International Conference of Public Health
Fakultas Ilmu Kesehatan Universitas Teuku Umar
Determinants of Adolescent Hypertension: Dietary Pattern and Gender Diffrences in Urban
Hypertension in adolescents is a global concern because it has the potential to continue into adulthood and increase the risk of cardiovascular disease. Lifestyle changes and consumption patterns high in sugar, salt, fat, and ultra-processed foods (UPF) contribute to increased blood pressure at a young age. This study aims to analyze the relationship between gender, nutritional status, and dietary patterns with blood pressure status among secondary school adolescents in urban areas of Indonesia. An analytical observational study with a cross-sectional design was conducted on 167 students aged 15–18 years. Data were collected through a Food Frequency Questionnaire (FFQ), anthropometric measurements, and blood pressure measurements. Analysis was performed using the Chi-square test with a significance level of p < 0.05. The Results of this research showed that The prevalence of hypertension was 14.4% and overweight was 13.2%. Only gender was significantly associated with blood pressure (p = 0.021), with a higher proportion of hypertension in males (20.7%) than females (8.2%). No significant association was found between consumption patterns (sweet foods, salt, fat, UPF, sweetened beverages) and blood pressure (p > 0.05). The Conclusion is that hypertension among adolescents is high and more prevalent in males. Although dietary patterns did not show a significant association, the high prevalence of UPF and sweetened beverage consumption indicates the need for nutritional interventions and early blood pressure screening in schools to prevent hypertension from an early age.
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Nutrition, Growth Biomarkers, And Social Inequities In Childhood Stunting: A Systematic Review And Meta-Analysis Of 175 Studies (2003–2025)
Stunting remains one of the most persistent global challenges affecting children under five, driven by complex interactions involving nutritional inadequacy, suppressed endocrine function, environmental enteric dysfunction, recurrent infections, and entrenched socioeconomic disparities. Although numerous studies have examined individual determinants, no prior comprehensive meta-analysis has synthesized evidence across nutritional, biological, and social domains simultaneously. This systematic review and meta-analysis aimed to integrate findings from diverse contexts to clarify the magnitude and pathways through which nutrition, growth biomarkers, inflammatory processes, and structural determinants influence stunting. Following PRISMA-2020 guidelines, a systematic search was conducted across six major databases. A total of 3,150 records were identified, and 2,975 were screened after deduplication. Of the 420 full-text articles assessed, 175 met eligibility criteria and were included in the qualitative synthesis, while 120 provided sufficient data for quantitative meta-analysis. Eligible studies included observational designs, randomized trials, quasi-experiments, and biomarker analyses conducted among children aged 0–59 months. Data extraction encompassed anthropometric outcomes; nutritional exposures; endocrine markers such as IGF-1, IGFBP-3, and alkaline phosphatase; inflammatory and EED biomarkers; and social or environmental determinants. Across the included evidence, consistent patterns emerged. Higher dietary quality particularly animal-source foods and micronutrient-dense complementary feeding was positively associated with linear growth. Biomarker studies demonstrated that children with stunting consistently exhibited lower IGF-1 and related anabolic markers, supporting a central role of GH–IGF-1 axis suppression in chronic growth impairment. Elevated inflammatory and EED markers were also associated with reduced height-for-age, indicating the importance of subclinical gut dysfunction and infection-related growth inhibition. Social determinants, including low maternal education, household food insecurity, inadequate WASH conditions, and environmental contaminant exposure, independently contributed to stunting across multiple settings. Meta-regression indicated that socioeconomic context, infection burden, and assay variability moderated effect sizes. In conclusion, stunting reflects a multisystem condition shaped by intertwined nutritional, hormonal, inflammatory, and structural factors. These findings underscore the importance of integrating endocrine biomarkers—particularly IGF-1—into growth monitoring, while emphasizing the need for coordinated multisectoral interventions to accelerate reductions in global stunting.
Mapping Socio-Cultural Factors and the Role of Traditional Institutions in Stunting Prevention through the Utilization of Secondary Data in West Aceh District
Stunting remains a complex and multidimensional public health problem in Indonesia, including in West Aceh District, where prevalence rates remain high despite various intervention programs. Socio-cultural factors, local wisdom, and the role of traditional institutions significantly influence community behavior toward stunting prevention. Utilizing secondary data provides a strategic approach to mapping the relationship between socio-cultural dimensions and the role of customary institutions, particularly within the local wisdom context of West Aceh, which is characterized by strong community-based and religious social systems. This study aims to map socio-cultural factors and the role of traditional institutions in stunting prevention in West Aceh District by utilizing secondary data from official sources. This research employed a descriptive–analytic design using secondary data obtained from the Indonesian Nutrition Status Survey (SSGI), Indonesian Health Survey (SKI), West Aceh District Health Office reports, and local government documents related to stunting reduction programs. The analysis applied the Health Belief Model (HBM) framework to assess perceived susceptibility, benefits, barriers, and social support influencing stunting prevention behaviors, combined with spatial and thematic analysis to map socio-cultural variations and community wisdom across villages. Findings revealed that socio-cultural factors such as meuseuraya (mutual cooperation), religious values, and local dietary practices positively contribute to stunting prevention behaviors. Traditional institutions, including tuha peut, keuchik, and imum meunasah, act as educational agents and social mobilizers that enhance public compliance with healthy living practices and healthcare utilization. Nevertheless, variations were observed among villages in terms of participation levels and institutional effectiveness, particularly in rural areas less exposed to formal interventions. Secondary data analysis provides a comprehensive understanding of the interrelations between socio-cultural factors and the role of traditional institutions in stunting prevention in West Aceh. Strengthening the integration of the Health Belief Model framework with local wisdom is crucial for developing culturally responsive, participatory, and sustainable policies to accelerate stunting reduction.
