Relationship Between Vaginal Hygiene Behavior and Levels Stress With Leukorrhea Incidence on Young Women at School
Abstract
Leukorrhea (vaginal discharge) is a reproductive health problem that is often experienced by adolescent girls. The incidence of leukorrhea can be influenced by vaginal hygiene behavior and stress levels. Improper vaginal hygiene behavior and stress can lead to imbalances in the normal flora of the vagina and hormonal changes that trigger the occurrence of leukorrhea. This study analyzes the relationship between vaginal hygiene behavior and stress levels with the incidence of leukorrhea in adolescent girls at Madrasah Aliyah Negeri 1 Gorontalo City. It was conducted with a cross-sectional observational analytical design of 275 respondents selected through proportionate stratified random sampling from a population of 884 adolescent girls. Primary data were collected via validated questionnaires (Cronbach's alpha >0.6 for vaginal hygiene and leukorrhea, DASS-42 for stress), analyzed univariate (frequency) and bivariate (Spearman rank test, ?=0.05). The results showed that the majority of respondents were 16 years old (37.8%), class X (35.6%), adequate vaginal hygiene behavior (76.4%), moderate stress (62.5%), and normal leukorrhea (76%). There was a significant relationship: vaginal hygiene behavior with leukorrhea (r=-0.155, p=0.010, weak negative), and stress level with leukorrhea (r=0.517, p=0.000, moderate positive). Conclusion: Good hygiene behaviors lower the risk of leukorrhea, while high stress increases it; Reproductive Health Education Advice in Schools for Prevention
References
Fitrie, F., & Safitri, A. (2021). The Relationship between Stress Level and Vulvar Hygiene and Vaginal Discharge in Adolescent Women.
Hanifah, H., Herdiana, H., & Jayatni, I. (2023). The relationship between personal hygiene, physical activity and stress levels to the incidence of vaginal discharge in grade XII adolescent girls at Darussalam High School, Garut Regency in 2023. CENTRI: Journal of Scientific Research, 2(10), 4318–4331. https://doi.org/10.55681/sentri.v2i10.1671
Hannibal, N. (2021). Overview of Vulvar Hygiene Knowledge and Attitudes in Dealing with Vaginal Discharge (Fluor Albus) in Adolescent Girls.Journal of Mesencephalon Health, 6.
Hanipa, N., & Nirmalasari, N. (2020). Overview of Vulvar Hygiene Knowledge and Attitudes in Involving Vaginal Discharge (Fluor Albus) in Adolescent Women. Consider using the Doctrine of Reason, 3 (2018), 45–49.
Hapsari, A. (2019). Adolescent Reproductive Health Module Reproductive Health Textbook. Wineka Media. https://fik.um.ac.id/wp-content/uploads/2020/10/6.-Buku-Ajar-Kesehatan-Reproduksi-Modul-Kesehatan-Reproduksi-Remaja.pdf
Hastuty, Y. D. (2023). Factors that affect vaginal discharge in adolescents. PT. Sonpedia Publishing Indonesia. https://www.google.co.id/books/edition/Faktor_Faktor_Yang_Mempengaruhi_Keputiha/YincEAAAQBAJ?hl=id&gbpv=1&dq=klasifikasi+keputihan&pg=PA2&printsec=frontcover
Ministry of Health of the Republic of Indonesia. (2018). Stress Levels of Indonesian Adolescents. Journal of Muara Medika and Clinical Psychology, 3(1), 22–29.
Masruroh, E., Farasari, P., Islamy, A., Suciati, S., & Audilla, A. (2023). The Relationship between Stress Level and the Occurrence of Vaginal Discharge (Fluor Albus) in Adolescents Aged 14-18 Years in Keboireng Village, Besuki District, Tulungagung Regency. Scientific Journal of Science, 5(2), 34–40. https://doi.org/10.53599/jip.v5i2.178
Nur, L., & Mugi, H. (2021). A Review of the Literature Regarding Stress in Organizations. Journal of Management Science, 18(1), 20–30. https://journal.uny.ac.id/index.php/jim/article/view/39339/15281
Pondaang, M. F., & Januar Dwi Christy. (2023). Overview of the Level of Knowledge of Adolescent Women About Personal Hygiene and the Incidence of Vaginal Discharge. WOMB Midwifery Journal, 2(1), 11–15. https://doi.org/10.54832/wombmidj.v2i1.120
Pramesta, D. K & Dewi, D. K. (2021). The Relationship Between Self-Efficacy and Academic Stress in Students at SMA X Dhea Karina Pramesta Damajanti Kusuma Dewi Abstract. Character: Journal of Psychological Research, 8(7), 23–33.
Putri, Arizki Amalia, Paramitha Amelia K, S. C. (2021). The Relationship between Personal Hygiene Behavior and the Incidence of Vaginal Discharge in Adolescent Women. Journal of Midwifery-ISSN, 7(1), 1–8.https://doi.org/10.21070/midwiferia.v
Yulfitria, F., & Primasari, N. (2019). Prevention of Pathological Vaginal Discharge in Jakarta Midwifery Students.
Zougira, N., & Shintya, L. A. (2024). The Relationship between Vaginal Hygiene Behavior and the Incidence of Leukorrhea in Adolescents. Nutrix Journal, 8(1), 125. https://doi.org/10.37771/nj.v8i1.1108
Copyright (c) 2026 Nur Suci Ainniyah Thayib, Zuhriana K. Yusuf, Siti Hajar Salawali
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
