Spearman Rank Test Research Articles

Knowledge and stigma of depression among adolescents in Indonesia: a cross-sectional study

<span lang="EN-US">Depression is a prevalent mental health issue among Indonesian adolescents. Adolescents grappling with depression face various challenges, including exclusion, discrimination, educational difficulties, and violations of human rights. Limited knowledge about depression contributes to stigma, which impacts teenagers' reluctance to seek professional help. This study aimed to examine the correlation between adolescents' knowledge and the stigma of depression. Using a cross-sectional framework, this study involved 240 high school students from grades 10, 11, and 12. All participants completed and returned the requisite instruments. Knowledge about depression was assessed using the adolescent depression knowledge questionnaire (ADKQ), while the depression stigma scale (DSS) was used to gauge levels of stigma. The relationship between knowledge and stigma was analysed using the Spearman rank test. The findings indicate that the mean score for adolescents' knowledge about depression was 7.00 (SD=2.72), while the mean score for stigmatisation of depression was 42.02 (SD=8.43). A significant relationship between knowledge and stigma was observed (p<0.0001), characterised by moderate strength and a negative direction (r=-0.45). The study concludes that more excellent knowledge about depression among adolescents is inversely related to the level of the stigma they harbour. It is therefore recommended that mental health nurses in Community Health Centers enhance educational and counselling programs to inform adolescents about depression better. Collaboration between academic institutions and healthcare facilities, along with the development of school-based mental health programs, is imperative for reducing the stigma associated with depression among students.</span>

Family functions to increase breastfeeding self efficacy of adolescent primigravida

Primigravida in adolescence will experience changes in situations that require the ability to adapt to pregnancy, thereby affecting their confidence in breastfeeding their babies. The function of the family is to help prepare the pregnant mother's needs to face the changes of pregnancy, prepare for childbirth and overcome difficulties in breastfeeding. This research aims to determine the function of the family in increasing breastfeeding self-efficacy of adolescent primigravida. Correlational research design, population and sample of 124 teenage primigravida respondents using total sampling technique. The independent variable family function was measured using the family assessment device (FAD) questionnaire and the dependent variable breastfeeding self-efficacy using the breastfeeding self-efficacy scale short form (BSES-SF) questionnaire which was analyzed using the Rho Spearman rank test. The research results showed that almost all respondents (90.3%) had healthy family functions and almost all respondents (83.9%) had high self-confidence. The statistical test results showed a significant p-value of 0.000 (α<0.05) with r=0.746. The function of the family in providing a sense of security and comfort creates a positive attitude among adolescent primigravida towards breastfeeding self-efficacy. Breastfeeding self-efficacy needs to increase breastfeeding success and prevent stunting.

The Relationship between nutritional status and menstrual cycle and anemia

Introduction: Adolescence is a period of growth and puberty; adolescents are very concerned about appearance, so they pay attention to their diet until they are strict. This causes the intake needed to be unmet, then impacts the menstrual cycle and anemia. Objective: This study aims to analyze the relationship between nutritional status, the menstrual cycle, and the incidence of anemia in adolescent girls. Method: This research is an analytic observational study. The approach in this research is cross-sectional. The population is 447 female students aged 13-15; the sample is 83. Sampling using consecutive sampling. The data collection instrument used a questionnaire to determine the menstrual cycle, measure height and weight, and measure Hb levels with digital tools. Results: This study uses the Spearman Rank test formula value 0.05. The results of nutritional status with menstrual cycles were 0.016 < 0.05, and then significant results were obtained; on nutritional status with anemia, the results were 0.00 < 0.05, then substantial results were obtained, and the results of menstrual cycles with anemia were 0.06 > 0.05 then the result is not essential. Conclusion: It can be concluded that there is a relationship between nutritional status and the menstrual cycle and anaemia, but there is no relationship between the menstrual cycle and anaemia. Optimal nutritional status, including adequate iron intake, is essential for maintaining menstrual health and preventing anemia. Nutrition interventions and health education on the importance of balanced nutrition can be a practical step in supporting women's reproductive health

The Relationship Between Age, Income, and Anxiety to Hypertension Farmworkers' Blood Pressure in Agroindustry Area Jember Regency

