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Fulltext Predictive value of birth weight and age for preliminary community-level stratification of undernutrition risk among children under 5: a cross-sectional study in rural Indonesia

Maidelwita Y, Rahmayanti R, Suciana S, Sarfika R, Bin Sansuwito T

Child Health Nurs Res, 2026 Oct;32(4):464-479.
PMID: 42956813 DOI: 10.4094/chnr.2026.022

PURPOSE: We evaluated the predictive value of low birth weight (LBW), child age, and maternal education for stunting, wasting, and underweight among children aged 0-59 months.
METHODS: We analyzed cross-sectional surveillance data from 394 children in Pesisir Selatan District, West Sumatra, Indonesia, and classified nutritional status according to the 2006 World Health Organization Child Growth Standards. For each outcome, we fitted a parsimonious logistic model (LBW, age, maternal education, and sex) and an expanded model incorporating 8 additional variables (9 regression coefficients). We assessed discrimination using the area under the receiver operating characteristic curve (AUROC) and calibration using the Hosmer-Lemeshow test and calibration slope.
RESULTS: The prevalence of stunting, wasting, and underweight was 14.5%, 10.7%, and 17.3%, respectively. LBW was the strongest predictor in the parsimonious model for stunting (adjusted odds ratio [AOR], 4.85; 95% confidence interval [CI], 2.53-9.29), wasting (AOR, 2.88; 95% CI, 1.38-6.02), and underweight (AOR, 4.34; 95% CI, 2.30-8.19; p≤.005). A lack of formal maternal education was independently associated with stunting and underweight. The optimism-corrected AUROCs were .706, .631, and .751, with calibration slopes of .88, .75, and .90, respectively. Adding variables in the expanded model did not improve fit (likelihood-ratio p>.05) and increased optimism.
CONCLUSION: The parsimonious model showed modest discrimination for stunting and underweight. Discrimination for wasting was inadequate. A predictive contribution from the added variables could not be demonstrated with the available number of events. These preliminary findings require external validation before community-level application.
Fulltext Investigating associations between emotional and behavioral problems, self-esteem, and parental attachment among adolescents: A cross-sectional study in Indonesia

Sarfika R, Moh Yanuar Saifudin IM, Sari IM, Murni D, Malini H, Abdullah KL

Heliyon, 2023 Nov;9(11):e21459.
PMID: 38027961 DOI: 10.1016/j.heliyon.2023.e21459

BACKGROUND: Emotional and Behavioral Problems (EBPs) are prevalent among adolescents, and adolescents' capacity for adaptation can be influenced by their interactions with their parents, environment, and self-esteem. This link has not been systematically examined among adolescents in West Sumatra, Indonesia. This study aimed to assess the association of parental attachment and self-esteem with EBPs in adolescents.
METHODS: A cross-sectional study was conducted from July to November 2022 in Padang West Sumatra, Indonesia. In total, 854 students from public senior high school 4 Padang were involved in this study and completed questionnaires on demographics, EBPs, parental attachment, and self-esteem. There was a total of five subscales for EBPs, which included emotional problems, conduct problems, hyperactivity, peer problems and prosocial. Additionally, there were three subscales for parental attachment, which included the mother's attachment, father's attachment, and peer attachment. Spearman's correlation, independent-sample t-tests, ANOVA and multiple linear regression analysis were employed to examine factors associated with EBPs.
RESULTS: This study showed that father's attachment (r = -0.191, p r = -0.241, p r = -0.437, p
Bibliometric analysis of suicide risk assessment in children and adolescents: Trends and future directions

Kustanti CY, Sarfika R, Efendi F, Abdullah KL, Kurniawan EAPB, Wijaya NE, et al.

Psychiatry Res, 2025 Mar 25;348:116468.
PMID: 40156985 DOI: 10.1016/j.psychres.2025.116468

Suicide risk among children and adolescents continues to rise, yet critical trends and research gaps in suicide risk assessment remain unexamined. This study aimed to analyze global research trends on suicide risk assessment in children and adolescents using Scopus-indexed literature from 1984 to 2024. VOSviewer was used to visualize keyword co-occurrence and thematic trends. Bibliometric data were extracted from abstracts, including publication volume, citation counts, and author productivity. The search strategy identified 1195 articles, with 259 meeting the inclusion criteria. Publications grew annually by 7.78 %, with contributions from 1243 unique authors and an average document age of 9.22 years. The United States was the leading contributor, followed by China, Spain, and the United Kingdom. The Journal of Affective Disorders is the one with the highest number of publications on network analysis in suicide risk assessment, followed by the Journal of Archives of Suicide Research and Psychiatry Research. Most documents were articles (236), with few reviews (15). Key research areas included suicidal ideation, psychometric evaluations, and stress markers. However, critical gaps persist, particularly in developing culturally sensitive assessment tools, integrating biological and psychosocial risk factors, and expanding research in low- and middle-income countries. Most assessment tools are developed in Western settings, limiting cross-cultural applicability. Given the role of sociocultural factors in suicidal behaviors, future research should prioritize culturally adapted assessment methods and validate self-report tools in diverse populations. Addressing these gaps is essential for improving global suicide prevention strategies.

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