Miracle Journal of Public Health

Peer Conformity Towards Adolescents Alcohol Consumption Behaviour in Jayapura City

Fajrin Violita — 2025-06-30

Adolescent alcohol consumption is an important and complex issue as it not only impacts health but also fuels risky sex, violence, and drug use. The purpose of this study was to determine the relationship between knowledge and peer conformity on alcohol consumption behavior among adolescents in Jayapura City. This type of research uses quantitative methods with a Cross-Sectional Study design. The total population was 2552 male students in 5 junior high schools and five high schools in Jayapura City, and the sample calculation obtained 343 respondents. The sampling technique used proportional stratified random sampling and primary data collection using a questionnaire. Statistical analysis using the Spearman Correlation Test. The results of the analysis were obtained from 343 adolescents; most respondents had knowledge in the good category, namely 200 respondents (58.3%), and as many as 273 respondents (79.6%) in the category of peer conformity, the majority of which were in the moderate category. The correlation test results of the relationship between knowledge factors and alcohol-drinking behavior in adolescents obtained a p-value of 0.032 with a value of r = 0.116. So, it means that there is a relationship between knowledge and adolescent drinking behavior, but the strength of the relationship is very weak, with a negative correlation. As for the peer conformity variable, the p-value is 0.227, meaning that there is no significant relationship between peer conformity and adolescent drinking behavior. Health agencies are advised to strengthen the PIK-R program in schools to prevent adolescent alcohol consumption.

Relationship between Situational Leadership Style and Employee Performance RSM Ahmad Dahlan Kediri City

Alita Dewi Percunda — 2025-06-30

Section heads in the Ahmad Dahlan Hospital Inpatient Installation in Kediri apply a significant situational leadership style with management functions. Objective: To analyze the relationship between situational leadership style and employee performance of RSM Ahmad Dahlan Kota Kediri. Quantitative correlation is the method in this study, then a cross-sectional design that uses a questionnaire to measure situational leadership style and employee performance at the Inpatient Installation of RSM Ahmad Dahlan Kota Kediri. Using the saturated sampling technique, which means that all members of the population are used as samples, namely 76 people in the Inpatient Installation. Descriptive analysis and correlation analysis were carried out using the SPSS application. The majority of respondents were female (82%), with most ages between 20-35 years (83%), and the length of work was mostly 6-10 years (38%). The result of descriptive analysis for the situational leadership style variable is 4.54 (SD .459), with the highest sub-variable being 4.39 (SD .474), and for the employee performance variable, 4.33 (SD .436). The results of the correlation test between situational leadership style and all its sub-variables are related to employee performance (sig .000), with the largest correlation coefficient selling (r .781). Situational leadership style is related to employee performance, and RSM Ahmad Dahlan Kediri City should improve the situational leadership style of existing superiors.

Giant Borderline Mucinous Cystadenoma in a Multiparous Woman: A Case Report

Karnel Singh — 2025-06-30

Cystic lesions with loculi lined with mucin-producing epithelium are mucinous ovarian tumors. Approximately 10% of these are borderline tumors. These cysts are commonly found in 30-50 year olds. Ovarian cysts exceeding 10 cm in diameter are called giant ovarian tumors. This study aims to present a case of Giant Borderline Mucinous Cystadenoma in a multiparous woman. Report a case of a 38-year-old woman P3A0 presenting with an enlarged abdomen for approximately 1 year and tightness 1-month SMRS, which was later diagnosed as Giant Borderline Mucinous Cystadenoma. Mucinous cystadenoma has the potential to grow into a large mass and rarely goes undiagnosed until it becomes a giant ovarian cyst (>10 cm). Total Abdominal Hysterectomy, Salpingo Oophorectomy Sinistra, right salpingectomy, right partial oophorectomy, ascitic fluid aspiration, left pelvic lymphadenectomy, and omentectomy were performed. Transabdominal Ultrasound showed a mixechoic image of the adnexa with a size of 23.2 cm x 15.9cm x 27 cm with a volume of 5265 cc. PA result showed borderline cystadenoma mucinous. The therapeutic strategy was guided by FIGO classification, age, and the patient's desire to have children. Early recognition and management are crucial to prevent disease progression and reaching giant tumor size.

