http://localhost:8080/xmlui/handle/123456789/10185 2026-04-15T04:01:33Z http://localhost:8080/xmlui/handle/123456789/10197 Title: Predictors of Prediabetes Among Young Adults in East Java of Indonesia: A Cross-sectional Study Authors: Nur Pratiwi, Ika; Yuni Widyawati, Ika; Nursalam, Nursalam; Pawani, Zulfayandi; Qonaah, Arina; Lee, Bih-O Abstract: Background: Prediabetes is a condition that can be controlled and managed to prevent the occurrence of type 2 diabetes mellitus (T2DM). This condition can occur at all ages, especially in young adults. However, little is known about what factors increase the risk of prediabetes in young adults in East Java, Indonesia. Purpose: This study aimed to estimate the prevalence and the influential risk factors of prediabetes among young adults in East Java, Indonesia. Methods: This study used a cross-sectional design. The purposive sampling technique was used to recruit young adults in East Java Province, Indonesia. International physical activity questionnaire short-form version questionnaire (IPAQ-SF) and physical indicators for anthropometry were used to obtain data on sociodemographic characteristics, prediabetes knowledge, and physical activity. In addition, blood pressure, impaired fasting glucose (IFG), and body mass index (BMI) were measured. Multivariable logistic regression was employed in the analysis to determine risk factors associated with prediabetes. Results: There were 126 participants recruited, with 69 (54.8%) having prediabetes based on IFG levels. Age (p=0.035), regular exercise (p=0.015), activity level (p=0.026), body weight (p=<0.001), waist circumference (p=0.002), BMI (p=<0.001) and obesity (p=<0.001) were significant factors associated with prediabetes. Conclusion: The high prevalence of prediabetes in young adults is associated with age, routine exercise, activity level, body weight, waist circumference, BMI and obesity. It is crucial to implement strategies, such as regular IFG testing, to identify young adults with these risk factors for prediabetes screening. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10196 Title: Malaria Prevention Strategies in Kalimantan, Indonesia: A Secondary Analysis of 2018 Basic Health Research Data Authors: Rasyid Ridha, Muhammad; Andiarsa, Dicky; Hazairin Noor, Ihya; Wiliyani, Erni; Ramadhani, Tri; Yudhastuti, Ririh Abstract: Background: Kalimantan remains malaria-endemic, particularly in rural areas, where prevention efforts face challenges such as insecticide resistance and limited healthcare access. Despite available measures like insecticide-treated nets, gaps in understanding individual and household prevention practices persist, especially in relation to demographics and effectiveness in reducing malaria transmission. Purpose: This study aimed to examine the individual and household-level malaria prevention strategies utilized in rural Kalimantan and evaluate their effectiveness in reducing malaria incidence. Methods: The study was a secondary analysis of the 2018 Indonesian basic health research (Riskesdas). A total of 67,155 respondents in Kalimantan were analyzed including respondent characteristics, memories of malaria infection, and individual and household malaria prevention efforts. The data were collected through the result of the 2018 Riskesdas survey. Bivariate regression and multivariable logistic regression were used in data analysis. Results: Self-reported malaria rates were higher among older respondents compared to younger ones. Women reported lower malaria rates than men, especially in South Kalimantan. In West Kalimantan, the use of bed nets was associated with higher self-reported malaria rates (OR=1.838, 95%CI 1.147–2.943). Short-term use of insecticide-treated nets (ITNs) showed varying odds across provinces: Central Kalimantan (OR=3.659, 95%CI 1.378–9.717), South Kalimantan (OR=10.811, 95%CI 3.649–32.030), East Kalimantan (OR=2.615, 95%CI 1.041–6.567), and West Kalimantan (OR=2.428, 95%CI 1.446–4.078). In all provinces, preventive measures such as coils or electric mats reduced self-reported malaria cases. The use of mosquito screens was effective in South Kalimantan (OR=0.208, 95%CI 0.027–1.598), Central Kalimantan (OR=0.365, 95%CI 0.120–2.181), and North Kalimantan (OR=0.000, 95%CI 0.000–0.000). The multivariate model highlighted mosquito nets as the most effective household-scale prevention in nearly all Kalimantan provinces except North Kalimantan. Conclusion: This study showed that individuals aged 25 and over, women, non-farmers, and those using ITNs and other preventive measures, especially in rural areas, were less likely to report malaria, emphasizing the need for targeted interventions from local health authorities. