Sri Widati

Introduction: For teenagers, mental health is a big problem during the COVID-19 pandemic and post pandemic. Only a few teenagers seek professional help for mental health problems. In the last 12 months, only 2.6% of youth with mental health problems used mental health facilities or counseling to deal with their emotional and behavioral problems. The purpose of study is to determine the effect of demographic characteristics, knowledge, attitudes, social support, ability to do self-efficacy, distance to health services and stigma on the intention and behavior of seeking mental health services among students at the Universitas Airlangga Indonesia. Methods: The research is a cross-sectional study using questionnaires distributed through google form. The participants are 324 Universitas Airlangga students. The data was analyzed by logistic regression to examine the effect of independent variables to dependents variables. Results: The results showed that the attitude of the respondents, the ability of the respondents in self-control and the intention as well as social support have significant influence on the behavior of students in seeking mental health services. Conclusion: Campus should provide full support to students in seeking mental health services by providing infrastructure and communication system, both physical and mental, such as counseling services with professionals.

Introduction: The increase in cigarette production use in Indonesia has contributed to the rise of non-communicable diseases, affecting both active and passive smokers. Based on the 2023 Indonesian Health Survey around 70 million people in Indonesia smoke actively, with 7.4% of them being between the ages of 10 and 18 years old. Effective tobacco control and public education communications are essential to protect vulnerable populations from the dangers of passive smoking. Objective: To increase awareness among active smokers, this study analyzed communication messages about the impact of smoking on children and women regarding communication messages as tobacco-free education. Method: This qualitative study employed Focus Group Discussions (FGDs) involving active smokers from rural and urban areas in Indonesia. Participants were recruited from urban university students living in Surabaya and rural areas of Banyuwangi through online brochures distributed at multiple universities in each region. Eligible participants were both female and male active smokers who had been smoking for the last 3 years, consumed more than five conventional cigarettes, and had used electronic cigarettes more than five times. The study included two discussion groups, each with six participants. Data analysis was using thematic analysis. Result: Six types of media communications were conducted for each child and woman. The respondents in rural East Java equally favored messages A and C. Regarding the children communication in Urban East Java, most participants preferred message C, whereas one selected message B. Regarding the women’s communication, most urban participants chose message C, with two selecting message C and one choosing message B. Most participants acknowledged the adverse health impacts of cigarette smoking on passive smokers. Both rural and urban participants selected communication messages on children’s and women’s mortality data as impactful for tobacco-free education for active smokers. Conclusion: Communication messages focusing on children and women can effectively influence the perceptions and emotions of active smokers as tobacco-free education. Media development is needed to convey educational messages that inform both active and passive smokers, encouraging awareness and behavior change.

Background: Mycobacterium tuberculosis is the bacterium responsible for tuberculosis (TB), a disease primarily spread through droplets from infected individuals. Ponorogo Regency ranks eighth in TB-related mortality in East Java, with Kauman Health Center recording the highest number of TB cases, most of which involve individuals working as farmers. This study aims to investigate how environmental factors such as lighting, floor type, and wall type contribute to the occurrence of pulmonary TB among farmers in the Kauman Health Center area. Methods: This research employed an analytical observational design with a case-control approach. A total of 78 who worked as farmers were included, consisting of 39 cases and 39 controls, selected through simple random sampling. Both primary and secondary data were collected using measurement and observation techniques. The study focused on pulmonary TB incidence as the dependent variable, while the independent variables included lighting, floor type, and wall type. Data analysis involved univariate and bivariate methods using logistic regression. Results: Findings showed that the majority of respondents lived in homes with inadequate lighting (72%), proper floor types (79%), and acceptable wall types (69%). A significant association was identified between poor lighting and TB incidence among farmers, OR = 3.659 (95% CI: 1.422–9.417). However, no significant relationship was found between TB incidence and either floor type (p=0.366) or wall type (p=0.113). Conclusion: Inadequate lighting is significantly associated with pulmonary TB in farmers. In contrast, the type of floor and wall materials did not significantly influence this study.

Background: Anemia in adolescents, particularly young women, remains a significant public health concern in Indonesia, with low adherence to iron supplementation being a key contributing factor. While previous interventions have focused primarily on individual compliance, the role of teachers as health educators in schools is often overlooked. This study aimed to analyze the determinants of teachers’ intention to provide health education on anemia prevention in Surabaya high schools.Method: A cross-sectional survey was conducted among 119 high school and vocational school teachers within the working area of Tanah Kali Kedinding Health Center, selected through simple random sampling from a total population of 170 teachers. Data were collected using structured questionnaires and analyzed using multiple logistic regressions to assess the influence of attitudes, subjective norms, and perceived behavioral control on teachers' intention to deliver health education.Result: The analysis indicated that teacher' attitudes, subjective norms, and perceived behavioral control did not significantly influence their intention to deliver health education on iron supplementation. This indicates that structural and institutional factors, rather than individual psychological characteristics, primarily influence teachers' involvement in health education delivery.of the risks of e cigarettes. Efforts to enhance adolescent anemia prevention should address structural barriers within the educational system. Policy support from schools and educational authorities is critical to institutionalizing health education as part of the teachers' formal responsibilities.