Implementation Of The Occupational Safety And Health Management System (Smk3) In The Public Health Laboratory Of Teuku Umar University: A Qualitative Study
Occupational Safety and Health (OSH) is an important aspect in the management of public health laboratories due to the potential risks of biological, chemical, physical, and ergonomic hazards. This study aims to describe the implementation of OSH in the Public Health Laboratory of Teuku Umar University based on a literature review. This study uses a descriptive qualitative method with a literature study approach. Data were obtained from various sources, including regulations related to SMK3, reference books, laboratory safety guidelines, and relevant national and international journal articles. The data were analyzed descriptively by grouping the information into main themes related to SMK3 policies, implementation, and challenges in public health laboratories. The results of the study show that the implementation of SMK3 in public health laboratories includes the development of standard operating procedures, the provision of personal protective equipment, hazard risk management, and efforts to increase OSH awareness.
Education and Immunization Counseling as Efforts to Improve Public Health in Lamklat Village, Darussalam Subdistrict, Aceh Besar Regency
Immunization is an important measure in preventing infectious diseases, but coverage in Lamklat Village, Aceh Besar is still low due to limited access, low health literacy, and the prevalence of misinformation. This activity aims to increase community knowledge and participation through education and outreach. A door-to-door program was implemented using a participatory approach involving village midwives, posyandu cadres, community leaders, and students. Activities included cadre training, interactive counseling, child education, distribution of brochures/leaflets, home visits to 23 families with toddlers, and a quiz competition between villages. Evaluation was conducted through observation and informal interviews. A total of 235 participants were involved with a high participation rate (85–95%). Cadres were more confident in conveying information, children were enthusiastic about learning through games and songs, and parents actively asked questions about immunization schedules and hoaxes. Door-to-door education strengthened relationships with families and increased their commitment to completing their children's immunizations. Community-based health education using participatory methods has been proven to increase awareness and acceptance of immunization in Lamklat Village. Continuous collaboration between health workers, village officials, and the community is important to support the sustainable improvement of complete basic immunization coverage (IDL).
The Effect Of Therapeutic Group Therapy On The Quality Of Life Of The Elderly
Elderly (elderly) is someone who has reached the age of 60 years and over, which is characterized by a decline in anatomical and physiological health, both naturally and as a result of the disease they are suffering from. Quality of life is a description of an individual's perception of their position in life in society both in the context of culture and the value system in which they live and live, which is related to their life goals, hopes, standards and concerns which includes several aspects, namely aspects of physical, psychological and health. social relations of the elderly with the environment in daily life. The aim of this research is to determine the quality of life of the elderly with the effect of therapeutic therapy for elderly group. This research is Qualitative research with a population of 15 elderly people in UPTD Rumoh Sejahtera Geunaseh Sayang (RSGS) The sampling method is total sampling using the technique… with a total sample of 15 respondents . The data collection tool is WHOQOL-BREF which is carried out using guided interviews. The results of this study showed that elderly people had a moderate (86.7%), low (13.3%) quality of life. It is recommended that health workers continue to provide health promotions regarding the importance of improving the quality of life and health for the elderly.
Chemical –based Occupational safety risk analysis in the process of production and handling chemicals
Work safety in the chemical industry is the main concern given the high potential hazards caused by hazardous chemicals. This study aims to analyze the risk of chemical -based work safety that occurs during the production process and handling hazardous chemicals in the industrial environment. The construction industry refers to the industrial sector related to physical development such as buildings and infrastructure. The improvement strategy refers to the steps taken to improve and strengthen K3 awareness and implementation in the construction industry. In this study, various related literature has been analyzed to identify an increase strategy that can be applied in the context of the construction industry. Some of the strategies found include: effective K3 training and education, the application of strict K3 regulations and policies, the use of technology and innovation to improve work safety, the formation of a strong safety culture in the workplace, and collaboration between related partiesLike companies, workers, and government. It is hoped that the strategy to increase K3 awareness and implementation in the construction industry can make a significant contribution in maintaining health and safety. This study aims to identify hazards and evaluate risks in the environment Basic Chemical Laboratory at the Kalimantan Institute of Technology and provides risk control recommendations. This laboratory has an important role in student education in understanding the basic concepts of chemistry and developing practical skills. However, activities in the laboratory also bring potential hazards that can endanger the safety of students and staff. This research method using an observational and analytical approach. The observational approach is used to identify potential hazards, assess risks, and evaluate risks associated with these hazards. The results showed that there were a variety of hazards in the laboratory, including physical, chemical, biological, ergonomic hazards. Risk analysis shows that most danger has a high risk. Therefore, the recommendations for risk control are proposed, including changes in the regulation of work areas, the use of personal protective equipment, and tighter inspection procedures. This study provides an in-depth understanding of the dangers and risks in the basic chemical laboratory and concrete steps to improve safety in the environment. The implementation of this recommendation is expected to reduce the risk of work accidents and create a safer and better work environment for all those involved in the learning and research process in the basic chemical laboratory
