Miracle Journal of Public Health

A Comparative Analysis of Social Media Addiction Levels Between Male and Female Adolescents in Jayapura City

Asriati Asriati — 2025-12-19

Social media users among teenagers have increased in Jayapura City since the COVID-19 pandemic. Excessive use of social media can lead to addiction, which can result in decreased sleep quality, psychological problems, increased non-communicable diseases, and other health problems. This study aims to examine the level of social media addiction among teenagers based on age and gender. This study uses a cross-sectional study design. The sample consisted of 297 respondents aged 15-19 years at SMA Negeri 2 Jayapura. The sampling technique used accidental sampling. The instrument used was the Internet Addiction Test (IAT) questionnaire. Statistical tests used Pearson Correlation and Independent t-tests. There was a significant relationship between age and the level of social media addiction (p-value=0.030), there was a difference in the level of social media addiction between males and females (p-value=0.002), and there was no difference in the level of addiction based on class (p-value =0.687). Age and gender are related to the level of social media addiction among adolescents in Jayapura City. There is a need to improve digital literacy with a gender-sensitive approach to reduce the impact of depression, anxiety, and body image disorders. In addition, strengthening regulations on social media use and increasing supervision and screen time restrictions from parents and school rules are necessary.

The Effect of Chlorine on The Reduction of Coliform and Total Suspended Solids in Domestic Wastewater at Port X Batam City

Roni Saputra — 2025-12-23

Daily activities at Port X produced domestic liquid wastewater with total coliform and TSS parameters
exceeding the required quality standards. Total coliforms and TSS polluted waterbodies and caused
gastrointestinal diseases in humans. The aim of this research was to see the effect of chlorine on reducing total
coliforms and TSS in domestic wastewater from Port X Batam City in 2024. This research used true
experimental method with a pretest - posttest control group design. Primary data was obtained by treatment
and examination in the laboratory. Data were analyzed using a paired t-test to see the effect on the control
group and treatment group (p value <0.05). The research results showed that there was an effect of the
independent variable towards the dependent variable. The most influential treatment was a chlorine dose of 2
gr/l and aeration for 4 hours with a percentage reduction in the total number of coliforms and TSS levels of
82.71% and 85.16% respectively. Based on the research results, it can be concluded that chlorine had an effect
on reducing the total number of coliforms and TSS levels in Port X domestic waste samples.
Keywords: Chlorine, wastewater, Stirring, aeration

Analysis of Human Resource Readiness in the Implementation of the Central Health Management Information System (SIMPUS) and the Integrated Referral Information System (SISRUTE)

Helmiati Hemma — 2025-12-23

Digital transformation in Indonesia's health sector through the implementation of SIMPUS and SISRUTE aims to improve the quality of health services and operational efficiency. SIMPUS is designed to integrate various operational functions of community health centers, while SISRUTE connects patient referral processes between health facilities. These two systems also strengthen coordination between health agencies. This study analyzes the readiness of human resources in the implementation of SIMPUS and SISRUTE using an associative quantitative design, a cross-sectional study approach, and ordinal regression tests. The research sample consisted of 39 respondents selected through total sampling. The results of the analysis show that technical competence and skills (p = 0.025), training and capacity building (p = 0.011), attitudes and perceptions (p = 0.018), mental readiness (p = 0.029), and performance and productivity (p = 0.015) significantly affect human resource readiness in the implementation of SIMPUS and SISRUTE. The conclusion of this study confirms that improving competence, continuous training, strengthening positive attitudes, mental readiness, and better performance are key factors in ensuring the effective and successful implementation of SIMPUS and SISRUTE, as well as improving the quality of health services in Community Health Centers and Hospitals.

Systematic Review: Barriers for Adolescent HPV Vaccination Education in Asian Countries

Nadhira Nasywa Cordellia — 2025-12-23

Cervical cancer remains one of the leading causes of death among women in Asia, with low coverage of
Human Papillomavirus (HPV) vaccination in many countries. This low coverage is closely related to
educational barriers that have not been fully addressed. This study aims to identify barriers to HPV vaccination
education among adolescents in Asian countries through a systematic review approach. Articles were searched
through four databases (Google Scholar, PubMed, ScienceDirect, and GARUDA) using a combination both in
Indonesian language and English keywords with the Boolean search method. Selection followed the PRISMA
2020 guidelines with inclusion criteria of publications from 2015 to 2025, either in Indonesian language or
English, and available in full text, while exclusion criteria included literature review articles, irrelevance to
HPV vaccination in adolescents, or not originating from Asian countries. From the 62 articles found, 6 articles
met the criteria and were analyzed further. The results showed that the main barriers included low knowledge
among adolescents, lack of support from health workers, and misperceptions of risk. In addition, social stigma
and limited access to information were also significant barriers. Educational strategies involving schools,
families, and community leaders proved to be more effective when tailored to the cultural context. This study
concluded that an inclusive and contextual educational approach is essential to increase HPV vaccination
coverage among adolescents.