This study aims to determine the relationship between age, income and anxiety to blood pressure in hypertension farmworkers in the agro-industrial area of Jember Regency. The type and design of this research was analytical observational with a cross sectional approach. The population of this study were agricultural workers who experienced hypertension in the work area of the Mumbulsari Community Health Center, Jember Regency. The number of samples used was 66 people using the total sampling method. Data of age and income were analyzed by chi-square, the anxieties data were analyzed by using the Spearman Rank test. The research results also showed that the majority of respondents, namely 47 people (73.4%) experienced mild anxiety. Blood pressure data shows that the majority of respondents have grade 1 hypertension (53%). Statistical test results show that there is a significant relationship between anxiety and blood pressure of hypertension farmworkers in the agro-industrial area of Jember Regency (p-value < 0.038) and there is no significant relationship between age and income (p-value more than 0.05). There is a significant relationship between anxiety and blood pressure in hypertension farm workers and there is no significant relationship between age and income .

Sequential multiple mediating effect of loneliness and family health on physical frailty and willingness to age at home in older adults: a national survey in China

BackgroundWith the rapid ageing of the global population, the number of older adults with physical frailty has been gradually increasing, making ageing at home a key strategy for coping with this demographic change. The opinions of older adults regarding their willingness to age at home deserve to be considered respectfully. As a result, this study aimed to investigate willingness to age at home and any associated underlying mechanisms involving physical frailty among older Chinese adults.MethodsThis study was a national cross-sectional survey. Stratified random and quota sampling were used before and after the individual level respectively. Willingness to age at home was compared between older adults with different characteristics using the Mann–Whitney U test and Kruskal–Wallis H test. A Spearman rank test was conducted to explore the correlations among physical frailty, loneliness, family health, and willingness to age at home. The path hypothesis that loneliness and family health influence the relationship between physical frailty and willingness to age at home among older adults was further tested through sequential multiple mediation analysis.ResultsA total of 3,837 older adults were included in this study. They returned a median score of 78 in terms of willingness to age at home. Physical frailty (β = − 0.044, P < 0.01) and loneliness (β = − 0.070, P < 0.001) were negatively associated, and family health (β = 0.275, P < 0.001) was positively associated with a willingness to age at home among older Chinese adults. Loneliness and family health played sequential multiple mediating role (β = − 0.018, Boot SE = 0.002, 95% CI = [–0.022, − 0.014]) between physical frailty and willingness to age at home.ConclusionsReducing physical frailty in older adults, reducing their sense of loneliness, and enhancing their family health is essential, as it can increase their levels of confidence with regard to ageing at home.

Pacing analysis and comparison of TOP-10 and NOT TOP-10 Ultra Trail Cape Town 100-km finishers.

Pacing strategies during endurance efforts vary depending on athlete experience, race length, and terrain. In ultramarathon trail running the specific race route profile can have a significant impact on optimal pacing strategy. The aim of this study was to determine the relationship between uphill, downhill and level running with overall performance and to compare the difference in pacing strategies between top 10 (TOP-10) and non-top 10 (NOT TOP-10) finishers of a 100-km ultra-trail marathon with +5000-m elevation gain. Fifty male finishers (TOP-10: N.=6, NOT TOP-10, N.=44) and forty-six individual segments (1.5±1.2 km) were analyzed based on 2021 100-km UTCT STRAVA data. Relative segment speed and CV% were used to identify pacing strategies. Spearman Rank and Mann Whitney-U tests were used to analyze the data. Significance was set at P<0.05. Uphill running had the strongest relationship with overall performance (r=0.826, P<0.01). Substantially weaker relationships between overall running performance and level (r=0.402, P<0.01) and downhill (r=-0.382, P<0.01) running performance were found. The CV% was significantly lower in TOP-10 (32.10±1.81) than NOT TOP-10 (35.39±4.43) (U=24, r=0.46, P<0.01). Uphill running performance remains a valuable measure of overall trail running performance as it represents a higher percentage of overall running demand. TOP-10 runners have diminished decay in initial running speed than NOT TOP-10 runners, despite a generally high variation in pace and net positive split in ultra-trail running.

