Journal of Health and Nutrition Research

Iron Supplement Consumption, Dietary Intake, Nutritional Status, and Anemia Among Adolescent Girls in Banawa, Donggala Regency

2025-07-01T10:01:15+00:00

This study aimed to examine the relationship between iron supplement consumption, dietary intake, nutritional status, and anemia among adolescent girls in Banawa, Donggala Regency. A cross-sectional analytical design was applied, involving 231 female students aged 12–15 years from SMP Negeri 3 and SMK Negeri 2 Banawa. Stratified sampling was used, and data were collected through interviews using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), anthropometric measurements, and hemoglobin testing via Point of Care Testing (POCT). Nutrient intake was assessed based on 80% adequacy of the Indonesian Recommended Dietary Allowance (RDA), while anemia was defined as hemoglobin levels <12 g/dL. Compliance with iron supplementation was determined using a median-based scoring method. The results revealed a high anemia prevalence (71.0%) among participants. Although 61.0% were compliant with iron supplementation, no significant association was found between supplement compliance and anemia status. Likewise, protein and iron intake showed no significant relationships. However, vitamin C intake was significantly associated with anemia (p = 0.001), indicating its crucial role in iron absorption. Nutritional status and iron inhibitor intake were not significantly related to anemia. The findings highlight the need for integrated school-based nutrition programs focusing on improving vitamin C intake and promoting effective iron supplementation practices.

Ambient Air Pollution Exposure and Social Health Outcomes in Communities Near the Kawatuna Landfill, Palu, Indonesia

2025-06-30T01:53:17+00:00

Communities living near landfill sites are often exposed to high levels of ambient air pollution, which may impact their physical and psychosocial health. This study aims to explore the relationship between ambient air pollution exposure, particularly carbon monoxide (CO) and nitrogen dioxide (NO₂), and the social health outcomes of communities residing near the Kawatuna Landfill in Palu, Indonesia. A cross-sectional study involving 143 respondents was conducted using structured interviews and environmental exposure assessments. Correlation analyses, Mann-Whitney U tests, and regression models were applied to examine the relationships between air pollution exposure and respiratory disorders, smoking behavior, stress levels, and social interaction. The findings revealed a significant positive correlation between CO and NO₂ exposure and stress levels (r=0.217, p = 0.022), although the relationship was weak. No significant associations were found between air pollution exposure and smoking behavior, social interaction, or respiratory disorders in multivariate analyses. The Mann-Whitney U test indicated that individuals with respiratory disorders were exposed to higher levels of CO and NO₂ (p = 0.038). Ambient air pollution exposure in this community is more closely related to psychosocial stress than to physical health behaviors or social interaction. Community-based health interventions should consider the cultural context and perceived environmental risks to effectively promote health in such vulnerable populations.

Assessing Patient Satisfaction in an Internal Medicine Polyclinic Using Cartesian Analysis: A Case Study at Luwuk Regional Hospital

2025-06-24T02:35:21+00:00

Good service quality is one of the important factors in trying to create consumer satisfaction. Indicators on the SERVQUAL instrument can be used to measure the level of satisfaction with the quality of health services. This study aims to analyse the satisfaction of internal medicine patients at the polyclinic at the Luwuk Regional General Hospital using a Cartesian diagram. This type of research is an observational analysis where the sample size is 125 internal medicine polyclinic patients, with sampling techniques, namely accidental sampling. The data obtained was processed using SPSS and analysed using a Cartesian diagram. The results of the study showed that the total performance value (xi) was 77.664, the total expectation value (yi) was 85.668, and the total value of the level of suitability (TKI) was 90.65, where the criteria of the assessment were the criteria of being very satisfied. The Cartesian analysis categorized the service attributes in the hospital's internal medicine polyclinic into four quadrants, identifying high-priority areas for improvement, namely problems with registration procedures, service schedules, and attention to patient complaints, while the attributes whose performance needed to be maintained were related to staff responsiveness. Hospital management needs to maintain good attribute values so that it can provide services that are fast, precise, open, simple, easy to implement, and non-discriminatory

The Effect of the Adaptive Mentality “MANTAP” Program on Resilience and Stress Levels in Nursing Students: A Quasi-Experimental Study

2025-06-19T23:22:39+00:00

The "MANTAP" (Adaptive Mentality) program as a management strategy can strengthen the resilience of students studying at Sultan Ageng Tirtayasa University. This study was conducted using a quasi-experimental design with two control groups and an intervention group by conducting pre- and post-tests on students of the Nursing Department, Faculty of Medicine, Sultan Ageng Tirtayasa University-Banten. Data were collected at baseline, immediately post-intervention, and at a two-month follow-up. The MANTAP (Adaptive Mentality) Program intervention was carried out for one month. The total sample recruited was 120 in the control group and 120 in the intervention group. Bivariate analysis using paired t-tests was. Data was processed using SPSS version 22. Statistically detectable differences were observed (p < .001). Average stress levels decreased in both groups, with a greater reduction in the intervention group (from 11.71 to 7.16) compared to the control group (from 10.52 to 9.39), indicating a stronger effect of the intervention. Meanwhile, the average resilience level showed a slight increase in the control group (from 84.11 to 84.31), while the intervention group experienced a substantial improvement (from 81.81 to 91.23), confirming the intervention's effectiveness in enhancing students' psychological resilience. Resilience or mental toughness helps students recover from difficulties and adapt to academic pressure. Appropriate psychological interventions can reduce stress levels and increase students' mental toughness. The application “MANTAP” (Adaptive Mentality) program can be programmed as a management strategy to strengthen the resilience of nursing students.

Coffee Consumption Patterns and Anemia Risk: A Cross-Sectional Study of Female University Students in Surakarta

2025-06-10T00:18:47+00:00

Iron deficiency anemia in women of childbearing age is a public health problem. This can be caused by a lack of iron intake from protein sources and impaired iron absorption by inhibitors such as coffee. This study aimed to analyze the relationship between coffee consumption habits and the proportion of protein intake types on the incidence of anemia and menstrual cycle disorders in female university students in Surakarta. This study used a quantitative method with a cross-sectional design. A total of 110 samples were selected through purposive and consecutive sampling. Data collection on coffee consumption habits, protein intake, and menstrual cycle was conducted using questionnaires and SQ-FFQ, while hemoglobin levels were measured using a hematology autoanalyzer; then, it was analyzed using Spearman’s Rank or contingency coefficient test and binary logistic regression. The results showed that 39.1% respondents had anemia and 53.6% respondents had menstrual cycle disorders. Based on multivariate test, the only variable related to the incidence of anemia was the habit of consuming ready-to-drink coffee type (p=0.019; r=3.092). Meanwhile, general coffee consumption habits, specific consumption habits based on frequency and other types, and the proportion of protein intake types were not related to the incidence of anemia (p>0,05). Then, there were no variables of coffee consumption habits and proportion of protein intake types related to menstrual cycle disorders (p>0.05). In conclusion, only the habit of consuming ready-to-drink coffee type significantly increased the risk of anemia.