The Influence of Social Media as a Health Promotion Tool for Dengue Fever Prevention

Wa Ode Kasmalia — 2025-12-24

Dengue fever tends to increase and spread more widely. Based on data recorded by the Kendari City Health Office, a total of 1,689 people were affected by dengue fever, and 12 people died. The purpose of this study was to determine the effect of using social media as a means of health promotion in the prevention of dengue fever among students at Kendari 2 Public Vocational School. The design used was a one-group pretest-posttest design. The population in this study consisted of 439 students, with a sample size of 81 students selected using simple random sampling. The data were analyzed using univariate and bivariate analysis using the McNemar test. The data were presented in tables and narratives. The results of the analysis showed that social media as a means of health promotion had an effect on increasing students' knowledge and attitudes towards dengue fever prevention (p-value = 0.000). In conclusion, social media has an effect as a means of health promotion to increase students' knowledge, attitudes, and actions towards dengue fever prevention. It is hoped that social media can be used as a means of health promotion to increase students' knowledge, attitudes, and actions towards dengue fever prevention.

The Effect of Health Promotion Through Leaflet Media on Mothers’ Behavior Regarding ARI (Acute Respiratory Infection) in Children

Rika Ariyanti — 2025-12-24

Based on preliminary interviews with mothers of children suffering from acute respiratory infection (ARI), which is an inflammation that affects the throat, nose, and lungs, it was found that many parents still lack a clear understanding of the disease. Initial interviews with mothers at the Southeast Sulawesi Police Clinic, revealed that many parents lack a clear understanding of the disease. This study aims to determine the effect of health promotion through leaflets on mothers’ behavior regarding ARI in children at the clinic. This experimental study used a one-group pretest-posttest design. The population consisted of 49 respondents, and a sample of 33 was selected using accidental sampling. Data were analyzed using a paired-sample t-test. The results showed a significant improvement in mothers’ knowledge, attitudes, and actions concerning ARI in children at the Southeast Sulawesi Police Clinic before and after health promotion using leaflet media. It is hoped that mothers will become more proactive in seeking information about ARI prevention and treatment and will participate in health education activities organized by healthcare facilities.

Factors Associated with Dengue Hemorrhagic Fever in the Lepo-Lepo Community Health Center Area

Nur Alya — 2025-12-24

Dengue Hemorrhagic Fever is one of the health problems in Indonesia that tends to increase in the number of patients and spread more widely and can cause extraordinary events (KLB). The prevalence of DHF in Kendari City in 2024 is 0.474% or 474/100,000 population, while the national figure is 0.03%. The purpose of this study was to determine the factors associated with DHF cases in the community within the working area of the Lepo-Lepo Community Health Center through an epidemiological study approach. This was a quantitative study with a cross-sectional design. The population consisted of 7,134 households, with a sample size of 99 respondents. The sampling technique used was proportional random sampling. The analysis method used the chi-square test. The results showed that DHF was significantly related to PSN knowledge (0.000<0.05), 3M Plus behavior (0.000<0.05), resting places (0.029<0.05), and indoor air humidity (0.003<0.05). The conclusion is that there is a relationship between PSN knowledge, 3M Plus behavior, resting place, and indoor air humidity. This study suggests that efforts to prevent DHF in the Lepo-Lepo Community Health Center working area should focus on intensively improving education and socialization regarding mosquito breeding site eradication (PSN) and 3M Plus behavior to the community. In addition, environmental control, such as managing mosquito resting places and regulating indoor air humidity, should be a priority to reduce the habitat of Aedes aegypti mosquitoes.

