Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat

A Study of Cervical Cancer Screening At Puskesmas Gianyar I Based On The Social Ecological Model

Ni Nyoman Hita Girindra Wardani — 2025-08-26

Background: Cervical cancer is a leading cause of death among women, and early detection through screening is crucial to prevent its progression. Despite this, participation in screening programs remains low, including in Bali. This study explores factors influencing participation at five levels individual, interpersonal, community, organizational, and policy focusing on the screening program at Puskesmas Gianyar I.

Method: The study employed a qualitative approach through in-depth interviews and document analysis. Informants included healthcare workers, the head of the community health center, program coordinators for disease prevention, and patients who had participated in screening. Data were analyzed using thematic analysis to identify key themes aligned with the Social Ecological Model framework.

Results: Participation in cervical cancer screening is influenced by the Social Ecological Model. Individual barriers include fear and lack of knowledge, while family and community roles involve support, stigma, and social norms. Organizational challenges include limited facilities and inadequate training, whereas policies require subsidization supported by simplified procedures.

Conclusion: This study identifies barriers to cervical cancer screening participation, such as perceptions of being "healthy," stigma, and facility limitations. Promotional strategies are positive but require cultural approaches, enhanced training, and procedural simplifications.

An Overview of Riding Styles Among Junior High School Students in Semarang City

Sofwan Indarjo — 2025-08-26

Background: It has been shown that underage individuals are more vulnerable to involvement in traffic accidents. In 2023, a total of 1,339 traffic accidents were documented in the city of Semarang. There were 1,515 traffic accidents involving 3,113 perpetrators with 17.5% (546) aged 5-20 years in 2024. The objective of this study was to identify the factors associated with the riding behavior of junior high school students in Semarang City.

Methods: The present study was conducted as an observational analytical study employing a cross-sectional approach. A total of 447 subjects were selected as a sample for the study. The sampling technique used was cluster sampling. The data were collected via an online questionnaire and subsequently analyzed using the chi-square test and logistic regression.

Results: The findings indicated that knowledge (p = 0.006), attitude (p = 0.001), and parental involvement (p = 0.009) were significantly associated with students' riding behaviors.

Conclusion:The findings of this study indicate that educational and parental involvement are both critical factors in shaping the riding behavior of adolescent motorcyclists.

The Relationship Between Gadget Use Behavior and Emotional Mental Disorders in Children in Surakarta

Asy Syifa — 2025-08-26

Background: Excessive use of digital devices has been significantly associated with adverse emotional and psychological outcomes in children, including heightened levels of anxiety and depressive symptoms. In line with these global findings, recent data from Surakarta, Indonesia, indicate that approximately 5.1% of children are affected by emotional mental disorders. This study aims to analyze the relationship between gadget use and emotional mental disorders in children in Surakarta.

Method: This study employed a cross-sectional design involving 139 children aged 4-5 years as observational subjects. Purposive sampling was conducted in August 2024. Data were collected using two questionnaires completed by the children’s parents: one assessing gadget use behavior, and the other evaluating emotional and behavior difficulties based on the parent-report of the Strength and Difficulties Questionnaire (SDQ). Data analysis was conducted using Fisher’s exact test.

Results: The findings indicate that 76.3% of children exhibited what was categorized as appropriate gadget use, defined in this study as a total score ranging from 1 to 38 on the parental questionnaire. Additionally, 77% of the children scored within the normal range on the Difficulties Scale (indicating no significant emotional or behavioral problems), while 87.1% obtained normal scores on the Strengths Scale, reflecting adequate prosocial behaviors. Statistical analysis using Fisher’s Exact Test revealed a significant relationship between gadget use behavior and emotional mental disorders in children (p < 0.001).

Conclusion: This study reveals a significant association between gadget use and emotional mental disorders in children in Surakarta. The findings underscore the need for parental supervision, screen time regulation, and engagement in alternative activities as preventive strategies to support healthy emotional development in early childhood, particularly in today’s digital environment.

