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  <title>DSpace Collection:</title>
  <link rel="alternate" href="http://localhost:8080/xmlui/handle/123456789/12109" />
  <subtitle />
  <id>http://localhost:8080/xmlui/handle/123456789/12109</id>
  <updated>2026-04-08T21:50:53Z</updated>
  <dc:date>2026-04-08T21:50:53Z</dc:date>
  <entry>
    <title>VERY LOW CALORIE DIETS AFFECT LONG TERM WEIGHT LOSS AND HEALTH OUTCOMES: A SYSTEMATIC REVIEW</title>
    <link rel="alternate" href="http://localhost:8080/xmlui/handle/123456789/12201" />
    <author>
      <name>Amara Putri, Sheila</name>
    </author>
    <author>
      <name>Yunita Arini, Shintia</name>
    </author>
    <author>
      <name>Raditya Atmaka, Dominikus</name>
    </author>
    <author>
      <name>Raihan Kusuma, Ardyanisa</name>
    </author>
    <author>
      <name>Firdaus Rahmawati, Anisah</name>
    </author>
    <author>
      <name>Arsya Vidianinggar Wijanarko, Mutiara</name>
    </author>
    <id>http://localhost:8080/xmlui/handle/123456789/12201</id>
    <updated>2025-07-18T04:13:57Z</updated>
    <published>2025-04-01T00:00:00Z</published>
    <summary type="text">Title: VERY LOW CALORIE DIETS AFFECT LONG TERM WEIGHT LOSS AND HEALTH OUTCOMES: A SYSTEMATIC REVIEW
Authors: Amara Putri, Sheila; Yunita Arini, Shintia; Raditya Atmaka, Dominikus; Raihan Kusuma, Ardyanisa; Firdaus Rahmawati, Anisah; Arsya Vidianinggar Wijanarko, Mutiara
Abstract: ABSTRACT&#xD;
Introduction: In Indonesia, obesity numbers increased from 10.5% in 2007 to 14.8% in 2013 and 21.8% in&#xD;
2018. Very low calorie diets (VLCD) are currently gaining popularity to reduce weight, but can lead to&#xD;
inadequate nutrition and potentially negative health consequences. This systematic review aims to evaluate&#xD;
VLCD effect on weight loss and overall health outcomes. Method: Data were sourced from research journal&#xD;
articles in databases like Crossref, PubMed, Google Scholar, and ScienceDirect, published within the last 10&#xD;
years either Indonesian or English language. Only studies involving adult subjects with minimum overweight&#xD;
nutrition status (BMI &gt; 23 kg/m2&#xD;
) were included. Result: Ten from 1063 studies qualified the selection criteria.&#xD;
VLCD success in weight loss depends on treatment type, duration, physical activity, and genetics. Longer and&#xD;
fewer-calorie VLCDs lead to more significant weight reduction, but maintaining long-term success requires a&#xD;
structured weight management program. VLCD benefits include improved insulin sensitivity, reduced fat, and&#xD;
better heart function, but it may have temporary negative effects on metabolism, aortic elasticity, constipation,&#xD;
sensitivity to cold, headache, and dizziness. Conclusion: VLCDs can be an effective approach in achieving&#xD;
significant weight reduction and positive health outcomes, especially if combined with long-term weight&#xD;
maintenance programs and appropriate follow-up treatment. However, the decision to undergo VLCD should be&#xD;
made with wisely considering individual health conditions and in consultation with dietitian or health&#xD;
professionals, as there are potential side effects and factors that may influence long-term success.&#xD;
Keywords: VLCD, Weight loss, Health outcome, Fad diets, Weight management, Obesity</summary>
    <dc:date>2025-04-01T00:00:00Z</dc:date>
  </entry>
  <entry>
    <title>VULVA HYGIENE BEHAVIOR DETERMINED BY HEALTH LITERACY AMONG ADOLESCENT GIRLS</title>
    <link rel="alternate" href="http://localhost:8080/xmlui/handle/123456789/12200" />
    <author>
      <name>Maria Wijaya, Yosi</name>
    </author>
    <author>
