The Role of Psychoeducation in Preventing Stunting: Tackling Early Marriage Culture in Adolescent

  • Novita Eka Kusuma Wardani Politeknik Kesehatan Kemenkes Surabaya, Jurusan Kebidanan
  • Ani Media Harumi Politeknik Kesehatan Kemenkes Surabaya, Jurusan Kebidanan
  • Siti Mar’atus Sholika Politeknik Kesehatan Kemenkes Surabaya, Jurusan Kebidanan
Keywords: Psychoeducation, Stunting, Adolescent, Culture, Marriage

Abstract

Stunting is a chronic nutritional issue threatening future generations, significantly influenced by early marriage practices. In East Java, Indonesia, early marriage has become a pressing concern, with a 10.44% increase in 2022, exceeding the national average. The region reported the highest number of early marriage dispensation requests in Indonesia, totaling 15,337 cases, or 29.4% of the national total. In the Madurese community, early marriage is often viewed as a customary practice, driven by unintended pregnancies and parental pressure. This study aims to evaluate the effectiveness of psychoeducation regarding stunting and early marriage culture in promoting stunting prevention behaviors among adolescent girls. A mixed-method approach was employed, using a quasi-experimental design with pre- and post-test groups, focusing on female adolescents aged 14-21 at the Wonoayu community health center. The independent variables include psychoeducation on stunting and early marriage culture, while the dependent variable is stunting prevention behavior. Data were collected using questionnaires for the quantitative aspect and in-depth interviews for the qualitative component. Results indicate significant improvements in stunting prevention behavior scores post-intervention. Psychoeducation effectively enhances knowledge about stunting's causes and preventive measures, enabling adolescents to take proactive steps. Furthermore, it fosters positive attitudes toward nutrition and reproductive health, encouraging healthier habits among participants.

References

Abni, E. N., & Kasim, A. M. (2024). The effectiveness of health promotion (audiovisual and leaflet) on adolescents' behavior regarding breast self-examination. Jurnal Ilmiah Kesehatan Sandi Husada, 13(2), 389-395. https://doi.org/10.35816/jiskh.v13i2.1228

Afiatin, T., Nurvita, S., & Reginasari, A. (2024). Empowering Posyandu Cadres Through Positive Parenting Psychoeducation to Safeguard Children From Stunting. Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement), 10(1), 57. http://dx.doi.org/10.22146/jpkm.80582

Badi’ah, A., Mendri, N. K., Palestin, B., Subargus, A., Huriah, T., Khasanah, F., Najib, M., et al. (2022). Family Empowerment Psychoeducation on Family Support Caring of Children Diarrhea. Open Access Macedonian Journal of Medical Sciences, 9(T5), 137–141. https://doi.org/10.3889/oamjms.2021.7834

Batubara, R. A., & Heriansyah, R. (2022). Penyuluhan Tentang Dampak Pernikahan Dini Terhadap Kesehatan Reproduksi Wanita Di Sman 5 Padangsidimpuan Tahun 2020. Jurnal Pengabdian Masyarakat Aufa ( JPMA ), 4(1), 2020–2023. https://doi.org/10.51933/jpma.v4i1.568

Damayanti, F. N., Mulyanti, L., Anggraini, N. N., Ulvie, Y. N. S., Sulistyowati, E., Khiaokham, L., ... & Aryani, H. T. (2023, April). Psychoeducation Effectiveness of Parenting Patterns in Stunting Prevention: A Literature Review. In 1st Lawang Sewu International Symposium 2022 on Health Sciences (LSISHS 2022) (pp. 67-74). Atlantis Press. Retrieved from http://dx.doi.org/10.2991/978-94-6463-132-6_9

Dewi, U. M., Windarti, Y., & Hayani, H. (2023). The Effect of Lactation Psychoeducation Using a Video-Based Comprehensive Model on the Level of Anxiety of Mothers in Breastfeeding Case Study of Myths and Facts in Breastfeeding. Health Education and Health Promotion, 11(3), 441–445. http://dx.doi.org/10.58209/hehp.11.3.441

Irdawati, I., Fitri, F. N., Syaiful, A. A., & Nafisah, H. (2023). Education on early detection of stunting for health cadres at Mawar Integrated Health Post, Sogaten, Surakarta. Community Empowerment, 8(8), 1150–1154. https://doi.org/10.31603/ce.9563

Jones, N., Tefera, B., Stephenson, J., Gupta, T., Pereznieto, P., Emire, G., ... & Gezhegne, K. (2014). Early marriage and education: the complex role of social norms in shaping Ethiopian adolescent girls’ lives. Country Report: Shaping policy for development, 1-103.

