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The use of electronic cigarettes (vapes) among adolescents continues to increase and has emerged as a significant public health concern influenced by the interaction of individual, social, and environmental factors. This study aims to comprehensively riview the factors influencing adolescent e-cigarette use from the perspective of Social Cognitive Theory. A descriptive-narrative literature review was conducted using empirical national and international studies published between 2015 and 2025 and retrieved from Google Scholar, PubMed, and ScienceDirect databases. The synthesis of the literature indicates that adolescent vaping behavior is influenced by social environmental factors, including peer influence and exposure to social media, as well as personal cognitive factors such as knowledge, risk perception, outcome expectations, and self-efficacy. These factors operate thorugh observational learning and reciprocal interactions between individuals, environment, and behavior. This review concludes that Social Cognitive Theory provides a relevant and comprehensive framework for understanding adolescent vaping behavior and offers a foundations for the development of effective health promotion interventions and preventive policies.

Premarital sexual behavior among adolescents remains a public health concern influenced by social change, technological development, and social environment. This study aims to analyze factors associated with adolescent premarital sexual behavior based on the Health Belief Model (HBM). A systematic literature review was conducted on eight studies published between 2019 and 2025, including journal articles, undergraduate theses, and a doctoral dissertation. The findings were analyzed by categorizing the results into six HBM components: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The results indicate that perceived susceptibility is the most consistently associated component with adolescent premarital sexual behavior. Perceived severity, perceived barriers, cues to action, and self-efficacy also show significant associations in several studies, whereas perceived benefits demonstrate the weakest and most inconsistent relationship. Overall, adolescent premarital sexual behavior is shaped by the interaction between risk perception, environmental support, and individual confidence in behavioral control. These findings confirm that the Health Belief Model remains a relevant framework for designing adolescent health promotion and preventive interventions.

Balance disorders are among the most common functional problems experienced by older adults and significantly increase the risk of falls, disability, and reduced quality of life. Early screening and health promotion efforts are essential in preventing these complications. This community service program aimed to introduce and implement the Fukuda Stepping Test as a simple, low-cost, and effective method for promotive and preventive assessment of balance impairment among elderly individuals in the community. The activity involved health education on balance maintenance, demonstration of the test procedure, and direct assessment of participants, followed by individualized feedback and recommendations for balance exercises. The results showed that the Fukuda Stepping Test was well-received, easy to perform, and successfully identified elderly individuals with potential vestibular asymmetry or dynamic balance deficits. Furthermore, the program increased participants’ awareness regarding fall prevention and encouraged adoption of regular balance training. This initiative highlights the importance of accessible physiotherapy-based screening tools in community settings and underscores the role of physiotherapists in promoting healthy aging and reducing fall risk among older adults.

Low back pain is a discomforting condition that can cause various disorders and potentially disrupt a person's quality of life, such as causing decreased work productivity. Therefore, it is important for the community, especially farmers in Bulakrejo Hamlet, Ngawi Regency. To improve understanding of low back pain, efforts are needed to expand farmers' knowledge regarding this condition, including its definition, prevention, and treatment in Bulakrejo Hamlet. The method applied was providing physiotherapy education through health promotion about low back pain using leaflets as a medium for information delivery. A question and answer session was also conducted to measure the level of understanding of farmers in Bulakrejo Hamlet and provide exercises that can address problems of weakness, stiffness, limitations and pain in the back muscles. The activity ran smoothly and the material was easily understood by farmers in Bulakrejo Hamlet. Evaluation results showed an increase in farmers' knowledge, from 40% to 90%. The extension activity proved effective in increasing farmers' understanding of low back pain cases.

Infancy is a crucial golden period for determining the quality of a child's future growth and development. Infant massage has long been recognized for its numerous benefits for infant growth and development. Various studies have shown that infant massage can increase weight gain, improve sleep quality, strengthen the immune system, and aid digestion. Many parents still lack understanding of infant massage. Some assume that infant massage is only performed on sick babies and is performed by traditional healers or medical personnel skilled in infant massage. The purpose of this community service is to increase mothers' knowledge about infant massage through outreach. The target audience was 22 mothers with babies in Gampong Barat, Nisam District, North Aceh Regency. The implementation method used was lectures, discussions, and demonstrations. The results showed that the majority of mothers' knowledge was in the good category after the outreach. This was due to the mothers' enthusiasm in participating in the outreach. Outreach is an effective method for increasing knowledge. Mothers are expected to continue to improve their knowledge about infant massage by increasing their interest in seeking information, whether through reading books, the media, or other sources.