Integration of Islamic Spiritual Care (ISC), Service Quality and Patient Loyalty A Cross-Sectional Study at One of The Islamic Hospitals In Indonesia

Muhammad Sadik Sahil — 2025-08-26

Background: Islamic spiritual care (ISC) is a holistic religious health service based on Islamic values that emphasizes empathy and friendliness and provides space for patients to perform worship during treatment. This study aims to analyze the correlation between integrating of ISC with the quality of service and patient loyalty, and to determine the most dominant variables influencing patient loyalty.

Method: A quantitative study with a cross-sectional design was conducted on 176 outpatients, during February–April 2025 on Siaga Al Munawwarah Islamic Hospital, Samarinda, Indonesia. The measuring instruments used consisted of the Islamic Spiritual Care questionnaire (ISCQ), SERVQUAL (Service Quality Questionnaire), and HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems), which have been proven valid and reliable. Data analysis used the Spearman Rank test and Binary logistic regression

Results: The integration of ISCand service quality as good (54,5%) and showed good loyalty (51.7%). There was a significant relationship between integration of ISC and service quality (p = 0.000; r = 0.905), there was a significant relationship between integration of ISC and patient loyalty (p = 0.000; r = 0.787), and there was a significant relationship between service quality and patient loyalty (p = 0.000; r = 0.817). Patient service quality is the most dominant variable influencing patient loyalty (POR = 10.271).

Conclusion: Integration of ISC affects service quality and patient loyalty. This finding indicates that ISC needs to be implemented comprehensively and continuously at Siaga Al Munawarrah Islamic Hospital.

Correlation Between Nutritional Knowledge and Behaviour of Implementing Vegetable and Fruit Consumption with Nutritional Status of Bhayangkara University Bekasi Students

Nurarifah Tazhkia — 2025-08-27

Background: In Indonesia, there are still many problems with nutritional status in adulthood. College students are entering the adult phase. Factors that affect nutritional status are nutritional knowledge and food intake. Individual nutritional knowledge affects behaviour in food selection. Meanwhile, high fiber food intake in adulthood is important for maintaining a healthy body. High fiber content is found in vegetables and fruits. This study aims to analyze the relationship between the level of nutritional knowledge related to vegetables and fruits and the behaviour of implementing vegetable and fruit consumption with nutritional status in Bhayangkara University Bekasi Students.

Method: This study used a cross sectional design method on 61 students of the Faculty of Communication Sciences at Bhayangkara University Bekasi. Sampling of this study using consecutive sampling method. Data collection includes nutritional knowledge of vegetables and fruits and behaviour measured using the Food Frequency Questioner (FFQ) questionnaire. Data were analyzed using the Chi-Square test.

Results: The results of bivariate analysis using the Chi-Square test show that there is no significant relationship between nutritional knowledge and nutritional status (p-value = 0.153) and there is a significant relationship between the behaviour of implementing vegetable and fruit consumption with nutritional status (p-value = 0.011) in Bhayangkara University Bekasi students.

Conclusion: There is no relationship between nutritional knowledge and nutritional status and there is relationship between the behaviour of implementing vegetable and fruit consumption with nutritional status in students of Bhayangkara University Bekasi.

The Relationship between Sleep Duration and Sedentary Behavior with the Incidence of Obesity in School-Age Children: A Literature Review

Nessa Ishmah Munyati — 2025-08-26

Background Obesity is one of the health threats that can attack school children. Basically, obesity is a condition in which fat in the body accumulates excessively. The cause of obesity itself can be caused by various factors. Lifestyle changes and sleep duration are factors that cause obesity. This literature review is intended to identify whether there is a relationship between sleep duration, sedentary behavior and obesity in school-age children.

Method The use of journals with a span of the last 5 years was chosen as the method for this research. In addition, the NCBI, Scuence dDirect, Pubmed, and Google Scholar databases were selected to find appropriate literature. The keywords "obesity", "school-age children", "sedentary", and "sleep duration" were used in the literature search process.

Results A total of 255 literatures were found in the initial search, which the author then carried out the literature selection process using the PICOS and CRAAP methods. From the results of the filtering, a total of 30 study literatures were appropriate.

Conclusion The results of the analysis show that sleep duration and sedentary behavior are factors that influence the incidence of obesity in school-age children.