Background: TikTok is a social media application that has become popular among the younger generation due to its short, creative, and straightforward content. These aspects can render TikTok a potential application for mental health education. However, the downsides of lacking credibility checks and the potential for spreading misinformation exist and can be harmful to users. Objectives: This scoping review aims to explore the potential and challenges of TikTok as a medium for mental health education. Methods: This study employed a scoping review approach. Three databases were employed in the data review: Science Direct, ProQuest, and PubMed. ‘Mental Health’ and ‘TikTok’ were the primary keywords. After rereading each paper with consideration for the relevance and lucidity of the findings, it was determined that 16 articles were suitable for this evaluation. Results: TikTok may be used as a platform of mental health education, awareness-raising, and support due to its wide reach and interactive nature. Its effectiveness relies on the content type and quality, psychological characteristics of users, and credibility checks. Minimizing the danger of misinformation and emotional disturbance of users is a concern. There needs to be more media literacy, content regulation, and active participation of mental health professionals in content creation to harness the TikTok platform to its full potential as a mental health education tool. Conclusions: TikTok can to be a powerful tool for mental health education and literacy, but its effectiveness is contingent on content quality, user characteristics, and credibility filtering. To realize maximum gains and reduce the risk of spreading misinformation and injurious content, strict moderation, regulation, and user education are required.

Child marriage often involves adolescents aged 10–19 years and poses significant health risks and challenges to gender equality. The aim of this systematic review was to examine the involvement of adolescent girls in decision-making processes regarding child marriage and identify influencing factors. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, this review covered studies published between January 2014 and July 2024. The databases searched included ScienceDirect, Springer Link, PubMed, and Taylor & Francis, using terms related to adolescent girls, decision-making, and child marriage. Inclusion criteria targeted studies involving girls aged 10–19, with methods including qualitative, quantitative, longitudinal, and mixed-method, published in English. Data extraction and quality assessment followed the standards of the Joanna Briggs Institute. Of 6,967 articles, 29 met the inclusion criteria, spanning 26 countries across three continents, with 51.7% being qualitative studies. Economic pressure was identified as the primary driver of child marriage, with significant parental and community influences restricting the girls' decision-making autonomy. Parents, especially fathers, often force girls into marriage to reduce economic burdens and enhance family honor. Some adolescent girls initiate marriage to escape adverse home conditions or societal stigma. Education and strong family support emerged as protective factors, while entrenched social norms perpetuated early marriages. Comprehensive approaches including educational improvement, economic support, and social norm transformation are essential. Addressing child marriage requires multidimensional strategies, encompassing enhanced educational opportunities, economic support, and changing entrenched social norms. Future research should focus on interventions that boost adolescent girls' life skills and decision-making autonomy to delay marriage and enable informed choices.

Corrigendum on: Wahyuningsih S, Widati S, Praveena SM and Azkiya MW (2024) Unveiling barriers to reproductive health awareness among rural adolescents: a systematic review. Front. Reprod. Health 6:1444111. doi: 10.3389/frph.2024.1444111In the published article, there was an error in the Funding statement. The original statement incorrectly mentioned "The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study was funded by the Indonesian Education Scholarship (Beasiswa Pendidikan Indonesia [BPI]), provided by the Ministry of Education, Culture, Research and Technology of the Republic of Indonesia. Recipient: Sri Wahyuningsih, Indonesian Education Scholarship Identification Number: 202327091301". The correct Funding statement appears below.

Introduction: Sexual and reproductive health (SRH) among adolescents is a critical aspect of global health. Rural adolescents often encounter significant barriers to reproductive health awareness, elevating their risks for unintended pregnancies, sexually transmitted infections (STIs), and other reproductive health issues. This systematic review seeks to identify and analyze the barriers hindering reproductive health awareness among rural adolescents.Methods: This review followed PRISMA guidelines. Literature searches were conducted in PubMed, ScienceDirect, Google Scholar, and Taylor & Francis, focusing on studies published from 2019 to 2024. Keywords included “Adolescent,” “Rural,” “Reproductive Health,” “Awareness,” and “Barriers.” Studies were screened based on eligibility criteria, and data were extracted and analyzed to identify key barriers at the individual, interpersonal, social/community, and health services levels.Results: Out of 669 records, 20 studies met the inclusion criteria. Identified barriers at the individual level included lack of knowledge, myths, misconceptions, and feelings of shame and fear. Interpersonal barriers were related to poor communication between parents and adolescents and misinformation from peers. Social and community barriers encompassed rigid social norms, stigma, and discrimination. Health services barriers included limited access and negative experiences with reproductive health services.Discussion: Rural adolescents face complex barriers to reproductive health awareness driven by factors at the individual, interpersonal, social, and health services levels. Comprehensive interventions, such as educational campaigns, training for healthcare providers, and improved access via mobile or online platforms, are essential to enhance reproductive health awareness and outcomes.Systematic Review Registration: https://www.crd.york.ac.uk/, PROSPERO (CRD42024554439).

Background: Cigarette smoking is a danger that threatens the world community. Cigarette advertising content that is often aired on electronic media can provide opinions and shape the perceptions and actions of someone who sees it. Objective: This study aims to analyze the effect of exposure to cigarette advertising on smoking behavior in school-age children. Methods: This study used a case-control design. The case sample is a portion of school children aged 10-14 years who smoke in the Batu Health Office work area recorded in school-age smoking screening data as many as 81 samples. The control sample is a portion of school children aged 10-14 years who do not smoke in the Batu Health Office work area and who are schoolmates of the 81 case samples. The sampling technique was carried out by simple random sampling. Results: There is an effect of exposure to online cigarette advertisements on smoking behavior in school-age children (pvalue:0.016; OR:2.718;95%CI 1.258-5.872). Exposure to cigarette advertisements through offline media and idol figures did not show a statistically significant effect, however, based on the results of the study, showed that students who have been exposed to cigarette advertisements tend to smoke. Conclusion: Students who are exposed to cigarette advertisements through online media have a risk of becoming smokers.