1.Factors Associated With Premarital Screening Intention Among Young Adults With Higher Education in Indonesia: A Cross Sectional Study
Yuli AMRAN ; Tsaniya Nurul FASYA ; Hilda SALAMAH
Journal of Preventive Medicine and Public Health 2025;58(3):307-316
Objectives:
Premarital screening can reduce the risk of genetic disorders and sexually transmitted diseases by providing early detection before conception. College students represent a group of young adults with higher education who are approaching marriageable age. However, many students still lack a strong intention to undergo premarital screening in the future. Therefore, this study examines the factors influencing screening intentions among students at one of Indonesia’s leading universities, the State Islamic University (UIN) Jakarta.
Methods:
This study used a cross-sectional design, with a total sample of 563 college students obtained through a multistage random sampling technique. Descriptive statistics were used to summarize the data, and ordinal logistic regression was applied for hypothesis testing.
Results:
Among the 563 students, 97.0% indicated an intention to undergo premarital screening. The intention variable was classified into three levels: no/low (13.0%), moderate (43.5%), and high (43.5%). Ordinal logistic regression revealed that lower knowledge about premarital screening was significantly associated with a reduced intention to undergo screening (odds ratio [OR], 2.84; 95% confidence interval [CI], 1.58 to 5.10). In addition, negative attitudes toward premarital screening (OR, 2.85; 95% CI, 1.41 to 5.75), negative attitudes toward premarital screening (OR, 1.63; 95% CI, 1.12 to 2.37), and being enrolled in a non-health-related field of study (OR, 1.96; 95% CI, 1.04 to 3.68) were significantly linked to lower screening intentions.
Conclusions
Comprehensive premarital health education is essential for young adults, even those with a high level of formal education. Such education not only improves knowledge but also promotes more positive perceptions and attitudes toward premarital screening.
2.Factors Associated With Premarital Screening Intention Among Young Adults With Higher Education in Indonesia: A Cross Sectional Study
Yuli AMRAN ; Tsaniya Nurul FASYA ; Hilda SALAMAH
Journal of Preventive Medicine and Public Health 2025;58(3):307-316
Objectives:
Premarital screening can reduce the risk of genetic disorders and sexually transmitted diseases by providing early detection before conception. College students represent a group of young adults with higher education who are approaching marriageable age. However, many students still lack a strong intention to undergo premarital screening in the future. Therefore, this study examines the factors influencing screening intentions among students at one of Indonesia’s leading universities, the State Islamic University (UIN) Jakarta.
Methods:
This study used a cross-sectional design, with a total sample of 563 college students obtained through a multistage random sampling technique. Descriptive statistics were used to summarize the data, and ordinal logistic regression was applied for hypothesis testing.
Results:
Among the 563 students, 97.0% indicated an intention to undergo premarital screening. The intention variable was classified into three levels: no/low (13.0%), moderate (43.5%), and high (43.5%). Ordinal logistic regression revealed that lower knowledge about premarital screening was significantly associated with a reduced intention to undergo screening (odds ratio [OR], 2.84; 95% confidence interval [CI], 1.58 to 5.10). In addition, negative attitudes toward premarital screening (OR, 2.85; 95% CI, 1.41 to 5.75), negative attitudes toward premarital screening (OR, 1.63; 95% CI, 1.12 to 2.37), and being enrolled in a non-health-related field of study (OR, 1.96; 95% CI, 1.04 to 3.68) were significantly linked to lower screening intentions.
Conclusions
Comprehensive premarital health education is essential for young adults, even those with a high level of formal education. Such education not only improves knowledge but also promotes more positive perceptions and attitudes toward premarital screening.
3.Factors Associated With Premarital Screening Intention Among Young Adults With Higher Education in Indonesia: A Cross Sectional Study
Yuli AMRAN ; Tsaniya Nurul FASYA ; Hilda SALAMAH
Journal of Preventive Medicine and Public Health 2025;58(3):307-316
Objectives:
Premarital screening can reduce the risk of genetic disorders and sexually transmitted diseases by providing early detection before conception. College students represent a group of young adults with higher education who are approaching marriageable age. However, many students still lack a strong intention to undergo premarital screening in the future. Therefore, this study examines the factors influencing screening intentions among students at one of Indonesia’s leading universities, the State Islamic University (UIN) Jakarta.