IDENTIFICATION OF CHEMICAL AND PHYSICAL HAZARDS IN THE WORKPLACE
Occupational safety and health (OSH) is an important aspect in ensuring the protection of workers from hazards that may arise in the work environment. One of the dominant factors that have the potential to cause accidents and occupational diseases is exposure to physical and chemical hazards. This research/study aims to identify the types of physical and chemical hazards in the work environment and assess their potential risks to worker health and safety. The methods used include field inspections (walkthrough surveys), document studies such as Material Safety Data Sheets (MSDS), Job Safety Analysis (JSA), Hazard Identification, Risk Assessment, and Risk Control (HIRARC), as well as workplace measurements using noise, dust, gas, lighting, and radiation detection devices. The results of the identification show that common chemical hazards include exposure to toxic, corrosive, and flammable materials, as well as industrial dust, while physical hazards include noise, vibration, extreme temperatures, radiation, and inadequate lighting. Exposure to these hazards has the potential to cause acute and chronic health problems, such as dust-related lung disease, chemical poisoning, noise-induced hearing loss, heat stress, and the risk of workplace accidents. And then, systematic hazard identification is an important first step in implementing an OSH program, so that risk control can be carried out according to the hierarchy of controls, starting from elimination, substitution, engineering controls, administrative controls, to the use of personal protective equipment (PPE)
Use of Personal Protective Equipment (Ppe) Based on Physical Principles to Reduce Injuries in the Workplace
Work safety is an important aspect in every industrial activity. One of the main efforts to reduce the risk of injury is through the use of personal protective equipment (APD). The working principle of the APD is inseparable from the application of physics concepts, such as energy absorption, heat insulation, electrical insulation, and pressure distribution. Safety helmets, for example, are designed to absorb and spread the impact energy thereby reducing the force received by the head. The isolator gloves function to prevent electricity to the worker's body, while safety shoes are able to withstand mechanical pressure and protect from heavy objects. Research and literature study show that compliance with the use of PPE significantly decreases the number of work accidents. However, the effectiveness of the PPE is also influenced by comfort, material suitability, and supervision factors in the workplace. By understanding the principles of physics behind the design of the PPE, workers can be more aware of the importance of their use, while companies can ensure the quality and availability of PPE according to standards. Thus, the application of PPE based on physics principles is an effective preventive strategy in creating a safe and productive work environment.Work safety is an important aspect in every industrial activity. One of the main efforts to reduce the risk of injury is through the use of personal protective equipment (APD). The working principle of the APD is inseparable from the application of physics concepts, such as energy absorption, heat insulation, electrical insulation, and pressure distribution. Safety helmets, for example, are designed to absorb and spread the impact energy thereby reducing the force received by the head. The isolator gloves function to prevent electricity to the worker's body, while safety shoes are able to withstand mechanical pressure and protect from heavy objects. Research and literature study show that compliance with the use of PPE significantly decreases the number of work accidents. However, the effectiveness of the PPE is also influenced by comfort, material suitability, and supervision factors in the workplace. By understanding the principles of physics behind the design of the PPE, workers can be more aware of the importance of their use, while companies can ensure the quality and availability of PPE according to standards. Thus, the application of PPE based on physics principles is an effective preventive strategy in creating a safe and productive work environment.
ANALYSIS OF CHEMICAL RISK IN THE WORKPLACE THROUGH A CASE STUDY IN THE MANUFACTURING INDUSTRY
The manufacturing industry is an industry that processes raw materials into semi-finished or finished products. The production process and work activities in the manufacturing industry have risks of hazards that have the potential to cause workplace accidents. In Indonesia, the manufacturing industry has a high contribution to workplace accidents along with construction, amounting to 63.6% recorded in 2020. Work accidents can occur, among other things, due to poor implementation of occupational safety and health risk management in companies. This study aims to analyze and provide an overview of hazard identification, risk assessment, and risk control in the manufacturing industry in Indonesia. This study is a literature review where the data source is obtained from "Google Scholar" in the form of published journals. Research data on occupational safety and health risk management in the manufacturing industry in Indonesia from 2015-2020 with keywords hazard identification, risk assessment, and manufacturing industry. After the selection process, 26 journals were obtained. From this literature review, the most frequently identified hazards are physical hazards such as being hit by a press machine, being hit by a grinding machine, being caught by a production machine, etc. In the risk assessment, the most frequently appearing risk levels are medium & high. In risk control, the most widely used is administrative control such as creating standard operating procedures, providing guidance in operations, etc. In the manufacturing industry in Indonesia, the most frequently identified hazards are physical hazards, the level of risk that often appears is at the medium & high level and the risk control that is widely used is administrative control.