THE RELATIONSHIP OF BODY MASS INDEX (BMI) AND THE INCIDENT OF PRE-ECLAMPSIA IN PREGNANT WOMEN AT BHAYANGKARA HOSPITAL

Introduction: Pre-eclampsia is one of the causes of death in mothers and babies. One of the factors related to the occurrence of pre-eclampsia is obesity. Obesity can be identified using the Body Mass Index (BMI). This study aims to analyze the relationship between Body Mass Index (BMI) and the incidence of pre-eclampsia in pregnant women at Bhayangkara Hospital. Method: This type of research is observational and uses a cross-sectional research design. The total sample was 40 pregnant women determined using the total sampling technique. The research instrument used an observation sheet. Data were analyzed using the Spearman rank correlation test with a significance value &lt;α=0.05. Results: The study showed that most of the body mass index was in the overweight or obese category, amounting to 32 respondents (80%). The incidence of pre-eclampsia in almost all respondents with severe pre-eclampsia was 35 respondents (87.5%). The Spearman rank test results showed a P-value = 0.000 &lt; α 0.05, meaning there is a relationship between body mass index and the incidence of pre-eclampsia. Conclusion: There is a relationship between body mass index and the incidence of pre-eclampsia. The suggestion is the need for health workers to make innovations related to preventing pre-eclampsia.

ADL ACTIVITY OF DAILY LIVING DAN KUALITAS HIDUP PASIEN PASCA STROKE ISKEMIK

Ischemic stroke, also referred to as non-hemorrhagic stroke, results in the death of brain tissue due to impaired blood flow, primarily caused by blockages in the cerebral or cervical arteries and, less commonly, in the cerebral veins. This condition profoundly affects various aspects of an individual's life, including physical, emotional, psychological, cognitive, and social well-being. Following a stroke, many individuals experience reduced independence and mobility, which significantly detracts from their quality of life. Often, they face self-care deficits and require assistance to gradually regain the ability to perform activities of daily living (ADL) independently. This study aims to elucidate the strong relationship between ADL independence and the quality of life of post-ischemic stroke patients at Abdul Aziz Hospital in Singkawang City. Employing an analytic observational design with a cross-sectional approach, the research involved a sample of 60 respondents selected from the Neurology Polyclinic at RSUD dr. Abdul Aziz through purposive sampling. Data analysis was conducted using the Spearman Rank test with a 95% confidence level. The results indicate a significant relationship between ADL independence and the quality of life of these patients, as demonstrated by a p-value of 0.000 (p &lt; α) and a correlation strength of 0.514, categorized as moderate (0.40 – 0.599). These findings highlight that the level of independence in activities of daily living is intrinsically linked to the quality of life for post-ischemic stroke patients.

INTENSITAS PENGGUNAAN MEDIA SOSIAL DAN PERSEPSI REMAJA TENTANG CITRA TUBUH IDEAL

The intensity of social media (Instagram) usage is how long and how often someone accesses it. The duration of accessing Instagram often triggers perceptions about ideal body image in society. The purpose of this study to analyze the effect of the intensity of Instagram social media usage on adolescents' perceptions about ideal body image at SMA Negeri 4 Purwokerto. The research method used is a non-experimental quantitative research type with a cross-sectional approach. The sample consisted of 124 students. The research instruments included a questionnaire that measured the intensity of Instagram usage using a scale adapted from previous researchers and the perception of ideal body image using the Multidimensional Body Self-Relations Questionnaire (MBSRQ) measuring instrument. The test results using SPSS version 25, the characteristics of the respondents were mostly female (72.6%), the intensity of Instagram usage and adolescents' perceptions about body image were in the moderate category, 73.4% and 60.5%, respectively. The results of the Spearman rank test showed a p value of 0.004 (&lt;0.05) so that H1 was accepted and H2 was rejected. Thus, there is an influence between the intensity of Instagram use and ideal body image with a significance value of 0.004 &lt;0.05, so it can be concluded that the two variables are correlated with a correlation coefficient value of 0.259, which means that the level of relationship between the two variables is in a very weak relationship.