Methods:
This study used a cross-sectional design, with a total sample of 563 college students obtained through a multistage random sampling technique. Descriptive statistics were used to summarize the data, and ordinal logistic regression was applied for hypothesis testing.
Results:
Among the 563 students, 97.0% indicated an intention to undergo premarital screening. The intention variable was classified into three levels: no/low (13.0%), moderate (43.5%), and high (43.5%). Ordinal logistic regression revealed that lower knowledge about premarital screening was significantly associated with a reduced intention to undergo screening (odds ratio [OR], 2.84; 95% confidence interval [CI], 1.58 to 5.10). In addition, negative attitudes toward premarital screening (OR, 2.85; 95% CI, 1.41 to 5.75), negative attitudes toward premarital screening (OR, 1.63; 95% CI, 1.12 to 2.37), and being enrolled in a non-health-related field of study (OR, 1.96; 95% CI, 1.04 to 3.68) were significantly linked to lower screening intentions.
Conclusions
Comprehensive premarital health education is essential for young adults, even those with a high level of formal education. Such education not only improves knowledge but also promotes more positive perceptions and attitudes toward premarital screening.
4.Hypertension Among Dental Patients: A Single Institution Experience and Development of a Working Clinical Algorithm for Dental Practitioners
Nalisha Mohamed Ramli ; Raid Hamizan Mohd Zulkifle2 Mohd Zulkifle ; Aqilah Salmi Abdul Salam ; Nor Azura Ahmad Tarmidzi ; Norashikin Amran
Annals of Dentistry 2025;32(No. 1):23-29
Hypertension is one of the most common comorbidities in Malaysia mandating the need for screening prior to dental treatment to identify undiagnosed cases and ensure safe delivery of care. A standard protocol is imperative to guide dental practitioners to manage their patients based on the blood pressure readings. This study identifies the prevalence of known and unknown cases of hypertension in patients attending Universiti Sains Islam Malaysia (USIM) Dental Clinic and proposed a working clinical algorithm to be used for dental patients with abnormal blood pressure. It involves a retrospective study of 386 patients from the year 2017 until 2021. All data were analysed using Statistical Program for Social Science (SPSS) version 28.0. A literature review was also done to construct a clinical algorithm. The prevalence of patients with known hypertension in our study is 33.2% and 29.8% of them presented with unknown elevated blood pressure reading. Only 9.3% of uncontrolled and unknown cases were actually given referral for medical assessment. The presence of patients unaware of their possible hypertensive condition warrants the need for screening prior to dental treatment, hence the need for a standard protocol for all dental practitioners.
5.Hypertension Among Dental Patients: A Single Institution Experience and Development of a Working Clinical Algorithm for Dental Practitioners
Nalisha Mohamed Ramli ; Raid Hamizan Mohd Zulkifle ; Aqilah Salmi Abdul Salam ; Nor Azura Ahmad Tarmidzi ; Norashikin Amran
Annals of Dentistry 2025;32(No. 1):23-29
Hypertension is one of the most common comorbidities in Malaysia mandating the need for screening prior to
dental treatment to identify undiagnosed cases and ensure safe delivery of care. A standard protocol is
imperative to guide dental practitioners to manage their patients based on the blood pressure readings. This
study identifies the prevalence of known and unknown cases of hypertension in patients attending Universiti
Sains Islam Malaysia (USIM) Dental Clinic and proposed a working clinical algorithm to be used for dental
patients with abnormal blood pressure. It involves a retrospective study of 386 patients from the year 2017
until 2021. All data were analysed using Statistical Program for Social Science (SPSS) version 28.0. A literature
review was also done to construct a clinical algorithm. The prevalence of patients with known hypertension in
our study is 33.2% and 29.8% of them presented with unknown elevated blood pressure reading. Only 9.3% of
uncontrolled and unknown cases were actually given referral for medical assessment. The presence of patients
unaware of their possible hypertensive condition warrants the need for screening prior to dental treatment,
hence the need for a standard protocol for all dental practitioners.