EVALUATION OF CHEMICAL AND PHYSICAL HAZARDS IN CHEMISTRY LABS: EFFORTS TO IMPROVE K3
Occupational safety and health are important in carrying out an activity, especially in the use of chemicals and laboratory operations which basically contain high risks. Although there is a policy in place, it cannot guarantee laboratory users to comply with the K3 procedure. To evaluate the existing hazards and improve occupational safety and health (K3) in the laboratory, we use several.The methods used follow a systematic Occupational Safety and Health (K3) approach that begins with hazard identification to recognize potential chemical, physical, and equipment-related dangers, followed by risk assessment to evaluate the likelihood and impact of those hazards. Based on this, safe work procedures are established to guide proper laboratory practices, supported by continuous training to ensure users understand safety measures. The application of PPE is enforced to minimize exposure to risks, while regular The methods used follow a systematic Occupational Safety and Health (K3) approach that begins with hazard identification to recognize potential chemical, physical, and equipment-related dangers, followed by risk assessment to evaluate the likelihood and impact of those hazards. Based on this, safe work procedures are established to guide proper laboratory practices, supported by continuous training to ensure users understand safety measures. The application of PPE is enforced to minimize exposure to risks, while regular evaluation monitors the effectiveness of safety implementation. When incidents or near misses occur, in-depth analysis is conducted to determine root causes and prevent similar events, ensuring a safer and more effective laboratory work environment. monitors the effectiveness of safety implementation. When incidents or near misses occur, in-depth analysis is conducted to determine root causes and prevent similar events, ensuring a safer and more effective laboratory work environment. With an understanding of the dangers of chemicals and physics to laboratory users in an organized manner, it will be possible to create an effective laboratory workspace. Therefore, the improvement of K3 needs to be focused on regular education and training, storage of chemicals according to standards, correct waste handling, and the implementation of periodic audits and inspections. The awareness and discipline of laboratory users play an important role in creating a safe and accident-free work environment.
Implementation of a Chemistry and Physics-Based Occupational Health and Safety Management System in Industry
Modern industries, particularly process sectors such as chemical, petrochemical, manufacturing, and oil and gas, face complex challenges in managing occupational safety and health (OHS) hazards stemming from the intrinsic properties of chemical materials and physical energy. Implementing an effective Occupational Safety and Health (OHS) management system is essential to prevent accidents, occupational diseases, and incidents. This literature review aims to synthesize findings from various studies on the implementation of an Occupational Safety and Health (OHS) management system with a particular focus on integrating chemical and physical hazard control. This represents an evolution from a reactive safety approach (which only responds to incidents) to a scientific, systematic, and preventive approach. By understanding the fundamental nature of hazards through chemistry and physics, industries can not only comply with regulations but also create a sustainable safety culture, protecting people, assets, the environment, and the business's reputation. Implementation of this system delivers tangible results in three aspects: Safety: The number of accidents and occupational diseases decreases dramatically; Operations: Productivity increases, incident costs decrease, and company assets are protected; and Reputation: The company's image improves, compliance with all laws and regulations becomes a competitive advantage. In conclusion, the implementation of a chemistry and physics-based OHSMS is not just a compliance cost, but an investment that provides real returns in the form of a protected workforce, efficient operations, a strong reputation, and sustainable financial returns.
Occupational Health and Safety Management
RISK CONTROL OF EXPOSURE TO HAZARDOUS CHEMICALS IN THE WORKPLACE
Exposure to hazardous chemicals in the workplace can occur through routes such as inhalation, skin contact, and accidental ingestion. Some of these chemicals, such as organic solvents, heavy metals, and workplace chemicals, have been shown to be associated with serious health risks, including respiratory and nervous system disorders, and cancer. Exposure to hazardous chemicals in the workplace can pose acute and chronic health risks, as well as impact occupational safety and the environment. Risk control efforts are crucial to minimize potential hazards through the application of the hierarchy of control principle, starting from elimination, substitution, engineering, administration, and the use of personal protective equipment (PPE). This article discusses the forms of risk due to exposure to hazardous chemicals, effective control strategies, and the importance of implementing an OHS (Occupational Safety and Health) program in preventing work-related illnesses. The results of the discussion indicate that risk control must be carried out comprehensively and continuously by involving management, workers, and a health monitoring system.
Blood Lead Levels and Disturbances of Liver Function of Pregnant Woman In Grinting Bulakamba Sub District Brebes District.
Lead is a highly toxic metal and can affect every organ and system in the human body. The tugs that enter into the body will be distributed into the blood and 95% of lead in the blood is bound by red blood cells only 5% in the blood plasma. The use of lead in large or repeated quantities and will be stored cumulatively on the liver. This is because About 90% of lead gets into the blood circulation, 25% is deposited in the liver. The result of the research on the workers in lead smelting was found there is significant correlation of Pb level in blood with the disruption of liver function. The purpose of the research wanted to know the disruption of liver function and analyze the blood lead level in pregnant women group in Grinting, Bulakamba Sub-district of Brebes district. This research uses observational analytic method with cross-sectional design with 49 respondents. The test result showed that all respondents had lead level (Pb) above NAB 5 μg / dL with mean ± SD: 19,74 ± 9,214, median 19,70, minimum 6,33 and maximum 36,60. Although all respondents with Pb levels exceeded NAB but SGOT levels and SGPT levels pregnant women in agricultural areas showed normal results. By using cut off point median value (19,70) respondents with Lead (Pb) level in "high blood" equal to (51%). The results of the correlation test and test of different levels of lead (Pb) "high" and "low" on SGOT and SGPT levels showed no significant relationship. all respondents had Pb levels exceeding NAB 5 μg / dLL; there was no relationship and difference between lead level (Pb) in blood with examination of SGOT and SGPT levels.
