Background: Premarital sexual behavior is a multidimensional problem, which is influenced by various factors, one of them is school. The majority of adolescents engage in risky sexual behavior the first time when they are in high school, namely at the age of 15-18 years. The purpose of this study was to analyze the influence of schools on unsafe sexual behavior in high school students in Boyolal, Central Java. Subjects and Method: This was a cross sectional study conducted in senior high schools in Boyolali, Central Java, from October to November 2018. A total of 200 students was selected by cluster random sampling. The dependent variable was unsafe sexual behavior. The independent variables were knowledge, attitude, self-efficacy, understanding of region, parental supervision, access to information, and subjective norm. The data were collected using questionnaire and data were analyzed using multilevel logistic regression. Results: Premarital sexual behavior decreased with high knowledge (b= -3.33; 95% CI= -5.88 to -0.79; p= 0.010), positive attitude (b= -5.16; 95% CI= -8.63 to -1.70; p= 0.004), strong self-efficacy (b = -4.65; 95% CI = -7.37 to -1.94; p = 0.001), good understanding of religion (b= -3.95; 95% CI = -6.82 to -1.10; p= 0.007), strict parental supervision (b= -3.70; 95% CI= -6.60 to -0.80; p= 0.012), good access to information (b = -3.61; 95% CI = -6.10 to -1.12; p = 0.004), and subjective norm (b = -2.43; 95% CI= -4.60 to -0.25; p= 0.029). Schools had negligible contextual effect on premarital sexual behavior with ICC <0.1%. Conclusion: Premarital sexual behavior decreases with high knowledge, positive attitude, strong self-efficacy, good understanding of religion, strict parental supervision, high exposure to information access, and subjective norm. Schools has negligible contextual effect on premarital sexual behavior.
Latar Belakang: Pandemi Coronavirus Disease 2019 (COVID-19) merupakan masalah kesehatan yang menyerang masyarakat secara global. Virus 19-nCoV telah menyebabkan kematian lebih dari 500.000 dan lebih dari 120.000.000 kasus positif. Wabah COVID-19 dikaitkan dengan dampak gangguan kesehatan mental terutama pada petugas kesehatan yang bertugas sebagai garda depan. Review ini bertujuan untuk membahas sosio-demografi, gangguan kesehatan mental, hubungan kesehatan mental dengan COVID-19, serta mekanisme koping dan kebutuhan perawatan kesehatan mental pada petugas kesehatan selama pandemi COVID-19. Rancangan: Pencarian artikel dilakukan database berikut PubMed, Science Direct, Medline, Google Scholar dan Crossref selama bulai April-Juni 2020. Sebanyak 65 artikel dipilih pada penyaringan awal dan 15 artikel dibahas sebagai ulasan akhir. Hasil: Variabel sosio-demografi antara lain usia, jenis kelamin, jenis profesi, jenjang karier dan tempat bekerja. Gangguan kesehatan mental seperti kecemasan, depresi, stres, post-traumatic stress disorder (PTSD), insomnia, somatisasi, gejala obesif-kompulsif, efikasi diri, sensitivitas interpersonal, photic anxiety dan lekas marah disebakan karena kurang dukungan sosial, kurang informasi tentang COVID-19, pelatihan penggunaan dan kurangnya alat pelindung diri (APD), langkah mengendalikan infeksi, bekerja di ruang isolasi, khawatir akan terinfeksi dan menularkan ke keluarga, perasaan frusasi ketidak puasan pada pekerjaan, perasaan kesepian terisolasi, kontak langsung dengan pasien positif COVID-19, pasien menyembunyikan riwayat medis dan peningkatan rasio kerja. Kesimpulan: Penting untuk memperhatikan kesehatan mental petugas kesehatan selama pandemi COVID-19, diperlukan sumber daya, perencanaan dan tindakan yang serius untuk mengatasi masalah ini. Kata Kunci: COVID-19, pandemi, petugas kesehatan, gangguan kesehatan mental Literature Review: Adverse effect of Mental Health Disorders on Healthcare Workers During the Coronavirus Disease 2019 Pandemic Background: The coronavirus disease (COVID-19) pandemic is a health problem that attacks people globally. The disease caused by 19-nCOV has caused more than 500,000 deaths