1.Barriers to treatment completion among drugsensitive tuberculosis patients: evidence from Indonesia’s tuberculosis surveillance system
Mahalul AZAM ; Latifa HANAN ; Muhammad AZINAR ; Amelia Fitra KHASANAH ; Arulita Ika FIBRIANA ; Moch YUNUS ; Dewi SUSANNA ; Martha Irene KARTASURYA ; Shabbir SYED-ABDUL
Osong Public Health and Research Perspectives 2026;17(2):145-154
Objectives:
This study aimed to estimate the prevalence of loss to follow-up (LTFU) among tuberculosis (TB) patients in Indonesia and to identify associated factors.
Methods:
This study analyzed data from the 2022 Tuberculosis Information System in Indonesia. A total of 71,665 drug-sensitive TB patients were included in the analysis. Age, sex,employment status, diagnosis type, human immunodeficiency virus (HIV) status, diabetesmellitus, TB type, mode of treatment, treatment standard, referral status, and type of residence.Categorical variables were analyzed using chi-square tests, followed by multivariable logistic regression to identify confounder-adjusted independent predictors of LTFU.
Results:
The prevalence of LTFU was 18.4%. A higher likelihood of LTFU was observed amongolder adults aged ≥65 years (adjusted-prevalence-odds-ratio [aPOR], 1.862), men (aPOR, 1.187), unemployed individuals (aPOR, 1.136), non-referred patients (aPOR, 1.547), patients with HIV (aPOR, 3.712), and those obtaining TB drugs out of pocket (aPOR, 4.998). The strongest predictorwas receipt of non-standard treatment, which was associated with a markedly increasedlikelihood of LTFU (aPOR, 26.912). In contrast, rural residence demonstrated a protective association (aPOR, 0.610). All associations were statistically significant (p < 0.001).
Conclusion
This study highlights a substantial burden of LTFU among TB patients in Indonesia,with nearly one in five patients discontinuing treatment. Multiple sociodemographic and clinical factors—particularly non-standard treatment, non-referral status, and HIV co-infection—were strongly associated with LTFU, underscoring gaps in the TB care continuum.These findings emphasize the need for targeted, patient-centered interventions, strengthenedreferral pathways, improved communication, and enhanced care coordination to reduce LTFU in high-risk groups.
2.Mental Health Condition of Adolescents to Early Adulthood: A Study of Indonesian College Students
Intan ZAINAFREE ; Chatila MAHARANI ; Ula Faza Nayli RASYAD ; A Setyo WAHYUNINGSIH ; Bertakalswa HERMAWATI ; Tyar Bhatara PUTRA ; Amelia Fitra KHASANAH ; Nadia SYUKRIA ; Muhammad Zakk SAEFURROHIM ; Abdul HAKAM ; Irma ZAIMATUDDUNIA ; Amrita ; Henky Yoga PRASETYA ; Kasihana Hismanita SOPHA ; Syarifah Rose PANDANWANGI ; Ragil Ayu WIGATIE ; Ana Safira Susanti MOFU ; Iis SUSANTI ; Audrey Najwa Bahary SIMANULLANG ; Muhammad Arief FADZILATURRAHMAN
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2024;33(4):422-430
Purpose:
To detect the mental health conditions of students and identify factors influencing their reluctance to seek psychological help in order to prevent progression of more serious mental health issues.
Methods:
This study had a quantitative descriptive survey design. Participants were adolescent active undergraduate students aged 18-24 years. Data were collected through an online questionnaire comprising Indonesian versions of the Mental Health Inventory (MHI-38) and Health Seeking Behavior assessments. Statistical analyses were conducted using IBM SPSS 25 to evaluate respondent characteristics and mental health conditions.
Results:
We found that psychological wellbeing declined with age, with older people being more susceptible to depression and emotional loss than younger people. Men had higher levels of anxiety, depression, and emotional loss than women. Migrant individuals had lower wellbeing than non-migrants. Close friends were the most common source for seeking mental health support, reflecting a preference for informal help rather than professional help.
Conclusion
Transition from adolescence to adulthood is associated with heightened mental health vulnerabilities, especially among first-year male students. Thus, innovative mental health education and peer counseling are needed to better support their psychological well-being.
3.Mental Health Condition of Adolescents to Early Adulthood: A Study of Indonesian College Students
Intan ZAINAFREE ; Chatila MAHARANI ; Ula Faza Nayli RASYAD ; A Setyo WAHYUNINGSIH ; Bertakalswa HERMAWATI ; Tyar Bhatara PUTRA ; Amelia Fitra KHASANAH ; Nadia SYUKRIA ; Muhammad Zakk SAEFURROHIM ; Abdul HAKAM ; Irma ZAIMATUDDUNIA ; Amrita ; Henky Yoga PRASETYA ; Kasihana Hismanita SOPHA ; Syarifah Rose PANDANWANGI ; Ragil Ayu WIGATIE ; Ana Safira Susanti MOFU ; Iis SUSANTI ; Audrey Najwa Bahary SIMANULLANG ; Muhammad Arief FADZILATURRAHMAN
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2024;33(4):422-430
Purpose:
To detect the mental health conditions of students and identify factors influencing their reluctance to seek psychological help in order to prevent progression of more serious mental health issues.