6.Correlation Between Prenatal Doppler Ultrasound Exposure Durations and Newborn Rabbit’s Body Weight
Malaysian Journal of Medicine and Health Sciences 2020;16(No.1):115-120
Doppler mode ultrasound is widely used in prenatal scanning and known to produce a higher acoustic
output which later leads to higher heat energy conversion compared to other ultrasound modes. It has been reported
that the use of Doppler imaging might increase the temperature of tissues, thus, when Doppler is used in combination with 2D ultrasound, the risks of bioeffects tend to increase more. It is also known that prolonged exposure to
ultrasound during pregnancy can cause irreversible biological destructions to the fetus. Despite the benefits of using
Doppler ultrasound, its potential adverse effects have received scant attention in the research literature. Therefore,
this study aimed to examine a correlation between gestational stages (GS) and newborn rabbit’s body weight at different prenatal Doppler ultrasound exposure durations. Methods: Twelve pregnant New Zealand white rabbits (NZWR)
were exposed once using three different Doppler ultrasound exposure durations (30, 60, 90 minutes exposure) at
three different GSs (1st, 2nd, and 3rd GS). After delivery, the mean weights of the 62 newborns were statistically analysed. Results: Strong negative and positive correlation between newborn’s body weight at different GSs and Doppler
ultrasound exposure durations with a significant result found in 60 minutes exposure (p = <0.01) and 90 minutes
exposure (p = <0.01), respectively. Conclusion: It can be concluded that longer Doppler ultrasound exposure may
lead to significant results onto the newborn rabbits’ body weight.
7.Parental perception of child’s body weight status and its association with socio-demographic factors among Malay children in primary schools in Kuala Terengganu, Malaysia
Nurzaime Zulaily ; Aryati Ahmad ; Mohd Razif Shahril ; Amran Ahmed
Malaysian Journal of Nutrition 2020;26(No.2):173-187
Introduction: Obesity rate among school children has increased globally. Parental perception plays a significant role in the management of obesity among children. Previous studies indicated that parents who accurately perceived their child’s body weight status (BWS) tended to encourage healthy behaviours as compared to parents who overlooked the problem. Therefore, this study aimed to determine the association between socio-demographic factors with parental perceptions of their child’s BWS among school children in Terengganu, Malaysia. Methods: Using a cross-sectional study design, 389 school children aged 9 to 11 years old were recruited. Height and weight were measured using calibrated tools and inputted into the World Health Organization AnthroPlus software for body mass index z-score calculation. Parental perceptions of their child’s BWS were explored using a selfadministered questionnaire together with their socio-demographic background. Results: Of 389 subjects, 53.2% of school children were from rural and 46.8% were from urban schools. Overall, mean BMI-for-age z-score between school locations showed no significant difference, with higher means reported in urban (-0.2±1.6SD) than in rural (-0.4±1.6SD). Significant association was found between parents’ perceptions and actual BWS (p<0.001). Logistic regression analysis showed that parents of overweight children and parents in rural schools were more likely to misperceive their child’s BWS. Conclusion: This finding suggests that parents from rural areas and having overweight children were more likely to have misperceptions of their child’s BWS. Therefore, knowledge-based intervention programmes among parents specifically in the rural areas are needed to increase the level of awareness to assist in obesity prevention.
8.Human Factors Analysis Of Online Learning Process For Students On Selected Indonesian Campus (A Preliminary Study)
Linda Studiyanti ; Rio Aurachman ; Tiena Gustina Amran
Malaysian Journal of Public Health Medicine 2020;20(Special 1):145-151
The fourth industrial revolution is impacting the learning industry to become online learning, especially in Indonesia. Online learning provides benefits in that it can be cheaper, takes less time, can be self-paced, and provides an equal quality of education for students in rural areas. A total of 60 Indonesian college students on selected campus (age 20 ± 0,36 years old) who joined the Computer Simulation class in the third grade participated in this study. They are divided into two classes, an online class using Moodle software and a physical class, then observations are made. This study aims to obtain preliminary data to then research what human factors influence Indonesian people that constrain students from successful participation in online learning. The results show that there are three aspects of implementing online lectures in Indonesia: rules, usability and cognitive aspects. Besides, quality of place is an environmental factor that cannot be controlled.
