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Group 1st of Non-pharmacological Therapy that Most Effective to Increase Hemoglobin in Pregnancy 提高妊娠期血红蛋白最有效的非药物疗法第 1 组
Pub Date : 2024-01-26 DOI: 10.20473/jpk.v12.isi1.2024.219-226
Ikhwan Abdullah, Widia Shofa Ilmiah, Amal Prihatono, Leny Candra Kurniawan
Background: Anemia of pregnancy is still a global problem. The prevalence rate of anemia in pregnancy in developed countries at 14% and in developing countries at 51%, in Asian countries at 33.3%, Brunei Darussalam at 28.0%, Thailand at 30%, the Philippines at 32.3%, Malaysia at 26.6%, Singapore at 28.5%, and Vietnam at 23.5%. The prevalence of anemia in pregnant women in Indonesia in the 1st trimester at 3.8%, the 2nd trimester at 13.6% and the 3rd trimester at 24.8% Indonesian women die every year due to pregnancy and childbirth, while in East Java at 40%. The cause of anemia during pregnancy is nutritional deficiencies, especially lack of iron, folate, and vitamins. Aims: To determine the level of effectiveness of non pharmacology therapy to increase hemoglobin in pregnancy. Methods: Systematic review using PRISMA and PICO methods. The population of this study is all international journals and accredited national journals sinta 1-6 totaling 87 articles. The sample is 23 articles that are appropriate with the inclusion criteria. The data collection is conducted by searching research articles in the database which including Google, GoogleScholar, Research Gate, NCBI, Science Direct, SAGE, Elsevier, and Sinta. Analysis is use thematic analysis. Results: The 1st group of non pharmacology therapy can increase hemoglobin levels, namely yellow pumpkin seeds, papaya fruit, papaya leaf juice, an avocado juice, red spinach juice, sweet potato leaf decoction, red guava, roselle tea, fried catfish, green bean juice, boiled chicken eggs, soy milk, honey, 2nd group, namely moringa leaf extract, chickpeas, dates, Dutch eggplant juice, ambon bananas, 3rd group, namely katuk leaf, beets, acupuncture points SP3, LR3, KI3, red seaweed, red dragon fruit. Conclusion: The most effective non pharmacology therapy for increasing hemoglobin in pregnancy is non pharmacology therapy in 1st group.
背景:妊娠贫血仍然是一个全球性问题。发达国家的妊娠贫血患病率为 14%,发展中国家为 51%,亚洲国家为 33.3%,文莱达鲁萨兰国为 28.0%,泰国为 30%,菲律宾为 32.3%,马来西亚为 26.6%,新加坡为 28.5%,越南为 23.5%。在印度尼西亚,孕妇贫血的发病率在怀孕前三个月为 3.8%,在怀孕后三个月为 13.6%,在怀孕后三个月为 24.8% 印度尼西亚妇女每年死于妊娠和分娩的比例为 40%,而在东爪哇则为 40%。孕期贫血的原因是营养缺乏,尤其是缺乏铁、叶酸和维生素。目的:确定非药物疗法对提高孕期血红蛋白的有效程度。方法:采用 PRISMA 和 PICO 方法进行系统回顾。研究对象为所有国际期刊和经认可的国家期刊(Sinta 1-6),共计 87 篇文章。样本为符合纳入标准的 23 篇文章。数据收集是通过搜索数据库中的研究文章进行的,这些数据库包括 Google、GoogleScholar、Research Gate、NCBI、Science Direct、SAGE、Elsevier 和 Sinta。分析采用专题分析法。结果第 1 组非药物疗法能提高血红蛋白水平,即黄南瓜子、木瓜果、木瓜叶汁、鳄梨汁、红菠菜汁、红薯叶煎剂、红番石榴、洛神花茶、炒鲶鱼、第二组:莫林加叶提取物、鹰嘴豆、红枣、荷兰茄汁、安本香蕉;第三组:卡图克叶、甜菜、穴位 SP3、LR3、KI3、红海藻、红龙果。结论提高妊娠期血红蛋白最有效的非药物疗法是第 1 组的非药物疗法。
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引用次数: 0
Determinant of Early Marriage Adolescent to Risk Giving Birth Child in Case of Stunting 早婚的决定因素 青少年在发育迟缓的情况下生育子女的风险
Pub Date : 2024-01-26 DOI: 10.20473/jpk.v12.isi1.2024.195-205
Syafira Wahyu, Ira Widowati, Nurmala, Shrimarti Rukmini, Devy Aulia Dikmah, Kiswahono, Syafira Wahyu Widowati, Ira Nurmala, Devy, Aulia Dikmah, Widowati
Background: Early marriage by adolescents aged less than 16 years can affect the reproductive health readiness of mothers or prospective mothers in giving birth to children with low birth weight potential and risk of stunting. Method: The method used for systematic article review was obtained from 5 databases with 15 relevant articles screened using the PRISMA method. Results: The results of the data obtained are that economic status is very influential on the incidence of stunting, this is due to poor fulfillment of toddler nutrition, lack of education of parents of toddlers, and lack of information and access to good health services. Conclusion: Educational background, economic status, cultural background and environment are the strongest factors that can encourage early marriage for adolescents with the majority living in less developed areas.