THE RELATIONSHIP BETWEEN ONLINE GAME ADDICTION WITH STUDENT LEARNING MOTIVATION AT SMPI MIFTAHUL JANNAH AND MTS NAHDLATUL NASYIIN IV PASANGGAR PEGANTENAN PAMEKASAN

Background: Rapid technological advances can change various aspects of everyday life, such as online gaming. Playing online games can foster curiosity and attract interest, and can even cause addiction that interferes with learning motivation. Objectives: This research aims to understand the correlation between addiction to playing online games and students' learning motivation at SMPI Miftahul Jannah and MTS Nahdlatul Nasyiin IV Pasanggar Pegantenan Pamekasan. Design: This research adopted a quantitative approach with correlational analysis methods and cross-sectional research, involving 60 students from SMPI Miftahul Jannah and MTS Nahdlatul Nasyiin IV using purposive sampling techniques. The data collection tool consists of questionnaires and data analysis is conducted using Spearman's rank correlation test. Results: This research found that the majority of respondents were addicted to playing online games at a high level, namely 37 respondents (61.7%). Meanwhile, most respondents had low-level learning motivation, and 37 respondents (61.7%). From the results of the Spearman Rank Test, a significant value of 0.000 (p &lt; 0.05) was found with a correlation coefficient of -0.666, indicating a strong negative relationship between Addiction to Playing Online Games and Learning Motivation in students at SMPI Miftahul Jannah and MTS Nahdlatul Nasyiin IV in Pasangggar Pegantenan Pamekasan. Conclusion: Time management, schedules, supervision, family support, and healthy substitute activities are needed as a solution.

Exploring the Link between Acne Vulgaris Severity and Adolescents' Quality of Life in Gresik

Background :Adolescence is a transition period between childhood and adulthood, this creates conflict within adolescents which often gives rise to strange and awkward behavior, this is because during adolescence there is a period of puberty which can change physically and psychologically. So the appearance of acne vulgaris can disrupt teenagers' self-confidence. The aim of the study was to analyze the relationship between the severity of acne vulgaris and the quality of life of adolescents. Research design :The research design used is correlation research using a cross sectional approach. The population design used was teenagers in Gresik, the sample size was 210 teenagers, with a sampling technique using simple random sampling. Data collection used the CADI questionnaire and observation sheets. The variables measured were the severity of acne vulgaris and the quality of life of adolescents. Data analysis used cross tabulation and sperm rank test. Research result : Of the 210 students at SMAN who experienced mild degrees (46.2%), moderate degrees (45.2%), severe degrees (8.6%). Half of teenagers experience mild degrees. And regarding the quality of life of students and students who had no disturbances (1.0%), mild disturbances (25.7%), moderate disturbances (31.9%), severe disturbances (41.4%), half of the respondents experienced severe disturbances. The results of the Spearman rank test are p = &lt;0.05, meaning there is a significant relationship. Conclusion : There is a relationship between the severity of acne vulgaris and the quality of life of adolescents in Gresik. Keywords: Acne Vulgaris, Quality of Life, Adolescents

The Relationship Between the Percentage of Skeletal Muscle (SMP) and the Emergence of Degenerative Diseases (Hypertension) in Posyandu for the Elderly Mugi Sehat

Degenerative disease is a condition of continuous decline in body function with increasing age. Hypertension is a degenerative disease that is often suffered by the elderly. The aging process results in changes in body composition, often without being accompanied by weight changes. Increasing age in the elderly will experience functional limitations caused by changes in body composition, one of which is the Percentage of Skeletal Muscle. The purpose of this study was to determine the relationship between the percentage of skeletal muscle and the emergence of degenerative diseases (hypertension) in the elderly at the Mugi Healthy Elderly Posyandu. The instruments in this study used a Digital Sphygmomanometer to measure blood pressure and an Omron Karada Scan Body Composition Monitor Model HBF-375 to measure Skeletal Muscle Percentage. This research method uses a cross-sectional research design. The sample in this study is 58 people. The research was conducted at the Mugi Sehat Elderly Posyandu in the working area of the 2022 UPTD Kembar I health center in May-June 2023. The sampling technique in this study uses total sampling and data analysis using the Spearman Rank test. The results of this study from the bivariate analysis showed that there was no relationship between the Percentage of Skeletal Muscle and the emergence of degenerative diseases (hypertension) in the elderly at the Mugi Healthy Elderly Posyandu, namely the Percentage of Skeletal Muscle with hypertension P value = 0.576 (CC=-0.075).