The Impact of the Interaction between Parents, Employment Status, Income, and Education on the Risk of Stunting in Sungai Landas Village

Muhammad Irwan Setiawan — 2025-06-30

Stunting is a chronic nutritional problem that affects the growth and development of children. The results of community diagnostics that have been carried out from January to February 2025 in Sungai Landas Village show data that 30% of children aged 0-60 months are stunted. This study aims to analyze the relationship between employment status, income, and parental education on the incidence of stunting in Sungai Landas Village, Karang Intan District, Banjar Regency. This study used a cross-sectional design with a sample of 30 respondents from Sungai Landas Village who have children aged 0-60 months. Data were collected through questionnaires and anthropometric measurements and then analyzed using Fisher's exact test with a 95% confidence level. The results showed that there was no significant relationship between parents' employment status (p=0.329) and parents' income (p=1.0). There was a significant relationship between parents' education level (p=0.030) and the incidence of stunting. Parental education plays an important role in understanding nutrition, which affects parenting and children's food intake. Therefore, increasing community-based nutrition education, especially for parents, needs to be the focus of stunting prevention efforts.

Salted Fish Consumption Factors on the Incidence of Nasopharyngeal Cancer: A Systematic Review

Seftiani Syafira — 2025-06-30

Nasopharyngeal cancer (NPC) is a squamous cell cancer that originates from the epithelial lining of the nasopharynx. The issue of salted fish consumption is a concern because the salt preservation process can produce carcinogenic nitrosamine compounds. The nitrosamine content is formed from the reaction between nitrite, nitrate, and secondary amines, which has the potential to cause cell changes to become malignant if consumed in the long term, especially from an early age. This study aimed to systematically review the consumption pattern of salted fish based on age, frequency of consumption, and its potential risk of NPC and to identify gaps in the results of previous studies. The method used was a systematic review by searching the literature on online databases such as Scopus, PubMed, ScienceDirect, and Garuda. A total of 126 articles were obtained, and 11 articles met the criteria. The results of the analysis showed that there are differences in salted fish consumption patterns based on age and frequency that may increase the risk of NPC, especially in individuals who started consuming in childhood and high amounts. This study highlights the need for further research that considers genetic aspects, types of salted fish, and processing methods in different regions to clarify the causal relationship.

Dietary Diversity Using the Minimum Dietary Diversity-Women Indicator in Pregnant Women

Irfia Ainun Salsabila — 2025-06-30

Eating a variety of foods is very important to prevent nutritional deficiencies, especially micronutrients. Low dietary diversity results in vulnerability to nutritional deficiencies. Malnutrition in pregnancy can adversely affect the mother and fetus. This study aims to evaluate the adequacy of dietary diversity and food group consumption patterns of pregnant women in the Lambai Health Centre working area. This type of research is a descriptive study with a cross-sectional design. This study was conducted from November to December 2024 in the working area of Lambai Health Centre, Lambai District, North Kolaka. The sampling technique in this study used total sampling so that the sample size was 47 pregnant women. The level of dietary diversity was evaluated using the Minimum Dietary Diversity for Women (MDD-W) with the criteria of consuming at least five food groups categorized as adequate. The results showed that the majority of pregnant women met the MDD-W criteria (93.6%), and only 6.4% had inadequate dietary diversity. The most consumed food groups were staple foods (100%), namely carbohydrate sources of cereals, tubers, and bananas, meat (95.7%), and green leafy vegetables (93.6%). However, there was no consumption of nuts and seeds. This suggests the need for nutrition education regarding the importance of food variety to support adequate micronutrients during pregnancy.

Analysis of the Effect of Digital System Integration on Improving Service Quality and Patient Perception at Kabelota Regional Hospital

Saparuddin Latu — 2025-06-30

In the digital era, hospitals are faced with the challenge of improving service quality by integrating digital systems. Although technologies such as SIMRS have begun to be implemented, there are still many obstacles, such as infrastructure limitations and low patient satisfaction, that have not been resolved. This study aims to analyze the effect of digital system integration on service quality and outpatient perceptions at Kabelota Hospital, Central Sulawesi. The study used an associative quantitative approach with a cross-sectional design and a total sampling technique of 125 outpatients. The results of the analysis show that digital system integration has a significant effect on service quality (ρ = 0.000 < 0.05), patient perception (ρ = 0.000 < 0.05), and service quality also affects patient perception (ρ = 0.000 < 0.05). The conclusion shows the importance of infrastructure development, HR training, and system evaluation for hospital service effectiveness.

