and year of occurrence. Monthly case distribution was presented using a line chart, while annual, demographic, and spatial distributions were summarized in tables. Spatial distribution across the three urban villages was visualized using Quantum GIS. The largest annual number of cases was recorded in 2021, with 87 cases, accounting for 46.3% of all cases. Females represented 54.3% of cases, while males represented 45.7%. The 6–17-year age group accounted for the largest proportion of cases at 41.5%. Gunung Sari and Mangasa Urban Villages each recorded 64 cases, while Mannuruki recorded 60 cases. Monthly case numbers fluctuated, with May contributing the largest overall proportion, although the peak month differed across years. Spatial distribution also varied annually, indicating that the urban village with the highest recorded number of cases was not consistent throughout the study period. These findings describe variations in recorded case distribution and should not be interpreted as differences in incidence or population risk because population denominators and non-case data were unavailable. The findings may support local surveillance and geographically targeted dengue prevention activities within the Mangasa Community Health Center catchment area.
Occupational Noise Exposure and Blood Pressure among Turbine Boiler Cleaning Workers at PLN Paiton
Occupational noise exposure in industrial environments serves as a physical stressor contributing to non-auditory health disorders, including elevated blood pressure. This study aims to analyze the association between noise intensity and the use of Hearing Protection Devices (HPD) with blood pressure among cleaning workers in the turbine and boiler areas of PT PLN Nusantara Power UP Paiton. The research employed an analytical observational method with a cross-sectional design. The sample consisted of 52 cleaning workers selected through simple random sampling. Data were collected by measuring noise intensity using a Sound Level Meter, assessing blood pressure before and after work shifts using a digital sphygmomanometer, and administering questionnaires regarding HPD usage. The results indicated that most noise intensity measurements in the work area exceeded the Threshold Limit Value (85 d.). Bivariate analysis using the Chi-square test showed a statistically significant association between noise intensity and systolic blood pressure (p = 0.008) and diastolic blood pressure (p = 0.016). In addition, HPD usage was also significantly associated with blood pressure (p = 0.015). This study concludes that high noise exposure and inconsistent HPD use are associated with increased blood pressure among workers. It is recommended that the company strengthen HPD compliance supervision and implement regular cardiovascular health monitoring.
Keywords : Occupational noise 1 ; Blood pressure 2 ; Cleaning workers 3.
Relationship Between Worker Age And Work Shifts With Work Fatigue Among Security Guards At Pt. Pertamina Geothermal Energy Area Lahendong
Work fatigue is a major occupational health and safety concern because it increases the risk of work-related accidents and decreases overall performance. Fatigue is a complex condition that includes not only physical and psychological exhaustion but also reduced physical performance, feelings of tiredness, decreased motivation, and lower work productivity. Many factors can influence work fatigue, such as individual characteristics including age, gender, length of service, and nutritional status, as well as job-related factors like workload, work environment, and working time arrangements, particularly shift work. This study aimed to determine the relationship between worker age and work shifts with work fatigue among security personnel at PT Pertamina Geothermal Energy Lahendong Area. The research used a quantitative approach with an analytic observational design and applied a cross-sectional study method. Data collection was carried out in June 2023 involving 71 security workers as respondents.Statistical analysis was conducted to examine the correlation between age and work fatigue and between work shifts and work fatigue. The results showed that there was no significant relationship between age and work fatigue, indicated by a p-value of 0,640. Similarly, the analysis of work shifts and fatigue showed no statistically significant relationship, with a p-value of 0,082. Although the correlation coefficient for work shifts and fatigue was 0.496, no significant association, the result did not reach statistical significance.In conclusion, this study found that worker age and work shift were not significantly associated with work fatigue among security workers at PT Pertamina Geothermal Energy Lahendong Area overall.
