Analysis of Nutritional Status, Reproductive Health Risk, and Psychological Distress among Senior High School Adolescents: A School-Based Cross-Sectional Study

Roichatul Djannah; Sigit Nurcahyono

doi:10.70716/mohr.v4i2.531

Authors

Roichatul Djannah Midwifery Diploma III Program, Universitas Salakanagara, Tangerang, Indonesia
Sigit Nurcahyono Computer Science, Universitas Salakanagara, Tangerang, Indonesia

DOI:

https://doi.org/10.70716/mohr.v4i2.531

Keywords:

adolescents, nutritional status, reproductive health risk psychological distress, school-based health

Abstract

Adolescence is a critical developmental period characterized by rapid biological, psychological, and social changes that may increase vulnerability to reproductive health problems and psychological distress. This study examined the relationships among nutritional status, reproductive health risks, and psychological distress among adolescents. A quantitative cross-sectional study was conducted among 198 senior high school students. Nutritional status was assessed using BMI-for-age anthropometric measurements, while reproductive health risk and psychological distress were measured using structured questionnaires, including the Kessler Psychological Distress Scale-10 (K10). Data were analyzed using univariate analysis, the Chi-Square test, Spearman's rank correlation, and linear regression. Most respondents had normal nutritional status (65.7%), moderate reproductive health risk (87.4%), and severe psychological distress (77.3%). Nutritional status was not significantly associated with reproductive health risk (p = 0.9288) or psychological distress (p = 0.7764). In contrast, reproductive health risk showed a significant association with psychological distress (p < 0.001; ρ = 0.3939). Multivariate analysis confirmed reproductive health risk as a significant predictor of psychological distress (β = 0.829; p < 0.001), explaining 15.4% of the variance. These findings highlight the importance of integrating reproductive health screening, counseling, and mental health support into school-based adolescent health programs.

Downloads

Download data is not yet available.

References

Agustina, D., Harahap, J. W., Laoli, A. N., Hasibuan, I. S. M., Rahmawati, N., & Seri Rahmadani Hasibuan. (2023). Pemanfaatan Media Sosial sebagai Media Promosi Kesehatan Reproduksi pada Remaja. Jurnal Kolaboratif Science, 6(I2), 1784–1793. https://doi.org/https://doi.org/10.56338/jks.v6i12.4389

Albin, I., & Handayani, M. (2023). Perdarahan Uterus Abnormal. GALENICAL : Jurnal Kedokteran Dan Kesehatan Mahasiswa Malikussaleh, 2(6), 65. https://doi.org/10.29103/jkkmm.v2i6.10676

Amalia, I. N., Budhiana, J., & Sanjaya, W. (2023). Hubungan stres dengan gangguan siklus menstruasi pada remaja putri. Jurnal Wacana Kesehatan, 8(2), 75. https://doi.org/10.52822/jwk.v8i2.526

Azzahra, F. (2017). Pengaruh resiliensi terhadap distres psikologis pada mahasiswa. Jurnal Ilmiah Psikologi Terapan, 5(1), 80–96. https://doi.org/10.22219/jipt.v5i1.3883

Blakemore, S. J., & Mills, K. L. (2014). Is adolescence a sensitive period for sociocultural processing? Annual Review of Psychology, 65, 187–207. https://doi.org/https://doi.org/10.1146/annurev-psych-010213-115202

Chandra-Mouli, V., et al. (2019). Adolescent sexual and reproductive health. Sexual and Reproductive Health Matters, 27(1), 336–339. https://doi.org/https://doi.org/10.1080/26410397.2019.1676006

Devilawati, A. (2020). Hubungan Tingkat Stres dengan Siklus Menstruasi. Jurnal Aisyiyah Medika, 5(2), 111–120. https://doi.org/https://doi.org/10.36729/jam.v5i2.892

Effendy, D. S. (2024). Faktor yang berhubungan dengan status gizi wanita usia reproduktif di wilayah pesisir kota kendari , sulawesi tenggara. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat, 9(4), 368–377. https://doi.org/http://dx.doi.org/10.37887/jimkesmas.v7i1

Handayani, P., Rahmi, J., Amalia, M., & Marsshanda, S. (2022). Hubungan tingkat stres dan aktifitas fisik dengan siklus menstruasi pada remaja puti kelas XII di SMA PGRI Sindang sono Kabipaten Tangerang. Midwifery and Public Journal, 2(1), 56–69. https://doi.org/https://doi.org/10.52031/map.v2i1.367

Hanum, M. (2025). Pengaruh distress psikologis terhadap perubahan perilaku menyimpang pada remaja di duren mekar. Jurnal Sains Student Research, 3(6), 53–62. https://doi.org/https://doi.org/10.61722/jssr.v3i6.6181