The Relationship Between The Role of Cadres and The Behavior of Mothers in Stunting Prevention at Posyandu Toddler Mancar Village Jombang Regency

Stunting is short or very short of its age caused by inadequate chronic nutritional intake. The low role of cadres is one of the causes that affects maternal behavior in the prevention that will be carried out. This study aimed to determine the relationship between the role of cadres and maternal behavior in stunting prevention in the posyandu toddler. This research design used a cross sectional approach. The population was toddlers Posyandu in Mancar village, jombang regency with a sample size of 68 respondents and using a total sampling technique. Data collection tools in the form of questionnaires on the role of cadres and maternal behavior in stunting prevention, as well as tests data analysis using the spearman rank test significant rate 0.05. The results of the study showed that 51 respondents (75.0%) and mothers under five had less behavior in stunting prevention as many as 59 respondents (86.8%). The results of the Spearman Rank statistical test obtained a significant value of ρ &lt; α (α = 0.05), which is 0.000 &lt; 0.05, meaning that H1 is accepted, so there is a relationship between the role of cadres and maternal behavior in stunting prevention at the Toddler Posyandu in Mancar Village, Jombang Regency. The role of a good cadre can create the behavior of mothers under five in good prevention. The role of health workers or posyandu cadres is very important in realizing good stunting prevention knowledge and behavior so that stunting events can be reduced.

HUBUNGAN STRES DENGAN KEJADIAN HIPERTENSI PADA PEKERJA MITIGASI PEMADAM KEBAKARAN DI KOTA BATAM

Background: Hypertension is a condition where the blood vessels experience a continuous increase, while diastolic blood pressure is the blood pressure when the heart relaxes. This hypertension can be influenced by several factors, especially stress. Stress is a state or condition that arises due to the inability of a person experiencing stress to deal with stressors including circumstances and biological, psychological and social resources. One job that can be at risk of hypertension due to work stress is firefighting, because this job involves repeated exposure to traumatic events that can cause psychological problems. Method: This research uses quantitative methods through a cross sectional approach. This research was conducted at Batam University in December-January 2023/2024. The sampling technique used Isaac Michael's formula with a sample size of 43 out of 110 workers Result: The results of the analysis test using the Spearman Rank test showed a p result of 0.002 (&lt;0.05), indicating that there was a significant relationship between stress levels and the incidence of hypertension. with a Spearman Rank correlation coefficient value of 0.432. Conclusion: Based on the research results, it was found that there was a relationship between stress and the incidence of hypertension in firefighting mitigation workers in Batam City in 2023.

Assessing the spatial variability of cage movement and velocity attenuation of an off-bottom oyster farm and its influence on eastern oyster (Crassostrea virginica) growth performance

The global shellfish aquaculture industry has expanded over the last seven decades. Similarly, the size of individual shellfish farming operations has grown in some states. Circulation processes in natural water bodies are dynamic and vary across multiple temporal and spatial scales. How gear installation affects the circulation of currents and waves, and subsequent phytoplankton delivery to crops within farms, is largely unknown. Documenting and understanding variability in wave and current energy within an individual farm could help optimize production. Our study sought to understand the variability in oyster growth attributable to hydrodynamic and atmospheric forcing across an active commercial shellfish aquaculture lease in the Patuxent River, Maryland. We observed a 17 % reduction in water flow downstream of the farm (rho = −0.673, p = 0.002, Spearman rank test), suggesting the bottom cages attenuated downstream current velocity during flood tides. Differences in flow speed and the movement of cages and oysters throughout the farm correlated with variances in oyster shell morphology and oyster survival while in bottom cages. Our results demonstrate the occurrence of variability in production within an individual farm location. Further, our findings suggest that insight into the spatial growth patterns across a lease can be practical for forecasting growth and quality of cultured oysters and may enable growers to strategically place oysters within their farm to improve yield and product consistency.