GEMBIRA: A Community-Based Intervention to Improve Complete Basic Immunization Coverage in Lamteh Village, Aceh, Indonesia
Basic immunization coverage in Indonesia still faces significant challenges due to mothers’ limited knowledge, concerns about potential side effects, and doubts regarding the halal status of vaccines. To address these barriers, the GEMBIRA program (Gerakan Imunisasi Bersama Ibu Ceria) was implemented as a community-based intervention in Lamteh Village, Peukan Bada District, Aceh Province. This activity aimed to enhance mothers’ knowledge and motivation through health education delivered in an interactive and cheerful manner. The program was conducted on July 23, 2025, at the Balai Ikrar Lamteh, involving 15 mothers of children under five. The activities included coordination with village health cadres, presentation of educational materials using posters and videos, group discussions, role-playing sessions, and a simple quiz as an evaluation tool.
Effectiveness of School-Based Online Game Prevention among Students of SMPN 1 Kuala Nagan Raya
Behavior playing online games is threat the biggest for health society . Online games on junior high school students , such as Mobile Legends, Free Fire, and PUBG are very popular However risky trigger addiction , decline performance academic , disturbance mental health ( anxiety , aggressiveness ), and problem physical ( pattern Sleep disturbed ). Behavior playing online games no only impact bad for health , but rather Also on aspect social And academic . The Aceh government has do efforts to make this online game the more controlled , including with issued rule from Assembly Deliberation Aceh Ulema (MPU) regarding prohibition playing online games in fatwa number 3 of 2019 concerning law playing PUBG games and The like is forbidden according to Islamic jurisprudence which has established , however , the phenomenon play this online game the more increased . The purpose of this study is to know effectiveness prevention online game addiction school on Students of SMPN 1 Kuala Nagan Raya . Research This use quasi- experimental method with pre test – post test with control group non equivalent design. Intervention given every day for 2 weeks on students at SMPN 1 Kuala Nagan Raya. Amount sample in study This namely 78 students For each group . Data analysis conducted in the form of analysis descriptive And inferential . From the results study obtained results that Of the 156 respondents , identified that as much as 82.7 % active play online games with location at school , room And in place general . Cultural video approach A ceh based school proven effective in increase knowledge to prevention of online games but not effective in increase attitude to prevention of online games based on school on Students of Kuala Nagan Raya 1 Middle School
Results of Occupational Safety and Health Implementation Analysis using the HIRADC Method (Hazard Identification, Risk Assessment and Determining Control) in the Plant and project Area : Literature Review
In Indonesia, workplace accidents remain a serious problem, especially in industrial sectors and projects with high potential hazards. To reduce risks, companies must implement Occupational Safety and Health (OSH) programs. One way to do this is by using the Hazard Identification, Risk Assessment, and Determining Control (HIRADC) method. This systematic method is used to identify potential hazards, assess risk levels, and determine appropriate control measures in accordance with the risk control hierarchy. The purpose of this study is to evaluate the application of the HIRADC method through a literature review focused on its implementation in facilities and projects. In this study, a literature review method was used to examine national journals published in 2021–2022, with specific keywords related to the application of HIRADC. From the search results, three journals were found that met the research criteria. Every aspect of hazard classification, risk assessment, and risk control approaches mentioned in each study was evaluated. The results showed that physical and chemical hazards were the most common, followed by ergonomic hazards and biological hazards, which were less common. All three journals emphasized the importance of using personal protective equipment (PPE), administrative controls, and engineering controls in risk control. In addition, two of the three studies noted the use of substitution and elimination, although not always used. In general, most risks fall into the moderate to substantial category; however, by using appropriate control techniques, these risks can be reduced to a lower level. HIRADC has proven useful for improving work safety, reducing accident rates, and supporting the implementation of a K3 culture in industrial and project environments. However, this success can only be achieved through continuous monitoring, regular safety audits, and ongoing worker training programs. Therefore, implementing HIRADC is not just an administrative task but also an important part of efforts to create a safe, healthy, and productive work environment
Global Research Landscape and Knowledge Evolution on Diabetes Burnout: A Bibliometric Analysis (2015 – September 2025)
Diabetes burnout, characterized by emotional exhaustion and disengagement from self-management, has emerged as a critical psychosocial issue among people with diabetes. Diabetes burnout differs from depression or diabetes distress. Diabetes burnout is primarily marked by emotional exhaustion and disengagement from self-care behaviors. This study aims to systematically map the global research landscape on diabetes burnout and identify emerging research frontiers and knowledge structures within the field. A bibliometric analysis was conducted using the Scopus database, covering publications from January 2015 to September 2025. Bibliometric indicators, including publication trends, authorship patterns, co-citation networks, and keyword co-occurrences, were analyzed using VOSviewer. Thematic evolution and knowledge clusters were further explored to trace conceptual development and interdisciplinary linkages. A total of 860 publications were identified, revealing a substantial increase in annual research output on diabetes burnout over the past decade. Three dominant clusters emerged from the analysis: the psychological and behavioral dimension (red cluster), the clinical and biomedical focus encompassing insulin, glycemic control, hemoglobin A1c, and blood glucose monitoring (green cluster), and the self-care and social support aspects (blue cluster). This bibliometric mapping highlights the multidisciplinary evolution of diabetes burnout research by analyzing key bibliometric indicators such as total link strength, citation metrics, and co-authorship networks. Emerging trends underscore the growing emphasis on digital health interventions, resilience-based programs, and community-driven approaches to mitigate diabetes burnout.