      <name>Regina Hesti Sintiasari, Maria</name>
    </author>
    <author>
      <name>Triastuti, Lidwina</name>
    </author>
    <id>http://localhost:8080/xmlui/handle/123456789/12200</id>
    <updated>2025-07-18T04:11:57Z</updated>
    <published>2025-04-01T00:00:00Z</published>
    <summary type="text">Title: VULVA HYGIENE BEHAVIOR DETERMINED BY HEALTH LITERACY AMONG ADOLESCENT GIRLS
Authors: Maria Wijaya, Yosi; Regina Hesti Sintiasari, Maria; Triastuti, Lidwina
Abstract: ABSTRACT&#xD;
Introduction: Teens as young as 15-24 are vulnerable to reproductive system infections due to poor teenage&#xD;
vulva hygiene, exacerbated by a lack of understanding of the vulva's functioning. According to estimates,&#xD;
teenagers worldwide report reproductive channel infections. Previous research revealed that 46% of teenagers&#xD;
had poor reading skills. Aim: The goal of this study is to assess the association between healthy habits and vulva&#xD;
cleanliness in teenage girls. Methods: The study employs quantitative approaches, with 289 responses from high&#xD;
school students obtained by proportionally organized random sample processes. The HLS-EU-16Q Indonesian&#xD;
instruments and the vulva hygiene behavior scale have been approved as reliable. Results: This study discovered&#xD;
a significant relationship between health literacy and vulva hygiene practices (p-value= 0.05). Furthermore, 46%&#xD;
of the subjects have adequate health literacy, whereas 58.8% practice intermediate vulva hygiene activities.&#xD;
Conclusion: Proper health literacy can impact how teenage girls clean up their vulva. Researchers propose that&#xD;
young women can improve their vulva hygiene by seeking information, undergoing therapy, and consulting with&#xD;
healthcare providers.&#xD;
Keywords: adolescents, health literacy, vulva hygiene</summary>
    <dc:date>2025-04-01T00:00:00Z</dc:date>
  </entry>
  <entry>
    <title>SELF-DISCLOSURE OF ADOLESCENTS AS THE MOST INFLUENTIAL FACTOR IN THE PROVISION OF REPRODUCTIVE HEALTH INFORMATION TO ADOLESCENTS</title>
    <link rel="alternate" href="http://localhost:8080/xmlui/handle/123456789/12199" />
    <author>
      <name>Anitasari Indah Kusumaningrum, Tanjung</name>
    </author>
    <author>
      <name>Taufik Hidayat, Muhamad</name>
    </author>
    <author>
      <name>Fauziyah, Anny</name>
    </author>
    <author>
      <name>Setyaningrum, Rahmawati</name>
    </author>
    <author>
      <name>Aulianisa Hidayat, Tasya</name>
    </author>
    <author>
      <name>Widya Saputri, Mayang</name>
    </author>
    <id>http://localhost:8080/xmlui/handle/123456789/12199</id>
    <updated>2025-07-18T04:05:17Z</updated>
    <published>2025-04-01T00:00:00Z</published>
    <summary type="text">Title: SELF-DISCLOSURE OF ADOLESCENTS AS THE MOST INFLUENTIAL FACTOR IN THE PROVISION OF REPRODUCTIVE HEALTH INFORMATION TO ADOLESCENTS
Authors: Anitasari Indah Kusumaningrum, Tanjung; Taufik Hidayat, Muhamad; Fauziyah, Anny; Setyaningrum, Rahmawati; Aulianisa Hidayat, Tasya; Widya Saputri, Mayang
Abstract: ABSTRACT&#xD;
Introduction: Adolescents with all their characteristics make them are vulnerable to reproductive health problems.&#xD;
Parents have the responsibility to provide reproductive health information to adolescents, but 52.67% of parents&#xD;
have not conveyed it. Aims: This study aimed to analyze the factors that most influence parent-to-adolescent&#xD;
communication regarding reproductive health. Methods: This type of research uses cross-sectional, which was&#xD;
conducted offline in 2022 in Jrakah Boyolali Village. The population of this study was 422 parents of teenagers,&#xD;