背景:未满 16 岁的青少年早婚会影响母亲或准母亲的生殖健康状况,使她们生下的孩子出生体重过轻,并有发育迟缓的风险。研究方法从 5 个数据库中获取了 15 篇相关文章,采用 PRISMA 方法对这些文章进行了筛选。结果获得的数据结果表明,经济状况对发育迟缓的发生率有很大影响,这是由于幼儿营养不良、幼儿父母缺乏教育、缺乏信息以及无法获得良好的医疗服务造成的。结论教育背景、经济状况、文化背景和环境是促使青少年早婚的最主要因素,其中大多数青少年生活在欠发达地区。
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引用次数: 0
Premarital Screening: A Catalyst for Achieving Good Health and Well-Being 婚前筛查:实现健康和幸福的催化剂
Pub Date : 2024-01-26 DOI: 10.20473/jpk.v12.isi1.2024.146-154
Nadya Hanna, Talitha Sidabutar, Ella Nurlaella Hadi, . TalithaSidabutar, Ella Nurlaella, Maha Ali, Norelhouda Elshabory, Hanan Elzeblawy Hassan, Nehad Zahra, Hayam
Background: Premarital screening is a comprehensive examination that must be done before marriage, which includes examinations of reproductive organs, genetic diseases, infectious diseases, and blood-borne infections. The screening aims to avoid the risk of long-term diseases for couples and their descendants. This screening can also prevent maternal and infant mortality, birth defects, and stunting because risk factors can be detected and addressed early in the mother and baby-to-be. Despite its importance, premarital screening behavior is not culturally embedded. Aims: This study aimed to determine factors associated with premarital screening behavior. Methods: This research uses systematic review as its design from Google Scholar and Scopus databases that discuss the determinants of premarital screening behavior with quantitative methods. Articles were collected with the keywords "premarital" and "screening" published within the last five years, from 2018 to 2023. Results: The researchers discovered 1,151 articles. 10 articles fulfilled the criteria and objective of this study and were further reviewed. Older age, female, higher education level, consanguineous relationship between parents, history of genetic diseases, good knowledge and positive attitude, and the establishment of government regulations are factors associated with premarital screening behavior. Conclusion: Health promotion may be expanded to raise public awareness of the necessity of premarital health screening. It is also intended that future researchers would investigate premarital health screening behavior using various research approaches, such as cross-sectional or qualitative research.