Incidence of Dermatitis in Urban Communities: A Study in Tallo Village, Makassar City

Chitra Dewi — 2025-06-30

Dermatitis is a skin inflammation that is often considered trivial but has a high prevalence in Indonesia. In Makassar, 97,331 cases were recorded in 2012 and 2,030 cases (15.63%) in Rappokalling Health Centre in 2015. Personal hygiene and environmental sanitation factors contribute to this incidence. The study aimed to describe the incidence of dermatitis in Tallo Village, especially RT 01/RW 04. The study used a descriptive design; the population was all people in RT 01 RW. 04 Tallo Village, Tallo District, Makassar City, as many as 321 people and a sample of 178 respondents were selected by accidental sampling. Data were collected through questionnaires and observation and analyzed univariately. The results showed 95 respondents (53.4%) suffered from dermatitis. One hundred sixty-nine respondents (94.9%) had good personal hygiene behavior, but the cleanliness of towels (44.9%) and bed/bed linen (27%) was still low. All respondents used clean water that met the requirements but did not have proper waste disposal facilities. The conclusion of this riset are incomplete personal hygiene, poor environmental sanitation, and waste management contributed to the high number of dermatitis cases. Routine education on personal hygiene and the provision and supervision of proper waste disposal facilities by the government and health centers are recommended to prevent dermatitis in the community.

Mental Health and Academic Outcomes in Jakarta Adolescents: A Cross-Sectional Study

Daffa Arkananta Putra Yanni — 2025-06-30

Adolescence is a vulnerable period marked by rapid changes and increasing mental health challenges, which can significantly affect academic performance. In Jakarta, this issue is exacerbated by academic pressure and urban stressors. This study aimed to investigate the relationship between mental health and academic performance among adolescents in Jakarta. A cross-sectional, quantitative study was conducted involving 14 purposively selected 8th and 9th-grade students from MTs Umdatur Rasikien, East Jakarta. Mental health was assessed using the Self-Reporting Questionnaire (SRQ-20) before and after counseling interventions, while academic performance was measured by the number of subjects graded “C” or below. Individual and group counseling sessions were provided over two weeks. Data were analyzed using paired-sample t-tests and Pearson correlation in SPSS 25. Post-intervention SRQ-20 scores significantly decreased (p = 0.000), indicating improved mental health. Eight out of 14 students showed better academic performance, while five worsened. Correlation analysis revealed a weak, non-significant negative association between post-test mental health scores and academic performance (r = -0.168, p = 0.565), suggesting complex and indirect effects. Counseling interventions effectively improved mental health, though their direct impact on academic performance was limited, emphasizing the need for integrative, multi-faceted school-based support.

The Influence of Parental Roles on Adolescents' Knowledge of Puberty at MTS BI Islami

Rahmawati Rahmawati — 2025-06-30

Adolescents' lack of knowledge about puberty greatly affects the behavior of young people. Adolescents who lack information can trigger bad behavior; curiosity is more dominant, so it results in fatal things if not balanced with assistance from parents. The Role of Parents as the Main and Trusted Source The purpose of the study was to determine the role of parents in adolescent knowledge about puberty in class VIII students at MTS BI Islami. The type of research is quantitative with a cross-sectional study design. The population in this study were all VIII grade students, totaling 34 students, with a sample size used in this study of 31 students, while sampling techniques by means of simple random sampling. The instrument used in data collection is a questionnaire. To test the hypothesis, the data analyst used inferential statistics: simple linear regression. The results showed that the role of parents of students in the category of sufficient by 3%, good at 39%, and very good at 58%, while the knowledge of adolescents about puberty was in the medium category at 42% and high by 58% with high knowledge. The conclusion from the results of the data analysis showed. ????????????= 0.030 means , which means there is a significant influence of the role of parents on adolescents' knowledge about puberty.

