Media Ilmiah Kesehatan Indonesia

Effect of ASI Smart Game on Knowledge and Breastfeeding Self-Efficacy in Primiparous Mothers

Lissa Ervina — 2026-05-30

Exclusive breastfeeding (EBF) is a crucial strategy for improving infant health and preventing stunting. However, the coverage of exclusive breastfeeding remains low across various regions in Indonesia. The success of EBF is influenced by several factors, particularly maternal knowledge and Breastfeeding Self-Efficacy (BSE). Primiparous mothers are more vulnerable to breastfeeding challenges due to limited experience and low self-confidence. ASI Smart Game is a game-based health promotion tool designed to improve knowledge and BSE among primiparous mothers. This study aimed to evaluate the effect of ASI Smart Game on knowledge and BSE in primiparous mothers. A pre-experimental design using a one-group pretest–posttest approach was employed. The sample consisted of 33 primiparous mothers with infants aged 0–6 months in the working area of Kandang Public Health Center, selected through purposive sampling. Research instruments included an EBF knowledge questionnaire and the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF). Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. The results indicated an increase in knowledge and BSE scores after the ASI Smart Game intervention (p = 0.001). ASI Smart Game was effective in enhancing both knowledge and BSE among primiparous mothers.

Correlation of Micronutrient Intake with Body Mass Index in Elderly Prolanis Participants

Suryani Agustina Daulay — 2026-05-30

Participants in the Chronic Disease Management Program (Prolanis) are at risk of impaired nutritional status due to metabolic changes, chronic diseases, and imbalanced nutrient intake. Micronutrients play a critical role in body metabolism and may influence Body Mass Index (BMI). This study aimed to analyze the association between micronutrient intake and BMI among Prolanis participants. A quantitative observational study with a cross-sectional design was conducted. The sample consisted of 42 Prolanis participants aged 42–76 years. Micronutrient intake was assessed using a 24-hour food recall, while BMI was calculated from body weight and height measurements. Data were analyzed univariately, bivariately using Pearson’s correlation test, and multivariately using logistic regression. The results showed that sodium, vitamin A, vitamin C, vitamin E, zinc (Zn), and manganese (Mn) were significantly associated with BMI, whereas copper (Cu) showed no significant association. Multivariate analysis indicated that vitamin C, Zn, and Mn were significantly associated with BMI, with Mn being the most dominant factor. These findings suggest that micronutrient intake, particularly vitamin C, Zn, and Mn, plays an important role in the nutritional status of Prolanis participants.

Effect of Film Focus Distance Variation on Anode Heel Effect and Radiographic Image Quality Based on Pixel Value Parameters

Sitti Normawati — 2026-05-24

This study aimed to analyze the effect of variations in focus-to-film distance (FFD) on the anode heel effect and radiographic image quality, based on the Pixel Value (PV) parameter. A quantitative experimental approach was employed. The testing was conducted using a phantom articulatio genu with FFD variations of 90 cm, 100 cm, and 120 cm, and object positions varied between the cathode and anode sides. The results indicated that the anode heel effect was more effectively utilized at shorter FFD when the thick side of the object was positioned on the cathode side. The highest PV value was obtained under this condition, whereas a decrease of approximately 11% was observed when the thick side was positioned on the anode side. Furthermore, an FFD of 100 cm produced lower PV standard deviation (PVSD) values, resulting in more homogeneous images with minimal noise. These findings demonstrate that variations in FFD and object positioning influence the distribution of X-ray intensity and radiographic image quality. Appropriate selection of FFD and placement of the thick side of the object on the cathode side can produce more uniform radiographs in terms of sharpness, brightness, and density.

Relationship Between Digital Health Literacy and Hypertension Preventive Behavior among Adolescents in Urban Areas

Hendra Dwi Kurniawan — 2026-05-23

Hypertension in adolescents is an emerging public health concern because it can increase the risk of cardiovascular complications later in life. The advancement of digital technologies has made digital health literacy an important factor in shaping hypertension prevention behaviors. This study aimed to analyze the association between digital health literacy and hypertension prevention behaviors among adolescents in urban areas. A cross-sectional observational analytic design was employed, with a sample of 225 adolescents selected using purposive sampling. Data were collected using questionnaires on digital health literacy and hypertension prevention behaviors and analyzed using the Chi-square test. The results showed that most respondents had good digital health literacy and demonstrated appropriate hypertension prevention behaviors. Bivariate analysis indicated a significant association between digital health literacy and hypertension prevention behaviors (p < 0.001; OR = 3.225; 95% CI: 1.713–6.071). Adolescents with good digital health literacy were more likely to engage in hypertension prevention behaviors. Enhancing digital health literacy is a crucial strategy for promotive and preventive efforts targeting hypertension among adolescents in urban settings.

Impact of Environmental Sanitation on Stunting Risk in Talagasari, Tasikmalaya

Reva Dewari Daniswara — 2026-05-22

Stunting is a chronic nutritional problem that affects children’s physical growth, cognitive development, learning ability, and future productivity. Indirect factors presumed to be associated with stunting include maternal parenting practices, particularly among children aged 12–59 months. This study aimed to analyze the association between maternal parenting practices and the incidence of stunting in Talagasari Urban Village, within the working area of Kawalu Public Health Center, Tasikmalaya City. A quantitative cross-sectional design was employed, with a sample of 83 children selected using stratified random sampling. Data were collected through a maternal parenting practices questionnaire and anthropometric measurements of children, then analyzed using the Chi-square test at a significance level of p < 0.05. The results showed that most mothers had good parenting practices, and the majority of children were not stunted. However, statistical analysis indicated no significant association between maternal parenting practices and the incidence of stunting. These findings suggest that stunting is influenced by other factors, including maternal nutritional status during pregnancy, socio-economic conditions, recurrent infectious diseases, and Clean and Healthy Living Behaviors (PHBS). Comprehensive stunting prevention should be implemented through nutrition education, sanitation improvement, family support, and cross-sectoral collaboration.