背景:婚前筛查是婚前必须进行的全面检查,包括生殖器官、遗传病、传染病和血液传播感染等方面的检查。筛查的目的是避免夫妇及其后代长期患病的风险。这种筛查还可以预防孕产妇和婴儿死亡、出生缺陷和发育迟缓,因为可以及早发现和解决母亲和准妈妈的风险因素。尽管婚前筛查非常重要,但其行为并未在文化中根深蒂固。目的:本研究旨在确定与婚前筛查行为相关的因素。研究方法本研究采用系统综述的设计方法,从谷歌学术(Google Scholar)和斯科普斯(Scopus)数据库中以定量方法讨论婚前筛查行为的决定因素。收集的文章以 "婚前 "和 "筛查 "为关键词,发表于最近五年(2018 年至 2023 年)。研究结果研究人员发现了 1,151 篇文章。10篇文章符合本研究的标准和目标,并进行了进一步审查。年龄较大、女性、教育程度较高、父母近亲关系、遗传病史、良好的知识和积极的态度以及政府法规的建立是与婚前筛查行为相关的因素。结论可扩大健康宣传,提高公众对婚前健康检查必要性的认识。未来的研究人员还将采用不同的研究方法,如横断面研究或定性研究,对婚前健康检查行为进行调查。
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引用次数: 0
Health Literacy by Telehealth Apps to Decrease Breast Cancer Diagnosed 通过远程保健应用程序普及健康知识,减少乳腺癌诊断率
Pub Date : 2024-01-26 DOI: 10.20473/jpk.v12.isi1.2024.155-162
Feranita Kumalasari, Nathania, Reny I’tishom
Background: Health literacy always being one of the health promotion ways to support the SDGs program in creating the better life for people surroundings. Health literacy try to make accessible information for positive impact in stimulating people awareness about disease especially in malignant such as breast cancer. Breast cancer still being on the first place of cancer’s rank with high number of affected people. The digitalization in health literacy offers the service like online consultation, suggested daily diet, suggested time duration to do physical activities based on personal data of the user, and others. Aims: This study was to evaluate the application of technology being used in health literacy to decrease the number of breast cancer diagnosed around the world. Methods: This literature review databases were searched using online journal from Google Scholar, PubMed, ScienceDirect, online article, and WHO newsletter. This study focuses on the development of telehealth using in health literacy for malignant. Results: The digitalization in health literacy for promoting SDGs program to reduce the number people affected by breast cancer help people surroundings accessing their health personal data and to remind the suggested schedule to do medical checkup for malignant and suggested daily lifestyles. So that the target to support SDGs health promotion way in people awareness about cancer can be reached effectively. Conclusion: Telehealth using in the digitalization of health literacy give positive impact in stimulating people awareness about breast cancer, which lead to the decreasing number of people affected by breast cancer around the world.
背景:健康知识普及一直是支持可持续发展目标计划的健康促进方式之一,旨在为周围的人们创造更美好的生活。健康知识普及旨在提供可获取的信息,对提高人们对疾病(尤其是乳腺癌等恶性疾病)的认识产生积极影响。乳腺癌仍然是癌症中的头号杀手,患病人数众多。健康知识的数字化提供了在线咨询、日常饮食建议、基于用户个人数据的体育活动时间建议等服务。目的:本研究旨在评估健康知识普及技术的应用情况,以减少全球乳腺癌确诊人数。研究方法通过谷歌学术、PubMed、ScienceDirect、在线文章和世卫组织通讯中的在线期刊搜索文献综述数据库。本研究重点关注远程医疗在恶性肿瘤健康知识普及方面的发展。研究结果为促进可持续发展目标(SDGs)计划而进行的健康知识数字化,旨在减少乳腺癌患者的数量,帮助人们获取自己的健康个人数据,并提醒进行恶性肿瘤体检的建议日程和建议的日常生活习惯。这样,就能有效地达到支持可持续发展目标健康促进方式的目标,提高人们对癌症的认识。结论远程医疗在健康知识数字化中的应用对提高人们对乳腺癌的认识产生了积极影响,从而使全球乳腺癌患者人数不断减少。
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引用次数: 0
Correctional Institution Officers’ Stigma Towards Inmates with Mental Health Problems 惩教机构官员对有心理健康问题的囚犯的成见
Pub Date : 2024-01-26 DOI: 10.20473/jpk.v12.isi1.2024.76-85
Gisti Respati Riyanti, Ella Nurlaella Hadi
Background: Despite inmates are one group that susceptible to have mental health problem, they may also experience double stigma from people surroundings because of those condition, including from their correctional institution officer. Aims: This study aims to know correctional institution officers’ stigma towards inmates with mental health problem. Methods: This is quantitative research with cross-sectional design. This research used secondary data from study about Correctional Institution Officers’ Perception towards Mental Health which conducted in June 2023 towards 1654 officers in Central Java. Data was collected by self-reported using questionnaire. The selected questions consist of independent variables including demographic factors, history of seminar/training about mental health, and previous contact with someone who has mental health problem, and also the dependent variable which was level of stigma measured with EMIC-CSS instruments. Data was analyzed with chi-square test. Results: About 1161 respondents meet inclusion criteria, with 62% correctional institution officer had high stigma towards inmates with mental health problem. Age (p=0,05), length of work in correctional institution (p=0,02), and previous contact with someone who has mental health problems (p=0,04) correlate with officers’ stigma towards inmates with mental health problem. Conclusion: High level of officers’ stigma towards inmates with mental health problem may hinder management of mental health problem in correctional institution environment. Literacy enhancement and contact equality are needed to increase mental health awareness and decrease stigma among correctional institution officers.