Management of Personal Protective Equipment (PPE) for Laundry Workers in the Linen and Housekeeping Unit at the Jember Plantation Hospital Jember Regency Clinic
The laundry process involves various complex hazards, including biological, ergonomic, physical, and chemical hazards, this can result in health problem. The Jember Plantation Hospital Clinic is the referral hospital with the highest number of patients in Jember Regency, based on the participant eligibility letter (SEP) of the Jember Regency Health Insurance (BPJS Kesehatan) in 2022. There have been cases of Covid-19 infection spreading among workers in the linen unit. Therefore, the implementation of effective personal protective equipment (PPE) management is an important component in OHS protection efforts. The purpose of this research is to examine the implementation of PPE management among laundry workers in the Linen and Housekeeping Units of the Jember Plantation Hospital Clinic Jember Regency using the legal basis of the Minister of Manpower Regulation No. 8 of 2010 concerning PPE. This study used a qualitative descriptive design. Data collection through observations, interview and literature studies. The research results show that the implementation of PPE management has not been optimal. Inconsistencies were found in determining PPE standards and quality, and the availability of adequate storage facilities. Furthermore, PPE training has not been comprehensively implemented, and worker compliance with PPE use remains low. PPE supervision and inspections tend to focus on compliance, without fully addressing the condition and suitability of the PPE. Systematic and continuous strengthening of PPE management is needed to improve the safety and health of hospital laundry workers.
Development of Pop-Up Book Media on Preventing The Initiation Of Smoking Behaviour Among Primary School Students in Samarinda City
One of the main problems related to smoking is the increasingly young age at which people start smoking and the increasing prevalence of novice smokers. Preliminary results of this study show that students at SDN 002 Loa Janan Ilir still have low knowledge about cigarettes. Preliminary observations also indicate that there is no health education media on smoking prevention in the school area. This study aims to analyze the effect of pop-up books on the behavioral domain of smoking initiation prevention among primary school students in Samarinda. This study was a research and development (R&D) study. The development approach was applied to the development of educational monopoly media. The development of this media used the waterfall development model. A qualitative approach was applied at the research and information collecting stage until the main product revision stage. The type of quantitative research used was a pre-experiment with a one group pretest-posttest design. The results showed that there was an effect of the intervention with pop-up book media on the respondents' knowledge about the dangers of smoking. Statistical analysis using the Wilcoxon test produced a p-value of 0.000 (<0.05). Educational and health institutions are expected to collaborate in the development of health promotion media in the form of pop-up books as an innovative effort to prevent the initiation of smoking behavior among children.
Risk Factors For Musculoskeletal Complaints AmongFlower Board Craftsmen in Jember City
The musculoskeletal system plays an important role in carrying out daily activities to increase work productivity. However, musculoskeletal complaints are still common, especially in the informal sector, which have an impact on work accidents and decreased work productivity. This study aims to assess the risk of work posture and factors related to both individuals and work on musculoskeletal complaints. This type of research is a analytic cross-sectional study with descriptive and correlational analysis. It was conducted on 8 florists producing flower boards with a sample of 31 flower board craftsmen. Data collection methods were carried out through interviews and observations, using a questionnaire on respondent characteristics, Rapid Entire Body Assessment (REBA) to measure work posture, and Nordic Body Map (NBM) to assess MSDs complaints. The results showed that almost all flower board craftsmen experienced MSDs complaints with the most common level of complaints being moderate at 45.2%. There is a relationship between individual factors (age, smoking habits, years of service, and BMI) and work factors (work posture) with MSDs complaints. However, there is no relationship between individual factors (gender, exercise habits, and length of working) and work factors (work stage) with MSDs complaints. It was concluded that the risk factors for MSDs complaints in flower board craftsmen in Jember city were age, smoking habits, years of service, BMI, and work posture
Evaluating OSH Work Environment Implementation at PLN Offices: Impact of Safety Climate and Behavior
This study evaluates the implementation of Occupational Safety and Health (OSH) practices at PT. PLN (Persero) UP3 Padang. The electricity sector faces significant OSH challenges, and while research has explored OSH in various settings, a gap remains in the evaluation of OSH practices within Indonesian office environments. This study aims to address this gap by evaluating OSH work environment implementation at PT. PLN (Persero) UP3 Padang based on the Indonesian Ministry of Manpower Regulation/ Pemenaker No. 5 of 2018. The research employs a primarily quantitative approach, utilizing a descriptive survey design. Data, gathered through questionnaires, assessed OSH implementation (based on Permenaker No. 5 of 2018), safety climate, and employee safety behavior. The results indicate that PT. PLN (Persero) UP3 Padang has demonstrated a strong commitment to OSH, achieving a generally high level of compliance with Permenaker No. 5 of 2018. Employees reported a positive safety climate, with high average scores for management commitment (approximately 3.55). Employee adherence to safe work practices was also high, although hazard reporting behavior received a lower average score of 3.56. Furthermore, the reporting and communication culture dimension within the safety climate was the lowest at 3.28. A strong positive correlation was found between safety climate and OSH implementation (ρ = 0.7218; p < 0.001). The study concludes that while OSH implementation is generally effective, there are areas for improvement, including controls for specific hazards and hazard reporting. Continuous improvement and targeted interventions are crucial for enhancing OSH performance within the organization and similar office settings.