Business location plays a crucial role in determining the success and development of a business, particularly for Micro, Small, and Medium Enterprises (MSMEs). This study aims to analyze how business location influences the performance and sustainability of the Fresh and Healthy Juice MSME in Medan. The research method used is a qualitative descriptive approach, with data collection techniques through direct observation, interviews with business owners, and documentation of daily business activities. The results show that selecting a strategic location, namely on the main road and close to busy areas such as markets, schools, and offices, has a positive impact on increasing the number of customers and sales volume. Factors such as easy transportation access, environmental cleanliness, comfort of the place, and the attractive appearance of the store also support a positive product image in the eyes of consumers. In addition, an easily accessible location simplifies the distribution of raw materials and expands opportunities for word-of-mouth promotion. Based on the analysis, it can be concluded that the right business location is an important strategy in increasing competitiveness and business revenue. Therefore, for MSMEs, selecting a location that suits the target market needs to be carefully considered so that the business can grow sustainably.

Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. It is transmitted through the air, specifically through droplets expelled by sufferers when coughing or sneezing. TB is divided into two main types: pulmonary TB, which attacks the lungs, and extrapulmonary TB, which can affect other organs such as the pleura, lymph nodes, skin, bones, and meninges. In the Community Health Center (Puskesmas) work area, 77 new cases of pulmonary TB were recorded from January to April 2025. Meanwhile, coverage of Tuberculosis Prevention Therapy (TPT) only reached 44.7%, still below the national target of at least 50%. This condition indicates the need for increased health promotion activities and community diagnostic approaches as promotive and preventive measures, in order to increase TPT coverage and reduce the incidence of TB. The results of the respondent questionnaire showed that the level of public knowledge about TB reached 64.6%, positive attitudes at 94%, and preventive behavior at 72%. Based on these findings, it is recommended that outreach activities be conducted regularly to improve public understanding, which can ultimately encourage behavioral changes and reduce TB cases.

Cervical cancer is a malignant tumor that grows in the cervix caused by infection with the Human Papilloma Virus, acquired through sexual intercourse. Indonesia ranks 8th in the highest incidence of cancer in Southeast Asia, the highest prevalence of cancer is Yogyakarta Province where Sleman Regency ranks the highest IVA positive at 2.5% and Halis IVA at the Pakem Health Center is suspected of cervical cancer reaching 13 out of 22 positive IVA results. This achievement is still very low, because there is still low public awareness to carry out early detection of cervical cancer. To determine the relationship between attitude and behavior for early detection of cervical cancer. Quantitative research with a Case Control approach. A sample of 160 women with a proportional sampling technique. Data collection was in the form of filling out questionnaires online using Google Forms with chi square test data analysis and logistic regression. There was a relationship between positive attitude p-value=0.017 and OR of 3.462, women aged >35 years p- value=0.038, multipara parity p-value=0.007, with early detection behavior of cervical cancer. Parity provided a great chance of 7,038 times that women performed early detection behaviors of cervical cancer (CT 95%= 0.187-264,350). To improve early detection examinations, health workers can design health education and promotion models, increase educational socialization to cadres, the public and the community continuously and sustainably.

Coffee is one of the most widely consumed beverages worldwide, including in Indonesia. Coffee consumption has become part of people's daily habits, whether as a companion for work, relaxation, or as part of social culture. However, this habit is often associated with the potential for increased blood pressure due to caffeine, which is a stimulant to the central nervous system and can affect the function of the heart and blood vessels. This study aims to analyze the relationship between the frequency of coffee consumption and systolic and diastolic blood pressure in adults. The research method used a quantitative approach with a correlational design. The study sample consisted of 100 adult respondents selected through a purposive sampling technique based on certain criteria, such as not currently taking antihypertensive medication and having no history of serious cardiovascular disease. Data collection was carried out in two stages. First, respondents completed a questionnaire containing information on the frequency and habits of coffee consumption, including the number of cups per day and the type of coffee consumed. Second, blood pressure was measured using a digital sphygmomanometer to obtain accurate systolic and diastolic blood pressure data. The results of the statistical analysis showed a significant positive correlation between the frequency of coffee consumption and increases in blood pressure, both systolic and diastolic. Specifically, respondents who consumed more than two cups of coffee per day tended to have higher blood pressure values compared to those who consumed one cup or less. This finding has important implications for health promotion efforts, particularly in educating the public about wise coffee consumption. Recommendations include limiting coffee intake, choosing coffee with low caffeine content, and balancing this with a healthy diet, regular physical activity, and stress management as part of a healthy lifestyle.