背景:尽管囚犯是精神健康问题的易感人群之一,但他们也可能因为这些问题而受到周围人的双重羞辱,包括来自惩教机构官员的羞辱。目的:本研究旨在了解惩教人员对有精神健康问题的囚犯的成见。研究方法:本研究为横断面定量研究。本研究使用的二手数据来自于 2023 年 6 月对中爪哇省 1654 名惩戒机构官员进行的 "惩戒机构官员对心理健康的看法 "研究。数据是通过问卷调查的自我报告方式收集的。所选问题由自变量和因变量组成,自变量包括人口统计因素、参加过心理健康研讨会/培训的历史、以前接触过有心理健康问题的人,因变量则是使用 EMIC-CSS 工具测量的成见水平。数据采用卡方检验进行分析。结果约有 1161 名受访者符合纳入标准,其中 62% 的惩教机构官员对有精神健康问题的囚犯持有高度成见。年龄(p=0,05)、在惩教机构的工作年限(p=0,02)和以前与有精神健康问题的人接触过(p=0,04)与惩教人员对有精神健康问题的囚犯的成见有关。结论警官对有精神健康问题的囚犯的高度成见可能会阻碍在惩教机构环境中对精神健康问题的管理。要提高惩教人员的心理健康意识,减少他们对心理健康问题的成见,就必须提高他们的文化水平,让他们平等地接触心理健康问题。
{"title":"Correctional Institution Officers’ Stigma Towards Inmates with Mental Health Problems","authors":"Gisti Respati Riyanti, Ella Nurlaella Hadi","doi":"10.20473/jpk.v12.isi1.2024.76-85","DOIUrl":"https://doi.org/10.20473/jpk.v12.isi1.2024.76-85","url":null,"abstract":"Background: Despite inmates are one group that susceptible to have mental health problem, they may also experience double stigma from people surroundings because of those condition, including from their correctional institution officer. Aims: This study aims to know correctional institution officers’ stigma towards inmates with mental health problem. Methods: This is quantitative research with cross-sectional design. This research used secondary data from study about Correctional Institution Officers’ Perception towards Mental Health which conducted in June 2023 towards 1654 officers in Central Java. Data was collected by self-reported using questionnaire. The selected questions consist of independent variables including demographic factors, history of seminar/training about mental health, and previous contact with someone who has mental health problem, and also the dependent variable which was level of stigma measured with EMIC-CSS instruments. Data was analyzed with chi-square test. Results: About 1161 respondents meet inclusion criteria, with 62% correctional institution officer had high stigma towards inmates with mental health problem. Age (p=0,05), length of work in correctional institution (p=0,02), and previous contact with someone who has mental health problems (p=0,04) correlate with officers’ stigma towards inmates with mental health problem. Conclusion: High level of officers’ stigma towards inmates with mental health problem may hinder management of mental health problem in correctional institution environment. Literacy enhancement and contact equality are needed to increase mental health awareness and decrease stigma among correctional institution officers.","PeriodicalId":517528,"journal":{"name":"Jurnal Promkes","volume":"50 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140494405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk Factors Associated with Scabies Occurring in Islamic Boarding Schools: Literature Review 伊斯兰寄宿学校发生疥疮的相关风险因素:文献综述
Pub Date : 2024-01-26 DOI: 10.20473/jpk.v12.isi1.2024.206-218
Mochammad Aziz Setiawan, Bagus Qomaruddin, M. Sulistyowati, . AzizSetiawan
Background: Islamic boarding schools in Indonesia, in particular, have classic health problems. Some diseases that are common in Islamic boarding schools are scabies, shortness of breath, fever, fainting, cough and cold with influenza, gastritis/ulcer, and so on. And the most common health problem in Islamic boarding schools is scabies. It seems that students who live in boarding schools are "obliged" to experience an itchy disease characterized by symptoms of mruntus (pustules), redness, and itching. There is a saying that being a boarding school student is not valid if you don't suffer from itchy skin. Scabies and