B-283 Biological Consequences of Nitrous Oxide Abuse: Insights from Targeted Metabolomics Investigation

Abstract Background The recreational use of nitrous oxide (N2O), commonly known as laughing gas, has experienced a notable surge in popularity in recent times. According to the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), N2O is recognized as one of the most widely used psychoactive substances in Europe as of 2022. Its use also extends to Asia and America, according to literature. However, prolonged consumption of N2O has been associated with neurological complications linked to the functional inactivation of vitamin B12, disrupting One Carbon Metabolism. This study aims to explore the metabolic effects of N2O intoxication through a targeted metabolomics approach. Methods We conducted a prospective collection of clinical and biological information from 37 N2O users and 37 non-users (control group). Utilizing a targeted metabolomics method, we analyzed plasma amino acids using liquid chromatography coupled with mass spectrometry. Our statistical analysis encompassed principal component analyses, random forests, Mann-Whitney tests, Student's t-tests, and Spearman rank tests. Results Metabolomic analyses have demonstrated effective differentiation between patient groups. In comparison to controls, N2O consumers displayed reduced plasma levels of taurine, cystine, and methionine, alongside elevated plasma levels of serine and sarcosine. These findings suggest a potential influence of N2O on the cystine-methionine metabolic pathway. The decrease in methionine levels may be attributed to the decreased activity of methionine synthase (MS) due to vitamin B12 inactivation, which could partially explain the observed increase in serine levels. The rise in sarcosine levels could be explained by an increase in betaine-homocysteine S-methyltransferase (BHMT) activity. Moreover, dysfunction in cystathionine-β-synthase (CBS) or cystathionine γ-lyase (γ-CYS) may lead to the accumulation of upstream metabolites (such as serine) and a reduction in downstream metabolites (such as cysteine and taurine). Conclusions This study sheds light on potential new impacts of N2O, particularly on the plasma levels of serine, cystine, and taurine, indicating a potential modulation of enzymes involved in the conversion of homocysteine to taurine (CBS and/or γ-CYS). Additional investigations are required in a larger group of patients, which corresponds to the aims of the EFLM Task &amp; Finish Group: Biomarkers of Diagnosis and Follow-up of Nitrous Oxide Abuse: https://www.eflm.eu/site/who-we-are/committee/science-committee/fu/tfg-biomarkers-of-diagnosis

The Relationship Between Adolescents’ Knowledge About Bullying And Bullying Behavior Among Students At Mts Sabila In Hamparan Perak Village

Bullying teenagers seems very common, so that this case should be seriously handled by various parties. It is considered as a phenomenon attached to a certain group of people and is influenced by wider social context. The objective of the research is to find out the correlation of teenagers’ knowledge of bullying with bullying behavior in the student of MTs Sabila at Hamparan Perak Village. The research uses descriptive correlation method with cross sectional design. The samples are 56 teenagers, taken by using total sampling technique. The research instrument was questionnaire, and the data are analyzed by using Spearman Rank test. The result of the research show that 37 respondents (66.1%) have bad knowledge, 47 respondents (83.9%) have bad behavior p-value = 0.000 and r= -0.451 wich indicate that there is the significant correlation between teenagers’ knowledge of bullying and bullying behavior in the students of MTs Sabila at Hamparan Perak village. It is recommended that the school management, especially the counseling teachers give special attention to teenagers’ behavior at the school and provide the subject of bullying and its impact in order to change or prevent bullying behavior,

Factors Related To Compliance With The Consumption Of Iron Tablets In Adolescent Females