Hazard Potential Analysis Using Job Safety Analysis at the Mandala Waluya University Laboratory

As Samii Ramadhani — 2025-12-28

Potential hazards in laboratories can arise from various sources, such as chemical, physical, ergonomic, biological, and mechanical hazards. This study examines the potential hazards and risk levels in the laboratories of Mandala Waluya University, which include chemical, physical, ergonomic, biological, and mechanical hazards. Using a quantitative descriptive approach through observation, interviews, and Job Safety Analysis (JSA) checklists on five main hazard aspects, risk determination was carried out based on a scale of likelihood and severity, which were classified into low, medium, and high risks. Of the 19 laboratories analyzed, most showed moderate to high risks. Therefore, this analysis focused on three laboratories with moderate to high risks, namely the Pharmaceutical Chemistry Laboratory, the Medical Electrical Technology Laboratory, and the Cytohistology Laboratory, as they had the highest risk levels, particularly related to exposure to chemical and physical hazards and the need to improve the implementation of work safety procedures. These findings emphasize the importance of strengthening risk management through the consistent implementation of K3 standard operating procedures, coupled with increased supervision, safety training, and the provision of adequate personal protective equipment to minimize the potential for accidents and ensure the safety of the academic community.

Risk of Hearing Impairment due to Noise Exposure among Textile Industry Workers at PT X in 2025

Farhana Syahrotun Nisa Suratna — 2025-12-28

Occupational noise is one of the main preventable hazards that can seriously affect workers' health and productivity, causing noise-induced hearing loss. This study aims to analyze the relationship between noise exposure, age, and length of service with the level of hearing loss among workers in the textile weaving industry at PT X. This analytical observational study with a cross-sectional design was conducted on 30 workers in the textile weaving industry in Surakarta using purposive sampling techniques. Data were obtained through noise intensity measurements and audiometric examinations. Bivariate analysis was performed using the Spearman Rank test with a significance level of 0.05. The results showed that the average noise level at the workplace reached 90.78 dB, with the highest exposure in Room 5 Ring Line C at 104.78 dB. The correlation test showed a significant relationship between age (r= 0.411; p=0.024) and length of service (r=0.400; p=0.029) with the left ear hearing threshold value, while noise intensity was not significantly related. This indicates that individual factors and job characteristics such as age and length of service play a more dominant role in hearing loss than variations in workplace noise levels. It is concluded that there is a significant relationship between age and length of service and a decrease in the left ear hearing threshold of workers.

Determination of Factors Influencing Compliance with the Use of Personal Protective Equipment (PPE) Among Cleaning Staff at the Puuwatu Landfill in Kendari City

Aceng Yunisar Aceng — 2025-12-28

Garbage workers are workers in one of the informal sectors that are at risk of exposure to diseases caused by garbage. Based on preliminary data collected by researchers from 10 Landfill sanitation workers, it was found that only 3 workers used PPE completely, 5 workers had low knowledge, and 4 workers had low attitudes. This study aims to determine the factors associated with the use of personal protective equipment (PPE) among Landfill sanitation workers in Puuwatu, Kendari City. This is a quantitative study with a cross-sectional design. The population in this study consisted of 66 workers, with a sample of 36 respondents selected using simple random sampling. The data were analyzed using univariate and bivariate analysis with the Chi-Square test. The results of this study show a moderate relationship between knowledge (X² count=8.371), a moderate relationship between attitude (X² count=11.638), a moderate relationship between the availability of PPE (X² count=8.377), and the use of Personal Protective Equipment (PPE) among sanitation workers at the Puuwatu Landfill in Kendari City. It is recommended that sanitation workers improve their knowledge and attitudes and instill in themselves that the use of PPE is a necessity at work.

CTPS Intervention as an Effort to Prevent Diarrhea in the Kaledupa Community Health Center Work Area, Wakatobi

Fatjrina Syaputri — 2025-12-28

Diarrhea remains a public health problem in the Kaledupa Community Health Center working area, affecting 35.7% of the population. There have been fluctuations in the incidence of diarrhea from year to year. In 2021, there were 2,774 cases of diarrhea in Wakatobi District. One of the factors contributing to the high incidence of diarrhea is poor hand washing with soap (HWS/CTPS). This study aims to analyze the relationship between HWS practices and the incidence of diarrhea before and after health education interventions. This is a quantitative study with a cross-sectional design. The population consists of the entire community in the Kaledupa Community Health Center working area, totaling 5,865 people, with a sample of 99 respondents determined using the Slovin formula and proportional random sampling technique. Data were collected through a structured questionnaire. The post-test also found a significant relationship. Respondents with good HWS practices experienced diarrhea less frequently than respondents with poor HWS practices. It was concluded that health education interventions using pamphlets were effective in increasing community knowledge about HWS practices and as an effort to reduce the incidence of diarrhea. It is recommended that the Kaledupa Community Health Center continue to strengthen health promotion programs such as counseling and demonstrations related to CTPS, provide CTPS facilities and infrastructure, and involve families and the community in daily CTPS practices.