Kazdin, A. E., Siegel, T. C., & Bass, D. (1992). Cognitive problem-solving skills training and parent management training in the treatment of antisocial behavior in children. Journal of consulting and clinical psychology, 60(5), 733. https://doi.org/10.1037//0022-006x.60.5.733

Khoshkerdar, P., & Raeisi, Z. (2020). The Effect of Mindfulness-Based Stress Reduction on Affective Control Dimensions in Adolescent Girls with Dysfunctional Eating Attitudes. Journal of Child and Family Studies, 29, 1992-1999. https://doi.org/10.1007/s10826-020-01721-5

Larasati, D. A., Nindya, T. S., & Arief, Y. S. (2018). Hubungan antara Kehamilan Remaja dan Riwayat Pemberian ASI Dengan Kejadian Stunting pada Balita di Wilayah Kerja Puskesmas Pujon Kabupaten Malang. Amerta Nutrition, 2(4), 392. http://dx.doi.org/10.20473/amnt.v2i4.2018.392-401

Petersen, I., Barry, M., Lund, C., & Bhana, A. (2013). 11 Mental Health Promotion and the Prevention of Mental Disorders. Global mental health: principles and practice, 135.

Putro, R. S., Sunirah, S., Andas, A. M., & Wada, F. H. (2022). Faktor- Faktor yang Berhubungan dengan Perilaku Seksual Pranikah pada Remaja. Jurnal Surya Medika, 8(1), 194–199. https://doi.org/10.33084/jsm.v8i1.3163

Rocco, P. L., Ciano, R. P., & Balestrieri, M. (2001). Psychoeducation in the prevention of eating disorders: An experimental approach in adolescent schoolgirls. British Journal of Medical Psychology, 74(3), 351-358. https://doi.org/10.1348/000711201161028

Roy, S. C. (2008). ‘Taking charge of your health’: discourses of responsibility in English‐Canadian women's magazines. Sociology of health & illness, 30(3), 463-477. https://doi.org/10.1111/j.1467-9566.2007.01066.x

Sari, P., Ramadhan, R., & Seliviana. (2024). The Influence Of Psychoeducation On Knowledge And Attitudes On The Importance Of Asi As A Stunting Prevention Measure Among Caders In Rasau Jaya. Jurnal Eduhealth, 15(02), 1467–1473.

Sazali, H., & Utami, T. N. (2023). Komunikasi kebijakan Publik: Penanganan Stunting berbasis Agama dan Budaya di Indonesia. Merdeka Kreasi Group.

Steinberg, L., & Cauffman, E. (1996). Maturity of judgment in adolescence: Psychosocial factors in adolescent decision making. Law and human behavior, 20(3), 249-272. https://doi.org/10.1007/BF01499023

Sumartini, E., Gurnida, D. A., Fadlyana, E., Susiarno, H., Rusmil, K., & Effendi, J. S. (2019). Stunting Determinant on Toddler Age of 12–24 Months in Singaparna Public Health Center Tasikmalaya Regency. Global Medical & Health Communication (GMHC), 7(3), 224–231. http://dx.doi.org/10.29313/gmhc.v7i3.3673

Wardani, N. E. K., & Harumi, A. M. (2022). Analisis Faktor Persepsi Manfaat dan Persepsi Hambatan Terhadap Perilaku Ibu Balita dalam Pencegahan Stunting Berdasarkan Teori Health Belief Model. Malahayati Nursing Journal, 4(3), 556–563. https://doi.org/10.33024/mnj.v4i3.5974

Wardoyo, H., Moeloek, N. D., Basrowi, R. W., Ekowati, M., Samah, K., Mustopo, W. I., ... & Pelangi, B. (2023, December). Mental Health Awareness and Promotion during the First 1000 Days of Life: An Expert Consensus. In Healthcare (Vol. 12, No. 1, p. 44). MDPI. https://doi.org/10.3390/healthcare12010044

World Health Organization. (2023). Regional consultation on parent support for early childhood development and adolescent health in South-East Asia (No. SEA-CAH-44). World Health Organization. Regional Office for South-East Asia.

Published
2025-01-23
How to Cite
Kusuma Wardani, N. E., Harumi, A. M., & Sholika, S. M. (2025). The Role of Psychoeducation in Preventing Stunting: Tackling Early Marriage Culture in Adolescent. Journal La Medihealtico, 6(1), 20-25. https://doi.org/10.37899/journallamedihealtico.v6i1.1708