Identification of Characteristics of E-Cigarettes (Vape) in Jayapura City

Wahyuti Wahyuti — 2025-06-30

The problem of e-cigarette (vape) use in Indonesia is increasingly worrying, especially among adolescents and young people. The assumption that vaping is safer than conventional cigarettes has contributed to the increase in young users. This study aims to describe the characteristics of vape users in Jayapura City with a quantitative descriptive design and cross-sectional approach. The study was conducted in 4 sub-districts with a total sample of 300 people, selected by accidental sampling of vape users in various cafes. Data were collected through interviews using a questionnaire and analyzed univariately with SPSS. The results showed that the majority of users were aged 15-24 years (51.4%), male (69.3%), highly educated (52.7%), Protestant (59.3%), Non-Papuan (76.0%), unmarried (85.3%), and lived with parents (52.3%). The most common duration of use was 3-4 years (48.3%), the most commonly used device was Box Mod (36.3%), and most used less than three types of liquid (65.7%). These results suggest the need for education specifically targeted at young and highly educated groups regarding the long-term health risks of e-cigarette use.

The Effect of Human Development Cadre Mentoring on Knowledge and Attitude of Stunting Prevention in Pregnant Women in Sragen

Eny Eny — 2025-06-30

Stunting is a condition that is said to be malnourished, thus affecting infants both before birth and early after birth which is analysed from several factors including maternal size, nutrition during pregnancy, and fetal growth. The lack of information obtained by pregnant women affects knowledge and attitudes, especially about preventing stunting during pregnancy. This study aims to determine the effect of development cadre assistance (KPM) on knowledge and attitudes in preventing stunting in first and second trimester pregnant women in Sragen. This study used a Quantitative approach, this type of research is experimental, quasi-experimental design with a sub-design of one group pre-test and post-test only one group, without a control group. The sample was determined using purposive sampling, the intervention was given to 38 pregnant women in trimester 1 and 2, data analysis using the Friedman test. The results showed that there was an effect of KPM assistance on knowledge and attitudes in preventing stunting. So with these significant results, it is hoped that the sragen district government can empower KPM so that data collection on the 1000 HPK target, besides that KPM can become a companion, especially in providing education related to stunting prevention.

Optimizing the Role of Hospital Health Promotion in Improving Superior Services

Muhaimin Fansuri — 2025-06-30

This study used a descriptive qualitative approach with the aim of evaluating the implementation of the Hospital Health Promotion Programme (PKRS) at RSUD Jenderal Ahmad Yani Metro City in 2024. The research sample consisted of 8 informants selected using purposive sampling technique, which included 1 Head of PKRS Installation, 3 medical staff, and 4 patients. Data collection techniques were conducted through in-depth interviews, direct observation, and documentation. Analysis was conducted using a thematic analysis approach. The results showed that the implementation of the Hospital Health Promotion Programme (PKRS) at RSUD Jenderal Ahmad Yani Metro City still faces obstacles, such as the lack of structured training for medical and non-medical staff, the non-integration of the PKRS programme in all hospital service lines, and the absence of structured ongoing evaluation. Strengthening the use of educational media, coordination between departments, and increasing the budget to support CSE activities are also needed. It is expected to improve service quality, reduce nosocomial infection rates, and strengthen public awareness of the importance of Clean and Healthy Living Behaviour (PHBS) in providing superior health services.

Determinants of Personal Hygiene Behaviour of Adolescent During Menstruation in Junior High Schools in Jakarta

Trimawartinah Trimawartinah — 2025-06-30

Adolescent girls are prone to infections of the reproductive organs during menstruation, this can occur if they do not perform good menstrual hygiene. This study aims to determine the determinants of adolescent personal hygiene behaviour during menstruation at SMPN X Jakarta in 2024. This study used a cross-sectional design with stratified random sampling technique. The total population was 429 in all classes VII, VIII and IX, with a sample size of 94 who met the inclusion criteria. Data collection used a questionnaire instrument that was filled in directly by the respondent. Descriptive data analysis uses frequency counts and percentages, while relationship analysis with the chi-square test with a degree of significance of 5%. The results of the research data showed that more than half behaved well on personal hygiene during menstruation 79 students (84%), had high knowledge 72 students (76.6%), thought that Water, Hygiene and Sanitation (WASH) facilities were adequate during menstruation as many as 55 students (58.5%), and received peer support 62 students (66%). The results of the relationship test stated that there was a significant relationship between personal hygiene behaviour and the variables of knowledge (p value= 0.045) and peer support (p value= 0.044), but there was no significant relationship on the variable of school facilities related to water, hygiene, and sanitation (p value= 0.874). It is recommended that there should be a continuous health programme between increasing knowledge and increasing peer support, so that the problem of female reproductive organ hygiene can be resolved.