DEPRESSION AND THE RISK OF DIABETES MELLITUS AMONG ADULTS: A CROSS-SECTIONALPERSPECTIVE
Background: The bidirectional relationship between depression and type 2 diabetes mellitus (T2DM) has been widely reported, with depression increasing the risk of diabetes through biological and behavioral mechanisms. However, evidence remains heterogeneous across study designs and populations. Narrative reviews provide flexibility in synthesizing recent evidence but carry risks of selection bias. Complementary simulated data may help illustrate patterns where empirical datasets are unavailable. Objective: This study aimed to explore the association between depression and T2DM by synthesizing evidence from recent cross-sectional studies and analyzing a simulated dataset to demonstrate potential patterns of prevalence and metabolic outcomes. Methods: A narrative review was conducted using studies published between 2019 and 2024. Five key studies were identified that examined depression as a risk factor for T2DM. Adjusted odds ratios (AORs) ranged from 1.79 to 2.44, indicating a consistent association across diverse populations. In addition, a simulated cross-sectional dataset of 1,000 adults was generated, including variables for depression, diabetes status, fasting glucose, and HbA1c levels. Descriptive statistics and subgroup analyses were applied. Results: Evidence from the five reviewed studies confirmed that depression significantly increases the risk of T2DM, with AORs consistently above 1.7. In the simulated dataset, diabetes prevalence was 44.1% among depressed individuals compared to 30.5% among non-depressed participants. Average HbA1c and fasting glucose levels were higher in the depressed group, indicating poorer blood sugar control. This supports previous research showing that depression can worsen metabolic problems. Conclusion: depression is an important factor influencing the risk of type 2 diabetes and blood sugar management outcomes. Mechanisms may involve hypothalamic pituitary adrenal (HPA) axis dysregulation, chronic inflammation, and unhealthy lifestyle behaviors. While simulated findings illustrate plausible patterns, they cannot be generalized. Future research should use larger datasets, control for confounders, and apply longitudinal designs to clarify causal links.
Optimization of the Integrated Nutrition Program to Reduce the Prevalence of Wasting in Toddlers in Indonesia (Literatur Review)
Wasting in toddlers remains a serious public health problem in Indonesia, with a prevalence of 7.4% in 2024, which is still above the threshold of public health significance according to the WHO. This condition has an impact on morbidity, mortality, growth, and long-term productivity. This study aims to analyze the optimalization strategy of integrated nutrition programs in reducing the prevalence of wasting through a synthesis of international literature (2018–2025) and local studies in Indonesia. The method used is a systematic literature review of scientific articles, government reports, and policy documents that meet the inclusion criteria, which are then analyzed narratively. The results show that the determinants of wasting include low energy and fat intake, unbalanced consumption patterns, socioeconomic conditions, maternal nutrition knowledge, and access to health and sanitation services. Specific nutrition interventions such as lipid-based nutrient supplements and fortified blended foods have been proven effective in reducing wasting, while nutrition-sensitive interventions that include sanitation improvements, family empowerment, and local food security strengthen the impact. The implementation of the Integrated Management of Acute Malnutrition approach in Indonesia is considered strategic but still faces limitations in service distribution, human resources, and funding. This study emphasizes that optimizing evidence-based, multisectoral, and locally adaptive integrated nutrition programs is key to reducing the prevalence of wasting and supporting the achievement of the SDGs.
The Nias Community’s Perception of Educational Marginalization in Siopat-Opat Neighborhood in 2025
Marginalization in Indonesia remains a complex issue, particularly affecting women who often face limitations in accessing education. This phenomenon occurs within the Nias community in Tapian Nauli Village, Neighborhood III Siopat-opat, reflecting the marginalization of women, especially in education. This study aims to explore the perceptions of the Nias community regarding the educational marginalization of women in Neighborhood III Siopat-opat. This study aims to explore the perceptions of the Nias community regarding the educational marginalization of women in Neighborhood III Siopat-opat. This study used a phenomenological qualitative approach involving five informants selected through purposive sampling, consisting of neighborhood heads, traditional leaders, and community members. Data were collected through in-depth interviews and field observations with neighborhood heads, traditional leaders, and community members, as well as field observations. Data analysis was conducted thematically to identify patterns and meanings in the community's perceptions of the marginalization of women's education. The results of the study show that the marginalization of women's education is influenced by economic factors, limited access to schools, and the persistence of patriarchal culture. However, there are signs of a shift in public opinion towards supporting educational equality between men and women. The marginalization of women's education still occurs, but there is potential for social change through the role of the government and traditional leaders in promoting more inclusive education based on the local context.
