http://localhost:8080/xmlui/handle/123456789/5988 2026-04-20T13:55:53Z http://localhost:8080/xmlui/handle/123456789/6025 Title: Risk of Vitamin D Deficiency in Smokers: Mix-Method Authors: Lorensia, Amelia; Meliana Ariyanti Jalmav, Marthy; Dhiba, Zahwa; Virlando Suryadinata, Rivan Abstract: Risk of Vitamin D Deficiency in Smokers: Mix-Method Amelia Lorensia 1* , Marthy Meliana Ariyanti Jalmav 2 , Zahwa Dhiba 3 , Rivan Virlando Suryadinata 4 1 Department of Clinical-Community Pharmacy, Faculty of Pharmacy, University of Surabaya, Surabaya, Indonesia 2 Petra Christian University, Surabaya, Indonesia 3 Faculty of Pharmacy, University of Surabaya, Surabaya, Indonesia 4 Department of Public Health, Faculty of Medicine, University of Surabaya, Surabaya, Indonesia * Authors Correspondence: amelia.lorensia@gmail.com; amelia.lorensia@staff.ubaya.ac.id/ 08155020707 ARTICLE INFO ABSTRACT Cigarettes are one of the leading causes of death in the world and Indonesia. Cigarettes emit cigarette smoke, which contains toxins and has pro-inflammatory properties that interfere the metabolism of vitamin D in the lungs. The study aimed to determine the risk of vitamin D deficiency in active smokers in Rungkut Village, Surabaya City. This research method is a mixmethod with a Convergent Parallel Design type strategy, which is a way of collecting quantitative (cross-sectional) and qualitative data (interpretative phenomenological analysis) simultaneously, with purposive sampling technique. The variable was the risk of vitamin D deficiency and vitamin D level. Subjects were active smokers aged ≥19 years in the Rungkut Subdistrict. The number of samples involved in this research was 125 samples in the quantitative phase, and 15 people in the qualitative phase. The highest level of smoking severity was light smokers (45.60%). Most of respondents had normal vitamin D levels (≥20 g/mL) of 73.33%, averaging of 37.66 ± 5.89 g/mL. Most active smokers are at risk of vitamin D deficiency. Risk factors for deficiency in heavy smokers are not consuming foods containing vitamin D (such as fish, eggs, and milk), not consuming fish oil supplements and vitamins, and not sunbathing. However, the level of physical activity tended to be moderate-heavy. The conclusion is that smokers must pay attention to their intake of foods containing vitamin D and exposure to sunlight to achieve sufficient vitamin D levels. Article History: Received Mar, 20 th , 2024 Accepted May, 12 th , 2014 Published online Jun, 30 th , 2024 Keywords: Smokers; vitamin D; deficiency risk; 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/6024 Title: Factors Affecting The Success of Exclusive Breastfeeding Among Mothers Recovered From Covid-19 Authors: Latifah, Ulfatul; Rahmanindar, Nora; Henda Karmandika, Ardhi Abstract: Factors Affecting The Success of Exclusive Breastfeeding Among Mothers Recovered From Covid-19 Ulfatul Latifah 3 1 1* , Nora Rahmanindar 2 , Ardhi Henda Karmandika Department of Nursing, Harapan Bersama Polytechnic, Central Java, Indonesia 2 Department of Midwifery, Harapan Bersama Polytechnic, Central Java, Indonesia 3 Philippine Women’s University, Manila, Philipphine * Authors Correspondence: ulfatul.bidan@poltektegal.ac.id/085742446855 ARTICLE INFO ABSTRACT Exclusive breastfeeding for the first 6 months and continued breastfeeding with complementary foods up to 2 years are emphasized by the World Health Organization. Amid the COVID19 pandemic, maternal concerns about virus transmission through breastfeeding have surfaced. Despite these concerns, breastfeeding remains the primary recommendation due to its manifold health benefits. This research, conducted in Tegal City's Margadana sub-district, investigates factors influencing exclusive breastfeeding success among mothers recovered from COVID-19. Using an analytical observational design with a cross-sectional approach, the study explores the link between COVID-19 symptoms in infants and exclusive breastfeeding success, revealing a significant correlation (p-value=0.042). Conversely, breast milk production shows no significant association with exclusive breastfeeding success (p-value=0.144). Notably, spousal and family support emerges as pivotal, exhibiting a significant association with exclusive breastfeeding success (pvalue=0.003). However, there is no significant relationship between healthcare provider support during breastfeeding and adherence to 6-month exclusive breastfeeding (p-value=0.456). The findings underscore the importance of breastfeeding during post-COVID-19, balancing potential virus transmission risks against the established breastfeeding health benefits. The study concludes by advocating for further research to comprehensively understand and address complexities of exclusive breastfeeding in the post-COVID-19 context, offering insights for healthcare practitioners and policymakers. Article History: Received Feb, 12 th , 2024 