hut children's diseases are the same. Personal health, knowledge, teacher and peer support are some of the causes. Aims: The purpose of this literature review was to identify some risk factors for scabies in Indonesian Islamic boarding schools. Method: The research was conducted using relevant literature databases, such as google scholar,n SageJournal and PubMed. The keyword used for this literature review was "scabies in Islamic boarding schools". The literature search was limited from 2013 - 2022. There were 11 articles that were relevant and related to scabies that occurred in boarding schools. Results: The results of the 11 articles showed that personal hygiene has a lot to do with and even influences the incidence of scabies in some boarding schools. Conclusion: So improving the personal hygiene of students is one of the important factors in preventing the incidence of scabies in Islamic boarding schools.
背景:印度尼西亚的伊斯兰寄宿学校尤其存在典型的健康问题。伊斯兰寄宿学校常见的疾病有疥疮、气短、发烧、昏厥、咳嗽和感冒、胃炎/溃疡等。而伊斯兰寄宿学校最常见的健康问题是疥疮。在寄宿学校生活的学生似乎 "不得不 "经历这种以脓疱、发红和瘙痒为特征的瘙痒病。有一种说法是,如果你不患有皮肤瘙痒症,就不能算是寄宿学校的学生。疥疮和寄宿儿童的疾病是一样的。个人健康、知识、老师和同伴的支持是部分原因。目的:本文献综述旨在确定印度尼西亚伊斯兰寄宿学校中疥疮的一些风险因素。研究方法研究使用了相关的文献数据库,如 google scholar、n SageJournal 和 PubMed。本文献综述使用的关键词是 "伊斯兰寄宿学校中的疥疮"。文献搜索仅限于 2013 年至 2022 年。共有 11 篇与寄宿学校中发生的疥疮相关的文章。结果显示11 篇文章的结果表明,个人卫生与某些寄宿学校的疥疮发病率有很大关系,甚至会对其产生影响。结论因此,改善学生的个人卫生是伊斯兰寄宿学校预防疥疮发生的重要因素之一。
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引用次数: 0
Reducing Anxiety among University Students in East Java Indonesia during Covid-19 Pandemic 降低印度尼西亚东爪哇大学生在 Covid-19 大流行期间的焦虑感
Pub Date : 2024-01-26 DOI: 10.20473/jpk.v12.isi1.2024.37-43
Jayanti Dian Eka Sari, Xindy Imey Pratiwi, Rifka Pramudia Wardani
Background: Remote learning activities are one of the government's policies in the Covid-19 pandemic, which is still being implemented in the education sector. There were plenty of impacts that the students encountered, especially among college students who experienced difficulties in completing their final project to experienced anxiety. Aims: These conditions were the background in carrying out this study as it aimed to determine the efforts to reduce anxiety among final-year students. Methods: This was analytical observational research with a cross-sectional study design using the Theory of Planned Behaviour, undertaken across all cities and regencies in East Java from March to October 2021. The research population was all final-year college students with a sample of 385 respondents. Variables in this study were belief factors, intention, and behavior. Data collection was conducted by distributing online self-administered questionnaires. Data were presented statistically in tables and charts and analyzed using the non-parametric statistical test, multiple linear regression. Results: The result showed that the belief factor significantly influenced the intention variable (sig. 0.000), and the intention variable influenced final-year students' behavior in reducing anxiety (sig. 0.000). The intention variable had a significant value of 0.000 < 0.05, which indicated that the intention variable significantly influenced the final-year students' behavior to reduce anxiety. Based on the R square result, the intention variable influenced the final-year students' behaviour to reduce anxiety by 54%. Conclusion: Efforts known to reduce the anxiety of final-year students during the Covid-19 pandemic are managing stress, controlling themselves by increasing physical activity, doing hobbies, worship, positive thinking, and consuming the food they like.