9.Reliability Of Anthropometric Measurements Conducted In National Physical Fitness Standard (SEGAK) Assessments Among School-Aged Adolescents In Terengganu, Malaysia
Nurzaime Zulaily ; Aryati Ahmad ; Mohd Razif Shahril ; Fadzli Syed Abdullah ; Amran Ahmed
Malaysian Journal of Public Health Medicine 2019;19(2):141-148
School-based health programs implemented by the Malaysian Ministry of Education (MOE) through the National Physical Fitness Standard (SEGAK) assessments provided an important platform in health status monitoring among schoolchildren. However, to date, there is still no reliability study conducted on this method. Therefore, this study aimed to determine the reliability of the anthropometric data collected by physical education (PE) teachers in the SEGAK assessments. Anthropometry measurements of standard six school adolescents involved in the Health of Adolescents in Terengganu study were taken by trained researchers using a standardised protocol. The anthropometrics data were then compared with PE teachers’ measurements from the SEGAK assessments obtained from the specifically developed Health Monitoring System database. Reliability of the anthropometric measurements were analysed using Pearson’s correlation test, Intraclass Correlation Coefficients (ICC), Bland-Altman plot and Cohen’s Kappa statistics. Intraclass correlation coefficient between teacher-measured and researcher-measured values shows good correlation in weight (ICC = 0.93), height (ICC = 0.98) and BMI (ICC = 0.91). The Bland-Altman plot showed a relatively small difference in mean of weight, height, and BMI between teacher-measured and researcher-measured value. The mean difference between teacher-measured and researcher-measured value of weight, height, and BMI were 1.8kg, 0.1cm, and 0.8kg/m2 respectively. Overall, Cohen’s Kappa statistics showed substantial agreement (κ = 0.642) in BMI categorisation between the two measurements. Findings from reliability analysis conducted affirmed that anthropometrics assessments conducted by PE teachers in SEGAK assessments are reliable to be used for identification of body weight status among school children and adolescents particularly in Terengganu, Malaysia.
10.Perceptions of Contraception and Patterns of Switching Contraceptive Methods Among Family-planning Acceptors in West Nusa Tenggara, Indonesia
Yuli AMRAN ; Narila Mutia NASIR ; Dini DACHLIA ; Fitra YELDA ; Budi UTOMO ; Iwan ARIAWAN ; Rita DAMAYANTI
Korean Journal of Preventive Medicine 2019;52(4):258-264
OBJECTIVES: The perceptions of family-planning (FP) acceptors regarding contraception influence the reasons for which they choose to switch their method of contraception. The objective of this study was to analyze the perceptions of contraception and rationales for switching contraceptive methods among female FP acceptors in West Nusa Tenggara, Indonesia. METHODS: This study involved the analysis of secondary data from the Improve Contraceptive Method Mix study, which was conducted in 2013 by the Center for Health Research, University of Indonesia. The design of the study was cross-sectional. We performed 3 stages of sampling using the cluster technique and selected 4819 women who were FP acceptors in West Nusa Tenggara Province, Indonesia as the subjects of this study. The data were analyzed using multiple logistic regression. RESULTS: The predominant pattern of switching contraceptive methods was switching from one non-long-term method of contraception to another. Only 31.0% of the acceptors reported a rational pattern of switching contraceptive methods given their age, number of children, and FP motivations. Perceptions of the side effects of contraceptive methods, the ease of contraceptive use, and the cost of the contraceptives were significantly associated (at the level of α=0.05) with rational patterns of switching contraceptive methods. CONCLUSIONS: Perceptions among FP-accepting women were found to play an important role in their patterns of switching contraceptive methods. Hence, fostering a better understanding of contraception through high-quality counseling is needed to improve perceptions and thereby to encourage rational, effective, and efficient contraceptive use.
Child
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Contraceptive Agents
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Counseling
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Family Planning Services
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Female
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Foster Home Care
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Humans
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Indonesia
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Logistic Models
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Methods
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Patient Acceptance of Health Care


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