Hapsari, A. (2019). BUKU AJAR KESEHATAN (I). Wineka Media. ik.um.ac.id/wp-content/uploads/2020/10/6.-BUKU-AJAR-KESEHATAN-REPRODUKSI-MODUL-KESEHATAN-REPRODUKSI-REMAJA.pdf

Karisma, N., Rofiah2, A., Afifah3, S. N., & Manik, Y. M. (2023). Kesehatan mental remaja dan tren bunuh diri: peran masyarakat mengatasi kasus bullying di Indonesia. Jurnal Ilmiah Kependidikan, 3(3), 560–567. https://doi.org/10.47709/educendikia.v3i03.3439

Kemenkes. (2024). Pentingnya Kesehatan Mental bagi remaja dan Cara Menghadapainya. Kemenkes. .

Maedy, F. S., Permatasari, T. A. E., & Sugiatmi, S. (2022). Hubungan status gizi dan stres terhadap siklus menstruasi remaja putri di Indonesia. Muhammadiyah Journal of Nutrition and Food Science (MJNF), 3(1), 1. https://doi.org/10.24853/mjnf.3.1.1-10

Multazami, L. P. (2022). Hubungan stres, pola makan, dan aktivitas fisik dengan status gizi mahasiswa. Nutrizione, 2(1), 1–9. https://doi.org/https://doi.org/10.15294/nutrizione.v2i1

Panghiyangani, R. (2024). Kesehatan Reproduksi dan Perilaku Seksual Remaja Tinjauan Fisiologis dan Psikologis (Cetakan pe). ULM Press. https://repo-dosen.ulm.ac.id/bitstream/handle/123456789/36086/CETAK_BUKU KESEHATAN REPRODUKSI DAN PERILAKU SEKSUAL-OK-Roselina-2024.pdf?sequence=1

Rahayu, A., Noor, M. S., Yulidasari, F., Rahman, F., & Andini Octaviana Putri. (2017). Kesehatan Reproduksi Remaja & Lansia. In Airlangga University Press.

Rahman, H. N. I. (2022). Analisis tingkat pemahaman pendidikan kesehatan reproduksi pada remaja. JRTI (Jurnal Riset Tindakan Indonesia), 7(2), 395–398. https://doi.org/https://doi.org/10.29210/30031669000

Rahmawaty, F., Silalahi, R. P., T, B., & Mansyah, B. (2022). Faktor-faktor yang mempengaruhi kesehatan mental remaja. Jurnal Surya Medika, 8(3), 276–281. https://doi.org/https://doi.org/10.33084/jsm.v8i3.4522

Ranakusuma, O. (2017). hubungan dan komunikasi dokter dan pasien dalam layanan kesehatan. Prosiding Konferensi Nasional III Psikologi Kesehatan, 239–249. https://doi.org/https://doi.org/10.33476/knpk.v1i1.5245

Rita, N., & Sar, P. G. (2021). Hubungan tingkat stress dengan kejadian dismenore primer pada remaja putri. Jurnal Kesehatan Llentera ’Aisyiyah, 2(2), 102–110. https://doi.org/10.58170/10.1234/vol3iss2pp230

Sadiah, I. H., Elizabeth, B., Rusnaedi, P., & Rahayu, P. (2025). Relationship between eating habits and nutritional status in adolescents. Jurnal Keperawatan Florence Nightingale, 8(1), 10–15. https://doi.org/10.52774/jkfn.v8i1.255

Sawyer S. M. (2018). The age of adolescence. The Lancet Child & Adolescent Health, 2(3), 223–228. https://doi.org/https://doi.org/10.1016/S2352-4642(18)30022-1

Susanti, N. L. P. D., & Nuartini, N. N. (2021). Gambaran Stres Siswa Sma Menghadapi Ujian Sekolah Dari Rumah Serta Dampaknya Terhadap Kesehatan Reproduksi Di SMAN I Mengwi. Jurnal Riset Kesehatan Nasional, 5(1), 5-12. https://doi.org/10.37294/jrkn.v5i1.305

Utami, S. B., & Rialihanto, M. P. (2024). Perbedaan Lingkar Lengan Atas (LILA) berdasarkan Kategori Status Gizi pada Remaja Putri di Kabupaten Kulonprogo: The Differences in Mid Upper Arm Circumference (MUAC) based on Adolescent Girsl’s Nutrition Status Category in Kulonprogo Regency. Jurnal Gizi dan Kesehatan, 16(2), 259-268. https://doi.org/10.35473/jgk.v16i2.579