Obesity among college students is a public health issue that is gaining increasing attention because it is associated with an increased risk of chronic diseases such as diabetes mellitus, hypertension, and heart disease, and can reduce quality of life and academic productivity. College students, as a group of early adults, are in a transition phase towards independence and are therefore vulnerable to lifestyle changes, including unhealthy eating patterns, fast food consumption, low physical activity due to busy studies, irregular sleep habits, and high academic stress. This study aims to determine the risk factors associated with obesity among students at the Islamic University of Ogan Komering Ilir in 2025. This study used a cross-sectional design with a quantitative approach. A sample of 95 students was selected using a purposive sampling technique. Data were collected through a structured questionnaire and body mass index (BMI) measurement to determine respondents' nutritional status. Independent variables included diet, physical activity, sleep quality, stress levels, and a family history of obesity. The results showed a prevalence of obesity of 17.9%. Bivariate analysis found a significant association between obesity and unhealthy diet (p=0.002), low physical activity (p=0.000), poor sleep quality (p=0.000), and high stress levels (p=0.001). Meanwhile, a family history of obesity showed a tendency to have an effect but was not statistically significant. These findings indicate that obesity in college students is largely influenced by modifiable lifestyle factors. Therefore, this study emphasizes the importance of health promotion interventions on campus, such as balanced nutrition counseling, increased access to sports facilities, stress management, and education on healthy sleep patterns. Promotive and preventive efforts undertaken from a young age are expected to reduce the risk of obesity and chronic disease in the future.

The Community Service Program (KKN) is a tangible form of student service to the community through the application of knowledge in the field. Nagacipta Village, Serang Baru Subdistrict, Bekasi Regency, was chosen as the location for the KKN because it has considerable potential for community economic development, particularly through the Micro, Small, and Medium Enterprises (MSME) sector, and faces various challenges in the fields of education, social affairs, and culture. The objectives of this activity are to empower the community through education in schools, MSME assistance, and increased social awareness in order to support sustainable village development. The implementation method used is a qualitative descriptive approach with a participatory element (Participatory Action Research/PAR). The stages involved observation, interviews, group discussions with village officials, youth, and the community, work program preparation, implementation, and evaluation. The main programs implemented included anti-bullying and hygiene education in schools, simple digital marketing training for MSMEs, environmental health education, and support for community social and cultural activities. The results showed an increase in students' awareness of hygiene and mutual respect, the development of MSME actors' knowledge of digital promotion through social media, and increased community participation in social and cultural activities. Documentation of the activities also showed the active involvement of the community and the support of village officials. In conclusion, the KKN program in Nagacipta Village made a positive contribution to community empowerment and MSME development. This program is expected to be the first step in strengthening the village's economic independence and improving the quality of human resources. Recommendations are given for similar programs to continue with ongoing support from the village government, educational institutions, and the next KKN period.

This Community Service Program (PKM) was implemented at UMKM Wedang Rempah 3 Putri Sukoharjo with the aim of enhancing competitiveness through the application of e-prospek, strengthening digital marketing, and product diversification into ready-to-drink (RTD) beverages. The program employed mentoring, training, and hands-on practice, engaging UMKM actors actively from the planning stage to implementation. The results show that the use of the e-prospek application successfully expanded market access, digital marketing improved promotional effectiveness, and RTD product diversification attracted modern consumers who value practicality and health benefits. Beyond the economic impact of increased sales, the program fostered digital awareness, local leadership, and community independence. Theoretically, these findings reinforce the literature on the significance of digital transformation and product innovation in community-based MSME empowerment. This program is recommended for sustainable development through enhanced digital literacy, stronger local branding, and multi-stakeholder collaboration to establish an adaptive, innovative, and competitive MSME empowerment model.

Adolescents represent an age group highly susceptible to health issues, particularly sexually transmitted infections (STIs), due to limited knowledge and restricted access to accurate information. This study aimed to examine the effectiveness of health education in improving adolescents’ knowledge about STIs at SMK Tamansiswa Boja Kendal. The study employed a quantitative pre-experimental method using a one-group pretest-posttest design. A total of 32 students were selected using accidental sampling. The intervention consisted of health education delivered through booklets and posters. Data were collected using a structured questionnaire and analyzed using the Wilcoxon test. Findings revealed a substantial increase in knowledge after the intervention. Prior to the education, 96.9% of respondents demonstrated low knowledge, and only 3.1% had sufficient understanding; after the intervention, 100% of participants achieved a high level of knowledge. The Wilcoxon test yielded a significance value of p = 0.000 (p < 0.05), indicating a statistically meaningful difference before and after the intervention. These results confirm that health education is effective in enhancing adolescent understanding of STIs. Similar programs are recommended to be implemented regularly in educational settings as part of reproductive health promotion and disease prevention efforts..