and more than 120,000,000 positive cases. The COVID-19 outbreak was related to the adverse effect of mental health disorders, especially on healthcare workers who serve as the frontline. This review aims to discuss socio-demographics, mental health disorders, the relationship of mental health with COVID-19, as well as coping mechanisms and the need for mental health care for healthcare workers during the COVID-19 pandemic. Design: The article search was conducted with the following PubMed, Science Direct, Medline, Google Scholar, and Crossref from April to June 2020. A total of 65 articles were selected at initial screening and 15 articles were discussed as a final review. Results: Socio-demographic variables include age, sex, type of profession, career path, and place of work. Mental health disorders such as anxiety, depression, stress, post-traumatic stress disorder (PTSD), insomnia, somatization, obesity-compulsive symptoms, self-efficacy, interpersonal sensitivity, photic anxiety, and irritability are caused by lack of social support, lack of information about COVID- 19, training on the use and lack of PPE, measures to control infection, work in isolation, worry about being infected and spread to the family, feelings of frustration at work dissatisfaction, feelings of loneliness isolated, direct contact with positive patients with COVID-19, patients conceal medical history and increase work ratio. Conclusion: It is important to pay attention to the mental health of healthcare workers during the COVID-19 pandemic, resources, planning, and serious actions that are needed to overcome this problem. Keywords: COVID-19, pandemic, healthcare workers, mental health disorders
Seksualitas merupakan salah satu resiko yang sering dihadapi oleh remaja. Perubahan gaya pacaran remaja yang lebih permisif terhadap seks seperti lebih suka menunjukkan rasa kasih sayang terhadap pasangannya, tidak hanya sebatas mengobrol saja namun lebih cenderung mengarah pada pergaulan bebas. Hal tersebut dapat memunculkan penyimpangan reproduksi, seperti seks pranikah, aborsi, dan HIV/AIDS. Namun untuk mencegah terjadinya penyimpangan seksual pada remaja, diperlukan upaya pemberian informasi yang benar pada remaja, Saat menghadapi kehidupan reproduksi remaja lebih banyak memilih teman sebagai sumber informasi. Kegiatan pengabdian ini bertujuan untuk membentuk dan meningkatkan pengetahuan remaja peer educator. Metode yang digunakan yaitu bina suasana. Adapun kegiatan pengabdian meliputi 1) pengisian kuesioner, 2) Penyuluhan kesehatan terkait pencegahan perilaku seksual beresiko, 3) pelatihan sebagai peer educator dan melakukan role play, 4) melakukan focus group discussion (FGD) dengan pembahasan masalah yang sering terjadi pada remaja tentang perilaku seksual beresiko, 4) melakukan simulasi kepada teman sebaya. Hasil yang diperoleh adalah semakin meningkat pengetahuan peserta peserta, memahami mekanisme menjadi peer educator dan mampu mempraktekkan menjadi peer educator bagi teman sebayanya terkait pencegahan perilaku seksual beresiko.Kata kunci: peer educator; perilaku seksual beresiko; remajaEmpowering Students as Peer Educators to Prevent Risky Sexual Behavior at Public Vocational School 28 Tangerang Regency ABSTRACTSexuality is one of the risks often faced by adolescents. The dating habits of adolescents who are more focused on sexual behavior are more likely to express affection towards their partner and are more inclined towards free association behavior. There can lead to reproductive abnormalities, such as premarital sex, abortion, and HIV/AIDS. However, to prevent sexual misconduct in adolescents, it is necessary to provide the correct information in adolescents. The more preferred source of information in dealing with reproductive life is peers.There service activity aims to form and increase the knowledge of peer educators. The method used is atmosphere building. The service activities include 1) filling out a questionnaire, 2) health counseling related to the prevention of risky sexual behavior, 3) training as a peer educator and doing role play, 4) conducting focus group discussions (FGD) by discussing problems that often occur in adolescents about sexual behavior. at risk, 4) conducted simulations to peers. The results obtained are that the participants' knowledge increases, understand the mechanism of being a peer educator, and are can practice being a peer educator for their peers regarding the prevention of risky sexual behavior. Keywords: adolescent; peer educator; risky sexual behavior