and the sample was 230 parents with adolescents aged 11-19 years. The sampling technique used was proportional&#xD;
random sampling. Data collection was carried out using validated instruments. The independent variables were&#xD;
communication patterns, joint activities, and adolescents’ self-disclosure, with parents' behavior in providing&#xD;
reproductive health information as the dependent variable. Data analysis was carried out with multiple logistic&#xD;
regression tests, with a significance level of 5%. Results: The study found that adolescent self-disclosure to their&#xD;
parents was the most influential factor in the provision of reproductive health information by parents to their&#xD;
adolescent children (OR=2.537 (95% CI OR:1.423-4.522). Parents with teenagers who are less open about telling&#xD;
their parents can increase the risk 2.537 times of not communicating reproductive health to teenagers. Adolescents'&#xD;
openness to their parents can increase the closeness between parents and adolescents, making it more possible to&#xD;
discuss reproductive health between the two. Conclusion: Parents need to learn communication techniques with&#xD;
teenagers so that teenagers are not embarrassed to discuss things.&#xD;
Keywords: self-disclosure, adolescents, reproductive health, parents</summary>
    <dc:date>2025-04-01T00:00:00Z</dc:date>
  </entry>
  <entry>
    <title>HEALTH EDUCATION OF NO SMOKING BEHAVIOR IN ADOLESCENTS WITH A SOCIAL COGNITIVE THEORY (SCT) APPROACH</title>
    <link rel="alternate" href="http://localhost:8080/xmlui/handle/123456789/12198" />
    <author>
      <name>Riyadi, Sujono</name>
    </author>
    <author>
      <name>Ru’iya, Sutipyo</name>
    </author>
    <id>http://localhost:8080/xmlui/handle/123456789/12198</id>
    <updated>2025-07-18T04:03:16Z</updated>
    <published>2025-04-01T00:00:00Z</published>
    <summary type="text">Title: HEALTH EDUCATION OF NO SMOKING BEHAVIOR IN ADOLESCENTS WITH A SOCIAL COGNITIVE THEORY (SCT) APPROACH
Authors: Riyadi, Sujono; Ru’iya, Sutipyo
Abstract: ABSTRACT&#xD;
Introduction: Smoking behavior is an action that can harm the smoker himself and can even harm others&#xD;
(passive smokers). Someone who is exposed to cigarettes for a long time will result in health problems and&#xD;
disease, Out of 800 junior high school youth in Kulon Progo, 5.3% are smokers. Aims: To determine the factors&#xD;
that influence directly or indirectly on the behavior of not smoking in adolescents. Methods: This case-control&#xD;
study was conducted in Kulon Progo Regency, Yogyakarta Special Region Province, Indonesia. The samples&#xD;
were 400 teenagers, 200 teenagers who smoked (cases) and 200 other teens who didn't smoke (controls). Data&#xD;
were collected using a questionnaire filled out by teenagers who are still active in school in junior high and high&#xD;
school. There are six variables studied including knowledge, media exposure, non-smoking attitudes, selfefficacy, non-smoking intentions and non-smoking behavior. Data were analyzed multivariately using STATA&#xD;
13 Result: There are two variables (intention and self-efficacy) that have a direct influence on adolescents' nonsmoking behavior, while the other three variables (knowledge, media exposure and attitude) have an indirect&#xD;
influence on adolescents' non-smoking behavior. Conclusion: Intention variable has the biggest contribution in&#xD;
influencing adolescent behavior not to smoke.&#xD;
Keywords: Adolescent, Social Cognitive Theory, Smoking behavior</summary>
    <dc:date>2025-04-01T00:00:00Z</dc:date>
  </entry>
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