Local food such as chayote (Sechium edule) has great potential as a healthy and environmentally friendly product that can support food security and improve the economic value of local communities. The innovation of processing chayote, particularly into jam, not only helps reduce agricultural waste but also opens up promising new market opportunities. This study applied an experimental design to produce chayote jam with variations in the use of granulated sugar, glucose, and the addition of mint leaves to enhance flavor. The production stages included grating fresh chayote, cooking until the water content was reduced, adding sugar and pectin to achieve a thick and stable texture, and finally packaging the product in sterilized glass jars. An organoleptic test was conducted with 32 panelists to evaluate the color, aroma, taste, texture, and overall acceptability of the product. The results indicated that jam dominated by granulated sugar (Sample A) gained the highest level of preference, with an overall acceptance of 81%. In contrast, jam made with full glucose substitution (Sample C) received the lowest score of 66%. Generally, chayote jam had a natural green color, distinctive aroma, and thick texture that were well accepted by consumers. The main factors determining jam quality were cooking techniques, the balance of thickening agents, and the proper combination of ingredients. Therefore, chayote jam has the potential to become an innovative, healthy, and value-added local food product. Support in the form of training, technology application, and promotional strategies is essential to strengthen its competitiveness, improve farmers’ welfare, and enhance food diversification based on Indonesia’s local resources.

This study aims to analyze the implementation of health education as an integrated marketing strategy for probiotic products through social media at PT Yakult Indonesia Persada. Health education is increasingly recognized as a strategic approach in value-based marketing, where companies offer not only products but also knowledge and added value for consumer well-being. The research employed a qualitative descriptive method using field observation, interviews with marketing staff, and a literature review of related studies. The findings indicate that PT Yakult Indonesia Persada successfully incorporates health education into its marketing activities through the Yakult Lady program, school visits, health seminars, factory tours, and interactive digital content on social media platforms. These strategies have proven effective in raising consumer awareness of digestive health, strengthening brand image, and maintaining customer loyalty. The study highlights the crucial role of social media integration in reaching younger demographics, fostering engagement, and amplifying educational messages. The consistent delivery of educational content, supported by visual storytelling and personalized approaches, has contributed significantly to Yakult’s sustainable growth in the Indonesian probiotic market. Theoretically, this study enriches the discourse on digital marketing and health communication, while practically, it offers insights for companies seeking to align promotional strategies with consumer education and public health improvement.

Diarrhea remains a major public health problem among children in Indonesia, with a high prevalence that impacts morbidity, mortality, and child development. One of the key risk factors is non-compliance with hygiene practices, particularly handwashing behavior. This study aimed to determine the relationship between handwashing compliance and diarrhea cases among children treated in the Pediatric Ward of Dahlia, RSUD Dr. H. Soewondo Kendal. The research employed a quantitative analytic method with a cross-sectional design, involving a total sampling of 39 child respondents aged 5–10 years who met the inclusion criteria. Data were collected using a handwashing compliance questionnaire and a diarrhea incidence questionnaire, and analyzed using Spearman’s Rank Correlation test. The results showed that most respondents were in the moderately compliant (53.8%) and compliant (43.6%) categories for handwashing, while the incidence of diarrhea remained relatively high at 51.3%. Bivariate analysis indicated a significant negative relationship between handwashing compliance and diarrhea cases (ρ = -0.538; p = 0.000), meaning that the higher the level of handwashing compliance, the lower the incidence of diarrhea. In conclusion, handwashing compliance is an important protective factor in reducing the risk of diarrhea among children. These findings emphasize the need for continuous education for children and parents regarding proper handwashing practices, as well as the integration of Clean and Healthy Living Behavior (PHBS) promotion into healthcare and educational services to prevent diarrhea from an early age

Hypertension is a chronic condition with a high prevalence among the elderly population and is often overlooked despite its potential to cause severe complications, including cardiovascular disease, stroke, and kidney damage. Effective management of hypertension requires not only pharmacological treatment but also patient adherence to prescribed therapies, which is closely linked to their knowledge and understanding of the disease. This study aims to analyze the relationship between knowledge levels and medication adherence among elderly hypertension patients at Sari Asih Hospital in Tangerang. A quantitative approach with a cross-sectional design was employed, and a total of 80 respondents were selected using non-probability sampling techniques. Data were collected using structured questionnaires that assessed both knowledge about hypertension and adherence to medication regimens. Statistical analysis was conducted using Kendall’s tau correlation, which revealed a strong and significant relationship between knowledge and medication adherence (τ = 0.759, p = 0.000). These findings indicate that elderly patients with higher levels of knowledge about hypertension are more likely to adhere to their medication schedules consistently, thereby reducing the risk of complications. The results underscore the importance of continuous health education and counseling for elderly patients to strengthen their awareness and self-management skills. In conclusion, increasing knowledge through targeted health promotion programs can play a vital role in improving adherence to hypertension treatment and ultimately enhancing patient outcomes.