Methods:
This study had a quantitative descriptive survey design. Participants were adolescent active undergraduate students aged 18-24 years. Data were collected through an online questionnaire comprising Indonesian versions of the Mental Health Inventory (MHI-38) and Health Seeking Behavior assessments. Statistical analyses were conducted using IBM SPSS 25 to evaluate respondent characteristics and mental health conditions.
Results:
We found that psychological wellbeing declined with age, with older people being more susceptible to depression and emotional loss than younger people. Men had higher levels of anxiety, depression, and emotional loss than women. Migrant individuals had lower wellbeing than non-migrants. Close friends were the most common source for seeking mental health support, reflecting a preference for informal help rather than professional help.
Conclusion
Transition from adolescence to adulthood is associated with heightened mental health vulnerabilities, especially among first-year male students. Thus, innovative mental health education and peer counseling are needed to better support their psychological well-being.
4.Mental Health Condition of Adolescents to Early Adulthood: A Study of Indonesian College Students
Intan ZAINAFREE ; Chatila MAHARANI ; Ula Faza Nayli RASYAD ; A Setyo WAHYUNINGSIH ; Bertakalswa HERMAWATI ; Tyar Bhatara PUTRA ; Amelia Fitra KHASANAH ; Nadia SYUKRIA ; Muhammad Zakk SAEFURROHIM ; Abdul HAKAM ; Irma ZAIMATUDDUNIA ; Amrita ; Henky Yoga PRASETYA ; Kasihana Hismanita SOPHA ; Syarifah Rose PANDANWANGI ; Ragil Ayu WIGATIE ; Ana Safira Susanti MOFU ; Iis SUSANTI ; Audrey Najwa Bahary SIMANULLANG ; Muhammad Arief FADZILATURRAHMAN
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2024;33(4):422-430
Purpose:
To detect the mental health conditions of students and identify factors influencing their reluctance to seek psychological help in order to prevent progression of more serious mental health issues.
Methods:
This study had a quantitative descriptive survey design. Participants were adolescent active undergraduate students aged 18-24 years. Data were collected through an online questionnaire comprising Indonesian versions of the Mental Health Inventory (MHI-38) and Health Seeking Behavior assessments. Statistical analyses were conducted using IBM SPSS 25 to evaluate respondent characteristics and mental health conditions.
Results:
We found that psychological wellbeing declined with age, with older people being more susceptible to depression and emotional loss than younger people. Men had higher levels of anxiety, depression, and emotional loss than women. Migrant individuals had lower wellbeing than non-migrants. Close friends were the most common source for seeking mental health support, reflecting a preference for informal help rather than professional help.
Conclusion
Transition from adolescence to adulthood is associated with heightened mental health vulnerabilities, especially among first-year male students. Thus, innovative mental health education and peer counseling are needed to better support their psychological well-being.
5.Mental Health Condition of Adolescents to Early Adulthood: A Study of Indonesian College Students
Intan ZAINAFREE ; Chatila MAHARANI ; Ula Faza Nayli RASYAD ; A Setyo WAHYUNINGSIH ; Bertakalswa HERMAWATI ; Tyar Bhatara PUTRA ; Amelia Fitra KHASANAH ; Nadia SYUKRIA ; Muhammad Zakk SAEFURROHIM ; Abdul HAKAM ; Irma ZAIMATUDDUNIA ; Amrita ; Henky Yoga PRASETYA ; Kasihana Hismanita SOPHA ; Syarifah Rose PANDANWANGI ; Ragil Ayu WIGATIE ; Ana Safira Susanti MOFU ; Iis SUSANTI ; Audrey Najwa Bahary SIMANULLANG ; Muhammad Arief FADZILATURRAHMAN
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2024;33(4):422-430
Purpose:
To detect the mental health conditions of students and identify factors influencing their reluctance to seek psychological help in order to prevent progression of more serious mental health issues.
Methods:
This study had a quantitative descriptive survey design. Participants were adolescent active undergraduate students aged 18-24 years. Data were collected through an online questionnaire comprising Indonesian versions of the Mental Health Inventory (MHI-38) and Health Seeking Behavior assessments. Statistical analyses were conducted using IBM SPSS 25 to evaluate respondent characteristics and mental health conditions.
Results:
We found that psychological wellbeing declined with age, with older people being more susceptible to depression and emotional loss than younger people. Men had higher levels of anxiety, depression, and emotional loss than women. Migrant individuals had lower wellbeing than non-migrants. Close friends were the most common source for seeking mental health support, reflecting a preference for informal help rather than professional help.
Conclusion
Transition from adolescence to adulthood is associated with heightened mental health vulnerabilities, especially among first-year male students. Thus, innovative mental health education and peer counseling are needed to better support their psychological well-being.

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