OSH; Work Environment; Safety Climate; Safety Behavior; PLN
Path Analysis of Factors Affecting the Quality of Life of Hypertensive Patients At the Mandai Health Center
Hypertension is one of the diseases that is considered the main cause of death and disability. The incidence rate of hypertension increases rapidly every year. This study aims to determine the influence of long-term suffering from hypertension, family support and medication adherence to the quality of life of patients through smoking behavior at the Mandai Health Center, Maros Regency. The type of research used is quantitative research with a cross sectional study design, which is a research design that studies the relationship between independent and dependent variables. The population in this study is all hypertension patients in the working area of the Mandai Health Center as many as 100 people. The sample in this study was 100 people using the sampling technique, namely total sampling. Statistical analysis used univariate and bivariate, with the chi square test followed by the path analyst. The results of the study using pathway analysis showed that family support (p=0.004, β=0.279), medication adherence (p=0.011, β=-0.0274) had a significant effect on the quality of life of hypertensive patients while suffering for a long time (p=0.0.357, β=0.098), and smoking behavior (p=0.960, β=-0.005) did not have a significant effect on the quality of life of hypertensive patients at the Mandai Health Center, Maros Regency. The suggestion in this study is that it is expected that the patient's family will always support the treatment of hypertension patients so that the level of adherence to taking medication is better.
Behavior of Program Keluarga Harapan Beneficiaries Regarding Stunting Management in Pantoloan Boya Urban Village, Tawaeli District
Stunting remains a prominent health problem in Pantoloan Boya Subdistrict, even though this area has one of the highest numbers of Program Keluarga Harapan (PKH) recipients. This study aims to analyze the behavior of PKH assistance recipients in handling stunting using Lawrence Green's theory perspective, which includes predisposing factors, enabling factors, and reinforcing factors. The study employed a qualitative method with a case study approach. This study employs a purposive sampling technique. Informants consisted of PKH recipient mothers as primary informants, PKH companions and health cadres as key informants, and subdistrict officials as additional informants. Data collection was carried out through in-depth interviews, observation, and documentation. Data analysis used content analysis techniques with narrative presentation.Research results indicate that the behavior of PKH recipients in handling stunting has moved in a better direction, reflected in increased visits to posyandu, breastfeeding and complementary feeding practices, as well as the use of assistance for children's needs. However, predisposing factors remain the main obstacle, as mothers' knowledge about the causes, impacts, and prevention of stunting is still limited and often influenced by misconceptions such as hereditary factors. Enabling factors, such as access to health services, the presence of posyandu, pustu, and PKH support, are actually adequate, but their utilization for child nutrition has not been optimal, as some funds are prioritized for other needs. Reinforcing factors, such as family and community support, are quite visible, but there is no structured reward or incentive system to motivate families to sustainably change behavior. In conclusion, improvements in the behavior of PKH recipients in handling stunting have shown progress, but are not yet optimal due to obstacles in mothers' understanding, the utilization of assistance, and weak structured social support.
A Cross-Sectional Study on Pregnant Women's Knowledge and Chronic Energy Deficiency (CED) in Bandar Lampung City
Pregnant women who suffer from chronic energy deficiency (CED) tend to give birth to low birth weight babies. Based on data from the 2022 Lampung Province Health Profile, there were 5,142 pregnant women with CED. This study aims to examine the relationship between maternal knowledge and the incidence Chronic Energy Deficiency (CED) in pregnant women in Bandar Lampung City. This cross sectional study conducted on August 2025 in 5 community health centers with the highest number of pregnant women with CED in Bandar Lampung, namely Panjang, Kedaton, Kemiling, Kupang Kota, and Rajabasa Community Health Centers. Population in this study consisted of all pregnant women in the five health center areas where the study was conducted. Sample size was calculated using the Slovin formula with a population of 384 people in the five areas, resulting in a sample size of 200 pregnant women, which will be divided into five areas with a minimum sample of 40 respondents in each health center area. Data collection was carried out by filling out questionnaires distributed directly to mothers when they came to the health center or Posyandu. Variables was mothers' knowledge about the causes of CED and the incidence of CED in pregnant women. Analysis was performed using the chi-square statistical test and logistic regression. The results show that there is a relationship between mother’s knowledge dan CED (p-value <0,05). Educational programs on the causes of chronic energy deficiency and counseling on ANC are required to increase mothers' knowledge and prevent CED.
