Promotif : Jurnal Kesehatan Masyarakat

Determinants of Behavior and Exclusive Breastfeeding: Logistic Regression Test On Babies Aged 7-12 Months

Sat, 27 Dec 2025 12:05:46 +0700

Introduction: Research purposes this for analyze knowledge, patterns of nurturing, and support families to exclusive breastfeeding.?

Methods: Types of research quantitative design cross-sectional, a population is a mother who has babies 7-12 months old as many as 90 respondents, and techniques taking a sample with simple random sampling. Data collection method with interview. Data was analyzed using a multivariate logistic regression test. Ethical permission for this research was obtained from the research and community service institute, Cirebon College of Health Sciences with number No.045/LP3M_STIKes Crbn/IV/2023.

Results: Research results show exists connection between knowledge (p-value 0.001), pattern foster (p-value 0.001), and support family (p-value 0.003) with exclusive breastfeeding.? Analysis multivariate obtained pattern foster as the most influential variable to exclusive breastfeeding (OR=9.357), meaning mother who has pattern foster not enough have risk more than 9 times big no give exclusive breast milk to the baby.

Conclusion: Public health centers are expected to increase efforts promotion of health. Should mothers increase attention and time for babies. For working mothers,? It's best to regularly pump breast milk at home or the office. Mothers increase awareness of will importance look after healthy babies by providing exclusive breastfeeding.

Analyzing the Factors Affecting Adolescents' Ability to Provide First Aid for Burns at SMP Muhammadiyah 8 Surakarta

Sat, 27 Dec 2025 14:07:56 +0700

Introduction: Burns are among the most common types of injuries that occur in daily life, whether at home, school, or in the surrounding environment. The mortality and morbidity rates due to burns in developing countries are estimated to be approximately 11.6 per 100,000 population. These injuries most frequently occur at home, school, or the workplace, with children and adolescents being the most vulnerable groups to burn injuries resulting from daily activities. Objective: This study aims to analyze the factors that most significantly influence adolescents’ ability to provide first aid for burns at Muhammadiyah 8 Junior High School Surakarta. Method: The research design employed was logistic regression. A total of 100 respondents were selected using a purposive sampling technique, and the data were analyzed using logistic regression tests. Results: The majority of respondents were aged 11–14 years (46%), with 54% having a junior high school education. A total of 70 respondents (70%) obtained information from social media or the internet, 44 respondents (47%) had good knowledge, and 73 respondents (73%) had previously experienced burn injuries. In addition, 42 respondents (42%) administered first aid using running water, and 66 respondents (66%) were capable of providing burn first aid. The logistic regression test results showed that the source of information produced a p-value of 0.035 with an OR of 1.929 and a 95% CI of 1.048–3.551, indicating that the source of information was the most influential factor on the ability to perform burn first aid. Conclusion: Adolescents’ ability to perform burn first aid is influenced by several factors, including age, educational level, sources of information, knowledge level, history of burn injuries, and frequency of first aid practices. Among these, the source of information was identified as the most important factor enhancing adolescents’ ability to provide burn first aid. Adolescents with access to reliable sources of information, such as materials developed by healthcare professionals, school modules, or formal education, are more likely to acquire the ability to administer burn first aid earlier compared to those without such access.

Effect of Diabetes Self-Management Education on Self-Care Management Among Patients with Type 2 Diabetes Mellitus in Gedangan

Endah Palupi, Eka Diah Kartiningrum, Arief fardiansyah, Revi Ekasetya Pratiwi — Mon, 12 Jan 2026 11:03:07 +0700

Introduction: Patients with diabetes mellitus continue to face difficulties in performing self-care management based on the information they receive. Diabetes Self-Management Education (DSME) can serve as a reference for health education programs to improve patients’ knowledge and self-care management skills. This study aimed to analyze the effect of DSME on self-care management among patients with type 2 diabetes mellitus.

Methods: This study employed a quasi-experimental two-group pre–posttest control design. The sample was 102 patients with type 2 diabetes mellitus selected using simple random sampling. The instrument utilized was the Diabetes Management Self-Efficacy Scale (DMSES). Data were analyzed using Wilcoxon test and multivariate ANOVA.