背景:远程学习活动是政府应对 Covid-19 大流行病的政策之一,目前仍在教育部门实施。学生们遇到了很多影响,尤其是大学生,他们在完成毕业设计时遇到了很多困难,甚至产生了焦虑。目的:本研究以这些情况为背景,旨在确定如何努力减轻毕业班学生的焦虑。研究方法这是一项分析性观察研究,采用计划行为理论的横断面研究设计,于 2021 年 3 月至 10 月在东爪哇的所有城市和地区进行。研究对象为所有大学应届毕业生,样本为 385 名受访者。本研究的变量包括信念因素、意向和行为。数据收集采用在线自填问卷的方式进行。数据以表格和图表的形式呈现,并使用非参数统计检验和多元线性回归进行分析。结果显示结果表明,信念因素显著影响意向变量(sig. 0.000),意向变量影响高年级学生减少焦虑的行为(sig. 0.000)。意向变量的显著值为 0.000 < 0.05,表明意向变量对高三学生减少焦虑的行为有明显影响。根据 R 平方结果,意向变量对毕业班学生减少焦虑行为的影响达到 54%。结论在 Covid-19 大流行期间,已知可减少毕业班学生焦虑的努力包括管理压力、通过增加体育锻炼控制自己、从事业余爱好、崇拜、积极思考和食用自己喜欢的食物。
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引用次数: 0
Cultural Impact on Adolescent Behavior Advancing Health, Gender: A Scoping Review 文化对青少年行为的影响促进健康和性别平等:范围审查
Pub Date : 2024-01-26 DOI: 10.20473/jpk.v12.isi1.2024.174-180
. DewiPurnamawati, Syamsulhuda Budi Musthofa, Farid Agushybana, Dewi Purnamawati, BM Syamsulhuda
Background: Sexual and reproductive health is critical to the 2030 Sustainable Development Goals (SDGs). Various factors contribute to premarital sexual behaviour among adolescents, with culture being a pervasive influence in many countries. Adolescents in mountain communities are particularly vulnerable to engaging in premarital sexual behaviour. Aims: This review aims to explore research findings related to the cultural factors influencing premarital sexual behaviour among adolescents in general and specifically in mountain communities, contributing to the achievement of the SDGs. Method: This study employs a scoping review methodology. Search terms used in the articles include MeSH terms ["Adolescent" or "Teen"], ["Cultural impact" or "Cultural Role"], ["Premarital sex" or "Premarital sexual intercourses"], and ["Highland Communities" or "Mountain Communities"]. Databases utilised for article search include Science Direct, Proquest, and PubMed. Five journals published between 2019 and 2023 that meet the inclusion criteria were selected. Results: This review synthesises findings from 5 articles, narrowed down from an initial pool of 10,923 articles. All selected papers employ quantitative methods and originate from Ethiopia (3 articles), Nepal, and Tanzania. Conclusion: The review highlights the social, economic, and environmental influences on mountain communities, emphasising the cultural roles of alcohol consumption, social norms (customs), and family culture in shaping premarital sexual behaviour among adolescents. Education on the consequences of adolescent sexual behaviour is crucial, especially in cultures that tolerate such behaviours.