pregnant women; chronic energy deficiency; education
Evaluation of Integrated Health Post (Posyandu) Activities in the Era of Primary Health Service Transformation to Improve Toddler Growth in Toddotoa Village, Pallangga District, Gowa Regency
Posyandu (Integrated Health Post) is a community-based health service that plays a crucial role in monitoring child growth and improving maternal and child health outcomes. Despite the implementation of Primary Health Care Transformation in Indonesia, low attendance at Posyandu and persistent child growth issues remain challenges in some areas. This study aims to evaluate the relationship between Posyandu service performance and toddler growth in Toddotoa Village, Pallangga District, Gowa Regency. A quantitative study with a cross-sectional design was conducted among 94 mothers of children under five years old from October to November 2025. Data were collected using a structured questionnaire that assessed four dimensions of Posyandu service performance: effectiveness, efficiency, adequacy, and responsiveness. Data were analyzed using the Chi-square test with a significance level of 0.05. The results showed that 70.2% of toddlers experienced abnormal growth, while 70.2% of respondents assessed Posyandu services as effective. Statistical analysis showed a significant relationship between service effectiveness and toddler growth (p = 0.016). However, no significant association was found between service efficiency (p = 0.917), adequacy (p = 0.478), or responsiveness (p = 1.000) and toddler growth. This finding suggests that Posyandu service effectiveness is an important factor associated with toddler growth, while efficiency, adequacy, and responsiveness are not significantly related. Strengthening Posyandu service effectiveness through improved growth monitoring, nutritional counseling, and capacity building of cadres may contribute to better child growth outcomes.
Food Accessibility as a Determinant of Street Food Purchase Decisions in Lengkong Kecil, Bandung: A Cross-Sectional Study
Street food plays a significant role in urban food systems, particularly in developing countries where it provides affordable and accessible meal options for diverse populations. This study examines the determinants of street food purchasing decisions among consumers in Lengkong Kecil, Bandung, a major urban culinary hub that attracts students and low- to middle-income groups. As ready-to-eat food becomes increasingly preferred for its convenience and affordability, understanding the role of food accessibility is critical. While previous studies have primarily focused on hygiene and price, this study highlights the combined influence of physical and economic access as a key determinant of consumer behavior. This study employed a cross-sectional analytical design involving 148 respondents selected through accidental sampling. Participants were consumers aged 18 years and older who purchased street food in the Lengkong Kecil area. Data were collected using structured questionnaires and analyzed using logistic regression.The results showed that perceived food accessibility was the only variable significantly associated with purchasing decisions (p = 0.002; OR = 4.6; 95% CI: 1.7–12.3). Consumers who perceived street food as geographically accessible and economically affordable were significantly more likely to make purchases. Interestingly, although 58.1% of respondents perceived vendor hygiene as poor and 69.6% perceived sanitation as inadequate, these factors did not significantly influence purchasing decisions, highlighting a behavioral paradox in this urban context. In conclusion, food accessibility—defined by both proximity and affordability—plays a dominant role in shaping street food purchasing behavior. Policy and intervention strategies should focus on optimizing vendor placement in high-traffic areas, particularly near student populations, and maintaining affordable price points to better support urban consumers, especially those from low-income groups.
Consumer behavior; food accessiblity; street food; young adults
Traditional Processing of Sikapa (Dioscorea Hispida) as an Alternative Food Source in the Dry Season
The traditional processing of Sikapa (Dioscorea hispida) is a form of adaptation by rural communities to meet the need for alternative food during the dry season. This study aims to document the stages of traditional Sikapa processing carried out by the community of Tapuan Hamlet, Tungka Village, Enrekang Regency. The study used a qualitative descriptive approach through direct observation and visual documentation without conducting laboratory tests. The results showed that the processing process includes nine main stages, starting from raw material selection, peeling, slicing, soaking in salt water, further soaking in running water, steaming, drying, to the final processing into Sikapa Chips and Sokko Sikapa. All stages are carried out consistently based on local knowledge passed down from generation to generation. This management produces food products that are shelf-stable, thus potentially supporting food security during the dry season. This documentation provides a factual description of community practices and serves as a basis for further research that assesses chemical aspects and food safety in more depth.
traditional processing; Dioscorea hispida; local knowledge; alternative food.