Accepted May, 15 th , 2024 Published online Jun, 30 th , 2024 Keywords: Exclusive breastfeeding; COVID-19 recovery; maternal concerns; infant health; 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/6023 Title: Navigating the Storm: Unraveling the Factors Shaping Adolescent Anxiety Amid the COVID-19 Pandemic Authors: Nur Diana, Rini; Mamnuah, Mamnuah; Ernawati, Dwi Abstract: Navigating the Storm: Unraveling the Factors Shaping Adolescent Anxiety Amid the COVID-19 Pandemic Rini Nur Diana 2,3 1 1 , Mamnuah 2,3* , Dwi Ernawati STIKES Pemkab Jombang, East Java, Indonesia 2 Faculty of Health Sciences, Universitas 'Aisyiyah Yogyakarta, Yogyakarta, Indonesia 3 Center for Women, Family, and Disaster Studies, Universitas 'Aisyiyah Yogyakarta, Yogyakarta, Indonesia * Authors Correspondence: mamnuah@unisayogya.ac.id/08122637100 ARTICLE INFO ABSTRACT The COVID-19 epidemic has significantly impacted adolescent mental health, particularly in cases of anxiety. The underlying causes, though, are yet unknown. The goal of this study is to identify any potential influences on adolescent anxiety during the COVID-19 epidemic. Cross-sectional time series analysis is the method used in this investigation. The 188 teenagers who made up the study's samples ranged in age from 15 to 18 years old. The sampling method made use of the probability sampling. The Generalized Anxiety Disorder-7 (GAD-7) questionnaire was used as the instrument for gathering the data. Then, univariate, bivariate, and multivariate were used in the statistical test. Most of the respondents, namely 143 respondents (76.1%) experienced anxiety. The most influential factor in anxiety is the source of information (p value 0.020). The factors related to anxiety were sources of information, resilience, loneliness, social support, and having positive COVID-19 patients within the family or around the family environment. During the COVID-19, the source of information variable was found to be the most important variable related to the anxiety. Lack of clear information makes thingking worse and increases adolescent anxiety. It is recommended for healthcare services and community health centers to provide accurate information about COVID-19 in educational institutions to reduce adolescent anxiety. Article History: Received Feb, 21 st , 2024 Accepted Apr, 24 th , 2024 Published online Jun, 30 th , 2024 Keywords: Adolescent; anxiety; COVID-19; 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/6022 Title: Problems Scanning Related to Stunting Using Iceberg Theory Model in Salakbrojo Village Central Java Authors: Yuniarti, Yuniarti; Ristiawati, Ristiawati; Nugraheni Restu Mastuti, Dewi; Fatih, Muhammad Abstract: Problems Scanning Related to Stunting Using Iceberg Theory Model in Salakbrojo Village Central Java Yuniarti 1* , Ristiawati 1 , Dewi Nugraheni Restu Mastuti 1 , Muhammad Fatih 1 1 Department of Public Health, Faculty of Health Sciences, Pekalongan University, Central Java, Indonesia * Author Correspondence: yuniartiunikal@gmail.com/081548006360 ARTICLE INFO ABSTRACT The prevalence of stunting to date is 21,6%, which is far from target which is 14%. Research aimed to elaborate on problem of stunting using iceberg method model analysis. The research is a qualitative study with a phenomenological approach to obtain idea of stunting occurrence pattern as well as the root of problem. Data was collected by assigning focused group discussion. Correspondents were ten mothers of toddlers, five health cadres, a secretary of rural, and a rural midwife. Validity test was done by doing data source triangulation during focused group discussions. Mental model analysis was taken using directly elicited mental model technique by doing content analysis. Result of iceberg analysis found that occurrence of stunting was 3,42%. Patterns and trends include wasting 2,92%, normal nutrition 84,39%, risk of overnutrition 5,85%, overnutrition 1,95%, and obesity 1,46%. Systemic structure has shown there are relation between direct cause include lack of food intake, exclusive breastfeeding, complementary food, infectious diseases and incomplete basic immunization. Indirect causes for stunting include lack of knowledge of stunting, access of health services, house condition triggers infectious diseases and poor sanitation. The mothers’ analysis on mentality who are confident about their children being healthy and active despite nutritional problems. Mental model of health cadres, rural midwives, rural government and public health centers believe that collaboration in solving stunting problems is needed. It can be concluded that iceberg model can be applied in analyzing stunting problem and results of it can be considered in the implementation of stunting treatment. Article History: Received Mar, 8 th , 2024 Accepted Jun, 25 th , 2024 Published online Jun, 30 th , 2024 Keywords: Problem scanning; iceberg; stunting; 2024-01-01T00:00:00Z