The skincare industry has seen significant growth in the importance of maintaining skin health and appearance. This study aims to examine the influence of promotions on TikTok social media and product quality on Gen Z consumers' purchasing decisions for Glad2Glow skincare products. The study employs a quantitative method using a survey technique via an online questionnaire distributed between April and June 2025 to 80 Gen Z respondents who had viewed Glad2Glow promotions on TikTok and made purchases. Data analysis was conducted using SPSS version 27 software, including data quality tests such as validity, reliability, classical assumptions, multiple linear regression, t-test, F-test, and determination coefficient. The analysis results indicate that, partially, promotions on TikTok social media do not significantly influence purchasing decisions, with a significance value of (0.354 > 0.05) and (calculated t-value 0.932 < table t-value 1.991). Conversely, Product Quality was found to have a positive and significant effect on Purchase Decisions, with a significance value of (0.01 < 0.05) and (calculated t-value 5.551 > table t-value 1.991). Simultaneously, both variables—Promotion on TikTok Social Media and Product Quality—together have a significant effect on Purchase Decisions, as indicated by F calculated 26.763 (> F table 3.12) and significance 0.01 (< 0.05).

Social media has become an integral part of adolescents' lives, offering quick access to information, including reproductive health information. However, exposure to inaccurate information can pose risks. This study aims to analyze the relationship between social media use and adolescent reproductive health knowledge and behavior. A quantitative research method with a cross-sectional approach and chi-square test was used to examine the relationship between the independent variable (social media use) and the dependent variable (reproductive health knowledge and behavior). The study population was all 10th grade students (23 students) and 11th grade students (30 students) at SMK Tamansiswa Boja Kendal. A sample of 53 respondents was taken using an accidental sampling technique, consisting of students who happened to be present and willing to participate during the study. The results showed that the majority of respondents (56.6%) had low social media usage intensity. The majority of respondents also had a high level of knowledge (75.5%) about reproductive health, with an average score of 8.13 and a median of 10. Most respondents (66.0%) demonstrated positive reproductive health behavior. However, the chi-square test results showed no significant relationship between social media use and levels of knowledge (p = 0.673) or reproductive health behavior (p = 0.495). Although social media did not show a significant direct relationship to adolescent reproductive health knowledge and behavior in the context of this study, the high levels of knowledge and positive behaviors found indicate that existing educational programs, both in schools and from other sources, have been effective. Further research with larger samples and wider geographic variation is needed to understand other factors that influence adolescent health behavior.

Vaginal discharge is a reproductive health problem that commonly occurs in adolescent women and can be influenced by the individual’s level of knowledge and attitude towards intimate organ hygiene. Lack of understanding can increase the risk of pathological vaginal discharge. This study aims to determine the relationship between knowledge and attitudes towards the incidence of vaginal discharge in adolescent women. Based on data obtained from a research study conducted at SMPN 5 Pangkalpinang class VIII in February 2025, 7 out of 10 female students have experienced vaginal discharge. This means that most of the eighth grade female students who have experienced puberty experience whiteness in their lives. This research uses a quantitative design with a cross-sectional approach. The sample consisted of 68 respondents selected using purposive sampling technique. Data was collected through a structured questionnaire which had been tested for validity and reliability. Data analysis was carried out using the Chi-Square test. The research results showed that 57 (83.8%) respondents had experienced vaginal discharge, while the other 11 respondents (16.2%) had never experienced vaginal discharge. In the knowledge variable, 51 (75%) respondents had low knowledge, 13 (19.1%) had sufficient knowledge and the remaining 4 (5.9%) had high knowledge, while for the attitude variable 55 (80.9%) had a negative attitude, 13 (19.1%) other respondents had a positive attitude towards the incidence of vaginal discharge at SMPN 5 Pangkalpinang. The results of this study indicate that there is a significant relationship between knowledge and attitudes towards vaginal discharge with a Sig value of p = .000 < 0.05.It is recommended that the SMPN 5 Pangkalpinang school provide education, promotion or health education about the incidence of vaginal discharge, so that it can improve the health status of teenagers. And for educational institutions to further deepen students’ knowledge of health by increasing knowledge about the incidence of vaginal discharge, especially in adolescents.