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10195 Title: The Effect of Family Caregiver Empowerment Model Intervention on Fear of Hypoglycemia in People with Type 2 Diabetes Mellitus Authors: Rondhianto, Rondhianto; Kushariyadi, Kushariyadi; Rahmatullah, M. Nauval Abstract: Background: The family plays a vital role in T2DM self-management, but many families need to understand their role and function as caregivers. This lack of understanding can increase the burden of disease management, contributing to the emergence of psychological problems in people with T2DM, such as fear of hypoglycemia, which in turn worsens blood glucose control. The Family Caregiver Empowerment Model (FCEM) intervention is one model that can be used to empower families as caregivers in T2DM self-management. Purpose: This study aimed to analyze the effect of the FCEM intervention on the fear of hypoglycemia in people with T2DM. Methods: The study design was quasi-experimental with a randomized control pretest-posttest design. The sample size consisted of 85 respondents (a pair of family caregivers and people with T2DM), who were randomly divided into two groups: the treatment group (41 respondents) and the control group (44 respondents). The FCEM intervention was conducted once per week for ten weeks for family caregivers, and fear of hypoglycemia was measured using the Indonesian version of the Fear of Hypoglycemia Scale questionnaire. The data were analyzed using the Wilcoxon signed rank test and independent t-test. Results: The results showed significant differences in fear of hypoglycemia between the pre-test and post-test in the treatment group (p=0.001) and the control group (p=0.001). However, there was a significant difference in the decrease of fear of hypoglycemia between the treatment and control groups (t=-7.087; p=0.001). This finding suggests that FCEM intervention can significantly reduce the fear of hypoglycemia in people with T2DM. Conclusions: The FCEM intervention can reduce the fear of hypoglycemia in people with T2DM by increasing the family caregiver’s ability and support in managing T2DM. Nurses can use the FCEM intervention in T2DM management to improve diabetes management outcomes 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10194 Title: Psychosocial Health of the Badjao People During COVID-19 in Jolo, Philippines: An Exploratory Study Authors: T. Masong, Zhendra; K. Pangandaman, Hamdoni Abstract: Background: The Badjao, a nomadic maritime group in Southeast Asia, faces heightened vulnerability during public health crises due to their reliance on maritime livelihoods, limited healthcare access, and historical marginalization – challenges exacerbated by the COVID-19 pandemic. However, there is a significant research gap in understanding their unique needs and vulnerabilities, especially its specific impacts on their health and well-being due to the pandemic. Purpose: This study explores the psychological and social health of the Badjao and the factors affecting them during the COVID-19 pandemic. Methods: This study used an exploratory qualitative design. Guided semi-structured interviews were conducted with 10 purposively selected Badjao respondents from Barangay Bus-Bus, Jolo-Sulu, Philippines. The data were analyzed using thematic analysis. Results: The study identified five key themes related to the psychosocial health of the Badjao community during COVID-19 and the affecting factors. They were: (1) Feelings and apprehension, with anxiety over contracting the virus and financial instability; (2) Responses to the pandemic, marked by fear of death, job loss, and hospitalization concerns; (3) Coping mechanisms, where the community relied on traditional remedies, social support, and quarantine adherence; (4) Social status, highlighting food insecurity and disrupted social interactions; and (5) Factors influencing psychosocial health, focusing on the importance of support systems and access to accurate information and resources. Conclusion: The COVID-19 pandemic has significantly disrupted the social and economic stability of the Badjao community, exacerbating their existing vulnerabilities. The community needed culturally sensitive interventions that addressed both their immediate and long-term needs. Collaborations with local government units and stakeholders are crucial in supporting the resilience and well-being of the Badjao in future crises. 2024-01-01T00:00:00Z