Pengetahuan dan perilaku remaja dapat mempengaruhi dalam melakukan personal hygiene, kemungkinan remaja putri tidak berperilaku hygiene pada saat menstruasi. Untuk meningkatkan pengetahuan dan perilaku maka dapat diberikan pendidikan kesehatan yang merupakan salah satu kebijakan reproduksi pada remaja yang dilakukan melalui jalur pendidikan formal dan non formal. Jenis penelitian ini menggunakan desain penelitian Pre-Eksperiment Design dan rancangan penelitian One Grup Pretest-Posttest Design. Uji analisis yang digunakan adalah uji Wilcoxon. Sampel dari penelitian ini sejumal 104 responden diambil dengan teknik Purposive Sampling. Penelitian dilakukan pada 3 – 13 Juni 2020 di Pondok Pesantren Al-Qur’an Insan Pratama. Hasil penelitian didapatkan ada pengaruh pendidikan kesehatan tentang kebersihan personal hygiene genitalia eksternal pada saat menstruasi terhadap pengetahuan dan perilaku remaja di Pondok Pesantren Al-Qur’an Insan Pratama tahun 2020 (p< 0,001). Pendidikan kesehatan dapat meningkatkan pengetahuan dan perilaku hygiene remaja putri. Diperlukan perhatikan khusus untuk menyediakan pendidikan kesehatan baik dilingkup sekolah maupun masyarakat.
ABSTRAKKualitas suatu remaja merupakan salah satu faktor yang dapat menentukan angka kejadian stunting. Kurangnya pemberian informasi yang benar tentang memeperisapkan pencegahan stunting sejak dini pada remaja terutama tentang persiapan masa 1000 Hari Pertama Kehidupan juga dapat meningkatkan resiko melahirkan anak dengan gangguan pertumbuhan hingga terjadinya stunting. Tujuan kegiatan pengabdian masyarakat untuk meningkatkan perilaku pencegahan stunting pada remaja desa Taban, Kecematan Jambe, Kabupaten Tangerang. Metode yang digunakan adalah penyampaian materi dan pengisisan kuesioner terkait pencegahan stunting. Kegiatan pengabdian masyarakat ini dilaksanakan penyuluhan kesehatan terkait pencegahan stunting dengan media audiovisual dan non-audiovisual. Hasil kegiatan adanya komitmen kepada peserta untuk melakukan penyebaran informasi kepada remaja lain dan adanya perubahan perilaku remaja dari negatif menjadi positif terkait pencegahan stunting. Diharapkan dengan adanya peningkatan perilaku pada remaja maka dapat menekan angka kejadian stunting. Kata kunci: audiovisual; non-audiovisual; promosi kesehatan; remaja; stunting ABSTRACTThe quality of a teenager is one of the factors that can determine the incidence of stunting. The lack of providing correct information about preparing for stunting prevention from an early age in adolescents, especially about preparation for the first 1000 days of life can also increase the risk of giving birth to children with growth disorders and stunting. The purpose of community service activities is to improve stunting prevention behavior in adolescents in Taban village, Jambe district, Tangerang district. The method used is the delivery of materials and filling out a questionnaire related to stunting prevention.This community service activity is carried out by providing health education related to stunting prevention with audiovisual and non-audiovisual media. The results of the activity were a commitment to participants to disseminate information to other teenagers and a change in adolescent behavior from negative to positive related to stunting prevention. It is hoped that with an increase in behavior in adolescents, it can reduce the incidence of stunting. Keywords: audiovisual; non-audiovisual; health promotion; teenager; stunting
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