Background : Anemia is a condition characterized by decreased hemoglobin levels, red blood cell counts, and impaired oxygen requirements. One type of anemia that is often experienced by adolescents is iron deficiency anemia, due to the high iron requirements for adolescent growth which is inversely proportional to the amount of iron intake of adolescents. Many factors cause adolescent girls not to consume or still low consumption of Iron Supplement Tablets in Adolescent Girls. This study aims to determine the factors that influence compliance in taking iron tablets in adolescent girls at SMP Negeri 1 Kotabunan. Materials and Methods: This type of research uses quantitative observational analytic with a cross-sectional approach conducted on 74 female students taken from total sampling. Data collection was obtained from a research instrument in the form of a questionnaire. Data analysis was carried out by univariate analysis carried out on each variable and bivariate using the Charles Spearman Correlation Test or Spearman's Rank Correlation Coefficient with a confidence level (alpha) of 0.05. Results:of the study showed that respondents started menstruating at the age of 11-12 years by 35%, adolescent girls were obedient in consuming iron tablets by 57 people (77%), knowledge of adolescent girls by 67 people (90.5%) with a good category, Teacher Support 82.4%, Family 66.2% and Peers 77% supported adolescent girls consuming iron tablets, the correlation coefficient value with the Spearman's Rank test. for knowledge with compliance in consuming iron tablets 0.000, teacher support 0.003, family support 0.000 and peer support 0.007. There is a relationship between the level of knowledge, teacher support, family support and peer support with compliance in consuming iron tablets with a correlation coefficient value (sig.2-tailed) &lt;0.05. Conclusion: Adolescents in the growth and development period require adequate nutrient intake including the consumption of iron tablets to avoid anaemia. This study shows that factors associated with adherence to iron tablet consumption in adolescent girls are knowledge, attitude, parental support and teacher support.

Body fat percentage, mid-upper arm circumference, and menstrual cycle in female students at x high school

&lt;p&gt;&lt;strong&gt;Background&lt;/strong&gt;: Irregular menstrual cycle in adolescent girls is an indicator of reproductive organ disorders. One of the risk factor for menstrual cycle disorders is nutritional status problem. Nutritional status can be measured using several anthropometric indicators such as body fat percentage and mid-upper arm circumference (MUAC).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives&lt;/strong&gt;: This study aimed to analyze the correlation between body fat percentage and MUAC with the menstrual cycle in girls of X High School Sidoarjo.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods&lt;/strong&gt;: The type of this research was cross-sectional. The sample used 66 students with stratified random sampling technique. Body fat percentage was obtained by using the Mi Body Composition Scale 2, mid-upper arm circumference (MUAC) was measured by using midline, and the menstrual cycle was obtained by using a menstrual cycle questionnaire for the last 3 months. Data were analyzed with Rank Spearman test.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; The results showed that average of body fat percentage was 26.8%, MUAC was 23.8 cm, and menstrual cycle was 35 days. Based on the test of the relationship between body fat percentage and the menstrual cycle, p-value 0.000 (r-value -0.875) were obtained, while MUAC and the menstrual cycle showed p-value 0.000 (r-value -0.916). The higher the body fat percentage, the shorter the menstrual cycle. The smaller the MUAC, the longer the menstrual cycle.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions&lt;/strong&gt;: There was a significant relationship between body fat percentage and MUAC with the menstrual cycle within girls in X High School Sidoarjo. Adolescent girls are expected to maintain normal nutritional status in order to maintain the regularity of their menstrual cycle, so as to minimize the risk of infertility in the future.&lt;/p&gt;

Hubungan Tingkat Kecemasan dengan Frekuensi Hubungan Seksual pada Ibu Menopause di Desa Ramban Kulon Kecamatan Cermee Kabupaten Bondowoso

Menopause is caused by the decline in ovarian function due to aging, which leads to a decrease in estrogen production. This condition results in both physical and psychological changes, leading to various menopausal complaints. The aim of this study was to examine the relationship between anxiety levels and sexual frequency in menopausal women in Ramban Kulon Village, Cermee District, Bondowoso Regency. This research used a quantitative design with a correlational approach and a cross-sectional method. The population consisted of all menopausal women aged 45-59 years in Ramban Kulon Village, totaling 462 individuals. A sample of 82 respondents was selected using random sampling. Data were collected using a questionnaire and analyzed using SPSS with the Spearman Rank test. The results showed that the majority of respondents (31.7%) experienced no anxiety, and most respondents (40.2%) reported low or no sexual activity. The Spearman Rank test yielded a significance value (Asymp. Sig) of 0.000 &lt; 0.05, indicating a significant relationship between anxiety levels and sexual frequency in menopausal women in Ramban Kulon Village. This study confirms the hypothesis and suggests that reducing anxiety may help menopausal women maintain sexual desire during this stage of life.