背景:性健康和生殖健康对 2030 年可持续发展目标(SDGs)至关重要。导致青少年婚前性行为的因素有很多,在许多国家,文化是一个普遍的影响因素。山区社区的青少年尤其容易发生婚前性行为。目的:本综述旨在探讨与影响青少年婚前性行为的文化因素相关的研究成果,特别是在山区社区,从而促进可持续发展目标的实现。研究方法:本研究采用了范围界定审查方法。文章中使用的检索词包括 MeSH 词["青少年 "或 "Teen"]、["文化影响 "或 "文化角色"]、["婚前性行为 "或 "婚前性关系"]和["高地社区 "或 "山区社区"]。用于文章搜索的数据库包括 Science Direct、Proquest 和 PubMed。选取了 2019 年至 2023 年期间出版的符合纳入标准的五种期刊。结果:本综述综合了从最初的 10,923 篇文章中筛选出的 5 篇文章的研究结果。所有入选论文均采用定量方法,分别来自埃塞俄比亚(3 篇)、尼泊尔和坦桑尼亚。结论:综述强调了社会、经济和环境对山区社区的影响,强调了酒精消费、社会规范(习俗)和家庭文化在塑造青少年婚前性行为中的文化作用。关于青少年性行为后果的教育至关重要,尤其是在容忍此类行为的文化中。
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引用次数: 0
Determinants of Behavioral Compliance in Coronary Heart Disease Therapy Among Patients at Bandung Heart Clinic 万隆心脏病诊所患者冠心病治疗行为依从性的决定因素
Pub Date : 2024-01-26 DOI: 10.20473/jpk.v12.isi1.2024.1-11
Shabrina Arifia Qatrannada, B. Widjanarko, Novia Handayani, . ShabrinaArifiaQatrannada
Background: Coronary heart disease (CHD) ranks seventh among non-communicable diseases (NCDs) in Indonesia, with a projected increase in mortality by 2030 to approximately 23,6 million. The rehabilitation of CHD, which constitutes long-term treatment, significantly depends on patient adherence. Objective: This study aims to investigate the determinants of patient adherence behavior at the Bandung Heart Clinic. Methods: It employed a cross-sectional research design, gathering data from 471 CHD patients with a history of atherosclerosis at the clinic between January and October 2022. The minimum sample size of 80 respondents, calculated using the Lemeshow formula, was increased to 150 to mitigate potential dropouts. The research instrument used was a questionnaire that had been validated and deemed reliable, except for one question regarding family support. Sampling was conducted using accidental sampling and involved interview data collection. Results: Bivariate data analysis, using the chi-square test, indicated significant associations between gender (p=0.09), employment status (p=0.01), health insurance participation (p=0.012), healthcare accessibility (p=0.022), family support (p=0.006), and treatment motivation (p=0.22) with patient adherence behavior. Additionally, female patients (OR=3,316) patients who are members of a health insurance (OR=2,617), patients with high treatment motivation (OR=1,983), patients who receive support from their families (OR=2,476) are more likely to exhibit adherence behavior compared to those who are not. Conclusion: In summary, it can be concluded that gender, employment status, health insurance participation, family support, and treatment motivation have significant correlations with patient adherence behavior in the context of CHD at the Bandung Heart Clinic.
背景:在印度尼西亚,冠心病(CHD)在非传染性疾病(NCD)中排名第七,预计到 2030 年死亡率将增至约 2 360 万。冠心病的康复是一项长期治疗,在很大程度上取决于患者是否坚持治疗。研究目的本研究旨在调查万隆心脏诊所患者坚持治疗行为的决定因素。方法:采用横断面研究设计:本研究采用横断面研究设计,收集了 2022 年 1 月至 10 月期间在该诊所就诊的 471 名有动脉粥样硬化病史的心脏病患者的数据。使用莱姆肖公式计算的最小样本量为 80 名受访者,为减少可能出现的辍学现象,样本量增加到 150 名。所使用的研究工具是一份经过验证并被认为可靠的问卷,只有一个关于家庭支持的问题除外。抽样采用意外抽样法,包括访谈数据收集。研究结果使用卡方检验法进行的双变量数据分析显示,性别(p=0.09)、就业状况(p=0.01)、医疗保险参与度(p=0.012)、医疗服务可及性(p=0.022)、家庭支持(p=0.006)和治疗动机(p=0.22)与患者依从性行为之间存在显著关联。此外,女性患者(OR=3,316)、加入医疗保险的患者(OR=2,617)、治疗动机强的患者(OR=1,983)、获得家人支持的患者(OR=2,476)与非患者相比,更有可能表现出依从行为。结论综上所述,可以得出结论:在万隆心脏病诊所,性别、就业状况、医疗保险参保情况、家庭支持和治疗动机与慢性阻塞性肺病患者的遵医行为有显著相关性。