The Impact of Obesity, Smoking, Family History, and Hirsutism on Polycystic Ovarian Syndrome (PCOS) in Women of Reproductive Age: A Meta-Analysis
Polycystic ovarian syndrome (PCOS) is one of the most prevalent endocrine disorders among women of reproductive age. According to WHO (2023), PCOS affects approximately 8–13% of women of reproductive age. Several studies have reported that lifestyle, hormonal, and genetic factors are among the risk factors for PCOS. This study aimed to analyze and estimate the impact of obesity, smoking, family history, and hirsutism on the incidence of PCOS among women of reproductive age. This meta-analysis was conducted based on the PICO model. The population was women of reproductive age. The exposures included obesity, smoking, family history, and hirsutism, with comparison groups of normal weight, non-smoking, no family history, and no hirsutism. The outcome was PCOS. The databases used were Google Scholar, PubMed, BMC, ScienceDirect, and Springer Link. The keywords used were ("determinant" OR "risk factor") AND "obesity" AND "smoking" AND "family history" AND "hirsutism" AND ("PCOS" OR "polycystic ovarian syndrome") AND "cross-sectional" AND ("multivariate" OR "odds ratio"). The inclusion criteria were full-text articles with an observational study design, reported adjusted odds ratios (aORs), and were published between 2017 and 2025. Data analysis was performed using Review Manager 5.3. This meta-analysis included 14 cross-sectional studies conducted in China, Australia, Pakistan, Saudi Arabia, India, Indonesia, the United States, Kuwait, Bangladesh, and Jordan, with a total sample size of 17,136 women of reproductive age. Obesity (aOR=2.01; 95% CI: 1.22–3.33; p<0.001), family history (aOR=3.05; 95% CI: 2.09–4.44; p<0.001), and hirsutism (aOR=2.19; 95% CI: 1.54–3.11; p<0.001) were significantly associated with an increased risk of PCOS. The association between smoking and PCOS was not statistically significant (aOR=1.10; 95% CI: 0.91–1.73; p=0.31). In conclusion, obesity, family history, and hirsutism were significantly associated with an increased risk of PCOS among women of reproductive age.
The Effectiveness of Community-Based Total Sanitation Triggers in Preventing Environment-Based Diseases in Lampisang Village, Aceh Besar District
Community-Based Total Sanitation (CBTS), which consists of five pillars, is one of the government programs aimed at preventing the emergence of environment-based diseases. However, the implementation of CBTS is still quite low, especially in Aceh Province, with an achievement of only 75.9%, which is below the national target. The purpose of this study was to carry out CBTS triggering activities and measure the effectiveness of extension-based triggering activities as a key measure for preventing environment-based diseases in Lampisang Village, Aceh Besar District. The research method used was a pre-experimental design with a One-Group Pretest-Posttest Design. The study was conducted in July 2025 in Lampisang Village, which is part of the working area of the Sukamakmur Community Health Center in Aceh Besar District. The research population consisted of 30 people from Lampisang Village. The research variable was the community's knowledge before and after the triggering intervention in the form of education. Data analysis was performed using the Paired T-test. The results of the analysis of the research variable using the Paired T-test showed a sig value of 0.000 < 0.05 α with a mean of -30.6. The analysis results showed that the triggering action in the form of education was proven to be effective in increasing community knowledge related to CBTS and showed a significant increase in the mean value of 30.6 points from the pre-test and post-test values. The implementation of CBTS triggering activities in the form of health education in the context of preventing environment-based diseases in the community in Lampisang Village, Aceh Besar Regency, has proven to be effective in increasing community knowledge related to CBTS and its implementation. This activity has proven to be effective in increasing community knowledge by >30%
Mapping the Divide: A VOSviewer Analysis of Four Decades of Maternal Mortality Research and the Search for Causal Novelty
This study investigates the global evolution and distribution of maternal mortality research, identifying key thematic trends and gaps from 1983 to 2027. Using a bibliometric analysis of 994 publications from the Scopus Database and employing VOSviewer software, we mapped the research landscape by analyzing keyword co-occurrence and publication year trends. Results show that research intensity is heavily concentrated around the clinical and demographic core, featuring terms like "maternal mortality," "pregnancy," and "infant mortality," predominantly studied in the context of "developing countries." The temporal analysis revealed that research volume sharply increased in response to global initiatives (e.g., a spike around 1992 following the Safe Motherhood Initiative) and recent crises (a peak in 2023 driven by SDG pressure and the COVID-19 pandemic). The thematic analysis highlights a critical, emerging interest in "health policy" and "health disparity," yet these crucial policy and equity themes exhibit a low density of literature compared to the core clinical topics. In conclusion, while the research agenda is now focused on the systemic roots of maternal death (indirect determinants), there remains a significant gap between the recognition of policy failures and the volume of sustained, implementation-focused research required to address deeply entrenched health inequities.
Implementation of Occupational Health and Safety Using the Hiradc Method (Hazard Identification, Risk Assessment, and Determining Control) In Mining Areas: Literature Review
The mining industry is one of the sectors with a high risk of occupational accidents due to the use of heavy equipment, unstable road conditions, and extreme working environments. This study employed a literature review method by examining three published journals that discussed the application of the HIRADC method (Hazard Identification, Risk Assessment, and Determining Control) in mining activities. The objective of this research is to analyze hazards and risks using the HIRADC method, which includes hazard identification, risk assessment, and risk control in mining areas. The purpose of this method is to reduce occupational accident risks in mining areas. A systematic review approach was used to examine relevant articles on occupational safety in the mining sector, with a particular focus on the implementation of the HIRADC method. Three studies were identified and then screened based on their titles, abstracts, and relevant content. The findings show that the most frequently identified hazards were physical hazards such as noise, vibration, dust, slippery roads, equipment collisions, and fall risks from height, along with chemical, biological, and ergonomic/unsafe act hazards. Risk assessments indicated that medium- and high-risk categories were the most dominant due to the relatively high probability of occurrence and severe impacts on both workers and equipment. Risk controls were mostly implemented through administrative measures and the use of personal protective equipment (PPE), while elimination and substitution were rarely applied, although some studies have started to move toward these strategies. Overall, the review emphasizes the importance of a comprehensive application of the hierarchy of controls to reduce occupational accident rates in mining areas.