Results: The results of the multivariate analysis showed a p-value < 0.001, indicating that Diabetes Self-Management Education (DSME) had a significant effect on self-care management, including dietary patterns (R² = 0.313), physical activity (R² = 0.737), blood glucose monitoring (R² = 0.430), foot care (R² = 0.427), and medication adherence (R² = 0.349) among patients with type 2 diabetes mellitus. Physical activity demonstrated the most significant effect attributable to DSME.

Conclusion: Diabetes Self-Management Education (DSME) effectively improves self-care management in patients with type 2 diabetes mellitus, with the greatest impact on physical activity. These findings support DSME as an evidence-based strategy to promote independent self-care and as a standard operating protocol in Gedangan Community Health Center.

Community Perspectives on the Contributions of Village Officials, Health Cadres, and Mothers in Stunting Prevention: A Qualitative Study in Ngijo Village, Indonesia

Fri, 13 Feb 2026 23:10:34 +0700

Introduction: Stunting among children under five years old remains a critical public health issue in Indonesia, with long-term consequences for cognitive development, physical growth, and future productivity. Addressing this challenge requires strong community engagement, particularly in rural areas with limited access to health services. This study employed a qualitative design, using semi-structured interviews with village officials, nutrition officers, posyandu cadres, and mothers of children under five in Ngijo Village, Indonesia. Data were analyzed using thematic analysis following Braun and Clarke’s framework to explore stakeholder roles, implementation challenges, and expectations regarding stunting prevention and potential digital nutrition tools in Ngijo Village.

Methods: A qualitative design was employed through semi-structured interviews with village officials, nutrition officers, posyandu cadres, and mothers of children under the age of five.

Results: Thematic analysis was conducted to identify strategies, challenges, and expectations for digital nutrition applications. Findings revealed that prevention efforts included nutrition education, routine anthropometric monitoring, and supplementary feeding using local resources. Challenges involved limited digital literacy, resistance to counseling, and irregular posyandu cadre.

Conclusion: Mothers often accessed nutrition information via YouTube and TikTok, highlighting opportunities for user-friendly digital tools. Strengthening cadre training and integrating digital applications may enhance the sustainability and replication of stunting prevention in rural contexts.

Mindfulness Intervention and Nutrition Education for the Prevention of Diabetes Mellitus in Adolescents in Palu City

Fathurahmi F. Rum, Zhanaz Tasya — Fri, 13 Feb 2026 00:00:00 +0700

Introduction: Diabetes Mellitus (DM) is a growing public health problem, including among adolescents, due to unhealthy lifestyle changes and high levels of psychosocial stress. Preventing DM in adolescents requires a comprehensive approach that integrates nutritional knowledge, stress management, and mental health. This study aims to analyze the effectiveness of a combined intervention of mindfulness therapy and nutrition education on increasing knowledge, changing attitudes, reducing anxiety levels, and improving blood sugar levels in adolescents in Palu City.

Methods: This study used a quasi-experimental design with a pre-test and post-test control group approach. The sample consisted of 60 adolescents aged 15–19 years who were divided into a treatment group (n=30) and a control group (n=30). The treatment group received 8 weeks of mindfulness therapy intervention accompanied by nutrition education, while the control group did not receive mindfulness intervention. Data were collected using knowledge and attitude questionnaires, the Hamilton Rating Scale for Anxiety (HARS) instrument, and blood sugar level measurements. Data analysis was performed using the Wilcoxon test and paired t-test with a significance level of 0.05.

Results: Results: Based on the data distribution, the analysis was conducted using the Paired t-test (parametric) and the Wilcoxon test (non-parametric) at ?=0.05. Statistically, there was a significant increase in knowledge (33.3% to 96.6%) and positive attitude (6.7% to 53.3%), as well as a significant change in anxiety levels, namely a decrease in the severe category (33.3% to 10%) and an increase in the normal category (26.6% to 60%). In addition, the proportion of normal blood sugar levels increased from 56.6% to 76.6%, with all changes being statistically significant (p < 0.05).

Conclusion: The combined intervention of mindfulness therapy and nutrition education effectively improved knowledge and attitudes, reduced anxiety levels, and improved physiological parameters in adolescents in the prevention of diabetes mellitus. This integrative approach has the potential to become a holistic and sustainable strategy for the promotion and prevention of DM in school-based adolescents.