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引用次数: 0
Starting Life with Hidden Wound: Bullying and Self-Reported Depression Symptoms among Early Adolescent in 3 Cities of Indonesia 带着隐伤开始生活:印度尼西亚 3 个城市青少年中的欺凌与自述抑郁症状
Pub Date : 2024-01-26 DOI: 10.20473/jpk.v12.isi1.2024.86-96
Iwan Abdi Suandana, Anggriyani Wahyu, Pinandari Siswanto Agus, Wilopo, . IwanAbdiSuandana, A. W. Pinandari, Siswanto Agus, Indonesia Pruv
Background: Previous research revealed that bullying cause depression symptoms such as lack enthusiasm, anxious, being sensitive, and easily offended. Aims: This study aims to determine the relationship between bullying and self-reported depression in early adolescents using cross-sectional approach for Indonesia Global Early Adolescent Study data. Method: Depression symptom was collected using self-registered questionnaire about sadness, sleep disturbance, anxiety, and self-injury ideation from 4,684 students (2,207 boys and 2,477 girls). Logistic regressions were used to examine how bullying, and multilevel factors predict depression. Most adolescent aged 12-13 years old, living with complete parents, middle-up economic background, having hand-phone and using social media. Results: Adolescent reported experience at least 3 depression symptoms (60%), bullying (45%) and Adverse Childhood Experiences (ACEs; 70%). Result shows that boys (OR[CI];1.73[1.45,2.06]), having ≥5 ACEs (OR[CI];1.35[1.20,1.51]), living with relative (OR[CI];4.52[3.67,5.56]), spent more time with peers (OR[CI];1.52[1.33,1.73]), feeling unsafe (OR[CI];1.79[1.59,2.02]), having negative social-cohesion (OR[CI];1.50[1.34,1.67]) and high social-control (OR[CI];1.40[1.24,1.58]) are more likely to report depression. Conclusion: Multivariable analysis reveals significant association only on ACEs, time spent with peers, unsafe feeling, negative social-cohesion and high social-control. Bullying strongly predicts depression when adjusted by family and community variables only. Bullying prevention program should address other socialization agents such as peers, parents, teacher and community leader.
研究背景以往的研究表明,欺凌行为会导致抑郁症状,如缺乏热情、焦虑、敏感和易怒。目的:本研究旨在通过印度尼西亚全球早期青少年研究的横断面数据,确定青少年受欺凌与自我报告的抑郁症之间的关系。研究方法通过对 4684 名学生(2207 名男生和 2477 名女生)进行有关悲伤、睡眠障碍、焦虑和自伤意念的自我登记问卷调查,收集抑郁症状。我们使用逻辑回归法来研究欺凌和多层次因素如何预测抑郁症。大部分青少年年龄在 12-13 岁之间,与完整的父母生活在一起,经济背景中等偏上,拥有手机并使用社交媒体。研究结果青少年报告了至少 3 种抑郁症状(60%)、欺凌(45%)和不良童年经历(ACEs;70%)。结果显示,男孩(OR[CI];1.73[1.45,2.06])、有≥5 个 ACEs(OR[CI];1.35[1.20,1.51])、与亲属同住(OR[CI];4.52[3.67,5.56])、与同伴相处时间较长(OR[CI];1.52[1.33,1.73])、感觉不安全(OR[CI];1.79[1.59,2.02])、有负面社会凝聚力(OR[CI];1.50[1.34,1.67])和高社会控制力(OR[CI];1.40[1.24,1.58])的人更有可能报告抑郁症。结论多变量分析表明,只有 ACE、与同伴相处的时间、不安全感、负社会凝聚力和高社会控制力与抑郁症有显著关联。如果仅根据家庭和社区变量进行调整,则欺凌可强烈预测抑郁症。预防欺凌计划应针对其他社会化因素,如同伴、父母、教师和社区领袖。
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