A Comparative Overview of the Behavior of Coastal and Mountain Communities in Household Waste Management in Mamuju District

Miftah Chairani — 2025-12-28

Solid waste generation in Indonesia reached 20 million tons in 2022, with household waste being the largest contributor at 39.98%. This study aims to compare household waste management behaviors between communities living in coastal and mountainous areas. This study uses a comparative quantitative research design with a cross-sectional approach. The total sample consisted of 225 respondents, comprising 150 respondents in the Tahaya-haya neighborhood and 75 respondents in the Ujung Bulo Wisata hamlet. The study was conducted in Tahaya-haya as a representation of mountainous areas and Karampuang Island as a representation of coastal island environments. Bivariate analysis showed a statistically significant difference in knowledge of household waste management between the communities of Tahaya-haya and Ujung Bulo Wisata (p = 0.001). Respondents in Tahaya-haya had a higher proportion of good and very good knowledge (90.6%) compared to Ujung Bulo Wisata (65.3%). Although all respondents in both areas showed a very good attitude (100%) towards waste management, this attitude was not fully reflected in actual practice. The most striking gap was seen in waste management actions, where Tahaya-haya showed better practices, while most respondents in Ujung Bulo Wisata were in the poor category. Recommendations for local governments to provide waste management infrastructure in coastal and mountainous areas.

Aircraft Noise Levels and Their Impact on the Health of Communities Around Tampa Padang Airport, West Sulawesi: A Descriptive Study

Ridhayani Adiningsih — 2025-12-28

Aircraft noise exposure is a significant environmental health issue for communities living near airports. Although global evidence shows a link between aircraft noise and health impacts, research on regional airports in Indonesia is still very limited. This study fills that gap by investigating noise exposure levels and health impacts at Tampa Padang Airport, Mamuju, West Sulawesi. A descriptive mixed-methods approach was conducted in Bebanga Village in January 2025. Noise measurements were taken at three strategic locations (500m, 750m, and 1000m from the runway) using a Sound Level Meter calibrated according to the SNI 7231:2009 standard. Health impact data were collected from 94 respondents through validated structured interviews. Aircraft noise levels ranged from 64.5 to 92.1 dB, exceeding the residential zone quality standard of 55 dB (Indonesian regulation) and WHO guidelines (45 dB Lden). The landing phase produced higher noise levels (74.7-92.1 dB) than the take-off phase (64.5-83.1 dB). Health assessments showed that 16% of respondents experienced mild hearing impairment and 1.1% experienced moderate impairment. No sleep disturbance or psychological stress was found. Although noise exposure exceeded national and international standards, the current health impact is relatively limited, possibly due to habituation and the absence of night flights. However, long-term monitoring and implementation of noise mitigation strategies are still necessary.

Risk Factors for Chronic Complications in Type 2 Diabetes Mellitus Patients in Makassar City: A Case-Control Study

Andi Selvi Yusnitasari — 2025-12-28

The prevalence of type 2 diabetes mellitus continues to increase globally and has become a significant economic burden on health, making the identification of risk factors for chronic complications important in order to prevent long-term effects. This study aims to analyze risk factors for chronic complications in patients with type 2 DM at five community health centers in Makassar: Sudiang, Ballaparang, Kassi-kassi, Antara, and Paccerakkang. The study design used an analytical observational approach with a case-control approach. The total sample consisted of 100 respondents (50 cases and 50 controls) selected using purposive sampling. Data were collected through interviews and medical records, then analyzed univariately and bivariately (Odds Ratio/OR). The results of statistical analysis showed that age (OR = 2.524; 95% CI = 0.723-8.818), blood pressure (OR = 1.379; 95% CI = 0.628–3.029), GDP (OR = 3.802; 95% CI = 1.482–9.750), duration of DM (OR = 18.614; 95% CI = 6.782–51.087), treatment adherence (OR = 2.263; 95% CI = 1.013–5.052), stress (OR = 1.084; 95% CI = 0.494–2.377), and self-care for DM (OR = 2.495; 95% CI = 1.105–5.629). Based on these findings, patients with type 2 DM are advised to monitor their blood sugar levels regularly, improve adherence to therapy, and implement good self-care practices such as diet management, regular physical activity, and periodic health checkups to prevent chronic complications.