Knowledge and Personal Hygiene Practices during Menstruation among Adolescent Girls: A Study at Private High School in Bandung
Women with poor personal hygiene behaviors tend to perceive genital cleanliness as unimportant. This condition may lead to reproductive health problems. This study adopting a cross-sectional research design, using a valid and reliable questionnaire. The number of respondents was 60 students in grade 3, only for female students at Private Senior High Schools in Bandung city. This research method used an analytic descriptive design, using a cross-sectional design which is a research design by measuring or observing at the same time between the risk factors or exposure of the independent variable and the effect or dependent variable. Sample was drawn from 625 total population as many as 60 students who had menstruation experienced. The results show that as many as 71.1% students had good knowledge about personal hygiene, and 66.7% had good behavior. There is significant relationship between knowledge and behavior in maintaining female genital. The higher the level of knowledge, the better the students’ behavior in practicing personal hygiene, particularly regarding female genital organs. The recommendation for the school, based on this study, is to provide guidance and education on personal hygiene of the genital organs during menstruation. Education for students can be delivered through educational videos, simulations, or by university students based on the findings of this research.
Child Immunization Education through Community Service Program in Umong Seuribee Village, Aceh Besar District
Parental knowledge is a crucial factor influencing compliance with child immunization. The Field Learning Practice (PBL) conducted in Umong Seuribee Village, Aceh Besar District, aimed to identify problems and provide interventions through an educational approach. Out of a total of 47 children under five in the village, 40 had received immunizations, although some were incomplete, while 7 had not received any immunization records at all. Door-to-door visits were carried out for 20 children who rarely attended the posyandu (integrated health post) and had not completed their immunizations, providing counseling, checking maternal and child health books (KIA), and encouraging catch-up immunization. The findings revealed issues such as inadequate record-keeping in KIA books and low involvement of husbands in supporting immunization. However, the interventions succeeded in increasing posyandu attendance from 29 children in July to 34 children in August and fostered greater willingness among the community to complete delayed immunizations. These results indicate that improving parental knowledge is closely related to immunization compliance, highlighting the need for continuous efforts through counseling, strengthening health cadres, adjusting posyandu schedules, and optimizing catch-up immunization services.
Counseling of Complete Basic Immunization Coverage in Agricultural Communities in Tuwi Kareung Village, Pasie Raya Sub-District, Aceh Jaya District
The coverage of complete basic immunization in Aceh is still low, including in Tuwi Kareung Village, Pasie Raya Sub-district, Aceh Jaya District, although some mothers are aware of the benefits of immunization. Problems that arise are limited permission from husbands, family influence, and low environmental support. To answer this, counseling was conducted at the posyandu and door to door visits to 19 mothers of infants using lecture, discussion, leaflet distribution, and evaluation through pretest and posttest. The results showed an increase in knowledge, with the good category increasing from 16% to 58%, the moderate category decreasing from 58% to 37%, and the low category decreasing from 26% to 5%. Thus, counseling is proven to be able to improve maternal understanding, although family involvement is needed so that complete basic immunization coverage in the village can increase more optimally.
Community-Based Educational Intervention to Increase Knowledge of Complete Basic Immunization in Mothers of Toddlers in Cot Karieng
The problem of incomplete basic immunization coverage among toddlers remains a public health challenge in several regions, including Cot Karieng Village. One of the main contributing factors is the low level of knowledge among mothers regarding the importance, benefits, and schedule of complete basic immunization. Insufficient knowledge can lead to delays or refusal of immunization, increasing the risk of vaccine-preventable diseases in children. This community service activity aimed to increase the knowledge of mothers of toddlers through a community-based educational intervention on complete basic immunization. The intervention was conducted using interactive lectures, group discussions, and participatory educational methods involving Posyandu cadres and village stakeholders. The activity took place in Cot Karieng Village and involved mothers who had toddlers as participants. The results showed an increase in mothers’ understanding of complete basic immunization, including immunization schedules, benefits, and the risks of incomplete immunization. Participants demonstrated active involvement and were able to correctly restate the information provided after the intervention. This activity is expected to contribute to improving mothers’ knowledge and to support sustainable efforts to increase complete basic immunization coverage in Cot Karieng Village.
Effect of Health Counseling on Mother's Knowledge of Basic Childhood Immunization Programs
Low coverage of complete basic immunization in Lamkunyet Village, poses a public health concern that risks triggering outbreaks of vaccine-preventable diseases. This community service program aims to improve mothers' knowledge of the importance of complete basic immunization through door-to-door education and general health counseling. The activities were carried out from July 14 to August 5, 2025, beginning with field observations, door-to-door education and administration of a pre-test questionnaire, followed by general counseling sessions, and concluding with a second door-to-door visit to evaluate mothers' knowledge. The data were analyzed using the McNemar test, and results showed an increase in the proportion of mothers with good knowledge from 40.0% to 75.0% after the intervention, with a p-value of 0.016 (p < 0.05), indicating a significant difference. Community enthusiasm was reflected in active participation during question-and-answer sessions and the sharing of personal experiences. Barriers included a lack of accurate information, family influence, and negative perceptions regarding immunization. This intervention proved effective in improving mothers' understanding of immunization and is expected to contribute to increased immunization coverage in the area .